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Sample records for outcome solo model

  1. The structure of observed learning outcome (SOLO) taxonomy: a model to promote dental students' learning.

    Science.gov (United States)

    Lucander, H; Bondemark, L; Brown, G; Knutsson, K

    2010-08-01

    Selective memorising of isolated facts or reproducing what is thought to be required - the surface approach to learning - is not the desired outcome for a dental student or a dentist in practice. The preferred outcome is a deep approach as defined by an intention to seek understanding, develop expertise and relate information and knowledge into a coherent whole. The aim of this study was to investigate whether the structure of observed learning outcome (SOLO) taxonomy could be used as a model to assist and promote the dental students to develop a deep approach to learning assessed as learning outcomes in a summative assessment. Thirty-two students, participating in course eight in 2007 at the Faculty of Odontology at Malmö University, were introduced to the SOLO taxonomy and constituted the test group. The control group consisted of 35 students participating in course eight in 2006. The effect of the introduction was measured by evaluating responses to a question in the summative assessment by using the SOLO taxonomy. The evaluators consisted of two teachers who performed the assessment of learning outcomes independently and separately on the coded material. The SOLO taxonomy as a model for learning was found to improve the quality of learning. Compared to the control group significantly more strings and structured relations between these strings were present in the test group after the SOLO taxonomy had been introduced (P SOLO taxonomy is recommended as a model for promoting and developing a deeper approach to learning in dentistry.

  2. Assessing Complexity in Learning Outcomes--A Comparison between the SOLO Taxonomy and the Model of Hierarchical Complexity

    Science.gov (United States)

    Stålne, Kristian; Kjellström, Sofia; Utriainen, Jukka

    2016-01-01

    An important aspect of higher education is to educate students who can manage complex relationships and solve complex problems. Teachers need to be able to evaluate course content with regard to complexity, as well as evaluate students' ability to assimilate complex content and express it in the form of a learning outcome. One model for evaluating…

  3. Comparative Outcomes of Two Instructional Models for Students with Learning Disabilities: Inclusion with Co-Teaching and Solo-Taught Special Education

    Science.gov (United States)

    Tremblay, Philippe

    2013-01-01

    We compared two instructional models (co-teaching inclusion and solo-taught special education) for students with learning disabilities (LD) with regard to their effect on academic achievement and class attendance. Twelve inclusive classes (experimental group) and 13 special education classes (control group) participated in the study. In grade 1,…

  4. Offending, Adjudication, and Outcome Patterns of Solo Male, Solo Female, and Partnered Mass Murderers.

    Science.gov (United States)

    Gurian, Elizabeth A

    2018-05-01

    Research on mass murder is limited due to differences in definitions (particularly with respect to victim count), as well as categorizations based on motive. These limitations restrict our understanding of the offending, adjudication, and outcome patterns of these offenders and can obscure potential underlying similarities to comparable types of offenders (e.g., lone actors or terrorists). To address some of these limitations, this research study, which includes an international sample of 434 cases (455 total offenders), uses descriptive and empirical analyses of solo male, solo female, and partnered mass murderers (teams of two or more) to explore offending, adjudication, and outcome patterns among these different types offenders. While the results from this research study support much previous mass murder research, the findings also emphasize the importance of large international sample sizes, objective categorizations, and the use of empirically based analyses to further advance our understanding of these offenders.

  5. The Analysis of Elementary Mathematics Preservice Teachers' Spatial Orientation Skills with SOLO Model

    Science.gov (United States)

    Özdemir, Ahmet Sükrü; Göktepe Yildiz, Sevda

    2015-01-01

    Problem Statement: The SOLO model places responses provided by students on a certain level instead of placing students there themselves. SOLO taxonomy, including five sub-levels, is used for determining observed structures of learning outcomes in various disciplines and grade levels. On the other hand, the spatial orientation skill is the ability…

  6. An Empirical Study of a Solo Performance Assessment Model

    Science.gov (United States)

    Russell, Brian E.

    2015-01-01

    The purpose of this study was to test a hypothesized model of solo music performance assessment. Specifically, this study investigates the influence of technique and musical expression on perceptions of overall performance quality. The Aural Musical Performance Quality (AMPQ) measure was created to measure overall performance quality, technique,…

  7. Outcomes of Solo Smart valve in a single-center experience of 270 patients.

    Science.gov (United States)

    Liu, Hao; Khani-Hanjani, Abbas; Yang, Siyuan; Wang, Wei; Sidhu, Surita; Mullen, John; Modry, Dennis; Wang, Shaohua

    2018-04-03

    The Solo Smart pericardial aortic valve has been widely used in Europe as an option for aortic valve replacement (AVR). We are reporting early and midterm clinical outcomes of AVR with the Solo Smart valve in a single North America center. This is a retrospective study of 270 consecutive patients who had AVR at Mazankowski Alberta Heart Institute from February 2011 to March 2015. Follow-up and echocardiographic data were collected retrospectively from electronic and paper charts. Univariate and multivariate analysis were performed to evaluate the results. The mean age was 71.2±10.0 years, 67.4% were male, and 79.3% had combined procedures. Mean STS Score was 4.18±3.91. Early mortality was 3.7% for the entire group and 0% for isolated aortic valve replacement group. Mean cross-clamp time for isolated AVR and AVR with concomitant procedure was 70.8±12.7min and 117.0±45.0min, respectively. Permanent pacemaker implantation was necessary in 2.2% of patients. Echocardiography demonstrated a reduction in mean gradients from 40.8±17.4mmHg to 7.6±3.7 mmHg and peak gradient from 72.5 ± 48.8 mmHg to 15.5±7.5 mmHg. The 1-, 3-, and 5- year overall survival was 93.0%, 86.5% and 75.9%, respectively. At 5 years, freedom from valve-related death was 92.4%, freedom from structural valve deterioration and freedom from aortic valve reoperation were 96.4% and 98%, respectively. The Solo Smart valve is safe and has excellent hemodynamic performance. Aortic valve reoperation and rates of valve-related adverse events during midterm follow-up were low.

  8. Long-Term Outcome of the Sorin Freedom SOLO Stentless Aortic Valve.

    Science.gov (United States)

    Christ, Torsten; Claus, Benjamin; Zielinski, Christina; Falk, Volkmar; Grubitzsch, Herko

    2016-11-01

    The Sorin Freedom SOLO valve is a third-generation stentless aortic valve which shows beneficial hemodynamic performance compared to stented bioprostheses. Long-term results regarding hemodynamics, the durability of the valve, and patient outcome are scarce, and their acquisition was the aim of this single-center study. Between 2005 and 2006, a total of 68 consecutive patients (30 males, 38 females; mean age at surgery 76.1 ± 6.3 years) underwent aortic valve replacement with a Sorin Freedom SOLO prosthesis. Indications were aortic stenosis (n = 50), aortic regurgitation (n = 1) and mixed lesions (n = 17). Associated procedures were performed in 31 patients (45.6%), most of which were coronary artery bypass grafting (68.8 %). The follow up was performed by telephone interviews, and clinical and echocardiographic examinations. Morbidity, mortality and echocardiographic data were analyzed. The total follow up was 501.1 patient-years, with a mean follow up of 7.4 ± 3.4 years (maximum 11.2 years). The follow up was 100% complete. Hospital mortality was 4.4% (n = 3). Actuarial survival at five and 10 years was 76.5 ± 5.1% and 41.5 ± 6.5%, respectively. Reinterventions were performed in eight patients; these included three reoperations due to endocarditis, four transcatheter aortic valve implantations, and one reoperation due to structural valve deterioration (SVD). The overall freedom from valve reintervention due to SVD at five and 10 years was 97.8 ± 2.2% and 82.9 ± 7.5%, respectively. After eight years, echocardiography demonstrated peak and mean transvalvular gradients of 18 ± 11 and 10 ± 7 mmHg, respectively. The overall effective and indexed aortic valve orifice areas were 1.73 ± 0.58 cm2 and 0.92 ± 0.33 cm2/m2, respectively. At long-term follow up the Sorin Freedom SOLO bioprosthesis was associated with favourable hemodynamic results and survival. Freedom from SVD was not superior to that occurring with stented bioprostheses.

  9. Towards a Model of School-Based Curriculum Development and Assessment Using the SOLO Taxonomy.

    Science.gov (United States)

    Biggs, John

    1989-01-01

    One factor preventing the wider acceptance of school-based curriculum development and assessment is the problem of comparing performances of different students, in different schools. The SOLO taxonomy is used to describe the complexity of learning outcomes in a language that is generally applicable across the curriculum. (Author/MLW)

  10. Stability of a Model Explaining Selected Extramusical Influences on Solo and Small-Ensemble Festival Ratings

    Science.gov (United States)

    Bergee, Martin J.; Westfall, Claude R.

    2005-01-01

    This is the third study in a line of inquiry whose purpose has been to develop a theoretical model of selected extra musical variables' influence on solo and small-ensemble festival ratings. Authors of the second of these (Bergee & McWhirter, 2005) had used binomial logistic regression as the basis for their model-formulation strategy. Their…

  11. The Freedom Solo pericardial stentless valve: Single-center experience, outcomes, and long-term durability.

    Science.gov (United States)

    Stanger, Olaf; Bleuel, Irina; Gisler, Fabian; Göber, Volkhard; Reineke, Sylvia; Gahl, Brigitta; Aymard, Thierry; Englberger, Lars; Carrel, Thierry; Tevaearai, Hendrik

    2015-07-01

    To report our institutional experience and long-term results with the Freedom Solo bovine pericardial stentless bioprosthesis (Sorin Group, Saluggia, Italy). Between January 2005 and November 2009, 149 patients (mean age, 73.6 ± 8.7 years; 68 [45.6%] female) underwent isolated (n = 75) or combined (n = 74) aortic valve replacement (AVR) using the Solo in our institution. Follow-up was 100% complete with an average follow-up time of 5.9 ± 2.6 years (maximum, 9.6 years) and a total of 885.3 patient years. Operative (30-day) mortality was 2.7% (1.3% for isolated AVR [n = 1] and 4.0% for combined procedures [n = 3]). All causes of death were not valve-related. Preoperative peak (mean) gradients of 74.2 ± 23.0 mm Hg (48.6 ± 16.3 mm Hg) decreased to 15.6 ± 5.4 mm Hg (8.8 ± 3.0 mm Hg) after AVR, and remained low for up to 9 years. The postoperative effective orifice area was 1.6 ± 0.57 cm(2), 1.90 ± 0.45 cm(2), 2.12 ± 0.48 cm(2), and 2.20 ± 0.66 cm(2) for the valve sizes 21, 23, 25, and 27, respectively, with absence of severe prosthesis-patient mismatch and 0.7% (n = 1) experienced moderate prosthesis-patient mismatch. During follow-up, 26 patients experienced structural valve deterioration (SVD) and 14 patients underwent explantation. Kaplan-Meier estimates for freedom from death, explantation, and SVD at 9 years averaged 0.57 (range, 0.47-0.66), 0.82 (range, 0.69-0.90), and 0.70 (range, 0.57-0.79), respectively. The Freedom Solo stentless aortic valve is safe to implant and shows excellent early and midterm hemodynamic performance. However, SVD was observed in a substantial number of patients after only 5-6 years and the need for explantation increased markedly, suggesting low durability. Copyright © 2015 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  12. The Community of Inquiry Framework Meets the SOLO Taxonomy: A Process-Product Model of Online Learning

    Science.gov (United States)

    Shea, Peter; Gozza-Cohen, Mary; Uzuner, Sedef; Mehta, Ruchi; Valtcheva, Anna Valentinova; Hayes, Suzanne; Vickers, Jason

    2011-01-01

    This paper presents both a conceptual and empirical investigation of teaching and learning in online courses. Employing both the Community of Inquiry framework (CoI) and the Structure of Observed Learning Outcomes (SOLO) taxonomy, two complete online courses were examined for the quality of both collaborative learning processes and learning…

  13. MODEL PEMILIHAN BAHAN PEWARNA ALAM COKLAT BATIK TULIS SOLO DENGAN MENGGUNAKAN METODE ANALYTICAL HIERARCHY PROCESS (AHP

    Directory of Open Access Journals (Sweden)

    Sri Hartini Hartini

    2014-05-01

    Full Text Available Pewarna alami batik diklaim lebih ramah lingkungan dan telah terbukti menghasilkan emisi yang lebih rendah. Untuk itu penggunaan pewarna alam khususnya batik sangat dianjurkan. Sebuah sentra batik Laweyan di Solo telah memulai penggunaan pewarna alam sejak beberapa tahun yang lalu. Warna yang dominan digunakan adalah warna coklat karena ciri khas batik Solo yang paling banyak menggunakan warna coklat soga. Untuk menghasilkan warna coklat di sentra tersebut banyak pilihan bahan pewarna alam yang digunakan. Penelitian ini bermaksud mengembangkan model pemilihan alternatif bahan alam berdasarkan kriteria-kriteria yang ada. Tahapan dalam pemilihan yaitu menggali kriteria yang berpengaruh, melakukan pembobotan kriteria dan melakukan pembobotan pada alternatif yang ada. Penelitian ini menggunakan metode AHP  dalam pengolahan data sehingga dapat diketahui bahan alam apa yang tepat untuk menghasilkan warna coklat sesuai dengan kriteria-kriteria yang ada. Dari hasil penelitian faktor yang berpengaruh dalam pemilihan bahan alam yaitu 4 variabel 6 kriteria dan 14 sub kriteria. Dari beberapa kriteria tersebut bahan alam yang terpilih adalah jalawe untuk menghasilkan warna coklat. Kata Kunci : batik, pewarna alam, analytical hierarchy process (AHP, laweyan, batik tulis Abstract Natural dyes of batik has claimed to be more environmentally friendly and has been known lower emissions. The use of natural dyes for batik especially highly recommended. A center of batik Laweyan in Solo has initiated use of natural dyes since a few years ago. The dominant colors used are brown because typical Solo batik are the most widely use soga brown color. To produce a brown color in the center of a large selection of natural dyes are used. During this time they are using all these ingredients. This study intends to develop a model of natural selection of alternative materials based on existing criteria. Stages in the selection criteria, namely digging influential,  weighting

  14. Fasilitas Wisata Kuliner Solo di Solo Baru

    OpenAIRE

    Oetomo, Anthony

    2014-01-01

    Fasilitas Wisata Kuliner Solo di Solo Baru” ini merupakan fasilitas yang memberikan wadah bagi berbagai macam kuliner yang terdapat di kota Solo. Dengan demikian tempat ini akan menjadi tujuan wisata kuliner bagi masyarakat di Solo maupun dari luar Solo untuk menikmati dan memperkenalkan berbagai macam kuliner yang ada kepada masyarakat, dan menyediakan fasilitas bagi para wisatawan yang hanya memiliki waktu terbatas untuk menikmati berbagai macam kuliner Solo. Proyek ini menyediakan galeri d...

  15. Simulation and prediction the impact of climate change into water resources in Bengawan Solo watershed based on CCAM (Conformal Cubic Atmospheric Model) data

    Science.gov (United States)

    Sipayung, Sinta B.; Nurlatifah, Amalia; Siswanto, Bambang

    2018-05-01

    Bengawan Solo Watershed is one of the largest watersheds in Indonesia. This watershed flows in many areas both in Central Java and East Java. Therefore, the water resources condition greatly affects many people. This research will be conducted on prediction of climate change effect on water resources condition in terms of rainfall conditions in Bengawan Solo River Basin. The goal of this research is to know and predict the climate change impact on water resources based on CCAM (Conformal Cubic Atmosphere Model) with downscaling baseline (historical) model data from 1949 to 2005 and RCP 4.5 from 2006 to 2069. The modeling data was validated with in-situ data (measurement data). To analyse the water availability condition in Bengawan Solo Watershed, the simulation of river flow and water balance condition were done in Bengawan Solo River. Simulation of river flow and water balance conditions were done with ArcSWAT model using climate data from CCAM, DEM SRTM 90 meter, soil type, and land use data. The results of this simulation indicate there is (i) The CCAM data itself after validation has a pretty good result when compared to the insitu data. Based on CCAM simulation results, it is predicted that in 2040-2069 rainfall in Bengawan Solo River Basin will decrease, to a maximum of only about 1 mm when compared to 1971-2000. (ii) The CCAM rainfall prediction itself shows that rainfall in Bengawan Solo River basin will decline until 2069 although the decline itself is not significant and tends to be negligible (rainfall is considered unchanged) (iii) Both in the DJF and JJA seasons, precipitation is predicted to decline as well despite the significant decline. (iv) The river flow simulation show that the water resources in Bengawan Solo River did not change significantly. This event occurred because the rainfall also did not change greatly and close to 0 mm/month.

  16. Logit and probit model in toll sensitivity analysis of Solo-Ngawi, Kartasura-Palang Joglo segment based on Willingness to Pay (WTP)

    Science.gov (United States)

    Handayani, Dewi; Cahyaning Putri, Hera; Mahmudah, AMH

    2017-12-01

    Solo-Ngawi toll road project is part of the mega project of the Trans Java toll road development initiated by the government and is still under construction until now. PT Solo Ngawi Jaya (SNJ) as the Solo-Ngawi toll management company needs to determine the toll fare that is in accordance with the business plan. The determination of appropriate toll rates will affect progress in regional economic sustainability and decrease the traffic congestion. These policy instruments is crucial for achieving environmentally sustainable transport. Therefore, the objective of this research is to find out how the toll fare sensitivity of Solo-Ngawi toll road based on Willingness To Pay (WTP). Primary data was obtained by distributing stated preference questionnaires to four wheeled vehicle users in Kartasura-Palang Joglo artery road segment. Further data obtained will be analysed with logit and probit model. Based on the analysis, it is found that the effect of fare change on the amount of WTP on the binomial logit model is more sensitive than the probit model on the same travel conditions. The range of tariff change against values of WTP on the binomial logit model is 20% greater than the range of values in the probit model . On the other hand, the probability results of the binomial logit model and the binary probit have no significant difference (less than 1%).

  17. The SOLO Librarian's Sourcebook.

    Science.gov (United States)

    Siess, Judith A.

    This book provides an introduction to single staff information services, or SOLO librarianship. SOLO librarians are usually found in corporate libraries, private companies, small public libraries, museums, schools, churches or synagogues, prisons, law firms, hospitals or special libraries with specialized or limited materials and services with…

  18. The Development of a Secondary-Level Solo Wind Instrument Performance Rubric Using the Multifaceted Rasch Partial Credit Measurement Model

    Science.gov (United States)

    Wesolowski, Brian C.; Amend, Ross M.; Barnstead, Thomas S.; Edwards, Andrew S.; Everhart, Matthew; Goins, Quentin R.; Grogan, Robert J., III; Herceg, Amanda M.; Jenkins, S. Ira; Johns, Paul M.; McCarver, Christopher J.; Schaps, Robin E.; Sorrell, Gary W.; Williams, Jonathan D.

    2017-01-01

    The purpose of this study was to describe the development of a valid and reliable rubric to assess secondary-level solo instrumental music performance based on principles of invariant measurement. The research questions that guided this study included (1) What is the psychometric quality (i.e., validity, reliability, and precision) of a scale…

  19. Outburst Flood Simulation Model for Optimizing the Solo River Floods Emergency Response Activities

    Directory of Open Access Journals (Sweden)

    Yuli Priyana

    2016-08-01

    Full Text Available This study aims to develop flood inundation based on several flood level. The results of this study are: (a land use in the study area is divided into (1 urban area (the Business Area which includes regional administrative center, shopping area, and office area, (2 residential areas (single home region, the region multi- unit house (residence, settlement areas and apartments, (3 industrial estate (industrial estates are less dense and dense industrial area, (4 the surface area covered with vegetation (forest - thicket, meadow area, and the area of land productive rice fields and fields, (5 the area of open land and vacant land that is intended (the city park , cemetery and park area, and (6 transportation area and the pavement surface area (area train station and bus terminal region, (b the preparation of spatial database in this study in the form of data or data vector altitude of Digital Elevation Model (DEM. District of Jebres there are 56 points of elevation and District of Pasar Kliwon there are 48 points of elevation. Elevation of the study area ranged from 88,9 mpdal up to 127.65 mdpal and (c the higher the flood inundation scenarios impact on land use in the study area are also getting bigger. Most obvious impact under scenario 2 m area of 296 601 m , while the smallest impact under scenario 1 m with an area of 77 693 m 2 2 impact. Extensive simulation results based on the total impact amounts to 544 756 m.

  20. Constructive Alignment and the SOLO Taxonomy

    DEFF Research Database (Denmark)

    Brabrand, Claus; Dahl, Bettina

    2008-01-01

    the science faculties at University of Aarhus, Denmark (AU) and the University of Southern Denmark (SDU) that had been rewritten to explicitly incorporate course objectives, interpreted as intended learning outcomes (ILOs), using the principles of Constructive Alignment and the SOLO Taxonomy. In this paper we...

  1. Freedom Solo Versus Trifecta Bioprotheses: Clinical and Hemodynamic Evaluation after Propensity Score Matching.

    Science.gov (United States)

    J Cerqueira, Rui; Melo, Renata; Moreira, Soraia; A Saraiva, Francisca; Andrade, Marta; Salgueiro, Elson; Almeida, Jorge; J Amorim, Mário; Pinho, Paulo; Lourenço, André; F Leite-Moreira, Adelino

    2017-01-01

    To compare stentless Freedom Solo and stented Trifecta aortic bioprostheses regarding hemodynamic profile, left ventricular mass regression, early and late postoperative outcomes and survival. Longitudinal cohort study of consecutive patients undergoing aortic valve replacement (from 2009 to 2016) with either Freedom Solo or Trifecta at one centre. Local databases and national records were queried. Postoperative echocardiography (3-6 months) was obtained for hemodynamic profile (mean transprosthetic gradient and effective orifice area) and left ventricle mass determination. After propensity score matching (21 covariates), Kaplan-Meier analysis and cumulative incidence analysis were performed for survival and combined outcome of structural valve deterioration and endocarditis, respectively. Hemodynamics and left ventricle mass regression were assessed by a mixed- -effects model including propensity score as a covariate. From a total sample of 397 Freedom Solo and 525 Trifecta patients with a median follow-up time of 4.0 (2.2- 6.0) and 2.4 (1.4-3.7) years, respectively, a matched sample of 329 pairs was obtained. Well-balanced matched groups showed no difference in survival (hazard ratio=1.04, 95% confidence interval=0.69-1.56) or cumulative hazards of combined outcome (subhazard ratio=0.54, 95% confidence interval=0.21-1.39). Although Trifecta showed improved hemodynamic profile compared to Freedom Solo, no differences were found in left ventricle mass regression. Trifecta has a slightly improved hemodynamic profile compared to Freedom Solo but this does not translate into differences in the extent of mass regression, postoperative outcomes or survival, which were good and comparable for both bioprostheses. Long-term follow-up is needed for comparisons with older models of bioprostheses.

  2. Solo Librarians Working Collaboratively

    Science.gov (United States)

    Nickel, Robbie

    2011-01-01

    The Elko County School District in Nevada has elementary school librarians that are "solo" librarians. Over the last several years they have worked to collaborate on meeting monthly--even though the district covers 17,100 square miles--and on providing professional development face to face and online. Sharing and collaboration help them…

  3. Discounting Models for Outcomes over Continuous Time

    DEFF Research Database (Denmark)

    Harvey, Charles M.; Østerdal, Lars Peter

    Events that occur over a period of time can be described either as sequences of outcomes at discrete times or as functions of outcomes in an interval of time. This paper presents discounting models for events of the latter type. Conditions on preferences are shown to be satisfied if and only if t...... if the preferences are represented by a function that is an integral of a discounting function times a scale defined on outcomes at instants of time....

  4. Defending the solo and small practice neurologist.

    Science.gov (United States)

    Jones, Elaine C; Evans, David A

    2015-04-01

    Changes in health care are having a dramatic effect on the practice of medicine. In 2005, a National Center for Health Statistics survey showed that 55%-70% of physicians are in small/solo practices. These data also demonstrated that 70% of physicians identified themselves as owners. Since passage of the Affordable Care Act (ACA) in 2010, neurologists report an 8% increase in academic practice settings, a 2% decrease in private practice settings, and a 5% decrease in solo practice settings. Surveys of family physicians showed that 60% are now employees of hospitals or larger groups. A survey by The Physicians Foundation showed that 89% of physicians believed that the traditional model of independent private practice is either "on shaky ground" or "a dinosaur soon to go extinct." With the changes expected from the ACA, solo/small practices will continue to face challenges and therefore must pay close attention to business and clinical metrics.

  5. Synergistic Man: Outcome Model for Counselors

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    Rousseve, Ronald J.

    1973-01-01

    Drawing on the insights of Ruth Benedict and Abraham Maslow in their search for an ethical gauge by which to rate personal-social health, this article proposes synergistic man'' as the desired outcome model for counselors. (Author)

  6. Primary healthcare solo practices: homogeneous or heterogeneous?

    Science.gov (United States)

    Pineault, Raynald; Borgès Da Silva, Roxane; Provost, Sylvie; Beaulieu, Marie-Dominique; Boivin, Antoine; Couture, Audrey; Prud'homme, Alexandre

    2014-01-01

    Introduction. Solo practices have generally been viewed as forming a homogeneous group. However, they may differ on many characteristics. The objective of this paper is to identify different forms of solo practice and to determine the extent to which they are associated with patient experience of care. Methods. Two surveys were carried out in two regions of Quebec in 2010: a telephone survey of 9180 respondents from the general population and a postal survey of 606 primary healthcare (PHC) practices. Data from the two surveys were linked through the respondent's usual source of care. A taxonomy of solo practices was constructed (n = 213), using cluster analysis techniques. Bivariate and multilevel analyses were used to determine the relationship of the taxonomy with patient experience of care. Results. Four models were derived from the taxonomy. Practices in the "resourceful networked" model contrast with those of the "resourceless isolated" model to the extent that the experience of care reported by their patients is more favorable. Conclusion. Solo practice is not a homogeneous group. The four models identified have different organizational features and their patients' experience of care also differs. Some models seem to offer a better organizational potential in the context of current reforms.

  7. Solos urbanos Urban soils

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    Fabrício de Araújo Pedron

    2004-10-01

    Full Text Available A forte pressão provocada pela expansão urbana desordenada sobre os recursos naturais, principalmente os solos, tem provocado danos, muitas vezes de difícil reparo. A grande concentração populacional em centros urbanos cada vez maiores tem dirigido a atenção de diferentes profissionais para o recurso solo, no sentido de entender sua dinâmica para minimizar sua degradação. No entanto, a falta de conhecimento sobre as propriedades, bem como sobre a aptidão dos solos sob uso urbano tem provocado o seu mau uso, resultando em processos como compactação, erosão, deslizamentos e inundações, assim como poluição com substâncias orgânicas, inorgânicas e patógenos, aumentando os custos do desenvolvimento afetando toda a sociedade. Neste sentido, este texto discute como o conhecimento pedológico pode diminuir os efeitos negativos provocados pelo processo de urbanização.The strong pressure caused by the disordered urban expansion over the natural resources, mainly the soils, has caused damages, many times difficult to repair. The great population concentration in urban centers getting larger and larger has been driving the attention of different professionals to soil resource, in the sense of understanding its dynamics to minimize its degradation. The lack of knowledge related to the soils properties and capability promote their inappropriate use, resultig in degrading processes as compaction, erosion, sliding, floods, and organic, inorganic and patogenic pollution, increasing the cost of development and affecting the whole society. This text discusses how pedologic knowledge can reduce the negative effects caused by the urbanization process.

