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Sample records for instrumental variables evaluation

  1. Falsification Testing of Instrumental Variables Methods for Comparative Effectiveness Research.

    Science.gov (United States)

    Pizer, Steven D

    2016-04-01

    To demonstrate how falsification tests can be used to evaluate instrumental variables methods applicable to a wide variety of comparative effectiveness research questions. Brief conceptual review of instrumental variables and falsification testing principles and techniques accompanied by an empirical application. Sample STATA code related to the empirical application is provided in the Appendix. Comparative long-term risks of sulfonylureas and thiazolidinediones for management of type 2 diabetes. Outcomes include mortality and hospitalization for an ambulatory care-sensitive condition. Prescribing pattern variations are used as instrumental variables. Falsification testing is an easily computed and powerful way to evaluate the validity of the key assumption underlying instrumental variables analysis. If falsification tests are used, instrumental variables techniques can help answer a multitude of important clinical questions. © Health Research and Educational Trust.

  2. Important variables for parents' postnatal sense of security: evaluating a new Swedish instrument (the PPSS instrument).

    Science.gov (United States)

    Persson, Eva K; Dykes, Anna-Karin

    2009-08-01

    to evaluate dimensions of both parents' postnatal sense of security the first week after childbirth, and to determine associations between the PPSS instrument and different sociodemographic and situational background variables. evaluative, cross-sectional design. 113 mothers and 99 fathers with children live born at term, from five hospitals in southern Sweden. mothers and fathers had similar feelings concerning postnatal sense of security. Of the dimensions in the PPSS instrument, a sense of midwives'/nurses' empowering behaviour, a sense of one's own general well-being and a sense of the mother's well-being as experienced by the father were the most important dimensions for parents' experienced security. A sense of affinity within the family (for both parents) and a sense of manageable breast feeding (for mothers) were not significantly associated with their experienced security. A sense of participation during pregnancy and general anxiety were significantly associated background variables for postnatal sense of security for both parents. For the mothers, parity and a sense that the father was participating during pregnancy were also significantly associated. more focus on parents' participation during pregnancy as well as midwives'/nurses' empowering behaviour during the postnatal period will be beneficial for both parents' postnatal sense of security.

  3. Evaluating disease management programme effectiveness: an introduction to instrumental variables.

    Science.gov (United States)

    Linden, Ariel; Adams, John L

    2006-04-01

    This paper introduces the concept of instrumental variables (IVs) as a means of providing an unbiased estimate of treatment effects in evaluating disease management (DM) programme effectiveness. Model development is described using zip codes as the IV. Three diabetes DM outcomes were evaluated: annual diabetes costs, emergency department (ED) visits and hospital days. Both ordinary least squares (OLS) and IV estimates showed a significant treatment effect for diabetes costs (P = 0.011) but neither model produced a significant treatment effect for ED visits. However, the IV estimate showed a significant treatment effect for hospital days (P = 0.006) whereas the OLS model did not. These results illustrate the utility of IV estimation when the OLS model is sensitive to the confounding effect of hidden bias.

  4. Instrumental variables I: instrumental variables exploit natural variation in nonexperimental data to estimate causal relationships.

    Science.gov (United States)

    Rassen, Jeremy A; Brookhart, M Alan; Glynn, Robert J; Mittleman, Murray A; Schneeweiss, Sebastian

    2009-12-01

    The gold standard of study design for treatment evaluation is widely acknowledged to be the randomized controlled trial (RCT). Trials allow for the estimation of causal effect by randomly assigning participants either to an intervention or comparison group; through the assumption of "exchangeability" between groups, comparing the outcomes will yield an estimate of causal effect. In the many cases where RCTs are impractical or unethical, instrumental variable (IV) analysis offers a nonexperimental alternative based on many of the same principles. IV analysis relies on finding a naturally varying phenomenon, related to treatment but not to outcome except through the effect of treatment itself, and then using this phenomenon as a proxy for the confounded treatment variable. This article demonstrates how IV analysis arises from an analogous but potentially impossible RCT design, and outlines the assumptions necessary for valid estimation. It gives examples of instruments used in clinical epidemiology and concludes with an outline on estimation of effects.

  5. Instrumental Variables in the Long Run

    DEFF Research Database (Denmark)

    Casey, Gregory; Klemp, Marc Patrick Brag

    2017-01-01

    In the study of long-run economic growth, it is common to use historical or geographical variables as instruments for contemporary endogenous regressors. We study the interpretation of these conventional instrumental variable (IV) regressions in a general, yet simple, framework. Our aim...... quantitative implications for the field of long-run economic growth. We also use our framework to examine related empirical techniques. We find that two prominent regression methodologies - using gravity-based instruments for trade and including ancestry-adjusted variables in linear regression models - have...... is to estimate the long-run causal effect of changes in the endogenous explanatory variable. We find that conventional IV regressions generally cannot recover this parameter of interest. To estimate this parameter, therefore, we develop an augmented IV estimator that combines the conventional regression...

  6. A review of instrumental variable estimators for Mendelian randomization.

    Science.gov (United States)

    Burgess, Stephen; Small, Dylan S; Thompson, Simon G

    2017-10-01

    Instrumental variable analysis is an approach for obtaining causal inferences on the effect of an exposure (risk factor) on an outcome from observational data. It has gained in popularity over the past decade with the use of genetic variants as instrumental variables, known as Mendelian randomization. An instrumental variable is associated with the exposure, but not associated with any confounder of the exposure-outcome association, nor is there any causal pathway from the instrumental variable to the outcome other than via the exposure. Under the assumption that a single instrumental variable or a set of instrumental variables for the exposure is available, the causal effect of the exposure on the outcome can be estimated. There are several methods available for instrumental variable estimation; we consider the ratio method, two-stage methods, likelihood-based methods, and semi-parametric methods. Techniques for obtaining statistical inferences and confidence intervals are presented. The statistical properties of estimates from these methods are compared, and practical advice is given about choosing a suitable analysis method. In particular, bias and coverage properties of estimators are considered, especially with weak instruments. Settings particularly relevant to Mendelian randomization are prioritized in the paper, notably the scenario of a continuous exposure and a continuous or binary outcome.

  7. Power calculator for instrumental variable analysis in pharmacoepidemiology.

    Science.gov (United States)

    Walker, Venexia M; Davies, Neil M; Windmeijer, Frank; Burgess, Stephen; Martin, Richard M

    2017-10-01

    Instrumental variable analysis, for example with physicians' prescribing preferences as an instrument for medications issued in primary care, is an increasingly popular method in the field of pharmacoepidemiology. Existing power calculators for studies using instrumental variable analysis, such as Mendelian randomization power calculators, do not allow for the structure of research questions in this field. This is because the analysis in pharmacoepidemiology will typically have stronger instruments and detect larger causal effects than in other fields. Consequently, there is a need for dedicated power calculators for pharmacoepidemiological research. The formula for calculating the power of a study using instrumental variable analysis in the context of pharmacoepidemiology is derived before being validated by a simulation study. The formula is applicable for studies using a single binary instrument to analyse the causal effect of a binary exposure on a continuous outcome. An online calculator, as well as packages in both R and Stata, are provided for the implementation of the formula by others. The statistical power of instrumental variable analysis in pharmacoepidemiological studies to detect a clinically meaningful treatment effect is an important consideration. Research questions in this field have distinct structures that must be accounted for when calculating power. The formula presented differs from existing instrumental variable power formulae due to its parametrization, which is designed specifically for ease of use by pharmacoepidemiologists. © The Author 2017. Published by Oxford University Press on behalf of the International Epidemiological Association

  8. Eliminating Survivor Bias in Two-stage Instrumental Variable Estimators.

    Science.gov (United States)

    Vansteelandt, Stijn; Walter, Stefan; Tchetgen Tchetgen, Eric

    2018-07-01

    Mendelian randomization studies commonly focus on elderly populations. This makes the instrumental variables analysis of such studies sensitive to survivor bias, a type of selection bias. A particular concern is that the instrumental variable conditions, even when valid for the source population, may be violated for the selective population of individuals who survive the onset of the study. This is potentially very damaging because Mendelian randomization studies are known to be sensitive to bias due to even minor violations of the instrumental variable conditions. Interestingly, the instrumental variable conditions continue to hold within certain risk sets of individuals who are still alive at a given age when the instrument and unmeasured confounders exert additive effects on the exposure, and moreover, the exposure and unmeasured confounders exert additive effects on the hazard of death. In this article, we will exploit this property to derive a two-stage instrumental variable estimator for the effect of exposure on mortality, which is insulated against the above described selection bias under these additivity assumptions.

  9. Instrumented Impact Testing: Influence of Machine Variables and Specimen Position

    International Nuclear Information System (INIS)

    Lucon, E.; McCowan, C. N.; Santoyo, R. A.

    2008-01-01

    An investigation has been conducted on the influence of impact machine variables and specimen positioning on characteristic forces and absorbed energies from instrumented Charpy tests. Brittle and ductile fracture behavior has been investigated by testing NIST reference samples of low, high and super-high energy levels. Test machine variables included tightness of foundation, anvil and striker bolts, and the position of the center of percussion with respect to the center of strike. For specimen positioning, we tested samples which had been moved away or sideways with respect to the anvils. In order to assess the influence of the various factors, we compared mean values in the reference (unaltered) and altered conditions; for machine variables, t-test analyses were also performed in order to evaluate the statistical significance of the observed differences. Our results indicate that the only circumstance which resulted in variations larger than 5 percent for both brittle and ductile specimens is when the sample is not in contact with the anvils. These findings should be taken into account in future revisions of instrumented Charpy test standards.

  10. Instrumented Impact Testing: Influence of Machine Variables and Specimen Position

    Energy Technology Data Exchange (ETDEWEB)

    Lucon, E.; McCowan, C. N.; Santoyo, R. A.

    2008-09-15

    An investigation has been conducted on the influence of impact machine variables and specimen positioning on characteristic forces and absorbed energies from instrumented Charpy tests. Brittle and ductile fracture behavior has been investigated by testing NIST reference samples of low, high and super-high energy levels. Test machine variables included tightness of foundation, anvil and striker bolts, and the position of the center of percussion with respect to the center of strike. For specimen positioning, we tested samples which had been moved away or sideways with respect to the anvils. In order to assess the influence of the various factors, we compared mean values in the reference (unaltered) and altered conditions; for machine variables, t-test analyses were also performed in order to evaluate the statistical significance of the observed differences. Our results indicate that the only circumstance which resulted in variations larger than 5 percent for both brittle and ductile specimens is when the sample is not in contact with the anvils. These findings should be taken into account in future revisions of instrumented Charpy test standards.

  11. The effect of patient satisfaction with pharmacist consultation on medication adherence: an instrumental variable approach

    Directory of Open Access Journals (Sweden)

    Gu NY

    2008-12-01

    Full Text Available There are limited studies on quantifying the impact of patient satisfaction with pharmacist consultation on patient medication adherence. Objectives: The objective of this study is to evaluate the effect of patient satisfaction with pharmacist consultation services on medication adherence in a large managed care organization. Methods: We analyzed data from a patient satisfaction survey of 6,916 patients who had used pharmacist consultation services in Kaiser Permanente Southern California from 1993 to 1996. We compared treating patient satisfaction as exogenous, in a single-equation probit model, with a bivariate probit model where patient satisfaction was treated as endogenous. Different sets of instrumental variables were employed, including measures of patients' emotional well-being and patients' propensity to fill their prescriptions at a non-Kaiser Permanente (KP pharmacy. The Smith-Blundell test was used to test whether patient satisfaction was endogenous. Over-identification tests were used to test the validity of the instrumental variables. The Staiger-Stock weak instrument test was used to evaluate the explanatory power of the instrumental variables. Results: All tests indicated that the instrumental variables method was valid and the instrumental variables used have significant explanatory power. The single equation probit model indicated that the effect of patient satisfaction with pharmacist consultation was significant (p<0.010. However, the bivariate probit models revealed that the marginal effect of pharmacist consultation on medication adherence was significantly greater than the single equation probit. The effect increased from 7% to 30% (p<0.010 after controlling for endogeneity bias. Conclusion: After appropriate adjustment for endogeneity bias, patients satisfied with their pharmacy services are substantially more likely to adhere to their medication. The results have important policy implications given the increasing focus

  12. On the Interpretation of Instrumental Variables in the Presence of Specification Errors

    Directory of Open Access Journals (Sweden)

    P.A.V.B. Swamy

    2015-01-01

    Full Text Available The method of instrumental variables (IV and the generalized method of moments (GMM, and their applications to the estimation of errors-in-variables and simultaneous equations models in econometrics, require data on a sufficient number of instrumental variables that are both exogenous and relevant. We argue that, in general, such instruments (weak or strong cannot exist.

  13. Quantifying measurement uncertainty and spatial variability in the context of model evaluation

    Science.gov (United States)

    Choukulkar, A.; Brewer, A.; Pichugina, Y. L.; Bonin, T.; Banta, R. M.; Sandberg, S.; Weickmann, A. M.; Djalalova, I.; McCaffrey, K.; Bianco, L.; Wilczak, J. M.; Newman, J. F.; Draxl, C.; Lundquist, J. K.; Wharton, S.; Olson, J.; Kenyon, J.; Marquis, M.

    2017-12-01

    In an effort to improve wind forecasts for the wind energy sector, the Department of Energy and the NOAA funded the second Wind Forecast Improvement Project (WFIP2). As part of the WFIP2 field campaign, a large suite of in-situ and remote sensing instrumentation was deployed to the Columbia River Gorge in Oregon and Washington from October 2015 - March 2017. The array of instrumentation deployed included 915-MHz wind profiling radars, sodars, wind- profiling lidars, and scanning lidars. The role of these instruments was to provide wind measurements at high spatial and temporal resolution for model evaluation and improvement of model physics. To properly determine model errors, the uncertainties in instrument-model comparisons need to be quantified accurately. These uncertainties arise from several factors such as measurement uncertainty, spatial variability, and interpolation of model output to instrument locations, to name a few. In this presentation, we will introduce a formalism to quantify measurement uncertainty and spatial variability. The accuracy of this formalism will be tested using existing datasets such as the eXperimental Planetary boundary layer Instrumentation Assessment (XPIA) campaign. Finally, the uncertainties in wind measurement and the spatial variability estimates from the WFIP2 field campaign will be discussed to understand the challenges involved in model evaluation.

  14. Instrumental variables estimation of exposure effects on a time-to-event endpoint using structural cumulative survival models.

    Science.gov (United States)

    Martinussen, Torben; Vansteelandt, Stijn; Tchetgen Tchetgen, Eric J; Zucker, David M

    2017-12-01

    The use of instrumental variables for estimating the effect of an exposure on an outcome is popular in econometrics, and increasingly so in epidemiology. This increasing popularity may be attributed to the natural occurrence of instrumental variables in observational studies that incorporate elements of randomization, either by design or by nature (e.g., random inheritance of genes). Instrumental variables estimation of exposure effects is well established for continuous outcomes and to some extent for binary outcomes. It is, however, largely lacking for time-to-event outcomes because of complications due to censoring and survivorship bias. In this article, we make a novel proposal under a class of structural cumulative survival models which parameterize time-varying effects of a point exposure directly on the scale of the survival function; these models are essentially equivalent with a semi-parametric variant of the instrumental variables additive hazards model. We propose a class of recursive instrumental variable estimators for these exposure effects, and derive their large sample properties along with inferential tools. We examine the performance of the proposed method in simulation studies and illustrate it in a Mendelian randomization study to evaluate the effect of diabetes on mortality using data from the Health and Retirement Study. We further use the proposed method to investigate potential benefit from breast cancer screening on subsequent breast cancer mortality based on the HIP-study. © 2017, The International Biometric Society.

  15. Econometrics in outcomes research: the use of instrumental variables.

    Science.gov (United States)

    Newhouse, J P; McClellan, M

    1998-01-01

    We describe an econometric technique, instrumental variables, that can be useful in estimating the effectiveness of clinical treatments in situations when a controlled trial has not or cannot be done. This technique relies upon the existence of one or more variables that induce substantial variation in the treatment variable but have no direct effect on the outcome variable of interest. We illustrate the use of the technique with an application to aggressive treatment of acute myocardial infarction in the elderly.

  16. Optimal Inference for Instrumental Variables Regression with non-Gaussian Errors

    DEFF Research Database (Denmark)

    Cattaneo, Matias D.; Crump, Richard K.; Jansson, Michael

    This paper is concerned with inference on the coefficient on the endogenous regressor in a linear instrumental variables model with a single endogenous regressor, nonrandom exogenous regressors and instruments, and i.i.d. errors whose distribution is unknown. It is shown that under mild smoothness...

  17. Sensitivity analysis and power for instrumental variable studies.

    Science.gov (United States)

    Wang, Xuran; Jiang, Yang; Zhang, Nancy R; Small, Dylan S

    2018-03-31

    In observational studies to estimate treatment effects, unmeasured confounding is often a concern. The instrumental variable (IV) method can control for unmeasured confounding when there is a valid IV. To be a valid IV, a variable needs to be independent of unmeasured confounders and only affect the outcome through affecting the treatment. When applying the IV method, there is often concern that a putative IV is invalid to some degree. We present an approach to sensitivity analysis for the IV method which examines the sensitivity of inferences to violations of IV validity. Specifically, we consider sensitivity when the magnitude of association between the putative IV and the unmeasured confounders and the direct effect of the IV on the outcome are limited in magnitude by a sensitivity parameter. Our approach is based on extending the Anderson-Rubin test and is valid regardless of the strength of the instrument. A power formula for this sensitivity analysis is presented. We illustrate its usage via examples about Mendelian randomization studies and its implications via a comparison of using rare versus common genetic variants as instruments. © 2018, The International Biometric Society.

  18. Instrumental variables estimation under a structural Cox model

    DEFF Research Database (Denmark)

    Martinussen, Torben; Nørbo Sørensen, Ditte; Vansteelandt, Stijn

    2017-01-01

    Instrumental variable (IV) analysis is an increasingly popular tool for inferring the effect of an exposure on an outcome, as witnessed by the growing number of IV applications in epidemiology, for instance. The majority of IV analyses of time-to-event endpoints are, however, dominated by heurist...

  19. ASPECT OF LANGUAGE ON A QUALITATIVE ANALYSIS OF STUDENT’S EVALUATION INSTRUMENT

    Directory of Open Access Journals (Sweden)

    Ismanto Ismanto

    2016-11-01

    Full Text Available This article examined the characteristics of good student’s evaluation instrument. There are at least two requirements that must be met. Those are valid and reliable. The validity of the instrument can be seen from the instrument's ability to measure what should be measured. The fact the existence of the validity of an instrument may be a grain fill, the response process, internal structure, relationship with other variables, and the consequences of the implementation of the charging instrument. Analysis of the content is then known as content validity, i.e. rational analysis of the domain to be measured to determine the representation of each item on the instrument with the ability to be measured. Content validity is submitting pieces of blue print and items of the instrument to the experts to be analyzed quantitatively and qualitatively.

  20. Bias and Bias Correction in Multi-Site Instrumental Variables Analysis of Heterogeneous Mediator Effects

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    Reardon, Sean F.; Unlu, Faith; Zhu, Pei; Bloom, Howard

    2013-01-01

    We explore the use of instrumental variables (IV) analysis with a multi-site randomized trial to estimate the effect of a mediating variable on an outcome in cases where it can be assumed that the observed mediator is the only mechanism linking treatment assignment to outcomes, as assumption known in the instrumental variables literature as the…

  1. A framework for assessing Health Economic Evaluation (HEE) quality appraisal instruments.

    Science.gov (United States)

    Langer, Astrid

    2012-08-16

    Health economic evaluations support the health care decision-making process by providing information on costs and consequences of health interventions. The quality of such studies is assessed by health economic evaluation (HEE) quality appraisal instruments. At present, there is no instrument for measuring and improving the quality of such HEE quality appraisal instruments. Therefore, the objectives of this study are to establish a framework for assessing the quality of HEE quality appraisal instruments to support and improve their quality, and to apply this framework to those HEE quality appraisal instruments which have been subject to more scrutiny than others, in order to test the framework and to demonstrate the shortcomings of existing HEE quality appraisal instruments. To develop the quality assessment framework for HEE quality appraisal instruments, the experiences of using appraisal tools for clinical guidelines are used. Based on a deductive iterative process, clinical guideline appraisal instruments identified through literature search are reviewed, consolidated, and adapted to produce the final quality assessment framework for HEE quality appraisal instruments. The final quality assessment framework for HEE quality appraisal instruments consists of 36 items organized within 7 dimensions, each of which captures a specific domain of quality. Applying the quality assessment framework to four existing HEE quality appraisal instruments, it is found that these four quality appraisal instruments are of variable quality. The framework described in this study should be regarded as a starting point for appraising the quality of HEE quality appraisal instruments. This framework can be used by HEE quality appraisal instrument producers to support and improve the quality and acceptance of existing and future HEE quality appraisal instruments. By applying this framework, users of HEE quality appraisal instruments can become aware of methodological deficiencies

  2. Causal null hypotheses of sustained treatment strategies: What can be tested with an instrumental variable?

    Science.gov (United States)

    Swanson, Sonja A; Labrecque, Jeremy; Hernán, Miguel A

    2018-05-02

    Sometimes instrumental variable methods are used to test whether a causal effect is null rather than to estimate the magnitude of a causal effect. However, when instrumental variable methods are applied to time-varying exposures, as in many Mendelian randomization studies, it is unclear what causal null hypothesis is tested. Here, we consider different versions of causal null hypotheses for time-varying exposures, show that the instrumental variable conditions alone are insufficient to test some of them, and describe additional assumptions that can be made to test a wider range of causal null hypotheses, including both sharp and average causal null hypotheses. Implications for interpretation and reporting of instrumental variable results are discussed.

  3. Institution, Financial Sector, and Economic Growth: Use The Institutions As An Instrument Variable

    OpenAIRE

    Albertus Girik Allo

    2016-01-01

    Institution has been investigated having indirect role on economic growth. This paper aims to evaluate whether the quality of institution matters for economic growth. By applying institution as instrumental variable at Foreign Direct Investment (FDI), quality of institution significantly influence economic growth. This study applies two set of data period, namely 1985-2013 and 2000-2013, available online in the World Bank (WB). The first data set, 1985-2013 is used to estimate the role of fin...

  4. Censored Quantile Instrumental Variable Estimates of the Price Elasticity of Expenditure on Medical Care.

    Science.gov (United States)

    Kowalski, Amanda

    2016-01-02

    Efforts to control medical care costs depend critically on how individuals respond to prices. I estimate the price elasticity of expenditure on medical care using a censored quantile instrumental variable (CQIV) estimator. CQIV allows estimates to vary across the conditional expenditure distribution, relaxes traditional censored model assumptions, and addresses endogeneity with an instrumental variable. My instrumental variable strategy uses a family member's injury to induce variation in an individual's own price. Across the conditional deciles of the expenditure distribution, I find elasticities that vary from -0.76 to -1.49, which are an order of magnitude larger than previous estimates.

  5. Instrumental variable estimation of treatment effects for duration outcomes

    NARCIS (Netherlands)

    G.E. Bijwaard (Govert)

    2007-01-01

    textabstractIn this article we propose and implement an instrumental variable estimation procedure to obtain treatment effects on duration outcomes. The method can handle the typical complications that arise with duration data of time-varying treatment and censoring. The treatment effect we

  6. Job demands and job strain as risk factors for employee wellbeing in elderly care: an instrumental-variables analysis.

    Science.gov (United States)

    Elovainio, Marko; Heponiemi, Tarja; Kuusio, Hannamaria; Jokela, Markus; Aalto, Anna-Mari; Pekkarinen, Laura; Noro, Anja; Finne-Soveri, Harriet; Kivimäki, Mika; Sinervo, Timo

    2015-02-01

    The association between psychosocial work environment and employee wellbeing has repeatedly been shown. However, as environmental evaluations have typically been self-reported, the observed associations may be attributable to reporting bias. Applying instrumental-variable regression, we used staffing level (the ratio of staff to residents) as an unconfounded instrument for self-reported job demands and job strain to predict various indicators of wellbeing (perceived stress, psychological distress and sleeping problems) among 1525 registered nurses, practical nurses and nursing assistants working in elderly care wards. In ordinary regression, higher self-reported job demands and job strain were associated with increased risk of perceived stress, psychological distress and sleeping problems. The effect estimates for the associations of these psychosocial factors with perceived stress and psychological distress were greater, but less precisely estimated, in an instrumental-variables analysis which took into account only the variation in self-reported job demands and job strain that was explained by staffing level. No association between psychosocial factors and sleeping problems was observed with the instrumental-variable analysis. These results support a causal interpretation of high self-reported job demands and job strain being risk factors for employee wellbeing. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  7. Comparison of variance estimators for metaanalysis of instrumental variable estimates

    NARCIS (Netherlands)

    Schmidt, A. F.; Hingorani, A. D.; Jefferis, B. J.; White, J.; Groenwold, R. H H; Dudbridge, F.; Ben-Shlomo, Y.; Chaturvedi, N.; Engmann, J.; Hughes, A.; Humphries, S.; Hypponen, E.; Kivimaki, M.; Kuh, D.; Kumari, M.; Menon, U.; Morris, R.; Power, C.; Price, J.; Wannamethee, G.; Whincup, P.

    2016-01-01

    Background: Mendelian randomization studies perform instrumental variable (IV) analysis using genetic IVs. Results of individual Mendelian randomization studies can be pooled through meta-analysis. We explored how different variance estimators influence the meta-analysed IV estimate. Methods: Two

  8. The XRF spectrometer and the selection of analysis conditions (instrumental variables)

    International Nuclear Information System (INIS)

    Willis, J.P.

    2002-01-01

    Full text: This presentation will begin with a brief discussion of EDXRF and flat- and curved-crystal WDXRF spectrometers, contrasting the major differences between the three types. The remainder of the presentation will contain a detailed overview of the choice and settings of the many instrumental variables contained in a modern WDXRF spectrometer, and will discuss critically the choices facing the analyst in setting up a WDXRF spectrometer for different elements and applications. In particular it will discuss the choice of tube target (when a choice is possible), the kV and mA settings, tube filters, collimator masks, collimators, analyzing crystals, secondary collimators, detectors, pulse height selection, X-ray path medium (air, nitrogen, vacuum or helium), counting times for peak and background positions and their effect on counting statistics and lower limit of detection (LLD). The use of Figure of Merit (FOM) calculations to objectively choose the best combination of instrumental variables also will be discussed. This presentation will be followed by a shorter session on a subsequent day entitled - A Selection of XRF Conditions - Practical Session, where participants will be given the opportunity to discuss in groups the selection of the best instrumental variables for three very diverse applications. Copyright (2002) Australian X-ray Analytical Association Inc

  9. Finite-sample instrumental variables inference using an asymptotically pivotal statistic

    NARCIS (Netherlands)

    Bekker, P; Kleibergen, F

    2003-01-01

    We consider the K-statistic, Kleibergen's (2002, Econometrica 70, 1781-1803) adaptation of the Anderson-Rubin (AR) statistic in instrumental variables regression. Whereas Kleibergen (2002) especially analyzes the asymptotic behavior of the statistic, we focus on finite-sample properties in, a

  10. Finite-sample instrumental variables Inference using an Asymptotically Pivotal Statistic

    NARCIS (Netherlands)

    Bekker, P.; Kleibergen, F.R.

    2001-01-01

    The paper considers the K-statistic, Kleibergen’s (2000) adaptation ofthe Anderson-Rubin (AR) statistic in instrumental variables regression.Compared to the AR-statistic this K-statistic shows improvedasymptotic efficiency in terms of degrees of freedom in overidentifiedmodels and yet it shares,

  11. Nuclear instrumentation evaluation and analysis

    International Nuclear Information System (INIS)

    Park, Suk Jun; Han, Sang Joon; Chung, Chong Eun; Han, Kwang Soo; Kim, Dong Hwa; Park, Byung Hae; Moon, Je Sun; Lee, Chel Kwon; Song, Ki Sang; Choi, Myung Jin; Kim, Seung Bok; Kim, Jung Bok

    1986-12-01

    This project provides the program for improving instrumentation reliability as well as developing a cost-effective preventive maintenance activity through evaluation and analysis of nuclear instrumentation concerning pilot plants, large-scale test facilities and various laboratories on KAERI site. In addition, it discusses the program for enhancing safe operations and improving facility availability through establishment of maintenance technology. (Author)

  12. Institution, Financial Sector, and Economic Growth: Use The Institutions As An Instrument Variable

    Directory of Open Access Journals (Sweden)

    Albertus Girik Allo

    2016-06-01

    Full Text Available Institution has been investigated having indirect role on economic growth. This paper aims to evaluate whether the quality of institution matters for economic growth. By applying institution as instrumental variable at Foreign Direct Investment (FDI, quality of institution significantly influence economic growth. This study applies two set of data period, namely 1985-2013 and 2000-2013, available online in the World Bank (WB. The first data set, 1985-2013 is used to estimate the role of financial sector on economic growth, focuses on 67 countries. The second data set, 2000-2013 determine the role of institution on financial sector and economic growth by applying 2SLS estimation method. We define institutional variables as set of indicators: Control of Corruption, Political Stability and Absence of Violence, and Voice and Accountability provide declining impact of FDI to economic growth.

  13. Testing concordance of instrumental variable effects in generalized linear models with application to Mendelian randomization

    Science.gov (United States)

    Dai, James Y.; Chan, Kwun Chuen Gary; Hsu, Li

    2014-01-01

    Instrumental variable regression is one way to overcome unmeasured confounding and estimate causal effect in observational studies. Built on structural mean models, there has been considerale work recently developed for consistent estimation of causal relative risk and causal odds ratio. Such models can sometimes suffer from identification issues for weak instruments. This hampered the applicability of Mendelian randomization analysis in genetic epidemiology. When there are multiple genetic variants available as instrumental variables, and causal effect is defined in a generalized linear model in the presence of unmeasured confounders, we propose to test concordance between instrumental variable effects on the intermediate exposure and instrumental variable effects on the disease outcome, as a means to test the causal effect. We show that a class of generalized least squares estimators provide valid and consistent tests of causality. For causal effect of a continuous exposure on a dichotomous outcome in logistic models, the proposed estimators are shown to be asymptotically conservative. When the disease outcome is rare, such estimators are consistent due to the log-linear approximation of the logistic function. Optimality of such estimators relative to the well-known two-stage least squares estimator and the double-logistic structural mean model is further discussed. PMID:24863158

  14. Finite-sample instrumental variables inference using an asymptotically pivotal statistic

    NARCIS (Netherlands)

    Bekker, Paul A.; Kleibergen, Frank

    2001-01-01

    The paper considers the K-statistic, Kleibergen’s (2000) adaptation of the Anderson-Rubin (AR) statistic in instrumental variables regression. Compared to the AR-statistic this K-statistic shows improved asymptotic efficiency in terms of degrees of freedom in overidenti?ed models and yet it shares,

  15. Evaluation of a draft standard on performance specifications for health physics instrumentation: results for environmental tests

    International Nuclear Information System (INIS)

    Kenoyer, J.L.; Swinth, K.L.; Mashburn, K.R.; Selby, J.M.

    1984-06-01

    Draft ANSI Standard N42.17 on performance specifications for health physics instrumentation is currently being evaluated by the Pacific Northwest Laboratory. Evaluation is performed by testing a cross-section of currently available instruments with testing procedures based on specifications of the standard and then determining the degree of conformance to the various elements of the proposed standard. Data will be presented on the performance of a cross-section of beta-gamma survey instruments under various environmental tests. Test results that will be presented include temperature effects, humidity effects, radio frequency (r.f.) susceptibility, ambient pressure effects, vibration effects, and shock effects. Tests performed to date show that most instruments will meet the temperature, humidity, and ambient pressure tests. A large variability is noted among instruments from the same or different vendors. Preliminary r.f. susceptibility tests have shown large artificial responses at some frequencies for specific instruments. The presentation will also include a discussion of procedures used in the testing and weaknesses identified in the proposed standard

  16. Instrumental variables estimation of exposure effects on a time-to-event endpoint using structural cumulative survival models

    DEFF Research Database (Denmark)

    Martinussen, Torben; Vansteelandt, Stijn; Tchetgen Tchetgen, Eric J.

    2017-01-01

    The use of instrumental variables for estimating the effect of an exposure on an outcome is popular in econometrics, and increasingly so in epidemiology. This increasing popularity may be attributed to the natural occurrence of instrumental variables in observational studies that incorporate elem...

  17. Bayesian methods for meta-analysis of causal relationships estimated using genetic instrumental variables

    DEFF Research Database (Denmark)

    Burgess, Stephen; Thompson, Simon G; Thompson, Grahame

    2010-01-01

    Genetic markers can be used as instrumental variables, in an analogous way to randomization in a clinical trial, to estimate the causal relationship between a phenotype and an outcome variable. Our purpose is to extend the existing methods for such Mendelian randomization studies to the context o...

  18. Evaluating the effectiveness of impact assessment instruments

    DEFF Research Database (Denmark)

    Cashmore, Matthew; Richardson, Tim; Hilding-Ryedvik, Tuija

    2010-01-01

    to sharpen effectiveness evaluation theory for impact assessment instruments this article critically examines the neglected issue of their political constitution. Analytical examples are used to concretely explore the nature and significance of the politicisation of impact assessment. It is argued......The central role of impact assessment instruments globally in policy integration initiatives has been cemented in recent years. Associated with this trend, but also reflecting political emphasis on greater accountability in certain policy sectors and a renewed focus on economic competitiveness...... that raising awareness about the political character of impact assessment instruments, in itself, is a vital step in advancing effectiveness evaluation theory. Broader theoretical lessons on the framing of evaluation research are also drawn from the political analysis. We conclude that, at least within...

  19. The productivity of mental health care: an instrumental variable approach.

    Science.gov (United States)

    Lu, Mingshan

    1999-06-01

    -1993) and second (1993-1994) wave of the ongoing longitudinal study Mental Health Care Utilization Among Puerto Ricans, which includes information for an island-wide probability sample of over 3000 adults living in poor areas of Puerto Rico. The instrumental variables employed in this study are travel distance and health insurance sources. RESULTS: It is very noticeable that in this study, treatment effects were found to be negative in all conventional models (in some cases, highly significant). However, after the IV method was applied, the estimated marginal effects of treatment became positive. Sensitivity analysis partly supports this conclusion. According to the IV estimation results, treatment is productive for the group in most need of mental health care. However, estimations do not find strong enough evidence to demonstrate treatment effects on other groups with less or no need. The results in this paper also suggest an important impact of the following factors on the probability of improvement in mental health status: baseline mental health status, previous treatment, sex, marital status and education. DISCUSSION: The IV approach provides a practical way to reduce the selection bias due to the confounding of treatment with unmeasured variables. The limitation of this study is that the instruments explored did not perform well enough in some IV equations, therefore the predictive power remains questionable. The most challenging part of applying the IV approach is on finding "good" instruments which influence the choice/quantity of treatment yet do not introduce further bias by being directly correlated with treatment outcome. CONCLUSIONS: The results in this paper are supportive of the concerns on the credibility of evaluation results using observation data set when the endogeneity of the treatment variable is not controlled. Unobserved factors contribute to the downward bias in the conventional models. The IV approach is shown to be an appropriate method to reduce

  20. The Effect of Birth Weight on Academic Performance: Instrumental Variable Analysis.

    Science.gov (United States)

    Lin, Shi Lin; Leung, Gabriel Matthew; Schooling, C Mary

    2017-05-01

    Observationally, lower birth weight is usually associated with poorer academic performance; whether this association is causal or the result of confounding is unknown. To investigate this question, we obtained an effect estimate, which can have a causal interpretation under specific assumptions, of birth weight on educational attainment using instrumental variable analysis based on single nucleotide polymorphisms determining birth weight combined with results from the Social Science Genetic Association Consortium study of 126,559 Caucasians. We similarly obtained an estimate of the effect of birth weight on academic performance in 4,067 adolescents from Hong Kong's (Chinese) Children of 1997 birth cohort (1997-2016), using twin status as an instrumental variable. Birth weight was not associated with years of schooling (per 100-g increase in birth weight, -0.006 years, 95% confidence interval (CI): -0.02, 0.01) or college completion (odds ratio = 1.00, 95% CI: 0.96, 1.03). Birth weight was also unrelated to academic performance in adolescents (per 100-g increase in birth weight, -0.004 grade, 95% CI: -0.04, 0.04) using instrumental variable analysis, although conventional regression gave a small positive association (0.02 higher grade, 95% CI: 0.01, 0.03). Observed associations of birth weight with academic performance may not be causal, suggesting that interventions should focus on the contextual factors generating this correlation. © The Author 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  1. Evaluation of multivariate calibration models transferred between spectroscopic instruments

    DEFF Research Database (Denmark)

    Eskildsen, Carl Emil Aae; Hansen, Per W.; Skov, Thomas

    2016-01-01

    In a setting where multiple spectroscopic instruments are used for the same measurements it may be convenient to develop the calibration model on a single instrument and then transfer this model to the other instruments. In the ideal scenario, all instruments provide the same predictions for the ......In a setting where multiple spectroscopic instruments are used for the same measurements it may be convenient to develop the calibration model on a single instrument and then transfer this model to the other instruments. In the ideal scenario, all instruments provide the same predictions...... for the same samples using the transferred model. However, sometimes the success of a model transfer is evaluated by comparing the transferred model predictions with the reference values. This is not optimal, as uncertainties in the reference method will impact the evaluation. This paper proposes a new method...... for calibration model transfer evaluation. The new method is based on comparing predictions from different instruments, rather than comparing predictions and reference values. A total of 75 flour samples were available for the study. All samples were measured on ten near infrared (NIR) instruments from two...

  2. Evaluation Strategies in Financial Education: Evaluation with Imperfect Instruments

    Science.gov (United States)

    Robinson, Lauren; Dudensing, Rebekka; Granovsky, Nancy L.

    2016-01-01

    Program evaluation often suffers due to time constraints, imperfect instruments, incomplete data, and the need to report standardized metrics. This article about the evaluation process for the Wi$eUp financial education program showcases the difficulties inherent in evaluation and suggests best practices for assessing program effectiveness. We…

  3. Statistical Analysis for Multisite Trials Using Instrumental Variables with Random Coefficients

    Science.gov (United States)

    Raudenbush, Stephen W.; Reardon, Sean F.; Nomi, Takako

    2012-01-01

    Multisite trials can clarify the average impact of a new program and the heterogeneity of impacts across sites. Unfortunately, in many applications, compliance with treatment assignment is imperfect. For these applications, we propose an instrumental variable (IV) model with person-specific and site-specific random coefficients. Site-specific IV…

  4. Influence of axial movement on fatigue of PROFILE* NI-TI rotary instruments: an in vitro evaluation

    Science.gov (United States)

    Avoaka, Marie-Chantal; Haïkel, Youssef

    2010-01-01

    The aim of this study was to evaluate the influence of the axial movement and the angle of curve (in degrees) on fatigue of nickel-titanium (Ni-Ti) ProFile’ rotary endodontic instruments. Ni-Ti ProFile’ rotary instruments (Maillefer SA, Ballaigues, Switzerland), 25 mm long in the range of ISO size 15 to 40 with two tapers (0.4 and 0.6) were evaluated. They are divided in two groups: the instruments with axial movement and those without axial movement. The system used to test the fatigue is maintained in mechanical conditions as close as possible to the clinical situation. The axial movement is in the order of 2mm in corono-apical direction with a frequency of 1Hz. The concave radii incorporating a notched V-form for guiding the instruments were: 5; 7,5 and 10 mm. The rotary system is mounted on an electric handpiece and rotated at 350 rpm speed as recommended by the manufacturers. The instruments are rotated until their separation, and the time, in seconds, is recorded. Statístícal evaluation is undertaken using a two-way t-test to identify significant differences between variables in the study (p engine drive ProFile’ instruments incorporating an axial movement and the instruments without axial movement with the same radius of curvature, size and taper. The incorporation of the axial movement increases significantly the life-span of the ProFile’ rotary instruments. This should reduce the risk of the instrument separation during the endodontic treatment. PMID:20507289

  5. Evaluation Framework for Search Instruments

    International Nuclear Information System (INIS)

    Warren, Glen A.; Smith, Leon E.; Cooper, Matt W.; Kaye, William R.

    2005-01-01

    A framework for quantitatively evaluating current and proposed gamma-ray search instrument designs has been developed. The framework is designed to generate a large library of ''virtual neighborhoods'' that can be used to test and evaluate nearly any gamma-ray sensor type. Calculating nuisance-source emissions and combining various sources to create a large number of random virtual scenes places a significant computational burden on the development of the framework. To reduce this burden, a number of radiation transport simplifications have been made which maintain the essential physics ingredients for the quantitative assessment of search instruments while significantly reducing computational times. The various components of the framework, from the simulation and benchmarking of nuisance source emissions to the computational engine for generating the gigabytes of simulated search scenes, are discussed

  6. Bias and Bias Correction in Multisite Instrumental Variables Analysis of Heterogeneous Mediator Effects

    Science.gov (United States)

    Reardon, Sean F.; Unlu, Fatih; Zhu, Pei; Bloom, Howard S.

    2014-01-01

    We explore the use of instrumental variables (IV) analysis with a multisite randomized trial to estimate the effect of a mediating variable on an outcome in cases where it can be assumed that the observed mediator is the only mechanism linking treatment assignment to outcomes, an assumption known in the IV literature as the exclusion restriction.…

  7. Evaluation of Sensor Configurations for Robotic Surgical Instruments.

    Science.gov (United States)

    Gómez-de-Gabriel, Jesús M; Harwin, William

    2015-10-27

    Designing surgical instruments for robotic-assisted minimally-invasive surgery (RAMIS) is challenging due to constraints on the number and type of sensors imposed by considerations such as space or the need for sterilization. A new method for evaluating the usability of virtual teleoperated surgical instruments based on virtual sensors is presented. This method uses virtual prototyping of the surgical instrument with a dual physical interaction, which allows testing of different sensor configurations in a real environment. Moreover, the proposed approach has been applied to the evaluation of prototypes of a two-finger grasper for lump detection by remote pinching. In this example, the usability of a set of five different sensor configurations, with a different number of force sensors, is evaluated in terms of quantitative and qualitative measures in clinical experiments with 23 volunteers. As a result, the smallest number of force sensors needed in the surgical instrument that ensures the usability of the device can be determined. The details of the experimental setup are also included.

  8. Instrumental variable methods in comparative safety and effectiveness research.

    Science.gov (United States)

    Brookhart, M Alan; Rassen, Jeremy A; Schneeweiss, Sebastian

    2010-06-01

    Instrumental variable (IV) methods have been proposed as a potential approach to the common problem of uncontrolled confounding in comparative studies of medical interventions, but IV methods are unfamiliar to many researchers. The goal of this article is to provide a non-technical, practical introduction to IV methods for comparative safety and effectiveness research. We outline the principles and basic assumptions necessary for valid IV estimation, discuss how to interpret the results of an IV study, provide a review of instruments that have been used in comparative effectiveness research, and suggest some minimal reporting standards for an IV analysis. Finally, we offer our perspective of the role of IV estimation vis-à-vis more traditional approaches based on statistical modeling of the exposure or outcome. We anticipate that IV methods will be often underpowered for drug safety studies of very rare outcomes, but may be potentially useful in studies of intended effects where uncontrolled confounding may be substantial.

  9. Instrumental variable methods in comparative safety and effectiveness research†

    Science.gov (United States)

    Brookhart, M. Alan; Rassen, Jeremy A.; Schneeweiss, Sebastian

    2010-01-01

    Summary Instrumental variable (IV) methods have been proposed as a potential approach to the common problem of uncontrolled confounding in comparative studies of medical interventions, but IV methods are unfamiliar to many researchers. The goal of this article is to provide a non-technical, practical introduction to IV methods for comparative safety and effectiveness research. We outline the principles and basic assumptions necessary for valid IV estimation, discuss how to interpret the results of an IV study, provide a review of instruments that have been used in comparative effectiveness research, and suggest some minimal reporting standards for an IV analysis. Finally, we offer our perspective of the role of IV estimation vis-à-vis more traditional approaches based on statistical modeling of the exposure or outcome. We anticipate that IV methods will be often underpowered for drug safety studies of very rare outcomes, but may be potentially useful in studies of intended effects where uncontrolled confounding may be substantial. PMID:20354968

  10. Influence of axial movement on fatigue of ProFile Ni-Ti rotary instruments: an in vitro evaluation.

    Science.gov (United States)

    Avoaka, Marie-Chantal; Haïkel, Youssef

    2010-05-01

    The aim of this study was to evaluate the influence of the axial movement and the angle of curve (in degrees) on fatigue of nickel-titanium (Ni-Ti) ProFile rotary endodontic instruments. Ni-Ti ProFile rotary instruments (Maillefer SA, Ballaigues, Switzerland), 25 mm long in the range of ISO size 15 to 40 with two tapers (0.4 and 0.6) were evaluated. They are divided in two groups: the instruments with axial movement and those without axial movement. The system used to test the fatigue is maintained in mechanical conditions as close as possible to the clinical situation. The axial movement is in the order of 2 mm in corono-apical direction with a frequency of 1 Hz. The concave radii incorporating a notched V-form for guiding the instruments were: 5; 7,5 and 10 mm. The rotary system is mounted on an electric handpiece and rotated at 350 rpm speed as recommended by the manufacturers. The instruments are rotated until their separation, and the time, in seconds, is recorded. Statistical evaluation is undertaken using a two-way t-test to identify significant differences between variables in the study (p engine drive ProFile instruments incorporating an axial movement and the instruments without axial movement with the same radius of curvature, size and taper.The incorporation of the axial movement increases significantly the life-span of the ProFile rotary instruments. This should reduce the risk of the instrument separation during the endodontic treatment.

  11. A selective review of the first 20 years of instrumental variables models in health-services research and medicine.

    Science.gov (United States)

    Cawley, John

    2015-01-01

    The method of instrumental variables (IV) is useful for estimating causal effects. Intuitively, it exploits exogenous variation in the treatment, sometimes called natural experiments or instruments. This study reviews the literature in health-services research and medical research that applies the method of instrumental variables, documents trends in its use, and offers examples of various types of instruments. A literature search of the PubMed and EconLit research databases for English-language journal articles published after 1990 yielded a total of 522 original research articles. Citations counts for each article were derived from the Web of Science. A selective review was conducted, with articles prioritized based on number of citations, validity and power of the instrument, and type of instrument. The average annual number of papers in health services research and medical research that apply the method of instrumental variables rose from 1.2 in 1991-1995 to 41.8 in 2006-2010. Commonly-used instruments (natural experiments) in health and medicine are relative distance to a medical care provider offering the treatment and the medical care provider's historic tendency to administer the treatment. Less common but still noteworthy instruments include randomization of treatment for reasons other than research, randomized encouragement to undertake the treatment, day of week of admission as an instrument for waiting time for surgery, and genes as an instrument for whether the respondent has a heritable condition. The use of the method of IV has increased dramatically in the past 20 years, and a wide range of instruments have been used. Applications of the method of IV have in several cases upended conventional wisdom that was based on correlations and led to important insights about health and healthcare. Future research should pursue new applications of existing instruments and search for new instruments that are powerful and valid.

  12. The contextual effects of social capital on health: a cross-national instrumental variable analysis.

    Science.gov (United States)

    Kim, Daniel; Baum, Christopher F; Ganz, Michael L; Subramanian, S V; Kawachi, Ichiro

    2011-12-01

    Past research on the associations between area-level/contextual social capital and health has produced conflicting evidence. However, interpreting this rapidly growing literature is difficult because estimates using conventional regression are prone to major sources of bias including residual confounding and reverse causation. Instrumental variable (IV) analysis can reduce such bias. Using data on up to 167,344 adults in 64 nations in the European and World Values Surveys and applying IV and ordinary least squares (OLS) regression, we estimated the contextual effects of country-level social trust on individual self-rated health. We further explored whether these associations varied by gender and individual levels of trust. Using OLS regression, we found higher average country-level trust to be associated with better self-rated health in both women and men. Instrumental variable analysis yielded qualitatively similar results, although the estimates were more than double in size in both sexes when country population density and corruption were used as instruments. The estimated health effects of raising the percentage of a country's population that trusts others by 10 percentage points were at least as large as the estimated health effects of an individual developing trust in others. These findings were robust to alternative model specifications and instruments. Conventional regression and to a lesser extent IV analysis suggested that these associations are more salient in women and in women reporting social trust. In a large cross-national study, our findings, including those using instrumental variables, support the presence of beneficial effects of higher country-level trust on self-rated health. Previous findings for contextual social capital using traditional regression may have underestimated the true associations. Given the close linkages between self-rated health and all-cause mortality, the public health gains from raising social capital within and across

  13. Evaluation of Sensor Configurations for Robotic Surgical Instruments

    Directory of Open Access Journals (Sweden)

    Jesús M. Gómez-de-Gabriel

    2015-10-01

    Full Text Available Designing surgical instruments for robotic-assisted minimally-invasive surgery (RAMIS is challenging due to constraints on the number and type of sensors imposed by considerations such as space or the need for sterilization. A new method for evaluating the usability of virtual teleoperated surgical instruments based on virtual sensors is presented. This method uses virtual prototyping of the surgical instrument with a dual physical interaction, which allows testing of different sensor configurations in a real environment. Moreover, the proposed approach has been applied to the evaluation of prototypes of a two-finger grasper for lump detection by remote pinching. In this example, the usability of a set of five different sensor configurations, with a different number of force sensors, is evaluated in terms of quantitative and qualitative measures in clinical experiments with 23 volunteers. As a result, the smallest number of force sensors needed in the surgical instrument that ensures the usability of the device can be determined. The details of the experimental setup are also included.

  14. Evaluation of Sensor Configurations for Robotic Surgical Instruments

    Science.gov (United States)

    Gómez-de-Gabriel, Jesús M.; Harwin, William

    2015-01-01

    Designing surgical instruments for robotic-assisted minimally-invasive surgery (RAMIS) is challenging due to constraints on the number and type of sensors imposed by considerations such as space or the need for sterilization. A new method for evaluating the usability of virtual teleoperated surgical instruments based on virtual sensors is presented. This method uses virtual prototyping of the surgical instrument with a dual physical interaction, which allows testing of different sensor configurations in a real environment. Moreover, the proposed approach has been applied to the evaluation of prototypes of a two-finger grasper for lump detection by remote pinching. In this example, the usability of a set of five different sensor configurations, with a different number of force sensors, is evaluated in terms of quantitative and qualitative measures in clinical experiments with 23 volunteers. As a result, the smallest number of force sensors needed in the surgical instrument that ensures the usability of the device can be determined. The details of the experimental setup are also included. PMID:26516863

  15. DEVELOPING EVALUATION INSTRUMENT FOR MATHEMATICS EDUCATIONAL SOFTWARE

    Directory of Open Access Journals (Sweden)

    Wahyu Setyaningrum

    2012-02-01

    Full Text Available The rapid increase and availability of mathematics software, either for classroom or individual learning activities, presents a challenge for teachers. It has been argued that many products are limited in quality. Some of the more commonly used software products have been criticized for poor content, activities which fail to address some learning issues, poor graphics presentation, inadequate documentation, and other technical problems. The challenge for schools is to ensure that the educational software used in classrooms is appropriate and effective in supporting intended outcomes and goals. This paper aimed to develop instrument for evaluating mathematics educational software in order to help teachers in selecting the appropriate software. The instrument considers the notion of educational including content, teaching and learning skill, interaction, and feedback and error correction; and technical aspects of educational software including design, clarity, assessment and documentation, cost and hardware and software interdependence. The instrument use a checklist approach, the easier and effective methods in assessing the quality of educational software, thus the user needs to put tick in each criteria. The criteria in this instrument are adapted and extended from standard evaluation instrument in several references.   Keywords: mathematics educational software, educational aspect, technical aspect.

  16. Assessing Mucoadhesion in Polymer Gels: The Effect of Method Type and Instrument Variables

    Directory of Open Access Journals (Sweden)

    Jéssica Bassi da Silva

    2018-03-01

    Full Text Available The process of mucoadhesion has been widely studied using a wide variety of methods, which are influenced by instrumental variables and experiment design, making the comparison between the results of different studies difficult. The aim of this work was to standardize the conditions of the detachment test and the rheological methods of mucoadhesion assessment for semisolids, and introduce a texture profile analysis (TPA method. A factorial design was developed to suggest standard conditions for performing the detachment force method. To evaluate the method, binary polymeric systems were prepared containing poloxamer 407 and Carbopol 971P®, Carbopol 974P®, or Noveon® Polycarbophil. The mucoadhesion of systems was evaluated, and the reproducibility of these measurements investigated. This detachment force method was demonstrated to be reproduceable, and gave different adhesion when mucin disk or ex vivo oral mucosa was used. The factorial design demonstrated that all evaluated parameters had an effect on measurements of mucoadhesive force, but the same was not observed for the work of adhesion. It was suggested that the work of adhesion is a more appropriate metric for evaluating mucoadhesion. Oscillatory rheology was more capable of investigating adhesive interactions than flow rheology. TPA method was demonstrated to be reproducible and can evaluate the adhesiveness interaction parameter. This investigation demonstrates the need for standardized methods to evaluate mucoadhesion and makes suggestions for a standard study design.

  17. Influence of Axial Movement on Fatigue of Profile® Ni-Ti Rotary Instruments: an in vitro evaluation

    Directory of Open Access Journals (Sweden)

    Marie-Chantal Avoaka

    2010-05-01

    Full Text Available The aim of this study was to evaluate the influence of the axial movement and the angle of curve (in degrees on fatigue of nickel-titanium (Ni-Ti ProFile’ rotary endodontic instruments.Ni-Ti ProFile’ rotary instruments (Maillefer SA, Ballaigues, Switzerland, 25 mm long in the range of ISO size 15 to 40 with two tapers (0.4 and 0.6 were evaluated. They are divided in two groups: the instruments with axial movement and those without axial movement. The system used to test the fatigue is maintained in mechanical conditions as close as possible to the clinical situation. The axial movement is in the order of 2mm in corono-apical direction with a frequency of 1Hz. The concave radii incorporating a notched V-form for guiding the instruments were: 5; 7,5 and 10 mm. The rotary system is mounted on an electric handpiece and rotated at 350 rpm speed as recommended by the manufacturers. The instruments are rotated until their separation, and the time, in seconds, is recorded. Statístícal evaluation is undertaken using a two-way t-test to identify significant differences between variables in the study (p <0,05.We found significant statistical difference (p<0,05 between Ni-Ti engine drive ProFile’ instruments incorporating an axial movement and the instruments without axial movement with the same radius of curvature, size and taper.The incorporation of the axial movement increases significantly the life-span of the ProFile’ rotary instruments. This should reduce the risk of the instrument separation during the endodontic treatment

  18. Instrument performance evaluation

    International Nuclear Information System (INIS)

    Swinth, K.L.

    1993-03-01

    Deficiencies exist in both the performance and the quality of health physics instruments. Recognizing the implications of such deficiencies for the protection of workers and the public, in the early 1980s the DOE and the NRC encouraged the development of a performance standard and established a program to test a series of instruments against criteria in the standard. The purpose of the testing was to establish the practicality of the criteria in the standard, to determine the performance of a cross section of available instruments, and to establish a testing capability. Over 100 instruments were tested, resulting in a practical standard and an understanding of the deficiencies in available instruments. In parallel with the instrument testing, a value-impact study clearly established the benefits of implementing a formal testing program. An ad hoc committee also met several times to establish recommendations for the voluntary implementation of a testing program based on the studies and the performance standard. For several reasons, a formal program did not materialize. Ongoing tests and studies have supported the development of specific instruments and have helped specific clients understand the performance of their instruments. The purpose of this presentation is to trace the history of instrument testing to date and suggest the benefits of a centralized formal program

  19. [Development of an evaluation instrument for service quality in nursing homes].

    Science.gov (United States)

    Lee, Jia; Ji, Eun Sun

    2011-08-01

    The purposes of this study were to identify the factors influencing service quality in nursing homes, and to develop an evaluation instrument for service quality. A three-phase process was employed for the study. 1) The important factors to evaluate the service quality in nursing homes were identified through a literature review, panel discussion and focus group interview, 2) the evaluation instrument was developed, and 3) validity and reliability of the study instrument were tested by factor analysis, Pearson correlation coefficient, Cronbach's α and Cohen's Kappa. Factor analysis showed that the factors influencing service quality in nursing homes were healthcare, diet/assistance, therapy, environment and staff. To improve objectivity of the instrument, quantitative as well as qualitative evaluation approaches were adopted. The study instrument was developed with 30 items and showed acceptable construct validity. The criterion-related validity was a Pearson correlation coefficient of .85 in 151 care facilities. The internal consistency was Cronbach's α=.95. The instrument has acceptable validity and a high degree of reliability. Staff in nursing homes can continuously improve and manage their services using the results of the evaluation instrument.

  20. Invited Commentary: Using Financial Credits as Instrumental Variables for Estimating the Causal Relationship Between Income and Health.

    Science.gov (United States)

    Pega, Frank

    2016-05-01

    Social epidemiologists are interested in determining the causal relationship between income and health. Natural experiments in which individuals or groups receive income randomly or quasi-randomly from financial credits (e.g., tax credits or cash transfers) are increasingly being analyzed using instrumental variable analysis. For example, in this issue of the Journal, Hamad and Rehkopf (Am J Epidemiol. 2016;183(9):775-784) used an in-work tax credit called the Earned Income Tax Credit as an instrument to estimate the association between income and child development. However, under certain conditions, the use of financial credits as instruments could violate 2 key instrumental variable analytic assumptions. First, some financial credits may directly influence health, for example, through increasing a psychological sense of welfare security. Second, financial credits and health may have several unmeasured common causes, such as politics, other social policies, and the motivation to maximize the credit. If epidemiologists pursue such instrumental variable analyses, using the amount of an unconditional, universal credit that an individual or group has received as the instrument may produce the most conceptually convincing and generalizable evidence. However, other natural income experiments (e.g., lottery winnings) and other methods that allow better adjustment for confounding might be more promising approaches for estimating the causal relationship between income and health. © The Author 2016. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  1. Comparing Binaural Pre-processing Strategies I: Instrumental Evaluation.

    Science.gov (United States)

    Baumgärtel, Regina M; Krawczyk-Becker, Martin; Marquardt, Daniel; Völker, Christoph; Hu, Hongmei; Herzke, Tobias; Coleman, Graham; Adiloğlu, Kamil; Ernst, Stephan M A; Gerkmann, Timo; Doclo, Simon; Kollmeier, Birger; Hohmann, Volker; Dietz, Mathias

    2015-12-30

    In a collaborative research project, several monaural and binaural noise reduction algorithms have been comprehensively evaluated. In this article, eight selected noise reduction algorithms were assessed using instrumental measures, with a focus on the instrumental evaluation of speech intelligibility. Four distinct, reverberant scenarios were created to reflect everyday listening situations: a stationary speech-shaped noise, a multitalker babble noise, a single interfering talker, and a realistic cafeteria noise. Three instrumental measures were employed to assess predicted speech intelligibility and predicted sound quality: the intelligibility-weighted signal-to-noise ratio, the short-time objective intelligibility measure, and the perceptual evaluation of speech quality. The results show substantial improvements in predicted speech intelligibility as well as sound quality for the proposed algorithms. The evaluated coherence-based noise reduction algorithm was able to provide improvements in predicted audio signal quality. For the tested single-channel noise reduction algorithm, improvements in intelligibility-weighted signal-to-noise ratio were observed in all but the nonstationary cafeteria ambient noise scenario. Binaural minimum variance distortionless response beamforming algorithms performed particularly well in all noise scenarios. © The Author(s) 2015.

  2. Evaluating public policy instruments in the Greek building sector

    International Nuclear Information System (INIS)

    Spyridaki, Niki-Artemis; Banaka, Stefania; Flamos, Alexandros

    2016-01-01

    This paper applies a multi-criteria analysis (MCA) to evaluate public policy mechanisms that foster energy efficiency and renewable energy sources in the Greek building sector, based on stakeholders’ understanding and perceptions of the functionality of policy instruments. The objective is to shed light on the implementation of currently employed policy mechanisms that aim to achieve the 2020 energy savings targets and beyond, providing useful information to policy makers for future policy (re-) formulations. In this framework, policy instruments were evaluated against process-related criteria, such as implementation costs, distributional effects, and coherence of policy processes, so as to highlight successful policy practices during their implementation phase as well as to unveil cases of policy underperformance or unintended policy outcomes. To hedge uncertainties related to policy instrument selection, the method employs probabilistic evaluations of every alternative against each criterion. The MCA results showed that the country is still missing significant energy saving opportunities that could be reached through more streamlined implementation practices and political support. In times of fiscal crisis, the Greek government should also revitalize the implementation of alternative funding mechanisms and support policy alternatives such as green public procurement, voluntary agreements, and energy performance contracting. - Highlights: • We apply an MCA analysis to evaluate EE and RES policies instruments. • We focus on the implementation stage through qualitative criteria and ordinal scales. • We use the probabilistic evaluations of each alternative against each criterion. • We provide rankings of instruments according to process related criteria. • Greece should revitalize the implementation of funding mechanisms, GPP and VAs.

  3. Domestic violence on children: development and validation of an instrument to evaluate knowledge of health professionals

    Directory of Open Access Journals (Sweden)

    Lanuza Borges Oliveira

    Full Text Available ABSTRACT Objective: to develop and validate an instrument to evaluate the knowledge of health professionals about domestic violence on children. Method: this was a study conducted with 194 physicians, nurses and dentists. A literature review was performed for preparation of the items and identification of the dimensions. Apparent and content validation was performed using analysis of three experts and 27 professors of the pediatric health discipline. For construct validation, Cronbach's alpha was used, and the Kappa test was applied to verify reproducibility. The criterion validation was conducted using the Student's t-test. Results: the final instrument included 56 items; the Cronbach alpha was 0.734, the Kappa test showed a correlation greater than 0.6 for most items, and the Student t-test showed a statistically significant value to the level of 5% for the two selected variables: years of education and using the Family Health Strategy. Conclusion: the instrument is valid and can be used as a promising tool to develop or direct actions in public health and evaluate knowledge about domestic violence on children.

  4. LARF: Instrumental Variable Estimation of Causal Effects through Local Average Response Functions

    Directory of Open Access Journals (Sweden)

    Weihua An

    2016-07-01

    Full Text Available LARF is an R package that provides instrumental variable estimation of treatment effects when both the endogenous treatment and its instrument (i.e., the treatment inducement are binary. The method (Abadie 2003 involves two steps. First, pseudo-weights are constructed from the probability of receiving the treatment inducement. By default LARF estimates the probability by a probit regression. It also provides semiparametric power series estimation of the probability and allows users to employ other external methods to estimate the probability. Second, the pseudo-weights are used to estimate the local average response function conditional on treatment and covariates. LARF provides both least squares and maximum likelihood estimates of the conditional treatment effects.

  5. Breastfeeding and the risk of childhood asthma: A two-stage instrumental variable analysis to address endogeneity.

    Science.gov (United States)

    Sharma, Nivita D

    2017-09-01

    Several explanations for the inconsistent results on the effects of breastfeeding on childhood asthma have been suggested. The purpose of this study was to investigate one unexplored explanation, which is the presence of a potential endogenous relationship between breastfeeding and childhood asthma. Endogeneity exists when an explanatory variable is correlated with the error term for reasons such as selection bias, reverse causality, and unmeasured confounders. Unadjusted endogeneity will bias the effect of breastfeeding on childhood asthma. To investigate potential endogeneity, a cross-sectional study of breastfeeding practices and incidence of childhood asthma in 87 pediatric patients in Georgia, the USA, was conducted using generalized linear modeling and a two-stage instrumental variable analysis. First, the relationship between breastfeeding and childhood asthma was analyzed without considering endogeneity. Second, tests for presence of endogeneity were performed and having detected endogeneity between breastfeeding and childhood asthma, a two-stage instrumental variable analysis was performed. The first stage of this analysis estimated the duration of breastfeeding and the second-stage estimated the risk of childhood asthma. When endogeneity was not taken into account, duration of breastfeeding was found to significantly increase the risk of childhood asthma (relative risk ratio [RR]=2.020, 95% confidence interval [CI]: [1.143-3.570]). After adjusting for endogeneity, duration of breastfeeding significantly reduced the risk of childhood asthma (RR=0.003, 95% CI: [0.000-0.240]). The findings suggest that researchers should consider evaluating how the presence of endogeneity could affect the relationship between duration of breastfeeding and the risk of childhood asthma. © 2017 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.

  6. Fasting Glucose and the Risk of Depressive Symptoms: Instrumental-Variable Regression in the Cardiovascular Risk in Young Finns Study.

    Science.gov (United States)

    Wesołowska, Karolina; Elovainio, Marko; Hintsa, Taina; Jokela, Markus; Pulkki-Råback, Laura; Pitkänen, Niina; Lipsanen, Jari; Tukiainen, Janne; Lyytikäinen, Leo-Pekka; Lehtimäki, Terho; Juonala, Markus; Raitakari, Olli; Keltikangas-Järvinen, Liisa

    2017-12-01

    Type 2 diabetes (T2D) has been associated with depressive symptoms, but the causal direction of this association and the underlying mechanisms, such as increased glucose levels, remain unclear. We used instrumental-variable regression with a genetic instrument (Mendelian randomization) to examine a causal role of increased glucose concentrations in the development of depressive symptoms. Data were from the population-based Cardiovascular Risk in Young Finns Study (n = 1217). Depressive symptoms were assessed in 2012 using a modified Beck Depression Inventory (BDI-I). Fasting glucose was measured concurrently with depressive symptoms. A genetic risk score for fasting glucose (with 35 single nucleotide polymorphisms) was used as an instrumental variable for glucose. Glucose was not associated with depressive symptoms in the standard linear regression (B = -0.04, 95% CI [-0.12, 0.04], p = .34), but the instrumental-variable regression showed an inverse association between glucose and depressive symptoms (B = -0.43, 95% CI [-0.79, -0.07], p = .020). The difference between the estimates of standard linear regression and instrumental-variable regression was significant (p = .026) CONCLUSION: Our results suggest that the association between T2D and depressive symptoms is unlikely to be caused by increased glucose concentrations. It seems possible that T2D might be linked to depressive symptoms due to low glucose levels.

  7. Instrument Variables for Reducing Noise in Parallel MRI Reconstruction

    Directory of Open Access Journals (Sweden)

    Yuchou Chang

    2017-01-01

    Full Text Available Generalized autocalibrating partially parallel acquisition (GRAPPA has been a widely used parallel MRI technique. However, noise deteriorates the reconstructed image when reduction factor increases or even at low reduction factor for some noisy datasets. Noise, initially generated from scanner, propagates noise-related errors during fitting and interpolation procedures of GRAPPA to distort the final reconstructed image quality. The basic idea we proposed to improve GRAPPA is to remove noise from a system identification perspective. In this paper, we first analyze the GRAPPA noise problem from a noisy input-output system perspective; then, a new framework based on errors-in-variables (EIV model is developed for analyzing noise generation mechanism in GRAPPA and designing a concrete method—instrument variables (IV GRAPPA to remove noise. The proposed EIV framework provides possibilities that noiseless GRAPPA reconstruction could be achieved by existing methods that solve EIV problem other than IV method. Experimental results show that the proposed reconstruction algorithm can better remove the noise compared to the conventional GRAPPA, as validated with both of phantom and in vivo brain data.

  8. Counselor Competence, Performance Assessment, and Program Evaluation: Using Psychometric Instruments

    Science.gov (United States)

    Tate, Kevin A.; Bloom, Margaret L.; Tassara, Marcel H.; Caperton, William

    2014-01-01

    Psychometric instruments have been underutilized by counselor educators in performance assessment and program evaluation efforts. As such, we conducted a review of the literature that revealed 41 instruments fit for such efforts. We described and critiqued these instruments along four dimensions--"Target Domain," "Format,"…

  9. Robust best linear estimation for regression analysis using surrogate and instrumental variables.

    Science.gov (United States)

    Wang, C Y

    2012-04-01

    We investigate methods for regression analysis when covariates are measured with errors. In a subset of the whole cohort, a surrogate variable is available for the true unobserved exposure variable. The surrogate variable satisfies the classical measurement error model, but it may not have repeated measurements. In addition to the surrogate variables that are available among the subjects in the calibration sample, we assume that there is an instrumental variable (IV) that is available for all study subjects. An IV is correlated with the unobserved true exposure variable and hence can be useful in the estimation of the regression coefficients. We propose a robust best linear estimator that uses all the available data, which is the most efficient among a class of consistent estimators. The proposed estimator is shown to be consistent and asymptotically normal under very weak distributional assumptions. For Poisson or linear regression, the proposed estimator is consistent even if the measurement error from the surrogate or IV is heteroscedastic. Finite-sample performance of the proposed estimator is examined and compared with other estimators via intensive simulation studies. The proposed method and other methods are applied to a bladder cancer case-control study.

  10. Instrumentation and quantitative methods of evaluation

    International Nuclear Information System (INIS)

    Beck, R.N.; Cooper, M.D.

