WorldWideScience

Sample records for multiattribute utility evaluation

  1. AN EXPERIMENT IN MULTIATTRIBUTE UTILITY THEORY

    OpenAIRE

    Delforce, Robert J.; Hardaker, J. Brian

    1985-01-01

    A version of multiattribute utility theory is evaluated as an aid to social decision making using an Australian case study. A multiattribute utility function is assessed over the descriptive, discrete decision alternatives of the decision problem rather than over the risky consequences of the attributes as in the standard approach. The evaluation is made first from the perspective of the decision analysts as a test of the feasibility of the method, and second, from the perspective of social d...

  2. Multiattribute Utility Theory without Expected Utility Foundations

    NARCIS (Netherlands)

    Stiggelbout, A.M.; Wakker, P.P.

    1995-01-01

    Methods for determining the form of utilities are needed for the implementation of utility theory in specific decisions. An important step forward was achieved when utility theorists characterized useful parametric families of utilities, and simplifying decompositions of multiattribute utilities.

  3. Multiattribute utility theory without expected utility foundations

    NARCIS (Netherlands)

    Wakker, P.P.; Miyamoto, J.

    1996-01-01

    Methods for determining the form of utilities are needed for the implementation of utility theory in specific decisions. An important step forward was achieved when utility theorists characterized useful parametric families of utilities, and simplifying decompositions of multiattribute utilities.

  4. Multiattribute Utility Theory without Expected Utility Foundations

    NARCIS (Netherlands)

    J. Miyamoto (John); P.P. Wakker (Peter)

    1996-01-01

    textabstractMethods for determining the form of utilities are needed for the implementation of utility theory in specific decisions. An important step forward was achieved when utility theorists characterized useful parametric families of utilities and simplifying decompositions of multiattribute

  5. Development of slim-maud: a multi-attribute utility approach to human reliability evaluation

    International Nuclear Information System (INIS)

    Embrey, D.E.

    1984-01-01

    This paper describes further work on the Success Likelihood Index Methodology (SLIM), a procedure for quantitatively evaluating human reliability in nuclear power plants and other systems. SLIM was originally developed by Human Reliability Associates during an earlier contract with Brookhaven National Laboratory (BNL). A further development of SLIM, SLIM-MAUD (Multi-Attribute Utility Decomposition) is also described. This is an extension of the original approach using an interactive, computer-based system. All of the work described in this report was supported by the Human Factors and Safeguards Branch of the US Nuclear Regulatory Commission

  6. Evaluation of the Parent-Implemented Communication Strategies (PiCS) Project Using the Multiattribute Utility (MAU) Approach

    Science.gov (United States)

    Stoner, Julia B.; Meadan, Hedda; Angell, Maureen E.; Daczewitz, Marcus

    2012-01-01

    We conducted a multiattribute utility (MAU) evaluation to assess the Parent-Implemented Communication Strategies (PiCS) project which was funded by the Institute of Education Sciences (IES). In the PiCS project parents of young children with developmental disabilities are trained and coached in their homes on naturalistic and visual teaching…

  7. Additive conjoint measurement for multiattribute utility

    NARCIS (Netherlands)

    Maas, A.; Wakker, P.P.

    1994-01-01

    This paper shows that multiattribute utility can be simplified by methods from additive conjoint measurement. Given additive conjoint measurability under certainty, axiomatizations can be simplified, and implementation and reliability of elicitation can be improved. This also contributes to the

  8. Use of a multi-attribute utility theory for evaluating the best coolant material in transmutation reactors

    International Nuclear Information System (INIS)

    Yu, Dong Han; Han, Suk Joong; Kim, Do Hyung; Park, Won Suk

    1998-12-01

    In order to develop and design a good transmutation system, it is necessary first to select the best available coolant material for a reactor coolant system. Choosing the best coolant material may not be easy since there are several criteria associated with thermal performance, safety problem, cost problem, neutronic aspects. etc. The best option should be chosen based on the maximization of our needs in this situation. It is a challenging task. Decision theory can be employed to solve this type of problem. This report presents the feasibility study for evaluating the best coolant material in transmutation reactors based on the multi=attribute utility theory. The main problem presented here is how to logically evaluate candidate coolant materials under multiple criteria such as thermal performance, safety problem, cost problem, cost problem, neutronic aspects, etc. Since the current problem involves multiple criteria or attributes, first of all, the multi-attribute utility theory (MAUT) such as SMART and AHP has been extensively reviewed. Then, many candidate coolant material for transmutation reactors have been identified. The next step is to construct a value tree that express to reflect the relative importance of the attributes for overall evaluation. Finally, given these assignments, the final goal were obtained by manipulating these ranks through the value tree. The proposed approach is intended to help people be rational and logical in making decisions such complex tasks. (author). 8 refs., 7 tabs., 22 figs

  9. Multi-attribute utility theory. Toward a more general framework

    International Nuclear Information System (INIS)

    Beaudoin, F.; Munier, B.; Serquin, Y.; Ecole Normale Superieure, 94 - Cachan

    1997-12-01

    Optimizing maintenance programs for nuclear power plants is a difficult task. Beyond the reliability of the systems at hand, one has to consider several conflicting objectives such as safety, availability, maintenance costs, personal exposure to radiations, all under risk. Multi-Attributed Utility Theory is a widely used framework to cope with such problems. This procedure is, however, based on a set of axioms which imply an expected utility treatment of risk. It has been shown elsewhere that the risk structure to be considered in such cases does not correspond to behavior consistent with such a treatment of risk, but would rather correspond to a rank dependent evaluation type of model. The question raised is then how to use a multi-attributed scheme of preferences under such conditions. (author)

  10. Multiattribute Fixed-State Utility Assessment.

    Science.gov (United States)

    1981-03-27

    of a companion distribution, are presented in Appendix A. Because of the theory of conditional expected utility and the modelling of the utilities by...obtain approximations to the moments, using the companion V ) ) distribution discussed in Section 3. The moments of both distributions are discussed...1956b, 21, 207-216. Slavic, P. "From Shakespeare to Simon: Speculation -- and some evidence -- about man’s ability to process information." O g . a

  11. Evaluation of infectious diseases and clinical microbiology specialists' preferences for hand hygiene: analysis using the multi-attribute utility theory and the analytic hierarchy process methods.

    Science.gov (United States)

    Suner, Aslı; Oruc, Ozlem Ege; Buke, Cagri; Ozkaya, Hacer Deniz; Kitapcioglu, Gul

    2017-08-31

    Hand hygiene is one of the most effective attempts to control nosocomial infections, and it is an important measure to avoid the transmission of pathogens. However, the compliance of healthcare workers (HCWs) with hand washing is still poor worldwide. Herein, we aimed to determine the best hand hygiene preference of the infectious diseases and clinical microbiology (IDCM) specialists to prevent transmission of microorganisms from one patient to another. Expert opinions regarding the criteria that influence the best hand hygiene preference were collected through a questionnaire via face-to-face interviews. Afterwards, these opinions were examined with two widely used multi-criteria decision analysis (MCDA) methods, the Multi-Attribute Utility Theory (MAUT) and the Analytic Hierarchy Process (AHP). A total of 15 IDCM specialist opinions were collected from diverse private and public hospitals located in İzmir, Turkey. The mean age of the participants was 49.73 ± 8.46, and the mean experience year of the participants in their fields was 17.67 ± 11.98. The findings that we obtained through two distinct decision making methods, the MAUT and the AHP, suggest that alcohol-based antiseptic solution (ABAS) has the highest utility (0.86) and priority (0.69) among the experts' choices. In conclusion, the MAUT and the AHP, decision models developed here indicate that rubbing the hands with ABAS is the most favorable choice for IDCM specialists to prevent nosocomial infection.

  12. Multiattribute utility analysis of alternative sites for the disposal of nuclear waste

    International Nuclear Information System (INIS)

    Merkhofer, M.W.; Keeney, R.L.

    1987-01-01

    Five potential sites nominated for the Nation's first geologic repository for disposing of nuclear waste are evaluated using multiattribute utility analysis. The analysis was designed to aid the Department of Energy in its selection of 3 sites for characterization, a detailed data-gathering process that will involve the construction of exploratory shafts for underground testing and that may cost as much as $1 billion per site. The analysis produced insights into the relative advantages and disadvantages of the nominated sites and clarified current uncertainties regarding repository performance

  13. Outline of a multiattribute utility approach to development of a waste management strategy at Sillamaee

    International Nuclear Information System (INIS)

    Anselmo, P.C.

    2000-01-01

    The article briefly discusses a framework for analysis of the waste disposition and management problem at Sillamaee. It is a response to the need to develop a strategic waste management plan for the Sillamaee site. A hypothetical objectives hierarchy is presented, along with two possible methods for aggregating scores for designated alternatives. Waste management and disposal problems, particularly nuclear waste disposal problems, have been addressed by many decision analysts. The latter citations are examples of Multiattribute Utility (MAU) Analysis, a decision analysis technique that is most appropriate for evaluation of waste management strategies at Sillamaee

  14. Multiattribute Utility Theory, Intertemporal Utility and Correlation Aversion

    DEFF Research Database (Denmark)

    Andersen, Steffen; Harrison, Glenn W.; Lau, Morten

    2018-01-01

    Convenient assumptions about qualitative properties of the intertemporal utility function have generated counterintuitive implications for the relationship between atemporal risk aversion and the intertemporal elasticity of substitution. If the intertemporal utility function is additively separable...... aversion. Our results show that subjects are correlation averse over lotteries with intertemporal income profiles....

  15. Assessing the empirical validity of alternative multi-attribute utility measures in the maternity context

    Directory of Open Access Journals (Sweden)

    Morrell Jane

    2009-05-01

    Full Text Available Abstract Background Multi-attribute utility measures are preference-based health-related quality of life measures that have been developed to inform economic evaluations of health care interventions. The objective of this study was to compare the empirical validity of two multi-attribute utility measures (EQ-5D and SF-6D based on hypothetical preferences in a large maternity population in England. Methods Women who participated in a randomised controlled trial of additional postnatal support provided by trained community support workers represented the study population for this investigation. The women were asked to complete the EQ-5D descriptive system (which defines health-related quality of life in terms of five dimensions: mobility, self care, usual activities, pain/discomfort and anxiety/depression and the SF-36 (which defines health-related quality of life, using 36 items, across eight dimensions: physical functioning, role limitations (physical, social functioning, bodily pain, general health, mental health, vitality and role limitations (emotional at six months postpartum. Their responses were converted into utility scores using the York A1 tariff set and the SF-6D utility algorithm, respectively. One-way analysis of variance was used to test the hypothetically-constructed preference rule that each set of utility scores differs significantly by self-reported health status (categorised as excellent, very good, good, fair or poor. The degree to which EQ-5D and SF-6D utility scores reflected alternative dichotomous configurations of self-reported health status and the Edinburgh Postnatal Depression Scale score was tested using the relative efficiency statistic and receiver operating characteristic (ROC curves. Results The mean utility score for the EQ-5D was 0.861 (95% CI: 0.844, 0.877, whilst the mean utility score for the SF-6D was 0.809 (95% CI: 0.796, 0.822, representing a mean difference in utility score of 0.052 (95% CI: 0.040, 0

  16. Multi-Attribute Vickrey Auctions when Utility Functions are Unknown

    NARCIS (Netherlands)

    Máhr, T.; De Weerdt, M.M.

    2006-01-01

    Multi-attribute auctions allow negotiations over multiple attributes besides price. For example in task allocation, service providers can define their service by means of multiple attributes, such as quality of service, deadlines, or delay penalties. Auction mechanisms assume that the players have

  17. An approach to multi-attribute utility analysis under parametric uncertainty

    International Nuclear Information System (INIS)

    Kelly, M.; Thorne, M.C.

    2001-01-01

    The techniques of cost-benefit analysis and multi-attribute analysis provide a useful basis for informing decisions in situations where a number of potentially conflicting opinions or interests need to be considered, and where there are a number of possible decisions that could be adopted. When the input data to such decision-making processes are uniquely specified, cost-benefit analysis and multi-attribute utility analysis provide unambiguous guidance on the preferred decision option. However, when the data are not uniquely specified, application and interpretation of these techniques is more complex. Herein, an approach to multi-attribute utility analysis (and hence, as a special case, cost-benefit analysis) when input data are subject to parametric uncertainty is presented. The approach is based on the use of a Monte Carlo technique, and has recently been applied to options for the remediation of former uranium mining liabilities in a number of Central and Eastern European States

  18. A Checklist for Reporting Valuation Studies of Multi-Attribute Utility-Based Instruments (CREATE)

    NARCIS (Netherlands)

    Xie, Feng; Pickard, A. Simon; Krabbe, Paul F. M.; Revicki, Dennis; Viney, Rosalie; Devlin, Nancy; Feeny, David

    Multi-attribute utility-based instruments (MAUIs) assess health status and provide an index score on the full health-dead scale, and are widely used to support reimbursement decisions for new healthcare interventions worldwide. A valuation study is a key part of the development of MAUIs, with the

  19. Using Multiattribute Utility Theory as a Priority-Setting Tool in Human Services Planning.

    Science.gov (United States)

    Camasso, Michael J.; Dick, Janet

    1993-01-01

    The feasibility of applying multiattribute utility theory to the needs assessment and priority-setting activities of human services planning councils was studied in Essex County (New Jersey). Decision-making and information filtering processes are explored in the context of community planning. (SLD)

  20. Use of multiattribute utility theory for formulary management in a health system.

    Science.gov (United States)

    Chung, Seonyoung; Kim, Sooyon; Kim, Jeongmee; Sohn, Kieho

    2010-01-15

    The application, utility, and flexibility of the multiattribute utility theory (MAUT) when used as a formulary decision methodology in a Korean medical center were evaluated. A drug analysis model using MAUT consisting of 10 steps was designed for two drug classes of dihydropyridine calcium channel blockers (CCBs) and angiotensin II receptor blockers (ARBs). These two drug classes contain the most diverse agents among cardiovascular drugs on Samsung Medical Center's drug formulary. The attributes identified for inclusion in the drug analysis model were effectiveness, safety, patient convenience, and cost, with relative weights of 50%, 30%, 10%, and 10%, respectively. The factors were incorporated into the model to quantify the contribution of each attribute. For each factor, a utility scale of 0-100 was established, and the total utility score for each alternative was calculated. An attempt was made to make the model adaptable to changing health care and regulatory circumstances. The analysis revealed amlodipine besylate to be an alternative agent, with the highest total utility score among the dihydropyridine CCBs, while barnidipine hydrochloride had the lowest score. For ARBs, losartan potassium had the greatest total utility score, while olmesartan medoxomil had the lowest. A drug analysis model based on the MAUT was successfully developed and used in making formulary decisions for dihydropyridine CCBs and ARBs for a Korean health system. The model incorporates sufficient utility and flexibility of a drug's attributes and can be used as an alternative decision-making tool for formulary management in health systems.

  1. Multiattribute utility analysis as a framework for public participation siting a hazardous waste facility

    International Nuclear Information System (INIS)

    Merkhofer, M.W.; Conway, R.; Anderson, R.G.

    1996-01-01

    How can the public play a role in decisions involving complicated scientific arguments? This paper describes a public participation exercise in which stakeholders used multiattribute utility analysis to select a site for a hazardous waste facility. Key to success was the ability to separate and address the two types of judgements inherent in environmental decisions: technical judgements on the likely consequences of alternative choices and value judgements on the importance or seriousness of those consequences. This enabled technical specialists to communicate the essential technical considerations and allowed stakeholders to establish the value judgements for the decision. Although rarely used in public participation, the multiattribute utility approach appears to provide a useful framework for the collaborative resolution of many complex environmental decision problems

  2. INTEGRATING VISUALIZATION AND MULTI-ATTRIBUTE UTILITY THEORY FOR ONLINE PRODUCT SELECTION

    OpenAIRE

    CHUREE THEETRANONT; PETER HADDAWY; DONYAPRUETH KRAIRIT

    2007-01-01

    Effectively selling products online is a challenging task. Today's product domains often contain a dizzying variety of brands and models with highly complex sets of characteristics. This paper addresses the problem of supporting product search and selection in domains containing large numbers of alternatives with complex sets of features. A number of online shopping websites provide product choice assistance by making direct use of Multi-Attribute Utility Theory (MAUT). While the MAUT approac...

  3. The comparison of alternatives for nuclear spent fuel management using multi-attribute utility function

    International Nuclear Information System (INIS)

    Yang, J. W.; Kang, C. S.

    1999-01-01

    It is necessary to find a solution immediately to nuclear spent fuel management that is temporarily stored in on-site spent fuel storage before the saturation of the storage. However the choice of alternative for nuclear spent fuel management consists of complex process that are affected by economic, technical and social factors. And it is not easy to quantify these factors; public opinion, probability of diplomatic problem and contribution to development of nuclear technology. Therefore the analysis of the affecting factors and assessment of alternatives are required. This study performed the comparison of the alternatives for nuclear spent fuel management using MAU (Multi-Attribute Utility Function) and AHP(Analytic Hierarchy Process)

  4. Supporting ALARP decision-making by cost benefit analysis and multi-attribute utility theory

    International Nuclear Information System (INIS)

    French, Simon; Bedford, Tim; Atherton, Elizabeth

    2001-01-01

    Current regulation in the UK and elsewhere specify upper and target risk limits for the operation of nuclear plant in terms of frequencies of various kinds of accidents and accidental releases per annum. 'As low as reasonably practicable' (ALARP) arguments are used to justify the acceptance or rejection of policies that lead to risk changes between these limits. We assess the suitability of cost-benefit analysis (CBA) and multi-attribute utility theory (MAUT) for performing ALARP ('as low as reasonably possible') assessments, in particular within the nuclear industry. Four problems stand out in current CBA applications to ALARP, concerning the determination of prices of safety gains or detriments, the valuation of group and individual risk, calculations using 'disproportionality', and the use of discounting to trade off risks through time. This last point has received less attention in the past but is important because of the growing interest in risk-informed regulation in which policies extend over several timeframes and distribute the risk unevenly over these, or in policies that lead to a non-uniform risk within a single timeframe (such as maintenance policies). We discuss the problems associated with giving quantitative support to such decisions. We argue that multi-attribute utility methods (MAUT) provide an alternative methodology to CBA which enable the four problems described above to be addressed in a more satisfactory way. Through sensitivity analysis MAUT can address the perceptions of all stakeholder groups, facilitating constructive discussion and elucidating the key points of disagreement. We also argue that by being explicitly subjective it provides an open, auditable and clear analysis in contrast to the illusory objectivity of CBA. CBA seeks to justify a decision by using a common basis for weights (prices), while MAUT recognizes that different parties may want to give different valuations. It then allows the analyst to explore the ways in which

  5. Schizophrenia: multi-attribute utility theory approach to selection of atypical antipsychotics.

    Science.gov (United States)

    Bettinger, Tawny L; Shuler, Garyn; Jones, Donnamaria R; Wilson, James P

    2007-02-01

    Current guidelines/algorithms recommend atypical antipsychotics as first-line agents for the treatment of schizophrenia. Because there are extensive healthcare costs associated with the treatment of schizophrenia, many institutions and health systems are faced with making restrictive formulary decisions regarding the use of atypical antipsychotics. Often, medication acquisition costs are the driving force behind formulary decisions, while other treatment factors are not considered. To apply a multi-attribute utility theory (MAUT) analysis to aid in the selection of a preferred agent among the atypical antipsychotics for the treatment of schizophrenia. Five atypical antipsychotics (risperidone, olanzapine, quetiapine, ziprasidone, aripiprazole) were selected as the alternative agents to be included in the MAUT analysis. The attributes identified for inclusion in the analysis were efficacy, adverse effects, cost, and adherence, with relative weights of 35%, 35%, 20%, and 10%, respectively. For each agent, attribute scores were calculated, weighted, and then summed to generate a total utility score. The agent with the highest total utility score was considered the preferred agent. Aripiprazole, with a total utility score of 75.8, was the alternative agent with the highest total utility score in this model. This was followed by ziprasidone, risperidone, and quetiapine, with total utility scores of 71.8, 69.0, and 65.9, respectively. Olanzapine received the lowest total utility score. A sensitivity analysis was performed and failed to displace aripiprazole as the agent with the highest total utility score. This model suggests that aripiprazole should be considered a preferred agent for the treatment of schizophrenia unless found to be otherwise inappropriate.

  6. Selection methodology for LWR safety R and D programs and proposals. Volume III. User's manual for the multi-attribute utility package (MAUP)

    International Nuclear Information System (INIS)

    Hale, M.; Turnage, J.J.; Husseiny, A.A.; Ritzman, R.L.

    1981-02-01

    The computer program which was developed to apply the multi-attribute utility (MAU) methodology to the selection of LWR safety R and D programs and proposals is described. An overview of the MAU method is presented, followed by a description of the steps incorporated in developing individual modules for use in the multi-attribute utility package (MAUP). Each module is described complete with usage information and an example of computer output

  7. An integrated multicriteria decision-making approach for evaluating nuclear fuel cycle systems for long-term sustainability on the basis of an equilibrium model: Technique for order of preference by similarity to ideal solution, preference ranking organization method for enrichment evaluation, and multiattribute utility theory combined with analytic hierarchy process

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Sae Rom [Dept of Quantum Energy Chemical Engineering, Korea University of Science and Technology (KUST), Daejeon (Korea, Republic of); Choi, Sung Yeol [Ulsan National Institute of Science and Technology, Ulju (Korea, Republic of); Ko, Wonil [Nonproliferation System Development Division, Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2017-02-15

    The focus on the issues surrounding spent nuclear fuel and lifetime extension of old nuclear power plants continues to grow nowadays. A transparent decision-making process to identify the best suitable nuclear fuel cycle (NFC) is considered to be the key task in the current situation. Through this study, an attempt is made to develop an equilibrium model for the NFC to calculate the material flows based on 1 TWh of electricity production, and to perform integrated multicriteria decision-making method analyses via the analytic hierarchy process technique for order of preference by similarity to ideal solution, preference ranking organization method for enrichment evaluation, and multiattribute utility theory methods. This comparative study is aimed at screening and ranking the three selected NFC options against five aspects: sustainability, environmental friendliness, economics, proliferation resistance, and technical feasibility. The selected fuel cycle options include pressurized water reactor (PWR) once-through cycle, PWR mixed oxide cycle, or pyroprocessing sodium-cooled fast reactor cycle. A sensitivity analysis was performed to prove the robustness of the results and explore the influence of criteria on the obtained ranking. As a result of the comparative analysis, the pyroprocessing sodium-cooled fast reactor cycle is determined to be the most competitive option among the NFC scenarios.

  8. An integrated multicriteria decision-making approach for evaluating nuclear fuel cycle systems for long-term sustainability on the basis of an equilibrium model: Technique for order of preference by similarity to ideal solution, preference ranking organization method for enrichment evaluation, and multiattribute utility theory combined with analytic hierarchy process

    International Nuclear Information System (INIS)

    Yoon, Sae Rom; Choi, Sung Yeol; Ko, Wonil

    2017-01-01

    The focus on the issues surrounding spent nuclear fuel and lifetime extension of old nuclear power plants continues to grow nowadays. A transparent decision-making process to identify the best suitable nuclear fuel cycle (NFC) is considered to be the key task in the current situation. Through this study, an attempt is made to develop an equilibrium model for the NFC to calculate the material flows based on 1 TWh of electricity production, and to perform integrated multicriteria decision-making method analyses via the analytic hierarchy process technique for order of preference by similarity to ideal solution, preference ranking organization method for enrichment evaluation, and multiattribute utility theory methods. This comparative study is aimed at screening and ranking the three selected NFC options against five aspects: sustainability, environmental friendliness, economics, proliferation resistance, and technical feasibility. The selected fuel cycle options include pressurized water reactor (PWR) once-through cycle, PWR mixed oxide cycle, or pyroprocessing sodium-cooled fast reactor cycle. A sensitivity analysis was performed to prove the robustness of the results and explore the influence of criteria on the obtained ranking. As a result of the comparative analysis, the pyroprocessing sodium-cooled fast reactor cycle is determined to be the most competitive option among the NFC scenarios

  9. An Integrated Multicriteria Decision-Making Approach for Evaluating Nuclear Fuel Cycle Systems for Long-term Sustainability on the Basis of an Equilibrium Model: Technique for Order of Preference by Similarity to Ideal Solution, Preference Ranking Organization Method for Enrichment Evaluation, and Multiattribute Utility Theory Combined with Analytic Hierarchy Process

    Directory of Open Access Journals (Sweden)

    Saerom Yoon

    2017-02-01

    Full Text Available The focus on the issues surrounding spent nuclear fuel and lifetime extension of old nuclear power plants continues to grow nowadays. A transparent decision-making process to identify the best suitable nuclear fuel cycle (NFC is considered to be the key task in the current situation. Through this study, an attempt is made to develop an equilibrium model for the NFC to calculate the material flows based on 1 TWh of electricity production, and to perform integrated multicriteria decision-making method analyses via the analytic hierarchy process technique for order of preference by similarity to ideal solution, preference ranking organization method for enrichment evaluation, and multiattribute utility theory methods. This comparative study is aimed at screening and ranking the three selected NFC options against five aspects: sustainability, environmental friendliness, economics, proliferation resistance, and technical feasibility. The selected fuel cycle options include pressurized water reactor (PWR once-through cycle, PWR mixed oxide cycle, or pyroprocessing sodium-cooled fast reactor cycle. A sensitivity analysis was performed to prove the robustness of the results and explore the influence of criteria on the obtained ranking. As a result of the comparative analysis, the pyroprocessing sodium-cooled fast reactor cycle is determined to be the most competitive option among the NFC scenarios.

  10. Decision analysis for a data collection system of patient-controlled analgesia with a multi-attribute utility model.

    Science.gov (United States)

    Lee, I-Jung; Huang, Shih-Yu; Tsou, Mei-Yung; Chan, Kwok-Hon; Chang, Kuang-Yi

    2010-10-01

    Data collection systems are very important for the practice of patient-controlled analgesia (PCA). This study aimed to evaluate 3 PCA data collection systems and selected the most favorable system with the aid of multiattribute utility (MAU) theory. We developed a questionnaire with 10 items to evaluate the PCA data collection system and 1 item for overall satisfaction based on MAU theory. Three systems were compared in the questionnaire, including a paper record, optic card reader and personal digital assistant (PDA). A pilot study demonstrated a good internal and test-retest reliability of the questionnaire. A weighted utility score combining the relative importance of individual items assigned by each participant and their responses to each question was calculated for each system. Sensitivity analyses with distinct weighting protocols were conducted to evaluate the stability of the final results. Thirty potential users of a PCA data collection system were recruited in the study. The item "easy to use" had the highest median rank and received the heaviest mean weight among all items. MAU analysis showed that the PDA system had a higher utility score than that in the other 2 systems. Sensitivity analyses revealed that both inverse and reciprocal weighting processes favored the PDA system. High correlations between overall satisfaction and MAU scores from miscellaneous weighting protocols suggested a good predictive validity of our MAU-based questionnaire. The PDA system was selected as the most favorable PCA data collection system by the MAU analysis. The item "easy to use" was the most important attribute of the PCA data collection system. MAU theory can evaluate alternatives by taking into account individual preferences of stakeholders and aid in better decision-making. Copyright © 2010 Elsevier. Published by Elsevier B.V. All rights reserved.

  11. Multiattribute health utility scoring for the computerized adaptive measure CAT-5D-QOL was developed and validated.

    Science.gov (United States)

    Kopec, Jacek A; Sayre, Eric C; Rogers, Pamela; Davis, Aileen M; Badley, Elizabeth M; Anis, Aslam H; Abrahamowicz, Michal; Russell, Lara; Rahman, Md Mushfiqur; Esdaile, John M

    2015-10-01

    The CAT-5D-QOL is a previously reported item response theory (IRT)-based computerized adaptive tool to measure five domains (attributes) of health-related quality of life. The objective of this study was to develop and validate a multiattribute health utility (MAHU) scoring method for this instrument. The MAHU scoring system was developed in two stages. In phase I, we obtained standard gamble (SG) utilities for 75 hypothetical health states in which only one domain varied (15 states per domain). In phase II, we obtained SG utilities for 256 multiattribute states. We fit a multiplicative regression model to predict SG utilities from the five IRT domain scores. The prediction model was constrained using data from phase I. We validated MAHU scores by comparing them with the Health Utilities Index Mark 3 (HUI3) and directly measured utilities and by assessing between-group discrimination. MAHU scores have a theoretical range from -0.842 to 1. In the validation study, the scores were, on average, higher than HUI3 utilities and lower than directly measured SG utilities. MAHU scores correlated strongly with the HUI3 (Spearman ρ = 0.78) and discriminated well between groups expected to differ in health status. Results reported here provide initial evidence supporting the validity of the MAHU scoring system for the CAT-5D-QOL. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. Production Task Queue Optimization Based on Multi-Attribute Evaluation for Complex Product Assembly Workshop.

    Science.gov (United States)

    Li, Lian-Hui; Mo, Rong

    2015-01-01

    The production task queue has a great significance for manufacturing resource allocation and scheduling decision. Man-made qualitative queue optimization method has a poor effect and makes the application difficult. A production task queue optimization method is proposed based on multi-attribute evaluation. According to the task attributes, the hierarchical multi-attribute model is established and the indicator quantization methods are given. To calculate the objective indicator weight, criteria importance through intercriteria correlation (CRITIC) is selected from three usual methods. To calculate the subjective indicator weight, BP neural network is used to determine the judge importance degree, and then the trapezoid fuzzy scale-rough AHP considering the judge importance degree is put forward. The balanced weight, which integrates the objective weight and the subjective weight, is calculated base on multi-weight contribution balance model. The technique for order preference by similarity to an ideal solution (TOPSIS) improved by replacing Euclidean distance with relative entropy distance is used to sequence the tasks and optimize the queue by the weighted indicator value. A case study is given to illustrate its correctness and feasibility.

  13. Production Task Queue Optimization Based on Multi-Attribute Evaluation for Complex Product Assembly Workshop.

    Directory of Open Access Journals (Sweden)

    Lian-Hui Li

    Full Text Available The production task queue has a great significance for manufacturing resource allocation and scheduling decision. Man-made qualitative queue optimization method has a poor effect and makes the application difficult. A production task queue optimization method is proposed based on multi-attribute evaluation. According to the task attributes, the hierarchical multi-attribute model is established and the indicator quantization methods are given. To calculate the objective indicator weight, criteria importance through intercriteria correlation (CRITIC is selected from three usual methods. To calculate the subjective indicator weight, BP neural network is used to determine the judge importance degree, and then the trapezoid fuzzy scale-rough AHP considering the judge importance degree is put forward. The balanced weight, which integrates the objective weight and the subjective weight, is calculated base on multi-weight contribution balance model. The technique for order preference by similarity to an ideal solution (TOPSIS improved by replacing Euclidean distance with relative entropy distance is used to sequence the tasks and optimize the queue by the weighted indicator value. A case study is given to illustrate its correctness and feasibility.

  14. A multi-attribute utility decision analysis for treatment alternatives for the DOE/SR aluminum-based spent nuclear fuel

    International Nuclear Information System (INIS)

    Davis, Freddie J.; Weiner, Ruth Fleischman; Wheeler, Timothy A.; Sorenson, Ken B.; Kuzio, Kenneth A.

    2000-01-01

    A multi-attribute utility analysis is applied to a decision process to select a treatment method for the management of aluminum-based spent nuclear fuel (Al-SNF) owned by the US Department of Energy (DOE). DOE will receive, treat, and temporarily store Al-SNF, most of which is composed of highly enriched uranium, at its Savannah River Site in South Carolina. DOE intends ultimately to send the treated Al-SNF to a geologic repository for permanent disposal. DOE initially considered ten treatment alternatives for the management of Al-SNF, and has narrowed the choice to two of these: the direct disposal and melt and dilute alternatives. The decision analysis presented in this document focuses on a formal decision process used to evaluate these two remaining alternatives

  15. Multi-attribute evaluation and choice of alternatives for surplus weapons-usable plutonium disposition at uncertainty

    International Nuclear Information System (INIS)

    Kosterev, V.V.; Bolyatko, V.V.; Khajretdinov, S.I.; Averkin, A.N.

    2014-01-01

    The problem of surplus weapons-usable plutonium disposition is formalized as a multi-attribute problem of a choice of alternatives from a set of possible alternatives under fuzzy conditions. Evaluation and ordering of alternatives for the surplus weapons-usable plutonium disposition and sensitivity analysis are carried out at uncertainty [ru

  16. Decision Support for Personalized Cloud Service Selection through Multi-Attribute Trustworthiness Evaluation

    Science.gov (United States)

    Ding, Shuai; Xia, Chen-Yi; Zhou, Kai-Le; Yang, Shan-Lin; Shang, Jennifer S.

    2014-01-01

    Facing a customer market with rising demands for cloud service dependability and security, trustworthiness evaluation techniques are becoming essential to cloud service selection. But these methods are out of the reach to most customers as they require considerable expertise. Additionally, since the cloud service evaluation is often a costly and time-consuming process, it is not practical to measure trustworthy attributes of all candidates for each customer. Many existing models cannot easily deal with cloud services which have very few historical records. In this paper, we propose a novel service selection approach in which the missing value prediction and the multi-attribute trustworthiness evaluation are commonly taken into account. By simply collecting limited historical records, the current approach is able to support the personalized trustworthy service selection. The experimental results also show that our approach performs much better than other competing ones with respect to the customer preference and expectation in trustworthiness assessment. PMID:24972237

  17. Multi-attribute Evaluation of Website Quality in E-business Using an Integrated Fuzzy AHPTOPSIS Methodology

    Directory of Open Access Journals (Sweden)

    Tolga Kaya

    2010-09-01

    Full Text Available Success of an e-business company is strongly associated with the relative quality of its website compared to that of its competitors. The purpose of this study is to propose a multi-attribute e-business website quality evaluation methodology based on a modified fuzzy TOPSIS approach. In the proposed methodology, weights of the evaluation criteria are generated by a fuzzy AHP procedure. In performance evaluation problems, the judgments of the experts may usually be vague in form. As fuzzy logic can successfully deal with this kind of uncertainty in human preferences, both classical TOPSIS and classical AHP procedures are implemented under fuzzy environment. The proposed TOPSIS-AHP methodology has successfully been applied to a multi-attribute website quality evaluation problem in Turkish e-business market. Nine sub-criteria under four main categories are used in the evaluation of the most popular e-business websites of Turkey. A sensitivity analysis is also provided.

  18. An application of multiattribute decision analysis to the Space Station Freedom program. Case study: Automation and robotics technology evaluation

    Science.gov (United States)

    Smith, Jeffrey H.; Levin, Richard R.; Carpenter, Elisabeth J.

    1990-01-01

    The results are described of an application of multiattribute analysis to the evaluation of high leverage prototyping technologies in the automation and robotics (A and R) areas that might contribute to the Space Station (SS) Freedom baseline design. An implication is that high leverage prototyping is beneficial to the SS Freedom Program as a means for transferring technology from the advanced development program to the baseline program. The process also highlights the tradeoffs to be made between subsidizing high value, low risk technology development versus high value, high risk technology developments. Twenty one A and R Technology tasks spanning a diverse array of technical concepts were evaluated using multiattribute decision analysis. Because of large uncertainties associated with characterizing the technologies, the methodology was modified to incorporate uncertainty. Eight attributes affected the rankings: initial cost, operation cost, crew productivity, safety, resource requirements, growth potential, and spinoff potential. The four attributes of initial cost, operations cost, crew productivity, and safety affected the rankings the most.

  19. A Hybrid Multiattribute Decision Making Model for Evaluating Students’ Satisfaction towards Hostels

    Directory of Open Access Journals (Sweden)

    Anath Rau Krishnan

    2015-01-01

    Full Text Available This paper proposes a new hybrid multiattribute decision making (MADM model which deals with the interactions that usually exist between hostel attributes in the process of measuring the students’ satisfaction towards a set of hostels and identifying the optimal strategies for enhancing their satisfaction. The model uses systematic random stratified sampling approach for data collection purpose as students dwelling in hostels are “naturally” clustered by block and gender, factor analysis for extracting large set of hostel attributes into fewer independent factors, λ-measure for characterizing the interactions shared by the attributes within each factor, Choquet integral for aggregating the interactive performance scores within each factor, Mikhailov’s fuzzy analytical hierarchy process (MFAHP for determining the weights of independent factors, and simple weighted average (SWA operator to measure the overall satisfaction score of each hostel. A real evaluation involving fourteen Universiti Utara Malaysia (UUM hostels was carried out in order to demonstrate the model’s feasibility. The same evaluation was performed using an additive aggregation model in order to illustrate the effects of ignoring the interactions shared by attributes in hostel satisfaction analysis.

  20. Development of the multi-attribute Adolescent Health Utility Measure (AHUM

    Directory of Open Access Journals (Sweden)

    Beusterien Kathleen M

    2012-08-01

    Full Text Available Abstract Objective Obtain utilities (preferences for a generalizable set of health states experienced by older children and adolescents who receive therapy for chronic health conditions. Methods A health state classification system, the Adolescent Health Utility Measure (AHUM, was developed based on generic health status measures and input from children with Hunter syndrome and their caregivers. The AHUM contains six dimensions with 4–7 severity levels: self-care, pain, mobility, strenuous activities, self-image, and health perceptions. Using the time trade off (TTO approach, a UK population sample provided utilities for 62 of 16,800 AHUM states. A mixed effects model was used to estimate utilities for the AHUM states. The AHUM was applied to trial NCT00069641 of idursulfase for Hunter syndrome and its extension (NCT00630747. Results Observations (i.e., utilities totaled 3,744 (12*312 participants, with between 43 to 60 for each health state except for the best and worst states which had 312 observations. The mean utilities for the best and worst AHUM states were 0.99 and 0.41, respectively. The random effects model was statistically significant (p  Discussion The AHUM health state classification system may be used in future research to enable calculation of quality-adjust life expectancy for applicable health conditions.

  1. Entropy-optimal weight constraint elicitation with additive multi-attribute utility models

    NARCIS (Netherlands)

    Valkenhoef , van Gert; Tervonen, Tommi

    2016-01-01

    We consider the elicitation of incomplete preference information for the additive utility model in terms of linear constraints on the weights. Eliciting incomplete preferences using holistic pair-wise judgments is convenient for the decision maker, but selecting the best pair-wise comparison is

  2. Decision analysis for the siting of nuclear power plants: the relevance of multiattribute utility theory

    International Nuclear Information System (INIS)

    Keeney, R.L; Nair, K.

    1975-01-01

    The necessity for improved decision making concerning the siting and licensing of major power facilities has been accelerated in the past decade by the increased environmental consciousness of the public and by the energy crisis. These problems are exceedingly complex due to their multiple objective nature, the many interest groups, the long-range time horizons, and the inherent uncertainties of the potential impacts of any decision. Along with the relatively objective economic and engineering concerns, clearly the more subjective factors involving safety, environmental, and social issues are crucial to the problem. Hence, the professional judgments and knowledge of experts in these areas should be utilized in analyses of siting decisions. Likewise, the preferences of the general public, as consumers, the utility companies, as builders and operators of power plant facilities, and environmentalists and the government must be accounted for in analyzing power plant siting and licensing issues. We advocate an approach for formally articulating the experts' judgments and the decision makers' preferences, both of which are clearly subjective, and processing these along with the more objective considerations in a logical manner to acquire the implications for decision making. The appropriateness and application of decision analysis for power plant location decisions is discussed and illustrated. Emphasis is placed on the assessment of the decision maker's preferences and tradeoffs concerning multiple objectives. (U.S.)

  3. A multiattribute utility analysis of sites nominated for characterization for the first radioactive-waste repository: A decision-aiding methodology

    International Nuclear Information System (INIS)

    1986-05-01

    In December 1984, the Department of Energy (DOE) published draft environmental assessments (EAs) to support the proposed nomination of five sites and the recommendation of three sites for characterization for the first radioactive-waste repository. A chapter common to all the draft EAs (Chapter 7) presented rankings of the five sites against the postclosure and the preclosure technical siting guidelines. To determine which three sites appeared most favorable for recommendation for characterization, three simple quantitative methods were used to aggregate the rankings assigned to each site for the various technical guidelines. In response to numerous comments on the methods, the DOE has undertaken a formal application of one of them (hereafter referred to as the decision-aiding methodology) for the purpose of obtaining a more rigorous evaluation of the nominated sites. The application of the revised methodology is described in this report. The method of analysis is known as multiattribute utility analysis; it is a tool for providing insights as to which sites are preferable and why. The decision-aiding methodology accounts for all the fundamental considerations specified by the siting guidelines and uses as source information the data and evaluations reported or referenced in the EAs. It explicitly addresses the uncertainties and value judgments that are part of all siting problems. Furthermore, all scientific and value judgments are made explicit for the reviewer. An independent review of the application of the decision-aiding methodology has been conducted by the Board on Radioactive Waste Management of the National Academy of Sciences; the comments of the Board are included as an appendix to this report

  4. A multiattribute utility analysis of sites nominated for characterization for the first radioactive-waste repository: A decision-aiding methodology

    Energy Technology Data Exchange (ETDEWEB)

    none,

    1986-05-01

    In December 1984, the Department of Energy (DOE) published draft environmental assessments (EAs) to support the proposed nomination of five sites and the recommendation of three sites for characterization for the first radioactive-waste repository. A chapter common to all the draft EAs (Chapter 7) presented rankings of the five sites against the postclosure and the preclosure technical siting guidelines. To determine which three sites appeared most favorable for recommendation for characterization, three simple quantitative methods were used to aggregate the rankings assigned to each site for the various technical guidelines. In response to numerous comments on the methods, the DOE has undertaken a formal application of one of them (hereafter referred to as the decision-aiding methodology) for the purpose of obtaining a more rigorous evaluation of the nominated sites. The application of the revised methodology is described in this report. The method of analysis is known as multiattribute utility analysis; it is a tool for providing insights as to which sites are preferable and why. The decision-aiding methodology accounts for all the fundamental considerations specified by the siting guidelines and uses as source information the data and evaluations reported or referenced in the EAs. It explicitly addresses the uncertainties and value judgments that are part of all siting problems. Furthermore, all scientific and value judgments are made explicit for the reviewer. An independent review of the application of the decision-aiding methodology has been conducted by the Board on Radioactive Waste Management of the National Academy of Sciences; the comments of the Board are included as an appendix to this report.

  5. Research on efficiency evaluation model of integrated energy system based on hybrid multi-attribute decision-making.

    Science.gov (United States)

    Li, Yan

    2017-05-25

    The efficiency evaluation model of integrated energy system, involving many influencing factors, and the attribute values are heterogeneous and non-deterministic, usually cannot give specific numerical or accurate probability distribution characteristics, making the final evaluation result deviation. According to the characteristics of the integrated energy system, a hybrid multi-attribute decision-making model is constructed. The evaluation model considers the decision maker's risk preference. In the evaluation of the efficiency of the integrated energy system, the evaluation value of some evaluation indexes is linguistic value, or the evaluation value of the evaluation experts is not consistent. These reasons lead to ambiguity in the decision information, usually in the form of uncertain linguistic values and numerical interval values. In this paper, the risk preference of decision maker is considered when constructing the evaluation model. Interval-valued multiple-attribute decision-making method and fuzzy linguistic multiple-attribute decision-making model are proposed. Finally, the mathematical model of efficiency evaluation of integrated energy system is constructed.

  6. Informing decision makers and identifying niche opportunities for windpower: use of multiattribute trade off analysis to evaluate non-dispatchable resources

    International Nuclear Information System (INIS)

    Connors, S.R.

    1996-01-01

    The operational and flexibility characteristics of renewable energy technologies are often overlooked in traditional head to head technology comparisons. This impedes their adoption since identification of environmental and risk mitigation advantages requires evaluation of such non-dispatchable technologies in a systemwide context. Use of multiattribute resource planning tools in a trade off analysis framework identifies the complementary emissions reduction and fuel diversification characteristics of renewables. Data visualization using trade off analysis communicates electric resource interactions and the risks of following various strategies to diverse stakeholder audiences, promoting acceptance. This paper provides an overview of the multiattribute trade off approach and applies it to resource strategies incorporating windpower in the New England regional power system. Examples focus on the interaction of wind resources with demand-side management and supply-side options under fuel cost uncertainty. (Author)

  7. A cloud model based multi-attribute decision making approach for selection and evaluation of groundwater management schemes

    Science.gov (United States)

    Lu, Hongwei; Ren, Lixia; Chen, Yizhong; Tian, Peipei; Liu, Jia

    2017-12-01

    Due to the uncertainty (i.e., fuzziness, stochasticity and imprecision) existed simultaneously during the process for groundwater remediation, the accuracy of ranking results obtained by the traditional methods has been limited. This paper proposes a cloud model based multi-attribute decision making framework (CM-MADM) with Monte Carlo for the contaminated-groundwater remediation strategies selection. The cloud model is used to handle imprecise numerical quantities, which can describe the fuzziness and stochasticity of the information fully and precisely. In the proposed approach, the contaminated concentrations are aggregated via the backward cloud generator and the weights of attributes are calculated by employing the weight cloud module. A case study on the remedial alternative selection for a contaminated site suffering from a 1,1,1-trichloroethylene leakage problem in Shanghai, China is conducted to illustrate the efficiency and applicability of the developed approach. Totally, an attribute system which consists of ten attributes were used for evaluating each alternative through the developed method under uncertainty, including daily total pumping rate, total cost and cloud model based health risk. Results indicated that A14 was evaluated to be the most preferred alternative for the 5-year, A5 for the 10-year, A4 for the 15-year and A6 for the 20-year remediation.

  8. Uncertain multi-attribute decision making methods and applications

    CERN Document Server

    Xu, Zeshui

    2015-01-01

    This book introduces methods for uncertain multi-attribute decision making including uncertain multi-attribute group decision making and their applications to supply chain management, investment decision making, personnel assessment, redesigning products, maintenance services, military system efficiency evaluation. Multi-attribute decision making, also known as multi-objective decision making with finite alternatives, is an important component of modern decision science. The theory and methods of multi-attribute decision making have been extensively applied in engineering, economics, management and military contexts, such as venture capital project evaluation, facility location, bidding, development ranking of industrial sectors and so on. Over the last few decades, great attention has been paid to research on multi-attribute decision making in uncertain settings, due to the increasing complexity and uncertainty of supposedly objective aspects and the fuzziness of human thought. This book can be used as a ref...

  9. Aircraft Cockpit Ergonomic Layout Evaluation Based on Uncertain Linguistic Multiattribute Decision Making

    Directory of Open Access Journals (Sweden)

    Junxuan Chen

    2014-03-01

    Full Text Available In the view of the current cockpit information interaction, facilities and other characteristics are increasingly multifarious; the early layout evaluation methods based on single or partial components, often cause comprehensive evaluation unilateral, leading to the problems of long development period and low efficiency. Considering the fuzziness of ergonomic evaluation and diversity of evaluation information attributes, we refine and build an evaluation system based on the characteristics of the current cockpit man-machine layout and introduce the different types of uncertain linguistic multiple attribute combination decision making (DTULDM method in the cockpit layout evaluation process. Meanwhile, we also establish an aircraft cockpit ergonomic layout evaluation model. Finally, an experiment about cockpit layout evaluation is given, and the result demonstrates that the proposed method about cockpit ergonomic layout evaluation is feasible and effective.

  10. Multiattribute Risky Choice Behavior: The Editing of Complex Prospects

    OpenAIRE

    John W. Payne; Dan J. Laughhunn; Roy Crum

    1984-01-01

    This investigation draws upon concepts from prospect theory (Kahneman and Tversky [Kahneman, D., A. Tversky. 1979. Prospect theory: an analysis of decisions under risk. Econometrica 47 263--291.]) and multiattribute utility theory (Keeney and Raiffa [Keeney, R. L., H. Raiffa. 1976. Decisions with Multiple Objectives: Preferences and Value Tradeoffs. Wiley, New York.]) in an examination of the multiattribute risky choice behavior of 128 managers. The questions of how managers edit multiattribu...

  11. Evaluate the use of tanning agent in leather industry using material flow analysis, life cycle assessment and fuzzy multi-attribute decision making (FMADM)

    Science.gov (United States)

    Alfarisi, Salman; Sutono, Sugoro Bhakti; Sutopo, Wahyudi

    2017-11-01

    Tanning industry is one of the companies that produce many pollutants and cause the negative impact on the environment. In the production process of tanning leather, the use of input material need to be evaluated. The problem of waste, not only have a negative impact on the environment, but also human health. In this study, the impact of mimosa as vegetable tanning agent evaluated. This study will provide alternative solutions for improvements to the use of vegetable tanning agent. The alternative solution is change mimosa with indusol, gambier, and dulcotan. This study evaluate the vegetable tanning of some aspects using material flow analysis and life cycle assessment approach. Life cycle assessment (LCA) is used to evaluate the environmental impact of vegetable tanning agent. Alternative solution selection using fuzzy multi-attribute decision making (FMADM) approach. Results obtained by considering the environment, human toxicity, climate change, and marine aquatic ecotoxicity, is to use dulcotan.

  12. Case-based reasoning diagnostic technique based on multi-attribute similarity

    Energy Technology Data Exchange (ETDEWEB)

    Makoto, Takahashi [Tohoku University, Miyagi (Japan); Akio, Gofuku [Okayama University, Okayamaa (Japan)

    2014-08-15

    Case-based diagnostic technique has been developed based on the multi-attribute similarity. Specific feature of the developed system is to use multiple attributes of process signals for similarity evaluation to retrieve a similar case stored in a case base. The present technique has been applied to the measurement data from Monju with some simulated anomalies. The results of numerical experiments showed that the present technique can be utilizes as one of the methods for a hybrid-type diagnosis system.

  13. Multi-person and multi-attribute design evaluations using evidential reasoning based on subjective safety and cost analyses

    International Nuclear Information System (INIS)

    Wang, J.; Yang, J.B.; Sen, P.

    1996-01-01

    This paper presents an approach for ranking proposed design options based on subjective safety and cost analyses. Hierarchical system safety analysis is carried out using fuzzy sets and evidential reasoning. This involves safety modelling by fuzzy sets at the bottom level of a hierarchy and safety synthesis by evidential reasoning at higher levels. Fuzzy sets are also used to model the cost incurred for each design option. An evidential reasoning approach is then employed to synthesise the estimates of safety and cost, which are made by multiple designers. The developed approach is capable of dealing with problems of multiple designers, multiple attributes and multiple design options to select the best design. Finally, a practical engineering example is presented to demonstrate the proposed multi-person and multi-attribute design selection approach

  14. Fuzzy Linguistic Optimization on Multi-Attribute Machining

    Directory of Open Access Journals (Sweden)

    Tian-Syung Lan

    2010-06-01

    Full Text Available Most existing multi-attribute optimization researches for the modern CNC (computer numerical control turning industry were either accomplished within certain manufacturing circumstances, or achieved through numerous equipment operations. Therefore, a general deduction optimization scheme proposed is deemed to be necessary for the industry. In this paper, four parameters (cutting depth, feed rate, speed, tool nose runoff with three levels (low, medium, high are considered to optimize the multi-attribute (surface roughness, tool wear, and material removal rate finish turning. Through FAHP (Fuzzy Analytic Hierarchy Process with eighty intervals for each attribute, the weight of each attribute is evaluated from the paired comparison matrix constructed by the expert judgment. Additionally, twenty-seven fuzzy control rules using trapezoid membership function with respective to seventeen linguistic grades for each attribute are constructed. Considering thirty input and eighty output intervals, the defuzzifierion using center of gravity is thus completed. The TOPSIS (Technique for Order Preference by Similarity to Ideal Solution is moreover utilized to integrate and evaluate the multiple machining attributes for the Taguchi experiment, and thus the optimum general deduction parameters can then be received. The confirmation experiment for optimum general deduction parameters is furthermore performed on an ECOCA-3807 CNC lathe. It is shown that the attributes from the fuzzy linguistic optimization parameters are all significantly advanced comparing to those from benchmark. This paper not only proposes a general deduction optimization scheme using orthogonal array, but also contributes the satisfactory fuzzy linguistic approach for multiple CNC turning attributes with profound insight.

  15. Propulsion Airframe Aeroacoustics Technology Evaluation and Selection Using a Multi-Attribute Decision Making Process and Non-Deterministic Design

    Science.gov (United States)

    Burg, Cecile M.; Hill, Geoffrey A.; Brown, Sherilyn A.; Geiselhart, Karl A.

    2004-01-01

    The Systems Analysis Branch at NASA Langley Research Center has investigated revolutionary Propulsion Airframe Aeroacoustics (PAA) technologies and configurations for a Blended-Wing-Body (BWB) type aircraft as part of its research for NASA s Quiet Aircraft Technology (QAT) Project. Within the context of the long-term NASA goal of reducing the perceived aircraft noise level by a factor of 4 relative to 1997 state of the art, major configuration changes in the propulsion airframe integration system were explored with noise as a primary design consideration. An initial down-select and assessment of candidate PAA technologies for the BWB was performed using a Multi-Attribute Decision Making (MADM) process consisting of organized brainstorming and decision-making tools. The assessments focused on what effect the PAA technologies had on both the overall noise level of the BWB and what effect they had on other major design considerations such as weight, performance and cost. A probabilistic systems analysis of the PAA configurations that presented the best noise reductions with the least negative impact on the system was then performed. Detailed results from the MADM study and the probabilistic systems analysis will be published in the near future.

  16. Using the Analytic Hierarchy Process to Analyze Multiattribute Decisions.

    Science.gov (United States)

    Spires, Eric E.

    1991-01-01

    The use of the Analytic Hierarchy Process (AHP) in assisting researchers to analyze decisions is discussed. The AHP is compared with other decision-analysis techniques, including multiattribute utility measurement, conjoint analysis, and general linear models. Insights that AHP can provide are illustrated with data gathered in an auditing context.…

  17. Multiattribute Grey Target Decision Method Based on Soft Set Theory

    Directory of Open Access Journals (Sweden)

    Xia Wang

    2014-01-01

    Full Text Available With respect to the Multiattribute decision-making problems in which the evaluation attribute sets are different and the evaluating values of alternatives are interval grey numbers, a multiattribute grey target decision-making method in which the attribute sets are different was proposed. The concept of grey soft set was defined, and its “AND” operation was assigned by combining the intersection operation of grey number. The expression approach of new grey soft set of attribute sets considering by all decision makers were gained by applying the “AND” operation of grey soft set, and the weights of synthesis attribute were proved. The alternatives were ranked according to the size of distance of bull’s eyes of each alternative under synthetic attribute sets. The green supplier selection was illustrated to demonstrate the effectiveness of proposed model.

  18. Evaluation of the Level of Urbanization China based on Interval Multi-attribute Evaluation%基于区间多属性的中国城镇化水平评价∗

    Institute of Scientific and Technical Information of China (English)

    李长亮

    2014-01-01

    Urbanization is an important strategy for the development of the current China, urbanization level is an important index to measure the urbanization of a country or area. Many factors affect the ur-banization level, some factors are fuzzy and random factors in the multitudinous influence, the multi-at-tribute evaluation interval method to evaluate the Chinese urbanization level, to fully consider the fuzzy and random information, more fully reflect the level of urbanization of a region.%城镇化是当前中国的一项重要发展战略,城镇化水平是衡量一个国家或地区城镇化状况的重要指标。影响城镇化水平的因素众多,在这些众多的影响因素中有些因素具有模糊性和随机性,本文采用区间多属性评价方法对中国城镇化水平进行评价,试图充分考虑这些模糊信息和随机信息,更加全面地反映一个地区的城镇化水平。

  19. Multiattribute shopping models and ridge regression analysis

    NARCIS (Netherlands)

    Timmermans, H.J.P.

    1981-01-01

    Policy decisions regarding retailing facilities essentially involve multiple attributes of shopping centres. If mathematical shopping models are to contribute to these decision processes, their structure should reflect the multiattribute character of retailing planning. Examination of existing

  20. Multi-attribute risk assessment for risk ranking of natural gas pipelines

    International Nuclear Information System (INIS)

    Brito, A.J.; Almeida, A.T. de

    2009-01-01

    The paper presents a decision model for risk assessment and for risk ranking of sections of natural gas pipelines based on multi-attribute utility theory. Pipeline hazard scenarios are surveyed and the reasons for a risk assessment model based on a multi-attribute approach are presented. Three dimensions of impact and the need to translate decision-makers' preferences into risk management decisions are highlighted. The model approaches these factors by using a multi-attribute utility function, in order to produce multi-dimensional risk measurements. By using decision analysis concepts, this model quantitatively incorporates the decision-maker's preferences and behavior regarding risk within clear and consistent risk measurements. In order to support the prioritizing of critical sections of pipeline in natural gas companies, this multi-attribute model also allows sections of pipeline to be ranked into a risk hierarchy. A numerical application based on a real case study was undertaken so that the effectiveness of the decision model could be verified

  1. A Quadrupole Dalton-based multi-attribute method for product characterization, process development, and quality control of therapeutic proteins.

    Science.gov (United States)

    Xu, Weichen; Jimenez, Rod Brian; Mowery, Rachel; Luo, Haibin; Cao, Mingyan; Agarwal, Nitin; Ramos, Irina; Wang, Xiangyang; Wang, Jihong

    2017-10-01

    During manufacturing and storage process, therapeutic proteins are subject to various post-translational modifications (PTMs), such as isomerization, deamidation, oxidation, disulfide bond modifications and glycosylation. Certain PTMs may affect bioactivity, stability or pharmacokinetics and pharmacodynamics profile and are therefore classified as potential critical quality attributes (pCQAs). Identifying, monitoring and controlling these PTMs are usually key elements of the Quality by Design (QbD) approach. Traditionally, multiple analytical methods are utilized for these purposes, which is time consuming and costly. In recent years, multi-attribute monitoring methods have been developed in the biopharmaceutical industry. However, these methods combine high-end mass spectrometry with complicated data analysis software, which could pose difficulty when implementing in a quality control (QC) environment. Here we report a multi-attribute method (MAM) using a Quadrupole Dalton (QDa) mass detector to selectively monitor and quantitate PTMs in a therapeutic monoclonal antibody. The result output from the QDa-based MAM is straightforward and automatic. Evaluation results indicate this method provides comparable results to the traditional assays. To ensure future application in the QC environment, this method was qualified according to the International Conference on Harmonization (ICH) guideline and applied in the characterization of drug substance and stability samples. The QDa-based MAM is shown to be an extremely useful tool for product and process characterization studies that facilitates facile understanding of process impact on multiple quality attributes, while being QC friendly and cost-effective.

  2. Testing Decision Rules for Multiattribute Decision Making

    NARCIS (Netherlands)

    Seidl, C.; Traub, S.

    1996-01-01

    This paper investigates the existence of an editing phase and studies the com- pliance of subjects' behaviour with the most popular multiattribute decision rules. We observed that our data comply well with the existence of an editing phase, at least if we allow for a natural error rate of some 25%.

  3. National Drug Formulary review of statin therapeutic group using the multiattribute scoring tool

    Directory of Open Access Journals (Sweden)

    Ramli A

    2013-12-01

    Full Text Available Azuana Ramli,1,3 Syed Mohamed Aljunid,1,2 Saperi Sulong,2 Faridah Aryani Md Yusof31United Nations University International Institute for Global Health (UNU-IIGH, Kuala Lumpur, Malaysia; 2International Centre for Casemix and Clinical Coding (ITCC, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia; 3Pharmaceutical Services Division, Ministry of Health, Petaling Jaya, MalaysiaPurpose: HMG-CoA reductase inhibitors (statins are extensively used in treating hypercholesterolemia. The statins available in Malaysia include atorvastatin, lovastatin, pravastatin, rosuvastatin, simvastatin, and fluvastatin. Over the years, they have accumulated in the National Drug Formulary; hence, the need for review. Effective selection of the best drugs to remain in the formulary can become complex due to the multiple drug attributes involved, and is made worse by the limited time and resources available. The multiattribute scoring tool (MAST systematizes the evaluation of the drug attributes to facilitate the drug selection process. In this study, a MAST framework was developed to rank the statins based on their utilities or benefits.Methods: Published literature on multicriteria decision analysis (MCDA were studied and five sessions of expert group discussions were conducted to build the MAST framework and to review the evidence. The attributes identified and selected for analysis were efficacy (clinical efficacy, clinical endpoints, safety (drug interactions, serious side effects and documentation, drug applicability (drug strength/formulation, indications, dose frequency, side effects, food–drug interactions, and dose adjustments, and cost. The average weights assigned by the members for efficacy, safety, drug applicability and cost were 32.6%, 26.2%, 24.1%, and 17.1%, respectively. The utility values of the attributes were scored based on the published evidence or/and agreements during the group discussions. The attribute scores were added up

  4. Comparison of the Multiattribute Utility Instruments EQ-5D and SF-6D in a Europe-Wide Population-Based Cohort of Patients with Inflammatory Bowel Disease 10 Years after Diagnosis.

    Science.gov (United States)

    Huppertz-Hauss, Gert; Aas, Eline; Lie Høivik, Marte; Langholz, Ebbe; Odes, Selwyn; Småstuen, Milada; Stockbrugger, Reinhold; Hoff, Geir; Moum, Bjørn; Bernklev, Tomm

    2016-01-01

    Background. The treatment of chronic inflammatory bowel disease (IBD) is costly, and limited resources call for analyses of the cost effectiveness of therapeutic interventions. The present study evaluated the equivalency of the Short Form 6D (SF-6D) and the Euro QoL (EQ-5D), two preference-based HRQoL instruments that are broadly used in cost-effectiveness analyses, in an unselected IBD patient population. Methods. IBD patients from seven European countries were invited to a follow-up visit ten years after their initial diagnosis. Clinical and demographic data were assessed, and the Short Form 36 (SF-36) was employed. Utility scores were obtained by calculating the SF-6D index values from the SF-36 data for comparison with the scores obtained with the EQ-5D questionnaire. Results. The SF-6D and EQ-5D provided good sensitivities for detecting disease activity-dependent utility differences. However, the single-measure intraclass correlation coefficient was 0.58, and the Bland-Altman plot indicated numerous values beyond the limits of agreement. Conclusions. There was poor agreement between the measures retrieved from the EQ-5D and the SF-6D utility instruments. Although both instruments may provide good sensitivity for the detection of disease activity-dependent utility differences, the instruments cannot be used interchangeably. Cost-utility analyses performed with only one utility instrument must be interpreted with caution.

  5. Comparison of the Multiattribute Utility Instruments EQ-5D and SF-6D in a Europe-Wide Population-Based Cohort of Patients with Inflammatory Bowel Disease 10 Years after Diagnosis

    Directory of Open Access Journals (Sweden)

    Gert Huppertz-Hauss

    2016-01-01

    Full Text Available Background. The treatment of chronic inflammatory bowel disease (IBD is costly, and limited resources call for analyses of the cost effectiveness of therapeutic interventions. The present study evaluated the equivalency of the Short Form 6D (SF-6D and the Euro QoL (EQ-5D, two preference-based HRQoL instruments that are broadly used in cost-effectiveness analyses, in an unselected IBD patient population. Methods. IBD patients from seven European countries were invited to a follow-up visit ten years after their initial diagnosis. Clinical and demographic data were assessed, and the Short Form 36 (SF-36 was employed. Utility scores were obtained by calculating the SF-6D index values from the SF-36 data for comparison with the scores obtained with the EQ-5D questionnaire. Results. The SF-6D and EQ-5D provided good sensitivities for detecting disease activity-dependent utility differences. However, the single-measure intraclass correlation coefficient was 0.58, and the Bland-Altman plot indicated numerous values beyond the limits of agreement. Conclusions. There was poor agreement between the measures retrieved from the EQ-5D and the SF-6D utility instruments. Although both instruments may provide good sensitivity for the detection of disease activity-dependent utility differences, the instruments cannot be used interchangeably. Cost-utility analyses performed with only one utility instrument must be interpreted with caution.

  6. Solving dominance and potential optimality in imprecise multi-attribute additive problems

    International Nuclear Information System (INIS)

    Mateos, Alfonso; Jimenez, Antonio; Rios-Insua, Sixto

    2003-01-01

    We consider the multicriteria decision-making problem where there is partial information on decision maker preferences, represented by means of an imprecise multiattribute additive utility function, and where the consequences of the alternatives or strategies are also possibly imprecise. Under these circumstances we consider how useful problem-solving concepts, namely nondominated, potentially optimal, adjacent potentially optimal alternatives, can be analytically computed. Thus, the problem can be solved much more efficiently using the classical methodology of linear programming

  7. Biodiversity and soil quality in agroecosystems: the use of a qualitative multi-attribute model

    DEFF Research Database (Denmark)

    Cortet, J.; Bohanec, M.; Griffiths, B.

    2009-01-01

    In ecological impact assessment, special emphasis is put on soil biology and estimating soil quality from the observed biological parameters. The aim of this study is to propose a tool easy to use for scientists and decision makers for agroecosystems soil quality assessment using these biological...... parameters. This tool was developed as a collaboration between ECOGEN (www.ecogen.dk) soil experts and decision analysts. Methodologically, we have addressed this goal using model-based Decision Support Systems (DSS), taking the approach of qualitative multi-attribute modelling. The approach is based...... on developing various hierarchical multiattribute models that consist of qualitative attributes and utility (aggregation) functions, represented by decision rules. The assessment of soil quality is based on two main indicators: (1) soil diversity (assessed through microfauna, mesofauna and macrofauna richness...

  8. A Study on Multiattribute Aggregation Approaches to Product Recommendation

    Directory of Open Access Journals (Sweden)

    Jing-Zhong Jin

    2013-01-01

    Full Text Available In today’s increasingly competitive market, consumers usually have to face a huge number of products with different designs but having the same use. Therefore, an important problem for manufacturers is to attract consumers by special designs of the products. This paper aims at the improvement of a consumer-oriented approach in recommending products, and proposing a recommendation system for Japanese traditional crafts based on target-oriented fuzzy method and ontological engineering. Specifically, a target-oriented fuzzy method is used for measuring the fitness of a selected attribute to a certain object. Two aggregation models for dealing with a multiattribute evaluation and ranking are introduced; four ranking methods are also examined for getting a recommendation list. To test the aggregation models and the ranking methods, a recommendation system was developed and a comparison test was conducted.

  9. Evaluation of isotope utilizations in consumer products

    International Nuclear Information System (INIS)

    Sato, Otomaru

    1980-01-01

    Consumer products are generally divided into three groups, according to the state of radioactive material or radiation used. First, there are those intentionally added with radioactive materials, such as self-luminous paints and ionization type smoke detectors, utilizing the ionization and excitation by radiation. Second, there are those utilizing natural radioactive materials like glaze. Third, there are those materials containing intrinsically natural radioactive materials. In the first group, the safety evaluation of self-luminous watches and clocks and the risk-benefit evaluation of ionization type smoke detectors are described, and the approval standards for the consumer products and the R/B evaluation method are explained. There are variety of consumer products utilizing radiation, by the exposure dose caused by them is extremely insignificant, far lower than that due to natural radiation. (J.P.N.)

  10. Handbook of evaluation of utility DSM programs

    Energy Technology Data Exchange (ETDEWEB)

    Hirst, E.; Reed, J. [eds.; Bronfman, B.; Fitzpatrick, G.; Hicks, E.; Hirst, E.; Hoffman, M.; Keating, K.; Michaels, H.; Nadel, S.; Peters, J.; Reed, J.; Saxonis, W.; Schoen, A.; Violette, D.

    1991-12-01

    Program evaluation has become a central issue in the world of utility integrated resource planning. The DSM programs that utilities were operating to meet federal requirements or to improve customer relations are now becoming big business. DSM is being considered an important resource in a utility`s portfolio of options. In the last five years, the amount of money that utilities have invested in DSM has grown exponentially in most regulatory jurisdictions. Market analysts are now talking about DSM being a $30 billion industry by the end of the decade. If the large volume of DSM-program investments was not enough to highlight the importance of evaluation, then the introduction of regulatory incentives has really focused the spotlight. This handbook was developed through a process that involved many of those people who represent the diverse constituencies of DSM-program evaluation. We have come to recognize the many technical disciplines that must be employed to evaluate DSM programs. An analysis might start out based on the principles of utility load research to find out what happened, but a combination of engineering and statistical methods must be used to ``triangulate`` an estimate of what would have happened without the program. The difference, of course, is that elusive but prized result of evaluation: what happened as the direct result of the DSM program. Technical performance of DSM measures is not the sole determinant of the answer, either. We also recognize the importance of such behavioral attributes of DSM as persistence and free ridership. Finally, DSM evaluation is meaningless without attention to planning an approach, communicating results to relevant decision-makers, and focusing as much on the process as the impacts of the program. These topics are all covered in this handbook.

  11. A multi-attribute approach to choosing adaptation strategies: Application to sea-level rise

    International Nuclear Information System (INIS)

    Smith, A.E.; Chu, H.Q.

    1994-01-01

    Selecting good adaptation strategies in anticipation of climate change is gaining increasing attention as it becomes increasingly clear that much of the likely change is already committed, and could not be avoided even with aggressive and immediate emissions reductions. Adaptation decision making will place special requirements on regional and local planners in the US and other countries, especially developing countries. Approaches, tools, and guidance will be useful to assist in an effective response to the challenge. This paper describes the value of using a multi-attribute approach for evaluating adaptation strategies and its implementation as a decision-support software tool to help planners understand and execute this approach. The multi-attribute approach described here explicitly addresses the fact that many aspects of the decision cannot be easily quantified, that future conditions are highly uncertain, and that there are issues of equity, flexibility, and coordination that may be as important to the decision as costs and benefits. The approach suggested also avoids trying to collapse information on all of the attributes to a single metric. Such metrics can obliterate insights about the nature of the trade-offs that must be made in choosing among very dissimilar types of responses to the anticipated threat of climate change. Implementation of such an approach requires management of much information, and an ability to easily manipulate its presentation while seeking acceptable trade-offs. The Adaptation Strategy Evaluator (ASE) was developed under funding from the US Environmental Protection Agency to provide user-friendly, PC-based guidance through the major steps of a multi-attribute evaluation. The initial application of ASE, and the focus of this paper, is adaptation to sea level rise. However, the approach can be easily adapted to any multi-attribute choice problem, including the range of other adaptation planning needs

  12. Development and validation of a preference weight multiattribute health outcome measure for rheumatoid arthritis.

    Science.gov (United States)

    Chiou, Chiun-Fang; Suarez-Almazor, Maria E; Sherbourne, Cathy D; Chang, Chih-Hung; Reyes, Carolina; Dylan, Michelle; Ofman, Joshua; Wallace, Daniel J; Mizutani, Wesley; Weisman, Michael

    2006-12-01

    To develop and validate multiattribute measures for patients with rheumatoid arthritis (RA) to report health states and estimate preference weights. Survey materials were mailed to 748 patients. Factor analysis, an item response theory-based model, and an internal consistency test were used to identify attributes and evaluate items. Two multiattribute preference weight functions (MAPWF) were constructed. Construct validity of the new measures was then tested. Four hundred eighty-seven patients returned the survey; 24 items on 6 health attributes were selected to form the new outcomes measure. Two MAPWF were derived with preference weights measured with time tradeoff and visual analog scales as dependent variables. All validity test results were statistically significant. Our results reveal that the new measures are reliable and valid in assessing health states and associated preference weights of patients with RA.