  8. Desenvolvimento de um modelo fractal para a estimativa da condutividade hidráulica de solos não saturados A fractal model to estimate the unsaturated hydraulic conductivity of soils

    Directory of Open Access Journals (Sweden)

    Carlos Fuentes

    2005-02-01

    Full Text Available Baseado nos conceitos da geometria fractal e nas leis de Laplace e de Poiseuille, foi criado um modelo geral para estimar a condutividade hidráulica de solos não saturados, utilizando a curva de retenção da água no solo, conforme representada por um modelo em potência. Considerando o fato de que este novo modelo da condutividade hidráulica introduz um parâmetro de interpolação ainda desconhecido, e que, por sua vez, depende das propriedades dos solos, a validação do modelo foi realizada, utilizando dois valores-limite fisicamente representativos. Para a aplicação do modelo, os parâmetros de forma da curva de retenção da água no solo foram escolhidos de maneira a se obter o modelo de van Genuchten. Com a finalidade de obter fórmulas algébricas da condutividade hidráulica, foram impostas relações entre seus parâmetros de forma. A comparação dos resultados obtidos com o modelo da condutividade e a curva experimental da condutividade dos dois solos, Latossolo Vermelho-Amarelo e Argissolo Amarelo, permitiu concluir que o modelo proposto é simples em sua utilização e é capaz de predizer satisfatoriamente a condutividade hidráulica dos solos não saturados.From a conceptual model based on fractal geometry and Laplace's and Poiseuille's laws, a versatile and general fractal model for the hydraulic conductivity to be used in the soils was developed. The soil-moisture retention curve is derived from a power model. Due to the fact that the proposed model of hydraulic conductivity introduces a still unknown interpolation parameter, which in turn is a function of soil properties, its limiting values were considered for the analysis. To apply the model in the soil, the form parameters of the soil-moisture retention curve were chosen so as to reproduce van Genuchten's equation. In order to obtain a closed-form equation for the hydraulic conductivity, relationships between the form parameters were imposed. The comparison between

  9. Modeling the economic outcomes of immuno-oncology drugs: alternative model frameworks to capture clinical outcomes.

    Science.gov (United States)

    Gibson, E J; Begum, N; Koblbauer, I; Dranitsaris, G; Liew, D; McEwan, P; Tahami Monfared, A A; Yuan, Y; Juarez-Garcia, A; Tyas, D; Lees, M

    2018-01-01

    Economic models in oncology are commonly based on the three-state partitioned survival model (PSM) distinguishing between progression-free and progressive states. However, the heterogeneity of responses observed in immuno-oncology (I-O) suggests that new approaches may be appropriate to reflect disease dynamics meaningfully. This study explored the impact of incorporating immune-specific health states into economic models of I-O therapy. Two variants of the PSM and a Markov model were populated with data from one clinical trial in metastatic melanoma patients. Short-term modeled outcomes were benchmarked to the clinical trial data and a lifetime model horizon provided estimates of life years and quality adjusted life years (QALYs). The PSM-based models produced short-term outcomes closely matching the trial outcomes. Adding health states generated increased QALYs while providing a more granular representation of outcomes for decision making. The Markov model gave the greatest level of detail on outcomes but gave short-term results which diverged from those of the trial (overstating year 1 progression-free survival by around 60%). Increased sophistication in the representation of disease dynamics in economic models is desirable when attempting to model treatment response in I-O. However, the assumptions underlying different model structures and the availability of data for health state mapping may be important limiting factors.

  10. Calibração de um modelo de umidade para um solo aluvial sem cobertura vegetal Calibration of a soil moisture model for an alluvial soil without vegetable cover

    Directory of Open Access Journals (Sweden)

    Eduardo C. B. de Araújo

    2001-12-01

    Full Text Available O presente trabalho foi conduzido na região semi-árida em solo aluvial eutrófico, em área irrigada da Fazenda Experimental Vale do Curu, pertencente à Universidade Federal do Ceará. O experimento se desenvolveu no período de 4/10/99 a 10/3/00, mantendo-se o solo sem vegetação, com objetivo de calibrar o modelo de umidade do solo para atividades agrícolas (MUSAG e determinar os parâmetros associados às funções que compõem o modelo (infiltração, percolação e evaporação. A calibração consistiu em se medir a umidade no solo, na profundidade de 0 a 0,30 m, com uma sonda de nêutrons, e comparar essas medidas com a umidade no solo estimada pelo modelo parametrizado. O MUSAG permitiu valores estimados de armazenamento hídrico, estatisticamente não diferentes dos valores determinados pela sonda de nêutrons para a profundidade de 0 - 0,30 m. O modelo apresentou resultado menos satisfatório para estimativa da umidade em períodos com maior freqüência de precipitação, seguindo a tendência dos valores observados, porém subestimando-os.This work was carried out at the Experimental Farm of the Universidade Federal do Ceará, Curu River Valley, in the State of Ceará, Brazil, from October 4, 1999 to March 10, 2000, to calibrate, under field conditions, the so called soil moisture model for agricultural activities (MUSAG determining the parameters associated to the model functions (infiltration, percolation and evaporation.The measurements of soil water storage were done with a neutron probe, and compared with that predicted by the model. The MUSAG provided values of storage water, statistically not different from the values determined by the neutron probe for the depth of 0 - 0,30 m. The model did not provide reasonable estimates of the soil moisture during periods with larger precipitation frequency, however, the predictions followed the tendency of the observed values, but underestimating them.

  11. Constructive Alignment and the SOLO Taxonomy:

    DEFF Research Database (Denmark)

    Brabrand, Claus; Dahl, Bettina

    2008-01-01

    explain and discuss these principles, give examples of how the new syllabi were constructed, and describe the process by which they were formed. We also explain and discuss the results of a comparative study comparing the competences of Computer Science with those of Mathematics (and classical Natural...... the science faculties at University of Aarhus, Denmark (AU) and the University of Southern Denmark (SDU) that had been rewritten to explicitly incorporate course objectives, interpreted as intended learning outcomes (ILOs), using the principles of Constructive Alignment and the SOLO Taxonomy. In this paper we...

  12. Modelo Century de dinâmica da matéria orgânica do solo: equações e pressupostos Century model of soil organic matter dynamics: equations and assumptions

    Directory of Open Access Journals (Sweden)

    Luiz Fernando Carvalho Leite

    2003-08-01

    Full Text Available A modelagem de processos biológicos tem por objetivos o planejamento do uso da terra, o estabelecimento de padrões ambientais e as estimativas dos riscos reais e potenciais das atividades agrícolas e ambientais. Diversos modelos têm sido criados nos últimos 25 anos. Century é um modelo mecanístico que analisa em longo prazo a dinâmica da matéria orgânica do solo e de nutrientes no sistema solo-planta em diversos agroecossistemas. O submodelo de matéria orgânica do solo possui os compartimentos ativo (biomassa microbiana e produtos, lento (produtos microbianos e vegetais, fisicamente protegidos ou biologicamente resistentes à decomposição e passivo (quimicamente recalcitrante ou também fisicamente protegido com diferentes taxas de decomposição. Equações de primeira ordem são usadas para modelar todos os compartimentos da matéria orgânica do solo e a temperatura e umidade do solo modificam as taxas de decomposição. A reciclagem do compartimento ativo e a formação do passivo são controladas pelo teor de areia e de argila do solo, respectivamente. Os resíduos vegetais são divididos em compartimentos dependentes dos teores de lignina e nitrogênio. Por meio do modelo, pode-se relacionar matéria orgânica aos níveis de fertilidade e ao manejo atual e futuro, otimizando o entendimento das transformações dos nutrientes em solos de diversos agroecossistemas.The modeling of biological processes has as objectives the planning of land use, setting environmental standards and estimating the actual and potential risks of the agricultural and environmental activities. Several models have been created in the last 25 years. Century is a mechanistic model that analyzes in long-term the dynamics of soil organic matter and of nutrients in soil-plant system in several agroecosystems. The soil organic matter submodel has the active (microbial biomass and products, slow (plant and microbial products that are physically protected or

  13. Building predictive models of soil particle-size distribution Construção de modelos preditivos da distribuição do tamanho de partículas do solo

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    Alessandro Samuel-Rosa

    2013-04-01

    Full Text Available Is it possible to build predictive models (PMs of soil particle-size distribution (psd in a region with complex geology and a young and unstable land-surface? The main objective of this study was to answer this question. A set of 339 soil samples from a small slope catchment in Southern Brazil was used to build PMs of psd in the surface soil layer. Multiple linear regression models were constructed using terrain attributes (elevation, slope, catchment area, convergence index, and topographic wetness index. The PMs explained more than half of the data variance. This performance is similar to (or even better than that of the conventional soil mapping approach. For some size fractions, the PM performance can reach 70 %. Largest uncertainties were observed in geologically more complex areas. Therefore, significant improvements in the predictions can only be achieved if accurate geological data is made available. Meanwhile, PMs built on terrain attributes are efficient in predicting the particle-size distribution (psd of soils in regions of complex geology.É possível construir modelos preditivos (MPs da distribuição do tamanho de partículas do solo (DTP em uma região que possua geologia complexa e uma superfície geomórfica jovem e instável? O principal objetivo deste trabalho foi responder a essa questão. Um conjunto de 339 amostras de solo de uma pequena bacia hidrográfica de encosta do sul do Brasil foi usado para construir MPs da DTP na camada superficial do solo. Modelos de regressão linear múltiplos foram construídos com atributos de terreno (elevação, declividade, área de captação, índice de convergência, índice de umidade topográfica. Os MPs explicaram mais da metade da variância dos dados. Esse desempenho é semelhante (se não melhor ao da abordagem tradicional de mapeamento de solos. Para algumas frações de tamanho, o desempenho dos MPs pode chegar a 70 %. As maiores incertezas ocorrem nas áreas de maior

  14. Sepsis progression and outcome: a dynamical model

    Directory of Open Access Journals (Sweden)

    Gessler Damian DG

    2006-02-01

    Full Text Available Abstract Background Sepsis (bloodstream infection is the leading cause of death in non-surgical intensive care units. It is diagnosed in 750,000 US patients per annum, and has high mortality. Current understanding of sepsis is predominately observational and correlational, with only a partial and incomplete understanding of the physiological dynamics underlying the syndrome. There exists a need for dynamical models of sepsis progression, based upon basic physiologic principles, which could eventually guide hourly treatment decisions. Results We present an initial mathematical model of sepsis, based on metabolic rate theory that links basic vascular and immunological dynamics. The model includes the rate of vascular circulation, a surrogate for the metabolic rate that is mechanistically associated with disease progression. We use the mass-specific rate of blood circulation (SRBC, a correlate of the body mass index, to build a differential equation model of circulation, infection, organ damage, and recovery. This introduces a vascular component into an infectious disease model that describes the interaction between a pathogen and the adaptive immune system. Conclusion The model predicts that deviations from normal SRBC correlate with disease progression and adverse outcome. We compare the predictions with population mortality data from cardiovascular disease and cancer and show that deviations from normal SRBC correlate with higher mortality rates.

  15. A profile of solo/two-physician practices.

    Science.gov (United States)

    Lee, Doohee; Fiack, Kelly James; Knapp, Kenneth Michael

    2014-01-01

    Understanding practice behaviors of solo/dual physician ownership and associated factors at the national level is important information for policymakers and clinicians in response to the Affordable Care Act (ACA) of 2010, but poorly understood in the literature. We analyzed nationally representative data (n = 4,720). The study results reveal nearly 33% of the sample reported solo/two-physician practices. Male/minority/older physicians, psychiatrists, favor small practices. Greater market competition was perceived and less charity care was given among solo/two-physician practitioners. The South region was favored by small physician practitioners. Physicians in solo or two-person practices provided fewer services to chronic patients and were dissatisfied with their overall career in medicine. Small practices were favored by international medical graduates (IMGs) and primary care physicians (PCPs). Overall our data suggest that the role of solo/dual physician practices is fading away in the delivery of medicine. Our findings shed light on varied characteristics and practice behaviors of solo/two-physician practitioners, but more research may be needed to reevaluate the potential role of small physician practitioners and find a way to foster a private physician practice model in the context of the newly passed ACA of 2010.

  16. Modeling the economic outcomes of immuno-oncology drugs: alternative model frameworks to capture clinical outcomes

    Directory of Open Access Journals (Sweden)

    Gibson EJ

    2018-03-01

    Full Text Available EJ Gibson,1 N Begum,1 I Koblbauer,1 G Dranitsaris,2 D Liew,3 P McEwan,4 AA Tahami Monfared,5,6 Y Yuan,7 A Juarez-Garcia,7 D Tyas,8 M Lees9 1Wickenstones Ltd, Didcot, UK; 2Augmentium Pharma Consulting Inc, Toronto, ON, Canada; 3Department of Epidemiology and Preventive Medicine, Alfred Hospital, Monash University, Melbourne, VIC, Australia; 4Health Economics and Outcomes Research Ltd, Cardiff, UK; 5Bristol-Myers Squibb Canada, Saint-Laurent, QC Canada; 6Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC, Canada; 7Bristol-Myers Squibb, Princeton, NJ, USA; 8Bristol-Myers Squibb, Uxbridge, UK; 9Bristol-Myers Squibb, Rueil-Malmaison, France Background: Economic models in oncology are commonly based on the three-state partitioned survival model (PSM distinguishing between progression-free and progressive states. However, the heterogeneity of responses observed in immuno-oncology (I-O suggests that new approaches may be appropriate to reflect disease dynamics meaningfully. Materials and methods: This study explored the impact of incorporating immune-specific health states into economic models of I-O therapy. Two variants of the PSM and a Markov model were populated with data from one clinical trial in metastatic melanoma patients. Short-term modeled outcomes were benchmarked to the clinical trial data and a lifetime model horizon provided estimates of life years and quality adjusted life years (QALYs. Results: The PSM-based models produced short-term outcomes closely matching the trial outcomes. Adding health states generated increased QALYs while providing a more granular representation of outcomes for decision making. The Markov model gave the greatest level of detail on outcomes but gave short-term results which diverged from those of the trial (overstating year 1 progression-free survival by around 60%. Conclusion: Increased sophistication in the representation of disease dynamics in economic models

  17. Caregiving Isn't a Solo Sport

    Science.gov (United States)

    ... Sport Follow us Caregiving Isn't a Solo Sport Leeza Gibbons is a leading TV talk show ... go it alone. Caregiving is not a solo sport. Identify who’s on your team. Delegate, forgive, regroup, ...

  18. Modelo para simulação da dinâmica de nitrato em colunas verticais de solo não saturado A simulation model of nitrate displacement in vertical columns in a non-saturated soil

    Directory of Open Access Journals (Sweden)

    Jarbas H. de Miranda

    2002-01-01

    Full Text Available A agricultura intensiva está sempre em busca de incrementos de produtividade mas, em contrapartida, pouca atenção é dedicada a possíveis impactos ambientais. Portanto, o entendimento sobre processos de transporte de solutos no solo auxilia na redução da sua lixiviação para as camadas subsuperficiais. Neste sentido, objetivou-se, com o presente trabalho, desenvolver e avaliar um modelo computacional aplicado para simulação da dinâmica de solutos no solo por meio de soluções numéricas de equações diferenciais que descrevam esse transporte. Pelos resultados obtidos, o modelo apresentou bom ajuste das concentrações de nitrato e dos perfis de umidade, simulados com relação aos medidos em condições de laboratório em coluna vertical de solo não saturado.Intensive agriculture always aims at increased productivity, with limited or no attention dedicated to possible impacts on the environment. Therefore, the understanding of processes of solute transport in the soil contributes to reduction of leaching to the deep layers. In this connection, the present study had the objective of developing and evaluating a computational model for solute displacement simulation in the soil based on numerical solutions of differential equations describing this displacement. From the results obtained, the model presented a good agreement of nitrate concentrations as well as soil moisture profile when compared with the results obtained on a vertical column of non-saturated soil under laboratory conditions.

  19. A model to explain high values of pH in an alkali sodic soil Modelo para explicar valores elevados de pH em um solo sódico alcalino

    Directory of Open Access Journals (Sweden)

    José Guerrero-Alves

    2002-12-01

    Full Text Available For alkali sodic soils (pH>8.5, the "hydrolysis of exchangeable sodium" has been used as a possible explanation for the alkalinity production and rise in pH of these soils. As an alternative to this hypothesis, a model was developed to simulate and to explain that the alkalinity production and rise in pH is possible in a soil that accumulates alkaline sodium salts and CaCO3. Several simulations were performed by using different combinations of CO2 partial pressures (P, presence or absence of MgCO3, along with experimental values of exchangeable sodium percentage (ESP and ion concentrations in saturation extracts from an alkali sodic soil (named Pantanal. A hypothetical system with similar conditions to the Pantanal soil but with a Gapon selectivity coefficient (KG of 0.01475 (mmol L-1-1/2 was also considered. Good agreement was obtained between experimental and predicted values for pH and ion concentrations in the soil solution when the model (without MgCO3 was applied to the Pantanal soil. However, KG values calculated for the Pantanal soil were generally higher than 0.01475 (mmol L-1-1/2. Moreover, high pH values and elevated ionic strength were obtained when a KG of 0.01475 (mmol L-1-1/2 was used at high ESP (similar to those found in the Pantanal soil. KG values obtained for the Pantanal soil and the results obtained in the simulation of the hypothetical system are suggesting that a value higher than 0.01475 (mmol L-1-1/2 should be used to adequately simulate the behavior of the Pantanal soil at low ionic strength and high ESP values.Em solos alcalino sódicos (pH>8,5, a "hidrólise de sódio trocável" tem sido usada como uma possível explicação para a produção de álcali e elevação do pH nestes solos. Como uma alternativa a essa hipótese, um modelo foi desenvolvido para simular e explicar que a produção de álcali e elevação do pH é possível num solo que acumula sais alcalinos de sódio e CaCO3. Várias simulações foram

  20. Black Women: Double Solos in the Workplace.

    Science.gov (United States)

    Fontaine, Deborah C.; Greenlee, Shelia P.

    1993-01-01

    Studies 12 black women in solo status positions in academia. Solo status is being the only member, or one of a small number, of a sex or racial group or both, in the workplace. As double solos, these women felt they had to outperform majority group counterparts. Common perceptions of barriers and facilitators are discussed. (SLD)

  1. Census of solo LuxR genes in prokaryotic genomes.

    Science.gov (United States)

    Hudaiberdiev, Sanjarbek; Choudhary, Kumari S; Vera Alvarez, Roberto; Gelencsér, Zsolt; Ligeti, Balázs; Lamba, Doriano; Pongor, Sándor

    2015-01-01

    luxR genes encode transcriptional regulators that control acyl homoserine lactone-based quorum sensing (AHL QS) in Gram negative bacteria. On the bacterial chromosome, luxR genes are usually found next or near to a luxI gene encoding the AHL signal synthase. Recently, a number of luxR genes were described that have no luxI genes in their vicinity on the chromosome. These so-called solo luxR genes may either respond to internal AHL signals produced by a non-adjacent luxI in the chromosome, or can respond to exogenous signals. Here we present a survey of solo luxR genes found in complete and draft bacterial genomes in the NCBI databases using HMMs. We found that 2698 of the 3550 luxR genes found are solos, which is an unexpectedly high number even if some of the hits may be false positives. We also found that solo LuxR sequences form distinct clusters that are different from the clusters of LuxR sequences that are part of the known luxR-luxI topological arrangements. We also found a number of cases that we termed twin luxR topologies, in which two adjacent luxR genes were in tandem or divergent orientation. Many of the luxR solo clusters were devoid of the sequence motifs characteristic of AHL binding LuxR proteins so there is room to speculate that the solos may be involved in sensing hitherto unknown signals. It was noted that only some of the LuxR clades are rich in conserved cysteine residues. Molecular modeling suggests that some of the cysteines may be involved in disulfide formation, which makes us speculate that some LuxR proteins, including some of the solos may be involved in redox regulation.

  2. Project Solo; Newsletter Number Twenty.

    Science.gov (United States)

    Pittsburgh Univ., PA. Project Solo.

    Three Project Solo modules are presented. They are designed to teach the concepts of elementary matrix operation, matrix multiplication, and finite-state automata. Together with the module on communication matrices from Newsletter #17 they form a well motivated but structured path to expertise in this area. (JY)

  3. Modelagem da proteção do solo por plantas de cobertura no sul de Minas Gerais = Modeling of soil protection by cover crops in southern Minas Gerais, Brazil.

    Directory of Open Access Journals (Sweden)

    Diego Antonio França de Freitas

    2012-08-01

    Full Text Available A cobertura do solo é o fator de maior importância relativa no controle da erosão hídrica. Assim, objetivou-se no presente estudo elaborar a modelagem da cobertura vegetal de vinte e quatro plantas de cobertura, em diversos sistemas de plantio e históricos de uso, com potencial para cultivo no Sul de Minas Gerais. Para avaliação da cobertura vegetal foram realizadas avaliações no campo utilizando uma régua de classificação da cobertura vegetal, sendo o delineamento experimental inteiramente casualizado, com três repetições, utilizado neste experimento. As plantas cultivadas sobre a palhada de feijãoirrigado apresentaram alto índice de cobertura do solo, o que pode estar relacionado à maior disponibilidade de nutrientes deixado por esta cultura na palhada e a maior reserva de água no solo, promovido pela irrigação do feijão. O milheto cultivado em nível e sobre a palhada de milheto e feijão-de-porco apresentou o menor índice de cobertura entre as plantas testadas. Na região sul de Minas Gerais os padrões de chuvas ocorrem em maior quantidade nos períodos de outubro a março, com elevação em dezembro e janeiro. Neste período o solo deve estar protegido do impacto da gota de chuva, pois o risco de erosão hídrica é maior. Assim, a utilização das plantas de cobertura é de grande importância, pois estas protegem o solo do impacto direto dasgotas de chuvas e diminuem os picos de temperatura do solo, sendo que estas devem ser cultivadas, preferencialmente, sobre a palhada de feijão.The ground cover is the most important factor relative to control erosion. Thus, the objective of this study was to develop a model plant cover for 24 cover crops used in several cropping systems and historical use, with potential for cultivation in southern Minas Gerais State, Brazil. To evaluate the vegetation cover field assessments using the strip land cover classification. A completely randomized design with three replications was

  4. The Social Responsibility Performance Outcomes Model: Building Socially Responsible Companies through Performance Improvement Outcomes.

    Science.gov (United States)

    Hatcher, Tim

    2000-01-01

    Considers the role of performance improvement professionals and human resources development professionals in helping organizations realize the ethical and financial power of corporate social responsibility. Explains the social responsibility performance outcomes model, which incorporates the concepts of societal needs and outcomes. (LRW)

  5. Solo-Surgeon Single-Port Laparoscopic Anterior Resection for Sigmoid Colon Cancer: Comparative Study.

    Science.gov (United States)

    Choi, Byung Jo; Jeong, Won Jun; Kim, Say-June; Lee, Sang Chul

    2018-03-01

    To report our experience with solo-surgeon, single-port laparoscopic anterior resection (solo SPAR) for sigmoid colon cancer. Data from sigmoid colon cancer patients who underwent anterior resections (ARs) using the single-port, solo surgery technique (n = 31) or the conventional single-port laparoscopic technique (n = 45), between January 2011 and July 2016, were retrospectively analyzed. In the solo surgeries, making the transumbilical incision into the peritoneal cavity was facilitated through the use of a self-retaining retractor system. After establishing a single port through the umbilicus, an adjustable mechanical camera holder replaced the human scope assistant. Patient and tumor characteristics and operative, pathologic, and postoperative outcomes were compared. The operative times and estimated blood losses were similar for the patients in both treatment groups. In addition, most of the postoperative variables were comparable between the two groups, including postoperative complications and hospital stays. In the solo SPAR group, comparable lymph nodes were attained, and sufficient proximal and distal cut margins were obtained. The difference in the proximal cut margin significantly favored the solo SPAR, compared with the conventional AR group (P = .000). This study shows that solo SPAR, using a passive camera system, is safe and feasible for use in sigmoid colon cancer surgery, if performed by an experienced laparoscopic surgeon. In addition to reducing the need for a surgical assistant, the oncologic requirements, including adequate margins and sufficient lymph node harvesting, could be fulfilled. Further evaluations, including prospective randomized studies, are warranted.

  6. Seed bank modelling of volunteer oil seed rape: from seeds fate in the soil to seedling emergence Modelagem do banco de sementes de canola: do destino das sementes no solo à emergência das plântulas

    Directory of Open Access Journals (Sweden)

    E. Soltani

    2013-06-01

    Full Text Available Studies were conducted to estimate parameters and relationships associated with sub-processes in soil seed banks of oilseed rape in Gorgan, Iran. After one month of burial, seed viability decreased to 39%, with a slope of 2.03% per day, and subsequently decreased with a lower slope of 0.01 until 365 days following burial in the soil. Germinability remained at its highest value in autumn and winter and decreased from spring to the last month of summer. Non-dormant seeds of volunteer oilseed rape did not germinate at temperatures lower than 3.8 ºC and a water potential of -1.4 MPa ºd. The hydrothermal values were 36.2 and 42.9 MPa ºd for sub- and supra-optimal temperatures, respectively. Quantification of seed emergence as influenced by burial depth was performed satisfactorily (R² = 0.98 and RMSE = 5.03. The parameters and relationships estimated here can be used for modelling soil seed bank dynamics or establishing a new model for the environment.Estudos foram realizados para estimar os parâmetros e as relações ligados a subprocessos em bancos de sementes de canola no solo, em Gorgan, Iran. Após um mês de enterrio, a viabilidade das sementes diminuiu para 39%, com inclinação de 2,03% ao dia; posteriormente, diminuiu com menor inclinação: de 0,01 até 365 dias após o enterrio no solo. A germinação manteve-se em seu maior valor no outono e inverno, reduzindo da primavera ao último mês do verão. Sementes de canola não dormentes não germinaram em temperaturas abaixo de 3,8 °C e potencial hídrico abaixo de -1,4 Mpaºd. Os valores hidrotermais foram de 36,2 e 42,9 Mpaºd para temperaturas sub e supraótima, respectivamente. A quantificação da emergência das sementes sob influência da profundidade de enterrio foi delineada de forma satisfatória (R²= 0,98 e RMSE = 5,03. Os parâmetros e as relações estimadas neste estudo podem ser utilizados em modelagens do banco de sementes do solo ou para estabelecer um novo modelo para

  7. Integral-Value Models for Outcomes over Continuous Time

    DEFF Research Database (Denmark)

    Harvey, Charles M.; Østerdal, Lars Peter

    Models of preferences between outcomes over continuous time are important for individual, corporate, and social decision making, e.g., medical treatment, infrastructure development, and environmental regulation. This paper presents a foundation for such models. It shows that conditions on prefere...... on preferences between real- or vector-valued outcomes over continuous time are satisfied if and only if the preferences are represented by a value function having an integral form......Models of preferences between outcomes over continuous time are important for individual, corporate, and social decision making, e.g., medical treatment, infrastructure development, and environmental regulation. This paper presents a foundation for such models. It shows that conditions...