    1991-01-01

    This report summarizes goals and accomplishments of the research program entitled Instrumentation and Quantitative Methods of Evaluation, during the period January 15, 1989 through July 15, 1991. This program is very closely integrated with the radiopharmaceutical program entitled Quantitative Studies in Radiopharmaceutical Science. Together, they constitute the PROGRAM OF NUCLEAR MEDICINE AND QUANTITATIVE IMAGING RESEARCH within The Franklin McLean Memorial Research Institute (FMI). The program addresses problems involving the basic science and technology that underlie the physical and conceptual tools of radiotracer methodology as they relate to the measurement of structural and functional parameters of physiologic importance in health and disease. The principal tool is quantitative radionuclide imaging. The objective of this program is to further the development and transfer of radiotracer methodology from basic theory to routine clinical practice. The focus of the research is on the development of new instruments and radiopharmaceuticals, and the evaluation of these through the phase of clinical feasibility. 234 refs., 11 figs., 2 tabs

  11. Evaluating musical instruments

    International Nuclear Information System (INIS)

    Campbell, D. Murray

    2014-01-01

    Scientific measurements of sound generation and radiation by musical instruments are surprisingly hard to correlate with the subtle and complex judgments of instrumental quality made by expert musicians

  12. Decoupling Solar Variability and Instrument Trends Using the Multiple Same-Irradiance-Level (MuSIL) Analysis Technique

    Science.gov (United States)

    Woods, Thomas N.; Eparvier, Francis G.; Harder, Jerald; Snow, Martin

    2018-05-01

    The solar spectral irradiance (SSI) dataset is a key record for studying and understanding the energetics and radiation balance in Earth's environment. Understanding the long-term variations of the SSI over timescales of the 11-year solar activity cycle and longer is critical for many Sun-Earth research topics. Satellite measurements of the SSI have been made since the 1970s, most of them in the ultraviolet, but recently also in the visible and near-infrared. A limiting factor for the accuracy of previous solar variability results is the uncertainties for the instrument degradation corrections, which need fairly large corrections relative to the amount of solar cycle variability at some wavelengths. The primary objective of this investigation has been to separate out solar cycle variability and any residual uncorrected instrumental trends in the SSI measurements from the Solar Radiation and Climate Experiment (SORCE) mission and the Thermosphere, Mesosphere, Ionosphere, Energetic, and Dynamics (TIMED) mission. A new technique called the Multiple Same-Irradiance-Level (MuSIL) analysis has been developed, which examines an SSI time series at different levels of solar activity to provide long-term trends in an SSI record, and the most common result is a downward trend that most likely stems from uncorrected instrument degradation. This technique has been applied to each wavelength in the SSI records from SORCE (2003 - present) and TIMED (2002 - present) to provide new solar cycle variability results between 27 nm and 1600 nm with a resolution of about 1 nm at most wavelengths. This technique, which was validated with the highly accurate total solar irradiance (TSI) record, has an estimated relative uncertainty of about 5% of the measured solar cycle variability. The MuSIL results are further validated with the comparison of the new solar cycle variability results from different solar cycles.

  13. Developing a Survey Instrument for Evaluating the Effectiveness of Data Management Training Materials

    Science.gov (United States)

    Hou, C. Y.; Soyka, H.; Hutchison, V.; Budden, A. E.

    2016-12-01

    Education and training resources that focus on best practices and guidelines for working with data such as: data management, data sharing, quality metadata creation, and maintenance for reuse, have vital importance not only to the users of Data Observation Network for Earth (DataONE), but also to the broader scientific, research, and academic communities. However, creating and maintaining relevant training/educational materials that remain sensitive and responsive to community needs is dependent upon careful evaluations of the current landscape in order to promote and support thoughtful development of new resources. Using DataONE's existing training/educational resources as the basis for this project, the authors have worked to develop an evaluation instrument that can be used to evaluate the effectiveness of data management training/education resources. The evaluation instrument is in the form of a digital questionnaire/survey. The evaluation instrument also includes the structure and content as recommended by the best practices/guidelines of questionnaire/survey design, based on a review of the literature. Additionally, the evaluation instrument can be customized to evaluate various training/education modalities and be implemented using a web-based questionnaire/survey platform. Finally, the evaluation instrument can be used for site-wide evaluation of DataONE teaching materials and resources, and once made publicly available and openly accessible, other organizations may also utilize the instrument. One key outcome of developing the evaluation instrument is to help in increasing the effectiveness of data management training/education resources across the Earth/Geoscience community. Through this presentation, the authors will provide the full background and motivations for creating an instrument for evaluating the effectiveness of data management training/education resources. The presentation will also discuss in detail the process and results of the current

  14. Evaluation of thoron-daughter instruments

    International Nuclear Information System (INIS)

    George, J.L.

    1992-09-01

    Several DOE decontamination and decommissioning sites need to accurately measure thoron-daughter concentrations during decontamination efforts. Because the workers at these sites receive their dose from thoron-daughters rather than thoron gas, the thoron-daughter concentration is the measurement of interest. Some instruments currently used for making radon-daughter concentration measurements also claim the ability to measure thoron-daughter concentrations. This study evaluated the validity of those claims

  15. Climate Informed Economic Instruments to Enhance Urban Water Supply Resilience to Hydroclimatological Variability and Change

    Science.gov (United States)

    Brown, C.; Carriquiry, M.; Souza Filho, F. A.

    2006-12-01

    Hydroclimatological variability presents acute challenges to urban water supply providers. The impact is often most severe in developing nations where hydrologic and climate variability can be very high, water demand is unmet and increasing, and the financial resources to mitigate the social effects of that variability are limited. Furthermore, existing urban water systems face a reduced solution space, constrained by competing and conflicting interests, such as irrigation demand, recreation and hydropower production, and new (relative to system design) demands to satisfy environmental flow requirements. These constraints magnify the impacts of hydroclimatic variability and increase the vulnerability of urban areas to climate change. The high economic and social costs of structural responses to hydrologic variability, such as groundwater utilization and the construction or expansion of dams, create a need for innovative alternatives. Advances in hydrologic and climate forecasting, and the increasing sophistication and acceptance of incentive-based mechanisms for achieving economically efficient water allocation offer potential for improving the resilience of existing water systems to the challenge of variable supply. This presentation will explore the performance of a system of climate informed economic instruments designed to facilitate the reduction of hydroclimatologic variability-induced impacts on water-sensitive stakeholders. The system is comprised of bulk water option contracts between urban water suppliers and agricultural users and insurance indexed on reservoir inflows designed to cover the financial needs of the water supplier in situations where the option is likely to be exercised. Contract and insurance parameters are linked to forecasts and the evolution of seasonal precipitation and streamflow and designed for financial and political viability. A simulation of system performance is presented based on ongoing work in Metro Manila, Philippines. The

  16. 8 years of Solar Spectral Irradiance Variability Observed from the ISS with the SOLAR/SOLSPEC Instrument

    Science.gov (United States)

    Damé, Luc; Bolsée, David; Meftah, Mustapha; Irbah, Abdenour; Hauchecorne, Alain; Bekki, Slimane; Pereira, Nuno; Cessateur, Marchand; Gäel; , Marion; et al.

    2016-10-01

    Accurate measurements of Solar Spectral Irradiance (SSI) are of primary importance for a better understanding of solar physics and of the impact of solar variability on climate (via Earth's atmospheric photochemistry). The acquisition of a top of atmosphere reference solar spectrum and of its temporal and spectral variability during the unusual solar cycle 24 is of prime interest for these studies. These measurements are performed since April 2008 with the SOLSPEC spectro-radiometer from the far ultraviolet to the infrared (166 nm to 3088 nm). This instrument, developed under a fruitful LATMOS/BIRA-IASB collaboration, is part of the Solar Monitoring Observatory (SOLAR) payload, externally mounted on the Columbus module of the International Space Station (ISS). The SOLAR mission, with its actual 8 years duration, will cover almost the entire solar cycle 24. We present here the in-flight operations and performances of the SOLSPEC instrument, including the engineering corrections, calibrations and improved know-how procedure for aging corrections. Accordingly, a SSI reference spectrum from the UV to the NIR will be presented, together with its variability in the UV, as measured by SOLAR/SOLSPEC for 8 years. Uncertainties on these measurements and comparisons with other instruments will be briefly discussed.

  17. Noise evaluation of a point autofocus surface topography measuring instrument

    Science.gov (United States)

    Maculotti, Giacomo; Feng, Xiaobing; Galetto, Maurizio; Leach, Richard

    2018-06-01

    In this work, the measurement noise of a point autofocus surface topography measuring instrument is evaluated, as the first step towards establishing a route to traceability for this type of instrument. The evaluation is based on the determination of the metrological characteristics for noise as outlined in draft ISO specification standards by using a calibrated optical flat. The static noise and repeatability of the autofocus sensor are evaluated. The influence of environmental disturbances on the measured surface topography and the built-in software to compensate for such influences are also investigated. The instrument was found to have a measurement noise of approximately 2 nm or, when expressed with the measurement bandwidth, 0.4 nm for a single-point measurement.

  18. A View of Current Evaluative Practices in Instrumental Music Teacher Education

    Science.gov (United States)

    Peterson, Amber Dahlén

    2014-01-01

    The purpose of this study was to examine how instrumental music educator skills are being evaluated in current undergraduate programs. While accrediting organizations mandate certain elements of these programs, they provide limited guidance on what evaluative approaches should be used. Instrumental music teacher educators in the College Music…

  19. Instrument evaluation no. 18. Mini instruments contamination meter type 5.10 EL

    International Nuclear Information System (INIS)

    Burgess, P.H.; Iles, W.J.

    1980-04-01

    An evaluation is given of the general purpose contamination monitor, the Mini-Instruments Type 5-10EL which comprises a probe connected by a coiled extensible cable to a ratemeter. The facilities and controls, radiation characteristics, electrical characteristics, environmental effects, mechanical characteristics, and the manual are considered. A summary is given of the instrument's performance showing that it is a useful general-purpose contamination monitor suitable for the monitoring of beta contamination at a level for non-active areas of 1 DL (3.7 Bq cm -2 (10 -4 μCi cm -2 )) for beta emitters of maximum energy at least that of 14 C, given a normal environmental gamma background. (U.K.)

  20. Developing evaluation instrument based on CIPP models on the implementation of portfolio assessment

    Science.gov (United States)

    Kurnia, Feni; Rosana, Dadan; Supahar

    2017-08-01

    This study aimed to develop an evaluation instrument constructed by CIPP model on the implementation of portfolio assessment in science learning. This study used research and development (R & D) method; adapting 4-D by the development of non-test instrument, and the evaluation instrument constructed by CIPP model. CIPP is the abbreviation of Context, Input, Process, and Product. The techniques of data collection were interviews, questionnaires, and observations. Data collection instruments were: 1) the interview guidelines for the analysis of the problems and the needs, 2) questionnaire to see level of accomplishment of portfolio assessment instrument, and 3) observation sheets for teacher and student to dig up responses to the portfolio assessment instrument. The data obtained was quantitative data obtained from several validators. The validators consist of two lecturers as the evaluation experts, two practitioners (science teachers), and three colleagues. This paper shows the results of content validity obtained from the validators and the analysis result of the data obtained by using Aikens' V formula. The results of this study shows that the evaluation instrument based on CIPP models is proper to evaluate the implementation of portfolio assessment instruments. Based on the experts' judgments, practitioners, and colleagues, the Aikens' V coefficient was between 0.86-1,00 which means that it is valid and can be used in the limited trial and operational field trial.

  1. Outcome indicators for the evaluation of energy policy instruments and technical change

    International Nuclear Information System (INIS)

    Neij, Lena; Astrand, Kerstin

    2006-01-01

    The aim of this paper is to propose a framework for the evaluation of policy instruments designed to affect development and dissemination of new energy technologies. The evaluation approach is based on the analysis of selected outcome indicators describing the process of technical change, i.e. the development and dissemination of new energy technologies, on the basis of a socio-technical systems approach. The outcome indicators are used to analyse the effect, in terms of outcome, and outcome scope of the policy instruments as well as the extent to which the policy instruments support diversity, learning and institutional change. The analysis of two cases of evaluations, of energy efficiency policy and wind energy policy in Sweden, shows that the approach has several advantages, allowing continuous evaluation and providing important information for the redesign of policy instruments. There are also disadvantages associated with the approach, such as complexity, possible high cost and the requirement of qualified evaluators. Nevertheless, it is concluded that the information on the continuous performance of different policy instruments and their effects on the introduction and dissemination of new energy technologies, provided by this evaluation approach, is essential for an improved adaptation and implementation of energy and climate policy

  2. The Development and Evaluation of a Novel Instrument Assessing Residents' Discharge Summaries.

    Science.gov (United States)

    Hommos, Musab S; Kuperman, Ethan F; Kamath, Aparna; Kreiter, Clarence D

    2017-04-01

    To develop and determine the reliability of a novel measurement instrument assessing the quality of residents' discharge summaries. In 2014, the authors created a discharge summary evaluation instrument based on consensus recommendations from national regulatory bodies and input from primary care providers at their institution. After a brief pilot, they used the instrument to evaluate discharge summaries written by first-year internal medicine residents (n = 24) at a single U.S. teaching hospital during the 2013-2014 academic year. They conducted a generalizability study to determine the reliability of the instrument and a series of decision studies to determine the number of discharge summaries and raters needed to achieve a reliable evaluation score. The generalizability study demonstrated that 37% of the variance reflected residents' ability to generate an adequate discharge summary (true score variance). The decision studies estimated that the mean score from six discharge summary reviews completed by a unique rater for each review would yield a reliability coefficient of 0.75. Because of high interrater reliability, multiple raters per discharge summary would not significantly enhance the reliability of the mean rating. This evaluation instrument reliably measured residents' performance writing discharge summaries. A single rating of six discharge summaries can achieve a reliable mean evaluation score. Using this instrument is feasible even for programs with a limited number of inpatient encounters and a small pool of faculty preceptors.

  3. Performance evaluation methods and instrumentation for mine ventilation fans

    Institute of Scientific and Technical Information of China (English)

    LI Man; WANG Xue-rong

    2009-01-01

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

  4. [Evaluation of Medical Instruments Cleaning Effect of Fluorescence Detection Technique].

    Science.gov (United States)

    Sheng, Nan; Shen, Yue; Li, Zhen; Li, Huijuan; Zhou, Chaoqun

    2016-01-01

    To compare the cleaning effect of automatic cleaning machine and manual cleaning on coupling type surgical instruments. A total of 32 cleaned medical instruments were randomly sampled from medical institutions in Putuo District medical institutions disinfection supply center. Hygiena System SUREII ATP was used to monitor the ATP value, and the cleaning effect was evaluated. The surface ATP values of the medical instrument of manual cleaning were higher than that of the automatic cleaning machine. Coupling type surgical instruments has better cleaning effect of automatic cleaning machine before disinfection, the application is recommended.

  5. Development of the evaluation instrument use CIPP on the implementation of project assessment topic optik

    Science.gov (United States)

    Asfaroh, Jati Aurum; Rosana, Dadan; Supahar

    2017-08-01

    This research aims to develop an evaluation instrument models CIPP valid and reliable as well as determine the feasibility and practicality of an evaluation instrument models CIPP. An evaluation instrument models CIPP to evaluate the implementation of the project assessment topic optik to measure problem-solving skills of junior high school class VIII in the Yogyakarta region. This research is a model of development that uses 4-D. Subject of product trials are students in class VIII SMP N 1 Galur and SMP N 1 Sleman. Data collection techniques in this research using non-test techniques include interviews, questionnaires and observations. Validity in this research was analyzed using V'Aikens. Reliability analyzed using ICC. This research uses 7 raters are derived from two lecturers expert (expert judgment), two practitioners (science teacher) and three colleagues. The results of this research is the evaluation's instrument model of CIPP is used to evaluate the implementation of the implementation of the project assessment instruments. The validity result of evaluation instrument have V'Aikens values between 0.86 to 1, which means a valid and 0.836 reliability values into categories so well that it has been worth used as an evaluation instrument.

  6. Student Evaluation of Teaching: An Instrument and a Development Process

    Science.gov (United States)

    Alok, Kumar

    2011-01-01

    This article describes the process of faculty-led development of a student evaluation of teaching instrument at Centurion School of Rural Enterprise Management, a management institute in India. The instrument was to focus on teacher behaviors that students get an opportunity to observe. Teachers and students jointly contributed a number of…

  7. The Role of Accompaniment Quality in the Evaluation of Solo Instrumental Performance

    Science.gov (United States)

    Springer, D. Gregory; Silvey, Brian A.

    2018-01-01

    The purpose of this study was to examine the effect of accompaniment quality on the evaluation of solo instrumental performance. Undergraduate instrumental music education majors (N = 71) listened to and evaluated the accuracy and expressivity of six excerpts of Haydn's "Concerto for Trumpet in E-Flat Major," which we created by…

  8. Impact of instrumental response on observed ozonesonde profiles: First-order estimates and implications for measures of variability

    Science.gov (United States)

    Clifton, G. T.; Merrill, J. T.; Johnson, B. J.; Oltmans, S. J.

    2009-12-01

    Ozonesondes provide information on the ozone distribution up to the middle stratosphere. Ozone profiles often feature layers, with vertically discrete maxima and minima in the mixing ratio. Layers are especially common in the UT/LS regions and originate from wave breaking, shearing and other transport processes. ECC sondes, however, have a moderate response time to significant changes in ozone. A sonde can ascend over 350 meters before it responds fully to a step change in ozone. This results in an overestimate of the altitude assigned to layers and an underestimate of the underlying variability in the amount of ozone. An estimate of the response time is made for each instrument during the preparation for flight, but the profile data are typically not processed to account for the response. Here we present a method of categorizing the response time of ECC instruments and an analysis of a low-pass filter approximation to the effects on profile data. Exponential functions were fit to the step-up and step-down responses using laboratory data. The resulting response time estimates were consistent with results from standard procedures, with the up-step response time exceeding the down-step value somewhat. A single-pole Butterworth filter that approximates the instrumental effect was used with synthetic layered profiles to make first-order estimates of the impact of the finite response time. Using a layer analysis program previously applied to observed profiles we find that instrumental effects can attenuate ozone variability by 20-45% in individual layers, but that the vertical offset in layer altitudes is moderate, up to about 150 meters. We will present results obtained using this approach, coupled with data on the distribution of layer characteristics found using the layer analysis procedure on profiles from Narragansett, Rhode Island and other US sites to quantify the impact on overall variability estimates given ambient distributions of layer occurrence, thickness

  9. Evaluation of advanced two-phase flow instrumentation in SCTF Core-1

    International Nuclear Information System (INIS)

    Iwamura, Takamichi; Sobajima, Makoto; Osakabe, Masahiro; Ohnuki, Akira; Abe, Yutaka; Sudo, Yukio; Adachi, Hiromichi

    1984-03-01

    In the Slab Core Test Facility (SCTF) Core-I, advanced two-phase flow instruments have been provided by the USNRC to measure the thermohydraulic behavior in the primary system including pressure vessel during the end of blowdown, refill and reflood phases of a postulated loss-of-coolant accident in a pressurized water reactor. The advanced instruments are turbine meters, drag disks, γ-densitometers, spool pieces, liquid level detectors (LLD), fluid distribution grids (FDG), impedance probes (flag, prong and string probes), film probes, and video optical probes. This report presents evaluated results of the data from these instruments. Some instruments are quantitatively evaluated by comparing with the data from the conventional instruments or the other advanced instruments. Main conclusions are as follows: (1) The spool pieces and the γ-densitometers work well and provide satisfactory results; (2) Some of the turbine meters, the impedance probes and the film probes give partially reasonable results, but still more improvements are required; (3) Most of the LLDs, the FDGs, the impedance probes, and the film probes do not work well due to a hard cable corrosion, and (4) The video optical probes give clear image of the flow pattern. (author)

  10. Instrumentation and quantitative methods of evaluation. Progress report, January 15-September 14, 1986

    International Nuclear Information System (INIS)

    Beck, R.N.

    1986-09-01

    This document reports progress under grant entitled ''Instrumentation and Quantitative Methods of Evaluation.'' Individual reports are presented on projects entitled the physical aspects of radionuclide imaging, image reconstruction and quantitative evaluation, PET-related instrumentation for improved quantitation, improvements in the FMI cyclotron for increased utilization, and methodology for quantitative evaluation of diagnostic performance

  11. An Investigation of Faculty Perceptions of the Use of a Student Evaluation of Faculty Instrument

    Science.gov (United States)

    Fulgham, Julie Cordell

    2014-01-01

    This study investigated the faculty perception of the use of a student evaluation of faculty instrument. The areas considered were use of the current Student Evaluation of Faculty (SEF) instrument to measure teaching effectiveness; use of the current instrument for annual faculty review; faculty involvement in developing the instrument; utilizing…

  12. In vitro and in vivo evaluations of three computer-aided shade matching instruments.

    Science.gov (United States)

    Yuan, Kun; Sun, Xiang; Wang, Fu; Wang, Hui; Chen, Ji-hua

    2012-01-01

    This study evaluated the accuracy and reliability of three computer-aided shade matching instruments (Shadepilot, VITA Easyshade, and ShadeEye NCC) using both in vitro and in vivo models. The in vitro model included the measurement of five VITA Classical shade guides. The in vivo model utilized three instruments to measure the central region of the labial surface of maxillary right central incisors of 85 people. The accuracy and reliability of the three instruments in these two evaluating models were calculated. Significant differences were observed in the accuracy of instruments both in vitro and in vivo. No significant differences were found in the reliability of instruments between and within the in vitro and the in vivo groups. VITA Easyshade was significantly different in accuracy between in vitro and in vivo models, while no significant difference was found for the other two instruments. Shadepilot was the only instrument tested in the present study that showed high accuracy and reliability both in vitro and in vivo. Significant differences were observed in the L*a*b* values of the 85 natural teeth measured using three instruments in the in vivo assessment. The pair-agreement rates of shade matching among the three instruments ranged from 37.7% to 48.2%, and the incidence of identical shade results shared by all three instruments was 25.9%. As different L*a*b* values and shade matching results were reported for the same tooth, a combination of the evaluated shade matching instruments and visual shade confirmation is recommended for clinical use.

  13. Evaluating Preschool Children Knowledge about Healthy Lifestyle: Preliminary Examination of the Healthy Lifestyle Evaluation Instrument

    Science.gov (United States)

    Grammatikopoulos, Vasilis; Konstantinidou, Elisavet; Tsigilis, Nikolaos; Zachopoulou, Evridiki; Tsangaridou, Niki; Liukkonen, Jarmo

    2008-01-01

    The aim of this study was to develop an instrument to evaluate the knowledge of preschool children about healthy lifestyle behavior. The innovation was that the instrument was designed to get direct evidence about healthy lifestyle from children aged 4-6 years old. Usually, children knowledge is estimated indirectly (parents, teachers), but the…

  14. Evaluation of Instrumentation and Dynamic Thermal Ratings for Overhead Lines

    Energy Technology Data Exchange (ETDEWEB)

    Phillips, A. [New York Power Authority, White Plains, NY (United States)

    2013-01-31

    In 2010, a project was initiated through a partnership between the Department of Energy (DOE) and the New York Power Authority (NYPA) to evaluate EPRI's rating technology and instrumentation that can be used to monitor the thermal states of transmission lines and provide the required real-time data for real-time rating calculations. The project included the installation and maintenance of various instruments at three 230 kV line sites in northern New York. The instruments were monitored, and data collection and rating calculations were performed for about a three year period.

  15. Instrument development and evaluation for patient-related outcomes assessments

    Directory of Open Access Journals (Sweden)

    Farnik M

    2012-03-01

    Full Text Available Małgorzata Farnik, Władysław PierzchałaDepartment of Pneumonology, Silesian University of Medicine, Katowice, PolandAbstract: Patient-related outcomes measures could provide important information for the current state of the art in medical care and even have an impact on macrodecisions in the health care system. Patient-related outcomes were initially defined as subjective health indicators that allow disability and illness to be assessed, based on patient, caregiver, or physician self-reports. As illness involves psychological and behavioral complex processes of care, a multidisciplinary approach in measuring patient-reported outcomes should be recommended, such as quality of life questionnaires. Patient-related outcomes measures should correspond to specific clinical situations and bring opportunities to improve quality of care. Objective measurements enable quantitative data to be collected and analyzed. Depending on the aim of the research, investigators can use existing methods or develop new tools. This publication presents a methodology for developing patient-related outcomes measures, based on a multistage procedure. The proper definition of specific study objectives and the methodology of instrument development are crucial for successfully transferring the study concept. The model of instrument development is the process of starting from the preliminary phase and includes questionnaire design and scaling, pilot testing (cognitive debriefing, revision of the preliminary version, evaluation of the new tool, and implementation. Validation of the new instrument includes reliability, reproducibility, internal consistency, and responsiveness. The process of designing the new tool should involve a panel of experts, including clinicians, psychologists (preliminary phase, and statisticians (scale development and scoring, and patients (cognitive debriefing. Implementation of a new tool should be followed by evaluation study – assessment of

  16. Reliability assessment of a peer evaluation instrument in a team-based learning course

    Directory of Open Access Journals (Sweden)

    Wahawisan J

    2016-03-01

    Full Text Available Objective: To evaluate the reliability of a peer evaluation instrument in a longitudinal team-based learning setting. Methods: Student pharmacists were instructed to evaluate the contributions of their peers. Evaluations were analyzed for the variance of the scores by identifying low, medium, and high scores. Agreement between performance ratings within each group of students was assessed via intra-class correlation coefficient (ICC. Results: We found little variation in the standard deviation (SD based on the score means among the high, medium, and low scores within each group. The lack of variation in SD of results between groups suggests that the peer evaluation instrument produces precise results. The ICC showed strong concordance among raters. Conclusions: Findings suggest that our student peer evaluation instrument provides a reliable method for peer assessment in team-based learning settings.

  17. Development of an instrument for the evaluation of advanced life support performance.

    Science.gov (United States)

    Peltonen, L-M; Peltonen, V; Salanterä, S; Tommila, M

    2017-10-01

    Assessing advanced life support (ALS) competence requires validated instruments. Existing instruments include aspects of technical skills (TS), non-technical skills (NTS) or both, but one instrument for detailed assessment that suits all resuscitation situations is lacking. This study aimed to develop an instrument for the evaluation of the overall ALS performance of the whole team. This instrument development study had four phases. First, we reviewed literature and resuscitation guidelines to explore items to include in the instrument. Thereafter, we interviewed resuscitation team professionals (n = 66), using the critical incident technique, to determine possible additional aspects associated with the performance of ALS. Second, we developed an instrument based on the findings. Third, we used an expert panel (n = 20) to assess the validity of the developed instrument. Finally, we revised the instrument based on the experts' comments and tested it with six experts who evaluated 22 video recorded resuscitations. The final version of the developed instrument had 69 items divided into adherence to guidelines (28 items), clinical decision-making (5 items), workload management (12 items), team behaviour (8 items), information management (6 items), patient integrity and consideration of laymen (4 items) and work routines (6 items). The Cronbach's α values were good, and strong correlations between the overall performance and the instrument were observed. The instrument may be useful for detailed assessment of the team's overall performance, but the numerous items make the use demanding. The instrument is still under development, and more research is needed to determine its psychometric properties. © 2017 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  18. Standard practice for evaluating performance characteristics of ultrasonic Pulse-Echo testing instruments and systems without the use of electronic measurement instruments

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2011-01-01

    1.1 This practice describes procedures for evaluating the following performance characteristics of ultrasonic pulse-echo examination instruments and systems: Horizontal Limit and Linearity; Vertical Limit and Linearity; Resolution - Entry Surface and Far Surface; Sensitivity and Noise; Accuracy of Calibrated Gain Controls. Evaluation of these characteristics is intended to be used for comparing instruments and systems or, by periodic repetition, for detecting long-term changes in the characteristics of a given instrument or system that may be indicative of impending failure, and which, if beyond certain limits, will require corrective maintenance. Instrument characteristics measured in accordance with this practice are expressed in terms that relate to their potential usefulness for ultrasonic testing. Instrument characteristics expressed in purely electronic terms may be measured as described in E1324. 1.2 Ultrasonic examination systems using pulsed-wave trains and A-scan presentation (rf or video) may be ev...

  19. The Domain Five Observation Instrument: A Competency-Based Coach Evaluation Tool

    Science.gov (United States)

    Shangraw, Rebecca

    2017-01-01

    The Domain Five Observation Instrument (DFOI) is a competency-based observation instrument recommended for sport leaders or researchers who wish to evaluate coaches' instructional behaviors. The DFOI includes 10 behavior categories and four timed categories that encompass 34 observable instructional benchmarks outlined in domain five of the…

  20. Evaluation Instruments and Good Practices in Online Education

    Science.gov (United States)

    Baldwin, Sally J.; Trespalacios, Jesús

    2017-01-01

    Chickering and Gamson's (1987) "Seven Principles for Good Practice in Undergraduate Education" offers extensively researched and validated tenets for best practices in higher education. After a review of the literature, twenty-eight evaluation instruments currently used to design and review online courses in higher education institutions…

  1. Evaluation of the Primary Care in leprosy control: proposal of an instrument for users

    Directory of Open Access Journals (Sweden)

    Fernanda Moura Lanza

    2014-12-01

    Full Text Available Objective Developing an instrument to evaluate the performance of primary health care in the leprosy control actions, from the perspective of users and do the face and content validation. Method This is a methodological study carried out in four stages: development of instrument, face and content validation, pre-test, and analysis of test-retest reliability. Results The initial instrument submitted to the judgment of 15 experts was composed of 157 items. The face and content validation and pre-test of instrument were essential for the exclusion of items and adjustment of instrument to evaluate the object under study. In the analysis of test-retest reliability, the instrument proved to be reliable. Conclusion The instrument is considered adequate, but further studies are needed to test the psychometric properties.

  2. Analytical evaluation of the automated galectin-3 assay on the Abbott ARCHITECT immunoassay instruments.

    Science.gov (United States)

    Gaze, David C; Prante, Christian; Dreier, Jens; Knabbe, Cornelius; Collet, Corinne; Launay, Jean-Marie; Franekova, Janka; Jabor, Antonin; Lennartz, Lieselotte; Shih, Jessie; del Rey, Jose Manuel; Zaninotto, Martina; Plebani, Mario; Collinson, Paul O

    2014-06-01

    Galectin-3 is secreted from macrophages and binds and activates fibroblasts forming collagen. Tissue fibrosis is central to the progression of chronic heart failure (CHF). We performed a European multicentered evaluation of the analytical performance of the two-step routine and Short Turn-Around-Time (STAT) galectin-3 immunoassay on the ARCHITECT i1000SR, i2000SR, and i4000SR (Abbott Laboratories). We evaluated the assay precision and dilution linearity for both routine and STAT assays and compared serum and plasma, and fresh vs. frozen samples. The reference interval and biological variability were also assessed. Measurable samples were compared between ARCHITECT instruments and between the routine and STAT assays and also to a galectin-3 ELISA (BG Medicine). The total assay coefficient of variation (CV%) was 2.3%-6.2% and 1.7%-7.4% for the routine and STAT assays, respectively. Both assays demonstrated linearity up to 120 ng/mL. Galectin-3 concentrations were higher in plasma samples than in serum samples and correlated well between fresh and frozen samples (R=0.997), between the routine and STAT assays, between the ARCHITECT i1000 and i2000 instruments and with the galectin-3 ELISA. The reference interval on 627 apparently healthy individuals (53% male) yielded upper 95th and 97.5th percentiles of 25.2 and 28.4 ng/mL, respectively. Values were significantly lower in subjects younger than 50 years. The galectin-3 routine and STAT assays on the Abbott ARCHITECT instruments demonstrated good analytical performance. Further clinical studies are required to demonstrate the diagnostic and prognostic potential of this novel marker in patients with CHF.

  3. Evaluating the Relational Coordination instrument

    DEFF Research Database (Denmark)

    Edwards, Kasper; Lundstrøm, Sanne Lykke

    2014-01-01

    consistency, interrater agreement and reliability, structural validity, content validity. However as relational coordination is being used as a diagnostics tool it is important to examine further if the instrument can measure changes. Indeed we need to know how precise and sensitive the instrument is when....... We distinguish between statistical and clinical significance. Statistical significance is calculated using T-test. Clinical significance is the minimal amount of change in relational coordination score that is not considered noise. Sensitivity of the instrument i.e. the ability of the instrument...

  4. Social interactions and college enrollment: A combined school fixed effects/instrumental variables approach.

    Science.gov (United States)

    Fletcher, Jason M

    2015-07-01

    This paper provides some of the first evidence of peer effects in college enrollment decisions. There are several empirical challenges in assessing the influences of peers in this context, including the endogeneity of high school, shared group-level unobservables, and identifying policy-relevant parameters of social interactions models. This paper addresses these issues by using an instrumental variables/fixed effects approach that compares students in the same school but different grade-levels who are thus exposed to different sets of classmates. In particular, plausibly exogenous variation in peers' parents' college expectations are used as an instrument for peers' college choices. Preferred specifications indicate that increasing a student's exposure to college-going peers by ten percentage points is predicted to raise the student's probability of enrolling in college by 4 percentage points. This effect is roughly half the magnitude of growing up in a household with married parents (vs. an unmarried household). Copyright © 2015 Elsevier Inc. All rights reserved.

  5. Instrument evaluation no. 33. Automess Szintomat 6134 radiation survey meter

    International Nuclear Information System (INIS)

    McClure, D.R.

    1986-04-01

    The various radiations encountered in radiological protection cover a wide range of energies and radiation measurements have to be carried out under an equally broad spectrum of environmental conditions. This report is one of a series intended to give information on the performance characteristics of radiological protection instruments, to assist in the selection of appropriate instruments for a given purpose, to interpret the results obtained with such instruments, and, in particular, to know the likely sources and magnitude of errors that might be associated with measurements in the field. The radiation, electrical and environmental characteristics of radiation protection instruments are considered together with those aspects of the construction which make an instrument convenient for routine use. To provide consistent criteria for instrument performance, the range of tests performed on any particular class of instrument, the test methods and the criteria of acceptable performance are based broadly on the appropriate Recommendations of the International Electrotechnical Commission. The radiations in the tests are, in general, selected from the range of reference radiations for instrument calibration being drawn up by the International Standards Organisation. Normally, each report deals with the capabilities and limitations of one model of instrument and no direct comparison with other instruments intended for similar purposes is made, since the significance of particular performance characteristics largely depends on the radiations and environmental conditions in which the instrument is to be used. The results quoted here have all been obtained from tests on instruments in routine production, with the appropriate measurements being made by the NRPB. This instrument evaluation report deals with the Automess Szintomat 6134 Radiation Survey Meter

  6. Performance Evaluation Factors: Designing an Instrument for National Health Network in Iran

    Directory of Open Access Journals (Sweden)

    Sassan Ghorbani-Kalkhajeh

    2016-04-01

    Full Text Available As a systematic process for gathering and analyzing data, performance evaluation could be used as a valid method to highlight levels of success and to identify strength and weakness of ongoing programs. The aim of the present study was to develop an instrument for evaluating rural health centers in Iran. Based on related literature and experts’ views, eight crucial fields of performance evaluation, and a questionnaire including 100 items were formed. The participants of the study were 525 people having health related jobs in rural or urban health centers. Reliability and validity requirements were checked; exploratory and confirmatory factor analyses were used. Factor analysis identified 11 components which embraced 60 items. Components were named as planning, control, coordination, structure, setting and facilities, education, customers’ satisfaction, staff’s job satisfaction, disease surveillance, mother-child care, and effectiveness which are presented as a model for performance evaluation. The obtained instrument embraces all required factors suggested by experts and literature hence it can be used as an evaluation instrument in both rural and urban health centers.

  7. DOE Handbook: Guide to good practices evaluation instrument examples

    International Nuclear Information System (INIS)

    1997-01-01

    Training evaluation determines a training program's effectiveness in meeting its intended purpose: producing competent employees. Evaluation is the quality assurance component of a systematic approach to training program. This guide provides information on evaluation instruments used to gather employee, supervisor, and instructor feedback to identify strengths and weaknesses of training programs at DOE facilities. It should be used in conjunction with ''DOE Training Program Handbook: A Systematic Approach to Training'' and ''DOE Handbook, Alternative Systematic Approaches to Training.''

  8. DOE Handbook: Guide to good practices evaluation instrument examples

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-01-01

    Training evaluation determines a training program`s effectiveness in meeting its intended purpose: producing competent employees. Evaluation is the quality assurance component of a systematic approach to training program. This guide provides information on evaluation instruments used to gather employee, supervisor, and instructor feedback to identify strengths and weaknesses of training programs at DOE facilities. It should be used in conjunction with ``DOE Training Program Handbook: A Systematic Approach to Training`` and ``DOE Handbook, Alternative Systematic Approaches to Training.``

  9. [Instruments for evaluating oral health knowledge, attitudes and practice for parents /caregivers of small children].

    Science.gov (United States)

    Martignon, Stefania; Bautista-Mendoza, Gloria; González-Carrera, María; Lafaurie-Villamil, Gloria; Morales, Veicy; Santamaría, Ruth

    2008-01-01

    Designing three instruments for evaluating oral health knowledge, attitudes and practice in parents/caregivers of low social-economic status 0-5 year-olds. Evaluating the instruments' reliability in terms of internal consistency and analysing items. Three instruments were constructed for evaluating low social-economic status 0-5 year-olds' parents/caregivers' oral health knowledge, attitudes and practice in the municipality of Usaquén , Bogotá , Colombia . 47 parents/caregivers were given a test establishing the instrument's reliability in terms of internal consistency and the adults' level of knowledge, attitudes and practice. A sub-sample was qualitatively analysed (content verification and understanding). Reliability was evaluated using Cronbach's alpha coefficient. Items were analysed for improving constructing and understanding the questions, taking four criteria into account: corrected homogeneity index (CHI), response trend, correlation between items and qualitative analysis. Cronbach's alpha coefficient for knowledge, attitudes and practice was 0,82, 0,80 and 0,62, respectively. Participants' level of knowledge, attitudes and practice was acceptable (60 %, 55 % and 91 %, respectively). This study found two out of the three evaluated instruments to be reliable (knowledge and attitudes); all three of them were then redesigned. The resulting instruments represent a valuable tool which can be used in future studies for describing and evaluating preventative programmes.

  10. Safety Evaluation of Kartini Reactor Based on Instrumentation System Design

    International Nuclear Information System (INIS)

    Tjipta Suhaemi; Djen Djen Dj; Itjeu K; Johnny S; Setyono

    2003-01-01

    The safety of Kartini reactor has been evaluated based on instrumentation system aspect. The Kartini reactor is designed by BATAN. Design power of the reactor is 250 kW, but it is currently operated at 100 kW. Instrumentation and control system function is to monitor and control the reactor operation. Instrumentation and control system consists of safety system, start-up and automatic power control, and process information system. The linear power channel and logarithmic power channel are used for measuring power. There are 3 types of control rod for controlling the power, i.e. safety rod, shim rod, and regulating rod. The trip and interlock system are used for safety. There are instrumentation equipment used for measuring radiation exposure, flow rate, temperature and conductivity of fluid The system of Kartini reactor has been developed by introducing a process information system, start-up system, and automatic power control. It is concluded that the instrumentation of Kartini reactor has followed the requirement and standard of IAEA. (author)

  11. Instrument evaluation no. 13. Nuclear enterprises portable meter type PDR

    International Nuclear Information System (INIS)

    Burgess, P.H.; Iles, W.J.

    1978-06-01

    The various radiations encountered in radiological protection cover a wide range of energies and radiation measurements have to be carried out under an equally broad spectrum of environmental conditions. This report is one of a series intended to give information on the performance characteristics of radiological protection instruments, to assist in the selection of appropriate instruments for a given purpose, to interpret the results obtained with such instruments, and, in particular, to know the likely sources and magnitude of errors that might be associated with measurements in the field. The radiation, electrical and environmental characteristics of radiation protection instruments are considered together with those aspects of the construction which make an instrument convenient for routine use. To provide consistent criteria for instrument performance, the range of tests performed on any particular class of instrument, the test methods and the criteria of acceptable performance are based broadly on the appropriate Recommendations of the International Electrotechnical Commission. The radiations in the tests are, in general, selected from the range of reference radiations for instrument calibration being drawn up by the International Standards Organisation. Normally, each report deals with the capabilities and limitations of one model of instrument and no direct comparison with other instruments intended for similar purposes is made, since the significance of particular performance characteristics largely depends on the radiations and environmental conditions in which the instrument is to be used. The results quoted here have all been obtained from tests on instruments in routine production, with the appropriate measurements being made by the NRPB. This report deals with the evaluation of Nuclear Enterprises Portable Dose Rate Meter Type PDR 2

  12. Measuring stakeholder participation in evaluation: an empirical validation of the Participatory Evaluation Measurement Instrument (PEMI).

    Science.gov (United States)

    Daigneault, Pierre-Marc; Jacob, Steve; Tremblay, Joël

    2012-08-01

    Stakeholder participation is an important trend in the field of program evaluation. Although a few measurement instruments have been proposed, they either have not been empirically validated or do not cover the full content of the concept. This study consists of a first empirical validation of a measurement instrument that fully covers the content of participation, namely the Participatory Evaluation Measurement Instrument (PEMI). It specifically examines (1) the intercoder reliability of scores derived by two research assistants on published evaluation cases; (2) the convergence between the scores of coders and those of key respondents (i.e., authors); and (3) the convergence between the authors' scores on the PEMI and the Evaluation Involvement Scale (EIS). A purposive sample of 40 cases drawn from the evaluation literature was used to assess reliability. One author per case in this sample was then invited to participate in a survey; 25 fully usable questionnaires were received. Stakeholder participation was measured on nominal and ordinal scales. Cohen's κ, the intraclass correlation coefficient, and Spearman's ρ were used to assess reliability and convergence. Reliability results ranged from fair to excellent. Convergence between coders' and authors' scores ranged from poor to good. Scores derived from the PEMI and the EIS were moderately associated. Evidence from this study is strong in the case of intercoder reliability and ranges from weak to strong in the case of convergent validation. Globally, this suggests that the PEMI can produce scores that are both reliable and valid.

  13. Further development of the instrument and technique for photometric evaluation of autoradiograms

    Energy Technology Data Exchange (ETDEWEB)

    Freyer, K; Baumbach, H; Birkholz, W; Kiese, H J [Akademie der Wissenschaften der DDR, Leipzig. Zentralinstitut fuer Isotopen- und Strahlenforschung

    1976-01-01

    Analogous and digital techniques for evaluation of autoradiograms are compared and measured for critical evaluation of autoradiograms. Additional instruments to a Zeiss-Photometer for digital and analogous evaluation of autoradiograms are described.

  14. The evaluation of equipment and Instrumentation Reliability Factors on Power Reactor

    International Nuclear Information System (INIS)

    Supriatna, Piping; Karlina, Itjeu; Widagdo, Suharyo; Santosa, Kussigit; Darlis; Sudiyono, Bambang; Yuniyanta, Sasongko; Sudarmin

    1999-01-01

    Equipment and instrumentation reliability on type power reactor control room was determined by its pattern and design. the principle of ergonomy applied on equipment and instrumentation layout in this ABWR type reactor are geometric pattern appropriate with economic body motion, average anthropometry data of operator especially operator hand-reach, range of vision, angle of vision, lighting, color arrangement and harmony as will as operator case in operating the equipment system. Limitation criteria of the parameter mentioned above are based on EPRI NP-3659, NURG 0700, and NUREG/CR-3331 documents. Besides that, the (working) physical environment parameter factor of the control room must be designed in order to fulfil the standard criteria of ergonomic condition based on NUREG-0800. The reliability evaluation of equipment and instrumentation system also occurs observed from man machine interaction side which happen between operator and equipment and instrumentation in the ABWR type power reactor control room. From the MMI analysis can be known the working failure possibility which is caused by the operator. The evaluation result of equipment and instrumentation reliability on ABWR type power reactor control room showed that the design of this ABWR control room is good and fulfils the ergonomy standard criteria have been determined

  15. Standard guide for evaluating performance characteristics of phased-Array ultrasonic testing instruments and systems

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2008-01-01

    1.1 This guide describes procedures for evaluating some performance characteristics of phased-array ultrasonic examination instruments and systems. 1.2 Evaluation of these characteristics is intended to be used for comparing instruments and systems or, by periodic repetition, for detecting long-term changes in the characteristics of a given instrument or system that may be indicative of impending failure, and which, if beyond certain limits, will require corrective maintenance. Instrument characteristics measured in accordance with this guide are expressed in terms that relate to their potential usefulness for ultrasonic examinations. Other electronic instrument characteristics in phased-array units are similar to non-phased-array units and may be measured as described in E 1065 or E 1324. 1.3 Ultrasonic examination systems using pulsed-wave trains and A-scan presentation (rf or video) may be evaluated. 1.4 This guide establishes no performance limits for examination systems; if such acceptance criteria ar...

  16. Measuring decision quality: psychometric evaluation of a new instrument for breast cancer chemotherapy.

    Science.gov (United States)

    Lee, Clara N; Wetschler, Matthew H; Chang, Yuchiao; Belkora, Jeffrey K; Moy, Beverly; Partridge, Ann; Sepucha, Karen R

    2014-08-20

    Women diagnosed with early stage (I or II) breast cancer face a highly challenging decision - whether or not to undergo adjuvant chemotherapy. We developed a decision quality instrument for chemotherapy for early stage breast cancer and sought to evaluate its performance. Cross-sectional, mailed survey of recent breast cancer survivors, providers, and healthy controls and a retest survey of survivors. The decision quality instrument includes questions on knowledge and personal goals. It results in a knowledge score and concordance score, which reflects the percentage of patients who received treatments that match their goals. Hypotheses related to acceptability, feasibility, validity, and reliability of the survey instrument were examined. Responses were received from 352 patients, 89 providers and 35 healthy controls. The decision quality instrument was feasible to implement with few missing data. The knowledge scores had good retest reliability (intraclass correlation coefficient (ICC) =0.75). Knowledge scores discriminated between providers and patients (mean difference 31.1%, 95% CI 26.9, 35.3) and between patients and healthy controls (mean difference 11.2, 95% CI 5.4, 17.1). Most providers reported that the knowledge items covered essential content. Two of the five goal items had a ceiling effect, and one goal had low content validity. The goal items had moderate retest reliability (ICC's 0.57 to 0.78). In the multivariable model of treatment, none of the patient goals was associated with receipt of chemotherapy. Age and hormone receptor status were the only variables independently associated with chemotherapy. Most patients (77.6%) had treatment concordant with that predicted by the model. Patients who had concordant treatment had similar levels of confidence and regret as those who did not. The Decision Quality Instrument is a reliable and valid measure of patient knowledge about chemotherapy, but its ability to measure concordance with patient goals is

  17. Validity and reliability of a new instrument for the evaluation of dental collaboration in disabled people

    Directory of Open Access Journals (Sweden)

    Scilla Sparabombe

    2013-10-01

    Full Text Available Background: nowadays, oral health in people with disabilities is an important topic. The phsychological and behavioural problems of these people, their difficulties with environmental adaptations and the absence of any traditional communication determine the compliance needed for treatment The aim of this work was to test the validity and reliability of an original questionnaire that could become an instrument assessing the individual features in people with mental retardation and other developmental disabilities at the time of dental treatment.Methods: it was created a questionnaire with standardised answers regarding four specific areas: neuropsychology, emotional-affect, autonomy and environmental resources. The questionnaire was completed by 63 patients from three different institutes (two rehabilitation institutes and an Institute of Dentistry for patients with special needs. To analyse the answers, each item was transformed into a numeric value. A value of 1 was displayed as the minimum while 4 represented full possession of the considered skills. A total of 17 variables were analysed with descriptive statistics and multivariate analysis. Internal consistency reliability was measured using Cronbach’s alpha. Furthermore, an analysis on convergent/discriminant validity was provided.Results: all variables were positively correlated. The most significant were “guidance”, “communication”, “sociability”, “view”, “hearing” and “feeding”. Items like “self-control”, “equanimity”, “problematic behaviour”, “extroversion” and “autonomy” offered vague and less significant information in identifying the patient’s collaboration level. Variables like “evaluation by the compiler about the patient’s collaboration”, “previous dental experiences” and “attendant” were confirmed. Cronbach’s alpha was 0.77 (standardized result, which meet the a priori criterion of 0.90≥alpha≥0.70.Conclusions

  18. Technical evaluation of available state of Nevada survey instruments

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-02-01

    Argonne National Laboratory (ANL) is reviewing the survey research studies completed by Mountain West Research (1987-1989) for the state of Nevada`s Nuclear Waste Project Office. In this research, 14 survey instruments were used to seek data on whether perceptions of risk could be associated with the possible siting of a high-level radioactive waste repository in Nevada and could be a dominant source of potential, significant, adverse economic impacts. This report presents results from phase 1 of the review, in which ANL contracted with the National Opinion Research Center (NORC) at the University of Chicago to evaluate the technical merits of the nine survey instruments that ANL had been able to acquire. The scope of NORC`s work was limited to rating the questions and stating their strengths and weaknesses. NORC concluded that the surveys could provide valuable data about risk perceptions and potential behavioral responses. NORC identified a few minor problems with a number of questions and the calculated response rates but claimed these problems would probably not have any major biasing effect. The NORC evaluation would have been more complete if the terms used in the questionnaires had been defined, all survey instruments had been acquired, and all data had been made available to the public.

  19. Technical evaluation of available state of Nevada survey instruments

    International Nuclear Information System (INIS)

    1993-02-01

    Argonne National Laboratory (ANL) is reviewing the survey research studies completed by Mountain West Research (1987-1989) for the state of Nevada's Nuclear Waste Project Office. In this research, 14 survey instruments were used to seek data on whether perceptions of risk could be associated with the possible siting of a high-level radioactive waste repository in Nevada and could be a dominant source of potential, significant, adverse economic impacts. This report presents results from phase 1 of the review, in which ANL contracted with the National Opinion Research Center (NORC) at the University of Chicago to evaluate the technical merits of the nine survey instruments that ANL had been able to acquire. The scope of NORC's work was limited to rating the questions and stating their strengths and weaknesses. NORC concluded that the surveys could provide valuable data about risk perceptions and potential behavioral responses. NORC identified a few minor problems with a number of questions and the calculated response rates but claimed these problems would probably not have any major biasing effect. The NORC evaluation would have been more complete if the terms used in the questionnaires had been defined, all survey instruments had been acquired, and all data had been made available to the public

  20. From theory based policy evaluation to SMART Policy Design: Lessons learned from 20 ex-post evaluations of energy efficiency instruments

    International Nuclear Information System (INIS)

    Harmelink, Mirjam; Harmsen, Robert; Nilsson, Lars

    2007-01-01

    This article presents the results of an in-depth ex-post analysis of 20 energy efficiency policy instruments applied across different sectors and countries. Within the AID-EE project, we reconstructed and analysed the implementation process of energy efficiency policy instruments with the aim to identify key factors behind successes and failures. The analysis was performed using a uniform methodology called 'theory based policy evaluation'. With this method the whole implementation process is assessed with the aim to identify: (i) the main hurdles in each step of the implementation process, (ii) key success factors for different types of instruments and (iii) the key indicators that need to be monitored to enable a sound evaluation of the energy efficiency instruments. Our analysis shows that: Energy efficiency policies often lack quantitative targets and clear timeframes; Often policy instruments have multiple and/or unclear objectives; The need for monitoring information does often not have priority in the design phase; For most instruments, monitoring information is collected on a regular basis. However, this information is often insufficient to determine the impact on energy saving, cost-effectiveness and target achievement of an instrument; Monitoring and verification of actual energy savings have a relatively low priority for most of the analyzed instruments. There is no such thing as the 'best' policy instrument. However, typical circumstances in which to apply different types of instruments and generic characteristics that determine success or failure can be identified. Based on the assessments and the experience from applying theory based policy evaluation ex-post, we suggest that this should already be used in the policy formulation and design phase of instruments. We conclude that making policy theory an integral and mandated part of the policy process would facilitate more efficient and effective energy efficiency instruments

  1. Understanding and Measuring Evaluation Capacity: A Model and Instrument Validation Study

    Science.gov (United States)

    Taylor-Ritzler, Tina; Suarez-Balcazar, Yolanda; Garcia-Iriarte, Edurne; Henry, David B.; Balcazar, Fabricio E.

    2013-01-01

    This study describes the development and validation of the Evaluation Capacity Assessment Instrument (ECAI), a measure designed to assess evaluation capacity among staff of nonprofit organizations that is based on a synthesis model of evaluation capacity. One hundred and sixty-nine staff of nonprofit organizations completed the ECAI. The 68-item…

  2. Financial and testamentary capacity evaluations: procedures and assessment instruments underneath a functional approach.

    Science.gov (United States)

    Sousa, Liliana B; Simões, Mário R; Firmino, Horácio; Peisah, Carmelle

    2014-02-01

    Mental health professionals are frequently involved in mental capacity determinations. However, there is a lack of specific measures and well-defined procedures for these evaluations. The main purpose of this paper is to provide a review of financial and testamentary capacity evaluation procedures, including not only the traditional neuropsychological and functional assessment but also the more recently developed forensic assessment instruments (FAIs), which have been developed to provide a specialized answer to legal systems regarding civil competencies. Here the main guidelines, papers, and other references are reviewed in order to achieve a complete and comprehensive selection of instruments used in the assessment of financial and testamentary capacity. Although some specific measures for financial abilities have been developed recently, the same is not true for testamentary capacity. Here are presented several instruments or methodologies for assessing financial and testamentary capacity, including neuropsychological assessment, functional assessment scales, performance based functional assessment instruments, and specific FAIs. FAIs are the only specific instruments intended to provide a specific and direct answer to the assessment of financial capacity based on legal systems. Considering the need to move from a diagnostic to a functional approach in financial and testamentary capacity evaluations, it is essential to consider both general functional examination as well as cognitive functioning.

  3. A multi-criteria evaluation method for climate change mitigation policy instruments

    International Nuclear Information System (INIS)

    Konidari, Popi; Mavrakis, Dimitrios

    2007-01-01

    This paper presents an integrated multi-criteria analysis method for the quantitative evaluation of climate change mitigation policy instruments. The method consists of: (i) a set of criteria supported by sub-criteria, all of which describe the complex framework under which these instruments are selected by policy makers and implemented, (ii) an Analytical Hierarchy Process (AHP) process for defining weight coefficients for criteria and sub-criteria according to the preferences of three stakeholders groups and (iii) a Multi-Attribute Theory (MAUT)/Simple Multi-Attribute Ranking Technique (SMART) process for assigning grades to each instrument that is evaluated for its performance under a specific sub-criterion. Arguments for the selected combination of these standard methods and definitions for criteria/sub-criteria are quoted. Consistency and robustness tests are performed. The functionality of the proposed method is tested by assessing the aggregate performances of the EU emission trading scheme at Denmark, Germany, Greece, Italy, Netherlands, Portugal, Sweden and United Kingdom. Conclusions are discussed

  4. Evaluation of surface characteristics of rotary nickel-titanium instruments produced by different manufacturing methods.

    Science.gov (United States)

    Inan, U; Gurel, M

    2017-02-01

    Instrument fracture is a serious concern in endodontic practice. The aim of this study was to investigate the surface quality of new and used rotary nickel-titanium (NiTi) instruments manufactured by the traditional grinding process and twisting methods. Total 16 instruments of two rotary NiTi systems were used in this study. Eight Twisted Files (TF) (SybronEndo, Orange, CA, USA) and 8 Mtwo (VDW, Munich, Germany) instruments were evaluated. New and used of 4 experimental groups were evaluated using an atomic force microscopy (AFM). New and used instruments were analyzed on 3 points along a 3 mm. section at the tip of the instrument. Quantitative measurements according to the topographical deviations were recorded. The data were statistically analyzed with paired samples t-test and independent samples t-test. Mean root mean square (RMS) values for new and used TF 25.06 files were 10.70 ± 2.80 nm and 21.58 ± 6.42 nm, respectively, and the difference between them was statistically significant (P instruments produced by twisting method (TF 25.06) had better surface quality than the instruments produced by traditional grinding process (Mtwo 25.06 files).

  5. Association of Body Mass Index with Depression, Anxiety and Suicide-An Instrumental Variable Analysis of the HUNT Study.

    Directory of Open Access Journals (Sweden)

    Johan Håkon Bjørngaard

    Full Text Available While high body mass index is associated with an increased risk of depression and anxiety, cumulative evidence indicates that it is a protective factor for suicide. The associations from conventional observational studies of body mass index with mental health outcomes are likely to be influenced by reverse causality or confounding by ill-health. In the present study, we investigated the associations between offspring body mass index and parental anxiety, depression and suicide in order to avoid problems with reverse causality and confounding by ill-health.We used data from 32,457 mother-offspring and 27,753 father-offspring pairs from the Norwegian HUNT-study. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale and suicide death from national registers. Associations between offspring and own body mass index and symptoms of anxiety and depression and suicide mortality were estimated using logistic and Cox regression. Causal effect estimates were estimated with a two sample instrument variable approach using offspring body mass index as an instrument for parental body mass index.Both own and offspring body mass index were positively associated with depression, while the results did not indicate any substantial association between body mass index and anxiety. Although precision was low, suicide mortality was inversely associated with own body mass index and the results from the analysis using offspring body mass index supported these results. Adjusted odds ratios per standard deviation body mass index from the instrumental variable analysis were 1.22 (95% CI: 1.05, 1.43 for depression, 1.10 (95% CI: 0.95, 1.27 for anxiety, and the instrumental variable estimated hazard ratios for suicide was 0.69 (95% CI: 0.30, 1.63.The present study's results indicate that suicide mortality is inversely associated with body mass index. We also found support for a positive association between body mass index and depression, but not

  6. Evaluation of energy efficiency policy instruments effectiveness : case study Croatia

    International Nuclear Information System (INIS)

    Bukarica, V.

    2007-01-01

    This paper proposed a theoretical basis for evaluating energy efficiency policy in the Republic of Croatia and corroborated it with the analysis of energy efficiency market development and transformation. The current status of the market was evaluated and policy instruments were adapted to achieve optimal results. In particular, the energy efficiency market in Croatia was discussed in terms of micro and macro environment factors that influence policy making processes and the choice of policy instruments. The macro environment for energy efficiency market in Croatia is the process of European Union pre-integration with all related national and international legislation, political and economical factors and potential to use financial funds. The micro environment consists of government institutions, local financing institutions and a range of market players on the supply and demand side. Energy efficiency is the most powerful and cost-effective way for achieving goals of sustainable development. Policy instruments developed to improve energy efficiency are oriented towards a cleaner environment, better standard of living, more competitive industry and improved security of energy supply. Energy efficiency is much harder to implement and requires policy interventions. In response to recent trends in the energy sector, such as deregulation and open competition, policy measures aimed at improving energy efficiency should shift from an end-users oriented approach towards a whole market approach. The optimal policy instruments mix should be designed to meet defined targets. However, market dynamics must be taken into consideration. 9 refs., 4 figs

  7. The utilization of performance evaluation instruments by technical trainers to evaluate maintenance personnel in the nuclear power industry in the United States

    International Nuclear Information System (INIS)

    Hornberger, C.K.

    1993-01-01

    The purpose of this study was to document the utilization of performance evaluation instruments by technical trainers in the evaluation of maintenance personnel in US nuclear power plants. Performance evaluation of maintenance personnel has been identified by nuclear utilities and the Nuclear Regulatory Commission as the only acceptable method of determining worker competence. The NRC requires performance evaluation to be conducted to performance standards, but it does not specify the standards or the method to be utilized. Each plant is free to establish its own standards and methods of evaluation. This was a descriptive study utilizing descriptive statistics for the analysis of the data. The subjects included 655 maintenance trainers in 72 US nuclear plants. Conclusions of the study include: (1) Technical trainers are in compliance with NRC regulations. (2) Evaluation materials developed by the Institute of Nuclear Power Operations are used by technical trainers in every one of the 62 plants that responded. (3) In-plant or self-developed Performance Evaluation Instruments are utilized by 419 or 95.2% of the technical trainers. (4) Technical trainers incorporate nine common components into their Performance Evaluation Instruments. (5) Technical trainers evaluate maintenance processes and the product produced by workers when following procedures and specifications are critical and when safety hazards are involved. (6) Technical trainers believe that utilizing Performance Evaluation Instruments makes their job easier by providing documentation about the quality and standards of maintenance skills. (7) Technical trainers believe that maintenance workers benefit when their skills are assessed through the use of Performance Evaluation Instruments

  8. Pancreatitis Quality of Life Instrument: Development of a new instrument

    Directory of Open Access Journals (Sweden)

    Wahid Wassef

    2014-02-01

    Full Text Available Objectives: The goal of this project was to develop the first disease-specific instrument for the evaluation of quality of life in chronic pancreatitis. Methods: Focus groups and interview sessions were conducted, with chronic pancreatitis patients, to identify items felt to impact quality of life which were subsequently formatted into a paper-and-pencil instrument. This instrument was used to conduct an online survey by an expert panel of pancreatologists to evaluate its content validity. Finally, the modified instrument was presented to patients during precognitive testing interviews to evaluate its clarity and appropriateness. Results: In total, 10 patients were enrolled in the focus groups and interview sessions where they identified 50 items. Once redundant items were removed, the 40 remaining items were made into a paper-and-pencil instrument referred to as the Pancreatitis Quality of Life Instrument. Through the processes of content validation and precognitive testing, the number of items in the instrument was reduced to 24. Conclusions: This marks the development of the first disease-specific instrument to evaluate quality of life in chronic pancreatitis. It includes unique features not found in generic instruments (economic factors, stigma, and spiritual factors. Although this marks a giant step forward, psychometric evaluation is still needed prior to its clinical use.

  9. The design of an instrument to evaluate software for EFL/ESL pronunciation teaching

    Directory of Open Access Journals (Sweden)

    Cristiana Gomes de Freitas Menezes Martins

    2016-01-01

    Full Text Available http://dx.doi.org/10.5007/2175-8026.2016v69n1p141 The purpose of this study was to develop and test the reliability and validity of an instrument to evaluate the extent to which software programs teach English as a Foreign Language and/or Second Language (EFL/ESL pronunciation following the principles of the Communicative Approach (Celce-Murcia et al, 2010, thus having the potential to develop English pronunciation. After the development of the instrument, 46 EFL/ESL teachers used it to analyze an online version of the software program Pronunciation Power 2. The responses of the participants were submitted to statistical analysis and the validity and reliability of the instrument were tested. The good reliability indexes obtained in this study suggest the instrument has some degree of validity for evaluating how well an ESL/EFL pronunciation teaching software program potentially develops English pronunciation.

  10. Instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Decreton, M

    2001-04-01

    SCK-CEN's research and development programme on instrumentation involves the assessment and the development of sensitive measurement systems used within a radiation environment. Particular emphasis is on the assessment of optical fibre components and their adaptability to radiation environments. The evaluation of ageing processes of instrumentation in fission plants, the development of specific data evaluation strategies to compensate for ageing induced degradation of sensors and cable performance form part of these activities. In 2000, particular emphasis was on in-core reactor instrumentation applied to fusion, accelerator driven and water-cooled fission reactors. This involved the development of high performance instrumentation for irradiation experiments in the BR2 reactor in support of new instrumentation needs for MYRRHA, and for diagnostic systems for the ITER reactor.

  11. Instrumentation

    International Nuclear Information System (INIS)

    Decreton, M.

    2001-01-01

    SCK-CEN's research and development programme on instrumentation involves the assessment and the development of sensitive measurement systems used within a radiation environment. Particular emphasis is on the assessment of optical fibre components and their adaptability to radiation environments. The evaluation of ageing processes of instrumentation in fission plants, the development of specific data evaluation strategies to compensate for ageing induced degradation of sensors and cable performance form part of these activities. In 2000, particular emphasis was on in-core reactor instrumentation applied to fusion, accelerator driven and water-cooled fission reactors. This involved the development of high performance instrumentation for irradiation experiments in the BR2 reactor in support of new instrumentation needs for MYRRHA, and for diagnostic systems for the ITER reactor

  12. A qualitative evaluation of policy instruments used to improve energy performance of existing private dwellings in the Netherlands

    International Nuclear Information System (INIS)

    Murphy, Lorraine; Meijer, Frits; Visscher, Henk

    2012-01-01

    Climate change policies in the Netherlands recognise the importance of existing dwellings. Efforts to gain these energy savings are led at national level by policy instruments such as the Energy Performance Certificate, covenants, economic and information tools. These instruments reflect a policy style described as consensus based and incentivising. However, this approach has been subject to criticism with suggestions that alternatives are required. As a first step towards conceptualising alternatives previous evaluations and stakeholder interviews are used to assess instruments. Elements from the theory based evaluation method combined with concepts from policy instrument and energy policy literature form an evaluation framework. Results demonstrate weak impact of some key instruments. Underlying theories associated with instruments are often lost during implementation or remain unsubstantiated. Policy instrument and energy policy concepts are evident but are far from pervasive. Results show that current instruments are poorly equipped to forge a long-term energy saving strategy for existing dwellings. It is further demonstrated that complexity with existing dwellings is not only limited to frequently cited barriers but to the intricacies of designing and operating a well-orchestrated instrument mix. - Highlights: ► Instruments are evaluated using the theory based method and normative concepts. ► Lack of monitoring and evaluation data affects impact assessment. ► Impact and normative concepts are reflected in part in individual instruments. ► A coherent strategy that demonstrates impact and reflects concepts is absent. ► Results form a first step from which to conceptualise alternatives.

  13. Evaluation of physicians' professional performance: An iterative development and validation study of multisource feedback instruments

    Directory of Open Access Journals (Sweden)

    Overeem Karlijn

    2012-03-01

    Full Text Available Abstract Background There is a global need to assess physicians' professional performance in actual clinical practice. Valid and reliable instruments are necessary to support these efforts. This study focuses on the reliability and validity, the influences of some sociodemographic biasing factors, associations between self and other evaluations, and the number of evaluations needed for reliable assessment of a physician based on the three instruments used for the multisource assessment of physicians' professional performance in the Netherlands. Methods This observational validation study of three instruments underlying multisource feedback (MSF was set in 26 non-academic hospitals in the Netherlands. In total, 146 hospital-based physicians took part in the study. Each physician's professional performance was assessed by peers (physician colleagues, co-workers (including nurses, secretary assistants and other healthcare professionals and patients. Physicians also completed a self-evaluation. Ratings of 864 peers, 894 co-workers and 1960 patients on MSF were available. We used principal components analysis and methods of classical test theory to evaluate the factor structure, reliability and validity of instruments. We used Pearson's correlation coefficient and linear mixed models to address other objectives. Results The peer, co-worker and patient instruments respectively had six factors, three factors and one factor with high internal consistencies (Cronbach's alpha 0.95 - 0.96. It appeared that only 2 percent of variance in the mean ratings could be attributed to biasing factors. Self-ratings were not correlated with peer, co-worker or patient ratings. However, ratings of peers, co-workers and patients were correlated. Five peer evaluations, five co-worker evaluations and 11 patient evaluations are required to achieve reliable results (reliability coefficient ≥ 0.70. Conclusions The study demonstrated that the three MSF instruments produced

  14. 26 CFR 1.1275-5 - Variable rate debt instruments.

    Science.gov (United States)

    2010-04-01

    ... nonpublicly traded property. A debt instrument (other than a tax-exempt obligation) that would otherwise... variations in the cost of newly borrowed funds in the currency in which the debt instrument is denominated... on the yield of actively traded personal property (within the meaning of section 1092(d)(1)). (ii...

  15. Evaluating Secondary Students' Scientific Reasoning in Genetics Using a Two-Tier Diagnostic Instrument

    Science.gov (United States)

    Tsui, Chi-Yan; Treagust, David

    2010-05-01

    While genetics has remained as one key topic in school science, it continues to be conceptually and linguistically difficult for students with the concomitant debates as to what should be taught in the age of biotechnology. This article documents the development and implementation of a two-tier multiple-choice instrument for diagnosing grades 10 and 12 students' understanding of genetics in terms of reasoning. The pretest and posttest forms of the diagnostic instrument were used alongside other methods in evaluating students' understanding of genetics in a case-based qualitative study on teaching and learning with multiple representations in three Western Australian secondary schools. Previous studies have shown that a two-tier diagnostic instrument is useful in probing students' understanding or misunderstanding of scientific concepts and ideas. The diagnostic instrument in this study was designed and then progressively refined, improved, and implemented to evaluate student understanding of genetics in three case schools. The final version of the instrument had Cronbach's alpha reliability of 0.75 and 0.64, respectively, for its pretest and the posttest forms when it was administered to a group of grade 12 students (n = 17). This two-tier diagnostic instrument complemented other qualitative data collection methods in this research in generating a more holistic picture of student conceptual learning of genetics in terms of scientific reasoning. Implications of the findings of this study using the diagnostic instrument are discussed.

  16. Nuclear medicine and imaging research (instrumentation and quantitative methods of evaluation)

    International Nuclear Information System (INIS)

    Beck, R.N.; Cooper, M.; Chen, C.T.

    1992-07-01

    This document is the annual progress report for project entitled ''Instrumentation and Quantitative Methods of Evaluation.'' Progress is reported in separate sections individually abstracted and indexed for the database. Subject areas reported include theoretical studies of imaging systems and methods, hardware developments, quantitative methods of evaluation, and knowledge transfer: education in quantitative nuclear medicine imaging

  17. Evaluation of a screening instrument for essential tremor

    DEFF Research Database (Denmark)

    Lorenz, Delia; Papengut, Frank; Frederiksen, Henrik

    2008-01-01

    To evaluate a screening instrument for essential tremor (ET) consisting of a seven-item questionnaire and a spiral drawing. A total of 2,448 Danish twins aged 70 years or more and a second sample aged 60 years or more (n = 1,684) from a population-based northern German cross-sectional study (Pop....... Definite or probable ET was diagnosed in 104 patients, possible in 86 and other tremors in 98 patients. The sensitivity of the screening instrument was 70.5%, the positive predictive value was 64.9%, the specificity was 68.2%, and the negative predictive value was 73.5%. Tremor severity correlated...... significantly with higher spiral scores and more positive items. More patients were identified by spiral drawing in all tremor groups. The interrater and intrarater reliability for spirals ranged from 0.7 to 0.8 using intraclass coefficient. A cluster analysis revealed that the questionnaire can be reduced...