  13. Utilities' nuclear fuel economic evaluation methods

    International Nuclear Information System (INIS)

    Sonz, L.A.

    1987-01-01

    This paper presents the typical perceptions, methods, considerations, and procedures used by an operating electric utility in the economic evaluation of nuclear fuel preparation and utilization scenarios. The means given are probably not an exclusive review of those available, but are the author's recollection of systems employed to select and recommend preferable courses of action. Economic evaluation of proposed nuclear fuel scenarios is an important, but not exclusive, means of deciding on corporate action. If the economic evaluation is performed and coordinated with the other corporate considerations, such as technical and operational ability, electrical system operations management, tax effects, capital management, rates impact, etc., then the resultant recommendation may be employed to the benefit of the customers and, consequently, to the corporation

  14. Evaluation of the electric utility missions

    International Nuclear Information System (INIS)

    Syrota, J.

    2000-01-01

    The French law from February 10, 2000, about the modernization and development of the electric utility, has created new missions of public utility and foresees some compensation mechanisms for not handicapping the power operators in charge of these missions and for not creating competition distortions to their detriment on the European market. The author explains, first, the financial and economical stakes linked with these new missions. Then, he evokes the evolution of the energy context that has taken place between the 2. World war and the enforcement of the February 10, 2000 law, and he analyzes the systems foreseen for the power generation and distribution. For each public utility charge, the existing dispositions and those introduced by the law are analyzed and compared to the equivalent systems existing in other countries. Then, charge evaluation criteria and sharing rules and proposed. (J.S.)

  15. Evaluations and utilizations of risk importances

    International Nuclear Information System (INIS)

    Vesely, W.E.; Davis, T.C.

    1985-08-01

    This report presents approaches for utilizing Probabilistic Risk Analyses (PRA's) to determine risk importances. Risk importances are determined for design features, plant operations, and other factors that can affect risk. PRA's can be used to identify the importances of risk contributors or proposed changes to designs or operations. The objective of this report is to serve as a handbook and guide in evaluating and applying risk importances. The utilization of both qualitative risk importances and quantitative risk importances is described in this report. Qualitative risk importances are based on the logic models in the PRA, while quantitative risk importances are based on the quantitative results of the PRA. Both types of importances are among the most robust and meaningful information a PRA can provide. A wide variety of risk importance evaluations are described including evaluations of the importances of design changes, testing, maintenance, degrading environments, and aging. Specific utilizations are described in inspection and in reliability assurance programs, however the general approaches have widespread applicability. The role of personal computers and decision support programs in applying risk importance evaluations is also described

  16. Multiattribute Supplier Selection Using Fuzzy Analytic Hierarchy Process

    Directory of Open Access Journals (Sweden)

    Serhat Aydin

    2010-11-01

    Full Text Available Supplier selection is a multiattribute decision making (MADM problem which contains both qualitative and quantitative factors. Supplier selection has vital importance for most companies. The aim of this paper is to provide an AHP based analytical tool for decision support enabling an effective multicriteria supplier selection process in an air conditioner seller firm under fuzziness. In this article, the Analytic Hierarchy Process (AHP under fuzziness is employed for its permissiveness to use an evaluation scale including linguistic expressions, crisp numerical values, fuzzy numbers and range numerical values. This scale provides a more flexible evaluation compared with the other fuzzy AHP methods. In this study, the modified AHP was used in supplier selection in an air conditioner firm. Three experts evaluated the suppliers according to the proposed model and the most appropriate supplier was selected. The proposed model enables decision makers select the best supplier among supplier firms effectively. We confirm that the modified fuzzy AHP is appropriate for group decision making in supplier selection problems.

  17. Agricultural Tractor Selection: A Hybrid and Multi-Attribute Approach

    Directory of Open Access Journals (Sweden)

    Jorge L. García-Alcaraz

    2016-02-01

    Full Text Available Usually, agricultural tractor investments are assessed using traditional economic techniques that only involve financial attributes, resulting in reductionist evaluations. However, tractors have qualitative and quantitative attributes that must be simultaneously integrated into the evaluation process. This article reports a hybrid and multi-attribute approach to assessing a set of agricultural tractors based on AHP-TOPSIS. To identify the attributes in the model, a survey including eighteen attributes was given to agricultural machinery salesmen and farmers for determining their importance. The list of attributes was presented to a decision group for a case of study, and their importance was estimated using AHP and integrated into the TOPSIS technique. In this case, one tractor was selected from a set of six alternatives, integrating six attributes in the model: initial cost, annual maintenance cost, liters of diesel per hour, safety of the operator, maintainability and after-sale customer service offered by the supplier. Based on the results obtained, the model can be considered easy to apply and to have good acceptance among farmers and salesmen, as there are no special software requirements for the application.

  18. Detecting Hotspot Information Using Multi-Attribute Based Topic Model.

    Directory of Open Access Journals (Sweden)

    Jing Wang

    Full Text Available Microblogging as a kind of social network has become more and more important in our daily lives. Enormous amounts of information are produced and shared on a daily basis. Detecting hot topics in the mountains of information can help people get to the essential information more quickly. However, due to short and sparse features, a large number of meaningless tweets and other characteristics of microblogs, traditional topic detection methods are often ineffective in detecting hot topics. In this paper, we propose a new topic model named multi-attribute latent dirichlet allocation (MA-LDA, in which the time and hashtag attributes of microblogs are incorporated into LDA model. By introducing time attribute, MA-LDA model can decide whether a word should appear in hot topics or not. Meanwhile, compared with the traditional LDA model, applying hashtag attribute in MA-LDA model gives the core words an artificially high ranking in results meaning the expressiveness of outcomes can be improved. Empirical evaluations on real data sets demonstrate that our method is able to detect hot topics more accurately and efficiently compared with several baselines. Our method provides strong evidence of the importance of the temporal factor in extracting hot topics.

  19. Detecting Hotspot Information Using Multi-Attribute Based Topic Model

    Science.gov (United States)

    Wang, Jing; Li, Li; Tan, Feng; Zhu, Ying; Feng, Weisi

    2015-01-01

    Microblogging as a kind of social network has become more and more important in our daily lives. Enormous amounts of information are produced and shared on a daily basis. Detecting hot topics in the mountains of information can help people get to the essential information more quickly. However, due to short and sparse features, a large number of meaningless tweets and other characteristics of microblogs, traditional topic detection methods are often ineffective in detecting hot topics. In this paper, we propose a new topic model named multi-attribute latent dirichlet allocation (MA-LDA), in which the time and hashtag attributes of microblogs are incorporated into LDA model. By introducing time attribute, MA-LDA model can decide whether a word should appear in hot topics or not. Meanwhile, compared with the traditional LDA model, applying hashtag attribute in MA-LDA model gives the core words an artificially high ranking in results meaning the expressiveness of outcomes can be improved. Empirical evaluations on real data sets demonstrate that our method is able to detect hot topics more accurately and efficiently compared with several baselines. Our method provides strong evidence of the importance of the temporal factor in extracting hot topics. PMID:26496635

  20. Evaluating Utility in Diagnostic Decision Making.

    Science.gov (United States)

    Harber, Jean R.

    1981-01-01

    The utility of the procedures special educators apply in making decisions about the identification of handicapped individuals has not been thoroughly studied. The paper examines the utility of diagnostic decision making from the perspective of receiver operating curve analysis. (Author)

  1. Multiattribute Utility Analysis: The Case of Filipino Rice Policy

    OpenAIRE

    Gordon C. Rausser; Joseph Yassour

    1981-01-01

    Major uncertainties and conflicting objectives often arise in public policy analysis. This paper advances a framework that is appropriate for public policy problems frequently encountered in agriculture and food systems. Among other possible benefits, its principal value is to provide focus on the major conflicts, trade-offs, and subjective perceptions among affected groups. It can be used to isolate major disagreements, needed empirical evidence, appropriate degrees of risk aversion, equity ...

  2. Decompositions of Multiattribute Utility Functions Based on Convex Dependence.

    Science.gov (United States)

    1982-03-01

    School of Business, 200E, BEB Decision Research University of Texas at Austin 1201 Oak Street Austin, Texas 78712 Eugene, Oregon 97401 Professor Norman ...Stephen M. Robinson Dept. of Industrial Engineering Dr. Richard D. Smallwood Univ. of Wisconsin, Madison Applied Decision Analysis, Inc. 1513 University

  3. Analysis of Generation Y Workforce Motivation Using Multiattribute Utility Theory

    Science.gov (United States)

    2011-01-01

    the Berlin Wall, the induction of music television (MTV) into society, Columbine High School shootings , 9/11 terrorist attacks, more frequent... high inflation of the 1980s (Dries et al., 2008; Crumpacker & Crumpacker, 2007; Weingarten, 2009). 66 Analysis of Generation Y Workforce Motivation...January 2011 and abhors slowness (Weingarten, 2009). To some, Generation Y’s work values and attributes paint a picture of being high main- tenance

  4. Multiattribute perceptual mapping with idiosyncratic brand and attribute sets

    NARCIS (Netherlands)

    Bijmolt, Tammo H. A.; van de Velden, Michel

    This article proposes an extremely flexible procedure for perceptual mapping based on multiattribute ratings, such that the respondent freely generates sets of both brands and attributes. Therefore, the brands and attributes are known and relevant to each participant. Collecting and analyzing such

  5. Multiattribute perceptual mapping with idiosyncratic brand and attribute sets

    NARCIS (Netherlands)

    T.H.A. Bijmolt (Tammo); M. van de Velden (Michel)

    2012-01-01

    textabstractThis article proposes an extremely flexible procedure for perceptual mapping based on multiattribute ratings, such that the respondent freely generates sets of both brands and attributes. Therefore, the brands and attributes are known and relevant to each participant. Collecting and

  6. The application of the lake ecosystem index in multi-attribute decision analysis in radioecology

    International Nuclear Information System (INIS)

    Haakanson, Lars; Gallego, Eduardo; Rios-Insua, Sixto

    2000-01-01

    This work gives a summary of multi-attribute analysis (MAA) and its use in decision support systems for radiological and environmental contamination problems and presents a modification of the lake ecosystem index (LEI) as a tool to give an holistic account for the environmental (and not just radiological) consequences of chemical remedial measures (lake and wet land liming, potash treatment and lake fertilisation) carried out to reduce radionuclide levels in water, sediments and biota. The first step in determining a LEI-value is to set normal or initial values of two important limnological state variables, pH and total-P. The second step involves predicting state indices describing the abundance of key functional groups (the fish yield and biomasses of phytoplankton and bottom fauna). The next step concerns the definition of a lake ecosystem index based on the state indices. The final step is the derivation of the utility function to be used in the multi-attribute analysis to compare environmental, economical and social attributes of different dimensions (ECU, kg, Bq/kg, etc.). The ecosystem index characterises the entire lake over longer periods of time (months), and not specific sites in lakes or specific sampling events

  7. Practical evaluations of low-level waste disposal facilities

    International Nuclear Information System (INIS)

    Rogers, V.C.

    1989-01-01

    In general, there have been about four main tools that have been used to assist in selecting a disposal technology and in evaluating that technology: Legislative direction; Operator selection; Multiattribute utility estimation; and Risk assessment and cost benefit evaluation. The first technique, legislative direction, is an important factor in determining the range of disposal technologies that may be considered. Some host state entities have chosen not to participate in the disposal technology selection, but will let the facility operator propose and defend his preferred facility concept in the license application. Multiattribute utility estimation is a widely used tool for evaluating technologies, particularly in the preliminary stages of selecting a disposal technology when significant technical and institutional information is missing. Many factors, including a range of technical, safety, environmental, societal, political, and economic concerns must be considered in the selection process. Many of these are hard to quantify and not all are of equal importance. Multiattrubute utility estimation allows for these factors to be considered in selecting a technology with incomplete information. This chapter provides description of two analysis techniques: multiattribute utility estimation and cost benefit evaluation. Both can be used to help profile disposal alternatives in relation to specific factors or criteria

  8. Linguistic Multi-Attribute Group Decision Making with Risk Preferences and Its Use in Low-Carbon Tourism Destination Selection

    Science.gov (United States)

    Lin, Hui; Wang, Zhou-Jing

    2017-01-01

    Low-carbon tourism plays an important role in carbon emission reduction and environmental protection. Low-carbon tourism destination selection often involves multiple conflicting and incommensurate attributes or criteria and can be modelled as a multi-attribute decision-making problem. This paper develops a framework to solve multi-attribute group decision-making problems, where attribute evaluation values are provided as linguistic terms and the attribute weight information is incomplete. In order to obtain a group risk preference captured by a linguistic term set with triangular fuzzy semantic information, a nonlinear programming model is established on the basis of individual risk preferences. We first convert individual linguistic-term-based decision matrices to their respective triangular fuzzy decision matrices, which are then aggregated into a group triangular fuzzy decision matrix. Based on this group decision matrix and the incomplete attribute weight information, a linear program is developed to find an optimal attribute weight vector. A detailed procedure is devised for tackling linguistic multi-attribute group decision making problems. A low-carbon tourism destination selection case study is offered to illustrate how to use the developed group decision-making model in practice. PMID:28926985

  9. Linguistic Multi-Attribute Group Decision Making with Risk Preferences and Its Use in Low-Carbon Tourism Destination Selection.

    Science.gov (United States)

    Lin, Hui; Wang, Zhou-Jing

    2017-09-17

    Low-carbon tourism plays an important role in carbon emission reduction and environmental protection. Low-carbon tourism destination selection often involves multiple conflicting and incommensurate attributes or criteria and can be modelled as a multi-attribute decision-making problem. This paper develops a framework to solve multi-attribute group decision-making problems, where attribute evaluation values are provided as linguistic terms and the attribute weight information is incomplete. In order to obtain a group risk preference captured by a linguistic term set with triangular fuzzy semantic information, a nonlinear programming model is established on the basis of individual risk preferences. We first convert individual linguistic-term-based decision matrices to their respective triangular fuzzy decision matrices, which are then aggregated into a group triangular fuzzy decision matrix. Based on this group decision matrix and the incomplete attribute weight information, a linear program is developed to find an optimal attribute weight vector. A detailed procedure is devised for tackling linguistic multi-attribute group decision making problems. A low-carbon tourism destination selection case study is offered to illustrate how to use the developed group decision-making model in practice.

  10. Evaluation of ilmenite serpentine concrete and ordinary concrete as nuclear reactor shielding

    International Nuclear Information System (INIS)

    Abulfaraj, W.H.; Kamal, S.M.

    1994-01-01

    The present study involves adapting a formal decision methodology to the selection of alternative nuclear reactor concrete shielding. Multiattribute utility theory is selected to accommodate decision maker's preferences. Multiattribute utility theory (MAU) is here employed to evaluate two appropriate nuclear reactor shielding concretes in terms of effectiveness to determine the optimal choice in order to meet the radiation protection regulations. These concretes are Ordinary concrete (O.C.) and Illmenite Serpentile concrete (I.S.C.). These are normal weight concrete and heavy weight heat resistive concrete, respectively. The effectiveness objective of the nuclear reactor shielding is defined and structured into definite attributes and subattributes to evaluate the best alternative. Factors affecting the decision are dose received by reactor's workers, the material properties as well as cost of concrete shield. A computer program is employed to assist in performing utility analysis. Based upon data, the result shows the superiority of Ordinary concrete over Illmenite Serpentine concrete. (Author)

  11. Decision-making in irrigation networks: Selecting appropriate canal structures using multi-attribute decision analysis.

    Science.gov (United States)

    Hosseinzade, Zeinab; Pagsuyoin, Sheree A; Ponnambalam, Kumaraswamy; Monem, Mohammad J

    2017-12-01

    The stiff competition for water between agriculture and non-agricultural production sectors makes it necessary to have effective management of irrigation networks in farms. However, the process of selecting flow control structures in irrigation networks is highly complex and involves different levels of decision makers. In this paper, we apply multi-attribute decision making (MADM) methodology to develop a decision analysis (DA) framework for evaluating, ranking and selecting check and intake structures for irrigation canals. The DA framework consists of identifying relevant attributes for canal structures, developing a robust scoring system for alternatives, identifying a procedure for data quality control, and identifying a MADM model for the decision analysis. An application is illustrated through an analysis for automation purposes of the Qazvin irrigation network, one of the oldest and most complex irrigation networks in Iran. A survey questionnaire designed based on the decision framework was distributed to experts, managers, and operators of the Qazvin network and to experts from the Ministry of Power in Iran. Five check structures and four intake structures were evaluated. A decision matrix was generated from the average scores collected from the survey, and was subsequently solved using TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution) method. To identify the most critical structure attributes for the selection process, optimal attribute weights were calculated using Entropy method. For check structures, results show that the duckbill weir is the preferred structure while the pivot weir is the least preferred. Use of the duckbill weir can potentially address the problem with existing Amil gates where manual intervention is required to regulate water levels during periods of flow extremes. For intake structures, the Neyrpic® gate and constant head orifice are the most and least preferred alternatives, respectively. Some advantages

  12. Extended VIKOR Method for Intuitionistic Fuzzy Multiattribute Decision-Making Based on a New Distance Measure

    Directory of Open Access Journals (Sweden)

    Xiao Luo

    2017-01-01

    Full Text Available An intuitionistic fuzzy VIKOR (IF-VIKOR method is proposed based on a new distance measure considering the waver of intuitionistic fuzzy information. The method aggregates all individual decision-makers’ assessment information based on intuitionistic fuzzy weighted averaging operator (IFWA, determines the weights of decision-makers and attributes objectively using intuitionistic fuzzy entropy, calculates the group utility and individual regret by the new distance measure, and then reaches a compromise solution. It can be effectively applied to multiattribute decision-making (MADM problems where the weights of decision-makers and attributes are completely unknown and the attribute values are intuitionistic fuzzy numbers (IFNs. The validity and stability of this method are verified by example analysis and sensitivity analysis, and its superiority is illustrated by the comparison with the existing method.

  13. Performance evaluation soil samples utilizing encapsulation technology

    Science.gov (United States)

    Dahlgran, James R.

    1999-01-01

    Performance evaluation soil samples and method of their preparation using encapsulation technology to encapsulate analytes which are introduced into a soil matrix for analysis and evaluation by analytical laboratories. Target analytes are mixed in an appropriate solvent at predetermined concentrations. The mixture is emulsified in a solution of polymeric film forming material. The emulsified solution is polymerized to form microcapsules. The microcapsules are recovered, quantitated and introduced into a soil matrix in a predetermined ratio to form soil samples with the desired analyte concentration.

  14. Evaluation of Usability Utilizing Markov Models

    Science.gov (United States)

    Penedo, Janaina Rodrigues; Diniz, Morganna; Ferreira, Simone Bacellar Leal; Silveira, Denis S.; Capra, Eliane

    2012-01-01

    Purpose: The purpose of this paper is to analyze the usability of a remote learning system in its initial development phase, using a quantitative usability evaluation method through Markov models. Design/methodology/approach: The paper opted for an exploratory study. The data of interest of the research correspond to the possible accesses of users…

  15. Evaluation of Drug Utilization Pattern for Patients of Bronchial ...

    African Journals Online (AJOL)

    Evaluation of Drug Utilization Pattern for Patients of Bronchial Asthma in a Government Hospital of Saudi Arabia. ... Background: Bronchial asthma is a social and economic healthcare burden. Drug utilization studies are ... Salbutamol and budesonide were the most common from each group, respectively. 89.5% of the ...

  16. Evaluating Whether Changes in Utilization of Hospital Outp..

    Data.gov (United States)

    U.S. Department of Health & Human Services — Data reported in Evaluating Whether Higher Utilization of Hospital Outpatient Services Contributed to Lower Readmission Rate in 2012, published in Volume 4, Issue 1,...

  17. Genetics evaluation of phosphorus utilization in tropical cowpea ...

    African Journals Online (AJOL)

    Genetics evaluation of phosphorus utilization in tropical cowpea (Vigna ... that responds negatively to RP, using generation mean analysis of the parents, their ... was observed to be below the critical level, phosphorus uptake in the F1 and the ...

  18. Initiatives in training program evaluation outside the nuclear utility industry

    International Nuclear Information System (INIS)

    Allen, C.J.

    1987-01-01

    Training literature is reviewed, and program evaluative practices outside the nuclear utility industry are reported. The findings indicate some innovations in philosophy and practice and program evaluation, although not necessarily in the context of evaluation as a route to assessing the impact of training. Program evaluation is described in the context of the impact of training, suggesting continued efforts to accept a multivariate concept of individual and organizational performance

  19. Latin American Clinical Epidemiology Network Series - Paper 4: Economic evaluation of Kangaroo Mother Care: cost utility analysis of results from a randomized controlled trial conducted in Bogotá.

    Science.gov (United States)

    Ruiz, Juan Gabriel; Charpak, Nathalie; Castillo, Mario; Bernal, Astrid; Ríos, John; Trujillo, Tammy; Córdoba, María Adelaida

    2017-06-01

    Although kangaroo mother care (KMC) has been shown to be safe and effective in randomized controlled trials (RCTs), there are no published complete economic evaluations including the three components of the full intervention. A cost utility analysis performed on the results of an RCT conducted in Bogotá, Colombia between 1993 and 1996. Hospital and ambulatory costs were estimated by microcosting in a sample of preterm infants from a University Hospital in Bogotá in 2011 and at a KMC clinic in the same period. Utility scores were assigned by experts by means of (1) direct ordering and scoring discrete health states and (2) constructing a multi-attribute utility function. Ninety-five percent confidence intervals (CIs) for the incremental cost-utility ratios (ICURs) were computed by the Fiellers theorem method. One-way sensitivity analysis on price estimates for valuing costs was performed. ICUR at 1 year of corrected age was $ -1,546 per extra quality-adjusted life year gained using the KMC method (95% CI $ -7,963 to $ 4,910). In Bogotá, the use of KMC is dominant: more effective and cost-saving. Although results from an economic analysis should not be extrapolated to different systems and communities, this dominant result suggests that KMC could be cost-effective in similar low and middle income countries settings. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. The conceptual design and economic evaluation of utility scale SMES

    International Nuclear Information System (INIS)

    Masuda, M.

    1986-01-01

    The paper reports the result of current Japanese activities in designing and evaluating the economic feasibility of utility Superconducting Magnetic Energy Storage (SMES). The 5 GWh/1 GW is proposed as a relevant unit of SMES in the year 2000. More than 20 companies, several universities and two national laboratories joined in a task force to study this technology. After three year's assessment, the conclusion on utility scale SMES is that no unresolvable technologies have been found and commercialization potential exists

  1. Utility industry evaluation of the Sodium Advanced Fast Reactor

    International Nuclear Information System (INIS)

    Burstein, S.; DelGeorge, L.O.; Tramm, T.R.; Gibbons, J.P.; High, M.D.; Neils, G.H.; Pilmer, D.F.; Tomonto, J.R.; Wells, J.T.

    1990-02-01

    A team of utility industry representatives evaluated the Sodium Advanced Fast Reactor plant design, a current liquid metal reactor design created by an industrial team led by Rockwell International under Department of Energy sponsorship. The utility industry team concluded that the plant design offers several attractive characteristics, especially in the safety arena, as well as preserving the traditional attraction of liquid metal reactors, very high fuel utilization. Specific comments and recommendations are provided as a contribution towards improving an already attractive plant design. 18 refs

  2. Improving utility conservation programs: outcomes, interventions, and evaluations

    Energy Technology Data Exchange (ETDEWEB)

    Condelli, L; Archer, D; Aronson, E; Curbow, B; McLeod, B; Pettigrew, T F; White, L T; Yates, S

    1984-06-01

    Four major California utility companies have active energy conservation programs mandated by the State's Public Utilities Commission (CPUC). These companies evaluate their programs and send reports of the evaluations to the CPUC. A review of 213 of these reports revealed a marketing research approach toward promoting conservation. Advertising and informational campaigns characterize most programs, and attitudes and self-reported behavior were the major outcome measures. This approach is shown to be ineffective. Suggestions for improvement include: (1) the use of actual energy consumption as the primary outcome measure in evaluating conservation programs; (2) the abandonment of conventional advertising, and the use of it only for the promotion of ''hard'' interventions; (3) increased use of social diffusion methods to disseminate information; (4) the design of more effective educational material by incorporating cognitive social psychological principles; and (5) the utilization of ''hard'' interventions that have a direct, verifiable link to conservation.

  3. Evaluation of the Geothermal Public Power Utility Workshops in California

    Energy Technology Data Exchange (ETDEWEB)

    Farhar, B. C.

    2004-10-01

    The federal government devotes significant resources to educating consumers and businesses about geothermal energy. Yet little evidence exists for defining the kinds of information needed by the various audiences with specialized needs. This paper presents the results of an evaluation of the Geothermal Municipal Utility Workshops that presented information on geothermal energy to utility resource planners at customer-owned utilities in California. The workshops were sponsored by the Western Area Power Administration and the U.S. Department of Energy's GeoPowering the West Program and were intended to qualitatively assess the information needs of municipal utilities relative to geothermal energy and get feedback for future workshops. The utility workshop participants found the geothermal workshops to be useful and effective for their purposes. An important insight from the workshops is that utilities need considerable lead-time to plan a geothermal project. They need to know whether it is better to own a project or to purchase geothermal electricity from another nonutility owner. California customer-owned utilities say they do not need to generate more electricity to meet demand, but they do need to provide more electricity from renewable resources to meet the requirements of the state's Renewable Portfolio Standard.

  4. Efficiency evaluation of the state owned electric utilities in India

    International Nuclear Information System (INIS)

    Thakur, Tripta; Deshmukh, S.G.; Kaushik, S.C.

    2006-01-01

    This paper presents a framework for accessing comparative efficiencies of Indian State Owned Electric Utilities (SOEU), which have been mainly responsible for the generation, distribution and transmission of electricity in India. Performance of 26 utilities was evaluated using the non-parametric technique of Data Envelopment Analysis (DEA), and the impact of scale on the efficiency scores was also evaluated. The results indicate that the performance of several SOEUs is sub-optimal, suggesting the potential for significant cost reductions. Separate benchmarks were derived for possible reductions in employees' number, and the results indicate that several utilities deploy a much larger number of employees than that required by a best practice utility, and significant savings are possible on this account. It was also found that the bigger utilities display greater inefficiencies and have distinct scale inefficiencies. Exploiting scale efficiencies by suitable restructuring and unbundling of SOEUs are therefore crucial measures that may foster efficiencies in the SOEUs. The paper discusses these results in the context of related policy issues

  5. Evaluation in a competitive utility environment: the threat of confidentiality

    International Nuclear Information System (INIS)

    Vine, Edward

    1997-01-01

    Utilities have become concerned that their competitors will desire access to energy-related data--including energy-efficiency data collected by utilities from their energy- efficiency programs--that they may regard as proprietary or confidential. In the future, disputes about confidentiality may focus more on costs and market information (as well as energy use and load data) than on energy-efficiency data per se. So far, the discussion has been limited to ratepayer-funded data. Consequently, many utilities are now requesting that the data (including evaluation data) they submit to their utility regulatory commissions remain confidential. Withholding utility information from the public is likely to harm the evaluation community that depends on the free flow of information for improving the practice of evaluation as well as for disseminating the lessons learned from particular program evaluations. Confidentiality will also have significant policy implications. In response to these concerns, in late 1995 and early 1996, we conducted a survey of state public utility commissions (PUCs) in the U.S. to assess: (1) the relative importance of the issue of confidential data in the regulatory arena; (2) the regulatory response to utility requests for confidentiality (e.g., formal policies, guidelines, rules and procedures, and decisions); and (3) the type of data filed as confidential with PUCS. We focus on the first two objectives of this study. In addition to our interviews, we reviewed selected state statutes, judicial and PUC decisions, rules and procedures, protective orders, and interim policy documents. Evaluators need to understand the context of confidentiality as well as the response of the regulatory commissions to confidentiality, because evaluators will need to adapt to a new environment where energy-related data and information may be harder to obtain and distribute. We propose that regulators conduct the following activities as soon as possible: 1. Assess

  6. A generalized measurement model to quantify health: the multi-attribute preference response model.

    Science.gov (United States)

    Krabbe, Paul F M

    2013-01-01

    After 40 years of deriving metric values for health status or health-related quality of life, the effective quantification of subjective health outcomes is still a challenge. Here, two of the best measurement tools, the discrete choice and the Rasch model, are combined to create a new model for deriving health values. First, existing techniques to value health states are briefly discussed followed by a reflection on the recent revival of interest in patients' experience with regard to their possible role in health measurement. Subsequently, three basic principles for valid health measurement are reviewed, namely unidimensionality, interval level, and invariance. In the main section, the basic operation of measurement is then discussed in the framework of probabilistic discrete choice analysis (random utility model) and the psychometric Rasch model. It is then shown how combining the main features of these two models yields an integrated measurement model, called the multi-attribute preference response (MAPR) model, which is introduced here. This new model transforms subjective individual rank data into a metric scale using responses from patients who have experienced certain health states. Its measurement mechanism largely prevents biases such as adaptation and coping. Several extensions of the MAPR model are presented. The MAPR model can be applied to a wide range of research problems. If extended with the self-selection of relevant health domains for the individual patient, this model will be more valid than existing valuation techniques.

  7. Multiattribute Decision Making Based on Entropy under Interval-Valued Intuitionistic Fuzzy Environment

    Directory of Open Access Journals (Sweden)

    Yingjun Zhang

    2013-01-01

    Full Text Available Multiattribute decision making (MADM is one of the central problems in artificial intelligence, specifically in management fields. In most cases, this problem arises from uncertainty both in the data derived from the decision maker and the actions performed in the environment. Fuzzy set and high-order fuzzy sets were proven to be effective approaches in solving decision-making problems with uncertainty. Therefore, in this paper, we investigate the MADM problem with completely unknown attribute weights in the framework of interval-valued intuitionistic fuzzy (IVIF set (IVIFS. We first propose a new definition of IVIF entropy and some calculation methods for IVIF entropy. Furthermore, we propose an entropy-based decision-making method to solve IVIF MADM problems with completely unknown attribute weights. Particular emphasis is put on assessing the attribute weights based on IVIF entropy. Instead of the traditional methods, which use divergence among attributes or the probabilistic discrimination of attributes to obtain attribute weights, we utilize the IVIF entropy to assess the attribute weights based on the credibility of the decision-making matrix for solving the problem. Finally, a supplier selection example is given to demonstrate the feasibility and validity of the proposed MADM method.

  8. SIRU utilization. Volume 1: Theory, development and test evaluation

    Science.gov (United States)

    Musoff, H.

    1974-01-01

    The theory, development, and test evaluations of the Strapdown Inertial Reference Unit (SIRU) are discussed. The statistical failure detection and isolation, single position calibration, and self alignment techniques are emphasized. Circuit diagrams of the system components are provided. Mathematical models are developed to show the performance characteristics of the subsystems. Specific areas of the utilization program are identified as: (1) error source propagation characteristics and (2) local level navigation performance demonstrations.

  9. Application fuzzy multi-attribute decision analysis method to prioritize project success criteria

    Science.gov (United States)

    Phong, Nguyen Thanh; Quyen, Nguyen Le Hoang Thuy To

    2017-11-01

    Project success is a foundation for project owner to manage and control not only for the current project but also for future potential projects in construction companies. However, identifying the key success criteria for evaluating a particular project in real practice is a challenging task. Normally, it depends on a lot of factors, such as the expectation of the project owner and stakeholders, triple constraints of the project (cost, time, quality), and company's mission, vision, and objectives. Traditional decision-making methods for measuring the project success are usually based on subjective opinions of panel experts, resulting in irrational and inappropriate decisions. Therefore, this paper introduces a multi-attribute decision analysis method (MADAM) for weighting project success criteria by using fuzzy Analytical Hierarchy Process approach. It is found that this method is useful when dealing with imprecise and uncertain human judgments in evaluating project success criteria. Moreover, this research also suggests that although cost, time, and quality are three project success criteria projects, the satisfaction of project owner and acceptance of project stakeholders with the completed project criteria is the most important criteria for project success evaluation in Vietnam.

  10. A framework for evaluating and utilizing medical terminology mappings.

    Science.gov (United States)

    Hussain, Sajjad; Sun, Hong; Sinaci, Anil; Erturkmen, Gokce Banu Laleci; Mead, Charles; Gray, Alasdair J G; McGuinness, Deborah L; Prud'Hommeaux, Eric; Daniel, Christel; Forsberg, Kerstin

    2014-01-01

    Use of medical terminologies and mappings across them are considered to be crucial pre-requisites for achieving interoperable eHealth applications. Built upon the outcomes of several research projects, we introduce a framework for evaluating and utilizing terminology mappings that offers a platform for i) performing various mappings strategies, ii) representing terminology mappings together with their provenance information, and iii) enabling terminology reasoning for inferring both new and erroneous mappings. We present the results of the introduced framework from SALUS project where we evaluated the quality of both existing and inferred terminology mappings among standard terminologies.

  11. Research on simulated infrared image utility evaluation using deep representation

    Science.gov (United States)

    Zhang, Ruiheng; Mu, Chengpo; Yang, Yu; Xu, Lixin

    2018-01-01

    Infrared (IR) image simulation is an important data source for various target recognition systems. However, whether simulated IR images could be used as training data for classifiers depends on the features of fidelity and authenticity of simulated IR images. For evaluation of IR image features, a deep-representation-based algorithm is proposed. Being different from conventional methods, which usually adopt a priori knowledge or manually designed feature, the proposed method can extract essential features and quantitatively evaluate the utility of simulated IR images. First, for data preparation, we employ our IR image simulation system to generate large amounts of IR images. Then, we present the evaluation model of simulated IR image, for which an end-to-end IR feature extraction and target detection model based on deep convolutional neural network is designed. At last, the experiments illustrate that our proposed method outperforms other verification algorithms in evaluating simulated IR images. Cross-validation, variable proportion mixed data validation, and simulation process contrast experiments are carried out to evaluate the utility and objectivity of the images generated by our simulation system. The optimum mixing ratio between simulated and real data is 0.2≤γ≤0.3, which is an effective data augmentation method for real IR images.

  12. An Index of Trauma Severity Based on Multiattribute Utility: An Illustration of Complex Utility Modeling.

    Science.gov (United States)

    1981-10-01

    measure for Central Nervus System is the Glasgow Cons Score (GCS), a scale of brain and spinal cord injury (Langfitt [1978]), and is itself an additive...concerns directly relating to the injury itself were identified. These were: 1. Ventilation Severity 2 Circulation Severity 3. Central Nervous System ...interacting system within which these concerns represent interacting parts. Most trauma involves only one of these systems , but more than one may be

  13. Energy-, environmental and economic evaluation of energy crops utilization

    International Nuclear Information System (INIS)

    1994-06-01

    This preliminary project is prepared in order to clarify the economic possibilities and rentability of energy crops. Examples of energy crop resource potential, environmental and economic consequences are calculated on the basis of existing data. Utilization of annual and perennial crops is evaluated with regard to the usual following of agricultural areas, and to the traditional power generation in a coal-fueled plant. Two technological options are discussed: one based on energy crop fuels supplementing the conventional coal fuel, and the other based on a separate biomass-fueled boiler, connected to the conventional coal-fueled unit. Implementation of the main project,following the preliminary one will permit to estimate the future prospects and strategies of energy crop utilization as a profitable energy resource. (EG)

  14. Multi-Attribute Decision-Making Based on Prioritized Aggregation Operator under Hesitant Intuitionistic Fuzzy Linguistic Environment

    Directory of Open Access Journals (Sweden)

    Peide Liu

    2017-11-01

    Full Text Available A hesitant intuitionistic fuzzy linguistic set (HIFLS that integrates both qualitative and quantitative evaluations is an extension of the linguistic set, intuitionistic fuzzy set (IFS, hesitant fuzzy set (HFS and hesitant intuitionistic fuzzy set (HIFS. It can describe the qualitative evaluation information given by the decision-makers (DMs and reflect their uncertainty. In this article, we defined some new operational laws and comparative method for HIFLSs. Then, based on these operations, we propose two prioritized aggregation (PA operators for HIFLSs: prioritized weighted averaging operator for HIFLSs (HIFLPWA and prioritized weighted geometric operator for HIFLSs (HIFLPWG. Based on these aggregation operators, an approach for multi-attribute decision-making (MADM is developed under the environment of HIFLSs. Finally, a practical example is given to show the practicality and effectiveness of the developed approach by comparing with the other representative methods.

  15. Application of the Multi-Attribute Value Theory for engaging stakeholders in groundwater protection in the Vosvozis catchment in Greece.

    Science.gov (United States)

    Stefanopoulos, Kyriakos; Yang, Hong; Gemitzi, Alexandra; Tsagarakis, Konstantinos P

    2014-02-01

    Multi-Attribute Value Theory (MAVT) was used to investigate stakeholders' preferences and beliefs in ameliorating a deteriorating ecosystem, i.e. Vosvozis River and Ismarida Lake in Northeastern Greece. Various monetary and environmental criteria were evaluated with scores and weights by different stakeholder groups and key individuals such as farmers, fishermen, entrepreneurs, residents and ecologists to elicit their preferences concerning alternative protection scenarios. The ultimate objective was to propose policy recommendations for a sustainable water resources management for the case study area. The analysis revealed an overwhelming agreement among stakeholders regarding the dire need for immediate actions in order to preserve and enhance Vosvozis ecosystem. With a two stage evaluation process, the MAVT analysis led to a high consensus among the stakeholders on the alternative that favors water recycling from the wastewater treatment plant combined with small dams for rainwater harvesting. © 2013.

  16. Development, evaluation, and utility of a peer evaluation form for online teaching.

    Science.gov (United States)

    Gaskamp, Carol D; Kintner, Eileen

    2014-01-01

    Formative assessment of teaching by peers is an important component of quality improvement for educators. Teaching portfolios submitted for promotion and tenure are expected to include peer evaluations. Faculty resources designed for peer evaluation of classroom teaching are often inadequate for evaluating online teaching. The authors describe development, evaluation, and utility of a new peer evaluation form for formative assessment of online teaching deemed relevant, sound, feasible, and beneficial.

  17. Exemplar-based inference in multi-attribute decision making

    Directory of Open Access Journals (Sweden)

    Linnea Karlsson

    2008-03-01

    Full Text Available Several studies propose that exemplar retrieval contributes to multi-attribute decisions. The authors have proposed a process theory enabling a priori predictions of what cognitive representations people use as input to their judgment process (extit{Sigma}, for ``summation''; P. Juslin, L. Karlsson, and H. Olsson, 2008. According to Sigma, exemplar retrieval is a back-up system when the task does not allow for additive and linear abstraction and integration of cue-criterion knowledge (e.g., when the task is non-additive. An important question is to what extent such shifts occur spontaneously as part of automatic procedures, such as error-minimization with the Delta rule, or if they are controlled extit{strategy} shifts contingent on the ability to identify a sufficiently successful judgment strategy. In this article data are reviewed that demonstrate a shift between exemplar memory and cue abstraction, as well as data where the expected shift does extit{not} occur. In contrast to a common assumption of previous models, these results suggest a controlled and contingent strategy shift.

  18. Reservoir characterization by multiattribute analysis: The Orito field case

    Directory of Open Access Journals (Sweden)

    Montes Luis

    2010-12-01

    Full Text Available

    In order to characterize the Caballos formation reservoir in the Orito field in the Putumayo basin - Colombia, a multiattribute analysis was applied to a 50 km2 seismic volume along with 16 boreholes. Some properties of the reservoir were reliably estimated and very accurate when compared with well data. The porosity, permeability and volume of shale were calculated in the seismic volume by at least second order multivariate polynomial. A good correlation between porosity and acoustic impedance was observed by means of crossplot analysis performed on properties measured and estimated in cores or borehole logs as well as on properties calculated in the seismic volume. The estimated property values were well behaved according to the rocks physics analysis. With the property maps generated and the geological environments of the reservoir a new interpretation of the Caballos formation was established. High correlation coefficients and low estimated errors point out competence to calculate these three reservoir properties in places far from the influence of the wells. The multiple equation system was established through weighted hierarchical grouping of attributes and their coefficients calculated applying the inverse generalized matrix method.

  19. On the Nirex MADA [Multi-Attribute Decision Analysis]. Proof of evidence

    International Nuclear Information System (INIS)

    Stirling, A.

    1996-01-01

    Proof of Evidence is given by an expert witness on behalf of Greenpeace Ltd as part of their submission to a Planning Inquiry in 1995 hearing the application of UK Nirex Ltd for permission to construct an underground Rock Characterisation Facility (RCF) at a site near Sellafield. The RCF is part of an investigation by Nirex into a suitable site for the disposal of radioactive waste. The evidence concerns the use by Nirex of a technique known as Multi-Attribute Decision Analysis (MADA) in support of their decision to concentrate their studies on the Sellafield site. Potentially, MADA offers a highly effective methodology for making difficult political decisions involving a mixture of technical, social and economic considerations. Its proper use, however, relies on: drawing an explicit distinction between relatively technical ''performance scores'' and wholly subjective ''importance weightings''; a clearly expressed and agreed scope for the analysis; the inclusion of a wide range of perspectives; systematic and comprehensive sensitivity testing of the implications of varying data, assumptions and value judgements; optimising the choice of option under each perspective; presenting explicit data, assumptions, transparent methodologies and accessible procedures for critical evaluation and public peer review. It is concluded that Nirex's MADA seems to be seriously deficient in relation to many of these principles. (9 references). (UK)

  20. Cardiovascular evaluation in Turner syndrome: utility of MR imaging

    International Nuclear Information System (INIS)

    Dawson-Falk, K.; Bakker, B.; Rosenfeld, R.G.

    1992-01-01

    Forty patients with karyotypically proven Turner syndrome were prospectively studied using magnetic resonance imaging (MRI) and echocardiography in order to determine the frequency of cardiovascular anomalies and to assess the utility of both imaging modalities as methods for cardiovascular evaluation in Turner syndrome. Cardiovascular anomalies were found in 45% of patients. A high absolute prevalence of bicuspid aortic valve (17.5%) and aortic coarctation (12.5%) were observed relative to comparable series. Of clinically significant abnormalities, three of five aortic coarctations and four of five ascending aortic dilatations were solely MRI detected and not evident at echocardiographic examination. MRI is thus seen as a valuable adjunct to echocardiography in the cardiovascular evaluation of Turner syndrome patients. The usefulness of MRI primarily relates to its ability to provide excellent visualisation of the entire thoracic aorta where a large proportion of clinically significant anomalies occur in Turner syndrome. 23 refs., 2 tabs., 5 figs

  1. Cardiovascular evaluation in Turner syndrome: utility of MR imaging

    Energy Technology Data Exchange (ETDEWEB)

    Dawson-Falk, K; Bakker, B; Rosenfeld, R G [Stanford Univ., CA (United States). School of Medicine

    1992-08-01

    Forty patients with karyotypically proven Turner syndrome were prospectively studied using magnetic resonance imaging (MRI) and echocardiography in order to determine the frequency of cardiovascular anomalies and to assess the utility of both imaging modalities as methods for cardiovascular evaluation in Turner syndrome. Cardiovascular anomalies were found in 45% of patients. A high absolute prevalence of bicuspid aortic valve (17.5%) and aortic coarctation (12.5%) were observed relative to comparable series. Of clinically significant abnormalities, three of five aortic coarctations and four of five ascending aortic dilatations were solely MRI detected and not evident at echocardiographic examination. MRI is thus seen as a valuable adjunct to echocardiography in the cardiovascular evaluation of Turner syndrome patients. The usefulness of MRI primarily relates to its ability to provide excellent visualisation of the entire thoracic aorta where a large proportion of clinically significant anomalies occur in Turner syndrome. 23 refs., 2 tabs., 5 figs.

  2. Multiattribute selection of acute stroke imaging software platform for Extending the Time for Thrombolysis in Emergency Neurological Deficits (EXTEND) clinical trial.

    Science.gov (United States)

    Churilov, Leonid; Liu, Daniel; Ma, Henry; Christensen, Soren; Nagakane, Yoshinari; Campbell, Bruce; Parsons, Mark W; Levi, Christopher R; Davis, Stephen M; Donnan, Geoffrey A

    2013-04-01

    The appropriateness of a software platform for rapid MRI assessment of the amount of salvageable brain tissue after stroke is critical for both the validity of the Extending the Time for Thrombolysis in Emergency Neurological Deficits (EXTEND) Clinical Trial of stroke thrombolysis beyond 4.5 hours and for stroke patient care outcomes. The objective of this research is to develop and implement a methodology for selecting the acute stroke imaging software platform most appropriate for the setting of a multi-centre clinical trial. A multi-disciplinary decision making panel formulated the set of preferentially independent evaluation attributes. Alternative Multi-Attribute Value Measurement methods were used to identify the best imaging software platform followed by sensitivity analysis to ensure the validity and robustness of the proposed solution. Four alternative imaging software platforms were identified. RApid processing of PerfusIon and Diffusion (RAPID) software was selected as the most appropriate for the needs of the EXTEND trial. A theoretically grounded generic multi-attribute selection methodology for imaging software was developed and implemented. The developed methodology assured both a high quality decision outcome and a rational and transparent decision process. This development contributes to stroke literature in the area of comprehensive evaluation of MRI clinical software. At the time of evaluation, RAPID software presented the most appropriate imaging software platform for use in the EXTEND clinical trial. The proposed multi-attribute imaging software evaluation methodology is based on sound theoretical foundations of multiple criteria decision analysis and can be successfully used for choosing the most appropriate imaging software while ensuring both robust decision process and outcomes. © 2012 The Authors. International Journal of Stroke © 2012 World Stroke Organization.

  3. A New Method of Multiattribute Decision-Making Based on Interval-Valued Hesitant Fuzzy Soft Sets and Its Application

    Directory of Open Access Journals (Sweden)

    Yan Yang

    2017-01-01

    Full Text Available Combining interval-valued hesitant fuzzy soft sets (IVHFSSs and a new comparative law, we propose a new method, which can effectively solve multiattribute decision-making (MADM problems. Firstly, a characteristic function of two interval values and a new comparative law of interval-valued hesitant fuzzy elements (IVHFEs based on the possibility degree are proposed. Then, we define two important definitions of IVHFSSs including the interval-valued hesitant fuzzy soft quasi subset and soft quasi equal based on the new comparative law. Finally, an algorithm is presented to solve MADM problems. We also use the method proposed in this paper to evaluate the importance of major components of the well drilling mud pump.

  4. The Multi-Attribute Task Battery II (MATB-II) Software for Human Performance and Workload Research: A User's Guide

    Science.gov (United States)

    Santiago-Espada, Yamira; Myer, Robert R.; Latorella, Kara A.; Comstock, James R., Jr.

    2011-01-01

    The Multi-Attribute Task Battery (MAT Battery). is a computer-based task designed to evaluate operator performance and workload, has been redeveloped to operate in Windows XP Service Pack 3, Windows Vista and Windows 7 operating systems.MATB-II includes essentially the same tasks as the original MAT Battery, plus new configuration options including a graphical user interface for controlling modes of operation. MATB-II can be executed either in training or testing mode, as defined by the MATB-II configuration file. The configuration file also allows set up of the default timeouts for the tasks, the flow rates of the pumps and tank levels of the Resource Management (RESMAN) task. MATB-II comes with a default event file that an experimenter can modify and adapt

  5. Synthesis of Enterprise and Value-Based Methods for Multiattribute Risk Analysis

    International Nuclear Information System (INIS)

    Kenley, C. Robert; Collins, John W.; Beck, John M.; Heydt, Harold J.; Garcia, Chad B.

    2001-01-01

    This paper describes a method for performing multiattribute decision analysis to prioritize ap-proaches to handling risks during the development and operation of complex socio-technical systems. The method combines risk categorization based on enterprise views, risk prioritization of the categories based on the Analytic Hierarchy Process (AHP), and more standard probability-consequence ratings schemes. We also apply value-based testing me-thods used in software development to prioritize risk-handling approaches. We describe a tool that synthesizes the methods and performs a multiattribute analysis of the technical and pro-grammatic risks on the Next Generation Nuclear Plant (NGNP) enterprise.

  6. Evaluation of the utility of a glycemic pattern identification system.

    Science.gov (United States)

    Otto, Erik A; Tannan, Vinay

    2014-07-01

    With the increasing prevalence of systems allowing automated, real-time transmission of blood glucose data there is a need for pattern recognition techniques that can inform of deleterious patterns in glycemic control when people test. We evaluated the utility of pattern identification with a novel pattern identification system named Vigilant™ and compared it to standard pattern identification methods in diabetes. To characterize the importance of an identified pattern we evaluated the relative risk of future hypoglycemic and hyperglycemic events in diurnal periods following identification of a pattern in a data set of 536 patients with diabetes. We evaluated events 2 days, 7 days, 30 days, and 61-90 days from pattern identification, across diabetes types and cohorts of glycemic control, and also compared the system to 6 pattern identification methods consisting of deleterious event counts and percentages over 5-, 14-, and 30-day windows. Episodes of hypoglycemia, hyperglycemia, severe hypoglycemia, and severe hyperglycemia were 120%, 46%, 123%, and 76% more likely after pattern identification, respectively, compared to periods when no pattern was identified. The system was also significantly more predictive of deleterious events than other pattern identification methods evaluated, and was persistently predictive up to 3 months after pattern identification. The system identified patterns that are significantly predictive of deleterious glycemic events, and more so relative to many pattern identification methods used in diabetes management today. Further study will inform how improved pattern identification can lead to improved glycemic control. © 2014 Diabetes Technology Society.

  7. ENVIRONMENTAL EVALUATION FOR UTILIZATION OF ASH IN SOIL STABILIZATION

    Energy Technology Data Exchange (ETDEWEB)

    David J. Hassett; Loreal V. Heebink

    2001-08-01

    The Minnesota Pollution Control Agency (MPCA) approved the use of coal ash in soil stabilization, indicating that environmental data needed to be generated. The overall project goal is to evaluate the potential for release of constituents into the environment from ash used in soil stabilization projects. Supporting objectives are: (1) To ensure sample integrity through implementation of a sample collection, preservation, and storage protocol to avoid analyte concentration or loss. (2) To evaluate the potential of each component (ash, soil, water) of the stabilized soil to contribute to environmental release of analytes of interest. (3) To use laboratory leaching methods to evaluate the potential for release of constituents to the environment. (4) To facilitate collection of and to evaluate samples from a field runoff demonstration effort. The results of this study indicated limited mobility of the coal combustion fly ash constituents in laboratory tests and the field runoff samples. The results presented support previous work showing little to negligible impact on water quality. This and past work indicates that soil stabilization is an environmentally beneficial CCB utilization application as encouraged by the U.S. Environmental Protection Agency. This project addressed the regulatory-driven environmental aspect of fly ash use for soil stabilization, but the demonstrated engineering performance and economic advantages also indicate that the use of CCBs in soil stabilization can and should become an accepted engineering option.

  8. Weighted Description Logics Preference Formulas for Multiattribute Negotiation

    Science.gov (United States)

    Ragone, Azzurra; di Noia, Tommaso; Donini, Francesco M.; di Sciascio, Eugenio; Wellman, Michael P.

    We propose a framework to compute the utility of an agreement w.r.t a preference set in a negotiation process. In particular, we refer to preferences expressed as weighted formulas in a decidable fragment of First-order Logic and agreements expressed as a formula. We ground our framework in Description Logics (DL) endowed with disjunction, to be compliant with Semantic Web technologies. A logic based approach to preference representation allows, when a background knowledge base is exploited, to relax the often unrealistic assumption of additive independence among attributes. We provide suitable definitions of the problem and present algorithms to compute utility in our setting. We also validate our approach through an experimental evaluation.

  9. Evaluation of overweight load routing on buried utility facilities

    Science.gov (United States)

    2011-02-01

    Overweight traffic movements can negatively affect pavement integrity and quality. However, it is less : known to what degree buried utility plant along and across the right of way is affected by these overweight : loads, especially if the utility fa...

  10. Utility of cerebral circulation evaluation in acute traumatic brain injuries

    International Nuclear Information System (INIS)

    Honda, Mitsuru; Sakata, Yoshihito; Haga, Daisuke; Nomoto, Jun; Noguchi, Yoshitaka; Seiki, Yoshikatsu; Machida, Keiichi; Sase, Shigeru

    2007-01-01

    Severe traumatic brain injury (TBI) is well-known to cause dynamic changes in cerebral blood flow (CBF). Specifically, TBI has been reported to cause decreases in cerebral blood flow (CBF). In this study, we measured CBF, mean transit time (MTT) and cerebral blood volume (CBV) after TBI. Our purpose was investigate the possibility of assessing TBI outcome and severity with these physiological parameters, and the clinical utility of cerebral circulation evaluation for brain-oriented intensive care. In 37 patients with TBI, xenon-enhanced CT (Xe-CT) and perfusion CT were performed on days 1-3 post-event (phase II). We measured CBF using Xe-CT and MTT by Perfusion CT and calculated CBV using an AZ-7000W98 computer system. Relative intra cranicol pressure (ICP) and CBF showed significant negative correlations. Relative ICP and MTT showed significant positive correlations. Outcomes, correlated with valuse of CBF and MIT. Significant differences in CBF and MTT were found between favorable outcome group (good recovery (GR) and moderate disability (MD)) and poor outcome group (severe disability (SD), vegetative state (VS), and dead (D)). We could estimate the outcome of patients after TBI by analyzing values of CBF and MTT with a probability of 74%. We evaluated cerebral circulation status in patients with TBI by CBF and MTT. These tests can help to optimize management and improve outcome in patients with severe TBI. (author)

  11. An Agent Architecture for Multi-Attribute Negotiation Using Incomplete Preference Information

    NARCIS (Netherlands)

    Jonker, C.M.; Robu, V.; Treur, J.

    2007-01-01

    A component-based generic agent architecture for multi-attribute (integrative) negotiation is introduced and its application is described in a prototype system for negotiation about cars, developed in cooperation with, among others, Dutch Telecom KPN. The approach can be characterized as cooperative

  12. A multi-attribute decision model for portfolio selection aiming to replace technologies in industrial motor systems

    International Nuclear Information System (INIS)

    Vanderley Herrero Sola, Antonio; Mota, Caroline Maria de Miranda

    2012-01-01

    Highlights: ► We propose a multicriteria decision model for technology replacement. ► We prioritize induction motors in order to improve the energy efficiency. ► The best portfolio of options is selected based on decision maker’s utilities. ► The model contribute to surpass some organizational barriers. - Abstract: The energy efficient technologies offered by the market are in constant evolution, but their insertion in the productive sector comes up against organizational barriers, which obstruct decision making in firms. This paper proposes a multicriteria decision model in order to replace technologies in industrial energy systems, regarding organizational barriers for energy efficiency. The proposed model is applied in industrial motor systems, using Multi-Attribute Utility Theory (MAUT), in order to select the best portfolio of options based on the decision maker’s utilities. Portfolios of options from the prioritized set of motors compiled by the operational area of the studied industry are analyzed, including diverse suppliers and different classes of motors. The results show that it is essential to structure the proposed model in two steps, beginning with the operational level, to ensure that important technologies for the production system are prioritized, thus preserving the interests of the organization and improving the efficiency of industrial energy systems.

  13. An evaluation of the cost/benefits of concrete biodecontamination

    International Nuclear Information System (INIS)

    Gorschboth, F.F.; Hamilton, M.A.

    1998-08-01

    Two candidate technologies for decontamination of extensive areas of radioactively contaminated concrete, a biological technology and electro-hydraulic scabbling, that had been rated as highly useful in an earlier study were assessed more precisely. These technologies were compared to a base technology, scarification. The evaluation method was an adaptation of the Multi-Attribute Utility Technique (MAUT), a formal quantitative approach for analyzing decisions with regard to multiple objectives. The advantages of the biodecontamination technology were confirmed by this more precise quantitative analysis

  14. An electronic record system in nursing education: evaluation and utilization.

    Directory of Open Access Journals (Sweden)

    Víctor Manuel González-Chordá

    2014-09-01

    Full Text Available The main objective of the present work is to analyze the results of the utilization and evaluation of the LORETO Record System (LRS, providing improvement areas in the teaching-learning process and technology, in second year nursing students. A descriptive, prospective, cross sectional study using inferential statics has been carried out on all electronic records reported by 55 nursing students during clinical internships (April 1º-June 26º, 2013. Electronic record average rated 7.22 points (s=0.6; CV=0.083, with differences based on the clinical practice units (p<0,05. Three items assessed did not exceed the quality threshold set at 0.7 (p<0.05. Record Rate exceeds the quality threshold set at 80% for the overall sample, with differences based on the practice units.  Only two clinical practice units rated above the minimum threshold (p <0.05. Record of care provision every 3 days did not reach the estimated quality threshold (p <0.05. There is a dichotomy between qualitative and quantitative results of LRS. Improvement areas in theoretical education have been identified. The LRS seems an appropriate learning and assessment tool, although the development of a new APP version and the application of principles of gamification should be explored.

  15. Clinical utility of imaging for evaluation of hepatocellular carcinoma

    Directory of Open Access Journals (Sweden)

    Murakami T

    2014-07-01

    Full Text Available Takamichi Murakami,1 Masakatsu Tsurusaki,1 Tomoko Hyodo,1 Yasuharu Imai2 1Department of Radiology, Kinki University Faculty of Medicine, 2Department of Hepatology and Gastroenterology, Ikeda Municipal Hospital, Osaka, Japan Abstract: The hemodynamics of a hepatocellular nodule is the most important imaging parameter used to characterize various hepatocellular nodules in liver cirrhosis, because sequential changes occur in the feeding vessels and hemodynamic status during hepatocarcinogenesis. Therefore, the imaging criteria for hepatocellular carcinoma (HCC are also usually based on vascular findings, eg, early arterial uptake followed by washout in the portal venous and equilibrium phases. Contrast-enhanced ultrasonography, dynamic multidetector-row computed tomography (MDCT, and dynamic magnetic resonance (MR imaging with gadopentetate dimeglumine (Gd-DTPA are useful for detecting hypervascular HCC on the basis of vascular criteria but are not as useful for hypovascular HCC. Contrast-enhanced MR imaging with gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid (Gd-EOB-DTPA, a hepatocyte-specific MR contrast agent, is superior to dynamic MDCT and dynamic MR imaging with Gd-DTPA in detecting both hypervascular and hypovascular HCC. Moreover, Gd-EOB-DTPA-enhanced MR imaging can display each histologically differentiated HCC as hypointense relative to the liver parenchyma. 18F-fluorodeoxyglucose positron emission tomography imaging might not be suitable for the screening and detection of HCC, given its lower diagnostic performance. However, this technique plays an important role in determining whether HCC has spread beyond the liver. Keywords: hepatocellular carcinoma, evaluation, imaging, clinical utility

  16. Evaluation of alternative institutional arrangements in public utilities

    Directory of Open Access Journals (Sweden)

    Ermishina Anna, V.

    2015-06-01

    Full Text Available Since early 2000s a policy of attracting private operators to public utilities, which should help to increase productivity, reduce costs, and as a result, reduce utility prices takes place in Russia. The aim of the study is to identify the relationship between institutional arrangements and pricing for water and wastewater services. Applying statistical and cluster analysis to empirical data on water utilities in 13 largest cities has revealed the differences in the level and dynamics of prices for water and wastewater services in the group of public utilities and public private water utilities. In 2011-2014 the level and growth price rates in the group of public private partnerships were higher than in group of municipal water utilities. Thus, the involvement of private operators has not yet lead to the expected reduction in prices.

  17. Evaluating Utility Gloves as a Potential Reservoir for Pathogenic Bacteria.

    Science.gov (United States)

    Grant, Kathy L; Naber, E Donald; Halteman, William A

    2015-08-01

    This pilot study sought to determine the rate and degree to which gram-negative Klebsiella pneumoniae, Escherichia coli and Pseudomonas aeruginosa and gram-positive Staphylococcus aureus occurred on the inside of utility gloves used at University of Maine at Augusta, Dental Health Programs' dental hygiene clinic. Five steam autoclave utility gloves were randomly selected to serve as control and a convenience sample of 10 used utility gloves were selected from the sterilization area. A sample was collected from a predetermined surface area from the inside of each steam autoclave utility glove and used utility glove. Each sample was used to inoculate a Petri plate containing 2 types of culture media. Samples were incubated at 37° C for 30 to 36 hours in aerobic conditions. Colony forming units (CFU) were counted. Confidence intervals (CI) estimated the rate of contamination with gram-negative K. pneumoniae, E. coli and P. aeruginosa on the inside of steam autoclave utility gloves to be n=33 95% CL [0.000, 0.049], used utility gloves to be n=70, 95% CL [0.000, 0.0303]. Data estimated the rate of contamination with gram-positive S. aureus on the inside of steam autoclave utility gloves to be n=35, 95% CL [0.233, 0.530], used utility gloves to be n=70, 95% CL [0.2730, 0.4975]. Culture media expressed a wide range of CFU from 0 to over 200. The risk of utility glove contamination with gram-negative bacteria is likely low. The expressed growth of S. aureus from steam autoclave utility gloves controls raises questions about the effectiveness and safety of generally accepted sterilization standards for the governmentally mandated use of utility gloves. Copyright © 2015 The American Dental Hygienists’ Association.

  18. Evaluation of Antibacterial Utilization in Olabisi Onabanjo University ...

    African Journals Online (AJOL)

    This is particularly important as most hospitals in the country if not all have neglected the Drug Utilization Review aspects of Drug and Therapeutic Committee roles. It can also form basis for intervention be it educational, managerial or regulatory. METHODS: It is a retrospective drug utilization review studies, in addition a ...

  19. Online performance evaluation of RAID 5 using CPU utilization

    Science.gov (United States)

    Jin, Hai; Yang, Hua; Zhang, Jiangling

    1998-09-01

    Redundant arrays of independent disks (RAID) technology is the efficient way to solve the bottleneck problem between CPU processing ability and I/O subsystem. For the system point of view, the most important metric of on line performance is the utilization of CPU. This paper first employs the way to calculate the CPU utilization of system connected with RAID level 5 using statistic average method. From the simulation results of CPU utilization of system connected with RAID level 5 subsystem can we see that using multiple disks as an array to access data in parallel is the efficient way to enhance the on-line performance of disk storage system. USing high-end disk drivers to compose the disk array is the key to enhance the on-line performance of system.

  20. A new multicriteria risk mapping approach based on a multiattribute frontier concept.

    Science.gov (United States)

    Yemshanov, Denys; Koch, Frank H; Ben-Haim, Yakov; Downing, Marla; Sapio, Frank; Siltanen, Marty

    2013-09-01

    Invasive species risk maps provide broad guidance on where to allocate resources for pest monitoring and regulation, but they often present individual risk components (such as climatic suitability, host abundance, or introduction potential) as independent entities. These independent risk components are integrated using various multicriteria analysis techniques that typically require prior knowledge of the risk components' importance. Such information is often nonexistent for many invasive pests. This study proposes a new approach for building integrated risk maps using the principle of a multiattribute efficient frontier and analyzing the partial order of elements of a risk map as distributed in multidimensional criteria space. The integrated risks are estimated as subsequent multiattribute frontiers in dimensions of individual risk criteria. We demonstrate the approach with the example of Agrilus biguttatus Fabricius, a high-risk pest that may threaten North American oak forests in the near future. Drawing on U.S. and Canadian data, we compare the performance of the multiattribute ranking against a multicriteria linear weighted averaging technique in the presence of uncertainties, using the concept of robustness from info-gap decision theory. The results show major geographic hotspots where the consideration of tradeoffs between multiple risk components changes integrated risk rankings. Both methods delineate similar geographical regions of high and low risks. Overall, aggregation based on a delineation of multiattribute efficient frontiers can be a useful tool to prioritize risks for anticipated invasive pests, which usually have an extremely poor prior knowledge base. Published 2013. This article is a U.S. Government work and is in the public domain in the USA.

  1. Teaching and Evaluation Materials Utilizing Multiple Representations in Mechanics

    Science.gov (United States)

    Savinainen, A.; Nieminen, P.; Makynen, A.; Viiri, J.

    2013-01-01

    In this paper, we present materials and teaching ideas utilizing multiple representations in the contexts of kinematics and the force concept. These ideas and materials are substantiated by evidence and can be readily used in teaching with no special training. In addition, we briefly discuss two multiple-choice tests based on physics education…

  2. A View on the Importance of "Multi-Attribute Method" for Measuring Purity of Biopharmaceuticals and Improving Overall Control Strategy.

    Science.gov (United States)

    Rogers, Richard S; Abernathy, Michael; Richardson, Douglas D; Rouse, Jason C; Sperry, Justin B; Swann, Patrick; Wypych, Jette; Yu, Christopher; Zang, Li; Deshpande, Rohini

    2017-11-30

    Today, we are experiencing unprecedented growth and innovation within the pharmaceutical industry. Established protein therapeutic modalities, such as recombinant human proteins, monoclonal antibodies (mAbs), and fusion proteins, are being used to treat previously unmet medical needs. Novel therapies such as bispecific T cell engagers (BiTEs), chimeric antigen T cell receptors (CARTs), siRNA, and gene therapies are paving the path towards increasingly personalized medicine. This advancement of new indications and therapeutic modalities is paralleled by development of new analytical technologies and methods that provide enhanced information content in a more efficient manner. Recently, a liquid chromatography-mass spectrometry (LC-MS) multi-attribute method (MAM) has been developed and designed for improved simultaneous detection, identification, quantitation, and quality control (monitoring) of molecular attributes (Rogers et al. MAbs 7(5):881-90, 2015). Based on peptide mapping principles, this powerful tool represents a true advancement in testing methodology that can be utilized not only during product characterization, formulation development, stability testing, and development of the manufacturing process, but also as a platform quality control method in dispositioning clinical materials for both innovative biotherapeutics and biosimilars.

  3. Evaluation utilization research--developing a theory and putting it to use.

    Science.gov (United States)

    Neuman, Ari; Shahor, Neria; Shina, Ilan; Sarid, Anat; Saar, Zehava

    2013-02-01

    This article presents the findings of a two-stage study that had two key objectives: to develop a theory about evaluation utilization in an educational organization and to apply this theory to promote evaluation utilization within the organization. The first stage involved a theoretical conceptualization using a participatory method of concept mapping. This process identified the modes of evaluation utilization within the organization, produced a representation of the relationship between them and led to a theory. The second stage examined the practical implications of this conceptualization in terms of how different stakeholders in the organization perceive the actual and preferable state of evaluation utilization within the organization (i.e. to what extent is evaluation utilized and to what extent should it be utilized). The participatory process of the study promoted the evaluation utilization by involving stakeholders, thus giving them a sense of ownership and improving communication between the evaluation unit and the stakeholders. In addition, understanding the evaluation needs of the stakeholders in the organization helped generate relevant and realizable evaluation processes. On a practical level, the results are currently shaping the evaluation plan and the place of evaluations within the organization. Copyright © 2012 Elsevier Ltd. All rights reserved.

  4. Evaluation methodology based on physical security assessment results: a utility theory approach

    International Nuclear Information System (INIS)

    Bennett, H.A.; Olascoaga, M.T.

    1978-03-01

    This report describes an evaluation methodology which aggregates physical security assessment results for nuclear facilities into an overall measure of adequacy. This methodology utilizes utility theory and conforms to a hierarchical structure developed by the NRC. Implementation of the methodology is illustrated by several examples. Recommendations for improvements in the evaluation process are given

  5. Institutional design and utilization of evaluation: a contribution to a theory of evaluation influence based on Swiss experience.

    Science.gov (United States)

    Balthasar, Andreas

    2009-06-01

    Growing interest in the institutionalization of evaluation in the public administration raises the question as to which institutional arrangement offers optimal conditions for the utilization of evaluations. Institutional arrangement denotes the formal organization of processes and competencies, together with procedural rules, that are applicable independently of individual evaluation projects. It reflects the evaluation practice of an institution and defines the distance between evaluators and evaluees. This article outlines the results of a broad-based study of all 300 or so evaluations that the Swiss Federal Administration completed from 1999 to 2002. On this basis, it derives a theory of the influence of institutional factors on the utilization of evaluations.

  6. Biocompatible yogurt carbon dots: evaluation of utilization for medical applications

    Science.gov (United States)

    Dinç, Saliha; Kara, Meryem; Demirel Kars, Meltem; Aykül, Fatmanur; Çiçekci, Hacer; Akkuş, Mehmet

    2017-09-01

    In this study, carbon dots (CDs) were produced from yogurt, a fermented milk product, via microwave-assisted process (800 W) in 30 min without using any additional chemical agents. Yogurt CDs had outstanding nitrogen and oxygen ratios. These dots were monodisperse and about 2 nm sized. The toxicological assessments of yogurt carbon dots in human cancer cells and normal epithelial cells and their fluorescence imaging in living cell system were carried out. Yogurt carbon dots had intense fluorescent signal under confocal microscopy and good fluorescence stability in living cell system. The resulting yogurt carbon dots exhibited high biocompatibility up to 7.1 mg/mL CD concentration which may find utilization in medical applications such as cellular tracking, imaging and drug delivery. Yogurt carbon dots have potential to be good diagnostic agents to visualize cancer cells which may be developed as a therapeutic carrier.

  7. Network level bridges maintenance planning using Multi-Attribute Utility Theory

    NARCIS (Netherlands)

    Allah Bukhsh, Zaharah; Stipanovic, Irina; Klanker, Giel; O' Connor, Alan; Doree, Andre

    2018-01-01

    Bridge infrastructure managers are facing multiple challenges to improve the availability and serviceability of ageing infrastructure, while the maintenance planning is constrained by budget restrictions. Many research efforts are ongoing, for the last few decades, ranging from development of bridge

  8. [Comparative study on promoting blood effects of Danshen-Honghua herb pair with different preparations based on chemometrics and multi-attribute comprehensive index methods].

    Science.gov (United States)

    Qu, Cheng; Tang, Yu-Ping; Shi, Xu-Qin; Zhou, Gui-Sheng; Shang, Er-Xin; Shang, Li-Li; Guo, Jian-Ming; Liu, Pei; Zhao, Jing; Zhao, Bu-Chang; Duan, Jin-Ao

    2017-08-01

    To evaluate the promoting blood circulation and removing blood stasis effects of Danshen-Honghua(DH) herb pair with different preparations (alcohol, 50% alcohol and water) on blood rheology and coagulation functions in acute blood stasis rats, and optimize the best preparation method of DH based on principal component analysis(PCA), hierarchical cluster heatmap analysis and multi-attribute comprehensive index methods. Ice water bath and subcutaneous injection of adrenaline were both used to establish the acute blood stasis rat model. Then the blood stasis rats were administrated intragastrically with DH (alcohol, 50% alcohol and water) extracts. The whole blood viscosity(WBV), plasma viscosity(PV), erythrocyte sedimentation rate(ESR) and haematocrit(HCT) were tested to observe the effects of DH herb pair with different preparations and doses on hemorheology of blood stasis rats; the activated partial thromboplastin time(APTT), thrombin time(TT), prothrombin time(PT), and plasma fibrinogen(FIB) were tested to observe the effects of DH herb pair with different preparations on blood coagulation function and platelet aggregation of blood stasis rats. Then PCA, hierarchical cluster heatmap analysis and multi-attribute comprehensive index methods were all used to comprehensively evaluate the total promoting blood circulation and removing blood stasis effects of DH herb pair with different preparations. The hemorheological indexes and coagulation parameters of model group had significant differences with normal blank group. As compared with the model group, the DH herb pair with different preparations at low, middle and high doses could improve the blood hemorheology indexes and coagulation parameters in acute blood stasis rats with dose-effect relation. Based on the PCA, hierarchical cluster heatmap analysis and multi-attribute comprehensive index methods, the high dose group of 50% alcohol extract had the best effect of promoting blood circulation and removing blood

  9. Utilizing the Evaluation Process in CD-ROM Development.

    Science.gov (United States)

    Crews, Tena B.; Chalupa, Marilyn R.