  8. Desempenho de modelos de calibração de guias de onda acopladas a TDR e a multiplexadores em três tipos de solos Performance of calibration models for TDR and multiplexer - connected waveguides in three soil types

    Directory of Open Access Journals (Sweden)

    Eugenio Ferreira Coelho

    2006-02-01

    Full Text Available O trabalho teve como objetivo avaliar modelos de calibração para dois tipos de guias de onda de TDR, referentes a dois equipamentos (Trase System e TDR 100, acopladas diretamente ao analisador de umidade ou a multiplexadores. Amostras de três tipos de solo foram acondicionadas em segmentos de tubos de PVC e saturadas. Dois tipos de guias de onda de três hastes, com capacitor e com resistor foram inseridas dentro de cada segmento de tubo com solo e conectadas a dois equipamentos de TDR, diretamente no testador de cabos ou via multiplexadores. Dados de umidade obtidos por gravimetria e da constante dielétrica foram tomados em cada coluna durante a secagem do solo da saturação até umidades próximas do limite inferior de disponibilidade de água por meio de leituras com as guias de onda conectadas ao testador de cabos e conectadas ao multiplexador. Um modelo polinomial cúbico foi ajustado aos dados da constante dielétrica do solo (épsilon e da correspondente umidade (teta e cinco modelos de determinação de q em função de e foram testados quanto ao desempenho. Os resultados mostraram que não houve diferença significativa na calibração das guias de onda com capacitor para uso com a TDR Trase System, considerando a conexão das guias ao analisador de umidade ou a multiplexadores. No caso da TDR 100, as guias de onda com resistor devem ser calibradas conforme o seu uso. O modelo cúbico foi o de melhor desempenho seguido pelo modelo de Roth que estimou, com boa exatidão, os valores da constante dielétrica e da umidade com a mais próximo de 0,5 para as guias de onda com capacitor que com as guias com resistor.The study aimed at evaluating of calibration models for two kinds of TDR waveguides used with Trase System and TDR 100 equipments linked to the cable tester or the multiplexer. Disturbed samples of three soils were packed in PVC columns and, after soil saturation, two TDR waveguides of three rods with capacitor and with

  9. "Telling a Story." On the Dramaturgy of Monophonic Jazz Solos

    Directory of Open Access Journals (Sweden)

    Klaus Frieler

    2016-07-01

    Full Text Available The metaphor of storytelling is widespread among jazz performers and jazz researchers. However, little is known about the precise meaning of this metaphor on an analytical level. The present paper attempts to shed light on the connected semantic field of the metaphor and relate it to its musical basis by investigating time courses of selected musical elements and features in monophonic jazz improvisations. Three explorative studies are carried out using transcriptions of 299 monophonic jazz solos from the Weimar Jazz Database. The first study inspects overall trends using fits of quadratic polynomials onto loudness and pitch curves. The second study does the same using selected features related to intensity, tension and variability over the course of phrases in the solos. The third study examines the distribution of the relative positions of various improvisational ideas in a subset of 116 solos. Results show that certain trends can be found, but not to a large extent. Significant trends most often display arch-shaped curves as expected from classical dramatic models. This is also in accordance with the fact that expressive improvisational ideas are more often found in the last part of a solo, while more relaxed ideas occur earlier. All in all, jazz improvisations show a wide range of variation and no single overarching dramatic model could be identified.

  10. Measuring outcomes in psychiatry: an inpatient model.

    Science.gov (United States)

    Davis, D E; Fong, M L

    1996-02-01

    This article describes a system for measuring outcomes recently implemented in the department of psychiatry of Baptist Memorial Hospital, a 78-bed inpatient and day treatment unit that represents one service line of a large, urban teaching hospital in Memphis. In June 1993 Baptist Hospital began a 15-month pilot test of PsychSentinel, a measurement tool developed by researchers in the Department of Community Medicine at the University of Connecticut. The hospital identified the following four primary goals for this pilot project: provide data for internal hospital program evaluation, provide data for external marketing in a managed care environment, satisfy requirements of the Joint Commission on Accreditation of Health Care Organizations, and generate studies that add to the literature in psychiatry and psychology. PsychSentinel is based on the standardized diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV). The outcome measure assesses the change in the number of symptoms of psychopathology that occurs between admission and discharge from the hospital. Included in the nonproprietary system are risk adjustment factors, as well as access to a national reference database for comparative analysis purposes. Data collection can be done by trained ancillary staff members, with as much or as little direct physician involvement as desired. The system has proven to be both time effective and cost effective, and it provides important outcome information both at the program level and at the clinician level. After the pilot test, the staff at Baptist Memorial Hospital determined that the system met all initial objectives identified and recently adopted the system as an ongoing measure of quality patient care in the department of psychiatry.

  11. Discrete event simulation: Modeling simultaneous complications and outcomes

    NARCIS (Netherlands)

    Quik, E.H.; Feenstra, T.L.; Krabbe, P.F.M.

    2012-01-01

    OBJECTIVES: To present an effective and elegant model approach to deal with specific characteristics of complex modeling. METHODS: A discrete event simulation (DES) model with multiple complications and multiple outcomes that each can occur simultaneously was developed. In this DES model parameters,

  12. Academicians and Neurologic Physical Therapy Residents Partner to Expand Clinical Reflection Using the SOLO Taxonomy: A Novel Approach.

    Science.gov (United States)

    Pinto Zipp, Genevieve; Maher, Catherine; Donnelly, Erin; Fritz, Brian; Snowdon, Lauren

    2016-01-01

    Creating curriculums that develop physical therapy (PT) students into evidenced-based, critically reflective, entry-level practitioners is one of the primary goals for PT programs. Academic faculty partnering with neurologic residency programs to design learning environments that capitalize upon the strengths of both can create insightful educational experiences for students during their didactic training. These partnerships support the development of critical thinking skills and provide mentorship for residents transitioning from their role as a clinician to that of an educator. Using the SOLO (structure of observed learning outcomes) taxonomy as a framework for developing learning experiences, Seton Hall University neurologic academic faculty and program directors from the Kessler Institute for Rehabilitation Residency in Neurologic Physical Therapy have built a partnership that seeks to develop critical reflection skills in both the neurologic resident and entry-level PT students. While integration of residents into entry-level PT curriculum may not be novel, we believe that utilizing the SOLO model within this partnership is unique. This paper describes the partnership and learning experiences rooted in the SOLO taxonomy theoretical framework and discusses perceived benefits of this learning experience across professional health science programs.

  13. Solo and Small Practices: A Vital, Diverse Part of Primary Care.

    Science.gov (United States)

    Liaw, Winston R; Jetty, Anuradha; Petterson, Stephen M; Peterson, Lars E; Bazemore, Andrew W

    2016-01-01

    Solo and small practices are facing growing pressure to consolidate. Our objectives were to determine (1) the percentage of family physicians in solo and small practices, and (2) the characteristics of and services provided by these practices. A total of 10,888 family physicians seeking certification through the American Board of Family Medicine in 2013 completed a demographic survey. Their practices were split into categories by size: solo, small (2 to 5 providers), medium (6 to 20 providers), and large (more than 20 providers). We also determined the rurality of the county where the physicians practiced. We developed 2 logistic regression models: one assessed predictors of practicing in a solo or small practice, while the other was restricted to solo and small practices and assessed predictors of practicing in a solo practice. More than one-half of respondents worked in solo or small practices. Small practices were the largest group (36%) and were the most likely to be located in a rural setting (20%). The likelihood of having a care coordinator and medical home certification increased with practice size. Physicians were more likely to be practicing in small or solo practices (vs medium-sized or large ones) if they were African American or Hispanic, had been working for more than 30 years, and worked in rural areas. Physicians were more likely to be practicing in small practices (vs solo ones) if they worked in highly rural areas. Family physicians in solo and small practices comprised the majority among all family physicians seeking board certification and were more likely to work in rural geographies. Extension programs and community health teams have the potential to support transformation within these practices. © 2016 Annals of Family Medicine, Inc.

  14. Bariatric Outcomes and Obesity Modeling: Study Meeting

    Science.gov (United States)

    2010-09-17

    Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA...developed a cost-effectiveness model and a payer-based budget and fiscal impact tool to compare bariatric surgical procedures to non- operative ...SURVIVAL MODELED FROM NHIS -NDI • Statistical analysis adapts the methods from Schauer 2010. • Logistic regression model is used to predict the 5-year

  15. Decision modeling for analyzing fire action outcomes

    Science.gov (United States)

    Donald MacGregor; Armando Gonzalez-Caban

    2008-01-01

    A methodology for incident decomposition and reconstruction is developed based on the concept of an "event-frame model." The event-frame model characterizes a fire incident in terms of (a) environmental events that pertain to the fire and the fire context (e.g., fire behavior, weather, fuels) and (b) management events that represent responses to the fire...

  16. Modelagem da dinâmica do potássio no solo sob irrigação por gotejamento: validação do modelo Potassium modeling dynamics in the soil under drip irrigation: model validation

    Directory of Open Access Journals (Sweden)

    René N. C. Rivera

    2006-08-01

    Full Text Available A compreensão do transporte simultâneo de água e solutos a partir de uma fonte pontual permite desenvolver estratégias eficientes na fertirrigação, sendo importante no dimensionamento, operação e manejo de sistemas de irrigação localizada. Assim, o presente trabalho teve como objetivo apresentar a validação de modelo matemático desenvolvido para simular o deslocamento simultâneo de água e potássio na irrigação por gotejamento. O desenvolvimento do modelo baseou-se na resolução numérica de equações diferenciais parciais de segunda ordem, aplicadas à fonte puntiforme sob fluxo transiente de água e solutos. O experimento de validação foi conduzido no Departamento de Engenharia Rural da ESALQ/USP. O solo utilizado foi um Latossolo Vermelho, fase arenosa, série "Sertãozinho", no qual foi aplicada uma solução de cloreto de potássio com concentração de 500 mg L-1 de K, com vazão de 3 L h-1, durante 2 h. Os tempos de amostragem foram 24; 48 e 72 h após o início da irrigação. Observou-se que houve bom ajuste nos valores da distribuição conjunta de água e potássio no bulbo quando foram comparados os dados simulados pelo modelo e os obtidos experimentalmente. A distribuição do potássio ficou limitada às camadas mais internas do bulbo, mostrando que o deslocamento do cátion foi retardado ao interagir com a matriz do solo.The understanding of simultaneous water and solute transport from a punctual source allow, in fertigation, to develop efficient strategies, important in design, operation and handling of drip irrigation systems. Thus, the present work has as objective to present a mathematical model validation applied to simulate the simultaneous water and potassium dynamic under drip irrigation. The model development was based on the numeric resolution of partial differential equations of second order from point sources under transient flow of water and solute. The validation experiment was done at ESALQ

  17. Biodiversidade do solo em ecossistemas brasileiros

    NARCIS (Netherlands)

    Moreira, F.M.S.; Siqueira, J.O.; Brussaard, L.

    2008-01-01

    Biodiversidade do Solo em Ecossistemas Brasileiros R,00 O solo é considerado o ecossistema mais complexo e dinâmico do planeta, cuja heterogeneidade de habitats, que varia na escala de nanômetros até quilômetros, abriga enorme biodiversidade que desempenha papel essencial para a continuida¬de dos

  18. Solo and Distributed Leadership: Definitions and Dilemmas

    Science.gov (United States)

    Crawford, Megan

    2012-01-01

    This article discusses solo and distributed leadership. Using the anniversary of "Educational Management Administration & Leadership" as a focal point, it looks back over the last 40 years of "EMAL", using this to frame a wider discussion of the relationship between solo and distributed leadership approaches. It acknowledges other approaches to…

  19. How to thrive as a solo librarian

    CERN Document Server

    Smallwood, Carol

    2011-01-01

    How to Thrive as a Solo Librarian is a compilation of chapters by librarians offering advice to colleagues who must work alone or with very limited help. The contributors come from schools and colleges, special and corporate archives, public libraries, and seasoned LIS faculty across the United States and abroad who are familiar with the vigor, dedication, and creativity necessary for solo librarians.

  20. PEMBUATAN GAME EDUKASI PETUALANGAN SI GEMUL SEBAGAI PEMBELAJARAN PENGENALAN DAERAH SOLO RAYA PADA ANAK

    Directory of Open Access Journals (Sweden)

    Fendi Aji Purnomo

    2016-11-01

    Full Text Available Perkembangan administrasi setelah Orde Baru pemerintah telah menghapus tingkat Karesidenan di Indonesia termasuk Karesidenan Surakarta. Akibatnya nama Karesidenan Surakarta berubah menjadi Eks-Karesidenan Surakarta atau Wilayah Solo Raya. Wilayah Solo Raya terdiri dari tujuh Kabupaten tiga di antaranya berbatasan langsung dengan kota Solo yaitu Boyolali, Sukoharjo dan Karanganyar. Tiga yang lain tidak berbatasan langsung yaitu Wonogiri, Sragen dan Klaten. Masing-masing daerah memiliki slogan, tempat wisata dan makanan khas yang berbeda, namun masih banyak masyarakat yang kurang mengenalnya. Hasil observasi menunjukkan bahwa kebanyakan anak-anak usia sekolah dasar belum mengetahui daerah-daerah mana saja yang masuk dalam daerah Solo Raya. Saat ini teknologi semakin berkembang secara pesat dan penggunaan gadget dapat difungsikan sebagai media edukasi. Dalam penelitian ini telah dikembangkan Game Edukasi berjudul Petualangan Gembul untuk mengenal daerah di Solo Raya Berbasis Android. Metode yang digunakan dalam pengembagan game ini adalah Software Development Life Cycle (SDLC Water Fall dimulai dari analisis, perancangan, pembuatan, pengujian dan pemeliharaan. Model permainan yang disajikan level pertama berupa adventure yang dilengkapi latar belakang daerah khas masing-masing, level kedua berupa kuis tanya jawab dan level ketiga berupa game puzzel yang berisi foto khas daerah untuk ditata ulang. Pengujian yang dilakukan meliputi pengujian perangkat terhadap 3 perangkat android yang berbeda spesifikasinya dan pengujian hasil pembuatan game melalui kuisioner dalam aspek penyampaian informasi dan desain visual game. Hasil penelitian menyebutkan bahwa 75% game tersebut memudahkan dalam mengenal daerah Solo Raya dan 79% menyebutkan bahwa tampilan game tersebut menarik. Kata kunci: game, android, anak, solo raya.

  1. Regional scale modeling of erosion related to land cover evolution: a case study in brazilian southeastern region Modelagem em escala regional da erosão relacionada com a evolução da cobertura do solo: um estudo de caso no sudeste do Brasil

    Directory of Open Access Journals (Sweden)

    Alexandre Marco Da Silva

    2008-12-01

    Full Text Available Accelerated soil erosion is, at present, one of the most widespread environmental problems in the world. Geographic Information Systems (GIS have become an essential tool in soil erosion studies and consequently in the development of appropriate soil conservation strategies. The objective of this paper was to assess the degree of soil erosion associated with land cover dynamics through GIS analysis and to validate the modeling with indicators of soil erosion. Universal Soil Loss Equation (USLE model, GIS technology and ground-truth dataset (erosion indicators were employed to elaborate the soil loss maps for four dates at Sorocaba Municipality (SP, Brazil. It was verified that, although the predicted soil loss rate is normally small along the study area, such rate is significantly greater than the soil formation rate. This shows a non-sustainable situation of soil and land cover management. Unplanned urban expansion seems be the main driving force that acts in increasing the erosion risk/occurrence along the study area.A erosão acelerada é um dos maiores problemas ambientais ocorrentes em larga escala na atualidade. Por sua vez, Sistemas de Informação Geográfica (SIG tornou-se uma ferramenta essencial em estudos de erosão e conseqüentemente no desenvolvimento de estratégias apropriadas para a conservação do solo. O objetivo deste trabalho foi avaliar o grau de erosão do solo associada com a dinâmica da cobertura do solo através de uma análise geoespacial e validar a modelagem com indicadores de erosão. Utilizou-se a Equação Universal de Perda de Solo (EUPS, recursos de SIG e dados de campo (indicadores de erosão para elaborar os mapas de perda de solo para quatro datas para o município de Sorocaba (SP, Brasil. Verificou-se que, embora a taxa de perda de solo ao longo da área de estudo é normalmente baixa, esta taxa é expressivamente maior que as taxas de formação do solo. Isto mostra uma situação não sustentável de

  2. Avaliação de modelos digitais de elevação para aplicação em um mapeamento digital de solos Evaluation of digital elevation models for application in a digital soil mapping

    Directory of Open Access Journals (Sweden)

    César S. Chagas

    2010-02-01

    Full Text Available No Brasil, normalmente os modelos digitais de elevação (MDEs são produzidos pelos próprios usuários e pouca atenção tem sido dada às suas limitações, como fonte de informação espacial. Este estudo propôs avaliar diferentes MDEs para subsidiar a escolha do modelo apropriado para derivar atributos topográficos utilizados em um mapeamento digital de solos, por redes neurais artificiais. A avaliação constou da determinação da raiz quadrada do erro médio quadrático da elevação (RMSE; análise das depressões espúrias; comparação entre drenagem mapeada e drenagem numérica, curvas de nível derivadas e curvas de nível originais, e análise das bacias de contribuição derivadas. Os resultados obtidos demonstraram que apenas o RMSE não foi suficiente para avaliar a qualidade desses modelos. O MDE, derivado de curvas de nível (CARTA, obtido com a utilização do módulo TOPOGRID apresentou qualidade superior aos MDEs derivados de sensores remotos (ASTER e SRTM. A análise qualitativa também identificou que o MDE CARTA é superior aos demais, pois estes apresentaram grande quantidade de erros que podem comprometer o estabelecimento das relações entre atributos do terreno e as condições locais de solos.In Brazil, the digital elevation models (DEMs are usually produced by users themselves and little attention has been given to their limitations as source of spatial information. The objective of this study was to evaluate different DEMs to help in choosing an appropriate model to derive topographical attributes used in a digital soil mapping based on a neural networks approach. The evaluation consisted of the following analysis: determination of root mean square error (RMSE of elevation; analysis of the spurious depressions; comparison between mapped drainage and numeric drainage and between derived contour lines and original contour lines; and analysis of the derived contribution basins. The results demonstrated that RMSE

  3. "Go Somewhere, Do Something". How Students Responded to the Opportunity to Complete an Unstructured, Five-Day, Wilderness Solo in the Cantabrian Mountains, Northern Spain

    Science.gov (United States)

    Campbell, Liz

    2010-01-01

    This study explored the response of 28, second year undergraduate students to an innovative approach to a five-day solo. Periods of solitude are more likely to lead to positive outcomes when they are freely chosen than when they are programmed as part of a course. The extent to which a programmed solo can be "freely chosen" by the…

  4. Physiotherapy and low back pain - part iii: outcomes research utilising the biosychosocial model: psychosocial outcomes

    Directory of Open Access Journals (Sweden)

    L. D. Bardin

    2003-02-01

    has evolved that necessitates the use of a biopsychosocial model, focusing on illness rather than disease and incorporating the biological, psychological and social aspects that are important to understand and to study LBP in its chronic form. Traditional outcome measures that measure elements within the biological component are limited to assess the spectrum of impacts caused by chronic low back pain (CLBP and the validity, reliability and sensitivity of some of these measures has been questioned.Few physiologic tests of spine function are clinically meaningful to patients, objective physical findings can be absent, and in CLBP disability and activity intolerance are often disproportional to the original injury. Biological outcomes should be complemented by outcomes of the psychosocial aspects of back pain that measure the considerable functional and emotional impact on the quality of life of patients experiencing low back dysfunction. Outcomes research is an analysis of clinical practice as it actually occurs and can  make a valuable contribution to understanding the multidimensional impact of LBP. Psychosocial aspects of the biopsychosocial model for outcomes research are discussed in part III: functional status/disability, psychological impairment, patient satisfaction, health related quality of life

  5. The expected-outcome model of two-player games

    CERN Document Server

    Abramson, Bruce

    1990-01-01

    The Expected-Outcome Model of Two-Player Games deals with the expected-outcome model of two-player games, in which the relative merit of game-tree nodes, rather than board positions, is considered. The ambiguity of static evaluation and the problems it generates in the search system are examined and the development of a domain-independent static evaluator is described. Comprised of eight chapters, this book begins with an overview of the rationale for the mathematical study of games, followed by a discussion on some previous artificial intelligence (AI) research efforts on game-trees. The nex

  6. Modelo numérico do transporte de água e soluto no solo: I - simulação da distribuição de umidade Numerical model for water and solute transport in the soil: I - simulation of the moisture distribution

    Directory of Open Access Journals (Sweden)

    Marcus M. Corrêa

    2006-03-01

    Full Text Available As equações diferenciais do movimento de água e do transporte de soluto em solo não saturado, considerando-se a existência de extração pela planta, foram resolvidas utilizando a técnica diferenças finitas. Para a implementação do modelo desenvolveu-se um programa em linguagem Delphi, denominado SIMASS-C - SImulação do Movimento de Água e Soluto no Solo, considerando-se a presença de Cultura. O modelo fornece, em diferentes tempos, os valores de umidade, do potencial matricial, do fluxo da água e da concentração de soluto ao longo do perfil do solo. Obtém-se, ainda, como resultados de saída, o crescimento e a densidade das raízes, o índice de área foliar e a evapotranspiração da cultura. Para testar o modelo desenvolvido conduziu-se um experimento em casa de vegetação, onde 42 colunas de solo foram montadas em tubo de PVC rígido. Em cada coluna, a cultura do milho foi semeada e durante 30 dias após a germinação, a umidade do solo e o desenvolvimento da cultura foram monitorados. Os resultados experimentais mostraram, ao nível de probabilidade de 90%, que o modelo SIMASS-C foi preciso em simular o transporte de água no solo.The differential equations that govern the water flow and the solute transport in an unsaturated soil, considering the water extraction by plants were solved using the finite difference method. A computer model named SIMASS-C (Simulation of the water and solute transport in the soil considering water extraction was developed using Delphi language. The model allows to calculate the water content, matric potential, water flux and solute concentration through the soil profile. Besides that, the model output gives the growth and the density of the roots, the leaf area index and the crop evapotranspiration. To test the model, an experiment was conducted in a green house using 42 soil columns made of PVC tubes. In each column, corn was seeded and during 30 days after the emergence the soil water

  7. Thrombocytopenia following implantation of the stentless biological sorin freedom SOLO valve.

    Science.gov (United States)

    Gersak, Borut; Gartner, Urska; Antonic, Miha

    2011-07-01

    Stentless biological valves have proven advantages in hemodynamic performance and left ventricular function compared to stented biological valves. Following a marked postoperative fall in the platelet count of patients after implantation of the Freedom SOLO valve, the study aim was to confirm clinical observations that this effect was more severe in patients receiving Freedom SOLO valves than in those receiving St. Jude Medical (SJM) mechanical aortic valves. Preoperative and postoperative platelet counts were compared in two groups of patients who underwent aortic valve replacement (AVR) without any concomitant procedures between January and December 2007. Patients received either a Freedom SOLO valve (n = 28) or a SJM mechanical valve (n = 41). Mean values of platelet counts were compared using three multiple linear regression models. Platelet counts were significantly lower in the Freedom SOLO group than in the SJM group from the first postoperative day (POD 1) up to POD 6 (p SOLO group the platelet count fell below 30x10(9)/l, while the lowest level in the SJM group was 75x10(9)/l. Based on multiple linear regression models, the type of valve implanted had a statistically significant influence on postoperative platelet counts on POD 1, POD 3, and POD 5 (p SOLO group.

  8. Teachers' Continuing Professional Development: Framing a Model of Outcomes

    Science.gov (United States)

    Harland, John; Kinder, Kay

    2014-01-01

    In order to contribute towards the construction of an empirically-grounded theory of effective continuing professional development (CPD), this paper seeks to develop a model of the effects of teachers' CPD or in-service education and training (INSET). It builds on an earlier typology of INSET outcomes and compares it to two previous classification…

  9. Improving treatment outcome assessment in a mouse tuberculosis model.

    Science.gov (United States)

    Mourik, Bas C; Svensson, Robin J; de Knegt, Gerjo J; Bax, Hannelore I; Verbon, Annelies; Simonsson, Ulrika S H; de Steenwinkel, Jurriaan E M

    2018-04-09

    Preclinical treatment outcome evaluation of tuberculosis (TB) occurs primarily in mice. Current designs compare relapse rates of different regimens at selected time points, but lack information about the correlation between treatment length and treatment outcome, which is required to efficiently estimate a regimens' treatment-shortening potential. Therefore we developed a new approach. BALB/c mice were infected with a Mycobacterium tuberculosis Beijing genotype strain and were treated with rifapentine-pyrazinamide-isoniazid-ethambutol (R p ZHE), rifampicin-pyrazinamide-moxifloxacin-ethambutol (RZME) or rifampicin-pyrazinamide-moxifloxacin-isoniazid (RZMH). Treatment outcome was assessed in n = 3 mice after 9 different treatment lengths between 2-6 months. Next, we created a mathematical model that best fitted the observational data and used this for inter-regimen comparison. The observed data were best described by a sigmoidal E max model in favor over linear or conventional E max models. Estimating regimen-specific parameters showed significantly higher curative potentials for RZME and R p ZHE compared to RZMH. In conclusion, we provide a new design for treatment outcome evaluation in a mouse TB model, which (i) provides accurate tools for assessment of the relationship between treatment length and predicted cure, (ii) allows for efficient comparison between regimens and (iii) adheres to the reduction and refinement principles of laboratory animal use.