  18. Multi-Institutional Development of a Mastoidectomy Performance Evaluation Instrument.

    Science.gov (United States)

    Kerwin, Thomas; Hittle, Brad; Stredney, Don; De Boeck, Paul; Wiet, Gregory

    A method for rating surgical performance of a mastoidectomy procedure that is shown to apply universally across teaching institutions has not yet been devised. This work describes the development of a rating instrument created from a multi-institutional consortium. Using a participatory design and a modified Delphi approach, a multi-institutional group of expert otologists constructed a 15-element task-based checklist for evaluating mastoidectomy performance. This instrument was further refined into a 14-element checklist focusing on the concept of safety after using it to rate a large and varied population of performances. Twelve otolaryngological surgical training programs in the United States. A total of 14 surgeons from 12 different institutions took part in the construction of the instrument. By using 14 experts from 12 different institutions and a literature review, individual metrics were identified, rated as to the level of importance and operationally defined to create a rating scale for mastoidectomy performance. Initial use of the rating scale showed modest rater agreement. The operational definitions of individual metrics were modified to emphasize "safe" as opposed to "proper" technique. A second rating instrument was developed based on this feedback. Using a consensus-building approach with multiple rounds of communication between experts is a feasible way to construct a rating instrument for mastoidectomy. Expert opinion alone using a Delphi method provides face and content validity evidence, however, this is not sufficient to develop a universally acceptable rating instrument. A continued process of development and experimentation to demonstrate evidence for reliability and validity making use of a large population of raters and performances is necessary to achieve universal acceptance. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  19. A concept taxonomy and an instrument hierarchy: tools for establishing and evaluating the conceptual framework of a patient-reported outcome (PRO) instrument as applied to product labeling claims.

    Science.gov (United States)

    Erickson, Pennifer; Willke, Richard; Burke, Laurie

    2009-01-01

    To facilitate development and evaluation of a PRO instrument conceptual framework, we propose two tools--a PRO concept taxonomy and a PRO instrument hierarchy. FDA's draft guidance on patient reported outcome (PRO) measures states that a clear description of the conceptual framework of an instrument is useful for evaluating its adequacy to support a treatment benefit claim for use in product labeling the draft guidance, however does not propose tools for establishing or evaluating a PRO instrument's conceptual framework. We draw from our review of PRO concepts and instruments that appear in prescription drug labeling approved in the United States from 1997 to 2007. We propose taxonomy terms that define relationships between PRO concepts, including "family,"compound concept," and "singular concept." Based on the range of complexity represented by the concepts, as defined by the taxonomy, we propose nine instrument orders for PRO measurement. The nine orders range from individual event counts to multi-item, multiscale instruments. This analysis of PRO concepts and instruments illustrates that the taxonomy and hierarchy are applicable to PRO concepts across a wide range of therapeutic areas and provide a basis for defining the instrument conceptual framework complexity. Although the utility of these tools in the drug development, review, and approval processes has not yet been demonstrated, these tools could be useful to improve communication and enhance efficiency in the instrument development and review process.

  20. Evaluation of apical canal shapes produced sequentially during instrumentation with stainless steel hand and Ni-Ti rotary instruments using Micro-computed tomography

    Directory of Open Access Journals (Sweden)

    Woo-Jin Lee

    2011-05-01

    Full Text Available Objectives The purpose of this study was to determine the optimal master apical file size with minimal transportation and optimal efficiency in removing infected dentin. We evaluated the transportation of the canal center and the change in untouched areas after sequential preparation with a #25 to #40 file using 3 different instruments: stainless steel K-type (SS K-file hand file, ProFile and LightSpeed using microcomputed tomography (MCT. Materials and Methods Thirty extracted human mandibular molars with separated orifices and apical foramens on mesial canals were used. Teeth were randomly divided into three groups: SS K-file, Profile, LightSpeed and the root canals were instrumented using corresponding instruments from #20 to #40. All teeth were scanned with MCT before and after instrumentation. Cross section images were used to evaluate canal transportation and untouched area at 1- , 2- , 3- , and 5- mm level from the apex. Data were statistically analyzed according to' repeated nested design'and Mann-Whitney test (p = 0.05. Results In SS K-file group, canal transportation was significantly increased over #30 instrument. In the ProFile group, canal transportation was significantly increased after preparation with the #40 instrument at the 1- and 2- mm levels. LightSpeed group showed better centering ability than ProFile group after preparation with the #40 instrument at the 1 and 2 mm levels. Conclusions SS K-file, Profile, and LightSpeed showed differences in the degree of apical transportation depending on the size of the master apical file.

  1. Systematic review of measurement properties of self-reported instruments for evaluating self-care in adults.

    Science.gov (United States)

    Matarese, Maria; Lommi, Marzia; De Marinis, Maria Grazia

    2017-06-01

    The aims of this study were as follows: to identify instruments developed to assess self-care in healthy adults; to determine the theory on which they were based; their validity and reliability properties and to synthesize the evidence on their measurement properties. Many instruments have been developed to assess self-care in many different populations and conditions. Clinicians and researchers should select the most appropriate self-care instrument based on the knowledge of their measurement properties. Systematic review of measurement instruments according to the protocol recommended by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) panel. PubMed, Embase, PsycINFO, Scopus and CINAHL databases were searched from inception to December 2015. Studies testing measurement properties of self-report instruments assessing self-care in healthy adults, published in the English language and in peer review journals were selected. Two reviewers independently appraised the methodological quality of the studies with the COSMIN checklist and the quality of results using specific quality criteria. Twenty-six articles were included in the review testing the measurement properties of nine instruments. Seven instruments were based on Orem's Self-care theory. Not all the measurement properties were evaluated for the identified instruments. No self-care instrument showed strong evidence supporting the evaluated measurement properties. Despite the development of several instruments to assess self-care in the adult population, no instrument can be fully recommended to clinical nurses and researchers. Further studies of high methodological quality are needed to confirm the measurement properties of these instruments. © 2016 John Wiley & Sons Ltd.

  2. Evaluating environmental policy instruments mixes; a methodology illustrated by noise policy in the Netherlands

    NARCIS (Netherlands)

    Weber, Miriam; Driessen, Peter P J; Runhaar, Hens A C

    2014-01-01

    Environmental policy is characterised by complexity, in causes and effects, resulting in various combinations of policy instruments. However, evaluating these policy instrument mixes and assessing their effectiveness is difficult because of a lack of methodological approaches. This paper therefore

  3. Evaluation of Validity and Reliability for Hierarchical Scales Using Latent Variable Modeling

    Science.gov (United States)

    Raykov, Tenko; Marcoulides, George A.

    2012-01-01

    A latent variable modeling method is outlined, which accomplishes estimation of criterion validity and reliability for a multicomponent measuring instrument with hierarchical structure. The approach provides point and interval estimates for the scale criterion validity and reliability coefficients, and can also be used for testing composite or…

  4. Comparing surgical trays with redundant instruments with trays with reduced instruments: a cost analysis.

    Science.gov (United States)

    John-Baptiste, A; Sowerby, L J; Chin, C J; Martin, J; Rotenberg, B W

    2016-01-01

    When prearranged standard surgical trays contain instruments that are repeatedly unused, the redundancy can result in unnecessary health care costs. Our objective was to estimate potential savings by performing an economic evaluation comparing the cost of surgical trays with redundant instruments with surgical trays with reduced instruments ("reduced trays"). We performed a cost-analysis from the hospital perspective over a 1-year period. Using a mathematical model, we compared the direct costs of trays containing redundant instruments to reduced trays for 5 otolaryngology procedures. We incorporated data from several sources including local hospital data on surgical volume, the number of instruments on redundant and reduced trays, wages of personnel and time required to pack instruments. From the literature, we incorporated instrument depreciation costs and the time required to decontaminate an instrument. We performed 1-way sensitivity analyses on all variables, including surgical volume. Costs were estimated in 2013 Canadian dollars. The cost of redundant trays was $21 806 and the cost of reduced trays was $8803, for a 1-year cost saving of $13 003. In sensitivity analyses, cost savings ranged from $3262 to $21 395, based on the surgical volume at the institution. Variation in surgical volume resulted in a wider range of estimates, with a minimum of $3253 for low-volume to a maximum of $52 012 for high-volume institutions. Our study suggests moderate savings may be achieved by reducing surgical tray redundancy and, if applied to other surgical specialties, may result in savings to Canadian health care systems.

  5. Instruments for the assessment of suicide risk: A systematic review evaluating the certainty of the evidence.

    Directory of Open Access Journals (Sweden)

    Bo Runeson

    Full Text Available Instruments have been developed to facilitate suicide risk assessment. We aimed to evaluate the evidence for these instruments including assessment of risk of bias and diagnostic accuracy for suicide and suicide attempt.PubMed (NLM, PsycInfo, Embase, Cinahl and the Cochrane Library databases were searched until December 2014. We assessed risk of bias with QUADAS-2. The average sensitivity and specificity of each instrument was estimated and the certainty of the evidence was assessed with GRADE. We considered instruments with a sensitivity > 80% and a specificity > 50% to have sufficient diagnostic accuracy.Thirty-five relevant studies were identified but 14 were considered to have high risk of bias, leaving 21 studies evaluating altogether 15 risk assessment instruments. We could carry out meta-analyses for five instruments. For the outcome suicide attempt SAD PERSONS Scale had a sensitivity of 15% (95% CI 8-24 and specificity of 97% (96-98, and the Manchester Self-Harm Rule (MSHR a sensitivity of 97% (97-97 and a specificity of 20% (20-21. ReACT, which is a modification of MSHR, had a similar low specificity, as did the Sodersjukhuset Self Harm Rule. For the outcome suicide, the Beck Hopelessness Scale had a sensitivity of 89% (78-95 and specificity of 42% (40-43.Most suicide risk assessment instruments were supported by too few studies to allow for evaluation of accuracy. Among those that could be evaluated, none fulfilled requirements for sufficient diagnostic accuracy.

  6. Variation in posture quality across musical instruments and its impact during performances.

    Science.gov (United States)

    Blanco-Piñeiro, Patricia; Díaz-Pereira, M Pino; Martínez Vidal, Aurora

    2018-06-01

    Bad posture increases the risk that a musician may suffer from musculoskeletal disorders. This study compared posture quality required by different instruments or families of instruments. Using an ad-hoc postural observation instrument embracing 11 postural variables, four experts evaluated the postures of 100 students attending a Spanish higher conservatory of music. The agreement of the experts' evaluations was statistically confirmed by a Cohen's κ value between 0.855 and 1.000 and a Kendall value between 0.709 and 1.000 (p instrument families and seated posture with respect to pelvic attitude, dorsal curvature and head alignment in both sagittal and frontal planes. This analysis also showed an association between instrument families and standing posture with respect to the frontal plane of the axis of gravity, pelvic attitude, head alignment in the frontal plane, the sagittal plane of the shoulders and overall posture. While certain postural defects appear to be common to all families of instruments, others are more characteristic of some families than others. The instrument associated with the best posture quality was the bagpipe, followed by percussion and strings.

  7. Developing and evaluating a relevant and feasible instrument for measuring health literacy of Canadian high school students.

    Science.gov (United States)

    Wu, Amery D; Begoray, Deborah L; Macdonald, Marjorie; Wharf Higgins, Joan; Frankish, Jim; Kwan, Brenda; Fung, Winny; Rootman, Irving

    2010-12-01

    Health literacy has come to play a critical role in health education and promotion, yet it is poorly understood in adolescents and few measurement tools exist. Standardized instruments to measure health literacy in adults assume it to be a derivative of general literacy. This paper reports on the development and the early-stage validation of a health literacy tool for high school students that measured skills to understand and evaluate health information. A systematic process was used to develop, score and validate items. Questionnaire data were collected from 275, primarily 10th grade students in three secondary schools in Vancouver, Canada that reflected variation in demographic profile. Forty-eight percent were male, and 69.1% spoke a language other than English. Bivariate correlations between background variables and the domain and overall health literacy scores were calculated. A regression model was developed using 15 explanatory variables. The R(2) value was 0.567. Key findings were that lower scores were achieved by males, students speaking a second language other than English, those who immigrated to Canada at a later age and those who skipped school more often. Unlike in general literacy where the family factors of mother's education and family affluence both played significant roles, these two factors failed to predict the health literacy of our school-aged sample. The most significant contributions of this work include the creation of an instrument for measuring adolescent health literacy and further emphasizing the distinction between health literacy and general literacy.

  8. The N2N instrument to evaluate healthy work environments: an Italian validation.

    Science.gov (United States)

    Palese, Alvisa; Dante, Angelo; Tonzar, Laura; Balboni, Bernardo

    2014-02-01

    The aims of the study were to (a) validate N2N Healthy Work Environment tool, (b) assess the healthiness of work environments as perceived by nurses themselves and (c) identify the factors associated with Italian nurses' perception of work environment healthiness. The linguistic and cultural adaptation of USA-N2N Healthy Work Environments was achieved through a process of forward/backward translation. Content validity was assessed by three expert nurses. The stability of the instrument was checked with a test/retest evaluation. The instrument psychometric properties, the confirmatory factor analysis as well the healthiness of the work environment and its determinant factors were evaluated with a sample of 294 nurses. The content and face validity of the N2N Healthy Work Environment instrument was confirmed. The instrument demonstrated good internal consistency (α of 0.82), excellent stability values (ρ > 0.70) and high levels of acceptability (response rate: 96.4 %). The confirmatory factor analysis has corroborated the existence of two factors as documented in the original instrument (Mays et al. in J Nurs Manag 19:18-26, 2011). Eighty-seven (29.6 %) nurses perceived the work environment where they work as "healthy". Working under a functional model of care delivery (χ(2) 24.856, p 0.000) and being responsible for one project or more (χ(2) 5.256, p 0.021) were associated with healthy environments. The instrument--valid and reliable, short in the number of items, easy to understand and based on international standards--allows a systematic assessment of the healthiness of the environment and might provide not only the opportunity to evaluate the effects of new organizational models and interventions, but also the possibility to activate a process of self-analysis and a process of ongoing review. The instrument can be used to systematically check the healthiness of Italian working environments, allowing for organizational diagnosis, targeted interventions and

  9. [An instrument in Spanish to evaluate the performance of clinical teachers by students].

    Science.gov (United States)

    Bitran, Marcela; Mena, Beltrán; Riquelme, Arnoldo; Padilla, Oslando; Sánchez, Ignacio; Moreno, Rodrigo

    2010-06-01

    The modernization of clinical teaching has called for the creation of faculty development programs, and the design of suitable instruments to evaluate clinical teachers' performance. To report the development and validation of an instrument in Spanish designed to measure the students' perceptions of their clinical teachers' performance and to provide them with feedback to improve their teaching practices. In a process that included the active participation of authorities, professors in charge of courses and internships, clinical teachers, students and medical education experts, we developed a 30-item questionnaire called MEDUC30 to evaluate the performance of clinical teachers by their students. The internal validity was assessed by factor analysis of 5214 evaluations of 265 teachers, gathered from 2004 to 2007. The reliability was measured with the Cronbach's alpha coefficient and the generalizability coefficient (g). MEDUC30 had good content and construct validity. Its internal structure was compatible with four factors: patient-centered teaching, teaching skills, assessment skills and learning climate, and it proved to be consistent with the structure anticipated by the theory. The scores were highly reliable (Cronbach's alpha: 0.97); five evaluations per teacher were sufficient to reach a reliability coefficient (g) of 0.8. MEDUC30 is a valid, reliable and useful instrument to evaluate the performance of clinical teachers. To our knowledge, this is the first instrument in Spanish for which solid validity and reliability evidences have been reported. We hope that MEDUC30 will be used to improve medical education in Spanish-speaking medical schools, providing teachers a specific feedback upon which to improve their pedagogical practice, and authorities with valuable information for the assessment of their faculty.

  10. On the shape of posterior densities and credible sets in instrumental variable regression models with reduced rank: an application of flexible sampling methods using neural networks

    NARCIS (Netherlands)

    Hoogerheide, L.F.; Kaashoek, J.F.; van Dijk, H.K.

    2007-01-01

    Likelihoods and posteriors of instrumental variable (IV) regression models with strong endogeneity and/or weak instruments may exhibit rather non-elliptical contours in the parameter space. This may seriously affect inference based on Bayesian credible sets. When approximating posterior

  11. RECOVERY OF LARGE ANGULAR SCALE CMB POLARIZATION FOR INSTRUMENTS EMPLOYING VARIABLE-DELAY POLARIZATION MODULATORS

    Energy Technology Data Exchange (ETDEWEB)

    Miller, N. J.; Marriage, T. A.; Appel, J. W.; Bennett, C. L.; Eimer, J.; Essinger-Hileman, T.; Harrington, K.; Rostem, K.; Watts, D. J. [Department of Physics and Astronomy, Johns Hopkins University, 3400 N. Charles St., Baltimore, MD 21218 (United States); Chuss, D. T. [Department of Physics, Villanova University, 800 E Lancaster, Villanova, PA 19085 (United States); Wollack, E. J.; Fixsen, D. J.; Moseley, S. H.; Switzer, E. R., E-mail: Nathan.J.Miller@nasa.gov [Observational Cosmology Laboratory, Code 665, NASA Goddard Space Flight Center, Greenbelt, MD 20771 (United States)

    2016-02-20

    Variable-delay Polarization Modulators (VPMs) are currently being implemented in experiments designed to measure the polarization of the cosmic microwave background on large angular scales because of their capability for providing rapid, front-end polarization modulation and control over systematic errors. Despite the advantages provided by the VPM, it is important to identify and mitigate any time-varying effects that leak into the synchronously modulated component of the signal. In this paper, the effect of emission from a 300 K VPM on the system performance is considered and addressed. Though instrument design can greatly reduce the influence of modulated VPM emission, some residual modulated signal is expected. VPM emission is treated in the presence of rotational misalignments and temperature variation. Simulations of time-ordered data are used to evaluate the effect of these residual errors on the power spectrum. The analysis and modeling in this paper guides experimentalists on the critical aspects of observations using VPMs as front-end modulators. By implementing the characterizations and controls as described, front-end VPM modulation can be very powerful for mitigating 1/f noise in large angular scale polarimetric surveys. None of the systematic errors studied fundamentally limit the detection and characterization of B-modes on large scales for a tensor-to-scalar ratio of r = 0.01. Indeed, r < 0.01 is achievable with commensurately improved characterizations and controls.

  12. Effect of corruption on healthcare satisfaction in post-soviet nations: A cross-country instrumental variable analysis of twelve countries.

    Science.gov (United States)

    Habibov, Nazim

    2016-03-01

    There is the lack of consensus about the effect of corruption on healthcare satisfaction in transitional countries. Interpreting the burgeoning literature on this topic has proven difficult due to reverse causality and omitted variable bias. In this study, the effect of corruption on healthcare satisfaction is investigated in a set of 12 Post-Socialist countries using instrumental variable regression on the sample of 2010 Life in Transition survey (N = 8655). The results indicate that experiencing corruption significantly reduces healthcare satisfaction. Copyright © 2016 The Author. Published by Elsevier Ltd.. All rights reserved.

  13. On the shape of posterior densities and credible sets in instrumental variable regression models with reduced rank: an application of flexible sampling methods using neural networks

    NARCIS (Netherlands)

    L.F. Hoogerheide (Lennart); J.F. Kaashoek (Johan); H.K. van Dijk (Herman)

    2005-01-01

    textabstractLikelihoods and posteriors of instrumental variable regression models with strong endogeneity and/or weak instruments may exhibit rather non-elliptical contours in the parameter space. This may seriously affect inference based on Bayesian credible sets. When approximating such contours

  14. Longitudinal Evaluation of the Integration of Digital Musical Instruments into Existing Compositional Work Processes

    DEFF Research Database (Denmark)

    Gelineck, Steven; Serafin, Stefania

    2012-01-01

    This paper explores a longitudinal approach to the qualitative evaluation of a set of digital musical instruments, which were developed with a focus on creativity and exploration. The instruments were lent to three electronic musicians/composers for a duration of four weeks. Free exploration...

  15. Risk variables in evaluation of transport projects

    Science.gov (United States)

    Vařbuchta, Petr; Kovářová, Hana; Hromádka, Vít; Vítková, Eva

    2017-09-01

    Depending on the constantly increasing demands on assessment of investment projects, especially assessment of large-scale projects in transport and important European projects with wide impacts, there is constantly increasing focus on risk management, whether to find mitigations, creating corrective measures or their implementation in assessment, especially in the context of Cost-Benefit analysis. To project assessment is often used implementation of certain risk variables, which can generate negative impacts of project outputs in framework of assess. Especially in case of transportation infrastructure projects is taken much emphasis on the influence of risk variables. However, currently in case of assessment of transportation projects is in Czech Republic used a few risk variables, which occur in the most projects. This leads to certain limitation in framework of impact assessment of risk variables. This papers aims to specify a new risk variables and process of applying them to already executed project assessment. Based on changes generated by new risk variables will be evaluated differences between original and adapted assessment.

  16. Quality of life instruments for economic evaluations in health and social care for older people: a systematic review.

    Science.gov (United States)

    Makai, Peter; Brouwer, Werner B F; Koopmanschap, Marc A; Stolk, Elly A; Nieboer, Anna P

    2014-02-01

    Gaining health may not be the main goal of healthcare services aimed at older people, which may (also) seek to improve wellbeing. This emphasizes the need of finding appropriate outcome measures for economic evaluation of such services, particularly in long-term care, capturing more than only health-related quality of life (HrQol). This review assesses the usefulness of HrQol and wellbeing instruments for economic evaluations specifically aimed at older people, focusing on generic and preference-based questionnaires measuring wellbeing in particular. We systematically searched six databases and extracted instruments used to assess HrQol and wellbeing outcomes. Instruments were compared based on their usefulness for economic evaluation of services aimed at older people (dimensions measured, availability of utility scores, extent of validation). We identified 487 articles using 34 generic instruments: 22 wellbeing (two of which were preference-based) and 11 HrQol instruments. While standard HrQol instruments measure physical, social and psychological dimensions, wellbeing instruments contain additional dimensions such as purpose in life and achievement, security, and freedom. We found four promising wellbeing instruments for inclusion in economic evaluation: Ferrans and Powers QLI and the WHO-Qol OLD, ICECAP-O and the ASCOT. Ferrans and Powers QLI and the WHO-Qol OLD are widely validated but lack preference-weights while for ICECAP-O and the ASCOT preference-weights are available, but are less widely validated. Until preference-weights are available for the first two instruments, the ICECAP-O and the ASCOT currently appear to be the most useful instruments for economic evaluations in services aimed at older people. Their limitations are that (1) health dimensions may be captured only partially and (2) the instruments require further validation. Therefore, we currently recommend using the ICECAP-O or the ASCOT alongside the EQ-5D or SF-6D when evaluating interventions

  17. Variable Stars in the Field of V729 Aql

    Science.gov (United States)

    Cagaš, P.

    2017-04-01

    Wide field instruments can be used to acquire light curves of tens or even hundreds of variable stars per night, which increases the probability of new discoveries of interesting variable stars and generally increases the efficiency of observations. At the same time, wide field instruments produce a large amount of data, which must be processed using advanced software. The traditional approach, typically used by amateur astronomers, requires an unacceptable amount of time needed to process each data set. New functionality, built into SIPS software package, can shorten the time needed to obtain light curves by several orders of magnitude. Also, newly introduced SILICUPS software is intended for post-processing of stored light curves. It can be used to visualize observations from many nights, to find variable star periods, evaluate types of variability, etc. This work provides an overview of tools used to process data from the large field of view around the variable star V729 Aql. and demonstrates the results.

  18. 3D Printed Surgical Instruments Evaluated by a Simulated Crew of a Mars Mission.

    Science.gov (United States)

    Wong, Julielynn Y; Pfahnl, Andreas C

    2016-09-01

    The first space-based fused deposition modeling (FDM) 3D printer became operational in 2014. This study evaluated whether Mars simulation crewmembers of the Hawai'i Space Exploration Analog and Simulation (HI-SEAS) II mission with no prior surgical experience could utilize acrylonitrile butadiene styrene (ABS) thermoplastic surgical instruments FDM 3D printed on Earth to complete simulated surgical tasks. This study sought to examine the feasibility of using 3D printed surgical tools when the primary crew medical officer is incapacitated and the back-up crew medical officer must conduct a surgical procedure during a simulated extended space mission. During a 4 mo duration ground-based analog mission, five simulation crewmembers with no prior surgical experience completed 16 timed sets of simulated prepping, draping, incising, and suturing tasks to evaluate the relative speed of using four ABS thermoplastic instruments printed on Earth compared to conventional instruments. All four simulated surgical tasks were successfully performed using 3D printed instruments by Mars simulation crewmembers with no prior surgical experience. There was no substantial difference in time to completion of simulated tasks with control vs. 3D printed sponge stick, towel clamp, scalpel handle, and toothed forceps. These limited findings support further investigation into the creation of an onboard digital catalog of validated 3D printable surgical instrument design files to support autonomous, crew-administered healthcare on Mars missions. Future work could include addressing sterility, biocompatibility, and having astronaut crew medical officers test a wider range of surgical instruments printed in microgravity during actual surgical procedures. Wong JY, Pfahnl AC. 3D printed surgical instruments evaluated by a simulated crew of a Mars mission. Aerosp Med Hum Perform. 2016; 87(9):806-810.

  19. Process variables in organizational stress management intervention evaluation research: a systematic review.

    Science.gov (United States)

    Havermans, Bo M; Schlevis, Roosmarijn Mc; Boot, Cécile Rl; Brouwers, Evelien Pm; Anema, Johannes; van der Beek, Allard J

    2016-09-01

    This systematic review aimed to explore which process variables are used in stress management intervention (SMI) evaluation research. A systematic review was conducted using seven electronic databases. Studies were included if they reported on an SMI aimed at primary or secondary stress prevention, were directed at paid employees, and reported process data. Two independent researchers checked all records and selected the articles for inclusion. Nielsen and Randall's model for process evaluation was used to cluster the process variables. The three main clusters were context, intervention, and mental models. In the 44 articles included, 47 process variables were found, clustered into three main categories: context (two variables), intervention (31 variables), and mental models (14 variables). Half of the articles contained no reference to process evaluation literature. The collection of process evaluation data mostly took place after the intervention and at the level of the employee. The findings suggest that there is great heterogeneity in methods and process variables used in process evaluations of SMI. This, together with the lack of use of a standardized framework for evaluation, hinders the advancement of process evaluation theory development.

  20. Isotope-equipped measuring instruments

    International Nuclear Information System (INIS)

    Miyagawa, Kazuo; Amano, Hiroshi

    1980-01-01

    In the steel industry, though the investment in isotope-equipped measuring instruments is small as compared with that in machinery, they play important role in the moisture measurement in sintering and blast furnaces, the thickness measurement in rolling process and others in automatic control systems. The economic aspect of the isotope-equipped measuring instruments is described on the basis of the practices in Kimitsu Works of Nippon Steel Corporation: distribution of such instruments, evaluation of economic effects, usefulness evaluation in view of raising the accuracy, and usefulness evaluation viewed from the failure of the isotope instruments. The evaluation of economic effects was made under the premise that the isotope-equipped measuring instruments are not employed. Then, the effects of raising the accuracy are evaluated for a γ-ray plate thickness gauge and a neutron moisture gauge for coke in a blast furnace. Finally, the usefulness was evaluated, assuming possible failure of the isotope-equipped measuring instruments. (J.P.N.)

  1. Confirming theoretical pay constructs of a variable pay scheme

    Directory of Open Access Journals (Sweden)

    Sibangilizwe Ncube

    2013-05-01

    Full Text Available Orientation: Return on the investment in variable pay programmes remains controversial because their cost versus contribution cannot be empirically justified. Research purpose: This study validates the findings of the model developed by De Swardt on the factors related to successful variable pay programmes. Motivation for the study: Many organisations blindly implement variable pay programmes without any means to assess the impact these programmes have on the company’s performance. This study was necessary to validate the findings of an existing instrument that validates the contribution of variable pay schemes. Research design, approach and method: The study was conducted using quantitative research. A total of 300 completed questionnaires from a non-purposive sample of 3000 participants in schemes across all South African industries were returned and analysed. Main findings: Using exploratory and confirmatory factor analysis, it was found that the validation instrument developed by De Swardt is still largely valid in evaluating variable pay schemes. The differences between the study and the model were reported. Practical/managerial implications: The study confirmed the robustness of an existing model that enables practitioners to empirically validate the use of variable pay plans. This model assists in the design and implementation of variable pay programmes that meet critical success factors. Contribution/value-add: The study contributed to the development of a measurement instrument that will assess whether a variable pay plan contributes to an organisation’s success.

  2. Wartościowanie zdrowia w opinii pielęgniarek w odniesieniu do zmiennych społeczno – demograficznych = Health evaluation with relation to socio-demographic variables – nurses’ opinions

    Directory of Open Access Journals (Sweden)

    Alina Deluga

    2016-05-01

    Conclusions Health evaluation and significance are prominent elements of pro-health awareness in the nurses. Moreover, they/health behaviours depend on socio-demographic variables. The nurses pay much attention to health being associated with property and state, which characterizes an instrumental approach to health.

  3. Inter-laboratory evaluation of instrument platforms and experimental workflows for quantitative accuracy and reproducibility assessment

    Directory of Open Access Journals (Sweden)

    Andrew J. Percy

    2015-09-01

    Full Text Available The reproducibility of plasma protein quantitation between laboratories and between instrument types was examined in a large-scale international study involving 16 laboratories and 19 LC–MS/MS platforms, using two kits designed to evaluate instrument performance and one kit designed to evaluate the entire bottom-up workflow. There was little effect of instrument type on the quality of the results, demonstrating the robustness of LC/MRM-MS with isotopically labeled standards. Technician skill was a factor, as errors in sample preparation and sub-optimal LC–MS performance were evident. This highlights the importance of proper training and routine quality control before quantitation is done on patient samples.

  4. [Transcultural adaptation of an instrument to evaluate hearing handicap in workers with noise-induced hearing loss].

    Science.gov (United States)

    Holanda, Wanessa Tenório Gonçalves; de Lima, Maria Luiza Carvalho; Figueiroa, José Natal

    2011-01-01

    The noise-induced hearing loss (NIHL) is a chronic and irreversible disease resulting of the exposure to noise in high levels at work. Even in the beginning, this hearing loss can damage in many degrees the worker's quality of life. Before this study, there wasn't an instrument, in Portuguese, to evaluate the psychosocial disadvantages of workers with NIHL. The aim of this research was to make a transcultural adaptation of an especific instrument to evaluate the hearing handicap from the original language to Portuguese, and check the reliability and legitimacy. The selected instrument passed by a process of semantic equivalence that was conducted in five stages: translation, back translation, critical appraisal of the versions, pre-test and a final review by a multi-professional group to develop a consensual version of the instrument for current use in Brazil. The instrument called "Inabilities Scale and Hearing Handicap" had, in general, acceptable psychometric measures, considering the little size of the sample and the fact that workers' hearing loss weren't too significant. Therefore, the Portuguese version of this instrument needs to be further tested in a representative sample of Brazilian workers with NIHL to ratify its utility in order to evaluate hearing handicap in this population.

  5. A review of psychological assessment instruments for use in bariatric surgery evaluations.

    Science.gov (United States)

    Marek, Ryan J; Heinberg, Leslie J; Lavery, Megan; Merrell Rish, Julie; Ashton, Kathleen

    2016-09-01

    Bariatric surgery is a viable treatment option for patients with extreme obesity and associated medical comorbidities; however, optimal surgical outcomes are not universal. Surgical societies, such as the American Society for Metabolic and Bariatric Surgery (ASMBS), recommend that patients undergo a presurgical psychological evaluation that includes reviewing patients' medical charts, conducting a comprehensive clinical interview, and employing some form of objective psychometric testing. Despite numerous societies recommending the inclusion of self-report assessments, only about 2/3 of clinics actively use psychological testing-some of which have limited empirical support to justify their use. This review aims to critically evaluate the psychometric properties of self-report measures when used in bariatric surgery settings and provide recommendations to help guide clinicians in selecting instruments to use in bariatric surgery evaluations. Recommended assessment batteries include use of a broadband instrument along with a narrowband eating measure. Suggestions for self-report measures to include in a presurgical psychological evaluation in bariatric surgery settings are also provided. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  6. Qualifying instrument for evaluation of food and nutritional care in hospital.

    Science.gov (United States)

    Díez García, R W; Souza, A A; Proença, R P C

    2012-01-01

    Establishing criteria for hospital nutrition care ensures that quality care is delivered to patients. The responsibility of the Hospital Food and Nutrition Service (HFNS) is not always well defined, despite efforts to establish guidelines for patient clinical nutrition practice. This study describes the elaboration of an Instrument for Evaluation of Food and Nutritional Care (IEFNC) aimed at directing the actions of the Hospital Food and Nutrition Service. This instrument was qualified by means of a comparative analysis of the categories related to hospital food and nutritional care, published in the literature. Elaboration of the IEFNC comprised the following stages: (a) a survey of databases and documents for selection of the categories to be used in nutrition care evaluation, (b) a study of the institutional procedures for nutrition practice at two Brazilian hospitals, in order to provide a description of the sequence of actions that should be taken by the HFNS as well as other services participating in nutrition care, (c) design of the IEFNC based on the categories published in the literature, adapted to the sequence of actions observed in the routines of the hospitals under study, (d) application of the questionnaire at two different hospitals that was mentioned in the item (b), in order to assess the time spent on its application, the difficulties in phrasing the questions, and the coverage of the instrument, and (e) finalization of the instrument. The IEFNC consists of 50 open and closed questions on two areas of food and nutritional care in hospital: inpatient nutritional care and food service quality. It deals with the characterization and structure of hospitals and their HFNS, the actions concerning the patients' nutritional evaluation and monitoring, the meal production system, and the hospital diets. "This questionnaire is a tool that can be seen as a portrait of the structure and characteristics of the HFNS and its performance in clinical and meal

  7. Evaluation of the measurement properties of symptom measurement instruments for atopic eczema: a systematic review.

    Science.gov (United States)

    Gerbens, L A A; Prinsen, C A C; Chalmers, J R; Drucker, A M; von Kobyletzki, L B; Limpens, J; Nankervis, H; Svensson, Å; Terwee, C B; Zhang, J; Apfelbacher, C J; Spuls, P I

    2017-01-01

    Symptoms have been identified as a core outcome domain for atopic eczema (AE) trials. Various instruments exist to measure symptoms in AE, but they vary in quality and there is a lack of standardization between clinical trials. Our objective was to systematically evaluate the quality of the evidence on the measurement properties of AE symptom instruments, thereby informing consensus discussions within the Harmonising Outcome Measures for Eczema (HOME) initiative regarding the most appropriate instruments for the core outcome domain symptoms. Using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist and predefined criteria for good measurement properties on identified development and validation studies of AE symptom instruments, a best evidence synthesis was performed to draw an overall conclusion on quality of the instruments and to provide recommendations. Eighteen instruments were identified and evaluated. When the quality and results of the studies were considered, only five of these instruments had sufficient validation data to consider them for the core outcome set for the core outcome domain symptoms. These were the paediatric Itch Severity Scale (ISS), Patient-Oriented Eczema Measure (POEM), Patient-Oriented SCOring Atopic Dermatitis (PO-SCORAD), Self-Administered Eczema Area and Severity Index (SA-EASI) and adapted SA-EASI. ISS (paediatric version), POEM, PO-SCORAD, SA-EASI and adapted SA-EASI are currently the most appropriate instruments and therefore have the potential to be recommended as core symptom instrument in future clinical trials. These findings will be utilized for the development of a core outcome set for AE. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  8. Unexpected but Most Welcome: Mixed Methods for the Validation and Revision of the Participatory Evaluation Measurement Instrument

    Science.gov (United States)

    Daigneault, Pierre-Marc; Jacob, Steve

    2014-01-01

    Although combining methods is nothing new, more contributions about why and how to mix methods for validation purposes are needed. This article presents a case of validating the inferences drawn from the Participatory Evaluation Measurement Instrument, an instrument that purports to measure stakeholder participation in evaluation. Although the…

  9. Development of a Symptom-Based Patient-Reported Outcome Instrument for Functional Dyspepsia: A Preliminary Conceptual Model and an Evaluation of the Adequacy of Existing Instruments.

    Science.gov (United States)

    Taylor, Fiona; Reasner, David S; Carson, Robyn T; Deal, Linda S; Foley, Catherine; Iovin, Ramon; Lundy, J Jason; Pompilus, Farrah; Shields, Alan L; Silberg, Debra G

    2016-10-01

    The aim was to document, from the perspective of the empirical literature, the primary symptoms of functional dyspepsia (FD), evaluate the extent to which existing questionnaires target those symptoms, and, finally, identify any missing evidence that would impact the questionnaires' use in regulated clinical trials to assess treatment efficacy claims intended for product labeling. A literature review was conducted to identify the primary symptoms of FD and existing symptom-based FD patient-reported outcome (PRO) instruments. Following a database search, abstracts were screened and articles were retrieved for review. The primary symptoms of FD were organized into a conceptual model and the PRO instruments were evaluated for conceptual coverage as well as compared against evidentiary requirements presented in the FDA's PRO Guidance for Industry. Fifty-six articles and 16 instruments assessing FD symptoms were reviewed. Concepts listed in the Rome III criteria for FD (n = 7), those assessed by existing FD instruments (n = 34), and symptoms reported by patients in published qualitative research (n = 6) were summarized in the FD conceptual model. Except for vomiting, all of the identified symptoms from the published qualitative research reports were also specified in the Rome III criteria. Only three of the 16 instruments, the Dyspepsia Symptom Severity Index (DSSI), Nepean Dyspepsia Index (NDI), and Short-Form Nepean Dyspepsia Index (SF-NDI), measure all seven FD symptoms defined by the Rome III criteria. Among these three, each utilizes a 2-week recall period and 5-point Likert-type scale, and had evidence of patient involvement in development. Despite their coverage, when these instruments were evaluated in light of regulatory expectations, several issues jeopardized their potential qualification for substantiation of a labeling claim. No existing PRO instruments that measured all seven symptoms adhered to the regulatory principles necessary to support product

  10. Instrumental variables estimates of peer effects in social networks.

    Science.gov (United States)

    An, Weihua

    2015-03-01

    Estimating peer effects with observational data is very difficult because of contextual confounding, peer selection, simultaneity bias, and measurement error, etc. In this paper, I show that instrumental variables (IVs) can help to address these problems in order to provide causal estimates of peer effects. Based on data collected from over 4000 students in six middle schools in China, I use the IV methods to estimate peer effects on smoking. My design-based IV approach differs from previous ones in that it helps to construct potentially strong IVs and to directly test possible violation of exogeneity of the IVs. I show that measurement error in smoking can lead to both under- and imprecise estimations of peer effects. Based on a refined measure of smoking, I find consistent evidence for peer effects on smoking. If a student's best friend smoked within the past 30 days, the student was about one fifth (as indicated by the OLS estimate) or 40 percentage points (as indicated by the IV estimate) more likely to smoke in the same time period. The findings are robust to a variety of robustness checks. I also show that sharing cigarettes may be a mechanism for peer effects on smoking. A 10% increase in the number of cigarettes smoked by a student's best friend is associated with about 4% increase in the number of cigarettes smoked by the student in the same time period. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. The Probability Evaluation Game: An Instrument to Highlight the Skill of Reflexive Listening

    Science.gov (United States)

    Butler, Clare

    2016-01-01

    This paper describes the development of the Probability Evaluation Game (PEG): an innovative teaching instrument that emphasises the sophistication of listening and highlights listening as a key skill for accounting practitioners. Whilst in a roundtable format, playing PEG involves participants individually evaluating a series of probability terms…

  12. Evaluating the effectiveness of impact assessment instruments: Theorising the nature and implications of their political constitution

    International Nuclear Information System (INIS)

    Cashmore, Matthew; Richardson, Tim; Hilding-Ryedvik, Tuija; Emmelin, Lars

    2010-01-01

    The central role of impact assessment instruments globally in policy integration initiatives has been cemented in recent years. Associated with this trend, but also reflecting political emphasis on greater accountability in certain policy sectors and a renewed focus on economic competitiveness in Western countries, demand has increased for evidence that these instruments are effective (however defined). Resurgent interest in evaluation has not, however, been accompanied by the conceptual developments required to redress longstanding theoretical problems associated with such activities. In order to sharpen effectiveness evaluation theory for impact assessment instruments this article critically examines the neglected issue of their political constitution. Analytical examples are used to concretely explore the nature and significance of the politicisation of impact assessment. It is argued that raising awareness about the political character of impact assessment instruments, in itself, is a vital step in advancing effectiveness evaluation theory. Broader theoretical lessons on the framing of evaluation research are also drawn from the political analysis. We conclude that, at least within the contemporary research context, learning derived from analysing the meaning and implications of plural interpretations of effectiveness represents the most constructive strategy for advancing impact assessment and policy integration theory.

  13. Problems with radiological surveillance instrumentation

    International Nuclear Information System (INIS)

    Swinth, K.L.; Tanner, J.E.; Fleming, D.M.

    1984-09-01

    Many radiological surveillance instruments are in use at DOE facilities throughout the country. These instruments are an essential part of all health physics programs, and poor instrument performance can increase program costs or compromise program effectiveness. Generic data from simple tests on newly purchased instruments shows that many instruments will not meet requirements due to manufacturing defects. In other cases, lack of consideration of instrument use has resulted in poor acceptance of instruments and poor reliability. The performance of instruments is highly variable for electronic and mechanical performance, radiation response, susceptibility to interferences and response to environmental factors. Poor instrument performance in these areas can lead to errors or poor accuracy in measurements

  14. Problems with radiological surveillance instrumentation

    International Nuclear Information System (INIS)

    Swinth, K.L.; Tanner, J.E.; Fleming, D.M.

    1985-01-01

    Many radiological surveillance instruments are in use at DOE facilities throughout the country. These instruments are an essential part of all health physics programs, and poor instrument performance can increase program costs or compromise program effectiveness. Generic data from simple tests on newly purchased instruments shows that many instruments will not meet requirements due to manufacturing defects. In other cases, lack of consideration of instrument use has resulted in poor acceptance of instruments and poor reliability. The performance of instruments is highly variable for electronic and mechanical performance, radiation response, susceptibility to interferences and response to environmental factors. Poor instrument performance in these areas can lead to errors or poor accuracy in measurements

  15. Evaluation of two disinfection/sterilization methods on silicon rubber-based composite finishing instruments.

    Science.gov (United States)

    Lacerda, Vánia A; Pereira, Leandro O; Hirata JUNIOR, Raphael; Perez, Cesar R

    2015-12-01

    To evaluate the effectiveness of disinfection/sterilization methods and their effects on polishing capacity, micomorphology, and composition of two different composite fiishing and polishing instruments. Two brands of finishing and polishing instruments (Jiffy and Optimize), were analyzed. For the antimicrobial test, 60 points (30 of each brand) were used for polishing composite restorations and submitted to three different groups of disinfection/sterilization methods: none (control), autoclaving, and immersion in peracetic acid for 60 minutes. The in vitro tests were performed to evaluate the polishing performance on resin composite disks (Amelogen) using a 3D scanner (Talyscan) and to evaluate the effects on the points' surface composition (XRF) and micromorphology (MEV) after completing a polishing and sterilizing routine five times. Both sterilization/disinfection methods were efficient against oral cultivable organisms and no deleterious modification was observed to point surface.

  16. Variable selection in multivariate calibration based on clustering of variable concept.

    Science.gov (United States)

    Farrokhnia, Maryam; Karimi, Sadegh

    2016-01-01

    Recently we have proposed a new variable selection algorithm, based on clustering of variable concept (CLoVA) in classification problem. With the same idea, this new concept has been applied to a regression problem and then the obtained results have been compared with conventional variable selection strategies for PLS. The basic idea behind the clustering of variable is that, the instrument channels are clustered into different clusters via clustering algorithms. Then, the spectral data of each cluster are subjected to PLS regression. Different real data sets (Cargill corn, Biscuit dough, ACE QSAR, Soy, and Tablet) have been used to evaluate the influence of the clustering of variables on the prediction performances of PLS. Almost in the all cases, the statistical parameter especially in prediction error shows the superiority of CLoVA-PLS respect to other variable selection strategies. Finally the synergy clustering of variable (sCLoVA-PLS), which is used the combination of cluster, has been proposed as an efficient and modification of CLoVA algorithm. The obtained statistical parameter indicates that variable clustering can split useful part from redundant ones, and then based on informative cluster; stable model can be reached. Copyright © 2015 Elsevier B.V. All rights reserved.

  17. Evaluation of a draft standard on performance specifications for health physics instrumentation - program overview

    International Nuclear Information System (INIS)

    Kathren, R.L.; Selby, J.M.; Kenoyer, J.L.; Swinth, K.L.

    1983-01-01

    The draft ANSI Standard N42.17 on performance specifications for health physics instrumentation was written in 1981 by a task group that included both manufacturers and users of these instruments as well as representation from the regulatory bodies; the second draft of this standard is currently being evaluated by Pacific Northwest Laboratory. Objectives of this project include the evaluation of the applicability and practicality of the proposed standard and the determination of the degree of conformance of a cross-section of currently available commercial instruments to the proposed standard. This standard is being tested against such instruments as ionization chambers. G.M. detectors, alpha survey meters, and neutron dose equivalent survey meters. Radiological, electrical, mechanical, safety, and environmental performance criteria are specified and tests to evaluate conformance are detailed. Specific criteria which are discussed in this draft standard include inspection tests (e.g., readout units, scaling and zero set, decontamination, moisture protection, alarm threshold, battery status indication), AC and battery power requirements, alarm reset, stability, geotropism, response time, accuracy, precision, IER, beta, and neutron energy dependence, radiation overloads, angular dependence, extracameral response, nonionizing electromagnetic radiations, magnetic fields, interfering ionizing radiations, and effect of temperature, humidity, ambient pressure, shock, and vibration. The testing procedures were developed with emphasis on the requirements found in ANSI N42.17 with additional criteria from other draft and current ANSI and IEC standards

  18. Data evaluation for operator-inspector differences for a specific NDA instrument

    International Nuclear Information System (INIS)

    Franklin, M.

    1984-01-01

    The Joint Research Centre (JRC) of the European Commission is developing a number of NDA instruments for safeguards use. In particular the JRC has developed a photo neutron active interrogation device (Phonid) for the assay of U-235 in bulk quantities. This report describes new statistical results for the D statistic in the context of data evaluation algorithms for the Phonid instrument. The Phonid instrument is useful for this purpose because its error propagation structure is well characterised and yet not trivially simple. The data evaluation for Phonid data is derived from its error propagation modelling plus new results for the sampling distribution of the D statistic. The problem of assigning an uncertainty to the D statistic value without any diversion strategy assumptions has long been an unresolved problem. The results described in this report provide the solution to this problem by considering the sampling distribution of the D statistic given the population of discrepancies. Discrepancy is defined as the difference between operator declared values and the true values measured by the inspector. This approach provides estimable expressions for the sampling moments of the D statistic without making any assumption about the cause (diversion, clerical error, measurement error) of the discrepancy. The report also provides a general discussion of the distinction between planning a verification and performing the data analysis after the verification has been carried out

  19. College Students' Evaluation of Effective Teaching: Developing an Instrument and Assessing Its Psychometric Properties

    Science.gov (United States)

    Dodeen, Hamzeh

    2013-01-01

    Students' evaluations of teaching (SETs) are currently the most commonly used method for evaluating teaching effectiveness in higher education institutions. They aid in evaluating the quality of faculty teaching and provide useful information for administrators, faculty, and students. The majority of SET instruments were developed based on faculty…

  20. Psychometric Evaluation of an Adolescent and Young Adult Module of the Impact of Cancer Instrument

    NARCIS (Netherlands)

    Husson, O.; Zebrack, B.J.

    2017-01-01

    PURPOSE: To develop and evaluate a new instrument that measures unique aspects of long-term survivorship for people diagnosed with cancer as Adolescent and Young Adult (AYA), not measured by existing tools. METHODS: A new candidate instrument-the Impact of Cancer for Adolescent and Young Adult

  1. Instruments evaluating the quality of the clinical learning environment in nursing education: A systematic review of psychometric properties.

    Science.gov (United States)

    Mansutti, Irene; Saiani, Luisa; Grassetti, Luca; Palese, Alvisa

    2017-03-01

    The clinical learning environment is fundamental to nursing education paths, capable of affecting learning processes and outcomes. Several instruments have been developed in nursing education, aimed at evaluating the quality of the clinical learning environments; however, no systematic review of the psychometric properties and methodological quality of these studies has been performed to date. The aims of the study were: 1) to identify validated instruments evaluating the clinical learning environments in nursing education; 2) to evaluate critically the methodological quality of the psychometric property estimation used; and 3) to compare psychometric properties across the instruments available. A systematic review of the literature (using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines) and an evaluation of the methodological quality of psychometric properties (using the COnsensus-based Standards for the selection of health Measurement INstruments guidelines). The Medline and CINAHL databases were searched. Eligible studies were those that satisfied the following criteria: a) validation studies of instruments evaluating the quality of clinical learning environments; b) in nursing education; c) published in English or Italian; d) before April 2016. The included studies were evaluated for the methodological quality of the psychometric properties measured and then compared in terms of both the psychometric properties and the methodological quality of the processes used. The search strategy yielded a total of 26 studies and eight clinical learning environment evaluation instruments. A variety of psychometric properties have been estimated for each instrument, with differing qualities in the methodology used. Concept and construct validity were poorly assessed in terms of their significance and rarely judged by the target population (nursing students). Some properties were rarely considered (e.g., reliability, measurement error

  2. An Evaluation Instrument for Object-Oriented Example Programs for Novices

    DEFF Research Database (Denmark)

    Christensen, Henrik Bærbak; Börstler, Jürgen; Nordström,, Marie

    objectively and consistently requires some kind of measurement instrument. In this paper, we describe the development and initial validation of an evaluation instrument for example programs, based on three aspects of quality; technical quality, object-oriented quality, and didactical quality. Validation......Examples are important tools for programming education. In this paper, we investigate desirable properties of programming examples from a cognitive and a measurement point of view. We argue that some cognitive aspects of example programs are "caught" by common software measures......, but they are not sufficient to capture all important aspects of understandability. We propose a framework for measuring the understandability of example programs that also considers factors related to the usage context of examples. Research shows that examples play an important role for cognitive skill acquisition. Students...

  3. Pressure ulcers: development and psychometric evaluation of the attitude towards pressure ulcer prevention instrument (APuP).

    Science.gov (United States)

    Beeckman, D; Defloor, T; Demarré, L; Van Hecke, A; Vanderwee, K

    2010-11-01

    Pressure ulcers continue to be a significant problem in hospitals, nursing homes and community care settings. Pressure ulcer incidence is widely accepted as an indicator for the quality of care. Negative attitudes towards pressure ulcer prevention may result in suboptimal preventive care. A reliable and valid instrument to assess attitudes towards pressure ulcer prevention is lacking. Development and psychometric evaluation of the Attitude towards Pressure ulcer Prevention instrument (APuP). Prospective psychometric instrument validation study. A literature review was performed to design the instrument. Content validity was evaluated by nine European pressure ulcer experts and five experts in psychometric instrument validation in a double Delphi procedure. A convenience sample of 258 nurses and 291 nursing students from Belgium and The Netherlands participated in order to evaluate construct validity and stability reliability of the instrument. The data were collected between February and May 2008. A factor analysis indicated the construct of a 13 item instrument in a five factor solution: (1) attitude towards personal competency to prevent pressure ulcers (three items); (2) attitude towards the priority of pressure ulcer prevention (three items); (3) attitude towards the impact of pressure ulcers (three items); (4) attitude towards personal responsibility in pressure ulcer prevention (two items); and (5) attitude towards confidence in the effectiveness of prevention (two items). This five factor solution accounted for 61.4% of the variance in responses related to attitudes towards pressure ulcer prevention. All items demonstrated factor loadings over 0.60. The instrument produced similar results during stability testing [ICC=0.88 (95% CI=0.84-0.91, Ppressure ulcer prevention in patient care, education, and research. In further research, the association between attitude, knowledge and clinical performance should be explored. Copyright 2010 Elsevier Ltd. All rights

  4. Multi point of care instrument evaluation for use in anti-retroviral clinics in South Africa.

    Science.gov (United States)

    Gounden, Verena; George, Jaya

    2012-01-01

    South Africa has the largest prevalence of HIV infected individuals in the world. The introduction of point of care testing to anti-retroviral (ARV) clinic sites is hoped to fast track initiation of patients on ARVs and to allow for earlier recognition of adverse effects such as dyslipidaemia, renal and hepatic dysfunction. We evaluated six instruments for the following analytes: glucose, lactate, creatinine, cholesterol, triglycerides, HDL-cholesterol, alanine transaminase (ALT), and glycated haemoglobin. Comparisons with the central laboratory analyser were performed as well as precision studies. A scoring system was developed by the authors to evaluate the instruments in terms of analytical performance, cost, ease of use, and other operational characteristics. As one of the goals of the placement of these instruments was that their operation was simple enough to be used by non-laboratory staff, ease of use contributed a large proportion to the final scoring. Analytical performance of the POC analysers were generally similar, however, there were significant differences in operational characteristics and ease of use. Bias for the different analytes when compared to the laboratory analyser ranged from -27% to 14%. Calculated total errors for all analytes except for HDL cholesterol were within total allowable error recommendations. The two instruments (Roche Reflotron and Cholestech LDX) with the highest overall total points achieved the highest scores for ease of use. This pilot study has led to the development of a scoring system for the evaluation of POC instruments.

  5. Instrumental variable analysis as a complementary analysis in studies of adverse effects : venous thromboembolism and second-generation versus third-generation oral contraceptives

    NARCIS (Netherlands)

    Boef, Anna G C; Souverein, Patrick C|info:eu-repo/dai/nl/243074948; Vandenbroucke, Jan P; van Hylckama Vlieg, Astrid; de Boer, Anthonius|info:eu-repo/dai/nl/075097346; le Cessie, Saskia; Dekkers, Olaf M

    2016-01-01

    PURPOSE: A potentially useful role for instrumental variable (IV) analysis may be as a complementary analysis to assess the presence of confounding when studying adverse drug effects. There has been discussion on whether the observed increased risk of venous thromboembolism (VTE) for

  6. An evaluation of Brix refractometry instruments for measurement of colostrum quality in dairy cattle.

    Science.gov (United States)

    Bielmann, V; Gillan, J; Perkins, N R; Skidmore, A L; Godden, S; Leslie, K E

    2010-08-01

    Acquisition of high quality colostrum is an important factor influencing neonatal calf health. Many methods have been used to assess the Ig concentration of colostrum; however, improved, validated evaluation tools are needed. The aims of this study were to evaluate both optical and digital Brix refractometer instruments for the measurement of Ig concentration of colostrum as compared with the gold standard radial immunodiffusion assay laboratory assessment and to determine the correlation between Ig measurements taken from fresh and frozen colostrum samples for both Brix refractometer instruments. This research was completed using 288 colostrum samples from 3 different farms. It was concluded that the optical and digital Brix refractometers were highly correlated for both fresh and frozen samples (r=0.98 and r=0.97, respectively). Correlation between both refractometer instruments for fresh and frozen samples and the gold standard radial immunodiffusion assay were determined to be very similar, with a correlation coefficient between 0.71 and 0.74. Both instruments exhibited excellent test characteristics, indicating an appropriate cut-off point of 22% Brix score for the identification of good quality colostrum. Copyright (c) 2010 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  7. [Development and reliability evaluation of an instrument to measure health-related quality of life in independent elderly].

    Science.gov (United States)

    Lima, Maria José Barbosa de; Portela, Margareth Crisóstomo

    2010-08-01

    This study presents an instrument, the health-related quality of life (HRQOL) profile for independent elderly, to measure the health-related quality of life of the functionally independent elderly assisted in the outpatient setting, based on the adaptation of four validated scales: Short-Form Health Survey (SF-36), Duke-UNC Health Profile (DUHP), Sickness Impact Profile (SIP), and Nottingham Health Profile (NHP). The study also evaluates the instrument's reliability based on its use by two different observers with a 15-day interval. The instrument includes five dimensions (health perception, symptoms, physical function, psychological function, and social function) and 45 items. Reliability evaluation of the QUASI instrument was based on interviews with 142 elderly outpatients in the city of Rio de Janeiro, Brazil. Prevalence-adjusted kappa statistic was used to assess all 45 items. Correlation was also calculated between overall scores and scores on individual dimensions. In the reliability evaluation, 39 of the 45 items showed prevalence-adjusted kappa greater than 0.60.

  8. Relationship between colorimetric (instrumental) evaluation and consumer-defined beef colour acceptability.

    Science.gov (United States)

    Holman, Benjamin W B; Mao, Yanwei; Coombs, Cassius E O; van de Ven, Remy J; Hopkins, David L

    2016-11-01

    The relationship between instrumental colorimetric values (L*, a*, b*, the ratio of reflectance at 630nm and 580nm) and consumer perception of acceptable beef colour was evaluated using a web-based survey and standardised photographs of beef m. longissimus lumborum with known colorimetrics. Only L* and b* were found to relate to average consumer opinions of beef colour acceptability. Respondent nationality was also identified as a source of variation in beef colour acceptability score. Although this is a preliminary study with the findings necessitating additional investigation, these results suggest L* and b* as candidates for developing instrumental thresholds for consumer beef colour expectations. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  9. The Society for Implementation Research Collaboration Instrument Review Project: a methodology to promote rigorous evaluation.

    Science.gov (United States)

    Lewis, Cara C; Stanick, Cameo F; Martinez, Ruben G; Weiner, Bryan J; Kim, Mimi; Barwick, Melanie; Comtois, Katherine A

    2015-01-08

    Identification of psychometrically strong instruments for the field of implementation science is a high priority underscored in a recent National Institutes of Health working meeting (October 2013). Existing instrument reviews are limited in scope, methods, and findings. The Society for Implementation Research Collaboration Instrument Review Project's objectives address these limitations by identifying and applying a unique methodology to conduct a systematic and comprehensive review of quantitative instruments assessing constructs delineated in two of the field's most widely used frameworks, adopt a systematic search process (using standard search strings), and engage an international team of experts to assess the full range of psychometric criteria (reliability, construct and criterion validity). Although this work focuses on implementation of psychosocial interventions in mental health and health-care settings, the methodology and results will likely be useful across a broad spectrum of settings. This effort has culminated in a centralized online open-access repository of instruments depicting graphical head-to-head comparisons of their psychometric properties. This article describes the methodology and preliminary outcomes. The seven stages of the review, synthesis, and evaluation methodology include (1) setting the scope for the review, (2) identifying frameworks to organize and complete the review, (3) generating a search protocol for the literature review of constructs, (4) literature review of specific instruments, (5) development of an evidence-based assessment rating criteria, (6) data extraction and rating instrument quality by a task force of implementation experts to inform knowledge synthesis, and (7) the creation of a website repository. To date, this multi-faceted and collaborative search and synthesis methodology has identified over 420 instruments related to 34 constructs (total 48 including subconstructs) that are relevant to implementation

  10. Validity and reliability of the Mastication Observation and Evaluation (MOE) instrument.

    Science.gov (United States)

    Remijn, Lianne; Speyer, Renée; Groen, Brenda E; van Limbeek, Jacques; Nijhuis-van der Sanden, Maria W G

    2014-07-01

    The Mastication Observation and Evaluation (MOE) instrument was developed to allow objective assessment of a child's mastication process. It contains 14 items and was developed over three Delphi rounds. The present study concerns the further development of the MOE using the COSMIN (Consensus based Standard for the Selection of Measurement Instruments) and investigated the instrument's internal consistency, inter-observer reliability, construct validity and floor and ceiling effects. Consumption of three bites of bread and biscuit was evaluated using the MOE. Data of 59 healthy children (6-48 mths) and 38 children (bread) and 37 children (biscuit) with cerebral palsy (24-72 mths) were used. Four items were excluded before analysis due to zero variance. Principal Components Analysis showed one factor with 8 items. Internal consistency was >0.70 (Chronbach's alpha) for both food consistencies and for both groups of children. Inter-observer reliability varied from 0.51 to 0.98 (weighted Gwet's agreement coefficient). The total MOE scores for both groups showed normal distribution for the population. There were no floor or ceiling effects. The revised MOE now contains 8 items that (a) have a consistent concept for mastication and can be scored on a 4-point scale with sufficient reliability and (b) are sensitive to stages of chewing development in young children. The removed items are retained as part of a criterion referenced list within the MOE. Copyright © 2014 Elsevier Ltd. All rights reserved.

  11. Evaluation of a draft standard on performance specifications for health physics instrumentation. Initial results for radiological tests

    International Nuclear Information System (INIS)

    Swinth, K.L.; Kenoyer, J.L.; Mileham, A.P.; Kathren, R.L.; Selby, J.M.

    1983-06-01

    The draft ANSI standard N42.17D2 on performance specifications for health physics instrumentation is currently being evaluated by the Pacific Northwest Laboratory. The primary objective of the project is the evaluation of the applicability and practicality of the proposed standard through testing of a cross-section of currently available commercial instruments to determine how well they conform to the standard. The standard is being tested against instruments such as ionization chambers, G.M. detectors, alpha survey meters, and neutron dose equivalent survey meters. This paper presents results of the preliminary radiological performance tests on ionization chambers and G.M. detectors. This includes both the data generated during the tests and a discussion of procedures developed to perform the testing. Results are reported for response time, accuracy, precision, radiation overloads, and angular dependence. In addition, results are reported for parameters that affect instrument performance including battery lifetime, geotropism and stability. Initial test indicates that some of the instruments will not meet the criteria specified in ANSI N42.17D2. Results cover approximately 40 instruments that have been obtained by direct purchase, by loan from instrument vendors or by loan from others including DOE licensees

  12. A Reliability and Validity of an Instrument to Evaluate the School-Based Assessment System: A Pilot Study

    Science.gov (United States)

    Ghazali, Nor Hasnida Md

    2016-01-01

    A valid, reliable and practical instrument is needed to evaluate the implementation of the school-based assessment (SBA) system. The aim of this study is to develop and assess the validity and reliability of an instrument to measure the perception of teachers towards the SBA implementation in schools. The instrument is developed based on a…

  13. Fairness in teacher evaluation: validity of personal evaluations based on an classroom observation instrument measuring sequential development of teaching skill

    NARCIS (Netherlands)

    van der Lans, Rikkert; van de Grift, Willem; van Veen, Klaas

    Interest in teacher evaluation is mainly motivated by a desire for selection. Given this motivation, it is unrealistic to think that an evaluation instrument will never result in others making summative decisions about teachers’ careers. This study applies the validity argument approach (Kane, 2006)

  14. The VALUE perfect predictor experiment: evaluation of temporal variability

    Czech Academy of Sciences Publication Activity Database

    Maraun, D.; Huth, Radan; Gutiérrez, J. M.; Martín, D. S.; Dubrovský, Martin; Fischer, A.; Hertig, E.; Soares, S. M. M.; Bartholy, J.; Pongrácz, R.; Widmann, M.; Casado, M. J.; Ramos, P.; Bedia, J.

    (2017) ISSN 0899-8418 R&D Projects: GA MŠk LD12029 Institutional support: RVO:68378289 Keywords : regional climate * downscaling * evaluation * validation * temporal variability * spells * interannual variability * long-term trends Subject RIV: DG - Athmosphere Sciences, Meteorology Impact factor: 3.760, year: 2016 http://onlinelibrary.wiley.com/doi/10.1002/joc.5222/abstract

  15. Assessment and evaluation of the performance of nuclear medicine and ultrasound imaging instrumentation

    International Nuclear Information System (INIS)

    Bergmann, Helmar; Kollmann, Christian

    1996-01-01

    The purpose of this work has been to assess the quality of instrumentation used for the collection of representative patient images during the coordinated research program entitled ''Evaluation of Imaging Procedures for the Diagnosis of Liver Diseases''. Previous work carried out during earlier phases of the project was concerned with the establishment of methods for comparison of the quality of such instrumentation. In this stage the quality of both gamma cameras and ultrasound scanners were assessed using the previously established methods. The evaluation was partly used to validate acceptable working conditions of the equipment during the collection of patient studies, partly to obtain basic data in order to be able to characterize the imaging quality of the devices. This would permit to both identify equipment unsuitable to be used in the study and to take into account the imaging quality token performing the ROC analysis of the evaluation of the patient images

  16. The Instrumentation Channel for the MUCOOL Experiment

    International Nuclear Information System (INIS)

    Kahn, S. A.; Guler, H.; Lu, C.; McDonald, K. T.; Prebys, E. J.; Vahsen, S. E.

    1999-01-01

    The MUCOOL facility is proposed to examine cooling techniques that could be used in a muon collider. The solenoidal beam channel before and after the cooling test section are instrumented to measure the beam emittance. This instrumentation channel includes a bent solenoid to provide dispersion and time projection chambers to measure the beam variables before and after the bend. The momentum of the muons is obtained from a measurement of the drift of the muon trajectory in the bent solenoid. The timing measurement is made by determining the phase from the momentum of the muon before and after it traverses RF cavities or by the use of a fast Cherenkov chamber. A computer simulation of the muon solenoidal channel is performed using GEANT. This study evaluates the resolution of the beam emittance measurement for MUCOOL

  17. A summary of the performance of exposure rate and dose rate instruments contained in instrument evaluation reports NRPB-IE1 to NRPB-IE13

    International Nuclear Information System (INIS)

    Burgess, P.H.; Iles, W.J.

    1979-06-01

    of the instrument evaluation programme and published in the NRPB-IE report series

  18. Design and evaluation of a new ergonomic handle for instruments in minimally invasive surgery.

    Science.gov (United States)

    Sancibrian, Ramon; Gutierrez-Diez, María C; Torre-Ferrero, Carlos; Benito-Gonzalez, Maria A; Redondo-Figuero, Carlos; Manuel-Palazuelos, Jose C

    2014-05-01

    Laparoscopic surgery techniques have been demonstrated to provide massive benefits to patients. However, surgeons are subjected to hardworking conditions because of the poor ergonomic design of the instruments. In this article, a new ergonomic handle design is presented. This handle is designed using ergonomic principles, trying to provide both more intuitive manipulation of the instrument and a shape that reduces the high-pressure zones in the contact with the surgeon's hand. The ergonomic characteristics of the new handle were evaluated using objective and subjective studies. The experimental evaluation was performed using 28 volunteers by means of the comparison of the new handle with the ring-handle (RH) concept in an instrument available on the market. The volunteers' muscle activation and motions of the hand, wrist, and arm were studied while they performed different tasks. The data measured in the experiment include electromyography and goniometry values. The results obtained from the subjective analysis reveal that most volunteers (64%) preferred the new prototype to the RH, reporting less pain and less difficulty to complete the tasks. The results from the objective study reveal that the hyperflexion of the wrist required for the manipulation of the instrument is strongly reduced. The new ergonomic handle not only provides important ergonomic advantages but also improves the efficiency when completing the tasks. Compared with RH instruments, the new prototype reduced the high-pressure areas and the extreme motions of the wrist. Copyright © 2014 Elsevier Inc. All rights reserved.

  19. Instrument adaptation and validation to evaluate psychosocial skills and healthy habits in schoolchildren

    Directory of Open Access Journals (Sweden)

    Lucila Niño-Bautista

    2017-12-01

    Full Text Available Objective: To adapt and validate an evaluation tool on psychosocial skills for life and healthy habits in Schoolchildren from a locality in Bogota, Colombia. Materials and methods: This quantitative transversal with empirical analytical non-experimental approach study evaluated responses of schoolchildren in third and fourth grade of primary school with the instrument adapted and reconstructed to establish technical quality of items, reliability and validity of it. The instrument (18 psychosocial skills and 19 healthy habits, plus 4 identification items was self-diligence with Yes, No dichotomous answer option. It had evidence of apparent validity with schoolchildren from other peer institutions and was tested at 32 Public schools and analyzed using the Rasch model. Results: 1,066 schoolchildren participated in total. The items of the two constructs showed a good fit to the Rasch model as well as unidimensionality, reliability and separation measures above the recommended values. There was no differential functioning of the item by sex. Conclusion: The instrument of 37 items presented good properties of validity, reliability and adjustment to Rasch; although it does not have enough items of high difficulty level, which can be corrected in future applications.

  20. Measurement properties of instruments evaluating self-care and related concepts in people with chronic obstructive pulmonary disease: A systematic review.

    Science.gov (United States)

    Clari, Marco; Matarese, Maria; Alvaro, Rosaria; Piredda, Michela; De Marinis, Maria Grazia

    2016-01-01

    The use of valid and reliable instruments for assessing self-care is crucial for the evaluation of chronic obstructive pulmonary disease (COPD) management programs. The aim of this review is to evaluate the measurement properties and theoretical foundations of instruments for assessing self-care and related concepts in people with COPD. A systematic review was conducted of articles describing the development and validation of self-care instruments. The methodological quality of the measurement properties was assessed using the COSMIN checklist. Ten studies were included evaluating five instruments: three for assessing self-care and self-management and two for assessing self-efficacy. The COPD Self-Efficacy Scale was the most studied instrument, but due to poor study methodological quality, evidence about its measurement properties is inconclusive. Evidence from the COPD Self-Management Scale is more promising, but only one study tested its properties. Due to inconclusive evidence of their measurement properties, no instrument can be recommended for clinical use. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. [Construction and validation of the "La Salle Instrument" to evaluate the ethical aspects in biomedical research on human beings].

    Science.gov (United States)

    Valdivia-Gómez, Gilberto Guzmán; Velasco-Jiménez, María Teresa; Domínguez-González, Alejandro; Meneses-Ruíz, Dulce María; Padilla-García, Raúl Amauri

    2017-01-01

    Research projects must demonstrate not only a rigorous scientific methodology, but also the ethical aspects that require profound reflection of the reviewers. Current regulations establish criteria for research projects on human health, but many of these aspects are subjective. How can the evaluation of such projects be standardized? This is the main subject of the current project. This project comprises two phases. First, the design and construction of an instrument of evaluation based on the fundamental principles of bioethics, which are autonomy, beneficence, non-maleficence, and justice, and other aspects. The second phase consists of content validation through expert. During the phase of reviewing the instrument, it was necessary to make changes by adding, removing, or changing the concepts or criteria, which lead to the construction of the second version of the format. This new instrument was reviewed and analyzed by using the AGREE II instrument, and this version was validated by experts by greater than 95%. There are some recommendations to analyze the ethical aspects in research protocols involving human subjects, but they define the concepts and criteria to be evaluated. By presenting the criteria to be evaluated individually, the "La Salle instrument" allows the evaluation to be more objective and standardized.