    1999-01-01

    While a CD-ROM on network topologies was being developed, it was evaluated formatively by 14 office systems teachers and summatively by 23 students using it in class. Improvements in ease of use, performance, and the accuracy and clarity of content were made. (SK)

  10. The Meaning and Utility of Institutional Teaching Evaluations

    Science.gov (United States)

    East, Katheryn

    2015-01-01

    This study analyzes end of course institutional teaching evaluations (ITEs) done anonymously by students in a pre-service teacher education course over a 15-year span. The purpose was to determine if and how the ITE findings might inform practice and relate to teaching metaphors as a tool of study. Analysis revealed: (a) teacher effectiveness…

  11. Mapping EQ-5D utilities to GBD 2010 and GBD 2013 disability weights: Results of two pilot studies in Belgium

    NARCIS (Netherlands)

    C. Maertens De Noordhout (Charline); B. Devleesschauwer (Brecht); Gielens, L.; Plasmans, M.H.D.; J.A. Haagsma (Juanita); N. Speybroeck (Niko)

    2017-01-01

    textabstractBackground: Utilities and disability weights (DWs) are metrics used for calculating Quality-Adjusted Life Years and Disability-Adjusted Life Years (DALYs), respectively. Utilities can be obtained with multi-attribute instruments such as the EuroQol 5 dimensions questionnaire (EQ-5D). In

  12. Global evaluation of nuclear infrastructure utilization scenarios (GENIUS)

    International Nuclear Information System (INIS)

    unzik-Gougar, Mary Lou; Juchau, Christopher A.; Pasamehmetoglu, Kemal; Wilson, Paul P.H.; Oliver, Kyle M.; Turinsky, Paul J.; Abdel-Khalik, Hany S.; Hays, Ross; Stover, Tracy E.

    2007-01-01

    A new and unique fuel cycle systems code has been developed. Need for this analysis tool was established via methodical development of technical functions and requirements followed by an evaluation of existing fuel cycle codes. As demonstrated by analysis of GNEP-type scenarios, the GENIUS code discretely tracks nuclear material from beginning to end of the fuel cycle and among any number of independent regions. Users can define scenarios starting with any/all existing reactors and fuel cycle facilities or with an ideal futuristic arrangement. Development and preliminary application of GENIUS capabilities in uncertainty analysis/propagation and multi-parameter optimization have also been accomplished. (authors)

  13. Employee assistance program evaluation. Employee perceptions, awareness, and utilization.

    Science.gov (United States)

    Moore, T

    1989-12-01

    Periodic evaluation is necessary to maintain a quality employee assistance program. This survey was undertaken to determine employee awareness of the existing EAP and their satisfaction with the program. Likewise, the survey allowed for employee input on areas of the program they had concerns with that may have caused hesitancy in further use of the program. The survey not only documents to management that the program is of value to employees and identifies areas where changes may be focused in the future to meet employee needs, but actually serves as a communication tool in itself as a reminder of the availability of the Employee Assistance Program.

  14. Utility of Digital Stereo Images for Optic Disc Evaluation

    Science.gov (United States)

    Ying, Gui-shuang; Pearson, Denise J.; Bansal, Mayank; Puri, Manika; Miller, Eydie; Alexander, Judith; Piltz-Seymour, Jody; Nyberg, William; Maguire, Maureen G.; Eledath, Jayan; Sawhney, Harpreet

    2010-01-01

    Purpose. To assess the suitability of digital stereo images for optic disc evaluations in glaucoma. Methods. Stereo color optic disc images in both digital and 35-mm slide film formats were acquired contemporaneously from 29 subjects with various cup-to-disc ratios (range, 0.26–0.76; median, 0.475). Using a grading scale designed to assess image quality, the ease of visualizing optic disc features important for glaucoma diagnosis, and the comparative diameters of the optic disc cup, experienced observers separately compared the primary digital stereo images to each subject's 35-mm slides, to scanned images of the same 35-mm slides, and to grayscale conversions of the digital images. Statistical analysis accounted for multiple gradings and comparisons and also assessed image formats under monoscopic viewing. Results. Overall, the quality of primary digital color images was judged superior to that of 35-mm slides (P digital color images were mostly equivalent to the scanned digitized images of the same slides. Color seemingly added little to grayscale optic disc images, except that peripapillary atrophy was best seen in color (P digital over film images was maintained under monoscopic viewing conditions. Conclusions. Digital stereo optic disc images are useful for evaluating the optic disc in glaucoma and allow the application of advanced image processing applications. Grayscale images, by providing luminance distinct from color, may be informative for assessing certain features. PMID:20505199

  15. A multi-attribute approach to the rationalization of radiation protection options

    International Nuclear Information System (INIS)

    Lombard, J.; Oudiz, A.

    1979-01-01

    Application of the ALARA principle requires the use of quantitative methods such as cost-benefit, cost-effectiveness, multi-attribute and other analyses. An example is presented of the application of a multi-attribute analysis in connection with the determination of ALARA levels for the light-water fuel cycle. Thirty-nine processing options for waste from different fuel cycle facilities have been identified. These are categorized on the basis of cost, of performance in terms of reduction of collective and individual detriment and, finally, of a subjective index of data reliability. Multi-attribute analysis can be used for classifying options on the basis of these four criteria. In particular, a method known as ''total outclassing analysis'' can be used for initial classification of options independently of the ''implicit value of human life''. The value of total outclassing analysis lies in the fact that it can be used for a classification of options which takes collective and individual detriment simultaneously into account. It thus represents a satisfactory synthesis of the individual approach (critical groups) and the collective approach. A finer classification can be obtained by carrying out a non-total outclassing analysis (ELECTRE method). At this stage the weighting of criteria becomes a necessity. The results, however, are fairly insensitive to modification of the ''implicit value of human life''. Generally, the study shows traditional radiation protection options to be justified, especially where the trapping of iodine in reactors is concerned, and stresses the value of retaining noble gases in reprocessing plants

  16. Evaluating the performance and utility of regional climate models

    DEFF Research Database (Denmark)

    Christensen, Jens H.; Carter, Timothy R.; Rummukainen, Markku

    2007-01-01

    This special issue of Climatic Change contains a series of research articles documenting co-ordinated work carried out within a 3-year European Union project 'Prediction of Regional scenarios and Uncertainties for Defining European Climate change risks and Effects' (PRUDENCE). The main objective...... of the PRUDENCE project was to provide high resolution climate change scenarios for Europe at the end of the twenty-first century by means of dynamical downscaling (regional climate modelling) of global climate simulations. The first part of the issue comprises seven overarching PRUDENCE papers on: (1) the design...... of the model simulations and analyses of climate model performance, (2 and 3) evaluation and intercomparison of simulated climate changes, (4 and 5) specialised analyses of impacts on water resources and on other sectors including agriculture, ecosystems, energy, and transport, (6) investigation of extreme...

  17. Economic evaluation of nuclear reactor operation utilizing power effect

    International Nuclear Information System (INIS)

    Budinsky, M.; Mydliar, J.

    1988-01-01

    The operation of a reactor at the so-called power effect may substantially increase the burnup of fuel to be removed. The aim of the evaluation of such reactor operation is the optimal determination of the time over which the yield of the higher use of fuel exceeds economic losses resulting from the increased share of constant expenditure of the price of generated kWh of electric power which ensues from such operation. A mathematical model is presented for such evaluation of reactor operation with regard to benefits for the national economy which is the basis of the ESTER 2 computer program. The calculations show that the prices of generated and delivered kWh are minimally 2% less than the prices of generated power without the power effect use. The minimum ranges in the interval of 30 to 50 days. The dependence of the price of generated and delivered kWh from the point of view of the operator of the power plant as well as the component of fuel price of generated kWh will not reach the minimum even after 50 days of operation. From the operating and physical points of view the duration of power effect is not expected to exceed 20 to 30 days which means that from the point of view of the national economy the price of generated and delivered kWh will be 1.6 to 2% less and the fuel component of the price of the generated kWh will be 3 to 4.5% lower. (Z.M.). 5 figs., 3 refs

  18. Preliminary Evaluation of an Aviation Safety Thesaurus' Utility for Enhancing Automated Processing of Incident Reports

    Science.gov (United States)

    Barrientos, Francesca; Castle, Joseph; McIntosh, Dawn; Srivastava, Ashok

    2007-01-01

    This document presents a preliminary evaluation the utility of the FAA Safety Analytics Thesaurus (SAT) utility in enhancing automated document processing applications under development at NASA Ames Research Center (ARC). Current development efforts at ARC are described, including overviews of the statistical machine learning techniques that have been investigated. An analysis of opportunities for applying thesaurus knowledge to improving algorithm performance is then presented.

  19. Evaluation of Esophageal Motility Utilizing the Functional Lumen Imaging Probe.

    Science.gov (United States)

    Carlson, Dustin A; Kahrilas, Peter J; Lin, Zhiyue; Hirano, Ikuo; Gonsalves, Nirmala; Listernick, Zoe; Ritter, Katherine; Tye, Michael; Ponds, Fraukje A; Wong, Ian; Pandolfino, John E

    2016-12-01

    Esophagogastric junction (EGJ) distensibility and distension-mediated peristalsis can be assessed with the functional lumen imaging probe (FLIP) during a sedated upper endoscopy. We aimed to describe esophageal motility assessment using FLIP topography in patients presenting with dysphagia. In all, 145 patients (aged 18-85 years, 54% female) with dysphagia that completed upper endoscopy with a 16-cm FLIP assembly and high-resolution manometry (HRM) were included. HRM was analyzed according to the Chicago Classification of esophageal motility disorders; major esophageal motility disorders were considered "abnormal". FLIP studies were analyzed using a customized program to calculate the EGJ-distensibility index (DI) and generate FLIP topography plots to identify esophageal contractility patterns. FLIP topography was considered "abnormal" if EGJ-DI was esophageal motility and 29 normal motility. In all, 17 (50%) had abnormal FLIP topography including 13 (37%) with abnormal EGJ-DI. FLIP topography provides a well-tolerated method for esophageal motility assessment (especially to identify achalasia) at the time of upper endoscopy. FLIP topography findings that are discordant with HRM may indicate otherwise undetected abnormalities of esophageal function, thus FLIP provides an alternative and complementary method to HRM for evaluation of non-obstructive dysphagia.

  20. The Utility of Pitch Elevation in the Evaluation of Oropharyngeal Dysphagia: Preliminary Findings

    Science.gov (United States)

    Malandraki, Georgia A.; Hind, Jacqueline A.; Gangnon, Ronald; Logemann, Jeri A.; Robbins, JoAnne

    2011-01-01

    Purpose: To evaluate the utility of a pitch elevation task in the assessment of oropharyngeal dysphagia. Method: This study was a pilot prospective cohort study including 40 consecutive patients (16 male and 24 female) who were referred by their physician for a swallowing evaluation. Patients were evaluated with a noninstrumental clinical…

  1. Evaluating the utility of serological testing in laryngotracheal stenosis.

    Science.gov (United States)

    Hall, S Ryan; Allen, Clint T; Merati, Albert L; Mayerhoff, Ross M

    2017-06-01

    Whereas mechanical (traumatic) causes of laryngotracheal stenosis (LTS) are identified based on history, autoimmune laryngotracheal stenosis (aLTS) and idiopathic laryngotracheal stenosis (iLTS) are often more difficult to differentiate. The objective of this study was to evaluate serologic testing in a large cohort of nonmechanical LTS patients to determine which tests, if any, lead clinicians to the etiology of the LTS. Retrospective chart review. This study reviewed nonmechanical LTS patients seen at a tertiary medical center from 2007 to 2014. Data were obtained on patient demographics, associated preexisting autoimmune conditions, comorbidities, intubation history, and serologic testing. Ninety-two records were reviewed. Twenty-three (25%) patients were found to have autoimmune disease; 69 (75%) met criteria for iLTS. A history of cigarette smoking was more significant in the aLTS group than the iLTS group (P testing was equivocal between the two cohorts. Differentiating iLTS from aLTS has proven difficult. The lack of information about the two entities has resulted in variability in the diagnostic workup to distinguish them. This study's finding of a more significant smoking history in the aLTS group correlates with the literature, which suggests an inflammatory effect of smoking cigarettes and an association with autoimmune disease. The only significant cohort of patients in this study found to have positive serological testing correlated with a diagnosable condition responsible for LTS was GPA patients with positive ANCA. 4. Laryngoscope, 127:1408-1412, 2017. © 2016 The American Laryngological, Rhinological and Otological Society, Inc.

  2. A multivariate-utility approach for selection of energy sources

    International Nuclear Information System (INIS)

    Ahmed, S; Husseiny, A.A.

    1978-01-01

    A deterministic approach is devised to compare the safety features of various energy sources. The approach is based on multiattribute utility theory. The method is used in evaluating the safety aspects of alternative energy sources used for the production of electrical energy. Four alternative energy sources are chosen which could be considered for the production of electricity to meet the national energy demand. These are nuclear, coal, solar, and geothermal energy. For simplicity, a total electrical system is considered in each case. A computer code is developed to evaluate the overall utility function for each alternative from the utility patterns corresponding to 23 energy attributes, mostly related to safety. The model can accommodate other attributes assuming that these are independent. The technique is kept flexible so that virtually any decision problem with various attributes can be attacked and optimal decisions can be reached. The selected data resulted in preference of geothermal and nuclear energy over other sources, and the method is found viable in making decisions on energy uses based on quantified and subjective attributes. (author)

  3. Utility evaluations for Markov states of lung cancer for PET-based disease management

    International Nuclear Information System (INIS)

    Papatheofanis, F.J.

    2000-01-01

    Utilities for the health outcomes states (Markov states) of non-small cell lung carcinoma (NSCLCL) should be measured to evaluate management options for patients because patients are key participants in the process of care, and their assessment of diagnostic and therapeutic value in the options presented to them ultimately impacts their net health outcomes. This investigation sought to measure utilities for stage-dependent outcomes states of NSCLC. Persons (n=23) with suspected NSCLC based on physical findings and computed tomography completed a short utilities survey. Utility valuations were obtained according to severity of morbidity and varied considerably. Respondents rated these health states according to accuracy measures for 18 flurodeoxyglucose ( 18 FDG) positron emission tomography (PET) imaging and mediastinoscopy. The results demonstrate that stage-dependent morbidity is an important consideration for patients with NSCLC and should be included in any decision analysis regarding the evaluation or treatment of NSCLC. Respondents valued the quality of information obtained from non-invasive mediastinoscopy comparably. The utilities obtained from this investigation are useful in clinical decision-making based on Markov processes because they provide an initial estimation of utility assessment for 18 FDG-based diagnostic evaluation of lung cancer. Consequently, these utilities will be useful in future decision analyses that require patient preference in the assignment of the evaluation of decision options (branches)

  4. Rough Neutrosophic Multi-Attribute Decision-Making Based on Grey Relational Analysis

    Directory of Open Access Journals (Sweden)

    Kalyan Mondal

    2015-01-01

    Full Text Available This paper presents rough netrosophic multiattribute decision making based on grey relational analysis. While the concept of neutrosophic sets is a powerful logic to deal with indeterminate and inconsistent data, the theory of rough neutrosophic sets is also a powerful mathematical tool to deal with incompleteness. The rating of all alternatives is expressed with the upper and lower approximation operator and the pair of neutrosophic sets which are characterized by truth-membership degree, indeterminacy-membership degree, and falsitymembership degree. Weight of each attribute is partially known to decision maker. We extend the neutrosophic grey relational analysis method to rough neutrosophic grey relational analysis method and apply it to multiattribute decision making problem. Information entropy method is used to obtain the partially known attribute weights. Accumulated geometric operator is defined to transform rough neutrosophic number (neutrosophic pair to single valued neutrosophic number. Neutrosophic grey relational coefficient is determined by using Hamming distance between each alternative to ideal rough neutrosophic estimates reliability solution and the ideal rough neutrosophic estimates un-reliability solution. Then rough neutrosophic relational degree is defined to determine the ranking order of all alternatives. Finally, a numerical example is provided to illustrate the applicability and efficiency of the proposed approach.

  5. The Health Utilities Index (HUI®: concepts, measurement properties and applications

    Directory of Open Access Journals (Sweden)

    Horsman John

    2003-10-01

    Full Text Available Abstract This is a review of the Health Utilities Index (HUI® multi-attribute health-status classification systems, and single- and multi-attribute utility scoring systems. HUI refers to both HUI Mark 2 (HUI2 and HUI Mark 3 (HUI3 instruments. The classification systems provide compact but comprehensive frameworks within which to describe health status. The multi-attribute utility functions provide all the information required to calculate single-summary scores of health-related quality of life (HRQL for each health state defined by the classification systems. The use of HUI in clinical studies for a wide variety of conditions in a large number of countries is illustrated. HUI provides comprehensive, reliable, responsive and valid measures of health status and HRQL for subjects in clinical studies. Utility scores of overall HRQL for patients are also used in cost-utility and cost-effectiveness analyses. Population norm data are available from numerous large general population surveys. The widespread use of HUI facilitates the interpretation of results and permits comparisons of disease and treatment outcomes, and comparisons of long-term sequelae at the local, national and international levels.

  6. Barnwell Nuclear Fuels Plant applicability study. Volume II. BNFP: utilization alternatives, evaluations, and conclusions

    International Nuclear Information System (INIS)

    1978-04-01

    Descriptions and status of the Barnwell separations facility and related fuel cycle facilities are given. Alternative uses other than reprocessing, evaluation of uses for reprocessing alternatives, resource utilization and its relationship to U.S. security objectives, and evaluation of ownership-management options are discussed

  7. Informing vaccine decision-making: A strategic multi-attribute ranking tool for vaccines-SMART Vaccines 2.0.

    Science.gov (United States)

    Knobler, Stacey; Bok, Karin; Gellin, Bruce

    2017-01-20

    SMART Vaccines 2.0 software is being developed to support decision-making among multiple stakeholders in the process of prioritizing investments to optimize the outcomes of vaccine development and deployment. Vaccines and associated vaccination programs are one of the most successful and effective public health interventions to prevent communicable diseases and vaccine researchers are continually working towards expanding targets for communicable and non-communicable diseases through preventive and therapeutic modes. A growing body of evidence on emerging vaccine technologies, trends in disease burden, costs associated with vaccine development and deployment, and benefits derived from disease prevention through vaccination and a range of other factors can inform decision-making and investment in new and improved vaccines and targeted utilization of already existing vaccines. Recognizing that an array of inputs influences these decisions, the strategic multi-attribute ranking method for vaccines (SMART Vaccines 2.0) is in development as a web-based tool-modified from a U.S. Institute of Medicine Committee effort (IOM, 2015)-to highlight data needs and create transparency to facilitate dialogue and information-sharing among decision-makers and to optimize the investment of resources leading to improved health outcomes. Current development efforts of the SMART Vaccines 2.0 framework seek to generate a weighted recommendation on vaccine development or vaccination priorities based on population, disease, economic, and vaccine-specific data in combination with individual preference and weights of user-selected attributes incorporating valuations of health, economics, demographics, public concern, scientific and business, programmatic, and political considerations. Further development of the design and utility of the tool is being carried out by the National Vaccine Program Office of the Department of Health and Human Services and the Fogarty International Center of the

  8. Utility industry evaluation of the metal fuel facility and metal fuel performance for liquid metal reactors

    International Nuclear Information System (INIS)

    Burstein, S.; Gibbons, J.P.; High, M.D.; O'Boyle, D.R.; Pickens, T.A.; Pilmer, D.F.; Tomonto, J.R.; Weinberg, C.J.

    1990-02-01

    A team of utility industry representatives evaluated the liquid metal reactor metal fuel process and facility conceptual design being developed by Argonne National Laboratory (ANL) under Department of Energy sponsorship. The utility team concluded that a highly competent ANL team was making impressive progress in developing high performance advanced metal fuel and an economic processing and fabrication technology. The utility team concluded that the potential benefits of advanced metal fuel justified the development program, but that, at this early stage, there are considerable uncertainties in predicting the net overall economic benefit of metal fuel. Specific comments and recommendations are provided as a contribution towards enhancing the development program. 6 refs

  9. Utility industry evaluation of the Modular High-Temperature Gas-Cooled Reactor

    International Nuclear Information System (INIS)

    Burstein, S.; Bitel, J.S.; Tramm, T.R.; High, M.D.; Neils, G.H.; Tomonto, J.R.; Weinberg, C.J.

    1990-02-01

    A team of utility industry representatives evaluated the Modular High Temperature Gas-Cooled Reactor plant design, a current design created by an industrial team led by General Atomics under Department of Energy sponsorship and with support provided by utilities through Gas-Cooled Reactor Associates. The utility industry team concluded that the plant design should be considered a viable application of an advanced nuclear concept and deserves continuing development. Specific comments and recommendations are provided as a contribution toward improving a very promising plant design. 2 refs

  10. UTILIZATION OF EVALUATION RESULTS IN LEGAL POLICY-MAKING AND ADMINISTRATION

    Directory of Open Access Journals (Sweden)

    Hellmut Wollmann

    2017-01-01

    Full Text Available The article is devoted to the analysis of evaluation method and its impact on legal policy development in governance, including in the area of law enforcement.The author outlines the importance of question whether, when and how the evaluation results of public policies, programs and measures has been utilized (or not utilized in policy making and policy implementation.In the pursuit of this guiding question the article will come in five steps.First, major variants of evaluation will be briefly presented particularly with an eye on their respective “utilization potential”.Second, different concepts will be sketched that have been forwarded to capture the utilization of social science generated knowledge by political, administrative and social actors. The author outlines a detailed description of types of evaluations: a retrospective, prelimi-nary, ongoing, interactive, – as well as existing concepts of application of its results.Third, looking at Germany, Switzerland and the European Union as “cases in point” perti-ent research findings will be discussed. The article also subjected to a detailed analysis of the experience of Germany, Switzerland and the European Union in the field of utilization of evaluation results.Fourth, a summary and conclusion will be given.Fifth, some remarks on pertinent research needs will be made.The author comes to the conclusion that that the rate of the utilization of evaluation-generated knowledge has so far turned out be, by and large, scarce. The author says that re-garding the politically crucial decisions the political rationality and its underlying political will of the decision-makers prevail while concerning less important decisions evaluation-generated evidence does show some effect and, hence, a dose of scientific rationality comes to the fore.There is also a need for further research on the subject of how should (and should not use assessment results when making legal and political decisions.

  11. Methodology for assessing the effectiveness of countermeasures in rural settlements in the long term after the Chernobyl accident on the multi-attribute analysis basis

    International Nuclear Information System (INIS)

    Panov, A.V.; Fesenko, S.V.; Aleksakhin, R.M.

    2005-01-01

    The effectiveness of countermeasures in rural settlements affected by the Chernobyl accident was assessed based on a multi-attribute approach, using radiological, economic and socio-psychological parameters. (authors)

  12. Evaluation of Embedded System Component Utilized in Delivery Integrated Design Project Course

    Science.gov (United States)

    Junid, Syed Abdul Mutalib Al; Hussaini, Yusnira; Nazmie Osman, Fairul; Razak, Abdul Hadi Abdul; Idros, Mohd Faizul Md; Karimi Halim, Abdul

    2018-03-01

    This paper reports the evaluation of the embedded system component utilized in delivering the integrated electronic engineering design project course. The evaluation is conducted based on the report project submitted as to fulfil the assessment criteria for the integrated electronic engineering design project course named; engineering system design. Six projects were assessed in this evaluation. The evaluation covers the type of controller, programming language and the number of embedded component utilization as well. From the evaluation, the C-programming based language is the best solution preferred by the students which provide them flexibility in the programming. Moreover, the Analog to Digital converter is intensively used in the projects which include sensors in their proposed design. As a conclusion, in delivering the integrated design project course, the knowledge over the embedded system solution is very important since the high density of the knowledge acquired in accomplishing the project assigned.

  13. Partner Selection in a Virtual Enterprise: A Group Multiattribute Decision Model with Weighted Possibilistic Mean Values

    Directory of Open Access Journals (Sweden)

    Fei Ye

    2013-01-01

    Full Text Available This paper proposes an extended technique for order preference by similarity to ideal solution (TOPSIS for partner selection in a virtual enterprise (VE. The imprecise and fuzzy information of the partner candidate and the risk preferences of decision makers are both considered in the group multiattribute decision-making model. The weighted possibilistic mean values are used to handle triangular fuzzy numbers in the fuzzy environment. A ranking procedure for partner candidates is developed to help decision makers with varying risk preferences select the most suitable partners. Numerical examples are presented to reflect the feasibility and efficiency of the proposed TOPSIS. Results show that the varying risk preferences of decision makers play a significant role in the partner selection process in VE under a fuzzy environment.

  14. A multi-attribute vertical handoff scheme for heterogeneous wireless networks

    Directory of Open Access Journals (Sweden)

    JI Xiaolong

    2014-04-01

    Full Text Available In order to meet the user demand for different services as well as to mitigate the Ping-pong effect caused by vertical handoff for wireless network,a multi-attribute vertical handoff scheme for heterogeneous wireless network is proposed.In the algorithm,a fuzzy logic method is used to make pre-decision.The optimal handoff target network is selected by a cost function of network which uses an Analytic Hierarchy Process to calculate the weights of SNR,delay,cost and user preference in different business scenarios.Simulation is performed in the environment which is overlapped by WiMAX and UMTS networks.Results show that the proposed approach can effectively reduce the number of handoff and power consumption in a condition to satisfy the user needs.

  15. PLANE: A Platform for Negotiation of Multi-attribute Multimedia Objects

    Directory of Open Access Journals (Sweden)

    Rharon M. Guedes

    2013-12-01

    Full Text Available This work proposes the definition of a system to negotiate products in an e-commerce scenario. This negotiation system is defined as PLANE – Platform to Assist Negotiation – and it is carried in a semi-automatic way, using multi-attributes functions, based on attributes of the negotiated content. It also presents an architecture to interconnect the participant through an inter-network in the television broadcasters context. Each participant of the inter-network applies policies for its own contents, and all of them must comply these policies. If a participant needs a content not covered by the policies, it is possible to start a negotiation process for this specific content. Experiments present a simulation scenario where PLANE assists the negotiation between three sellers and one buyer with predefined negotiation profiles. Results demonstrated the success of the system in approximate the negotiator after some few interactions, reducing time and cost.

  16. Application of the fuzzy topsis multi-attribute decision making method to determine scholarship recipients

    Science.gov (United States)

    Irvanizam, I.

    2018-03-01

    Some scholarships have been routinely offered by Ministry of Research, Technology and Higher Education of the Republic of Indonesia for students at Syiah Kuala University. In reality, the scholarship selection process is becoming subjective and highly complex problem. Multi-Attribute Decision Making (MADM) techniques can be a solution in order to solve scholarship selection problem. In this study, we demonstrated the application of a fuzzy TOPSIS as an MADM technique by using a numerical example in order to calculate a triangular fuzzy number for the fuzzy data onto a normalized weight. We then use this normalized value to construct the normalized fuzzy decision matrix. We finally use the fuzzy TOPSIS to rank alternatives in descending order based on the relative closeness to the ideal solution. The result in terms of final ranking shows slightly different from the previous work.

  17. Analysis of student attitudes towards e-learning using Fishbein Multiattribute approach

    Science.gov (United States)

    Jasuli

    2018-01-01

    This research aimed to know students’ attitudes toward e-learning and to determine what attributes were considered to be dominant by students toward the use of e-learning. The research population was all postgraduate students in the 2016 academic year at Universitas Negeri Surabaya. The sampling technique is using nonprobability sampling and purposive sampling with the sample totaled 100 respondents. The research instrument is using questionnaire with semantic differential scale. The models used to analyze is multi-attribute Fishbein model. The findings indicated that student attitudes toward e-learning are positive and easy accessibility which is considered as the most important attribute by students toward the use of e-learning.

  18. On the benefits of multi-attribute risk analysis in nuclear emergency management

    International Nuclear Information System (INIS)

    Haemaelaeinen, R.P.; Lindstedt, M.

    1999-01-01

    The radiation protection authorities have seen a need to apply multi-attribute risk analysis in the nuclear emergency management and planning processes to deal with the conflicting objectives, different parties involved and uncertainties. This type of an approach is expected to help in at least the following three areas; to ensure that all the relevant attributes are considered in the decision making, to enhance communication between concerned parties including the population, and to provide a method for including risk analysis explicitly in the process. A MAUT analysis was used to select a strategy for protecting the population after a simulated nuclear accident. A value-focused approach and the use of a neutral facilitator were seen as very useful

  19. On the benefits of multi-attribute risk analysis in nuclear emergency management

    Energy Technology Data Exchange (ETDEWEB)

    Haemaelaeinen, R.P.; Lindstedt, M. [Helsinki Univ. of Technology (Finland). Systems Analysis Lab.; Sinkko, K. [The Radiation and Nuclear Safety Authority, Helsinki (Finland)

    1999-12-01

    The radiation protection authorities have seen a need to apply multi-attribute risk analysis in the nuclear emergency management and planning processes to deal with the conflicting objectives, different parties involved and uncertainties. This type of an approach is expected to help in at least the following three areas; to ensure that all the relevant attributes are considered in the decision making, to enhance communication between concerned parties including the population, and to provide a method for including risk analysis explicitly in the process. A MAUT analysis was used to select a strategy for protecting the population after a simulated nuclear accident. A value-focused approach and the use of a neutral facilitator were seen as very useful.

  20. FIELD EVALUATION OF LOW-EMISSION COAL BURNER TECHNOLOGY ON UTILITY BOILERS VOLUME III. FIELD EVALUATIONS

    Science.gov (United States)

    The report gives results of field tests conducted to determine the emission characteristics of a Babcock and Wilcox Circular burner and Dual Register burner (DRB). The field tests were performed at two utility boilers, generally comparable in design and size except for the burner...

  1. Design and evaluation of heat utilization systems for the HTTR through international cooperation

    Energy Technology Data Exchange (ETDEWEB)

    Lewkowicz, I. [International Atomic Energy Agency, Vienna (Austria)

    1996-07-01

    The International Atomic Energy Agency (IAEA) has the statutory function to `foster the exchange of scientific and technical information`, and `encourage and assist research on, and development and practical application of, atomic energy for peaceful uses throughout the world`. The IAEA Co-ordinated Research Programmes (CRPs) are effective vehicles for implementing the above. The CRP on Design and Evaluation of Heat Utilization Systems for HTTR has started in September 1994 and is aimed at promoting international co-operation to identify the most promising heat utilization system(s) to be demonstrated at the HTTR, for the benefit of current operators and future designers and constructors of HTGRs. Participating Member States are collaborating by exchanging existing technical information on the technology of heat utilization systems, by developing design concepts and by performing evaluations of candidate systems for potential demonstration with the HTTR. In this report, the systems are reviewed. (J.P.N.)

  2. Design and evaluation of heat utilization systems for the HTTR through international cooperation

    International Nuclear Information System (INIS)

    Lewkowicz, I.

    1996-01-01

    The International Atomic Energy Agency (IAEA) has the statutory function to 'foster the exchange of scientific and technical information', and 'encourage and assist research on, and development and practical application of, atomic energy for peaceful uses throughout the world'. The IAEA Co-ordinated Research Programmes (CRPs) are effective vehicles for implementing the above. The CRP on Design and Evaluation of Heat Utilization Systems for HTTR has started in September 1994 and is aimed at promoting international co-operation to identify the most promising heat utilization system(s) to be demonstrated at the HTTR, for the benefit of current operators and future designers and constructors of HTGRs. Participating Member States are collaborating by exchanging existing technical information on the technology of heat utilization systems, by developing design concepts and by performing evaluations of candidate systems for potential demonstration with the HTTR. In this report, the systems are reviewed. (J.P.N.)

  3. Handbook of evaluation of utility DSM programs. [Demand-Side Management (DSM)

    Energy Technology Data Exchange (ETDEWEB)

    Hirst, E.; Reed, J. (eds.); Bronfman, B.; Fitzpatrick, G.; Hicks, E.; Hirst, E.; Hoffman, M.; Keating, K.; Michaels, H.; Nadel, S.; Peters, J.; Reed, J.; Saxonis, W.; Schoen, A.; Violette, D.

    1991-12-01

    Program evaluation has become a central issue in the world of utility integrated resource planning. The DSM programs that utilities were operating to meet federal requirements or to improve customer relations are now becoming big business. DSM is being considered an important resource in a utility's portfolio of options. In the last five years, the amount of money that utilities have invested in DSM has grown exponentially in most regulatory jurisdictions. Market analysts are now talking about DSM being a $30 billion industry by the end of the decade. If the large volume of DSM-program investments was not enough to highlight the importance of evaluation, then the introduction of regulatory incentives has really focused the spotlight. This handbook was developed through a process that involved many of those people who represent the diverse constituencies of DSM-program evaluation. We have come to recognize the many technical disciplines that must be employed to evaluate DSM programs. An analysis might start out based on the principles of utility load research to find out what happened, but a combination of engineering and statistical methods must be used to triangulate'' an estimate of what would have happened without the program. The difference, of course, is that elusive but prized result of evaluation: what happened as the direct result of the DSM program. Technical performance of DSM measures is not the sole determinant of the answer, either. We also recognize the importance of such behavioral attributes of DSM as persistence and free ridership. Finally, DSM evaluation is meaningless without attention to planning an approach, communicating results to relevant decision-makers, and focusing as much on the process as the impacts of the program. These topics are all covered in this handbook.

  4. Cost-Utility of Evaluation for Posterior Vitreous Detachment and Prophylaxis of Retinal Detachment.

    Science.gov (United States)

    Yannuzzi, Nicolas A; Chang, Jonathan S; Brown, Gary C; Smiddy, William E

    2018-01-01

    To evaluate the costs and cost-utility of examination for posterior vitreous detachment (PVD) and treatment of associated pathology, and of managing various other peripheral retinal disorders to prevent retinal detachment (RD). A decision analysis model of cost-utility. There were no participants. Published retrospective data on the natural course of PVD, retinal tears, and lattice degeneration were used to quantitate the visual benefits of examination and treatment. Center for Medicare and Medicaid Services data were used to calculate associated modeled costs in a hospital/facility-based and nonfacility/ambulatory surgical center (ASC)-based setting. Published standards of utility for a given level of visual acuity were used to derive costs and quality-adjusted life years (QALYs). Cost of evaluation and treatment, utility of defined health states, QALY, and cost per QALY. The modeled cost of evaluation of a patient with PVD and treatment of associated pathology in the facility/hospital (nonfacility/ASC)-based setting was $65 to $190 ($25-$71) depending on whether a single or 2-examination protocol was used. The cost per QALY saved was $255 to $638/QALY ($100-$239/QALY). Treatment of a symptomatic horseshoe tear resulted in a net cost savings of $1749 ($1314) and improved utility, whereas treatment of an asymptomatic horseshoe tear resulted in $2981/QALY ($1436/QALY). Treatment of asymptomatic lattice degeneration in an eye in which the fellow eye had a history of RD resulted in $4414/QALY ($2187/QALY). Evaluation and management of incident acute PVD (and symptomatic horseshoe tears) offer a low cost and a favorable cost-utility (low $/QALY) as a result of the minimization of the cost and morbidity associated with the development of RD, thus justifying current practice standards. Copyright © 2017 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

  5. Clinical utility of breath ammonia for evaluation of ammonia physiology in healthy and cirrhotic adults

    OpenAIRE

    Spacek, Lisa A; Mudalel, Matthew; Tittel, Frank; Risby, Terence H; Solga, Steven F

    2015-01-01

    Blood ammonia is routinely used in clinical settings to assess systemic ammonia in hepatic encephalopathy and urea cycle disorders. Despite its drawbacks, blood measurement is often used as a comparator in breath studies because it is a standard clinical test. We sought to evaluate sources of measurement error and potential clinical utility of breath ammonia compared to blood ammonia.

  6. The Effect of Persuasion on the Utilization of Program Evaluation Information: A Preliminary Study.

    Science.gov (United States)

    Eason, Sandra H.; Thompson, Bruce

    The utilization of program evaluation may be made more effective by means of the application of contemporary persuasion theory. The Elaboration Likelihood Model--a model of cognitive processing, ability, and motivation--was used in this study to test the persuasive effects of source credibility and involvement on message acceptance of evaluation…

  7. GIS in Evaluation: Utilizing the Power of Geographic Information Systems to Represent Evaluation Data

    Science.gov (United States)

    Azzam, Tarek; Robinson, David

    2013-01-01

    This article provides an introduction to geographic information systems (GIS) and how the technology can be used to enhance evaluation practice. As a tool, GIS enables evaluators to incorporate contextual features (such as accessibility of program sites or community health needs) into evaluation designs and highlights the interactions between…

  8. Structuring Process Evaluation to Forecast Use and Sustainability of an Intervention: Theory and Data From the Efficacy Trial for Lunch Is in the Bag.

    Science.gov (United States)

    Roberts-Gray, Cindy; Sweitzer, Sara J; Ranjit, Nalini; Potratz, Christa; Rood, Magdalena; Romo-Palafox, Maria Jose; Byrd-Williams, Courtney E; Briley, Margaret E; Hoelscher, Deanna M

    2017-08-01

    A cluster-randomized trial at 30 early care and education centers (Intervention = 15, waitlist Control = 15) showed the Lunch Is in the Bag intervention increased parents' packing of fruits, vegetables, and whole grains in their preschool children's bag lunches (parent-child dyads = 351 Intervention, 282 Control). To examine the utility of structuring the trial's process evaluation to forecast use, sustainability, and readiness of the intervention for wider dissemination and implementation. Pretrial, the research team simulated user experience to forecast use of the intervention. Multiattribute evaluation of user experience measured during the trial assessed use and sustainability of the intervention. Thematic analysis of posttrial interviews with users evaluated sustained use and readiness for wider dissemination. Moderate use was forecast by the research team. Multiattribute evaluation of activity logs, surveys, and observations during the trial indicated use consistent with the forecast except that prevalence of parents reading the newsletters was greater (83% vs. 50%) and hearing their children talk about the classroom was less (4% vs. 50%) than forecast. Early care and education center-level likelihood of sustained use was projected to be near zero. Posttrial interviews indicated use was sustained at zero centers. Structuring the efficacy trial's process evaluation as a progression of assessments of user experience produced generally accurate forecasts of use and sustainability of the intervention at the trial sites. This approach can assist interpretation of trial outcomes, aid decisions about dissemination of the intervention, and contribute to translational science for improving health.

  9. 1980 survey and evaluation of utility conservation, load management, and solar end-use projects. Volume 3: utility load management projects. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1982-01-01

    The results of the 1980 survey of electric utility-sponsored energy conservation, load management, and end-use solar energy conversion projects are described. The work is an expansion of a previous survey and evaluation and has been jointly sponsored by EPRI and DOE through the Oak Ridge National Laboratory. There are three volumes and a summary document. Each volume presents the results of an extensive survey to determine electric utility involvement in customer-side projects related to the particular technology (i.e., conservation, solar, or load management), selected descriptions of utility projects and results, and first-level technical and economic evaluations.

  10. Does evaluation of the ligamentous compartment enhance diagnostic utility of sacroiliac joint MRI in axial spondyloarthritis?

    DEFF Research Database (Denmark)

    Weber, Ulrich; Maksymowych, Walter P; Chan, Stanley M

    2015-01-01

    in the ligamentous compartment and their potential diagnostic utility in axial SpA. We therefore aimed to evaluate the ligamentous compartment on sacroiliac joint MRI for lesion distribution and potential incremental value towards diagnosis of SpA over and above the traditional assessment of the cartilaginous...... and ligamentous compartment. The incremental value of evaluating the ligamentous additionally to the cartilaginous compartment alone for diagnosis of SpA was graded qualitatively. We determined the lesion distribution between the two compartments, and the impact of the ligamentous compartment evaluation...... on diagnostic utility. RESULTS: MRI bone marrow lesions solely in the ligamentous compartment in the absence of lesions in the cartilaginous compartment were reported in just 0-2.0/0-4.0 % (BME/fat metaplasia) of all subjects. Additional assessment of the ligamentous compartment was regarded as essential...

  11. Energy Utilization Evaluation of Carbon Performance in Public Projects by FAHP and Cloud Model

    Directory of Open Access Journals (Sweden)

    Lin Li

    2016-07-01

    Full Text Available With the low-carbon economy advocated all over the world, how to use energy reasonably and efficiently in public projects has become a major issue. It has brought many open questions, including which method is more reasonable in evaluating the energy utilization of carbon performance in public projects when the evaluation information is fuzzy; whether an indicator system can be constructed; and which indicators have more impact on carbon performance. This article aims to solve these problems. We propose a new carbon performance evaluation system for energy utilization based on project processes (design, construction, and operation. Fuzzy Analytic Hierarchy Process (FAHP is used to accumulate the indicator weights and cloud model is incorporated when the indicator value is fuzzy. Finally, we apply our indicator system to a case study of the Xiangjiang River project in China, which demonstrates the applicability and efficiency of our method.

  12. Evaluating the Utility of Web-Based Consumer Support Tools Using Rough Sets

    Science.gov (United States)

    Maciag, Timothy; Hepting, Daryl H.; Slezak, Dominik; Hilderman, Robert J.

    On the Web, many popular e-commerce sites provide consumers with decision support tools to assist them in their commerce-related decision-making. Many consumers will rank the utility of these tools quite highly. Data obtained from web usage mining analyses, which may provide knowledge about a user's online experiences, could help indicate the utility of these tools. This type of analysis could provide insight into whether provided tools are adequately assisting consumers in conducting their online shopping activities or if new or additional enhancements need consideration. Although some research in this regard has been described in previous literature, there is still much that can be done. The authors of this paper hypothesize that a measurement of consumer decision accuracy, i.e. a measurement preferences, could help indicate the utility of these tools. This paper describes a procedure developed towards this goal using elements of rough set theory. The authors evaluated the procedure using two support tools, one based on a tool developed by the US-EPA and the other developed by one of the authors called cogito. Results from the evaluation did provide interesting insights on the utility of both support tools. Although it was shown that the cogito tool obtained slightly higher decision accuracy, both tools could be improved from additional enhancements. Details of the procedure developed and results obtained from the evaluation will be provided. Opportunities for future work are also discussed.

  13. Evaluation of the electric utility missions; Evaluation des missions de service public de l'electricite

    Energy Technology Data Exchange (ETDEWEB)

    Syrota, J

    2000-07-01

    The French law from February 10, 2000, about the modernization and development of the electric utility, has created new missions of public utility and foresees some compensation mechanisms for not handicapping the power operators in charge of these missions and for not creating competition distortions to their detriment on the European market. The author explains, first, the financial and economical stakes linked with these new missions. Then, he evokes the evolution of the energy context that has taken place between the 2. World war and the enforcement of the February 10, 2000 law, and he analyzes the systems foreseen for the power generation and distribution. For each public utility charge, the existing dispositions and those introduced by the law are analyzed and compared to the equivalent systems existing in other countries. Then, charge evaluation criteria and sharing rules and proposed. (J.S.)

  14. Emergy Evaluation of a Production and Utilization Process of Irrigation Water in China

    Directory of Open Access Journals (Sweden)

    Dan Chen

    2013-01-01

    Full Text Available Sustainability evaluation of the process of water abstraction, distribution, and use for irrigation can contribute to the policy of decision making in irrigation development. Emergy theory and method are used to evaluate a pumping irrigation district in China. A corresponding framework for its emergy evaluation is proposed. Its emergy evaluation shows that water is the major component of inputs into the irrigation water production and utilization systems (24.7% and 47.9% of the total inputs, resp. and that the transformities of irrigation water and rice as the systems’ products (1.72E+05 sej/J and 1.42E+05 sej/J, resp.; sej/J = solar emjoules per joule represent their different emergy efficiencies. The irrigated agriculture production subsystem has a higher sustainability than the irrigation water production subsystem and the integrated production system, according to several emergy indices: renewability ratio (%R, emergy yield ratio (EYR, emergy investment ratio (EIR, environmental load ratio (ELR, and environmental sustainability index (ESI. The results show that the performance of this irrigation district could be further improved by increasing the utilization efficiencies of the main inputs in both the production and utilization process of irrigation water.

  15. Emergy evaluation of a production and utilization process of irrigation water in China.

    Science.gov (United States)

    Chen, Dan; Luo, Zhao-Hui; Chen, Jing; Kong, Jun; She, Dong-Li

    2013-01-01

    Sustainability evaluation of the process of water abstraction, distribution, and use for irrigation can contribute to the policy of decision making in irrigation development. Emergy theory and method are used to evaluate a pumping irrigation district in China. A corresponding framework for its emergy evaluation is proposed. Its emergy evaluation shows that water is the major component of inputs into the irrigation water production and utilization systems (24.7% and 47.9% of the total inputs, resp.) and that the transformities of irrigation water and rice as the systems' products (1.72E + 05 sej/J and 1.42E + 05 sej/J, resp.; sej/J = solar emjoules per joule) represent their different emergy efficiencies. The irrigated agriculture production subsystem has a higher sustainability than the irrigation water production subsystem and the integrated production system, according to several emergy indices: renewability ratio (%R), emergy yield ratio (EYR), emergy investment ratio (EIR), environmental load ratio (ELR), and environmental sustainability index (ESI). The results show that the performance of this irrigation district could be further improved by increasing the utilization efficiencies of the main inputs in both the production and utilization process of irrigation water.

  16. An approach for evaluating utility-financed energy conservation programs. The economic welfare model

    Energy Technology Data Exchange (ETDEWEB)

    Costello, K W; Galen, P S

    1985-09-01

    The main objective of this paper is to illustrate how the economic welfare model may be used to measure the economic efficiency effects of utility-financed energy conservation programs. The economic welfare model is the theoretical structure that was used in this paper to develop a cost/benefit test. This test defines the net benefit of a conservation program as the change in the sum of consumer and producer surplus. The authors advocate the operation of the proposed cost/benefit model as a screening tool to eliminate from more detailed review those programs where the expected net benefits are less than zero. The paper presents estimates of the net benefit derived from different specified cost/benefit models for four illustrative pilot programs. These models are representative of those which have been applied or are under review by utilities and public utility commissions. From the numerical results, it is shown that net benefit is greatly affected by the assumptions made about the nature of welfare gains to program participants. The main conclusion that emerges from the numerical results is that the selection of a cost/benefit model is a crucial element in evaluating utility-financed energy conservation programs. The paper also briefly addresses some of the major unresolved issues in utility-financed energy conservation programs. 2 figs., 3 tabs., 10 refs. (A.V.)

  17. Evaluation of the Prevalence and Utility of Gonad Shielding in Pediatrics Undergoing Pelvic X-Ray

    OpenAIRE

    Vahid Karami; Mansour Zabihzadeh; Nasim Shams; Saman Sarikhani

    2016-01-01

    Background: Gonad shielding has been recommended during pelvic x-rays since the 1950s. The popular method of gonad shielding is placement a lead shield in the midline of the pelvis. The aim of this study was to evaluate the prevalence and utility of gonad shielding in pediatrics undergoing pelvic x-rays.Materials and MethodsFollowing study approval, we retrospectively retrieved data from the digital image library of ten radiology depertments of Khuzestan provience-Iran to identify pediatric p...

  18. Decision theory and the evaluation of risks and benefits of clinical trials.

    Science.gov (United States)

    Bernabe, Rosemarie D C; van Thiel, Ghislaine J M W; Raaijmakers, Jan A M; van Delden, Johannes J M

    2012-12-01

    Research ethics committees (RECs) are tasked to assess the risks and the benefits of a clinical trial. In previous studies, it was shown that RECs find this task difficult, if not impossible, to do. The current approaches to benefit-risk assessment (i.e. Component Analysis and the Net Risk Test) confound the various risk-benefit tasks, and as such, make balancing impossible. In this article, we show that decision theory, specifically through the expected utility theory and multiattribute utility theory, enable for an explicit and ethically weighted risk-benefit evaluation. This makes a balanced ethical justification possible, and thus a more rationally defensible decision making. Copyright © 2012 Elsevier Ltd. All rights reserved.

  19. Evaluating the marginal utility principle for long-term hydropower scheduling

    International Nuclear Information System (INIS)

    Zhao, Tongtiegang; Zhao, Jianshi; Liu, Pan; Lei, Xiaohui

    2015-01-01

    Highlights: • Analysis of one-, two- and multi-period hydropower scheduling. • Derivation of marginal cost and marginal return of carry-over storage. • Evaluation of the marginal utility principle in a case study of the Three Gorges Reservoir. - Abstract: The conversion of the potential energy of dammed water into hydropower depends on both reservoir storage and release, which are the major difficulties in hydropower reservoir operation. This study evaluates the marginal utility principle, which determines the optimal carry-over storage between periods, for long-term hydropower scheduling. Increasing marginal cost and decreasing marginal return are two important characteristics that determine the marginal utility principle in water supply. However, the notion of decreasing marginal return is inapplicable in hydropower scheduling. Instead, the carry-over storage from one period has an increasing marginal contribution to the power generation in the next period. Although carry-over storage incurs an increasing marginal cost to the power generation in the current period, the marginal return is higher than the marginal cost. The marginal return from the carry-over storage further increases in the multi-period case. These findings suggest saving as much carry-over storage as possible, which is bounded by the operational constraints of storage capacity, environmental flow, and installed capacity in actual hydropower scheduling. The marginal utility principle is evaluated for a case study of the Three Gorges Reservoir, and the effects of the constraints are discussed. Results confirm the theoretical findings and show that the marginal return from carry-over storage is larger than the marginal cost. The operational constraints help determine the optimal carry-over storage.

  20. 78 FR 68461 - Guidance for Industry: Studies To Evaluate the Utility of Anti-Salmonella Chemical Food Additives...

    Science.gov (United States)

    2013-11-14

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-1994-D-0007] Guidance for Industry: Studies To Evaluate the Utility of Anti- Salmonella Chemical Food Additives in Feeds... Industry: Studies to Evaluate the Utility of Anti-Salmonella Chemical Food Additives in Feeds,'' and is...

  1. An integrated utility-based model of conflict evaluation and resolution in the Stroop task.

    Science.gov (United States)

    Chuderski, Adam; Smolen, Tomasz

    2016-04-01

    Cognitive control allows humans to direct and coordinate their thoughts and actions in a flexible way, in order to reach internal goals regardless of interference and distraction. The hallmark test used to examine cognitive control is the Stroop task, which elicits both the weakly learned but goal-relevant and the strongly learned but goal-irrelevant response tendencies, and requires people to follow the former while ignoring the latter. After reviewing the existing computational models of cognitive control in the Stroop task, its novel, integrated utility-based model is proposed. The model uses 3 crucial control mechanisms: response utility reinforcement learning, utility-based conflict evaluation using the Festinger formula for assessing the conflict level, and top-down adaptation of response utility in service of conflict resolution. Their complex, dynamic interaction led to replication of 18 experimental effects, being the largest data set explained to date by 1 Stroop model. The simulations cover the basic congruency effects (including the response latency distributions), performance dynamics and adaptation (including EEG indices of conflict), as well as the effects resulting from manipulations applied to stimulation and responding, which are yielded by the extant Stroop literature. (c) 2016 APA, all rights reserved).

  2. Fuzzy-valued linguistic soft set theory and multi-attribute decision-making application

    International Nuclear Information System (INIS)

    Aiwu, Zhao; Hongjun, Guan

    2016-01-01

    In this work, we propose the theory of fuzzy linguistic soft set (FLSS) to represent the uncertainty and multi-angle of view when decision makers evaluate an object during decision-making. FLSS integrates fuzzy set theory, linguistic variable and soft set theory. It allows decision makers to utilize linguistic variables to evaluate an object and utilize fuzzy values to describe the corresponding grade of their support of their decisions. Meanwhile, because of the flexibility of soft set, decision makers can use more than one pair of fuzzy-linguistic evaluations to express their opinions from multiple perspectives directly, if necessary. Therefore, it is more flexible and practical than traditional fuzzy set or 2-dimension uncertainty linguistic variable. We also develop a generalized weighted aggregation operator for FLSSs to solve corresponding decision-making issues. Finally, we give a numerical example to verify the practicality and effectiveness of the proposed method.

  3. A multi-attribute preference model for optimal irrigated crop planning under water scarcity conditions

    Energy Technology Data Exchange (ETDEWEB)

    Montazar, A.; Snyder, R. L.

    2012-11-01

    Water resources sustainability has a key role in the existence and durability of irrigated farming systems and strongly depends on the crop planning. The decision process is complex due to a number of constraints and the desire to secure crop diversification and the involvement of affected various parameters. The objective of the present study was to develop a comprehensive multi-criteria model for selecting adequate cropping pattern in an irrigation district under water scarcity condition. Eleven and nine attribute decisions were considered in ranking the type of crop and determination of the percentage of crop cultivation area as an optimal irrigated crop planning system, respectively. The results indicate that the proposed multi-attribute preference approach can synthesize various sets of criteria in the preference elicitation of the crop type and cultivated area. The predictive validity analysis shows that the preferences acquired by the proposed model are evidently in reasonable accordance with those of the conjunctive water use model. Consequently, the model may be used to aggregate preferences in order to obtain a group decision, improve understanding of the choice problem, accommodate multiple objectives and increase transparency and credibility in decision making by actively involving relevant criteria in the crop planning. (Author) 27 refs.

  4. Perceptual grouping does not affect multi-attribute decision making if no processing costs are involved.

    Science.gov (United States)

    Ettlin, Florence; Bröder, Arndt

    2015-05-01

    Adaptive strategy selection implies that a decision strategy is chosen based on its fit to the task and situation. However, other aspects, such as the way information is presented, can determine information search behavior; especially when the application of certain strategies over others is facilitated. But are such display effects on multi-attribute decisions also at work when the manipulation does not entail differential costs for different decision strategies? Three Mouselab experiments with hidden information and one eye tracking experiment with an open information board revealed that decision behavior is unaffected by purely perceptual manipulations of the display based on Gestalt principles; that is, based on manipulations that induce no noteworthy processing costs for different information search patterns. We discuss our results in the context of previous findings on display effects; specifically, how the combination of these findings and our results reveal the crucial role of differential processing costs for different strategies for the emergence of display effects. This finding describes a boundary condition of the commonly acknowledged influence of information displays and is in line with the ideas of adaptive strategy selection and cost-benefit tradeoffs. Copyright © 2015. Published by Elsevier B.V.

  5. A Multi-Attribute Pheromone Ant Secure Routing Algorithm Based on Reputation Value for Sensor Networks

    Directory of Open Access Journals (Sweden)

    Lin Zhang

    2017-03-01

    Full Text Available With the development of wireless sensor networks, certain network problems have become more prominent, such as limited node resources, low data transmission security, and short network life cycles. To solve these problems effectively, it is important to design an efficient and trusted secure routing algorithm for wireless sensor networks. Traditional ant-colony optimization algorithms exhibit only local convergence, without considering the residual energy of the nodes and many other problems. This paper introduces a multi-attribute pheromone ant secure routing algorithm based on reputation value (MPASR. This algorithm can reduce the energy consumption of a network and improve the reliability of the nodes’ reputations by filtering nodes with higher coincidence rates and improving the method used to update the nodes’ communication behaviors. At the same time, the node reputation value, the residual node energy and the transmission delay are combined to formulate a synthetic pheromone that is used in the formula for calculating the random proportion rule in traditional ant-colony optimization to select the optimal data transmission path. Simulation results show that the improved algorithm can increase both the security of data transmission and the quality of routing service.

  6. A Multi-Attribute Pheromone Ant Secure Routing Algorithm Based on Reputation Value for Sensor Networks

    Science.gov (United States)

    Zhang, Lin; Yin, Na; Fu, Xiong; Lin, Qiaomin; Wang, Ruchuan

    2017-01-01

    With the development of wireless sensor networks, certain network problems have become more prominent, such as limited node resources, low data transmission security, and short network life cycles. To solve these problems effectively, it is important to design an efficient and trusted secure routing algorithm for wireless sensor networks. Traditional ant-colony optimization algorithms exhibit only local convergence, without considering the residual energy of the nodes and many other problems. This paper introduces a multi-attribute pheromone ant secure routing algorithm based on reputation value (MPASR). This algorithm can reduce the energy consumption of a network and improve the reliability of the nodes’ reputations by filtering nodes with higher coincidence rates and improving the method used to update the nodes’ communication behaviors. At the same time, the node reputation value, the residual node energy and the transmission delay are combined to formulate a synthetic pheromone that is used in the formula for calculating the random proportion rule in traditional ant-colony optimization to select the optimal data transmission path. Simulation results show that the improved algorithm can increase both the security of data transmission and the quality of routing service. PMID:28282894

  7. Multi-Attribute Task Battery - Applications in pilot workload and strategic behavior research

    Science.gov (United States)

    Arnegard, Ruth J.; Comstock, J. R., Jr.

    1991-01-01

    The Multi-Attribute Task (MAT) Battery provides a benchmark set of tasks for use in a wide range of lab studies of operator performance and workload. The battery incorporates tasks analogous to activities that aircraft crewmembers perform in flight, while providing a high degree of experimenter control, performance data on each subtask, and freedom to nonpilot test subjects. Features not found in existing computer based tasks include an auditory communication task (to simulate Air Traffic Control communication), a resource management task permitting many avenues or strategies of maintaining target performance, a scheduling window which gives the operator information about future task demands, and the option of manual or automated control of tasks. Performance data are generated for each subtask. In addition, the task battery may be paused and onscreen workload rating scales presented to the subject. The MAT Battery requires a desktop computer with color graphics. The communication task requires a serial link to a second desktop computer with a voice synthesizer or digitizer card.

  8. A new task format for investigating information search and organization in multiattribute decisions.

    Science.gov (United States)

    Ettlin, Florence; Bröder, Arndt; Henninger, Mirka

    2015-06-01

    In research on multiattribute decisions, information is typically preorganized in a well-structured manner (e.g., in attributes-by-options matrices). Participants can therefore conveniently identify the information needed for the decision strategy they are using. However, in everyday decision situations, we often face information that is not well-structured; that is, we not only have to search for, but we also need to organize the information. This latter aspect--subjective information organization--has so far largely been neglected in decision research. The few exceptions used crude experimental manipulations, and the assessment of subjective organization suffered from laborious methodology and a lack of objectiveness. We introduce a new task format to overcome these methodological issues, and we provide an organization index (OI) to assess subjective organization of information objectively and automatically. The OI makes it possible to assess information organization on the same scale as the strategy index (SI) typically used for assessing information search behavior. A simulation study shows that the OI has a similar distribution as the SI but that the two indices are a priori largely independent. In a validation experiment with instructed strategy use, we demonstrate the usefulness of the task to trace decision processes in multicue inference situations.

  9. Selection of hybrid vehicle for green environment using multi-attributive border approximation area comparison method

    Directory of Open Access Journals (Sweden)

    Tapas Kumar Biswas

    2018-02-01

    Full Text Available The mobility sector including all kinds of transportation systems are facing global challenges in re-spect of green environmental issues. There has been a paradigm shift in the concept of design and manufacturing of automotive vehicles keeping in mind the scarcity of fossil fuel and the impact of emission on environment due to burning of it. The addition of hybrid and electric vehicles in pas-senger car segment has got significant momentum to address the global challenges. This research investigates the performance of a group of hybrid vehicles from customers’ perspective. Among the different brands that are available in the hybrid vehicle market, smart customers have given pri-ority to vehicle cost, mileage, tail pipe emission, comfortness and high tank size volume for long drive. Considering these attributes, selection strategy for hybrid vehicles has been developed using entropy based multi-attributive border approximation area comparison (MABAC method. This research highlights the best hybrid vehicle which reduces air pollution in cities with other significant environmental benefits, reduces dependence on foreign energy imports and minimizes the annual fuel cost.

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Stephanie M Carpenter

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

  12. Multi-attribute Reverse Auction Design Based on Fuzzy Data Envelopment Analysis Approach

    Directory of Open Access Journals (Sweden)

    Deyan Chen

    2017-08-01

    Full Text Available Multi-attribute reverse auction is widely used for the procurements of enterprises or governments. To overcome the difficulty of identifying bidding attribute weight and score function of the buyer, the multi-round auction and bidding models with multiple winners are established based on fuzzy data envelopment analysis. The winner determination model of the buyer considers the integrated input-output efficiency of k winners. The bidding strategy of seller is divided into two parts: the first one estimates the weight of the ideal supplier that is thought to be the buyer’s preference; the second one is to calculate the weight of the test supplier which reflects the change trend of current weights and the seller’s weakness. The final predicted weight is the weighted sum of both. On the basis of known weight, the test supplier can improve his efficiency to increase the winning chance in the next round auction. Our models comprise crisp numbers and fuzzy numbers. Finally, a numerical example verifies the validity of the proposed models.

  13. Resource utilization and costs associated with the diagnostic evaluation of nonrefluxing primary hydronephrosis in infants.

    Science.gov (United States)

    Akhavan, Ardavan; Shnorhavorian, Margarett; Garrison, Louis P; Merguerian, Paul A

    2014-09-01

    Long-term evaluation of postnatal nonrefluxing primary hydronephrosis presents a dilemma for urologists since most cases resolve without surgery. We report longitudinal resource utilization and costs associated with diagnostic evaluation of infants with isolated primary nonrefluxing hydronephrosis to determine the costs associated with diagnosing a surgical case, and we assess the implications using a cost-consequences analysis. A retrospective chart review was used to capture resource utilization for all patients younger than 6 months with hydronephrosis evaluated at our institution during a 5-year period. Infants with confounding urological diagnoses were excluded. Payer and societal perspectives were used. Costs were estimated from resource utilization, including radiographic imaging and clinical encounter types. Data were collected from first clinic visit until surgery or resolution or 3 years, whichever was shortest. Of 165 included patients surgical rates for hydronephrosis were 0% for grade I, 5% for grade II, 21% for grade III and 74% for grade IV. Median respective costs of identifying a single surgical case per increasing hydronephrosis grade 0 to IV were infinite, $37,600, $11,741 and $2,124 (p hydronephrosis is significantly more productive in terms of identifying patients requiring surgery vs evaluation of patients with lower grade disease. In patients with grades I and II hydronephrosis a more abbreviated diagnostic strategy than the current standard of care may be warranted. For the population in this analysis we project that a less intensive approach could save about 24% of costs. Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  14. Evaluation of energy efficiency of various biogas production and utilization pathways

    International Nuclear Information System (INIS)

    Poeschl, Martina; Ward, Shane; Owende, Philip

    2010-01-01

    The energy efficiency of different biogas systems, including single and co-digestion of multiple feedstock, different biogas utilization pathways, and waste-stream management strategies was evaluated. The input data were derived from assessment of existing biogas systems, present knowledge on anaerobic digestion process management and technologies for biogas system operating conditions in Germany. The energy balance was evaluated as Primary Energy Input to Output (PEIO) ratio, to assess the process energy efficiency, hence, the potential sustainability. Results indicate that the PEIO correspond to 10.5-64.0% and 34.1-55.0% for single feedstock digestion and feedstock co-digestion, respectively. Energy balance was assessed to be negative for feedstock transportation distances in excess of 22 km and 425 km for cattle manure and for Municipal Solid Waste, respectively, which defines the operational limits for respective feedstock transportation. Energy input was highly influenced by the characteristics of feedstock used. For example, agricultural waste, in most part, did not require pre-treatment. Energy crop feedstock required the respect cultivation energy inputs, and processing of industrial waste streams included energy-demanding pre-treatment processes to meet stipulated hygiene standards. Energy balance depended on biogas yield, the utilization efficiency, and energy value of intended fossil fuel substitution. For example, obtained results suggests that, whereas the upgrading of biogas to biomethane for injection into natural gas network potentially increased the primary energy input for biogas utilization by up to 100%; the energy efficiency of the biogas system improved by up to 65% when natural gas was substituted instead of electricity. It was also found that, system energy efficiency could be further enhanced by 5.1-6.1% through recovery of residual biogas from enclosed digestate storage units. Overall, this study provides bases for more detailed assessment

  15. Developing a clinical utility framework to evaluate prediction models in radiogenomics

    Science.gov (United States)

    Wu, Yirong; Liu, Jie; Munoz del Rio, Alejandro; Page, David C.; Alagoz, Oguzhan; Peissig, Peggy; Onitilo, Adedayo A.; Burnside, Elizabeth S.

    2015-03-01

    Combining imaging and genetic information to predict disease presence and behavior is being codified into an emerging discipline called "radiogenomics." Optimal evaluation methodologies for radiogenomics techniques have not been established. We aim to develop a clinical decision framework based on utility analysis to assess prediction models for breast cancer. Our data comes from a retrospective case-control study, collecting Gail model risk factors, genetic variants (single nucleotide polymorphisms-SNPs), and mammographic features in Breast Imaging Reporting and Data System (BI-RADS) lexicon. We first constructed three logistic regression models built on different sets of predictive features: (1) Gail, (2) Gail+SNP, and (3) Gail+SNP+BI-RADS. Then, we generated ROC curves for three models. After we assigned utility values for each category of findings (true negative, false positive, false negative and true positive), we pursued optimal operating points on ROC curves to achieve maximum expected utility (MEU) of breast cancer diagnosis. We used McNemar's test to compare the predictive performance of the three models. We found that SNPs and BI-RADS features augmented the baseline Gail model in terms of the area under ROC curve (AUC) and MEU. SNPs improved sensitivity of the Gail model (0.276 vs. 0.147) and reduced specificity (0.855 vs. 0.912). When additional mammographic features were added, sensitivity increased to 0.457 and specificity to 0.872. SNPs and mammographic features played a significant role in breast cancer risk estimation (p-value < 0.001). Our decision framework comprising utility analysis and McNemar's test provides a novel framework to evaluate prediction models in the realm of radiogenomics.

  16. Evaluation on equality and efficiency of health resources allocation and health services utilization in China.

    Science.gov (United States)

    Sun, Jian; Luo, Hongye

    2017-07-14

    China is faced with a daunting challenge to equality and efficiency in health resources allocation and health services utilization in the context of rapid economic growth. This study sought to evaluate the equality and efficiency of health resources allocation and health services utilization in China. Demographic, economic, and geographic area data was sourced from China Statistical Yearbook 2012-2016. Data related to health resources and health services was obtained from China Health Statistics Yearbook 2012-2016. Furthermore, we evaluated the equality of health resources allocation based on Gini coefficient. Concentration index was used to measure the equality in utilization of health services. Data envelopment analysis (DEA) was employed to assess the efficiency of health resources allocation. From 2011 to 2015, the Gini coefficients for health resources by population ranged between 0.0644 and 0.1879, while the Gini coefficients for the resources by geographic area ranged from 0.6136 to 0.6568. Meanwhile, the concentration index values for health services utilization ranged from -0.0392 to 0.2110. Moreover, in 2015, 10 provinces (32.26%) were relatively efficient in terms of health resources allocation, while 7 provinces (22.58%) and 14 provinces (45.16%) were weakly efficient and inefficient, respectively. There exist distinct regional disparities in the distribution of health resources in China, which are mainly reflected in the geographic distribution of health resources. Furthermore, the people living in the eastern developed areas are more likely to use outpatient care, while the people living in western underdeveloped areas are more likely to use inpatient care. Moreover, the efficiency of health resources allocation in 21 provinces (67.74%) of China was low and needs to be improved. Thus, the government should pay more attention to the equality based on geographic area, guide patients to choose medical treatment rationally, and optimize the resource

  17. Can cost utility evaluations inform decision making about interventions for low back pain?

    Science.gov (United States)

    Dagenais, Simon; Roffey, Darren M; Wai, Eugene K; Haldeman, Scott; Caro, Jaime

    2009-11-01

    Low back pain (LBP) is associated with high health-care utilization and lost productivity. Numerous interventions are routinely used, although few are supported by strong evidence. Cost utility analyses (CUAs) may be helpful to inform decision makers. To conduct a systematic review of CUAs of interventions for LBP. Systematic review. A search strategy combining medical subject headings and free text related to LBP and health economic evaluations was executed in MEDLINE. Cost utility analyses combined with randomized controlled trials for LBP were included. Studies that were published before 1998, non-English, decision analyses, and duplicate reports were excluded. Search results were evaluated by two reviewers, who extracted data independently related to clinical study design, economic study design, direct cost components, utility results, cost results, and CUA results. The search produced 319 citations, and of these 15 met eligibility criteria. Most were from the United Kingdom (n=8), published in the past 3 years (n=12), studied chronic LBP or radiculopathy (n=13), and had a follow-up >12 months (n=13). Combined, there were 33 study groups who received a mean 2.1 interventions, most commonly education (n=17), exercise therapy (n=13), spinal manipulation therapy (n=7), surgery (n=7), and usual care from a general practitioner (n=7). Mean baseline utility was 0.57, improving to 0.67 at follow-up; the mean difference in utility improvement between study groups was 0.04. Based on available data and converted to US dollars, the cost per quality-adjusted life year ranged from $304 to 579,527 dollars, with a median of 13,015 dollars. Few CUAs were identified for LBP, and there was heterogeneity in the interventions compared, direct cost components measured, indirect costs, other methods, and results. Reporting quality was mixed. Currently published CUAs do not provide sufficient information to assist decision makers. Future CUAs should attempt to measure all known

  18. An Integrated Multicriteria Decision-Making Approach for Evaluating Nuclear Fuel Cycle Systems for Long-term Sustainability on the Basis of an Equilibrium Model: Technique for Order of Preference by Similarity to Ideal Solution, Preference Ranking Organization Method for Enrichment Evaluation, and Multiattribute Utility Theory Combined with Analytic Hierarchy Process

    OpenAIRE

    Saerom Yoon; Sungyeol Choi; Wonil Ko

    2017-01-01

    The focus on the issues surrounding spent nuclear fuel and lifetime extension of old nuclear power plants continues to grow nowadays. A transparent decision-making process to identify the best suitable nuclear fuel cycle (NFC) is considered to be the key task in the current situation. Through this study, an attempt is made to develop an equilibrium model for the NFC to calculate the material flows based on 1 TWh of electricity production, and to perform integrated multicriteria decision-makin...