  10. Modelo aplicado à dinâmica da água e do potássio no solo sob irrigação por gotejamento: análise de sensibilidade Model applied to water and potassium dynamics under drip irrigation: sensitivity analysis

    Directory of Open Access Journals (Sweden)

    René N.C. Rivera

    2008-09-01

    Full Text Available A compreensão do transporte simultâneo da água e de solutos, a partir de uma fonte pontual, permite desenvolver estratégias eficientes na fertirrigação, sendo importante no dimensionamento, na operação e no manejo de sistemas de irrigação localizada. O presente trabalho teve como objetivo apresentar a análise de sensibilidade de um modelo matemático, desenvolvido para simular o deslocamento simultâneo de água e de potássio na irrigação por gotejamento. A análise de sensibilidade foi realizada com respeito às variações individuais da condutividade hidráulica do solo saturado, umidade inicial e saturada do solo, dispersividade, fator de retardamento e vazão do emissor. Os resultados obtidos revelaram que o modelo matemático, com relação à distribuição de água, é bastante sensível à umidade de saturação e inicial do solo e, em relação à distribuição de potássio, é bastante sensível a variações negativas da condutividade hidráulica do solo saturado e da vazão do gotejador; já em relação aos parâmetros de transporte de solutos no solo, é bastante sensível a variações negativas do fator de retardamento e pouco sensível às variações da dispersividade do solo.The understanding of the simultaneous transport of water and solute, from a punctual source, allows developing efficient strategies in fertigation, being important in design, operation and management of drip irrigation. The present work had as objective to show the sensitivity analysis of a mathematical model, developed to simulate the simultaneous water and potassium movement in drip irrigation. The sensitivity analysis was performed considering individual variations of saturated soil hydraulic conductivity, initial and saturated soil moisture, dispersivity, retardation factor and emitter flow. The obtained results showed that the mathematical model, regarding water distribution, is quite sensitive to the saturation and initial soil

  11. Uncertainties in model-based outcome predictions for treatment planning

    International Nuclear Information System (INIS)

    Deasy, Joseph O.; Chao, K.S. Clifford; Markman, Jerry

    2001-01-01

    Purpose: Model-based treatment-plan-specific outcome predictions (such as normal tissue complication probability [NTCP] or the relative reduction in salivary function) are typically presented without reference to underlying uncertainties. We provide a method to assess the reliability of treatment-plan-specific dose-volume outcome model predictions. Methods and Materials: A practical method is proposed for evaluating model prediction based on the original input data together with bootstrap-based estimates of parameter uncertainties. The general framework is applicable to continuous variable predictions (e.g., prediction of long-term salivary function) and dichotomous variable predictions (e.g., tumor control probability [TCP] or NTCP). Using bootstrap resampling, a histogram of the likelihood of alternative parameter values is generated. For a given patient and treatment plan we generate a histogram of alternative model results by computing the model predicted outcome for each parameter set in the bootstrap list. Residual uncertainty ('noise') is accounted for by adding a random component to the computed outcome values. The residual noise distribution is estimated from the original fit between model predictions and patient data. Results: The method is demonstrated using a continuous-endpoint model to predict long-term salivary function for head-and-neck cancer patients. Histograms represent the probabilities for the level of posttreatment salivary function based on the input clinical data, the salivary function model, and the three-dimensional dose distribution. For some patients there is significant uncertainty in the prediction of xerostomia, whereas for other patients the predictions are expected to be more reliable. In contrast, TCP and NTCP endpoints are dichotomous, and parameter uncertainties should be folded directly into the estimated probabilities, thereby improving the accuracy of the estimates. Using bootstrap parameter estimates, competing treatment

  12. Empirical models to predict soil nitrogen mineralization Modelos empíricos para a predição da mineralização do nitrogênio do solo

    Directory of Open Access Journals (Sweden)

    Flávio Anastácio de Oliveira Camargo

    2002-06-01

    Full Text Available Empirical models are mathematical equations that can be fitted to experimental results. The use of these models aims to evaluate or predict observed phenomena or experimental data with the objective of helping the development of adequate soil management practices. Based on these considerations, eight mathematical models described in the literature are compared in the present work, using as experimental data the mineral N accumulated during 32 weeks of incubation in Southern Brazilian soils. To obtain mineralization values experimentally, an incubation-washing procedure with 0.01mol L-1 CaCl2 was used. Mineral N was determined at the beginning of the incubation and in the 2nd, 4th, 8th, 16th and 32nd weeks. Among the models, the best fit was obtained with the simple exponential model to describe the mineralization of organic N in the soils. The double exponential models showed quite good fit, but may be superparametrized. In addition, the hypothesis on which these models are based, i.e., the presence of two forms of organic N susceptible to mineralization, cannot be sustained in this study.Modelos empíricos são equações matemáticas que podem ser ajustadas a resultados experimentais. Esses modelos podem ser utilizados para avaliar ou predizer fenômenos observados ou dados experimentais e auxiliar no desenvolvimento de práticas adequadas de manejo do solo. Desse modo, o presente trabalho teve por objetivo comparar oito modelos matemáticos descritos na literatura, utilizando como dados experimentais o N mineralizado de dez solos do Rio Grande do Sul, acumulado durante 32 semanas de incubação. O N mineralizado foi obtido experimentalmente em um experimento de incubação, seguido de lixiviação com CaCl2 0,01mol L-1. O N mineral foi determinado no começo do período de incubação e ao final da 2ª, 4ª, 8ª, 16ª e 32ª semanas. Entre os modelos testados, o melhor ajuste do N mineralizado foi obtido com os modelos exponenciais simples

  13. Research and Teaching: Blooming, SOLO Taxonomy, and Phenomenography as Assessment Strategies in Undergraduate Science Education

    Science.gov (United States)

    Newton, Genevieve; Martin, Elizabeth

    2013-01-01

    Three alternative approaches to assessment of exam responses were applied in an undergraduate biochemistry course. First, phenomenography was used to categorize written exam responses into an inclusive hierarchy. Second, responses to the same question were similarly categorized according to the Structure of Observed Learning Outcome (SOLO)…

  14. Transforming Taxonomies into Rubrics: Using SOLO in Social Science and Inclusive Education

    Science.gov (United States)

    Rembach, Lauren; Dison, Laura

    2016-01-01

    Designing assessment rubrics has become an important pedagogical practice for lecturers in the Wits School of Education (WsoE) in the recognition of writing as a valuable tool for teaching and learning across disciplines. This paper describes and reflects on the process of adapting the SOLO taxonomy (Structure of Observed Learning Outcomes)…

  15. Analysis of Attainments and Evaluation Questions in Sociology Curriculum According to the SOLO Taxonomy

    Science.gov (United States)

    Korkmaz, Fahrettin; Unsal, Serkan

    2017-01-01

    Purpose: This research aims at analyzing the attainments identified in the sociology curriculum for 11th grade implemented by the Ministry of National Education (MoNE) in 2010, and the evaluation questions in the sociology textbook which was taught in the 2016-2017 academic year, based on the Structure of Observed Learning Outcomes (SOLO)…

  16. Outcome Prediction in Mathematical Models of Immune Response to Infection.

    Directory of Open Access Journals (Sweden)

    Manuel Mai

    Full Text Available Clinicians need to predict patient outcomes with high accuracy as early as possible after disease inception. In this manuscript, we show that patient-to-patient variability sets a fundamental limit on outcome prediction accuracy for a general class of mathematical models for the immune response to infection. However, accuracy can be increased at the expense of delayed prognosis. We investigate several systems of ordinary differential equations (ODEs that model the host immune response to a pathogen load. Advantages of systems of ODEs for investigating the immune response to infection include the ability to collect data on large numbers of 'virtual patients', each with a given set of model parameters, and obtain many time points during the course of the infection. We implement patient-to-patient variability v in the ODE models by randomly selecting the model parameters from distributions with coefficients of variation v that are centered on physiological values. We use logistic regression with one-versus-all classification to predict the discrete steady-state outcomes of the system. We find that the prediction algorithm achieves near 100% accuracy for v = 0, and the accuracy decreases with increasing v for all ODE models studied. The fact that multiple steady-state outcomes can be obtained for a given initial condition, i.e. the basins of attraction overlap in the space of initial conditions, limits the prediction accuracy for v > 0. Increasing the elapsed time of the variables used to train and test the classifier, increases the prediction accuracy, while adding explicit external noise to the ODE models decreases the prediction accuracy. Our results quantify the competition between early prognosis and high prediction accuracy that is frequently encountered by clinicians.

  17. Graphical models for inference under outcome-dependent sampling

    DEFF Research Database (Denmark)

    Didelez, V; Kreiner, S; Keiding, N

    2010-01-01

    a node for the sampling indicator, assumptions about sampling processes can be made explicit. We demonstrate how to read off such graphs whether consistent estimation of the association between exposure and outcome is possible. Moreover, we give sufficient graphical conditions for testing and estimating......We consider situations where data have been collected such that the sampling depends on the outcome of interest and possibly further covariates, as for instance in case-control studies. Graphical models represent assumptions about the conditional independencies among the variables. By including...

  18. Characteristics of Female Solo and Female Co-Offenders and Male Solo Sexual Offenders Against Children.

    Science.gov (United States)

    Williams, Rebecca; Gillespie, Steven M; Elliott, Ian A; Eldridge, Hilary J

    2017-09-01

    Studies have highlighted differences in the victim choice, offender, and offense characteristics of female and male sexual offenders. However, little is known about how solo and co-offending females differ from solo male sexual offenders. We compared the characteristics of 20 solo and 20 co-offending females (co-offended with a male and/or female accomplice), and 40 male sexual offenders against children. We found that solo female offenders showed the most evidence of personal problems, including depression and sexual dissatisfaction. Compared with male offenders, female co-offenders showed poorer self-management, but better sexual self-regulation. Male offenders had a greater history of offending and showed more evidence of sexual abuse supportive cognitions relative to both solo and co-offending females. These results are consistent with the need for a gender-specific approach to working with sexual offenders and may have implications for understanding the often complex treatment needs of these clients.

  19. Healing models for organizations: description, measurement, and outcomes.

    Science.gov (United States)

    Malloch, K

    2000-01-01

    Healthcare leaders are continually searching for ways to improve their ability to provide optimal healthcare services, be financially viable, and retain quality caregivers, often feeling like such goals are impossible to achieve in today's intensely competitive environment. Many healthcare leaders intuitively recognize the need for more humanistic models and the probable connection with positive patient outcomes and financial success but are hesitant to make significant changes in their organizations because of the lack of model descriptions or documented recognition of the clinical and financial advantages of humanistic models. This article describes a study that was developed in response to the increasing work in humanistic or healing environment models and the need for validation of the advantages of such models. The healthy organization model, a framework for healthcare organizations that incorporates humanistic healing values within the traditional structure, is presented as a result of the study. This model addresses the importance of optimal clinical services, financial performance, and staff satisfaction. The five research-based organizational components that form the framework are described, and key indicators of organizational effectiveness over a five-year period are presented. The resulting empirical data are strongly supportive of the healing model and reflect positive outcomes for the organization.

  20. {sup 137}Cs applicability to soil erosion assessment: theoretical and empirical model; Aplicabilidade do {sup 137}Cs para medir erosao do solo: modelos teoricos e empiricos

    Energy Technology Data Exchange (ETDEWEB)

    Andrello, Avacir Casanova

    2004-02-15

    The soil erosion processes acceleration and the increase of soil erosion rates due to anthropogenic perturbation in soil-weather-vegetation equilibrium has influenced in the soil quality and environment. So, the possibility to assess the amplitude and severity of soil erosion impact on the productivity and quality of soil is important so local scale as regional and global scale. Several models have been developed to assess the soil erosion so qualitative as quantitatively. {sup 137}Cs, an anthropogenic radionuclide, have been very used to assess the superficial soil erosion process Empirical and theoretical models were developed on the basis of {sup 137} Cs redistribution as indicative of soil movement by erosive process These models incorporate many parameters that can influence in the soil erosion rates quantification by {sup 137} Cs redistribution. Statistical analysis was realized on the models recommended by IAEA to determinate the influence that each parameter generates in results of the soil redistribution. It was verified that the most important parameter is the {sup 137} Cs redistribution, indicating the necessity of a good determination in the {sup 137} Cs inventory values with a minimum deviation associated with these values. After this, it was associated a 10% deviation in the reference value of {sup 137} Cs inventory and the 5% in the {sup 137} Cs inventory of the sample and was determinate the deviation in results of the soil redistribution calculated by models. The results of soil redistribution was compared to verify if there was difference between the models, but there was not difference in the results determinate by models, unless above 70% of {sup 137} Cs loss. Analyzing three native forests and an area of the undisturbed pasture in the Londrina region, can be verified that the {sup 137} Cs spatial variability in local scale was 15%. Comparing the {sup 137} Cs inventory values determinate in the three native forest with the {sup 137} Cs inventory

  1. MORFOLOGI KOTA SOLO (TAHUN 1500-2000

    Directory of Open Access Journals (Sweden)

    Budi Prayitno

    2007-01-01

    Full Text Available The purpose of this study is to explore the transformation of city form and its structure in Solo which has developed from time to time. The method of this research was carried out by a-three-archive research strategy as follows: primary files; secondary files and physical files. The primary files referred to the old Javanese documentary (examples: parintah, undhang-undhang, pranatan, piyagem, kakancingan, serat, gugat, penget, babad. The secondary files referred to the document of local, national and international historians (examples: Ricklefs, Lombard, Vorstensteden, Muljana, Notosusanto, Kartodirdjo, Sajid and Javanese architecture researchers (Ronald, Ikaputra, Adishakti. While the physical files referred to the field research that was conducted by interviews and collecting the artefacts. The main findings of study of morphology in the city of Solo were: the 'skeleton' element grew in three formations (central, cluster and organic; the 'meat' element grew in three formations also (horizontal, vertical, and interstitial; and the 'blood' element increased from the native people (Javanese, Madura, Banjar to foreign people (Chinese, Arab, India, Dutch and changed from agricultural to non-agricultural activities. The other findings were the city of Solo was constructed by a-three-concept of urban design as follows: the organic concept which was conducted by native people; the colony concept which was conducted by the Dutch; and the cosmology concept which was conducted by the Javanese Kingdom. In 1500s-1750s, initially the city of Solo was a settlement grew at the bank of Bengawan Solo. Afterwards, in 1750s-1850s it developed into a combined water- and land- based urban fabric Since 1850s, the city of Solo has left the river transportation and changed into the land transportation. Moreover, in 1900s the city of Solo built the new technology of transportation and urban utilities as follows: train, tram (streetcar, electricity and water city

  2. ESTRUTURA DO SOLO SOB FEIJÃO IRRIGADO E DIFERENTES MANEJO DO SOLO

    OpenAIRE

    Lorena Adriana de Gennaro; Zigomar Menezes de Souza; Laura Fernanda Simões da Silva; Miguel Cooper; Milton César Costa Campos

    2015-01-01

    O manejo agrícola influencia a estrutura do solo, modificando os atributos físicos e o comportamento hídrico do solo. O objetivo deste trabalho foi avaliar os efeitos da semeadura direta (SD) e do preparo convencional (PC) sobre a estrutura do solo, por meio de atributos físicos e da distribuição dos poros, utilizando imagens digitais 2-D. O estudo foi realizado em um Latossolo Vermelho distroférrico com delineamento de blocos casualizados. A densidade do so...

  3. Redefining Outcome Measurement: A Model for Brief Psychotherapy.

    Science.gov (United States)

    McGuinty, Everett; Nelson, John; Carlson, Alain; Crowther, Eric; Bednar, Dina; Foroughe, Mirisse

    2016-05-01

    The zeitgeist for short-term psychotherapy efficacy has fundamentally shifted away from evidence-based practices to include evidence-informed practices, resulting in an equally important paradigm shift in outcome measurement designed to reflect change in this short-term modality. The present article delineates a short-term psychotherapy structure which defines four fundamental stages that all brief therapies may have in common, and are represented through Cognitive Behavioral Therapy, Solution-Focused Brief Therapy, Narrative Therapy, and Emotion-Focused Therapy. These four theoretical approaches were analyzed via a selected literature review through comparing and contrasting specific and common tasks as they relate to the process of psychotherapy and change. Once commonalities were identified within session, they were categorized or grouped into themes or general stages of change within the parameters of a four to six session model of short-term therapy. Commonalities in therapeutic stages of change may more accurately and uniformly measure outcome in short-term work, unlike the symptom-specific psychometric instruments of longer-term psychotherapy. A systematic framework for evaluating the client and clinician adherence to 20 specific tasks for these four short-term therapies is presented through the newly proposed, Brief Task Acquisition Scale (BTAS). It is further proposed that the client-clinicians' adherence to these tasks will track and ultimately increase treatment integrity. Thus, when the client-clinician relationship tracks and evaluates the three pillars of (1) stage/process change, (2) task acquisition, and (3) treatment integrity, the culmination of these efforts presents a new way of more sensitively measuring outcome in short-term psychotherapy. Data collection is suggested as a first step to empirically evaluate the testable hypotheses suggested within this current model. Copyright © 2015 John Wiley & Sons, Ltd. Key Practitioner Message The

  4. Preoperative prediction model of outcome after cholecystectomy for symptomatic gallstones

    DEFF Research Database (Denmark)

    Borly, L; Anderson, I B; Bardram, L

    1999-01-01

    and sonography evaluated gallbladder motility, gallstones, and gallbladder volume. Preoperative variables in patients with or without postcholecystectomy pain were compared statistically, and significant variables were combined in a logistic regression model to predict the postoperative outcome. RESULTS: Eighty...... and by the absence of 'agonizing' pain and of symptoms coinciding with pain (P model 15 of 18 predicted patients had postoperative pain (PVpos = 0.83). Of 62 patients predicted as having no pain postoperatively, 56 were pain-free (PVneg = 0.90). Overall accuracy...... was 89%. CONCLUSION: From this prospective study a model based on preoperative symptoms was developed to predict postcholecystectomy pain. Since intrastudy reclassification may give too optimistic results, the model should be validated in future studies....

  5. The Assessment of Patient Clinical Outcome: Advantages, Models, Features of an Ideal Model

    Directory of Open Access Journals (Sweden)

    Mou’ath Hourani

    2016-06-01

    Full Text Available Background: The assessment of patient clinical outcome focuses on measuring various aspects of the health status of a patient who is under healthcare intervention. Patient clinical outcome assessment is a very significant process in the clinical field as it allows health care professionals to better understand the effectiveness of their health care programs and thus for enhancing the health care quality in general. It is thus vital that a high quality, informative review of current issues regarding the assessment of patient clinical outcome should be conducted. Aims & Objectives: 1 Summarizes the advantages of the assessment of patient clinical outcome; 2 reviews some of the existing patient clinical outcome assessment models namely: Simulation, Markov, Bayesian belief networks, Bayesian statistics and Conventional statistics, and Kaplan-Meier analysis models; and 3 demonstrates the desired features that should be fulfilled by a well-established ideal patient clinical outcome assessment model. Material & Methods: An integrative review of the literature has been performed using the Google Scholar to explore the field of patient clinical outcome assessment. Conclusion: This paper will directly support researchers, clinicians and health care professionals in their understanding of developments in the domain of the assessment of patient clinical outcome, thus enabling them to propose ideal assessment models.

  6. The Assessment of Patient Clinical Outcome: Advantages, Models, Features of an Ideal Model

    Directory of Open Access Journals (Sweden)

    Mou’ath Hourani

    2016-06-01

    Full Text Available Background: The assessment of patient clinical outcome focuses on measuring various aspects of the health status of a patient who is under healthcare intervention. Patient clinical outcome assessment is a very significant process in the clinical field as it allows health care professionals to better understand the effectiveness of their health care programs and thus for enhancing the health care quality in general. It is thus vital that a high quality, informative review of current issues regarding the assessment of patient clinical outcome should be conducted. Aims & Objectives: 1 Summarizes the advantages of the assessment of patient clinical outcome; 2 reviews some of the existing patient clinical outcome assessment models namely: Simulation, Markov, Bayesian belief networks, Bayesian statistics and Conventional statistics, and Kaplan-Meier analysis models; and 3 demonstrates the desired features that should be fulfilled by a well-established ideal patient clinical outcome assessment model. Material & Methods: An integrative review of the literature has been performed using the Google Scholar to explore the field of patient clinical outcome assessment. Conclusion: This paper will directly support researchers, clinicians and health care professionals in their understanding of developments in the domain of the assessment of patient clinical outcome, thus enabling them to propose ideal assessment models.

  7. A model for determination of screening level for radioactive elements in soil; Modelo para o estabelecimento de valores orientadores para elementos radioativos no solo

    Energy Technology Data Exchange (ETDEWEB)

    Peres, Ana Claudia

    2007-07-01

    At the present, decision about clean-up of Brazilian sites contaminated with radioactive isotopes is addressed on a case-by-case basis, since there is no general guidance or recommendation to support actions in early phases of the problem identification. For chemicals, CETESB - the governmental organization responsible for preventing and controlling environmental pollution in Sao Paulo State - established background values, prevention and intervention, as the first step to implement a remediation actions based on human health risk assessment. The aim of this study was to develop a methodology for the establishment of target values for radioactive soil contamination, as far as possible consistent and compatible with the approach adopted by CETESB for sites contaminated with chemicals. The following steps have been addressed in this study: conceptual scenario and model development; codification of the equations in an electronic spreadsheet; selection of proper range and statistical distribution of the input values; derivation of the intervention levels for selected radionuclides using Monte Carlo methods. The mathematical model developed was mainly based on the equations used by the U.S. Environmental Protection Agency (EPA) and by the National Council on Radiation Protection and Measurements (NCRP) for soil screening purposes. Intervention and prevention values are presented for adult and 10 years old child, for each 3 exposure scenarios: agricultural, residential and industrial; the following radionuclides were considered: {sup 3}H, {sup 14}C, {sup 32}P, {sup 35}S, {sup 45}Ca, {sup 51}Cr, {sup 90}Sr, {sup 125}I, {sup 131}I, {sup 134}Cs, {sup 137}Cs, {sup 210}Pb, {sup 226}Ra, {sup 228}Ra, {sup 232}Th, {sup 238}U, {sup 239}Pu and {sup 241} Am. Quality reference values were determined for {sup 40}K, {sup 137}Cs, {sup 210}Pb, {sup 226}Ra, {sup 228}Ra, {sup 228}Th, Th-nat e U-nat. Results obtained in this study showed a good agreement with those reported by NCRP

  8. Solo-Surgeon Retroauricular Approach Endoscopic Thyroidectomy.

    Science.gov (United States)

    Lee, Doh Young; Baek, Seung-Kuk; Jung, Kwang-Yoon

    2017-01-01

    This study aimed to evaluate the feasibility and efficacy of solo-surgeon retroauricular thyroidectomy. For solo-surgery, we used an Endoeye Flex Laparo-Thoraco Videoscope (Olympus America, Inc.). A Vitom Karl Storz holding system (Karl Storz GmbH & Co.) composed of several bars connected by a ball-joint system was used for fixation of endoscope. A snake retractor and a brain-spoon retractor were used on the sternocleidomastoid. Endoscopic thyroidectomy using the solo-surgeon technique was performed in 10 patients having papillary thyroid carcinoma. The mean patient age was 36.0 ± 11.1 years, and all patients were female. There were no postoperative complications such as vocal cord paralysis and hematoma. When compared with the operating times and volume of drainage of a control group of 100 patients who underwent surgery through the conventional retroauricular approach between May 2013 and December 2015, the operating times and volume of drainage were not significantly different (P = .781 and .541, respectively). Solo-surgeon retroauricular thyroidectomy is safe and feasible when performed by a surgeon competent in endoscopic thyroidectomy.

  9. Moral development of solo juvenile sex offenders

    NARCIS (Netherlands)

    van Vugt, E.; Stams, G.J.; Dekovic, M.; Brugman, D.; Rutten, E.; Hendriks, J.

    2008-01-01

    This study compared the moral development of solo juvenile male sex offenders (n = 20) and juvenile male non-offenders (n = 76), aged 13-19 years, from lower socioeconomic and educational backgrounds. The Moral Orientation Measure (MOM) was used to assess punishment- and victim-based moral

  10. Home healthcare nurse retention and patient outcome model: discussion and model development.

    Science.gov (United States)

    Ellenbecker, Carol Hall; Cushman, Margaret

    2012-08-01

    This paper discusses additions to an empirically tested model of home healthcare nurse retention. An argument is made that the variables of shared decision-making and organizational commitment be added to the model based on the authors' previous research and additional evidence from the literature. Previous research testing the home healthcare nurse retention model established empirical relationships between nurse, agency, and area characteristics to nurse job satisfaction, intent to stay, and retention. Unexplained model variance prompted a new literature search to augment understanding of nurse retention and patient and agency outcomes. Data come from the authors' previous research, and a literature search from 1990 to 2011 on the topics organizational commitment, shared decision-making, nurse retention, patient outcomes and agency performance. The literature provides a rationale for the additional variables of shared decision-making and affective and continuous organizational commitment, linking these variables to nurse job satisfaction, nurse intent to stay, nurse retention and patient outcomes and agency performance. Implications for nursing.  The new variables in the model suggest that all agencies, even those not struggling to retain nurses, should develop interventions to enhance nurse job satisfaction to assure quality patient outcomes. The new nurse retention and patient outcome model increases our understanding of nurse retention. An understanding of the relationship among these variables will guide future research and the development of interventions to create and maintain nursing work environments that contribute to nurse affective agency commitment, nurse retention and quality of patient outcomes. © 2011 Blackwell Publishing Ltd.

  11. Aplicação dos modelos PESERA e MEDALUS para avaliação dos riscos de erosão do solo e de desertificação da bacia hidrográfica do Vale do Gaio Use of PESERA and MEDALUS models to assess soil erosion risks and land desertification in Vale do Gaio watershed

    Directory of Open Access Journals (Sweden)

    M. C. Gonçalves

    2010-01-01

    Full Text Available Neste trabalho testaram-se duas metodo­logias de avaliação dos riscos de erosão do solo e de desertificação na bacia hidrográfi­ca de Vale do Gaio (513 km², localizada no Alentejo. Os solos dominantes na bacia são os Cambissolos, Luvissolos e Regossolos. Os sistemas de Montado de Azinho e Sobro e os sistemas agrícolas de sequeiro domi­nam, por sua vez, a ocupação dos solos. O risco de erosão foi avaliado por estimativas das perdas do solo por erosão hídrica, atra­vés do modelo PESERA. As áreas em risco de desertificação foram determinadas com base na metodologia MEDALUS. As três classes mais representativas de perdas do solo por erosão hídrica, com base nos dados meteorológicos de 2001-2006, foram: In this study two methodologies were tested to assess soil erosion and land deserti­fication risks in Vale do Gaio watershed (513 km², located in the Alentejo region. Cambisols, Luvisols, and Regosols are the dominant soils in the watershed. Oak tree Mediterranean woodland, Agricultural crops and pastures are the major land uses. Soil erosion risks were assessed by estimating soil loss by water erosion with the PESERA model. Land area at risk of desertification was determined based on the MEDALUS methodology. Based on meteorological data from the period 2001-2006, the three most representative classes of soil loss by water erosion were: <0.5 t/ha/year in 32.1% of the area; 5-10 t/ha/year in 23.3% of the area; and 10-20 t/ha/year in 16.9% of the area. Considering the same time period, the land area at risk of desertification was classified: 1.8% as none threatened; 3.9% as potential; 68.4% as fragile; and 25.9% as critical to desertification.