  2. Instrument evaluation no. 9. Mini-instruments dose rate meter type 5 - 1OR

    International Nuclear Information System (INIS)

    Iles, W.J.; Burgess, P.H.; Callowhill, K.

    1977-04-01

    This instrument is a portable, battery powered dose rate meter covering the dose rate range from 0 to 200 mrad h -1 . The instrument is designed to measure X- and γ-radiation dose rates over the energy range from 45 keV to 3 MeV. The radiation detector of the instrument is a GM tube with a specially designed energy compensation sheath. This detector is incorporated in a probe connected to the rate meter by an extensible cable which may be either hand-held or clipped on to the top of the instrument case. All the measurements in this report have been taken with the long axis of the probe normal to the direction of the incident radiation, the orientation recommended by the manufacturer. The information is given under the following headings: facilities and controls; radiation characteristics; electrical characteristics; effect of ambient temperature; mechanical characteristics; summary of performance; conclusions. (U.K.)

  3. Instrumentation

    International Nuclear Information System (INIS)

    Decreton, M.

    2000-01-01

    SCK-CEN's research and development programme on instrumentation aims at evaluating the potentials of new instrumentation technologies under the severe constraints of a nuclear application. It focuses on the tolerance of sensors to high radiation doses, including optical fibre sensors, and on the related intelligent data processing needed to cope with the nuclear constraints. Main achievements in these domains in 1999 are summarised

  4. LOFT advanced fuel rod instrumentation development

    International Nuclear Information System (INIS)

    Billeter, T.R.; Brown, R.L.; Chan, A.I.Y.; Day, C.K.; Meyers, S.C.; Sheen, E.M.; Stringer, J.L.

    1978-01-01

    Advanced fuel rod instrumentation for the Loss of Fluid Test (LOFT) reactor is being developed by the Hanford Engineering Development Laboratory for the Nuclear Regulatory Commission. This effort calls for development of sensors to measure fuel rod axial motion, fuel centerline temperature (to 2200 0 C), fuel rod plenum gas pressure (to 2500 psig), and plenum gas temperature (to 1500 0 F). A parallel test and evaluation of several modified commercial sensors was undertaken and will result in commercial availability of the final qualified sensors. Necessary test facilities were prepared for the development and evaluation effort. Tests to date indicate a three coil Linear Variable Differential Transformer (LVDT), operated from temperature compensating signal source and processing electronics, will meet the desired requirements

  5. Risk management in technovigilance: construction and validation of a medical-hospital product evaluation instrument.

    Science.gov (United States)

    Kuwabara, Cleuza Catsue Takeda; Evora, Yolanda Dora Martinez; de Oliveira, Márcio Mattos Borges

    2010-01-01

    With the continuous incorporation of health technologies, hospital risk management should be implemented to systemize the monitoring of adverse effects, performing actions to control and eliminate their damage. As part of these actions, Technovigilance is active in the procedures of acquisition, use and quality control of health products and equipment. This study aimed to construct and validate an instrument to evaluate medical-hospital products. This is a quantitative, exploratory, longitudinal and methodological development study, based on the Six Sigma quality management model, which has as its principle basis the component stages of the DMAIC Cycle. For data collection and content validation, the Delphi technique was used with professionals from the Brazilian Sentinel Hospital Network. It was concluded that the instrument developed permitted the evaluation of the product, differentiating between the results of the tested brands, in line with the initial study goal of qualifying the evaluations performed.

  6. The MCLIB library: Monte Carlo simulation of neutron scattering instruments

    Energy Technology Data Exchange (ETDEWEB)

    Seeger, P.A.

    1995-09-01

    Monte Carlo is a method to integrate over a large number of variables. Random numbers are used to select a value for each variable, and the integrand is evaluated. The process is repeated a large number of times and the resulting values are averaged. For a neutron transport problem, first select a neutron from the source distribution, and project it through the instrument using either deterministic or probabilistic algorithms to describe its interaction whenever it hits something, and then (if it hits the detector) tally it in a histogram representing where and when it was detected. This is intended to simulate the process of running an actual experiment (but it is much slower). This report describes the philosophy and structure of MCLIB, a Fortran library of Monte Carlo subroutines which has been developed for design of neutron scattering instruments. A pair of programs (LQDGEOM and MC{_}RUN) which use the library are shown as an example.

  7. The MCLIB library: Monte Carlo simulation of neutron scattering instruments

    International Nuclear Information System (INIS)

    Seeger, P.A.

    1995-01-01

    Monte Carlo is a method to integrate over a large number of variables. Random numbers are used to select a value for each variable, and the integrand is evaluated. The process is repeated a large number of times and the resulting values are averaged. For a neutron transport problem, first select a neutron from the source distribution, and project it through the instrument using either deterministic or probabilistic algorithms to describe its interaction whenever it hits something, and then (if it hits the detector) tally it in a histogram representing where and when it was detected. This is intended to simulate the process of running an actual experiment (but it is much slower). This report describes the philosophy and structure of MCLIB, a Fortran library of Monte Carlo subroutines which has been developed for design of neutron scattering instruments. A pair of programs (LQDGEOM and MC RUN) which use the library are shown as an example

  8. Instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Decreton, M

    2000-07-01

    SCK-CEN's research and development programme on instrumentation aims at evaluating the potentials of new instrumentation technologies under the severe constraints of a nuclear application. It focuses on the tolerance of sensors to high radiation doses, including optical fibre sensors, and on the related intelligent data processing needed to cope with the nuclear constraints. Main achievements in these domains in 1999 are summarised.

  9. Instrument evaluation no. 10. Scanray radiation meter type 751

    CERN Document Server

    Burgess, P H; White, D F

    1978-01-01

    The various radiations encountered in radiological protection cover a wide range of energies and radiation measurements have to be carried out under an equally broad spectrum of environmental conditions. This report is one of a series intended to give information on the performance characteristics of radiological protection instruments, to assist in the selection of appropriate instruments for a given purpose, to interpret the results obtained with such instruments, and, in particular, to know the likely sources and magnitude of errors that might be associated with measurements in the field. The radiation, electrical and environmental characteristics of radiation protection instruments are considered together with those aspects of the construction which make an instrument convenient for routine use. To provide consistent criteria for instrument performance, the range of tests performed on any particular class of instrument, the test methods and the criteria of acceptable performance are based broadly on the a...

  10. Validation of an instrument for evaluating health care services to ostomized people

    Directory of Open Access Journals (Sweden)

    Juliano Teixeira Moraes

    Full Text Available ABSTRACT Objectives: to develop and validate an array of analysis and judgment for the evaluation of Health Care Services of people with stomas. Methods: cross-sectional study in 28 health facilities in the state of Minas Gerais. A descriptive analysis of the instrument and a study of its psychometric properties were performed. We used the Delphi technique for the validation of content and appearance. A psychometric analysis was carried out through the study of the reliability and validity of the measures obtained with the instrument. Results: it was possible to construct an array analysis and judgment with 16 components (with scores from zero to five grouped according to size and structure and process considered essential to evaluate the service. The results achieved in the reliability for structure and process, through the Cronbach alpha coefficient (α = 0.771 and α = 0.809, respectively, and the validity of content and construct demonstrated good internal consistency and satisfactory validity. An exploratory factor analysis indicated the item "main activity performed in the unit" as a limitation of the scale. Conclusion: the study provides a new tool for the evaluation of structure and process of Health Care Services of a Person with a stoma.

  11. Inexpensive microwave survey instruments: an evaluation

    International Nuclear Information System (INIS)

    Herman, W.A.; Witters, D.M. Jr.

    1979-11-01

    Instruments were tested. Depending upon the oven modulation and leak location these tests show that the Micromate will yield a warning reading at levels from 0.6 to 1.9 mW/cm 2 , when the effects of modulation sensitivity and polarization ellipticity are considered. It is to be expected, then, that this instrument will yield warning readings even when the oven emission being measured lies well within applicable standards. Its apparent susceptibility to overload damage, however, could decrease its sensitivity with no clue to the user as to what had happened. Given the same considerations and parameters, the tests show that the Guard-Rod will yield a warning reading at levels from 3.7 to 47 mW/cm 2 , depending on which measurement surface is used. This instrument will sometimes yield warnings for oven emissions lying within applicable standards, and sometimes will fail to yield such warnings for emissions 10 times greater than allowable levels. The same considerations show that the Interceptor/Microscan units will light up at levels from as low as 0.7 to 0.8 mW/cm 2 or may require levels of 7 to 9 mW/cm 2 . At levels of 28 to 52 mW/cm 2 or higher, however, the warning LED does not light. If part of the field is cross-polarized, this threshold of extinction may be greater. In any case, there is no apparent way for the user to discern the presence of some potentially hazardous fields, and no way to distinguish such fields from a very low-level field. In summary, instruments of the Interceptor/Microscan design may light up at very low power densities, but fail to light at very high power densities. Clearly, this characteristic is extremely undesirable and potentially dangerous to a user relying on such a device.All of these values assume that the instruments are used in accordance with manufacturer's instructions. Otherwise, results may be worse. Moreover, the range of values given take little or no account of unit-to-unit variation, which may be considerable

  12. Evaluation of the measurement properties of self-reported health-related work-functioning instruments among workers with common mental disorders.

    Science.gov (United States)

    Abma, Femke I; van der Klink, Jac J L; Terwee, Caroline B; Amick, Benjamin C; Bültmann, Ute

    2012-01-01

    During the past decade, common mental disorders (CMD) have emerged as a major public and occupational health problem in many countries. Several instruments have been developed to measure the influence of health on functioning at work. To select appropriate instruments for use in occupational health practice and research, the measurement properties (eg, reliability, validity, responsiveness) must be evaluated. The objective of this study is to appraise critically and compare the measurement properties of self-reported health-related work-functioning instruments among workers with CMD. A systematic review was performed searching three electronic databases. Papers were included that: (i) mainly focused on the development and/or evaluation of the measurement properties of a self-reported health-related work-functioning instrument; (ii) were conducted in a CMD population; and (iii) were fulltext original papers. Quality appraisal was performed using the consensus-based standards for the selection of health status measurement instruments (COSMIN) checklist. Five papers evaluating measurement properties of five self-reported health-related work-functioning instruments in CMD populations were included. There is little evidence available for the measurement properties of the identified instruments in this population, mainly due to low methodological quality of the included studies. The available evidence on measurement properties is based on studies of poor-to-fair methodological quality. Information on a number of measurement properties, such as measurement error, content validity, and cross-cultural validity is still lacking. Therefore, no evidence-based decisions and recommendations can be made for the use of health-related work functioning instruments. Studies of high methodological quality are needed to properly assess the existing instruments' measurement properties.

  13. Stereomicroscopic evaluation of defects caused by torsional fatigue in used hand and rotary nickel-titanium instruments.

    Science.gov (United States)

    Asthana, Geeta; Kapadwala, Marsrat I; Parmar, Girish J

    2016-01-01

    The aim of this study was to evaluate defects caused by torsional fatigue in used hand and rotary nickel-titanium (Ni-Ti) instruments by stereomicroscopic examination. One hundred five greater taper Ni-Ti instruments were used including Protaper universal hand (Dentsply Maillefer, Ballaigues, Switzerland), Protaper universal rotary (Dentsply Maillefer, Ballaigues, Switzerland), and Revo-S rotary (MicroMega, Besançon, France) files. Files were used on lower anterior teeth. After every use, the files were observed with both naked eyes and stereomicroscope at 20× magnification (Olympus, Shinjuku, Tokyo, Japan) to evaluate defects caused by torsional fatigue. Scoring was assigned to each file according to the degree of damage. The results were statistically analyzed using the Mann-Whitney U test and the Kruskal-Wallis test. A greater number of defects were seen under the stereomicroscope than on examining with naked eyes. However, the difference in methods of evaluation was not statistically significant. Revo-S files showed minimum defects, while Protaper universal hand showed maximum defects. The intergroup comparison of defects showed that the bend in Protaper universal hand instruments was statistically significant. Visible defects in Ni-Ti files due to torsional fatigue were seen by naked eyes as well as by stereomicroscope. This study emphasizes that all the files should be observed before and after every instrument cycle to minimize the risk of separation.

  14. 2H Evaporator CP class instrumentation uncertainties evaluations

    International Nuclear Information System (INIS)

    Hwang, E.

    1994-01-01

    The Evaporator Pot Temperature Instrumentations and the Steam Condensate Gamma Monitors are two instrumentation systems in the 2H Evaporator facilities that are classified as the critical protection. The temperature high alarm and interlock circuit and the temperature recorder circuit of the pot temperature instrumentation loop are described. From the gamma monitor loop, the high gamma alarm and interlock circuit, failure alarm and interlock circuit, cesium activity recorder circuit, and americium activity recorder circuit are described

  15. 2H Evaporator CP class instrumentation uncertainties evaluations

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, E.

    1994-02-10

    The Evaporator Pot Temperature Instrumentations and the Steam Condensate Gamma Monitors are two instrumentation systems in the 2H Evaporator facilities that are classified as the critical protection. The temperature high alarm and interlock circuit and the temperature recorder circuit of the pot temperature instrumentation loop are described. From the gamma monitor loop, the high gamma alarm and interlock circuit, failure alarm and interlock circuit, cesium activity recorder circuit, and americium activity recorder circuit are described. (GHH)

  16. Density dependence and climate effects in Rocky Mountain elk: an application of regression with instrumental variables for population time series with sampling error.

    Science.gov (United States)

    Creel, Scott; Creel, Michael

    2009-11-01

    1. Sampling error in annual estimates of population size creates two widely recognized problems for the analysis of population growth. First, if sampling error is mistakenly treated as process error, one obtains inflated estimates of the variation in true population trajectories (Staples, Taper & Dennis 2004). Second, treating sampling error as process error is thought to overestimate the importance of density dependence in population growth (Viljugrein et al. 2005; Dennis et al. 2006). 2. In ecology, state-space models are used to account for sampling error when estimating the effects of density and other variables on population growth (Staples et al. 2004; Dennis et al. 2006). In econometrics, regression with instrumental variables is a well-established method that addresses the problem of correlation between regressors and the error term, but requires fewer assumptions than state-space models (Davidson & MacKinnon 1993; Cameron & Trivedi 2005). 3. We used instrumental variables to account for sampling error and fit a generalized linear model to 472 annual observations of population size for 35 Elk Management Units in Montana, from 1928 to 2004. We compared this model with state-space models fit with the likelihood function of Dennis et al. (2006). We discuss the general advantages and disadvantages of each method. Briefly, regression with instrumental variables is valid with fewer distributional assumptions, but state-space models are more efficient when their distributional assumptions are met. 4. Both methods found that population growth was negatively related to population density and winter snow accumulation. Summer rainfall and wolf (Canis lupus) presence had much weaker effects on elk (Cervus elaphus) dynamics [though limitation by wolves is strong in some elk populations with well-established wolf populations (Creel et al. 2007; Creel & Christianson 2008)]. 5. Coupled with predictions for Montana from global and regional climate models, our results

  17. Objective evaluation of analyzer performance based on a retrospective meta-analysis of instrument validation studies: point-of-care hematology analyzers.

    Science.gov (United States)

    Cook, Andrea M; Moritz, Andreas; Freeman, Kathleen P; Bauer, Natali

    2017-06-01

    Information on quality requirements and objective evaluation of performance of veterinary point-of-care analyzers (POCAs) is scarce. The study was aimed at assessing observed total errors (TE obs s) for veterinary hematology POCAs via meta-analysis and comparing TE obs to allowable total error (TE a ) specifications based on experts' opinions. The TE obs for POCAs (impedance and laser-based) was calculated based on data from instrument validation studies published between 2006 and 2013 as follows: TE obs = 2 × CV [%] + bias [%]. The CV was taken from published studies; the bias was estimated from the regression equation at 2 different concentration levels of measurands. To fulfill quality requirements, TE obs should be 60% of analyzers showed TE obs hematology variables, respectively. For the CBC, TE obs was TE a (data from 3 analyzers). This meta-analysis is considered a pilot study. Experts' requirements (TE obs < TE a ) were fulfilled for most measurands except HGB (due to instrument-related bias for the ADVIA 2120) and platelet counts. Available data on the WBC differential count suggest an analytic bias, so nonstatistical quality control is recommended. © 2017 American Society for Veterinary Clinical Pathology.

  18. Comparative evaluation of surface changes in four Ni-Ti instruments with successive uses - An SEM study.

    Science.gov (United States)

    Subha, N; Sikri, Vimal K

    2011-07-01

    To evaluate the surface alterations seen in four kinds of Nickel-Titanium (Ni-Ti) instruments using a scanning electron microscope (SEM) for five successive uses in preparing root canals of extracted human molars and also to determine whether the design of the instrument influenced the appearance of defects on the instrument surface. Four different types of instruments namely; ProFile, ProTaper Rotary, ProTaper Hand and K3 Endo were used in 300 mesio-buccal canals. The instruments were examined under the SEM, after every use, to assess the progress of changes on their surfaces for a maximum of five uses. Chi-square test. The most prevalent defects observed were pitting, followed by metal strips. Signs of discontinuity, microfractures and disruption of cutting edge were also evident. Number of defects increased with successive uses. ProTaper Hand showed significantly more microfractures and metal strips than other instruments from third use onwards. ProTaper Rotary and K3 Endo also showed significant changes.

  19. Multi-site testing and evaluation of remote sensing instruments for wind energy applications

    DEFF Research Database (Denmark)

    Sanz Rodrigo, J.; Borbon Guillen, F.; Gomez Arranz, P.

    2013-01-01

    A procedure for testing and evaluation of remote sensing instruments that makes use of two test sites in flat and complex terrain is presented. To illustrate the method, a system intercomparison experiment is presented involving one sodar and two lidars (pulsed and continuous-wave). The wind...

  20. How discriminating are discriminative instruments?

    Science.gov (United States)

    Hankins, Matthew

    2008-05-27

    The McMaster framework introduced by Kirshner & Guyatt is the dominant paradigm for the development of measures of health status and health-related quality of life (HRQL). The framework defines the functions of such instruments as evaluative, predictive or discriminative. Evaluative instruments are required to be sensitive to change (responsiveness), but there is no corresponding index of the degree to which discriminative instruments are sensitive to cross-sectional differences. This paper argues that indices of validity and reliability are not sufficient to demonstrate that a discriminative instrument performs its function of discriminating between individuals, and that the McMaster framework would be augmented by the addition of a separate index of discrimination. The coefficient proposed by Ferguson (Delta) is easily adapted to HRQL instruments and is a direct, non-parametric index of the degree to which an instrument distinguishes between individuals. While Delta should prove useful in the development and evaluation of discriminative instruments, further research is required to elucidate the relationship between the measurement properties of discrimination, reliability and responsiveness.

  1. How discriminating are discriminative instruments?

    Directory of Open Access Journals (Sweden)

    Hankins Matthew

    2008-05-01

    Full Text Available Abstract The McMaster framework introduced by Kirshner & Guyatt is the dominant paradigm for the development of measures of health status and health-related quality of life (HRQL. The framework defines the functions of such instruments as evaluative, predictive or discriminative. Evaluative instruments are required to be sensitive to change (responsiveness, but there is no corresponding index of the degree to which discriminative instruments are sensitive to cross-sectional differences. This paper argues that indices of validity and reliability are not sufficient to demonstrate that a discriminative instrument performs its function of discriminating between individuals, and that the McMaster framework would be augmented by the addition of a separate index of discrimination. The coefficient proposed by Ferguson (Delta is easily adapted to HRQL instruments and is a direct, non-parametric index of the degree to which an instrument distinguishes between individuals. While Delta should prove useful in the development and evaluation of discriminative instruments, further research is required to elucidate the relationship between the measurement properties of discrimination, reliability and responsiveness.

  2. Validity evidence of non-technical skills assessment instruments in simulated anaesthesia crisis management.

    Science.gov (United States)

    Jirativanont, T; Raksamani, K; Aroonpruksakul, N; Apidechakul, P; Suraseranivongse, S

    2017-07-01

    We sought to evaluate the validity of two non-technical skills evaluation instruments, the Anaesthetists' Non-Technical Skills (ANTS) behavioural marker system and the Ottawa Global Rating Scale (GRS), to apply them to anaesthesia training. The content validity, response process, internal structure, relations with other variables and consequences were described for validity evidence. Simulated crisis management sessions were initiated during which two trained raters evaluated the performance of postgraduate first-, second- and third-year (PGY-1, PGY-2 and PGY-3) anaesthesia residents. The study included 70 participants, composed of 24 PGY-1, 24 PGY-2 and 22 PGY-3 residents. Both instruments differentiated the non-technical skills of PGY-1 from PGY-3 residents ( P skills were 0.86, 0.83, 0.84, 0.87, 0.80 and 0.86, respectively. The Cronbach's alpha for internal consistency of the ANTS instrument was 0.93, and was 0.96 for the Ottawa GRS. There was a high correlation between the ANTS and Ottawa GRS. The raters reported the ease of use of the Ottawa GRS compared to the ANTS. We found sufficient evidence of validity in the ANTS instrument and the Ottawa GRS for the evaluation of non-technical skills in a simulated anaesthesia setting, but the Ottawa GRS was more practical and had higher reliability.

  3. Evaluation of environmental policy instruments - a case study of the Finnish pulp and paper and chemical industries

    International Nuclear Information System (INIS)

    Hilden, M.; Lepola, J.; Mickwitz, P.; Palosaari, M.; Similae, J.; Sjoeblom, S.; Mulders, A.; Vedung, E.

    2002-01-01

    This research-based evaluation of environmental policy Instruments in Finland is focussed on regulatory instruments based on the Water Act, the Air Pollution Control Act and the Chemicals Act, on electricity taxation and on voluntary environmental management systems. The examined policy instruments have had several positive effects. They have directed major industrial point source polluters towards solving environmental problems. The transparency has been an important factor ensuring the success of the policy instruments and in avoiding the regulatory capture that could have thrived in a system largely based on negotiations between operators and authorities. The transparency has made it easy for Finnish firms to adopt environmental management systems and an open attitude to environmental reporting. The permit conditions have not directly resulted in innovations, but they have contributed to the diffusion of end-of-pipe technology and have contributed to innovations by expanding the market for environmentally better technical solutions. The permit systems have also indirectly contributed to innovations by creating a demand for environmental experts and environmental education. Networks have clearly developed as a consequence of and in response to regulatory instruments. These networks appear to have had their greatest significance prior to the permit procedures. The trend has been towards a greater emphasis of the communication in the networks prior to the presentation of an application in order to ensure a smoothly functioning permit process. In the networks contributing to innovations and the diffusion of innovations authorities have largely been outsiders, except when an innovation has become a de facto standard for permit conditions. The different kind of effects, the complexity of consequences and the uncertainties with respect to causes and effects mean that studies aiming at evaluating the overall worth and merit of an environmental policy instrument should

  4. Development and evaluation of an instrument to measure parental satisfaction with quality of care in neonatal follow-up.

    Science.gov (United States)

    Butt, Michelle L; Pinelli, Janet; Boyle, Michael H; Thomas, Helen; Hunsberger, Mabel; Saigal, Saroj; Lee, David S; Fanning, Jamie K; Austin, Patricia

    2009-02-01

    The goal of this study was to develop and subsequently evaluate the psychometric properties of a new discriminative instrument to measure parental satisfaction with the quality of care provided in neonatal follow-up (NFU) programs. The methodological framework for developing and evaluating measurement scales described by Streiner and Norman (Health Measurement Scales: A Practical Guide to Their Development and Use. 3rd ed. New York: Oxford University Press; 2003) was used for the study. Informing the phases of the research was a sample of 24 health care professionals and 381 parents who use NFU services. A comprehensive list of items representing the construct, parental satisfaction with quality of care, was generated from published reliable and valid instruments, research studies, focus groups with health care experts, and focus groups with parents. Using a clinimetric approach, the 62 items generated were reduced to 39 items based on parents' ratings of importance and refinement of the items by the research team. After content validation and pretesting, the instrument was tested with parents and underwent item-analysis. The resulting 16-item instrument was composed of 2 subscales, Process and Outcomes. Evaluation of the instrument's psychometric properties indicated adequate test-retest reliability (intraclass correlation coefficient = 0.72) and internal consistency (Process subscale, alpha = 0.77; Outcomes subscale, alpha = 0.90; overall instrument, alpha = 0.90), as well as good content and construct validity. A confirmatory factor analysis supported the multidimensionality of the construct. This new instrument provides clinicians and policy-makers with a tool to assess parental satisfaction with the quality of care in NFU, so areas of dissatisfaction can be identified and changes implemented to optimize service provision.

  5. Content validation of an instrument of evaluation of body scheme for blind children

    Directory of Open Access Journals (Sweden)

    Patricia Santos de Oliveira

    2012-11-01

    Full Text Available The aim of this study was to describe the process of content validation of an instrument of evaluation of Body Scheme for children with congenital blindness with aged between 6 and 9 years old. The population was composed of seven judges who received a first version of the instrument, they analyzed each item in the categories, clarity of language, theoretical pertinence, viability of application, and adequacy of construction. Item 1 – “Exploring the body” obtained 80% agreement; item 2 – “Playing getting dressed” received 70% agreement; item 3 – “Imitating gestures” 60% agreement; item 4 – “Puzzle” 75% agreement. It was adopted as a criterion of permanence in the proof at least 80% agreement. The item 1 remained as it was in the first version; item 2 was excluded and items 3 and 4 were modified. Based on the suggestions of the judges and the rate of agreement, a second version of the instrument composed of three items was elaborated. It was possible to consider the changes suggested by the judges were important to ensure the content validity of the instrument.

  6. Instrument evaluation, calibration, and installation for the heater experiments at Stripa

    International Nuclear Information System (INIS)

    Schrauf, T.; Pratt, H.; Simonson, E.; Hustrulid, W.; Nelson, P.; DuBois, A.; Binnall, E.; Haught, R.

    1979-12-01

    Borehole instrumentation for the measurement of temperature, displacement, and stress was evaluated, modified, calibrated, and installed in an underground site at Stripa, Sweden where experiments are currently underway to investigate the suitability of granite as a storage medium for nuclear waste. Three arrays of borehole instrumentation measure the thermomechanical effects caused by electrical heaters which simulate the thermal output of canisters of radioactive waste. Because most rock mechanics investigations are carried out at modest temperatures, a sustained operating temperature as high as 200 0 C was an unusual and most important criterion governing the instrumentation program. Extensive laboratory experiments were conducted to determine the effect of high temperature on instrument behavior and also to develop calibration and data-reduction procedures. The rod extensometers were tested for anchor creep, the selection of a suitable high-temperature pressurizing fluid, and the thermal stability of the grout. Four temperature corrections are incorporated into the data reduction of the USBM borehole deformation measurement: the bridge voltage offset correction, the change in calibration factor induced by temperature, and the thermal expansion of the gage and of the rock. The vibrating wire gages were calibrated in the laboratory by loading gages installed in a granite block at pressures up to 13 MPa and at temperatures ranging from 20 0 to 200 0 C. Both the slope and offset of the response equation are corrected for temperature effects. Most thermocouples were calibrated in an oven at the field site. Thermocouples were emplaced with individual gages and into holes backfilled with sand or grout

  7. A desk evaluation review of project VIE/4/009 design and production of nuclear instruments. Project desk evaluation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-09

    A Project Desk Evaluation (PDE) is an intensive review process, using agreed guidelines, of the design, implementation, and the output of a project. This project is exclusively dealing with the design and production of nuclear instruments. The aim of this project would be to develop a viable capability for maintenance and repair of the nuclear instruments at the Dalat Research Institute (DNRI), the premier nuclear centre in Viet Nam, and also to meet the steadily increasing needs of DNRI, as well as of other national institutions, hospitals and universities engaged in the application of nuclear technologies, particularly in the southern part of the country. Project Summary with financial data is given along with training programme. 1 tab.

  8. A desk evaluation review of project VIE/4/009 design and production of nuclear instruments. Project desk evaluation

    International Nuclear Information System (INIS)

    1994-01-01

    A Project Desk Evaluation (PDE) is an intensive review process, using agreed guidelines, of the design, implementation, and the output of a project. This project is exclusively dealing with the design and production of nuclear instruments. The aim of this project would be to develop a viable capability for maintenance and repair of the nuclear instruments at the Dalat Research Institute (DNRI), the premier nuclear centre in Viet Nam, and also to meet the steadily increasing needs of DNRI, as well as of other national institutions, hospitals and universities engaged in the application of nuclear technologies, particularly in the southern part of the country. Project Summary with financial data is given along with training programme. 1 tab

  9. Professionalism Mini-Evaluation Exercise in Finland: A preliminary investigation introducing the Finnish version of the P-MEX instrument.

    Science.gov (United States)

    Karukivi, Max; Kortekangas-Savolainen, Outi; Saxén, Ulla; Haapasalo-Pesu, Kirsi-Maria

    2015-10-01

    Teaching medical professionalism is increasingly acknowledged as an important aspect of medical education. The Professionalism Mini-Evaluation Exercise (P-MEX) is an assessment tool for evaluating medical professionalism, but no studies using it as a self-assessment instrument have been reported. This paper reports on a preliminary investigation of the Finnish version of the P-MEX instrument as an assessment and self-assessment measure. The sample in the present cross-sectional study comprised all 23 medical students and recent graduates (15 females and 8 males) participating in a summer school of psychiatry program in 2014. The two-month program combines clinical work with multifaceted teaching and intensive tutoring. At the end of the program, the participants' medical professionalism was assessed by the tutors and other members of the work community as well as the students themselves using the Finnish version of the P-MEX instrument. The P-MEX scores were compared, using the Friedman test. The mean values and SD for the P-MEX assessments were as follows: tutor assessment 3.26±0.21, work community assessment 3.32±0.26 and self-assessment 3.01±0.07. No significant gender differences were observed. The tutor and work community assessments were significantly correlated (r=0.573, p=0.040), but the self-assessment scores did not correlate with either of the other assessments. Overall, the students evaluated their skills significantly poorer in comparison to the other assessments. Although the small sample size limits the generalization of these preliminary results, the Finnish version of the P-MEX instrument appears to be a feasible measure of medical professionalism. The instrument can also be used as a self-assessment instrument, but subjective evaluations should be complemented with external assessments or feedback in order to take individual and cultural aspects into account.

  10. College quality and hourly wages: evidence from the self-revelation model, sibling models and instrumental variables.

    Science.gov (United States)

    Borgen, Nicolai T

    2014-11-01

    This paper addresses the recent discussion on confounding in the returns to college quality literature using the Norwegian case. The main advantage of studying Norway is the quality of the data. Norwegian administrative data provide information on college applications, family relations and a rich set of control variables for all Norwegian citizens applying to college between 1997 and 2004 (N = 141,319) and their succeeding wages between 2003 and 2010 (676,079 person-year observations). With these data, this paper uses a subset of the models that have rendered mixed findings in the literature in order to investigate to what extent confounding biases the returns to college quality. I compare estimates obtained using standard regression models to estimates obtained using the self-revelation model of Dale and Krueger (2002), a sibling fixed effects model and the instrumental variable model used by Long (2008). Using these methods, I consistently find increasing returns to college quality over the course of students' work careers, with positive returns only later in students' work careers. I conclude that the standard regression estimate provides a reasonable estimate of the returns to college quality. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. [Evaluation of professional knowledge and attitudes on dementia patient care: a trans-cultural adaptation of an evaluation instrument].

    Science.gov (United States)

    Costa, Gislaine Desani da; Souza, Rosely Almeida; Yamashita, Cintia Hitomi; Pinheiro, Juliane Cibelle Ferreira; Alvarenga, Márcia Regina Martins; Oliveira, Maria Amélia de Campos

    2015-04-01

    To describe the trans-cultural adaptation of the evaluation instrument entitled Atenció Sanitària de Les Demències: la visió de L' Atenció Primarià from Catalan into versions in Portuguese for doctors and nurses. This study evaluates the knowledge and perspectives of these professionals in their treatment of patients diagnosed with dementia in cases of primary care. The adaptation followed internationally accepted rules, which include the following steps: translation, synthesis, back-translation, revision by a committee of specialists, and a test run with 35 practicing doctors and 35 practicing nurses in Brazil's Family Health Strategy (Estratégia Saúde da Família, or ESF in Portuguese). The translation, synthesis, and back-translation steps were performed satisfactorily; only small adjustments were required. The committee of specialists verified the face validity in the version translated into Portuguese, and all of the items that received an agreement score lower than 80% during the initial evaluation were revised. In the test run, the difficulties presented by the health care professionals did not reach 15% of the sample, and therefore, no changes were made. The Portuguese translation of the instrument can be considered semantically, idiomatically, culturally, and conceptually equivalent to the original Catalan version and is, therefore, appropriate for use in Brazil.

  12. Application of non-destructive impedance-based monitoring technique for cyclic fatigue evaluation of endodontic nickel-titanium rotary instruments.

    Science.gov (United States)

    Chang, Yau-Zen; Liu, Mou-Chuan; Pai, Che-An; Lin, Chun-Li; Yen, Kuang-I

    2011-06-01

    This study investigates the application of non-destructive testing based on the impedance theory in the cyclic fatigue evaluation of endodontic Ni-Ti rotary instruments. Fifty Ni-Ti ProTaper instruments were divided into five groups (n=10 in Groups A to E). Groups A to D were subjected to cyclic fatigue within an artificial canal (Group E was the control group). The mean value of the total life limit (TLL), defined as the instrument being rotated until fracture occurred was found to be 104 s in Group A. Each rotary instrument in Groups B, C and D were rotated until the tested instruments reached 80% (84 s), 60% (62 s) and 40% (42 s) of the TLL. After fatigue testing, each rotary instrument was mounted onto a custom-developed non-destructive testing device to give the tip of the instrument a progressive sideways bend in four mutually perpendicular directions to measure the corresponding impedance value (including the resistance and the reactance). The results indicated that the impedance value showed the same trend as the resistance, implying that the impedance was primarily affected by the resistance. The impedance value for the instruments in the 80% and 60% TLL groups increased by about 6 mΩ (about 7.5%) more than that of the instruments in the intact and 40% TLL groups. The SEM analysis result showed that crack striations were only found at the tip of the thread on the cracked surface of the instrument, consistent with the impedance measurements that found the impedance value of the cracked surface to be significantly different from those in other surfaces. These findings indicate that the impedance value may represent an effective parameter for evaluating the micro-structural status of Ni-Ti rotary instruments subjected to fatigue loading. Copyright © 2010 IPEM. Published by Elsevier Ltd. All rights reserved.

  13. Evaluating asthma websites using the Brief DISCERN instrument

    Directory of Open Access Journals (Sweden)

    Banasiak NC

    2017-06-01

    Full Text Available Nancy Cantey Banasiak,1 Mikki Meadows-Oliver2 1Pediatric Nurse Practitioner Specialty, Yale University School of Nursing, New Haven, CT, USA; 2University of Connecticut School of Nursing, Storrs, CT, USA Purpose: The primary purpose of this study was to examine the quality of sponsored and unsponsored asthma websites using the Brief DISCERN instrument and to evaluate whether the Health On the Net Code of Conduct (HONcode logo was present, thereby indicating that the site met the criteria. The Internet is an important source of health information for patients and their families. The primary purpose of this study was to examine the quality of sponsored and unsupported asthma websites. A secondary aim was to determine the readability and reading ease of the materials for each website along with the grade level. Methods: We queried seven Internet search engines using the keyword “asthma.” The websites were evaluated using the six-item Brief DISCERN instrument and by ascertaining whether the HONcode quality label was present. The websites were also evaluated for readability employing Flesch-Kincaid grade level and Flesch reading ease tools using Microsoft Office Word 2013 software. Results: A total of 22 unique websites were included in the study. Approximately 68% of the websites reviewed had a Brief DISCERN cutoff score of ≥16. The overall Brief DISCERN scores ranged from 6 to 30, and the mean score was 17.32 (SD =6.71. The Flesch-Kincaid grade level scores ranged from 2.9 to 15.4, and the average reading grade score was 9.49 (SD =2.7. The Flesch reading ease scores ranged from 17 to 82.7, with a mean reading ease score of 53.57 (SD =15.03. Sites with a HONcode quality label had significantly higher Brief DISCERN scores than those without one (t=2.3795; df=20; p=0.02. Conclusion: Brief DISCERN scores revealed that there is quality asthma information for children and their families available on the Internet. The grade level ranged between 2

  14. Evaluation of Demographic Variables and Socio-economic Status ...

    African Journals Online (AJOL)

    This study evaluated the demographic variables and socio-economic status on the prevalence of health hazards amongst residents of Akure North Local Government, Ondo State, Nigeria. The study was a descriptive research design of the survey type. The population for this study was estimated to be 131,587 residents.

  15. Use of existing patient-reported outcome (PRO) instruments and their modification: the ISPOR Good Research Practices for Evaluating and Documenting Content Validity for the Use of Existing Instruments and Their Modification PRO Task Force Report.

    Science.gov (United States)

    Rothman, Margaret; Burke, Laurie; Erickson, Pennifer; Leidy, Nancy Kline; Patrick, Donald L; Petrie, Charles D

    2009-01-01

    Patient-reported outcome (PRO) instruments are used to evaluate the effect of medical products on how patients feel or function. This article presents the results of an ISPOR task force convened to address good clinical research practices for the use of existing or modified PRO instruments to support medical product labeling claims. The focus of the article is on content validity, with specific reference to existing or modified PRO instruments, because of the importance of content validity in selecting or modifying an existing PRO instrument and the lack of consensus in the research community regarding best practices for establishing and documenting this measurement property. Topics addressed in the article include: definition and general description of content validity; PRO concept identification as the important first step in establishing content validity; instrument identification and the initial review process; key issues in qualitative methodology; and potential threats to content validity, with three case examples used to illustrate types of threats and how they might be resolved. A table of steps used to identify and evaluate an existing PRO instrument is provided, and figures are used to illustrate the meaning of content validity in relationship to instrument development and evaluation. RESULTS & RECOMMENDATIONS: Four important threats to content validity are identified: unclear conceptual match between the PRO instrument and the intended claim, lack of direct patient input into PRO item content from the target population in which the claim is desired, no evidence that the most relevant and important item content is contained in the instrument, and lack of documentation to support modifications to the PRO instrument. In some cases, careful review of the threats to content validity in a specific application may be reduced through additional well documented qualitative studies that specifically address the issue of concern. Published evidence of the content

  16. The Karen instruments for measuring quality of nursing care: construct validity and internal consistency.

    Science.gov (United States)

    Lindgren, Margareta; Andersson, Inger S

    2011-06-01

    Valid and reliable instruments for measuring the quality of care are needed for evaluation and improvement of nursing care. Previously developed and evaluated instruments, the Karen-patient and the Karen-personnel based on Donabedian's Structure-Process-Outcome triad (S-P-O triad) had promising content validity, discriminative power and internal consistency. The objective of this study was to further develop the instruments with regard to construct validity and internal consistency. This prospective study was carried out in medical and surgical wards at a hospital in Sweden. A total of 95 patients and 120 personnel were included. The instruments were tested for construct validity by performing factor analyses in two steps and for internal consistency using Cronbach's alpha coefficient. The first confirmatory factor analyses, with a pre-determined three-factor solution did not load well according to the S-P-O triad, but the second exploratory factor analysis with a six-factor solution appeared to be more coherent and the distribution of variables seemed to be logical. The reliability, i.e. internal consistency, was good in both factor analyses. The Karen-patient and the Karen-personnel instruments have achieved acceptable levels of construct validity. The internal consistency of the instruments is good. This indicates that the instruments may be suitable to use in clinical practice for measuring the quality of nursing care.

  17. Industrial instrumentation principles and design

    CERN Document Server

    Padmanabhan, Tattamangalam R

    2000-01-01

    Pneumatic, hydraulic and allied instrumentation schemes have given way to electronic schemes in recent years thanks to the rapid strides in electronics and allied areas. Principles, design and applications of such state-of-the-art instrumentation schemes form the subject matter of this book. Through representative examples, the basic building blocks of instrumentation schemes are identified and each of these building blocks discussed in terms of its design and interface characteristics. The common generic schemes synthesized with such building blocks are dealt with subsequently. This forms the scope of Part I. The focus in Part II is on application. Displacement and allied instrumentation, force and allied instrumentation and process instrumentation in terms of temperature, flow, pressure level and other common process variables are dealt with separately and exhaustively. Despite the diversity in the sensor principles and characteristics and the variety in the applications and their environments, it is possib...

  18. Instrumentation development

    International Nuclear Information System (INIS)

    Ubbes, W.F.; Yow, J.L. Jr.

    1988-01-01

    Instrumentation is developed for the Civilian Radioactive Waste Management Program to meet several different (and sometimes conflicting) objectives. This paper addresses instrumentation development for data needs that are related either directly or indirectly to a repository site, but does not touch on instrumentation for work with waste forms or other materials. Consequently, this implies a relatively large scale for the measurements, and an in situ setting for instrument performance. In this context, instruments are needed for site characterization to define phenomena, develop models, and obtain parameter values, and for later design and performance confirmation testing in the constructed repository. The former set of applications is more immediate, and is driven by the needs of program design and performance assessment activities. A host of general technical and nontechnical issues have arisen to challenge instrumentation development. Instruments can be classed into geomechanical, geohydrologic, or other specialty categories, but these issues cut across artificial classifications. These issues are outlined. Despite this imposing list of issues, several case histories are cited to evaluate progress in the area

  19. Development and Psychometric Evaluation of an Instrument to Assess Cross-Cultural Competence of Healthcare Professionals (CCCHP)

    Science.gov (United States)

    Bernhard, Gerda; Knibbe, Ronald A.; von Wolff, Alessa; Dingoyan, Demet; Schulz, Holger; Mösko, Mike

    2015-01-01

    Background Cultural competence of healthcare professionals (HCPs) is recognized as a strategy to reduce cultural disparities in healthcare. However, standardised, valid and reliable instruments to assess HCPs’ cultural competence are notably lacking. The present study aims to 1) identify the core components of cultural competence from a healthcare perspective, 2) to develop a self-report instrument to assess cultural competence of HCPs and 3) to evaluate the psychometric properties of the new instrument. Methods The conceptual model and initial item pool, which were applied to the cross-cultural competence instrument for the healthcare profession (CCCHP), were derived from an expert survey (n = 23), interviews with HCPs (n = 12), and a broad narrative review on assessment instruments and conceptual models of cultural competence. The item pool was reduced systematically, which resulted in a 59-item instrument. A sample of 336 psychologists, in advanced psychotherapeutic training, and 409 medical students participated, in order to evaluate the construct validity and reliability of the CCCHP. Results Construct validity was supported by principal component analysis, which led to a 32-item six-component solution with 50% of the total variance explained. The different dimensions of HCPs’ cultural competence are: Cross-Cultural Motivation/Curiosity, Cross-Cultural Attitudes, Cross-Cultural Skills, Cross-Cultural Knowledge/Awareness and Cross-Cultural Emotions/Empathy. For the total instrument, the internal consistency reliability was .87 and the dimension’s Cronbach’s α ranged from .54 to .84. The discriminating power of the CCCHP was indicated by statistically significant mean differences in CCCHP subscale scores between predefined groups. Conclusions The 32-item CCCHP exhibits acceptable psychometric properties, particularly content and construct validity to examine HCPs’ cultural competence. The CCCHP with its five dimensions offers a comprehensive

  20. Development and Psychometric Evaluation of an Instrument to Assess Cross-Cultural Competence of Healthcare Professionals (CCCHP).

    Science.gov (United States)

    Bernhard, Gerda; Knibbe, Ronald A; von Wolff, Alessa; Dingoyan, Demet; Schulz, Holger; Mösko, Mike

    2015-01-01

    Cultural competence of healthcare professionals (HCPs) is recognized as a strategy to reduce cultural disparities in healthcare. However, standardised, valid and reliable instruments to assess HCPs' cultural competence are notably lacking. The present study aims to 1) identify the core components of cultural competence from a healthcare perspective, 2) to develop a self-report instrument to assess cultural competence of HCPs and 3) to evaluate the psychometric properties of the new instrument. The conceptual model and initial item pool, which were applied to the cross-cultural competence instrument for the healthcare profession (CCCHP), were derived from an expert survey (n = 23), interviews with HCPs (n = 12), and a broad narrative review on assessment instruments and conceptual models of cultural competence. The item pool was reduced systematically, which resulted in a 59-item instrument. A sample of 336 psychologists, in advanced psychotherapeutic training, and 409 medical students participated, in order to evaluate the construct validity and reliability of the CCCHP. Construct validity was supported by principal component analysis, which led to a 32-item six-component solution with 50% of the total variance explained. The different dimensions of HCPs' cultural competence are: Cross-Cultural Motivation/Curiosity, Cross-Cultural Attitudes, Cross-Cultural Skills, Cross-Cultural Knowledge/Awareness and Cross-Cultural Emotions/Empathy. For the total instrument, the internal consistency reliability was .87 and the dimension's Cronbach's α ranged from .54 to .84. The discriminating power of the CCCHP was indicated by statistically significant mean differences in CCCHP subscale scores between predefined groups. The 32-item CCCHP exhibits acceptable psychometric properties, particularly content and construct validity to examine HCPs' cultural competence. The CCCHP with its five dimensions offers a comprehensive assessment of HCPs' cultural competence, and has the

  1. High-Level Disinfection of Otorhinolaryngology Clinical Instruments: An Evaluation of the Efficacy and Cost-effectiveness of Instrument Storage.

    Science.gov (United States)

    Yalamanchi, Pratyusha; Yu, Jason; Chandler, Laura; Mirza, Natasha

    2018-01-01

    Objectives Despite increasing interest in individual instrument storage, risk of bacterial cross-contamination of otorhinolaryngology clinic instruments has not been assessed. This study is the first to determine the clinical efficacy and cost-effectiveness of standard high-level disinfection and clinic instrument storage. Methods To assess for cross-contamination, surveillance cultures of otorhinolaryngology clinic instruments subject to standard high-level disinfection and storage were obtained at the start and end of the outpatient clinical workday. Rate of microorganism recovery was compared with cultures of instruments stored in individual peel packs and control cultures of contaminated instruments. Based on historical clinic data, the direct allocation method of cost accounting was used to determine aggregate raw material cost and additional labor hours required to process and restock peel-packed instruments. Results Among 150 cultures of standard high-level disinfected and co-located clinic instruments, 3 positive bacterial cultures occurred; 100% of control cultures were positive for bacterial species ( P cost of individual semicritical instrument storage at $97,852.50 per year. Discussion With in vitro inoculation of >200 otorhinolaryngology clinic instruments, this study demonstrates that standard high-level disinfection and storage are equally efficacious to more time-consuming and expensive individual instrument storage protocols, such as peel packing, with regard to bacterial contamination. Implications for Practice Standard high-level disinfection and storage are equally effective to labor-intensive and costly individual instrument storage protocols.

  2. Evaluation of the FOCUS (Feedback on Counseling Using Simulation) Instrument for Assessment of Client-Centered Nutrition Counseling Behaviors

    Science.gov (United States)

    Henry, Beverly W.; Smith, Thomas J.

    2010-01-01

    Objective: To develop an instrument to assess client-centered counseling behaviors (skills) of student-counselors in a standardized patient (SP) exercise. Methods: Descriptive study of the accuracy and utility of a newly developed counseling evaluation instrument. Study participants included 11 female student-counselors at a Midwestern…

  3. Does the Early Bird Catch the Worm? Instrumental Variable Estimates of Educational Effects of Age of School Entry in Germany

    OpenAIRE

    Puhani, Patrick A.; Weber, Andrea M.

    2006-01-01

    We estimate the effect of age of school entry on educational outcomes using two different data sets for Germany, sampling pupils at the end of primary school and in the middle of secondary school. Results are obtained based on instrumental variable estimation exploiting the exogenous variation in month of birth. We find robust and significant positive effects on educational outcomes for pupils who enter school at seven instead of six years of age: Test scores at the end of primary school incr...

  4. Computer aided instrumented Charpy test applied dynamic fracture toughness evaluation system

    International Nuclear Information System (INIS)

    Kobayashi, Toshiro; Niinomi, Mitsuo

    1986-01-01

    Micro computer aided data treatment system and personal computer aided data analysis system were applied to the traditional instrumented Charpy impact test system. The analysis of Charpy absorbed energy (E i , E p , E t ) and load (P y , P m ), and the evaluation of dynamic toughness through whole fracture process, i.e. J Id , J R curve and T mat was examined using newly developed computer aided instrumented Charpy impact test system. E i , E p , E t , P y and P m were effectively analyzed using moving average method and printed out automatically by micro computer aided data treatment system. J Id , J R curve and T mat could be measured by stop block test method. Then, J Id , J R curve and T mat were effectively estimated using compliance changing rate method and key curve method on the load-load point displacement curve of single fatigue cracked specimen by personal computer aided data analysis system. (author)

  5. New earth system model for optical performance evaluation of space instruments.

    Science.gov (United States)

    Ryu, Dongok; Kim, Sug-Whan; Breault, Robert P

    2017-03-06

    In this study, a new global earth system model is introduced for evaluating the optical performance of space instruments. Simultaneous imaging and spectroscopic results are provided using this global earth system model with fully resolved spatial, spectral, and temporal coverage of sub-models of the Earth. The sun sub-model is a Lambertian scattering sphere with a 6-h scale and 295 lines of solar spectral irradiance. The atmospheric sub-model has a 15-layer three-dimensional (3D) ellipsoid structure. The land sub-model uses spectral bidirectional reflectance distribution functions (BRDF) defined by a semi-empirical parametric kernel model. The ocean is modeled with the ocean spectral albedo after subtracting the total integrated scattering of the sun-glint scatter model. A hypothetical two-mirror Cassegrain telescope with a 300-mm-diameter aperture and 21.504 mm × 21.504-mm focal plane imaging instrument is designed. The simulated image results are compared with observational data from HRI-VIS measurements during the EPOXI mission for approximately 24 h from UTC Mar. 18, 2008. Next, the defocus mapping result and edge spread function (ESF) measuring result show that the distance between the primary and secondary mirror increases by 55.498 μm from the diffraction-limited condition. The shift of the focal plane is determined to be 5.813 mm shorter than that of the defocused focal plane, and this result is confirmed through the estimation of point spread function (PSF) measurements. This study shows that the earth system model combined with an instrument model is a powerful tool that can greatly help the development phase of instrument missions.

  6. Outcomes of moral case deliberation--the development of an evaluation instrument for clinical ethics support (the Euro-MCD).

    Science.gov (United States)

    Svantesson, Mia; Karlsson, Jan; Boitte, Pierre; Schildman, Jan; Dauwerse, Linda; Widdershoven, Guy; Pedersen, Reidar; Huisman, Martijn; Molewijk, Bert

    2014-04-08

    Clinical ethics support, in particular Moral Case Deliberation, aims to support health care providers to manage ethically difficult situations. However, there is a lack of evaluation instruments regarding outcomes of clinical ethics support in general and regarding Moral Case Deliberation (MCD) in particular. There also is a lack of clarity and consensuses regarding which MCD outcomes are beneficial. In addition, MCD outcomes might be context-sensitive. Against this background, there is a need for a standardised but flexible outcome evaluation instrument. The aim of this study was to develop a multi-contextual evaluation instrument measuring health care providers' experiences and perceived importance of outcomes of Moral Case Deliberation. A multi-item instrument for assessing outcomes of Moral Case Deliberation (MCD) was constructed through an iterative process, founded on a literature review and modified through a multistep review by ethicists and health care providers. The instrument measures perceived importance of outcomes before and after MCD, as well as experienced outcomes during MCD and in daily work. A purposeful sample of 86 European participants contributed to a Delphi panel and content validity testing. The Delphi panel (n = 13), consisting of ethicists and ethics researchers, participated in three Delphi-rounds. Health care providers (n = 73) participated in the content validity testing through 'think-aloud' interviews and a method using Content Validity Index. The development process resulted in the European Moral Case Deliberation Outcomes Instrument (Euro-MCD), which consists of two sections, one to be completed before a participant's first MCD and the other after completing multiple MCDs. The instrument contains a few open-ended questions and 26 specific items with a corresponding rating/response scale representing various MCD outcomes. The items were categorised into the following six domains: Enhanced emotional support, Enhanced

  7. Outcomes of Moral Case Deliberation - the development of an evaluation instrument for clinical ethics support (the Euro-MCD)

    Science.gov (United States)

    2014-01-01

    Background Clinical ethics support, in particular Moral Case Deliberation, aims to support health care providers to manage ethically difficult situations. However, there is a lack of evaluation instruments regarding outcomes of clinical ethics support in general and regarding Moral Case Deliberation (MCD) in particular. There also is a lack of clarity and consensuses regarding which MCD outcomes are beneficial. In addition, MCD outcomes might be context-sensitive. Against this background, there is a need for a standardised but flexible outcome evaluation instrument. The aim of this study was to develop a multi-contextual evaluation instrument measuring health care providers’ experiences and perceived importance of outcomes of Moral Case Deliberation. Methods A multi-item instrument for assessing outcomes of Moral Case Deliberation (MCD) was constructed through an iterative process, founded on a literature review and modified through a multistep review by ethicists and health care providers. The instrument measures perceived importance of outcomes before and after MCD, as well as experienced outcomes during MCD and in daily work. A purposeful sample of 86 European participants contributed to a Delphi panel and content validity testing. The Delphi panel (n = 13), consisting of ethicists and ethics researchers, participated in three Delphi-rounds. Health care providers (n = 73) participated in the content validity testing through ‘think-aloud’ interviews and a method using Content Validity Index. Results The development process resulted in the European Moral Case Deliberation Outcomes Instrument (Euro-MCD), which consists of two sections, one to be completed before a participant’s first MCD and the other after completing multiple MCDs. The instrument contains a few open-ended questions and 26 specific items with a corresponding rating/response scale representing various MCD outcomes. The items were categorised into the following six domains: Enhanced

  8. Evaluation of instruments used in particle size analysis by using the sedimentation technique

    International Nuclear Information System (INIS)

    Elmasry, M.A.A.; Abdrahman, A.A.M.; Ahmed, A.Z.

    2007-01-01

    This study is carried out to evaluate the performance of some instruments in which the sedimentation technique is used for the determination of particle size distribution using Stoke's law. A mathematical formula has been developed to calculate the particle size distribution for different cases and the results were compared to the real ones. The results revealed unsatisfactory agreement between the calculated and the measured values. In addition, illogic results were obtained indicating that the instruments in which the sedimentation technique is used are not the proper ones to provide accurate measurements except for mono particle size cases. More above, the results obtained represent the sedimentation rate but not the particle size distribution.

  9. Development and evaluation of the OHCITIES instrument: assessing alcohol urban environments in the Heart Healthy Hoods project

    Science.gov (United States)

    Sureda, Xisca; Espelt, Albert; Villalbí, Joan R; Cebrecos, Alba; Baranda, Lucía; Pearce, Jamie; Franco, Manuel

    2017-01-01

    Objectives To describe the development and test–retest reliability of OHCITIES, an instrument characterising alcohol urban environment in terms of availability, promotion and signs of consumption. Design This study involved: (1) developing the conceptual framework for alcohol urban environment by means of literature reviewing and previous alcohol environment research experience; (2) pilot testing and redesigning the instrument; (3) instrument digitalisation; (4) instrument evaluation using test–retest reliability. Setting Data for testing the reliability of the instrument were collected in seven census sections in Madrid in 2016 by two observers. Primary and secondary outcome measures We computed per cent agreement and Cohen’s kappa coefficients to estimate inter-rater and test–retest reliability for alcohol outlet environment measures. We calculated interclass coefficients and their 95% CIs to provide a measure of inter-rater reliability for signs of alcohol consumption measures. Results We collected information on 92 on-premise and 24 off-premise alcohol outlets identified in the studied areas about availability, accessibility and promotion of alcohol. Most per cent-agreement values for alcohol measures in on-premise and off-premise alcohol outlets were greater than 80%, and inter-rater and test–retest reliability values were generally above 0.80. Observers identified 26 streets and 3 public squares with signs of alcohol consumption. Intraclass correlation coefficient between observers for any type of signs of alcohol consumption was 0.50 (95% CI −0.09 to 0.77). Few items promoting alcohol unrelated to alcohol outlets were found on public spaces. Conclusions The OHCITIES instrument is a reliable instrument to characterise alcohol urban environment. This instrument might be used to understand how alcohol environment associates with alcohol behaviours and its related health outcomes, and can help in the design and evaluation of policies to reduce the

  10. Evaluation of the psychometric properties of the Nighttime Symptoms of COPD Instrument.

    Science.gov (United States)

    Mocarski, Michelle; Zaiser, Erica; Trundell, Dylan; Make, Barry J; Hareendran, Asha

    2015-01-01

    Nighttime symptoms can negatively impact the quality of life of patients with chronic obstructive pulmonary disease (COPD). The Nighttime Symptoms of COPD Instrument (NiSCI) was designed to measure the occurrence and severity of nighttime symptoms in patients with COPD, the impact of symptoms on nighttime awakenings, and rescue medication use. The objective of this study was to explore item reduction, inform scoring recommendations, and evaluate the psychometric properties of the NiSCI. COPD patients participating in a Phase III clinical trial completed the NiSCI daily. Item analyses were conducted using weekly mean and single day scores. Descriptive statistics (including percentage of respondents at floor/ceiling and inter-item correlations), factor analyses, and Rasch model analyses were conducted to examine item performance and scoring. Test-retest reliability was assessed for the final instrument using the intraclass correlation coefficient (ICC). Correlations with assessments conducted during study visits were used to evaluate convergent and known-groups validity. Data from 1,663 COPD patients aged 40-93 years were analyzed. Item analyses supported the generation of four scores. A one-factor structure was confirmed with factor analysis and Rasch analysis for the symptom severity score. Test-retest reliability was confirmed for the six-item symptom severity (ICC, 0.85), number of nighttime awakenings (ICC, 0.82), and rescue medication (ICC, 0.68) scores. Convergent validity was supported by significant correlations between the NiSCI, St George's Respiratory Questionnaire, and Exacerbations of Chronic Obstructive Pulmonary Disease Tool-Respiratory Symptoms scores. The results suggest that the NiSCI can be used to determine the severity of nighttime COPD symptoms, the number of nighttime awakenings due to COPD symptoms, and the nighttime use of rescue medication. The NiSCI is a reliable and valid instrument to evaluate these concepts in COPD patients in clinical

  11. Design and Implementation of Data Collection Instruments for Neonatology Research

    Directory of Open Access Journals (Sweden)

    Monica G. HĂŞMĂŞANU

    2014-12-01

    Full Text Available im: The aim of our research was to design and implement data collection instruments to be use in context of an observational prospective clinical study with follow-up conducted on new born with intrauterine growth restriction. Methods: The structure of the data collection forms (paper based and electronic based was first identified and for each variable the best type to accomplish the research aim was established. The code for categorical variables has also been decided as well as the units of measurements for quantitative variables. In respect of good practice, a set of confounding factors (as gender, date of birth, etc. have also been identified and integrated in data collection instruments. Data-entry validation rules were implemented for each variable to reduce data input errors when the electronic data collection instrument was created. Results: Two data collection instruments have been developed and successfully implemented: a paper-based form and an electronic data collection instrument. The developed forms included demographics, neonatal complications (as hypoglycemia, hypocalcemia, etc., biochemical data at birth and follow-up, immunological data, as well as basal and follow-up echocardiographic data. Data-entry validation criteria have been implemented in electronic data collection instrument to assure validity and precision when paper-based data are translated in electronic form. Furthermore, to assure subject’s confidentiality a careful attention was given to HIPPA identifiers when electronic data collection instrument was developed. Conclusion: Data collection instruments were successfully developed and implemented as an a priori step in a clinical research for assisting data collection and management in a case of an observational prospective study with follow-up visits.

  12. Impact of region contouring variability on image-based focal therapy evaluation

    Science.gov (United States)

    Gibson, Eli; Donaldson, Ian A.; Shah, Taimur T.; Hu, Yipeng; Ahmed, Hashim U.; Barratt, Dean C.

    2016-03-01

    Motivation: Focal therapy is an emerging low-morbidity treatment option for low-intermediate risk prostate cancer; however, challenges remain in accurately delivering treatment to specified targets and determining treatment success. Registered multi-parametric magnetic resonance imaging (MPMRI) acquired before and after treatment can support focal therapy evaluation and optimization; however, contouring variability, when defining the prostate, the clinical target volume (CTV) and the ablation region in images, reduces the precision of quantitative image-based focal therapy evaluation metrics. To inform the interpretation and clarify the limitations of such metrics, we investigated inter-observer contouring variability and its impact on four metrics. Methods: Pre-therapy and 2-week-post-therapy standard-of-care MPMRI were acquired from 5 focal cryotherapy patients. Two clinicians independently contoured, on each slice, the prostate (pre- and post-treatment) and the dominant index lesion CTV (pre-treatment) in the T2-weighted MRI, and the ablated region (post-treatment) in the dynamic-contrast- enhanced MRI. For each combination of clinician contours, post-treatment images were registered to pre-treatment images using a 3D biomechanical-model-based registration of prostate surfaces, and four metrics were computed: the proportion of the target tissue region that was ablated and the target:ablated region volume ratio for each of two targets (the CTV and an expanded planning target volume). Variance components analysis was used to measure the contribution of each type of contour to the variance in the therapy evaluation metrics. Conclusions: 14-23% of evaluation metric variance was attributable to contouring variability (including 6-12% from ablation region contouring); reducing this variability could improve the precision of focal therapy evaluation metrics.

  13. Construction of the descriptive system for the Assessment of Quality of Life AQoL-6D utility instrument.

    Science.gov (United States)

    Richardson, Jeffrey R J; Peacock, Stuart J; Hawthorne, Graeme; Iezzi, Angelo; Elsworth, Gerald; Day, Neil A

    2012-04-17

    Multi attribute utility (MAU) instruments are used to include the health related quality of life (HRQoL) in economic evaluations of health programs. Comparative studies suggest different MAU instruments measure related but different constructs. The objective of this paper is to describe the methods employed to achieve content validity in the descriptive system of the Assessment of Quality of Life (AQoL)-6D, MAU instrument. The AQoL program introduced the use of psychometric methods in the construction of health related MAU instruments. To develop the AQoL-6D we selected 112 items from previous research, focus groups and expert judgment and administered them to 316 members of the public and 302 hospital patients. The search for content validity across a broad spectrum of health states required both formative and reflective modelling. We employed Exploratory Factor Analysis and Structural Equation Modelling (SEM) to meet these dual requirements. The resulting instrument employs 20 items in a multi-tier descriptive system. Latent dimension variables achieve sensitive descriptions of 6 dimensions which, in turn, combine to form a single latent QoL variable. Diagnostic statistics from the SEM analysis are exceptionally good and confirm the hypothesised structure of the model. The AQoL-6D descriptive system has good psychometric properties. They imply that the instrument has achieved construct validity and provides a sensitive description of HRQoL. This means that it may be used with confidence for measuring health related quality of life and that it is a suitable basis for modelling utilities for inclusion in the economic evaluation of health programs.

  14. Evaluation of professional knowledge and attitudes on dementia patient care: a trans-cultural adaptation of an evaluation instrument

    Directory of Open Access Journals (Sweden)

    Gislaine Desani da Costa

    2015-04-01

    Full Text Available Objective To describe the trans-cultural adaptation of the evaluation instrument entitled Atenció Sanitària de Les Demències: la visió de L' Atenció Primarià from Catalan into versions in Portuguese for doctors and nurses. This study evaluates the knowledge and perspectives of these professionals in their treatment of patients diagnosed with dementia in cases of primary care. Method The adaptation followed internationally accepted rules, which include the following steps: translation, synthesis, back-translation, revision by a committee of specialists, and a test run with 35 practicing doctors and 35 practicing nurses in Brazil's Family Health Strategy (Estratégia Saúde da Família, or ESF in Portuguese. Results The translation, synthesis, and back-translation steps were performed satisfactorily; only small adjustments were required. The committee of specialists verified the face validity in the version translated into Portuguese, and all of the items that received an agreement score lower than 80% during the initial evaluation were revised. In the test run, the difficulties presented by the health care professionals did not reach 15% of the sample, and therefore, no changes were made. Conclusion The Portuguese translation of the instrument can be considered semantically, idiomatically, culturally, and conceptually equivalent to the original Catalan version and is, therefore, appropriate for use in Brazil.

  15. Focus on variability : New tools to study intra-individual variability in developmental data

    NARCIS (Netherlands)

    van Geert, P; van Dijk, M

    2002-01-01

    In accordance with dynamic systems theory, we assume that variability is an important developmental phenomenon. However, the standard methodological toolkit of the developmental psychologist offers few instruments for the study of variability. In this article we will present several new methods that

  16. Blinded evaluation of interrater reliability of an operative competency assessment tool for direct laryngoscopy and rigid bronchoscopy.

    Science.gov (United States)

    Ishman, Stacey L; Benke, James R; Johnson, Kaalan Erik; Zur, Karen B; Jacobs, Ian N; Thorne, Marc C; Brown, David J; Lin, Sandra Y; Bhatti, Nasir; Deutsch, Ellen S

    2012-10-01

    OBJECTIVES To confirm interrater reliability using blinded evaluation of a skills-assessment instrument to assess the surgical performance of resident and fellow trainees performing pediatric direct laryngoscopy and rigid bronchoscopy in simulated models. DESIGN Prospective, paired, blinded observational validation study. SUBJECTS Paired observers from multiple institutions simultaneously evaluated residents and fellows who were performing surgery in an animal laboratory or using high-fidelity manikins. The evaluators had no previous affiliation with the residents and fellows and did not know their year of training. INTERVENTIONS One- and 2-page versions of an objective structured assessment of technical skills (OSATS) assessment instrument composed of global and a task-specific surgical items were used to evaluate surgical performance. RESULTS Fifty-two evaluations were completed by 17 attending evaluators. The instrument agreement for the 2-page assessment was 71.4% when measured as a binary variable (ie, competent vs not competent) (κ = 0.38; P = .08). Evaluation as a continuous variable revealed a 42.9% percentage agreement (κ = 0.18; P = .14). The intraclass correlation was 0.53, considered substantial/good interrater reliability (69% reliable). For the 1-page instrument, agreement was 77.4% when measured as a binary variable (κ = 0.53, P = .0015). Agreement when evaluated as a continuous measure was 71.0% (κ = 0.54, P formative feedback on operational competency.

  17. Use of instruments to evaluate leadership in nursing and health services.

    Science.gov (United States)

    Carrara, Gisleangela Lima Rodrigues; Bernardes, Andrea; Balsanelli, Alexandre Pazetto; Camelo, Silvia Helena Henriques; Gabriel, Carmen Silvia; Zanetti, Ariane Cristina Barboza

    2018-03-12

    To identify the available scientific evidence about the use of instruments for the evaluation of leadership in health and nursing services and verify the use of leadership styles/models/theories in the construction of these tools. Integrative literature review of indexed studies in the LILACS, PUBMED, CINAHL and EMBASE databases from 2006 to 2016. Thirty-eight articles were analyzed, exhibiting 19 leadership evaluation tools; the most used were the Multifactor Leadership Questionnaire, the Global Transformational Leadership Scale, the Leadership Practices Inventory, the Servant Leadership Questionnaire, the Servant Leadership Survey and the Authentic Leadership Questionnaire. The literature search allowed to identify the main theories/styles/models of contemporary leadership and analyze their use in the design of leadership evaluation tools, with the transformational, situational, servant and authentic leadership categories standing out as the most prominent. To a lesser extent, the quantum, charismatic and clinical leadership types were evidenced.

  18. Organizational learning, pilot test of Likert-type instruments

    Directory of Open Access Journals (Sweden)

    Manuel Alfonso Garzón Castrillón

    2010-09-01

    Full Text Available This paper presents the results obtained in the pilot study of instruments created to comply the specific objective of designing and validating instruments to study the capacity of organizational learning. The Likert measurement scale was used because it allowed to establish the pertinence of the dimension as variable in the context of organizational learning. A One-way Analysis of Variance (ANOVA was used, with statistical package SPSS. Some 138 variables in 3 factors and 40 affirmations were simplified.

  19. Nonparametric instrumental regression with non-convex constraints

    International Nuclear Information System (INIS)

    Grasmair, M; Scherzer, O; Vanhems, A

    2013-01-01

    This paper considers the nonparametric regression model with an additive error that is dependent on the explanatory variables. As is common in empirical studies in epidemiology and economics, it also supposes that valid instrumental variables are observed. A classical example in microeconomics considers the consumer demand function as a function of the price of goods and the income, both variables often considered as endogenous. In this framework, the economic theory also imposes shape restrictions on the demand function, such as integrability conditions. Motivated by this illustration in microeconomics, we study an estimator of a nonparametric constrained regression function using instrumental variables by means of Tikhonov regularization. We derive rates of convergence for the regularized model both in a deterministic and stochastic setting under the assumption that the true regression function satisfies a projected source condition including, because of the non-convexity of the imposed constraints, an additional smallness condition. (paper)

  20. Nonparametric instrumental regression with non-convex constraints

    Science.gov (United States)

    Grasmair, M.; Scherzer, O.; Vanhems, A.

    2013-03-01

    This paper considers the nonparametric regression model with an additive error that is dependent on the explanatory variables. As is common in empirical studies in epidemiology and economics, it also supposes that valid instrumental variables are observed. A classical example in microeconomics considers the consumer demand function as a function of the price of goods and the income, both variables often considered as endogenous. In this framework, the economic theory also imposes shape restrictions on the demand function, such as integrability conditions. Motivated by this illustration in microeconomics, we study an estimator of a nonparametric constrained regression function using instrumental variables by means of Tikhonov regularization. We derive rates of convergence for the regularized model both in a deterministic and stochastic setting under the assumption that the true regression function satisfies a projected source condition including, because of the non-convexity of the imposed constraints, an additional smallness condition.