  19. Reliability and cost/worth evaluation of generating systems utilizing wind and solar energy

    Science.gov (United States)

    Bagen

    The utilization of renewable energy resources such as wind and solar energy for electric power supply has received considerable attention in recent years due to adverse environmental impacts and fuel cost escalation associated with conventional generation. At the present time, wind and/or solar energy sources are utilized to generate electric power in many applications. Wind and solar energy will become important sources for power generation in the future because of their environmental, social and economic benefits, together with public support and government incentives. The wind and sunlight are, however, unstable and variable energy sources, and behave far differently than conventional sources. Energy storage systems are, therefore, often required to smooth the fluctuating nature of the energy conversion system especially in small isolated applications. The research work presented in this thesis is focused on the development and application of reliability and economic benefits assessment associated with incorporating wind energy, solar energy and energy storage in power generating systems. A probabilistic approach using sequential Monte Carlo simulation was employed in this research and a number of analyses were conducted with regards to the adequacy and economic assessment of generation systems containing wind energy, solar energy and energy storage. The evaluation models and techniques incorporate risk index distributions and different operating strategies associated with diesel generation in small isolated systems. Deterministic and probabilistic techniques are combined in this thesis using a system well-being approach to provide useful adequacy indices for small isolated systems that include renewable energy and energy storage. The concepts presented and examples illustrated in this thesis will help power system planners and utility managers to assess the reliability and economic benefits of utilizing wind energy conversion systems, solar energy conversion

  20. Evaluating healthcare resource utilization and outcomes for surgical hip dislocation and hip arthroscopy for femoroacetabular impingement.

    Science.gov (United States)

    de Sa, Darren; Horner, Nolan S; MacDonald, Austin; Simunovic, Nicole; Slobogean, Gerard; Philippon, Marc J; Belzile, Etienne L; Karlsson, Jon; Ayeni, Olufemi R

    2016-12-01

    Surgical hip dislocation (SHD) and hip arthroscopy are surgical methods used to correct deformity associated with femoroacetabular impingement (FAI). Though both of these approaches appear to benefit patients, no studies exist comparing healthcare resource utilization of the two surgical approaches. This systematic review examines the literature and the records of two surgeons to evaluate the resource utilization associated with treating symptomatic FAI via these two methods. EMBASE, MEDLINE and PubMed were searched for relevant articles. The articles were systematically screened, and data was abstracted in duplicate. To further supplement resource utilization data, a retrospective chart review of two surgeon's patient data (one using SHD and another using an arthroscopic approach) was completed. Experts in pharmacy, physiotherapy, radiology, anaesthesia, physiatry and the local hospital finance department were also consulted. There were 52 studies included with a total of 460 patients (535 hips) and 3886 patients (4147 hips) who underwent SHD and arthroscopic surgery for FAI, respectively. Regardless of approach, most patients treated for symptomatic FAI improved across various outcomes measures with low complication rates. Surgical time across all approaches was similar, averaging 118 ± 2 min. On a per patient basis, hip arthroscopy ($10,976) uses approximately 41 % of the resources of SHD ($24,379). There were no significant differences in outcomes for FAI treated with SHD or arthroscopy. However, with regard to healthcare resource utilization based on the OHIP healthcare system, hip arthroscopy uses substantially less resources than SHD within the first post-operative year. Systematic Review of Level IV Studies, Level IV.

  1. Integrating utilization-focused evaluation with business process modeling for clinical research improvement.

    Science.gov (United States)

    Kagan, Jonathan M; Rosas, Scott; Trochim, William M K

    2010-10-01

    New discoveries in basic science are creating extraordinary opportunities to design novel biomedical preventions and therapeutics for human disease. But the clinical evaluation of these new interventions is, in many instances, being hindered by a variety of legal, regulatory, policy and operational factors, few of which enhance research quality, the safety of study participants or research ethics. With the goal of helping increase the efficiency and effectiveness of clinical research, we have examined how the integration of utilization-focused evaluation with elements of business process modeling can reveal opportunities for systematic improvements in clinical research. Using data from the NIH global HIV/AIDS clinical trials networks, we analyzed the absolute and relative times required to traverse defined phases associated with specific activities within the clinical protocol lifecycle. Using simple median duration and Kaplan-Meyer survival analysis, we show how such time-based analyses can provide a rationale for the prioritization of research process analysis and re-engineering, as well as a means for statistically assessing the impact of policy modifications, resource utilization, re-engineered processes and best practices. Successfully applied, this approach can help researchers be more efficient in capitalizing on new science to speed the development of improved interventions for human disease.

  2. Visualizing multifactorial and multi-attribute effect sizes in linear mixed models with a view towards sensometrics

    DEFF Research Database (Denmark)

    and straightforward idea is to interpret effects relative to the residual error and to choose the proper effect size measure. For multi-attribute bar plots of F-statistics this amounts, in balanced settings, to a simple transformation of the bar heights to get them transformed into depicting what can be seen...... on a multifactorial sensory profile data set and compared to actual d-prime calculations based on ordinal regression modelling through the ordinal package. A generic ``plug-in'' implementation of the method is given in the SensMixed package, which again depends on the lmerTest package. We discuss and clarify the bias...

  3. An interactive algorithm for identifying multiattribute measurable value functions based on finite-order independence of structural difference

    International Nuclear Information System (INIS)

    Tamura, Hiroyuki; Hikita, Shiro

    1985-01-01

    In this paper, we develop an interactive algorithm for identifying multiattribute measurable value functions based on the concept of finite-order independence of structural difference. This concept includes Dyer and Sarin's weak difference independence as special cases. The algorithm developed is composed of four major parts: 1) formulation of the problem 2) assessment of normalized conditional value functions and structural difference functions 3) assessment of corner values 4) assessment of the order of independence of structural difference and selection of the model. A hypothetical numerical example of a trade-off analysis for siting a nuclear power plant is included. (author)

  4. Integrating Cost as an Independent Variable Analysis with Evolutionary Acquisition - A Multiattribute Design Evaluation Approach

    Science.gov (United States)

    2003-03-01

    within the Automated Cost Estimating Integrated Tools ( ACEIT ) software suite (version 5.x). With this capability, one can set cost targets or time...not allow the user to vary more than one decision variable. This limitation of the ACEIT approach thus hinders a holistic view when attempting to

  5. MULTI-ATTRIBUTE SEISMIC/ROCK PHYSICS APPROACH TO CHARACTERIZING FRACTURED RESERVOIRS

    Energy Technology Data Exchange (ETDEWEB)

    Gary Mavko

    2000-10-01

    This project consists of three key interrelated Phases, each focusing on the central issue of imaging and quantifying fractured reservoirs, through improved integration of the principles of rock physics, geology, and seismic wave propagation. This report summarizes the results of Phase I of the project. The key to successful development of low permeability reservoirs lies in reliably characterizing fractures. Fractures play a crucial role in controlling almost all of the fluid transport in tight reservoirs. Current seismic methods to characterize fractures depend on various anisotropic wave propagation signatures that can arise from aligned fractures. We are pursuing an integrated study that relates to high-resolution seismic images of natural fractures to the rock parameters that control the storage and mobility of fluids. Our goal is to go beyond the current state-of-the art to develop and demonstrate next generation methodologies for detecting and quantitatively characterizing fracture zones using seismic measurements. Our study incorporates 3 key elements: (1) Theoretical rock physics studies of the anisotropic viscoelastic signatures of fractured rocks, including up scaling analysis and rock-fluid interactions to define the factors relating fractures in the lab and in the field. (2) Modeling of optimal seismic attributes, including offset and azimuth dependence of travel time, amplitude, impedance and spectral signatures of anisotropic fractured rocks. We will quantify the information content of combinations of seismic attributes, and the impact of multi-attribute analyses in reducing uncertainty in fracture interpretations. (3) Integration and interpretation of seismic, well log, and laboratory data, incorporating field geologic fracture characterization and the theoretical results of items 1 and 2 above. The focal point for this project is the demonstration of these methodologies in the Marathon Oil Company Yates Field in West Texas.

  6. Evaluation of remedial alternative of a LNAPL plume utilizing groundwater modeling

    International Nuclear Information System (INIS)

    Johnson, T.; Way, S.; Powell, G.

    1997-01-01

    The TIMES model was utilized to evaluate remedial options for a large LNAPL spill that was impacting the North Platte River in Glenrock, Wyoming. LNAPL was found discharging into the river from the adjoining alluvial aquifer. Subsequent investigations discovered an 18 hectare plume extended across the alluvium and into a sandstone bedrock outcrop to the south of the river. The TIMES model was used to estimate the LNAPL volume and to evaluate options for optimizing LNAPL recovery. Data collected from recovery and monitoring wells were used for model calibration. A LNAPL volume of 5.5 million L was estimated, over 3.0 million L of which is in the sandstone bedrock. An existing product recovery system was evaluated for its effectiveness. Three alternative recovery scenarios were also evaluated to aid in selecting the most cost-effective and efficient recovery system for the site. An active wellfield hydraulically upgradient of the existing recovery system was selected as most appropriate to augment the existing system in recovering LNAPL efficiently

  7. Utility of Electrocardiography (ECG)-Gated Computed Tomography (CT) for Preoperative Evaluations of Thymic Epithelial Tumors.

    Science.gov (United States)

    Ozawa, Yoshiyuki; Hara, Masaki; Nakagawa, Motoo; Shibamoto, Yuta

    2016-01-01

    Preoperative evaluation of invasion to the adjacent organs is important for the thymic epithelial tumors on CT. The purpose of our study was to evaluate the utility of electrocardiography (ECG)-gated CT for assessing thymic epithelial tumors with regard to the motion artifacts produced and the preoperative diagnostic accuracy of the technique. Forty thymic epithelial tumors (36 thymomas and 4 thymic carcinomas) were examined with ECG-gated contrast-enhanced CT using a dual source scanner. The scan delay after the contrast media injection was 30 s for the non-ECG-gated CT and 100 s for the ECG-gated CT. Two radiologists blindly evaluated both the non-ECG-gated and ECG-gated CT images for motion artifacts and determined whether the tumors had invaded adjacent structures (mediastinal fat, superior vena cava, brachiocephalic veins, aorta, pulmonary artery, pericardium, or lungs) on each image. Motion artifacts were evaluated using a 3-grade scale. Surgical and pathological findings were used as a reference standard for tumor invasion. Motion artifacts were significantly reduced for all structures by ECG gating ( p =0.0089 for the lungs and p ECG-gated CT and ECG-gated CT demonstrated 79% and 95% accuracy, respectively, during assessments of pericardial invasion ( p =0.03). ECG-gated CT reduced the severity of motion artifacts and might be useful for preoperative assessment whether thymic epithelial tumors have invaded adjacent structures.

  8. Utilization of new 150-MeV neutron and proton evaluations in MCNP

    International Nuclear Information System (INIS)

    Little, R.C.; Frankle, S.C.; Hughes, H.G. III; Prael, R.E.

    1997-01-01

    MCNP trademark and LAHET trademark are two of the codes included in the LARAMIE (Los Alamos Radiation Modeling Interactive Environment) code system. Both MCNP and LAHET are three-dimensional continuous-energy Monte Carlo radiation transport codes. The capabilities of MCNP and LAHET are currently being merged into one code for the Accelerator Production of Tritium (APT) program at Los Alamos National Laboratory. Concurrently, a significant effort is underway to improve the accuracy of the physics in the merged code. In particular, full nuclear-data evaluations (in ENDF6 format) for many materials of importance to APT are being produced for incident neutrons and protons up to an energy of 150-MeV. After processing, cross-section tables based on these new evaluations will be available for use fin the merged code. In order to utilize these new cross-section tables, significant enhancements are required for the merged code. Neutron cross-section tables for MCNP currently specify emission data for neutrons and photons only; the new evaluations also include complete neutron-induced data for protons, deuterons, tritons, and alphas. In addition, no provision in either MCNP or LAHET currently exists for the use of incident charged-particle tables other than for electrons. To accommodate the new neutron-induced data, it was first necessary to expand the format definition of an MCNP neutron cross-section table. The authors have prepared a 150-MeV neutron cross-section library in this expanded format for 15 nuclides. Modifications to MCNP have been implemented so that this expanded neutron library can be utilized

  9. Evaluation of the Utility of Recycling Used Products made of Polyvinyl Chloride

    Science.gov (United States)

    Matsuda, Satoshi; Kubota, Hiroshi

    This study intends to propose a new approach to evaluate the utility of recycling used products made of Polyvinyl Chloride (PVC) . In order to determine whether or not these used products can be recycled, there must be some indicators that appropriately and quantitatively show the degree that the contribution of recycling these targeted used products has on society. It was indicated that the rights and wrongs of incineration and/or heat recovery using a material such as wallpaper or floor cover made of PVC could be judged by the concept of "Social Energy Consumption" originally proposed by the authors (Chap. 3 in the text) . On the other hand, in the case where the used products such as PVC pipes and joints are dug out from underground and recycled, this research shows the estimation of its utility should be accomplished by extending the concept: Specifically, the manpower converted to the value of the social energy consumption was added, because labor costs for digging out these used products occupy a large portion of the total recycling cost, although manpower is not taken into account in the usual energy balance calculation, which leads to the contradiction of the estimation results from the standpoint of energy balance and economy. In this study, the marginal cost for digging out PVC pipes and joints evaluated by this method was shown as an example of a trial calculation (Chap. 2 in the text) . As a whole, this research quantitatively demonstrated an example trial calculation showing whether or not these used products should be recycled disregarding if the economic efficiency should be evaluated as a result of the analysis based upon the concept of "Social Energy Consumption".

  10. A composite efficiency metrics for evaluation of resource and energy utilization

    International Nuclear Information System (INIS)

    Yang, Siyu; Yang, Qingchun; Qian, Yu

    2013-01-01

    Polygeneration systems are commonly found in chemical and energy industry. These systems often involve chemical conversions and energy conversions. Studies of these systems are interdisciplinary, mainly involving fields of chemical engineering, energy engineering, environmental science, and economics. Each of these fields has developed an isolated index system different from the others. Analyses of polygeneration systems are therefore very likely to provide bias results with only the indexes from one field. This paper is motivated from this problem to develop a new composite efficiency metrics for polygeneration systems. This new metrics is based on the second law of thermodynamics, exergy theory. We introduce exergy cost for waste treatment as the energy penalty into conventional exergy efficiency. Using this new metrics could avoid the situation of spending too much energy for increasing production or paying production capacity for saving energy consumption. The composite metrics is studied on a simplified co-production process, syngas to methanol and electricity. The advantage of the new efficiency metrics is manifested by comparison with carbon element efficiency, energy efficiency, and exergy efficiency. Results show that the new metrics could give more rational analysis than the other indexes. - Highlights: • The composite efficiency metric gives the balanced evaluation of resource utilization and energy utilization. • This efficiency uses the exergy for waste treatment as the energy penalty. • This efficiency is applied on a simplified co-production process. • Results show that the composite metrics is better than energy efficiencies and resource efficiencies

  11. The utility of an online diagnostic decision support system (Isabel) in general practice: a process evaluation.

    Science.gov (United States)

    Henderson, Emily J; Rubin, Greg P

    2013-05-01

    To evaluate the utility of Isabel, an online diagnostic decision support system developed by Isabel Healthcare primarily for secondary medical care, in the general practice setting. Focus groups were conducted with clinicians to understand why and how they used the system. A modified online post-use survey asked practitioners about its impact on their decision-making. Normalization process theory (NPT) was used as a theoretical framework to determine whether the system could be incorporated into routine clinical practice. The system was introduced by NHS County Durham and Darlington in the UK in selected general practices as a three-month pilot. General practitioners and nurse practitioners who had access to Isabel as part of the Primary Care Trust's pilot. General practitioners' views, experiences and usage of the system. Seven general practices agreed to pilot Isabel. Two practices did not subsequently use it. The remaining five practices conducted searches on 16 patients. Post-use surveys (n = 10) indicated that Isabel had little impact on diagnostic decision-making. Focus group participants stated that, although the diagnoses produced by Isabel in general did not have an impact on their decision-making, they would find the tool useful if it were better tailored to the primary care setting. Our analysis concluded that normalization was not likely to occur in its current form. Isabel was of limited utility in this short pilot study and may need further modification for use in general practice.

  12. Evaluation of breast implants with breast magnetic resonance: Practical utility in comparison with other methods

    International Nuclear Information System (INIS)

    Melendez, Florencia; Blejman, Oscar; Lamattina Mariano; Villamea, Victoria; Sarquis, Flavio; Torrillo, Fabiana

    2010-01-01

    The purpose of this study was to demonstrate the utility of Breast Magnetic Resonance (BMR) in the evaluation of breast implants comparing Mammography and Breast ultrasound in an ambulatory private institute setting. Method: Between May 2008 and April 2010, 729 BRM were performed in patients between 22 and 77 years of age, 474 were evaluated for implant integrity. The studies were performed in a high field equipment (1.5T) with T1, T2, fat Sat, Silicone only and silicone suppression sequences. Results: Of the 474 patients that were evaluated for implant integrity: 291 patients (61.39%) presented with intact implants, 252 (86.6%) showed concordant findings with mammography and or ultrasound and 39 (13.4%) showed discordant findings. Then, 116 patients (24.47%) presented signs of intracapsular rupture, 82 (70.7%) were concordant with ultrasound findings and 34 (29.3%) had normal ultrasound evaluation. 44 patients (9.28%) presented extracapsular rupture, 40 (90.9%) were concordant with mammography and ultrasound and 4 (9.10%) were discordant. Finally, 23 patients (4.85%) presented residual silicone granulomas, with history of previous implant rupture and explanted surgery, 13 (56.52%) concordant with mammography and ultrasound and 10 (43.48%) were discordant. Conclusion: Non contrast BMR, using multiples planes and sequences is very useful in the evaluation of the internal structure of the implants and extracapsular silicone. It's the most sensible study to demonstrate intra and extracapsular rupture. BMR exceeds mammography and ultrasound in the detection of implant rupture and residual granulomas following explanted surgery.

  13. Sustainable Utilization of Traditional Chinese Medicine Resources: Systematic Evaluation on Different Production Modes

    Directory of Open Access Journals (Sweden)

    Xiwen Li

    2015-01-01

    Full Text Available The usage amount of medicinal plant rapidly increased along with the development of traditional Chinese medicine industry. The higher market demand and the shortage of wild herbal resources enforce us to carry out large-scale introduction and cultivation. Herbal cultivation can ease current contradiction between medicinal resources supply and demand while they bring new problems such as pesticide residues and plant disease and pests. Researchers have recently placed high hopes on the application of natural fostering, a new method incorporated herbal production and diversity protecting practically, which can solve the problems brought by artificial cultivation. However no modes can solve all problems existing in current herbal production. This study evaluated different production modes including cultivation, natural fostering, and wild collection to guide the traditional Chinese medicine production for sustainable utilization of herbal resources.

  14. Symmetry evaluation for an interferometric fiber optic gyro coil utilizing a bidirectional distributed polarization measurement system.

    Science.gov (United States)

    Peng, Feng; Li, Chuang; Yang, Jun; Hou, Chengcheng; Zhang, Haoliang; Yu, Zhangjun; Yuan, Yonggui; Li, Hanyang; Yuan, Libo

    2017-07-10

    We propose a dual-channel measurement system for evaluating the optical path symmetry of an interferometric fiber optic gyro (IFOG) coil. Utilizing a bidirectional distributed polarization measurement system, the forward and backward transmission performances of an IFOG coil are characterized simultaneously by just a one-time measurement. The simple but practical configuration is composed of a bidirectional Mach-Zehnder interferometer and multichannel transmission devices connected to the IFOG coil under test. The static and dynamic temperature results of the IFOG coil reveal that its polarization-related symmetric properties can be effectively obtained with high accuracy. The optical path symmetry investigation is highly beneficial in monitoring and improving the winding technology of an IFOG coil and reducing the nonreciprocal effect of an IFOG.

  15. Evaluation model of wind energy resources and utilization efficiency of wind farm

    Science.gov (United States)

    Ma, Jie

    2018-04-01

    Due to the large amount of abandoned winds in wind farms, the establishment of a wind farm evaluation model is particularly important for the future development of wind farms In this essay, consider the wind farm's wind energy situation, Wind Energy Resource Model (WERM) and Wind Energy Utilization Efficiency Model(WEUEM) are established to conduct a comprehensive assessment of the wind farm. Wind Energy Resource Model (WERM) contains average wind speed, average wind power density and turbulence intensity, which assessed wind energy resources together. Based on our model, combined with the actual measurement data of a wind farm, calculate the indicators using the model, and the results are in line with the actual situation. We can plan the future development of the wind farm based on this result. Thus, the proposed establishment approach of wind farm assessment model has application value.

  16. Evaluating the utility of workplace-based assessment tools for speciality training.

    Science.gov (United States)

    Setna, Z; Jha, V; Boursicot, K A M; Roberts, T E

    2010-12-01

    Workplace assessment has been incorporated into speciality training in the UK following changes in the training and work patterns within the National Health Service (NHS). There are various types of assessment tools that have been adopted to assess the clinical competence of trainees. In obstetrics and gynaecology, these include mini-CEX, Objective Structured Assessment of Technical skills (OSATS) and case-based discussion (CbDs). This review provides a theoretical background of workplace assessment and the educational framework that may be adopted to evaluate their effectiveness. It summarises current evidence for the utility of these tools with regard to reliability, validity, acceptability, educational impact and cost. Copyright © 2010 Elsevier Ltd. All rights reserved.

  17. EXTRACELLULAR MIMETICS: A COMPARATIVE EVALUATION OF CELL ENCAPSULATION UTILIZING HYDROGELS AND SCAFFOLDS

    Directory of Open Access Journals (Sweden)

    Marco Antonio Vieira Grinet

    2017-01-01

    Full Text Available An in vitro encapsulation platform utilizing hydrogels and bone matrix (BM scaffolds to investigate the effects of microenvironmental parameters on encapsulated goat mesenchymal stem cells (gMSC was presented. The base encapsulation matrix was composed of a biocompatible hydrogel formed through a photoinitiated polymerization process. Different polymer concentrations were used to compare the effects of hydrogel crosslinking density on physical properties, as well as on cell viability. The potential of BM to support the growth and differentiation of gMSC was also analyzed. Both methods were compared in order to analyze viability. Structures that better allow flow of oxygen showed more promising results, whereas BM structures require a better evaluation method for concrete results.

  18. Non-destructive evaluation utilizing imaging plates for field radiography applications

    International Nuclear Information System (INIS)

    White, Brian S.

    2016-01-01

    The oil and gas industry has utilized film radiography for the evaluation of pipeline welds for many years. The world has evolved, and today people are easily sharing digital images as part of the information revolution. Computed radiography is ready to replace film radiography for portable outdoor use applications. Computed radiography technology adoption has been contingent upon achieving acceptable image quality and getting enough imaging plate use cycles to be profitable. Image quality is dependent upon shot conditions, imaging plate type, reader settings, and scatter control. Likewise, the number of achievable use cycles is dependent upon the imaging plate design for durability and the user's operating environment. This presentation reviews the basic principles of storage phosphor imaging plates. Usage criteria and guidelines for optimum image quality and maximized overall use cycles will be discussed for various imaging plate types. A comparison of film and computed radiography imaging plate technology will be presented.

  19. [A multi-measure analysis of the similarity, attraction, and compromise effects in multi-attribute decision making].

    Science.gov (United States)

    Tsuzuki, Takashi; Matsui, Hiroshi; Kikuchi, Manabu

    2012-12-01

    In multi-attribute decision making, the similarity, attraction, and compromise effects warrant specific investigation as they cause violations of principles in rational choice. In order to investigate these three effects simultaneously, we assigned 145 undergraduates to three context effect conditions. We requested them to solve the same 20 hypothetical purchase problems, each of which had three alternatives described along two attributes. We measured their choices, confidence ratings, and response times. We found that manipulating the third alternative had significant context effects for choice proportions and confidence ratings in all three conditions. Furthermore, the attraction effect was the most prominent with regard to choice proportions. In the compromise effect condition, although the choice proportion of the third alternative was high, the confidence rating was low and the response time was long. These results indicate that the relationship between choice proportions and confidence ratings requires further theoretical investigation. They also suggest that a combination of experimental and modeling studies is imperative to reveal the mechanisms underlying the context effects in multi-attribute, multi-alternative decision making.

  20. Information networks in the stock market based on the distance of the multi-attribute dimensions between listed companies

    Science.gov (United States)

    Liu, Qian; Li, Huajiao; Liu, Xueyong; Jiang, Meihui

    2018-04-01

    In the stock market, there are widespread information connections between economic agents. Listed companies can obtain mutual information about investment decisions from common shareholders, and the extent of sharing information often determines the relationships between listed companies. Because different shareholder compositions and investment shares lead to different formations of the company's governance mechanisms, we map the investment relationships between shareholders to the multi-attribute dimensional spaces of the listed companies (each shareholder investment in a company is a company dimension). Then, we construct the listed company's information network based on co-shareholder relationships. The weights for the edges in the information network are measured with the Euclidean distance between the listed companies in the multi-attribute dimension space. We define two indices to analyze the information network's features. We conduct an empirical study that analyzes Chinese listed companies' information networks. The results from the analysis show that with the diversification and decentralization of shareholder investments, almost all Chinese listed companies exchanged information through common shareholder relationships, and there is a gradual reduction in information sharing capacity between listed companies that have common shareholders. This network analysis has benefits for risk management and portfolio investments.

  1. Cross Entropy Measures of Bipolar and Interval Bipolar Neutrosophic Sets and Their Application for Multi-Attribute Decision-Making

    Directory of Open Access Journals (Sweden)

    Surapati Pramanik

    2018-03-01

    Full Text Available The bipolar neutrosophic set is an important extension of the bipolar fuzzy set. The bipolar neutrosophic set is a hybridization of the bipolar fuzzy set and neutrosophic set. Every element of a bipolar neutrosophic set consists of three independent positive membership functions and three independent negative membership functions. In this paper, we develop cross entropy measures of bipolar neutrosophic sets and prove their basic properties. We also define cross entropy measures of interval bipolar neutrosophic sets and prove their basic properties. Thereafter, we develop two novel multi-attribute decision-making strategies based on the proposed cross entropy measures. In the decision-making framework, we calculate the weighted cross entropy measures between each alternative and the ideal alternative to rank the alternatives and choose the best one. We solve two illustrative examples of multi-attribute decision-making problems and compare the obtained result with the results of other existing strategies to show the applicability and effectiveness of the developed strategies. At the end, the main conclusion and future scope of research are summarized.

  2. Development of a Measurement Instrument for Website Design Utilizing Analytic Hierarchy Process (AHP) Multi-Attribute Decision Modeling

    OpenAIRE

    Ron Cheek; Martha L. Sale; Colleen Schwarz

    2015-01-01

    For many organizations their websites are the first impression customers have of their companies. The impact and importance of web design on organizations continues to dramatically increase. Yet many organizations continue to struggle to find tools to strategically analyze their websites and overall online presence. While there have been numerous studies offering “best practices†for website design, most of these are dated and do not take into consideration new applications and social medi...

  3. Public Affairs Decision Making in the U.S. Air Force: An Application of Multiattribute Utility Theory.

    Science.gov (United States)

    David, Prabu; Pierson, Michael M.

    1998-01-01

    Contributes to scholarship on public relations decision making and public relations theory. Examines decision making by United States Air Force public affairs personnel. Finds that only 48% of the decisions fit the public relations excellence criteria of accommodation and long-term relationship building. Finds also a negative correlation between…

  4. Differential Weighting in Multi-Attribute Utility Measurement: When it Should Not and When it does make a Difference

    Science.gov (United States)

    1976-08-01

    of the motoring public. "The design should balance and optimize characteristics serving environmental, safety, and conservation goals " (McDonald...59 9,738 165 Datsun 610 58 4,766 82 Buick Century 55 5,558 101 Mazda RX4 54 5,207 96 Volkswagen Rabbit 54 4,353 81 AMC Matador 53 4,837 91 Toyota...53 Ford Maverick 8 92 4,229 46 ANMC Hornet 6 94 4,127 44 A’X Pacer 95 4,569 48 Audi Fox 96 5,678 59 Mazda RX4 96 5,207 54 Toyota Corona MIK II 98

  5. Design and evaluation of heat utilization systems for the high temperature engineering test reactor

    International Nuclear Information System (INIS)

    2001-08-01

    The primary focus of this CRP was to perform detailed investigation of the high temperature industrial processes that are attainable through incorporation of an HTGR, and for their possible demonstration in the HTTR. The HTGR has the capability to achieve a core outlet temperature approaching 1,000 deg. C in a safe and effective manner. These attributes, coupled with the offer by JAERI to utilize the HTTR, resulted in the initiation of this CRP by the IAEA. High Temperature Engineering Test Reactor (HTTR) utilizes a 30 MW(th) HTGR comprised of 30 fuel columns of hexagonal pin-in-pin graphite block type fuel elements. The fuel consists of UO 2 TRISO coated particles with an enrichment of ∼ 6% wt. Relative to the demonstration of high temperature heat applications, the HTTR will be capable of producing 10 MW(th) of heat at 950 deg. C. However, the thermal power for these applications has the potential to be increased up to 30 MW(th) in the future, which may be required for demonstration of gas turbine system components. The HTTR reached initial criticality in November 1998. Initial operational plans includes a series of rise to power tests followed by tests to demonstrate the safety and operational characteristics of the HTTR. In addition to completion of the HTTR demonstration tests, it was recommended that the R and D be performed within the HTTR project. JAERI is encouraged to publicize the results of the HTTR tests and 'lessons learned' from their experiences including potential capabilities of the HTGR for heat applications. The next priority application was determined to be the generation of electricity through the use of the gas turbine. Application of the Brayton Cycle utilizing high temperature helium from a modular HTGR was chosen for development because of its projected benefits as an economic and efficient means for the production of electricity. Evaluation of the remaining high temperature heat utilization applications chosen for investigation resulted

  6. Potential utility of MRI in the evaluation of children at risk of renal scarring

    International Nuclear Information System (INIS)

    Chan Yuleung; Chan Kamwing; Roebuck, D.J.; Chu, W.C.W.; Metreweli, C.; Yeung Chungkwong; Lee Kimhung

    1999-01-01

    Background. Gadolinium-enhanced MRI has recently been employed in the diagnosis of acute pyelonephritis. Its potential utility in the diagnosis of renal scars in children is unknown. Objective. To evaluate the potential utility of MRI using fat-saturated T1-weighted (T1-W) and post-gadolinium, short-tau inversion-recovery (STIR) sequences in detecting renal scarring by comparison with technetium dimercaptosuccinic acid ( 99 m Tc-DMSA) renal scintigraphy in children at risk of renal scarring. Materials and methods. A group of 24 children with spina bifida and neurogenic bladder or anorectal anomaly was studied. No patient had a history of acute pyelonephritis. Documented urinary tract infection (UTI) was present in 10 children (42 %). The remaining 14 (58 %) children had a history of asymptomatic bacteriuria. None had clinical signs or symptoms of acute UTI at the time of the study. 99 m Tc-DMSA and MRI were performed to detect renal scarring. 99 m Tc-DMSA scans were supplemented with pinhole imaging. MRI of the kidneys employed a fat-saturated T1-W sequence and a post-gadolinium STIR sequence employing a short echo time. Results. Of the kidneys studied, 33 % (n = 16) had evidence of a renal parenchymal defect suggestive of scarring on 99 m Tc-DMSA. The concordance in the detection of a scarred kidney by post-gadolinium STIR sequence and 99 m Tc-DMSA is 94 %; that by fat-saturated T1-W sequence and 99 m Tc-DMSA is 82 %; that by both sequences (positive result on either sequence) and 99 m Tc-DMSA is 100 %. Using 99 m Tc-DMSA as the gold standard, MRI had a sensitivity of 100 % and a specificity of 78 % in the diagnosis of a scarred kidney. The concordance in the detection of a scarred zone by post-gadolinium STIR sequence and 99 m Tc-DMSA is 68 %; that by fat-saturated T1-W sequence and DMSA is 44 %; that by both sequences (positive result on either sequence) and 99 m Tc-DMSA is 84 %. MRI had a sensitivity of 84 % and a specificity of 86 % in the diagnosis of a

  7. Multi-attribute compositional voting advice applications (MacVAAs) : a methodology for educating and assisting voters and eliciting their preferences

    NARCIS (Netherlands)

    Korthals, R.A.; Levels, M.

    2016-01-01

    This paper introduces a technique to elicit voter preferences, by integrating multiattribute compositional analyses (Macs) with a voting advice application (VAA). The technique requires users to make trade-offs between different positions on a single issue, and between different issues. MacVAAs more

  8. Prospective evaluation of the utility of routine postoperative cystogram after traumatic bladder injury.

    Science.gov (United States)

    Inaba, Kenji; Okoye, Obi T; Browder, Timothy; Best, Charles; Branco, Bernardino C; Teixeira, Pedro G; Barmparas, Galinos; Reddy, Sravanthi; Demetriades, Demetrios

    2013-12-01

    The value of routinely testing bladder repair integrity with a cystogram before urinary catheter removal is unclear. The purpose of this study was to prospectively evaluate the utility of routine postoperative cystogram after traumatic bladder injury. All patients sustaining a bladder injury requiring operative repair at two Level I trauma centers were prospectively enrolled during a 62-month study period ending on January 2011. Injury demographics, imaging data, and outcomes were extracted. All patients were evaluated with either a plain or a computed tomography cystogram. A total of 127 patients were enrolled (mean [SD] age, 30.4 [13.5] years; blunt trauma, 63.8%, mean [SD] Injury Severity Score [ISS], 17.7 [10.6]). A total of 75 patients (59.1%) had an intraperitoneal (IP) bladder injury, 44 (34.6%) had an extraperitoneal (EP) bladder injury, and 8 had a (6.3%) combined IP/EP bladder injury. All patients with IP and IP/EP injuries (n = 83) underwent operative repair and a postoperative cystogram at 8.6 (1.8) days (range, 5-13 days). Sixty-nine IP injuries (83.1%) were simple (dome or body disruption/penetrating injury), while 14 (16.9%) were complex (trigone/requiring ureter implantation). There were no deaths during the follow-up period. With the exception of one patient (1.2%) with a complex injury requiring ureteric implantation, there were no leaks demonstrated on postoperative cystogram, and the urinary catheters were successfully removed. In this prospective evaluation of the role of bladder evaluation after operative repair, routine use of follow-up cystograms for simple injuries did not impact clinical management. For complex repairs to the trigone or those requiring ureter implantation, a follow-up cystogram should be obtained before catheter removal. Diagnostic study, level II.

  9. Utilization of Additive Manufacturing in Evaluating the Performance of Internally Defected Materials

    Science.gov (United States)

    Mourad, A.-H. I.; Ghazal, A. M.; Syam, M. M.; Qadi, O. D. Al; Jassmi, H. Al

    2018-05-01

    The elimination of internal defects in a material present in the raw material or generated during the manufacturing or service is difficult. The inclusions of the defects have an adverse effect on the load bearing capacity. The presence of the cracks subjected to a specific orientation in materials or machinery can cause devastating unexpected failure during operation. Analysis of the failure in the components with cracks is more confined to analytical and numerical evaluation. The experimental evaluation has been tedious due to the complexity of replicating the actual defected component. The potential of additive manufacturing in developing user-defined components with cracks for the experimental evaluation is explored in this research. The present research investigated the effect of the internal elliptical cracks aligned at different orientations on the mechanical performance of polylactic acid (Green filament). The Fusion Deposition Method was utilized for the development of the standard tensile specimens with internal elliptical crack oriented at 0°, 45° and 90° using UltiMaker 2. The results proved that there is a considerable reduction in the load bearing capacity due to the presence of the cracks. The maximum load bearing capacity decreased by 15.01% for the specimen with crack inclined at 0° to the lateral axis compared to crack- free specimen. The nature of the fracture and the stress-strain graph evidently showcase the brittle nature of the material. The SEM image of the fractured region proved the phenomenal characteristics such as strong adhesion between the layers and the proper material flow. In the light of the results of this work, it can be concluded that the 3-D printing methodology is effective for evaluating the mechanical performance of the internally defected material.

  10. Clinical Utility of a Precision Medicine Test Evaluating Outpatients with Suspected Obstructive Coronary Artery Disease.

    Science.gov (United States)

    Ladapo, Joseph A; Budoff, Matt; Sharp, David; Zapien, Michael; Huang, Lin; Maniet, Bruce; Herman, Lee; Monane, Mark

    2017-04-01

    Identifying patients with obstructive coronary artery disease can be challenging for primary care physicians. Advances in precision medicine may help augment clinical tools and redefine the paradigm for evaluating coronary artery disease in the outpatient setting. A blood-based age/sex/gene expression score (ASGES) incorporating key features of precision medicine has shown clinical validity with a 96% negative predictive value and 89% sensitivity in estimating a symptomatic patient's current likelihood of obstructive coronary artery disease. To better characterize the clinical utility of the ASGES and measure its impact on clinician decision-making, a community-based registry was established. The prospective PRESET Registry (NCT01677156) enrolled stable, nonacute adult patients presenting with typical or atypical symptoms suggestive of obstructive coronary artery disease from 21 US primary care practices from August 2012 to August 2014. Demographics, clinical characteristics, and ASGES results (predefined as low [ASGES ≤15] or elevated [ASGES >15]) were collected, as were referrals to Cardiology or further functional/anatomic cardiac testing after ASGES testing. Patients were followed for 1 year post ASGES testing. Among the 566-patient cohort (median age 56 years), clinicians referred 26/252 (10%) of patients with low scores vs 137/314 (44%) of patients with elevated scores to Cardiology or advanced cardiac testing for further evaluation (unadjusted odds ratio 0.15, P precision medicine in the delivery of cardiovascular care. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  11. Framework for evaluating the utility of incentive systems for radioactive waste repository siting

    International Nuclear Information System (INIS)

    Carnes, S.A.; Soderstrom, E.J.; Sorensen, J.; Peelle, E.; Reed, J.H.; Bjornstad, D.J.; Copenhaver, E.D.

    1982-01-01

    The importance of social and institutional issues in siting radioactive waste repositories has been recognized in recent years. Within this set of issues, the siting of repositories over the objections of members of potential host communities is viewed as especially problematic. Incentives to potential host communities have been suggested as a means of increasing local support for and offsetting local opposition to such facilities. Incentives are classified according to their function as mitigation, compensation or reward. Our analysis of results of a 1980 survey (conducted by John Kelly, Complex Systems Group, University of New Hampshire) of 420 rural Wisconsin residents indicates that incentives may achieve the purpose of increasing support for and decreasing opposition to accepting a repository. Criteria for evaluating the utility of incentives are identified. They respond to four basic questions: (1) What is absolutely necessary. (2) Will the incentive work. (3) Can the incentive be understood. and (4) What are the consequences of implementing the incentive. It is suggested that meaningful evaluations of incentives can only be performed by members of potential host communities

  12. Utility of evaluation of cerebral circulation for brain-oriented intensive care

    International Nuclear Information System (INIS)

    Honda, Mitsuru; Sakata, Yoshihito; Ichibayashi, Ryo; Yoshihara, Katsunori; Noguchi, Yoshitaka; Seiki, Yoshikatsu; Machida, Keiichi; Sase, Shigeru

    2007-01-01

    Severe traumatic brain injury is widely known to cause a dynamic change in CBF. Especially, a decrease in cerebral blood flow (CBF) has been reported. In the present study we measured CBF, mean transit time (MTT) and cerebral blood volume (CBV). Our purpose was to investigate the possibility to estimate the outcome and severity by using these physiological parameters and the utility of cerebral circulation evaluation for brain-oriented intensive care. In 54 patients with traumatic brain injury, Xe-CT and perfusion CT were performed at the same time in the phase II (Day 1-3). We measured CBF by using Xe-CT and MTT by using Perfusion CT and calculated CBV by using AZ-7000 W 98 computer system. The results were correlated with the outcome and the values of CBF and MTT. Significant differences in CBF and MTT were found between a favorable outcome group and a poor outcome group. We could evaluate the condition of cerebral circulation for patients with traumatic brain injury by analyzing the values of CBF and MTT. In conclusion, these parameters can be helpfull for the optimal management and outcome improvement for the patients with severe traumatic brain injury. (author)

  13. Evaluation of Universitas Indonesia’s Recharge Pond Performance and Potential Utilization for Raw Water Source

    Directory of Open Access Journals (Sweden)

    Nyoman Suwartha

    2012-05-01

    Full Text Available The UI recharge pond has been constructed 5 years ago. However, monitoring and evaluation activities on its performances are very lack. Aims of this study are to understand the recharge rate, and to evaluate existing quantity and water quality of the pond during dry and rainy season. Measurement of water depth, rainfall intensity, and evaporation is conducted to determine water availability, recharge rate, and water balance of the recharge pond. Amount of surface water is collected from recharge pond and river at three sampling point to determine existing water quality of the pond. The results showed that recharge rate of the pond between dry season (3.2 mm/day and wet season (6.1 mm/day are considered as insignificant different. The water balance of the recharge pond shows an excessive rate. Various physics and chemical parameters (turbidity, color, TDS, pH, and  Cl are found to have concentration lower than the water quality standard. The results suggest that the pond surface water is remain suitable to be recharged into aquifer zone so that sustaining ground water conservation campaign, and it is potential to be utilized as an additional  raw water source for domestic water demand of UI Campus Depok.

  14. Evaluating the Effects of Pioneer Accountable Care Organizations on Medicare Part D Drug Spending and Utilization.

    Science.gov (United States)

    Zhang, Yuting; Caines, Kadin J; Powers, Christopher A

    2017-05-01

    The improvement of medication use is a critical mechanism that accountable care organization (ACO) could use to save overall costs. Currently pharmaceutical spending is not part of the calculation for ACO-shared savings and risks. Thus, ACO providers may have strong incentives to prescribe more medications hoping to avoid expensive downstream medical costs. We designed a quasinatural experiment study to evaluate the effects of Pioneer ACOs on Medicare Part D spending and utilization. Medicare fee-for-service beneficiaries with Part D drug coverage who were aligned to a Pioneer ACO were compared with a random 5% sample of non-ACO beneficiaries. Outcomes included changes in Part D spending, number of prescription fills, percent of brand medications, and total Part A and B medical spending. We utilized a generalized linear model with a difference-in-differences approach to estimate 2011-2012 changes in these outcomes among beneficiaries aligned with Pioneer ACOs, adjusting for all beneficiary-level demographics, income and insurance status, clinical characteristics, and regional fixed effects. Being in an ACO did not significantly affect Part D spending (-$23.52; P=0.19), total prescriptions filled (-0.12; P=0.27), and the percent of claims for brand-name drugs (0.06%; P=0.23). The ACO group was associated with savings in Parts A and B spending of $345 (PPioneer ACOs were not associated with changes in pharmaceutical spending and use, but were associated with savings in Parts A and B spending in 2012.

  15. Evaluation of internet access and utilization by medical students in Lahore, Pakistan

    Science.gov (United States)

    2011-01-01

    Background The internet is increasingly being used worldwide in imparting medical education and improving its delivery. It has become an important tool for healthcare professionals training but the data on its use by medical students in developing countries is lacking with no study on the subject from Pakistan. This study was, therefore, carried out with an aim to evaluate the pattern of internet access and utilization by medical students in Pakistan. Methods A structured pre-tested questionnaire was administered to a group of 750 medical students in clinical years studying at various public and private medical colleges in Lahore. The questions were related to patterns of internet access, purpose of use and self reported confidence in performing various internet related tasks, use of health related websites to supplement learning and the problems faced by students in using internet at the institution. Results A total of 532 medical students (70.9%) returned the questionnaire. The mean age of study participants was 21.04 years (SD 1.96 years). Majority of the respondents (84.0%) reported experience with internet use. About half of the students (42.1%) were using internet occasionally with 23.1%, 20.9% and 13.9% doing so frequently, regularly and rarely respectively. About two third of the students (61.0%) stated that they use internet for both academic and professional activities. Most of the participants preferred to use internet at home (70.5%). Self reported ability to search for required article from PubMed and PakMedinet was reported by only 34.0% of the entire sample. Students were moderately confident in performing various internet related tasks including downloading medical books from internet, searching internet for classification of diseases and downloading full text article. Health related websites were being accessed by 55.1% students to supplement their learning process. Lack of time, inadequate number of available computers and lack of support from

  16. Regression analysis utilizing subjective evaluation of emotional experience in PET studies on emotions.

    Science.gov (United States)

    Aalto, Sargo; Wallius, Esa; Näätänen, Petri; Hiltunen, Jaana; Metsähonkala, Liisa; Sipilä, Hannu; Karlsson, Hasse

    2005-09-01

    A methodological study on subject-specific regression analysis (SSRA) exploring the correlation between the neural response and the subjective evaluation of emotional experience in eleven healthy females is presented. The target emotions, i.e., amusement and sadness, were induced using validated film clips, regional cerebral blood flow (rCBF) was measured using positron emission tomography (PET), and the subjective intensity of the emotional experience during the PET scanning was measured using a category ratio (CR-10) scale. Reliability analysis of the rating data indicated that the subjects rated the intensity of their emotional experience fairly consistently on the CR-10 scale (Cronbach alphas 0.70-0.97). A two-phase random-effects analysis was performed to ensure the generalizability and inter-study comparability of the SSRA results. Random-effects SSRAs using Statistical non-Parametric Mapping 99 (SnPM99) showed that rCBF correlated with the self-rated intensity of the emotional experience mainly in the brain regions that were identified in the random-effects subtraction analyses using the same imaging data. Our results give preliminary evidence of a linear association between the neural responses related to amusement and sadness and the self-evaluated intensity of the emotional experience in several regions involved in the emotional response. SSRA utilizing subjective evaluation of emotional experience turned out a feasible and promising method of analysis. It allows versatile exploration of the neurobiology of emotions and the neural correlates of actual and individual emotional experience. Thus, SSRA might be able to catch the idiosyncratic aspects of the emotional response better than traditional subtraction analysis.

  17. 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

  18. [Comprehensive evaluation of county-level construction land intensive utility in Guangdong province: a case study for Zijin County].

    Science.gov (United States)

    Zhang, Jun-Ping; Hu, Yue-Ming; Tian, Yuan; Wang, Lu; Liu, Su-Ping

    2010-02-01

    Based on the weights and membership values of evaluation indices, a measurement model of construction land intensive utility in Zijin County of Guangdong Province was established, and the basic principles of the greatest compatible class were adopted to classify the intensive utility levels of the construction land based on fuzzy recognition. Additionally, the intensive utility potential of construction land in Zijin County in 2005 was calculated by comparing the per capita construction land in towns, independent industrial and mining areas, and rural residential areas with the latest national land use standards for planning of town launched in 2007. The predicted value of the model was 0.421, suggesting that the construction land utility in Zijin County was still low- effective and extensive. Theoretically, the construction land area could be decreased by 555.69-2197.69 hm2, which meant there was a great potential in the intensive utility of construction land in the county.

  19. Stimulating utilities to promote energy efficiency: Process evaluation of Madison Gas and Electric's Competition Pilot Program

    Energy Technology Data Exchange (ETDEWEB)

    Vine, E.; De Buen, O.; Goldfman, C.

    1990-12-01

    This report describes the process evaluation of the design and implementation of the Energy Conservation Competition Pilot (hereafter referred to as the Competition), ordered by the Public Service Commission of Wisconsin (PSCW) with a conceptual framework defined by PSCW staff for the Madison Gas and Electric (MGE) Company. This process evaluation documents the history of the Competition, describing the marketing strategies adopted by MGE and its competitors, customer service and satisfaction, administrative issues, the distribution of installed measures, free riders, and the impact of the Competition on MGE, its competitors, and other Wisconsin utilities. We also suggest recommendations for a future Competition, compare the Competition with other approaches that public utility commissions (PUCs) have used to motivate utilities to promote energy efficiency, and discuss its transferability to other utilities. 48 refs., 8 figs., 40 tabs.

  20. Contribution of the multi-attribute value theory to conflict resolution in groundwater management - application to the Mancha Oriental groundwater system, Spain

    Science.gov (United States)

    Apperl, B.; Pulido-Velazquez, M.; Andreu, J.; Karjalainen, T. P.

    2015-03-01

    The implementation of the EU Water Framework Directive demands participatory water resource management approaches. Decision making in groundwater quantity and quality management is complex because of the existence of many independent actors, heterogeneous stakeholder interests, multiple objectives, different potential policies, and uncertain outcomes. Conflicting stakeholder interests have often been identified as an impediment to the realisation and success of water regulations and policies. The management of complex groundwater systems requires the clarification of stakeholders' positions (identifying stakeholder preferences and values), improving transparency with respect to outcomes of alternatives, and moving the discussion from the selection of alternatives towards the definition of fundamental objectives (value-thinking approach), which facilitates negotiation. The aims of the study are to analyse the potential of the multi-attribute value theory for conflict resolution in groundwater management and to evaluate the benefit of stakeholder incorporation into the different stages of the planning process, to find an overall satisfying solution for groundwater management. The research was conducted in the Mancha Oriental groundwater system (Spain), subject to intensive use of groundwater for irrigation. A complex set of objectives and attributes was defined, and the management alternatives were created by a combination of different fundamental actions, considering different implementation stages and future changes in water resource availability. Interviews were conducted with representative stakeholder groups using an interactive platform, showing simultaneously the consequences of changes in preferences to the alternative ranking. Results show that the approval of alternatives depends strongly on the combination of measures and the implementation stages. Uncertainties in the results were notable, but did not influence the alternative ranking heavily. The

  1. Utility of QGS for 201Tl electrocardiogram-gated SPECT in cardiac function evaluations

    International Nuclear Information System (INIS)

    Shimazaki, Hiroshi; Oono, Ryuichi

    2001-01-01

    QGS (quantitative gated SPECT) was applied to 201 Tl SPECT, whose images are inferior to those of Tc SPECT, and its utility was evaluated. More specifically, the cardiac function index was calculated by QGS, and local wall motion was evaluated visually. Accuracy was assessed by comparison with left ventriculography. The subjects were 29 patients (21 males, 8 females; 6 with myocardial infarction, 18 with stenocardia, 2 with pericardial disease, 3 with other heart diseases) who had undergone myocardial scintigraphy and left ventriculography between February and May, 2000. 201 Tl (74 or 111 MBq) was administered to all patients. The resting image was obtained 10 minutes later, and the delayed image during loading was obtained 4 hours later. The conditions for acquiring the images were as follows. Two detectors were arranged at a 90-degree angle in the form of an L. The 180 degrees from 45 degrees right anterior oblique (RAO) to 45 degrees left posterior oblique (LPO) were divided into 30 sections at 6-degree intervals, and the image in each section was acquired for 60 seconds. The matrix was 64 x 64. As a cardiac function index, the left ventricular ejection function (LVEF) obtained by electrocardiogram-gated SPECT (QGS-EF) at the rest (14 cases) and the QGS-EF on the delayed images (15 cases) were compared with the LVEF determined by left ventriculography (LVG-EF). There was an excellent positive correlation between the data obtained by two methods, with a correlation coefficient of r=0.93 (y=1.04x-0.04). Most of the difference between the values fell within two standard deviations, and the error was in the clinically allowable range. There was no significant difference between the correlation coefficient at rest and during loading or between the cases that showed an obvious defect on the image and those that did not. The local wall motion of the left ventricle was visually evaluated in five stages in two directions (RAO, 30 degrees, and LAO, 60 degrees). The motion

  2. Potential utility of MRI in the evaluation of children at risk of renal scarring

    Energy Technology Data Exchange (ETDEWEB)

    Chan Yuleung; Chan Kamwing; Roebuck, D.J.; Chu, W.C.W.; Metreweli, C. [Dept. of Diagnostic Radiology and Organ Imaging, Chinese Univ. of Hong Kong, Shatin (China); Yeung Chungkwong; Lee Kimhung [Dept. of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong (China)

    1999-11-01

    Background. Gadolinium-enhanced MRI has recently been employed in the diagnosis of acute pyelonephritis. Its potential utility in the diagnosis of renal scars in children is unknown. Objective. To evaluate the potential utility of MRI using fat-saturated T1-weighted (T1-W) and post-gadolinium, short-tau inversion-recovery (STIR) sequences in detecting renal scarring by comparison with technetium dimercaptosuccinic acid ({sup 99} {sup m}Tc-DMSA) renal scintigraphy in children at risk of renal scarring. Materials and methods. A group of 24 children with spina bifida and neurogenic bladder or anorectal anomaly was studied. No patient had a history of acute pyelonephritis. Documented urinary tract infection (UTI) was present in 10 children (42 %). The remaining 14 (58 %) children had a history of asymptomatic bacteriuria. None had clinical signs or symptoms of acute UTI at the time of the study. {sup 99} {sup m}Tc-DMSA and MRI were performed to detect renal scarring. {sup 99} {sup m}Tc-DMSA scans were supplemented with pinhole imaging. MRI of the kidneys employed a fat-saturated T1-W sequence and a post-gadolinium STIR sequence employing a short echo time. Results. Of the kidneys studied, 33 % (n = 16) had evidence of a renal parenchymal defect suggestive of scarring on {sup 99} {sup m}Tc-DMSA. The concordance in the detection of a scarred kidney by post-gadolinium STIR sequence and {sup 99} {sup m}Tc-DMSA is 94 %; that by fat-saturated T1-W sequence and {sup 99} {sup m}Tc-DMSA is 82 %; that by both sequences (positive result on either sequence) and {sup 99} {sup m}Tc-DMSA is 100 %. Using {sup 99} {sup m}Tc-DMSA as the gold standard, MRI had a sensitivity of 100 % and a specificity of 78 % in the diagnosis of a scarred kidney. The concordance in the detection of a scarred zone by post-gadolinium STIR sequence and {sup 99} {sup m}Tc-DMSA is 68 %; that by fat-saturated T1-W sequence and DMSA is 44 %; that by both sequences (positive result on either sequence) and {sup 99

  3. Thermal performance evaluation of a four pan jaggery processing furnace for improvement in energy utilization

    Energy Technology Data Exchange (ETDEWEB)

    Sardeshpande, Vishal R.; Shendage, D.J.; Pillai, Indu R. [Department of Energy Science and Engineering, Indian Institute of Technology, Bombay (India)

    2010-12-15

    The jaggery making from sugarcane is one of the traditional process industries contributing to the local employment and entrepreneurship opportunities to the rural population. Jaggery is a condensed form of sugarcane juice produced by evaporation of moisture. Bagasse which is internally generated during juice extraction from sugarcane is used as the fuel for evaporation in a jaggery furnace. Any efficiency improvement in the thermal performance of a jaggery furnace leads to bagasse saving which provides additional revenue for the jaggery manufacturer. A procedure for thermal evaluation using mass and energy balance for a jaggery furnace is proposed to establish furnace performance and loss stream analysis. The proposed method is used to investigate a four pan traditional jaggery furnace in India. The loss stream analysis indicates that the theoretical energy required for jaggery processing is only 29% of total energy supplied by bagasse combustion. The major loss is associated with heat carried in flue gas and wall losses. The air available for combustion depends upon the draft created by chimney in natural draft furnaces. The oxygen content in the flue gas is a measure of degree of combustion. A controlled fuel feeding based on the oxygen percentage in the flue gases is proposed and demonstrated. The traditional practice of fuel feeding rate is changed to control feeding rate leading to reduction in specific fuel consumption from 2.39 kg bagasse/kg jaggery to 1.73 kg bagasse/kg jaggery. This procedure can be used for evaluation of jaggery furnaces for identification and quantification of losses, which will help in improving thermal energy utilization. (author)

  4. Utility of mobile devices in the computerized tomography evaluation of intracranial hemorrhage

    International Nuclear Information System (INIS)

    Panughpath, Sridhar G; Kumar, Savith; Kalyanpur, Arjun

    2013-01-01

    To evaluate the utility of a mobile device to detect and assess intracranial hemorrhage (ICH) on head computed tomographys (CT) performed in the emergency setting. 100 head CT scans were randomly selected from our emergency radiology database and anonymized for patient demographics and clinical history. The studies were independently interpreted by two experienced radiologists in a blinded manner, initially on a mobile device (iPad, Apple computers) and subsequently, at an interval of one week, on a regular desktop workstation. Evaluation was directed towards detection, localization and characterization of hemorrhage. The results were assessed for accuracy, sensitivity, specificity and positive predictive value. Statistical significance was ascertained using Fisher's exact test. 27 of the examinations were positive for ICH, of which 11 had multiple hemorrhages. Of these there were 17 subdural, 18 intraparenchymal, 8 subarachnoid, 4 intraventricular and 2 extradural hemorrhages. In 96 of the studies there was complete concurrence between the iPad and desktop interpretations for both radiologists. Of 49 hemorrhages, 48 were accurately detected on the iPad by one of the radiologists. In the remaining case, a tiny intraventricular hemorrhage was missed by both radiologists on the iPad as well as on the workstation, indicating that the miss was more likely related to the very small size of the hemorrhage than the viewer used. We conclude that in the emergency setting, a mobile device with appropriate web-based pictue archiving and communication system (PACS) is effective in the detection of intracranial hemorrhage present on head CT

  5. Clinical utility of breath ammonia for evaluation of ammonia physiology in healthy and cirrhotic adults

    Science.gov (United States)

    Spacek, Lisa A; Mudalel, Matthew; Tittel, Frank; Risby, Terence H; Solga, Steven F

    2016-01-01

    Blood ammonia is routinely used in clinical settings to assess systemic ammonia in hepatic encephalopathy and urea cycle disorders. Despite its drawbacks, blood measurement is often used as a comparator in breath studies because it is a standard clinical test. We sought to evaluate sources of measurement error and potential clinical utility of breath ammonia compared to blood ammonia. We measured breath ammonia in real time by quartz enhanced photoacoustic spectrometry and blood ammonia in 10 healthy and 10 cirrhotic participants. Each participant contributed 5 breath samples and blood for ammonia measurement within 1 h. We calculated the coefficient of variation (CV) for 5 breath ammonia values, reported medians of healthy and cirrhotic participants, and used scatterplots to display breath and blood ammonia. For healthy participants, mean age was 22 years (±4), 70% were men, and body mass index (BMI) was 27 (±5). For cirrhotic participants, mean age was 61 years (±8), 60% were men, and BMI was 31 (±7). Median blood ammonia for healthy participants was within normal range, 10 μmol L−1 (interquartile range (IQR), 3–18) versus 46 μmol L−1 (IQR, 23–66) for cirrhotic participants. Median breath ammonia was 379 pmol mL−1 CO2 (IQR, 265–765) for healthy versus 350 pmol mL−1 CO2 (IQR, 180–1013) for cirrhotic participants. CV was 17 ± 6%. There remains an important unmet need in the evaluation of systemic ammonia, and breath measurement continues to demonstrate promise to fulfill this need. Given the many differences between breath and blood ammonia measurement, we examined biological explanations for our findings in healthy and cirrhotic participants. We conclude that based upon these preliminary data breath may offer clinically important information this is not provided by blood ammonia. PMID:26658550

  6. Diabetes mellitus and infection: an evaluation of hospital utilization and management costs in the United States.

    Science.gov (United States)

    Korbel, Lindsey; Spencer, John David

    2015-03-01

    The objective of this study is to evaluate the number of diabetics that seek medical treatment in emergency departments or require hospitalization for infection management in the United States. This study also assesses the socioeconomic impact of inpatient infection management among diabetics. We accessed the Healthcare Cost and Utilization Project's Nationwide Emergency Department Sample database and the Nationwide Inpatient Sample database to perform a retrospective analysis on diabetics presenting to the emergency department or hospitalized for infection management from 2006 to 2011. Emergency Department: Since 2006, nearly 10 million diabetics were annually evaluated in the emergency department. Infection was the primary reason for presentation in 10% of these visits. Among those visits, urinary tract infection was the most common infection, accounting for over 30% of emergency department encounters for infections. Other common infections included sepsis, skin and soft tissue infections, and pneumonia. Diabetics were more than twice as likely to be hospitalized for infection management than patients without diabetes. Hospitalization: Since 2006, nearly 6 million diabetics were annually hospitalized. 8-12% of these patients were hospitalized for infection management. In 2011, the inpatient care provided to patients with DM, and infection was responsible for over $48 billion dollars in aggregate hospital charges. Diabetics commonly present to the emergency department and require hospitalization for infection management. The care provided to diabetics for infection management has a large economic impact on the United States healthcare system. More efforts are needed to develop cost-effective strategies for the prevention of infection in patients with diabetes. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Utility of mobile devices in the computerized tomography evaluation of intracranial hemorrhage

    Directory of Open Access Journals (Sweden)

    Sridhar G Panughpath

    2013-01-01

    Full Text Available Aim: To evaluate the utility of a mobile device to detect and assess intracranial hemorrhage (ICH on head computed tomographys (CT performed in the emergency setting. Materials and Methods: 100 head CT scans were randomly selected from our emergency radiology database and anonymized for patient demographics and clinical history. The studies were independently interpreted by two experienced radiologists in a blinded manner, initially on a mobile device (iPad, Apple computers and subsequently, at an interval of one week, on a regular desktop workstation. Evaluation was directed towards detection, localization and characterization of hemorrhage. The results were assessed for accuracy, sensitivity, specificity and positive predictive value. Statistical significance was ascertained using Fisher′s exact test. Results: 27 of the examinations were positive for ICH, of which 11 had multiple hemorrhages. Of these there were 17 subdural, 18 intraparenchymal, 8 subarachnoid, 4 intraventricular and 2 extradural hemorrhages. In 96 of the studies there was complete concurrence between the iPad and desktop interpretations for both radiologists. Of 49 hemorrhages, 48 were accurately detected on the iPad by one of the radiologists. In the remaining case, a tiny intraventricular hemorrhage was missed by both radiologists on the iPad as well as on the workstation, indicating that the miss was more likely related to the very small size of the hemorrhage than the viewer used. Conclusion: We conclude that in the emergency setting, a mobile device with appropriate web-based pictue archiving and communication system (PACS is effective in the detection of intracranial hemorrhage present on head CT.

  8. Evaluating the use and utility of noninvasive angiography in diagnosing traumatic blunt cerebrovascular injury.

    Science.gov (United States)

    Wang, Anthony C; Charters, Michael A; Thawani, Jayesh P; Than, Khoi D; Sullivan, Stephen E; Graziano, Gregory P

    2012-06-01

    Digital subtraction angiography (DSA) is the gold standard for radiographic diagnosis of blunt cerebrovascular injury (BCVI), but use of computed tomography angiography (CTA) and magnetic resonance angiography (MRA) has increased dramatically in BCVI screening. This study explores the utility, effectiveness, and cost of noninvasive CTA and MRA screening for BCVI. Medical records of 2,025 consecutive adults evaluated for acute blunt neck trauma and BCVI were reviewed retrospectively. The incidence of BCVI, level(s) of cervical injury, involvement of foramina transversaria and internal carotid canals, presence of bony dislocation or subluxation, and subsequent treatment received were assessed. Asymptomatic patients were analyzed based on fracture and injury patterns. The cost effectiveness of CTA compared with DSA and the effects of CTA sensitivity and screening yield were determined. Of reviewed patients, 196 received CTA or MRA. Thirty-eight patients (19.4%) were diagnosed with BCVI. Screening yield in patients symptomatic at presentation was 48.8%. Large-vessel internal carotid, vertebral, anterior spinal, and basilar artery occlusion were associated with a positive screen, as were concurrent stroke and spinal cord injury (p tool for BCVI screening. Symptomatic presentation was the best predictor of BCVI. Significant cost savings were realized using CTA rather than DSA, with similar effectiveness and patient outcomes. Diagnostic study, level III; economic analysis, level IV. Copyright © 2012 by Lippincott Williams & Wilkins

  9. "Erythropoietin Utilization Evaluation And Two Brand Products Comparison, Eprex and Eposim "

    Directory of Open Access Journals (Sweden)

    H. Khalili

    2006-06-01

    Full Text Available Background and Aim: Anemia is one of the common problems in patients with chronic renal impairment. The most common cause of anemia in this patients is a decreased in erythropoietin hormone excretion, however other common cause include low life of red blood cells, loss of blood during dialysis, frequent blood sampling, uremia, iron, vitamin B12 and folic acid deficiency. Until introduction of erythropoietin in 1982, blood transfusion was an alternative for correction and maintaining hematocrit in normal range in dialyze patients. In current date, any dialyzed patient take rh-erythropoietin . Materials and Methods: The goal of this study is to evaluate erythropoietin utilization and comparing the effectiveness of the commercial product in the Iranian drugs market. The study was performed at nephrology and dialyze ward of Immam Khomeini hospital in a one year period. Results and Conclusion: Of the 30 patients' subject of study, 13 patients received eprex and 17 received epocim. Average dose of erythropoietin 2000IU was three times per week. The average plasma hemoglobin and hematocrit of patients prior to the treatment were 9.38 g/dl and 28% respectively. Increase in the hemoglobin and hematocrit in the group who received eprex was significantly higher than epocim group (p=0.001 and p=0.026 respectively. The incidents of side effects including hypertension, headache, pain at injection site, and influenza-like in eposim group were considerably higher than eprex.

  10. Evaluation of utility monitoring and preoperational hydrothermal modeling at three nuclear power plant sites

    International Nuclear Information System (INIS)

    Marmer, G.J.; Policastro, A.J.

    1977-01-01

    This paper evaluates the preoperational hydrothermal modeling and operational monitoring carried out by utilities as three nuclear-power-plant sites using once-through cooling. Our work was part of a larger study to assess the environmental impact of operating plants for the Nuclear Regulatory Commission (NRC) and the suitability of the NRC Environmental Technical Specifications (Tech Specs) as set up for these plants. The study revealed that the plume mappings at the Kewaunee, Zion, and Quad Cities sites were generally satisfactory in terms of delineating plume size and other characteristics. Unfortunately, monitoring was not carried out during the most critical periods when largest plume size would be expected. At Kewaunee and Zion, preoperational predictions using analytical models were found to be rather poor. At Kewaunee (surface discharge), the Pritchard Model underestimated plume size in the near field, but grossly overestimated the plume's far-field extent. Moreover, lake-level variations affected plume dispersion, yet were not considered in preoperational predictions. At Zion (submerged discharge) the Pritchard Model was successful only in special, simple cases (single-unit operation, no stratification, no reversing currents, no recirculation). Due to neglect of the above-mentioned phenomena, the model underpredicted plume size. At Quad Cities (submerged discharge), the undistorted laboratory model predicted plume dispersion for low river flows. These low flow predictions appear to be reasonable extrapolations of the field data acquired at higher flows

  11. Utility of CT in the evaluation of pulmonary tuberculosis in patients without Aids

    International Nuclear Information System (INIS)

    Lee, K.S.; Hwang, J.W.; Chung, M.P.

    1997-01-01

    Objective. To assess the utility of CT in the evaluation of pulmonary tuberculosis in patients without AIDS. Patients and methods. Thin-section CT scans for suspicion of pulmonary tuberculosis were obtained from 226 patients. A total of 38 patients were excluded; the reasons were unavailability of final results (n=18), patient unavailability for follow-up (n=13), and coexistence of tuberculosis and aspergilloma (n=7). The results from 188 patients were used for this study. After assessing the patterns of parenchymal lesion, involved segments, and presence of cavity, bronchiectases, and bronchogenic spread of the lesion with CT, tentative diagnosis and disease activity were recorded. Results. With CT, 133 of 146 patients (91%) with tuberculosis were correctly diagnosed as having pulmonary tuberculosis whereas 32 of 42 patients (76%) without tuberculosis were correctly excluded. CT diagnosis of lung cancer (n=8), bacterial pneumonia (n=2), pulmonary metastasis (n=1), chronic hypersensitivity pneumonia (n=1) and diffuse pan-bronchiolitis (n=1) turned out to be tuberculosis. Conversely CT diagnoses of tuberculosis appeared pathologically as lung cancer (n=5), bacterial pneumonia 71/89, 80%) and inactive state (51/57, 89%) of disease respectively could be correctly differentiated by CT. Conclusion. CT can be helpful in the diagnosis of pulmonary tuberculosis in most cases. On the basis of CT findings, distinction of active from inactive disease can be made in most cases. (authors)

  12. Development of functional extruded snacks by utilizing paste shrimp (Acetes spp.): process optimization and quality evaluation.