  12. Soil erosion fragility assessment using an impact model and geographic information system Avaliação da fragilidade à erosão do solo por meio de um modelo de impacto e sistema de informações geográficas

    Directory of Open Access Journals (Sweden)

    Luiz Alberto Blanco Jorge

    2009-10-01

    Full Text Available A study was taken in a 1566 ha watershed situated in the Capivara River basin, municipality of Botucatu, São Paulo State, Brazil. This environment is fragile and can be subjected to different forms of negative impacts, among them soil erosion by water. The main objective of the research was to develop a methodology for the assessment of soil erosion fragility at the various different watershed positions, using the geographic information system ILWIS version 3.3 for Windows. An impact model was created to generate the soil's erosion fragility plan, based on four indicators of fragility to water erosion: land use and cover, slope, percentage of soil fine sand and accumulated water flow. Thematic plans were generated in a geographic information system (GIS environment. First, all the variables, except land use and cover, were described by continuous numerical plans in a raster structure.The land use and cover plan was also represented by numerical values associated with the weights attributed to each class, starting from a pairwise comparison matrix and using the analytical hierarchy process. A final field check was done to record evidence of erosive processes in the areas indicated as presenting the highest levels of fragility, i.e., sites with steep slopes, high percentage of soil fine sand, tendency to accumulate surface water flow, and sites of pastureland. The methodology used in the environmental problems diagnosis of the study area can be employed at places with similar relief, soil and climatic conditions.A área de estudo, com 1566 ha, abrange uma microbacia hidrográfica, posicionada em local de relevo em contato reverso-frente de cuesta-depressão periférica paulista, inclusa na Bacia do Rio Capivara, no município de Botucatu, Estado de São Paulo. Esse ambiente é frágil, podendo sofrer diferentes formas de impactos negativos, dentre as quais a erosão hídrica do solo. O objetivo principal foi desenvolver uma metodologia, com aux

  13. Soil seed banks Banco de sementes do solo

    Directory of Open Access Journals (Sweden)

    P.J. Christoffoleti

    1998-01-01

    Full Text Available The goal of this literature review is to discuss some of the major aspects of the soil seed bank, from its characteristics down to methodological aspects of its determination. Soil seed bank is the reservoir of viable seeds or of vegetative propagules that are present in the soil and that are able to recompose a natural vegetation. In the agroecossystems the soil seed bank is related to weeds, and the knowledge of its size and composition in terms of species can be used in the prediction of future infestations, to built simulation models of population establishment through time and also the definition of soil and cultural management programs, in order to have a rational use of herbicides.O objetivo desta revisão é discorrer sobre alguns pontos importantes no estudo do banco de sementes no solo, desde as sua características até aspectos metodológicos para sua determinação. Denomina-se de banco de sementes a reserva destas ou de propágulos vegetativos viáveis presentes no solo e que são capazes de recompor uma vegetação. Nos sistemas agrícolas o banco está relacionado com o estudo das plantas daninhas; o conhecimento do seu tamanho e das espécies que o compõem poderá ser utilizado na previsão de infestações futuras, na construção de modelos de estabelecimentos populacionais no tempo e consequentemente na definição de programas de manejo de solo e culturais, visando racionalizar a utilização de herbicidas.

  14. Novice Collaboration in Solo and Accompaniment Improvisation

    DEFF Research Database (Denmark)

    Hansen, Anne-Marie; Andersen, Hans Jørgen

    2012-01-01

    -accompaniment relationship. Results of interaction data and video analysis show that 1) teams related to each other through their experience with verbal conversation, 2) users searched for harmonic relations and 3) were able to establish rhythmical grounding. The paper concludes with some design guidelines for future solo...... in order to understand how future shared electronic music instruments can be de-signed to encourage non-musicians to engage in social action through music improvisation. A combination of quantitative and qualitative analysis was used to find characteristics in co-expression found in a solo......-accompaniment shared improvisation interfaces: How real time analysis of co-expression can be mapped to ad-ditional sound feedback that supports, strengthens and evolves co-expression in improvisation....

  15. Estudo da erosão na microbacia do Ceveiro (Piracicaba, SP: I - Estimativa das taxas de perda de solo e estudo de sensibilidade dos fatores do modelo EUPS Erosion study in the Ceveiro Watershed (Piracicaba, SP.: I - Estimation o soil loss rates and sensitivity factor analysis of the USLE model

    Directory of Open Access Journals (Sweden)

    Mara de Andrade Marinho Weill

    2008-04-01

    estimativas foi muito menor do que a do fator topográfico. A aplicação da EUPS permitiu estimar a expectativa de erosão do solo na área de estudo. O uso de geotecnologias e de métodos geoestatísticos de análise mostrou-se uma abordagem promissora nos estudos de erosão.Accelerated soil erosion is a serious global problem that degrades agriculture lands. Since erosion research is normally expensive and time-consuming, the use of models allows to estimate soil losses at locations and under conditions not represented directly in the research. The objective of this study was to estimate the soil erosion in an area intensively cultivated with sugarcane near the city of Piracicaba, São Paulo, contributing to diagnose the current land uses aimed at controlling erosion. The study was carried out based on a geographic information system using the universal soil loss equation (USLE to estimate erosion. A specific objective of the study was to analyze the influence of K (soil erodibility, LS (topography, C (crop use and management and P (erosion control practices factors in soil loss estimates. The results show an intense soil degradation process by accelerated erosion in nearly two-thirds of the studied area, mainly occupied by sugarcane. In these areas, the average estimated soil loss rate of 58 Mg ha-1 year-1 is equivalent to nearly four times the indicated average upper tolerance limit. In the remaining areas occupied by forest, riparian vegetation, afforestation and pasture, the estimated soil loss rates are low, around 2 Mg ha-1 year-1 , below the tolerance values. The model factor sensitivity analysis revealed that under the same weather condition (constant R factor, factors C and P (crop management and coverage and erosion control practices defined the magnitude of the soil losses, whether in units, tens or hundreds of Mg ha-1 year-1. For a same category of land use (factors C and P constant, the LS factor (topographic explained most of the observed variation. The

  16. Effect Of Inquiry Learning Model And Motivation On Physics Outcomes Learning Students

    OpenAIRE

    Pardede, Dahlia Megawati; Manurung, Sondang Rina

    2016-01-01

    The purposes of the research are: (a) to determine differences in learning outcomes of students with Inquiry Training models and conventional models, (b) to determine differences in physics learning outcomes of students who have high motivation and low motivation, (c) to determine the interaction between learning models with the level of motivation in improving student Physics learning outcomes. The results were found: (a) there are differences in physical students learning outcomes are taugh...

  17. EFFECT OF INQUIRY LEARNING MODEL AND MOTIVATION ON PHYSICS OUTCOMES LEARNING STUDENTS

    Directory of Open Access Journals (Sweden)

    Dahlia Megawati Pardede

    2016-06-01

    Full Text Available The purposes of the research are: (a to determine differences in learning outcomes of students with Inquiry Training models and conventional models, (b to determine differences in physics learning outcomes of students who have high motivation and low motivation, (c to determine the interaction between learning models with the level of motivation in improving student Physics learning outcomes. The results were found: (a there are differences in physical students learning outcomes are taught by Inquiry Training models and conventional models. (b learning outcomes of students who are taught by Inquiry Learning Model Training better than student learning outcomes are taught with conventional model. (c there is a difference in student's learning outcomes that have high motivation and low motivation. (d Student learning outcomes that have a high motivation better than student learning outcomes than have a low motivation. (e there is interaction between learning and motivation to student learning outcomes. Learning outcomes of students who are taught by the model is influenced also by the motivation, while learning outcomes of students who are taught with conventional models are not affected by motivation.

  18. Website as Co-Created Decision Support System Towards Enhanced Experience of Solo City Tourism

    Directory of Open Access Journals (Sweden)

    Utomo Sarjono Putro

    2016-12-01

    Full Text Available Abstract. The linkage among information-intensive era, technology, and tourism industry build inseparable genetic relationship which is supposed to be realized in practice. Let alone in this digital era, the urgency to exploit information to the next level resulted in the need to bring a higher game on the technology in order to manage information effectively and efficiently. Tourism industry is categorized as complex system regarding the components substituted it. The diverse elements which interact with dynamics pace give birth to complex tasks to manage by the responsible parties and consequently enhance experience in tourism industry. Competing with complex situation, computerized decision system is urgently needed to collect and also distribute accurate knowledge of tourism industry, collaborate with both supporting public and private sectors, and gain rationality for all stakeholders in the system. Solo city, known also as Surakarta and located in Central Java (Indonesia, is obliged to do its tourism industry justice as it is an important vehicle for regional development of the city. Tourism industry of Solo city represents the major and significant contributor to the local economy to the point where tourism is the brand of Solo city. Taking the prior research finding, value orchestration platform to promote tourism in batik Solo industrial cluster into the reference, this study improves the model by highlighting the duality function the tourism website supposed to have using hashtag (# minings principle as the latest user interface technology. This study proposes a collaborative website platform as a co-created decision support system to enhance tourism experience for tourist as consumer and optimize management process for Department of Culture and Tourism of Solo city as provider. Keywords: Decision support system, hashtag mining, service-dominant logic, solo city, tourism experience

  19. Comparison of field and laboratory models of the load bearing capacity in coffee plantations Comparação de modelos de capacidade de suporte de carga do solo de campo e laboratório em plantações de café

    Directory of Open Access Journals (Sweden)

    Piero Iori

    2013-04-01

    Full Text Available Precompression stress is an important property for assessment of tropical soil structure sustainability and is often determined in laboratory tests. The objective of this study was to compare the load bearing capacity models obtained with controlled moisture in laboratory and those obtained with natural field moistures determined a long one year. The evaluation of soil structural sustainability follows four distinct steps: soil sampling in the field, uniaxial compression test of the samples in the laboratory, determination of precompression stress and estimation of the load bearing capacity models. Laboratory estimates of precompression stress were obtained from moisture controlled in laboratory and from natural moisture determined in a field a long one year. In this process, the soil samples were saturated by capillarity with distilled water in laboratory, and after 48 hours, the samples were air dried to obtain the different moisture contents. Then, the precompression stress was determined for this both conditions. To verify if the load bearing capacity models obtained with controlled moisture in laboratory may represent the load bearing models obtained with natural field moisture, these models were compared using the homogeneity test procedure. It was observed that 75% of field models analyzed were similar to the laboratory models. Thus, due to the similarity on the load-bearing capacity models obtained using natural (field or controlled (laboratory moisture contents, the assessment of the soil structure sustainability can be done using both methods.Pressão de pré-consolidação é uma importante propriedade na avaliação da sustentabilidade estrutural do solo e é determinada em testes de laboratório. Neste estudo, objetivou-se comparar modelos de capacidade de suporte de carga obtidos com umidade controlada em laboratório e com umidade natural de campo ao longo de um ano. A avaliação da sustentabilidade estrutural do solo ocorreu em

  20. Modelo numérico do transporte de nitrogênio no solo. Parte II: Reações biológicas durante a lixiviação Numerical model of nitrogen transport in the soil. Part II: Biological reaction during leaching

    Directory of Open Access Journals (Sweden)

    Felizardo A. Rocha

    2008-02-01

    Full Text Available Analisar o efeito da temperatura e umidade do solo nos processos de mineralização e nitrificação do nitrogênio e comparar as concentrações de nitrato e amônio, simuladas pelo modelo SIMASS-C, com aquelas obtidas experimentalmente, foi o objetivo que norteou o presente trabalho, razão por que se conduziram dois experimentos, o primeiro em câmeras de incubação, variando temperatura e teor de água do solo, e um segundo, em colunas de lixiviação montadas em laboratório. A temperatura e a umidade afetaram as transformações de nitrogênio, cujos efeitos foram mais pronunciados a partir de 15 dias de incubação, sobretudo nas temperaturas acima de 25 °C e umidades superiores à capacidade de campo. Ao se estimular as reações biológicas sofridas pelo nitrogênio, altos teores de água no solo causaram maiores erros entre as concentrações de nitrato e amônio simuladas e observadas.This work aimed at analyzing the effect of temperature and humidity of the soil on mineralization and nitrification processes of the nitrogen, as well as to compare nitrate and ammonium concentrations, simulated by the model SIMASS-C, with those observed. Two experiments were performed: the first in biological incubation camara, varying temperature and water content of the soil and the second, in columns in laboratory. The temperature and water content affected the transformations of nitrogen, and the effects were more pronounced after 15 days of incubation, mainly at temperatures above 25 °C and for water content higher than field capacity. By estimates of the biological reactions of nitrogen, higher levels of soil water caused larger errors between observed and simulated nitrate and ammonium concentrations.

  1. Utilização dos modelos de Langmuir e de Freundlich na adsorção de cobre e zinco em solos Brasileiros Langmuir and Freundlich models applied to copper and zinc adsorption in Brazilian soils

    Directory of Open Access Journals (Sweden)

    Lucília Alves Linhares

    2010-07-01

    Full Text Available Objetivou-se com este trabalho estudar o processo de adsorção de cobre e zinco em seis solos naturais do Estado de Minas Gerais e avaliar a influência que propriedades dos solos, como pH, capacidade de troca de cátions, teores de argila e de óxidos de ferro exercem no referido processo. Para construção das curvas de adsorção de cobre e zinco foram tomados 1 g de solo, em triplicata, suspensos em 25 mL de solução contendo os metais individualmente na forma de nitrato, preparadas em CaCl2 0,01 mol L-1 nas concentrações de 0 a 100 µg mL-1 e de 0 a 40 µg mL-1, respectivamente. A quantidade adsorvida dos elementos foi determinada indiretamente pelas quantidades dos mesmos, determinadas no sobrenadante, após a adsorção e os dados ajustados à isoterma de Langmuir e de Freundlich. Os solos com maiores teores de argila, óxidos de ferro e de pH mais elevado (Latossolo Vermelho distrófico, Chernossolo Argilúvico Carbonático saprolítico e Cambissolo Háplico Tb eutrófico latossólico, foram os que apresentaram os maiores valores de energia de ligação e capacidade máxima de adsorção, obtidos das isotermas de Langmuir. Estes resultados indicam uma baixa disponibilidade desses metais quando presentes no solo como contaminantes. Isso pode ser entendido como condição favorável, à priori, de menor contaminação do lençol freático. Para o Plintossolo Pétrico concrecionário distrófico, Cambissolo Háplico Tb distrófico típico e Neossolo Quartzarênico órtico latossólico os metais tendem ficar menos retidos e ou mais fracamente retidos aos constituintes do solo, tornando-se mais disponíveis à lixiviação.The objective of this work was to evaluate the adsorption of copper and zinc and the influence of soil properties, pH, cation exchange capacity, clay and iron oxide contents, in six natural soils of Minas Gerais State, Brazil. The copper and zinc adsorption curves were plotted for triplicate soil samples (1 g suspended

  2. First-order decay models to describe soil C-CO2 Loss after rotary tillage Modelos de decaimento de primeira ordem aplicado a descrição da perda de C-CO2 do solo após preparo com enxada rotativa

    Directory of Open Access Journals (Sweden)

    Newton La Scala Jr.

    2009-10-01

    Full Text Available To further understand the impact of tillage on CO2 emission, the applicability of two conceptual models was tested, which describe the CO2 emission after tillage as a function of the non-tilled emission plus a correction due to the tillage disturbance. Models assume that C in readily decomposable organic matter follows a first-order reaction kinetics equation as: dCsoil (t / dt = -k Csoil (t, and that soil C-CO2 emission is proportional to the C decay rate in soil, where Csoil(t is the available labile soil C (g m-2 at any time (t and k is the decay constant (time-1. Two possible assumptions were tested to determine the tilled (F T fluxes: the decay constants (k of labile soil C before and after tillage are different (Model 1 or not (Model 2. Accordingly, C flux relationships between non-tilled (F NT and tilled (F T conditions are given by: F T = F NT + a1 e-a2t (model 1 and F T = a3 F NT e-a4t (model 2, where t is time after tillage. Predicted and observed CO2 fluxes presented good agreement based on the coefficient of determination (R² = 0.91. Model comparison revealed a slightly improved statistical fit of model 2, where all C pools are assigned with the same k constant. Rotary speed was related to increases in the amount of labile C available and to changes of the mean resident labile C pool available after tillage. This approach allows describing the temporal variability of tillage-induced emissions by a simple analytical function, including non-tilled emission plus an exponential term modulated by tillage and environmentally dependent parameters.Para entendimento do impacto do preparo do solo sobre as emissões de CO2 desenvolvemos e aplicamos dois modelos conceituais que são capazes de prever a emissão de CO2 do solo após seu preparo em função da emissão da parcela sem distúrbio, acrescida de uma correção devido ao preparo. Os modelos assumem que o carbono presente na matéria orgânica lábil segue uma cinética de decaimento

  3. STILL AROUND? BARRIERS TO ENTRY IN SOLO MEDICAL PRACTICE IN SUBURBAN SETTINGS

    Directory of Open Access Journals (Sweden)

    Roger Lee Mendoz

    2017-03-01

    Full Text Available BACKGROUND Unlike many other countries, only 19% of physicians remain independent or solo practitioners in the United States. This study seeks to determine if entry barriers to solo practice exist in physician services markets with a predominantly suburban patient base. Any entry barrier will play a critical role in a wide variety of competition and income-related issues in these markets. MATERIALS AND METHODS This study hypothesizes that substantial deterrence to entry is present in suburban settings where physician competition is typically much less than metropolitan areas. Information about their competitive position was obtained from solo primary care physicians (PCPs and specialists in southern New Jersey municipalities. Two-sample t - tests (α =0.05 ascertained whether the means differences of these two groups are statistically significant for the population from which they were sampled. Regression coefficients were computed for the magnitude of differences in barrier impact between samples. RESULTS Adapting the Orr model, E = ß0 e ß 1 (πp -π* e ß 2 Q . S ß 3 µ, to this study allowed us to estimate the overall height of entry barriers to suburban solo practice. The study finds that entry barriers tend to have moderate effects on PCPs, with the exception of legal and regulatory compliance which are just as burdensome to specialists. Risk and insurance, capital, advertising, research and development (R & D as well as market concentration are far more challenging to solo specialists mainly due to overuse of already costly tests, procedures, and medications by specialists for "defensive medicine," and heavy reliance on specialists by PCPs. Labor costs are associated with several barriers. CONCLUSION Despite their declining population, market entry (and presumably survival of solo physicians is not as straightforward of a phenomenon as conjectural and anecdotal evidence might suggest. Medical specialty offers an explanatory variable

  4. de drenagem em solos arenosos

    Directory of Open Access Journals (Sweden)

    João Alexandre Paschoalin Filho

    2007-01-01

    Full Text Available Drain Structures are widely used in Civil Engineering. However, its study is limited by the difficulties in obtaining real data. Aiming to simulate didactic problems – in classrooms – related to this important area of engineering, a sandy and massive prototype in an acrylic box of 0,3 X 0,3 X 1,00m was constructed, in the Laboratory of Soil Mechanics and Geology of UNINOVE. In its interior, five vertical drains using corrugated hoses of 1” of diameter covered with a geotêxtil blanket were made. These hoses were connected by a 1” of diameter collecting pipe, surrounded in a geotêxtil layer and contained inside of a draining carpet of gravel soil. In order to evaluate the system, the sandy soil was saturated and submitted to a constant hydraulic load. Soon after the model´s outflow was determined.

  5. Temporal changes on the effect of rock fragments in interrill soil loss: a simulation experiment and a simple descriptive model Variação temporal do efeito da cobertura pedregosa na perda de solo por erosão interssulcos: simulação experimental e modelo descritivo

    Directory of Open Access Journals (Sweden)

    T. de Figueiredo

    2009-01-01

    Full Text Available Soils with rock fragments have been studied under several aspects in the last years. Research shows that a single pattern in the erosional response of these soils to rainfalls is not always found. In order to contribute to the understanding of this topic, an experiment was carried out, simulating interrill areas covered by rock fragments. This paper specifically aims at presenting and discussing temporal changes on sediment exported from such areas, also introducing a simple descriptive model to represent soil loss temporal evolution. Small bottom perforated boxes, 612 cm² area, were filled with a silt-loam fine earth, very poor in organic matter, covered with simulated rock fragments and leaned at 10% slope gradient. The experiment comprised the exposure to 240 mm natural rainfall of 48 boxes corresponding to selected combinations, 4 replicates each, of rock fragments cover (0, 17, 30 and 66%, size (2, 4 and 10 cm, form (rectangular and circular and position (resting on top and embedded. During the experiment boxes were kept under near saturation soil water conditions. Water and soil exported from the boxes as infiltration, runoff, wash and splash were measured after each period of precipitation. Recorded values of soil loss plotted against precipitation, both expressed in cumulative terms, follow a sigmoid curve. This pattern of response was interpreted as a result of crust formation on soil surface exposed to rainfalls, a hypothesis suggested by observations during the experiment and confirmed at its end. Parameters of this model were related with rock cover and characteristics. The effect of rock fragments on soil loss varies with time, a conclusion that must be taken into account when interpreting either results from experiments with different durations or the evolution of stoniness on eroding surfaces.Os solos pedregosos vêm sendo estudados sob diversos aspectos nos últimos anos. No que respeita à perda de solo, os resultados

  6. Solo Living - the meaning of home for persons living alone

    DEFF Research Database (Denmark)

    Christensen, Toke Haunstrup

    observed. Firstly, solo livers emphasize independence from others as important. Several of the informants have had negative experiences with living together with a partner, and they like the feeling of being independent. At the same time, most informants also keep a door open for the possibility of moving...... together with "the right one", which indicates that ambiguity is related to the situation of solo living. Secondly, some of the solo livers spend more time outside home (occupied by leisure activities or together with friends) compared to people living in family households in general, which suggests...... a different balance between time at home and outside home for some solo livers....

  7. EFFECTS OF INQUIRY TRAINING LEARNING MODEL BASED MULTIMEDIA AND MOTIVATION OF PHYSICS STUDENT LEARNING OUTCOMES

    OpenAIRE

    Hayati .; Retno Dwi Suyanti

    2013-01-01

    The objective in this research: (1) Determine a better learning model to improve learning outcomes physics students among learning model Inquiry Training based multimedia and Inquiry Training learning model. (2) Determine the level of motivation to learn in affects physics student learning outcomes. (3) Knowing the interactions between the model of learning and motivation in influencing student learning outcomes. This research is a quasi experimental. The population in this research was all s...

  8. "Ring" in the solo child singing voice.

    Science.gov (United States)

    Howard, David M; Williams, Jenevora; Herbst, Christian T

    2014-03-01

    Listeners often describe the voices of solo child singers as being "pure" or "clear"; these terms would suggest that the voice is not only pleasant but also clearly audible. The audibility or clarity could be attributed to the presence of high-frequency partials in the sound: a "brightness" or "ring." This article aims to investigate spectrally the acoustic nature of this ring phenomenon in children's solo voices, and in particular, relating it to their "nonring" production. Additionally, this is set in the context of establishing to what extent, if any, the spectral characteristics of ring are shared with those of the singer's formant cluster associated with professional adult opera singers in the 2.5-3.5kHz region. A group of child solo singers, acknowledged as outstanding by a singing teacher who specializes in teaching professional child singers, were recorded in a major UK concert hall performing Come unto him, all ye that labour, from the aria He shall feed his flock from The Messiah by GF Handel. Their singing was accompanied by a recording of a piano played through in-ear headphones. Sound pressure recordings were made from well within the critical distance in the hall. The singers were observed to produce notes with and without ring, and these recordings were analyzed in the frequency domain to investigate their spectra. The results indicate that there is evidence to suggest that ring in child solo singers is carried in two areas of the output spectrum: first in the singer's formant cluster region, centered around 4kHz, which is more than 1000Hz higher than what is observed in adults; and second in the region around 7.5-11kHz where a significant strengthening of harmonic presence is observed. A perceptual test has been carried out demonstrating that 94% of 62 listeners label a synthesized version of the calculated overall average ring spectrum for all subjects as having ring when compared with a synthesized version of the calculated overall average nonring

  9. The Child Anxiety Prevention Study: intervention model and primary outcomes.

    Science.gov (United States)

    Ginsburg, Golda S

    2009-06-01

    The article presents the intervention model and primary outcomes of a preventive intervention designed to reduce anxiety symptoms and prevent the onset of anxiety disorders in the offspring of parents with anxiety disorders. Participants were 40 volunteer children (mean age = 8.94 years; 45% girls; 90% Caucasian) whose parents met criteria for a broad range of anxiety disorders. Families were randomly assigned to an 8-week cognitive-behavioral intervention, the Coping and Promoting Strength program (CAPS; n = 20) or a wait list control condition (WL; n = 20). Independent evaluators (IEs) conducted diagnostic interviews, and children and parents completed measures of anxiety symptoms. Assessments were conducted pre- and postintervention and 6 and 12 months after the postintervention assessment. On the basis of intent to treat analyses, 30% of the children in the WL group developed an anxiety disorder by the 1-year follow-up compared with 0% in the CAPS group. IE and parent-reported (but not child-reported) levels of anxiety showed significant decreases from the preintervention assessment to the 1-year follow-up assessment in the CAPS but not the WL group. Parental satisfaction with the intervention was high. Findings suggest that a family-based intervention may prevent the onset of anxiety disorders in the offspring of parents with anxiety disorders. Copyright 2009 APA

  10. Transporte de solutos no solo e no escoamento superficial: I - desenvolvimento do modelo e simulação do movimento de água e escoamento superficial Solute transport in soil and surface runoff: I - model development and simulation of soil water movement and surface runoff

    Directory of Open Access Journals (Sweden)

    Luiz Fernando C. de Oliveira

    2000-04-01

    Full Text Available Desenvolveu-se um modelo matemático para simulação do transporte de soluto no solo e no escoamento superficial. As equações diferenciais que regem os processos de transporte são resolvidas numericamente, pelo método das diferenças finitas. Para se avaliar o desempenho do modelo proposto, montou-se um experimento em nível de campo, constituído de nove parcelas, nas quais foram aplicadas três lâminas de irrigação com diferentes intensidades de precipitação; antes e após a aplicação da irrigação foram retiradas amostras de solo, para a obtenção dos perfis de umidade e, no final da parcela, coletou-se a vazão escoada superficialmente, pelo método direto. Os resultados simulados pelo modelo foram comparados com os experimentais, através do erro relativo médio. O modelo desenvolvido mostrou-se adequado para se descrever os processos de movimento de água no solo e escoamento superficial, apresentando comportamento semelhante aos das observações experimentais, podendo ser utilizado para simular esses processos, desde que os parâmetros de entrada do modelo sejam representativos.A mathematical model was developed to simulate solute transport in both soil and in surface runoff. The differential equations that govern the transport processes are numerically solved through the finite difference method. For the evaluation of the proposed model a field experiment was planned with nine plots under three irrigation levels with different rainfall intensities. Soil was sampled before and after irrigation to obtain moisture content profiles. At the end of the plot runoff flow was collected by the direct method. The model-simulated results were compared with the experimental data through the mean relative error. The developed model was found to describe adequately water movement and surface runoff, showing a behavior similar to experimental observations, making possible the utilization of the model to simulate these processes, if the

  11. Teste de um modelo de monitoramento de água no solo para uma cultura de sorgo submetida a diferentes tratamentos de irrigação Test of a soil water assessment model for a sorghum crop under different irrigation treatments

    Directory of Open Access Journals (Sweden)

    Marcelo Bento Paes de Camargo

    1994-01-01

    Full Text Available Um modelo de balanço hídrico diário utilizando informações de estação meteorológica automática, fenologia e informações edáficas foi ajustado e testado para uma cultura de sorgo usando experimentos de campo com diferentes tratamentos de irrigação durante o verão de 1990 e 1991, em Mead, Estado de Nebraska-EUA. Estimativas do total de água no solo a partir do balanço hídrico compararam-se bem com as leituras de sonda de nêutrons tomadas nos diferentes tratamentos. O desempenho do modelo, por camadas de solo, indicou pequena subestimativa da umidade nas camadas superiores, pequena superestimativa nas inferiores e boa estimativa nas intermediárias. A eliminação desses erros resultaria em melhor desempenho do modelo nas diferentes camadas. Boas estimativas do total de água no solo podem ser obtidas através deste balanço hídrico edafoclimático modificado com base em informações fenológicas, edáficas e de dados obtidos de estações meteorológicas automáticas.A model to monitor the soil water status using automated weather station data, crop phenology, and soil information was adjusted and tested for a sorghum crop using field experiments with eight different water treatments in a randomized split factorial block irrigation design during the 1990 and 1991 growing seasons at Mead, Nebraska-USA. Estimates of the total soil water content from the soil water balance model matched well with neutron-probe readings in the sorghum crop. Model performance by soil layer indicates slight underestimates of soil water content in the upper layers of soil, slight overestimates of soil water content in the lower soil layers, and close agreement between simulated and observed soil water contents in the middle soil layers. Elimination of these small offseting errors from the model would result in an improved performance within layers. One possible means of eliminating the error is to adjust the root soil water extraction slightly away

  12. The Effects of Job Autonomy on Work Outcomes: Self Efficacy as an Intervening Variable

    OpenAIRE

    Susanti Saragih

    2011-01-01

    The purpose of this research was to examine the relationship between job autonomy and work outcomes (job performance, job satisfaction and job stress), self efficacy as a mediating variable. This research also investigated the impact of job satisfaction on job performance and job stress on job performance. Va-riables in this research were measured via a survey of 190 banking salespersons in D.I. Yogyakarta and Solo. Structural Equation Modeling (SEM) were used to examine the effects of job au...