  1. A toolbox for safety instrumented system evaluation based on improved continuous-time Markov chain

    Science.gov (United States)

    Wardana, Awang N. I.; Kurniady, Rahman; Pambudi, Galih; Purnama, Jaka; Suryopratomo, Kutut

    2017-08-01

    Safety instrumented system (SIS) is designed to restore a plant into a safe condition when pre-hazardous event is occur. It has a vital role especially in process industries. A SIS shall be meet with safety requirement specifications. To confirm it, SIS shall be evaluated. Typically, the evaluation is calculated by hand. This paper presents a toolbox for SIS evaluation. It is developed based on improved continuous-time Markov chain. The toolbox supports to detailed approach of evaluation. This paper also illustrates an industrial application of the toolbox to evaluate arch burner safety system of primary reformer. The results of the case study demonstrates that the toolbox can be used to evaluate industrial SIS in detail and to plan the maintenance strategy.

  2. Evaluation of the current fast neutron flux monitoring instrumentation applied to LFR demonstrator ALFRED. Capabilities and limitations

    International Nuclear Information System (INIS)

    Lepore, Luigi; Remetti, Romolo; Cappelli, Mauro

    2015-01-01

    Among Gen IV projects for future nuclear power plants, Lead Fast Reactors (LFR) seem to be a very interesting solution due to their benefits in terms of fuel cycle, coolant-safety and waste management. The novelty of the matter causes some open issues about coolant chemical aspect, structural aspects, monitoring instrumentation, etc. Particularly hard neutron flux spectra would make traditional neutron instrumentation unfit to all reactor conditions, i.e. source, intermediate, and power range. Identification of new models of nuclear instrumentation specialized for LFR neutron flux monitoring asks for an accurate evaluation of the environment the sensor will work in. In this study, thermal-hydraulics and chemical conditions for LFR core environment will be assumed, as the neutron flux will be studied extensively by means of the Monte Carlo transport code MCNPX. The core coolant’s high temperature drastically reduces the candidate instrumentation, because only some kind of fission chambers and Self Powered Neutron Detectors can be operated in such an environment. This work aims to evaluate the capabilities of the available instrumentation (usually designed for Sodium Fast Reactors, SFRs) when exposed to the neutron spectrum derived from ALFRED, a pool-type small-power LFR project to demonstrate the feasibility of this technology into the European framework. This paper shows that such instruments do follow the power evolution, but they are not completely suitable to detect the whole range of reactor power. Some improvements are then possible in order to increase the signal-to-noise ratio, by optimizing each instrument in the range of reactor power, such to get the best solution. Some new detector designs are here proposed, and the possibilities for prototyping and testing by means of a fast reactor investigated. (author)

  3. Content validity--establishing and reporting the evidence in newly developed patient-reported outcomes (PRO) instruments for medical product evaluation: ISPOR PRO good research practices task force report: part 1--eliciting concepts for a new PRO instrument.

    Science.gov (United States)

    Patrick, Donald L; Burke, Laurie B; Gwaltney, Chad J; Leidy, Nancy Kline; Martin, Mona L; Molsen, Elizabeth; Ring, Lena

    2011-12-01

    The importance of content validity in developing patient reported outcomes (PRO) instruments is stressed by both the US Food and Drug Administration and the European Medicines Agency. Content validity is the extent to which an instrument measures the important aspects of concepts that developers or users purport it to assess. A PRO instrument measures the concepts most significant and relevant to a patient's condition and its treatment. For PRO instruments, items and domains as reflected in the scores of an instrument should be important to the target population and comprehensive with respect to patient concerns. Documentation of target population input in item generation, as well as evaluation of patient understanding through cognitive interviewing, can provide the evidence for content validity. Developing content for, and assessing respondent understanding of, newly developed PRO instruments for medical product evaluation will be discussed in this two-part ISPOR PRO Good Research Practices Task Force Report. Topics include the methods for generating items, documenting item development, coding of qualitative data from item generation, cognitive interviewing, and tracking item development through the various stages of research and preparing this tracking for submission to regulatory agencies. Part 1 covers elicitation of key concepts using qualitative focus groups and/or interviews to inform content and structure of a new PRO instrument. Part 2 covers the instrument development process, the assessment of patient understanding of the draft instrument using cognitive interviews and steps for instrument revision. The two parts are meant to be read together. They are intended to offer suggestions for good practices in planning, executing, and documenting qualitative studies that are used to support the content validity of PRO instruments to be used in medical product evaluation. Copyright © 2011 International Society for Pharmacoeconomics and Outcomes Research (ISPOR

  4. Evaluation of the FOCUS (Feedback on Counseling Using Simulation) instrument for assessment of client-centered nutrition counseling behaviors.

    Science.gov (United States)

    Henry, Beverly W; Smith, Thomas J

    2010-01-01

    To develop an instrument to assess client-centered counseling behaviors (skills) of student-counselors in a standardized patient (SP) exercise. Descriptive study of the accuracy and utility of a newly developed counseling evaluation instrument. Study participants included 11 female student-counselors at a Midwestern university-10 Caucasian, 1 African-American-for the simulated counseling sessions, in which the Feedback on Counseling Using Simulation (FOCUS) instrument was applied in 2 SP scenarios (cardiovascular disease and diabetes). FOCUS ratings of student-counselors by 4 SPs during 22 sessions were compared with ratings from a 3-member panel of experts who independently viewed the 22 videotaped sessions. Quantitative analysis of instrument validity included inter-rater reliability by computing generalizability coefficients, Pearson correlations, and Spearman rank-order correlations. FOCUS criteria encompassed relevant dimensions of nutrition counseling based in a client-centered perspective. The critical points of information gathering and counseling behaviors showed internal consistency overall and good inter-rater reliability with the cardiovascular disease scenario. For both scenarios, pooled ratings of 3 experts agreed with ratings carried out by SPs. Initial findings suggest that the FOCUS instrument with client-centered criteria may enhance evaluation of counseling skills in SP exercises, meriting further study with larger groups.

  5. Instruments evaluating the self-directed learning abilities among nursing students and nurses: a systematic review of psychometric properties.

    Science.gov (United States)

    Cadorin, Lucia; Bressan, Valentina; Palese, Alvisa

    2017-11-25

    Modern healthcare institutions are continuously changing, and Self-Directed Learning (SDL) abilities are considered a prerequisite for both nursing students and nurses in order to be proactive about these demanding challenges. To date, no systematic reviews of existing instruments aimed at detecting and critically evaluating SDL abilities have been published. Therefore, the aims of this review are: 1) identify the instruments for assessment of SDL abilities among nursing students and nurses; 2) critically evaluate the methodological studies quality; and 3) compare the psychometric properties of the available instruments. A psychometric-systematic-review was performed. CDSR, CINAHL, ERIC, MEDLINE, PROSPERO, SCOPUS databases were searched without restrictions in time and setting. All primary studies involving nursing students or nurses, written in English and aimed at validating SDL assessment tools, were included. Studies retrieved were evaluated according to the COnsensus-based-Standards for the selection of health Measurement-INstruments (COSMIN) panel. Study inclusion, data extraction and quality assessment were performed by researchers independently. Eleven studies were included and four tools based on Knowles's theory have emerged: 1) the Self-Directed Learning Readiness Scale; 2) the Self-Directed Learning Readiness Scale for Nursing Education; 3) the Self-Rating Scale of Self-Directed Learning, and 4) the Self-Directed Learning Instrument. A few psychometric properties have been considered in each study, from two to four out of the ten required. The quality of the methodologies used was in general, from fair to poor with the exception of one instrument (the Self-Directed-Learning-Instrument). The psychometric proprieties that emerged across the tools were good in general: the Cronbach α was from 0.73 to 0.91; structural validities have also reported good indexes both in the explorative and in the confirmative factor analyses. On the basis of the findings

  6. Instruments evaluating the self-directed learning abilities among nursing students and nurses: a systematic review of psychometric properties

    Directory of Open Access Journals (Sweden)

    Lucia Cadorin

    2017-11-01

    Full Text Available Abstract Background Modern healthcare institutions are continuously changing, and Self-Directed Learning (SDL abilities are considered a prerequisite for both nursing students and nurses in order to be proactive about these demanding challenges. To date, no systematic reviews of existing instruments aimed at detecting and critically evaluating SDL abilities have been published. Therefore, the aims of this review are: 1 identify the instruments for assessment of SDL abilities among nursing students and nurses; 2 critically evaluate the methodological studies quality; and 3 compare the psychometric properties of the available instruments. Methods A psychometric-systematic-review was performed. CDSR, CINAHL, ERIC, MEDLINE, PROSPERO, SCOPUS databases were searched without restrictions in time and setting. All primary studies involving nursing students or nurses, written in English and aimed at validating SDL assessment tools, were included. Studies retrieved were evaluated according to the COnsensus-based-Standards for the selection of health Measurement-INstruments (COSMIN panel. Study inclusion, data extraction and quality assessment were performed by researchers independently. Results Eleven studies were included and four tools based on Knowles’s theory have emerged: 1 the Self-Directed Learning Readiness Scale; 2 the Self-Directed Learning Readiness Scale for Nursing Education; 3 the Self-Rating Scale of Self-Directed Learning, and 4 the Self-Directed Learning Instrument. A few psychometric properties have been considered in each study, from two to four out of the ten required. The quality of the methodologies used was in general, from fair to poor with the exception of one instrument (the Self-Directed-Learning-Instrument. The psychometric proprieties that emerged across the tools were good in general: the Cronbach α was from 0.73 to 0.91; structural validities have also reported good indexes both in the explorative and in the confirmative

  7. Contribution to the discussion of P.M. Fayers and David J. Hand: Causal variables, indicator variables and measurement scales: an example from quality of life

    DEFF Research Database (Denmark)

    Keiding, Niels

    2002-01-01

    Causal variables; Clinimetric scales; Composite scales; Construct validity; Measurement scales; Multi-item scales; Quality-of-life instruments......Causal variables; Clinimetric scales; Composite scales; Construct validity; Measurement scales; Multi-item scales; Quality-of-life instruments...

  8. Instrument construction to evaluate factors associated to willingness towards organ donation

    Directory of Open Access Journals (Sweden)

    Héctor Neira-San Martín

    2018-01-01

    Full Text Available The object of this study was the construction and pilot study of an instrument for evaluating factors associated to individuals’ willingness towards organ donation. The Questionnaire about Knowledge, Attitudes and Beliefs consists of 22 items Likert type of self administration. It was answered by 244 adults, guardians of 10 schools from Concepcion, Chile, who belonged to the middle and lower socioeconomic levels. An Exploratory Factor Analysis was done under the method of Maximum Likelihood Estimation and Varimax rotation, which derived in five factors: a reliance on the process of donation and transplantation, b communication about organ donation within the family, c ideological beliefs on organ donation, d knowledge about organ donation and transplantation, and e autonomy on the choice of donation. The reliance was measured through the Alfa of Cronbach and the relationship among the factors, through r of Pearson. It was established that the instrument is pertinent and reliable and a new application is proposed, to be administered on a bigger sample that includes individuals from the higher socioeconomic levels.

  9. Development and evaluation of the OHCITIES instrument: assessing alcohol urban environments in the Heart Healthy Hoods project.

    Science.gov (United States)

    Sureda, Xisca; Espelt, Albert; Villalbí, Joan R; Cebrecos, Alba; Baranda, Lucía; Pearce, Jamie; Franco, Manuel

    2017-10-05

    To describe the development and test-retest reliability of OHCITIES, an instrument characterising alcohol urban environment in terms of availability, promotion and signs of consumption. This study involved: (1) developing the conceptual framework for alcohol urban environment by means of literature reviewing and previous alcohol environment research experience; (2) pilot testing and redesigning the instrument; (3) instrument digitalisation; (4) instrument evaluation using test-retest reliability. Data for testing the reliability of the instrument were collected in seven census sections in Madrid in 2016 by two observers. We computed per cent agreement and Cohen's kappa coefficients to estimate inter-rater and test-retest reliability for alcohol outlet environment measures. We calculated interclass coefficients and their 95% CIs to provide a measure of inter-rater reliability for signs of alcohol consumption measures. We collected information on 92 on-premise and 24 off-premise alcohol outlets identified in the studied areas about availability, accessibility and promotion of alcohol. Most per cent-agreement values for alcohol measures in on-premise and off-premise alcohol outlets were greater than 80%, and inter-rater and test-retest reliability values were generally above 0.80. Observers identified 26 streets and 3 public squares with signs of alcohol consumption. Intraclass correlation coefficient between observers for any type of signs of alcohol consumption was 0.50 (95% CI -0.09 to 0.77). Few items promoting alcohol unrelated to alcohol outlets were found on public spaces. The OHCITIES instrument is a reliable instrument to characterise alcohol urban environment. This instrument might be used to understand how alcohol environment associates with alcohol behaviours and its related health outcomes, and can help in the design and evaluation of policies to reduce the harm caused by alcohol. © Article author(s) (or their employer(s) unless otherwise stated in the

  10. ISSUES ABOUT THE EVALUATION OF THE FINANCIAL INSTRUMENTS AND TAX IMPLICATIONS

    Directory of Open Access Journals (Sweden)

    Camelia-Catalina, MIHALCIUC

    2014-11-01

    Full Text Available Accounting assessment is a process with tax implications on accounting figures. In fact, when it comes to evaluation, we need to clarify exactly what is being refered to: it s about the individual assessment of an asset or liability, or about the global assessment of a business. So, in a narrower approach, in accounting we are particularly interested in the individual assessment of assets and liabilities. In the evaluation, the concept of value is the primary element, accounting, especially along with the application of the principle of economic prevalence over the juridic, managed to convey the best measure those interested, information about how to create, to mesure and how to comunicate to business partners the value. The tax implication that arise after the evaluation of the individual elements of the asset, influence the result of the exercise by including the expenditure in the total expenses generated by the evaluation. The main asset elements, which following the evaluation generate tax implications are the tangible fixed asset, financial and stocks. Based on this consideration, one of the main objectives of this paper is to highlight the tax implications arising from the evaluation of financial instruments that generate tax liabilities.

  11. Evaluation of nuclear magnetic resonance spectroscopy variability

    Energy Technology Data Exchange (ETDEWEB)

    Barreto, Felipe Rodrigues; Salmon, Carlos Ernesto Garrido, E-mail: garrido@ffclrp.usp.br [Universidade de Sao Paulo (FFCLRP/USP), Ribeirao Preto, SP (Brazil). Fac. de Filisofia, Ciencias e Letras; Otaduy, Maria Concepcion Garcia [Universidade de Sao Paulo (FAMUS/USP), Sao Paulo, SP (Brazil). Fac. de Medicina. Departamento de Radiologia

    2014-11-01

    Introduction: the intrinsically high sensitivity of Magnetic Resonance Spectroscopy (MRS) causes considerable variability in metabolite quantification. In this study, we evaluated the variability of MRS in two research centers using the same model of magnetic resonance image scanner. Methods: two metabolic phantoms were created to simulate magnetic resonance spectra from in vivo hippocampus. The phantoms were filled with the same basic solution containing the following metabolites: N-acetyl-aspartate, creatine, choline, glutamate, glutamine and inositol. Spectra were acquired over 15 months on 26 acquisition dates, resulting in a total of 130 spectra per center. Results: the phantoms did not undergo any physical changes during the 15-month period. Temporal analysis from both centers showed mean metabolic variations of 3.7% in acquisitions on the same day and of 8.7% over the 15-month period. Conclusion: The low deviations demonstrated here, combined with the high specificity of Magnetic Resonance Spectroscopy, confirm that it is feasible to use this technique in multicenter studies in neuroscience research. (author)

  12. Cross-Cultural adaptation of an instrument to computer accessibility evaluation for students with cerebral palsy

    Directory of Open Access Journals (Sweden)

    Gerusa Ferreira Lourenço

    2015-03-01

    Full Text Available The specific literature indicates that the successful education of children with cerebral palsy may require the implementation of appropriate assistive technology resources, allowing students to improve their performance and complete everyday tasks more efficiently and independently. To this end, these resources must be selected properly, emphasizing the importance of an appropriate initial assessment of the child and the possibilities of the resources available. The present study aimed to translate and adapt theoretically an American instrument that evaluates computer accessibility for people with cerebral palsy, in order to contextualize it for applicability to Brazilian students with cerebral palsy. The methodology involved the steps of translation and cross-cultural adaptation of this instrument, as well as the construction of a supplementary script for additional use of that instrument in the educational context. Translation procedures, theoretical and technical adaptation of the American instrument and theoretical analysis (content and semantics were carried out with the participation of professional experts of the special education area as adjudicators. The results pointed to the relevance of the proposal of the translated instrument in conjunction with the script built to the reality of professionals involved with the education of children with cerebral palsy, such as occupational therapists and special educators.

  13. Quality of life evaluation of workers for diagnostic radiology services

    International Nuclear Information System (INIS)

    Fernandes, Ivani Martins

    2011-01-01

    The main objective of this study was to evaluate the quality of life (QOL) of diagnostic radiology services workers at a hospital of Sao Paulo city. It aimed also to draw the profile of these workers identifying the variables, as its influence on their quality of life. A descriptive exploratory study with qualitative and quantitative approaches was carried out. The data were collected using the questionnaires: the abbreviated instrument for the assessment of the QOL, World Health Organization Quality of Life Instrument bref (WHOQOL-bref) and a questionnaire including the social demographic variables, work conditions and the variables that express the lifestyle of individuals, both questionnaires self-applied. The sample was formed by 118 workers, among them: physicians, technologists/technicians in radiology, nurses, technicians and assistants in nursing, and others health professionals. The data analysis included descriptive statistics, nonparametric tests and the use of a linear regression model. The reliability of the instrument for the studied sample was verified by Cronbach's Alpha Coefficient (α). The WHOQOL-bref proved to be an adequate instrument, with a good level of internal consistency (α=0.884), being easily and quickly administrated for the evaluation of the QOL. The study provided an overview of the perception of quality of life of the studied group. (author)

  14. Evaluation of the psychometric properties of the Nighttime Symptoms of COPD Instrument

    Directory of Open Access Journals (Sweden)

    Mocarski M

    2015-03-01

    Full Text Available Michelle Mocarski,1 Erica Zaiser,2 Dylan Trundell,2 Barry J Make,3 Asha Hareendran21Forest Research Institute, Inc., an affiliate of Actavis, Inc., Jersey City, NJ, USA; 2Evidera, London, UK; 3National Jewish Health, Denver, CO, USA Background: Nighttime symptoms can negatively impact the quality of life of patients with chronic obstructive pulmonary disease (COPD. The Nighttime Symptoms of COPD Instrument (NiSCI was designed to measure the occurrence and severity of nighttime symptoms in patients with COPD, the impact of symptoms on nighttime awakenings, and rescue medication use. The objective of this study was to explore item reduction, inform scoring recommendations, and evaluate the psychometric properties of the NiSCI.Methods: COPD patients participating in a Phase III clinical trial completed the NiSCI daily. Item analyses were conducted using weekly mean and single day scores. Descriptive statistics (including percentage of respondents at floor/ceiling and inter-item correlations, factor analyses, and Rasch model analyses were conducted to examine item performance and scoring. Test–retest reliability was assessed for the final instrument using the intraclass correlation coefficient (ICC. Correlations with assessments conducted during study visits were used to evaluate convergent and known-groups validity.Results: Data from 1,663 COPD patients aged 40–93 years were analyzed. Item analyses supported the generation of four scores. A one-factor structure was confirmed with factor analysis and Rasch analysis for the symptom severity score. Test–retest reliability was confirmed for the six-item symptom severity (ICC, 0.85, number of nighttime awakenings (ICC, 0.82, and rescue medication (ICC, 0.68 scores. Convergent validity was supported by significant correlations between the NiSCI, St George’s Respiratory Questionnaire, and Exacerbations of Chronic Obstructive Pulmonary Disease Tool-Respiratory Symptoms scores.Conclusion: The

  15. Development and evaluation of the Korean Health Literacy Instrument.

    Science.gov (United States)

    Kang, Soo Jin; Lee, Tae Wha; Paasche-Orlow, Michael K; Kim, Gwang Suk; Won, Hee Kwan

    2014-01-01

    The purpose of this study is to develop and validate the Korean Health Literacy Instrument, which measures the capacity to understand and use health-related information and make informed health decisions in Korean adults. In Phase 1, 33 initial items were generated to measure functional, interactive, and critical health literacy with prose, document, and numeracy tasks. These items included content from health promotion, disease management, and health navigation contexts. Content validity assessment was conducted by an expert panel, and 11 items were excluded. In Phase 2, the 22 remaining items were administered to a convenience sample of 292 adults from community and clinical settings. Exploratory factor and item difficulty and discrimination analyses were conducted and four items with low discrimination were deleted. In Phase 3, the remaining 18 items were administered to a convenience sample of 315 adults 40-64 years of age from community and clinical settings. A confirmatory factor analysis was performed to test the construct validity of the instrument. The Korean Health Literacy Instrument has a range of 0 to 18. The mean score in our validation study was 11.98. The instrument exhibited an internal consistency reliability coefficient of 0.82, and a test-retest reliability of 0.89. The instrument is suitable for screening individuals who have limited health literacy skills. Future studies are needed to further define the psychometric properties and predictive validity of the Korean Health Literacy Instrument.

  16. Construction of the descriptive system for the assessment of quality of life AQoL-6D utility instrument

    Directory of Open Access Journals (Sweden)

    Richardson Jeffrey RJ

    2012-04-01

    Full Text Available Abstract Background Multi attribute utility (MAU instruments are used to include the health related quality of life (HRQoL in economic evaluations of health programs. Comparative studies suggest different MAU instruments measure related but different constructs. The objective of this paper is to describe the methods employed to achieve content validity in the descriptive system of the Assessment of Quality of Life (AQoL-6D, MAU instrument. Methods The AQoL program introduced the use of psychometric methods in the construction of health related MAU instruments. To develop the AQoL-6D we selected 112 items from previous research, focus groups and expert judgment and administered them to 316 members of the public and 302 hospital patients. The search for content validity across a broad spectrum of health states required both formative and reflective modelling. We employed Exploratory Factor Analysis and Structural Equation Modelling (SEM to meet these dual requirements. Results and Discussion The resulting instrument employs 20 items in a multi-tier descriptive system. Latent dimension variables achieve sensitive descriptions of 6 dimensions which, in turn, combine to form a single latent QoL variable. Diagnostic statistics from the SEM analysis are exceptionally good and confirm the hypothesised structure of the model. Conclusions The AQoL-6D descriptive system has good psychometric properties. They imply that the instrument has achieved construct validity and provides a sensitive description of HRQoL. This means that it may be used with confidence for measuring health related quality of life and that it is a suitable basis for modelling utilities for inclusion in the economic evaluation of health programs.

  17. Clinical scoring and instrumental analysis to evaluate skin types.

    Science.gov (United States)

    Mercurio, D G; Segura, J H; Demets, M B A; Maia Campos, P M B G

    2013-04-01

    The biology of the skin is very complex, and there are a number of methods used to classify the different skin types. It is possible to measure or quantify the characteristics of the specific skin types, using a variety of techniques that can objectively evaluate the properties of the skin in a noninvasive manner. To clinically characterize different skin types by dermatological evaluation and biophysical and skin imaging techniques, and to evaluate the relationship between the different characteristics. The study recruited 26 volunteers. Clinical scoring was performed by a dermatologist who classified the volunteers' skin as normal or dry (group 1) and combination or oily (group 2). Objective measurements included skin microrelief, pH, oiliness, water content of the stratum corneum and transepidermal water loss (TEWL). Positive correlations were found between the level of skin oiliness and skin texture obtained from both instrumental analysis and clinical scoring. The combination and oily skin types had higher clinical scores for shine intensity, oiliness and tendency to pigmentation, and also had higher objective scores for sebum secretion, TEWL and roughness. Biophysical and skin imaging techniques are effective tools to help characterize skin type and assist in clinical dermatology. We found that different skin types had different characteristics related to skin microrelief, oiliness and TEWL, and therefore require specific dermatological treatments. © The Author(s) CED © 2013 British Association of Dermatologists.

  18. Development of an Instrument to Evaluate High School Students' Chemical Symbol Representation Abilities

    Science.gov (United States)

    Wang, Zuhao; Chi, Shaohui; Luo, Ma; Yang, Yuqin; Huang, Min

    2017-01-01

    Chemical symbol representation is a medium for transformations between the actual phenomena of the macroscopic world and those of the sub-microscopic world. The aim of this study is to develop an instrument to evaluate high school students' chemical symbol representation abilities (CSRA). Based on the current literature, we defined CSRA and…

  19. Fuzzy associative memories for instrument fault detection

    International Nuclear Information System (INIS)

    Heger, A.S.

    1996-01-01

    A fuzzy logic instrument fault detection scheme is developed for systems having two or three redundant sensors. In the fuzzy logic approach the deviation between each signal pairing is computed and classified into three fuzzy sets. A rule base is created allowing the human perception of the situation to be represented mathematically. Fuzzy associative memories are then applied. Finally, a defuzzification scheme is used to find the centroid location, and hence the signal status. Real-time analyses are carried out to evaluate the instantaneous signal status as well as the long-term results for the sensor set. Instantaneous signal validation results are used to compute a best estimate for the measured state variable. The long-term sensor validation method uses a frequency fuzzy variable to determine the signal condition over a specific period. To corroborate the methodology synthetic data representing various anomalies are analyzed with both the fuzzy logic technique and the parity space approach. (Author)

  20. Comprehensiveness of care from the patient perspective: comparison of primary healthcare evaluation instruments.

    Science.gov (United States)

    Haggerty, Jeannie L; Beaulieu, Marie-Dominique; Pineault, Raynald; Burge, Frederick; Lévesque, Jean-Frédéric; Santor, Darcy A; Bouharaoui, Fatima; Beaulieu, Christine

    2011-12-01

    Comprehensiveness relates both to scope of services offered and to a whole-person clinical approach. Comprehensive services are defined as "the provision, either directly or indirectly, of a full range of services to meet most patients' healthcare needs"; whole-person care is "the extent to which a provider elicits and considers the physical, emotional and social aspects of a patient's health and considers the community context in their care." Among instruments that evaluate primary healthcare, two had subscales that mapped to comprehensive services and to the community component of whole-person care: the Primary Care Assessment Tool - Short Form (PCAT-S) and the Components of Primary Care Index (CPCI, a limited measure of whole-person care). To examine how well comprehensiveness is captured in validated instruments that evaluate primary healthcare from the patient's perspective. 645 adults with at least one healthcare contact in the previous 12 months responded to six instruments that evaluate primary healthcare. Scores were normalized for descriptive comparison. Exploratory and confirmatory (structural equation modelling) factor analysis examined fit to operational definition, and item response theory analysis examined item performance on common constructs. Over one-quarter of respondents had missing responses on services offered or doctor's knowledge of the community. The subscales did not load on a single factor; comprehensive services and community orientation were examined separately. The community orientation subscales did not perform satisfactorily. The three comprehensive services subscales fit very modestly onto two factors: (1) most healthcare needs (from one provider) (CPCI Comprehensive Care, PCAT-S First-Contact Utilization) and (2) range of services (PCAT-S Comprehensive Services Available). Individual item performance revealed several problems. Measurement of comprehensiveness is problematic, making this attribute a priority for measure development

  1. Demonstration and evaluation of solid state photomultiplier tube for uranium exploration instrumentation. National uranium resources evaluation. Final report

    International Nuclear Information System (INIS)

    Polichar, R.M.

    1982-06-01

    The purpose of this program has been to evaluate the recently developed solid state photomultiplier tube (SSPMT) technology as a potential improvment to future uranium exploration instrumentation. To this end, six SSPMTs have been constructed and evaluated in a manner similar to that of conventional phototubes. Special regard has been placed on the measurement of pulse height resolution and the factors that affect it in tube design and manufacture. The tubes were subjected to a number of tests similar to those performed on conventional photomultiplier tubes. The results indicate that good, high-resolution spectra can be obtained from the tubes and that they behave generally in a predictable manner. They exhibited a linear gain increase with applied potential. They show only slight dependence of performance with applied potential. Their sensitivity is, for the most part, uniform and predictable. However, several characteristics were found that were not predictable. These include a general drop in measured quantum efficiency, a worsening resolution with operation, and a bump in the sensitivity curve corresponding to the shape of the projected dimension of the anode. The SSPMT remains an attractive new technology in gamma-ray spectroscopy, and promises to make significant improvements in the area of uranium exploration instrumentation. 16 figures, 5 tables

  2. A desk evaluation review of project RAF/4/004 nuclear instruments maintenance. Project desk evaluation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-04-15

    A Project Desk Evaluation (PDE) is an intensive review process, using agreed guidelines, of the design, implementation, and the outputs of a project. This project was originally intended for six selected countries in Africa, namely, Algeria, Egypt, Ghana, Libya, Zaire and Zambia. Ethiopia and Tanzania joined in 1993 and it has now been extended to two other countries, Madagascar and Sudan. This is a step forward towards developing the infrastructure for nuclear instrumentation and maintenance is as many countries in Africa as require this service. A project summary along with financial data and recommendations for improvements are given. A table where total assistance provided to ten selected african countries is included.

  3. A desk evaluation review of project RAF/4/004 nuclear instruments maintenance. Project desk evaluation

    International Nuclear Information System (INIS)

    1994-01-01

    A Project Desk Evaluation (PDE) is an intensive review process, using agreed guidelines, of the design, implementation, and the outputs of a project. This project was originally intended for six selected countries in Africa, namely, Algeria, Egypt, Ghana, Libya, Zaire and Zambia. Ethiopia and Tanzania joined in 1993 and it has now been extended to two other countries, Madagascar and Sudan. This is a step forward towards developing the infrastructure for nuclear instrumentation and maintenance is as many countries in Africa as require this service. A project summary along with financial data and recommendations for improvements are given. A table where total assistance provided to ten selected african countries is included

  4. A Systematic Review of Statistical Methods Used to Test for Reliability of Medical Instruments Measuring Continuous Variables

    Directory of Open Access Journals (Sweden)

    Rafdzah Zaki

    2013-06-01

    Full Text Available   Objective(s: Reliability measures precision or the extent to which test results can be replicated. This is the first ever systematic review to identify statistical methods used to measure reliability of equipment measuring continuous variables. This studyalso aims to highlight the inappropriate statistical method used in the reliability analysis and its implication in the medical practice.   Materials and Methods: In 2010, five electronic databases were searched between 2007 and 2009 to look for reliability studies. A total of 5,795 titles were initially identified. Only 282 titles were potentially related, and finally 42 fitted the inclusion criteria. Results: The Intra-class Correlation Coefficient (ICC is the most popular method with 25 (60% studies having used this method followed by the comparing means (8 or 19%. Out of 25 studies using the ICC, only 7 (28% reported the confidence intervals and types of ICC used. Most studies (71% also tested the agreement of instruments. Conclusion: This study finds that the Intra-class Correlation Coefficient is the most popular method used to assess the reliability of medical instruments measuring continuous outcomes. There are also inappropriate applications and interpretations of statistical methods in some studies. It is important for medical researchers to be aware of this issue, and be able to correctly perform analysis in reliability studies.

  5. Unit-specific calibration of Actigraph accelerometers in a mechanical setup - is it worth the effort? The effect on random output variation caused by technical inter-instrument variability in the laboratory and in the field

    DEFF Research Database (Denmark)

    Moeller, Niels C; Korsholm, Lars; Kristensen, Peter L

    2008-01-01

    BACKGROUND: Potentially, unit-specific in-vitro calibration of accelerometers could increase field data quality and study power. However, reduced inter-unit variability would only be important if random instrument variability contributes considerably to the total variation in field data. Therefor...

  6. Observer variability when evaluating patient movement from electronic portal images of pelvic radiotherapy fields

    International Nuclear Information System (INIS)

    Geraint Lewis, D.; Ryan, Karen R.; Smith, Cyril W.

    2005-01-01

    Background and purpose: A study has been performed to evaluate inter-observer variability when assessing pelvic patient movement using an electronic portal imaging device (EPID). Materials and methods: Four patient image sets were used with 3-6 portal images per set. The observer group consisted of nine radiographers with 3-18 months clinical EPID experience. The observers outlined bony landmarks on a digital simulator image and used matching software to evaluate field placement errors (FPEs) on each portal image relative to the reference simulator image. Data were evaluated statistically, using a two-component analysis of variance technique, to quantify both the inter-observer variability in evaluating FPEs and inter-fraction variability in patient position relative to the residuals of the analysis. Intra-observer variability was also estimated using four of the observers carrying out three sets of repeat readings. Results: Eight sets of variance data were analysed, based on FPEs in two orthogonal directions for each of the four patient image sets studied. Initial analysis showed that both inter-observer variation and inter-fraction-patient position variation were statistically significant (P<0.05) in seven of the eight cases evaluated. The averaged root-mean-square (RMS) deviation of the observers from the group mean was 1.1 mm, with a maximum deviation of 5.0 mm recorded for an individual observer. After additional training and re-testing of two of the observers who recorded the largest deviations from the group mean, a subsequent analysis showed the inter-observer variability for the group to be significant in only three of the eight cases, with averaged RMS deviation reduced to 0.5 mm, with a maximum deviation of 2.7 mm. The intra-observer variability was 0.5 mm, averaged over the four observers tested. Conclusions: We have developed a quantitative approach to evaluate inter-observer variability in terms of its statistical significance compared to inter

  7. Molecular evaluation of genetic variability of wheat elite breeding material

    Directory of Open Access Journals (Sweden)

    Brbaklić Ljiljana

    2009-01-01

    Full Text Available Estimation of genetic variability of breeding material is essential for yield improvement in wheat cultivars. Modern techniques based on molecular markers application are more efficient and precise in genetic variability evaluation then conventional methods. Variability of 96 wheat cultivars and lines was analyzed using four microsatellite markers (Gwm11, Gwm428, Psp3200, Psp3071. The markers were chosen according to their potential association with important agronomical traits indicated in the literature. Total of 31 alleles were detected with maximum number of alleles (11 in Xgwm11 locus. The highest polymorphism information content (PIC value (0,831 was found in the locus Xpsp3071. The genotypes were grouped into three subpopulations based on their similarity in the analyzed loci. The results have indicated wide genetic variability of the studied material and possibility of its application in further breeding process after validation of marker-trait association. .

  8. A systematic review of instruments that measure attitudes toward homosexual men.

    Science.gov (United States)

    Grey, Jeremy A; Robinson, Beatrice Bean E; Coleman, Eli; Bockting, Walter O

    2013-01-01

    Scientific interest in the measurement of homophobia and internalized homophobia has grown over the past 30 years, and new instruments and terms have emerged. To help researchers with the challenging task of identifying appropriate measures for studies in sexual-minority health, we reviewed measures of homophobia published in the academic literature from 1970 to 2012. Instruments that measured attitudes toward male homosexuals/homosexuality or measured homosexuals' internalized attitudes toward homosexuality were identified using measurement manuals and a systematic review. A total of 23 instruments met criteria for inclusion, and their features were summarized and compared. All 23 instruments met minimal criteria for adequate scale construction, including scale development, sampling, reliability, and evidence of validity. Validity evidence was diverse and was categorized as interaction with gay men, HIV/AIDS variables, mental health, and conservative religious or political beliefs. Homophobia was additionally correlated with authoritarianism and bias, gender ideology, gender differences, and reactions to homosexual stimuli. Internalized homophobia was validated by examining relationships with disclosing one's homosexuality and level of homosexual identity development. We hope this review will make the process of instrument selection more efficient by allowing researchers to easily locate, evaluate, and choose the proper measure based on their research question and population of interest.

  9. Evaluating Sketchiness as a Visual Variable for the Depiction of Qualitative Uncertainty

    NARCIS (Netherlands)

    Boukhelifa, Nadia; Bezerianos, Anastasia; Isenberg, Tobias; Fekete, Jean-Daniel

    2012-01-01

    We report on results of a series of user studies on the perception of four visual variables that are commonly used in the literature to depict uncertainty. To the best of our knowledge, we provide the first formal evaluation of the use of these variables to facilitate an easier reading of

  10. Evaluation of Noise in Hearing Instruments Caused by GSM and DECT Mobile Telephones

    DEFF Research Database (Denmark)

    Hansen, Mie Østergaard; Poulsen, Torben

    1996-01-01

    The annoyance of noise in hearing instruments caused by electromagnetic interference from Global systems for Mobile Communication (GSM) and Digital European Cordless Telecommunication (DECT) mobile telephones has been subjectively evaluated by test subjects. The influence on speech recognition from...... the GSM and the DECT noises was also determined. The measurements involved seventeen hearing-imparied subjects. The annoyance was tested with GSM and DECT noise, each one mixed with continuous speech, a mall environment noise, or an office environment noise. Speech recognition was tested with the DANTALE...... word material mixed with GSM and DECT noise. The listening tests showed that if the noise level is acceptable so also is speech recognition. The results agree well with an investigation carried out on normal-hearing subjects. If a hearing instrument user is able to use a telephone without annoyance...

  11. Instrument evaluation no. 11. ESI nuclear model 271 C contamination monitor

    International Nuclear Information System (INIS)

    Burgess, P.H.; Iles, W.J.

    1978-06-01

    The various radiations encountered in radiological protection cover a wide range of energies and radiation measurements have to he carried out under an equally broad spectrum of environmental conditions. This report is one of a series intended to give information on the performance characteristics of radiological protection instruments, to assist in the selection of appropriate instruments for a given purpose, to interpret the results obtained with such instruments, and, in particular, to know the likely sources and magnitude of errors that might be associated with measurements in the field. The radiation, electrical and environmental characteristics of radiation protection instruments are considered together with those aspects of the construction which make an instrument convenient for routine use. To provide consistent criteria for instrument performance, the range of tests performed on any particular class of instrument, the test methods and the criteria of acceptable performance are based broadly on the appropriate Recommendations of the International Electrotechnical Commission. The radiations in the tests are, in general, selected from the range of reference radiations for instrument calibration being drawn up by the International Standards Organisation. Normally, each report deals with the capabilities and limitations of one model of instrument and no direct comparison with other instruments intended for similar purposes is made, since the significance of particular performance characteristics largely depends on the radiations and environmental conditions in which the instrument is to be used. The results quoted here have all been obtained from tests on instruments in routine production, with the appropriate measurements being made by the NRPB. This report deals with the ESI Nuclear Model 271 C; a general purpose contamination monitor, comprising a GM tube connected by a coiled extensible cable to a ratemeter

  12. Evaluation of radiation protection instrumentation: the C.T.H.I.R.. Poster and booklet for activity presentation

    International Nuclear Information System (INIS)

    Bicheron, G.; Ginisty, C.

    1998-01-01

    Among all the components required for radiation protection optimization, the evaluation of instrumentation is essential. The instrumentation in radiation protection allows to make the surveillance of personnel, installations and environment against the risk bound to radioactive contamination and ionizing radiations. The different devices can give the following functions: ambient dosimetry, (individual and environmental dosimetry), measurement of surface contaminations, air contamination by aerosols or gas, water contamination by liquid wastes,detection of criticality accidents, measurement of samples radioactivity. (N.C.)

  13. Instrument evaluation no. 11. ESI nuclear model 271 C contamination monitor

    CERN Document Server

    Burgess, P H

    1978-01-01

    The various radiations encountered in radiological protection cover a wide range of energies and radiation measurements have to he carried out under an equally broad spectrum of environmental conditions. This report is one of a series intended to give information on the performance characteristics of radiological protection instruments, to assist in the selection of appropriate instruments for a given purpose, to interpret the results obtained with such instruments, and, in particular, to know the likely sources and magnitude of errors that might be associated with measurements in the field. The radiation, electrical and environmental characteristics of radiation protection instruments are considered together with those aspects of the construction which make an instrument convenient for routine use. To provide consistent criteria for instrument performance, the range of tests performed on any particular class of instrument, the test methods and the criteria of acceptable performance are based broadly on the a...

  14. Instrument evaluation no. 17. Wallac automatic alarm dosimeter type RAD21

    CERN Document Server

    Burgess, P H

    1980-01-01

    The various radiations encountered in radiological protection cover a wide range of energies and radiation measurements have to be carried out under an equally broad spectrum of environmental conditions. This report is one of a series intended to give information on the performance characteristics of radiological protection instruments, to assist in the selection of appropriate instruments for a given purpose, to interpret the results obtained with such instruments, and, in particular, to know the likely sources and magnitude of errors that might be associated with measurements in the field. The radiation, electrical and environmental characteristics of radiation protection instruments are considered together with those aspects of the construction which make an instrument convenient for routine use. To provide consistent criteria for instrument performance, the range of tests performed on any particular class of instrument, the test methods and the criteria of acceptable performance are based broadly on the a...

  15. An Instrumental Variable Probit (IVP Analysis on Depressed Mood in Korea: The Impact of Gender Differences and Other Socio-Economic Factors

    Directory of Open Access Journals (Sweden)

    Lara Gitto

    2015-08-01

    Full Text Available Background Depression is a mental health state whose frequency has been increasing in modern societies. It imposes a great burden, because of the strong impact on people’s quality of life and happiness. Depression can be reliably diagnosed and treated in primary care: if more people could get effective treatments earlier, the costs related to depression would be reversed. The aim of this study was to examine the influence of socio-economic factors and gender on depressed mood, focusing on Korea. In fact, in spite of the great amount of empirical studies carried out for other countries, few epidemiological studies have examined the socio-economic determinants of depression in Korea and they were either limited to samples of employed women or did not control for individual health status. Moreover, as the likely data endogeneity (i.e. the possibility of correlation between the dependent variable and the error term as a result of autocorrelation or simultaneity, such as, in this case, the depressed mood due to health factors that, in turn might be caused by depression, might bias the results, the present study proposes an empirical approach, based on instrumental variables, to deal with this problem. Methods Data for the year 2008 from the Korea National Health and Nutrition Examination Survey (KNHANES were employed. About seven thousands of people (N= 6,751, of which 43% were males and 57% females, aged from 19 to 75 years old, were included in the sample considered in the analysis. In order to take into account the possible endogeneity of some explanatory variables, two Instrumental Variables Probit (IVP regressions were estimated; the variables for which instrumental equations were estimated were related to the participation of women to the workforce and to good health, as reported by people in the sample. Explanatory variables were related to age, gender, family factors (such as the number of family members and marital status and socio

  16. An Instrumental Variable Probit (IVP) analysis on depressed mood in Korea: the impact of gender differences and other socio-economic factors.

    Science.gov (United States)

    Gitto, Lara; Noh, Yong-Hwan; Andrés, Antonio Rodríguez

    2015-04-16

    Depression is a mental health state whose frequency has been increasing in modern societies. It imposes a great burden, because of the strong impact on people's quality of life and happiness. Depression can be reliably diagnosed and treated in primary care: if more people could get effective treatments earlier, the costs related to depression would be reversed. The aim of this study was to examine the influence of socio-economic factors and gender on depressed mood, focusing on Korea. In fact, in spite of the great amount of empirical studies carried out for other countries, few epidemiological studies have examined the socio-economic determinants of depression in Korea and they were either limited to samples of employed women or did not control for individual health status. Moreover, as the likely data endogeneity (i.e. the possibility of correlation between the dependent variable and the error term as a result of autocorrelation or simultaneity, such as, in this case, the depressed mood due to health factors that, in turn might be caused by depression), might bias the results, the present study proposes an empirical approach, based on instrumental variables, to deal with this problem. Data for the year 2008 from the Korea National Health and Nutrition Examination Survey (KNHANES) were employed. About seven thousands of people (N= 6,751, of which 43% were males and 57% females), aged from 19 to 75 years old, were included in the sample considered in the analysis. In order to take into account the possible endogeneity of some explanatory variables, two Instrumental Variables Probit (IVP) regressions were estimated; the variables for which instrumental equations were estimated were related to the participation of women to the workforce and to good health, as reported by people in the sample. Explanatory variables were related to age, gender, family factors (such as the number of family members and marital status) and socio-economic factors (such as education

  17. The Ostomy-Q: Development and Psychometric Validation of an Instrument to Evaluate Outcomes Associated with Ostomy Appliances.

    Science.gov (United States)

    Nafees, Beenish; Rasmussen, Mikkel; LLoyd, Andrew

    2017-01-01

    Using an ostomy appliance can affect many aspects of a person's health-related quality of life (HRQL). A 2-part, descrip- tive study was designed to develop and validate an instrument to assess quality-of-life outcomes related to ostomy ap- pliance use. Study inclusion/exclusion criteria stipulated participants should be 18 to 85 years of age, have an ileostomy or colostomy, used an appliance for a minimum of 3 months without assistance, and able to complete an online survey. All participants provided sociodemographic and clinical information. In phase 1, a literature search was conducted and existing instruments used to measure HRQL in persons with an ostomy were assessed. Subsequently, the Ostomy-Q, a 23-item, Likert-response type questionnaire, divided into 4 domains (Discreetness, Comfort, Confidence, and Social Life), was developed based on published evidence and existing ostomy-related HRQL tools. Seven (7) participants re- cruited from a manufacturer user panel took part in exploratory/cognitive qualitative interviews to refine the new quality- of-life questionnaire. In phase 2, the instrument was tested to assess item variability and conceptual structure, item-total correlation, internal consistency, test-retest reliability, sensitivity, and minimal important difference (MID) in an online validation study among 200 participants from the manufacturer's user panel (equally divided by gender, 125 [62.5%] >50 years old, 128 [64%] with an ileostomy). This exercise also included completion of the Stoma Quality of Life Question- naire and 2 domains from the Ostomy Adjustment Inventory-23 to assess convergent validity. Eighty-two (82) participants recompleted these study instruments 2 weeks later to assess test-retest reliability. Sociodemographic and clinical data were assessed using descriptive statistics; Cronbach's alpha was used for internal consistency (minimum 0.70), principle component analysis for item variability/conceptual structure, and item

  18. Intercomparison of radiation protection instrumentation in a pulsed neutron field

    Energy Technology Data Exchange (ETDEWEB)

    Caresana, M., E-mail: marco.caresana@polimi.it [Politecnico di Milano, CESNEF, Dipartimento di Energia, via Ponzio 34/3, 20133 Milano (Italy); Denker, A. [Helmholtz-Zentrum Berlin für Materialien und Energie, Hahn-Meitner-Platz 1, D-14109 Berlin (Germany); Esposito, A. [IFNF-LNF, FISMEL, via E. Fermi 40, 00044 Frascati (Italy); Ferrarini, M. [CNAO, Via Privata Campeggi, 27100 Pavia (Italy); Golnik, N. [Institute of Metrology and Biomedical Engineering, Warsaw University of Technology, Sw. A. Boboli 8, 02-525 Warsaw (Poland); Hohmann, E. [Paul Scherrer Institut (PSI), Radiation Metrology Section, CH-5232 Villigen PSI (Switzerland); Leuschner, A. [Deutsches Elektronen-Synchrotron DESY, Notkestr. 85, 22603 Hamburg (Germany); Luszik-Bhadra, M. [Physikalisch-Technische Bundesanstalt (PTB), Bundesallee 100, 38116 Braunschweig (Germany); Manessi, G. [CERN, 1211 Geneva 23 (Switzerland); University of Liverpool, Department of Physics, L69 7ZE Liverpool (United Kingdom); Mayer, S. [Paul Scherrer Institut (PSI), Radiation Metrology Section, CH-5232 Villigen PSI (Switzerland); Ott, K. [Helmholtz-Zentrum Berlin, BESSYII, Albert-Einstein-Str.15, 12489 Berlin (Germany); Röhrich, J. [Helmholtz-Zentrum Berlin für Materialien und Energie, Hahn-Meitner-Platz 1, D-14109 Berlin (Germany); Silari, M. [CERN, 1211 Geneva 23 (Switzerland); Trompier, F. [Institute for Radiological Protection and Nuclear Safety, F-92262 Fontenay aux Roses (France); Volnhals, M.; Wielunski, M. [Helmholtz Zentrum München, Ingolstädter Landstr. 1, D-85764 Neuherberg (Germany)

    2014-02-11

    In the framework of the EURADOS working group 11, an intercomparison of active neutron survey meters was performed in a pulsed neutron field (PNF). The aim of the exercise was to evaluate the performances of various neutron instruments, including commercially available rem-counters, personal dosemeters and instrument prototypes. The measurements took place at the cyclotron of the Helmholtz-Zentrum Berlin für Materialien und Energie GmbH. The cyclotron is routinely used for proton therapy of ocular tumours, but an experimental area is also available. For the therapy the machine accelerates protons to 68 MeV. The interaction of the proton beam with a thick tungsten target produces a neutron field with energy up to about 60 MeV. One interesting feature of the cyclotron is that the beam can be delivered in bursts, with the possibility to modify in a simple and flexible way the burst length and the ion current. Through this possibility one can obtain radiation bursts of variable duration and intensity. All instruments were placed in a reference position and irradiated with neutrons delivered in bursts of different intensity. The analysis of the instrument response as a function of the burst charge (the total electric charge of the protons in the burst shot onto the tungsten target) permitted to assess for each device the dose underestimation due to the time structure of the radiation field. The personal neutron dosemeters were exposed on a standard PMMA slab phantom and the response linearity was evaluated.

  19. Instrument comparison for Aerosolized Titanium Dioxide

    Science.gov (United States)

    Ranpara, Anand

    Recent toxicological studies have shown that the surface area of ultrafine particles (UFP i.e., particles with diameters less than 0.1 micrometer) has a stronger correlation with adverse health effects than does mass of these particles. Ultrafine titanium dioxide (TiO2) particles are widely used in industry, and their use is associated with adverse health outcomes, such as micro vascular dysfunctions and pulmonary damages. The primary aim of this experimental study was to compare a variety of laboratory and industrial hygiene (IH) field study instruments all measuring the same aerosolized TiO2. The study also observed intra-instrument variability between measurements made by two apparently identical devices of the same type of instrument placed side-by-side. The types of instruments studied were (1) DustTrak(TM) DRX, (2) Personal Data RAMs(TM) (PDR), (3) GRIMM, (4) Diffusion charger (DC) and (5) Scanning Mobility Particle Sizer (SMPS). Two devices of each of the four IH field study instrument types were used to measure six levels of mass concentration of fine and ultrafine TiO2 aerosols in controlled chamber tests. Metrics evaluated included real-time mass, active surface area and number/geometric surface area distributions, and off-line gravimetric mass and morphology on filters. DustTrak(TM) DRXs and PDRs were used for mass concentration measurements. DCs were used for active surface area concentration measurements. GRIMMs were used for number concentration measurements. SMPS was used for inter-instrument comparisons of surface area and number concentrations. The results indicated that two apparently identical devices of each DRX and PDR were statistically not different with each other for all the trials of both the sizes of powder (p < 5%). Mean difference between mass concentrations measured by two DustTrak DRX devices was smaller than that measured by two PDR devices. DustTrak DRX measurements were closer to the reference method, gravimetric mass concentration

  20. Performance evaluation of the microINR® point-of-care INR-testing system.

    Science.gov (United States)

    Joubert, J; van Zyl, M C; Raubenheimer, J

    2018-04-01

    Point-of-care International Normalised Ratio (INR) testing is used frequently. We evaluated the microINR ® POC system for accuracy, precision and measurement repeatability, and investigated instrument and test chip variability and error rates. Venous blood INRs of 210 patients on warfarin were obtained with Thromborel ® S on the Sysmex CS-2100i ® analyser and compared with capillary blood microINR ® values. Precision was assessed using control materials. Measurement repeatability was calculated on 51 duplicate finger-prick INRs. Triplicate finger-prick INRs using three different instruments (30 patients) and three different test chip lots (29 patients) were used to evaluate instrument and test chip variability. Linear regression analysis of microINR ® and Sysmex CS2100i ® values showed a correlation coefficient of 0.96 (P < .0001) and a positive proportional bias of 4.4%. Dosage concordance was 93.8% and clinical agreement 95.7%. All acceptance criteria based on ISO standard 17593:2007 system accuracy requirements were met. Control material coefficients of variation (CV) varied from 6.2% to 16.7%. The capillary blood measurement repeatability CV was 7.5%. No significant instrument (P = .93) or test chip (P = .81) variability was found, and the error rate was low (2.8%). The microINR ® instrument is accurate and precise for monitoring warfarin therapy. © 2017 John Wiley & Sons Ltd.

  1. Predicting College Women's Career Plans: Instrumentality, Work, and Family

    Science.gov (United States)

    Savela, Alexandra E.; O'Brien, Karen M.

    2016-01-01

    This study examined how college women's instrumentality and expectations about combining work and family predicted early career development variables. Specifically, 177 undergraduate women completed measures of instrumentality (i.e., traits such as ambition, assertiveness, and risk taking), willingness to compromise career for family, anticipated…

  2. Evaluation of 7Be fallout spatial variability

    International Nuclear Information System (INIS)

    Pinto, Victor Meriguetti

    2011-01-01

    The cosmogenic radionuclide beryllium-7 (Be) is produced in the atmosphere by cosmic particle reactions and is being used as a tracer for soil erosion and climatic processes research. After the production, 7 Be bonds to aerosol particles in the atmosphere and is deposited on the soil surface with other radionuclide species by rainfall. Because of the high adsorption on soil particles and its short half-life of 53.2 days, this radionuclide follows of the erosion process and can be used as a tracer to evaluate the sediment transport that occurs during a single rain event or short period of rain events. A key assumption for the erosion evaluation through this radiotracer is the uniformity of the spatial distribution of the 7 Be fallout. The 7 Be method was elaborated recently and due to its few applications, some assumptions related to the method were not yet properly investigated yet, and the hypothesis of 7 Be fallout uniformity needs to be evaluated. The aim of this study was to evaluate the 7 Be fallout spatial distribution through the rain water 7 Be activity analysis of the first five millimeters of single rain events. The rain water was sampled using twelve collectors distributed on an experimental area of about 300 m2 , located in the campus of Sao Paulo University, Piracicaba. The 7 Be activities were measured using a 53% efficiency gamma-ray spectrometer from the Radioisotope laboratory of CENA. The 7 Be activities in rain water varied from 0.26 to 1.81 Sq.L - 1, with the highest values in summer and lowest in spring. In each one of the 5 single events, the spatial variability of 7 Se activity in rain water was high, showing the high randomness of the fallout spatial distribution. A simulation using the 7 Be spatial variability values obtained here and 7 Se average reference inventories taken from the literature was performed determining the lowest detectable erosion rate estimated by 7 Be model. The importance of taking a representative number of samples to

  3. Evaluation applications of instrument calibration research findings in psychology for very small samples

    Science.gov (United States)

    Fisher, W. P., Jr.; Petry, P.

    2016-11-01

    Many published research studies document item calibration invariance across samples using Rasch's probabilistic models for measurement. A new approach to outcomes evaluation for very small samples was employed for two workshop series focused on stress reduction and joyful living conducted for health system employees and caregivers since 2012. Rasch-calibrated self-report instruments measuring depression, anxiety and stress, and the joyful living effects of mindfulness behaviors were identified in peer-reviewed journal articles. Items from one instrument were modified for use with a US population, other items were simplified, and some new items were written. Participants provided ratings of their depression, anxiety and stress, and the effects of their mindfulness behaviors before and after each workshop series. The numbers of participants providing both pre- and post-workshop data were low (16 and 14). Analysis of these small data sets produce results showing that, with some exceptions, the item hierarchies defining the constructs retained the same invariant profiles they had exhibited in the published research (correlations (not disattenuated) range from 0.85 to 0.96). In addition, comparisons of the pre- and post-workshop measures for the three constructs showed substantively and statistically significant changes. Implications for program evaluation comparisons, quality improvement efforts, and the organization of communications concerning outcomes in clinical fields are explored.

  4. Microprocessor-based, on-line decision aid for resolving conflicting nuclear reactor instrumentation

    International Nuclear Information System (INIS)

    Alesso, H.P.

    1981-01-01

    We describe one design for a microprocessor-based, on-line decision aid for identifying and resolving false, conflicting, or misleading instrument indications resulting from certain systems interactions for a pressurized water reactor. The system processes sensor signals from groups of instruments that track together under nominal transient and certain accident conditions, and alarms when they do not track together. We examine multiple-casualty systems interaction and formulate a trial grouping of variables that track together under specified conditions. A two-of-three type redundancy check of key variables provides alarm and indication of conflicting information when one signal suddenly tracks in opposition due to multiple casualty, instrument failure, and/or locally abnormal conditions. Since a vote count of two of three variables in conflict as inconclusive evidence, the system is not designed to provide tripping or corrective action, but improves the operator/instrument interface by providing additional and partially digested information

  5. Developing a Teacher Evaluation Instrument to Provide Formative Feedback Using Student Ratings of Teaching Acts

    Science.gov (United States)

    van der Lans, Rikkert M.; van de Grift, Wim J. C. M.; van Veen, Klaas

    2015-01-01

    This study reports on the development of a teacher evaluation instrument, based on students' observations, which exhibits cumulative ordering in terms of the complexity of teaching acts. The study integrates theory on teacher development with theory on teacher effectiveness and applies a cross-validation procedure to verify whether teaching acts…

  6. Alternative Approaches to Evaluation in Empirical Microeconomics

    Science.gov (United States)

    Blundell, Richard; Dias, Monica Costa

    2009-01-01

    This paper reviews some of the most popular policy evaluation methods in empirical microeconomics: social experiments, natural experiments, matching, instrumental variables, discontinuity design, and control functions. It discusses identification of traditionally used average parameters and more complex distributional parameters. The adequacy,…

  7. An In Vitro Evaluation of Alumina, Zirconia, and Lithium Disilicate Surface Roughness Caused by Two Scaling Instruments.

    Science.gov (United States)

    Vigolo, Paolo; Buzzo, Ottavia; Buzzo, Maurizio; Mutinelli, Sabrina

    2017-02-01

    Plaque control is crucial for the prevention of inflammatory periodontal disease. Hand scaling instruments have been shown to be efficient for the removal of plaque; however, routine periodontal prophylactic procedures may modify the surface profile of restorative materials. The purpose of this study was to assess in vitro the changes in roughness of alumina, zirconia, and lithium disilicate surfaces treated by two hand scaling instruments. Forty-eight alumina specimens, 48 zirconia specimens, and 48 lithium disilicate specimens, were selected. All specimens were divided into three groups of 16 each; one group for each material was considered the control group and no scaling procedures were performed; the second group of each material was exposed to scaling with steel curettes simulating standard clinical conditions; the third group of each material was exposed to scaling with titanium curettes. After scaling, the surface roughness of the specimens was evaluated with a profilometer. First, a statistical test was carried out to evaluate the difference in surface roughness before the scaling procedure of the three materials was effected (Kruskal-Wallis test). Subsequently, the effect of curette material (steel and titanium) on roughness difference and roughness ratio was analyzed throughout the entire sample and within each material group, and a nonparametric test for dependent values was conducted (Wilcoxon signed-rank test). Finally, the roughness ratios of the three material groups were compared by means of a Kruskal-Wallis test and a Wilcoxon signed-rank test. Upon completion of profilometric evaluation, representative specimens from each group were prepared for SEM evaluation to evaluate the effects of the two scaling systems on the different surfaces qualitatively. After scaling procedure, the roughness profile value increased in all disks. Classifying the full sample according to curette used, the roughness of the disks treated with a steel curette reached a

  8. The patient assessment questionnaire: a new instrument for evaluating the interpersonal skills of vocational dental practitioners.

    Science.gov (United States)

    Hurst, Y K; Prescott-Clements, L E; Rennie, J S

    2004-10-23

    This paper describes a pilot study aimed at evaluating a new instrument, the patient assessment questionnaire (PAQ), which uses patient ratings for the assessment of communication skills and professionalism in vocational practitioners (VDPs). The PAQ was developed as part of an assessment system designed to address all round competence. Acohort of 99 VDPs took part in the study. Questionnaires were distributed to consecutive patients in the general dental service at two time points in the training year. Data from the pilot study was analysed to determine whether the PAQ fulfilled the criteria for robust assessment. Results provide evidence of high levels of reliability, validity and feasibility of the PAQ instrument. All indications to date suggest that the PAQ will prove to be a valuable assessment tool. It is currently being evaluated as part of the system used to assess the all round competence of dental graduates undertaking vocational training in Scotland.

  9. Bridging the Educational Research-Teaching Practice Gap: Tools for Evaluating the Quality of Assessment Instruments

    Science.gov (United States)

    Anderson, Trevor R.; Rogan, John M.

    2010-01-01

    Student assessment is central to the educational process and can be used for multiple purposes including, to promote student learning, to grade student performance and to evaluate the educational quality of qualifications. It is, therefore, of utmost importance that assessment instruments are of a high quality. In this article, we present various…

  10. Novel Scanning Lens Instrument for Evaluating Fresnel Lens Performance: Equipment Development and Initial Results (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    Herrero, R.; Miller, D. C.; Kurtz, S. R.; Anton, I.; Sala, G.

    2013-07-01

    A system dedicated to the optical transmittance characterization of Fresnel lenses has been developed at NREL, in collaboration with the UPM. The system quantifies the optical efficiency of the lens by generating a performance map. The shape of the focused spot may also be analyzed to understand change in the lens performance. The primary instrument components (lasers and CCD detector) have been characterized to confirm their capability for performing optical transmittance measurements. Measurements performed on SoG and PMMA lenses subject to a variety of indoor conditions (e.g., UV and damp heat) identified differences in the optical efficiency of the evaluated lenses, demonstrating the ability of the Scanning Lens Instrument (SLI) to distinguish between the aged lenses.

  11. Experimental evaluation on the influence of autoclave sterilization on the cyclic fatigue of new nickel-titanium rotary instruments.

    Science.gov (United States)

    Plotino, Gianluca; Costanzo, Alberto; Grande, Nicola M; Petrovic, Renata; Testarelli, Luca; Gambarini, Gianluca

    2012-02-01

    The purpose of this study was to evaluate the effect of autoclave sterilization on cyclic fatigue resistance of rotary endodontic instruments made of traditional and new nickel-titanium (NiTi) alloys. Four NiTi rotary endodontic instruments of the same size (tip diameter 0.40 mm and constant .04 taper) were selected: K3, Mtwo, Vortex, and K3 XF prototypes. Each group was then divided into 2 subgroups, unsterilized instruments and sterilized instruments. The sterilized instruments were subjected to 10 cycles of autoclave sterilization. Twelve files from each different subgroup were tested for cyclic fatigue resistance. Means and standard deviations of number of cycles to failure (NCF) and fragment length of the fractured tip were calculated for each group, and data were statistically analyzed (P instruments for each type of file, differences were statistically significant (P instruments did not show significant differences (P > .05) in the mean NCF as a result of sterilization cycles (K3, 424 versus 439 NCF; Mtwo, 409 versus 419 NCF; Vortex, 454 versus 480 NCF). Comparing the results among the different groups, K3 XF (either sterilized or not) showed a mean NCF significantly higher than all other files (P endodontic instruments except for the K3 XF prototypes of rotary instruments that demonstrated a significant increase of cyclic fatigue resistance. Copyright © 2012 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  12. Evaluation of robotically controlled advanced endoscopic instruments

    NARCIS (Netherlands)

    Reilink, Rob; Kappers, Astrid M.L.; Stramigioli, Stefano; Misra, Sarthak

    Background Advanced flexible endoscopes and instruments with multiple degrees of freedom enable physicians to perform challenging procedures such as the removal of large sections of mucosal tissue. However, these advanced endoscopes are difficult to control and require several physicians to

  13. Clinical and Radiographic Evaluation of Procedural Errors during Preparation of Curved Root Canals with Hand and Rotary Instruments: A Randomized Clinical Study

    Science.gov (United States)

    Khanna, Rajesh; Handa, Aashish; Virk, Rupam Kaur; Ghai, Deepika; Handa, Rajni Sharma; Goel, Asim

    2017-01-01

    Background: The process of cleaning and shaping the canal is not an easy goal to obtain, as canal curvature played a significant role during the instrumentation of the curved canals. Aim: The present in vivo study was conducted to evaluate procedural errors during the preparation of curved root canals using hand Nitiflex and rotary K3XF instruments. Materials and Methods: Procedural errors such as ledge formation, instrument separation, and perforation (apical, furcal, strip) were determined in sixty patients, divided into two groups. In Group I, thirty teeth in thirty patients were prepared using hand Nitiflex system, and in Group II, thirty teeth in thirty patients were prepared using K3XF rotary system. The evaluation was done clinically as well as radiographically. The results recorded from both groups were compiled and put to statistical analysis. Statistical Analysis: Chi-square test was used to compare the procedural errors (instrument separation, ledge formation, and perforation). Results: In the present study, both hand Nitiflex and rotary K3XF showed ledge formation and instrument separation. Although ledge formation and instrument separation by rotary K3XF file system was less as compared to hand Nitiflex. No perforation was seen in both the instrument groups. Conclusion: Canal curvature played a significant role during the instrumentation of the curved canals. Procedural errors such as ledge formation and instrument separation by rotary K3XF file system were less as compared to hand Nitiflex. PMID:29042727

  14. Scale Reliability Evaluation with Heterogeneous Populations

    Science.gov (United States)

    Raykov, Tenko; Marcoulides, George A.

    2015-01-01

    A latent variable modeling approach for scale reliability evaluation in heterogeneous populations is discussed. The method can be used for point and interval estimation of reliability of multicomponent measuring instruments in populations representing mixtures of an unknown number of latent classes or subpopulations. The procedure is helpful also…

  15. Interobserver variability in the evaluation of mismatch repair protein immunostaining

    DEFF Research Database (Denmark)

    Klarskov, Louise Laurberg; Ladelund, Steen; Holck, Susanne

    2010-01-01

    Immunohistochemical staining for mismatch repair proteins has during recent years been established as a routine analysis in many pathology laboratories with the aim to identify tumors linked to the hereditary nonpolyposis colorectal cancer syndrome. Despite widespread application, data on reliabi......Immunohistochemical staining for mismatch repair proteins has during recent years been established as a routine analysis in many pathology laboratories with the aim to identify tumors linked to the hereditary nonpolyposis colorectal cancer syndrome. Despite widespread application, data...... on reliability are lacking. We therefore evaluated interobserver variability among 6 pathologists, 3 experienced gastrointestinal pathologists and 3 residents. In total, 225 immunohistochemically stained colorectal cancers were evaluated as having normal, weak, loss of, or nonevaluable mismatch repair protein...... variability was considerable, though experienced pathologists and residents reached the same level of consensus. Because results from immunohistochemical mismatch repair protein stainings are used for decisions on mutation analysis and as an aid in the interpretation of gene variants of unknown significance...

  16. Teacher and Student Variables Affecting Special Education Evaluation and Referral

    Science.gov (United States)

    Woodson, Lorenzo Adrian

    2017-01-01

    Past research has revealed that African American/Black boys are referred for special education evaluation at disproportionately higher rates than boys of other racial/ethnic groups. This correlational study used survey methodology to examine whether student and teacher demographic variables predicted how likely a teacher would refer boy students…

  17. Evaluation of the Self-Adjusting File system (SAF) for the instrumentation of primary molar root canals: a micro-computed tomographic study.

    Science.gov (United States)

    Kaya, E; Elbay, M; Yiğit, D

    2017-06-01

    The Self-Adjusting File (SAF) system has been recommended for use in permanent teeth since it offers more conservative and effective root-canal preparation when compared to traditional rotary systems. However, no study had evaluated the usage of SAF in primary teeth. The aim of this study was to evaluate and compare the use of SAF, K file (manual instrumentation) and Profile (traditional rotary instrumentation) systems for primary-tooth root-canal preparation in terms of instrumentation time and amounts of dentin removed using micro-computed tomography (μCT) technology. Study Design: The study was conducted with 60 human primary mandibular second molar teeth divided into 3 groups according to instrumentation technique: Group I: SAF (n=20); Group II: K file (n=20); Group III; Profile (n=20). Teeth were embedded in acrylic blocks and scanned with a μCT scanner prior to instrumentation. All distal root canals were prepared up to size 30 for K file,.04/30 for Profile and 2 mm thickness, size 25 for SAF; instrumentation time was recorded for each tooth, and a second μCT scan was performed after instrumentation was complete. Amounts of dentin removed were measured using the three-dimensional images by calculating the difference in root-canal volume before and after preparation. Data was statistically analysed using the Kolmogorov-Smirnov and Kruskal-Wallis tests. Manual instrumentation (K file) resulted in significantly more dentin removal when compared to rotary instrumentation (Profile and SAF), while the SAF system generated significantly less dentin removal than both manual instrumentation (K file) and traditional rotary instrumentation (Profile) (psystems. Within the experimental conditions of the present study, the SAF seems as a useful system for root-canal instrumentation in primary molars because it removed less dentin than other systems, which is especially important for the relatively thin-walled canals of primary teeth, and because it involves less

  18. A Miniaturized Variable Pressure Scanning Electron Microscope (MVP-SEM) for the Surface of Mars: An Instrument for the Planetary Science Community

    Science.gov (United States)

    Edmunson, J.; Gaskin, J. A.; Danilatos, G.; Doloboff, I. J.; Effinger, M. R.; Harvey, R. P.; Jerman, G. A.; Klein-Schoder, R.; Mackie, W.; Magera, B.; hide

    2016-01-01

    The Miniaturized Variable Pressure Scanning Electron Microscope(MVP-SEM) project, funded by the NASA Planetary Instrument Concepts for the Advancement of Solar System Observations (PICASSO) Research Opportunities in Space and Earth Science (ROSES), will build upon previous miniaturized SEM designs for lunar and International Space Station (ISS) applications and recent advancements in variable pressure SEM's to design and build a SEM to complete analyses of samples on the surface of Mars using the atmosphere as an imaging medium. By the end of the PICASSO work, a prototype of the primary proof-of-concept components (i.e., the electron gun, focusing optics and scanning system)will be assembled and preliminary testing in a Mars analog chamber at the Jet Propulsion Laboratory will be completed to partially fulfill Technology Readiness Level to 5 requirements for those components. The team plans to have Secondary Electron Imaging(SEI), Backscattered Electron (BSE) detection, and Energy Dispersive Spectroscopy (EDS) capabilities through the MVP-SEM.