    Science.gov (United States)

    Kumar, Raushan; Xavier, Ka Martin; Lekshmi, Manjusha; Dhanabalan, Vignaesh; Thachil, Madonna T; Balange, Amjad K; Gudipati, Venkateshwarlu

    2018-04-01

    Functional extruded snacks were prepared using paste shrimp powder (Acetes spp.), which is rich in protein. The process variables required for the preparation of extruded snacks was optimized using response surface methodology. Extrusion temperature (130-144 °C), level of Acetes powder (100-200 g kg -1 ) and feed moisture (140-200 g kg -1 ) were selected as design variables, and expansion ratio, porosity, hardness, crispness and thiobarbituric acid reactive substance value were taken as the response variables. Extrusion temperature significantly influenced all the response variables, while Acetes inclusion influenced all variables except porosity. Feed moisture content showed a significant quadratic effect on all responses and an interactive effect on expansion ratio and hardness. Shrimp powder incorporation increased the protein and mineral content of the final product. The extruded snack made with the combination of extrusion temperature 144.59 °C, feed moisture 178.5 g kg -1 and Acetes inclusion level 146.7 g kg -1 was found to be the best one based on sensory evaluation. The study suggests that use of Acetes species for the development of extruded snacks will serve as a means of utilization of Acetes as well as being a rich source of proteins for human consumption, which would otherwise remain unexploited as a by-catch. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

  13. Evaluation of the efficiency and utility of recombinant enzyme-free seamless DNA cloning methods

    Directory of Open Access Journals (Sweden)

    Ken Motohashi

    2017-03-01

    Full Text Available Simple and low-cost recombinant enzyme-free seamless DNA cloning methods have recently become available. In vivo Escherichia coli cloning (iVEC can directly transform a mixture of insert and vector DNA fragments into E. coli, which are ligated by endogenous homologous recombination activity in the cells. Seamless ligation cloning extract (SLiCE cloning uses the endogenous recombination activity of E. coli cellular extracts in vitro to ligate insert and vector DNA fragments. An evaluation of the efficiency and utility of these methods is important in deciding the adoption of a seamless cloning method as a useful tool. In this study, both seamless cloning methods incorporated inserting DNA fragments into linearized DNA vectors through short (15–39 bp end homology regions. However, colony formation was 30–60-fold higher with SLiCE cloning in end homology regions between 15 and 29 bp than with the iVEC method using DH5α competent cells. E. coli AQ3625 strains, which harbor a sbcA gene mutation that activates the RecE homologous recombination pathway, can be used to efficiently ligate insert and vector DNA fragments with short-end homology regions in vivo. Using AQ3625 competent cells in the iVEC method improved the rate of colony formation, but the efficiency and accuracy of SLiCE cloning were still higher. In addition, the efficiency of seamless cloning methods depends on the intrinsic competency of E. coli cells. The competency of chemically competent AQ3625 cells was lower than that of competent DH5α cells, in all cases of chemically competent cell preparations using the three different methods. Moreover, SLiCE cloning permits the use of both homemade and commercially available competent cells because it can use general E. coli recA− strains such as DH5α as host cells for transformation. Therefore, between the two methods, SLiCE cloning provides both higher efficiency and better utility than the iVEC method for seamless DNA plasmid

  14. A Quantitative Human Spacecraft Design Evaluation Model for Assessing Crew Accommodation and Utilization

    Science.gov (United States)

    Fanchiang, Christine

    Crew performance, including both accommodation and utilization factors, is an integral part of every human spaceflight mission from commercial space tourism, to the demanding journey to Mars and beyond. Spacecraft were historically built by engineers and technologists trying to adapt the vehicle into cutting edge rocketry with the assumption that the astronauts could be trained and will adapt to the design. By and large, that is still the current state of the art. It is recognized, however, that poor human-machine design integration can lead to catastrophic and deadly mishaps. The premise of this work relies on the idea that if an accurate predictive model exists to forecast crew performance issues as a result of spacecraft design and operations, it can help designers and managers make better decisions throughout the design process, and ensure that the crewmembers are well-integrated with the system from the very start. The result should be a high-quality, user-friendly spacecraft that optimizes the utilization of the crew while keeping them alive, healthy, and happy during the course of the mission. Therefore, the goal of this work was to develop an integrative framework to quantitatively evaluate a spacecraft design from the crew performance perspective. The approach presented here is done at a very fundamental level starting with identifying and defining basic terminology, and then builds up important axioms of human spaceflight that lay the foundation for how such a framework can be developed. With the framework established, a methodology for characterizing the outcome using a mathematical model was developed by pulling from existing metrics and data collected on human performance in space. Representative test scenarios were run to show what information could be garnered and how it could be applied as a useful, understandable metric for future spacecraft design. While the model is the primary tangible product from this research, the more interesting outcome of

  15. Utility of F-18 FDG PET/CT on the evaluation of primary bone lymphoma.

    Science.gov (United States)

    Wang, Li-Juan; Wu, Hu-Bing; Wang, Meng; Han, Yan-Jiang; Li, Hong-Sheng; Zhou, Wen-Lan; Wang, Quan-Shi

    2015-11-01

    Primary bone lymphoma (PBL) is a rare type of malignant lymphoma. Few data have been reported regarding the utility of F-18 FDG PET/CT in this disease. The aim of this study was to assess the role of F-18 FDG PET/CT in the diagnosis and therapeutic effect evaluation of PBL. A total of 19 consecutive patients with PBL were enrolled. Whole-body PET/CT scan was performed for all patients. The diagnosis of PBL was established by histopathology and immunohistochemistry. F-18 FDG PET/CT was positive in 94.7% (18/19) of patients. Uptake of FDG in lesions was intense with SUVmax of 15.14 ± 11.82. Multiple involved lesions were found in 47.4% (9/19) patients, while 52.6% presented with a single involved lesion. Based on the lesions, PET detected 98.9% (87/88) lesions. Among them, 71.6% (63/88) lesions were found to be located in axial skeleton and 28.4% (25/88) in the extremity skeleton. FDG PET/CT also found the lesions infiltrate to the surrounding soft tissue in 84.2% (16/19) patients. On the syn-modality CT, the bone destruction was noted in 43.2% (38/88) of the lesions, of which 50.0% lesions presented as slight change in bone density and 50.0% as severe change. The diagnostic sensitivity of PET was much higher than that of CT (98.9% vs. 43.2%, P=0.000). PET/CT was performed for evaluation of treatment response in 13 patients. In 12 patients with complete response(CR), PET/CT found the 25 lesions were F-18 FDG fully resoluted after treatment, however, bone destruction was still presented in 72.0% (18/25) lesions. The present study suggests that F-18 FDG PET/CT was a sensitive imaging modality for diagnosis and treatment response evaluation of PBL. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  16. The Multi-Attribute Group Decision-Making Method Based on Interval Grey Trapezoid Fuzzy Linguistic Variables

    Directory of Open Access Journals (Sweden)

    Kedong Yin

    2017-12-01

    Full Text Available With respect to multi-attribute group decision-making (MAGDM problems, where attribute values take the form of interval grey trapezoid fuzzy linguistic variables (IGTFLVs and the weights (including expert and attribute weight are unknown, improved grey relational MAGDM methods are proposed. First, the concept of IGTFLV, the operational rules, the distance between IGTFLVs, and the projection formula between the two IGTFLV vectors are defined. Second, the expert weights are determined by using the maximum proximity method based on the projection values between the IGTFLV vectors. The attribute weights are determined by the maximum deviation method and the priorities of alternatives are determined by improved grey relational analysis. Finally, an example is given to prove the effectiveness of the proposed method and the flexibility of IGTFLV.

  17. The Multi-Attribute Group Decision-Making Method Based on Interval Grey Trapezoid Fuzzy Linguistic Variables.

    Science.gov (United States)

    Yin, Kedong; Wang, Pengyu; Li, Xuemei

    2017-12-13

    With respect to multi-attribute group decision-making (MAGDM) problems, where attribute values take the form of interval grey trapezoid fuzzy linguistic variables (IGTFLVs) and the weights (including expert and attribute weight) are unknown, improved grey relational MAGDM methods are proposed. First, the concept of IGTFLV, the operational rules, the distance between IGTFLVs, and the projection formula between the two IGTFLV vectors are defined. Second, the expert weights are determined by using the maximum proximity method based on the projection values between the IGTFLV vectors. The attribute weights are determined by the maximum deviation method and the priorities of alternatives are determined by improved grey relational analysis. Finally, an example is given to prove the effectiveness of the proposed method and the flexibility of IGTFLV.

  18. Applications of utility theory in the economic evaluation of health care

    NARCIS (Netherlands)

    H. Bleichrodt (Han)

    1996-01-01

    textabstractThis thesis studies the applicability of quality-adjusted life years (QALYs) and other utility based outcome measures in medical decision making and health economics. The main conclusion will be that utility based measures are more useful to model health related behaviour than has

  19. Development of an in vitro photosafety evaluation method utilizing intracellular ROS production in THP-1 cells.

    Science.gov (United States)

    Toyoda, Akemi; Itagaki, Hiroshi

    2018-01-01

    Photoreactive compounds that may experience exposure to ultraviolet (UV) radiation can lead to the intracellular production of reactive oxygen species (ROS), which may cause phototoxic and photoallergenic responses. Here, we developed a novel in vitro photosafety assay and investigated whether it could be used to predict phototoxicity and photosensitivity by measuring changes in intracellular ROS production. THP-1 cells that had previously taken up 5-(and-6)-carboxy-2',7'-difluorodihydrofluorescein diacetate (carboxy-H 2 DFFDA), a ROS-sensitive fluorescent reagent, were exposed to photoreactive substances such as phototoxic and photoallergenic materials and then subjected to with UV-A irradiation (5 J/cm 2 ). The fluorescence intensity was subsequently measured using a flow cytometer, and the intracellular ROS production was calculated. A statistically significant increase in ROS following treatment with photoreactive substances was observed in cells irradiated with UV-A. In contrast, no significant increase was observed for non-photoreactive substances in comparison to the control solution. Next, to confirm the impact of intracellular ROS on the photosensitive response, changes in CD86 and CD54 expression were measured following quencher addition during the photo human cell line activation test (photo h-CLAT). The results confirmed the reduction of CD86 and CD54 expression in response to photoallergenic substances following quencher addition. Together, these findings suggest that intracellular ROS production is involved in photosensitizing reactions. Therefore, we suggest that the developed method utilizing intracellular ROS production as an index may be useful as a novel in vitro evaluation tool for photoreactive substances.

  20. Evaluation of the Prevalence and Utility of Gonad Shielding in Pediatrics Undergoing Pelvic X-Ray

    Directory of Open Access Journals (Sweden)

    Vahid Karami

    2016-11-01

    Full Text Available Background: Gonad shielding has been recommended during pelvic x-rays since the 1950s. The popular method of gonad shielding is placement a lead shield in the midline of the pelvis. The aim of this study was to evaluate the prevalence and utility of gonad shielding in pediatrics undergoing pelvic x-rays.Materials and MethodsFollowing study approval, we retrospectively retrieved data from the digital image library of ten radiology depertments of Khuzestan provience-Iran to identify pediatric patients who underwent pelvic x-ray (anteriorposterior [AP] view. All the images were reviewed for the probable evidence of gonad shield. If there was evidence of shielding, the accuracy positioning of the shield was also investigated by a single assistant radiologist.ResultsIn all 1745 pelvic x-rays (942 girls and 803 boys were identified of which the shield was present in 51 (5.41% radiographs of girls and 132 (16.43% radiographs of boys. When a shield was present; the shields has adequate positioning only in 8 (15.68% radiographs in girls and 59 radiographs in boys. Inaccurate placement and absence of gonad shields were more common in girls than the boys. Due to the shield has concealed the anatomical criteria of the pelvis, retakes of the examination was required in 11 (21.56% radiographs of girls and 14 (10.6% radiographs of boys.ConclusionThe current methods of gonad shielding in girls pelvic x-ray was not effective nor is justifiable. We  no longer advocate of gonad shielding during girls pelvic x-ray. However in boys it is controversial and depends on the skill and effort of radiographers.

  1. Basic Evaluation of Analytical Performance and Clinical Utility of Immunoradiometric TSH Assay

    International Nuclear Information System (INIS)

    Suhy, Il Kyo; Cho, Bo Youn; Lee, Hong Kyu; Koh, Chang Soon; Min, Hun Ki; Lee, Mun Ho

    1987-01-01

    To assess the analytic performance of immunoradiometric TSH assay (IRMA TSH), assay precision determined by intra and interassay variance, assay accuracy determined by dilution and recovery study, were evaluated by using two commercial kit (Abott and Daichi). Normal range of basal serum TSH and TRH stimulated TSH increment were also determined in 234 healthy subjects (male 110, female 124; age 20-70) and 30 volunteers (male 10, female 20; age 21-26). In addition, basal TSH levels of 70 patients with untreated hyperthyroidism, 50 untreated hypothyroidism, and 60 euthyroidism were measured to assess the clinical utility of IRMA TSH. The detection limit of IRMA TSH was 0.04 mU/l and 0.08 mU/l by Abott Kit and Daichi kit respectively. Using Abott kit, intraassay variance were 2.0, 3.1 and 1.4% in mean TSH concentration 2.4, 31.6 and 98.2 mU/l repectively and interassay variance were 2.0 and 3.2% in mean TSH concentration 2.3 and 31.3 mU/l. Mean recovery rate was 92.5% and dilution study showed nearly straight line. When Daichi kit was used, intrasssay variance were 5.6, 5.2 and 6.2% in mean TSH concentration of 2.4, 31.6 and 98.2 mU/1 respectively and interassay variance were 7.1 and 7.4% in mean TSH of 2.3 and 31.3 mU,/l. Mean recovery rate was 89.9%. Normal range of basal TSH and TRH stimulated peak TSH were 0.38-4.02 mU/1 and 2.85-30.8 mU/1 repectively (95% confidence interval, Abott kit used). Sensitivity and specificity of basal TSH levels for diagnosing hypothyroidism as well as specificity for diagnosing hyperthyroidism were 100% by using both kit. Sensitivity of basal TSH level for diagnosing hyperthyroidism was 100% when TSH levels were measured by Abott kit while that was 80.9% when measured by Daichi kit. These results suggest that IRMA TSH was very precise and accurate method and might be used as a first line test in the evaluation of thyroid function

  2. Utilizing knowledge from prior plans in the evaluation of quality assurance

    International Nuclear Information System (INIS)

    Stanhope, Carl; Wu, Q Jackie; Yuan, Lulin; Liu, Jianfei; Hood, Rodney; Yin, Fang-Fang; Adamson, Justus

    2015-01-01

    Increased interest regarding sensitivity of pre-treatment intensity modulated radiotherapy and volumetric modulated arc radiotherapy (VMAT) quality assurance (QA) to delivery errors has led to the development of dose-volume histogram (DVH) based analysis. This paradigm shift necessitates a change in the acceptance criteria and action tolerance for QA. Here we present a knowledge based technique to objectively quantify degradations in DVH for prostate radiotherapy.Using machine learning, organ-at-risk (OAR) DVHs from a population of 198 prior patients’ plans were adapted to a test patient’s anatomy to establish patient-specific DVH ranges. This technique was applied to single arc prostate VMAT plans to evaluate various simulated delivery errors: systematic single leaf offsets, systematic leaf bank offsets, random normally distributed leaf fluctuations, systematic lag in gantry angle of the mutli-leaf collimators (MLCs), fluctuations in dose rate, and delivery of each VMAT arc with a constant rather than variable dose rate.Quantitative Analyses of Normal Tissue Effects in the Clinic suggests V 75Gy dose limits of 15% for the rectum and 25% for the bladder, however the knowledge based constraints were more stringent: 8.48   ±   2.65% for the rectum and 4.90   ±   1.98% for the bladder. 19   ±   10 mm single leaf and 1.9   ±   0.7 mm single bank offsets resulted in rectum DVHs worse than 97.7% (2σ) of clinically accepted plans. PTV degradations fell outside of the acceptable range for 0.6   ±   0.3 mm leaf offsets, 0.11   ±   0.06 mm bank offsets, 0.6   ±   1.3 mm of random noise, and 1.0   ±   0.7° of gantry-MLC lag.Utilizing a training set comprised of prior treatment plans, machine learning is used to predict a range of achievable DVHs for the test patient’s anatomy. Consequently, degradations leading to statistical outliers may be identified. A

  3. Utilization of Remote Sensing Techniques for Monitoring and Evaluation of Solo Watershed Management

    Directory of Open Access Journals (Sweden)

    Totok Gunawan

    2004-01-01

    Full Text Available This research is an application of remote sensing technology for monitoring and evaluation of watershed management, which was conducted is Solo Watershed, Central and East Java. The research objectives were 1 to investigate the capability of photomorphic analysis of Landsat Thematic Mapper (TM and Enhanced Themmatic Mapper (ETM + imagery as the basic for analyzes of landforms, landuse, and morphometry of the land surface; 2 to calculate the overland flow – peak discharge and erosion – sediment yield as indicators of land degradation of the area; 3 to use the indicators as set of instrument for monitoring and evaluation of watershed management. In this study, visual interpretation by means of on-screen digilization of the digital imagery was carried out in order to identify and to delineate land parameters using photomorphic approach. Based on the photomorphic analysis, several image – based parameters such as relief topography, physical soil characteristic, litho – stratigraphy, and vegetation cover were integrated with other themati maps in a geographic information system (GIS environment. Estimation of overland flow (C based on Cook methods (1942 and calculation of peak disccharge (Qmax based on rational method (Qmax = C. I. A were applied. Meanwhile, estimation of surface erosion was carried out using Universal Soil Loss Equation (USLE, A = R. K. L. S. CP. The sediment yield (Sy was estimated using seddiment delivery ratio ( SDR based on the following formula: Sy = [A + (25% x A] x SDR. Both pairs of C – Qmax and A – Sy, were utilized as the basis for monitoring and evaluation of the watershed. The combination of C – Qmax and A – Sy were also used as the basis for selection of stream gauge setting / AWLR within particular sub – catchment. It was found that the photomorphic analysis is only color/tone, slope aspects, pattern, and texture, unit boundaries between volcanic – origin landscape (Wilis volcanic complex and folded

  4. Basic Principles and Utilization Possibilities’ of Ultrasonic Phased Array in Material Nondestructive Evaluation

    Directory of Open Access Journals (Sweden)

    Dagmar Faktorova

    2004-01-01

    Full Text Available The paper deals with the basic principles of operation and with the utilization possibilities of phased array (PA in materials nondestructive testing (NDT. The first part deals with description of PA arrangement modes, which enable to generate, focus and steer the ultrasonic beem. The second part deals with the description of electromagnetic acoustic transducer PA operation. The last part deals with the description of the utilization of PA in nondestructive testing of conductive materials and the advantages of PA utilization in inhomogeneous materials NDT.

  5. SEE Action Guide for States: Evaluation, Measurement, and Verification Frameworks$-$Guidance for Energy Efficiency Portfolios Funded by Utility Customers

    Energy Technology Data Exchange (ETDEWEB)

    Li, Michael [Dept. of Energy (DOE), Washington DC (United States); Dietsch, Niko [US Environmental Protection Agency (EPA), Cincinnati, OH (United States)

    2018-01-01

    This guide describes frameworks for evaluation, measurement, and verification (EM&V) of utility customer–funded energy efficiency programs. The authors reviewed multiple frameworks across the United States and gathered input from experts to prepare this guide. This guide provides the reader with both the contents of an EM&V framework, along with the processes used to develop and update these frameworks.

  6. Technology evaluation of control/monitoring systems for MIUS application. [utility services management

    Science.gov (United States)

    Pringle, L. M., Jr.

    1974-01-01

    Potential ways of providing control and monitoring for the Modular Integrated Utility System (MIUS) program are elaborated. Control and monitoring hardware and operational systems are described. The requirements for the MIUS program and the development requirements are discussed.

  7. Utilization of the IPR-RI research nuclear reactor in evaluation of Brazilian uranium reserves

    International Nuclear Information System (INIS)

    Carvalho Tofani, P. de; Stasiulevicius, R.

    1984-01-01

    Analytical techniques which were developed utilizing the IPR-R1 research reactor, are presented. These techniques determined the uranium contents and other chemical elements for several samples gathered in all national territory. (M.C.K) [pt

  8. Using Value-Focused Thinking to Evaluate the Effectiveness of Air Force Utility Privatization

    National Research Council Canada - National Science Library

    Braziel, Carlos

    2004-01-01

    .... The cost to upgrade and repair these systems is currently estimated at over $4 billion. In response, the Air Force began efforts to convey ownership of these utility systems to the private sector through privatization efforts...

  9. Evaluation of the "Angelina Jolie Effect" on Screening Mammography Utilization in an Academic Center.

    Science.gov (United States)

    Huesch, Marco D; Schetter, Susann; Segel, Joel; Chetlen, Alison

    2017-08-01

    The aim of this study was to understand the impact on screening mammography at our institution, comparing weekly utilization in the 2 years before and the 2 years after Ms Angelina Jolie disclosed in the New York Times on May 13, 2013, that she had had a prophylactic double mastectomy. All 48,110 consecutive screening mammograms conducted at our institution between May 16, 2011, and May 16, 2015, were selected from our electronic medical record system. We used interrupted time series statistical models and graphical methods on utilization data to understand utilization changes before and after Ms Jolie's news. The graphed trend of weekly screening mammogram utilization failed to show changes around the time of interest. Analytical models and statistical tests also failed to show a step change increase or acceleration of utilization around May 2013. However, graphical and time series analyses showed a flattening of utilization in the middle of 2014. In our well-powered analysis in a large regional breast imaging center, we found no support for the hypothesis that this celebrity news drove increased screening. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  10. Evaluation of Orange and Rockland Utilities, Inc.`s competitive bidding program for demand-side resources. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Peters, J.S.; Stucky, L.; Seratt, P.; Darden-Butler, D. [Barakat and Chamberlin, Inc., Portland, OR (United States)

    1993-02-01

    The process evaluation reports on the implementation of Orange and Rockland Utilities demand-side bidding program in New York State during 1991 and 1992. The program is implemented by two energy service companies in Orange and rockland`s New York State service territory. The process evaluation methodology included interviews with utility staff (3), energy service company staff (2), and participating (6) and nonparticipating (7) utility customers. The two energy service companies had enrolled 14 customers in the program by summer 1992. One company had achieved 90% of their 2.75 MW bid and the other had achieved less than 90% of their 6.9 MW bid. Critical factors in success were determination of a reasonable bid amount for the market and marketing to the appropriate customers. Customers most interested in the program included those with limited access to capital and medium-sized firms with poor cash flows, particularly schools and hospitals. The findings also show that due to the incentive structure and associated need for substantial customer contributions, lighting measures dominate all installations. Customers, however, were interested in the potential savings and six of the nonparticipants chose to either install measures on their own or enroll in the utility`s rebate program.

  11. Methodology for assessing the effectiveness of countermeasures in rural settlements in the long term after the Chernobyl accident on the multi-attribute analysis basis

    International Nuclear Information System (INIS)

    Panov, A.V.; Alexakhin, R.M.; Fesenko, S.V.

    2006-01-01

    A methodology has been developed for the assessment of the effectiveness of countermeasures in agriculture based on a multi-attribute analysis of quantitative (radiological, economic, regulatory) and qualitative (social, psychological, technological) indicators characterizing their application. The method makes use of weight coefficients established for the countermeasures parameters with their subsequent comparison adjusted to a single scale. The method is realized with the P.R.I.M.E. Decision support system adapted for the task of countermeasures planning. The multi-attribute analysis of countermeasures effectiveness was made depending on the aspect of rehabilitation works considered: dose, financial or social. Presented are results from the analysis of effectiveness of individual countermeasures and most effective countermeasures and their combinations. Based on the multi attribute analysis data, rating of the most effective countermeasures and their combinations was performed. (authors)

  12. Methodology for assessing the effectiveness of countermeasures in rural settlements in the long term after the Chernobyl accident on the multi-attribute analysis basis

    Energy Technology Data Exchange (ETDEWEB)

    Panov, A.V.; Alexakhin, R.M. [Russian Institute of Agricultural Radiology and Agroecology, Obninsk (Russian Federation); Fesenko, S.V. [International Atomic Energy Agency (IAEA), Lab. (Austria)

    2006-07-01

    A methodology has been developed for the assessment of the effectiveness of countermeasures in agriculture based on a multi-attribute analysis of quantitative (radiological, economic, regulatory) and qualitative (social, psychological, technological) indicators characterizing their application. The method makes use of weight coefficients established for the countermeasures parameters with their subsequent comparison adjusted to a single scale. The method is realized with the P.R.I.M.E. Decision support system adapted for the task of countermeasures planning. The multi-attribute analysis of countermeasures effectiveness was made depending on the aspect of rehabilitation works considered: dose, financial or social. Presented are results from the analysis of effectiveness of individual countermeasures and most effective countermeasures and their combinations. Based on the multi attribute analysis data, rating of the most effective countermeasures and their combinations was performed. (authors)

  13. First evaluation of the utility of GPM precipitation in global flood monitoring

    Science.gov (United States)

    Wu, H.; Yan, Y.; Gao, Z.

    2017-12-01

    , including higher latitude events, where GPM precipitation algorithms should also provide improvements. This study provides a first evaluating the utility of the new IMERG products in flood monitoring through hydrologic modeling at a global scale.

  14. Emergy evaluation of water utilization benefits in water-ecological-economic system based on water cycle process

    Science.gov (United States)

    Guo, X.; Wu, Z.; Lv, C.

    2017-12-01

    The water utilization benefits are formed by the material flow, energy flow, information flow and value stream in the whole water cycle process, and reflected along with the material circulation of inner system. But most of traditional water utilization benefits evaluation are based on the macro level, only consider the whole material input and output and energy conversion relation, and lack the characterization of water utilization benefits accompanying with water cycle process from the formation mechanism. In addition, most studies are from the perspective of economics, only pay attention to the whole economic output and sewage treatment economic investment, but neglect the ecological function benefits of water cycle, Therefore, from the perspective of internal material circulation in the whole system, taking water cycle process as the process of material circulation and energy flow, the circulation and flow process of water and other ecological environment, social economic elements were described, and the composition of water utilization positive and negative benefits in water-ecological-economic system was explored, and the performance of each benefit was analyzed. On this basis, the emergy calculation method of each benefit was proposed by emergy quantitative analysis technique, which can realize the unified measurement and evaluation of water utilization benefits in water-ecological-economic system. Then, taking Zhengzhou city as an example, the corresponding benefits of different water cycle links were calculated quantitatively by emergy method, and the results showed that the emergy evaluation method of water utilization benefits can unify the ecosystem and the economic system, achieve uniform quantitative analysis, and measure the true value of natural resources and human economic activities comprehensively.

  15. Multi-state time-varying reliability evaluation of smart grid with flexible demand resources utilizing Lz transform

    Science.gov (United States)

    Jia, Heping; Jin, Wende; Ding, Yi; Song, Yonghua; Yu, Dezhao

    2017-01-01

    With the expanding proportion of renewable energy generation and development of smart grid technologies, flexible demand resources (FDRs) have been utilized as an approach to accommodating renewable energies. However, multiple uncertainties of FDRs may influence reliable and secure operation of smart grid. Multi-state reliability models for a single FDR and aggregating FDRs have been proposed in this paper with regard to responsive abilities for FDRs and random failures for both FDR devices and information system. The proposed reliability evaluation technique is based on Lz transform method which can formulate time-varying reliability indices. A modified IEEE-RTS has been utilized as an illustration of the proposed technique.

  16. Economic evaluations of fusion-based energy storage systems in an electric utility

    International Nuclear Information System (INIS)

    Hwang, W.G.

    1977-01-01

    The feasibility of introducing a fusion energy storage system, which consists of a fusion-fission reactor and a water-splitting process, in an electric utility was investigated. The fusion energy storage system was assumed to be run during off-peak periods in order to make use of unused, low fuel cost capacity of an electric utility. The fusion energy storage system produces both fissile fuel and hydrogen. The produced hydrogen was assumed to be transmitted through and stored in existing natural gas trunklines for later use during peak-load hours. The peaking units in the utility were assumed to burn the hydrogen. Reserve power is usually cheap on systems with heavy nuclear fission reactor installation. The system studied utilizes this cheap energy for producing expensive fuel. The thermochemical water-splitting process was employed to recover thermal energy from the fusion-fission reactor system. The cost of fusion energy storage systems as well as the value of produced fuel were calculated. In order to simulate the operations of the fusion energy storage system for a multi-year planning period, a computer program, FESUT (Fusion Energy Simulation at the University of Texas), was developed for the present study. Two year utility simulations with the fusion energy storage system were performed

  17. Utility of a questionnaire of prognostic factors in the evaluation of patient with rheumatoid arthritis

    International Nuclear Information System (INIS)

    Caballero, Carlo Vinicio; Rozenboim, Jonathan; Afanador, Ernesto; Venegas, Carla; Rocha, Felix; Carpio, Marjorie; Alonso, Luz.

    2005-01-01

    There are few studies that have demonstrated the usefulness of prognostic factors in patients with RA using only variables commonly recorded in the clinical records at the beginning of the disease. The aim of our study was to elaborate a simple questionnaire (PPS: Poor Prognosis Score) to evaluate risk factors at the beginning of the illness classifying it in a mild, moderate or severe. We want to know if this simple questionnaire correlates with known variables of worst outcome such as incapacity, mortality, utilization of health services and surgery. Prognostic factors that have shown an association with the worse outcome of RA in different studies were revised. According to literature and published relative risks (RR) of associations, these can be classified as mild (RR 2.0 and 3.0). In accordance with the levels of association, scores were given to the risk factors being 1 for those prognostic factors with mild association, 2 for those with moderate association, and 3 for those strongly associated with a poor prognosis. The PPS was created with the scores assigned. We excluded from the questionnaire variables not use ID a routine practice in our country such as HLA or although available of high cost for our country as the anti-citrulline antibodies. The chosen variables for the questionnaire were: Mild association: (1 point) age, sex, menopause, smoking, incomplete high school, low socioeconomic status, and depression. Moderate association: (2 points) ESR more than 40, C- Reactive protein 6 mg/dl, knee, elbows and, hands inflammation, and duration of RA more than 6 months without a DMARd treatment. Strong association: (3 points) Rheumatoid factor, presence of hand X- ray hand joints more than 20 joints affected at the beginning of disease, HAQ more than 1, and presence of extraarticular manifestations. Patients were classified in mild RA if the score were less than 10 points, moderate RA between 11 and 20 points and severe RA if the score was more than 20

  18. Risk evaluation method for faults by engineering approach. (2) Application concept of margin analysis utilizing accident sequences

    International Nuclear Information System (INIS)

    Kamiya, Masanobu; Kanaida, Syuuji; Kamiya, Kouichi; Sato, Kunihiko; Kuroiwa, Katsuya

    2016-01-01

    The influence of the fault displacement on the facility should to be evaluated not only by the activity of the fault but also by obtaining risk information by considering scenarios including such as the frequency and the degree of the hazard, which should be an appropriate approach for nuclear safety. An applicable concept of margin analysis utilizing accident sequences for evaluating the influence of the fault displacement is proposed. By use of this analysis, we can evaluate of the safety functions and margin for core damage, verify the efficiency of equipment of portable type and make a decision to take additional measures to reduce the risk by using obtained risk information. (author)

  19. Analysis of the Usage of Magnetic Force-directed Approach and Visual Techniques for Interactive Context-based Drawing of Multi-attributed Graphs

    Directory of Open Access Journals (Sweden)

    Zabiniako Vitaly

    2014-12-01

    Full Text Available In this article, the authors perform an analysis in order to assess adaptation of magnetic force-directed algorithms for context-based information extraction from multi-attributed graphs during visualization sessions. Theoretic standings behind magnetic force-directed approach are stated together with review on how particular features of respective algorithms in combination with appropriate visual techniques are especially suitable for improved processing and presenting of knowledge that is captured in form of graphs. The complexity of retrieving multi-attributed information within the proposed approach is handled with dedicated tools, such as selective attraction of nodes to MFE (Magnetic Force Emitter based on search criteria, localization of POI (Point of Interest regions, graph node anchoring, etc. Implicit compatibility of aforementioned tools with interactive nature of data exploration is distinguished. Description of case study, based on bibliometric network analysis is given, which is followed by the review of existing related works in this field. Conclusions are made and further studies in the field of visualization of multi-attributed graphs are defined.

  20. Utilization of Point Clouds Characteristics in Interpretation and Evaluation Geophysical Resistivity Surveying of Unstable Running Block

    Directory of Open Access Journals (Sweden)

    Marcel Brejcha

    2016-05-01

    Full Text Available Close to human residences the places often abound where anthropogenic activity and external factors cause their changes. The changes can often influence their inhabitants’ life thanks to incipient dangerous places. The project of successful design of measures to ensure stability of unstable running blocks depends on chosen approaches and primary resource preparation. Utilization of modern technologies in their taking and processing is required nowadays. The paper describes the taking and processing of data for project of solution „Stabilization of unstable running block“ in a municipal settled part with efficient utilization of unusual method of processing of geophysical resistivity method.

  1. A Multi-Approach Evaluation System (MA-ES) of Organic Rankine Cycles (ORC) used in waste heat utilization

    International Nuclear Information System (INIS)

    Shu, Gequn; Yu, Guopeng; Tian, Hua; Wei, Haiqiao; Liang, Xingyu

    2014-01-01

    Highlights: • The MA-ES provides comprehensive valuations on ORC used for waste heat utilization. • The MA-ES covers energetic, exergetic and economic evaluations of typical ORCs. • The MA-ES is a general assessing method without restriction to specific ORC condition. • Two ORC cases of ICE waste-heat-recovery are exemplified applying the MA-ES. - Abstract: A Multi-Approach Evaluation System (MA-ES) is established in this paper providing comprehensive evaluations on Organic Rankine Cycles (ORC) used for waste heat utilization. The MA-ES covers three main aspects of typical ORC performance: basic evaluations of energy distribution and system efficiency based on the 1st law of thermodynamics; evaluations of exergy distribution and exergy efficiency based on the 2nd law of thermodynamics; economic evaluations based on calculations of equipment capacity, investment and cost recovery. The MA-ES is reasonably organized aiming at providing a general method of ORC performance assessment, without restrictions to system configurations, operation modes, applications, working fluid types, equipment conditions, process parameters and so on. Two ORC cases of internal combustion engines’ (ICEs) waste-heat-recovery are exemplified to illustrate the applications of the evaluation system. The results clearly revealed the performance comparisons among ORC configurations and working fluids referred. The comparisons will provide credible guidance for ORC design, equipment selection and system construction

  2. Evaluation of actual costs of power sources and effects on balance sheets of electric utilities

    International Nuclear Information System (INIS)

    Matsuo, Yuji; Yamaguchi, Yuji; Murakami, Tomoko

    2013-01-01

    After the Fukushima nuclear accident, almost all nuclear power stations continued to stop operation and sharp increase of purchase costs of fossil fuels forced some electric utilities to suffer a deficit. This article presented quantitative analysis of effects of present state on power costs and balance sheets of electric utilities. Levelized costs of electricity increased from 8.6 ¥/kWh (2010) to 11.6 ¥/kWh (2011) and 12.6 ¥/kWh (2012). Total power costs increased from 7.5 Trillion¥(2010) to 9.5 Trillion¥(2011). Due to increase of cost of fossil fuel compensated for nuclear power, electric utilities suffered a net loss of 0.8 Trillion¥ and decreased surplus to 2.5 Trillion¥ in 2011. Net loss of 1.3 Trillion¥ and surplus of 1.2 Trillion¥ was estimated for 2012. This state was beyond the limit of utilities' efforts to reduce costs and uncertain share of power sources became a great risk. Future share of power sources should be judged appropriately from various standpoints (costs, stable supply, energy security and national economic growth) and early public dissemination of new philosophy on share of power sources was highly required. (T. Tanaka)

  3. IAPCS: A COMPUTER MODEL THAT EVALUATES POLLUTION CONTROL SYSTEMS FOR UTILITY BOILERS

    Science.gov (United States)

    The IAPCS model, developed by U.S. EPA`s Air and Energy Engineering Research Laboratory and made available to the public through the National Technical Information Service, can be used by utility companies, architectural and engineering companies, and regulatory agencies at all l...

  4. Determination of natural radionuclide level in industrial waste slags and evaluation of comprehensive utilization

    International Nuclear Information System (INIS)

    Li Ruixiang; Liu Xinhua; Gan Lin

    1994-09-01

    Natural radionuclide contents were measured in various industrial waste slags in China by a low background HPGe γ spectrometer and the radiological impact was estimated for some comprehensive utilization of these slags. Most waste slags can be used for building materials except for tailing and waste rock form nuclear industry

  5. Evaluation of Social Media Utilization by Latino Adolescents: Implications for Mobile Health Interventions.

    Science.gov (United States)

    Landry, Megan; Vyas, Amita; Turner, Monique; Glick, Sara; Wood, Susan

    2015-09-29

    Trends in social media use, including sending/receiving short message service (SMS) and social networking, are constantly changing, yet little is known about adolescent's utilization and behaviors. This longitudinal study examines social media utilization among Latino youths, and differences by sex and acculturation. The purpose of this study was to examine Latino adolescents' social media utilization and behavior over a 16-month period, and to assess whether changes in use differed by sex and acculturation. This study included 555 Latino youths aged 13-19 who completed baseline and 16-month follow-up surveys. Prevalence of social media utilization and frequency, by sex and acculturation categories, was examined using generalized estimating equations. Women are more likely to use SMS, but men are significantly more likely to SMS a girl/boyfriend (P=.03). The use of Internet by men and women to research health information increased over time. Facebook use declined over time (Puse of YouTube (P=.03) and Instagram (Pincreased, especially among women and more US acculturated youths. Social media is ubiquitous in Latino adolescents' lives and may be a powerful mode for public health intervention delivery.

  6. Evaluation of Social Media Utilization by Latino Adolescents: Implications for Mobile Health Interventions

    Science.gov (United States)

    Vyas, Amita; Turner, Monique; Glick, Sara; Wood, Susan

    2015-01-01

    Background Trends in social media use, including sending/receiving short message service (SMS) and social networking, are constantly changing, yet little is known about adolescent’s utilization and behaviors. This longitudinal study examines social media utilization among Latino youths, and differences by sex and acculturation. Objectives The purpose of this study was to examine Latino adolescents’ social media utilization and behavior over a 16-month period, and to assess whether changes in use differed by sex and acculturation. Methods This study included 555 Latino youths aged 13-19 who completed baseline and 16-month follow-up surveys. Prevalence of social media utilization and frequency, by sex and acculturation categories, was examined using generalized estimating equations. Results Women are more likely to use SMS, but men are significantly more likely to SMS a girl/boyfriend (P=.03). The use of Internet by men and women to research health information increased over time. Facebook use declined over time (PInstagram (P<.001) increased, especially among women and more US acculturated youths. Conclusion Social media is ubiquitous in Latino adolescents’ lives and may be a powerful mode for public health intervention delivery. PMID:26420553

  7. Evaluation of Library Utilization by Students Enrolled in External Degree Programme in University of Nairobi, Kenya

    Science.gov (United States)

    Gor, Peter Ochieng

    2012-01-01

    With the increasing popularity of distance education, focus has turned to the role of libraries in distance learning process. It is widely agreed that like their campus-based counterparts, distance education learners need adequate library services if they are to gain quality education. This study sought to examine library utilization by students…

  8. A planning and analysis framework for evaluating distributed generation and utility strategies

    International Nuclear Information System (INIS)

    Ault, Graham W.

    2000-01-01

    The numbers of smaller scale distributed power generation units connected to the distribution networks of electricity utilities in the UK and elsewhere have grown significantly in recent years. Numerous economic and political drivers have stimulated this growth and continue to provide the environment for future growth in distributed generation. The simple fact that distributed generation is independent from the distribution utility complicates planning and operational tasks for the distribution network. The uncertainty relating to the number, location and type of distributed generating units to connect to the distribution network in the future makes distribution planning a particularly difficult activity. This thesis concerns the problem of distribution network and business planning in the era of distributed generation. A distributed generation strategic analysis framework is proposed to provide the required analytical capability and planning and decision making framework to enable distribution utilities to deal effectively with the challenges and opportunities presented to them by distributed generation. The distributed generation strategic analysis framework is based on the best features of modern planning and decision making methodologies and facilitates scenario based analysis across many utility strategic options and uncertainties. Case studies are presented and assessed to clearly illustrate the potential benefits of such an approach to distributed generation planning in the UK electricity supply industry. (author)

  9. Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models

    Directory of Open Access Journals (Sweden)

    Chaudhari Monica

    2012-07-01

    Full Text Available Abstract Background About one-third of adults with diabetes have severe oral complications. However, limited previous research has investigated dental care utilization associated with diabetes. This project had two purposes: to develop a methodology to estimate dental care utilization using claims data and to use this methodology to compare utilization of dental care between adults with and without diabetes. Methods Data included secondary enrollment and demographic data from Washington Dental Service (WDS and Group Health Cooperative (GH, clinical data from GH, and dental-utilization data from WDS claims during 2002–2006. Dental and medical records from WDS and GH were linked for enrolees continuously and dually insured during the study. We employed hurdle models in a quasi-experimental setting to assess differences between adults with and without diabetes in 5-year cumulative utilization of dental services. Propensity score matching adjusted for differences in baseline covariates between the two groups. Results We found that adults with diabetes had lower odds of visiting a dentist (OR = 0.74, p  0.001. Among those with a dental visit, diabetes patients had lower odds of receiving prophylaxes (OR = 0.77, fillings (OR = 0.80 and crowns (OR = 0.84 (p 0.005 for all and higher odds of receiving periodontal maintenance (OR = 1.24, non-surgical periodontal procedures (OR = 1.30, extractions (OR = 1.38 and removable prosthetics (OR = 1.36 (p  Conclusions Patients with diabetes are less likely to use dental services. Those who do are less likely to use preventive care and more likely to receive periodontal care and tooth-extractions. Future research should address the possible effectiveness of additional prevention in reducing subsequent severe oral disease in patients with diabetes.

  10. Analysis and evaluation for social acceptability for utilizing nuclear power in China

    International Nuclear Information System (INIS)

    Xu, Ting; Wakabayashi, Toshio

    2011-01-01

    This study is about the acceptability of the society of utilizing nuclear power in China. There are different interactions and opinions has been raised that leads conflict between the society and the nuclear technology people. Many emotions and views have mixed up: people have image of environment friendly, also have image of explosion, fright and danger. The purpose of this study is to make clear the social consciousness for utilizing nuclear power in China and to improve social acceptability. A survey by the questionnaire was conducted for investigation of the features of the social consciousness for necessity and safety for utilizing nuclear power in China. The questionnaire has been sent to 10000 citizens of Zhejiang province in south China from June to August 2010 (Zhejiang province is one of the earliest city for utilizing nuclear power plants in China). There were 4255 available respondents (42.6%) with 1851 men and 2404 women of adult who answered the questionnaire. The survey was including 37 items about energy problem, social consciousness for utilizing nuclear power, safety, the reliability of government and information sources. As a result, it was found that some 57.5% of adults are in favor of nuclear power plants. There are differences of sense between men and women. The reliability for safety of men for nuclear power is higher than that of women. Some 59.6% of men respondents are in favor of nuclear power plants, and about 10% respondents of women are in favor of nuclear power plants. Social acceptance is still one of the major barriers for further development of nuclear power, although recent technological and institutional innovation is clearly reduced its risk and enhanced its relative and absolute benefit compared to other energy resources. Consequently, this result indicates that women with maternal instinct may not be favor of nuclear power plants compared with men in China. (author)

  11. Evaluation of lead/carbon devices for utility applications : a study for the DOE Energy Storage Program.

    Energy Technology Data Exchange (ETDEWEB)

    Walmet, Paula S. (MeadWestvaco Corporation,North Charleston, SC)

    2009-06-01

    This report describes the results of a three-phase project that evaluated lead-based energy storage technologies for utility-scale applications and developed carbon materials to improve the performance of lead-based energy storage technologies. In Phase I, lead/carbon asymmetric capacitors were compared to other technologies that used the same or similar materials. At the end of Phase I (in 2005) it was found that lead/carbon asymmetric capacitors were not yet fully developed and optimized (cost/performance) to be a viable option for utility-scale applications. It was, however, determined that adding carbon to the negative electrode of a standard lead-acid battery showed promise for performance improvements that could be beneficial for use in utility-scale applications. In Phase II various carbon types were developed and evaluated in lead-acid batteries. Overall it was found that mesoporous activated carbon at low loadings and graphite at high loadings gave the best cycle performance in shallow PSoC cycling. Phase III studied cost/performance benefits for a specific utility application (frequency regulation) and the full details of this analysis are included as an appendix to this report.

  12. Quantifying Health Utilities in Patients Undergoing Stereotactic Body Radiation Treatment for Liver Metastases for Use in Future Economic Evaluations.

    Science.gov (United States)

    Warren, B; Munoz-Schuffenegger, P; Chan, K K W; Chu, W; Helou, J; Erler, D; Chung, H

    2017-09-01

    Stereotactic body radiation therapy (SBRT) is increasingly used as an option for those with liver metastases. In order to facilitate future economic impact of health technologies, health utility scores may be used. The EuroQOL-5D-3L (EQ-5D) preference-based healthy utility instrument was used to evaluate the impact of treatment with SBRT on health utility scores. Between August 2013 and October 2014, 31 patients treated with 3-5 fractions of SBRT for liver metastases were enrolled in this study. The EQ-5D instrument was administered at baseline, during and up to 6 months post-SBRT. Mean EQ-5D score at baseline was 0.857, which remained stable across the entire study time period. Transient increases in difficulties with mobility (9.7% reported at baseline to 16.1% on the last day of treatment) and usual activities (3.2% reported at baseline to 34.5% on day two) were found during the course of treatment; these returned to baseline levels subsequently. The mean visual analogue score at baseline was 65.8 and remained unchanged throughout treatment and follow-up. The stability of health utility scores and problems reported by patients undergoing treatment indicate that SBRT for liver metastases does not impart a significant adverse effect on quality of life. These results may be used for future economic evaluation of SBRT. Copyright © 2017 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

  13. Evaluation of the useful life of steam turbine rotors; Evaluacion de vida util de rotores de turbinas de vapor

    Energy Technology Data Exchange (ETDEWEB)

    Carnero Parra, Antonio; Garcia Illescas, Rafael; Kubiak Szyszka, Janusz [Instituto de Investigaciones Electricas, Temixco, Morelos (Mexico)

    1999-07-01

    This article presents the methodology applied by the Management of Turbomachinery of the Institute of Investigaciones Electricas (IIE), for the evaluation of the remaining useful life of steam turbine rotors in the phase of initiation of fissures. The evaluation of the remaining useful life of turbines, will reveal the real state of health of the rotor and will serve as a base for the future decision making that guarantees their structural integrity. [Spanish] El presentes articulo presenta la metodologia aplicada por la Gerencia de Turbomaquinaria del Instituto de Investigaciones Electricas (IIE), para la evaluacion de la vida util remanente de rotores de turbinas de vapor en la fase de iniciacion de fisuras. La evaluacion de la vida util de turbinas, revelar el estado real de salud del rotor y servira de base para la toma de decisiones futuras que garanticen su integridad estructural.

  14. Overcoming structural constraints to patient utilization of electronic medical records: a critical review and proposal for an evaluation framework.

    Science.gov (United States)

    Winkelman, Warren J; Leonard, Kevin J

    2004-01-01

    There are constraints embedded in medical record structure that limit use by patients in self-directed disease management. Through systematic review of the literature from a critical perspective, four characteristics that either enhance or mitigate the influence of medical record structure on patient utilization of an electronic patient record (EPR) system have been identified: environmental pressures, physician centeredness, collaborative organizational culture, and patient centeredness. An evaluation framework is proposed for use when considering adaptation of existing EPR systems for online patient access. Exemplars of patient-accessible EPR systems from the literature are evaluated utilizing the framework. From this study, it appears that traditional information system research and development methods may not wholly capture many pertinent social issues that arise when expanding access of EPR systems to patients. Critically rooted methods such as action research can directly inform development strategies so that these systems may positively influence health outcomes.

  15. Recommended methods for evaluating the benefits of ECUT Program outputs. [Energy Conversion and Utilization

    Energy Technology Data Exchange (ETDEWEB)

    Levine, L.O.; Winter, C.

    1986-03-01

    This study was conducted to define and develop techniques that could be used to assess the complete spectrum of positive effects resulting from the Energy Conversion and Utilization Technologies (ECUT) Program activities. These techniques could then be applied to measure the benefits from past ECUT outputs. In addition, the impact of future ECUT outputs could be assessed as part of an ongoing monitoring process, after sufficient time has elapsed to allow their impacts to develop.

  16. A Practice-Based Evaluation of Distress Screening Protocol Adherence and Medical Service Utilization.

    Science.gov (United States)

    Zebrack, Brad; Kayser, Karen; Bybee, Deborah; Padgett, Lynne; Sundstrom, Laura; Jobin, Chad; Oktay, Julianne

    2017-07-01

    Background: This study examined the extent to which cancer programs demonstrated adherence to their own prescribed screening protocol, and whether adherence to that protocol was associated with medical service utilization. The hypothesis is that higher rates of service utilization are associated with lower rates of adherence to screening protocols. Methods: Oncology social workers at Commission on Cancer-accredited cancer programs reviewed electronic health records (EHRs) in their respective cancer programs during a 2-month period in 2014. Rates of overall adherence to a prescribed distress screening protocol were calculated based on documentation in the EHR that screening adherence and an appropriate clinical response had occurred. We examined documentation of emergency department (ED) use and hospitalization within 2 months after the screening visit. Results: Review of 8,409 EHRs across 55 cancer centers indicated that the overall adherence rate to screening protocols was 62.7%. The highest rates of adherence were observed in Community Cancer Programs (76.3%) and the lowest rates were in NCI-designated Cancer Centers (43.3%). Rates of medical service utilization were significantly higher than expected when overall protocol adherence was lacking. After controlling for patient and institutional characteristics, risk ratios for ED use (0.82) and hospitalization (0.81) suggest that when overall protocol adherence was documented, 18% to 19% fewer patients used these medical services. Conclusions: The observed associations between a mandated psychosocial care protocol and medical service utilization suggest opportunities for operational efficiencies and costs savings. Further investigations of protocol integrity, as well as the clinical care models by which psychosocial care is delivered, are warranted. Copyright © 2017 by the National Comprehensive Cancer Network.

  17. Sleep Comfort Evaluation in Bedding that Utilized Phase Change Materials (PCM)

    OpenAIRE

    橋本, 一馬; 青井, 政貴; 吉田, 宏昭; 上條, 正義

    2015-01-01

    The purpose of this study is to reveal the bedding influence degree to quality of sleep. This bedding utilized Phase Change Materials (PCM). We carried out two experiments. Firstly, we experimentally confirmed thermal properties of the PCM. Secondly, we carried out overnight sleep experiment in hot and cold environment. We prepared the PCM bedding and normal bedding that is commercially-supplied. Consequently, the PCM had been the property of cold tactile sensation rather than the normal bedd...

  18. The evaluation of chosen properties of ashes created by thermal utilization of hazardous and communal wastes

    Directory of Open Access Journals (Sweden)

    Damian Krawczykowski

    2005-11-01

    Full Text Available One of methods of the waste neutralization is their thermal transformation in suitable installations or devices in order to achieve the state, which is no longer dangerous for the human health and life or for the environment. In effect of the thermal transformation the “new” wastes are created, which, by law are suppose a to be utilized first. These wastes may be utilized if their properties are suitable. In the paper, the process of thermal utilization of hazardous and municipal wastes is presented, together with the investigation results of the grain composition, surface area, density and of the initial chemical analysis of the created ashes. The research of the grain composition was conducted by using the “Fritsch” apparatus. On the base of the grain composition, the surface area of ashes under investigation was determined, whereas the density was determined by using the helium pycnometer. The purpose of the research was to determine how the properties of ashes are changed and if the differences allow to use these ashes in future.

  19. Exposure testing and evaluation of solar utilization materials. Semiannual report, May 1, 1975--October 31, 1975

    Energy Technology Data Exchange (ETDEWEB)

    Gilligan, J.E.; Brzuskiewicz, J.

    1975-01-01

    The initial efforts of a program of research and experimental testing is described in which the optical performance of materials for use in solar energy utilization devices will be determined before and after exposure to outdoor weathering tests. Materials which are currently in use and others which are being considered or developed for these applications will be characterized and exposed to natural solar radiation. Outdoor testing will be accomplished in Phoenix (Ariz.), Miami (Fla.), and Chicago (Ill.). The results of these tests, primarily the effects of outdoor exposure on optical and physical properties, will be compiled in a handbook, along with cost, availability and other pertinent information. These data are vital to the intelligent selection of solar utilization materials, since a knowledge of the cost performance and lifetime characteristics of candidate materials will greatly assist the design of efficient and reliable solar energy utilization devices. Primary accomplishments include the definition of sample requirements, specification of test samples and test configurations, formulation of acceptance/rejection criteria and contacts with numerous potential materials suppliers.

  20. Dynamic Evaluation of Water Quality Improvement Based on Effective Utilization of Stockbreeding Biomass Resource

    Directory of Open Access Journals (Sweden)

    Jingjing Yan

    2014-11-01

    Full Text Available The stockbreeding industry is growing rapidly in rural regions of China, carrying a high risk to the water environment due to the emission of huge amounts of pollutants in terms of COD, T-N and T-P to rivers. On the other hand, as a typical biomass resource, stockbreeding waste can be used as a clean energy source by biomass utilization technologies. In this paper, we constructed a dynamic linear optimization model to simulate the synthetic water environment management policies which includes both the water environment system and social-economic situational changes over 10 years. Based on the simulation, the model can precisely estimate trends of water quality, production of stockbreeding biomass energy and economic development under certain restrictions of the water environment. We examined seven towns of Shunyi district of Beijing as the target area to analyse synthetic water environment management policies by computer simulation based on the effective utilization of stockbreeding biomass resources to improve water quality and realize sustainable development. The purpose of our research is to establish an effective utilization method of biomass resources incorporating water environment preservation, resource reutilization and economic development, and finally realize the sustainable development of the society.

  1. X - FACTOR EVALUATION UNDER RPI-X REGULATION FOR INDIAN ELECTRICITY DISTRIBUTION UTILITIES

    Directory of Open Access Journals (Sweden)

    PAVAN KHETRAPAL

    2017-07-01

    Full Text Available With regulators’ growing interest in improving operational efficiency and quality supply, the time is nearing when performance based regulation will become norm for regulating the distribution tariff in Indian electricity distribution sector. In this context, the State Electricity Regulatory Commissions proposed replacing rate-of-return regulation with most commonly used performance based regulatory regime, i.e., Price Cap regulation also known as RPI-X (Retail Price Index - Productivity Offset regulatory framework. However, the potential problem associated with applying price cap regulation scheme in practice is the determination of productivity offset or X factor used in price caps setting. This paper proposed an approach to calculate the X-factor for 58 government-owned and privately-owned electricity distribution utilities in India during a five year period from 2007/08 to 2011/12. A Stochastic Frontier model through an input distance function is first applied to compute the Malmquist Total Factor Productivity (TFP and the estimated TFP is then used to calculate the utility-specific X-factor. With rely on calculated X-factor, the distribution utilities would be able to cap either on prices or revenues thus accounting the inflation in the tariff determination. This will be more realistic approach as compared to cost plus approach.

  2. Evaluation of the utility of cephalometric parameters in constructing complete denture. Part I: placement of posterior teeth.

    Science.gov (United States)

    Bassi, F; Deregibus, A; Previgliano, V; Bracco, P; Preti, G

    2001-03-01

    Various types of parameters, including cephalometric ones, have been used in the construction of complete denture. This study aimed to evaluate the utility of cephalometric parameters for this purpose. The position of the posterior teeth in a group of 42 edentulous patients, successfully rehabilitated with complete denture according to clinical parameters, was evaluated by cephalometrics. The following were determined: vertical dimension of occlusion (VDO); orientation of the occlusal plane; and subdivision of the denture space. The cephalometric parameters do not correspond to the clinical positioning of the posterior teeth in successful rehabilitation with complete denture.

  3. The 2009 Claremont Debates: The Promise and Pitfalls of Utilization-Focused and Empowerment Evaluation

    Science.gov (United States)

    Donaldson, Stewart I.; Patton, Michael Q.; Fetterman, David M.; Scriven, Michael

    2010-01-01

    Background: Hundreds of evaluators visit the Claremont Colleges in southern California each year to discuss a wide range of topics related to improving the quality of evaluation practice. Debates between thought leaders in the field have been one of the most popular and informative ways to advance understanding about how best to practice…

  4. Evaluating The Performance of Asphalt Concrete Mixes by Utilizing Carbon Black as Asphalt Modifier

    Directory of Open Access Journals (Sweden)

    Aliaa Faleh Al.ani

    2018-02-01

    Full Text Available Carbon black produced from several factories in Iraq is expected to provide a reinforcing agent for asphalt paving materials. Carbon black has many characteristics that distinguish  it from conventional mineral fillers, as well as their different function in pavement mixtures. Theory and exercise advanced  in the inclusive utilize of carbon black as a reinforcing agent for rubber has led to concept of asphalt reinforcement. The very fine particles of micro filler added in different contents will be dispersed in asphalt cement improving the mechanical properties of asphalt concrete mixes. In this Four percentages rates were utilized; 0, 3, 6, and 9 percent adding to asphalt grade (60-70. Mixes of asphalt concrete were destined at their optimum asphalt content (OAC then experienced to assess their engineering characteristics that contain moisture of damage, permanent deformation, modulus of resilient and characteristics of fatigue. These characteristics have been assessed utilizing indirect tensile strength, uniaxial repeated loading and repeated flexural beam tests. Mixtures improved with carbon black were existed to have amended permanent deformation and fatigue characteristics, else exhibited high resilient modulus and lower moisture susceptibility. Result showed that a rate changed from 3 to 9 percent has shown an increase in resilient modulus for increment of carbon black and modulus of resilient for mixes with 9 percent carbon black was 1.4 times that for mixes with 0 percent carbon black. The altering of carbon black from a range (3-9 percent has modified the fatigue property of the asphalt concrete mixes as determined by flexural test, Significantly, to modify the asphalt concrete manner taken the  percent of carbon black 6, and to produce the mixes more durable , higher resistance to distresses by adding the local knowledge.

  5. Utility of gram staining for evaluation of the quality of cystic fibrosis sputum samples.

    Science.gov (United States)

    Nair, Bindu; Stapp, Jenny; Stapp, Lynn; Bugni, Linda; Van Dalfsen, Jill; Burns, Jane L

    2002-08-01

    The microscopic examination of Gram-stained sputum specimens is very helpful in the evaluation of patients with community-acquired pneumonia and has also been recommended for use in cystic fibrosis (CF) patients. This study was undertaken to evaluate that recommendation. One hundred one sputum samples from CF patients were cultured for gram-negative bacilli and examined by Gram staining for both sputum adequacy (using the quality [Q] score) and bacterial morphology. Subjective evaluation of adequacy was also performed and categorized. Based on Q score evaluation, 41% of the samples would have been rejected despite a subjective appearance of purulence. Only three of these rejected samples were culture negative for gram-negative CF pathogens. Correlation between culture results and quantitative Gram stain examination was also poor. These data suggest that subjective evaluation combined with comprehensive bacteriology is superior to Gram staining in identifying pathogens in CF sputum.

  6. Evaluation of higher distribution and/or utilization voltages. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Hazelrigg, Jr, George A.

    1981-01-01

    An electric energy distribution/utilization system cost analysis model is presented for exploring cost tradeoffs (capital innvestment, operation and maintenance and cost of losses) and optimizing system configuration. The model focuses on the treatment of residential and light commercial service areas with time-varying load characteristics, including customer load profile changes, per customer load growth and service area population growth. Applications of the model are discussed. These include providing insight on: the selection of primary and secondary voltages; conductor sizing; distribution transformer sizing, change out policies and copper-to-core-loss ratio; and limits on allowable voltage variation at the service entrance. Examples are provided to illustrate model capabilities.

  7. Utilizing the geochemical data from the National Uranium Resource Evaluation (NURE) program: an evaluation of the Butte quadrangle, Montana

    International Nuclear Information System (INIS)

    Van Eeckhout, E.M.

    1980-12-01

    Some 1370 water and 1951 sediment samples were collected from 1994 locations in the Butte quadrangle, Montana, in 1976 and 1977 by the University of Montana for the Los Alamos Scientific Laboratory (LASL). The LASL analyzed the water samples for uranium and the sediment samples for uranium plus 42 additional elements. The data were then released to the Montana College of Mineral Science and Technology (MCMS and T), which was responsible for the evaluation of the uranium data. The data have subsequently been released by the LASL in an open-file report (Broxton, 1980). Statistical evaluations of the data were undertaken for uranium, copper, lead, zinc, manganese, gold, and silver. The uranium evaluations indicated certain areas in the western part of the quadrangle to be favorable for further investigation (particularly along the Rock Creek), as well as anomalous areas just north of Anaconda. The entire Boulder Batholith area had a high uranium background, but there didn't appear to be any particular site in this area that might be worth pursuing. The multielement evaluations confirmed the known base and precious metal provinces within the quadrangle. A methodology for evaluating data tapes from the National Uranium Resource Evaluation (NURE) program was developed and presented throughout this report. This methodology could be developed further to define areas worth exploring for commodities other than uranium

  8. Feature extraction based on extended multi-attribute profiles and sparse autoencoder for remote sensing image classification

    Science.gov (United States)

    Teffahi, Hanane; Yao, Hongxun; Belabid, Nasreddine; Chaib, Souleyman

    2018-02-01

    The satellite images with very high spatial resolution have been recently widely used in image classification topic as it has become challenging task in remote sensing field. Due to a number of limitations such as the redundancy of features and the high dimensionality of the data, different classification methods have been proposed for remote sensing images classification particularly the methods using feature extraction techniques. This paper propose a simple efficient method exploiting the capability of extended multi-attribute profiles (EMAP) with sparse autoencoder (SAE) for remote sensing image classification. The proposed method is used to classify various remote sensing datasets including hyperspectral and multispectral images by extracting spatial and spectral features based on the combination of EMAP and SAE by linking them to kernel support vector machine (SVM) for classification. Experiments on new hyperspectral image "Huston data" and multispectral image "Washington DC data" shows that this new scheme can achieve better performance of feature learning than the primitive features, traditional classifiers and ordinary autoencoder and has huge potential to achieve higher accuracy for classification in short running time.

  9. Interval-Valued Hesitant Fuzzy Multiattribute Group Decision Making Based on Improved Hamacher Aggregation Operators and Continuous Entropy

    Directory of Open Access Journals (Sweden)

    Jun Liu

    2017-01-01

    Full Text Available Under the interval-valued hesitant fuzzy information environment, we investigate a multiattribute group decision making (MAGDM method with continuous entropy weights and improved Hamacher information aggregation operators. Firstly, we introduce the axiomatic definition of entropy for interval-valued hesitant fuzzy elements (IVHFEs and construct a continuous entropy formula on the basis of the continuous ordered weighted averaging (COWA operator. Then, based on the Hamacher t-norm and t-conorm, the adjusted operational laws for IVHFEs are defined. In order to aggregate interval-valued hesitant fuzzy information, some new improved interval-valued hesitant fuzzy Hamacher aggregation operators are investigated, including the improved interval-valued hesitant fuzzy Hamacher ordered weighted averaging (I-IVHFHOWA operator and the improved interval-valued hesitant fuzzy Hamacher ordered weighted geometric (I-IVHFHOWG operator, the desirable properties of which are discussed. In addition, the relationship among these proposed operators is analyzed in detail. Applying the continuous entropy and the proposed operators, an approach to MAGDM is developed. Finally, a numerical example for emergency operating center (EOC selection is provided, and comparative analyses with existing methods are performed to demonstrate that the proposed approach is both valid and practical to deal with group decision making problems.

  10. Evaluation of Excess Heat Utilization in District Heating Systems by Implementing Levelized Cost of Excess Heat

    Directory of Open Access Journals (Sweden)

    Borna Doračić

    2018-03-01

    Full Text Available District heating plays a key role in achieving high primary energy savings and the reduction of the overall environmental impact of the energy sector. This was recently recognized by the European Commission, which emphasizes the importance of these systems, especially when integrated with renewable energy sources, like solar, biomass, geothermal, etc. On the other hand, high amounts of heat are currently being wasted in the industry sector, which causes low energy efficiency of these processes. This excess heat can be utilized and transported to the final customer by a distribution network. The main goal of this research was to calculate the potential for excess heat utilization in district heating systems by implementing the levelized cost of excess heat method. Additionally, this paper proves the economic and environmental benefits of switching from individual heating solutions to a district heating system. This was done by using the QGIS software. The variation of different relevant parameters was taken into account in the sensitivity analysis. Therefore, the final result was the determination of the maximum potential distance of the excess heat source from the demand, for different available heat supplies, costs of pipes, and excess heat prices.

  11. Utilization of net energy analysis as a method of evaluating energy systems

    International Nuclear Information System (INIS)

    Lee, Gi Won; Cho, Joo Hyun; Hah, Yung Joon

    1994-01-01

    It can be said that the upturn of Korean nuclear power program started in early 70's while future plants for the construction of new nuclear power plants virtually came to a halt in United States since the late 70's. It is projected that power plant systems from combination of nuclear and coal fired types might shift to all coal fired type in U.S., considering the current U.S. trend of construction on the new plants. However, with the depletion of natural resources, it may be desirable to understand the utilization of two competitive utility technologies in terms of invested energy. Presented in this paper is a method of comparing two energy systems in terms of energy investment and a brief result from energy economic analysis of nuclear power plant and coal fired steam power plant to illustrate the methodology. The method of comparison is Net Energy Analysis (NEA). In doing so, Input-Output Analysis (lOA) among industries and commodities is done. Using these information, net energy ratios are calculated and compared. Although NEA does not offer conclusive solution, it can be used as a screening process in decision making

  12. Exploring the utility of quantitative network design in evaluating Arctic sea ice thickness sampling strategies

    OpenAIRE

    Kaminski, T.; Kauker, F.; Eicken, H.; Karcher, M.

    2015-01-01

    We present a quantitative network design (QND) study of the Arctic sea ice-ocean system using a software tool that can evaluate hypothetical observational networks in a variational data assimilation system. For a demonstration, we evaluate two idealised flight transects derived from NASA's Operation IceBridge airborne ice surveys in terms of their potential to improve ten-day to five-month sea-ice forecasts. As target regions for the forecasts we select the Chukchi Sea, a...

  13. Evaluation of Universitas Indonesia’s Recharge Pond Performance and Potential Utilization for Raw Water Source

    OpenAIRE

    Nyoman Suwartha; Resky Pramadin

    2012-01-01

    The UI recharge pond has been constructed 5 years ago. However, monitoring and evaluation activities on its performances are very lack. Aims of this study are to understand the recharge rate, and to evaluate existing quantity and water quality of the pond during dry and rainy season. Measurement of water depth, rainfall intensity, and evaporation is conducted to determine water availability, recharge rate, and water balance of the recharge pond. Amount of surface water is collected from recha...

  14. Evaluation of the utility of temporal subtraction images in successive whole-body bone scans: a prospective clinical study

    International Nuclear Information System (INIS)

    Shiraishi, J.; Appelbaum, D.; Pu, Y.; Engelmann, R.; Li Qiang; Doi, K.

    2007-01-01

    We have begun a prospective clinical study for evaluating the clinical utility of temporal subtraction images in successive whole-body bone scans. The computerized temporal subtraction technique has been developed in order to highlight interval changes of abnormal lesions due to skeletal metastases, primary bone tumors, osteomyelitis, and fractures. In our initial preliminary results of the prospective study which was started on November 22, 2006 in our hospital, radiologists reported some interval changes which were not recognized in the initial standard readings, but were obvious when temporal subtraction images were viewed. The usefulness of the temporal subtraction images will be investigated in terms of its clinical utility by the prospective clinical study. (orig.)

  15. Evaluation of Core Loss in Magnetic Materials Employed in Utility Grid AC Filters

    DEFF Research Database (Denmark)

    Beres, Remus Narcis; Wang, Xiongfei; Blaabjerg, Frede

    2016-01-01

    magnetic materials adopted in utility grid ac filters have been investigated and measured for both sinusoidal and rectangular excitation, with and without dc bias condition. The core loss information can ensure cost effective passive filter designs and may avoid trial-error design procedures of the passive......Inductive components play an important role in filtering the switching harmonics related to the pulse width modulation in voltage source converters. Particularly, the filter reactor on the converter side of the filter is subjected to rectangular excitation which may lead to significant losses...... in the core, depending on the magnetic material of choice and current ripple specifications. Additionally, shunt or series reactors that exists in LCL or trap filters and which are subjected to sinusoidal excitations have different specifications and requirements. Therefore, the core losses of different...

  16. Renal ultrasound provides low utility in evaluating cardiac surgery associated acute kidney injury.

    Science.gov (United States)

    Young, Allen; Crawford, Todd; Pierre, Alejandro Suarez; Trent Magruder, J; Fraser, Charles; Conte, John; Whitman, Glenn; Sciortino, Christopher

    2017-09-02

    Renal ultrasonography is part of the algorithm in assessing acute kidney injury (AKI). The purpose of this study was to assess the clinical utility of renal US in postoperative cardiac patients who develop AKI. We conducted a retrospective study of 90 postoperative cardiac surgery patients at a single institution from 1/19/2010 to 3/19/2016 who underwent renal US for AKI. We reviewed provider documentation to determine whether renal US changed management. We defined change as: administration of crystalloid or colloid, addition of inotropic or vasopressor, or procedural interventions on the renal system. Mean age of study patients was 68 ± 13 years. 48/90 patients (53.3%) had pre-existing chronic kidney disease of varying severity. 48 patients (53.3%) had normal renal US with incidental findings and 31 patients (34.4%) had US evidence of medical kidney disease. 10 patients (11.1%) had limited US results due to poor visualization and 1 patient (1.1%) had mild right-sided hydronephrosis. No patients were found to have obstructive uropathy or renal artery stenosis. Clinical management was altered in only 4/90 patients (4.4%), which included 3 patients that received a fluid bolus and 1 patient that received a fluid bolus and inotropes. No vascular or urologic procedures resulted from US findings. Although renal ultrasound is often utilized in the work-up of AKI, our study shows that renal US provides little benefit in managing postoperative cardiac patients. This diagnostic modality should be scrutinized rather than viewed as a universal measure in the cardiac surgery population.

  17. Evaluating the Utility of Remotely-Sensed Soil Moisture Retrievals for Operational Agricultural Drought Monitoring

    Science.gov (United States)

    Bolten, John D.; Crow, Wade T.; Zhan, Xiwu; Jackson, Thomas J.; Reynolds,Curt

    2010-01-01

    Soil moisture is a fundamental data source used by the United States Department of Agriculture (USDA) International Production Assessment Division (IPAD) to monitor crop growth stage and condition and subsequently, globally forecast agricultural yields. Currently, the USDA IPAD estimates surface and root-zone soil moisture using a two-layer modified Palmer soil moisture model forced by global precipitation and temperature measurements. However, this approach suffers from well-known errors arising from uncertainty in model forcing data and highly simplified model physics. Here we attempt to correct for these errors by designing and applying an Ensemble Kalman filter (EnKF) data assimilation system to integrate surface soil moisture retrievals from the NASA Advanced Microwave Scanning Radiometer (AMSR-E) into the USDA modified Palmer soil moisture model. An assessment of soil moisture analysis products produced from this assimilation has been completed for a five-year (2002 to 2007) period over the North American continent between 23degN - 50degN and 128degW - 65degW. In particular, a data denial experimental approach is utilized to isolate the added utility of integrating remotely-sensed soil moisture by comparing EnKF soil moisture results obtained using (relatively) low-quality precipitation products obtained from real-time satellite imagery to baseline Palmer model runs forced with higher quality rainfall. An analysis of root-zone anomalies for each model simulation suggests that the assimilation of AMSR-E surface soil moisture retrievals can add significant value to USDA root-zone predictions derived from real-time satellite precipitation products.

  18. A Steam Utility Network Model for the Evaluation of Heat Integration Retrofits – A Case Study of an Oil Refinery

    Directory of Open Access Journals (Sweden)

    Sofie Marton

    2017-12-01

    Full Text Available This paper presents a real industrial example in which the steam utility network of a refinery is modelled in order to evaluate potential Heat Integration retrofits proposed for the site. A refinery, typically, has flexibility to optimize the operating strategy for the steam system depending on the operation of the main processes. This paper presents a few examples of Heat Integration retrofit measures from a case study of a large oil refinery. In order to evaluate expected changes in fuel and electricity imports to the refinery after implementation of the proposed retrofits, a steam system model has been developed. The steam system model has been tested and validated with steady state data from three different operating scenarios and can be used to evaluate how changes to steam balances at different pressure levels would affect overall steam balances, generation of shaft power in turbines, and the consumption of fuel gas.