  13. Solo Librarians and Intellectual Freedom: Perspectives from the Field

    Science.gov (United States)

    Adams, Helen R.

    2011-01-01

    As schools across the country face increasing fiscal restraints, school library professional positions are being eliminated at an alarming rate. As a result, many school librarians are becoming the only certified library professional in a district, serving multiple schools and grade levels. Suddenly, each is a solo librarian. As a solo librarian…

  14. Workplace Bullying and Employee Outcomes: A Moderated Mediated Model

    OpenAIRE

    Sheehan, M.; McCabe, T J.; Garavan, Thomas.

    2018-01-01

    This paper investigates the relationship between workplace bullying and employee outcomes in a healthcare setting. Drawing on HR process theory, we investigate the mediating role of the perceived effectiveness of implementation of anti-bullying practices on employee outcomes and whether targeted line manager training was a moderator of that relationship. Our multi-level analysis (utilising responses from 1,507 employees within forty-seven hospitals with matched HR Director interviews), finds ...

  15. Tropical terrestrial model ecosystems for evaluation of soil fauna and leaf litter quality effects on litter consumption, soil microbial biomass and plant growth Efeitos de fauna de solo e qualidade de liteira sobre o consumo, biomassa microbiana e crescimento de plantas em modelo de ecossistemas terrestres tropicais

    Directory of Open Access Journals (Sweden)

    Bernhard Förster

    2009-08-01

    Full Text Available The aim of this work was to evaluate whether terrestrial model ecosystems (TMEs are a useful tool for the study of the effects of litter quality, soil invertebrates and mineral fertilizer on litter decomposition and plant growth under controlled conditions in the tropics. Forty-eight intact soil cores (17.5-cm diameter, 30-cm length were taken out from an abandoned rubber plantation on Ferralsol soil (Latossolo Amarelo in Central Amazonia, Brazil, and kept at 28ºC in the laboratory during four months. Leaf litter of either Hevea pauciflora (rubber tree, Flemingia macrophylla (a shrubby legume or Brachiaria decumbens (a pasture grass was put on top of each TME. Five specimens of either Pontoscolex corethrurus or Eisenia fetida (earthworms, Porcellionides pruinosus or Circoniscus ornatus (woodlice, and Trigoniulus corallinus (millipedes were then added to the TMEs. Leaf litter type significantly affected litter consumption, soil microbial biomass and nitrate concentration in the leachate of all TMEs, but had no measurable effect on the shoot biomass of rice seedlings planted in top soil taken from the TMEs. Feeding rates measured with bait lamina were significantly higher in TMEs with the earthworm P. corethrurus and the woodlouse C. ornatus. TMEs are an appropriate tool to assess trophic interactions in tropical soil ecossistems under controlled laboratory conditions.O objetivo deste trabalho foi avaliar o modelo de ecossistema terrestre (TME como ferramenta para o estudo dos efeitos da qualidade da liteira, de invertebrados do solo e da fertilização mineral na decomposição da liteira e no crescimento das plantas em condições controladas. Foram coletados quarenta e oito cilindros de solo intacto (Latossolo Amarelo de 17,5 cm de diâmetro e 30 cm de comprimento em um seringal abandonado na Amazônia Central brasileira e mantidos a 28ºC em laboratório, por quatro meses. Folhas da liteira de Hevea pauciflora (seringueira, ou de Flemingia

  16. City image towards tourist attraction (case in Solo, Central Java) examining city image of solo as tourist attraction

    Science.gov (United States)

    Wiyana, T.; Putranto, T. S.; Zulkarnain, A.; Kusdiana, R. N.

    2018-03-01

    Affective and cognitive image are two main factors that influence destination in Solo. The purpose of this research is to examine the two main factors of Solo towards tourist attraction. The research method is quantitative. Data collected from observation and survey. A total of 113 respondents obtained from accidental sampling method. The results indicate based on cognitive and affective image. Cognitive consists of culture, batik, city tagline, and community. While, affective consists of tradition, culinary, purposes, climate, and welcoming. The findings show that image has weak correlation towards tourist attraction of Solo. It means most of the tourists are not influenced by city image when they choose Solo as one of their travel destination. The differences between primary and minor image are also examined. Research implication is directed for local government to pursue continuous improvement particularly for the branding of Solo.

  17. Soil water balance simulated by CROPGRO-Drybean model for edaphoclimatic conditions in Maringá Balanço da água no solo simulado pelo modelo CROPGRO-Drybean para as condições edafoclimáticas de Maringá

    Directory of Open Access Journals (Sweden)

    Rivanildo Dallacort

    2010-04-01

    Full Text Available The performance of the CROPGRO-Drybeans model for the prediction of soil water balance, as well as growth components and bean crop yield, was assessed using data from two field experiments conducted at the State University of Maringá Irrigation Technical Center, Paraná - Brazil, (latitude 23º27'S, longitude 51º57' and altitude 542 m, during the 2005 and 2006 growing season. The model simulations correlated well with measured soil moisture (r > 0.7 for both experiments. However, there were high discrepancies between measured and simulated soil moisture values on the days after rainfall. In addition, it was found that the model exaggerates the effect of water stress during the flowering phase, which leds to underprediction (19 and 29% of crop yield.O desempenho do modelo CROPGRO-Drybeans para predição do balanço de água no solo, componentes de crescimento e produtividade, foram avaliados por meio de dados de dois experimentos de campo conduzidos no Centro Técnico de Irrigação da Universidade Estadual de Maringá, localizado em Maringá, PR (latitude 23º 25' S, longitude de 51º 57' O, altitude de 542 m, nos os anos agrícolas de 2005 e 2006. Concluiu-se que o modelo simulou estresse hídrico maior que o real na fase de florescimento, subestimando o rendimento em 19 e 29%. Os valores de umidade do solo medidos no campo e simulados pelo CROPGRO, foram bem correlacionados (r > 0,7, porém houve discrepância acentuada nos valores medidos e simulados no dia posterior à ocorrência da precipitação.

  18. An evolution of trauma care evaluation: A thesis on trauma registry and outcome prediction models

    NARCIS (Netherlands)

    Joosse, P.

    2013-01-01

    Outcome prediction models play an invaluable role in the evaluation and improvement of modern trauma care. Trauma registries underlying these outcome prediction models need to be accurate, complete and consistent. This thesis focused on the opportunities and limitations of trauma registries and

  19. Motivation Monitoring and Assessment Extension for Input-Process-Outcome Game Model

    Science.gov (United States)

    Ghergulescu, Ioana; Muntean, Cristina Hava

    2014-01-01

    This article proposes a Motivation Assessment-oriented Input-Process-Outcome Game Model (MotIPO), which extends the Input-Process-Outcome game model with game-centred and player-centred motivation assessments performed right from the beginning of the game-play. A feasibility case-study involving 67 participants playing an educational game and…

  20. An assessment model in outcomes-based education and training ...

    African Journals Online (AJOL)

    The study addresses a concern in higher education and specifically in health sciences and technology regarding integrated and authentic assessment with an outcomes-based approach. Interviews were conducted with head-hunted academics in health sciences and technology. From the information generated, an ...

  1. Poluição de solos

    OpenAIRE

    Fraga, Helena; Dinis, Maria Alzira Pimenta

    2005-01-01

    Presentemente, o solo está a ser progressivamente ameaçado por várias actividades humanas que o sujeitam a um processo de degradação, de que se destacam a erosão, a diminuição da matéria orgânica, a contaminação local e difusa, a impermeabilização, a compactação, a diminuição da biodiversidade e a salinização. Por isso, a prevenção e gestão sustentável devem estar no centro das políticas de protecção do ambiente.

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

    Science.gov (United States)

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

    2002-01-01

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

  3. When Not to Go SOLO? Contraindications Based on Implant Experience.

    Science.gov (United States)

    Wollersheim, Laurens W; Li, Wilson W; Kaya, Abdullah; van Boven, Wim J; van der Meulen, Jan; de Mol, Bas A

    2016-11-01

    Because of the design and specific implantation technique of the stentless Freedom SOLO bioprosthesis, patient selection is crucial. The aim of the study was to discuss the contraindications to this prosthesis based on the authors' implant experience. Between April 2005 and February 2015, one surgeon at the authors' center performed 292 aortic valve replacements using a bioprosthesis, with the initial intention of implanting a SOLO valve in every patient. A search was conducted for all of these patients and data collected on whether a SOLO valve was used, or not. A SOLO valve was implanted in 238 patients (82%), and a stented bioprosthesis in 54 (18%). The predominant reasons not to implant a SOLO valve were asymmetric commissures (26%) and a large aortic annulus (24%). Only one patient had structural valve deterioration, and none of the patients had to undergo reoperation because of aortic valve insufficiency or paravalvular leakage. Asymmetric commissures, large aortic annulus (>27 mm), calcified aortic sinuses, dilated sinotubular junction, aberrant location of coronary ostia and whenever the stent of a stented bioprosthesis is useful, were contraindications to implant a SOLO valve. When these contraindications were taken into account, a very good durability could be achieved with the SOLO valve during mid-term follow up.

  4. Modelling the risk of nitrate leaching from two soils amended with five different biosolids Modelagem do risco de lixiviação de nitrato em dois solos tratados com cinco diferentes biossólidos

    Directory of Open Access Journals (Sweden)

    Rodrigo Studart Corrêa

    2005-07-01

    Full Text Available High N concentrations in biosolids are one of the strongest reasons for their agricultural use. However, it is essential to understand the fate of N in soils treated with biosolids for both plant nutrition and managing the environmental risk of NO3--N leaching. This work aimed at evaluating the risk of NO3--N leaching from a Spodosol and an Oxisol, each one treated with 0.5-8.0 dry Mg ha-1 of fresh tertiary sewage sludge, composted biosolids, limed biosolids, heat-dried biosolids and solar-irradiated biosolids. Results indicated that under similar application rates NO3--N accumulated up to three times more in the 20 cm topsoil of the Oxisol than the Spodosol. However, a higher water content held at field capacity in the Oxisol compensated for the greater nitrate concentrations. A 20 % NO3--N loss from the root zone in the amended Oxisol could be expected. Depending on the biosolids type, 42 to 76 % of the NO3--N accumulated in the Spodosol could be expected to leach down from the amended 20 cm topsoil. NO3--N expected to leach from the Spodosol ranged from 0.8 (composted sludge to 3.5 times (limed sludge the amounts leaching from the Oxisol treated alike. Nevertheless, the risk of NO3--N groundwater contamination as a result of a single biosolids land application at 0.5-8.0 dry Mg ha-1 could be considered low.Concentrações altas de nitrogênio (N em biossólidos são uma das maiores razões para a utilização agronômica deles. Entretanto, é essencial entender o destino do N em solos tratados com biossólidos, tanto por motivos de nutrição vegetal quanto para manejar o risco ambiental representado pela lixiviação de nitrato. Este trabalho teve como objetivo avaliar o risco de lixiviação de nitrato em um Espodossolo e em um Latossolo, cada um tratado com doses de 0,5 a 8,0 Mg ha-1 de biossólido fresco, biossólido compostado, biossólido caleado, biossólido seco a calor e biossólido irradiado por sol. Os resultados mostraram que

  5. Mathematical model to estimate of the deterioration of wooden poles in contact with soil used in rural areas Modelo matemático para estimativa da deterioração de postes de madeira em contato com o solo usados em áreas rurais

    Directory of Open Access Journals (Sweden)

    Julio C. Molina

    2011-10-01

    Full Text Available In São Paulo State, mainly in rural areas, the utilization of wooden poles is observed for different purposes. In this context, wood in contact with the ground presents faster deterioration, which is generally associated to environmental factors and, especially to the presence of fungi and insects. With the use of mathematical models, the useful life of wooden structures can be predicted by obtaining "climatic indexes" to indicate, comparatively among the areas studied, which have more or less tendency to fungi and insects attacks. In this work, by using climatological data of several cities at São Paulo State, a simplified mathematical model was obtained to measure the aggressiveness of the wood in contact with the soil.No Estado de São Paulo, principalmente em áreas rurais, é notável a utilização de postes roliços de madeira para diversas finalidades. Neste contexto, observa-se que a madeira, em contato com o solo, deteriora-se mais rapidamente, e essa deterioração está geralmente associada aos fatores ambientais e, principalmente, à presença de insetos e fungos. Com o auxílio de modelos matemáticos, pode ser prevista a vida útil das estruturas de madeira pela obtenção de "índices climáticos", que indicam comparativamente, entre as regiões estudadas, quais possuem maiores e menores propensões ao ataque de fungos e insetos. Neste trabalho, utilizando dados climatológicos de várias cidades do Estado de São Paulo, foi obtido um modelo matemático simplificado de agressividade à madeira em contato com o solo.

  6. Solo and keratin filaments regulate epithelial tubule morphology.

    Science.gov (United States)

    Nishimura, Ryosuke; Kato, Kagayaki; Fujiwara, Sachiko; Ohashi, Kazumasa; Mizuno, Kensaku

    2018-04-28

    Epithelial tubules, consisting of the epithelial cell sheet with a central lumen, are the basic structure of many organs. Mechanical forces play an important role in epithelial tubulogenesis; however, little is known about the mechanisms controlling the mechanical forces during epithelial tubule morphogenesis. Solo (also known as ARHGEF40) is a RhoA-targeting guanine-nucleotide exchange factor that is involved in mechanical force-induced RhoA activation and stress fiber formation. Solo binds to keratin-8/keratin-18 (K8/K18) filaments, and this interaction plays a crucial role in mechanotransduction. In this study, we examined the roles of Solo and K8/K18 filaments in epithelial tubulogenesis using MDCK cells cultured in 3D collagen gels. Knockdown of either Solo or K18 resulted in rounder tubules with increased lumen size, indicating that Solo and K8/K18 filaments play critical roles in forming the elongated morphology of epithelial tubules. Moreover, knockdown of Solo or K18 decreased the level of diphosphorylated myosin light chain (a marker of contractile force) at the luminal and outer surfaces of tubules, suggesting that Solo and K8/K18 filaments are involved in the generation of the myosin II-mediated contractile force during epithelial tubule morphogenesis. In addition, K18 filaments were normally oriented along the long axis of the tubule, but knockdown of Solo perturbed their orientation. These results suggest that Solo plays crucial roles in forming the elongated morphology of epithelial tubules and in regulating myosin II activity and K18 filament organization during epithelial tubule formation.

  7. Improving outcomes of emergency bowel surgery using nela model

    International Nuclear Information System (INIS)

    Sultan, R.; Zafar, H.

    2018-01-01

    To find outcomes of emergency bowel surgery and review the processes involved in the care of these patients on the same template used in National Emergency Laparotomy Audit (NELA). Study Design:An audit. Place and Duration of Study:Surgery Department, The Aga Khan University Hospital, Karachi, from December 2013 to November 2014. Methodology:Patients undergone emergency bowel surgery during the review period were included. Demographic data, type of admission, ASA grade, urgency of surgery, P-POSSUM score, indication of surgery, length of stay and outcome was recorded. Data was then compared with the data published by NELA team in their first report. P-value for categorical variables was calculated using Chi-square tests. Results:Although the patients were younger with nearly same spectrum of disease, the mortality rate was significantly more than reported in NELA (24% versus 11%, p=0.004). Comparison showed that care at AKUH was significantly lacking in terms of proper preoperative risk assessment and documentation, case booking to operating room timing, intraoperative goal directed fluid therapy using cardiac output monitoring, postoperative intensive care for highest risk patients and review of elderly patients by MCOP specialist. Conclusion:This study helped in understanding the deficiencies in the care of patients undergoing emergency bowel surgery and alarmingly poor outcomes in a very systematic manner. In view of results of this study, it is planned to do interventions in the deficient areas to improve care given to these patients and their outcomes with the limited resources of a developing country. (author)

  8. Modelagem da infiltração de água no solo sob condições de estratificação utilizando-se a equação de Green-Ampt Modeling of water infiltration in soil under stratified conditions using the Green-Ampt equation

    Directory of Open Access Journals (Sweden)

    Roberto A. Cecílio

    2003-12-01

    Full Text Available A infiltração de água no solo é um dos mais significantes processos do ciclo hidrológico. A equação de Green-Ampt (GA é bastante utilizada na modelagem da infiltração; entretanto, diversos autores alertam para a necessidade de adequação de seus parâmetros de entrada (umidade de saturação (tetas; condutividade hidráulica do solo saturado (K0 e potencial matricial na frente de umedecimento (psi. Neste sentido, avaliou-se a aplicabilidade do modelo de GA, assim como as diversas proposições de adequação de K0 e psi, em um Latossolo Vermelho-Amarelo sob condições de estratificação. Determinaram-se a infiltração acumulada (I, a taxa de infiltração (Ti e as características físicas do perfil necessárias para a aplicação do modelo. Foram feitas simulações com base na combinação de seis metodologias para a determinação de psi e três para a condutividade hidráulica da zona de transmissão (Kw, verificando-se que as combinações seguintes simularam bem o processo de infiltração: Kw igual a 0,5 K0 associado a psi determinado com base na umidade inicial do solo (psi (tetai; Kw igual à taxa de infiltração estável (Tie associado a psi igual à média entre psi (tetai e psi relativo à umidade de saturação de campo (psi (tetaw; e Kw igual a K0 associado a psi calculado com base na textura e porosidade do solo (psi(textura e Kw igual à Tie associado a psi(textura.Soil water infiltration is one of the most important processes of the hydrological cycle. The Green and Ampt equation (GA is quite used to simulate the infiltration process, however, several authors showed the necessity of some adaptations in the GA parameters: saturation moisture (thetas, hydraulic conductivity (K0 and mean suction in the wetting front (psi. An evaluation was made of the GA model and of the several correction propositions of K0 and psi, applied in a stratified Red-Yellow Latosol. A soil box filled with soil material belonging to three

  9. Freedom Solo® versus Trifecta® bioprostheses: clinical and haemodynamic evaluation after propensity score matching.

    Science.gov (United States)

    Cerqueira, Rui J; Raimundo, Renata; Moreira, Soraia; Saraiva, Francisca A; Andrade, Marta; Salgueiro, Elson; Almeida, Jorge; Amorim, Mário Jorge; Pinho, Paulo; Lourenço, André P; Leite-Moreira, Adelino

    2018-01-16

    The goal of this study was to compare the stentless Freedom Solo® (FS) and the stented Trifecta® (TF) aortic bioprostheses with regard to haemodynamic profile, left ventricular mass regression and early and late postoperative outcomes and survival. A longitudinal cohort study of consecutive patients undergoing aortic valve replacement (2009-16) with either the FS or TF at 1 centre was performed. Local databases and national records were queried. Prosthesis haemodynamics and left ventricular dimensions were obtained from postoperative echocardiograms. After propensity score matching (21 covariates), the Kaplan-Meier and competing risk analyses were performed for survival and the combined outcome of structural valve deterioration and endocarditis, respectively. Haemodynamics and mass regression were assessed by a mixed-effects model including propensity score as a covariate. From a total sample of 397 patients with the FS and 525 TF bioprostheses with a median follow-up time of 4.0 (2.2-6.0) and 2.4 (1.4-3.7) years, respectively, a matched sample of 329 pairs was obtained. Matched groups showed no differences in survival (hazard ratio = 1.04, 95% confidence interval = 0.69-1.56) or cumulative hazards of combined outcome (subdistribution hazard ratio = 0.54, 95% confidence interval = 0.21-1.39). Although the TF showed an improved haemodynamic profile, no difference was found in mass regression. Patients with TF bioprostheses had higher rates of prolonged mechanical ventilation, whereas patients with the FS bioprosthesis showed higher rates of thrombocytopenia. The TF showed an improved haemodynamic profile compared to the FS, but this did not translate into further reverse remodelling. Postoperative outcomes and survival rates were comparable for both bioprostheses. Long-term follow-up is needed for comparisons with classical bioprosthesis models. © The Author(s) 2018. Published by Oxford University Press on behalf of the European Association for

  10. Children, computer exposure and musculoskeletal outcomes: the development of pathway models for school and home computer-related musculoskeletal outcomes.

    Science.gov (United States)

    Harris, Courtenay; Straker, Leon; Pollock, Clare; Smith, Anne

    2015-01-01

    Children's computer use is rapidly growing, together with reports of related musculoskeletal outcomes. Models and theories of adult-related risk factors demonstrate multivariate risk factors associated with computer use. Children's use of computers is different from adult's computer use at work. This study developed and tested a child-specific model demonstrating multivariate relationships between musculoskeletal outcomes, computer exposure and child factors. Using pathway modelling, factors such as gender, age, television exposure, computer anxiety, sustained attention (flow), socio-economic status and somatic complaints (headache and stomach pain) were found to have effects on children's reports of musculoskeletal symptoms. The potential for children's computer exposure to follow a dose-response relationship was also evident. Developing a child-related model can assist in understanding risk factors for children's computer use and support the development of recommendations to encourage children to use this valuable resource in educational, recreational and communication environments in a safe and productive manner. Computer use is an important part of children's school and home life. Application of this developed model, that encapsulates related risk factors, enables practitioners, researchers, teachers and parents to develop strategies that assist young people to use information technology for school, home and leisure in a safe and productive manner.

  11. Prediction modelling for trauma using comorbidity and 'true' 30-day outcome.

    Science.gov (United States)

    Bouamra, Omar; Jacques, Richard; Edwards, Antoinette; Yates, David W; Lawrence, Thomas; Jenks, Tom; Woodford, Maralyn; Lecky, Fiona

    2015-12-01

    Prediction models for trauma outcome routinely control for age but there is uncertainty about the need to control for comorbidity and whether the two interact. This paper describes recent revisions to the Trauma Audit and Research Network (TARN) risk adjustment model designed to take account of age and comorbidities. In addition linkage between TARN and the Office of National Statistics (ONS) database allows patient's outcome to be accurately identified up to 30 days after injury. Outcome at discharge within 30 days was previously used. Prospectively collected data between 2010 and 2013 from the TARN database were analysed. The data for modelling consisted of 129 786 hospital trauma admissions. Three models were compared using the area under the receiver operating curve (AuROC) for assessing the ability of the models to predict outcome, the Akaike information criteria to measure the quality between models and test for goodness-of-fit and calibration. Model 1 is the current TARN model, Model 2 is Model 1 augmented by a modified Charlson comorbidity index and Model 3 is Model 2 with ONS data on 30 day outcome. The values of the AuROC curve for Model 1 were 0.896 (95% CI 0.893 to 0.899), for Model 2 were 0.904 (0.900 to 0.907) and for Model 3 0.897 (0.896 to 0.902). No significant interaction was found between age and comorbidity in Model 2 or in Model 3. The new model includes comorbidity and this has improved outcome prediction. There was no interaction between age and comorbidity, suggesting that both independently increase vulnerability to mortality after injury. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  12. Evaluating the Quality of the Learning Outcome in Healthcare Sector: The Expero4care Model

    Science.gov (United States)

    Cervai, Sara; Polo, Federica

    2015-01-01

    Purpose: This paper aims to present the Expero4care model. Considering the growing need for a training evaluation model that does not simply fix processes, the Expero4care model represents the first attempt of a "quality model" dedicated to the learning outcomes of healthcare trainings. Design/Methodology/Approach: Created as development…

  13. Solo surgeon single-port laparoscopic surgery with a homemade laparoscope-anchored instrument system in benign gynecologic diseases.

    Science.gov (United States)

    Yang, Yun Seok; Kim, Seung Hyun; Jin, Chan Hee; Oh, Kwoan Young; Hur, Myung Haeng; Kim, Soo Young; Yim, Hyun Soon

    2014-01-01

    The objective of this study was to present the initial operative experience of solo surgeon single-port laparoscopic surgery (SPLS) in the laparoscopic treatment of benign gynecologic diseases and to investigate its feasibility and surgical outcomes. Using a novel homemade laparoscope-anchored instrument system that consisted of a laparoscopic instrument attached to a laparoscope and a glove-wound retractor umbilical port, we performed solo surgeon SPLS in 13 patients between March 2011 and June 2012. Intraoperative complications and postoperative surgical outcomes were determined. The primary operative procedures performed were unilateral salpingo-oophorectomy (n = 5), unilateral salpingectomy (n = 2), adhesiolysis (n = 1), and laparoscopically assisted vaginal hysterectomy (n = 5). Additional surgical procedures included additional adhesiolysis (n = 4) and ovarian drilling (n = 1).The primary indications for surgery were benign ovarian tumors (n = 5), ectopic pregnancy (n = 2), pelvic adhesion (infertility) (n = 1), and benign uterine tumors (n = 5). Solo surgeon SPLS was successfully accomplished in all procedures without a laparoscopic assistant. There were no intraoperative or postoperative complications. Our laparoscope-anchored instrument system obviates the need for an additional laparoscopic assistant and enables SPLS to be performed by a solo surgeon. The findings show that with our system, solo surgeon SPLS is a feasible and safe alternative technique for the treatment of benign gynecologic diseases in properly selected patients. Copyright © 2014 AAGL. Published by Elsevier Inc. All rights reserved.