  19. Psychometric Evaluation of a New Instrument to Evaluate School Nurses' Perceptions on Concussion Care Management.

    Science.gov (United States)

    Schneider, Kathleen H

    2017-10-01

    The rate of concussions in adolescents has risen over the last decade, resulting in cognitive and emotional problems. Neurologists recommend cognitive and physical rest during the recovery period, followed by a transitional return-to-classroom protocol. The purpose of the study was to develop and test an instrument that explores the beliefs and roles of school nurses in concussion care management. The instrument was a cross-sectional descriptive survey based on the theory of planned behavior, using Qualtrics®. The psychometric properties of the instrument were assessed through exploratory factor analysis with orthogonal rotation. The reliability of the instrument was assessed for internal consistency reliability using Cronbach's α. Kaiser-Meyer-Olkin for sample adequacy was .8; Cronbach's α strong (.851).

  20. CT evaluation of canal preparation using rotary and hand NI-TI instruments: An in vitro study.

    Science.gov (United States)

    Nagaraja, Shruthi; Sreenivasa Murthy, B V

    2010-01-01

    Controlled, uniformly tapered radicular preparation is a great challenge in endodontics. Improper preparation can lead to procedural errors like transportation of foramen, uneven dentine thickness, stripping of root canal, formation of ledge, zip, and elbow in curved canals. These procedural errors and their sequel can adversely affect the prognosis of treatment. The present in vitro study aims to evaluate canal preparation based on the following factors: canal transportation, remaining dentine thickness and comparing centering ability between hand Ni-Ti K files and ProTaper rotary Ni-Ti instruments using computed tomography (CT). For evaluation, 30 mesiobuccal roots of maxillary molars were selected. Of these, 15 roots were distributed into two groups where Group 1 included hand instrumentation with Ni-Ti K-files; and Group 2 comprised ProTaper NiTi rotary system. Pre instrumentation and post instrumentation three-dimensional CT images were obtained from root cross-sections that were 1 mm thick from apex to the canal orifice; scanned images were then superimposed and compared. It was observed that the manual technique using hand Ni-Ti K-file produced lesser canal transportation and maintained greater dentine thickness than the rotary ProTaper technique at middle and coronal third and this difference was statistically significant. No significant difference was seen with regard to canal transportation and remaining root dentine at apical levels. With regard to centering ratio, no significant difference was seen between both the groups at all levels. ProTaper should be used judiciously, especially in curved canals, as it causes higher canal transportation and thinning of root dentine at middle and coronal levels. None of the groups showed optimal centering ability.

  1. An Ultrasonic Backscatter Instrument for Cancellous Bone Evaluation in Neonates

    Directory of Open Access Journals (Sweden)

    Chengcheng Liu

    2015-09-01

    Full Text Available Ultrasonic backscatter technique has shown promise as a noninvasive cancellous bone assessment tool. A novel ultrasonic backscatter bone diagnostic (UBBD instrument and an in vivo application for neonatal bone evaluation are introduced in this study. The UBBD provides several advantages, including noninvasiveness, non-ionizing radiation, portability, and simplicity. In this study, the backscatter signal could be measured within 5 s using the UBBD. Ultrasonic backscatter measurements were performed on 467 neonates (268 males and 199 females at the left calcaneus. The backscatter signal was measured at a central frequency of 3.5 MHz. The delay (T1 and duration (T2 of the backscatter signal of interest (SOI were varied, and the apparent integrated backscatter (AIB, frequency slope of apparent backscatter (FSAB, zero frequency intercept of apparent backscatter (FIAB, and spectral centroid shift (SCS were calculated. The results showed that the SOI selection had a direct influence on cancellous bone evaluation. The AIB and FIAB were positively correlated with the gestational age (|R| up to 0.45, P10 µs. Moderate positive correlations (|R| up to 0.45, P10 µs. The T2 mainly introduced fluctuations in the observed correlation coefficients. The moderate correlations observed with UBBD demonstrate the feasibility of using the backscatter signal to evaluate neonatal bone status. This study also proposes an explicit standard for in vivo SOI selection and neonatal cancellous bone assessment.

  2. Importance of fruit variability in the assessment of apple quality by sensory evaluation

    DEFF Research Database (Denmark)

    Bavay, Cécile; Symoneaux, Ronan; Maître, Isabelle

    2013-01-01

    cultivars, apples were sorted into homogenous acoustic firmness categories within each cultivar. The discrimination ability of the trained panel was observed not only between cultivars but also within each cultivar for crunchiness, firmness, juiciness and acidity. Following these results, a mixed......The assessment of produce quality is a major aspect of applied postharvest biology. Horticultural researchers working on organoleptic quality of fruit need objective methods for the evaluation of sensory properties. The development of sensory methodologies specifically for apples highlighted...... the problem of handling variation due to fruit variability and assessor differences. The aim of this study was to investigate the weight of within-batch variability in sensory evaluation of apples and to propose a methodology that accounts for this variability. Prior to sensory analysis, for three apple...

  3. Investigation of load reduction for a variable speed, variable pitch, and variable coning wind turbine

    Energy Technology Data Exchange (ETDEWEB)

    Pierce, K. [Univ. of Utah, Salt Lake City, UT (United States)

    1997-12-31

    A two bladed, variable speed and variable pitch wind turbine was modeled using ADAMS{reg_sign} to evaluate load reduction abilities of a variable coning configuration as compared to a teetered rotor, and also to evaluate control methods. The basic dynamic behavior of the variable coning turbine was investigated and compared to the teetered rotor under constant wind conditions as well as turbulent wind conditions. Results indicate the variable coning rotor has larger flap oscillation amplitudes and much lower root flap bending moments than the teetered rotor. Three methods of control were evaluated for turbulent wind simulations. These were a standard IPD control method, a generalized predictive control method, and a bias estimate control method. Each control method was evaluated for both the variable coning configuration and the teetered configuration. The ability of the different control methods to maintain the rotor speed near the desired set point is evaluated from the RMS error of rotor speed. The activity of the control system is evaluated from cycles per second of the blade pitch angle. All three of the methods were found to produce similar results for the variable coning rotor and the teetered rotor, as well as similar results to each other.

  4. Novel seismic instrumentation for nuclear power plants

    International Nuclear Information System (INIS)

    Bolleter, W.; Savary, C.

    1998-01-01

    Conforming to the latest issues of the Nuclear Regulatory Commission Regulatory Guide, a novel hardware and software solution for seismic instrumentation is presented. Both instrumentation and PC-based data evaluation software for post-earthquake actions are type-tested and approved by the German TUeV. Reference installations replacing obsolete analog instrumentation were successfully completed and are presented. The instrumentation consists of highly linear, solid-state capacitive accelerometers as well as digital recorders storing the signals from the sensors in situ. These recorders are linked in a star-topology network to a central unit that permanently communicates with them via fiber-optic cable or current-loop links. The central unit is responsible for alerting and synchronizes all recorders which otherwise act autonomously. Data evaluation is handled by a PC-based software package. It includes automatic data evaluation after earthquakes (batch mode), interactive data evaluation software for detailed data analysis, and software tools for remote operation, maintenance and data storage. (author)

  5. A critical appraisal of instruments to measure outcomes of interprofessional education.

    Science.gov (United States)

    Oates, Matthew; Davidson, Megan

    2015-04-01

    Interprofessional education (IPE) is believed to prepare health professional graduates for successful collaborative practice. A range of instruments have been developed to measure the outcomes of IPE. An understanding of the psychometric properties of these instruments is important if they are to be used to measure the effectiveness of IPE. This review set out to identify instruments available to measure outcomes of IPE and collaborative practice in pre-qualification health professional students and to critically appraise the psychometric properties of validity, responsiveness and reliability against contemporary standards for instrument design. Instruments were selected from a pool of extant instruments and subjected to critical appraisal to determine whether they satisfied inclusion criteria. The qualitative and psychometric attributes of the included instruments were appraised using a checklist developed for this review. Nine instruments were critically appraised, including the widely adopted Readiness for Interprofessional Learning Scale (RIPLS) and the Interdisciplinary Education Perception Scale (IEPS). Validity evidence for instruments was predominantly based on test content and internal structure. Ceiling effects and lack of scale width contribute to the inability of some instruments to detect change in variables of interest. Limited reliability data were reported for two instruments. Scale development and scoring protocols were generally reported by instrument developers, but the inconsistent application of scoring protocols for some instruments was apparent. A number of instruments have been developed to measure outcomes of IPE in pre-qualification health professional students. Based on reported validity evidence and reliability data, the psychometric integrity of these instruments is limited. The theoretical test construction paradigm on which instruments have been developed may be contributing to the failure of some instruments to detect change in

  6. Combining fixed effects and instrumental variable approaches for estimating the effect of psychosocial job quality on mental health: evidence from 13 waves of a nationally representative cohort study.

    Science.gov (United States)

    Milner, Allison; Aitken, Zoe; Kavanagh, Anne; LaMontagne, Anthony D; Pega, Frank; Petrie, Dennis

    2017-06-23

    Previous studies suggest that poor psychosocial job quality is a risk factor for mental health problems, but they use conventional regression analytic methods that cannot rule out reverse causation, unmeasured time-invariant confounding and reporting bias. This study combines two quasi-experimental approaches to improve causal inference by better accounting for these biases: (i) linear fixed effects regression analysis and (ii) linear instrumental variable analysis. We extract 13 annual waves of national cohort data including 13 260 working-age (18-64 years) employees. The exposure variable is self-reported level of psychosocial job quality. The instruments used are two common workplace entitlements. The outcome variable is the Mental Health Inventory (MHI-5). We adjust for measured time-varying confounders. In the fixed effects regression analysis adjusted for time-varying confounders, a 1-point increase in psychosocial job quality is associated with a 1.28-point improvement in mental health on the MHI-5 scale (95% CI: 1.17, 1.40; P variable analysis, a 1-point increase psychosocial job quality is related to 1.62-point improvement on the MHI-5 scale (95% CI: -0.24, 3.48; P = 0.088). Our quasi-experimental results provide evidence to confirm job stressors as risk factors for mental ill health using methods that improve causal inference. © The Author 2017. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  7. Psychometric Evaluation of the D-Catch, an Instrument to Measure the Accuracy of Nursing Documentation.

    Science.gov (United States)

    D'Agostino, Fabio; Barbaranelli, Claudio; Paans, Wolter; Belsito, Romina; Juarez Vela, Raul; Alvaro, Rosaria; Vellone, Ercole

    2017-07-01

    To evaluate the psychometric properties of the D-Catch instrument. A cross-sectional methodological study. Validity and reliability were estimated with confirmatory factor analysis (CFA) and internal consistency and inter-rater reliability, respectively. A sample of 250 nursing documentations was selected. CFA showed the adequacy of a 1-factor model (chronologically descriptive accuracy) with an outlier item (nursing diagnosis accuracy). Internal consistency and inter-rater reliability were adequate. The D-Catch is a valid and reliable instrument for measuring the accuracy of nursing documentation. Caution is needed when measuring diagnostic accuracy since only one item measures this dimension. The D-Catch can be used as an indicator of the accuracy of nursing documentation and the quality of nursing care. © 2015 NANDA International, Inc.

  8. Cardiovascular variability and introversion/extroversion, neuroticism and psychoticism.

    Science.gov (United States)

    Burdick, J A; Van Dyck, B; Von Bargen, W J

    1982-01-01

    Forty-eight subjects were measured during a 10 min rest period for pulse wave velocity (PWV) and heart rate (HR) level and variability, using a Cyborg BL 907 instrument. These subjects were also evaluated by means of the Eysenck Personality Questionnaire for I-E, N, P and L. These data were factor analyzed. Five factors were identified which were accounted for 80.6% of the variance. These factors were: 'cardiovascular lability', 'heart rate time trends', 'cardiovascular balance', 'sex effects' and 'self reports'. The EPQ measurements separated from the physiological measurements in the factor analysis and none were found to be significantly loaded on any physiological variables. On the other hand, significant physiological correlations were found with N. This study adds a possible blood pressure and heart rate descripter to N.

  9. Instrument validation project

    International Nuclear Information System (INIS)

    Reynolds, B.A.; Daymo, E.A.; Geeting, J.G.H.; Zhang, J.

    1996-06-01

    Westinghouse Hanford Company Project W-211 is responsible for providing the system capabilities to remove radioactive waste from ten double-shell tanks used to store radioactive wastes on the Hanford Site in Richland, Washington. The project is also responsible for measuring tank waste slurry properties prior to injection into pipeline systems, including the Replacement of Cross-Site Transfer System. This report summarizes studies of the appropriateness of the instrumentation specified for use in Project W-211. The instruments were evaluated in a test loop with simulated slurries that covered the range of properties specified in the functional design criteria. The results of the study indicate that the compact nature of the baseline Project W-211 loop does not result in reduced instrumental accuracy resulting from poor flow profile development. Of the baseline instrumentation, the Micromotion densimeter, the Moore Industries thermocouple, the Fischer and Porter magnetic flow meter, and the Red Valve Pressure transducer meet the desired instrumental accuracy. An alternate magnetic flow meter (Yokagawa) gave nearly identical results as the baseline fischer and Porter. The Micromotion flow meter did not meet the desired instrument accuracy but could potentially be calibrated so that it would meet the criteria. The Nametre on-line viscometer did not meet the desired instrumental accuracy and is not recommended as a quantitative instrument although it does provide qualitative information. The recommended minimum set of instrumentation necessary to ensure the slurry meets the Project W-058 acceptance criteria is the Micromotion mass flow meter and delta pressure cells

  10. VOLUMETRIC METHOD FOR EVALUATION OF BEACHES VARIABILITY BASED ON GIS-TOOLS

    Directory of Open Access Journals (Sweden)

    V. V. Dolotov

    2015-01-01

    Full Text Available In frame of cadastral beach evaluation the volumetric method of natural variability index is proposed. It base on spatial calculations with Cut-Fill method and volume accounting ofboththe common beach contour and specific areas for the each time.

  11. The use of a combination of instrumental methods to assess change in sensory crispness during storage of a "Honeycrisp" apple breeding family.

    Science.gov (United States)

    Chang, Hsueh-Yuan; Vickers, Zata M; Tong, Cindy B S

    2018-04-01

    Loss of crispness in apple fruit during storage reduces the fruit's fresh sensation and consumer acceptance. Apple varieties that maintain crispness thus have higher potential for longer-term consumer appeal. To efficiently phenotype crispness, several instrumental methods have been tested, but variable results were obtained when different apple varieties were assayed. To extend these studies, we assessed the extent to which instrumental measurements correlate to and predict sensory crispness, with a focus on crispness maintenance. We used an apple breeding family derived from a cross between "Honeycrisp" and "MN1764," which segregates for crispness maintenance. Three types of instrumental measurements (puncture, snapping, and mechanical-acoustic tests) and sensory evaluation were performed on fruit at harvest and after 8 weeks of cold storage. Overall, 20 genotypes from the family and the 2 parents were characterized by 19 force and acoustic measures. In general, crispness was more related to force than to acoustic measures. Force linear distance and maximum force as measured by the mechanical-acoustic test were best correlated with sensory crispness and change in crispness, respectively. The correlations varied by apple genotype. The best multiple linear regression model to predict change in sensory crispness between harvest and storage of fruit of this breeding family incorporated both force and acoustic measures. This work compared the abilities of instrumental tests to predict sensory crispness maintenance of apple fruit. The use of an instrumental method that is highly correlated to sensory crispness evaluation can enhance the efficiency and reduce the cost of measuring crispness for breeding purposes. This study showed that sensory crispness and change in crispness after storage of an apple breeding family were reliably predicted with a combination of instrumental measurements and multiple variable analyses. The strategy potentially can be applied to other

  12. Instruments to assess integrated care

    DEFF Research Database (Denmark)

    Lyngsø, Anne Marie; Godtfredsen, Nina Skavlan; Høst, Dorte

    2014-01-01

    INTRODUCTION: Although several measurement instruments have been developed to measure the level of integrated health care delivery, no standardised, validated instrument exists covering all aspects of integrated care. The purpose of this review is to identify the instruments concerning how to mea...... was prevalent. It is uncertain whether development of a single 'all-inclusive' model for assessing integrated care is desirable. We emphasise the continuing need for validated instruments embedded in theoretical contexts.......INTRODUCTION: Although several measurement instruments have been developed to measure the level of integrated health care delivery, no standardised, validated instrument exists covering all aspects of integrated care. The purpose of this review is to identify the instruments concerning how...... to measure the level of integration across health-care sectors and to assess and evaluate the organisational elements within the instruments identified. METHODS: An extensive, systematic literature review in PubMed, CINAHL, PsycINFO, Cochrane Library, Web of Science for the years 1980-2011. Selected...

  13. Active Radiation Level Measurement on New Laboratory Instrument for Evaluating the Antibacterial Activity of Radioisotope

    International Nuclear Information System (INIS)

    Joh, Eunha; Park, Jang Guen

    2014-01-01

    A disc method has been widely used to measure the antibacterial effect of chemical agents. However, it is difficult to measure the antibacterial effect of radioisotopes using a disc method. A disc method is a method for diffusing a drug by placing the drug containing disc on the medium. In this method, radioisotopes are diffused on the medium and it is difficult to measure the exact effect by radiation. Thus, new laboratory equipment needs to evaluate the antibacterial activity by the radioisotopes. In this study, we measured the radiation level of radioisotopes on a new laboratory instrument using a MCNP. A disc method has been widely used to measure the antibacterial effect of chemical agents. This method uses a drug diffusion system for the measurement of anti-bacterial antibiotics. To measure the antimicrobial activity of a radioisotope, a new type of laboratory instrument is necessary to prevent the drug from spreading. The radioisotopes are used to diagnose and treat cancer. However, studies for anti-biotical use have not progressed. The radiation of radioisotopes has the effect of killing bacteria. Before this study proceeds further, it is necessary to be able to measure the antimicrobial activity of the radioisotope easily in the laboratory. However, in this study, it was possible to measure the antimicrobial activity of the radioisotope in the laboratory using a new laboratory instrument. We intend to start evaluation studies of the antibacterial activity of specific radioisotopes. In addition, it will be possible to develop research to overcome diseases caused by bacteria in the future

  14. Active Radiation Level Measurement on New Laboratory Instrument for Evaluating the Antibacterial Activity of Radioisotope

    Energy Technology Data Exchange (ETDEWEB)

    Joh, Eunha; Park, Jang Guen [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2014-05-15

    A disc method has been widely used to measure the antibacterial effect of chemical agents. However, it is difficult to measure the antibacterial effect of radioisotopes using a disc method. A disc method is a method for diffusing a drug by placing the drug containing disc on the medium. In this method, radioisotopes are diffused on the medium and it is difficult to measure the exact effect by radiation. Thus, new laboratory equipment needs to evaluate the antibacterial activity by the radioisotopes. In this study, we measured the radiation level of radioisotopes on a new laboratory instrument using a MCNP. A disc method has been widely used to measure the antibacterial effect of chemical agents. This method uses a drug diffusion system for the measurement of anti-bacterial antibiotics. To measure the antimicrobial activity of a radioisotope, a new type of laboratory instrument is necessary to prevent the drug from spreading. The radioisotopes are used to diagnose and treat cancer. However, studies for anti-biotical use have not progressed. The radiation of radioisotopes has the effect of killing bacteria. Before this study proceeds further, it is necessary to be able to measure the antimicrobial activity of the radioisotope easily in the laboratory. However, in this study, it was possible to measure the antimicrobial activity of the radioisotope in the laboratory using a new laboratory instrument. We intend to start evaluation studies of the antibacterial activity of specific radioisotopes. In addition, it will be possible to develop research to overcome diseases caused by bacteria in the future.

  15. Clinical Evaluation of Quality of Obturation and Instrumentation Time using Two Modified Rotary File Systems with Manual Instrumentation in Primary Teeth.

    Science.gov (United States)

    Govindaraju, Lavanya; Jeevanandan, Ganesh; Subramanian, Emg

    2017-09-01

    Pulp therapy in primary teeth has been performed using various instrumentation techniques. However, the conventional instrumentation technique used for root canal preparation in primary teeth is hand instrumentation. Various Nickel-Titanium (Ni-Ti) instruments are available to perform efficient root canal preparation in primary teeth. These Ni-Ti instruments has been designed to aid in better root canal preparation in permanent teeth but are rarely used in primary teeth. It is necessary to assess the feasibility of using these adult rotary files with a modified sequence in primary teeth. To compare the quality of obturation and instrumentation time during root canal preparation using hand files and modified rotary file systems in primary molars. Forty-five primary mandibular molars were randomly assigned to three experimental groups (n=15). Group I was instrumented using k-hand files, Group II with S2 ProTaper universal file and Group III with 0.25 tip 4% taper K3 rotary file. Standardized digital radiographs were taken before and after root canal instrumentation. Root canal preparation time was also recorded. Statistical analysis of the obtained data was done using SPSS Software version 17.0. An intergroup comparison of the instrumentation time and the quality of obturation was done using ANOVA and Chi-square test with the level of significance set at 0.05. No significant differences were noted with regard to the quality of obturation (p=0.791). However, a statistically significant difference was noted in the instrumentation time between the three groups (pProTaper rotary system had significantly lesser instrumentation time when compared to that of K3 rotary system and hand file system. The hand files, S2 ProTaper Universal and K3 0.25 tip 4% taper files systems performed similarly with respect to the quality of obturation. There was a significant difference in instrumentation time with manual instrumentation compared to the modified rotary file systems in primary

  16. Use of the Aromascan(TM) Instrument for Nonsubjective Evaluation of Rodent Spaceflight Hardware

    Science.gov (United States)

    Scribner, K. A.; Steele, M. K.; Hinds, W. E.; Dalton, Bonnie P. (Technical Monitor)

    1997-01-01

    This report describes the verification and utilization of the AromaScan(TM) (Hollis, NH) instrument for the ground-based evaluation of odor containment by various spaceflight habitats developed at NASA's Ames Research Center (ARC). The AromaScan(TM) instrument is an electronic odor detection system consisting of 32 polymer sensors that respond differentially to 10 different chemical groups present in an air sample. The AromaScan(TM) system also includes neural network software for constructing a database of known odors, against which an unknown odor can be compared. At present, the standard method for characterizing rodent odor containment during the development and testing of spaceflight hardware is the use of a human odor assessment panel. However, this can be a very time consuming and costly process, and the results are inherently subjective. The AromaScan(TM) system should produce more consistent and objective results, as well as a cost savings in the long term. To test and verify the AromaScan(TM) instrument, daily air samples will be collected from the exhaust port of rodent habitats, during experiment development tests, then injected into the instrument and used to create a database of recognizable odors. Human sniff tests will be performed in conjunction with the AromaScan(TM) analysis, and the results will be correlated. We will then teach the neural network to differentiate between an acceptable and an unacceptable odor profile, as defined by the human sniff test, and to be able to accurately identify an odor that would not pass a sniff panel. The results of our efforts will be to verify that the AromaScan(TM) system is a valuable alternative to human sniff panel assessments for the early iterative process of designing and testing rodent waste filters for spaceflight. Acceptance by a human panel will remain one of the final criteria for successful rodent habitat development.

  17. Design and implementation of a wireless instrument adapter

    DEFF Research Database (Denmark)

    Laino, Kaori V.; Saathoff, Thore; Savarimuthu, Thiusius R.

    2018-01-01

    The evaluation of new methods for control and manipulation in minimally invasive robotic surgery requires a realistic setup. To decouple the evaluation of methods from overall clinical systems, we propose an instrument adapter for the S line EndoWrist\\c{opyright} instruments of the da Vinci...... surgical system. The adapter is small and lightweight and can be mounted to any robot to mimic motion. We describe its design and implementation, as well as a setup to calibrate instruments to study precise motion control. Our results indicate that each instrument requires individual calibration...

  18. Instrumentation for the follow-up of severe accidents

    International Nuclear Information System (INIS)

    Munoz Sanchez, A.; Nino Perote, R.

    2000-01-01

    During severe accidents, it is foreseeable that the instrumentation installed in a plant is subjected to conditions which are more hostile than those for which the instrumentation was designed and qualified. Moreover, new, specific instrumentation is required to monitor variables which have not been considered until now, and to control systems which lessen the consequences of severe accidents. Both existing instrumentation used to monitor critical functions in design basis accident conditions and additional instrumentation which provides the information necessary to control and mitigate the consequences of severe accidents, have to be designed to withstand such conditions, especially in terms of measurements range, functional characteristics and qualification to withstand pressure and temperature loads resulting from steam explosion, hydrogen combustion/explosion and high levels of radiation over long periods of time. (Author)

  19. Evaluation of genetic markers as instruments for Mendelian randomization studies on vitamin D.

    Directory of Open Access Journals (Sweden)

    Diane J Berry

    Full Text Available Mendelian randomization (MR studies use genetic variants mimicking the influence of a modifiable exposure to assess and quantify a causal association with an outcome, with an aim to avoid problems with confounding and reverse causality affecting other types of observational studies.We evaluated genetic markers that index differences in 25-hydroxyvitamin D (25(OHD as instruments for MR studies on vitamin D.We used data from up-to 6,877 participants in the 1958 British birth cohort with information on genetic markers and 25(OHD. As potential instruments, we selected 20 single nucleotide polymorphisms (SNP which are located in the vitamin D metabolism pathway or affect skin pigmentation/tanning, including 4 SNPs from genome-wide association (GWA meta-analyses on 25(OHD. We analyzed SNP associations with 25(OHD and evaluated the use of allele scores dividing genes to those affecting 25(OHD synthesis (DHCR7, CYP2R1 and metabolism (GC, CYP24A1, CYP27B1. In addition to the GWA SNPs, only two SNPs (CYP27B1, OCA2 showed evidence for association with 25(OHD, with the OCA2 association abolished after lifestyle adjustment. Per allele differences varied between -0.02 and -0.08 nmol/L (P≤0.02 for all, with a 6.1 nmol/L and a 10.2 nmol/L difference in 25(OHD between individuals with highest compared lowest number of risk alleles in synthesis and metabolism allele scores, respectively. Individual SNPs but not allele scores showed associations with lifestyle factors. An exception was geographical region which was associated with synthesis score. Illustrative power calculations (80% power, 5% alpha suggest that approximately 80,000 participants are required to establish a causal effect of vitamin D on blood pressure using the synthesis allele score.Combining SNPs into allele scores provides a more powerful instrument for MR analysis than a single SNP in isolation. Population stratification and the potential for pleiotropic effects need to be considered in MR

  20. Continued Evaluation of the Pulse-Echo Ultrasonic Instrument for Critical Velocity Determination during Hanford Tank Waste Transfer Operations - 12518

    Energy Technology Data Exchange (ETDEWEB)

    Denslow, Kayte M.; Bontha, Jagannadha R.; Adkins, Harold E.; Jenks, Jeromy W.J.; Burns, Carolyn A.; Schonewill, Philip P.; Hopkins, Derek F. [Pacific Northwest National Laboratory, Richland, Washington 99354 (United States); Thien, Michael G.; Wooley, Theodore A. [Washington River Protection Solutions, Richland, Washington 99354 (United States)

    2012-07-01

    The delivery of Hanford double-shell tank waste to the Hanford Tank Waste Treatment and Immobilization Plant (WTP) will be governed by specific Waste Acceptance Criteria that are identified in ICD 19 - Interface Control Document for Waste Feed. Waste must be certified as acceptable before it can be delivered to the WTP. The fluid transfer velocity at which solid particulate deposition occurs in waste slurry transport piping (critical velocity) is a key waste parameter that must be accurately characterized to determine if the waste is acceptable for transfer to the WTP. In 2010 Washington River Protection Solutions and the Pacific Northwest National Laboratory began evaluating the ultrasonic PulseEcho instrument to accurately identify critical velocities in a horizontal slurry transport pipeline for slurries containing particles with a mean particle diameter of >50 micrometers. In 2011 the PulseEcho instrument was further evaluated to identify critical velocities for slurries containing fast-settling, high-density particles with a mean particle diameter of <15 micrometers. This two-year evaluation has demonstrated the ability of the ultrasonic PulseEcho instrument to detect the onset of critical velocity for a broad range of physical and rheological slurry properties that are likely encountered during the waste feed transfer operations between the Hanford tank farms and the WTP. (authors)

  1. CT evaluation of canal preparation using rotary and hand NI-TI instruments: An in vitro study

    Science.gov (United States)

    Nagaraja, Shruthi; Sreenivasa Murthy, B V

    2010-01-01

    Background: Controlled, uniformly tapered radicular preparation is a great challenge in endodontics. Improper preparation can lead to procedural errors like transportation of foramen, uneven dentine thickness, stripping of root canal, formation of ledge, zip, and elbow in curved canals. These procedural errors and their sequel can adversely affect the prognosis of treatment. Aim/Objectives: The present in vitro study aims to evaluate canal preparation based on the following factors: canal transportation, remaining dentine thickness and comparing centering ability between hand Ni-Ti K files and ProTaper rotary Ni-Ti instruments using computed tomography (CT). Materials and Methods: For evaluation, 30 mesiobuccal roots of maxillary molars were selected. Of these, 15 roots were distributed into two groups where Group 1 included hand instrumentation with Ni-Ti K-files; and Group 2 comprised ProTaper NiTi rotary system. Pre instrumentation and post instrumentation three-dimensional CT images were obtained from root cross-sections that were 1 mm thick from apex to the canal orifice; scanned images were then superimposed and compared. Result: It was observed that the manual technique using hand Ni-Ti K-file produced lesser canal transportation and maintained greater dentine thickness than the rotary ProTaper technique at middle and coronal third and this difference was statistically significant. No significant difference was seen with regard to canal transportation and remaining root dentine at apical levels. With regard to centering ratio, no significant difference was seen between both the groups at all levels. Conclusion: ProTaper should be used judiciously, especially in curved canals, as it causes higher canal transportation and thinning of root dentine at middle and coronal levels. None of the groups showed optimal centering ability. PMID:20582214

  2. ELABORATING A MEASUREMENT INSTRUMENT FOR THE FLOW EXPERIENCE DURING ONLINE INFORMATION SEARCH

    Directory of Open Access Journals (Sweden)

    Caraivan Luiza

    2012-12-01

    Full Text Available Flow is a construct imported in marketing research from social sciences in order to examine consumer behavior in the online medium. The construct describes a state of deep involvement in a challenging activity, most frequently characterized by high levels of enjoyment, control and concentration. Researchers found that the degree to which online experience is challenging can be defined, measured, and related well to important marketing variables. As shown by our extensive literature review, flow measurements include antecedents, dimensions and consequences of flow. The present paper represents a detailed description of the construct`s operationalization in the context of online information search. In this respect, our main goal is to produce a basic instrument to evaluate the flow experience of online search, in order to capitalize on the premises of an interactive, complex informational medium – the World Wide Web – and on the consequence of an exploratory informational behavior of users. The instrument is conceived to offer a primal possibility to collect data. The composition, source and significance of the 11 scales used to measure the multiple factors of the flow experience during online search are detailed in this study with the aim to ensure the compliance with scientific rigors and to facilitate correct reports of data related to the reliability and validity of measurements. For further research, we propose factor analysis to test the resulted instrument and to ensure that the measures employed are psychometrically sound. Factor analysis refers to a wide range of statistic techniques used to represent a set of variables in concordance with a reduced number of hypothetical variables called factors. Factorial analysis is used to solve two types of problems: reducing the number of variables to increase data processing speed and identifying hidden patterns in the existent data relations. However, we expect our scales to perform

  3. Technological considerations in emergency instrumentation preparedness. Phase II-D. Evaluation testing and calibration methodology for emergency radiological instrumentation

    International Nuclear Information System (INIS)

    Bramson, P.E.; Andersen, B.V.; Fleming, D.M.; Kathren, R.L.; Mulhern, O.R.; Newton, C.E.; Oscarson, E.E.; Selby, J.M.

    1976-09-01

    In response to recommendations from the Advisory Committee on Reactor Safeguards, the Division of Operational Safety, U.S. ERDA has contracted with Battelle, Pacific Northwest Laboratories to survey the adequacy of existing instrumentation at nuclear fuel cycle facilities to meet emergency requirements and to develop technical criteria for instrumentation systems to be used in assessment of environmental conditions following plant emergencies. This report, the fifth in a series, provides: (1) calibration methods to assure the quality of radiological measurements and (2) testing procedures for determining whether an emergency radiological instrument meets the performance specifications. Three previous reports in this series identified the emergency instrumentation needs for power reactors, mixed oxide fuel plants, and fuel reprocessing facilities. Each of these three reports contains a Section VI, which sets forth applicable radiological instrument performance criteria and calibration requirements. Testing and calibration procedures in this report have been formatted in two parts: IV and V, each divided into three subsections: (1) Power Reactors, (2) Mixed Oxide Fuel Plants, and (3) Fuel Reprocessing Facilities. The three performance criteria subsections directly coincide with the performance criteria sections of the previous reports. These performance criteria sections have been reproduced in this report as Part III with references of ''required action'' added

  4. Models for Numerical Evaluation of Variable Speed Different Wind Generator Systems

    DEFF Research Database (Denmark)

    Li, Hui; Chen, Zhe; Polinder, H.

    2007-01-01

    of different wind generator systems, the other presents the optimization results and evaluation of variable speed wind generator systems. In this report, firstly, it gives an overview of various wind generator topologies, including their advantages and disadvantages, market status and developing trends. Next...

  5. Student Response to Faculty Instruction (SRFI): An Empirically Derived Instrument to Measure Student Evaluations of Teaching

    Science.gov (United States)

    Beitzel, Brian D.

    2013-01-01

    The Student Response to Faculty Instruction (SRFI) is an instrument designed to measure the student perspective on courses in higher education. The SRFI was derived from decades of empirical studies of student evaluations of teaching. This article describes the development of the SRFI and its psychometric attributes demonstrated in two pilot study…

  6. Automated margin analysis of contemporary adhesive systems in vitro: evaluation of discriminatory variables.

    Science.gov (United States)

    Heintze, Siegward D; Forjanic, Monika; Roulet, François-Jean

    2007-08-01

    Using an optical sensor, to automatically evaluate the marginal seal of restorations placed with 21 adhesive systems of all four adhesive categories in cylindrical cavities of bovine dentin applying different outcome variables, and to evaluate their discriminatory power. Twenty-one adhesive systems were evaluated: three 3-step etch-and-rinse systems, three 2-step etch-and-rinse systems, five 2-step self-etching systems, and ten 1-step self-etching systems. All adhesives were applied in cylindrical cavities in bovine dentin together with Tetric Ceram (n=8). In the control group, no adhesive system was used. After 24 h of storage in water at 37 degrees C, the surface was polished with 4000-grit SiC paper, and epoxy resin replicas were produced. An optical sensor (FRT MicroProf) created 100 profiles of the restoration margin, and an algorithm detected gaps and calculated their depths and widths. The following evaluation criteria were used: percentage of specimens without gaps, the percentage of gap-free profiles in relation to all profiles per specimen, mean gap width, mean gap depth, largest gap, modified marginal integrity index MI. The statistical analysis was carried out on log-transformed data for all variables with ANOVA and post-hoc Tukey's test for multiple comparisons. The correlation between the variables was tested with regression analysis, and the pooled data accordingto the four adhesive categories were compared by applying the Mann-Whitney nonparametric test (p adhesive systems demonstrated the best marginal adaptation, followed by the 2-step self-etching and the 1-step self-etching adhesives; the latter showed the highest variability in test results between materials and within the same material. The only exception to this rule was Xeno IV, which showed a marginal adaptation that was comparable to that of the best 3-step etch-and-rinse systems. Except for the variables "largest gap" and "mean gap depth", all the other variables had a similar ability to

  7. INSTRUMENT FOR EVALUATION OF THE ADAPTED ABILITIES FROM THE ELEMENT OF BASKETBALL TECHNIQUE

    Directory of Open Access Journals (Sweden)

    Goran Šekeljić

    2006-06-01

    Full Text Available The idea of the work is clearly defined, precise and objective instrument for evaluation of the adopted abilities from the elements of basketball technique. The intention is to cut into small fragments the chosen elements of technique which are going to be evaluated with numerical value of every piece itself. The model established in that way is possible to compare with motorical forms acquired by those who are been inquired. Every fragment of motorical form has precise numerical value on which basis is possible to quantify by simple numerical total the obtained level of sports- technical education. We consider possible to diminish the influence of subjectivity such as to form schoolmarks more objectivly by precise and high-quality system of evaluation on the basis of clearly cut into small pieces structures of elements of the complete technique. In that case we could talk about real expert evaluation. The results of the research have shown that the method of evaluation conceived in this way has given excellent metrics characteristics and that, statistically verified, has been more objective than the two other methods predicted in the experiment

  8. Minimally invasive instrumentation without fusion during posterior thoracic corpectomies: a comparison of percutaneously instrumented nonfused segments with open instrumented fused segments.

    Science.gov (United States)

    Lau, Darryl; Chou, Dean

    2017-07-01

    OBJECTIVE During the mini-open posterior corpectomy, percutaneous instrumentation without fusion is performed above and below the corpectomy level. In this study, the authors' goal was to compare the perioperative and long-term implant failure rates of patients who underwent nonfused percutaneous instrumentation with those of patients who underwent traditional open instrumented fusion. METHODS Adult patients who underwent posterior thoracic corpectomies with cage reconstruction between 2009 and 2014 were identified. Patients who underwent mini-open corpectomy had percutaneous instrumentation without fusion, and patients who underwent open corpectomy had instrumented fusion above and below the corpectomy site. The authors compared perioperative outcomes and rates of implant failure requiring reoperation between the open (fused) and mini-open (unfused) groups. RESULTS A total of 75 patients were identified, and 53 patients (32 open and 21 mini-open) were available for followup. The mean patient age was 52.8 years, and 56.6% of patients were male. There were no significant differences in baseline variables between the 2 groups. The overall perioperative complication rate was 15.1%, and there was no significant difference between the open and mini-open groups (18.8% vs 9.5%; p = 0.359). The mean hospital stay was 10.5 days. The open group required a significantly longer stay than the mini-open group (12.8 vs 7.1 days; p open and mini-open groups at 6 months (3.1% vs 0.0%, p = 0.413), 1 year (10.7% vs 6.2%, p = 0.620), and 2 years (18.2% vs 8.3%, p = 0.438). The overall mean follow-up was 29.2 months. CONCLUSIONS These findings suggest that percutaneous instrumentation without fusion in mini-open transpedicular corpectomies offers similar implant failure and reoperation rates as open instrumented fusion as far out as 2 years of follow-up.

  9. Verification of the Indicating Measuring Instruments Taking into Account their Instrumental Measurement Uncertainty

    Directory of Open Access Journals (Sweden)

    Zakharov Igor

    2017-12-01

    Full Text Available The specific features of the measuring instruments verification based on the results of their calibration are considered. It is noted that, in contrast to the verification procedure used in the legal metrology, the verification procedure for calibrated measuring instruments has to take into account the uncertainty of measurements into account. In this regard, a large number of measuring instruments, considered as those that are in compliance after verification in the legal metrology, turns out to be not in compliance after calibration. In this case, it is necessary to evaluate the probability of compliance of indicating measuring instruments. The procedure of compliance probability determination on the basis of the Monte Carlo method is considered. An example of calibration of a Vernier caliper is given.

  10. Importance of Intrinsic and Instrumental Value of Education in Pakistan

    Science.gov (United States)

    Kumar, Mahendar

    2017-01-01

    Normally, effectiveness of any object or thing is judged by two values; intrinsic and instrumental. To compare intrinsic value of education with instrumental value, this study has used the following variables: getting knowledge for its own sake, getting knowledge for social status, getting knowledge for job or business endeavor and getting…

  11. Flexibility-Based Evaluation of Variable Generation Acceptability in Korean Power System

    OpenAIRE

    Chang-Gi Min; Mun-Kyeom Kim

    2017-01-01

    This study proposes an evaluation method for variable generation (VG) acceptability with an adequate level of power system flexibility. In this method, a risk index referred to as the ramping capability shortage expectation (RSE) is used to quantify flexibility. The RSE value of the current power system is selected as the adequate level of flexibility (i.e., RSE criterion). VG acceptability is represented by the VG penetration level for the RSE criterion. The proposed evaluation method was ap...

  12. In vitro evaluation of apical extrusion of bacteria following use of new rotary instrumentation system.

    Science.gov (United States)

    Mohammadi, Zahed

    2009-04-01

    The aim of this study was to evaluate the number of bacteria extruded apically from extracted teeth ex vivo after canal instrumentation using two engine-driven nickel-titanium instruments (Flex Master and V-Taper). Seventy extracted maxillary central incisor teeth were used. After preparing access cavities, root canals were contaminated with a suspension of Enterococcus faecalis, then dried. The contaminated roots were divided into two experimental groups of 30 teeth each and one control group of 10 teeth. Bacteria extruded from the apical foramen during instrumentation were collected into vials. The microbiological samples from the vials were incubated in culture media for 24 hours. Colonies of bacteria were counted, and the results were given as number of colony-forming units. The data obtained were analyzed using the Kruskal-Wallis one-way analysis of variance and Mann-Whitney U-tests, with alpha = 0.05 as the level for statistical significance. Results showed that there was no significant difference as to the number of extruded bacteria between the two engine-driven systems (P > 0.05). Both engine-driven nickel-titanium systems extruded bacteria through the apical foramen.

  13. Evaluation of apically extruded debris during removal of gutta-percha and ResilonTM using different instrumentation techniques

    Directory of Open Access Journals (Sweden)

    Pešić Dragana

    2018-01-01

    Full Text Available Background/Aim. Apical extrusion of material is considered as one of the very important factor for endodontic treatment success. Microorganisms, necrotic tissue, filling material and irrigants, which can be extruded apically during endodontic retreatment, may jeopardize the success of the therapy. The aim of this in vitro study was to quantitatively evaluate the amount of apically extruded debris during endodontic retreatment of teeth obturated with two different materials, using one hand and three rotary instrumentation techniques. Methods. Ninety-six extracted single-rooted teeth were endodontically treated and enlarged to size 40 using BioRaCe system, and then randomly divided into 8 groups of 12 specimens each. Half of the specimens were obturated with gutta-percha and AH Plus® sealer and another half with RealSeal SE system, using lateral condensation technique. Retreatment was performed using: Hedström files; ProFile rotary files; ProTaper Retreatment system and D-RaCe system. Apically extruded debris was collected in pre-weighed Eppendorf tubes and evaluated using an electronic microbalance. Data were analyzed statistically using t-test and analysis of variance. Results. In the AH Plus/gutta-percha group, all tested rotary instruments gave significantly less extruded debris compared with Hedström files (p < 0.05. In theRealSeal group, there was significant difference between DRaCe and Hedström instruments (p < 0.05. Conclusion. All retreatment techniques resulted in apical extrusion. DRaCe system produced significantly less extruded debris compared to hand files. No significant difference was found when comparing two instruments specially designed for retreatment: D-RaCe and ProTaper systems.

  14. The development and psychometric validation of an instrument to evaluate nurses' attitudes towards communication with the patient (ACO).

    Science.gov (United States)

    Giménez-Espert, María Del Carmen; Prado-Gascó, Vicente Javier

    2018-05-01

    Patient communication is a key skill for nurses involved in clinical care. Its measurement is a complex phenomenon that can be addressed through attitude evaluation. To develop and psychometrically test a measure of nurses' attitudes towards communication with patients (ACO), to study the relationship between these dimensions, and to analyse nursing attitudes. To develop and psychometrically test the ACO questionnaire. All hospitals in the province of Valencia were invited by e-mail to distribute the ACO instrument. Ten hospitals took part in the study. The study population was composed of a convenience sample of 400 hospital nurses on general or special services. The inclusion criteria were nurses at the selected centres who had previously provided an informed consent to participate. A literature review and expert consultation (N = 10) was used to develop the content of the questionnaire. The 62-item version of the instrument was applied to a convenience sample of 400 nurses between May 2015 and March 2016. Factor structure was evaluated with exploratory and confirmatory factor analysis (EFA, CFA), and reliability was evaluated with Cronbach's alpha, composite reliability (CR), and average variance extracted (AVE). The final instrument (ACO), composed of 25 items grouped into three attitude dimensions (cognitive, affective and behavioural), had good psychometric properties. In the study sample, nurses had a favourable attitude towards communication. The cognitive and affective dimensions of the ACO should be able to predict the behaviour dimension. The ACO is useful for evaluating current clinical practices, identifying educational needs and assessing the effectiveness of communication training or other interventions intended to improve communication. Copyright © 2018 Elsevier Ltd. All rights reserved.

  15. Satellite-based Analysis of CO Variability over the Amazon Basin

    Science.gov (United States)

    Deeter, M. N.; Emmons, L. K.; Martinez-Alonso, S.; Tilmes, S.; Wiedinmyer, C.

    2017-12-01

    Pyrogenic emissions from the Amazon Basin exert significant influence on both climate and air quality but are highly variable from year to year. The ability of models to simulate the impact of biomass burning emissions on downstream atmospheric concentrations depends on (1) the quality of surface flux estimates (i.e., emissions inventories), (2) model dynamics (e.g., horizontal winds, large-scale convection and mixing) and (3) the representation of atmospheric chemical processes. With an atmospheric lifetime of a few months, carbon monoxide (CO) is a commonly used diagnostic for biomass burning. CO products are available from several satellite instruments and allow analyses of CO variability over extended regions such as the Amazon Basin with useful spatial and temporal sampling characteristics. The MOPITT ('Measurements of Pollution in the Troposphere') instrument was launched on the NASA Terra platform near the end of 1999 and is still operational. MOPITT is uniquely capable of measuring tropospheric CO concentrations using both thermal-infrared and near-infrared observations, resulting in the ability to independently retrieve lower- and upper-troposphere CO concentrations. We exploit the 18-year MOPITT record and related datasets to analyze the variability of CO over the Amazon Basin and evaluate simulations performed with the CAM-chem chemical transport model. We demonstrate that observed differences between MOPITT observations and model simulations provide important clues regarding emissions inventories, convective mixing and long-range transport.

  16. Developing a theoretical model and questionnaire survey instrument to measure the success of electronic health records in residential aged care.

    Science.gov (United States)

    Yu, Ping; Qian, Siyu

    2018-01-01

    Electronic health records (EHR) are introduced into healthcare organizations worldwide to improve patient safety, healthcare quality and efficiency. A rigorous evaluation of this technology is important to reduce potential negative effects on patient and staff, to provide decision makers with accurate information for system improvement and to ensure return on investment. Therefore, this study develops a theoretical model and questionnaire survey instrument to assess the success of organizational EHR in routine use from the viewpoint of nursing staff in residential aged care homes. The proposed research model incorporates six variables in the reformulated DeLone and McLean information systems success model: system quality, information quality, service quality, use, user satisfaction and net benefits. Two variables training and self-efficacy were also incorporated into the model. A questionnaire survey instrument was designed to measure the eight variables in the model. After a pilot test, the measurement scale was used to collect data from 243 nursing staff members in 10 residential aged care homes belonging to three management groups in Australia. Partial least squares path modeling was conducted to validate the model. The validated EHR systems success model predicts the impact of the four antecedent variables-training, self-efficacy, system quality and information quality-on the net benefits, the indicator of EHR systems success, through the intermittent variables use and user satisfaction. A 24-item measurement scale was developed to quantitatively evaluate the performance of an EHR system. The parsimonious EHR systems success model and the measurement scale can be used to benchmark EHR systems success across organizations and units and over time.

  17. Remote and Virtual Instrumentation Platform for Distance Learning

    Directory of Open Access Journals (Sweden)

    Tom Eppes

    2010-08-01

    Full Text Available This journal presents distance learning using the National Instruments ELVIS II and how Multisim can be combined with ELVIS II for distance learning. National Instrument’s ELVIS II is a new version that can easily be used for e-learning. It features 12 of the commonly used instruments in engineering and science laboratories, including an oscilloscope, a function generator, a variable power supply, and an isolated digital multi-meter in a low-cost and easy-to-use platform and completes integration with Multisim software for SPICE simulation, which simplifies the teaching of circuit design. As NI ELVIS II is based on LabView, designers can easily customize the 12 instruments or can create their own using the provided source code for the instruments.

  18. THE POSSIBILITIES OF THE STRUCTURE AND VARIABILITY EVALUATION OF INVENTORY CONSUMPTION

    Directory of Open Access Journals (Sweden)

    Petr Besta

    2015-09-01

    Full Text Available Inventory can be evaluated from the point of view of a number of aspects. Production and trade organizations nowadays are under great pressure from their competitors and face high expectations from their customers. That is why the cost cutting in all areas can provide a significant competitive advantage. Inventory and its management and administration can therefore represent a source of substantial potential savings. Large inventory volume can significantly increase the costs, but its shortage influences the course of the manufacturing process and, ultimately, the customer satisfaction. It is therefore necessary to continuously optimize the inventory management system in the enterprise. The conducted research also involved an analysis of the structure and variability of the inventory consumption in a business organization dealing with the sale and storage of metallurgical materials. The objective of this article is to evaluate the possibility of the application of the tools used to analyze the structure and variability of inventories in the industrial and commercial practice.

  19. Domestic violence on children: development and validation of an instrument to evaluate knowledge of health professionals.

    Science.gov (United States)

    Oliveira, Lanuza Borges; Soares, Fernanda Amaral; Silveira, Marise Fagundes; Pinho, Lucinéia de; Caldeira, Antônio Prates; Leite, Maísa Tavares de Souza

    2016-08-18

    to develop and validate an instrument to evaluate the knowledge of health professionals about domestic violence on children. this was a study conducted with 194 physicians, nurses and dentists. A literature review was performed for preparation of the items and identification of the dimensions. Apparent and content validation was performed using analysis of three experts and 27 professors of the pediatric health discipline. For construct validation, Cronbach's alpha was used, and the Kappa test was applied to verify reproducibility. The criterion validation was conducted using the Student's t-test. the final instrument included 56 items; the Cronbach alpha was 0.734, the Kappa test showed a correlation greater than 0.6 for most items, and the Student t-test showed a statistically significant value to the level of 5% for the two selected variables: years of education and using the Family Health Strategy. the instrument is valid and can be used as a promising tool to develop or direct actions in public health and evaluate knowledge about domestic violence on children. elaborar e validar um instrumento para avaliação do conhecimento dos profissionais de saúde sobre a violência doméstica contra a criança. estudo realizado com 194 profissionais médicos, enfermeiros e cirurgiões dentistas. Para elaboração dos itens e identificação das dimensões, realizou-se a revisão da literatura. A validação aparente e de conteúdo foram realizadas por meio da análise de três especialistas e de 27 professores universitários da área de saúde da criança. Para a validação de construto, avaliou-se o coeficiente alfa de Cronbach, e o teste Kappa foi usado para verificar a reprodutibilidade. A validação de critério foi conduzida com uso do teste t-student. o instrumento final apresentou 56 itens, o alfa Cronbach foi de 0,734, o teste Kappa revelou concordância superior a 0,6 para a maioria dos itens, e o teste t-student apresentou valor estatisticamente

  20. Evaluation of a Nutrition Care Process-based audit instrument, the Diet-NCP-Audit, for documentation of dietetic care in medical records.

    Science.gov (United States)

    Lövestam, Elin; Orrevall, Ylva; Koochek, Afsaneh; Karlström, Brita; Andersson, Agneta

    2014-06-01

    Adequate documentation in medical records is important for high-quality health care. Documentation quality is widely studied within nursing, but studies are lacking within dietetic care. The aim of this study was to translate, elaborate and evaluate an audit instrument, based on the four-step Nutrition Care Process model, for documentation of dietetic care in medical records. The audit instrument includes 14 items focused on essential parts of dietetic care and the documentation's clarity and structure. Each item is to be rated 0-1 or 0-2 points, with a maximum total instrument score of 26. A detailed manual was added to facilitate the interpretation and increase the reliability of the instrument. The instrument is based on a similar tool initiated 9 years ago in the United States, which in this study was translated to Swedish and further elaborated. The translated and further elaborated instrument was named Diet-NCP-Audit. Firstly, the content validity of the Diet-NCP-Audit instrument was tested by five experienced dietitians. They rated the relevance and clarity of the included items. After a first rating, minor improvements were made. After the second rating, the Content Validity Indexes were 1.0, and the Clarity Index was 0.98. Secondly, to test the reliability, four dietitians reviewed 20 systematically collected dietetic notes independently using the audit instrument. Before the review, a calibration process was performed. A comparison of the reviews was performed, which resulted in a moderate inter-rater agreement with Krippendorff's α = 0.65-0.67. Grouping the audit results in three levels: lower, medium or higher range, a Krippendorff's α of 0.74 was considered high reliability. Also, an intra-rater reliability test-retest with a 9 weeks interval, performed by one dietitian, showed strong agreement. To conclude, the evaluated audit instrument had high content validity and moderate to high reliability and can be used in auditing documentation of dietetic

  1. Age-Related Changes in Bimanual Instrument Playing with Rhythmic Cueing

    Directory of Open Access Journals (Sweden)

    Soo Ji Kim

    2017-09-01

    Full Text Available Deficits in bimanual coordination of older adults have been demonstrated to significantly limit their functioning in daily life. As a bimanual sensorimotor task, instrument playing has great potential for motor and cognitive training in advanced age. While the process of matching a person’s repetitive movements to auditory rhythmic cueing during instrument playing was documented to involve motor and attentional control, investigation into whether the level of cognitive functioning influences the ability to rhythmically coordinate movement to an external beat in older populations is relatively limited. Therefore, the current study aimed to examine how timing accuracy during bimanual instrument playing with rhythmic cueing differed depending on the degree of participants’ cognitive aging. Twenty one young adults, 20 healthy older adults, and 17 older adults with mild dementia participated in this study. Each participant tapped an electronic drum in time to the rhythmic cueing provided using both hands simultaneously and in alternation. During bimanual instrument playing with rhythmic cueing, mean and variability of synchronization errors were measured and compared across the groups and the tempo of cueing during each type of tapping task. Correlations of such timing parameters with cognitive measures were also analyzed. The results showed that the group factor resulted in significant differences in the synchronization errors-related parameters. During bimanual tapping tasks, cognitive decline resulted in differences in synchronization errors between younger adults and older adults with mild dimentia. Also, in terms of variability of synchronization errors, younger adults showed significant differences in maintaining timing performance from older adults with and without mild dementia, which may be attributed to decreased processing time for bimanual coordination due to aging. Significant correlations were observed between variability of

  2. Mood Assessment via Animated Characters: A Novel Instrument to Evaluate Feelings in Young Children with Anxiety Disorders

    Science.gov (United States)

    Manassis, Katharina; Mendlowitz, Sandra; Kreindler, David; Lumsden, Charles; Sharpe, Jason; Simon, Mark D.; Woolridge, Nicholas; Monga, Suneeta; Adler-Nevo, Gili

    2009-01-01

    We evaluated a novel, computerized feelings assessment instrument (MAAC) in 54 children with anxiety disorders and 35 nonanxious children ages 5 to 11. They rated their feelings relative to 16 feeling animations. Ratings of feelings, order of feeling selection, and correlations with standardized anxiety measures were examined. Positive emotions…

  3. Evaluation of a Kalman filter based power pressurizer instrument failure detection system implemented on a nuclear power plant training simulator

    International Nuclear Information System (INIS)

    Seegmiller, D.S.

    1984-01-01

    The usefulness of a nuclear power plant training simulator for developing and testing modern estimation and control applications for nuclear power plants is demonstrated. A Kalman filter based instrument failure detection technique for a pressurized water reactor pressurizer is implemented on the Department of Energy N Reactor Training Simulator. This real-time failure detection method computes the first two moments (mean and variance) of each element of a normalized filter innovations vector. Failed pressurizer instrumentation can be detected by comparing these moments to the known statistical properties of the steady state, linear Kalman fitler innovations sequence. The capabilities of the detection system are evaluated using simulated plant transients and instrument failures

  4. Evaluation of root-end microcrack formation following retropreparation using different ultrasonic instruments

    International Nuclear Information System (INIS)

    AlKahtani, Ahmed

    2009-01-01

    This study evaluated differences among various ultrasonic instruments in the development of root-end cracks following retropreparation of endodontically treated teeth. Three ultrasonic tips were compared: stainless steel, zirconium nitride and diamond. Fifty-seven single rooted extracted teeth were cleaned, shaped and obturated. Their crowns were removed. A 3 mm resection of the root-tip was completed using a straight fissure bur. The teeth were examined under a light microscope. The teeth that developed cracks after resection were discarded. The teeth were divided into three groups of 19 teeth each and a retropreparation was completed with one of the ultrasonic tips for each group. Teeth were again examined under a light microscope. The photomicrographs of the teeth before and after were compared. Examination of the specimens revealed that in the stainless steel group, 26% (5/19) of teeth developed cracks, in the zirconium nitride group, 10.5% (2/19) of teeth developed cracks and in the diamond group, 10.5% (2/19) of teeth developed cracks. The differences in crack formation among the three groups were not statistically significant. The results of the study suggested that more cracks may be evident microscopically in root-ends prepared with stainless steel ultrasonic instruments although this was not statistically significant. (author)

  5. Determinants of The Application of Macro Prudential Instruments

    Directory of Open Access Journals (Sweden)

    Zakaria Firano

    2017-09-01

    Full Text Available The use of macro prudential instruments today gives rise to a major debate within the walls of central banks and other authorities in charge of financial stability. Contrary to micro prudential instruments, whose effects remain limited, macro prudential instruments are different in nature and can affect the stability of the financial system. By influencing the financial cycle and the financial structure of financial institutions, the use of such instruments should be conducted with great vigilance as well as macroeconomic and financial expertise. But the experiences of central banks in this area are sketchy, and only some emerging countries have experience using these types of instruments in different ways. This paper presents an analysis of instruments of macro prudential policy and attempts to empirically demonstrate that these instruments should be used only in specific economic and financial situations. Indeed, the results obtained, using modeling bivariate panel, confirm that these instruments are more effective when used to mitigate the euphoria of financial and economic cycles. In this sense, the output gap, describing the economic cycle, and the Z-score are the intermediate variables for the activation of capital instruments. Moreover, the liquidity ratio and changes in bank profitability are the two early warning indicators for activation of liquidity instruments.

  6. Outcomes of moral case deliberation - the development of an evaluation instrument for clinical ethics support (the Euro-MCD)

    NARCIS (Netherlands)

    Svantesson, M.; Karlsson, J.; Boitte, P.; Schildman, J.; Dauwerse, L.; Widdershoven, G.; Pedersen, R.; Huisman, M.; Molewijk, A.C.

    2014-01-01

    Background: Clinical ethics support, in particular Moral Case Deliberation, aims to support health care providers to manage ethically difficult situations. However, there is a lack of evaluation instruments regarding outcomes of clinical ethics support in general and regarding Moral Case

  7. Variability of gait, bilateral coordination, and asymmetry in women with fibromyalgia.

    Science.gov (United States)

    Heredia-Jimenez, J; Orantes-Gonzalez, E; Soto-Hermoso, V M

    2016-03-01

    To analyze how fibromyalgia affected the variability, asymmetry, and bilateral coordination of gait walking at comfortable and fast speeds. 65 fibromyalgia (FM) patients and 50 healthy women were analyzed. Gait analysis was performed using an instrumented walkway (GAITRite system). Average walking speed, coefficient of variation (CV) of stride length, swing time, and step width data were obtained and bilateral coordination and gait asymmetry were analyzed. FM patients presented significantly lower speeds than the healthy group. FM patients obtained significantly higher values of CV_StrideLength (p=0.04; pGait asymmetry only showed significant differences in the fast condition. FM patients walked more slowly and presented a greater variability of gait and worse bilateral coordination than healthy subjects. Gait asymmetry only showed differences in the fast condition. The variability and the bilateral coordination were particularly affected by FM in women. Therefore, variability and bilateral coordination of gait could be analyzed to complement the gait evaluation of FM patients. Copyright © 2016 Elsevier B.V. All rights reserved.

  8. A measuring instrument for evaluation of quality systems.

    NARCIS (Netherlands)

    Wagner, C.; Bakker, D.H. de; Groenewegen, P.P.

    1999-01-01

    Objective: To develop an instrument for provider organizations, consumers, purchasers, and policy makers to measure and compare the development of quality systems in provider organizations. Design: Cross-sectional study of provider organizations using a structured questionnaire to survey managers.

  9. The instrument 'sense of security in care--patients' evaluation': its development and presentation.

    Science.gov (United States)

    Krevers, Barbro; Milberg, Anna

    2014-08-01

    The aim of this paper is to report the development, construction, and psychometric properties of the new instrument Sense of Security in Care - Patients' Evaluation (SEC-P) in palliative home care. The preliminary instrument was based on a review of the literature and an analysis of qualitative interviews with patients about their sense of security. To test the instrument, 161 patients (58% women) in palliative home care were recruited and participated in a structured interview based on a comprehensive questionnaire (response rate 73%). We used principal component analysis to identify subscales and tested the construction in correlation with other scales and questions representing concepts that we expected to be related to sense of security in care. The principal component analysis resulted in three subscales: Care Interaction, Identity, and Mastery, built on a total of 15 items. The component solution had an explained variance of 55%. Internal consistency of the subscales ranged from 0.84 to 0.69. Inter-scale correlations varied between 0.40 and 0.59. The scales were associated to varying degrees with the quality of the care process, perceived health, quality of life, stress, and general sense of security. The developed SEC-P provides a three-component assessment of palliative home care settings using valid and reliable scales. The scales were associated with other concepts in ways that were expected. The SEC-P is a manageable means of assessment that can be used to improve quality of care and in research focusing on patients' sense of security in care. Copyright © 2014 John Wiley & Sons, Ltd.

  10. Exploratory and Creative Properties of Physical-Modeling-based Musical Instruments

    DEFF Research Database (Denmark)

    Gelineck, Steven

    Digital musical instruments are developed to enable musicians to find new ways of expressing themselves. The development and evaluation of these instruments can be approached from many different perspectives depending on which capabilities one wants the musicians to have. This thesis attempts...... to approach development and evaluation of these instruments with the notion that instruments today are able to facilitate the creative process that is so crucial for creating music. The fundamental question pursued throughout the thesis is how creative work processes of composers of electronic music can...... be supported and even challenged by the instruments they use. What is it that makes one musical instrument more creatively inspiring than another, and how do we evaluate how well it succeeds? In order to present answers to these questions, the thesis focusses on the sound synthesis technique of physical...

  11. "Instrument expert"ability evaluation system%“表型专家”能力评价体系构想

    Institute of Scientific and Technical Information of China (English)

    高智泉; 李青春; 殷慧

    2014-01-01

    如何评价仪表专业人员的工作能力当前国内外并没有定论。使用“表型专家”这个新概念作为抓手,来引导和规范仪表工学习和钻研的方向,通过公平竞争、正向激励、螺旋上升的核心思路,尝试一整套新做法。希望能对培训工作起到积极的作用。%How to evaluate the instrument professional staff work ability have not a ifnal conclusion currently. Using the term"instrument expert", to guide and standardize the Instrument maintenance workers train and technical research. through fair competition, positive incentive, learning spirit, try a new approach. Hope I can play a positive role for Instrument maintenance.

  12. An evaluation of FIA's stand age variable

    Science.gov (United States)

    John D. Shaw

    2015-01-01

    The Forest Inventory and Analysis Database (FIADB) includes a large number of measured and computed variables. The definitions of measured variables are usually well-documented in FIA field and database manuals. Some computed variables, such as live basal area of the condition, are equally straightforward. Other computed variables, such as individual tree volume,...

  13. A springs actuated finger exoskeleton: From mechanical design to spring variables evaluation.

    Science.gov (United States)

    Bortoletto, Roberto; Mello, Ashley N; Piovesan, Davide

    2017-07-01

    In the context of post-stroke patients, suffering of hemiparesis of the hand, robot-aided neuro-motor rehabilitation allows for intensive rehabilitation treatments and quantitative evaluation of patients' progresses. This work presents the design and evaluation of a spring actuated finger exoskeleton. In particular, the spring variables and the interaction forces between the assembly and the hand were investigated, in order to assess the effectiveness of the proposed exoskeleton.

  14. Instrumental traditions and theories of light the uses of instruments in the optical revolution

    CERN Document Server

    Chen, Xiang

    2000-01-01

    An analysis of the optical revolution in the context of early 19th century Britain. Far from merely involving the replacement of one optical theory by another, the revolution also involved substantial changes in instruments and the practices that surrounded them. People's judgements about classification, explanation and evaluation were affected by the way they used such optical instruments as spectroscopes, telescopes, polarisers, photometers, gratings, prisms and apertures. There were two instrumental traditions in this historical period, each of which nurtured a body of practice that exemplified how optical instruments should be operated, and especially how the eye should be used. These traditions functioned just like paradigms, shaping perspectives and even world views. Readership: Scholars and graduate students in the history of science, history of instrument, philosophy of science and science studies. Can also be used as a textbook in graduate courses on 19th century physics.

  15. Psychometric Evaluation of an Adolescent and Young Adult Module of the Impact of Cancer Instrument.

    Science.gov (United States)

    Husson, Olga; Zebrack, Bradley J

    2017-03-01

    To develop and evaluate a new instrument that measures unique aspects of long-term survivorship for people diagnosed with cancer as Adolescent and Young Adult (AYA), not measured by existing tools. A new candidate instrument-the Impact of Cancer for Adolescent and Young Adult (IOC-AYA) cancer survivors-was developed and administered to AYA cancer survivors aged 18-35 years who were 15-29 years old when diagnosed with cancer. Psychometric properties of newly derived scales were assessed. Factor analyses of items derived seven new and specific subscales: Social Life; Uncertainties, Worries and Wonders; Cognitive Function; Sense of Purpose/Life Goals; Identity; Health Behaviors; and Health Literacy. Two separate and conditional subscales were formed: Relationship Concerns (partnered/unpartnered) and Having Children (at least one child/no children). Internal consistency measurements for these subscales ranged from 0.70 to 0.90. Expected associations within and among IOC-AYA subscales and standardized measures of quality of life were observed. Psychometric analyses indicated that this initial version of the IOC-AYA measures distinct and relevant constructs for survivors diagnosed with cancer in adolescence and young adulthood. Future work is needed to confirm the responsiveness to change and further validate the instrument in multiple and representative samples. Use of the IOC-AYA instrument in research and clinical practice will inform the development of psychosocial and supportive care interventions that not only minimize or prevent long-term deleterious effects of cancer but also promote positive adaptation, resilience, and the achievement of age-specific developmental tasks.

  16. Evaluating the Effectiveness Roles of Variables in the Novice Programmers Learning

    Science.gov (United States)

    Shi, Nianfeng; Cui, Wen; Zhang, Ping; Sun, Ximing

    2018-01-01

    This research applies the roles of variables to the novice programmers in the C language programming. The results are evaluated using the Structure of Observed Learning Outcomes (SOLO) taxonomy. The participants were divided into an experimental group and a control group. The students from the control group learned programming in the traditional…

  17. Evaluation of conventional, protaper hand and protaper rotary instrumentation system for apical extrusion of debris, irrigants and bacteria- An in vitro randomized trial

    OpenAIRE

    Kalra, Pinky; Rao, Arathi; Suman, Ethel; Shenoy, Ramya; Suprabha, Baranya-Shrikrishna

    2017-01-01

    Background Endodontic instrumentation carries the risk of over extrusion of debris and bacteria. The technique used and the type of instrumentation influences this risk. Aim The purpose of this study was to evaluate and compare the K-file, ProTaper hand and ProTaper rotary instrumentation systems for the amount of apically extruded debris, irrigant solution and intracanal bacteria. Design Experimental single blinded randomized type of in vitro study with sample of 30 single rooted teeth. Endo...

  18. Evaluation of Instrumentation for Measuring Undissolved Water in Aviation Turbine Fuels per ASTM D3240

    Science.gov (United States)

    2015-11-05

    Undissolved Water in Aviation Turbine Fuels per ASTM D3240 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Joel Schmitigal... water ) in Aviation Turbine Fuels per ASTM D3240 15. SUBJECT TERMS fuel, JP-8, aviation fuel, contamination, free water , undissolved water , Aqua-Glo 16...Michigan 48397-5000 Evaluation of Instrumentation for Measuring Undissolved Water in Aviation Turbine Fuels per ASTM D3240 Joel Schmitigal Force

  19. The Maastricht Clinical Teaching Questionnaire (MCTQ) as a valid and reliable instrument for the evaluation of clinical teachers.

    Science.gov (United States)

    Stalmeijer, Renée E; Dolmans, Diana H J M; Wolfhagen, Ineke H A P; Muijtjens, Arno M M; Scherpbier, Albert J J A

    2010-11-01

    Clinical teaching's importance in the medical curriculum has led to increased interest in its evaluation. Instruments for evaluating clinical teaching must be theory based, reliable, and valid. The Maastricht Clinical Teaching Questionnaire (MCTQ), based on the theoretical constructs of cognitive apprenticeship, elicits evaluations of individual clinical teachers' performance at the workplace. The authors investigated its construct validity and reliability, and they used the underlying factors to test a causal model representing effective clinical teaching. Between March 2007 and December 2008, the authors asked students who had completed clerkship rotations in different departments of two teaching hospitals to use the MCTQ to evaluate their clinical teachers. To establish construct validity, the authors performed a confirmatory factor analysis of the evaluation data, and they estimated reliability by calculating the generalizability coefficient and standard error measurement. Finally, to test a model of the factors, they fitted a structural linear model to the data. Confirmatory factor analysis yielded a five-factor model which fit the data well. Generalizability studies indicated that 7 to 10 student ratings can produce reliable ratings of individual teachers. The hypothesized structural linear model underlined the central roles played by modeling and coaching (mediated by articulation). The MCTQ is a valid and reliable evaluation instrument, thereby demonstrating the usefulness of the cognitive apprenticeship concept for clinical teaching during clerkships. Furthermore, a valuable model of clinical teaching emerged, highlighting modeling, coaching, and stimulating students' articulation and exploration as crucial to effective teaching at the clinical workplace.