  19. Utility of Vascular Enhancement Technique (ClarifyTM) in Ultrasonographic Evaluation of Abdominal Vessels

    International Nuclear Information System (INIS)

    Oh, Jong Young; Cho, Jin Han; Choi, Jong Cheol; Shin, Tae Beom; Lee, Jin Hwa; Yoon, Seong Kuk; Nam, Kyung Jin

    2006-01-01

    Vascular enhancement (VE) technology(ClarifyTM) is a new technique in vascular, B-mode imaging. The purpose of this study was to evaluate the value of VE technology in ultrasonographic diagnosis of abdominal vasculature. Seventy-one adult patients (39 men and 32 women: age range, 25-89 years: mean age, 56 years) who had undergone abdominal ultrasonography were included in this study. The imaging was performed with a 1.8-4.0 MHz convex array transducer (SONOLINE, Antares, Siemens Medical Solutions, WA) by an abdominal radiologist. The radiologist obtained images of the same vascular area with each of conventional ultrasonography imaging (CUS), tissue harmonic imaging (THI), CUS plus VE technique and THI plus VE technique. Images were divided into normal (56) and abnormal (15) groups. The vessel visibility, conspicuity of the vascular wall and contrast resolution with adjacent structures were evaluated in the normal group, and the lesion conspicuity and border sharpness were evaluated in the abnormal group. On the PACS monitor, the images were graded into four grades by two radiologists in consensus. Statistical analysis was performed using Wilcoxon signed rank test. In the normal group, all parameters of the ultrasonographic imaging which applied the VE technique were superior to those of the imaging without VE technique (p < 0.05). In the abnormal group, combined use of VE technique with CUS or THI provided better results than CUS or THI alone in terms of lesion conspicuity and border sharpness (p < 0.05). THI combined with VE technique provided the best image quality among the 4 ultrasonographic methods examined in this study for the evaluation of both normal and abnormal abdominal vessels (p < 0.05). VE technology was a helpful technique to evaluate the abdominal vasculature. Furthermore, VE technique combined with THI provided better image quality than other ultrasonographic methods in the evaluation of abdominal vessels

  20. Utilizing the Flipped Classroom, Simulation-Based Mastery Learning and Group Learning to Teach and Evaluate Lumbar Puncture Skills

    Directory of Open Access Journals (Sweden)

    Amanda Crichlow

    2018-01-01

    Full Text Available Audience: This lumbar puncture curriculum was developed and implemented to educate and evaluate incoming intern Emergency Medicine (EM residents. This curriculum can also be used to educate and evaluate senior medical students and senior residents. Introduction: Procedural competency is an important component of healthcare education. With the implementation of milestones, the need for valid assessment tools to determine procedural competency has increased. Simulation-based mastery learning (SBML with the incorporation of deliberate practice has been shown to be an effective way to teach and evaluate procedural skills.1-8 These studies, however, highlight one of the major barriers to successful integration of SBML into existing medical curricula: they require a significant investment of time. One reason for this is the performance of the pre-test evaluation of the learners’ procedure skills prior to commencement of training. Although necessary for research endeavors to evaluate curricula effectiveness, the need for pre-testing specifically on studies where the goal of the curricula is procedural competency, as measured by learners’ performance on the post-testing, has not been described. Consequently, we decided a more effective use of limited time was to allow our learners the opportunity for deliberate practice and conducting the post-test. Since the ultimate goal of our educational endeavors is to ensure that our learners achieve defined standards of performance, evaluation of their performance prior to training may not be necessary. Another reason for the significant time investment for SBML curricula is the utilization of individualized instruction with one facilitator providing corrective feedback to one learner. Although Cohen et al. reference the use of groups of learners for procedure training9, it is not explicitly delineated how the group instruction is conducted. In other disciplines, training team protocols such as dyad training

  1. Evaluation and utilization of blood meal diets by weaner pigs reared ...

    African Journals Online (AJOL)

    This study evaluated the effects on growth and cost benefits of substituting soybean meal (SBM) with blood meal (BM) in diets of weaner pigs. Possible pathogenic bacteria contamination and nutritional contents of the BM were determined prior to feed formulation. Four weaner diets (A, B, C, and D) were formulated such ...

  2. Utility in a Fallible Tool: A Multi-Site Case Study of Automated Writing Evaluation

    Science.gov (United States)

    Grimes, Douglas; Warschauer, Mark

    2010-01-01

    Automated writing evaluation (AWE) software uses artificial intelligence (AI) to score student essays and support revision. We studied how an AWE program called MY Access![R] was used in eight middle schools in Southern California over a three-year period. Although many teachers and students considered automated scoring unreliable, and teachers'…

  3. Exploring Simulation Utilization and Simulation Evaluation Practices and Approaches in Undergraduate Nursing Education

    Science.gov (United States)

    Zitzelsberger, Hilde; Coffey, Sue; Graham, Leslie; Papaconstantinou, Efrosini; Anyinam, Charles

    2017-01-01

    Simulation-based learning (SBL) is rapidly becoming one of the most significant teaching-learning-evaluation strategies available in undergraduate nursing education. While there is indication within the literature and anecdotally about the benefits of simulation, abundant and strong evidence that supports the effectiveness of simulation for…

  4. Evaluation of the Utility of a Discrete-Trial Functional Analysis in Early Intervention Classrooms

    Science.gov (United States)

    Kodak, Tiffany; Fisher, Wayne W.; Paden, Amber; Dickes, Nitasha

    2013-01-01

    We evaluated a discrete-trial functional analysis implemented by regular classroom staff in a classroom setting. The results suggest that the discrete-trial functional analysis identified a social function for each participant and may require fewer staff than standard functional analysis procedures.

  5. Study of public understanding and evaluation of messages concerning the policy of 'Pu thermal utilization' based on results of interview survey

    International Nuclear Information System (INIS)

    Tsuchiya, Tomoko; Kosugi, Motoko; Senda, Yasuko; Takada, Kaori; Iwatsuki, Akihito; Tamagawa, Hiromi

    2008-01-01

    In this paper, we focus on the kind of information the nuclear industry should provide for the general public to understand and trust in the plan of plutonium utilization for mixed-oxide fuel in light water reactors, i.e., Pu thermal utilization. We conducted an interview survey for 30 people who live in the Tokyo metropolitan area to analyze what they know and how they feel about Pu thermal utilization, and to compare three information materials based on their subjective evaluation of the degree of understanding, trust and so on. The content analysis of interviewees' comments regarding Pu thermal utilization shows that they have vague but correct knowledge, that is, 'Pu thermal utilization is to recycle nuclear fuel or nuclear waste.' However, people do not have background information concerning the necessity of Pu utilization, such as the resource limitation of uranium. According to the comparative analysis of the three materials, a material that presents the necessity and usefulness of Pu thermal utilization using figures and graphs was evaluated most understandable, informative, trustful, and persuasive. The material including information of risk was evaluated more informative, but the evaluation of trust indicated a divided opinion. People who feel anxiety about nuclear power generation evaluated the material including risk messages more trustful than other materials. Others evaluated it less trustful because the risk management of Pu thermal utilization and the process to solve remaining problems, such as HLW disposal, are uncertain. (author)

  6. Evaluation of Resource Utilization and Treatment Patterns in Patients with Actinic Keratosis in the United States.

    Science.gov (United States)

    Asche, Carl V; Zografos, Panagiotis; Norlin, Jenny M; Urbanek, Bill; Mamay, Carl; Makin, Charles; Erntoft, Sandra; Chen, Chi-Chang; Hines, Dionne M; Mark Siegel, Daniel

    2016-01-01

    To compare health care resource utilization and treatment patterns between patients with actinic keratosis (AK) treated with ingenol mebutate gel (IngMeb) and those treated with other field-directed AK therapies. A retrospective, propensity-score-matched, cohort study compared refill/repeat and adding-on/switching patterns and outpatient visits and prescriptions (health care resource utilization) over 6 months in patients receiving IngMeb versus those receiving imiquimod, 5-fluorouracil, diclofenac sodium, and methyl aminolevulinate or aminolevulinic acid photodynamic therapy (MAL/ALA-PDT). The final sample analyzed included four matched treatment cohort pairs (IngMeb and comparator; n = 790-971 per treatment arm). Refill rates were similar except for imiquimod (15% vs. 9% for imiquimod and IngMeb, respectively; P < 0.05). MAL/ALA-PDT treatment repetition rates were higher than IngMeb refill rates (20% vs. 10%; P < 0.05). Topical agent add-on/switch rates were comparable. PDT had higher switch rates than did IngMeb (5% vs. 2%; P < 0.05). The IngMeb cohort had a significantly lower proportion of patients with at least one AK-related outpatient visit during the 6-month follow-up than did any other cohort: versus imiquimod (50% vs. 66%; P < 0.0001), versus 5-fluorouracil (50% vs. 69%; P < 0.0001), versus diclofenac sodium (51% vs. 56%; P = 0.034), and versus MAL/ALA-PDT (50% vs. 100%; P < 0.0001). There were significantly fewer AK-related prescriptions among patients receiving IngMeb than among patients in other cohorts. Results based on the first 6 months after treatment initiation suggested that most field-directed AK therapies had clinically comparable treatment patterns except imiquimod, which was associated with higher refill rates, and PDT, which was associated with significantly more frequent treatment sessions and higher switching rates. IngMeb was also associated with significantly fewer outpatient visits than were other field-directed therapies. Copyright

  7. Utilization of two web-based continuing education courses evaluated by Markov chain model.

    Science.gov (United States)

    Tian, Hao; Lin, Jin-Mann S; Reeves, William C

    2012-01-01

    To evaluate the web structure of two web-based continuing education courses, identify problems and assess the effects of web site modifications. Markov chain models were built from 2008 web usage data to evaluate the courses' web structure and navigation patterns. The web site was then modified to resolve identified design issues and the improvement in user activity over the subsequent 12 months was quantitatively evaluated. Web navigation paths were collected between 2008 and 2010. The probability of navigating from one web page to another was analyzed. The continuing education courses' sequential structure design was clearly reflected in the resulting actual web usage models, and none of the skip transitions provided was heavily used. The web navigation patterns of the two different continuing education courses were similar. Two possible design flaws were identified and fixed in only one of the two courses. Over the following 12 months, the drop-out rate in the modified course significantly decreased from 41% to 35%, but remained unchanged in the unmodified course. The web improvement effects were further verified via a second-order Markov chain model. The results imply that differences in web content have less impact than web structure design on how learners navigate through continuing education courses. Evaluation of user navigation can help identify web design flaws and guide modifications. This study showed that Markov chain models provide a valuable tool to evaluate web-based education courses. Both the results and techniques in this study would be very useful for public health education and research specialists.

  8. Evaluating the limits of solar photovoltaics (PV) in electric power systems utilizing energy storage and other enabling technologies

    International Nuclear Information System (INIS)

    Denholm, Paul; Margolis, Robert M.

    2007-01-01

    In this work, we evaluate technologies that will enable solar photovoltaics (PV) to overcome the limits of traditional electric power systems. We performed simulations of a large utility system using hourly solar insolation and load data and attempted to provide up to 50% of this system's energy from PV. We considered several methods to avoid the limits of unusable PV that result at high penetration due to the use of inflexible baseload generators. The enabling technologies considered in this work are increased system flexibility, load shifting via demand responsive appliances, and energy storage

  9. The use of a learning community and online evaluation of utilization for SPECT myocardial perfusion imaging.

    Science.gov (United States)

    Saifi, Samira; Taylor, Allen J; Allen, Joseph; Hendel, Robert

    2013-07-01

    Resource-sensitive and quality-centered imaging begins with the selection of the appropriate patient and test. Appropriate use criteria have been developed to aid clinicians but are often not available in an easily accessible format. FOCUS (Formation of Optimal Cardiovascular Utilization Strategies), a Web-based community and quality improvement instrument, was developed to increase the feasibility of measuring and improving practice patterns based on the appropriate use criteria. The FOCUS instrument proposed to reduce inappropriate imaging by 15% in 1 year and by 50% within 3 years. Between April 2010 and December 2011, data were voluntarily collected through the FOCUS radionuclide imaging performance improvement module (PIM). Appropriateness rates were compared between phases of the PIM. For the 55 participating sites that had completed the PIM by December 2011, the proportion of inappropriate cases decreased from 10% to 5% (p use of a self-directed, quality improvement software and an interactive community, physicians may be able to significantly decrease the proportion of tests not meeting appropriate use criteria. Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  10. Limited utility of plain abdominal radiographs in evaluating intussusceptions secondary to long indwelling feeding tubes

    Directory of Open Access Journals (Sweden)

    Albert Yang

    2013-01-01

    Full Text Available Adult intussusception (AI is relatively rare and can be a difficult clinical diagnosis, often requiring cross-sectional imaging for confirmation. Unfortunately, intussusceptions in the setting of indwelling long enteral feeding tubes have been predominantly characterized in the pediatric population with minimal investigation in adults. We report three cases of AI in patients with long feeding catheters serving as anatomic lead points leading to intussusception diagnosed on cross-sectional imaging. We highlight the limited utility of the supine plain films for detection of AI, and it behooves the radiologist to hold a high index of suspicion if the patient has a long enteral catheter. Since the majority of these patients tend to be fairly ill and unable to stand for upright abdominal radiographs, in the setting of percutaneous feeding tubes, decubitus abdominal radiographs should always be obtained. These cases also highlight the importance of having a high clinical suspicion of intussusceptions in a patient presenting with abdominal pain in the setting of an enteral feeding tube. In post-operative patients, other factors can predispose the patient to intussusception, including adhesions. Another interesting feature in tube related AI is the reverse intussusception that may be seen with indwelling enteral tubes. Reverse intussusception is where the distal bowel telescopes into the proximal segment over the tube.

  11. The Diagnostic Utility of Midcarpal Anesthetic Injection in the Evaluation of Chronic Wrist Pain

    OpenAIRE

    Bell, S. Josh; Hofmeister, Eric P.; Moran, Steven L.; Shin, Alexander Y.

    2007-01-01

    The evaluation of chronic wrist pain can be a diagnostic dilemma. Lidocaine injections combined with corticosteroids are often used for both diagnosis and therapy. The purpose of this study was to determine if a midcarpal injection of lidocaine could serve as a diagnostic tool in patients with chronic wrist pain. Specifically, the relationship of pain relief from the injection and improvement of grip strength were compared to the presence of intracarpal pathology as confirmed by wrist arthros...

  12. Utility of computed axial tomography angiography in anatomic evaluation of pediatric patients with congenital heart diseases

    International Nuclear Information System (INIS)

    Mosquera, Walter A; Reyes P, Rafael; Aguilera N, Favio M; Breton, Cesar A; Buitrago, Danuby A; Suarez J Ramiro; Castillo, Victor

    2007-01-01

    Although echocardiogram and cardiac catheterization are used as first option tools for congenital heart diseases diagnosis, computed tomography angiography is a minimally invasive exam that through two to three dimensional images in real time gives an adequate approach to patients having this type of pathologies that require a rapid and precise evaluation of its extra cardiac anatomy. Objective: describe the institutional experience from August 2005 to August 2006 in the use of angiography by tomography as a complementary diagnostic method in the evaluation of pediatric patients with congenital heart diseases. Method: serial descriptive study. 58 pediatric patients with clinical and echocardiographic diagnosis of congenital heart diseases were evaluated through the General Electric Multislice Light peed/16 scanner. Results: 58 patients with history of congenital heart disease were evaluated through CT angiography. Mean age was 2.4 ± 4.03 years. Twenty (33.8%) had diagnosis of pulmonary atresia, four (6.7%) had tricuspid atresia, eight (13.5%,) had double-outlet right ventricle, seven (11.8%) had tetralogy of Fallot, nine (15.2%) had alterations of the aortic arch, seven (11.8%) had coarctation of the aorta two (3.3%) had interrupted aortic arch, six (10.3%) had persistent ductus arteriosus, four (6.7%) had anomalous venous drainage and three (5.1 %) had transposition of the great arteries. High quality images that allowed assessing the precise vascular anatomy were obtained. Conclusions: computed tomography angiography turned out to be a useful tool in the diagnostic approach of congenital heart diseases, because it allowed a tridimensional anatomic reconstruction. New studies that may permit the assessment of sensitivity, specificity and concordance level of this technique with other invasive diagnostic methods available for the diagnosis of this type of diseases, are required

  13. Mackerel (Scomber Scrombrus Oil Extraction and Evaluation as Raw Materials for Industrial Utilization

    Directory of Open Access Journals (Sweden)

    A. A. BAWA

    2006-01-01

    Full Text Available The extraction, evaluation and refining of fish oil from mackerel (scomber scrombrus has been conducted in this work. The total percentage oil yield using solvent extraction and total moisture content was 28.24% and 56.50 %respectively, which were found to increase linearly with time. The analytical properties of the crude and the refined oil were evaluated. It was observed that the crude oil consist from: acid value 2.5 mg/KOH, peroxide value 2.19 mEq/kg, saponification value 201.6 mgKOH/g, iodine value 108.09 I2/100g, specific gravity 0.911, refractive index 1.485 and reddish brown colour. The refined oil was also evaluated as follows: acid value 2.27 mg/KOH, peroxide 1.00 meq/kg, saponification value 147.84 mgKOH/g, iodine value 106.93 I2 /100g and golden brown colour. These values fall within the acceptable standard values. The refining of the oil brought about a notable improvement in the analytical properties of the oil. Thus, leads to a high quality fish oil in terms of the taste, colour, odours, shelf life and market value. Based on the improved characteristics of the oil, it could be suitable for applications in pharmaceutical and food industries.

  14. Importance and utility of microbial elements in evaluating soil quality: case studies in silvopastoral systems

    Directory of Open Access Journals (Sweden)

    Victoria Eugenia Vallejo Quintero

    2013-07-01

    Full Text Available Environmental sustainability is achieved by main-taining and improving soil quality. This quality is defined as “the ability of soil to function” and is evaluated through measuring a minimum set of data corresponding to different soil properties (physical, chemical and biological. However, assessment of these properties does not meet all the conditions necessary to be ideal indicators such as: clearly discriminating between the systems use and / or management evaluation, sensitivity to stress conditions associated with anthropogenic actions, easy measurement, accessibility to many users and short response time. Because loss in quality is associated with the alteration of many processes performed by soil microorganisms they meet the above conditions and have been proposed as valid indicators for diagnosing the impact of changes in land-use and ecosystem restoration. Thus, through the evaluation of the density, activity and /or structure-composition of microorganisms we can determine whether current management systems maintain, improve or degrade the soil. In this article we review the main concepts related to soil quality and its indicators. We discuss the effect of the implementation of silvopastoral systems on soil quality, with an emphasis on the use of microbial indicators.

  15. Review Article : Utilization of Environmental Radiochemistry Techniques for Selection and Evaluation of Nuclear Facility Sites

    International Nuclear Information System (INIS)

    Atta, E.R.; Madbouly, A.M.; Zakaria, Kh.M.

    2016-01-01

    This research review puts necessary considerations on the available environmental radiochemistry techniques for selection and evaluation of a nuclear facility sites.The main bjective in site evaluation for nuclear facilities in terms of nuclear safety is to protect the site workers, the public and the environment from the effects of ionizing radiation release from nuclear facilities due to accidents. The extreme sensitivity and speed of radiochemical methods make their applications of considerable importance in several fields and they have found many uses. Information about the existed radioactivity in the different nuclear facilities is an essential requirement for their environmental assessment. It is necessary to estimate the various radioactivity levels in the environment through qualitative and quantitative analytical techniques and to assess the potential effects of the nuclear facility in the region by considering the characteristics of sites.The siting and site evaluation requirements are discussed. Emphasis was given to types of radiochemical techniques used for characterization of the site parameters which determine the potential hazards of the site on the facility and the facility on the site. Emphasis has been also given to the quantitative and qualitative analysis of naturally occurring radionuclides for monitoring and control .There are some techniques employed such as radioactive tracer technique, liquid scintillation technique, gamma spectrometry technique, neutron activation analysis technique, fluorimetric technique and isotope hydrology technique.

  16. Evaluating the MEDLINE Core Clinical Journals filter: data-driven evidence assessing clinical utility.

    Science.gov (United States)

    Klein-Fedyshin, Michele; Ketchum, Andrea M; Arnold, Robert M; Fedyshin, Peter J

    2014-12-01

    MEDLINE offers the Core Clinical Journals filter to limit to clinically useful journals. To determine its effectiveness for searching and patient-centric decision making, this study compared literature used for Morning Report in Internal Medicine with journals in the filter. An EndNote library with references answering 327 patient-related questions during Morning Report from 2007 to 2012 was exported to a file listing variables including designated Core Clinical Journal, Impact Factor, date used and medical subject. Bradford's law of scattering was applied ranking the journals and reflecting their clinical utility. Recall (sensitivity) and precision of the Core Morning Report journals and non-Core set was calculated. This study applied bibliometrics to compare the 628 articles used against these criteria to determine journals impacting decision making. Analysis shows 30% of clinically used articles are from the Core Clinical Journals filter and 16% of the journals represented are Core titles. When Bradford-ranked, 55% of the top 20 journals are Core. Articles sources used. Among the 63 Morning Report subjects, 55 have <50% precision and 41 have <50% recall including 37 subjects with 0% precision and 0% recall. Low usage of publications within the Core Clinical Journals filter indicates less relevance for hospital-based care. The divergence from high-impact medicine titles suggests clinically valuable journals differ from academically important titles. With few subjects demonstrating high recall or precision, the MEDLINE Core Clinical Journals filter may require a review and update to better align with current clinical needs. © 2014 John Wiley & Sons, Ltd.

  17. Design and evaluation of noise suppression sheet for GHz band utilizing magneto-elastic effect

    Science.gov (United States)

    Igarashi, Toshiyuki; Kondo, Koichi; Yoshida, Shigeyoshi

    2017-12-01

    Feasibility of realizing a noise suppression sheet (NSS) coping with the low SHF band such as the 5 GHz band was investigated, which was composed of soft magnetic metal flakes dispersed in a polymer. For suppressing noises, the higher frequency one of the bimodal frequency dispersion (lower frequency one: Dispersion DII, higher frequency one: Dispersion DIII) seen in the imaginary permeability (μ″; magnetic loss component) spectrum of the NSS was aimed to utilize. Referring to the previous finding that Dispersion DIII is originated from a magneto-elastic effect, several magnetic composite sheets were prepared using various alloy flakes with different saturation magnetostriction (λs), and their frequency (fr(DIII)) and magnitude (μ″(DIII)) of Dispersion DIII were investigated. It was found that the NSS containing flakes with higher λs exhibited higher fr(DIII) and higher μ″(DIII)/μ″(DII), which was ratio of μ″(DIII) to the magnitude of Dispersion DII (μ″(DII)). The fr(DIII) for the NSS having the highest λs containing Fe-Co alloy flake reached 7.45 GHz and μ″ in the 5 GHz band was approximately twice as high as the conventional NSS containing Fe-Si-Al alloy flake. For transmission attenuation power ratio (Rtp) when an NSS was placed on a microstrip line with characteristic impedance of 50 Ω, NSS with larger fr(DIII)2 · μ″(DIII) ∝ Ms2 (Ms: saturation magnetization), which theoretically gave the frequency limit of imaginary permeability for a thin film, exhibited larger Rtp in the low SHF band. These results suggested that an NSS containing a magnetic flake material with both large λs and Ms was suitable for suppressing low SHF band noises.

  18. Telemedicine-based diabetic retinopathy screening programs: an evaluation of utility and cost-effectiveness

    Directory of Open Access Journals (Sweden)

    Cuadros JA

    2015-06-01

    Full Text Available Jorge A Cuadros Optometry/Vision Science, University of California, Berkeley, CA, USA Abstract: Diabetes is the main cause of blindness among working age adults, although treatment is highly effective in preventing vision loss. Eye examinations are recommended on a yearly basis for most patients for timely detection of retinal disease. Telemedicine-based diabetic retinopathy screening (TMDRS programs have been developed to identify patients with sight-threatening diabetic eye disease because patients are often noncompliant with recommended live eye examinations. This article reviews the cost-effectiveness of the various forms of TMDRS. A review of relevant articles, mostly published since 2008, shows that societal benefits generally outweigh the costs of TMDRS. However, advances in technology to improve efficacy, lower costs, and broaden screening to other sight-threatening conditions, such as glaucoma and refractive error, are necessary to improve the sustainability of TMDRS within health care organizations. Patient satisfaction with these telemedicine programs is generally high. New models of shared care with primary care providers and staff are emerging to improve patient engagement and follow-up care when individuals are found to have sight-threatening eye disease. TMDRS programs are growing and provide valuable clinical benefit. The cost-utility is currently well proven in locations with limited access to regular eye care services, such as rural areas, poor communities, and prison systems; however, improvements over time are necessary for these programs to be cost-effective in mainstream medical settings in the future. Keywords: telemedicine, diabetes, retinopathy, retinal imaging

  19. A prospective, longitudinal study to evaluate the clinical utility of a predictive algorithm that detects risk of opioid use disorder

    Science.gov (United States)

    Brenton, Ashley; Lee, Chee; Lewis, Katrina; Sharma, Maneesh; Kantorovich, Svetlana; Smith, Gregory A; Meshkin, Brian

    2018-01-01

    Purpose The purpose of this study was to determine the clinical utility of an algorithm-based decision tool designed to assess risk associated with opioid use. Specifically, we sought to assess how physicians were using the profile in patient care and how its use affected patient outcomes. Patients and methods A prospective, longitudinal study was conducted to assess the utility of precision medicine testing in 5,397 patients across 100 clinics in the USA. Using a patent-protected, validated algorithm combining specific genetic risk factors with phenotypic traits, patients were categorized into low-, moderate-, and high-risk patients for opioid abuse. Physicians who ordered precision medicine testing were asked to complete patient evaluations and document their actions, decisions, and perceptions regarding the utility of the precision medicine tests. The patient outcomes associated with each treatment action were carefully documented. Results Physicians used the profile to guide treatment decisions for over half of the patients. Of those, guided treatment decisions for 24.5% of the patients were opioid related, including changing the opioid prescribed, starting an opioid, or titrating a patient off the opioid. Treatment guidance was strongly influenced by profile-predicted opioid use disorder (OUD) risk. Most importantly, patients whose physicians used the profile to guide opioid-related treatment decisions had improved clinical outcomes, including better pain management by medication adjustments, with an average pain decrease of 3.4 points on a scale of 1–10. Conclusion Patients whose physicians used the profile to guide opioid-related treatment decisions had improved clinical outcomes, as measured by decreased pain levels resulting from better pain management with prescribed medications. The clinical utility of the profile is twofold. It provides clinically actionable recommendations that can be used to 1) prevent OUD through limiting initial opioid

  20. Evaluating glymphatic pathway function utilizing clinically relevant intrathecal infusion of CSF tracer.

    Science.gov (United States)

    Yang, Lijun; Kress, Benjamin T; Weber, Harris J; Thiyagarajan, Meenakshisundaram; Wang, Baozhi; Deane, Rashid; Benveniste, Helene; Iliff, Jeffrey J; Nedergaard, Maiken

    2013-05-01

    Neurodegenerative diseases such as Alzheimer's are associated with the aggregation of endogenous peptides and proteins that contribute to neuronal dysfunction and loss. The glymphatic system, a brain-wide perivascular pathway along which cerebrospinal fluid (CSF) and interstitial fluid (ISF) rapidly exchange, has recently been identified as a key contributor to the clearance of interstitial solutes from the brain, including amyloid β. These findings suggest that measuring changes in glymphatic pathway function may be an important prognostic for evaluating neurodegenerative disease susceptibility or progression. However, no clinically acceptable approach to evaluate glymphatic pathway function in humans has yet been developed. Time-sequenced ex vivo fluorescence imaging of coronal rat and mouse brain slices was performed at 30-180 min following intrathecal infusion of CSF tracer (Texas Red- dextran-3, MW 3 kD; FITC- dextran-500, MW 500 kD) into the cisterna magna or lumbar spine. Tracer influx into different brain regions (cortex, white matter, subcortical structures, and hippocampus) in rat was quantified to map the movement of CSF tracer following infusion along both routes, and to determine whether glymphatic pathway function could be evaluated after lumbar intrathecal infusion. Following lumbar intrathecal infusions, small molecular weight TR-d3 entered the brain along perivascular pathways and exchanged broadly with the brain ISF, consistent with the initial characterization of the glymphatic pathway in mice. Large molecular weight FITC-d500 remained confined to the perivascular spaces. Lumbar intrathecal infusions exhibited a reduced and delayed peak parenchymal fluorescence intensity compared to intracisternal infusions. Lumbar intrathecal contrast delivery is a clinically useful approach that could be used in conjunction with dynamic contrast enhanced MRI nuclear imaging to assess glymphatic pathway function in humans.

  1. Utilizing The Synergy of Airborne Backscatter Lidar and In-Situ Measurements for Evaluating CALIPSO

    Directory of Open Access Journals (Sweden)

    Tsekeri Alexandra

    2016-01-01

    Full Text Available Airborne campaigns dedicated to satellite validation are crucial for the effective global aerosol monitoring. CALIPSO is currently the only active remote sensing satellite mission, acquiring the vertical profiles of the aerosol backscatter and extinction coefficients. Here we present a method for CALIPSO evaluation from combining lidar and in-situ airborne measurements. The limitations of the method have to do mainly with the in-situ instrumentation capabilities and the hydration modelling. We also discuss the future implementation of our method in the ICE-D campaign (Cape Verde, August 2015.

  2. Polyradiomodification. Evaluation of the efficacy of the utilization of hyperglycemia in experimental hypoxiradiotherapy of tumors

    International Nuclear Information System (INIS)

    Kozin, S.V.; Dyuskaliev, Zh.D.; Yarmonenko, S.P.

    1984-01-01

    An experimental evaluation of the appropriateness of the use of short-term hyperglycemia combined with hypoxiradiotherapy of solid tumors is given. In comparing the response of tumors and overlying skin a conclusion has been made that gaseous hypoxia and the use of hyperglycemia separately yield in a considerable therapeutic benefit, and the use of the combination of these agents in some cases produces a greater therapeutic interval between tumor destruction and normal tissues. The mechanisms of the modification of radiation injuries of tumors and skin under the influence of the above two factors are discussed

  3. Blood gas analyzer utility in evaluating oxygen kinetics of the aqueous humor

    Directory of Open Access Journals (Sweden)

    Ismail Ersan

    2015-04-01

    Full Text Available Purpose: To measure the partial pressure of oxygen (PO2 and carbon dioxide (PCO2 and the pH of aqueous humor (AH and arterial blood samples from rabbits using a blood gas analyzer. Methods: Twenty New Zealand rabbits were anesthetized intramuscularly with ketamine and xylazine and were then allowed to breathe room air. Using a gas blood analyzer, arterial blood and AH samples were analyzed for PO2, PCO2, and pH. Results: The mean arterial blood pressure was 87.14 ± 15.0 mmHg. The mean blood and AH PO2 were 95.18 ± 11.76 mmHg and 88.83 ± 9.92 mmHg, the mean blood and AH PCO2 were 25.86 ± 5.46 mmHg and 29.50 ± 5.36 mmHg, and the mean blood and AH pH were 7.38 ± 0.06 and 7.33 ± 0.09, respectively. Conclusion: Conclusions: The blood gas analyzer was easily employed to evaluate the aqueous humor in rabbits. When comparing the results of studies evaluating aqueous PO2, care should be taken to determine the methods used in these studies.

  4. Evaluation of Fertilizer Potential of Different K Compounds Prepared Utilizing Sea Bittern as Feed Stock

    Directory of Open Access Journals (Sweden)

    Khanjan Trivedi

    2017-09-01

    Full Text Available Aim: Many countries import potassic fertilizers due to dearth of K-mineral deposits. Therefore processes to obtain K-nutrient sources from sea bittern were developed by our Institute. The present investigation evaluated the fertilizer potential of three different sea bittern-derived (SBD potassium forms developed viz., potassium schoenite, potassium nitrate and potassium ammonium sulfate on maize productivity in two cropping seasons.Methods: The pot and field experiments consisted of four treatments, wherein the three K forms were applied at the recommended rate of 40 kg K2O ha−1 and were compared with commercially used sulfate of potash. The effect of these fertilizers on different parameters of plant and soil were evaluated.Results: The application of SBD-potassic fertilizers led to enhancement in growth, productivity and quality of maize which related well with higher photosynthesis, nutrient uptake and soil quality parameters. On an average all the three forms of sea bittern-derived potash enhanced yield of maize over control by 22.3 and 23.8%, respectively, in pot and field trials. The best performance was under SBD-KNO3, which also recorded the highest benefit: cost ratio of 1.76.Conclusion: The K-fertilizers derived from sea-bittern—a waste product of salt industry—can thus be economically used to improve crop production sustainably.

  5. Developing team leadership to facilitate guideline utilization: planning and evaluating a 3-month intervention strategy.

    Science.gov (United States)

    Gifford, Wendy; Davies, Barbara; Tourangeau, Ann; Lefebre, Nancy

    2011-01-01

    Research describes leadership as important to guideline use. Yet interventions to develop current and future leaders for this purpose are not well understood. To describe the planning and evaluation of a leadership intervention to facilitate nurses' use of guideline recommendations for diabetic foot ulcers in home health care. Planning the intervention involved a synthesis of theory and research (qualitative interviews and chart audits). One workshop and three follow-up teleconferences were delivered at two sites to nurse managers and clinical leaders (n=15) responsible for 180 staff nurses. Evaluation involved workshop surveys and interviews. Highest rated intervention components (four-point scale) were: identification of target indicators (mean 3.7), and development of a team leadership action plan (mean 3.5). Pre-workshop barriers assessment rated lowest (mean 2.9). Three months later participants indicated their leadership performance had changed as a result of the intervention, being more engaged with staff and clear about implementation goals. Creating a team leadership action plan to operationalize leadership behaviours can help in delivery of evidence-informed care. Access to clinical data and understanding team leadership knowledge and skills prior to formal training will assist nursing management in tailoring intervention strategies to identify needs and gaps. © 2010 The Authors. Journal compilation © 2010 Blackwell Publishing Ltd.

  6. Online support and education for dementia caregivers: overview, utilization, and initial program evaluation.

    Science.gov (United States)

    Glueckauf, Robert L; Ketterson, Timothy U; Loomis, Jeffrey S; Dages, Pat

    2004-01-01

    Family caregivers of older adults with progressive dementia (e.g., Alzheimer's disease) are confronted with a variety of challenges in providing assistance to their loved ones, such as dealing with persistent, repetitive questions, managing episodes of agitation and aggressive responding, as well as monitoring hygiene and self-care activities. Although professional and governmental organizations have called for the creation of community-based education and support programs, a significant proportion of dementia caregivers in the United States continue to receive little or no formal instruction in responding effectively to these anxiety-provoking situations. This paper describes the development and implementation of Alzheimer's Caregiver Support Online (also known as AlzOnline), an Internet- and telephone-based education and support network for caregivers of individuals with progressive dementia. An outcome analysis of a Robert Wood Johnson Foundation-funded strategic marketing initiative to promote the use of AlzOnline is reviewed, followed by a presentation of the findings of an initial program evaluation. Finally, future directions for online caregiver evaluation research are proposed.

  7. Utilization of probabilistic methods for evaluating the safety of PWRs built in France

    International Nuclear Information System (INIS)

    Queniart, D.; Brisbois, J.; Lanore, J.M.

    1985-01-01

    Firstly, it is recalled that, in France, PWRs are designed on a deterministic basis by studying the consequences of a limited number of conventional incidents whose estimated frequency is specified in order-of-magnitude terms and for which it is shown that the consequences, for each category of frequency, predominate over those of the other situations in the same category. These situations are called dimensioning situations. The paper then describes the use made of probabilistic methods. External attacks and loss of redundant systems are examined in particular. A probabilistic approach is in fact well suited to the evaluation of risks due, among other things, to aircraft crashes and the industrial environment. Analysis of the reliability of redundant systems has shown that, in the light of the overall risk assessment objective, their loss should be examined with a view to instituting counteraction to reduce the risks associated with such loss (particularly the introduction of special control procedures). Probabilistic methods are used to evaluate the effectiveness of the counteraction proposed and such a study has been carried out for total loss of electric power supply. Finally, the probabilistic study of hazard initiated post factum by the French safety authorities for the standardized 900 MW(e) power units is described. The study, which is not yet complete, will serve as the basis for a permanent safety analysis tool taking into account control procedures and the total operating experience acquired using these power units. (author)

  8. Economic evaluation and market analysis for natural gas utilization. Topical report

    International Nuclear Information System (INIS)

    Hackworth, J.H.; Koch, R.W.; Rezaiyan, A.J.

    1995-04-01

    During the past decade, the U.S. has experienced a surplus gas supply. Future prospects are brightening because of increased estimates of the potential size of undiscovered gas reserves. At the same time, U.S. oil reserves and production have steadily declined, while oil imports have steadily increased. Reducing volume growth of crude oil imports was a key objective of the Energy Policy Act of 1992. Natural gas could be an important alternative energy source to liquid products derived from crude oil to help meet market demand. The purpose of this study was to (1) analyze three energy markets to determine whether greater use could be made of natural gas or its derivatives and (2) determine whether those products could be provided on an economically competitive basis. The following three markets were targeted for possible increases in gas use: transportation fuels, power generation, and chemical feedstock. Gas-derived products that could potentially compete in these three markets were identified, and the economics of the processes for producing those products were evaluated. The processes considered covered the range from commercial to those in early stages of process development. The analysis also evaluated the use of both high-quality natural gas and lower-quality gases containing CO 2 and N 2 levels above normal pipeline quality standards

  9. Evaluating Proposed Investments in Power System Reliability and Resilience: Preliminary Results from Interviews with Public Utility Commission Staff

    Energy Technology Data Exchange (ETDEWEB)

    LaCommare, Kristina [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Larsen, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Eto, Joseph [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2017-01-01

    Policymakers and regulatory agencies are expressing renewed interest in the reliability and resilience of the U.S. electric power system in large part due to growing recognition of the challenges posed by climate change, extreme weather events, and other emerging threats. Unfortunately, there has been little or no consolidated information in the public domain describing how public utility/service commission (PUC) staff evaluate the economics of proposed investments in the resilience of the power system. Having more consolidated information would give policymakers a better understanding of how different state regulatory entities across the U.S. make economic decisions pertaining to reliability/resiliency. To help address this, Lawrence Berkeley National Laboratory (LBNL) was tasked by the U.S. Department of Energy Office of Energy Policy and Systems Analysis (EPSA) to conduct an initial set of interviews with PUC staff to learn more about how proposed utility investments in reliability/resilience are being evaluated from an economics perspective. LBNL conducted structured interviews in late May-early June 2016 with staff from the following PUCs: Washington D.C. (DCPSC), Florida (FPSC), and California (CPUC).

  10. Axillary Lymph Node Evaluation Utilizing Convolutional Neural Networks Using MRI Dataset.

    Science.gov (United States)

    Ha, Richard; Chang, Peter; Karcich, Jenika; Mutasa, Simukayi; Fardanesh, Reza; Wynn, Ralph T; Liu, Michael Z; Jambawalikar, Sachin

    2018-04-25

    The aim of this study is to evaluate the role of convolutional neural network (CNN) in predicting axillary lymph node metastasis, using a breast MRI dataset. An institutional review board (IRB)-approved retrospective review of our database from 1/2013 to 6/2016 identified 275 axillary lymph nodes for this study. Biopsy-proven 133 metastatic axillary lymph nodes and 142 negative control lymph nodes were identified based on benign biopsies (100) and from healthy MRI screening patients (42) with at least 3 years of negative follow-up. For each breast MRI, axillary lymph node was identified on first T1 post contrast dynamic images and underwent 3D segmentation using an open source software platform 3D Slicer. A 32 × 32 patch was then extracted from the center slice of the segmented tumor data. A CNN was designed for lymph node prediction based on each of these cropped images. The CNN consisted of seven convolutional layers and max-pooling layers with 50% dropout applied in the linear layer. In addition, data augmentation and L2 regularization were performed to limit overfitting. Training was implemented using the Adam optimizer, an algorithm for first-order gradient-based optimization of stochastic objective functions, based on adaptive estimates of lower-order moments. Code for this study was written in Python using the TensorFlow module (1.0.0). Experiments and CNN training were done on a Linux workstation with NVIDIA GTX 1070 Pascal GPU. Two class axillary lymph node metastasis prediction models were evaluated. For each lymph node, a final softmax score threshold of 0.5 was used for classification. Based on this, CNN achieved a mean five-fold cross-validation accuracy of 84.3%. It is feasible for current deep CNN architectures to be trained to predict likelihood of axillary lymph node metastasis. Larger dataset will likely improve our prediction model and can potentially be a non-invasive alternative to core needle biopsy and even sentinel lymph node

  11. Key performance indicators (KPIs) and priority setting in using the multi-attribute approach for assessing sustainable intelligent buildings

    Energy Technology Data Exchange (ETDEWEB)

    ALwaer, H. [The University of Dundee, School of Architecture, Matthew Building, 13 Perth Road, Dundee DD1 4HT (United Kingdom); Clements-Croome, D.J. [School of Construction Management and Engineering, The University of Reading, Whiteknights, PO Box 219, Reading RG6 6AW (United Kingdom)

    2010-04-15

    The main objectives of this paper are to: firstly, identify key issues related to sustainable intelligent buildings (environmental, social, economic and technological factors); develop a conceptual model for the selection of the appropriate KPIs; secondly, test critically stakeholder's perceptions and values of selected KPIs intelligent buildings; and thirdly develop a new model for measuring the level of sustainability for sustainable intelligent buildings. This paper uses a consensus-based model (Sustainable Built Environment Tool- SuBETool), which is analysed using the analytical hierarchical process (AHP) for multi-criteria decision-making. The use of the multi-attribute model for priority setting in the sustainability assessment of intelligent buildings is introduced. The paper commences by reviewing the literature on sustainable intelligent buildings research and presents a pilot-study investigating the problems of complexity and subjectivity. This study is based upon a survey perceptions held by selected stakeholders and the value they attribute to selected KPIs. It is argued that the benefit of the new proposed model (SuBETool) is a 'tool' for 'comparative' rather than an absolute measurement. It has the potential to provide useful lessons from current sustainability assessment methods for strategic future of sustainable intelligent buildings in order to improve a building's performance and to deliver objective outcomes. Findings of this survey enrich the field of intelligent buildings in two ways. Firstly, it gives a detailed insight into the selection of sustainable building indicators, as well as their degree of importance. Secondly, it tesst critically stakeholder's perceptions and values of selected KPIs intelligent buildings. It is concluded that the priority levels for selected criteria is largely dependent on the integrated design team, which includes the client, architects, engineers and facilities managers

  12. Microstructural evaluation of a varistor block utilized in high voltage surge arresters

    International Nuclear Information System (INIS)

    Andrade, J.M. de; Dias, R.; Furtado, J.G. de M.; Assuncao, F.C.R.

    2010-01-01

    Varistor is a semiconductor ceramic device characterized to have a high non-linear electrical resistance, it is used as active element of surge arresters with purpose of protecting of electro-electronics systems. Its properties are directly dependents of chemical composition and microstructural characteristics, such as grain size, porosity, twins and phases distribution. This work has the objective to characterize microstructurally a commercial varistor block of ZnO used in high voltage surge arrest and from this characterization to infer aspects about of its electrical macroscopic performance. DRX and SEM-EDS were used for microstructural analysis. The microstructural evaluation allows pointing the critical points of microstructure and, suggest relevant aspects to the improvement of commercial varistor microstructure, optimizing the electrothermal behavior of the device. (author)

  13. Clinical utility of F-18 FDG PET-CT in the initial evaluation of lung cancer.

    Science.gov (United States)

    Madsen, Poul Henning; Holdgaard, Paw Christian; Christensen, Janne Buck; Høilund-Carlsen, Poul Flemming

    2016-10-01

    Positron emission tomography-computed tomography (PET-CT) is a resource-demanding imaging modality with increasing popularity in the workup of patients with suspected or proven lung cancer. To review the clinical usefulness of this imaging modality in the diagnosis, staging, and pre-operative evaluation, we conducted a systematic literature search, review, and quality assessment using the rapid evidence assessment toolkit and the Oxford Centre for Evidence-Based Medicine methodology. The literature search resulted in 4,208 records including 918 reviews, of which 139 met the predefined criteria and were read in full to identify relevant original articles on F-18 FDG PET-CT (1) in the evaluation of solitary pulmonary nodules (n = 14), (2) in curative-intent treatment trials (n = 9), and (3) in planning of invasive procedures (n = 18). We found the following important results from the literature review: 1) PET-CT can rule out malignancy in most solitary pulmonary nodules due to high sensitivity (recommendation level A). 2) PET-CT reduces the number of futile treatment trials (recommendation level A). 3) The sensitivity of PET-CT in general is insufficient to rule out mediastinal lymph node metastasis (recommendation level A). ᅟ 1) With few exceptions, solitary pulmonary nodules can safely be considered benign if the PET-CT scan is negative. Exceptions consist of small (PET-CT scan has excluded occult distant metastases. 3) In general, lymph node metastasis in the mediastinum cannot be ruled out on the basis of a negative PET-CT, and confirmative invasive staging should be performed in most patients before mediastinal metastasis is confirmed or ruled out.

  14. Clinical utility of F-18 FDG PET-CT in the initial evaluation of lung cancer

    Energy Technology Data Exchange (ETDEWEB)

    Madsen, Poul Henning [Vejle Hospital, Department of Medicine, Division of Respiratory Medicine, Vejle (Denmark); Holdgaard, Paw Christian [Vejle Hospital, Department of Nuclear Medicine, Vejle (Denmark); Christensen, Janne Buck [Odense University Hospital/University of Southern Denmark, Department of Quality and Research/HTA, Odense University Hospital and Medical Research Library, Odense (Denmark); Hoeilund-Carlsen, Poul Flemming [Odense University Hospital, Department of Nuclear Medicine, Odense (Denmark)

    2016-10-15

    Positron emission tomography-computed tomography (PET-CT) is a resource-demanding imaging modality with increasing popularity in the workup of patients with suspected or proven lung cancer. To review the clinical usefulness of this imaging modality in the diagnosis, staging, and pre-operative evaluation, we conducted a systematic literature search, review, and quality assessment using the rapid evidence assessment toolkit and the Oxford Centre for Evidence-Based Medicine methodology. The literature search resulted in 4,208 records including 918 reviews, of which 139 met the predefined criteria and were read in full to identify relevant original articles on F-18 FDG PET-CT (1) in the evaluation of solitary pulmonary nodules (n = 14), (2) in curative-intent treatment trials (n = 9), and (3) in planning of invasive procedures (n = 18). We found the following important results from the literature review: (1) PET-CT can rule out malignancy in most solitary pulmonary nodules due to high sensitivity (recommendation level A). (2) PET-CT reduces the number of futile treatment trials (recommendation level A). (3) The sensitivity of PET-CT in general is insufficient to rule out mediastinal lymph node metastasis (recommendation level A). (1) With few exceptions, solitary pulmonary nodules can safely be considered benign if the PET-CT scan is negative. Exceptions consist of small (<1 cm) and non-solid, solitary pulmonary nodules. These abnormalities should be followed up by CT in a structured programme. (2) No curative-intent treatment should be commenced until a PET-CT scan has excluded occult distant metastases. (3) In general, lymph node metastasis in the mediastinum cannot be ruled out on the basis of a negative PET-CT, and confirmative invasive staging should be performed in most patients before mediastinal metastasis is confirmed or ruled out. (orig.)

  15. The Evaluation and Utilization of Marine-derived Bioactive Compounds with Anti-obesity Effect.

    Science.gov (United States)

    Jin, Qiu; Yu, Huahua; Li, Pengcheng

    2018-01-01

    Obesity is a global epidemic throughout the world. There is thus increasing interest in searching for natural bioactive compounds with anti-obesity effect. A number of marine compounds have been regarded as potential sources of bioactive compounds and are associated with an anti-obesity effect. Marine-derived compounds with anti-obesity effect and their current applications, methods and indicators for the evaluation of anti-obesity activity are summarized in this review. in order to make contributions to the development of marine-derived functional food against obesity. In this review, an overview of marine-derived compounds with anti-obesity effect, including marine polysaccharides, marine lipid, marine peptides, marine carotenoids is intensively made with an emphasis on their efficacy and mechanism of action. Meanwhile, methods and indicators for the evaluation of anti-obesity activity are discussed. We summarize these methods into three categories: in vitro assay (including adsorption experiments and enzyme inhibitory assay), cell line study, animal experiments and clinical experiments. In addition, a brief introduction of the current applications of marine bioactive compounds with anti-obesity activity is discussed. Marine environment is a rich source of both biological and chemical diversity. In the past decades, numerous novel compounds with anti-obesity activity have been obtained from marine organisms, and many of them have been applied to industrial production such as functional foods and pharmaceuticals. Further studies are needed to explore the above-mentioned facts. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  16. Clinical utility of F-18 FDG PET-CT in the initial evaluation of lung cancer

    International Nuclear Information System (INIS)

    Madsen, Poul Henning; Holdgaard, Paw Christian; Christensen, Janne Buck; Hoeilund-Carlsen, Poul Flemming

    2016-01-01

    Positron emission tomography-computed tomography (PET-CT) is a resource-demanding imaging modality with increasing popularity in the workup of patients with suspected or proven lung cancer. To review the clinical usefulness of this imaging modality in the diagnosis, staging, and pre-operative evaluation, we conducted a systematic literature search, review, and quality assessment using the rapid evidence assessment toolkit and the Oxford Centre for Evidence-Based Medicine methodology. The literature search resulted in 4,208 records including 918 reviews, of which 139 met the predefined criteria and were read in full to identify relevant original articles on F-18 FDG PET-CT (1) in the evaluation of solitary pulmonary nodules (n = 14), (2) in curative-intent treatment trials (n = 9), and (3) in planning of invasive procedures (n = 18). We found the following important results from the literature review: (1) PET-CT can rule out malignancy in most solitary pulmonary nodules due to high sensitivity (recommendation level A). (2) PET-CT reduces the number of futile treatment trials (recommendation level A). (3) The sensitivity of PET-CT in general is insufficient to rule out mediastinal lymph node metastasis (recommendation level A). (1) With few exceptions, solitary pulmonary nodules can safely be considered benign if the PET-CT scan is negative. Exceptions consist of small (<1 cm) and non-solid, solitary pulmonary nodules. These abnormalities should be followed up by CT in a structured programme. (2) No curative-intent treatment should be commenced until a PET-CT scan has excluded occult distant metastases. (3) In general, lymph node metastasis in the mediastinum cannot be ruled out on the basis of a negative PET-CT, and confirmative invasive staging should be performed in most patients before mediastinal metastasis is confirmed or ruled out. (orig.)

  17. Automated image quality evaluation of T2 -weighted liver MRI utilizing deep learning architecture.

    Science.gov (United States)

    Esses, Steven J; Lu, Xiaoguang; Zhao, Tiejun; Shanbhogue, Krishna; Dane, Bari; Bruno, Mary; Chandarana, Hersh

    2018-03-01

    To develop and test a deep learning approach named Convolutional Neural Network (CNN) for automated screening of T 2 -weighted (T 2 WI) liver acquisitions for nondiagnostic images, and compare this automated approach to evaluation by two radiologists. We evaluated 522 liver magnetic resonance imaging (MRI) exams performed at 1.5T and 3T at our institution between November 2014 and May 2016 for CNN training and validation. The CNN consisted of an input layer, convolutional layer, fully connected layer, and output layer. 351 T 2 WI were anonymized for training. Each case was annotated with a label of being diagnostic or nondiagnostic for detecting lesions and assessing liver morphology. Another independently collected 171 cases were sequestered for a blind test. These 171 T 2 WI were assessed independently by two radiologists and annotated as being diagnostic or nondiagnostic. These 171 T 2 WI were presented to the CNN algorithm and image quality (IQ) output of the algorithm was compared to that of two radiologists. There was concordance in IQ label between Reader 1 and CNN in 79% of cases and between Reader 2 and CNN in 73%. The sensitivity and the specificity of the CNN algorithm in identifying nondiagnostic IQ was 67% and 81% with respect to Reader 1 and 47% and 80% with respect to Reader 2. The negative predictive value of the algorithm for identifying nondiagnostic IQ was 94% and 86% (relative to Readers 1 and 2). We demonstrate a CNN algorithm that yields a high negative predictive value when screening for nondiagnostic T 2 WI of the liver. 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2018;47:723-728. © 2017 International Society for Magnetic Resonance in Medicine.

  18. Utility of capsule endoscopy for evaluating anthelmintic efficacy in fully conscious dogs.

    Science.gov (United States)

    Lee, Alice C Y; Epe, Christian; Simpson, Kenneth W; Bowman, Dwight D

    2011-11-01

    The current accepted standard for evaluating the efficacy of gastrointestinal anthelmintic drugs is necropsy of infected animals followed by a comparison of worm counts between treated and non-treated groups. In this study capsule endoscopy, a minimally invasive method of imaging the small intestine of humans, is evaluated as a possible alternative to necropsy for the purposes of worm quantification in dogs. Eighteen Beagle dogs were included in this study. These dogs were part of a separate trial intended to determine the efficacy of various candidate parasiticides against Ancylostoma caninum via the necropsy standard. Dogs were inoculated with A. caninum L3s 4 weeks prior to treatment with one of the candidate compounds; a control group (n=8) received no treatment. Capsule endoscopy was performed 6-14 days post-treatment, followed by necropsy the following day. Seventeen dogs had complete examinations, i.e. the capsule traversed the small intestine and reached the colon within the battery life of the capsule. A strong correlation (r(s)=0.87, Pcapsule endoscopy and necropsy. There was no clear relationship between the ability of the capsule endoscope to detect hookworms and either visibility of the intestinal lumen or small intestinal transit time. Generation of a virtual spatial record of hookworm location from the capsule endoscopy data revealed a temporal trend, with the majority of worms present in the proximal small intestine in the morning versus the central to distal small intestine in the afternoon. Worm distribution as determined by capsule endoscopy closely resembled post-mortem findings. In conclusion, capsule endoscopy shows promise as an alternative to necropsy for the enumeration of A. caninum in the canine small intestine, although further work is required to improve completion rates and optimise intestinal examination. Copyright © 2011 Australian Society for Parasitology Inc. Published by Elsevier Ltd. All rights reserved.

  19. Salt Repository emplacement mode evaluation and selection: Final report

    International Nuclear Information System (INIS)

    1988-03-01

    This document describes the decision analysis performed to evaluate and compare the emplacement mode for the Salt Repository. The study was commissioned to recommend one emplacement mode to the Salt Repository Project Office using multi-attribute decision analysis. The nature of the decision required analysis of uncertain outcomes and conflicting attributes and offers a high degree of objectivity for these types of decisions since the decision model is structured to allow only the facts to enter into the final decision. The analysis requires an explicit definition of the attributes used to evaluate the alternative (e.g., cost, safety, environmental impact), the definition of a utility function over the attributes which incorporated both risk attitudes and trade-offs between attributes, and the probability distribution over the outcomes that would result from the selection of one alternative over the other. The decision process is described and results are given. A simulation model was developed to evaluate the probability distributions over the attributes. This report documents logic, inputs and results of this model. Final ranking of alternatives is given. Extensive technical backup documentation is included in the appendices to provide the quantitative basis for this decision. 5 refs., 2 figs., 8 tabs

  20. Comparison of potential method in analytic hierarchy process for multi-attribute of catering service companies

    Science.gov (United States)

    Mamat, Siti Salwana; Ahmad, Tahir; Awang, Siti Rahmah

    2017-08-01

    Analytic Hierarchy Process (AHP) is a method used in structuring, measuring and synthesizing criteria, in particular ranking of multiple criteria in decision making problems. On the other hand, Potential Method is a ranking procedure in which utilizes preference graph ς (V, A). Two nodes are adjacent if they are compared in a pairwise comparison whereby the assigned arc is oriented towards the more preferred node. In this paper Potential Method is used to solve problem on a catering service selection. The comparison of result by using Potential method is made with Extent Analysis. The Potential Method is found to produce the same rank as Extent Analysis in AHP.

  1. Renewable energy selection Matrix based on multi-attribute analysis for fish preservation

    International Nuclear Information System (INIS)

    Vega-Clavijo, Lili Tatiana; Prías-Caicedo, Omar Fredy; Sierra-Vargas, Fabio Emiro

    2016-01-01

    The article presents the application of the methodology of multi attribute utility theory validated by a matrix system established by researchers, to identify the best alternative of energy supply to 10 kwe in the generation of ice for preservation of fish in coastal and rural areas of the Chocó. The comparison between the potentials of different renewable energy sources and diesel, natural gas and propane fuels took place, based on economic, technological, environmental and social criteria, being validated by experts and the community on field work. It was concluded that the best alternative is diesel followed by biomass. (author)

  2. More Useful, or Not so Bad? Evaluating the Effects of Interventions to Reduce Perceived Cost and Increase Utility Value with College Physics Students

    Science.gov (United States)

    Rosenzweig, Emily Quinn

    2017-01-01

    In the present study I developed and evaluated the effects of two interventions designed to target students' motivation to learn in an introductory college physics course. One intervention was designed to improve students' perceptions of utility value and the other was designed to reduce students' perceptions of cost. Utility value and cost both…

  3. Evaluation of an interprofessional clinician-patient communication workshop utilizing standardized patient methodology.

    Science.gov (United States)

    Lagan, Casey; Wehbe-Janek, Hania; Waldo, Kim; Fox, Amy; Jo, Chanhee; Rahm, Mark

    2013-01-01

    Communication and interpersonal skills (CIS) are one of the 6 general competencies required by the Accreditation Council for Graduate Medical Education (ACGME). The clinician-patient communication (CPC) workshop, developed by the Institute for Healthcare Communication, provides an interactive opportunity to practice and develop CIS. The objectives of this study were to (1) determine the impact of a CPC workshop on orthopedic surgery residents' CIS (2) determine the impact of physician alone or incorporation of nursing participation in the workshop, and (3) incorporate standardized patients (SPs) in resident training and assessment of CIS. Stratified by training year, 18 residents of an Orthopaedic Surgery Residency Program were randomized to a CPC workshop with only residents (group A, n = 9) or a CPC workshop with nurse participants (group B, n = 9). Data included residents' (1) CIS scores as evaluated by SPs and (2) self-reports from a 25-question survey on perception of CIS. Data were collected at baseline and 3 weeks following the workshop. Following the workshop, the combined group (group A and B) felt more strongly that the ACGME should require a communication training and evaluation curriculum (post mean = 52.7, post-pre difference = 15.94, p = 0.026). Group A residents felt more strongly that communication is a learned behavior (post mean = 82.7, post-pre difference = 17.67, p = 0.028), and the addition of SPs was a valuable experience (post mean = 59.3, post-pre difference = 16.44, p = 0.038). Group B residents reported less willingness to improve on their communication skills (post-mean = 79.7, post-pre difference = -7.44, p = 0.049) and less improvement in professional satisfaction in effective communication than group A (post mean group A = 81.9, group B = 83.6, post-pre difference group A = 7.11, group B = 1.89, p = 0.047). Few differences between groups regarding CIS scores were detected. While there was no demonstrable difference regarding CIS, our

  4. Clinical utility of F-18 FDG PET-CT in the initial evaluation of lung cancer

    DEFF Research Database (Denmark)

    Madsen, Poul Henning; Holdgaard, Paw Christian; Buck Christensen, Janne

    2016-01-01

    the predefined criteria and were read in full to identify relevant original articles on F-18 FDG PET-CT (1) in the evaluation of solitary pulmonary nodules (n = 14), (2) in curative-intent treatment trials (n = 9), and (3) in planning of invasive procedures (n = 18). RESULTS: We found the following important...... results from the literature review: 1) PET-CT can rule out malignancy in most solitary pulmonary nodules due to high sensitivity (recommendation level A). 2) PET-CT reduces the number of futile treatment trials (recommendation level A). 3) The sensitivity of PET-CT in general is insufficient to rule out...... by CT in a structured programme. 2) No curative-intent treatment should be commenced until a PET-CT scan has excluded occult distant metastases. 3) In general, lymph node metastasis in the mediastinum cannot be ruled out on the basis of a negative PET-CT, and confirmative invasive staging should...

  5. Evaluation of dissipation gradients of polycyclic aromatic hydrocarbons in rice rhizosphere utilizing a sequential extraction procedure

    International Nuclear Information System (INIS)

    Ma Bin; Wang Jiaojiao; Xu Minmin; He Yan; Wang Haizhen; Wu Laosheng; Xu Jianming

    2012-01-01

    The aim of this study was to evaluate the spatial dissipation gradient of PAHs, including phenanthrene, pyrene, and benzo[a]pyrene, with various bioavailability represented with sequential extraction. Dissipation rates of PAHs in the rhizosphere were greater than those in the bulk soil. The n-butanol extracted fraction showed a general trend of dissipation during phytoremediation. Moreover, the formation of bound PAH residues was inhibited in the rhizosphere. While concerning the PAH toxicity, the reduction rates of PAH toxicity were significantly greater than total soil PAH concentrations. Microbial biomass was the highest at four mm away from the root surface. However, the PAH dissipation rates were the highest at one mm and two mm away from the root surface in high and low PAH treatments, respectively. These results suggest that rhizoremediation with rice is a useful approach to reduce the toxicity of PAHs in soil. - Highlights: ► Dissipation gradients were different in soils spiked with different PAHs concentrations. ► Butanol extracted fraction indicated the remediation in rhizosphere. ► Toxicity of PAHs was more efficiently reduced than total concentration. ► Promotion of PAHs degraders was not synchronized with microbial biomass. - Stimulation of PAH degradation in rice rhizosphere was not simultaneous with microbial biomass.

  6. Utility of Ultraportable Echocardiography in the Preoperative Evaluation of Noncardiac Surgery.

    Science.gov (United States)

    Costa, Jean Allan; Almeida, Maria Lucia Pereira; Estrada, Tereza Cristina Duque; Werneck, Guilherme Lobosco; Rocha, Alexandre Marins; Rosa, Maria Luiza Garcia; Ribeiro, Mario Luiz; Mesquita, Claudio Tinoco

    2016-11-01

    The ultraportable echocardiogram machine, with relevant portability and easiness in performing diagnoses, when in experienced hands, may contribute to the reliability of preoperative evaluation in noncardiac surgeries. To assess cardiac function parameters in patients aged older than 60 years, candidates of elective noncardiac surgeries, classified as ASA1 or ASA 2 according to surgical risk. A total of 211 patients referred for elective surgeries, without suspicion of previous heart diseases, were included in the study. Assessment of patients was conducted by conventional echocardiogram using the ultraportable V Scan (GE) device right after the pre-anesthetic clinical evaluation. We assessed the clinical impact of echocardiography results by using a questionnaire addressed to the anesthetist. Mean age of patients was 68.9 ± 7.0 years, 154 were women. The most frequent surgeries were: a) facectomy - cataract - 18; b) inguinal hernia surgery - 18; c) Cholecystectomy - 16. We found 58 normal tests (27.5%), 70 (33.2%) with mild valve reflux, and 83 (39.3%) with relevant abnormality, such as increase in heart chamber size, global and/or segmental contractile dysfunction, significant valve dysfunction or other unspecified. Test results caused delay of surgical procedure for a more detailed cardiac evaluation in 20 (9.5%) patients, and change in anesthetic management in 7 (3.3%). There was a considerable clinical impact with the use of the ultraportable echocardiography, since one out of every ten patients evaluated had their clinical management changed due to the detection of previously unsuspected, significant heart diseases, with the potential for severe complications. O ecocardiógrafo ultraportátil, com importante mobilidade e facilidade diagnóstica em mãos experientes pode contribuir para a segurança na avaliação pré-operatória em cirurgias não cardíacas. Avaliar os parâmetros de função cardíaca nos pacientes com mais de 60 anos de idade, candidatos

  7. Utility of cardiac computed tomography for evaluation of pannus in mechanical aortic valve.

    Science.gov (United States)

    Suh, Young Joo; Kim, Young Jin; Lee, Sak; Hong, Yoo Jin; Lee, Hye-Jeong; Hur, Jin; Choi, Byoung Wook; Chang, Byung-Chul

    2015-08-01

    The clinical significance of pannus detected on computed tomography (CT) has not yet been investigated. The purposes of this study were to investigate the clinical significance of pannus detected on cardiac CT in patients who underwent aortic valve replacement (AVR) with mechanical valves, and to determine predictors for pannus severity. A total of 92 patients who underwent cardiac CT and TTE and who had undergone mechanical AVR were included. The geometric orifice area (GOA), the presence of limitation of motion (LOM) and pannus were evaluated on CT. The GOA, presence of LOM, and presence and severity of pannus were compared with echocardiographic parameters. Logistic regression analysis was performed to determine the predictors for pannus severity. The GOA on CT positively correlated with effective orifice area on TTE (r = 0.733, P Pannus was found in 77.2% and LOM in 14.0%. With increasing pannus severity, mean transvalvular pressure gradient (PG) was significantly higher (P pannus, more severe pannus and LOM than patients with normal PG (P pannus (P pannus formation in patients with mechanical aortic valves. Moderate to severe pannus formation frequently occurred in patients with small mechanical valve size, Carbomedics valves, rheumatic heart disease and young age at AVR.

  8. Utility of diffusion-weighted imaging in the evaluation of liver fibrosis

    Energy Technology Data Exchange (ETDEWEB)

    Bakan, Ayse Ahsen; Inci, Ercan; Cimilli, Tan [Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Radiology, Istanbul (Turkey); Bakan, Selim [Istanbul University, Faculty of Medicine, Deparment of Radiology, Istanbul (Turkey); Gokturk, Suut [Istanbul University, Faculty of Medicine, Department of Internal Medicine, Division of Gastroenterohepatology, Istanbul (Turkey)

    2012-03-15

    To evaluate the usefulness of diffusion- weighted MRI (DWI) in the detection and staging of liver fibrosis and inflammation. DWI was performed with b-factors of 0, 500 and 1000 s/mm{sup 2}. ADC values were obtained by placing circular regions of interest in four segments of the liver. Differences between the study (n = 34) and control groups' (n = 25) ADC values were examined. Further, this study investigated if and how ADC values were related to fibrosis stages and histological activity index (HAI) scores. The mean ADC value of the liver was smaller in the study group compared with the control group (P < 0.001). Spearman rho correlation analyses showed lower ADC values were associated with higher fibrosis and HAI scores (P < 0.01). There were statistically significant differences in liver ADC values between each combination of fibrosis stages (e.g. stages 0 and 1, 0 and 2) except for stages 1 and 2. ADC values prove to be a valuable technique for the diagnosis of liver fibrosis and inflammation. They can also be useful in fibrosis staging, particularly in distinguishing later stages of fibrosis from intermediate and early stages. (orig.)

  9. Evaluation of utility residential energy conservation programs: A Pacific Northwest example

    Energy Technology Data Exchange (ETDEWEB)

    Hirst, E; Bronfman, B; Goeltz, R; Keating, K; Lerman, D; Timble, J

    1984-03-01

    This paper describes a detailed quantitative evaluation of the Residential Weatherization Pilot Program, operated by the Bonneville Power Administration from 1980 through 1982. The program provided free energy audits to more than 6000 electrically-heated homes and gave zero-interest loans to weatherize almost 4000 of these audited homes. The total cost of the program was almost $8 million. Using actual electricity consumption records for program participants and nonparticipants, we calculated the energy-saving effect of the pilot program in several ways and always reached the same conclusion. Households that received an audit and weatherization loan reduced their annual electricity consumption by about 3500 kWh relative to what they would have done without the program; this 3500 kWh is the saving that can be directly attributed to the program. Using a simple net present worth approach, the authors computed program benefits and costs for participating households, the BPA power system, and the Pacific Northwest region as a whole. Under a wide range of assumptions concerning discount rate, years until the weatherization loan is repaid, program energy saving, and BPA's marginal cost of power, the program is economically attractive from all three perspectives.

  10. Evaluation of esophageal motility utilizing the functional lumen imaging probe (FLIP)

    Science.gov (United States)

    Carlson, Dustin A.; Kahrilas, Peter J.; Lin, Zhiyue; Hirano, Ikuo; Gonsalves, Nirmala; Listernick, Zoe; Ritter, Katherine; Tye, Michael; Ponds, Fraukje A.; Wong, Ian; Pandolfino, John E.

    2016-01-01

    Background Esophagogastric junction (EGJ) distensibility and distension-mediated peristalsis can be assessed with the functional lumen imaging probe (FLIP) during a sedated upper endoscopy. We aimed to describe esophageal motility assessment using FLIP topography in patients presenting with dysphagia. Methods 145 patients (ages 18 – 85, 54% female) with dysphagia that completed upper endoscopy with a 16-cm FLIP assembly and high-resolution manometry (HRM) were included. HRM was analyzed according to the Chicago Classification of esophageal motility disorders; major esophageal motility disorders were considered ‘abnormal’. FLIP studies were analyzed using a customized program to calculate the EGJ-distensibility index (DI) and generate FLIP topography plots to identify esophageal contractility patterns. FLIP topography was considered ‘abnormal’ if EGJ-DI was esophageal motility and 29 normal motility. 17 (50%) had abnormal FLIP topography including 13 (37%) with abnormal EGJ-DI. Conclusions FLIP topography provides a well-tolerated method for esophageal motility assessment (especially to identify achalasia) at the time of upper endoscopy. FLIP topography findings that are discordant with HRM may indicate otherwise undetected abnormalities of esophageal function, thus FLIP provides an alternative and complementary method to HRM for evaluation of non-obstructive dysphagia. PMID:27725650

  11. Utilizing national and international registries to enhance pre-market medical device regulatory evaluation.

    Science.gov (United States)

    Yue, Lilly Q; Campbell, Gregory; Lu, Nelson; Xu, Yunling; Zuckerman, Bram

    2016-01-01

    Regulatory decisions are made based on the assessment of risk and benefit of medical devices at the time of pre-market approval and subsequently, when post-market risk-benefit balance needs reevaluation. Such assessments depend on scientific evidence obtained from pre-market studies, post-approval studies, post-market surveillance studies, patient perspective information, as well as other real world data such as national and international registries. Such registries provide real world evidence and are playing a more and more important role in enhancing the safety and effectiveness evaluation of medical devices. While these registries provide large quantities of data reflecting real world practice and can potentially reduce the cost of clinical trials, challenges arise concerning (1) data quality adequate for regulatory decision-making, (2) bias introduced at every stage and aspect of study, (3) scientific validity of study designs, and (4) reliability and interpretability of study results. This article will discuss related statistical and regulatory challenges and opportunities with examples encountered in medical device regulatory reviews.

  12. Implementation of Naive Bayes Classifier Algorithm to Evaluation in Utilizing Online Hotel Tax Reporting Application

    Directory of Open Access Journals (Sweden)

    R. Dimas Adityo

    2017-10-01

    Full Text Available The current implementation of tax reporting regional Pasuruan hotels have used online (Web-based, with the aim of reporting systems can run effectively and efficiently in receiving the financial statements especially from taxpayer property. Pasuruan as one small town quite rapidly in East Java, have implemented role models online tax filing system starting in 2015, with the amount of 6 hotels, there are several classes of hotels ranging from the budget class up to class three stars. After the application of the system running for 18 months (2015-2016, from existing data, conducted research on the analysis of the level of compliance of taxpayers reporting incomes in a hotel. On the research was designed and built a system to evaluate the level of compliance with the performance from the taxpayer (WP in the 2nd year (2016 and are classified in categories (1 the taxpayer (WP very obedient (ST, (2 the taxpayer (WP is quite obedient (CT, (3 Taxpayers (WP less obedient (KT. Input data will be processed using the technique of data mining algorithms Naive Bayes Classifier (NBC to form the table of probability as a basis for the process of classification levels of taxpayer compliance. Based on the results of the measurement, the test results show with an accuracy of 50% i.e. 3 taxpayers is the very obedient (ST to pay taxes. Then from the classification, the study could be made of recommendation solutions to guide the taxpayer in reporting revenues well and true.

  13. Quantitative evaluation of bile diversion surgery utilizing /sup 99m/Tc HIDA scintigraphy

    International Nuclear Information System (INIS)

    Wickremesinghe, P.C.; Dayrit, P.Q.; Manfredi, O.L.; Fazio, R.A.; Fagel, V.L.

    1983-01-01

    This is a report of 21 patients presenting with epigastric pain, bilious vomiting, upper gastrointestinal bleeding, iron-deficiency anemia, and weight loss, who had undergone Billroth II gastrectomy from 3 to 35 yr earlier. Eighteen of 21 patients were found to have significant enterogastric reflux indices varying from 60% to 95% demonstrated by /sup 99m/Tc HIDA scintigraphy. Thirteen patients had diversion antireflux surgery in the form of a Roux-en-Y procedure, and 1 patient had a Henley loop jejunal interposition. Postoperative /sup 99m/Tc HIDA scintigraphic studies showed the enterogastric reflux indices to have decreased significantly to a range of 2%-26% (p less than 0.00001). There was marked improvement of symptoms, including correction of anemia and weight gain in those patients who had been anemic or who had sustained earlier weight loss. The enterogastric reflux indices of 10 asymptomatic control patients after Billroth II gastrectomy ranged from 4% to 45%. /sup 99m/Tc HIDA scintigraphy is useful in evaluating patients before and after bile diversion surgery, and demonstrates the quantitative decrease in enterogastric reflux after such surgery

  14. Expected utility without utility

    OpenAIRE

    Castagnoli, E.; Licalzi, M.