  14. Strauss: Metamorphosen for 23 solo strings / Michael Kennedy

    Index Scriptorium Estoniae

    Kennedy, Michael

    1990-01-01

    Uuest heliplaadist "Strauss: Metamorphosen for 23 solo strings, Tod und Verklärung, Op. 24, Drei Hymnen, Op.71. Felicity Lott (sop.), Scottish National Orchestra, Neeme Järvi" Chandos ABRD 1374. ABTD 1374. CHAN 8734

  15. Relações solo-paisagem: conceitos, evolução e aplicações / Soil-landscape relationships: concepts, developments and applications

    Directory of Open Access Journals (Sweden)

    Milton César Costa Campos

    2012-12-01

    Full Text Available ResumoAs relações solo-paisagem permitem associar atributos topográficos e tipos de solos, tornando-se úteis na predição de ocorrência dos tipos de solos nas paisagens e auxiliando no estudo detalhado dos solos. Diante disso, esta revisão tem como objetivos gerais conceituar e discutir aspectos da relação solo-paisagem, bem como sua evolução no Brasil e no mundo e suas aplicações aos estudos de solos. Os conceitos das relações solo-paisagem combinam as feições da superfície da terra, componentes de subsuperfície e atributos do solo. Quanto ao surgimento e discussão desse conceito, acredita-se que apesar de não haver registros de relatos sobre os estudos da relação solo-paisagem, especula-se que esses estudos foram iniciado no final do século XIX e registrado com o surgimento do conceito de CATENA. Nesse sentido, vários modelos de paisagem propuseram estudar e entender as relações entre as condições do solo e a topografia, dentre estes pode-se destacar o modelo de superfície geomórfica, unidades de vertente e curvatura do terreno. Apesar da importância e discussão dos conceitos das relações solo-paisagem, poucos trabalhos abordam a temática com vistas a identificar e mapear solos, muito embora estes modelos permitam compreender as relações entre as condições do solo e os aspectos topográficos do terreno. Por outro lado, o uso dos conceitos de superfícies geomórficas, unidades de vertentes e curvatura do terreno nos estudos de solo-paisagem são fundamentais para estudos de gênese, levantamento e classificação de solos, assim como para a obtenção de informações de estimativas de erosão, estabelecimento de manejo, planejamento e uso do solo.AbstractThe soil-landscape relationships allow for the association of topographic attributes and soil types, making it useful in predicting the occurrence of soil types in landscapes, and assisting in the detailed study of soils. Thus, this review aims to

  16. A Bayesian Approach to Functional Mixed Effect Modeling for Longitudinal Data with Binomial Outcomes

    Science.gov (United States)

    Kliethermes, Stephanie; Oleson, Jacob

    2014-01-01

    Longitudinal growth patterns are routinely seen in medical studies where individual and population growth is followed over a period of time. Many current methods for modeling growth presuppose a parametric relationship between the outcome and time (e.g., linear, quadratic); however, these relationships may not accurately capture growth over time. Functional mixed effects (FME) models provide flexibility in handling longitudinal data with nonparametric temporal trends. Although FME methods are well-developed for continuous, normally distributed outcome measures, nonparametric methods for handling categorical outcomes are limited. We consider the situation with binomially distributed longitudinal outcomes. Although percent correct data can be modeled assuming normality, estimates outside the parameter space are possible and thus estimated curves can be unrealistic. We propose a binomial FME model using Bayesian methodology to account for growth curves with binomial (percentage) outcomes. The usefulness of our methods is demonstrated using a longitudinal study of speech perception outcomes from cochlear implant users where we successfully model both the population and individual growth trajectories. Simulation studies also advocate the usefulness of the binomial model particularly when outcomes occur near the boundary of the probability parameter space and in situations with a small number of trials. PMID:24723495

  17. A Bayesian approach to functional mixed-effects modeling for longitudinal data with binomial outcomes.

    Science.gov (United States)

    Kliethermes, Stephanie; Oleson, Jacob

    2014-08-15

    Longitudinal growth patterns are routinely seen in medical studies where individual growth and population growth are followed up over a period of time. Many current methods for modeling growth presuppose a parametric relationship between the outcome and time (e.g., linear and quadratic); however, these relationships may not accurately capture growth over time. Functional mixed-effects (FME) models provide flexibility in handling longitudinal data with nonparametric temporal trends. Although FME methods are well developed for continuous, normally distributed outcome measures, nonparametric methods for handling categorical outcomes are limited. We consider the situation with binomially distributed longitudinal outcomes. Although percent correct data can be modeled assuming normality, estimates outside the parameter space are possible, and thus, estimated curves can be unrealistic. We propose a binomial FME model using Bayesian methodology to account for growth curves with binomial (percentage) outcomes. The usefulness of our methods is demonstrated using a longitudinal study of speech perception outcomes from cochlear implant users where we successfully model both the population and individual growth trajectories. Simulation studies also advocate the usefulness of the binomial model particularly when outcomes occur near the boundary of the probability parameter space and in situations with a small number of trials. Copyright © 2014 John Wiley & Sons, Ltd.

  18. Family Socialization and Children's School Outcomes: An Investigation of a Parenting Model.

    Science.gov (United States)

    Marjoribanks, Kevin

    1996-01-01

    Investigates the relationships between the characteristics of a parenting model and children's school outcomes. Utilizes interviews to identify and define parenting styles. Discovers that parenting styles affect academic achievement and school attitudes but do little to influence the relationship between intellectual ability and school outcomes.…

  19. A Statistical Model for Misreported Binary Outcomes in Clustered RCTs of Education Interventions

    Science.gov (United States)

    Schochet, Peter Z.

    2013-01-01

    In education randomized control trials (RCTs), the misreporting of student outcome data could lead to biased estimates of average treatment effects (ATEs) and their standard errors. This article discusses a statistical model that adjusts for misreported binary outcomes for two-level, school-based RCTs, where it is assumed that misreporting could…

  20. Costs and outcomes of VCT delivery models in the context of scaling up services in Indonesia

    NARCIS (Netherlands)

    Siregar, A.Y.M.; Komarudin, D.; Wisaksana, R.; Crevel, R. van; Baltussen, R.M.P.M.

    2011-01-01

    OBJECTIVE: To evaluate costs and outcomes of voluntary counselling and testing (VCT) service delivery models in urban Indonesia. METHODS: We collected primary data on utilization, costs and outcomes of VCT services in a hospital clinic (568 clients), HIV community clinic (28 clients), sexually

  1. A model of global citizenship: antecedents and outcomes.

    Science.gov (United States)

    Reysen, Stephen; Katzarska-Miller, Iva

    2013-01-01

    As the world becomes increasingly interconnected, exposure to global cultures affords individuals opportunities to develop global identities. In two studies, we examine the antecedents and outcomes of identifying with a superordinate identity--global citizen. Global citizenship is defined as awareness, caring, and embracing cultural diversity while promoting social justice and sustainability, coupled with a sense of responsibility to act. Prior theory and research suggest that being aware of one's connection with others in the world (global awareness) and embedded in settings that value global citizenship (normative environment) lead to greater identification with global citizens. Furthermore, theory and research suggest that when global citizen identity is salient, greater identification is related to adherence to the group's content (i.e., prosocial values and behaviors). Results of the present set of studies showed that global awareness (knowledge and interconnectedness with others) and one's normative environment (friends and family support global citizenship) predicted identification with global citizens, and global citizenship predicted prosocial values of intergroup empathy, valuing diversity, social justice, environmental sustainability, intergroup helping, and a felt responsibility to act for the betterment of the world. The relationship between antecedents (normative environment and global awareness) and outcomes (prosocial values) was mediated by identification with global citizens. We discuss the relationship between the present results and other research findings in psychology, the implications of global citizenship for other academic domains, and future avenues of research. Global citizenship highlights the unique effect of taking a global perspective on a multitude of topics relevant to the psychology of everyday actions, environments, and identity.

  2. Comparison of models for predicting outcomes in patients with coronary artery disease focusing on microsimulation

    Directory of Open Access Journals (Sweden)

    Masoud Amiri

    2012-01-01

    Full Text Available Background: Physicians have difficulty to subjectively estimate the cardiovascular risk of their patients. Using an estimate of global cardiovascular risk could be more relevant to guide decisions than using binary representation (presence or absence of risk factors data. The main aim of the paper is to compare different models of predicting the progress of a coronary artery diseases (CAD to help the decision making of physician. Methods: There are different standard models for predicting risk factors such as models based on logistic regression model, Cox regression model, dynamic logistic regression model, and simulation models such as Markov model and microsimulation model. Each model has its own application which can or cannot use by physicians to make a decision on treatment of each patient. Results: There are five main common models for predicting of outcomes, including models based on logistic regression model (for short-term outcomes, Cox regression model (for intermediate-term outcomes, dynamic logistic regression model, and simulation models such as Markov and microsimulation models (for long-term outcomes. The advantages and disadvantages of these models have been discussed and summarized. Conclusion: Given the complex medical decisions that physicians face in everyday practice, the multiple interrelated factors that play a role in choosing the optimal treatment, and the continuously accumulating new evidence on determinants of outcome and treatment options for CAD, physicians may potentially benefit from a clinical decision support system that accounts for all these considerations. The microsimulation model could provide cardiologists, researchers, and medical students a user-friendly software, which can be used as an intelligent interventional simulator.

  3. Development and Validation of a Predictive Model for Functional Outcome After Stroke Rehabilitation: The Maugeri Model.

    Science.gov (United States)

    Scrutinio, Domenico; Lanzillo, Bernardo; Guida, Pietro; Mastropasqua, Filippo; Monitillo, Vincenzo; Pusineri, Monica; Formica, Roberto; Russo, Giovanna; Guarnaschelli, Caterina; Ferretti, Chiara; Calabrese, Gianluigi

    2017-12-01

    Prediction of outcome after stroke rehabilitation may help clinicians in decision-making and planning rehabilitation care. We developed and validated a predictive tool to estimate the probability of achieving improvement in physical functioning (model 1) and a level of independence requiring no more than supervision (model 2) after stroke rehabilitation. The models were derived from 717 patients admitted for stroke rehabilitation. We used multivariable logistic regression analysis to build each model. Then, each model was prospectively validated in 875 patients. Model 1 included age, time from stroke occurrence to rehabilitation admission, admission motor and cognitive Functional Independence Measure scores, and neglect. Model 2 included age, male gender, time since stroke onset, and admission motor and cognitive Functional Independence Measure score. Both models demonstrated excellent discrimination. In the derivation cohort, the area under the curve was 0.883 (95% confidence intervals, 0.858-0.910) for model 1 and 0.913 (95% confidence intervals, 0.884-0.942) for model 2. The Hosmer-Lemeshow χ 2 was 4.12 ( P =0.249) and 1.20 ( P =0.754), respectively. In the validation cohort, the area under the curve was 0.866 (95% confidence intervals, 0.840-0.892) for model 1 and 0.850 (95% confidence intervals, 0.815-0.885) for model 2. The Hosmer-Lemeshow χ 2 was 8.86 ( P =0.115) and 34.50 ( P =0.001), respectively. Both improvement in physical functioning (hazard ratios, 0.43; 0.25-0.71; P =0.001) and a level of independence requiring no more than supervision (hazard ratios, 0.32; 0.14-0.68; P =0.004) were independently associated with improved 4-year survival. A calculator is freely available for download at https://goo.gl/fEAp81. This study provides researchers and clinicians with an easy-to-use, accurate, and validated predictive tool for potential application in rehabilitation research and stroke management. © 2017 American Heart Association, Inc.

  4. Staple Food Self-Sufficiency of Farmers Household Level in The Great Solo

    Science.gov (United States)

    Darsono

    2017-04-01

    Analysis of food security level of household is a novelty of measurement standards which usually includes regional and national levels. With household approach is expected to provide the basis of sharp food policy formulation. The purpose of this study are to identify the condition of self-sufficiency in staple foods, and to find the main factors affecting the dynamics of self-sufficiency in staple foods on farm household level in Great Solo. Using primary data from 50 farmers in the sample and secondary data in Great Solo (Surakarta city, Boyolali, Sukoharjo, Karanganyar, Wonogiri, Sragen and Klaten). Compiled panel data were analyzed with linear probability regression models to produce a good model. The results showed that farm households in Great Solo has a surplus of staple food (rice) with an average consumption rate of 96.8 kg/capita/year. This number is lower than the national rate of 136.7 kg/capita/year. The main factors affecting the level of food self-sufficiency in the farmer household level are: rice production, rice consumption, land tenure, and number of family members. Key recommendations from this study are; improvement scale of the land cultivation for rice farming and non-rice diversification consumption.

  5. Outcome evaluation of a new model of critical care orientation.

    Science.gov (United States)

    Morris, Linda L; Pfeifer, Pamela; Catalano, Rene; Fortney, Robert; Nelson, Greta; Rabito, Robb; Harap, Rebecca

    2009-05-01

    The shortage of critical care nurses and the service expansion of 2 intensive care units provided a unique opportunity to create a new model of critical care orientation. The goal was to design a program that assessed critical thinking, validated competence, and provided learning pathways that accommodated diverse experience. To determine the effect of a new model of critical care orientation on satisfaction, retention, turnover, vacancy, preparedness to manage patient care assignment, length of orientation, and cost of orientation. A prospective, quasi-experimental design with both quantitative and qualitative methods. The new model improved satisfaction scores, retention rates, and recruitment of critical care nurses. Length of orientation was unchanged. Cost was increased, primarily because a full-time education consultant was added. A new model for nurse orientation that was focused on critical thinking and competence validation improved retention and satisfaction and serves as a template for orientation of nurses throughout the medical center.

  6. Using competing risks model and competing events in outcome of pulmonary tuberculosis patients

    Directory of Open Access Journals (Sweden)

    Mehdi Kazempour Dizaji

    2016-01-01

    Conclusions: Use of competing risks model with competing events can provide a better way to understand the associated risk factors co-related with outcome of the pulmonary TB process, especially among DR-TB patients.

  7. Cognitive predictors and moderators of winter depression treatment outcomes in cognitive-behavioral therapy vs. light therapy.

    Science.gov (United States)

    Sitnikov, Lilya; Rohan, Kelly J; Evans, Maggie; Mahon, Jennifer N; Nillni, Yael I

    2013-12-01

    There is no empirical basis for determining which seasonal affective disorder (SAD) patients are best suited for what type of treatment. Using data from a parent clinical trial comparing light therapy (LT), cognitive-behavioral therapy (CBT), and their combination (CBT + LT) for SAD, we constructed hierarchical linear regression models to explore baseline cognitive vulnerability constructs (i.e., dysfunctional attitudes, negative automatic thoughts, response styles) as prognostic and prescriptive factors of acute and next winter depression outcomes. Cognitive constructs did not predict or moderate acute treatment outcomes. Baseline dysfunctional attitudes and negative automatic thoughts were prescriptive of next winter treatment outcomes. Participants with higher baseline levels of dysfunctional attitudes and negative automatic thoughts had less severe depression the next winter if treated with CBT than if treated with LT. In addition, participants randomized to solo LT who scored at or above the sample mean on these cognitive measures at baseline had more severe depressive symptoms the next winter relative to those who scored below the mean. Baseline dysfunctional attitudes and negative automatic thoughts did not predict treatment outcomes in participants assigned to solo CBT or CBT + LT. Therefore, SAD patients with extremely rigid cognitions did not fare as well in the subsequent winter if treated initially with solo LT. Such patients may be better suited for initial treatment with CBT, which directly targets cognitive vulnerability processes. Copyright © 2013 Elsevier Ltd. All rights reserved.

  8. EFFECTS OF INQUIRY TRAINING LEARNING MODEL BASED MULTIMEDIA AND MOTIVATION OF PHYSICS STUDENT LEARNING OUTCOMES

    Directory of Open Access Journals (Sweden)

    Hayati .

    2013-06-01

    Full Text Available The objective in this research: (1 Determine a better learning model to improve learning outcomes physics students among learning model Inquiry Training based multimedia and Inquiry Training learning model. (2 Determine the level of motivation to learn in affects physics student learning outcomes. (3 Knowing the interactions between the model of learning and motivation in influencing student learning outcomes. This research is a quasi experimental. The population in this research was all students in class XI SMA Negeri 1 T.P Sunggal Semester I 2012/2013. The sample of this research was consisted of two classes with a sample of 70 peoples who are determined by purposive sampling, the IPA XI-2 as a class experiment using a model-based multimedia learning Training Inquiry as many as 35 peoples and XI IPA-3 as a control class using learning model Inquiry Training 35 peoples. Hypotheses were analyzed using the GLM at significant level of 0.05 using SPSS 17.0 for Windows. Based on data analysis and hypothesis testing conducted found that: (1 Training Inquiry-based multimedia learning model in improving student learning outcomes rather than learning model physics Inquiry Training. (2 The results of studying physics students who have high motivation to learn better than students who have a low learning motivation. (3 From this research there was an interaction between learning model inquiry-based multimedia training and motivation to study on learning outcomes of students.

  9. Reformulating the Depression Model of Learned Hopelessness for Academic Outcomes

    Science.gov (United States)

    Au, Raymond C. P.; Watkins, David; Hattie, John; Alexander, Patricia

    2009-01-01

    This review explores developments in the construct of learned hopelessness, which originated in the clinical literature dealing with depression. In that context, the model developed by Abramson, Metalsky, and Alloy [Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). "Hopelessness depression: A theory-based subtype of depression."…

  10. Outcomes from the implementation of a counselling model ...

    African Journals Online (AJOL)

    2015-07-02

    Jul 2, 2015 ... One-third of antiretroviral treatment (ART)-eligible patients are estimated to be lost to care .... Information and Counselling Centre (ATICC) according .... patients whose last visit to the clinic or documented transfer .... recent systematic review reporting a range of 22–108 days,18 .... transition-state model.

  11. Computational models as predictors of HIV treatment outcomes for ...

    African Journals Online (AJOL)

    Background: Selecting the optimal combination of HIV drugs for an individual in resourcelimited settings is challenging because of the limited availability of drugs and genotyping. Objective: The evaluation as a potential treatment support tool of computational models that predict response to therapy without a genotype, ...

  12. Knowledge Modeling for the Outcome of Brain Stereotactic Radiosurgery

    Science.gov (United States)

    Hauck, Jillian E.

    Purpose: To build a model that will predict the survival time for patients that were treated with stereotactic radiosurgery for brain metastases using support vector machine (SVM) regression. Methods and Materials: This study utilized data from 481 patients, which were equally divided into training and validation datasets randomly. The SVM model used a Gaussian RBF function, along with various parameters, such as the size of the epsilon insensitive region and the cost parameter (C) that are used to control the amount of error tolerated by the model. The predictor variables for the SVM model consisted of the actual survival time of the patient, the number of brain metastases, the graded prognostic assessment (GPA) and Karnofsky Performance Scale (KPS) scores, prescription dose, and the largest planning target volume (PTV). The response of the model is the survival time of the patient. The resulting survival time predictions were analyzed against the actual survival times by single parameter classification and two-parameter classification. The predicted mean survival times within each classification were compared with the actual values to obtain the confidence interval associated with the model's predictions. In addition to visualizing the data on plots using the means and error bars, the correlation coefficients between the actual and predicted means of the survival times were calculated during each step of the classification. Results: The number of metastases and KPS scores, were consistently shown to be the strongest predictors in the single parameter classification, and were subsequently used as first classifiers in the two-parameter classification. When the survival times were analyzed with the number of metastases as the first classifier, the best correlation was obtained for patients with 3 metastases, while patients with 4 or 5 metastases had significantly worse results. When the KPS score was used as the first classifier, patients with a KPS score of 60 and

  13. Management outcome of acute urinary retention: model of prediction.

    LENUS (Irish Health Repository)

    Daly, Padraig

    2012-01-31

    OBJECTIVES: To assess for predictors of outcome in patients presenting with acute urinary retention (AUR). METHODS: A study was performed in our unit to evaluate trial without catheter (TWOC) and successive management. We assessed for predictors of surgical or medical management, which included: age, volume drained at time of catheterisation, cause of retention, serum creatinine, success of trial of voiding, co-morbidities, prostate-specific antigen (PSA) and prostate size on digital rectal examination (DRE). RESULTS: 72 men were entered into the study over an 18-month period: 27 had a successful first TWOC, 20 patients had a second TWOC, and 6 were successful. In total, 31 of the 33 patients with a successful TWOC remained on alpha-blockers without a further episode of AUR within a minimum of 6 months\\' follow-up. Patients failing TWOC were managed by transurethral resection of the prostate (n = 22), long-term catheterisation (n = 15) or prostatic stents (n = 3), and 1 patient died prior to intervention. Three predictors were significant on multivariate analysis: PSA (>2.9 ng\\/ml), prostate size on DRE (large) and volume drained at time of catheterisation (>or=1,000 ml). CONCLUSION: Patients with elevated PSA (>2.9 ng\\/ml), a large prostate size on DRE and a volume drained at time of catheterisation >1,000 ml are best managed by surgical intervention, while those with volumes drained at time of catheterisation of <1,000 ml, a PSA

  14. Examination of the Compatibility of the Questions Used by Social Studies Teachers in the Class with the Program Achievements According to the SOLO Taxonomy

    Science.gov (United States)

    Keskin, Yusuf; Keskin, Sevgi C.; Kirtel, Aysegül

    2016-01-01

    The purpose of this study is to examine the compatibility of the questions used by the social studies branch teachers in the level of 6th and 7th grade with the achievements included in the teaching program. Structure of observed learning outcome (SOLO) taxonomy, which was presented by Biggs and Colis (1982) as an alternative to Bloom's cognitive…

  15. Tutorial on Using Regression Models with Count Outcomes Using R

    Directory of Open Access Journals (Sweden)

    A. Alexander Beaujean

    2016-02-01

    Full Text Available Education researchers often study count variables, such as times a student reached a goal, discipline referrals, and absences. Most researchers that study these variables use typical regression methods (i.e., ordinary least-squares either with or without transforming the count variables. In either case, using typical regression for count data can produce parameter estimates that are biased, thus diminishing any inferences made from such data. As count-variable regression models are seldom taught in training programs, we present a tutorial to help educational researchers use such methods in their own research. We demonstrate analyzing and interpreting count data using Poisson, negative binomial, zero-inflated Poisson, and zero-inflated negative binomial regression models. The count regression methods are introduced through an example using the number of times students skipped class. The data for this example are freely available and the R syntax used run the example analyses are included in the Appendix.

  16. Phototherapy of the newborn: a predictive model for the outcome.

    Science.gov (United States)

    Ossamu Osaku, Nelson; Silverio Lopes, Heitor

    2005-01-01

    Jaundice in one of the most common problems of the newborn. In most cases, jaundice is considered a physiological transient situation, but sometimes it can lead to death or serious injuries for the survivors. For decades, phototherapy has been used as the main method for prevention and treatment of hyperbilirubinaemia of the newborn. This work aims at finding a predictive model for the decrement of blood bilirubin followed conventional phototherapy. Data from 90 patients were collected and used in the multiple regression method. A rigorous statistical analysis was done in order to guarantee a correct and valid model. The obtained model was able to explain 78% of the variation of the dependent variable We found that it is possible to predict the total sugar bilirubin of the patient under phototherapy by knowing its birth weight, bilirubin level at the beginning of treatment, duration of exposition, and irradiance. Besides, it is possible to infer the time necessary for a given decrement of bilirubin, under approximately constant irradiance.

  17. The feasibility of single-port laparoscopic appendectomy using a solo approach: a comparative study.

    Science.gov (United States)

    Kim, Say-June; Choi, Byung-Jo; Jeong, Wonjun; Lee, Sang Chul

    2016-03-01

    To investigate the feasibility and safety of solo surgery with single-port laparoscopic appendectomy, which is termed herein solo-SPLA (solo-single-port laparoscopic appendectomy). This study prospectively collected and retrospectively analyzed data from patients who had undergone either non-solo-SPLA (n = 150) or solo-SPLA (n = 150). Several devices were utilized for complete, skin-to-skin solo-SPSA, including a Lone Star Retractor System and an adjustable mechanical camera holder. Operating times were not significantly different between solo- and non-solo-SPLA (45.0 ± 21.0 minutes vs. 46.7 ± 26.1 minutes, P = 0.646). Most postoperative variables were also comparable between groups, including the necessity for intravenous analgesics (0.7 ± 1.2 ampules [solo-SPLA] vs. 0.9 ± 1.5 ampules [non-solo-SPLA], P = 0.092), time interval to gas passing (1.3 ± 1.0 days vs. 1.4 ± 1.0 days, P = 0.182), and the incidence of postoperative complications (4.0% vs. 8.7%, P = 0.153). Moreover, solo-SPLA effectively lowered the operating cost by reducing surgical personnel expenses. Solo-SPLA economized staff numbers and thus lowered hospital costs without lengthening of operating time. Therefore, solo-SPLA could be considered a safe and feasible alternative to non-solo-SPLA.

  18. Testing the Quality Health Outcomes Model Applied to Infection Prevention in Hospitals.

    Science.gov (United States)

    Gilmartin, Heather M; Sousa, Karen H

    2016-01-01

    To test the Quality Health Outcomes Model to investigate the relationship between health care-associated infection (HAI) prevention interventions, organizational context, and HAI outcomes using structural equation modeling. Variables for adherence to the central line bundle, organizational context, and central line-associated bloodstream infections (CLABSIs) were selected for this secondary data analysis from 614 US hospitals that participated in the Prevention of Nosocomial Infection and Cost-effectiveness-Refined study. One half of the dataset was used for exploration of the concepts, the second half for confirmation of the measurement models and testing of the structural model. The final model resulted in a good fit to the data (χ (1215) = 1906.86, P preventing HAIs, ongoing research is needed to reveal the exact aspects of context that influence interventions and outcomes.

  19. Latino Solo Grandparents Raising Grandchildren: Health Risks and Behaviors.

    Science.gov (United States)

    Whitley, Deborah M; Fuller-Thomson, Esme

    2018-03-01

    The purpose of this descriptive report is to provide the first representative information on the sociodemographic profile and the prevalence of mental and physical health conditions of two "at-risk" groups of Latino caregivers: solo grandparent caregivers and single parents. The 2012 Behavior Risk Factor Surveillance System was used to compare five dimensions of health on a sample of Latino solo grandparents and Latino single parents, raising their grandchildren/children alone. Bivariate and logistic regression comparative analyses were conducted on study measures. Latino solo grandparents have a high prevalence of chronic health conditions, including arthritis (51%), depression (40%), diabetes (34%), and asthma (34%). Latino single parents have lower but troubling health risks, including depression (22%), diabetes (14%), and asthma (14%). Differences between the two groups were largely due to the grandparents older age. Latino solo grandparents have a high prevalence of several chronic medical conditions. The prevalence of disorders is much lower for Latino single parents, although they too have disturbing health risks. Latino solo grandparents perform their parenting role under intense physical and emotional strain. Health professionals can be instrumental in facilitating interventions that affect the well-being of this expanding family group.