  20. Feedback control of acoustic musical instruments: collocated control using physical analogs.

    Science.gov (United States)

    Berdahl, Edgar; Smith, Julius O; Niemeyer, Günter

    2012-01-01

    Traditionally, the average professional musician has owned numerous acoustic musical instruments, many of them having distinctive acoustic qualities. However, a modern musician could prefer to have a single musical instrument whose acoustics are programmable by feedback control, where acoustic variables are estimated from sensor measurements in real time and then fed back in order to influence the controlled variables. In this paper, theory is presented that describes stable feedback control of an acoustic musical instrument. The presentation should be accessible to members of the musical acoustics community who may have limited or no experience with feedback control. First, the only control strategy guaranteed to be stable subject to any musical instrument mobility is described: the sensors and actuators must be collocated, and the controller must emulate a physical analog system. Next, the most fundamental feedback controllers and the corresponding physical analog systems are presented. The effects that these controllers have on acoustic musical instruments are described. Finally, practical design challenges are discussed. A proof explains why changing the resonance frequency of a musical resonance requires much more control power than changing the decay time of the resonance. © 2012 Acoustical Society of America.

  1. Health insurance and the demand for medical care: Instrumental variable estimates using health insurer claims data.

    Science.gov (United States)

    Dunn, Abe

    2016-07-01

    This paper takes a different approach to estimating demand for medical care that uses the negotiated prices between insurers and providers as an instrument. The instrument is viewed as a textbook "cost shifting" instrument that impacts plan offerings, but is unobserved by consumers. The paper finds a price elasticity of demand of around -0.20, matching the elasticity found in the RAND Health Insurance Experiment. The paper also studies within-market variation in demand for prescription drugs and other medical care services and obtains comparable price elasticity estimates. Published by Elsevier B.V.

  2. Do radio frequencies of medical instruments common in the operating room interfere with near-infrared spectroscopy signals?

    Science.gov (United States)

    Shadgan, Babak; Molavi, Behnam; Reid, W. D.; Dumont, Guy; Macnab, Andrew J.

    2010-02-01

    Background: Medical and diagnostic applications of near infrared spectroscopy (NIRS) are increasing, especially in operating rooms (OR). Since NIRS is an optical technique, radio frequency (RF) interference from other instruments is unlikely to affect the raw optical data, however, NIRS data processing and signal output could be affected. Methods: We investigated the potential for three common OR instruments: an electrical cautery, an orthopaedic drill and an imaging system, to generate electromagnetic interference (EMI) that could potentially influence NIRS signals. The time of onset and duration of every operation of each device was recorded during surgery. To remove the effects of slow changing physiological variables, we first used a lowpass filter and then selected 2 windows with variable lengths around the moment of device onset. For each instant, variances (energy) and means of the signals in the 2 windows were compared. Results: Twenty patients were studied during ankle surgery. Analysis shows no statistically significant difference in the means and variance of the NIRS signals (p < 0.01) during operation of any of the three devices for all surgeries. Conclusion: This method confirms the instruments evaluated caused no significant interference. NIRS can potentially be used without EMI in clinical environments such as the OR.

  3. Inter-rater and test-retest reliability, internal consistency, and factorial structure of the instrument for forensic treatment evaluation

    NARCIS (Netherlands)

    Schuringa, E.; Spreen, M.; Bogaerts, S.

    2014-01-01

    In this study, the Instrument for Forensic Treatment Evaluation (IFTE) is introduced. The IFTE includes 14 dynamic items of the risk assessment scheme HKT-R and eight items specifically related to the treatment of forensic psychiatric patients. The items are divided over three factors: protective

  4. Instrument validation system of general application

    International Nuclear Information System (INIS)

    Filshtein, E.L.

    1990-01-01

    This paper describes the Instrument Validation System (IVS) as a software system which has the capability of evaluating the performance of a set of functionally related instrument channels to identify failed instruments and to quantify instrument drift. Under funding from Combustion Engineering (C-E), the IVS has been developed to the extent that a computer program exists whose use has been demonstrated. The initial development work shows promise for success and for wide application, not only to power plants, but also to industrial manufacturing and process control. Applications in the aerospace and military sector are also likely

  5. Evaluation of a Mesoscale Convective System in Variable-Resolution CESM

    Science.gov (United States)

    Payne, A. E.; Jablonowski, C.

    2017-12-01

    Warm season precipitation over the Southern Great Plains (SGP) follows a well observed diurnal pattern of variability, peaking at night-time, due to the eastward propagation of mesoscale convection systems that develop over the eastern slopes of the Rockies in the late afternoon. While most climate models are unable to adequately capture the organization of convection and characteristic pattern of precipitation over this region, models with high enough resolution to explicitly resolve convection show improvement. However, high resolution simulations are computationally expensive and, in the case of regional climate models, are subject to boundary conditions. Newly developed variable resolution global climate models strike a balance between the benefits of high-resolution regional climate models and the large-scale dynamics of global climate models and low computational cost. Recently developed parameterizations that are insensitive to the model grid scale provide a way to improve model performance. Here, we present an evaluation of the newly available Cloud Layers Unified by Binormals (CLUBB) parameterization scheme in a suite of variable-resolution CESM simulations with resolutions ranging from 110 km to 7 km within a regionally refined region centered over the SGP Atmospheric Radiation Measurement (ARM) site. Simulations utilize the hindcast approach developed by the Department of Energy's Cloud-Associated Parameterizations Testbed (CAPT) for the assessment of climate models. We limit our evaluation to a single mesoscale convective system that passed over the region on May 24, 2008. The effects of grid-resolution on the timing and intensity of precipitation, as well as, on the transition from shallow to deep convection are assessed against ground-based observations from the SGP ARM site, satellite observations and ERA-Interim reanalysis.

  6. Proceedings of symposium on intelligent nuclear instrumentation-2001

    International Nuclear Information System (INIS)

    Kataria, S.K.; Vaidya, P.P.; Das, Debashis; Narurkar, P.V.

    2001-02-01

    Advances in the field of instrumentation are relevant to many areas of importance such as nuclear and accelerator based research, reactor monitoring and control, non-destructive testing and evaluation, laser programme and health and environment monitoring etc. The nuclear instrumentation is a specialized field with very specific expertise in detection, processing and its analysis. The symposium covers various fields of nuclear interest such as radiation detectors, application of ASICs and FPGA in instruments, field instruments, nuclear instrumentation for basic research, accelerator, reactor, health and environmental monitoring instrumentation, medical instrumentation, instrument net working inclusive of field buses, WEB based and wireless technologies, software tools, AI technique in instrumentation etc., in this specialized area. Papers relevant to INIS are indexed separately

  7. Intercomparison of radiation protection instrumentation in a pulsed neutron field

    CERN Document Server

    Caresana, M; Esposito, A; Ferrarini, M; Golnik, N; Hohmann, E; Leuschner, A; Luszik-Bhadra, M; Manessi, G; Mayer, S; Ott, K; Röhrich, J; Silari, M; Trompier, F; Volnhals, M; Wielunski, M

    2014-01-01

    In the framework of the EURADOS working group 11, an intercomparison of active neutron survey meters was performed in a pulsed neutron field (PNF). The aim of the exercise was to evaluate the performances of various neutron instruments, including commercially available rem-counters, personal dosemeters and instrument prototypes. The measurements took place at the cyclotron of the Helmholtz-Zentrum Berlin für Materialien und Energie GmbH. The cyclotron is routinely used for proton therapy of ocular tumours, but an experimental area is also available. For the therapy the machine accelerates protons to 68 MeV. The interaction of the proton beam with a thick tungsten target produces a neutron field with energy up to about 60 MeV. One interesting feature of the cyclotron is that the beam can be delivered in bursts, with the possibility to modify in a simple and flexible way the burst length and the ion current. Through this possibility one can obtain radiation bursts of variable duration and intensity. All instru...

  8. Statistical evaluation of recorded knowledge in nuclear and other instrumental analytical techniques

    International Nuclear Information System (INIS)

    Braun, T.

    1987-01-01

    The main points addressed in this study are the following: Statistical distribution patterns of published literature on instrumental analytical techniques 1981-1984; structure of scientific literature and heuristics for identifying active specialities and emerging hot spot research areas in instrumental analytical techniques; growth and growth rates of the literature in some of the identified hot research areas; quality and quantity in instrumental analytical research output. (orig.)

  9. Performance specifications for health physics instrumentation: portable instrumentation for use in normal work environments. Part 2. Test results

    International Nuclear Information System (INIS)

    Kenoyer, J.L.; Swinth, K.L.; Stoetzel, G.A.; Selby, J.M.

    1986-09-01

    The Pacific Northwest Laboratory evaluated a draft American National Standards Institute Standard N42.17 (ANSI N42.17) on performance specifications for health physics instrumentation through a project jointly funded by the US Department of Energy and the US Nuclear Regulatory Commission. The evaluation involved testing a representative cross section of instruments against criteria in the standard. This report presents results of the testing program. A brief history of the project is included in the introduction. The instrumentation tested is described in general terms (i.e., types, ranges); however, no direct relationship between the results and a specific instrument model is made in this report. Testing requirements in ANSI N42.17D4, Revision 1 (May 1985) are summarized and the methods by which the tests are performed are discussed. Brief descriptions of the testing equipment are included in the methods section of the report. More detailed information about the draft standard, testing requirements and procedures, and the test equipment is included in ''Performance Specifications for Health Physics Instrumentation - Portable Instrumentation for Use in Normal Work Environments, Part 1: Manual of Testing Procedures.'' Results of testing are given in two formats: test-by-test and instrument-by-instrument. Discussion is included on significant and interesting findings, on comparisons of results from the same type of instruments from same and different manufacturers, and on data grouped by manufacturer. Conclusions are made on the applicability and practicality of the proposed standard and on instrument performance. Changes that have been made to the proposed standard based on findings of the testing program are listed and discussed. 22 refs., 11 figs., 77 tabs

  10. Process variables in organizational stress management intervention evaluation research: a systematic review

    NARCIS (Netherlands)

    Havermans, B.M.; Schelvis, R.M.C.; Boot, C.R.L.; Brouwers, E.P.M.; Anema, J.R.; Beek, A.J. van der

    2016-01-01

    Objectives This systematic review aimed to explore which process variables are used in stress management intervention (SMI) evaluation research. Methods A systematic review was conducted using seven electronic databases. Studies were included if they reported on an SMI aimed at primary or secondary

  11. Process variables in organizational stress management intervention evaluation research : A systematic review

    NARCIS (Netherlands)

    Havermans, B.M.; Schlevis, Roosmarijn Mc; Boot, Cécile Rl; Brouwers, E.P.M.; Anema, Johannes R; van der Beek, Allard J

    2016-01-01

    OBJECTIVES: This systematic review aimed to explore which process variables are used in stress management intervention (SMI) evaluation research. METHODS: A systematic review was conducted using seven electronic databases. Studies were included if they reported on an SMI aimed at primary or

  12. Robotic-surgical instrument wrist pose estimation.

    Science.gov (United States)

    Fabel, Stephan; Baek, Kyungim; Berkelman, Peter

    2010-01-01

    The Compact Lightweight Surgery Robot from the University of Hawaii includes two teleoperated instruments and one endoscope manipulator which act in accord to perform assisted interventional medicine. The relative positions and orientations of the robotic instruments and endoscope must be known to the teleoperation system so that the directions of the instrument motions can be controlled to correspond closely to the directions of the motions of the master manipulators, as seen by the the endoscope and displayed to the surgeon. If the manipulator bases are mounted in known locations and all manipulator joint variables are known, then the necessary coordinate transformations between the master and slave manipulators can be easily computed. The versatility and ease of use of the system can be increased, however, by allowing the endoscope or instrument manipulator bases to be moved to arbitrary positions and orientations without reinitializing each manipulator or remeasuring their relative positions. The aim of this work is to find the pose of the instrument end effectors using the video image from the endoscope camera. The P3P pose estimation algorithm is used with a Levenberg-Marquardt optimization to ensure convergence. The correct transformations between the master and slave coordinate frames can then be calculated and updated when the bases of the endoscope or instrument manipulators are moved to new, unknown, positions at any time before or during surgical procedures.

  13. netherland hydrological modeling instrument

    Science.gov (United States)

    Hoogewoud, J. C.; de Lange, W. J.; Veldhuizen, A.; Prinsen, G.

    2012-04-01

    Netherlands Hydrological Modeling Instrument A decision support system for water basin management. J.C. Hoogewoud , W.J. de Lange ,A. Veldhuizen , G. Prinsen , The Netherlands Hydrological modeling Instrument (NHI) is the center point of a framework of models, to coherently model the hydrological system and the multitude of functions it supports. Dutch hydrological institutes Deltares, Alterra, Netherlands Environmental Assessment Agency, RWS Waterdienst, STOWA and Vewin are cooperating in enhancing the NHI for adequate decision support. The instrument is used by three different ministries involved in national water policy matters, for instance the WFD, drought management, manure policy and climate change issues. The basis of the modeling instrument is a state-of-the-art on-line coupling of the groundwater system (MODFLOW), the unsaturated zone (metaSWAP) and the surface water system (MOZART-DM). It brings together hydro(geo)logical processes from the column to the basin scale, ranging from 250x250m plots to the river Rhine and includes salt water flow. The NHI is validated with an eight year run (1998-2006) with dry and wet periods. For this run different parts of the hydrology have been compared with measurements. For instance, water demands in dry periods (e.g. for irrigation), discharges at outlets, groundwater levels and evaporation. A validation alone is not enough to get support from stakeholders. Involvement from stakeholders in the modeling process is needed. There fore to gain sufficient support and trust in the instrument on different (policy) levels a couple of actions have been taken: 1. a transparent evaluation of modeling-results has been set up 2. an extensive program is running to cooperate with regional waterboards and suppliers of drinking water in improving the NHI 3. sharing (hydrological) data via newly setup Modeling Database for local and national models 4. Enhancing the NHI with "local" information. The NHI is and has been used for many

  14. An Aesthetics of Negativity: On the Instrumental Evaluation of Conceptual Art in Eastern Europe

    Directory of Open Access Journals (Sweden)

    Cristian Nae

    2014-12-01

    Full Text Available The contextual interpretation of conceptual art under politically oppressive regimes as a politicized art practice seems dominant in the current revisionist discourse of art history. At a closer inspection, this discourse seems to illustrate Rainer Rochlitz’s comments on the use of political criteria for instrumentally evaluating contemporary art, favoring political engagement as a relational artistic value instead of a set of (inherent aesthetic values. Using art historical analysis of the context of artistic production and reception as well as case studies, I intend to show that what we may praise as being critically efficient conceptual artworks are also aesthetically relevant in a particular sense. The political character they may acquire and the instrumental value attached to it depends on the production of artistic autonomy as a field of semiotic experiments with language and social communication. It is the aesthetic function of that part of conceptual art engaged in useless artistic labor and pointless communication, criticizing the inherent rationality of the modernist project, which obliquely acquires political overtones in times of straightforward ideological engagement of art.

  15. Evaluation of future policy instruments - Sub-Project 2; Utvaerdering av framtida styrmedel - Delprojekt 2 inom projektet Perspektiv paa framtida avfallsbehandling

    Energy Technology Data Exchange (ETDEWEB)

    Bisaillon, Mattias; Dahlen, Lisa; Detterfelt, Lia; Edner, Stig; Toren, Johan

    2013-09-01

    There are several recently introduced and future possible policy instruments that are of great interest to study in order to understand the future for the Swedish waste treatment market. In the energy sector, the use of system analysis models has proven to be effective in order to understand the effects and consequences of policy instruments. In the waste sector, however, such analyses have only been conducted sporadically. This in spite of the introduction of highly influential policy instruments such as producer responsibility, landfill tax and landfill ban, which together have contributed to landfilling of Swedish household waste practically has ceased. The goal of this project was, by using system analysis models, to study and evaluate the newly introduced and future possible policy instruments which affect Swedish waste treatment. The assessment was made in terms of how policy instruments affect: - the distribution of treatment technologies, - waste amounts, - greenhouse gas emissions and - the economics of waste treatment. The project was performed during 2011 and 2012 as a part of the research project 'Perspectives on sustainable waste treatment (PFA)'. During the project, discussions have taken place within the working group and the reference group on which instruments are most interesting and relevant to study. Furthermore, opinions have been gathered from the association Swedish Waste Managements policy instrument group and from various players in the industry at conferences, presentations and workshops.

  16. TMI-2 instrumentation and electrical program final evaluation report

    International Nuclear Information System (INIS)

    Mayo, C.W.; Huzdovich, J.W.; Roby, A.R.; Test, L.D.

    1986-11-01

    This report presents the authors collective opinions on the value to the nuclear industry of the various investigations performed at TMI-2 by the Instrumentation and Electrical Program. The authors demonstrate that more attention must be given to the prevention of moisture intrusion during design, construction, operation, and maintenance of a nuclear power plant. They also point out that, while basic engineering designs of instruments are more than adequate, the applications engineering and specifications could be improved. Finally, they show that advanced testing technology, exemplified by the Electrical Circuit Characterization and Diagnostics (ECCAD) System, may be very useful as a diagnostic tool when used as part of the testing or maintenance program in a nuclear power plant

  17. Evaluation and feedback for effective clinical teaching in postgraduate medical education: validation of an assessment instrument incorporating the CanMEDS roles.

    Science.gov (United States)

    Fluit, Cornelia; Bolhuis, Sanneke; Grol, Richard; Ham, Marieke; Feskens, Remco; Laan, Roland; Wensing, Michel

    2012-01-01

    Providing clinical teachers in postgraduate medical education with feedback about their teaching skills is a powerful tool to improve clinical teaching. A systematic review showed that available instruments do not comprehensively cover all domains of clinical teaching. We developed and empirically test a comprehensive instrument for assessing clinical teachers in the setting of workplace learning and linked to the CanMEDS roles. In a Delphi study, the content validity of a preliminary instrument with 88 items was studied, leading to the construction of the EFFECT (evaluation and feedback for effective clinical teaching) instrument. The response process was explored in a pilot test and focus group research with 18 residents of 6 different disciplines. A confirmatory factor analyses (CFA) and reliability analyses were performed on 407 evaluations of 117 supervisors, collected in 3 medical disciplines (paediatrics, pulmonary diseases and surgery) of 6 departments in 4 different hospitals. CFA yielded an 11 factor model with a good to excellent fit and internal consistencies ranged from 0.740 to 0.940 per domain; 7 items could be deleted. The model of workplace learning showed to be a useful framework for developing EFFECT, which incorporates the CanMEDS competencies and proved to be valid and reliable.

  18. The effects of competition on premiums: using United Healthcare's 2015 entry into Affordable Care Act's marketplaces as an instrumental variable.

    Science.gov (United States)

    Agirdas, Cagdas; Krebs, Robert J; Yano, Masato

    2018-01-08

    One goal of the Affordable Care Act is to increase insurance coverage by improving competition and lowering premiums. To facilitate this goal, the federal government enacted online marketplaces in the 395 rating areas spanning 34 states that chose not to establish their own state-run marketplaces. Few multivariate regression studies analyzing the effects of competition on premiums suffer from endogeneity, due to simultaneity and omitted variable biases. However, United Healthcare's decision to enter these marketplaces in 2015 provides the researcher with an opportunity to address this endogeneity problem. Exploiting the variation caused by United Healthcare's entry decision as an instrument for competition, we study the impact of competition on premiums during the first 2 years of these marketplaces. Combining panel data from five different sources and controlling for 12 variables, we find that one more insurer in a rating area leads to a 6.97% reduction in the second-lowest-priced silver plan premium, which is larger than the estimated effects in existing literature. Furthermore, we run a threshold analysis and find that competition's effects on premiums become statistically insignificant if there are four or more insurers in a rating area. These findings are robust to alternative measures of premiums, inclusion of a non-linear term in the regression models and a county-level analysis.

  19. The Design and Development of Driving Game as an Evaluation Instrument for Driving License Test

    OpenAIRE

    Abdul Hadi Abdul Razak; Mohd Hairy Manap

    2013-01-01

    The focus of this paper is to highlight the design and development of an educational game prototype as an evaluation instrument for the Malaysia driving license static test. This educational game brings gaming technology into the conventional objective static test to make it more effective, real and interesting. From the feeling of realistic, the future driver can learn something, memorized and use it in the real life. The current online objective static test only make th...

  20. Development of the Flu-PRO: a patient-reported outcome (PRO) instrument to evaluate symptoms of influenza.

    Science.gov (United States)

    Powers, John H; Guerrero, M Lourdes; Leidy, Nancy Kline; Fairchok, Mary P; Rosenberg, Alice; Hernández, Andrés; Stringer, Sonja; Schofield, Christina; Rodríguez-Zulueta, Patricia; Kim, Katherine; Danaher, Patrick J; Ortega-Gallegos, Hilda; Bacci, Elizabeth Dansie; Stepp, Nathaniel; Galindo-Fraga, Arturo; St Clair, Kristina; Rajnik, Michael; McDonough, Erin A; Ridoré, Michelande; Arnold, John C; Millar, Eugene V; Ruiz-Palacios, Guillermo M

    2016-01-05

    To develop content validity of a comprehensive patient-reported outcome (PRO) measure following current best scientific methodology to standardize assessment of influenza (flu) symptoms in clinical research. Stage I (Concept Elicitation): 1:1 telephone interviews with influenza-positive adults (≥18 years) in the US and Mexico within 7 days of diagnosis. Participants described symptom type, character, severity, and duration. Content analysis identified themes and developed the draft Flu-PRO instrument. Stage II (Cognitive Interviewing): The Flu-PRO was administered to a unique set of influenza-positive adults within 14 days of diagnosis; telephone interviews addressed completeness, respondent interpretation of items and ease of use. Samples: Stage I: N = 46 adults (16 US, 30 Mexico); mean (SD) age: 38 (19), 39 (14) years; % female: 56%, 73%; race: 69% White, 97% Mestizo. Stage II: N = 34 adults (12 US, 22 Mexico); age: 37 (14), 39 (11) years; % female: 50%, 50%; race: 58% White, 100% Mestizo. Symptoms identified by >50%: coughing, weak or tired, throat symptoms, congestion, headache, weakness, sweating, chills, general discomfort, runny nose, chest (trouble breathing), difficulty sleeping, and body aches or pains. No new content was uncovered during Stage II; participants easily understood the instrument. Results show the 37-item Flu-PRO is a content valid measure of influenza symptoms in adults with a confirmed diagnosis of influenza. Research is underway to evaluate the suitability of the instrument for children and adolescents. This work can form the basis for future quantitative tests of reliability, validity, and responsiveness to evaluate the measurement properties of Flu-PRO for use in clinical trials and epidemiology studies.

  1. Quality of leadership in multidisciplinary cancer tumor boards: development and evaluation of a leadership assessment instrument (ATLAS).

    Science.gov (United States)

    Jalil, Rozh; Soukup, Tayana; Akhter, Waseem; Sevdalis, Nick; Green, James S A

    2018-03-03

    High-quality leadership and chairing skills are vital for good performance in multidisciplinary tumor boards (MTBs), but no instruments currently exist for assessing and improving these skills. To construct and validate a robust instrument for assessment of MTB leading and chairing skills. We developed an observational MTB leadership assessment instrument (ATLAS). ATLAS includes 12 domains that assess the leadership and chairing skills of the MTB chairperson. ATLAS has gone through a rigorous process of refinement and content validation prior to use to assess the MTB lead by two urological surgeons (blinded to each other) in 7 real-live (n = 286 cases) and 10 video-recorded (n = 131 cases) MTBs. ATLAS domains were analyzed via descriptive statistics. Instrument content was evaluated for validity using the content validation index (CVI). Intraclass correlation coefficients (ICCs) were used to assess inter-observer reliability. Instrument refining resulted in ATLAS including the following 12 domains: time management, communication, encouraging contribution, ability to summarize, ensuring all patients have treatment plan, case prioritization, keeping meeting focused, facilitate discussion, conflict management, leadership, creating good working atmosphere, and recruitment for clinical trials. CVI was acceptable and inter-rater agreement adequate to high for all domains. Agreement was somewhat higher in real-time MTBs compared to video ratings. Concurrent validation evidence was derived via positive and significant correlations between ATLAS and an established validated brief MTB leadership assessment scale. ATLAS is an observational assessment instrument that can be reliably used for assessing leadership and chairing skills in cancer MTBs (both live and video-recorded). The ability to assess and feedback on team leader performance provides the ground for promotion of good practice and continuing professional development of tumor board leaders.

  2. Scanning Electron Microscopic Evaluation of Residual Smear Layer Following Preparation of Curved Root Canals Using Hand Instrumentation or Two Engine-Driven Systems.

    Science.gov (United States)

    Khademi, Abbasali; Saatchi, Masoud; Shokouhi, Mohammad Mehdi; Baghaei, Badri

    2015-01-01

    In this experimental study, the amount of smear layer (SL) remnants in curved root canals after chemomechanical instrumentation with two engine-driven systems or hand instrumentation was evaluated. Forty-eight mesiobuccal roots of mandibular first molars with curvatures ranging between 25 and 35 degrees (according to Schneider's method) were divided into three groups (n=16) which were prepared by either the ProTaper Universal file series, Reciproc single file system or hand instrumentation. The canals were intermittently irrigated with 5.25% NaOCl and 17% (ethylenediaminetetraacetic acid) EDTA, followed by distilled water as the final rinse. The roots were split longitudinally and the apical third of the specimens were evaluated under 2500× magnification with a scanning electron microscope (SEM). The mean scores of the SL were calculated and analyzed using the non-parametric Kruskal-Wallis and Mann-Whitney U tests. The mean scores of the SL were 2.00±0.73, 1.94±0.68 and 1.44±0.63 µm for the ProTaper Universal, Reciproc and hand instrumentation, respectively. Mean score of SL was significantly less in the hand instrumentation group than the ProTaper (P=0.027) and Reciproc (P=0.035) groups. The difference between the two engine-driven systems, however, was not significant (P=0.803). The amount of smear layer in the apical third of curved root canals prepared with both engine-driven systems was similar and greater than the hand instrumentation technique. Complete cleanliness was not attained.

  3. Evaluating psychological markers for human nicotine dependence: tobacco choice, extinction, and Pavlovian-to-instrumental transfer.

    Science.gov (United States)

    Hogarth, Lee; Chase, Henry W

    2012-06-01

    Individual differences in drug dependence may be mediated by several abnormalities in associative learning, including perseveration of drug-seeking following contingency change, greater control over drug-seeking by Pavlovian stimuli, or greater sensitivity to drug reinforcement establishing higher rates of drug-seeking. To evaluate these three candidate markers for nicotine dependence, Experiment 1 contrasted daily (N = 22) and nondaily smoker groups (N = 22) on a novel instrumental learning task, where one S+ was first trained as a predictor of tobacco reward before being extinguished. Experiment 2 compared daily (N = 18) and nondaily smoker groups (N = 18) on a concurrent-choice task for tobacco and chocolate reward before an extinction test in which the tobacco response was extinguished, followed by a Pavlovian-to-instrumental transfer test, wherein the impact of tobacco and chocolate cues on concurrent choice was measured (gender was balanced within each smoker group). The results showed no group difference in sensitivity to extinction of either the stimulus-drug or response-drug contingency in Experiments 1 and 2, respectively, nor did groups show a difference in Pavlovian-to-instrumental transfer of control over tobacco choice. By contrast, nicotine-dependence status was marked by a higher frequency of tobacco choice in the concurrent-choice procedure, and this choice preference was associated with subjective craving (gender did not affect any behavioral measure). These results favor the view that nicotine dependence in this sample is not determined by individual predilection for perseveration or stimulus-control over drug-seeking, but by greater sensitivity to reinforcement of instrumental drug choice. Value-based decision theories of dependence are discussed.

  4. Einstein x-ray observations of cataclysmic variables

    International Nuclear Information System (INIS)

    Mason, K.O.; Cordova, F.A.

    1982-01-01

    Observations with the imaging x-ray detectors on the Einstein Observatory have led to a large increase in the number of low luminosity x-ray sources known to be associated with cataclysmic variable stars (CVs). The high sensitivity of the Einstein instrumentation has permitted study of their short timescale variability and spectra. The data are adding significantly to our knowledge of the accretion process in cataclysmic variables and forcing some revision in our ideas concerning the origin of the optical variability in these stars

  5. Competence evaluation process for nursing students abroad: Findings from an international Case study

    DEFF Research Database (Denmark)

    Jansen, Mette Bro

    2017-01-01

    , with between five and 88 items included. Through content analysis, 196 items emerged, classified into 12 different core competence categories, the majority were categorised as ‘Technical skills’ (=60), ‘Self-learning and critical thinking’ (=27) and ‘Nursing care process’ (=25) competences. Little emphasiswas......) were approached. Methods: Tools as instruments for evaluating competences developed in clinical training by international nursing students, and written procedures aimed at guiding the evaluation process, were scrutinised through a content analysis method. Findings: All clinical competence evaluation...... procedures and instruments used in the nursing programmes involvedwere provided in English. A final evaluation of the competenceswas expected by all nursing programmes at the end of the clinical placement, while only four provided an intermediate evaluation. Great variability emerged in the tools...

  6. Quantitative evaluation of apical extrusion of debris and irrigants using four rotary instrumentation systems: an in vitro study.

    Science.gov (United States)

    Nagaveni, S Aspalli; Balakoti, K Reddy; Smita, Karan; Ratnakar, P; Satish, S V; Aravind, T

    2013-11-01

    The apical extrusion of infected debris may have the potential to disrupt the balance between microbial aggression and host defense, resulting in incidents of acute inflammation. During preparation, irrigants and debris, such as bacteria, dentin filings and necrotic tissue may be extruded into the periradicular region leading to periapical inflammation and postoperative flare ups. Using an instrumentation technique that minimizes apical extrusion would be beneficial to both the practitioner and patient. The purpose of the study was to evaluate the weight of debris and volume of irrigant extruded apically from extracted teeth in vitro after endodontic instrumentation using four different rotary root canal instrumentation systems. Four groups of each 20 extracted mandibular premolars were instrumented using one of the four systems: ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland)), Hero-shaper (MicroMega, Besancon, France), RaCe (FKG Dentaire, La-Chaux-de-Fonds, Switzerland) and K3 (SybronEndo, West Collins, CA). Debris and irrigant extruded from the apical foramen during instrumentation were collected in preweighed test tubes. Volume of irrigant extruded was noted. The containers were stored in incubator at 70° for two days to evaporate the moisture. Weight of dry debris was noted. Data was analyzed using Kruskall-Wallis and Mann-Whitney U test at a significance of 0.001. The results indicated that all of the instrumentation systems tested caused measurable apical extrusion of debris and irrigants. Higher extrusion was observed with Protaper system which was statistically significant with Hero-Shaper, RaCe and K3 systems. There were no statistical differences between Hero-shaper, K3 and RaCe systems (p < 0.05). All instrumentation techniques apically extruded debris and irrigant. However, Hero-shaper, K3 and RaCe systems produced less extruded debris and irrigant than the Protaper system.

  7. Diabetes-related emotional distress instruments: a systematic review of measurement properties.

    Science.gov (United States)

    Lee, Jiyeon; Lee, Eun-Hyun; Kim, Chun-Ja; Moon, Seung Hei

    2015-12-01

    The objectives of this study were to identify all available diabetes-related emotional distress instruments and evaluate the evidence regarding their measurement properties to help in the selection of the most appropriate instrument for use in practice and research. A systematic literature search was performed. PubMed, Embase, CINAHL, and PsycINFO were searched systematically for articles on diabetes-related emotional distress instruments. The Consensus-based Standards for the Selection of Health Measurement Instruments checklist was used to evaluate the methodological quality of the identified studies. The quality of results with respect to the measurement properties of each study was evaluated using Terwee's quality criteria. An ancillary meta-analysis was performed. Of the 2345 articles yielded by the search, 19 full-text articles evaluating 6 diabetes-related emotional distress instruments were included in this study. No instrument demonstrated evidence for all measurement properties. The Problem Areas in Diabetes scale (PAID) was the most frequently studied and the best validated of the instruments. Pooled summary estimates of the correlation coefficient between the PAID and serum glycated hemoglobin revealed a positive but weak correlation. No diabetes-related emotional distress instrument demonstrated evidence for all measurement properties. No instrument was better than another, although the PAID was the best validated and is thus recommended for use. Further psychometric studies of the diabetes-related emotional distress instruments with rigorous methodologies are required. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. Comparative instrumental evaluation of efficacy and safety between a binary and a ternary system in chemexfoliation.

    Science.gov (United States)

    Cameli, Norma; Mariano, Maria; Ardigò, Marco; Corato, Cristina; De Paoli, Gianfranco; Berardesca, Enzo

    2017-09-20

    To instrumentally evaluate the efficacy and the safety of a new ternary system chemo exfoliating formulation (water-dimethyl isosorbide-acid) vs traditional binary systems (water and acid) where the acid is maintained in both the systems at the same concentration. Different peelings (binary system pyruvic acid and trichloroacetic acid-TCA, and ternary system pyruvic acid and TCA) were tested on the volar forearm of 20 volunteers of both sexes between 28 and 50 years old. The outcomes were evaluated at the baseline, 10 minutes, 24 hours, and 1 week after the peeling by means of noninvasive skin diagnosis techniques. In vivo reflectance confocal microscopy was used for stratum corneum evaluation, transepidermal waterloss, and Corneometry for skin barrier and hydration, Laser Doppler velocimetry in association with colorimetry for irritation and erythema analysis. The instrumental data obtained showed that the efficacy and safety of the new ternary system peel compounds were significantly higher compared with the binary system formulations tested. The new formulation peels improved chemexfoliation and reduced complications such as irritation, redness, and postinflammatory pigmentation compared to the traditional aqueous solutions. The study showed that ternary system chemexfoliation, using a controlled delivery technology, was able to provide the same clinical effects in term of stratum corneum reduction with a significantly reduced barrier alteration, water loss, and irritation/erythema compared to traditional binary system peels. © 2017 Wiley Periodicals, Inc.

  9. Technical evaluation of the electrical, instrumentation, and control design aspects of the low temperature overpressure protection system for the Haddam Neck Nuclear Power Plant

    International Nuclear Information System (INIS)

    Laudenbach, D.H.

    1979-03-01

    The technical evaluation of the electrical, instrumentation, and control design aspects of the low temperature overpressure protection system for the Haddam Neck Nuclear Power Plant is presented. Design basis criteria used to evaluate the acceptability of the system included operator action, system testability, single failure criterion, and seismic Category I and IEEE Std-279-1971 criteria. This report is supplied as part of the Selected Electrical, Instrumentation, and Control Systems Issues Support Program being conducted for the U.S. Nuclear Regulatory Commission by Lawrence Livermore Laboratory

  10. Measuring changes in perception using the Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE) instrument.

    Science.gov (United States)

    Zorek, Joseph A; MacLaughlin, Eric J; Fike, David S; MacLaughlin, Anitra A; Samiuddin, Mohammed; Young, Rodney B

    2014-05-20

    The Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE) instrument contains 10 items, 3 factors (interprofessional teamwork and team-based practice, roles/responsibilities for collaborative practice, and patient outcomes from collaborative practice), and utilizes a five-point response scale (1 = strongly disagree, 5 = strongly agree). Given the SPICE instrument's demonstrated validity and reliability, the objective of this study was to evaluate whether it was capable of measuring changes in medical (MS) and pharmacy students' (PS) perceptions following an interprofessional education (IPE) experience. In this prospective cohort study, MS and PS completed the SPICE instrument before and after participation in a predefined IPE experience. Descriptive statistics were used to characterize students and pre-post responses. Independent samples t tests and Fisher's Exact tests were used to assess group difference in demographic variables. Mann Whitney U tests were used to assess between-group differences in item scores. Wilcoxon Signed-Rank tests were used to evaluate post-participation changes in item scores. Spearman correlations were calculated to assess associations between ordinal demographic variables and item scores, and whether the number of clinic visits completed was associated with post-test responses. Paired samples t tests were used to calculate mean score changes for each of the factors. Thirty-four MS and 15 PS were enroled. Baseline differences included age (25.3. ± 1.3 MS vs. 28.7 ± 4.4 PS; p = 0.013), years full-time employment (0.71 ± 0.97 MS vs. 4.60 ± 4.55 PS; p impact of teamwork on patient satisfaction (3.72 vs. 4.34; p location for IPE (4.06 vs. 4.34; p = 0.002). Significant increases were observed for all three factors (teamwork, p = 0.003; roles/responsibilities and patient outcomes, p < 0.001). This study demonstrated the SPICE instrument's ability to measure

  11. Intrajudge and Interjudge Reliability of the Stuttering Severity Instrument-Fourth Edition.

    Science.gov (United States)

    Davidow, Jason H; Scott, Kathleen A

    2017-11-08

    The Stuttering Severity Instrument (SSI) is a tool used to measure the severity of stuttering. Previous versions of the instrument have known limitations (e.g., Lewis, 1995). The present study examined the intra- and interjudge reliability of the newest version, the Stuttering Severity Instrument-Fourth Edition (SSI-4) (Riley, 2009). Twelve judges who were trained on the SSI-4 protocol participated. Judges collected SSI-4 data while viewing 4 videos of adults who stutter at Time 1 and 4 weeks later at Time 2. Data were analyzed for intra- and interjudge reliability of the SSI-4 subscores (for Frequency, Duration, and Physical Concomitants), total score, and final severity rating. Intra- and interjudge reliability across the subscores and total score concurred with the manual's reported reliability when reliability was calculated using the methods described in the manual. New calculations of judge agreement produced different values from those in the manual-for the 3 subscores, total score, and final severity rating-and provided data absent from the manual. Clinicians and researchers who use the SSI-4 should carefully consider the limitations of the instrument. Investigation into the multitasking demands of the instrument may provide information on whether separating the collection of data for specific variables will improve intra- and interjudge reliability of those variables.

  12. Variable-Structure Control of a Model Glider Airplane

    Science.gov (United States)

    Waszak, Martin R.; Anderson, Mark R.

    2008-01-01

    A variable-structure control system designed to enable a fuselage-heavy airplane to recover from spin has been demonstrated in a hand-launched, instrumented model glider airplane. Variable-structure control is a high-speed switching feedback control technique that has been developed for control of nonlinear dynamic systems.

  13. Alberta Learning: Early Development Instrument Pilot Project Evaluation.

    Science.gov (United States)

    Meaney, Wanda; Harris-Lorenze, Elayne

    The Early Development Instrument (EDI) was designed by McMaster University to measure the outcomes of childrens early years as they influence their readiness to learn at school. The EDI was piloted in several Canadian cities in recent years through two national initiatives. Building on these initiatives, Alberta Learning piloted the EDI as a…

  14. The relation between instrumental musical activity and cognitive aging.

    Science.gov (United States)

    Hanna-Pladdy, Brenda; MacKay, Alicia

    2011-05-01

    Intensive repetitive musical practice can lead to bilateral cortical reorganization. However, whether musical sensorimotor and cognitive abilities transfer to nonmusical cognitive abilities that are maintained throughout the life span is unclear. In an attempt to identify modifiable lifestyle factors that may potentially enhance successful aging, we evaluated the association between musical instrumental participation and cognitive aging. Seventy older healthy adults (ages 60-83) varying in musical activity completed a comprehensive neuropsychological battery. The groups (nonmusicians, low and high activity musicians) were matched on age, education, history of physical exercise, while musicians were matched on age of instrumental acquisition and formal years of musical training. Musicians were classified in the low (1-9 years) or high (>10 years) activity group based on years of musical experience throughout their life span. The results of this preliminary study revealed that participants with at least 10 years of musical experience (high activity musicians) had better performance in nonverbal memory (η2 = .106), naming (η2 = .103), and executive processes (η2 = .131) in advanced age relative to nonmusicians. Several regression analyses evaluated how years of musical activity, age of acquisition, type of musical training, and other variables predicted cognitive performance. These correlational results suggest a strong predictive effect of high musical activity throughout the life span on preserved cognitive functioning in advanced age. A discussion of how musical participation may enhance cognitive aging is provided along with other alternative explanations.

  15. Instrumentation and control upgrade evaluation methodology. Volume 1: Manual. Final report

    International Nuclear Information System (INIS)

    Bliss, M.; Brown, E.; Florio, F.; Stofko, M.

    1996-07-01

    This methodology manual describes how to develop an Upgrade Evaluation Report (UER) for an I and C system that has been identified as an upgrade candidate in the I and C Life Cycle Management Plan (LCMP). A UER can be developed by a nuclear power plant to determine the cost-effectiveness and feasibility of upgrading an aging or obsolete Instrumentation and Control (I and C) System. A separate UER is developed for each upgrade candidate system. A UER will determine if a given system requires an upgrade or if it is more cost-effective to maintain the present system. If an upgrade is unnecessary, the system will be reclassified as a retained system and a system maintenance plan will be developed for it. This manual is accompanied by a workbook (EPRI TR-104963-V2) which contains various worksheets, outlines, and generic interview questions that aid in the UER development process

  16. Evaluation of the McMahon Competence Assessment Instrument for Use with Midwifery Students During a Simulated Shoulder Dystocia.

    Science.gov (United States)

    McMahon, Erin; Jevitt, Cecilia; Aronson, Barbara

    2018-03-01

    Intrapartum emergencies occur infrequently but require a prompt and competent response from the midwife to prevent morbidity and mortality of the woman, fetus, and newborn. Simulation provides the opportunity for student midwives to develop competence in a safe environment. The purpose of this study was to determine the inter-rater reliability of the McMahon Competence Assessment Instrument (MCAI) for use with student midwives during a simulated shoulder dystocia scenario. A pilot study using a nonprobability convenience sample was used to evaluate the MCAI. Content validity indices were calculated for the individual items and the overall instrument using data from a panel of expert reviewers. Fourteen student midwives consented to be video recorded while participating in a simulated shoulder dystocia scenario. Three faculty raters used the MCAI to evaluate the student performance. These quantitative data were used to determine the inter-rater reliability of the MCAI. The intraclass correlation coefficient (ICC) was used to assess the inter-rater reliability of MCAI scores between 2 or more raters. The ICC was 0.86 (95% confidence interval, 0.60-0.96). Fleiss's kappa was calculated to determine the inter-rater reliability for individual items. Twenty-three of the 42 items corresponded to excellent strength of agreement. This study demonstrates a method to determine the inter-rater reliability of a competence assessment instrument to be used with student midwives. Data produced by this study were used to revise and improve the instrument. Additional research will further document the inter-rater reliability and can be used to determine changes in student competence. Valid and reliable methods of assessment will encourage the use of simulation to efficiently develop the competence of student midwives. © 2018 by the American College of Nurse-Midwives.

  17. Geostatistical Analysis of Mesoscale Spatial Variability and Error in SeaWiFS and MODIS/Aqua Global Ocean Color Data

    Science.gov (United States)

    Glover, David M.; Doney, Scott C.; Oestreich, William K.; Tullo, Alisdair W.

    2018-01-01

    Mesoscale (10-300 km, weeks to months) physical variability strongly modulates the structure and dynamics of planktonic marine ecosystems via both turbulent advection and environmental impacts upon biological rates. Using structure function analysis (geostatistics), we quantify the mesoscale biological signals within global 13 year SeaWiFS (1998-2010) and 8 year MODIS/Aqua (2003-2010) chlorophyll a ocean color data (Level-3, 9 km resolution). We present geographical distributions, seasonality, and interannual variability of key geostatistical parameters: unresolved variability or noise, resolved variability, and spatial range. Resolved variability is nearly identical for both instruments, indicating that geostatistical techniques isolate a robust measure of biophysical mesoscale variability largely independent of measurement platform. In contrast, unresolved variability in MODIS/Aqua is substantially lower than in SeaWiFS, especially in oligotrophic waters where previous analysis identified a problem for the SeaWiFS instrument likely due to sensor noise characteristics. Both records exhibit a statistically significant relationship between resolved mesoscale variability and the low-pass filtered chlorophyll field horizontal gradient magnitude, consistent with physical stirring acting on large-scale gradient as an important factor supporting observed mesoscale variability. Comparable horizontal length scales for variability are found from tracer-based scaling arguments and geostatistical decorrelation. Regional variations between these length scales may reflect scale dependence of biological mechanisms that also create variability directly at the mesoscale, for example, enhanced net phytoplankton growth in coastal and frontal upwelling and convective mixing regions. Global estimates of mesoscale biophysical variability provide an improved basis for evaluating higher resolution, coupled ecosystem-ocean general circulation models, and data assimilation.

  18. Reconstructing pre-instrumental streamflow in Eastern Australia using a water balance approach

    Science.gov (United States)

    Tozer, C. R.; Kiem, A. S.; Vance, T. R.; Roberts, J. L.; Curran, M. A. J.; Moy, A. D.

    2018-03-01

    Streamflow reconstructions based on paleoclimate proxies provide much longer records than the short instrumental period records on which water resource management plans are currently based. In Australia there is a lack of in-situ high resolution paleoclimate proxy records, but remote proxies with teleconnections to Australian climate have utility in producing streamflow reconstructions. Here we investigate, via a case study for a catchment in eastern Australia, the novel use of an Antarctic ice-core based rainfall reconstruction within a Budyko-framework to reconstruct ∼1000 years of annual streamflow. The resulting streamflow reconstruction captures interannual to decadal variability in the instrumental streamflow, validating both the use of the ice core rainfall proxy record and the Budyko-framework method. In the preinstrumental era the streamflow reconstruction shows longer wet and dry epochs and periods of streamflow variability that are higher than observed in the instrumental era. Importantly, for both the instrumental record and preinstrumental reconstructions, the wet (dry) epochs in the rainfall record are shorter (longer) in the streamflow record and this non-linearity must be considered when inferring hydroclimatic risk or historical water availability directly from rainfall proxy records alone. These insights provide a better understanding of present infrastructure vulnerability in the context of past climate variability for eastern Australia. The streamflow reconstruction presented here also provides a better understanding of the range of hydroclimatic variability possible, and therefore represents a more realistic baseline on which to quantify the potential impacts of anthropogenic climate change on water security.

  19. Evaluation of construct and criterion validity for the 'Liverpool Osteoarthritis in Dogs' (LOAD clinical metrology instrument and comparison to two other instruments.

    Directory of Open Access Journals (Sweden)

    Myles Benjamin Walton

    Full Text Available To test the 'Liverpool Osteoarthritis in Dogs' (LOAD questionnaire for construct and criterion validity, and to similarly test the Helsinki Chronic Pain Index (HCPI and the Canine Brief Pain Inventory (CBPI.Prospective Study.222 dogs with osteoarthritis.Osteoarthritis was diagnosed in a cohort of dogs on the basis of clinical history and orthopedic examination. Force-platform analysis was performed and a "symmetry index" for peak vertical force (PVF was calculated. Owners completed LOAD, CBPI and HCPI instruments. As a test of construct validity, inter-instrument correlations were calculated. As a test of criterion validity, the correlations between instrument scores and PVF symmetry scores were calculated. Additionally, internal consistency of all instruments was calculated and compared to those previously reported. Factor analysis is reported for the first time for LOAD, and is compared to that previously reported for CBPI and HCPI.Significant moderate correlations were found between all instruments, implying construct validity for all instruments. Significant weak correlations were found between LOAD scores and PVF symmetry index, and between CBPI scores and PVF symmetry index.LOAD is an owner-completed clinical metrology instrument that can be recommended for the measurement of canine osteoarthritis. It is convenient to use, validated and, as demonstrated here for the first time, has a correlation with force-platform data.

  20. Practical evaluation of action-angle variables

    International Nuclear Information System (INIS)

    Boozer, A.H.

    1984-02-01

    A practical method is described for establishing action-angle variables for a Hamiltonian system. That is, a given nearly integrable Hamiltonian is divided into an exactly integrable system plus a perturbation in action-angle form. The transformation of variables, which is carried out using a few short trajectory integrations, permits a rapid determination of trajectory properties throughout a phase space volume

  1. Is foreign direct investment good for health in low and middle income countries? An instrumental variable approach.

    Science.gov (United States)

    Burns, Darren K; Jones, Andrew P; Goryakin, Yevgeniy; Suhrcke, Marc

    2017-05-01

    There is a scarcity of quantitative research into the effect of FDI on population health in low and middle income countries (LMICs). This paper investigates the relationship using annual panel data from 85 LMICs between 1974 and 2012. When controlling for time trends, country fixed effects, correlation between repeated observations, relevant covariates, and endogeneity via a novel instrumental variable approach, we find FDI to have a beneficial effect on overall health, proxied by life expectancy. When investigating age-specific mortality rates, we find a stronger beneficial effect of FDI on adult mortality, yet no association with either infant or child mortality. Notably, FDI effects on health remain undetected in all models which do not control for endogeneity. Exploring the effect of sector-specific FDI on health in LMICs, we provide preliminary evidence of a weak inverse association between secondary (i.e. manufacturing) sector FDI and overall life expectancy. Our results thus suggest that FDI has provided an overall benefit to population health in LMICs, particularly in adults, yet investments into the secondary sector could be harmful to health. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Effectiveness of Financial and Fiscal Instruments for Promoting Sustainable Renewable Energy Technologies

    Directory of Open Access Journals (Sweden)

    Renata Dombrovski

    2015-12-01

    Full Text Available The new EU target of achieving 80-95% emission reductions by 2050 calls for novel energy policy solutions. Previous research has failed to evaluate the influence of all relevant elements of energy policy on technology-specific sustainable renewable energy diffusion. This paper adds to existing research by studying the effectiveness of financial and fiscal instruments on diffusion, additionally controlling for potential political, economic, social, and environmental drivers. These drivers are analysed for 26 EU countries over the period 1990-2011. The main results show that feed-in tariffs, quotas, and tenders effectively promote wind technologies. Other explanatory variables have technology- and model-dependent impacts.

  3. Evaluation of Dental Shade Guide Variability Using Cross-Polarized Photography.

    Science.gov (United States)

    Gurrea, Jon; Gurrea, Marta; Bruguera, August; Sampaio, Camila S; Janal, Malvin; Bonfante, Estevam; Coelho, Paulo G; Hirata, Ronaldo

    2016-01-01

    This study evaluated color variability in the A hue between the VITA Classical (VITA Zahnfabrik) shade guide and four other VITA-coded ceramic shade guides using a Canon EOS 60D camera and software (Photoshop CC, Adobe). A total of 125 photographs were taken, 5 per shade tab for each of 5 shades (A1 to A4) from the following shade guides: VITA Classical (control), IPS e.max Ceram (Ivoclar Vivadent), IPS d.SIGN (Ivoclar Vivadent), Initial ZI (GC), and Creation CC (Creation Willi Geller). Photos were processed with Adobe Photoshop CC to allow standardized evaluation of hue, chroma, and value between shade tabs. None of the VITA-coded shade tabs fully matched the VITA Classical shade tab for hue, chroma, or value. The VITA-coded shade guides evaluated herein showed an overall unmatched shade in all tabs when compared with the control, suggesting that shade selection should be made using the guide produced by the manufacturer of the ceramic intended for the final restoration.

  4. Assessment of the quality and variability of health information on chronic pain websites using the DISCERN instrument

    Directory of Open Access Journals (Sweden)

    Buckley Norman

    2010-10-01

    Full Text Available Abstract Background The Internet is used increasingly by providers as a tool for disseminating pain-related health information and by patients as a resource about health conditions and treatment options. However, health information on the Internet remains unregulated and varies in quality, accuracy and readability. The objective of this study was to determine the quality of pain websites, and explain variability in quality and readability between pain websites. Methods Five key terms (pain, chronic pain, back pain, arthritis, and fibromyalgia were entered into the Google, Yahoo and MSN search engines. Websites were assessed using the DISCERN instrument as a quality index. Grade level readability ratings were assessed using the Flesch-Kincaid Readability Algorithm. Univariate (using alpha = 0.20 and multivariable regression (using alpha = 0.05 analyses were used to explain the variability in DISCERN scores and grade level readability using potential for commercial gain, health related seals of approval, language(s and multimedia features as independent variables. Results A total of 300 websites were assessed, 21 excluded in accordance with the exclusion criteria and 110 duplicate websites, leaving 161 unique sites. About 6.8% (11/161 websites of the websites offered patients' commercial products for their pain condition, 36.0% (58/161 websites had a health related seal of approval, 75.8% (122/161 websites presented information in English only and 40.4% (65/161 websites offered an interactive multimedia experience. In assessing the quality of the unique websites, of a maximum score of 80, the overall average DISCERN Score was 55.9 (13.6 and readability (grade level of 10.9 (3.9. The multivariable regressions demonstrated that website seals of approval (P = 0.015 and potential for commercial gain (P = 0.189 were contributing factors to higher DISCERN scores, while seals of approval (P = 0.168 and interactive multimedia (P = 0.244 contributed to

  5. Decision quality instrument for treatment of hip and knee osteoarthritis: a psychometric evaluation

    Directory of Open Access Journals (Sweden)

    Kearing Stephen A

    2011-07-01

    Full Text Available Abstract Background A high quality decision requires that patients who meet clinical criteria for surgery are informed about the options (including non-surgical alternatives and receive treatments that match their goals. The aim of this study was to evaluate the psychometric properties and clinical sensibility of a patient self report instrument, to measure the quality of decisions about total joint replacement for knee or hip osteoarthritis. Methods The performance of the Hip/Knee Osteoarthritis Decision Quality Instrument (HK-DQI was evaluated in two samples: (1 a cross-sectional mail survey with 489 patients and 77 providers (study 1; and (2 a randomized controlled trial of a patient decision aid with 138 osteoarthritis patients considering total joint replacement (study 2. The HK-DQI results in two scores. Knowledge items are summed to create a total knowledge score, and a set of goals and concerns are used in a logistic regression model to develop a concordance score. The concordance score measures the proportion of patients whose treatment matched their goals. Hypotheses related to acceptability, feasibility, reliability and validity of the knowledge and concordance scores were examined. Results In study 1, the HK-DQI was completed by 382 patients (79% and 45 providers (58%, and in study 2 by 127 patients (92%, with low rates of missing data. The DQI-knowledge score was reproducible (ICC = 0.81 and demonstrated discriminant validity (68% decision aid vs. 54% control, and 78% providers vs. 61% patients and content validity. The concordance score demonstrated predictive validity, as patients whose treatments were concordant with their goals had more confidence and less regret with their decision compared to those who did not. Conclusions The HK-DQI is feasible and acceptable to patients. It can be used to assess whether patients with osteoarthritis are making informed decisions about surgery that are concordant with their goals.

  6. A Categorical Instrument for Scoring Second Language Writing Skills.

    Science.gov (United States)

    Brown, James Dean; Bailey, Kathleen M.

    1984-01-01

    Discusses a study of the reliability of a categorical instrument for evaluating compositions written by upper intermediate university English as a second language students. The instrument tests organization, logical development of ideas, grammar, mechanics, and style. Results indicate that the scoring instrument is moderately reliable. (SED)

  7. Validity and Reliability of the Clinical Competency Evaluation Instrument for Use among Physiotherapy Students: Pilot study.

    Science.gov (United States)

    Muhamad, Zailani; Ramli, Ayiesah; Amat, Salleh

    2015-05-01

    The aim of this study was to determine the content validity, internal consistency, test-retest reliability and inter-rater reliability of the Clinical Competency Evaluation Instrument (CCEVI) in assessing the clinical performance of physiotherapy students. This study was carried out between June and September 2013 at University Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia. A panel of 10 experts were identified to establish content validity by evaluating and rating each of the items used in the CCEVI with regards to their relevance in measuring students' clinical competency. A total of 50 UKM undergraduate physiotherapy students were assessed throughout their clinical placement to determine the construct validity of these items. The instrument's reliability was determined through a cross-sectional study involving a clinical performance assessment of 14 final-year undergraduate physiotherapy students. The content validity index of the entire CCEVI was 0.91, while the proportion of agreement on the content validity indices ranged from 0.83-1.00. The CCEVI construct validity was established with factor loading of ≥0.6, while internal consistency (Cronbach's alpha) overall was 0.97. Test-retest reliability of the CCEVI was confirmed with a Pearson's correlation range of 0.91-0.97 and an intraclass coefficient correlation range of 0.95-0.98. Inter-rater reliability of the CCEVI domains ranged from 0.59 to 0.97 on initial and subsequent assessments. This pilot study confirmed the content validity of the CCEVI. It showed high internal consistency, thereby providing evidence that the CCEVI has moderate to excellent inter-rater reliability. However, additional refinement in the wording of the CCEVI items, particularly in the domains of safety and documentation, is recommended to further improve the validity and reliability of the instrument.

  8. Design and evaluation of an architecture for a digital signal processor for instrumentation applications

    Science.gov (United States)

    Fellman, Ronald D.; Kaneshiro, Ronald T.; Konstantinides, Konstantinos

    1990-03-01

    The authors present the design and evaluation of an architecture for a monolithic, programmable, floating-point digital signal processor (DSP) for instrumentation applications. An investigation of the most commonly used algorithms in instrumentation led to a design that satisfies the requirements for high computational and I/O (input/output) throughput. In the arithmetic unit, a 16- x 16-bit multiplier and a 32-bit accumulator provide the capability for single-cycle multiply/accumulate operations, and three format adjusters automatically adjust the data format for increased accuracy and dynamic range. An on-chip I/O unit is capable of handling data block transfers through a direct memory access port and real-time data streams through a pair of parallel I/O ports. I/O operations and program execution are performed in parallel. In addition, the processor includes two data memories with independent addressing units, a microsequencer with instruction RAM, and multiplexers for internal data redirection. The authors also present the structure and implementation of a design environment suitable for the algorithmic, behavioral, and timing simulation of a complete DSP system. Various benchmarking results are reported.

  9. Developing and evaluating an instrument to measure Recovery After INtensive care: the RAIN instrument.

    Science.gov (United States)

    Bergbom, Ingegerd; Karlsson, Veronika; Ringdal, Mona

    2018-01-01

    Measuring and evaluating patients' recovery, following intensive care, is essential for assessing their recovery process. By using a questionnaire, which includes spiritual and existential aspects, possibilities for identifying appropriate nursing care activities may be facilitated. The study describes the development and evaluation of a recovery questionnaire and its validity and reliability. A questionnaire consisting of 30 items on a 5-point Likert scale was completed by 169 patients (103 men, 66 women), 18 years or older (m=69, SD 12.5) at 2, 6, 12 or 24 months following discharge from an ICU. An exploratory factor analysis, including a principal component analysis with orthogonal varimax rotation, was conducted. Ten initial items, with loadings below 0.40, were removed. The internal item/scale structure obtained in the principal component analysis was tested in relation to convergent and discrimination validity with a multi-trait analysis. Items consistency and reliability were assessed by Cronbach's alpha and internal item consistency. Test of scale quality, the proportion of missing values and respondents' scoring at maximum and minimum levels were also conducted. A total of 20 items in six factors - forward looking, supporting relations, existential ruminations, revaluation of life, physical and mental strength and need of social support were extracted with eigen values above one. Together, they explained 75% of the variance. The half-scale criterion showed that the proportion of incomplete scale scores ranged from 0% to 4.3%. When testing the scale's ability to differentiate between levels of the assessed concept, we found that the observed range of scale scores covered the theoretical range. Substantial proportions of respondents, who scored at the ceiling for forward looking and supporting relations and at floor for the need of social support, were found. These findings should be further investigated. The factor analysis, including discriminant validity

  10. Cost-effective design of economic instruments in nutrition policy

    Directory of Open Access Journals (Sweden)

    Smed Sinne

    2007-04-01

    Full Text Available Abstract This paper addresses the potential for using economic regulation, e.g. taxes or subsidies, as instruments to combat the increasing problems of inappropriate diets, leading to health problems such as obesity, diabetes 2, cardiovascular diseases etc. in most countries. Such policy measures may be considered as alternatives or supplements to other regulation instruments, including information campaigns, bans or enhancement of technological solutions to the problems of obesity or related diseases. 7 different food tax and subsidy instruments or combinations of instruments are analysed quantitatively. The analyses demonstrate that the average cost-effectiveness with regard to changing the intake of selected nutritional variables can be improved by 10–30 per cent if taxes/subsidies are targeted against these nutrients, compared with targeting selected food categories. Finally, the paper raises a range of issues, which need to be investigated further, before firm conclusions about the suitability of economic instruments in nutrition policy can be drawn.

  11. Microbiological evaluation of the steam sterilization of assembled laparoscopic instruments.

    Science.gov (United States)

    Camargo, Tamara Carolina de; Graziano, Kazuko Uchikawa; Almeida, Alda Graciele Claudio Dos Santos; Suzuki, Karina; Silva, Cely Barreto da; Pinto, Flávia Morais Gomes

    2016-11-21

    assess the safety of steam sterilization of assembled laparoscopic instruments with challenge contamination. a laboratory experimental study, using as test samples trocars and laparoscopic graspers. Geobacillus stearothermophillus ATCC-7953 was used, with a microbial population of 106UFC/Filter paper substrate, removed from the biological indicator. Three of them were introduced into each instrument at the time of assembly, and sterilized at pressurized saturated steam, 134oC for 5 minutes. After sterilization, the instrument was disassembled and each filter paper substrate was inoculated in soybean casein culture and incubated at 56oC for 21 days. In case of absence of growth, they were subjected to heat shock of 80oC, for 20 minutes and re-incubated for 72 hours. Sample size: 185 graspers and 185 trocars, with 95% power. We paired the experiments with comparative negative control groups (5 graspers and 5 trocars with challenge contamination, sterilized disassembled) and positive control (30 filter paper supports, unsterilized), subject to the same incubation procedures. there was no microbial growth in experimental and negative control. The results of the positive control were satisfactory. this study provided strong scientific evidence to support the safety of steam sterilizing of the assembled laparoscopic instrument. avaliar a segurança da esterilização a vapor, do instrumental laparoscópico montado com desafio da contaminação. estudo experimental laboratorial, cujo corpo de prova foram trocarte e pinça laparoscópica. Utilizou-se esporos Geobacillus stearothermophillus ATCC-7953, com população microbiana de 106UFC/suporte de papel filtro, removidos do indicador biológico. Três deles foram introduzidos no interior de cada instrumento, no momento da montagem, sendo esterilizados a vapor saturado sob pressão, 134oC por 5 minutos. Depois da esterilização, o instrumental foi desmontado, e cada suporte de papel filtro foi inoculado em meio de cultura

  12. ANALYSIS COGNITIVE DOMAIN INSTRUMENTS OF EVALUATION IN SMA BANDUNG

    Directory of Open Access Journals (Sweden)

    sepita ferazona

    2018-01-01

    Full Text Available The level of competence achievement will be known by evaluating the students after all the basic competencies that exist in the standard of the content they are studying, which must be seen how the suitability of the evaluation instruments provided to the students with the demands of basic competencies and the process of learning in the class .. The method used in this researchis a descriptive method. Subjects were ten biology teachers from seven SMANs in Bandung as a sample, each school representing three clusters. Selection of this research sample is done by using stratified sampling technique, that is by choosing school with high category, medium and low. KD analyzed material of Class X Plantae and Class X Excression System. Plantae material learning process question and excretion system on cluster 1, the highest average at level C2 (understanding that is equal to 55,91%. While on cluster 2 the highest average also at level C2 (understanding that is equal to 50,96%. While on the cluster 3 the highest average is also at level C2 (understand that is equal to 48,91%. The cognitive domain of Plantae's exercise / material tasks in cluster 1, the highest average at the level C1 (knowledge is 57.5%. While on the cluster 2 the highest average also at level C1 (knowledge that is equal to 71,67%. While the highest average cluster is at level C2 (understanding that is equal to 51,67%. The cognitive domain of Plantae material repetition and Excretion System in cluster 1, the highest average at the level of C1 (knowledge is 56.67%. While on the cluster 2 average highest at level C1 (knowledge that is equal to 56,3%. While on the cluster 3 highest cognitive domain is at level C1 (knowledge that is equal to 52,55%.

  13. Million revolution accelerator beam instrument for logging and evaluation

    International Nuclear Information System (INIS)

    Peggs, S.; Saltmarsh, C.; Talman, R.

    1988-03-01

    A data acquisition and analysis instrument for the processing of accelerator beam position monitor (BPM) signals has been assembled and used preliminarily for beam diagnosis of the Fermilab accelerators. Up to eight BPM (or other analogue) channels are digitized and transmitted to an acquisition Sun workstation and from there both to a monitor workstation and a workstation for off-line (but immediate) data analysis. A coherent data description format permits fast data object transfers to and from memory, disk and tape, across the Sun ethernet. This has helped the development of both general purpose and experiment-specific data analysis, presentation and control tools. Flexible software permits immediate graphical display in both time and frequency domains. The instrument acts simultaneously as a digital oscilloscope, as a network analyzer and as a correlating, noise-reducing spectrum analyzer. 2 refs., 3 figs

  14. Instrumentation and Controls evaluation for space nuclear power systems

    International Nuclear Information System (INIS)

    Anderson, J.L.; Oakes, L.C.

    1984-01-01

    Design of control and protection systems should be coordinated with the design of the neutronic, thermal-hydraulic, and mechanical aspects of the core and plant at the earliest possible stage of concept development. An integrated systematic design approach is necessary to prevent uncoordinated choices in one technology area from imposing impractical or impossible requirements in another. Significant development and qualification will be required for virtually every aspect of reactor control and instrumentation. In-core instrumentation widely used in commercial light water reactors will not likely be usable in the higher temperatures of a space power plant. Thermocouples for temperature measurement and gamma thermometers for flux measurement appear to be the only viable candidates. Recent developments in ex-core neutron detectors may provide achievable alternatives to in-core measurements. Reliable electronic equipment and high-temperature actuators will require major development efforts

  15. Evaluation tests of the Instrumentation and Control equipment to use in nuclear power plants: its contribution to the improvement and quality certification of the Brazilian equipment

    International Nuclear Information System (INIS)

    Menezes, R.H.M. de; Peluso, M.A.V.

    1984-01-01

    This work presents the procedures used to evaluate Instrumentation Control equipment and reports the experience of integration among instrument user, manufacturer and test institution. It covers tests for equipments for conventional user and for specific application in Nuclear Power Stations. (Author) [pt

  16. Refabricated and instrumented fuel rods

    International Nuclear Information System (INIS)

    Silberstein, K.

    2005-01-01

    Nuclear Fuel for power reactors capabilities evaluation is strongly based on the intimate knowledge of its behaviour under irradiation. This knowledge can be acquired from refabricated and instrumented fuel rods irradiated at different levels in commercial reactors. This paper presents the development and qualification of a new technique called RECTO related to a double-instrumented rod re-fabrication process developed by CEA/LECA hot laboratory facility at CADARACHE. The technique development includes manufacturing of the properly dimensioned cavity in the fuel pellet stack to house the thermocouple and the use of a newly designed pressure transducer. An analytic irradiation of such a double-instrumented fuel rod will be performed in OSIRIS test reactor starting October 2004. (Author)

  17. Seismic Instrumentation Placement Recommendations Report

    International Nuclear Information System (INIS)

    Kennedy, W.N.

    1998-01-01

    DOE Order 420.1, ''Facility Safety'', requires that facilities or sites with hazardous materials be provided with instrumentation or other means to detect and record the occurrences and severity of seismic events. These requirements assure that necessary records are available after an earthquake for evaluation purposes and to supplement other data to justify a facility restart or curtailing plant operations after an earthquake. This report documents the basis for the selection of Savannah River Site areas and existing facilities to be instrumented. The need to install instrumentation in new facilities such as the Actinide Packaging and Storage Facility, Commercial Light Water Reactor Tritium Extraction Facility and the Accelerator Production of Tritium Facility will be assessed separately

  18. Instrument evaluation no. 1. Nuclear Enterprises dose rate meter type NE 2602

    International Nuclear Information System (INIS)

    White, D.F.

    1974-01-01

    The NE2602 is a portable, battery-operated instrument for the measurement of exposure rates from 0.1 mR/h to 200 mR/h. The detector is an internally mounted Geiger-Muller tube provided with a correcting filter to minimise the variation of response with radiation energy. The instrument was specifically designed for the measurement of exposure rates from packages intended for transport. The detector is therefore mounted very close to the front surface of the instrument. The information is given under the following headings: facilities and controls; radiation performance; electrical characteristics; summary of performance; calibration procedure; construction; conclusions. (U.K.)

  19. Evaluation of variable speed limits on I-270/I-255 in St. Louis.

    Science.gov (United States)

    2010-10-01

    In May of 2008, MoDOT installed a Variable Speed Limit (VSL) system along the I270/I255 corridor in St. Louis. This project evaluated the VSL system and its potential impacts and benefits to the transportation users. The technical system ...

  20. Real-time synchronous measurement of curing characteristics and polymerization stress in bone cements with a cantilever-beam based instrument

    Science.gov (United States)

    Palagummi, Sri Vikram; Landis, Forrest A.; Chiang, Martin Y. M.

    2018-03-01

    An instrumentation capable of simultaneously determining degree of conversion (DC), polymerization stress (PS), and polymerization exotherm (PE) in real time was introduced to self-curing bone cements. This comprises the combination of an in situ high-speed near-infrared spectrometer, a cantilever-beam instrument with compliance-variable feature, and a microprobe thermocouple. Two polymethylmethacrylate-based commercial bone cements, containing essentially the same raw materials but differ in their viscosity for orthopedic applications, were used to demonstrate the applicability of the instrumentation. The results show that for both the cements studied the final DC was marginally different, the final PS was different at the low compliance, the peak of the PE was similar, and their polymerization rates were significantly different. Systematic variation of instrumental compliance for testing reveals differences in the characteristics of PS profiles of both the cements. This emphasizes the importance of instrumental compliance in obtaining an accurate understanding of PS evaluation. Finally, the key advantage for the simultaneous measurements is that these polymerization properties can be correlated directly, thus providing higher measurement confidence and enables a more in-depth understanding of the network formation process.