    1996-01-01

    This paper advances an interpretation of Von Neumann–Morgenstern’s expected utility model for preferences over lotteries which does not require the notion of a cardinal utility over prizes and can be phrased entirely in the language of probability. According to it, the expected utility of a lottery can be read as the probability that this lottery outperforms another given independent lottery. The implications of this interpretation for some topics and models in decision theory are considered....

  15. Formulation and evaluation of mucoadhesive buccal patch of acyclovir utilizing inclusion phenomenon

    Directory of Open Access Journals (Sweden)

    Ankita Saxena

    2011-12-01

    Full Text Available Mucoadhesive buccal patch releasing drug in the oral cavity at a predetermined rate may present distinct advantages over traditional dosage forms, such as tablets, gels and solutions. A buccal patch for systemic administration of acyclovir in the oral cavity was developed using polymers hydroxy propyl methyl cellulose (K4M, hydroxy propyl methyl cellulose (K15M, sodium carboxy methyl cellulose and poly vinyl pyrolidone (K30, plasticizer poly ethylene glycol (400 and a backing membrane of Eudragit (RL100. The films were evaluated in terms of swelling, residence time, mucoadhesion, release, and organoleptic properties. The optimized films showed lower release as compared to controlled drug delivery systems. Hence, an inclusion complex of acyclovir was prepared with hydrophilic polymer hydroxylpropyl beta-cyclodextrin in the molar ratio of 1:1. The inclusion complex was characterized by optical microscopy, FAB mass spectroscopy, and FTIR spectroscopy. Patches formulated with the acyclovir inclusion complex were evaluated along the same lines as those containing acyclovir alone. The in vitro release data revealed a substantial increase from 64.35% to 88.15% in the case of PS I and PS II batches, respectively, confirming the successful use of inclusion complexes for the formulation of buccal patch of acyclovir.Mucoadesivos bucais liberadores de fármacos para a cavidade oral com taxa de liberação pré-determinada podem apresentar distintas vantagens em relação às formas farmacêuticas convencionais como comprimidos, géis e soluções. Neste trabalho, um adesivo bucal para administração sistêmica de aciclovir através da cavidade oral foi desenvolvido empregando-se os polímeros hidroxipropilmetil celulose (K4M, hidroxipropilmetil celulose (K15M, carboximetil celulose sódica e polivinil pirrolidona (K30, polietilenoglicol plastificado (400 e uma membrana suporte de Eudragit (RL100. Os filmes obtidos foram avaliados em termos de

  16. Evaluation of Progesterone Utilization and Birth Outcomes in a State Medicaid Plan.

    Science.gov (United States)

    Hydery, Tasmina; Price, Mylissa K; Greenwood, Bonnie C; Takeshita, Mito; Kunte, Parag S; Mauro, Rose P; Lenz, Kimberly; Jeffrey, Paul L

    2017-10-01

    Progesterone (hydroxyprogesterone caproate injection and vaginal progesterone) has been shown to reduce preterm birth (PTB) rates by a third among pregnant women at high risk. The purpose of this analysis is to report birth outcomes and medication adherence among Massachusetts Medicaid (MassHealth) members receiving progesterone, evaluate the association between member characteristics and birth outcomes and medication adherence, and compare cost of care with a prior preterm pregnancy. This retrospective cohort study used medical claims, pharmacy claims, and prior authorization (PA) request data for MassHealth members who had a PA submitted for progesterone between January 1, 2011, and March 31, 2015. Members were excluded due to breaks in coverage, progesterone was not indicated for prevention of PTB, and if current gestational week or date of delivery was unavailable. A total of 418 members were screened for inclusion of whom 190 met criteria and 169 filled progesterone. Mean age was 29.2 years (SD = 5.23), and clinical comorbidities were identified in 90.5% of members. Consistent with clinical trials on progesterone effectiveness, 62.1% of members had a term delivery (37 wks of gestation). Among members with prior gestational age at delivery available, the average difference in gestational age between pregnancies was 8.25 weeks (SD = 6.11). In addition, 66.3% of members were adherent to progesterone based on proportion of days covered (PDC) of 0.8 or higher. The overall mean PDC was 0.79 (SD = 0.26). Despite similar birth outcomes in clinical trials and national trends, medication adherence is low in this state Medicaid program. Therefore, members may benefit from adherence support. © 2017 Pharmacotherapy Publications, Inc.

  17. Evaluation of health resource utilization efficiency in community health centers of Jiangsu Province, China.

    Science.gov (United States)

    Xu, Xinglong; Zhou, Lulin; Antwi, Henry Asante; Chen, Xi

    2018-02-20

    While the demand for health services keep escalating at the grass roots or rural areas of China, a substantial portion of healthcare resources remain stagnant in the more developed cities and this has entrenched health inequity in many parts of China. At its conception, China's Deepen Medical Reform started in 2012 was intended to flush out possible disparities and promote a more equitable and efficient distribution of healthcare resources. Nearly half a decade of this reform, there are uncertainties as to whether the attainment of the objectives of the reform is in sight. Using a hybrid of panel data analysis and an augmented data envelopment analysis (DEA), we model human resources, material, finance to determine their technical and scale efficiency to comprehensively evaluate the transverse and longitudinal allocation efficiency of community health resources in Jiangsu Province. We observed that the Deepen Medical Reform in China has led to an increase concern to ensure efficient allocation of community health resources by health policy makers in the province. This has led to greater efficiency in health resource allocation in Jiangsu in general but serious regional or municipal disparities still exist. Using the DEA model, we note that the output from the Community Health Centers does not commensurate with the substantial resources (human resources, materials, and financial) invested in them. We further observe that the case is worst in less-developed Northern parts of Jiangsu Province. The government of Jiangsu Province could improve the efficiency of health resource allocation by improving the community health service system, rationalizing the allocation of health personnel, optimizing the allocation of material resources, and enhancing the level of health of financial resource allocation.

  18. Utilizing a Newly Designed Scale for Evaluating Family Support and Its Association with Exclusive Breastfeeding.

    Science.gov (United States)

    Zhu, Xiu; Liu, Luyan; Wang, Yan

    2016-12-01

    Although a woman's perception of her family members' support has long been established to be an influential factor on exclusive breastfeeding (EBF), it still has not been specified and quantified as a facilitator and guidance for practice. To investigate in new mothers the association between EBF and maternal perception of family support with a standardized scale that classified support into nine items of behavioral or psychological support. A cross-sectional survey was carried out among 655 new mothers to collect information on their breastfeeding behavior and their corresponding family support at a baby-friendly hospital in Beijing, China. Additionally, a nine-item standardized scale was used to explore the perceived family support for breastfeeding by new mothers. Breastfeeding behaviors were investigated using the indicators recommended by the Multiple Indicator Cluster Surveys. The EBF rate was 37.9%. The average score on the family perception scale reported by respondents was 28.34 ± 3.84. The new mothers who performed EBF and who predominantly breastfed perceived greater family support (29.55 ± 3.53; 29.36 ± 4.09) compared with those who performed complementary feeding or mixed feeding (26.69 ± 3.33) and those who performed artificial feeding (26.17 ± 3.14) (F = 30.296, p family support were more likely to practice EBF than those with a negative perception (adjusted odds ratio = 3.971; 95% confidence interval 2.62-6.01; p Family support for breastfeeding could be evaluated by a scale, and new mothers' breastfeeding behaviors were strongly associated with their perceived family support for breastfeeding. Community healthcare providers should play a more important role in issues regarding breastfeeding among new mothers, and family support should be encouraged by health workers.

  19. Utility of the CORD ECG Database in Evaluating ECG Interpretation by Emergency Medicine Residents

    Directory of Open Access Journals (Sweden)

    Wong, Hubert E

    2002-10-01

    Full Text Available OBJECTIVES: Electrocardiograph (ECG interpretation is a vital component of Emergency Medicine (EM resident education, but few studies have formally examined ECG teaching methods used in residency training. Recently, the Council of EM Residency Directors (CORD developed an Internet database of 395 ECGs that have been extensively peer-reviewed to incorporate all findings and abnormalities. We examined the efficacy of this database in assessing EM residents' skills in ECG interpretation. METHODS: We used the CORD ECG database to evaluate residents at our academic three-year EM residency. Thirteen residents participated, including four first-year, four second-year, and five third-year residents. Twenty ECGs were selected using 14 search criteria representing a broad range of abnormalities, including infarction, rhythm, and conduction abnormalities. Exams were scored based on all abnormalities and findings listed in the teaching points accompanying each ECG. We assigned points to each abnormal finding based on clinical relevance. RESULTS: Out of a total of 183 points in our clinically weighted scoring system, first-year residents scored an average of 99 points (54.1% [9 1- 1191, second-year residents 11 1 points (60.4% [97-1261, and third-year residents 130 points (7 1.0% [94- 1501, p = 0.12. Clinically relevant abnormalities, including anterior and inferior myocardial infarctions, were most frequently diagnosed correctly, while posterior infarction was more frequently missed. Rhythm abnormalities including ventricular and supraventricular tachycardias were most frequently diagnosed correctly, while conduction abnormalities including left bundle branch block and atrioventricular (AV block were more frequently missed. CONCLUSION: The CORD database represents a valuable resource in the assessment and teaching of ECG skills, allowing more precise identification of areas upon which instruction should be further focused or individually tailored. Our

  20. Evaluation of circadian phenotypes utilizing fibroblasts from patients with circadian rhythm sleep disorders.

    Science.gov (United States)

    Hida, A; Ohsawa, Y; Kitamura, S; Nakazaki, K; Ayabe, N; Motomura, Y; Matsui, K; Kobayashi, M; Usui, A; Inoue, Y; Kusanagi, H; Kamei, Y; Mishima, K

    2017-04-25

    We evaluated the circadian phenotypes of patients with delayed sleep-wake phase disorder (DSWPD) and non-24-hour sleep-wake rhythm disorder (N24SWD), two different circadian rhythm sleep disorders (CRSDs) by measuring clock gene expression rhythms in fibroblast cells derived from individual patients. Bmal1-luciferase (Bmal1-luc) expression rhythms were measured in the primary fibroblast cells derived from skin biopsy samples of patients with DSWPD and N24SWD, as well as control subjects. The period length of the Bmal1-luc rhythm (in vitro period) was distributed normally and was 22.80±0.47 (mean±s.d.) h in control-derived fibroblasts. The in vitro periods in DSWPD-derived fibroblasts and N24SWD-derived fibroblasts were 22.67±0.67 h and 23.18±0.70 h, respectively. The N24SWD group showed a significantly longer in vitro period than did the control or DSWPD group. Furthermore, in vitro period was associated with response to chronotherapy in the N24SWD group. Longer in vitro periods were observed in the non-responders (mean±s.d.: 23.59±0.89 h) compared with the responders (mean±s.d.: 22.97±0.47 h) in the N24SWD group. Our results indicate that prolonged circadian periods contribute to the onset and poor treatment outcome of N24SWD. In vitro rhythm assays could be useful for predicting circadian phenotypes and clinical prognosis in patients with CRSDs.

  1. Medicare payment data for spine reimbursement; important but flawed data for evaluating utilization of resources.

    Science.gov (United States)

    Menger, Richard P; Wolf, Michael E; Kukreja, Sunil; Sin, Anthony; Nanda, Anil

    2015-01-01

    Medicare data showing physician-specific reimbursement for 2012 were recently made public in the mainstream media. Given the ongoing interest in containing healthcare costs, we analyze these data in the context of the delivery of spinal surgery. Demographics of 206 leading surgeons were extracted including state, geographic area, residency training program, fellowship training, and academic affiliation. Using current procedural terminology (CPT) codes, information was evaluated regarding the number of lumbar laminectomies, lumbar fusions, add-on laminectomy levels, and anterior cervical fusions reimbursed by Medicare in 2012. In 2012 Medicare reimbursed the average neurosurgeon slightly more than an orthopedic surgeon for all procedures ($142,075 vs. $110,920), but this was not found to be statistically significant (P = 0.218). Orthopedic surgeons had a statistical trend illustrating increased reimbursement for lumbar fusions specifically, $1187 versus $1073 (P = 0.07). Fellowship trained spinal surgeons also, on average, received more from Medicare ($125,407 vs. $76,551), but again this was not statistically significant (P = 0.112). A surgeon in private practice, on average, was reimbursed $137,495 while their academic counterparts were reimbursed $103,144 (P = 0.127). Surgeons performing cervical fusions in the Centers for Disease Control West Region did receive statistically significantly less reimbursement for that procedure then those surgeons in other parts of the country (P = 0.015). Surgeons in the West were reimbursed on average $849 for CPT code 22,551 while those in the Midwest received $1475 per procedure. Medicare reimbursement data are fundamentally flawed in determining healthcare expenditure as it shows a bias toward delivery of care in specific patient demographics. However, neurosurgeons, not just policy makers, must take ownership to analyze, investigate, and interpret these data as it will affect healthcare reimbursement and delivery moving

  2. Potential Utilization of Automatic Cows Weighing for Evaluation of Health and Nutritional Condition of Herd

    Directory of Open Access Journals (Sweden)

    Šárka Podlahová

    2011-10-01

    Full Text Available Weight of cows affects a large number of factors. Regular weighing and data processing can detect differences that may indicate disorders requiring nursing interventions, e.g. nutritional deficiencies, incorrect fetal development and health problems. The current weighing systems operate as stationary - the animal is fixed, identified and weighed. However, the procedure is time consuming and operation, and that is way this system is used minimally. That implies the need of complete automation of all activities associated with the weighing, which enables introduction of pass – through weight. The aim of this thesis was to develop a methodology for evaluating health and nutritional status of the herd based on data from an automated system for weighing a live weight of dairy cows. There was used in the weighing unit for milking robots Astronaut A3 (Lely company to obtain weight data of individual cows. There were selected dairy cows with the longest period of lactation or already drying off, and especially dairy cows with various health problems for study. Limiting values of weight changes were established after assembling a general equation of mass curve. In the sphere of the diseases there was manifested only ketosis in the weight curve with a loss of 10.2 kg / day (38% weight loss. Additionally, the completion of growth during the first 2 periodes of lactations and weight gain due to advanced pregnancy were confirmed. The maximum daily weight difference recorded in healthy animals was 7 %, equivalent to 40 - 45 kg. The results of the study will be applied for compiling algorithm that will be implemented in the complete management system of cattle breeding, monitoring the dairy cows every day and highlight possible deviations exceeding of physiological changes in weight.

  3. Clinical utility of a complete diagnostic protocol for the ocular evaluation of free-living raptors.

    Science.gov (United States)

    Labelle, Amber L; Whittington, Julia K; Breaux, Carrie B; Labelle, Philippe; Mitchell, Mark A; Zarfoss, Mitzi K; Schmidt, Stephanie A; Hamor, Ralph E

    2012-01-01

      To describe a protocol for the examination of free-living raptors and report the ophthalmic examination findings of seven raptor species native to central Illinois, namely the barred owl, Cooper's hawk, eastern screech owl, great horned owl, American kestrel, red-tailed hawk, and turkey vulture and to determine if the findings relative to visual prognosis affected eligibility for future release.   Seventy-nine free-living raptors.   Under manual restraint, complete ophthalmic examination including slit-lamp biomicroscopy and indirect funduscopy, applanation tonometry, rebound tonometry, ocular morphometrics, B-mode ultrasound, and electroretinography (ERG) were performed on each bird. Histopathology of enucleated globes was performed after euthanasia or death in selected cases.   The examination protocol was easily performed using manual restraint alone on all birds. Ocular lesions were detected in 48.1% of birds, with 47.3% affected unilaterally and 52.6% affected bilaterally. Ocular lesions were considered to be vision threatening in 29.0% of the unilaterally affected birds and 29.0% of the bilaterally affected birds. The most common case outcomes were discharge from hospital to rehabilitation facility (45.6%) followed by euthanasia (43.0%). The presence of an ocular lesion or a vision-threatening ocular lesion was not significantly associated with outcome. Reference ranges are reported for B-mode ultrasound, ocular morphometrics, and horizontal corneal diameter in all species.   Complete ophthalmic examination can be supplemented by the use of ocular morphometrics, ultrasound, and ERG in the manually restrained raptor. These advanced diagnostic techniques may be useful in developing more objective criteria for evaluating eligibility for release following rehabilitation of free-living birds of prey. © 2011 American College of Veterinary Ophthalmologists.

  4. System analysis of energy utilization from waste - evaluation of energy, environment and economy. Case study - Uppsala

    International Nuclear Information System (INIS)

    Sundqvist, Jan-Olov; Granath, Jessica; Frostell, Bjoern; Bjoerklund, Anna; Eriksson, Ola; Carlsson, Marcus

    1999-12-01

    Energy, environmental, and economic consequences of different management systems for municipal solid waste have been studied in a systems analysis. In the systems analysis, different combinations of incineration, materials recycling of separated plastic and cardboard containers, and biological treatment (anaerobic digestion and composting) of easily degradable organic waste, were studied and also compared to landfilling. In the study a computer model (ORWARE) based on LCA methodology was used. The following parameters were used for evaluating the different waste management options: consumption of energy resources, global warming potential, acidification, eutrophication, photo oxidant formation, heavy metal flows, financial economy and welfare economy, where welfare economy is the sum of financial economy and environmental economy. The study shows that reduced landfilling to the benefit of an increased use of energy and material from waste is positive from an environmental and energy as well as economic aspect. This is mainly due to the fact that the choice of waste management method affects processes outside the waste management system, such as production of district heating, electricity, vehicle fuel, plastic, cardboard, and fertiliser. This means that landfilling of energy-rich waste should be avoided as far as possible, both because of the the environmental impact, and because of the low recovery of resources. Incineration should constitute a basis in the waste management system of Uppsala. Once the waste is collected, longer regional transports are of little significance, as long as the transports are carried out in an efficient manner. Comparing materials recycling and incineration, and biological treatment and incineration, no unambiguous conclusions can be drawn. There are benefits and drawbacks associated with all these waste management options. Materials recycling of plastic containers is comparable to incineration from a welfare economic aspect, but gives

  5. System analysis of energy utilization from waste - evaluation of energy, environment and economy. Case study - Stockholm

    International Nuclear Information System (INIS)

    Sundqvist, Jan-Olov; Granath, Jessica; Frostell, Bjoern; Bjoerklund, Anna; Eriksson, Ola; Carlsson, Marcus

    1999-12-01

    Energy, environmental, and economic consequences of different management systems for municipal solid waste have been studied in a systems analysis. In the systems analysis, different combinations of incineration, materials recycling of separated plastic and cardboard containers, and biological treatment (anaerobic digestion) of easily degradable organic waste, were studied and also compared to landfilling. In the study a computer model (ORWARE) based on LCA methodology was used. The following parameters were used for evaluating the different waste management options: consumption of energy resources, global warming potential, acidification, eutrophication, photo oxidant formation, heavy metal flows, financial economy and welfare economy, where welfare economy is the sum of financial economy and environmental economy. The study shows that reduced landfilling to the benefit of an increased use of energy and material from the waste is positive, from an environmental and energy as well as economic aspect. This is mainly due to the fact that the choice of waste management method affects processes outside the waste management system, such as production of district heating, electricity, vehicle fuel, plastic, cardboard, and fertiliser. This means that landfilling of energy-rich waste should be avoided as far as possible, both because of the the environmental impact, and because of the low recovery of resources. Incineration should constitute a basis in the waste management system of Stockholm. Once the waste is collected, longer regional transports are of little significance, as long as the transports are carried out in an efficient manner. Comparing materials recycling and incineration, and biological treatment and incineration, no unambiguous conclusions can be drawn. There are benefits and drawbacks associated with all these waste management options. Materials recycling of plastic containers is comparable to incineration from a welfare economic aspect, but gives less

  6. Utility of transient elastography in the non-invasive evaluation of cystic fibrosis liver disease.

    Science.gov (United States)

    Kitson, Matthew T; Kemp, William W; Iser, David M; Paul, Eldho; Wilson, John W; Roberts, Stuart K

    2013-05-01

    Liver disease frequently complicates cystic fibrosis (CF), with CF liver disease (CFLD) a leading cause of death. Liver biopsy is rarely performed because of the patchy nature of the disease. Transient elastography can reliably stage liver fibrosis via liver stiffness measurement (LSM). To evaluate LSM as a diagnostic tool in adults with CFLD. Fifty adult patients with CF were prospectively studied: 25 with CFLD and 25 without CFLD. The presence of CFLD and portal hypertension (PHT) was assessed according to strict established criteria based on serial biochemistry and imaging. All patients underwent LSM; APRI, Hepascore(®) and Forns score were calculated. Median LSM was higher in those with CFLD [8.1 kPa (IQR 6.8-9.5) vs. 5.0 kPa (IQR 4.1-5.6); P < 0.001]. On multivariate analysis, LSM was the only variable associated with CFLD (OR 2.74, 95% CI 1.53-4.89; P = 0.001). AUROC for LSM predicting CFLD was 0.87 (95% CI 0.77-0.98) and an LSM ≥ 6.8 kPa predicted CFLD with 76.0% sensitivity and 92.0% specificity. Median LSM was higher in those with PHT [15.7 kPa (IQR 9.2-17.2) vs. 5.4 kPa (IQR 4.3-6.8); P < 0.001]. The AUROC for LSM predicting the presence of PHT was 0.96 (95% CI 0.92-1.00). An LSM cut-off of ≥ 8.9 kPa predicted the presence of PHT with 87.5% sensitivity, 90.5% specificity, 63.6% positive predictive value and 92.9% negative predictive value. LSM is an accurate and reliable non-invasive tool in assessing CFLD and PHT. An LSM ≥ 6.8 kPa is highly suggestive of CFLD and an LSM <8.9 kPa reliably excludes PHT. © 2013 John Wiley & Sons A/S.

  7. System analysis of energy utilization from waste - evaluation of energy, environment and economy. Case study - Aelvdalen

    International Nuclear Information System (INIS)

    Sundqvist, Jan-Olov; Granath, Jessica; Frostell, Bjoern; Bjoerklund, Anna; Eriksson, Ola; Carlsson, Marcus

    1999-12-01

    Energy, environmental, and economic consequences of different management systems for municipal solid waste have been studied in a systems analysis. In the systems analysis, different combinations of incineration, materials recycling of separated plastic and cardboard containers, and biological treatment (anaerobic digestion and composting) of easily degradable organic waste, were studied and also compared to landfilling. In the study a computer model (ORWARE) based on LCA methodology was used. The following parameters were used for evaluating the different waste management options: consumption of energy resources, global warming potential, acidification, eutrophication, photo oxidant formation, heavy metal flows, financial economy and welfare economy, where welfare economy is the sum of financial economy and environmental economy. The study shows that reduced landfilling to the benefit of an increased use of energy and material from waste is positive from an environmental and energy as well as economic aspect. This is mainly due to the fact that the choice of waste management method affects processes outside the waste management system, such as production of district heating, vehicle fuel, plastic, cardboard, and fertiliser. This means that landfilling of energy-rich waste should be avoided as far as possible, both because of the the environmental impact, and because of the low recovery of resources. Incineration should constitute a basis in the waste management system of Aelvdalen, even if the waste has to be transported to a regional facility. Once the waste is collected, longer regional transports are of little significance, as long as the transports are carried out in an efficient manner. Comparing materials recycling and incineration, and biological treatment and incineration, no unambiguous conclusions can be drawn. There are benefits and drawbacks associated with all these waste management options. Materials recycling of plastic containers is comparable to

  8. Utilizing Mushrooms to Reduce Overall Sodium in Taco Filling Using Physical and Sensory Evaluation.

    Science.gov (United States)

    Wong, Kristin M; Decker, Eric A; Autio, Wesley R; Toong, Ken; DiStefano, Garett; Kinchla, Amanda J

    2017-10-01

    This project investigated the use of integrating mushrooms into beef taco filling as a means to reduce overall sodium for food service applications. Initial product development used physical characterization analysis (moisture, yield, color, and texture) to determine initial threshold of mushroom inclusion with minimal differences against an all-meat control. Increasing mushroom inclusion increased moisture and yield before draining but decreased yield after draining, lightness, redness, and texture. Results showed that inclusion under 50% by weight minimized physical attribute deviation from an all-meat control. Additional physical analysis investigated a variety of other factors (mushroom type, blanching, and particle size) to determine if other attributing mushroom characteristics would yield statistical similarity to the all-meat control. Results showed that a formulation containing up to 45% mushrooms can be integrated into beef fillings using un-blanched, white button mushrooms with small grind (1 to 5 mm), which maximized mushroom usage while minimizing differences from the all-meat control. Additional sodium analysis showed that varying salt level in formulations did not affect physical characteristics and mushroom inclusion could not significantly reduce overall sodium level. Optimized mushroom samples were then fielded in a hedonic sensory study to untrained consumers to evaluate product liking attributes (overall liking, aroma, color, flavor, juiciness, saltiness, and texture). Samples with overall liking scores that closely matched the control were then fielded in a paired-preference test to determine acceptance. Consumers preferred a 45% mushroom with reduced sodium taco filling compared to its full sodium counterpart in a food service fielded paired-preference sensory test. Although diet can significantly reduce the risk of heart disease, American consumers continue to eat detrimental diets high in fat and sodium. Products need to be made that

  9. System analysis of energy utilization from waste - evaluation of energy, environment and economy. Summary report

    International Nuclear Information System (INIS)

    Sundqvist, Jan-Olov; Granath, Jessica; Frostell, Bjoern; Bjoerklund, Anna; Eriksson, Ola; Carlsson, Marcus

    1999-12-01

    Energy, environmental, and economic consequences of different management systems for municipal solid waste have been studied in a systems analysis. In the systems analysis, different combinations of incineration, materials recycling of separated plastic and cardboard containers, and biological treatment (anaerobic digestion and composting) of easily degradable organic waste, were studied and also compared to landfilling. In the study a computer model (ORWARE) based on LCA methodology was used. Case studies were performed for three different municipalities: Uppsala, Stockholm, and Aelvdalen. The following parameters were used for evaluating the different waste management options: consumption of energy resources, global warming potential, acidification, eutrophication, photo oxidant formation, heavy metal flows, financial economy and welfare economy, where welfare economy is the sum of financial economy and environmental economy. The study shows that reduced landfilling to the benefit of an increased use of energy and material from waste is positive from an environmental and energy as well as economic aspect. This is mainly due to the fact that the choice of waste management method affects processes outside the waste management system, such as production of district heating, electricity, vehicle fuel, plastic, cardboard, and fertiliser. This means that landfilling of energy-rich waste should be avoided as far as possible, both because of the the environmental impact, and because of the low recovery of resources. Incineration should constitute a basis in the waste management systems of the three municipalities studied, even if the waste has to be transported to a regional facility. Once the waste is collected, longer regional transports are of little significance, as long as the transports are carried out in an efficient manner. Comparing materials recycling and incineration, and biological treatment and incineration, no unambiguous conclusions can be drawn. There are

  10. The utility of plain radiographs in the initial evaluation of knee pain amongst sports medicine patients.

    Science.gov (United States)

    Alaia, Michael J; Khatib, Omar; Shah, Mehul; A Bosco, Joseph; M Jazrawi, Laith; Strauss, Eric J

    2015-08-01

    To evaluate whether screening radiographs as part of the initial workup of knee pain impacts clinical decision-making in a sports medicine practice. A questionnaire was completed by the attending orthopaedic surgeon following the initial office visit for 499 consecutive patients presenting to the sports medicine centre with a chief complaint of knee pain. The questionnaire documented patient age, duration of symptoms, location of knee pain, associated mechanical symptoms, history of trauma within the past 2 weeks, positive findings on plain radiographs, whether magnetic resonance imaging was ordered, and whether plain radiographs impacted the management decisions for the patient. Patients were excluded if they had prior X-rays, history of malignancy, ongoing pregnancy, constitutional symptoms as well as those patients with prior knee surgery or intra-articular infections. Statistical analyses were then performed to determine which factors were more likely do correspond with diagnostic radiographs. Overall, initial screening radiographs did not change management in 72 % of the patients assessed in the office. The mean age of patients in whom radiographs did change management was 57.9 years compared to 37.1 years in those patients where plain radiograph did not change management (p < 0.0001). Plain radiographs had no impact on clinical management in 97.3 % of patients younger than 40. In patients whom radiographs did change management, radiographs were more likely to influence management if patients were over age forty, had pain for over 6 months, had medial or diffuse pain, or had mechanical symptoms. A basic cost analysis revealed that the cost of a clinically useful radiographic series in a patient under 40 years of age was $7,600, in contrast to $413 for a useful series in patients above the age of 40. Data from the current study support the hypothesis that for the younger patient population, routine radiographic imaging as a screening tool may be of

  11. Methodology and results of the impacts of modeling electric utilities: a comparative evaluation of MEMM and REM

    International Nuclear Information System (INIS)

    1981-09-01

    This study compares two models of the US electric utility industry including the EIA's electric utility submodel in the Midterm Energy Market Model (MEMM), and the Baughman-Joskow Regionalized Electricity Model (REM). The method of comparison emphasizes reconciliation of differences in data common to both models, and the performance of simulation experiments to evaluate the empirical significance of certain structural differences in the models. The major research goal was to contrast and compare the effects of alternative modeling structures and data assumptions on model results; and, particularly to considered each model's approach to the impacts of generation technology and fuel use choices on electric utilities. The methodology used was to run the REM model first without and, then, with a representation of the Power Plant and Industrial Fuel Act of 1978, assuming medium supply and demand curves and varying fuel prices. The models and data structures of the two models are described. The original 1978 data used in MEMM and REM are analyzed and compared. The computations and effects of different assumptions on fuel use decisions are discussed. The adjusted REM data required for the experiments are presented. Simulation results of the two models are compared. These results represent projections for 1985, 1990, and 1995 of: US power generation by plant type; amounts of each type of fuel used for power generation; average electricity prices; and the effects of additional or fewer nuclear and coal-fired plants. A significant result is that the REM model exhibits about 7 times as much gas and oil consumption in 1995 as the MEMM model. Continuing simulation experiments on MEMM are recommended to determine whether the input data to MEMM are reasonable and properly adjusted

  12. A multi-attribute analysis of radiation protection choices. A methodological approach in the case of radioactive releases from US nuclear plants

    International Nuclear Information System (INIS)

    Lombard, Jacques; Oudiz, Andre.

    1981-02-01

    In the field of PWR fuel cycle the authors use of multi-attribute analysis to optimize radiation protection. This study proceeds from a methodological point of view and data have been taken from a US Environmental Protection Agency study. The multi-attribute analysis, called ELECTRE 1, includes two distinct phases. The first one gives a segmentation of the 39 effluent control options, which may be applied in the fuel cycle plants, in six sub-groups or kernels. Such a classification allows for a first reduction of the decision problem and gives a ranking of the sub-groups. In order to separate between the options of a sub-group another procedure is used. This second phase introduces weight of the criteria. The adopted criteria are: option's cost, avoided collective risk, avoided individual risk, and a data relative uncertainty indicator. Following this second step we are able to select from the 39 options 19 leading to ALARA levels. The final ranking suggests the synthetic character of the method used which permits to refer simultaneously to the individual approach and the collective one [fr

  13. Utility Evaluation Based on One-To-N Mapping in the Prisoner's Dilemma Game for Interdependent Networks.

    Directory of Open Access Journals (Sweden)

    Juan Wang

    Full Text Available In the field of evolutionary game theory, network reciprocity has become an important means to promote the level of promotion within the population system. Recently, the interdependency provides a novel perspective to understand the widespread cooperation behavior in many real-world systems. In previous works, interdependency is often built from the direct or indirect connections between two networks through the one-to-one mapping mode. However, under many realistic scenarios, players may need much more information from many neighboring agents so as to make a more rational decision. Thus, beyond the one-to-one mapping mode, we investigate the cooperation behavior on two interdependent lattices, in which the utility evaluation of a focal player on one lattice may not only concern himself, but also integrate the payoff information of several corresponding players on the other lattice. Large quantities of simulations indicate that the cooperation can be substantially promoted when compared to the traditionally spatial lattices. The cluster formation and phase transition are also analyzed in order to explore the role of interdependent utility coupling in the collective cooperation. Current results are beneficial to deeply understand various mechanisms to foster the cooperation exhibited inside natural, social and engineering systems.

  14. The utility of computed tomography as a screening tool for the evaluation of pediatric blunt chest trauma.

    Science.gov (United States)

    Markel, Troy A; Kumar, Rajiv; Koontz, Nicholas A; Scherer, L R; Applegate, Kimberly E

    2009-07-01

    There is a growing concern that computed tomography (CT) is being unnecessarily overused for the evaluation of pediatric patients. The purpose of this study was to analyze the trends and utility of chest CT use compared with chest X-ray (CXR) for the evaluation of children with blunt chest trauma. A 4-year retrospective review was performed for pediatric patients who underwent chest CT within 24 hours of sustaining blunt trauma at a Level-I trauma center. Trends in the use of CT and CXR were documented, and results of radiology reports were analyzed and compared with clinical outcomes. Three hundred thirty-three children, mean age 11 years, had chest CTs, increasing from 5.5% in 2001-2002 to 10.5% in 2004-2005 (p tool to analyze which patients may require CT evaluation. A multidisciplinary approach is warranted to develop guidelines that standardize the use of CT and thereby decreases unnecessary radiation exposure to pediatric patients.

  15. An evaluation of the utility and limitations of counting motor unit action potentials in the surface electromyogram

    Science.gov (United States)

    Zhou, Ping; Zev Rymer, William

    2004-12-01

    The number of motor unit action potentials (MUAPs) appearing in the surface electromyogram (EMG) signal is directly related to motor unit recruitment and firing rates and therefore offers potentially valuable information about the level of activation of the motoneuron pool. In this paper, based on morphological features of the surface MUAPs, we try to estimate the number of MUAPs present in the surface EMG by counting the negative peaks in the signal. Several signal processing procedures are applied to the surface EMG to facilitate this peak counting process. The MUAP number estimation performance by this approach is first illustrated using the surface EMG simulations. Then, by evaluating the peak counting results from the EMG records detected by a very selective surface electrode, at different contraction levels of the first dorsal interosseous (FDI) muscles, the utility and limitations of such direct peak counts for MUAP number estimation in surface EMG are further explored.

  16. Multi-Attribute Modelling of Economic and Ecological Impacts of Cropping Systems

    NARCIS (Netherlands)

    Bohanec, M.; Dzeroski, S.; Znidarsic, M.; Messéan, A.; Scatasta, S.; Wesseler, J.H.H.

    2004-01-01

    Modelling of economic and ecological impacts of genetically modified crops is a demanding task. We present some preliminary attempts made for the purpose of the ECOGEN project "Soil ecological and economic evaluation of genetically modified crops". One of the goals of the project is to develop a

  17. A systematic literature review of health state utility values in head and neck cancer.

    Science.gov (United States)

    Meregaglia, Michela; Cairns, John

    2017-09-02

    Health state utility values (HSUVs) are essential parameters in model-based economic evaluations. This study systematically identifies HSUVs in head and neck cancer and provides guidance for selecting them from a growing body of health-related quality of life studies. We systematically reviewed the published literature by searching PubMed, EMBASE and The Cochrane Library using a pre-defined combination of keywords. The Tufts Cost-Effectiveness Analysis Registry and the School of Health and Related Research Health Utilities Database (ScHARRHUD) specifically containing health utilities were also queried, in addition to the Health Economics Research Centre database of mapping studies. Studies were considered for inclusion if reporting original HSUVs assessed using established techniques. The characteristics of each study including country, design, sample size, cancer subsite addressed and demographics of responders were summarized narratively using a data extraction form. Quality scoring and critical appraisal of the included studies were performed based on published recommendations. Of a total 1048 records identified by the search, 28 studies qualified for data extraction and 346 unique HSUVs were retrieved from them. HSUVs were estimated using direct methods (e.g. standard gamble; n = 10 studies), multi-attribute utility instruments (MAUIs; n = 13) and mapping techniques (n = 3); two studies adopted both direct and indirect approaches. Within the MAUIs, the EuroQol 5-dimension questionnaire (EQ-5D) was the most frequently used (n = 11), followed by the Health Utility Index Mark 3 (HUI3; n = 2), the 15D (n = 2) and the Short Form-Six Dimension (SF-6D; n = 1). Different methods and types of responders (i.e. patients, healthy subjects, clinical experts) influenced the magnitude of HSUVs for comparable health states. Only one mapping study developed an original algorithm using head and neck cancer data. The identified studies were considered

  18. A qualitative multi-attribute model for the selection of the private hydropower plant investments in Turkey: By foundation of the search results clustering engine (Carrot2), hydropower plant clustering, DEXi and DEXiTree

    Energy Technology Data Exchange (ETDEWEB)

    Saracoglu, B.O.

    2016-07-01

    The electricity demand in Turkey has been increasing for a while. Hydropower is one of the major electricity generation types to compensate this electricity demand in Turkey. Private investors (domestic and foreign) in the hydropower electricity generation sector have been looking for the most appropriate and satisfactory new private hydropower investment (PHPI) options and opportunities in Turkey. This study aims to present a qualitative multi-attribute decision making (MADM) model, that is easy, straightforward, and fast for the selection of the most satisfactory reasonable PHPI options during the very early investment stages (data and information poorness on projects). The data and information of the PHPI options was gathered from the official records on the official websites. A wide and deep literature review was conducted for the MADM models and for the hydropower industry. The attributes of the model were identified, selected, clustered and evaluated by the expert decision maker (EDM) opinion and by help of an open source search results clustering engine (Carrot2) (helpful for also comprehension). The PHPI options were clustered according to their installed capacities main property to analyze the options in the most appropriate, decidable, informative, understandable and meaningful way. A simple clustering algorithm for the PHPI options was executed in the current study. A template model for the selection of the most satisfactory PHPI options was built in the DEXi (Decision EXpert for Education) and the DEXiTree software. The basic attributes for the selection of the PHPI options were presented and afterwards the aggregate attributes were defined by the bottom-up structuring for the early investment stages. The attributes were also analyzed by help of Carrot2. The most satisfactory PHPI options in Turkey in the big options data set were selected for each PHPI options cluster by the EDM evaluations in the DEXi. (Author)

  19. Multiattribute Response of Maize Genotypes Tested in Different Coastal Regions of Brazil

    Directory of Open Access Journals (Sweden)

    Lúcio Borges de Araújo

    2011-01-01

    Full Text Available This work applies the three mode principal components analysis to analyze simultaneously the multiple attributes; to fit of models with additive main effects and multiplicative interaction effects (AMMI models and the regressions models on sites (SREG models; to evaluate, respectively, the multivariate response of the genotype × environment interaction and the mean response of 36 genotypes of corn tested in 4 locations in Brazil. The results were presented by joint plots to identify the best genotypes for their adaptability and performance in the set of attributes.

  20. SCOPE – An Integrated Framework for Multi-Attribute Decision Making

    DEFF Research Database (Denmark)

    Leleur, Steen

    2004-01-01

    that are supported by a methodology of both a systemic and a systematic type. Specific use is made of operational research methods such as critical systems heuristics, scenario technique, stakeholder analysis and multi‐attribute decision making (MADM). To deal with issues of complexity and ambiguity, planning......This article presents an integrated framework for multi‐attribute decision making named SCOPE (System for Combined Planning and Evaluation) that was developed to assess infrastructure policy initiatives—in complex decision environments. The framework comprises scanning as well as assessment issues...

  1. EVALUATION OF UTILIZING SERVICE ORIENTED ARCHITECTURE AS A SUITABLE SOLUTION TO ALIGN UNIVERSITY MANAGEMENT INFORMATION SYSTEMS AND LEARNING MANAGEMENT SYSTEMS

    Directory of Open Access Journals (Sweden)

    A. M. RIAD

    2009-10-01

    Full Text Available To help universities achieve their goals, it is important to align managerial functionalities side by side with educational aspects. Universities consume University Management Information Systems (UMIS to handle managerial aspects as they do with Learning Management Systems (LMS to achieve learning objectives. UMIS advances LMS by decades and has reached stable and mature consistency level. LMS is the newly acquired solution in Universities; compared to UMIS, and so adopting LMSs in universities can be achieved via three different deployment approaches. First approach believes in LMS ability to replace UMIS and performing its functionalities. Second approach presents the idea of extending UMIS to include LMS functionalities. Third approach arises from the shortages of the two proposed approaches and present integration between both as the appropriate deployment approach. Service Oriented Architecture (SOA is a design pattern that can be used as a suitable architectural solution to align UMIS and LMS. SOA can be utilized in universities to overcome some of information systems’ challenges like the integration between UMIS and LMS. This paper presents the current situation at Mansoura University; Egypt, presents integration as the most suitable solution, and evaluates three different implementation techniques: Dynamic Query, Stored Procedure, and Web services. Evaluation concludes that though SOA enhanced many different aspects of both UMIS and LMS; and consequently university overall. It is not recommended to adopt SOA via Web services as the building unit of the system, but as the interdisciplinary interface between systems.

  2. External evaluation on Monju Core Confirmation Test in FY 2010 (the Technical Committee on Monju Research Utilization)

    International Nuclear Information System (INIS)

    2011-06-01

    This report describes the review made by the 'Technical Committee on Monju Research Utilization' on the results of Core Confirmation Test conducted from May to July in 2010. The committee consists of technical specialists in the relevant engineering domains from various Japanese industries and universities. The Committee was convened twice in 2010, in August and December, where the each item of the Core Confirmation Test was explained by individual personnel in charge, and the outline and the detailed analysis were discussed, respectively. Evaluations were made by the Committee after the questions and answers. Main points of the evaluations are listed below: After the 14 year stand-by, the Core Confirmation Test has been successfully completed within a brief duration of 3 months, with provision of precious technical data for future development and commercialization of FBRs. Safety has been confirmed and valuable data for analysis code validation have been acquired on an FBR core containing 1.5%wt of Am-241. It is significant that the newly released nuclear data library, JENDL-4.0 has been validated based on studies of capture cross section of Am-241 and of fission cross section of Pu-239. Finally, the chief examiner of the Committee stated his expectation for advancement of Japanese FBR technologies with the JAEA's leadership based of achievements on Monju, to be reflected on subsequent FBR developments. (author)

  3. Using multi-attribute decision-making approaches in the selection of a hospital management system.

    Science.gov (United States)

    Arasteh, Mohammad Ali; Shamshirband, Shahaboddin; Yee, Por Lip

    2018-01-01

    The most appropriate organizational software is always a real challenge for managers, especially, the IT directors. The illustration of the term "enterprise software selection", is to purchase, create, or order a software that; first, is best adapted to require of the organization; and second, has suitable price and technical support. Specifying selection criteria and ranking them, is the primary prerequisite for this action. This article provides a method to evaluate, rank, and compare the available enterprise software for choosing the apt one. The prior mentioned method is constituted of three-stage processes. First, the method identifies the organizational requires and assesses them. Second, it selects the best method throughout three possibilities; indoor-production, buying software, and ordering special software for the native use. Third, the method evaluates, compares and ranks the alternative software. The third process uses different methods of multi attribute decision making (MADM), and compares the consequent results. Based on different characteristics of the problem; several methods had been tested, namely, Analytic Hierarchy Process (AHP), Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS), Elimination and Choice Expressing Reality (ELECTURE), and easy weight method. After all, we propose the most practical method for same problems.

  4. Features of undiagnosed breast cancers at screening breast MR imaging and potential utility of computer-aided evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Mirinae; Cho, Nariya; Bea, Min Sun; Koo, Hye Ryoung; Kim, Won Hwa; Lee, Su Hyun; Chu, A Jung [Dept. of Radiology, Seoul National University Hospital, Seoul (Korea, Republic of)

    2016-02-15

    To retrospectively evaluate the features of undiagnosed breast cancers on prior screening breast magnetic resonance (MR) images in patients who were subsequently diagnosed with breast cancer, as well as the potential utility of MR-computer-aided evaluation (CAE). Between March 2004 and May 2013, of the 72 consecutive pairs of prior negative MR images and subsequent MR images with diagnosed cancers (median interval, 32.8 months; range, 5.4-104.6 months), 36 (50%) had visible findings (mean size, 1.0 cm; range, 0.3-5.2 cm). The visible findings were divided into either actionable or under threshold groups by the blinded review by 5 radiologists. MR imaging features, reasons for missed cancer, and MR-CAE features according to actionability were evaluated. Of the 36 visible findings on prior MR images, 33.3% (12 of 36) of the lesions were determined to be actionable and 66.7% (24 of 36) were underthreshold; 85.7% (6 of 7) of masses and 31.6% (6 of 19) of non-mass enhancements were classified as actionable lesions. Mimicking physiologic enhancements (27.8%, 10 of 36) and small lesion size (27.8%, 10 of 36) were the most common reasons for missed cancer. Actionable findings tended to show more washout or plateau kinetic patterns on MR-CAE than underthreshold findings, as the 100% of actionable findings and 46.7% of underthreshold findings showed washout or plateau (p = 0.008). MR-CAE has the potential for reducing the number of undiagnosed breast cancers on screening breast MR images, the majority of which are caused by mimicking physiologic enhancements or small lesion size.

  5. Multi-attribute integrated measurement of node importance in complex networks.

    Science.gov (United States)

    Wang, Shibo; Zhao, Jinlou

    2015-11-01

    The measure of node importance in complex networks is very important to the research of networks stability and robustness; it also can ensure the security of the whole network. Most researchers have used a single indicator to measure the networks node importance, so that the obtained measurement results only reflect certain aspects of the networks with a loss of information. Meanwhile, because of the difference of networks topology, the nodes' importance should be described by combining the character of the networks topology. Most of the existing evaluation algorithms cannot completely reflect the circumstances of complex networks, so this paper takes into account the degree of centrality, the relative closeness centrality, clustering coefficient, and topology potential and raises an integrated measuring method to measure the nodes' importance. This method can reflect nodes' internal and outside attributes and eliminate the influence of network structure on the node importance. The experiments of karate network and dolphin network show that networks topology structure integrated measure has smaller range of metrical result than a single indicator and more universal. Experiments show that attacking the North American power grid and the Internet network with the method has a faster convergence speed than other methods.

  6. Abnormal Event Detection in Wireless Sensor Networks Based on Multiattribute Correlation

    Directory of Open Access Journals (Sweden)

    Mengdi Wang

    2017-01-01

    Full Text Available Abnormal event detection is one of the vital tasks in wireless sensor networks. However, the faults of nodes and the poor deployment environment have brought great challenges to abnormal event detection. In a typical event detection technique, spatiotemporal correlations are collected to detect an event, which is susceptible to noises and errors. To improve the quality of detection results, we propose a novel approach for abnormal event detection in wireless sensor networks. This approach considers not only spatiotemporal correlations but also the correlations among observed attributes. A dependency model of observed attributes is constructed based on Bayesian network. In this model, the dependency structure of observed attributes is obtained by structure learning, and the conditional probability table of each node is calculated by parameter learning. We propose a new concept named attribute correlation confidence to evaluate the fitting degree between the sensor reading and the abnormal event pattern. On the basis of time correlation detection and space correlation detection, the abnormal events are identified. Experimental results show that the proposed algorithm can reduce the impact of interference factors and the rate of the false alarm effectively; it can also improve the accuracy of event detection.

  7. Multi-attribute criteria applied to electric generation energy system analysis LDRD.

    Energy Technology Data Exchange (ETDEWEB)

    Kuswa, Glenn W.; Tsao, Jeffrey Yeenien; Drennen, Thomas E.; Zuffranieri, Jason V.; Paananen, Orman Henrie; Jones, Scott A.; Ortner, Juergen G. (DLR, German Aerospace, Cologne); Brewer, Jeffrey D.; Valdez, Maximo M.

    2005-10-01

    This report began with a Laboratory-Directed Research and Development (LDRD) project to improve Sandia National Laboratories multidisciplinary capabilities in energy systems analysis. The aim is to understand how various electricity generating options can best serve needs in the United States. The initial product is documented in a series of white papers that span a broad range of topics, including the successes and failures of past modeling studies, sustainability, oil dependence, energy security, and nuclear power. Summaries of these projects are included here. These projects have provided a background and discussion framework for the Energy Systems Analysis LDRD team to carry out an inter-comparison of many of the commonly available electric power sources in present use, comparisons of those options, and efforts needed to realize progress towards those options. A computer aid has been developed to compare various options based on cost and other attributes such as technological, social, and policy constraints. The Energy Systems Analysis team has developed a multi-criteria framework that will allow comparison of energy options with a set of metrics that can be used across all technologies. This report discusses several evaluation techniques and introduces the set of criteria developed for this LDRD.

  8. SU-F-T-427: Utilization and Evaluation of Diagnostic CT Imaging with MAR Technique for Radiation Therapy Treatment Planning

    International Nuclear Information System (INIS)

    Xu, M; Foster, R; Parks, H; Pankuch, M

    2016-01-01

    Purpose: The objective was to utilize and evaluate diagnostic CT-MAR technique for radiation therapy treatment planning. Methods: A Toshiba-diagnostic-CT acquisition with SEMAR(Single-energy-MAR)-algorism was performed to make the metal-artifact-reduction (MAR) for patient treatment planning. CT-imaging datasets with and without SEMAR were taken on a Catphan-phantom. Two sets of CT-numbers were calibrated with the relative electron densities (RED). A tissue characterization phantom with Gammex various simulating material rods was used to establish the relationship between known REDs and corresponding CT-numbers. A GE-CT-sim acquisition was taken on the Catphan for comparison. A patient with bilateral hip arthroplasty was scanned in the radiotherapy CT-sim and the diagnostic SEMAR-CT on a flat panel. The derived SEMAR images were used as a primary CT dataset to create contours for the target, critical-structures, and for planning. A deformable registration was performed with VelocityAI to track voxel changes between SEMAR and CT-sim images. The SEMAR-CT images with minimal artifacts and high quality of geometrical and spatial integrity were employed for a treatment plan. Treatment-plans were evaluated based on deformable registration of SEMAR-CT and CT-sim dataset with assigned CT-numbers in the metal artifact regions in Eclipse v11 TPS. Results: The RED and CT-number relationships were consistent for the datasets in CT-sim and CT’s with and without SEMAR. SEMAR datasets with high image quality were used for PTV and organ delineation in the treatment planning process. For dose distribution to the PTV through the DVH analysis, the plan using CT-sim with the assigned CT-number showed a good agreement to those on deformable CT-SEMAR. Conclusion: A diagnostic-CT with MAR-algorithm can be utilized for radiotherapy treatment planning with CT-number calibrated to the RED. Treatment planning comparison and DVH shows a good agreement in the PTV and critical organs between

  9. Stakeholder-driven multi-attribute analysis for energy project selection under uncertainty

    International Nuclear Information System (INIS)

    Read, Laura; Madani, Kaveh; Mokhtari, Soroush; Hanks, Catherine

    2017-01-01

    In practice, selecting an energy project for development requires balancing criteria and competing stakeholder priorities to identify the best alternative. Energy source selection can be modeled as multi-criteria decision-maker problems to provide quantitative support to reconcile technical, economic, environmental, social, and political factors with respect to the stakeholders' interests. Decision making among these complex interactions should also account for the uncertainty present in the input data. In response, this work develops a stochastic decision analysis framework to evaluate alternatives by involving stakeholders to identify both quantitative and qualitative selection criteria and performance metrics which carry uncertainties. The developed framework is illustrated using a case study from Fairbanks, Alaska, where decision makers and residents must decide on a new source of energy for heating and electricity. We approach this problem in a five step methodology: (1) engaging experts (role players) to develop criteria of project performance; (2) collecting a range of quantitative and qualitative input information to determine the performance of each proposed solution according to the selected criteria; (3) performing a Monte-Carlo analysis to capture uncertainties given in the inputs; (4) applying multi-criteria decision-making, social choice (voting), and fallback bargaining methods to account for three different levels of cooperation among the stakeholders; and (5) computing an aggregate performance index (API) score for each alternative based on its performance across criteria and cooperation levels. API scores communicate relative performance between alternatives. In this way, our methodology maps uncertainty from the input data to reflect risk in the decision and incorporates varying degrees of cooperation into the analysis to identify an optimal and practical alternative. - Highlights: • We develop an applicable stakeholder-driven framework for

  10. ENDF-UTILITY-CODES, codes to check and standardize data in the Evaluated Nuclear Data File (ENDF)

    International Nuclear Information System (INIS)

    Dunford, Charles L.

    2007-01-01

    1 - Description of program or function: The ENDF Utility Codes include 9 codes to check and standardize data in the Evaluated Nuclear Data File (ENDF). Four programs of this release, GETMAT, LISTEF, PLOTEF and SETMDC are no more maintained since release 6.13. The suite of ENDF utility codes includes: - CHECKR (version 7.01) is a program for checking that an evaluated data file conforms to the ENDF format. - FIZCON (version 7.02) is a program for checking that an evaluated data file has valid data and conforms to recommended procedures. - GETMAT (version 6.13) is designed to retrieve one or more materials from an ENDF formatted data file. The output will contain only the selected materials. - INTER (version 7.01) calculates thermal cross sections, g-factors, resonance integrals, fission spectrum averaged cross sections and 14.0 MeV (or other energy) cross sections for major reactions in an ENDF-6 or ENDF-5 format data file. - LISTEF (version 6.13) is designed to produce summary and annotated listings of a data file in either ENDF-6 or ENDF-5 format. - PLOTEF (version 6.13) is designed to produce graphical displays of a data file in either ENDF-5 or ENDF-6 format. The form of graphical output depends on the graphical devices available at the installation where this code will be used. - PSYCHE (version 7.02) is a program for checking the physics content of an evaluated data file. It can recognise the difference between ENDF-5 or ENDF-6 formats and performs its tests accordingly. - SETMDC (version 6.13) is a utility program that converts the source decks of programs to different computers (DOS, UNIX, LINUX, VMS, Windows). - STANEF (version 7.01) performs bookkeeping operations on a data file containing one or more material evaluations in ENDF format. The version 7.02 of the ENDF Utility Codes corrects all bugs reported to NNDC as of April 1, 2005 and supersedes all previous releases. Three codes CHECKR, STANEF, and INTER were actually ported from the 7.01 release

  11. Diagnostic utility of carotid artery duplex ultrasonography in the evaluation of syncope: a good test ordered for the wrong reason.

    Science.gov (United States)

    Kadian-Dodov, Daniella; Papolos, Alexander; Olin, Jeffrey W

    2015-06-01

    Syncope refers to a transient loss of consciousness and postural tone secondary to cerebral hypoperfusion. Guidelines recommend against neurovascular testing in cases of syncope without neurologic symptoms; however, many pursue carotid artery duplex ultrasonography (CUS) due to the prognostic implications of identified cerebrovascular disease. Our objective was to determine the diagnostic utility of CUS in the evaluation of syncope and the identification of new or severe atherosclerosis with the potential to change patient management. We reviewed records of 569 patients with CUS ordered for the primary indication of syncope through an accredited vascular laboratory at an academic, urban medical centre. Findings on CUS, patient demographic, clinical and laboratory information, and medications within 6 months of the CUS exam were reviewed. Bivariate relationships between key medical history characteristics and atherosclerosis status (known vs. new disease) were examined. Among 495 patients with complete information, cerebrovascular findings could potentially explain syncope in 2% (10 patients). Optimization of cardiovascular risk factors would benefit patients with known (56.6%) and new atherosclerosis (33.5%) with suboptimal lipid control, (LDL > 70 in 42.2 and 34.9% respectively; LDL > 100 in 15.7 and 20.4%), and those not on high-intensity statin therapy (80 and 87.5%) or antiplatelet medications (13.2 and 50.6%). CUS is a low-yield diagnostic test in the evaluation of syncope, but it is useful in the diagnosis of atherosclerosis and identification of subjects who would benefit from optimal medical therapy. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.

  12. Utility of coronal contrast-enhanced fat-suppressed FLAIR in the evaluation of optic neuropathy and atrophy.

    Science.gov (United States)

    Boegel, Kevin H; Tyan, Andrew E; Iyer, Veena R; Rykken, Jeffrey B; McKinney, Alexander M

    2017-01-01

    Evaluating chronic sequelae of optic neuritis, such as optic neuropathy with or without optic nerve atrophy, can be challenging on whole brain MRI. This study evaluated the utility of dedicated coronal contrast-enhanced fat-suppressed FLAIR (CE-FS-FLAIR) MR imaging to detect optic neuropathy and optic nerve atrophy. Over 4.5 years, a 3 mm coronal CE-FS-FLAIR sequence at 1.5T was added to the routine brain MRIs of 124 consecutive patients, 102 of whom had suspected or known demyelinating disease. Retrospective record reviews confirmed that 28 of these 102 had documented onset of optic neuritis >4 weeks prior to the brain MRI. These 28 were compared to the other 22 ("controls") of the 124 patients who lacked a history of demyelinating disease or visual symptoms. Using coronal CE-FS-FLAIR, two neuroradiologists separately graded each optic nerve (n = 50 patients, 100 total nerves) as either negative, equivocal, or positive for optic neuropathy or atrophy. The scoring was later repeated. The mean time from acute optic neuritis onset to MRI was 4.1 ± 4.6 years (range 34 days-17.4 years). Per individual nerve grading, the range of sensitivity, specificity, and accuracy of coronal CE-FS-FLAIR in detecting optic neuropathy was 71.4-77.1%, 93.8-95.4%, and 85.5-89.0%, respectively, with strong interobserver (k = 0.667 - 0.678, p optic atrophy, interobserver agreement was moderate (k = 0.437 - 0.484, p optic neuropathy years after the onset of acute optic neuritis, but is less useful in detecting optic nerve atrophy.

  13. The utility of quantitative 99mTc-GSA liver scintigraphy in the evaluation of hepatic functional reserve

    International Nuclear Information System (INIS)

    Shuke, Noriyuki; Aburano, Tamio; Nakajima, Kenichi

    1992-01-01

    Using data from 17 patients with liver cirrhosis and 3 patients with fatty liver, we have compared the utility of 3 hepatic imaging agents in the evalution of hepatic functional reserve. Evaluated here were 99m Tc-galactosyl human serum albumin (GSA) which is a new ligand for hepatic binding protein, 99m Tc-N-pyridoxyl-5-methyl tryptophan (PMT) of a hepatobiliary agent, and 99m Tc-Sn colloid. In each patient, we performed these 3 imaging studies within a week and also examined hepatic function tests (indocyanine green test, hepaplastin test, choline-esterase, etc). In each imaging study, serial images and dynamic data were obtained after the injection of 99m Tc-GSA (185 MBq/3 mg), 99m Tc-PMT (185 MBq), or 99m Tc-Sn colloid (185 MBq). Using the dynamic data obtained, we analyzed the liver kinetics of the 3 agents based on 1 compartment model with 3 parameters (hepatic clearance, hepatic excretion rate, non-specific volume of distribution). From fitting the liver and heart data to this model, three unknown parameters were determined. Patlak plot was also applied in order to estimate liver uptake rate. Both curve fitting and Patlak plot could determine appropriate parameters in every study. In 99m Tc-GSA, a nonlinear 3 compartment model was also applied in order to estimate hepatic blood flow, liver receptor density, and affinity of receptor-GSA binding separately. Using the parameters obtained, we analyzed the correlations between the parameters and the results of hepatic function tests. In all of the parameters, those obtained from 99m Tc-GSA imaging showed the most significant statistical correlation with the results of hepatic function tests. From the present results, 99m Tc-GSA imaging was concluded to be the best for evaluation of hepatic functional reserve. (author)

  14. A psychometric evaluation of the Swedish version of the Research Utilization Questionnaire using a Rasch measurement model.

    Science.gov (United States)

    Lundberg, Veronica; Boström, Anne-Marie; Malinowsky, Camilla

    2017-07-30

    Evidence-based practice and research utilisation has become a commonly used concept in health care. The Research Utilization Questionnaire (RUQ) has been recognised to be a widely used instrument measuring the perception of research utilisation among nursing staff in clinical practice. Few studies have however analysed the psychometric properties of the RUQ. The aim of this study was to examine the psychometric properties of the Swedish version of the three subscales in RUQ using a Rasch measurement model. This study has a cross-sectional design using a sample of 163 staff (response rate 81%) working in one nursing home in Sweden. Data were collected using the Swedish version of RUQ in 2012. The three subscales Attitudes towards research, Availability of and support for research use and Use of research findings in clinical practice were investigated. Data were analysed using a Rasch measurement model. The results indicate presence of multidimensionality in all subscales. Moreover, internal scale validity and person response validity also provide some less satisfactory results, especially for the subscale Use of research findings. Overall, there seems to be a problem with the negatively worded statements. The findings suggest that clarification and refining of items, including additional psychometric evaluation of the RUQ, are needed before using the instrument in clinical practice and research studies among staff in nursing homes. © 2017 Nordic College of Caring Science.

  15. Evaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in Delhi, India.

    Science.gov (United States)

    Sonkar, Subash Chandra; Wasnik, Kirti; Kumar, Anita; Sharma, Vineeta; Mittal, Pratima; Mishra, Prashant Kumar; Bharadwaj, Mausumi; Saluja, Daman

    2017-05-03

    Utility of syndromic case management (SCM) in women visiting obstetrics & gynecology department needs to be evaluated as it is subjective and imperfect. Consequently, antibiotic resistance has accelerated along with increased risk of infection to the partners. To understand the effectiveness and/or inadequacies of SCM, 11000 women were recruited and examined by clinicians for infection by Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), Trichomonas vaginalis (TV), Bacterial vaginosis (BV) and others. Amongst these patients, 1797 (16.3%) reported vaginal discharge (VD). Other symptoms included: vaginitis (97%), cervicitis (75%), genital ulcers (60%), abnormal vaginal discharge (55%) and lower abdominal pain (48%). The patients were treated for single or co-infections using pre-packed National Aids Control Program III STI/RTI Kits. However, based on PCR diagnostics, 1453/1797 (81%) subjects were uninfected for NG/TV/CT. Amongst 344 (19%) infected patients, 257 (75%) carried infection with single pathogen (TV/NG/CT) while 87/344 (25%) were co-infected with multiple pathogens. Prevalence of TV, NG & CT was 4%, 7% and 8% respectively. Co-infection with CT + NG was highest, 51% (44/87), whereas, co-infection with CT + TV was 21% and NG + TV was 18% while co-infection with all three pathogens was 1.3%. We conclude that SCM is imprecise and successful intervention requires accurate and confirmatory diagnostic approach.

  16. Evaluation of the integrated hydrothermal carbonization-algal cultivation process for enhanced nitrogen utilization in Arthrospira platensis production.

    Science.gov (United States)

    Yao, Changhong; Wu, Peichun; Pan, Yanfei; Lu, Hongbin; Chi, Lei; Meng, Yingying; Cao, Xupeng; Xue, Song; Yang, Xiaoyi

    2016-09-01

    Sustainable microalgal cultivation at commercial scale requires nitrogen recycling. This study applied hydrothermal carbonization to recover N of hot-water extracted Arthrospira platensis biomass residue into aqueous phase (AP) under different operation conditions and evaluated the N utilization, biomass yield and quality of A. platensis cultures using AP as the sole N source. With the increase of temperature at 190-210°C or reaction time of 2-3h, the N recovery rate decreased under nitrogen-repletion (+N) cultivation, while contrarily increased under nitrogen-limitation (-N) cultivation. Under +N biomass accumulation in the cultures with AP under 190°C was enhanced by 41-67% compared with that in NaNO3, and the highest protein content of 51.5%DW achieved under 200°C-2h was also 22% higher. Carbohydrate content of 71.4%DW under -N cultivation achieved under 210°C-3h was 14% higher than that in NaNO3. HTC-algal cultivation strategy under -N mode could save 60% of conventional N. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. A study on the proliferation resistance evaluation methodology for nuclear energy system

    International Nuclear Information System (INIS)

    Kim, Min Su

    2007-02-01

    The framework of proliferation resistance evaluation methodology, based on attribute analysis and scenario analysis, for nuclear energy system is suggested in order to allow for the comprehensive assessment of proliferation resistance by addressing the intrinsic and extrinsic features of nuclear energy system. Proliferation resistance is viewed within the context of the success tree model of proliferator's diversion attempt and expressed by the value of top event probability of the success tree model. This study focused on the method that the value of top event is estimated. The methodology uses two different methods to quantify the likelihood of basic events constituting the top event. The likelihood of basic event success affected by intrinsic feature of nuclear energy system was assessed by using multi-attribute utility theory and likelihood of basic event related to the diversion detection measures was assessed by direct expert elicitation. The value of top event was calculated based on the intersection of probabilities of basic event success. Feasibility of the methodology was explored by applying it to selected reference nuclear energy systems. System-Integrated Modular Advanced Reactor (SMART) system and Light Water Reactor (LWR) were chosen as reference systems and the value proliferation resistance of SMART and LWR were evaluated. Characteristics of inherent features and hypothesized safeguards measures of both systems were identified and used as input data to evaluate proliferation resistance. The results and conclusions are applicable only within the context of subjectivity of this methodology

  18. Comparison of the difference and delta 15nitrogen approaches for evaluating liquid urea ammonium nitrate utilization by maize

    International Nuclear Information System (INIS)

    Clay, D.E.

    1997-01-01

    Isotopic nitrogen (N) research techniques may be required in watershed studies to determine the impact of landscape position on fertilizer efficiency and the soil supplying power. However, traditional approaches using 15N labeled fertilizer may not be suitable when farmer equipment is used. The delta 15N natural abundance isotopic approach has been used to evaluate N cycling in watersheds. The objectives of this study were to measure the precision of the delta 15N measurement by the Europa 20-20 ratio mass spectrometer (Europa Scientific Ltd, UK), and to compare the difference and delta 15N approaches for measuring fertilizer use by maize (Zea mays). A replicated field study containing two different N rates (0 and 15.7 g N m-2) were used for the study. Maize samples were collected at the 8th-leaf, silking, and plant maturity in 1992 and 1993. Samples were dried (80 degrees C), ground (1-mm), weighed (stover 12 mg and grain 3 mg), and analyzed for total N and delta 15N. Fertilizer utilization at the three growth stages was determined using the natural abundance delta 15N and nonisotopic difference (fertilizer-control) techniques. During the study, the Europa 20-20 ratio mass spectrometer (Europa Scientific Ltd, UK) analyzed over 100 samples a day and had consumable costs of less than $2.00 per sample. The standard deviations of the mean were less than 0.11 and 0.21 per thousand in 51 and 77% of the stover samples, respectively. In 1992, grain yields were not influenced by N fertilizer additions, while in 1993 grain yields were increased by N fertilizer. The difference method estimated that in 1992, 16% of the N fertilizer was utilized by the crop, while the natural abundance delta 15N approach estimated that 36% of the fertilizer N was used by the crop. Differences between calculated values by the two techniques resulted from the difference method calculating net fertilizer use, while the delta 15N approach calculated fertilizer contained in the plant

  19. Pharmacotherapy Evaluation and Utilization in Coronary Artery Bypass Grafting Patients in Kosovo during the Period 2016-2017

    Directory of Open Access Journals (Sweden)

    Armond Daci

    2018-03-01

    CONCLUSION: The study showed that beta blockers, statins, aspirin, nitrates (before the operation, furosemide and spironolactone are the most utilized drugs. However, we found low utilization rate for ACEi, ARBs, clopidogrel, nadroparin, warfarin, xanthines, amiodarone, calcium blockers. Daily dosages were different compared to before CABG only in metoprolol, losartan, and furosemide.

  20. A critical evaluation of validity and utility of translational imaging in pain and analgesia: Utilizing functional imaging to enhance the process.

    Science.gov (United States)

    Upadhyay, Jaymin; Geber, Christian; Hargreaves, Richard; Birklein, Frank; Borsook, David

    2018-01-01

    Assessing clinical pain and metrics related to function or quality of life predominantly relies on patient reported subjective measures. These outcome measures are generally not applicable to the preclinical setting where early signs pointing to analgesic value of a therapy are sought, thus introducing difficulties in animal to human translation in pain research. Evaluating brain function in patients and respective animal model(s) has the potential to characterize mechanisms associated with pain or pain-related phenotypes and thereby provide a means of laboratory to clinic translation. This review summarizes the progress made towards understanding of brain function in clinical and preclinical pain states elucidated using an imaging approach as well as the current level of validity of translational pain imaging. We hypothesize that neuroimaging can describe the central representation of pain or pain phenotypes and yields a basis for the development and selection of clinically relevant animal assays. This approach may increase the probability of finding meaningful new analgesics that can help satisfy the significant unmet medical needs of patients. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. Investigation of the Feasibility of Utilizing Gamma Emission Computed Tomography in Evaluating Fission Product Migration in Irradiated TRISO Fuel Experiments

    International Nuclear Information System (INIS)

    Harp, Jason M.; Demkowicz, Paul A.

    2014-01-01

    In the High Temperature Gas-Cooled Reactor (HTGR) the TRISO particle fuel serves as the primary fission product containment. However the large number of TRISO particles present in proposed HTGRs dictates that there will be a small fraction (~10"-"4 to 10"-"5) of as manufactured defects and in-pile particle failures that will lead to some fission product release. The matrix material surrounding the TRISO particles in fuel compacts and the structural graphite holding the TRISO particles in place can also serve as sinks for containing any released fission products. However data on the migration of solid fission products through these materials is lacking. One of the primary goals of the AGR-3/4 experiment is to study fission product migration from intentionally failed TRISO particles in prototypic HTGR components such as structural graphite and compact matrix material. In this work, the potential for a Gamma Emission Computed Tomography (GECT) technique to non-destructively examine the fission product distribution in AGR-3/4 components and other irradiation experiments is explored. Specifically, the feasibility of using the Idaho National Laboratory (INL) Hot Fuels Examination Facility (HFEF) Precision Gamma Scanner (PGS) system for this GECT application was considered. Previous experience utilizing similar techniques, the expected activities in AGR-3/4 rings, and analysis of this work indicate using GECT to evaluate AGR-3/4 will be feasible. The GECT technique was also applied to other irradiated nuclear fuel systems currently available in the HFEF hot cell, including oxide fuel pins, metallic fuel pins, and monolithic plate fuel. Results indicate GECT with the HFEF PGS is effective. (author)

  2. Utility of serum periostin and free IgE levels in evaluating responsiveness to omalizumab in patients with severe asthma.