  1. Treatment of thoracolumbar burst fractures with variable screw placement or Isola instrumentation and arthrodesis: case series and literature review.

    Science.gov (United States)

    Alvine, Gregory F; Swain, James M; Asher, Marc A; Burton, Douglas C

    2004-08-01

    The controversy of burst fracture surgical management is addressed in this retrospective case study and literature review. The series consisted of 40 consecutive patients, index included, with 41 fractures treated with stiff, limited segment transpedicular bone-anchored instrumentation and arthrodesis from 1987 through 1994. No major acute complications such as death, paralysis, or infection occurred. For the 30 fractures with pre- and postoperative computed tomography studies, spinal canal compromise was 61% and 32%, respectively. Neurologic function improved in 7 of 14 patients (50%) and did not worsen in any. The principal problem encountered was screw breakage, which occurred in 16 of the 41 (39%) instrumented fractures. As we have previously reported, transpedicular anterior bone graft augmentation significantly decreased variable screw placement (VSP) implant breakage. However, it did not prevent Isola implant breakage in two-motion segment constructs. Compared with VSP, Isola provided better sagittal plane realignment and constructs that have been found to be significantly stiffer. Unplanned reoperation was necessary in 9 of the 40 patients (23%). At 1- and 2-year follow-up, 95% and 79% of patients were available for study, and a satisfactory outcome was achieved in 84% and 79%, respectively. These satisfaction and reoperation rates are consistent with the literature of the time. Based on these observations and the loads to which implant constructs are exposed following posterior realignment and stabilization of burst fractures, we recommend that three- or four-motion segment constructs, rather than two motion, be used. To save valuable motion segments, planned construct shortening can be used. An alternative is sequential or staged anterior corpectomy and structural grafting.

  2. Use of a formal assessment instrument for evaluation of resident operative skills in pediatric neurosurgery.

    Science.gov (United States)

    Hadley, Caroline; Lam, Sandi K; Briceño, Valentina; Luerssen, Thomas G; Jea, Andrew

    2015-08-28

    OBJECT Currently there is no standardized tool for assessment of neurosurgical resident performance in the operating room. In light of enhanced requirements issued by the Accreditation Council for Graduate Medical Education's Milestone Project and the Matrix Curriculum Project from the Society of Neurological Surgeons, the implementation of such a tool seems essential for objective evaluation of resident competence. Beyond compliance with governing body guidelines, objective assessment tools may be useful to direct early intervention for trainees performing below the level of their peers so that they may be given more hands-on teaching, while strong residents can be encouraged by faculty members to progress to conducting operations more independently with passive supervision. The aims of this study were to implement a validated assessment tool for evaluation of operative skills in pediatric neurosurgery and determine its feasibility and reliability. METHODS All neurosurgery residents completing their pediatric rotation over a 6-month period from January 1, 2014, to June 30, 2014, at the authors' institution were enrolled in this study. For each procedure, residents were evaluated by means of a form, with one copy being completed by the resident and a separate copy being completed by the attending surgeon. The evaluation form was based on the validated Objective Structured Assessment of Technical Skills for Surgery (OSATS) and used a 5-point Likert-type scale with 7 categories: respect for tissue; time and motion; instrument handling; knowledge of instruments; flow of operation; use of assistants; and knowledge of specific procedure. Data were then stratified by faculty versus resident (self-) assessment; postgraduate year level; and difficulty of procedure. Descriptive statistics (means and SDs) were calculated, and the results were compared using the Wilcoxon signed-rank test and Student t-test. A p value assessment scores overall or in any of the 7 domains scores

  3. COMPARISON OF EXPERIMENTAL-DESIGNS COMBINING PROCESS AND MIXTURE VARIABLES .2. DESIGN EVALUATION ON MEASURED DATA

    NARCIS (Netherlands)

    DUINEVELD, C. A. A.; Smilde, A. K.; Doornbos, D. A.

    1993-01-01

    The construction of a small experimental design for a combination of process and mixture variables is a problem which has not been solved completely by now. In a previous paper we evaluated some designs with theoretical measures. This second paper evaluates the capabilities of the best of these

  4. COMPARISON OF EXPERIMENTAL-DESIGNS COMBINING PROCESS AND MIXTURE VARIABLES .2. DESIGN EVALUATION ON MEASURED DATA

    NARCIS (Netherlands)

    DUINEVELD, CAA; SMILDE, AK; DOORNBOS, DA

    The construction of a small experimental design for a combination of process and mixture variables is a problem which has not been solved completely by now. In a previous paper we evaluated some designs with theoretical measures. This second paper evaluates the capabilities of the best of these

  5. Design and validation of a standards-based science teacher efficacy instrument

    Science.gov (United States)

    Kerr, Patricia Reda

    National standards for K--12 science education address all aspects of science education, with their main emphasis on curriculum---both science subject matter and the process involved in doing science. Standards for science teacher education programs have been developing along a parallel plane, as is self-efficacy research involving classroom teachers. Generally, studies about efficacy have been dichotomous---basing the theoretical underpinnings on the work of either Rotter's Locus of Control theory or on Bandura's explanations of efficacy beliefs and outcome expectancy. This study brings all three threads together---K--12 science standards, teacher education standards, and efficacy beliefs---in an instrument designed to measure science teacher efficacy with items based on identified critical attributes of standards-based science teaching and learning. Based on Bandura's explanation of efficacy being task-specific and having outcome expectancy, a developmental, systematic progression from standards-based strategies and activities to tasks to critical attributes was used to craft items for a standards-based science teacher efficacy instrument. Demographic questions related to school characteristics, teacher characteristics, preservice background, science teaching experience, and post-certification professional development were included in the instrument. The instrument was completed by 102 middle level science teachers, with complete data for 87 teachers. A principal components analysis of the science teachers' responses to the instrument resulted in two components: Standards-Based Science Teacher Efficacy: Beliefs About Teaching (BAT, reliability = .92) and Standards-Based Science Teacher Efficacy: Beliefs About Student Achievement (BASA, reliability = .82). Variables that were characteristic of professional development activities, science content preparation, and school environment were identified as members of the sets of variables predicting the BAT and BASA

  6. Rural Parents’ Perceived Stigma of Seeking Mental Health Services for their Children: Development and Evaluation of a New Instrument

    Science.gov (United States)

    Williams, Stacey L.; Polaha, Jodi

    2014-01-01

    The purpose of this paper was to examine the validity of score interpretations of an instrument developed to measure parents’ perceptions of stigma about seeking mental health services for their children. The validity of the score interpretations of the instrument was tested in two studies. Study 1 examined confirmatory factor analysis (CFA) employing a split half approach, and construct and criterion validity using the entire sample of parents in rural Appalachia whose children were experiencing psychosocial concerns (N=347), while Study 2 further examined CFA, construct and criterion validity, as well as predictive validity of the scores on the new scale using a general sample of parents in rural Appalachia (N=184). Results of exploratory and confirmatory factor analyses revealed support for a two factor model of parents’ perceived stigma, which represented both self and public forms of stigma associated with seeking mental health services for their children, and correlated with existing measures of stigma and other psychosocial variables. Further, the new self and public stigma scale significantly predicted parents’ willingness to seek services for children. PMID:24749752

  7. Young children's perceptions of teacher‐child relationships: an evaluation of two instruments and the role of child gender in kindergarten

    NARCIS (Netherlands)

    Spilt, J.L.; Koomen, H.M.Y.; Mantzicopoulos, P.

    2010-01-01

    The psychometric qualities of two instruments that measure children's perceptions of teacher-child relationships were evaluated in a sample of kindergartners (N = 150): The Young Children's Appraisals of Teacher Support (Y-CATS) and the Kindergartner-Teacher Interaction Computer (KLIC) test. On the

  8. The Zulliger-CS in Elderly on Hemodialysis and the Relationship Between External Variables

    Directory of Open Access Journals (Sweden)

    Viviane Gregoleti

    Full Text Available Abstract: The use of reliable instruments is an ethical condition to exert psychological evaluation. The aim of the study was to investigate the validity of the Zulliger test in the evaluation of elderly with chronic kidney disease (CKD with focus on cognitive constructs and interpersonal relationshipsof elderly with Chronic Kidney Disease; and investigate the relationship with external variables. The 60 participants, 30 from the Clinical Group (CG and 30 from the Non-Clinical Group (NCG, answered a socio-demographic protocol, the Mini-Mental State Examination and the Zulligertest in the Comprehensive System. The CG presented decrease of variables Xu% (p = .031,d = .58, R (p = .002,d = .78, Fd (p = .021,d = .65 and isolation (p = .006,d = .61, rise in X-%, and PHR>GHR. There was a positive association between time since diagnosis and family support (rho = .403,p = .027. Findings confirm the relevance of the Zulligertest and family support as a health potentiator.

  9. Evaluation of the quality of guidelines for myasthenia gravis with the AGREE II instrument.

    Directory of Open Access Journals (Sweden)

    Zhenchang Zhang

    Full Text Available Clinical practice guidelines (CPGs are systematically developed statements to assist practitioners in making decisions about appropriate healthcare in specific clinical circumstances. The methodological quality of CPGs for myasthenia gravis (MG are unclear.To critically evaluate the methodological quality of CPGs for MG using AGREE II instrument.A systematical search strategy on PubMed, EMBASE, DynaMed, the National Guideline Clearinghouse (NGC and the Chinese Biomedical Literature database (CBM was performed on September 20th 2013. All guidelines related to MG were evaluated with AGREE II. The software used for analysis was SPSS 17.0.A total of 15 CPGs for MG met the inclusion criteria (12 CPGs in English, 3 CPGs in Chinese. The overall agreement among reviews was moderate or high (ICC >0.70. The mean scores (mean ± SD for al six domains were presented as follows: scope and purpose (60.93% ± 16.62%, stakeholder involvement (40.93% ± 20.04%, rigor of development (37.22% ± 30.46%, clarity of presentation (64.26% ± 16.36%, applicability (28.19% ± 20.56% and editorial independence (27.78% ± 28.28%. Compared with non-evidence-based CPGs, evidence-based CPGs had statistically significant higher quality scores for all AGREE II domains (P0.05. The quality scores of CPGs developed by NGC/AAN were higher than the quality scores of CPGs developed by other organizations for all domains. The difference was statistically significant for all domains with the exception of clarity of presentation (P = 0.07.The qualities of CPGs on MG were generally acceptable with several flaws. The AGREE II instrument should be adopted by guideline developers, particularly in China.

  10. Autologous Pure Platelet-Rich Plasma Dermal Injections for Facial Skin Rejuvenation: Clinical, Instrumental, and Flow Cytometry Assessment.

    Science.gov (United States)

    Cameli, Norma; Mariano, Maria; Cordone, Iole; Abril, Elva; Masi, Serena; Foddai, Maria Laura

    2017-06-01

    Platelet-rich plasma (PRP) is an emerging treatment in dermatology recently proposed for skin rejuvenation. To evaluate the efficacy and safety of autologous pure PRP dermal injections on facial skin rejuvenation, investigating the cellularity of PRP samples. Twelve patients underwent 3 sessions of PRP injection at 1-month intervals. The clinical and instrumental outcomes were evaluated before (T0) and 1 month (T1) after the end of treatment by means of transepidermal water loss, corneometry, Cutometer, Visioscan, and Visioface. A flow cytometry characterization on PRP and peripheral blood (PB) samples was performed. Clinical and patient evaluation showed improvement of skin texture. Skin gross elasticity, skin smoothness parameters, skin barrier function, and capacitance were significantly improved. No difference between PRP and PB lymphocyte immunological asset was observed. A leukocyte population (mainly CD3) and neutrophils depletion were documented in all the PRP samples. This instrumental study demonstrated that PRP poor in leukocytes can provide objective improvements in skin biostimulation. Flow cytometry showed no variability among the PRP samples using a reproducible separation system and a low content in proinflammatory cells. Although a pilot study, it may be helpful for future investigations on PRP cellularity.

  11. Process variables consistency at Atucha I NPP

    International Nuclear Information System (INIS)

    Arostegui, E.; Aparicio, M.; Herzovich, P.; Wenzel, J.; Urrutia, G.

    1996-01-01

    A method to evaluate the different systems performance has been developed and is still under assessment. In order to perform this job a process computer upgraded in 1992 was used. In this sense and taking into account that the resolution and stability of instrumentation is higher than its accuracy process data were corrected by software. In this was, much time spent in recalibration, and also human errors were avoided. Besides, this method allowed a better record of instrumentation performance and also an early detection of instruments failure. On the other hand, the process modelization, mainly heat and material balances has also been used to check that sensors, transducers, analog to digital converters and computer software are working properly. Some of these process equations have been introduced into the computer codes, so in some cases, it is possible to have an ''on line'' analysis of process variables and process instrumentation behaviour. Examples of process analysis are: Heat exchangers, i.e. the power calculated using shell side temperatures is compared with the tube side values; turbine performance is compared with condenser water temperature; power measured on the secondary side (one minute average measurements optimized in order to eliminate process noise are compared with power obtained from primary side data); the calibration of temperatures have been made by direct measurement of redundant sensors and have shown to be the best method; in the case of pressure and differential pressure transducers are cross checked in service when it is possible. In the present paper, details of the examples mentioned above and of other ones are given and discussed. (author). 2 refs, 1 fig., 1 tab

  12. Process variables consistency at Atucha I NPP

    Energy Technology Data Exchange (ETDEWEB)

    Arostegui, E; Aparicio, M; Herzovich, P; Wenzel, J [Central Nuclear Atucha I, Nucleoelectrica S.A., Lima, Buenos Aires (Argentina); Urrutia, G [Comision Nacional de Energia Atomica, Buenos Aires (Argentina)

    1997-12-31

    A method to evaluate the different systems performance has been developed and is still under assessment. In order to perform this job a process computer upgraded in 1992 was used. In this sense and taking into account that the resolution and stability of instrumentation is higher than its accuracy process data were corrected by software. In this was, much time spent in recalibration, and also human errors were avoided. Besides, this method allowed a better record of instrumentation performance and also an early detection of instruments failure. On the other hand, the process modelization, mainly heat and material balances has also been used to check that sensors, transducers, analog to digital converters and computer software are working properly. Some of these process equations have been introduced into the computer codes, so in some cases, it is possible to have an ``on line`` analysis of process variables and process instrumentation behaviour. Examples of process analysis are: Heat exchangers, i.e. the power calculated using shell side temperatures is compared with the tube side values; turbine performance is compared with condenser water temperature; power measured on the secondary side (one minute average measurements optimized in order to eliminate process noise are compared with power obtained from primary side data); the calibration of temperatures have been made by direct measurement of redundant sensors and have shown to be the best method; in the case of pressure and differential pressure transducers are cross checked in service when it is possible. In the present paper, details of the examples mentioned above and of other ones are given and discussed. (author). 2 refs, 1 fig., 1 tab.

  13. Childhood lead poisoning investigations: evaluating a portable instrument for testing soil lead.

    Science.gov (United States)

    Reames, Ginger; Lance, Larrie L

    2002-04-01

    The Childhood Lead Poisoning Prevention Branch of the California Department of Health Services evaluated a portable X-ray fluorescence (XRF) instrument for use as a soil lead-testing tool during environmental investigations of lead-poisoned children's homes. A Niton XRF was used to test soil at 119 sampling locations in the yards of 11 San Francisco Bay Area houses. Niton XRF readings were highly correlated with laboratory results and met the study criteria for an acceptable screening method. The data suggest that the most health-protective and time-efficient approach to testing for soil lead above regulatory levels is to take either surface readings or readings of a test cup of soil prepared by grinding with a mortar and pestle. The advantage of the test cup method is that the test cup with soil may be submitted to a laboratory for confirmatory analysis.

  14. Towards improved instrumentation for assessing river-groundwater interactions in a restored river corridor

    Directory of Open Access Journals (Sweden)

    P. Schneider

    2011-08-01

    Full Text Available River restoration projects have been launched over the last two decades to improve the ecological status and water quality of regulated rivers. As most restored rivers are not monitored at all, it is difficult to predict consequences of restoration projects or analyze why restorations fail or are successful. It is thus necessary to implement efficient field assessment strategies, for example by employing sensor networks that continuously measure physical parameters at high spatial and temporal resolution. This paper focuses on the design and implementation of an instrumentation strategy for monitoring changes in bank filtration, hydrological connectivity, groundwater travel time and quality due to river restoration. We specifically designed and instrumented a network of monitoring wells at the Thur River (NE Switzerland, which is partly restored and has been mainly channelized for more than 100 years. Our results show that bank filtration – especially in a restored section with alternating riverbed morphology – is variable in time and space. Consequently, our monitoring network has been adapted in response to that variability. Although not available at our test site, we consider long-term measurements – ideally initiated before and continued after restoration – as a fundamental step towards predicting consequences of river restoration for groundwater quality. As a result, process-based models could be adapted and evaluated using these types of high-resolution data sets.

  15. Variable Lifting Index (VLI): A New Method for Evaluating Variable Lifting Tasks.

    Science.gov (United States)

    Waters, Thomas; Occhipinti, Enrico; Colombini, Daniela; Alvarez-Casado, Enrique; Fox, Robert

    2016-08-01

    We seek to develop a new approach for analyzing the physical demands of highly variable lifting tasks through an adaptation of the Revised NIOSH (National Institute for Occupational Safety and Health) Lifting Equation (RNLE) into a Variable Lifting Index (VLI). There are many jobs that contain individual lifts that vary from lift to lift due to the task requirements. The NIOSH Lifting Equation is not suitable in its present form to analyze variable lifting tasks. In extending the prior work on the VLI, two procedures are presented to allow users to analyze variable lifting tasks. One approach involves the sampling of lifting tasks performed by a worker over a shift and the calculation of the Frequency Independent Lift Index (FILI) for each sampled lift and the aggregation of the FILI values into six categories. The Composite Lift Index (CLI) equation is used with lifting index (LI) category frequency data to calculate the VLI. The second approach employs a detailed systematic collection of lifting task data from production and/or organizational sources. The data are organized into simplified task parameter categories and further aggregated into six FILI categories, which also use the CLI equation to calculate the VLI. The two procedures will allow practitioners to systematically employ the VLI method to a variety of work situations where highly variable lifting tasks are performed. The scientific basis for the VLI procedure is similar to that for the CLI originally presented by NIOSH; however, the VLI method remains to be validated. The VLI method allows an analyst to assess highly variable manual lifting jobs in which the task characteristics vary from lift to lift during a shift. © 2015, Human Factors and Ergonomics Society.

  16. Measuring decision quality: psychometric evaluation of a new instrument for breast cancer surgery

    Directory of Open Access Journals (Sweden)

    Sepucha Karen R

    2012-06-01

    Full Text Available Abstract Background The purpose of this paper is to examine the acceptability, feasibility, reliability and validity of a new decision quality instrument that assesses the extent to which patients are informed and receive treatments that match their goals. Methods Cross-sectional mail survey of recent breast cancer survivors, providers and healthy controls and a retest survey of survivors. The decision quality instrument includes knowledge questions and a set of goals, and results in two scores: a breast cancer surgery knowledge score and a concordance score, which reflects the percentage of patients who received treatments that match their goals. Hypotheses related to acceptability, feasibility, discriminant validity, content validity, predictive validity and retest reliability of the survey instrument were examined. Results We had responses from 440 eligible patients, 88 providers and 35 healthy controls. The decision quality instrument was feasible to implement in this study, with low missing data. The knowledge score had good retest reliability (intraclass correlation coefficient = 0.70 and discriminated between providers and patients (mean difference 35%, p  Conclusions The decision quality instrument met the criteria of feasibility, reliability, discriminant and content validity in this sample. Additional research to examine performance of the instrument in prospective studies and more diverse populations is needed.

  17. Evaluating the underlying factors behind variable rate debt.

    Science.gov (United States)

    McCue, Michael J; Kim, Tae Hyun Tanny

    2007-01-01

    Recent trends show a greater usage of variable rate debt among health care bond issues. In 2004, 63.4% of the total health care bonds issued were variable rate compared with 30.6% in 1995 (Fitch Ratings, 2005). The purpose of this study is to gain a better understanding of the underlying factors, credit spread, issue characteristics, and issuer factors behind why hospitals and health system borrowers select variable rate debt compared with fixed rate debt. From 2000 to 2004, this study sampled 230 newly issued tax-exempt bonds issued by acute care hospitals and health care systems that included both variable and fixed rate debt issues. Using a logistic regression model, hospitals with variable rate debt issues were assigned a value of 1, whereas hospitals with fixed rate debt issues were assigned a value of 0. This study found a positive association between bond insurance and variable rate debt and a negative association between callable feature and variable rate debt. Facilities located in certificate-of-need states that possessed higher case mix acuity, earned higher profit margins, generated higher debt service coverage, and held less debt were more likely to issue variable rate debt. Overall, hospital managers and board members of hospitals possessing a strong financial performance have an interest in utilizing variable rate debt to lower their cost of capital. In addition, this outcome may also reflect that investment bankers are doing a better job in educating senior hospital management about the interest rate savings benefit of variable rate compared with fixed rate debt.

  18. Instrumenting an upland research catchment in Canterbury, New Zealand to study controls on variability of soil moisture, shallow groundwater and streamflow

    Science.gov (United States)

    McMillan, Hilary; Srinivasan, Ms

    2015-04-01

    Hydrologists recognise the importance of vertical drainage and deep flow paths in runoff generation, even in headwater catchments. Both soil and groundwater stores are highly variable over multiple scales, and the distribution of water has a strong control on flow rates and timing. In this study, we instrumented an upland headwater catchment in New Zealand to measure the temporal and spatial variation in unsaturated and saturated-zone responses. In NZ, upland catchments are the source of much of the water used in lowland agriculture, but the hydrology of such catchments and their role in water partitioning, storage and transport is poorly understood. The study area is the Langs Gully catchment in the North Branch of the Waipara River, Canterbury: this catchment was chosen to be representative of the foothills environment, with lightly managed dryland pasture and native Matagouri shrub vegetation cover. Over a period of 16 months we measured continuous soil moisture at 32 locations and near-surface water table (versus hillslope locations, and convergent versus divergent hillslopes. We found that temporal variability is strongly controlled by the climatic seasonal cycle, for both soil moisture and water table, and for both the mean and extremes of their distributions. Groundwater is a larger water storage component than soil moisture, and the difference increases with catchment wetness. The spatial standard deviation of both soil moisture and groundwater is larger in winter than in summer. It peaks during rainfall events due to partial saturation of the catchment, and also rises in spring as different locations dry out at different rates. The most important controls on spatial variability are aspect and distance from stream. South-facing and near-stream locations have higher water tables and more, larger soil moisture wetting events. Typical hydrological models do not explicitly account for aspect, but our results suggest that it is an important factor in hillslope

  19. Temporary stages and motivational variables: Two complementary perspectives in the help-seeking process for mental disorders.

    Science.gov (United States)

    Del Valle Del Valle, Gema; Carrió, Carmen; Belloch, Amparo

    2017-10-09

    Help-seeking for mental disorders is a complex process, which includes different temporary stages, and in which the motivational variables play an especially relevant role. However, there is a lack of instruments to evaluate in depth both the temporary and motivational variables involved in the help-seeking process. This study aims to analyse in detail these two sets of variables, using a specific instrument designed for the purpose, to gain a better understanding of the process of treatment seeking. A total of 152 patients seeking treatment in mental health outpatient clinics of the NHS were individually interviewed: 71 had Obsessive-Compulsive Disorder, 21 had Agoraphobia, 18 had Major Depressive Disorder), 20 had Anorexia Nervosa, and 22 had Cocaine Dependence. The patients completed a structured interview assessing the help-seeking process. Disorder severity and quality of life was also assessed. The patients with agoraphobia and with major depression took significantly less time in recognising their mental health symptoms. Similarly, patients with major depression were faster in seeking professional help. Motivational variables were grouped in 3 sets: motivators for seeking treatment, related to the negative impact of symptoms on mood and to loss of control over symptoms; motivators for delaying treatment, related to minimisation of the disorder; and stigma-associated variables. The results support the importance of considering the different motivational variables involved in the several stages of the help-seeking process. The interview designed to that end has shown its usefulness in this endeavour. Copyright © 2017 SEP y SEPB. Publicado por Elsevier España, S.L.U. All rights reserved.

  20. New generation in process-control colorimetric instrumentation

    Science.gov (United States)

    Ladson, Jack A.

    1992-08-01

    Colorimetric performance parameters (repeatability and reproducibility) of a new spectrophotometer/colorimeter manufactured by BYK-Gardner, Inc. are reported. The color- viewTM spectrophotometer (CVS) uses forty-five degree illumination and zero degree viewing geometry relative to the plane of the test specimen. The CVS is designed for the measurement of diffuse reflectance factor. It is designed to conform to national and international recommendations for Spectrophotometry and Colorimetry. Colorimetric performance was evaluated by measuring colored tiles manufactured by the British Ceramic Research Association (BCRA). Instrument repeatability was recorded after an hour, eight hours, and thirty days. Routine performance of the CVS shows that color difference repeatability over short and medium time periods is within 0.15 CIELAB color difference unit. The long term repeatability is within 0.4 unit. Reproducibility was evaluated by making color measurements on BCRA tiles with 54 instruments. Measurements made on CVS instruments indicate that its reproducibility is better than the reproducibility of product standards. Reproducibility is well within the requirement for industrial applications. Actually, the repeatability and reproducibility is comparable to that of reference instruments in national standardizing laboratories.

  1. Radiation measuring instrument

    International Nuclear Information System (INIS)

    Genrich, V.

    1985-01-01

    A highly sensitive and compactly structured radiation measuring instrument for detecting ionizing radiation, in particular for measuring dose rates and contamination. The laminar structure of the associated counter tube, using only a few, simple plastic parts and a highly elastic counter wire, makes it possible to use the simplest manufacturing techniques. The service life of the counter tube construction, which is completely and permanently sealed and filled with gas, is expected to be more than 12 years. The described counter tube can be adapted in optimal fashion to the available space in a pocket instrument if it is used in combination with a specialized high-voltage generator which is low in interference voltage and with a pulse evaluation circuit having a means of compensating for interference voltage

  2. The moisture proof connection of signal cables on test rig instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Joung, Chang Young; Ahn, Sung Ho; Hong, Jin Tae; Jeong, Hwang Young [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2012-10-15

    The rod inner pressure, centerline temperature, coolant temperature, and neutron flux resulting from the irradiation properties of nuclear fuel are an important factor for evaluating nuclear fuel properties in pile. In addition instrumentation and measurement techniques for nuclear fuel are necessary to measure the exact data. Special sensors such as a TC (thermocouple), LVDT (linear variable differential transformer) and SPND (self-powered neutron detector) are instrumented in and out of the fuel rod to measure the various irradiation characteristics of the nuclear fuel. These sensors are made up of the sensor itself and a signal cable. In the instrumentation, an MI (Mineral Insulated) cable used as the signal cable has such properties as high electrical insulation, heat resistance, and mechanical strength. However, it is difficult to handle and treat with care owing to the extremely hard composition, which is made up of weak signal wires and alumina powder in a stainless tube. The sealing of the end tip of the MI cable and extension cable is very important in terms of the insulation resistance to seal the insulator inside the MI cable tube from moisture. To maintain the insulation of sensors and signal cables, the insulation resistance must be checked in accordance with each process throughout the instrumentation and fabrication period. To safely mount the signal cables drawn from a fuel test rig on the terminal block of a junction panel, the MI and extension cables should be easy to connect. Therefore, it is necessary to develop instrumentation technologies of a moisture proof connection process for a fuel test rig. This paper will provide an overview of the work done with moisture proof connection procedures to connect the MI and extension cables to extend the MI cables jointed with the sensor.

  3. Development and evaluation of an instrument to measure health-related quality of life in Cuban breast cancer patients receiving radiotherapy.

    Science.gov (United States)

    Lugo, Josefina; Nápoles, Misleidy; Pérez, Inés; Ordaz, Niurka; Luzardo, Mario; Fernández, Leticia

    2014-01-01

    INTRODUCTION Although modern technology has extended the survival of breast cancer patients, treatment's adverse effects impact their health-related quality of life. Currently, no instrument exists capable of identifying the range of problems affecting breast cancer patients receiving radiotherapy in Cuba's socioeconomic and cultural context. OBJECTIVES Construct and validate an instrument to measure the effects of breast cancer and radiotherapy on health-related quality of life in Cuban patients. METHODS The study was conducted at the Oncology and Radiobiology Institute, Havana, Cuba, from January 2010 through December 2011. Inclusion criteria were: adult female, histological diagnosis of breast cancer, treated with ambulatory radiotherapy, and written informed consent; patients unable to communicate orally or in writing, or who had neurologic or psychiatric conditions were excluded. Development phase: focus groups guided by a list of questions were carried out with 50 women. The patients reported 61 problems affecting their health-related quality-of-life. A nominal group (six oncologists and two nurses) identified the same problems. A syntactic analysis of the information was performed to create items for study and measurement scales. Content validity was determined by a nominal group of seven experts using professional judgment. Another 20 patients were selected to evaluate face validity. Validation phase: the instrument was applied to 230 patients at three different points: before radiotherapy, at the end of radiotherapy and four weeks after radiotherapy was concluded. Reliability, construct validity, discriminant validity, predictive validity, interpretability and response burden were evaluated. RESULTS The final instrument developed had 33 items distributed in 4 domains: physical functioning, psychological functioning, social and family relationships, and physical and emotional adverse effects of disease and treatment. There were two discrete items: perceived

  4. Adaptation of WHOQOL as health-related quality of life instrument to develop a vision-specific instrument.

    Directory of Open Access Journals (Sweden)

    Dandona Lalit

    2000-01-01

    Full Text Available The WHOQOL instrument was adapted as a health-related QOL instrument for a population-based epidemiologic study of eye diseases in southern India, the Andhra Pradesh Eye Disease Study (APEDS. A follow-up question was added to each item in WHOQOL to determine whether the decrease in QOL was due to any health reasons including eye-related reasons. Modifications in WHOQOL and translation in local language were done through the use of the focus groups including health professionals and people not related to health care. The modified instrument has 28 items across 6 domains of the WHOQOL and was translated into the local language, Telugu, using the pragmatic approach. It takes 10-20 minutes to be administered by a trained interviewer. Reliability was within acceptable range. This health-related QOL instrument is being used in the population-based study APEDS to develop a vision-specific QOL instrument which could potentially be used to assess the impact of visual impairment on QOL across different cultures and for use in evaluating eye-care interventions. This health-related QOL instrument could also be used to develop other disease-specific instruments as it allows assessment of the extent to which various aspects of QOL are affected by a variety of health problems.

  5. Reliability of Instruments Measuring At-Risk and Problem Gambling Among Young Individuals

    DEFF Research Database (Denmark)

    Edgren, Robert; Castrén, Sari; Mäkelä, Marjukka

    2016-01-01

    This review aims to clarify which instruments measuring at-risk and problem gambling (ARPG) among youth are reliable and valid in light of reported estimates of internal consistency, classification accuracy, and psychometric properties. A systematic search was conducted in PubMed, Medline, and Psyc......Info covering the years 2009–2015. In total, 50 original research articles fulfilled the inclusion criteria: target age under 29 years, using an instrument designed for youth, and reporting a reliability estimate. Articles were evaluated with the revised Quality Assessment of Diagnostic Accuracy Studies tool....... Reliability estimates were reported for five ARPG instruments. Most studies (66%) evaluated the South Oaks Gambling Screen Revised for Adolescents. The Gambling Addictive Behavior Scale for Adolescents was the only novel instrument. In general, the evaluation of instrument reliability was superficial. Despite...

  6. A proposal for assessing study quality: Biomonitoring, Environmental Epidemiology, and Short-lived Chemicals (BEES-C) instrument

    Science.gov (United States)

    LaKind, Judy S.; Sobus, Jon R.; Goodman, Michael; Barr, Dana Boyd; Fürst, Peter; Albertini, Richard J.; Arbuckle, Tye E.; Schoeters, Greet; Tan, Yu-Mei; Teeguarden, Justin; Tornero-Velez, Rogelio; Weisel, Clifford P.

    2015-01-01

    The quality of exposure assessment is a major determinant of the overall quality of any environmental epidemiology study. The use of biomonitoring as a tool for assessing exposure to ubiquitous chemicals with short physiologic half-lives began relatively recently. These chemicals present several challenges, including their presence in analytical laboratories and sampling equipment, difficulty in establishing temporal order in cross-sectional studies, short- and long-term variability in exposures and biomarker concentrations, and a paucity of information on the number of measurements required for proper exposure classification. To date, the scientific community has not developed a set of systematic guidelines for designing, implementing and interpreting studies of short-lived chemicals that use biomonitoring as the exposure metric or for evaluating the quality of this type of research for WOE assessments or for peer review of grants or publications. We describe key issues that affect epidemiology studies using biomonitoring data on short-lived chemicals and propose a systematic instrument – the Biomonitoring, Environmental Epidemiology, and Short-lived Chemicals (BEES-C) instrument – for evaluating the quality of research proposals and studies that incorporate biomonitoring data on short-lived chemicals. Quality criteria for three areas considered fundamental to the evaluation of epidemiology studies that include biological measurements of short-lived chemicals are described: 1) biomarker selection and measurement, 2) study design and execution, and 3) general epidemiological study design considerations. We recognize that the development of an evaluative tool such as BEES-C is neither simple nor non-controversial. We hope and anticipate that the instrument will initiate further discussion/debate on this topic. PMID:25137624

  7. Aversive pavlovian responses affect human instrumental motor performance.

    Science.gov (United States)

    Rigoli, Francesco; Pavone, Enea Francesco; Pezzulo, Giovanni

    2012-01-01

    IN NEUROSCIENCE AND PSYCHOLOGY, AN INFLUENTIAL PERSPECTIVE DISTINGUISHES BETWEEN TWO KINDS OF BEHAVIORAL CONTROL: instrumental (habitual and goal-directed) and Pavlovian. Understanding the instrumental-Pavlovian interaction is fundamental for the comprehension of decision-making. Animal studies (as those using the negative auto-maintenance paradigm), have demonstrated that Pavlovian mechanisms can have maladaptive effects on instrumental performance. However, evidence for a similar effect in humans is scarce. In addition, the mechanisms modulating the impact of Pavlovian responses on instrumental performance are largely unknown, both in human and non-human animals. The present paper describes a behavioral experiment investigating the effects of Pavlovian conditioned responses on performance in humans, focusing on the aversive domain. Results showed that Pavlovian responses influenced human performance, and, similar to animal studies, could have maladaptive effects. In particular, Pavlovian responses either impaired or increased performance depending on modulator variables such as threat distance, task controllability, punishment history, amount of training, and explicit punishment expectancy. Overall, these findings help elucidating the computational mechanisms underlying the instrumental-Pavlovian interaction, which might be at the base of apparently irrational phenomena in economics, social behavior, and psychopathology.

  8. Aversive Pavlovian responses affect human instrumental motor performance

    Directory of Open Access Journals (Sweden)

    Francesco eRigoli

    2012-10-01

    Full Text Available In neuroscience and psychology, an influential perspective distinguishes between two kinds of behavioural control: instrumental (habitual and goal-directed and Pavlovian. Understanding the instrumental-Pavlovian interaction is fundamental for the comprehension of decision-making. Animal studies (as those using the negative auto-maintenance paradigm, have demonstrated that Pavlovian mechanisms can have maladaptive effects on instrumental performance. However, evidence for a similar effect in humans is scarce. In addition, the mechanisms modulating the impact of Pavlovian responses on instrumental performance are largely unknown, both in human and non-human animals. The present paper describes a behavioural experiment investigating the effects of Pavlovian conditioned responses on performance in humans, focusing on the aversive domain. Results showed that Pavlovian responses influenced human performance, and, similar to animal studies, could have maladaptive effects. In particular, Pavlovian responses either impaired or increased performance depending on modulator variables such as threat distance, task controllability, punishment history, amount of training, and explicit punishment expectancy. Overall, these findings help elucidating the computational mechanisms underlying the instrumental-Pavlovian interaction, which might be at the base of apparently irrational phenomena in economics, social behaviour, and psychopathology.

  9. Investigation on Motorcyclist Riding Behaviour at Curve Entry Using Instrumented Motorcycle

    Science.gov (United States)

    Yuen, Choon Wah; Karim, Mohamed Rehan; Saifizul, Ahmad

    2014-01-01

    This paper details the study on the changes in riding behaviour, such as changes in speed as well as the brake force and throttle force applied, when motorcyclists ride over a curve section road using an instrumented motorcycle. In this study, an instrumented motorcycle equipped with various types of sensors, on-board cameras, and data loggers, was developed in order to collect the riding data on the study site. Results from the statistical analysis showed that riding characteristics, such as changes in speed, brake force, and throttle force applied, are influenced by the distance from the curve entry, riding experience, and travel mileage of the riders. A structural equation modeling was used to study the impact of these variables on the change of riding behaviour in curve entry section. Four regression equations are formed to study the relationship between four dependent variables, which are speed, throttle force, front brake force, and rear brake force applied with the independent variables. PMID:24523660

  10. Evaluation of beam tracking strategies for the THOR-CSW solar wind instrument

    Science.gov (United States)

    De Keyser, Johan; Lavraud, Benoit; Prech, Lubomir; Neefs, Eddy; Berkenbosch, Sophie; Beeckman, Bram; Maggiolo, Romain; Fedorov, Andrei; Baruah, Rituparna; Wong, King-Wah; Amoros, Carine; Mathon, Romain; Génot, Vincent

    2017-04-01

    We compare different beam tracking strategies for the Cold Solar Wind (CSW) plasma spectrometer on the ESA M4 THOR mission candidate. The goal is to intelligently select the energy and angular windows the instrument is sampling and to adapt these windows as the solar wind properties evolve, with the aim to maximize the velocity distribution acquisition rate while maintaining excellent energy and angular resolution. Using synthetic data constructed using high-cadence measurements by the Faraday cup instrument on the Spektr-R mission (30 ms resolution), we test the performance of energy beam tracking with or without angular beam tracking. The algorithm can be fed both by data acquired by the plasma spectrometer during the previous measurement cycle, or by data from another instrument, in casu the Faraday Cup (FAR) instrument foreseen on THOR. We verify how these beam tracking algorithms behave for different sizes of the energy and angular windows, and for different data integration times, in order to assess the limitations of the algorithm and to avoid situations in which the algorithm loses track of the beam.

  11. High Resolution ECG for Evaluation of QT Interval Variability during Exposure to Acute Hypoxia

    Science.gov (United States)

    Zupet, P.; Finderle, Z.; Schlegel, Todd T.; Starc, V.

    2010-01-01

    Ventricular repolarization instability as quantified by the index of QT interval variability (QTVI) is one of the best predictors for risk of malignant ventricular arrhythmias and sudden cardiac death. Because it is difficult to appropriately monitor early signs of organ dysfunction at high altitude, we investigated whether high resolution advanced ECG (HR-ECG) analysis might be helpful as a non-invasive and easy-to-use tool for evaluating the risk of cardiac arrhythmias during exposure to acute hypoxia. 19 non-acclimatized healthy trained alpinists (age 37, 8 plus or minus 4,7 years) participated in the study. Five-minute high-resolution 12-lead electrocardiograms (ECGs) were recorded (Cardiosoft) in each subject at rest in the supine position breathing room air and then after breathing 12.5% oxygen for 30 min. For beat-to-beat RR and QT variability, the program of Starc was utilized to derive standard time domain measures such as root mean square of the successive interval difference (rMSSD) of RRV and QTV, the corrected QT interval (QTc) and the QTVI in lead II. Changes were evaluated with paired-samples t-test with p-values less than 0.05 considered statistically significant. As expected, the RR interval and its variability both decreased with increasing altitude, with p = 0.000 and p = 0.005, respectively. Significant increases were found in both the rMSSDQT and the QTVI in lead II, with p = 0.002 and p = 0.003, respectively. There was no change in QTc interval length (p = non significant). QT variability parameters may be useful for evaluating changes in ventricular repolarization caused by hypoxia. These changes might be driven by increases in sympathetic nervous system activity at ventricular level.

  12. An Assessment of the Need for Standard Variable Names for Airborne Field Campaigns

    Science.gov (United States)

    Beach, A. L., III; Chen, G.; Northup, E. A.; Kusterer, J.; Quam, B. M.

    2017-12-01

    The NASA Earth Venture Program has led to a dramatic increase in airborne observations, requiring updated data management practices with clearly defined data standards and protocols for metadata. An airborne field campaign can involve multiple aircraft and a variety of instruments. It is quite common to have different instruments/techniques measure the same parameter on one or more aircraft platforms. This creates a need to allow instrument Principal Investigators (PIs) to name their variables in a way that would distinguish them across various data sets. A lack of standardization of variables names presents a challenge for data search tools in enabling discovery of similar data across airborne studies, aircraft platforms, and instruments. This was also identified by data users as one of the top issues in data use. One effective approach for mitigating this problem is to enforce variable name standardization, which can effectively map the unique PI variable names to fixed standard names. In order to ensure consistency amongst the standard names, it will be necessary to choose them from a controlled list. However, no such list currently exists despite a number of previous efforts to establish a sufficient list of atmospheric variable names. The Atmospheric Composition Variable Standard Name Working Group was established under the auspices of NASA's Earth Science Data Systems Working Group (ESDSWG) to solicit research community feedback to create a list of standard names that are acceptable to data providers and data users This presentation will discuss the challenges and recommendations of standard variable names in an effort to demonstrate how airborne metadata curation/management can be improved to streamline data ingest, improve interoperability, and discoverability to a broader user community.

  13. [The "Mini-ICF-Rating for Mental Disorders (Mini-ICF-P)". A short instrument for the assessment of disabilities in mental disorders].

    Science.gov (United States)

    Linden, M; Baron, S

    2005-06-01

    Supplementary to the description of diseases at symptom level, the International Classification of Functioning, Disability and Health (ICF), edited by the WHO, for the first time enables a systematic description also at the level of disabilities and impairments. The Mini-ICF-Rating for Mental Disorders (Mini-ICF-P) is a short observer rating instrument for the assessment of disabilities, especially with regard to occupational functioning. The Mini-ICF-P was first evaluated empirically in 125 patients of a Department of Behavioural Medicine and Psychosomatics. Parallel-test reliability was r = 0.59. Correlates were found with cognitive and motivational variables and duration of sick leave from work. In summary, the Mini-ICF-P is a quick and practicable instrument.

  14. Comparison of nanoparticle measurement instruments for occupational health applications

    International Nuclear Information System (INIS)

    Leskinen, J.; Joutsensaari, J.; Lyyränen, J.; Koivisto, J.; Ruusunen, J.; Järvelä, M.; Tuomi, T.; Hämeri, K.; Auvinen, A.; Jokiniemi, J.

    2012-01-01

    Nanoparticles are used in many applications because of their novel properties compared to bulk material. A growing number of employees are working with nanomaterials and their exposure to nanoparticles trough inhalation must be evaluated and monitored continuously. However, there is an ongoing debate in the scientific literature about what are the relevant parameters to measure to evaluate exposure to level. In this study, three types of nanoparticles (ammonium sulphate, synthesised TiO 2 agglomerates and aerosolised TiO 2 powder, modes in a range of 30–140 nm mobility size) were measured with commonly used aerosol measurement instruments: scanning and fast mobility particle sizers (SMPS, FMPS), electrical low pressure impactor (ELPI), condensation particle counter (CPC) together with nanoparticle surface area monitor (NSAM) to achieve information about the interrelations of the outputs of the instruments. In addition, the ease of use of these instruments was evaluated. Differences between the results of different instruments can mainly be attributed to the nature of test particles. For spherical ammonium sulphate nanoparticles, the data from the instruments were in good agreement while larger differences were observed for particles with more complex morphology, the TiO 2 agglomerates and powder. For instance, the FMPS showed a smaller particle size, a higher number concentration and a narrower size distribution compared with the SMPS for TiO 2 particles. Thus, the type of the nanoparticle was observed to influence the data obtained from these different instruments. Therefore, care and expertise are essential when interpreting results from aerosol measurement instruments to estimate nanoparticle concentrations and properties.

  15. Evaluation of software and electronics technologies for the control of the E-ELT instruments: a case study

    International Nuclear Information System (INIS)

    Di Marcantonio, P.; Cirami, R.; Coretti, I.; Chiozzi, G.; Kiekebusch, M.

    2012-01-01

    In the scope of the evaluation of architecture and technologies for the control system of the E-ELT (European-Extremely Large Telescope) instruments, a collaboration has been set up between the Instrumentation and Control Group of the INAF-OATs and the ESO Directorate of Engineering. The first result of this collaboration is the design and implementation of a prototype of a small but representative control system for a kind of multi-object (optical) spectrograph. The electronics has been based on PLCs (Programmable Logical Controller) and Ethernet based field-buses from different vendors but using international standards like the IEC 61131-3 and PLCopen Motion Control. The baseline design for the control software follows the architecture of the VLT (Very Large Telescope) Instrumentation application framework but it has been implemented using the ACS (ALMA Common Software), an open source software framework developed for the ALMA project and based on CORBA middle-ware. The communication among the software components is based on two models: CORBA calls for command/reply using the client/server paradigm and CORBA notification channel for distributing the devices status using the publisher/subscriber paradigm. The communication with the PLCs is based on OPC UA, an international standard for the communication with industrial controllers. The results of this work will contribute to the definition of the architecture of the control system that will be provided to all consortia responsible for the actual implementation of the E-ELT instruments. This paper presents the prototype motivation, its architecture, design and implementation. (authors)

  16. Virtual reality musical instruments

    DEFF Research Database (Denmark)

    Serafin, Stefania; Erkut, Cumhur; Kojs, Juraj

    2016-01-01

    The rapid development and availability of low cost technologies has created a wide interest in virtual reality (VR), but how to design and evaluate multisensory interactions in VR remains as a challenge. In this paper, we focus on virtual reality musical instruments, present an overview of our...

  17. Biophysicochemical variability evaluation of jatropha curcas L. collections for biodiesel feedstock

    International Nuclear Information System (INIS)

    Gaura, A.K.

    2010-01-01

    The seed oils of six Jatropha curcas biotypes were evaluated for their oil quality parameters and showed: oil content (38-41 %), acid value (0.14-6.94 mg/g), free fatty acid (0.07-3.47 %), iodine value (115.48-163.37 mg/g) and viscosity (0.6320-0.7431). Significant differences among biotypes were observed in oil yield and biochemical parameters. The variability among the biotypes indicate a good scope of genetic gain through selection. (author)

  18. Comparative evaluation of apically extruded debris during root canal instrumentation using two Ni-Ti single file rotary systems: An in vitro study.

    Science.gov (United States)

    Singbal, Kiran; Jain, Disha; Raja, Kranthi; Hoe, Tan Ming

    2017-01-01

    Apical extrusion of debris during instrumentation is detrimental to the patient. The aim of this study was to evaluate the apical extrusion of debris during root canal instrumentation using two single file rotary Ni-Ti systems. Thirty freshly extracted mandibular premolars with straight roots were sterilized and divided into two groups instrumented using: One Shape rotary Ni-Ti system with Endoflare orifice shaper (Group 1) and Neo-Niti rotary Ni-Ti system with C1 orifice shaper (Group 2). Preweighed Eppendorf tubes fitted for each tooth before instrumentation. During instrumentation, 1 mL of distilled water with a 30-gauge needle was used to irrigate after every instrument. Tips of the tooth were irrigated with 2 ml distilled water after removal from Eppendorf tubes. The total volume of irrigant in each group was the same 8 ml. All tubes were incubated at 68°C for 15 days and subsequently weighed. The difference between pre- and post-debris weights was calculated, and statistical analysis was performed using independent t -test and level of significance was set at 0.05. The difference between pre- and post-weights was significantly greater for the One Shape system. The Neolix Niti single file was associated with less extrusion compared to One Shape single file system.

  19. Instrumental variable estimation of the causal effect of plasma 25-hydroxy-vitamin D on colorectal cancer risk: a mendelian randomization analysis.

    Directory of Open Access Journals (Sweden)

    Evropi Theodoratou

    Full Text Available Vitamin D deficiency has been associated with several common diseases, including cancer and is being investigated as a possible risk factor for these conditions. We reported the striking prevalence of vitamin D deficiency in Scotland. Previous epidemiological studies have reported an association between low dietary vitamin D and colorectal cancer (CRC. Using a case-control study design, we tested the association between plasma 25-hydroxy-vitamin D (25-OHD and CRC (2,001 cases, 2,237 controls. To determine whether plasma 25-OHD levels are causally linked to CRC risk, we applied the control function instrumental variable (IV method of the mendelian randomization (MR approach using four single nucleotide polymorphisms (rs2282679, rs12785878, rs10741657, rs6013897 previously shown to be associated with plasma 25-OHD. Low plasma 25-OHD levels were associated with CRC risk in the crude model (odds ratio (OR: 0.76, 95% Confidence Interval (CI: 0.71, 0.81, p: 1.4×10(-14 and after adjusting for age, sex and other confounding factors. Using an allele score that combined all four SNPs as the IV, the estimated causal effect was OR 1.16 (95% CI 0.60, 2.23, whilst it was 0.94 (95% CI 0.46, 1.91 and 0.93 (0.53, 1.63 when using an upstream (rs12785878, rs10741657 and a downstream allele score (rs2282679, rs6013897, respectively. 25-OHD levels were inversely associated with CRC risk, in agreement with recent meta-analyses. The fact that this finding was not replicated when the MR approach was employed might be due to weak instruments, giving low power to demonstrate an effect (<0.35. The prevalence and degree of vitamin D deficiency amongst individuals living in northerly latitudes is of considerable importance because of its relationship to disease. To elucidate the effect of vitamin D on CRC cancer risk, additional large studies of vitamin D and CRC risk are required and/or the application of alternative methods that are less sensitive to weak instrument

  20. REFERQUAL: a pilot study of a new service quality assessment instrument in the GP exercise referral scheme setting

    Science.gov (United States)

    Cock, Don; Adams, Iain C; Ibbetson, Adrian B; Baugh, Phil

    2006-01-01

    Background The development of an instrument accurately assessing service quality in the GP Exercise Referral Scheme (ERS) industry could potentially inform scheme organisers of the factors that affect adherence rates leading to the implementation of strategic interventions aimed at reducing client drop-out. Methods A modified version of the SERVQUAL instrument was designed for use in the ERS setting and subsequently piloted amongst 27 ERS clients. Results Test re-test correlations were calculated via Pearson's 'r' or Spearman's 'rho', depending on whether the variables were Normally Distributed, to show a significant (mean r = 0.957, SD = 0.02, p < 0.05; mean rho = 0.934, SD = 0.03, p < 0.05) relationship between all items within the questionnaire. In addition, satisfactory internal consistency was demonstrated via Cronbach's 'α'. Furthermore, clients responded favourably towards the usability, wording and applicability of the instrument's items. Conclusion REFERQUAL is considered to represent promise as a suitable tool for future evaluation of service quality within the ERS community. Future research should further assess the validity and reliability of this instrument through the use of a confirmatory factor analysis to scrutinise the proposed dimensional structure. PMID:16725021

  1. Instruments for measuring mental health recovery: a systematic review.

    Science.gov (United States)

    Sklar, Marisa; Groessl, Erik J; O'Connell, Maria; Davidson, Larry; Aarons, Gregory A

    2013-12-01

    Persons in recovery, providers, and policymakers alike are advocating for recovery-oriented mental health care, with the promotion of recovery becoming a prominent feature of mental health policy in the United States and internationally. One step toward creating a recovery-oriented system of care is to use recovery-oriented outcome measures. Numerous instruments have been developed to assess progress towards mental health recovery. This review identifies instruments of mental health recovery and evaluates the appropriateness of their use including their psychometric properties, ease of administration, and service-user involvement in their development. A literature search using the Medline and Psych-INFO databases was conducted, identifying 21 instruments for potential inclusion in this review, of which thirteen met inclusion criteria. Results suggest only three instruments (25%) have had their psychometric properties assessed in three or more unique samples of participants. Ease of administration varied between instruments, and for the majority of instruments, development included service user involvement. This review updates and expands previous reviews of instruments to assess mental health recovery. As mental health care continues to transform to a recovery-oriented model of service delivery, this review may facilitate selection of appropriate assessments of mental health recovery for systems to use in evaluating and improving the care they provide. © 2013.

  2. Sharp or broad pulse peak for high resolution instruments? Choice of moderator performance

    International Nuclear Information System (INIS)

    Arai, M.; Watanabe, N.; Teshigawara, M.

    2001-01-01

    We demonstrate a concept how we should choose moderator performance to realize required performance for instruments. Neutron burst pulse can be characterized with peak intensity, peak width and tail. Those can be controllable by designing moderator, i.e. material, temperature, shape, decoupling, poisoning and having premoderator. Hence there are large number of variable parameters to be determined. Here we discuss the required moderator performance for some typical examples, i.e. high resolution powder instrument, chopper instrument, high resolution back scattering machine. (author)

  3. Young Children's Perceptions of Teacher-Child Relationships: An Evaluation of Two Instruments and the Role of Child Gender in Kindergarten

    Science.gov (United States)

    Spilt, Jantine L.; Koomen, Helma M. Y.; Mantzicopoulos, Panayota Y.

    2010-01-01

    The psychometric qualities of two instruments that measure children's perceptions of teacher-child relationships were evaluated in a sample of kindergartners (N = 150): The Young Children's Appraisals of Teacher Support (Y-CATS) and the Kindergartner-Teacher Interaction Computer (KLIC) test. On the Y-CATS, children judged propositions on a…

  4. Evaluation of Root Canal Cleaning and Shaping Efficacy of Three Engine-driven Instruments: SafeSider, ProTaper Universal and Lightspeed LSX.

    Science.gov (United States)

    Wigler, Ronald; Koren, Tal; Tsesis, Igor

    2015-11-01

    To compare the cleaning effectiveness and shaping ability of SafeSider, ProTaper Universal and Lightspeed rotary instruments during the preparation of curved root canals in extracted human teeth. A total of 63 roots with curved root canals were divided into three groups. Canals were prepared using SafeSider, ProTaper Universal or Lightspeed LSX. Using pre- and post-instrumentation radiographs, straightening of the canal curvatures and loss of working length were determined with a computer image analysis program. The amounts of debris at the apical 5 mm were quantified on the basis of a numerical evaluation scale. The data were analyzed statistically using the two-way analysis of variance (ANOVA). There was significantly more transportation among the Lightspeed LSX group compared to the SafeSider and ProTaper Universal groups only at the 4 mm level (p engine-driven instruments with regards to debris removal. SafeSider, ProTaper Universal and Lightspeed LSX rotary instruments maintained the original canal curvature well at the apical 3 mm and were safe to use. No difference was found in cleaning efficacy and none rendered the apical part of the canal free of debris. SafeSider, ProTaper Universal and Lightspeed LSX rotary instruments are safe to use in curved root canals.

  5. Evaluation of spinal instrumentation rod bending characteristics for in-situ contouring.

    Science.gov (United States)

    Noshchenko, Andriy; Xianfeng, Yao; Armour, Grant Alan; Baldini, Todd; Patel, Vikas V; Ayers, Reed; Burger, Evalina

    2011-07-01

    Bending characteristics were studied in rods used for spinal instrumentation at in-situ contouring conditions. Five groups of five 6 mm diameter rods made from: cobalt alloy (VITALLIUM), titanium-aluminum-vanadium alloy (SDI™), β-titanium alloy (TNTZ), cold worked stainless steel (STIFF), and annealed stainless steel (MALLEABLE) were studied. The bending procedure was similar to that typically applied for in-situ contouring in the operating room and included two bending cycles: first--bending to 21-24° under load with further release of loading for 10 min, and second--bending to 34-37° at the previously bent site and release of load for 10 min. Applied load, bending stiffness, and springback effect were studied. Statistical evaluation included ANOVA, correlation and regression analysis. TNTZ and SDI™ rods showed the highest (p under load (p < 0.001). To reach the necessary bend angle after unloading, over bending should be 37-40% of the required angle in TNTZ and SDI™ rods, 27-30% in VITALLIUM and STIFF rods, and around 20% in MALLEABLE rods. Copyright © 2011 Wiley Periodicals, Inc.

  6. Optical fibers and their instrumentation applications

    International Nuclear Information System (INIS)

    Boisde, Gilbert.

    1982-09-01

    The use of optical fibers in instrumentation requires a knowledge of their properties as ''photon carriers'' and ''sensors''. New instrumentation design implies a satisfactory evaluation of the entire measurement circuit, including the emitter, optical coupling, optical fiber with its physical, spectral and physico-chemical properties, the connector, receiver, signal amplifier and data processing system. An example, is provided of the development of a new technique in physico-chemical instrumentation: remote spectrophotometry. Three aspects are discussed: 1) industrial measurement in ''process control'' using the Telephot (R), 2) remote spectral measurement, 3) opical multiplexing. This is followed by a review of various optical fiber based instrumental techniques used in the fields of medicine (endoscopy, fluorothermy, laser surgery), solar energy industrial applications subject to electrical disturbances (position sensors, strain measurements), and in physico-chemical analysis (fluorescence, redox potentials) [fr

  7. Variability of floods, droughts and windstorms over the past 500 years in Central Europe based on documentary and instrumental data

    Science.gov (United States)

    Brazdil, Rudolf

    2016-04-01

    Hydrological and meteorological extremes (HMEs) in Central Europe during the past 500 years can be reconstructed based on instrumental and documentary data. Documentary data about weather and related phenomena represent the basic source of information for historical climatology and hydrology, dealing with reconstruction of past climate and HMEs, their perception and impacts on human society. The paper presents the basic distribution of documentary data on (i) direct descriptions of HMEs and their proxies on the one hand and on (ii) individual and institutional data sources on the other. Several groups of documentary evidence such as narrative written records (annals, chronicles, memoirs), visual daily weather records, official and personal correspondence, special prints, financial and economic records (with particular attention to taxation data), newspapers, pictorial documentation, chronograms, epigraphic data, early instrumental observations, early scientific papers and communications are demonstrated with respect to extraction of information about HMEs, which concerns usually of their occurrence, severity, seasonality, meteorological causes, perception and human impacts. The paper further presents the analysis of 500-year variability of floods, droughts and windstorms on the base of series, created by combination of documentary and instrumental data. Results, advantages and drawbacks of such approach are documented on the examples from the Czech Lands. The analysis of floods concentrates on the River Vltava (Prague) and the River Elbe (Děčín) which show the highest frequency of floods occurring in the 19th century (mainly of winter synoptic type) and in the second half of the 16th century (summer synoptic type). Reported are also the most disastrous floods (August 1501, March and August 1598, February 1655, June 1675, February 1784, March 1845, February 1862, September 1890, August 2002) and the European context of floods in the severe winter 1783/84. Drought

  8. EPRTM Reactor neutron instrumentation

    International Nuclear Information System (INIS)

    Pfeiffer, Maxime; SALA, Stephanie

    2013-06-01

    The core safety during operation is linked, in particular, to the respect of criteria related to the heat generated in fuel rods and to the heat exchange between the rods and the coolant. This local power information is linked to the power distribution in the core. In order to evaluate the core power distribution, the EPR TM reactor relies on several types of neutron detectors: - ionization chambers located outside the vessel and used for protection and monitoring - a fixed in-core instrumentation based on Cobalt Self Powered Neutron Detectors used for protection and monitoring - a mobile reference in-core instrumentation based on Vanadium aero-balls This document provides a description of this instrumentation and its use in core protection, limitation, monitoring and control functions. In particular, a description of the detectors and the principles of their signal generation is supplied as well as the description of the treatments related to these detectors in the EPR TM reactor I and C systems (including periodical calibration). (authors)

  9. An Undergraduate Research Experience on Studying Variable Stars

    Science.gov (United States)

    Amaral, A.; Percy, J. R.

    2016-06-01

    We describe and evaluate a summer undergraduate research project and experience by one of us (AA), under the supervision of the other (JP). The aim of the project was to sample current approaches to analyzing variable star data, and topics related to the study of Mira variable stars and their astrophysical importance. This project was done through the Summer Undergraduate Research Program (SURP) in astronomy at the University of Toronto. SURP allowed undergraduate students to explore and learn about many topics within astronomy and astrophysics, from instrumentation to cosmology. SURP introduced students to key skills which are essential for students hoping to pursue graduate studies in any scientific field. Variable stars proved to be an excellent topic for a research project. For beginners to independent research, it introduces key concepts in research such as critical thinking and problem solving, while illuminating previously learned topics in stellar physics. The focus of this summer project was to compare observations with structural and evolutionary models, including modelling the random walk behavior exhibited in the (O-C) diagrams of most Mira stars. We found that the random walk could be modelled by using random fluctuations of the period. This explanation agreed well with observations.

  10. A Framework for Establishing Standard Reference Scale of Texture by Multivariate Statistical Analysis Based on Instrumental Measurement and Sensory Evaluation.

    Science.gov (United States)

    Zhi, Ruicong; Zhao, Lei; Xie, Nan; Wang, Houyin; Shi, Bolin; Shi, Jingye

    2016-01-13

    A framework of establishing standard reference scale (texture) is proposed by multivariate statistical analysis according to instrumental measurement and sensory evaluation. Multivariate statistical analysis is conducted to rapidly select typical reference samples with characteristics of universality, representativeness, stability, substitutability, and traceability. The reasonableness of the framework method is verified by establishing standard reference scale of texture attribute (hardness) with Chinese well-known food. More than 100 food products in 16 categories were tested using instrumental measurement (TPA test), and the result was analyzed with clustering analysis, principal component analysis, relative standard deviation, and analysis of variance. As a result, nine kinds of foods were determined to construct the hardness standard reference scale. The results indicate that the regression coefficient between the estimated sensory value and the instrumentally measured value is significant (R(2) = 0.9765), which fits well with Stevens's theory. The research provides reliable a theoretical basis and practical guide for quantitative standard reference scale establishment on food texture characteristics.

  11. Transient response of level instruments in a research reactor

    International Nuclear Information System (INIS)

    Cheng, Lap Y.

    1989-01-01

    A numerical model has been developed to simulate the dynamics of water level instruments in a research nuclear reactor. A bubble device, with helium gas as the working fluid, is used to monitor liquid level by sensing the static head pressure due to the height of liquid in the reactor vessel. A finite-difference model is constructed to study the transient response of the water level instruments to pressure perturbations. The field equations which describe the hydraulics of the helium gas in the bubbler device are arranged in the form of a tridiagonal matrix and the field variables are solved at each time step by the Thomas algorithm. Simulation results indicate that the dynamic response of the helium gas depends mainly on the volume and the inertia of the gas in the level instrument tubings. The anomalies in the simulated level indication are attributed to the inherent lag in the level instrument due to the hydraulics of the system. 1 ref., 5 figs

  12. Inspector-instrument interface in portable NDA instrumentation

    International Nuclear Information System (INIS)

    Halbig, J.K.; Klosterbuer, S.F.

    1981-01-01

    Recent electronics technology advances make it possible to design sophisticated instruments in small packages for convenient field implementation. An inspector-instrument interface design that allows communication of procedures, responses, and results between the instrument and user is presented. This capability has been incorporated into new spent-fuel instrumentation and a battery-powered multichannel analyzer

  13. Inspector-instrument interface in portable NDA instrumentation

    International Nuclear Information System (INIS)

    Halbig, J.K.; Klosterbuer, S.F.

    1981-01-01

    Recent electronics technology advances make it possible to design sophisticated instruments in small packages for convenient field implementation. This report describes an inspector-instrument interface design which allows communication of procedures, responses, and results between the instrument and user. The interface has been incorporated into new spent-fuel instrumentation and a battery-powered multichannel analyzer

  14. Research on the evaluation model of the software reliability in nuclear safety class digital instrumentation and control system

    International Nuclear Information System (INIS)

    Liu Ying; Yang Ming; Li Fengjun; Ma Zhanguo; Zeng Hai

    2014-01-01

    In order to analyze the software reliability (SR) in nuclear safety class digital instrumentation and control system (D-I and C), firstly, the international software design standards were analyzed, the standards' framework was built, and we found that the D-I and C software standards should follow the NUREG-0800 BTP7-14, according to the NRC NUREG-0800 review of requirements. Secondly, the quantitative evaluation model of SR using Bayesian Belief Network and thirteen sub-model frameworks were established. Thirdly, each sub-models and the weight of corresponding indexes in the evaluation model were analyzed. Finally, the safety case was introduced. The models lay a foundation for review and quantitative evaluation on the SR in nuclear safety class D-I and C. (authors)

  15. The Cognitive Telephone Screening Instrument (COGTEL: A Brief, Reliable, and Valid Tool for Capturing Interindividual Differences in Cognitive Functioning in Epidemiological and Aging Studies

    Directory of Open Access Journals (Sweden)

    Andreas Ihle

    2017-10-01

    Full Text Available Aims: The present study set out to evaluate the psychometric properties of the Cognitive Telephone Screening Instrument (COGTEL in 2 different samples of older adults. Methods: We assessed COGTEL in 116 older adults, with retest after 7 days to evaluate the test-retest reliability. Moreover, we assessed COGTEL in 868 older adults to evaluate convergent validity to the Mini-Mental State Examination (MMSE. Results: Test-retest reliability of the COGTEL total score was good at 0.85 (p < 0.001. Latent variable analyses revealed that COGTEL and MMSE correlated by 0.93 (p < 0.001, indicating convergent validity of the COGTEL. Conclusion: The present analyses suggest COGTEL as a brief, reliable, and valid instrument for capturing interindividual differences in cognitive functioning in epidemiological and aging studies, with the advantage of covering more cognitive domains than traditional screening tools such as the MMSE, as well as differentiating between individual performance levels, in healthy older adults.

  16. Instrumentation Cables Test Plan

    Energy Technology Data Exchange (ETDEWEB)

    Muna, Alice Baca [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); LaFleur, Chris Bensdotter [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-10-01

    A fire at a nuclear power plant (NPP) has the potential to damage structures, systems, and components important to safety, if not promptly detected and suppressed. At Browns Ferry Nuclear Power Plant on March 22, 1975, a fire in the reactor building damaged electrical power and control systems. Damage to instrumentation cables impeded the function of both normal and standby reactor coolant systems, and degraded the operators’ plant monitoring capability. This event resulted in additional NRC involvement with utilities to ensure that NPPs are properly protected from fire as intended by the NRC principle design criteria (i.e., general design criteria 3, Fire Protection). Current guidance and methods for both deterministic and performance based approaches typically make conservative (bounding) assumptions regarding the fire-induced failure modes of instrumentation cables and those failure modes effects on component and system response. Numerous fire testing programs have been conducted in the past to evaluate the failure modes and effects of electrical cables exposed to severe thermal conditions. However, that testing has primarily focused on control circuits with only a limited number of tests performed on instrumentation circuits. In 2001, the Nuclear Energy Institute (NEI) and the Electric Power Research Institute (EPRI) conducted a series of cable fire tests designed to address specific aspects of the cable failure and circuit fault issues of concern1. The NRC was invited to observe and participate in that program. The NRC sponsored Sandia National Laboratories to support this participation, whom among other things, added a 4-20 mA instrumentation circuit and instrumentation cabling to six of the tests. Although limited, one insight drawn from those instrumentation circuits tests was that the failure characteristics appeared to depend on the cable insulation material. The results showed that for thermoset insulated cables, the instrument reading tended to drift

  17. Appendices : evaluation of variable speed limits on I-270/I-255 in St. Louis.

    Science.gov (United States)

    2010-10-01

    In May of 2008, MoDOT installed a Variable Speed Limit (VSL) system along the I-270/I-255 corridor in : St. Louis. This project evaluated the VSL system and its potential impacts and benefits to the : transportation users. The technical system ...

  18. Validation of a Job Satisfaction Instrument for Residential-Care Employees.

    Science.gov (United States)

    Sluyter, Gary V.; Mukherjee, Ajit K.

    1986-01-01

    A new job satisfaction instrument for employees of a residential care facility for mentally retarded persons effectively measures the employees' satisfaction with 12 work related variables: salary, company policies, supervision, working conditions, interpersonal relations, security, advancement, recognition, achievement, work responsibility, and…

  19. Process instrumentation for nuclear power station

    International Nuclear Information System (INIS)

    Yanai, Katsuya; Shinohara, Katsuhiko

    1978-01-01

    Nuclear power stations are the large scale compound system composed of many process systems. Accordingly, for the safe and high reliability operation of the plants, it is necessary to grasp the conditions of respective processes exactly and control the operation correctly. For this purpose, the process instrumentation undertakes the important function to monitor the plant operation. Hitachi Ltd. has exerted ceaseless efforts since long before to establish the basic technology for the process instrumentation in nuclear power stations, to develop and improve hardwares of high reliability, and to establish the quality control system. As for the features of the process instrumentation in nuclear power stations, the enormous quantity of measurement, the diversity of measured variables, the remote measurement and monitoring method, and the ensuring of high reliability are enumerated. Also the hardwares must withstand earthquakes, loss of coolant accidents, radiations, leaks and fires. Hitachi Unitrol Sigma Series is the measurement system which is suitable to the general process instrumentation in nuclear power stations, and satisfies sufficiently the basic requirements described above. It has various features as the nuclear energy system, such as high reliability by the use of ICs, the methods of calculation and transmission considering signal linkage, loop controller system and small size. HIACS-1000 Series is the analog controller of high reliability for water control. (Kako, I.)

  20. Evaluation the complex lithologies in the oil well using spectral density instrument

    International Nuclear Information System (INIS)

    Zivanov, M.; Martinovic, S.; Jakovljevic, B.

    1991-01-01

    Spectral density instrument for logging in the oil wells, beside density, measure photo electrical cross section. The principles of logging are discussed of modern spectral density. Results of logging are used dor determining the complex lithology in the oil well. With this instrument are obtained the more accurate and reliable logging results and better lithology rate and reliable logging results and better lithology determination in the formations. (author)