    Science.gov (United States)

    Tajiri, T; Matsumoto, H; Gon, Y; Ito, R; Hashimoto, S; Izuhara, K; Suzukawa, M; Ohta, K; Ono, J; Ohta, S; Ito, I; Oguma, T; Inoue, H; Iwata, T; Kanemitsu, Y; Nagasaki, T; Niimi, A; Mishima, M

    2016-10-01

    Omalizumab, a humanized anti-IgE monoclonal antibody, has demonstrated efficacy in patients with severe allergic asthma. However, treatment responses vary widely among individuals. Despite a lack of data, free serum IgE levels following omalizumab treatment have been proposed as a marker of treatment responsiveness. In this prospective, observational study, we assessed the utility of biomarkers of type 2 inflammation in predicting omalizumab treatment responses, as determined by the absence of asthma exacerbation during the first year of treatment. Free serum IgE levels were monitored for 2 years to examine their association with baseline biomarker levels and the number of exacerbations. We enrolled thirty patients who had been treated with omalizumab for at least 1 year, of whom 27 were treated for 2 years. Baseline serum periostin levels and blood eosinophil counts were significantly higher in patients without exacerbations during the first year of treatment than in patients with exacerbations. Baseline serum periostin levels, but not eosinophil counts, were negatively associated with free serum IgE levels after 16 or 32 weeks of treatment. Reduced free serum IgE levels during treatment from those at baseline were associated with reduced exacerbation numbers at 2 years. In 14 patients who continued to have exacerbations during the first year of treatment, exacerbation numbers gradually and significantly decreased over the 2-year study period, with concurrent significant reductions in free serum IgE levels. Baseline serum periostin levels and serum free IgE levels during treatment follow-up may be useful in evaluating responses to omalizumab treatment. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  3. Utilizing Machine Learning and Automated Performance Metrics to Evaluate Robot-Assisted Radical Prostatectomy Performance and Predict Outcomes.

    Science.gov (United States)

    Hung, Andrew J; Chen, Jian; Che, Zhengping; Nilanon, Tanachat; Jarc, Anthony; Titus, Micha; Oh, Paul J; Gill, Inderbir S; Liu, Yan

    2018-05-01

    Surgical performance is critical for clinical outcomes. We present a novel machine learning (ML) method of processing automated performance metrics (APMs) to evaluate surgical performance and predict clinical outcomes after robot-assisted radical prostatectomy (RARP). We trained three ML algorithms utilizing APMs directly from robot system data (training material) and hospital length of stay (LOS; training label) (≤2 days and >2 days) from 78 RARP cases, and selected the algorithm with the best performance. The selected algorithm categorized the cases as "Predicted as expected LOS (pExp-LOS)" and "Predicted as extended LOS (pExt-LOS)." We compared postoperative outcomes of the two groups (Kruskal-Wallis/Fisher's exact tests). The algorithm then predicted individual clinical outcomes, which we compared with actual outcomes (Spearman's correlation/Fisher's exact tests). Finally, we identified five most relevant APMs adopted by the algorithm during predicting. The "Random Forest-50" (RF-50) algorithm had the best performance, reaching 87.2% accuracy in predicting LOS (73 cases as "pExp-LOS" and 5 cases as "pExt-LOS"). The "pExp-LOS" cases outperformed the "pExt-LOS" cases in surgery time (3.7 hours vs 4.6 hours, p = 0.007), LOS (2 days vs 4 days, p = 0.02), and Foley duration (9 days vs 14 days, p = 0.02). Patient outcomes predicted by the algorithm had significant association with the "ground truth" in surgery time (p algorithm in predicting, were largely related to camera manipulation. To our knowledge, ours is the first study to show that APMs and ML algorithms may help assess surgical RARP performance and predict clinical outcomes. With further accrual of clinical data (oncologic and functional data), this process will become increasingly relevant and valuable in surgical assessment and training.

  4. Cost-utility of laparoscopic Nissen fundoplication versus proton pump inhibitors for chronic and controlled gastroesophageal reflux disease: a 3-year prospective randomized controlled trial and economic evaluation.

    Science.gov (United States)

    Goeree, Ron; Hopkins, Rob; Marshall, John K; Armstrong, David; Ungar, Wendy J; Goldsmith, Charles; Allen, Christopher; Anvari, Mehran

    2011-01-01

    Very few randomized controlled trials (RCTs) have compared laparoscopic Nissen fundoplication (LNF) to proton pump inhibitors (PPI) medical management for patients with chronic gastroesophageal reflux disease (GERD). Larger RCTs have been relatively short in duration, and have reported mixed results regarding symptom control and effect on quality of life (QOL). Economic evaluations have reported conflicting results. To determine the incremental cost-utility of LNF versus PPI for treating patients with chronic and controlled GERD over 3 years from the societal perspective. Economic evaluation was conducted alongside a RCT that enrolled 104 patients from October 2000 to September 2004. Primary study outcome was GERD symptoms (secondary outcomes included QOL and cost-utility). Resource utilization and QOL data collected at regular follow-up intervals determined incremental cost/QALY gained. Stochastic uncertainty was assessed using bootstrapping and methodologic assumptions were assessed using sensitivity analysis. No statistically significant differences in GERD symptom scores, but LNF did result in fewer heartburn days and improved QOL. Costs were higher for LNF patients by $3205/patient over 3 years but QOL was also higher as measured by either QOL instrument. Based on total costs, incremental cost-utility of LNF was $29,404/QALY gained using the Health Utility Index 3. Cost-utility results were sensitive to the utility instrument used ($29,404/QALY for Health Utility Index 3, $31,117/QALY for the Short Form 6D, and $76,310/QALY for EuroQol 5D) and if current lower prices for PPIs were used in the analysis. Results varied depending on resource use/costs included in the analysis, the QOL instrument used, and the cost of PPIs; however, LNF was generally found to be a cost-effective treatment for patients with symptomatic controlled GERD requiring long-term management. Copyright © 2011 International Society for Pharmacoeconomics and Outcomes Research (ISPOR

  5. Racial Disparities in Orthodontic Service Utilization for Medicaid-Enrolled Children: An Evaluation of the Washington Medicaid Program

    Science.gov (United States)

    Merritt, Jantraveus M.; Greenlee, Geoffrey; Bollen, Anne Marie; Scott, JoAnna M.; Chi, Donald L.

    2016-01-01

    Introduction We assess the relationship between race and orthodontic service utilization for Medicaid-enrolled children. Methods This cross-sectional study focused on 570,364 Washington Medicaid-enrolled children ages 6-19 years. The main predictor variable was self-reported race (White versus non-White). The outcome variable was orthodontic service utilization, defined as children who were pre-authorized for orthodontic treatment by Medicaid in 2012 and subsequently received orthodontic records and initiated treatment. Logistic regression models were used to test the hypothesis that non-Whites would be less likely to utilize orthodontic care than Whites. Results A total of 8,223 children were approved by Medicaid for orthodontic treatment and 7,313 received records and initiated treatment. Non-Whites were significantly more likely to utilize orthodontic care than Whites (Odds Ratio [OR]=1.18; 95% confidence interval [CI]=1.02, 1.36; p=.031). Hispanic non-White children were more likely to utilize orthodontic care than non-Hispanic White children (OR=1.42; 95% CI=1.18, 1.70; porthodontic care than White children. The Washington Medicaid program demonstrates a potential model for addressing racial disparities in orthodontic service utilization. Future research should identify mechanisms underlying these findings and continue to monitor orthodontic service utilization for minority children in Medicaid. PMID:27021456

  6. Asotin Creek instream habitat alteration projects : habitat evaluation, adult and juvenile habitat utilization and water temperature monitoring : 2001 progress report

    International Nuclear Information System (INIS)

    Bumgarner, Joseph D.

    2002-01-01

    projects to improve fish habitat. In 1998, the ACCD identified the need for a more detailed analysis of these instream projects to fully evaluate their effectiveness at improving fish habitat. Therefore, ACCD contracted with WDFW's Snake River Lab (SRL) to take pre- and post-construction measurements of the habitat (i.e., pools, LOD, width, depth) at each site, and to evaluate fish use within some of the altered sites. These results have been published annually as progress reports to the ACCD (Bumgarner et al. 1999, Wargo et al. 2000, and Bumgarner and Schuck 2001). The ACCD also contracted with the WDFW SRL to conduct other evaluation and monitoring in the stream such as: (1) conduct snorkel surveys at habitat alteration sites to document fish usage following construction, (2) deploy temperature monitors throughout the basin to document summer water temperatures, and (3) attempt to document adult fish utilization by documenting the number of steelhead redds associated with habitat altered areas. This report provides a summary of pre-construction measurements taken on three proposed Charley Creek habitat sites during 2001, two sites in main Asotin Creek, and one site in George Creek, a tributary that enters in the lower Asotin Creek basin. Further, it provides a comparison of measurements taken pre- and post-construction on three 1999 habitat sites taken two years later, but at similar river flows. It also presents data collected from snorkel surveys, redd counts, and temperature monitoring

  7. Cost of energy from utility-owned solar electric systems. A required revenue method for ERDA/EPRI evaluations

    Energy Technology Data Exchange (ETDEWEB)

    1976-06-01

    This methodology calculates the electric energy busbar cost from a utility-owned solar electric system. This approach is applicable to both publicly- and privately-owned utilities. Busbar cost represents the minimum price per unit of energy consistent with producing system-resultant revenues equal to the sum of system-resultant costs. This equality is expressed in present value terms, where the discount rate used reflects the rate of return required on invested capital. Major input variables describe the output capabilities and capital cost of the energy system, the cash flows required for system operation and maintenance, and the financial structure and tax environment of the utility.

  8. The Impact of Head Start on Children, Families and Communities. Final Report of the Head Start Evaluation, Synthesis and Utilization Project.

    Science.gov (United States)

    McKey, Ruth Hubbell; And Others

    Including all Head Start research (both published and unpublished) and using, when possible, the statistical technique of meta-analysis, this final report of the Head Start Evaluation, Synthesis, and Utilization Project presents findings on the impact of Head Start on children's cognitive and socioemotional development, on child health and health…

  9. Evaluation of alternatives for the disposition of surplus weapons-usable plutonium

    International Nuclear Information System (INIS)

    Dyer, J.S.; Butler, J.C.; Edmunds, T.

    1997-01-01

    The Department of Energy Record of Decision (ROD) selected alternatives for disposition of surplus, weapons grade plutonium. A major objective of this decision was to prevent the proliferation of nuclear weapons. Other concerns addressed included economic, technical, institutional, schedule, environmental, and health and safety issues. The analysis reported here was conducted in parallel with technical, environmental, and nonproliferation analyses; it uses multiattribute utility theory to combine these considerations in order to facilitate an integrated evaluation of alternatives. This analysis is intended to provide additional insight regarding alternative evaluation and to assist in understanding the rationale for the choice of alternatives recommended in the ROD. Value functions were developed for objectives of disposition, and used to rank alternatives. Sensitivity analyses indicated that the ranking of alternatives for the base case was relatively insensitive to changes in assumptions over reasonable ranges. The analyses support the recommendation of the ROD to pursue parallel development of the vitrification immobilization alternative and the use of existing light water reactors alternative. 27 refs., 109 figs., 20 tabs

  10. Pareto utility

    NARCIS (Netherlands)

    Ikefuji, M.; Laeven, R.J.A.; Magnus, J.R.; Muris, C.H.M.

    2013-01-01

    In searching for an appropriate utility function in the expected utility framework, we formulate four properties that we want the utility function to satisfy. We conduct a search for such a function, and we identify Pareto utility as a function satisfying all four desired properties. Pareto utility

  11. A comparison of web-based versus print-based decision AIDS for prostate cancer screening: participants' evaluation and utilization.

    Science.gov (United States)

    Tomko, Catherine; Davis, Kimberly M; Luta, George; Krist, Alexander H; Woolf, Steven H; Taylor, Kathryn L

    2015-01-01

    Patient decision aids facilitate informed decision making for medical tests and procedures that have uncertain benefits. To describe participants' evaluation and utilization of print-based and web-based prostate cancer screening decision aids that were found to improve decisional outcomes in a prior randomized controlled trial. Men completed brief telephone interviews at baseline, one month, and 13 months post-randomization. Participants were primary care patients, 45-70 years old, who received the print-based (N = 628) or web-based decision aid (N = 625) and completed the follow-up assessments. We assessed men's baseline preference for web-based or print-based materials, time spent using the decision aids, comprehension of the overall message, and ratings of the content. Decision aid use was self-reported by 64.3 % (web) and 81.8 % (print) of participants. Significant predictors of decision aid use were race (white vs. non-white, OR = 2.43, 95 % CI: 1.77, 3.35), higher education (OR = 1.68, 95 % CI: 1.06, 2.70) and trial arm (print vs. web, OR = 2.78, 95 % CI: 2.03, 3.83). Multivariable analyses indicated that web-arm participants were more likely to use the website when they preferred web-based materials (OR: 1.91, CI: 1.17, 3.12), whereas use of the print materials was not significantly impacted by a preference for print-based materials (OR: 0.69, CI: 0.38, 1.25). Comprehension of the decision aid message (i.e., screening is an individual decision) did not significantly differ between arms in adjusted analyses (print: 61.9 % and web: 68.2 %, p = 0.42). Decision aid use was independently influenced by race, education, and the decision aid medium, findings consistent with the 'digital divide.' These results suggest that when it is not possible to provide this age cohort with their preferred decision aid medium, print materials will be more highly used than web-based materials. Although there are many advantages to web-based decision aids, providing an option for

  12. Evaluating the cost utility of racecadotril for the treatment of acute watery diarrhea in children: the RAWD model

    Directory of Open Access Journals (Sweden)

    Rautenberg TA

    2012-04-01

    Full Text Available Tamlyn Anne Rautenberg1,2, Ute Zerwes1, Douglas Foerster3,4, Rick Aultman51Assessment in Medicine GmbH, Lörrach, Germany; 2Leeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom; 3Abbott Products Operations AG, Allschwil, Switzerland; 4University of Bielefeld, School of Public Health, Bielefeld, Germany; 5Semalytics, Arizona, United States of AmericaBackground: The safety and efficacy of racecadotril to treat acute watery diarrhea (AWD in children is well established, however its cost effectiveness for infants and children in Europe has not yet been determined.Objective: To evaluate the cost utility of racecadotril adjuvant with oral rehydration solution (ORS compared to ORS alone for the treatment of AWD in children younger than 5 years old. The analysis is performed from a United Kingdom National Health Service (NHS perspective.Methods: A decision tree model has been developed in Microsoft® Excel. The model is populated with the best available evidence. Deterministic and probabilistic sensitivity analyses (PSA have been performed. Health effects are measured as quality-adjusted life years (QALYs and the model output is cost (2011 GBP per QALY. The uncertainty in the primary outcome is explored by probabilistic analysis using 1000 iterations of a Monte Carlo simulation.Results: Deterministic analysis results in a total incremental cost of –£379 in favor of racecadotril and a total incremental QALY gain in favor of racecadotril of +0.0008. The observed cost savings with racecadotril arise from the reduction in primary care reconsultation and secondary referral. The difference in QALYs is largely attributable to the timely resolution of symptoms in the racecadotril arm. Racecadotril remains dominant when base case parameters are varied. Monte Carlo simulation and PSA confirm that racecadotril is the dominant treatment strategy and is almost certainly cost effective, under the central assumptions of the model, at a

  13. Sistemática para avaliação multicriterial de investimentos no desenvolvimento de produtos A systematic analysis for multi-criteria evaluation of product development investments

    Directory of Open Access Journals (Sweden)

    Alejandro Germán Frank

    2011-01-01

    Full Text Available Este artigo apresenta uma sistemática para avaliação multicriterial de investimentos associados ao desenvolvimento de produtos. A sistemática proposta se apoia nos critérios-chave a serem considerados na tomada de decisão. Ela é baseada na utilização dos métodos de avaliação econômica de investimentos VPL e payback, assim como nas ferramentas de desenvolvimento de produtos, QFD (Quality Function Deployment e SWOT (Strenght-Weaknesses-Oportunities-Threats, utilizadas como suporte para a construção do método de avaliação multicriterial MAUT (Multiattribute Utility Theory. A sistemática proposta apresenta duas contribuições principais: i a análise integrada de três critérios-chave para a decisão de investimentos em novos produtos: rentabilidade (considerada na avaliação econômica, qualidade (considerada no QFD e estratégia (considerada no SWOT e ii uma modificação nas ponderações utilizadas na avaliação do MAUT, que reduz a subjetividade da atribuição de valores. A abordagem proposta foi avaliada em um caso aplicado e os resultados obtidos são discutidos.This paper presents a systematic analysis for multi-criteria evaluation of product development investments. The proposed systematic analysis is supported by key criteria to be considered during decision making. It is based on the use of traditional investment evaluation methods, such as NPV and payback, as well as in product development tools - QFD and SWOT. These tools are employed to assist the construction of the multi-criteria evaluation method, which follows the precepts of the Multi-attribute Utility Theory (MAUT. The proposed systematic analysis provides two main contributions: i it integrates three key criteria concerning new product investment decisions: profit (considered by the economic evaluation, quality (considered by QFD, and strategy (considered by SWOT; ii it includes a modification in the definition of the weights used by the MAUT evaluation

  14. Utility of coronal contrast-enhanced fat-suppressed FLAIR in the evaluation of optic neuropathy and atrophy

    Directory of Open Access Journals (Sweden)

    Kevin H. Boegel

    Full Text Available Background and purpose: Evaluating chronic sequelae of optic neuritis, such as optic neuropathy with or without optic nerve atrophy, can be challenging on whole brain MRI. This study evaluated the utility of dedicated coronal contrast-enhanced fat-suppressed FLAIR (CE-FS-FLAIR MR imaging to detect optic neuropathy and optic nerve atrophy. Materials and methods: Over 4.5 years, a 3 mm coronal CE-FS-FLAIR sequence at 1.5T was added to the routine brain MRIs of 124 consecutive patients, 102 of whom had suspected or known demyelinating disease. Retrospective record reviews confirmed that 28 of these 102 had documented onset of optic neuritis >4 weeks prior to the brain MRI. These 28 were compared to the other 22 (“controls” of the 124 patients who lacked a history of demyelinating disease or visual symptoms. Using coronal CE-FS-FLAIR, two neuroradiologists separately graded each optic nerve (n = 50 patients, 100 total nerves as either negative, equivocal, or positive for optic neuropathy or atrophy. The scoring was later repeated. Results: The mean time from acute optic neuritis onset to MRI was 4.1 ± 4.6 years (range 34 days-17.4 years. Per individual nerve grading, the range of sensitivity, specificity, and accuracy of coronal CE-FS-FLAIR in detecting optic neuropathy was 71.4–77.1%, 93.8–95.4%, and 85.5–89.0%, respectively, with strong interobserver (k = 0.667 − 0.678, p < 0.0001, and intraobserver (k = 0.706 − 0.763, p < 0.0001 agreement. For optic atrophy, interobserver agreement was moderate (k = 0.437 − 0.484, p < 0.0001, while intraobserver agreement was moderate-strong (k = 0.491 − 0.596, p < 0.0001. Conclusion: Coronal CE-FS-FLAIR is quite specific in detecting optic neuropathy years after the onset of acute optic neuritis, but is less useful in detecting optic nerve atrophy. Keywords: Optic

  15. New Tools and Methods for Assessing Risk-Management Strategies

    National Research Council Canada - National Science Library

    Vendlinski, Terry P; Munro, Allen; Chung, Gregory K; De la Cruz, Girlie C; Pizzini, Quentin A; Bewley, William L; Stuart, Gale; Baker, Eva L

    2004-01-01

    .... The Decision Analysis Tool (DAT) allowed subjects to use Expected Value and Multi-attribute Utility Theories to evaluate the risks and benefits of various acquisition alternatives, and allowed us to monitor the process subjects used...

  16. A qualitative multi-attribute model for the selection of the private hydropower plant investments in Turkey: By foundation of the search results clustering engine (Carrot2, hydropower plant clustering, DEXi and DEXiTree

    Directory of Open Access Journals (Sweden)

    Burak Omer Saracoglu

    2016-03-01

    Full Text Available Purpose: The electricity demand in Turkey has been increasing for a while. Hydropower is one of the major electricity generation types to compensate this electricity demand in Turkey. Private investors (domestic and foreign in the hydropower electricity generation sector have been looking for the most appropriate and satisfactory new private hydropower investment (PHPI options and opportunities in Turkey. This study aims to present a qualitative multi-attribute decision making (MADM model, that is easy, straightforward, and fast for the selection of the most satisfactory reasonable PHPI options during the very early investment stages (data and information poorness on projects. Design/methodology/approach: The data and information of the PHPI options was gathered from the official records on the official websites. A wide and deep literature review was conducted for the MADM models and for the hydropower industry. The attributes of the model were identified, selected, clustered and evaluated by the expert decision maker (EDM opinion and by help of an open source search results clustering engine (Carrot2 (helpful for also comprehension. The PHPI options were clustered according to their installed capacities main property to analyze the options in the most appropriate, decidable, informative, understandable and meaningful way. A simple clustering algorithm for the PHPI options was executed in the current study. A template model for the selection of the most satisfactory PHPI options was built in the DEXi (Decision EXpert for Education and the DEXiTree software. Findings: The basic attributes for the selection of the PHPI options were presented and afterwards the aggregate attributes were defined by the bottom-up structuring for the early investment stages. The attributes were also analyzed by help of Carrot2. The most satisfactory PHPI options in Turkey in the big options data set were selected for each PHPI options cluster by the EDM evaluations in

  17. Evaluating Potential Human Health Risks Associated with the Development of Utility-Scale Solar Energy Facilities on Contaminated Sites

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, J. -J. [Argonne National Lab. (ANL), Argonne, IL (United States); Chang, Y. -S. [Argonne National Lab. (ANL), Argonne, IL (United States); Hartmann, H. [Argonne National Lab. (ANL), Argonne, IL (United States); Wescott, K. [Argonne National Lab. (ANL), Argonne, IL (United States); Kygeris, C. [Indiana Univ. of Pennsylvania, PA (United States)

    2013-09-01

    This report presents a general methodology for obtaining preliminary estimates of the potential human health risks associated with developing a utility-scale solar energy facility on a contaminated site, based on potential exposures to contaminants in soils (including transport of those contaminants into the air).

  18. Evaluation of Technical and Utility Programmatic Challenges With Residential Forced-Air Integrated Space/Water Heat Systems

    Energy Technology Data Exchange (ETDEWEB)

    Kingston, Tim [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States); Vadnal, Hillary [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States); Scott, Shawn [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States); Kalensky, Dave [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States)

    2016-12-01

    This multi-unit field demonstration of combined space and water heating (combi) systems was conducted to help document combi system installation and performance issues that needed to be addressed through research. The objective of the project was to put commercialized forced-air tankless combi units into the field through local contractors that were trained by manufacturers and GTI staff under the auspices of utility-implemented ETPs.

  19. Utility and work productivity data for economic evaluation of breast cancer therapies in the Netherlands and Sweden.

    Science.gov (United States)

    Frederix, Gerardus W J; Quadri, Nuz; Hövels, Anke M; van de Wetering, Fleur T; Tamminga, Hans; Schellens, Jan H M; Lloyd, Andrew J

    2013-04-01

    This study aimed to estimate utility values in laypeople and productivity loss for women with breast cancer in Sweden and the Netherlands. To capture utilities, validated health state vignettes were used, which were translated into Dutch and Swedish. They described progressive disease, stable disease, and 7 grade 3/4 adverse events. One hundred members of the general public in each country rated the states using the visual analog scale and time trade-off method. To assess productivity, women who had recently completed or were currently receiving treatment for early or advanced breast cancer (the Netherlands, n = 161; Sweden, n = 52) completed the Work Productivity and Activity Impairment-General Health (WPAI-GH) questionnaire. Data were analyzed using means (SD). The utility study showed that the Swedish sample rated progressive and stable disease (mean, 0.61 [0.07] and 0.81 [0.05], respectively) higher than did the Dutch sample (0.49 [0.06] and 0.69 [0.05]). The health states incorporating the toxicities in both countries produced similar mean scores. Results of the WPAI-GH showed that those currently receiving treatment reported productivity reductions of 69% (the Netherlands) and 72% (Sweden); those who had recently completed therapy reported reductions of 41% (the Netherlands) and 40% (Sweden). The differences in the utility scores between the 2 countries underline the importance of capturing country-specific values. The significant impact of adverse events on health-related quality of life was also highlighted. The WPAI-GH results demonstrated how the negative impact of breast cancer on productivity persists after women have completed their treatment. Copyright © 2013 Elsevier HS Journals, Inc. All rights reserved.

  20. Overcoming Structural Constraints to Patient Utilization of Electronic Medical Records: A Critical Review and Proposal for an Evaluation Framework

    OpenAIRE

    Winkelman, Warren J.; Leonard, Kevin J.

    2004-01-01

    There are constraints embedded in medical record structure that limit use by patients in self-directed disease management. Through systematic review of the literature from a critical perspective, four characteristics that either enhance or mitigate the influence of medical record structure on patient utilization of an electronic patient record (EPR) system have been identified: environmental pressures, physician centeredness, collaborative organizational culture, and patient centeredness. An ...

  1. Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: utility, technical performance and service provider perspective.

    LENUS (Irish Health Repository)

    Breen, Patricia

    2010-01-01

    Formative evaluation is conducted in the early stages of system implementation to assess how it works in practice and to identify opportunities for improving technical and process performance. A formative evaluation of a teleneurophysiology service was conducted to examine its technical and sociological dimensions.

  2. Land use/land cover and land capability data for evaluating land utilization and official land use planning in Indramayu Regency, West Java, Indonesia

    Science.gov (United States)

    Ambarwulan, W.; Widiatmaka; Nahib, I.

    2018-05-01

    Land utilization in Indonesia is regulated in an official spatial land use planning (OSLUP), stipulated by government regulations. However in fact, land utilizations are often develops inconsistent with regulations. OSLUP itself is also not usually compatible with sustainable land utilizations. This study aims to evaluate current land utilizations and OSLUP in Indramayu Regency, West Java. The methodology used is the integrated analysis using land use and land cover (LU/LC) data, land capability data and spatial pattern in OSLUP. Actual LU/LC are interpreted using SPOT-6 imagery of 2014. The spatial data of land capabilities are derived from land capability classification using field data and laboratory analysis. The confrontation between these spatial data is interpreted in terms of future direction for sustainable land use planning. The results shows that Indramayu regency consists of 8 types of LU/LC. Land capability in research area range from class II to VIII. Only a small portion of the land in Indramayu has been used in accordance with land capability, but most of the land is used exceeding its land capability.

  3. Evaluation of the release characteristics of covalently attached or electrostatically bound biocidal polymers utilizing SERS and UV-Vis absorption

    Directory of Open Access Journals (Sweden)

    G. N. Mathioudakis

    2016-09-01

    Full Text Available In this work, biocidal polymers with antimicrobial quaternized ammonium groups introduced in the polymer biocidal chains either through covalent attachment or electrostatic interaction have been separately incorporated in a poly (methyl methacrylate polymer matrix. The objective of present study was to highlight the release characteristics of biocidal polymers, primarily in saline but also in water ethanol solutions, utilizing UV-Vis absorption and Surface Enhanced Raman Scattering (SERS. It is shown that through the combination of UV-Vis and SERS techniques, upon the release process, it is possible the discrimination of the polymeric backbone and the electrostatically bound biocidal species. Moreover, it is found that electrostatically bound and covalently attached biocidal species show different SERS patterns. The long term aim is the development of antimicrobial polymeric materials containing both ionically bound and covalently attached quaternary ammonium thus achieving a dual functionality in a single component polymeric design.

  4. TIES for Dummies 3rd Edition (Technology Identification, Evaluation, and Selection) Basic how to's to implement the TIES method

    Science.gov (United States)

    Kirby, Michelle R.

    2002-01-01

    The TIES method is a forecasting environment whereby the decision-maker has the ability to easily assess and trade-off the impact of various technologies without sophisticated and time-consuming mathematical formulations. TIES provides a methodical approach where technically feasible alternatives can be identified with accuracy and speed to reduce design cycle time, and subsequently, life cycle costs, and was achieved through the use of various probabilistic methods, such as Response Surface Methodology and Monte Carlo Simulations. Furthermore, structured and systematic techniques are utilized from other fields to identify possible concepts and evaluation criteria by which comparisons can be made. This objective is achieved by employing the use of Morphological Matrices and Multi-Attribute Decision Making techniques. Through the execution of each step, a family of design alternatives for a given set of customer requirements can be identified and assessed subjectively or objectively. This methodology allows for more information (knowledge) to be brought into the earlier phases of the design process and will have direct implications on the affordability of the system. The increased knowledge allows for optimum allocation of company resources and quantitative justification for program decisions. Finally, the TIES method provided novel results and quantitative justification to facilitate decision making in the early stages of design so as to produce affordable and quality products.

  5. The Imprecise Science of Evaluating Scholarly Performance: Utilizing Broad Quality Categories for an Assessment of Business and Management Journals

    Science.gov (United States)

    Lange, Thomas

    2006-01-01

    In a growing number of countries, government-appointed assessment panels develop ranks on the basis of the quality of scholarly outputs to apportion budgets in recognition of evaluated performance and to justify public funds for future R&D activities. When business and management journals are being grouped in broad quality categories, a recent…

  6. Utility of multidetector row computed tomography and virtual bronchoscopy in evaluation of hemoptysis due to lung cancer

    Directory of Open Access Journals (Sweden)

    Sherif A.A. Mohamed

    2016-01-01

    Conclusion: MDCT angiography is a useful and non invasive method that allows a rapid and detailed identification of abnormal vasculature responsible for hemoptysis in patients with lung cancer. MDCT-generated virtual bronchoscopy is an accurate, and non invasive method for evaluating obstructions, endoluminal masses, and external compressions in patients with hemoptysis due to lung cancer.

  7. FIELD EVALUATION OF LOW-EMISSION COAL BURNER TECHNOLOGY ON UTILITY BOILERS VOLUME II. SECOND GENERATION LOW-NOX BURNERS

    Science.gov (United States)

    The report describes tests to evaluate the performance characteristics of three Second Generation Low-NOx burner designs: the Dual Register burner (DRB), the Babcock-Hitachi NOx Reducing (HNR) burner, and the XCL burner. The three represent a progression in development based on t...

  8. An LCA-based evaluation of biomass to transportation fuels production and utilization pathways in a large port's context

    NARCIS (Netherlands)

    Tsalidis, George; El Discha, Fadhila; Korevaar, Gijsbert; Haije, Wim; de Jong, Wiebren; Kiel, Jaap

    This study evaluates whether a transition of large ports facilities to biofuel production for mobility improves the environmental performance and satisfies the renewable energy directive (RED) and it is the first LCA study that considers biofuel production from torrefied wood. The systems studied

  9. Utilization of potatoes for life support in space. V. Evaluation of cultivars in response to continuous light and high temperature

    Science.gov (United States)

    Tibbitts, T. W.; Cao, W.; Bennett, S. M.

    1992-01-01

    Twenty-four potato (Solanum tuberosum L.) cultivars from different regions of the world were evaluated in terms of their responses to continuous light (24 h photoperiod) and to high temperature (30 C) in two separate experiments under controlled environments. In each experiment, a first evaluation of the cultivars was made at day 35 after transplanting, at which time 12 cultivars exhibiting best growth and tuber initiation were selected. A final evaluation of the 12 cultivars was made after an additional 21 days of growth, at which time plant height, total dry weight, tuber dry weight, and tuber number were determined. In the continuous light evaluation, the 12 selected cultivars were Alaska 114, Atlantic, Bintje, Denali, Desiree, Haig, New York 81, Ottar, Rutt, Snogg, Snowchip, and Troll. In the high temperature evaluation, the 12 selected cultivars were Alpha, Atlantic, Bake King, Denali, Desiree, Haig, Kennebec, Norland, Russet Burbank, Rutt, Superior, and Troll. Among the cultivars selected under continuous irradiation, Desiree, Ottar, Haig, Rutt, Denali and Alaska showed the best potential for high productivity whereas New York 81 and Bintje showed the least production capability. Among the cultivars selected under high temperature, Rutt, Haig, Troll and Bake King had best performance whereas Atlantic, Alpha, Kennebec and Russet Burbank exhibited the least production potential. Thus, Haig and Rutt were the two cultivars that performed well under continuous irradiation and high temperature conditions, and could have maximum potential for adaptation to varying stress environments. These two cultivars may have the best potential for use in future space farming in which continuous light and/or high temperature conditions may exist. However, cultivar responses under combined conditions of continuous light and high temperature remains for further validation.

  10. Improved laboratory resource utilization and patient care with the use of rapid on-site evaluation for endobronchial ultrasound fine-needle aspiration biopsy.

    Science.gov (United States)

    Collins, Brian T; Chen, Alexander C; Wang, Jeff F; Bernadt, Cory T; Sanati, Souzan

    2013-10-01

    Endobronchial ultrasound guided (EBUS) fine-needle aspiration (FNA) biopsy has become widely used to evaluate patients with thoracic abnormalities. Rapid on-site evaluation (ROSE) can provide the bronchoscopist with immediate evaluation findings during the procedure. This study examines EBUS FNA biopsy procedures with and without ROSE, and investigates the impact of ROSE service on the EBUS procedure and laboratory resource utilization. The cytopathology database at Washington University Medical Center, St. Louis, Missouri, was searched for EBUS FNA biopsy cases before and after introduction of ROSE service, and a matched cohort was collected. Reports were reviewed and pertinent data was collected, such as sites biopsied, ROSE performance, slide smears, cell blocks, and diagnostic categories. Statistical analysis of the results was performed. A matched case-controlled EBUS FNA cohort of 340 patients (680 total) for each category of non-ROSE and ROSE service were identified. There was a 33% reduction in the number of sites biopsied with ROSE. A total of 68% of patients with ROSE had just one biopsy site compared to only 36% of non-ROSE patients. There was a 30% decrease in total slides (mean, 5.27 slides) after the introduction of ROSE. All of these improvements were statistically significant. EBUS FNA biopsy ROSE service benefits patients by contributing to significantly fewer biopsies and improved utilization of health care resources. ROSE service results in substantially fewer total slides, which has a significant impact on the cytopathology laboratory work effort. The use of ROSE for EBUS FNA biopsy provides significant improvements in patient care and laboratory resource utilization. © 2013 American Cancer Society.

  11. Electric utility engineer`s FGD manual -- Volume 2: Major mechanical equipment; FGD proposal evaluations; Use of FGDPRISM in FGD system modification, proposal, evaluation, and design; FGD system case study. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-04

    Part 2 of this manual provides the electric utility engineer with detailed technical information on some of the major mechanical equipment used in the FGD system. The objectives of Part 2 are the following: to provide the electric utility engineer with information on equipment that may be unfamiliar to him, including ball mills, vacuum filters, and mist eliminators; and to identify the unique technique considerations imposed by an FGD system on more familiar electric utility equipment such as fans, gas dampers, piping, valves, and pumps. Part 3 provides an overview of the recommended procedures for evaluating proposals received from FGD system vendors. The objectives are to provide procedures for evaluating the technical aspects of proposals, and to provide procedures for determining the total costs of proposals considering both initial capital costs and annual operating and maintenance costs. The primary objective of Part 4 of this manual is to provide the utility engineer who has a special interest in the capabilities of FGDPRISM [Flue Gas Desulfurization PRocess Integration and Simulation Model] with more detailed discussions of its uses, requirements, and limitations. Part 5 is a case study in using this manual in the preparation of a purchase specification and in the evaluation of proposals received from vendors. The objectives are to demonstrate how the information contained in Parts 1 and 2 can be used to improve the technical content of an FGD system purchase specification; to demonstrate how the techniques presented in Part 3 can be used to evaluate proposals received in response to the purchase specification; and to illustrate how the FGDPRISM computer program can be used to establish design parameters for the specification and evaluate vendor designs.

  12. Criteria for preparation and evaluation of radiological emergency response plans and preparedness in support of nuclear power plants: Criteria for utility offsite planning and preparedness: Final report

    International Nuclear Information System (INIS)

    Podolak, E.M. Jr.; Sanders, M.E.; Wingert, V.L.; Donovan, R.W.

    1988-09-01

    The Nuclear Regulatory Commission (NRC) and the Federal Emergency Management Agency (FEMA) have added a supplement to NUREG-0654/FEMA-REP-1, Rev. 1 that provides guidance for the development, review, and evaluation of utility offsite radiological emergency response planning and preparedness for those situations in which state and/or local governments decline to participate in emergency planning. While this guidance primarily applies to plants that do not have full-power operating licenses, it does have relevance to operating nuclear power plants

  13. The utility of the guppy (Poecilia reticulata) and medaka (Oryzias latipes) in evaluation of chemicals for carcinogenicity.

    Science.gov (United States)

    Kissling, Grace E; Bernheim, Naomi J; Hawkins, William E; Wolfe, Marilyn J; Jokinen, Micheal P; Smith, Cynthia S; Herbert, Ronald A; Boorman, Gary A

    2006-07-01

    There has been considerable interest in the use of small fish models for detecting potential environmental carcinogens. In this study, both guppies (Poecilia reticulata) and medaka (Oryzias latipes) were exposed in the aquaria water to three known rodent carcinogens for up to 16 months. Nitromethane, which caused mammary gland tumors by inhalation exposure in female rats, harderian gland and lung tumors in male and female mice, and liver tumors in female mice by inhalation, failed to increase tumors in either guppies or medaka. Propanediol, which when given in the feed was a multisite carcinogen in both sexes of rats and mice, caused increased liver tumors in male guppies and male medaka. There was reduced survival in female guppies and no increased tumors in female medaka. 1,2,3-Trichloropropane, which when administered by oral gavage was a multisite carcinogen in both sexes of rats and mice, caused an increased incidence of tumors in the liver of both male and female guppies and medaka and in the gallbladder of male and female medaka. The results of this study demonstrate that for these three chemicals, under these specific exposure conditions, the fish appear less sensitive and have a narrower spectrum of tissues affected than rodents. These results suggest that fish models are of limited utility in screening unknown chemicals for potential carcinogenicity.

  14. Evaluating the utility and seasonality of NDVI values for assessing post-disturbance recovery in a subalpine forest.

    Science.gov (United States)

    Buma, Brian

    2012-06-01

    Forest disturbances around the world have the potential to alter forest type and cover, with impacts on diversity, carbon storage, and landscape composition. These disturbances, especially fire, are common and often large, making ground investigation of forest recovery difficult. Remote sensing offers a means to monitor forest recovery in real time, over the entire landscape. Typically, recovery monitoring via remote sensing consists of measuring vegetation indices (e.g., NDVI) or index-derived metrics, with the assumption that recovery in NDVI (for example) is a meaningful measure of ecosystem recovery. This study tests that assumption using MODIS 16-day imagery from 2000 to 2010 in the area of the Colorado's Routt National Forest Hinman burn (2002) and seedling density counts taken in the same area. Results indicate that NDVI is rarely correlated with forest recovery, and is dominated by annual and perennial forb cover, although topography complicates analysis. Utility of NDVI as a means to delineate areas of recovery or non-recovery are in doubt, as bootstrapped analysis indicates distinguishing power only slightly better than random. NDVI in revegetation analyses should carefully consider the ecology and seasonal patterns of the system in question.

  15. Analytical performance evaluation of a high-volume hematology laboratory utilizing sigma metrics as standard of excellence.

    Science.gov (United States)

    Shaikh, M S; Moiz, B

    2016-04-01

    Around two-thirds of important clinical decisions about the management of patients are based on laboratory test results. Clinical laboratories are required to adopt quality control (QC) measures to ensure provision of accurate and precise results. Six sigma is a statistical tool, which provides opportunity to assess performance at the highest level of excellence. The purpose of this study was to assess performance of our hematological parameters on sigma scale in order to identify gaps and hence areas of improvement in patient care. Twelve analytes included in the study were hemoglobin (Hb), hematocrit (Hct), red blood cell count (RBC), mean corpuscular volume (MCV), red cell distribution width (RDW), total leukocyte count (TLC) with percentages of neutrophils (Neutr%) and lymphocytes (Lymph %), platelet count (Plt), mean platelet volume (MPV), prothrombin time (PT), and fibrinogen (Fbg). Internal quality control data and external quality assurance survey results were utilized for the calculation of sigma metrics for each analyte. Acceptable sigma value of ≥3 was obtained for the majority of the analytes included in the analysis. MCV, Plt, and Fbg achieved value of performed poorly on both level 1 and 2 controls with sigma value of <3. Despite acceptable conventional QC tools, application of sigma metrics can identify analytical deficits and hence prospects for the improvement in clinical laboratories. © 2016 John Wiley & Sons Ltd.

  16. Numerical modelling of a bromide-polysulphide redox flow battery. Part 2: Evaluation of a utility-scale system

    International Nuclear Information System (INIS)

    Scamman, Daniel P.; Roberts, Edward P.L.; Reade, Gavin W.

    2009-01-01

    Numerical modelling of redox flow battery (RFB) systems allows the technical and commercial performance of different designs to be predicted without costly lab, pilot and full-scale testing. A numerical model of a redox flow battery was used in conjunction with a simple cost model incorporating capital and operating costs to predict the technical and commercial performance of a 120 MWh/15 MW utility-scale polysulphide-bromine (PSB) storage plant for arbitrage applications. Based on 2006 prices, the system was predicted to make a net loss of 0.45 p kWh -1 at an optimum current density of 500 A m -2 and an energy efficiency of 64%. The system was predicted to become economic for arbitrage (assuming no further costs were incurred) if the rate constants of both electrolytes could be increased to 10 -5 m s -1 , for example by using a suitable (low cost) electrocatalyst. The economic viability was found to be strongly sensitive to the costs of the electrochemical cells and the electrical energy price differential. (author)

  17. The Utility of 64 Channel Multidetector CT Angiography for Evaluating the Renal Vascular Anatomy and Possible Variations: a Pictorial Essay

    International Nuclear Information System (INIS)

    Kumar, Sheo; Neyaz, Zafar; Gupta, Archna

    2010-01-01

    The increased use of laparoscopic nephrectomy and nephron-sparing surgery has prompted the need for a more detailed radiological evaluation of the renal vascular anatomy. Multidetector CT angiography is a fast and accurate modality for assessing the precise anatomy of the renal vessels. In this pictorial review, we present the multidetector CT angiography appearances of the normal renal vascular anatomy and a spectrum of various anomalies that require accurate vascular depiction before undergoing surgical treatment

  18. The Utility of 64 Channel Multidetector CT Angiography for Evaluating the Renal Vascular Anatomy and Possible Variations: a Pictorial Essay

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, Sheo; Neyaz, Zafar; Gupta, Archna [Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (India)

    2010-06-15

    The increased use of laparoscopic nephrectomy and nephron-sparing surgery has prompted the need for a more detailed radiological evaluation of the renal vascular anatomy. Multidetector CT angiography is a fast and accurate modality for assessing the precise anatomy of the renal vessels. In this pictorial review, we present the multidetector CT angiography appearances of the normal renal vascular anatomy and a spectrum of various anomalies that require accurate vascular depiction before undergoing surgical treatment.

  19. The utility of 64 channel multidetector CT angiography for evaluating the renal vascular anatomy and possible variations: a pictorial essay.

    Science.gov (United States)

    Kumar, Sheo; Neyaz, Zafar; Gupta, Archna

    2010-01-01

    The increased use of laparoscopic nephrectomy and nephron-sparing surgery has prompted the need for a more detailed radiological evaluation of the renal vascular anatomy. Multidetector CT angiography is a fast and accurate modality for assessing the precise anatomy of the renal vessels. In this pictorial review, we present the multidetector CT angiography appearances of the normal renal vascular anatomy and a spectrum of various anomalies that require accurate vascular depiction before undergoing surgical treatment.

  20. A Critical Evaluation on Programming Paradigms to Achieve Optimal Resource Utilization of Mobile Softwares in Mobile Devices

    OpenAIRE

    Selvakumar Samuel; Arangasamy Kovalan

    2014-01-01

    This paper evaluates the features of mainstream programming paradigms. Imperative, object oriented programming and functional programming concepts are considered here. This is an effort to identify the programming paradigms which consume less resource from mobile devices. Designers usually depend on the programming languages, language oriented programming design is in current practice. Choosing appropriate programming paradigms during the mobile application design is not in practice now; Fail...

  1. A zero-footprint 3D visualization system utilizing mobile display technology for timely evaluation of stroke patients

    Science.gov (United States)

    Park, Young Woo; Guo, Bing; Mogensen, Monique; Wang, Kevin; Law, Meng; Liu, Brent

    2010-03-01

    When a patient is accepted in the emergency room suspected of stroke, time is of the utmost importance. The infarct brain area suffers irreparable damage as soon as three hours after the onset of stroke symptoms. A CT scan is one of standard first line of investigations with imaging and is crucial to identify and properly triage stroke cases. The availability of an expert Radiologist in the emergency environment to diagnose the stroke patient in a timely manner only increases the challenges within the clinical workflow. Therefore, a truly zero-footprint web-based system with powerful advanced visualization tools for volumetric imaging including 2D. MIP/MPR, 3D display can greatly facilitate this dynamic clinical workflow for stroke patients. Together with mobile technology, the proper visualization tools can be delivered at the point of decision anywhere and anytime. We will present a small pilot project to evaluate the use of mobile technologies using devices such as iPhones in evaluating stroke patients. The results of the evaluation as well as any challenges in setting up the system will also be discussed.

  2. Integrating knowledge generation with knowledge diffusion and utilization: a case study analysis of the Consortium for Applied Research and Evaluation in Mental Health.

    Science.gov (United States)

    Vingilis, Evelyn; Hartford, Kathleen; Schrecker, Ted; Mitchell, Beth; Lent, Barbara; Bishop, Joan

    2003-01-01

    Knowledge diffusion and utilization (KDU) have become a key focus in the health research community because of the limited success to date of research findings to inform health policies, programs and services. Yet, evidence indicates that successful KDU is often predicated on the early involvement of potential knowledge users in the conceptualization and conduct of the research and on the development of a "partnership culture". This study describes the integration of KDU theory with practice via a case study analysis of the Consortium for Applied Research and Evaluation in Mental Health (CAREMH). This qualitative study, using a single-case design, included a number of data sources: proposals, meeting minutes, presentations, publications, reports and curricula vitae of CAREMH members. CAREMH has adopted the following operational strategies to increase KDU capacity: 1) viewing research as a means and not as an end; 2) bringing the university and researcher to the community; 3) using participatory research methods; 4) embracing transdisciplinary research and interactions; and 5) using connectors. Examples of the iterative process between researchers and potential knowledge users in their contribution to knowledge generation, diffusion and utilization are provided. This case study supports the importance of early and ongoing involvement of relevant potential knowledge users in research to enhance its utilization potential. It also highlights the need for re-thinking research funding approaches.

  3. Public health genomics and genetic test evaluation: the challenge of conducting behavioural research on the utility of lifestyle-genetic tests.

    Science.gov (United States)

    Sanderson, Saskia C; Wardle, Jane; Humphries, Steve E

    2008-01-01

    Human genetics research is increasingly concerned with multifactorial conditions such as diabetes and heart disease, which are influenced not only by genetic but also lifestyle factors such as diet and smoking. Although the results of 'lifestyle-genetic' tests using this information could conceivably motivate lifestyle changes in the future, companies are already selling such tests and related lifestyle advice commercially. Some academics and lobby groups have condemned the companies for selling these tests in advance of scientific support. Others are concerned that the tests may not motivate lifestyle improvements, instead causing distress in people receiving adverse test results and complacency in those receiving reassuring results. There is currently no regulatory oversight of genetic test utility, despite consensus in the Public Health Genomics community that clinical utility (including psychological and behavioural impact) of all emerging genetic tests should be evaluated before being introduced for individual use. Clearly, empirical data in this area is much needed, to inform understanding of the potential utility of these tests, and of whether stricter regulation of commercial exploitation is needed. In this article, we review the current situation regarding lifestyle-genetic tests, and discuss the challenges inherent in conducting this kind of behavioural research in the genomics era. Copyright 2008 S. Karger AG, Basel.

  4. Usability and utility evaluation of the web-based "Should I Start Insulin?" patient decision aid for patients with type 2 diabetes among older people.

    Science.gov (United States)

    Lee, Yew Kong; Lee, Ping Yein; Ng, Chirk Jenn; Teo, Chin Hai; Abu Bakar, Ahmad Ihsan; Abdullah, Khatijah Lim; Khoo, Ee Ming; Hanafi, Nik Sherina; Low, Wah Yun; Chiew, Thiam Kian

    2018-01-01

    This study aimed to evaluate the usability (ease of use) and utility (impact on user's decision-making process) of a web-based patient decision aid (PDA) among older-age users. A pragmatic, qualitative research design was used. We recruited patients with type 2 diabetes who were at the point of making a decision about starting insulin from a tertiary teaching hospital in Malaysia in 2014. Computer screen recording software was used to record the website browsing session and in-depth interviews were conducted while playing back the website recording. The interviews were analyzed using the framework approach to identify usability and utility issues. Three cycles of iteration were conducted until no more major issues emerged. Thirteen patients participated: median age 65 years old, 10 men, and nine had secondary education/diploma, four were graduates/had postgraduate degree. Four usability issues were identified (navigation between pages and sections, a layout with open display, simple language, and equipment preferences). For utility, participants commented that the website influenced their decision about insulin in three ways: it had provided information about insulin, it helped them deliberate choices using the option-attribute matrix, and it allowed them to involve others in their decision making by sharing the PDA summary printout.

  5. The Mental Health Parity and Addiction Equity Act evaluation study: Impact on specialty behavioral healthcare utilization and spending among enrollees with substance use disorders.

    Science.gov (United States)

    Friedman, Sarah; Xu, Haiyong; Harwood, Jessica M; Azocar, Francisca; Hurley, Brian; Ettner, Susan L

    2017-09-01

    The federal Mental Health Parity and Addiction Equity Act (MHPAEA) sought to eliminate historical disparities between behavioral health and medical health insurance benefits among the commercially insured. This study determines whether MHPAEA was associated with increased BH expenditures and utilization among a population with substance use disorder (SUD) diagnoses. Claims and eligibility data from 5,987,776 enrollees, 2008-2013, were obtained from a national, commercial, managed behavioral health organization. An interrupted time series study design with segmented regression analysis estimated time trends of per-member-per-month (PMPM) spending and use before (2008-2009), during (2010), and after (2011-2013) MHPAEA compliance. The study sample contained individuals with drug or alcohol use disorder diagnosis during study period (N=2,716,473 member-month observations). Outcomes included: total, plan, patient out-of-pocket spending; outpatient utilization (assessment/diagnostic evaluation visits; medication management; individual, group and family psychotherapy, and structured outpatient care); intermediate care utilization (day treatment; recovery home and residential); and inpatient utilization. Starting at the beginning of the post-parity period, MHPAEA was associated with increased levels of PMPM total and plan spending ($25.80 [p=0.01]; $28.33 [p=0.00], respectively), as well as the number of PMPM assessment/evaluation, individual psychotherapy, and group psychotherapy visits, and inpatient days (0.01 visits [p=0.01]; 0.02 visits [p=0.01]; 0.01 visits [p=0.03]; 0.01days [p=0.01], respectively). Following these initial level changes, MHPAEA was also associated with monthly increases in PMPM total, plan, and patent out-of-pocket spending ($2.56/month [p=0.00]; $2.25/month [p=0.00]; $0.27 [p=0.03], respectively), as well as structured outpatient visits and inpatient days (0.0012 visits/month [p=0.01]; 0.0012days/month [p=0.00]). MHPAEA was associated with modest

  6. The headache under-response to treatment (HURT) questionnaire, an outcome measure to guide follow-up in primary care: development, psychometric evaluation and assessment of utility.

    Science.gov (United States)

    Steiner, T J; Buse, D C; Al Jumah, M; Westergaard, M L; Jensen, R H; Reed, M L; Prilipko, L; Mennini, F S; Láinez, M J A; Ravishankar, K; Sakai, F; Yu, S-Y; Fontebasso, M; Al Khathami, A; MacGregor, E A; Antonaci, F; Tassorelli, C; Lipton, R B

    2018-02-14

    Headache disorders are both common and burdensome but, given the many people affected, provision of health care to all is challenging. Structured headache services based in primary care are the most efficient, equitable and cost-effective solution but place responsibility for managing most patients on health-care providers with limited training in headache care. The development of practical management aids for primary care is therefore a purpose of the Global Campaign against Headache. This manuscript presents an outcome measure, the Headache Under-Response to Treatment (HURT) questionnaire, describing its purpose, development, psychometric evaluation and assessment for clinical utility. The objective was a simple-to-use instrument that would both assess outcome and provide guidance to improving outcome, having utility across the range of headache disorders, across clinical settings and across countries and cultures. After literature review, an expert consensus group drawn from all six world regions formulated HURT through item development and item reduction using item-response theory. Using the American Migraine Prevalence and Prevention Study's general-population respondent panel, two mailed surveys assessed the psychometric properties of HURT, comparing it with other instruments as external validators. Reliability was assessed in patients in two culturally-contrasting clinical settings: headache specialist centres in Europe (n = 159) and primary-care centres in Saudi Arabia (n = 40). Clinical utility was assessed in similar settings (Europe n = 201; Saudi Arabia n = 342). The final instrument, an 8-item self-administered questionnaire, addressed headache frequency, disability, medication use and effect, patients' perceptions of headache "control" and their understanding of their diagnoses. Psychometric evaluation revealed a two-factor model (headache frequency, disability and medication use; and medication efficacy and headache control), with

  7. Genomic, proteomic, and biochemical analyses of oleaginous Mucor circinelloides: evaluating its capability in utilizing cellulolytic substrates for lipid production.

    Directory of Open Access Journals (Sweden)

    Hui Wei

    Full Text Available Lipid production by oleaginous microorganisms is a promising route to produce raw material for the production of biodiesel. However, most of these organisms must be grown on sugars and agro-industrial wastes because they cannot directly utilize lignocellulosic substrates. We report the first comprehensive investigation of Mucor circinelloides, one of a few oleaginous fungi for which genome sequences are available, for its potential to assimilate cellulose and produce lipids. Our genomic analysis revealed the existence of genes encoding 13 endoglucanases (7 of them secretory, 3 β-D-glucosidases (2 of them secretory and 243 other glycoside hydrolase (GH proteins, but not genes for exoglucanases such as cellobiohydrolases (CBH that are required for breakdown of cellulose to cellobiose. Analysis of the major PAGE gel bands of secretome proteins confirmed expression of two secretory endoglucanases and one β-D-glucosidase, along with a set of accessory cell wall-degrading enzymes and 11 proteins of unknown function. We found that M. circinelloides can grow on CMC (carboxymethyl cellulose and cellobiose, confirming the enzymatic activities of endoglucanases and β-D-glucosidases, respectively. The data suggested that M. circinelloides could be made usable as a consolidated bioprocessing (CBP strain by introducing a CBH (e.g. CBHI into the microorganism. This proposal was validated by our demonstration that M. circinelloides growing on Avicel supplemented with CBHI produced about 33% of the lipid that was generated in glucose medium. Furthermore, fatty acid methyl ester (FAME analysis showed that when growing on pre-saccharified Avicel substrates, it produced a higher proportion of C14 fatty acids, which has an interesting implication in that shorter fatty acid chains have characteristics that are ideal for use in jet fuel. This substrate-specific shift in FAME profile warrants further investigation.

  8. Genomic, proteomic, and biochemical analyses of oleaginous Mucor circinelloides: evaluating its capability in utilizing cellulolytic substrates for lipid production.

    Science.gov (United States)

    Wei, Hui; Wang, Wei; Yarbrough, John M; Baker, John O; Laurens, Lieve; Van Wychen, Stefanie; Chen, Xiaowen; Taylor, Larry E; Xu, Qi; Himmel, Michael E; Zhang, Min

    2013-01-01

    Lipid production by oleaginous microorganisms is a promising route to produce raw material for the production of biodiesel. However, most of these organisms must be grown on sugars and agro-industrial wastes because they cannot directly utilize lignocellulosic substrates. We report the first comprehensive investigation of Mucor circinelloides, one of a few oleaginous fungi for which genome sequences are available, for its potential to assimilate cellulose and produce lipids. Our genomic analysis revealed the existence of genes encoding 13 endoglucanases (7 of them secretory), 3 β-D-glucosidases (2 of them secretory) and 243 other glycoside hydrolase (GH) proteins, but not genes for exoglucanases such as cellobiohydrolases (CBH) that are required for breakdown of cellulose to cellobiose. Analysis of the major PAGE gel bands of secretome proteins confirmed expression of two secretory endoglucanases and one β-D-glucosidase, along with a set of accessory cell wall-degrading enzymes and 11 proteins of unknown function. We found that M. circinelloides can grow on CMC (carboxymethyl cellulose) and cellobiose, confirming the enzymatic activities of endoglucanases and β-D-glucosidases, respectively. The data suggested that M. circinelloides could be made usable as a consolidated bioprocessing (CBP) strain by introducing a CBH (e.g. CBHI) into the microorganism. This proposal was validated by our demonstration that M. circinelloides growing on Avicel supplemented with CBHI produced about 33% of the lipid that was generated in glucose medium. Furthermore, fatty acid methyl ester (FAME) analysis showed that when growing on pre-saccharified Avicel substrates, it produced a higher proportion of C14 fatty acids, which has an interesting implication in that shorter fatty acid chains have characteristics that are ideal for use in jet fuel. This substrate-specific shift in FAME profile warrants further investigation.

  9. Utilization evaluation of factor concentration and frequencyof bleeds among patients with haemophilia "A" and haemophilia "B" in northwest Iran

    Directory of Open Access Journals (Sweden)

    Roya Dolatkhah

    2013-12-01

    Full Text Available Background Haemophilia A and B are X-linked bleeding disorders which result in decreased blood levels of coagulants. According to some studies, Hemophilia Severity Score (HSS is higher in severe Haemophilia A(HA than in severe Haemophilia B(HB. Objectives The aim of this study was comparison of bleed frequency and utilization of factor concentrate between HA and HB patients. Materials/Patients and Methods This is a single institution retrospective study, and we gathered information from records of our Hemophilia Clinic .Our samples consisted of 176 Haemophilia A and 35 Haemophilia B severe and moderate deficient patients. All of our patients used on-demand treatment with plasma derived factor concentrates. Chi-Square , one sample T and Mann-Whitney U tests were used. All the calculations were performed with MedCalc Statistical Software 12.1.4 version. Results Overall admission rates for patients with Haemophilia A were 3.125/patient/year and for Haemophilia B were 0.77/patient/year (P<0.05.The amount of factor concentrates used by our HA patient was 3731500IU of FVIII (21201.704 IU/patient/year, and 611000 IU of Factor IX , by patients with hemophilia B(17457.142 IU/patient/year.The difference in the usage of factor concentrate was not statistically significant (P=0.57. Conclusion The data suggest that the two inherited coagulation disorders (Haemophilia A and Haemophilia B have a different severity of clinical phenotype. Our findings correlate with findings by some other similar studies that have been published recently.

  10. Utility portfolio diversification

    International Nuclear Information System (INIS)

    Griffes, P.H.

    1990-01-01

    This paper discusses portfolio analysis as a method to evaluate utility supply decisions. Specifically a utility is assumed to increase the value of its portfolio of assets whenever it invests in a new supply technology. This increase in value occurs because the new asset either enhances the return or diversifies the risks of the firm's portfolio of assets. This evaluation method is applied to two supply innovations in the electric utility industry: jointly-owned generating plants and supply contracts with independent power producers (IPPs)

  11. Evaluating the environmental consequences of groundwater contamination. IV. Obtaining and utilizing contaminant arrival distributions in transient flow systems

    International Nuclear Information System (INIS)

    Nelson, R.W.

    1978-01-01

    The versatility of the new contaminant arrival distributions for determining environmental consequences of subsurface pollution problems is demonstrated through application to a transient flow system. Though some of the four phases of the hydrologic evaluations are more complicated because of the time dependence of the flow and input contaminant concentrations, the arrival distributions still effectively summarize the data required to determine the environmental implications. These arrival distributions yield two graphs or tabular sets of data giving the consequences of the subsurface pollution problems in a simple and direct form. 4 refs

  12. Utilization of the IPR-R1 as a tool in the evaluation of the brazilian uranium reserves

    International Nuclear Information System (INIS)

    Stasiulevicius, R.

    1986-01-01

    The Brazilian uranium ore resources reach an amount of 301,490 metric tons of U 3 O 8 , twenty-seven times more than the known value when NUCLEBRAS was founded, at the end of 1974. In evaluating this reserve, the IPR-R1 research nuclear reactor has given a significant contribution. This reactor has been in operation since 1960 for research, technology, radionuclide production and training purposes. The available irradiation facilities allow the use of neutron-activation to determine uranium contents. Up to now, a total of 330,000 mineral sample analyses were carried out. (Author) [pt

  13. Utilization of the IPR-R1 as a tool in the evaluation of the Brazilian uranium reserves

    International Nuclear Information System (INIS)

    Stasiulevicius, R.

    1986-01-01

    The Brazilian uranium ore resources reach an amount of 301,490 metric tons of U 3 O 8 , twenty-seven times more than the known value when NUCLEBRAS was founded, at the end of 1974. In evaluating this reserve, the IPR-R1 research nuclear reactor has given a significant contribution. This reactor has been in operation since 1960 for research, technology, radionuclide production and training purposes. The evailable irradiation facilities allow the use of neutron-activation to determine uranium contents. Up to now, a total of 330,000 mineral sample analyses were carried out. (Author) [pt

  14. Utilization of radiographic and ultrasonic testing for an evaluation of plate type fuel elements during manufacturing stages

    International Nuclear Information System (INIS)

    Brito, Mucio Jose Drummond de; Silva Junior, Silverio Ferreira da; Messias, Jose Marcos; Braga, Daniel Martins; Paula, Joao Bosco de

    2005-01-01

    Structural discontinuities can be introduced in the plate type fuel elements during the manufacturing stages due to mechanical processing conditions. The use of nondestructive testing methods to monitoring the fuel elements during the manufacturing stages presents a significant importance, contributing for manufacturing process improvement and cost reducing. This paper describes a procedure to be used detection and evaluation of structural discontinuities in plate type fuel elements during the manufacturing stages using the ultrasonic testing method and the radiographic testing method. The main results obtained are presented and discussed. (author)

  15. Translating access into utilization: lessons from the design and evaluation of a health insurance Web site to promote reproductive health care for young women in Massachusetts.

    Science.gov (United States)

    Janiak, Elizabeth; Rhodes, Elizabeth; Foster, Angel M

    2013-12-01

    Following state-level health care reform in Massachusetts, young women reported confusion over coverage of contraception and other sexual and reproductive health services under newly available health insurance products. To address this gap, a plain-language Web site titled "My Little Black Book for Sexual Health" was developed by a statewide network of reproductive health stakeholders. The purpose of this evaluation was to assess the health literacy demands and usability of the site among its target audience, women ages 18-26 years. We performed an evaluation of the literacy demands of the Web site's written content and tested the Web site's usability in a health communications laboratory. Participants found the Web site visually appealing and its overall design concept accessible. However, the Web site's literacy demands were high, and all participants encountered problems navigating through the Web site. Following this evaluation, the Web site was modified to be more usable and more comprehensible to women of all health literacy levels. To avail themselves of sexual and reproductive health services newly available under expanded health insurance coverage, young women require customized educational resources that are rigorously evaluated to ensure accessibility. To maximize utilization of reproductive health services under expanded health insurance coverage, US women require customized educational resources commensurate with their literacy skills. The application of established research methods from the field of health communications will enable advocates to evaluate and adapt these resources to best serve their targeted audiences. © 2013.

  16. Robustness of the healthcare utilization results from the Rotavirus Efficacy and Safety Trial (REST evaluating the human-bovine (WC3 reassortant pentavalent rotavirus vaccine (RV5

    Directory of Open Access Journals (Sweden)

    Van Damme Pierre

    2010-06-01

    Full Text Available Abstract Background The Rotavirus Efficacy and Safety Trial was a placebo-controlled Phase III study that evaluated the safety and efficacy of a three-dose pentavalent rotavirus vaccine (RV5 including its effect on healthcare utilization for rotavirus gastroenteritis (RVGE. The per-protocol (PP analyses, which counted events occurring 14 days after dose 3 among infants without protocol violations, have already been published. This paper evaluates the consistency of the healthcare utilization results based on the modified intention to treat (MITT analyses with the PP analyses. The MITT analyses include all infants receiving at least one dose of vaccine or placebo and follow-up begins after dose 1. The paper also explores the consistency of the results for different subgroups of the study population with different types of surveillance. Methods Data on healthcare utilization for acute gastroenteritis were collected via telephone interviews after administration of the first dose. Parents were either contacted every 6 weeks or every 2 weeks depending on the substudy in which they were enrolled. Those contacted every 2 weeks were also asked to complete symptom diaries. Poisson regression was used to evaluate the effect of RV5 on the rates of RVGE-associated healthcare encounters in all of the analyses. Results In the first 2 years after vaccination, RV5 reduced the combined rate of hospitalizations and emergency department (ED visits 88.9% (95% CI: 84.9, 91.9 for all RVGE regardless of serotype in the MITT analysis compared with a 94.5% (95% CI: 91.2, 96.6 reduction based on the G1-G4 PP analysis. By type of surveillance, the rate reductions for the G1-G4 PP analysis were 91.0% (95% CI: 81.7, 95.5 and 95.9% (95% CI: 92.2, 97.8 among parents contacted every 2 weeks (number evaluable = 4,451 and every 6 weeks (number evaluable = 52,683 respectively. Conclusions Our analyses demonstrated that the effect of RV5 on reducing the rate of hospitalizations

  17. Utilization of radiometric method in evaluation of wear on human dental enamel in vitro by dental porcelain glazed and polished

    International Nuclear Information System (INIS)

    Adachi, Lena Katekawa; Campos, Tomie Nakakuki de; Adachi, Eduardo Makoto

    2005-01-01

    The dental porcelain is a material commonly used in prosthesis. Disadvantages of dental porcelain use include possibility to cause tooth or dental materials wear. Before its use in the mouth, surfaces are treated with polishing and/or glazing. This research used the radiometric method to verify the influence of these surface treatments on the porcelains of commercial brands: Ceramco II, Noritake and Finesse. This method was originally developed for dentifrice abrasiveness evaluation. Five specimens of dental enamel and 10 specimens of each porcelain (5 glazed, 5 polished) were used. The dental enamel was flattened and irradiated with neutrons from the IEA-R1 (IPEN/CNEN) nuclear reactor. Then it was weared by each porcelain in sliding motion, with water. After 2,500 cycles for each porcelain specimen, the released enamel residue was measured. The enamel wear was evaluated by measuring beta activity of 32 P transferred to water from the irradiated tooth. Results varied from 2.57 to 5.81 μg of enamel /mm 2 weared surface. There was no statistical difference (α=0.05) between dental enamel wear caused by the same porcelains glazed or polished. The results suggest that adequate surface finishing depend on the type of dental porcelain. (author)

  18. Imaging evaluation of prostate cancer with {sup 18}F-fluorodeoxyglucose PET/CT: utility and limitations

    Energy Technology Data Exchange (ETDEWEB)

    Jadvar, Hossein [University of Southern California, Division of Nuclear Medicine, Department of Radiology, Keck School of Medicine, Los Angeles, CA (United States)

    2013-07-15

    Prostate cancer is a major public health problem in developed countries. The remarkable biological and clinical heterogeneity of prostate cancer provides unique opportunities as well as challenges for the diagnostic imaging evaluation of this prevalent disease. The disease is characterized by a natural history that ranges from localized slowly growing hormone-dependent tumor progressing to metastatic hormone-refractory disease. PET is an ideal imaging tool for noninvasive interrogation of the underlying tumor biology. {sup 18}F-FDG is the most common PET radiotracer used for oncological applications based upon elevated glucose metabolism in malignant tissue in comparison to normal tissue. FDG uptake in prostate cancer depends on tumor differentiation with low accumulation in well-differentiated tumors and high uptake in aggressive poorly differentiated tumors. Cumulative current evidence suggests that FDG PET may be useful in detection of disease in a small fraction of patients with biochemical recurrence, in the imaging evaluation of extent and treatment response in metastatic disease and in prediction of patient outcome. (orig.)

  19. Utilization scenarios for driving support systems in cargo traffic and their evaluation; Einsatzszenarien fuer Fahrerassistenzsysteme im Gueterverkehr und deren Bewertung

    Energy Technology Data Exchange (ETDEWEB)

    Henning, K.; Preuschoff, E. (eds.)

    2003-07-01

    The report presents a summary of the project of the above title (EFAS project). While earlier projects focused on the technical side, EFAS is the first to present a systematic analysis, presentation and evaluation of the parameters influencing driving support systems. With the aid of a systemic analysis, the key influencing factors are defined and analyzed, and three scenarios are developed which take account of user-oriented, organizational, operational, technical, infrastructural and legal aspects. The scenarios are evaluated with the aid of driving and traffic simulations in the fields of humans, organization and technology, and actions are recommended on this basis for driving support systems in cargo transport. [German] Der Bericht fasst die Ergebnisse des Projektes ''Einsatzszenarien fuer Fahrerassistenzsysteme im Gueterverkehr'' (EFAS) zusammen. Bisher wurde die Thematik Fahrerassistenzsysteme hauptsaechlich auf der Seite der Fahrzeugtechnik vorangetrieben. Das Projekt EFAS stellt nun zum ersten Mal eine umfassende Analyse, Darstellung und Bewertung dar. Mit Hilfe einer systemischen Analyse werden die wesentlichen Einflussfaktoren fuer die Einbindung von Fahrerassistenzsystemen in das Gesamtsystem ''Verkehr'' bestimmt und untersucht. Hieraus werden drei Einsatzszenarien entwickelt, die nutzerbezogene, organisatorische, betriebliche, fahrzeugtechnische, infrastukturelle und rechtliche Aspekte zu Zukunftsbildern zusammenfuegen. Die Szenarien werden mit Hilfe von Fahr- und Verkehrssimulationen in den Bereichen Mensch, Organisation und Technik bewertet. Aus den Ergebnissen werden konkrete Handlungsempfehlungen fuer den Einsatz von Fahrerassistenzsystemen im Strassengueterverkehr abgeleitet. (orig.)

  20. A randomised controlled trial evaluating the utility of a patient Decision Aid to improve clinical trial (RAVES 08.03) related decision-making.

    Science.gov (United States)

    Sundaresan, Puma; Ager, Brittany; Turner, Sandra; Costa, Dan; Kneebone, Andrew; Pearse, Maria; Woo, Henry; Tesson, Stephanie; Juraskova, Ilona; Butow, Phyllis

    2017-10-01

    Randomised controlled trials (RCTs) are considered the 'gold-standard' for evaluating medical treatments. However, patients and clinicians report difficulties with informed consent and recruitment. We evaluated the utility of a Decision Aid (DA) in reducing RCT-related decisional conflict, and improving RCT knowledge and recruitment. Potential participants for a radiotherapy RCT were invited to participate in the current study. Participants were randomised to receive the RCT's participant information sheet with or without a DA. Questionnaires were administered at baseline, one and six months. The primary outcome measure was decisional conflict. Secondary outcome measures included knowledge regarding and recruitment to the RCT. 129 men were randomised to the DA (63) and control (66) arms. Decisional conflict was significantly lower over 6-months (p=0.048) in the DA arm. Knowledge regarding the RCT was significantly higher at 6months (p=0.033) in the DA arm. 20.6% of the DA arm (13 of 63) and 9% of the control arm (6 of 66) entered the RCT. This study demonstrates the utility of a DA in reducing decisional conflict and improving trial knowledge in men with cancer who are making decisions regarding RCT participation. Crown Copyright © 2017. Published by Elsevier B.V. All rights reserved.