  20. Effect of Payment Model on Patient Outcomes in Outpatient Physical Therapy.

    Science.gov (United States)

    Charles, Derek; Boyd, Sylvester; Heckert, Logan; Lake, Austin; Petersen, Kevin

    2018-01-01

    Although the literature has well recognized the effectiveness of physical therapy for treating musculoskeletal injuries, reimbursement is evolving towards value-based or alternative payment models and away from procedure orientated, fee-for-service in the outpatient setting. Alternative models include cased-based clinics, pay-for-performance, out-of-network services, accountable care organizations, and concierge practices. There is the possibility that alternative payment models could produce different and even superior patient outcomes. Physical therapists should be alert to this possibility, and research is warranted in this area to conclude if outcomes in patient care are related to method of reimbursement.

  1. Poisson regression for modeling count and frequency outcomes in trauma research.

    Science.gov (United States)

    Gagnon, David R; Doron-LaMarca, Susan; Bell, Margret; O'Farrell, Timothy J; Taft, Casey T

    2008-10-01

    The authors describe how the Poisson regression method for analyzing count or frequency outcome variables can be applied in trauma studies. The outcome of interest in trauma research may represent a count of the number of incidents of behavior occurring in a given time interval, such as acts of physical aggression or substance abuse. Traditional linear regression approaches assume a normally distributed outcome variable with equal variances over the range of predictor variables, and may not be optimal for modeling count outcomes. An application of Poisson regression is presented using data from a study of intimate partner aggression among male patients in an alcohol treatment program and their female partners. Results of Poisson regression and linear regression models are compared.

  2. Towards a Model and Methodology for Assessing Student Learning Outcomes and Satisfaction

    Science.gov (United States)

    Duque, Lola C.; Weeks, John R.

    2010-01-01

    Purpose: The purpose of this paper is threefold: first, to introduce a conceptual model for assessing undergraduate student learning outcomes and satisfaction that involves concepts drawn from the services marketing and assessment literatures; second, to illustrate the utility of the model as implemented in an academic department (geography)…

  3. Student Identification with Business Education Models: Measurement and Relationship to Educational Outcomes

    Science.gov (United States)

    Halbesleben, Jonathon R. B.; Wheeler, Anthony R.

    2009-01-01

    Although management scholars have provided a variety of metaphors to describe the role of students in management courses, researchers have yet to explore students' identification with the models and how they are linked to educational outcomes. This article develops a measurement tool for students' identification with business education models and…

  4. Assessing the Quality of the Learning Outcome in Vocational Education: The Expero Model

    Science.gov (United States)

    Cervai, Sara; Cian, Luca; Berlanga, Alicia; Borelli, Massimo; Kekale, Tauno

    2013-01-01

    Purpose: This paper aims to present an innovative model to evaluate the quality of the learning outcome in vocational education and training (VET) considering a wide approach that includes, in particular, stakeholders' expectations and perceptions. Design/methodology/approach: The Expero model was implemented in various kinds of vocational schools…

  5. Overview of data-synthesis in systematic reviews of studies on outcome prediction models

    NARCIS (Netherlands)

    T. van den Berg (Tobias); M.W. Heymans (Martijn); O. Leone; D. Vergouw (David); J. Hayden (Jill); A.P. Verhagen (Arianne); H.C. de Vet (Henrica C)

    2013-01-01

    textabstractBackground: Many prognostic models have been developed. Different types of models, i.e. prognostic factor and outcome prediction studies, serve different purposes, which should be reflected in how the results are summarized in reviews. Therefore we set out to investigate how authors of

  6. The outcome competency framework for practitioners in infection prevention and control: use of the outcome logic model for evaluation.

    Science.gov (United States)

    Burnett, E; Curran, E; Loveday, H P; Kiernan, M A; Tannahill, M

    2014-01-01

    Healthcare is delivered in a dynamic environment with frequent changes in populations, methods, equipment and settings. Infection prevention and control practitioners (IPCPs) must ensure that they are competent in addressing the challenges they face and are equipped to develop infection prevention and control (IPC) services in line with a changing world of healthcare provision. A multifaceted Framework was developed to assist IPCPs to enhance competence at an individual, team and organisational level to enable quality performance and improved quality of care. However, if these aspirations are to be met, it is vital that competency frameworks are fit for purpose or they risk being ignored. The aim of this unique study was to evaluate short and medium term outcomes as set out in the Outcome Logic Model to assist with the evaluation of the impact and success of the Framework. This study found that while the Framework is being used effectively in some areas, it is not being used as much or in the ways that were anticipated. The findings will enable future work on revision, communication and dissemination, and will provide intelligence to those initiating education and training in the utilisation of the competences.

  7. Developing a risk prediction model for the functional outcome after hip arthroscopy.

    Science.gov (United States)

    Stephan, Patrick; Röling, Maarten A; Mathijssen, Nina M C; Hannink, Gerjon; Bloem, Rolf M

    2018-04-19

    Hip arthroscopic treatment is not equally beneficial for every patient undergoing this procedure. Therefore, the purpose of this study was to develop a clinical prediction model for functional outcome after surgery based on preoperative factors. Prospective data was collected on a cohort of 205 patients having undergone hip arthroscopy between 2011 and 2015. Demographic and clinical variables and patient reported outcome (PRO) scores were collected, and considered as potential predictors. Successful outcome was defined as either a Hip Outcome Score (HOS)-ADL score of over 80% or improvement of 23%, defined by the minimal clinical important difference, 1 year after surgery. The prediction model was developed using backward logistic regression. Regression coefficients were converted into an easy to use prediction rule. The analysis included 203 patients, of which 74% had a successful outcome. Female gender (OR: 0.37 (95% CI 0.17-0.83); p = 0.02), pincer impingement (OR: 0.47 (95% CI 0.21-1.09); p = 0.08), labral tear (OR: 0.46 (95% CI 0.20-1.06); p = 0.07), HOS-ADL score (IQR OR: 2.01 (95% CI 0.99-4.08); p = 0.05), WHOQOL physical (IQR OR: 0.43 (95% CI 0.22-0.87); p = 0.02) and WHOQOL psychological (IQR OR: 2.40 (95% CI 1.38-4.18); p = prediction model of successful functional outcome 1 year after hip arthroscopy. The model's discriminating accuracy turned out to be fair, as 71% (95% CI: 64-80%) of the patients were classified correctly. The developed prediction model can predict the functional outcome of patients that are considered for a hip arthroscopic intervention, containing six easy accessible preoperative risk factors. The model can be further improved trough external validation and/or adding additional potential predictors.

  8. HEMS in Slovenia: one country, four models, different quality outcomes.

    Science.gov (United States)

    Klemenc-Ketis, Zalika; Tomazin, Iztok; Kersnik, Janko

    2012-01-01

    The objective of this study was to determine the quality of patient care using quality indicators in 4 different Slovenian helicopter emergency medical service (HEMS) models. This was a cross-sectional study of all 4 HEMS in Slovenia. We collected data on quality for the period from July 2003 to August 2008, in a sample of all eligible patients that were managed by HEMS during the study period (N = 833). We obtained the following data on emergency operations: the time and organizational features of the operation; the description of the patients' condition; and the on-site diagnostic and treatment procedures. We used the following as quality indicators: the number of resuscitated patients that were intubated; the number of patients with a Glasgow Coma Scale (GCS) score of # 8 that were intubated; the number of patients with acute coronary syndrome that received treatment with morphine, oxygen, nitroglycerine, and aspirin (MONA); the number of patients with a National Advisory Committee on Aeronautics (NACA) scale score of $ 4 with an intravenous line; the number of patients with a NACA score of $ 5 that were given oxygen; and the number of patients with a NACA score of $ 4 that were given appropriate analgesic treatment. Across all HEMS bases, 36 (87.8%) resuscitated patients were intubated; 122 (81.9%) patients with GCS # 8 were intubated; 149 (89.2%) patients with ACS were given MONA treatment; 52 (92.9%) patients with a NACA score of $ 4 were given an intravenous line; 254 (92.7%) patients with a NACA score of $ 5 were given oxygen; and 18 (32.7%) trauma patients with a NACA score of $ 4 were given intravenous analgesics. The quality of patient management in HEMS in Slovenia is affected by the callout procedure, the presence or absence of a fixed rope, the type of helicopter operator, and the provider of the doctor in the helicopter team. The data from our study indicates that the quality of patient management in HEMS in Slovenia is high. It also seems that

  9. Re-construction of action awareness depends on an internal model of action-outcome timing.

    Science.gov (United States)

    Stenner, Max-Philipp; Bauer, Markus; Machts, Judith; Heinze, Hans-Jochen; Haggard, Patrick; Dolan, Raymond J

    2014-04-01

    The subjective time of an instrumental action is shifted towards its outcome. This temporal binding effect is partially retrospective, i.e., occurs upon outcome perception. Retrospective binding is thought to reflect post-hoc inference on agency based on sensory evidence of the action - outcome association. However, many previous binding paradigms cannot exclude the possibility that retrospective binding results from bottom-up interference of sensory outcome processing with action awareness and is functionally unrelated to the processing of the action - outcome association. Here, we keep bottom-up interference constant and use a contextual manipulation instead. We demonstrate a shift of subjective action time by its outcome in a context of variable outcome timing. Crucially, this shift is absent when there is no such variability. Thus, retrospective action binding reflects a context-dependent, model-based phenomenon. Such top-down re-construction of action awareness seems to bias agency attribution when outcome predictability is low. Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.

  10. Functional outcome measures in a surgical model of hip osteoarthritis in dogs

    OpenAIRE

    Little, Dianne; Johnson, Stephen; Hash, Jonathan; Olson, Steven A.; Estes, Bradley T.; Moutos, Franklin T.; Lascelles, B. Duncan X.; Guilak, Farshid

    2016-01-01

    Background The hip is one of the most common sites of osteoarthritis in the body, second only to the knee in prevalence. However, current animal models of hip osteoarthritis have not been assessed using many of the functional outcome measures used in orthopaedics, a characteristic that could increase their utility in the evaluation of therapeutic interventions. The canine hip shares similarities with the human hip, and functional outcome measures are well documented in veterinary medicine, pr...

  11. Social characteristics of a sample of solo mothers.

    Science.gov (United States)

    Ritchie, J

    1980-05-14

    In 1978 a sample of 158 solo mothers was interviewed by third year psychology students under the supervision of the author to obtain data both on their child rearing practices (for comparison with data obtained the year before from a sample of dual parents) and on their social circumstances. These data indicate that in the case of women who had previously been married, most aspects of their life, with the exception of finance, are now improved. Freedom from conflict and greater independence are cited as the advantages of being a solo parent; loneliness and responsibility are the major disadvantages. Parents and friends are the chief sources of support.

  12. Has growth mixture modeling improved our understanding of how early change predicts psychotherapy outcome?

    Science.gov (United States)

    Koffmann, Andrew

    2017-03-02

    Early change in psychotherapy predicts outcome. Seven studies have used growth mixture modeling [GMM; Muthén, B. (2001). Second-generation structural equation modeling with a combination of categorical and continuous latent variables: New opportunities for latent class-latent growth modeling. In L. M. Collins & A. G. Sawyers (Eds.), New methods for the analysis of change (pp. 291-322). Washington, DC: American Psychological Association] to identify patient classes based on early change but have yielded conflicting results. Here, we review the earlier studies and apply GMM to a new data set. In a university-based training clinic, 251 patients were administered the Outcome Questionnaire-45 [Lambert, M. J., Hansen, N. B., Umphress, V., Lunnen, K., Okiishi, J., Burlingame, G., … Reisinger, C. W. (1996). Administration and scoring manual for the Outcome Questionnaire (OQ 45.2). Wilmington, DE: American Professional Credentialing Services] at each psychotherapy session. We used GMM to identify class structure based on change in the first six sessions and examined trajectories as predictors of outcome. The sample was best described as a single class. There was no evidence of autoregressive trends in the data. We achieved better fit to the data by permitting latent variables some degree of kurtosis, rather than to assume multivariate normality. Treatment outcome was predicted by the amount of early improvement, regardless of initial level of distress. The presence of sudden early gains or losses did not further improve outcome prediction. Early improvement is an easily computed, powerful predictor of psychotherapy outcome. The use of GMM to investigate the relationship between change and outcome is technically complex and computationally intensive. To date, it has not been particularly informative.

  13. Insight, psychopathology, explanatory models and outcome of schizophrenia in India: a prospective 5-year cohort study

    Directory of Open Access Journals (Sweden)

    Johnson Shanthi

    2012-09-01

    Full Text Available Abstract Background The sole focus of models of insight on bio-medical perspectives to the complete exclusion of local, non-medical and cultural constructs mandates review. This study attempted to investigate the impact of insight, psychopathology, explanatory models of illness on outcome of first episode schizophrenia. Method Patients diagnosed to have DSM IV schizophrenia (n = 131 were assessed prospectively for insight, psychopathology, explanatory models of illness at baseline, 6, 12 and 60 months using standard instruments. Multiple linear and logistic regression and generalized estimating equations (GEE were employed to assess predictors of outcome. Results We could follow up 95 (72.5% patients. Sixty-five of these patients (68.4% achieved remission. There was a negative relationship between psychosis rating and insight scores. Urban residence, fluctuating course of the initial illness, and improvement in global functioning at 6 months and lower psychosis rating at 12 months were significantly related to remission at 5 years. Insight scores, number of non-medical explanatory models and individual explanatory models held during the later course of the illness were significantly associated with outcome. Analysis of longitudinal data using GEE showed that women, rural residence, insight scores and number of non-medical explanatory models of illness held were significantly associated with BPRS scores during the study period. Conclusions Insight, the disease model and the number of non-medical model positively correlated with improvement in psychosis arguing for a complex interaction between the culture, context and illness variables. These finding argue that insight and explanatory models are secondary to psychopathology, course and outcome of the illness. The awareness of mental illness is a narrative act in which people make personal sense of the many challenges they face. The course and outcome of the illness, cultural context

  14. Implementing Outcome Measures Within an Enhanced Palliative Care Day Care Model.

    LENUS (Irish Health Repository)

    Kilonzo, Isae

    2015-04-23

    Specialist palliative care day care (SPDC) units provide an array of services to patients and their families and can increase continuity of care between inpatient and homecare settings. A multidisciplinary teamwork approach is emphasized, and different models of day care exist. Depending on the emphasis of care, the models can be social, medical, therapeutic, or mixed. We describe our experience of introducing an enhanced therapeutic specialist day care model and using both patient- and carer-rated tools to monitor patient outcomes.

  15. Mediation Analysis with Survival Outcomes: Accelerated Failure Time vs. Proportional Hazards Models.

    Science.gov (United States)

    Gelfand, Lois A; MacKinnon, David P; DeRubeis, Robert J; Baraldi, Amanda N

    2016-01-01

    Survival time is an important type of outcome variable in treatment research. Currently, limited guidance is available regarding performing mediation analyses with survival outcomes, which generally do not have normally distributed errors, and contain unobserved (censored) events. We present considerations for choosing an approach, using a comparison of semi-parametric proportional hazards (PH) and fully parametric accelerated failure time (AFT) approaches for illustration. We compare PH and AFT models and procedures in their integration into mediation models and review their ability to produce coefficients that estimate causal effects. Using simulation studies modeling Weibull-distributed survival times, we compare statistical properties of mediation analyses incorporating PH and AFT approaches (employing SAS procedures PHREG and LIFEREG, respectively) under varied data conditions, some including censoring. A simulated data set illustrates the findings. AFT models integrate more easily than PH models into mediation models. Furthermore, mediation analyses incorporating LIFEREG produce coefficients that can estimate causal effects, and demonstrate superior statistical properties. Censoring introduces bias in the coefficient estimate representing the treatment effect on outcome-underestimation in LIFEREG, and overestimation in PHREG. With LIFEREG, this bias can be addressed using an alternative estimate obtained from combining other coefficients, whereas this is not possible with PHREG. When Weibull assumptions are not violated, there are compelling advantages to using LIFEREG over PHREG for mediation analyses involving survival-time outcomes. Irrespective of the procedures used, the interpretation of coefficients, effects of censoring on coefficient estimates, and statistical properties should be taken into account when reporting results.

  16. Bayesian Mixed Hidden Markov Models: A Multi-Level Approach to Modeling Categorical Outcomes with Differential Misclassification

    Science.gov (United States)

    Zhang, Yue; Berhane, Kiros

    2014-01-01

    Questionnaire-based health status outcomes are often prone to misclassification. When studying the effect of risk factors on such outcomes, ignoring any potential misclassification may lead to biased effect estimates. Analytical challenges posed by these misclassified outcomes are further complicated when simultaneously exploring factors for both the misclassification and health processes in a multi-level setting. To address these challenges, we propose a fully Bayesian Mixed Hidden Markov Model (BMHMM) for handling differential misclassification in categorical outcomes in a multi-level setting. The BMHMM generalizes the traditional Hidden Markov Model (HMM) by introducing random effects into three sets of HMM parameters for joint estimation of the prevalence, transition and misclassification probabilities. This formulation not only allows joint estimation of all three sets of parameters, but also accounts for cluster level heterogeneity based on a multi-level model structure. Using this novel approach, both the true health status prevalence and the transition probabilities between the health states during follow-up are modeled as functions of covariates. The observed, possibly misclassified, health states are related to the true, but unobserved, health states and covariates. Results from simulation studies are presented to validate the estimation procedure, to show the computational efficiency due to the Bayesian approach and also to illustrate the gains from the proposed method compared to existing methods that ignore outcome misclassification and cluster level heterogeneity. We apply the proposed method to examine the risk factors for both asthma transition and misclassification in the Southern California Children's Health Study (CHS). PMID:24254432

  17. Densidade do solo, atributos químicos e sistema radicular do milho afetados pelo pastejo e manejo do solo

    Directory of Open Access Journals (Sweden)

    V. R. Silva

    2000-03-01

    Full Text Available A integração lavoura-pecuária é uma alternativa de renda dos produtores no sul do Brasil. Entretanto, o pisoteio animal e, ou, o preparo de solo podem compactá-lo, prejudicando o crescimento radicular e a produtividade das plantas. Estudaram-se os efeitos do pisoteio animal em regime de pastejo contínuo durante o inverno/primavera e do impacto do plantio direto e do preparo convencional de solo no estado de compactação, atributos químicos e distribuição radicular. Em Podzólico Vermelho-Amarelo de textura superficial franca, foi implantada uma pastagem de estação fria composta por aveia (Avena strigosa Schreb e azevém (Lolium multiflorum L.. A carga animal variou conforme o crescimento da pastagem. Em dezembro de 1996, foi implantada a cultura do milho (Zea mays L. para a produção de silagem, usando os seguintes tratamentos: plantio direto na área não pastejada, plantio direto após o pastejo, preparo convencional de solo na área não pastejada e preparo convencional de solo após pastejo. As avaliações apresentadas neste estudo são referentes ao terceiro ano de cultivo, no qual houve um período de pastejo de 107 dias. Aos 45 dias da emergência do milho, foram abertas trincheiras (100 x 40 cm para visualizar a distribuição do sistema radicular e coletar amostras de solo, a cada 5 cm, para caracterização química e determinação da densidade do solo e de raízes. Ao longo do perfil (0-40 cm, o desenho da distribuição de raízes indicou maior quantidade de raízes no preparo convencional de solo, concordando com os resultados de densidade de raízes. O pisoteio animal não teve efeito sobre as características físicas, possivelmente pelo fato de o resíduo da pastagem permanecer próximo a 1,0 Mg ha-1 de matéria seca. A densidade do solo no plantio direto, na camada de 5-10 cm, foi de 1,41 Mg m-3, tanto na área pastejada como na não pastejada. No preparo convencional de solo, esses valores foram de 1,15 Mg m-3

  18. Estimativa da susceptibilidade à compactação e do suporte de carga do solo com base em propriedades físicas de solos do Rio Grande do Sul Estimating soil susceptibility to compaction and load support capacity based on physical parameters of soils from Rio Grande do Sul State

    Directory of Open Access Journals (Sweden)

    Luis Eduardo Akiyoshi Sanches Suzuki

    2008-06-01

    Full Text Available O conhecimento das relações entre propriedades físicas e mecânicas do solo pode contribuir no desenvolvimento de funções de pedotransferência, que permitam estimar outras propriedades do solo de difícil mensuração. Neste trabalho, objetivou-se avaliar a relação entre a susceptibilidade à compactação e o suporte de carga com propriedades físicas de solos do sul do Brasil. Foram avaliadas a resistência à penetração, a umidade, a densidade e a compressibilidade de seis solos. A resistência à penetração pode ser estimada pelo modelo que considera a umidade e densidade do solo. Solos com maior densidade inicial apresentaram menor susceptibilidade à compactação e menor deformação, quando submetidos a pressões externas. Quanto maior a resistência do solo à penetração, menor é a deformação e maior é a capacidade de suporte de carga, embora isso não indique solos com qualidade física adequada para as culturas; quanto maior a deformação do solo, maior a susceptibilidade à compactação e menor a capacidade de suporte de carga. A susceptibilidade de um solo à compactação e sua capacidade de suporte de carga podem ser estimadas, respectivamente, pela densidade inicial e pela resistência do solo à penetração.Quantifying the relationship between physical and mechanical soil properties can contribute to the development of pedotransfer functions that allow estimating hard-to-measure soil properties. The objective of this study was to evaluate the interrelations between susceptibility to compaction and load support with some physical properties of soils from Southern Brazil. Penetration resistance, moisture, bulk density and compressibility of six soils were evaluated. In a model including soil moisture and bulk density as independent variables, the relation with penetration resistance values obtained in the field was high. Soils with higher initial bulk density were less susceptible to compaction and exhibited

  19. Donabedian's structure-process-outcome quality of care model: Validation in an integrated trauma system.

    Science.gov (United States)

    Moore, Lynne; Lavoie, André; Bourgeois, Gilles; Lapointe, Jean

    2015-06-01

    According to Donabedian's health care quality model, improvements in the structure of care should lead to improvements in clinical processes that should in turn improve patient outcome. This model has been widely adopted by the trauma community but has not yet been validated in a trauma system. The objective of this study was to assess the performance of an integrated trauma system in terms of structure, process, and outcome and evaluate the correlation between quality domains. Quality of care was evaluated for patients treated in a Canadian provincial trauma system (2005-2010; 57 centers, n = 63,971) using quality indicators (QIs) developed and validated previously. Structural performance was measured by transposing on-site accreditation visit reports onto an evaluation grid according to American College of Surgeons criteria. The composite process QI was calculated as the average sum of proportions of conformity to 15 process QIs derived from literature review and expert opinion. Outcome performance was measured using risk-adjusted rates of mortality, complications, and readmission as well as hospital length of stay (LOS). Correlation was assessed with Pearson's correlation coefficients. Statistically significant correlations were observed between structure and process QIs (r = 0.33), and process and outcome QIs (r = -0.33 for readmission, r = -0.27 for LOS). Significant positive correlations were also observed between outcome QIs (r = 0.37 for mortality-readmission; r = 0.39 for mortality-LOS and readmission-LOS; r = 0.45 for mortality-complications; r = 0.34 for readmission-complications; 0.63 for complications-LOS). Significant correlations between quality domains observed in this study suggest that Donabedian's structure-process-outcome model is a valid model for evaluating trauma care. Trauma centers that perform well in terms of structure also tend to perform well in terms of clinical processes, which in turn has a favorable influence on patient outcomes

  20. Available clinical markers of treatment outcome integrated in mathematical models to guide therapy in HIV infection.

    Science.gov (United States)

    Vergu, Elisabeta; Mallet, Alain; Golmard, Jean-Louis

    2004-02-01

    Because treatment failure in many HIV-infected persons may be due to multiple causes, including resistance to antiretroviral agents, it is important to better tailor drug therapy to individual patients. This improvement requires the prediction of treatment outcome from baseline immunological or virological factors, and from results of resistance tests. Here, we review briefly the available clinical factors that have an impact on therapy outcome, and discuss the role of a predictive modelling approach integrating these factors proposed in a previous work. Mathematical and statistical models could become essential tools to address questions that are difficult to study clinically and experimentally, thereby guiding decisions in the choice of individualized drug regimens.

  1. 14 CFR 61.93 - Solo cross-country flight requirements.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Solo cross-country flight requirements. 61... Solo cross-country flight requirements. (a) General. (1) Except as provided in paragraph (b) of this section, a student pilot must meet the requirements of this section before— (i) Conducting a solo cross...

  2. Qualidade de um solo sob diferentes usos e sob Cerrado nativo Soil quality under different uses and native Cerrado

    Directory of Open Access Journals (Sweden)

    Ricardo Araújo

    2007-10-01

    Full Text Available O uso sustentável do solo tem-se constituído em tema de crescente relevância, em face do aumento das atividades antrópicas. Com o objetivo de avaliar a qualidade do solo em área de Cerrado nativo e em áreas sob diferentes usos, foram amostradas camadas de Latossolo Vermelho-Amarelo sob quatro tipos de ocupação: pastagem natural, pastagem cultivada, cultivo convencional com culturas anuais e florestamento de pínus. As áreas estão localizadas na Fazenda Água Limpa, DF. Foram avaliados os seguintes atributos de qualidade do solo: densidade do solo, resistência mecânica à penetração, taxa de infiltração de água, teor de matéria orgânica, capacidade de troca catiônica, C total da biomassa microbiana e respiração basal. Com base nos dados obtidos, foi organizado um diagrama comparativo e calculado um índice da qualidade do solo para cada tipo de uso. Os resultados evidenciaram relação estreita e inversa entre a qualidade do solo e a intensidade de uso a que as áreas foram submetidas. Mediante análise desses atributos e da elaboração de um modelo comparativo, foi possível avaliar o nível de degradação do solo em função do uso de cada área.Sustainable soil use is becoming increasingly relevant given the increase of anthropic activities. In order to evaluate the soil quality, soil samples were collected from five areas: natural Cerrado (reference, native pasture, planted pasture, annual crops under conventional tillage and pine forest. The areas are located in the Federal District, Brazil, in a clayey Red Yellow Latosol (Acrustox. The following soil quality attributes were measured: bulk density, mechanical resistance to penetration, water infiltration rate, organic matter content, cation exchange capacity, carbon of microbial biomass and basal respiration. Based on the obtained data a comparative diagram was drawn and a soil quality index calculated for each type of use. The results showed a close inverse

  3. Performance of models for estimating absolute risk difference in multicenter trials with binary outcome

    Directory of Open Access Journals (Sweden)

    Claudia Pedroza

    2016-08-01

    Full Text Available Abstract Background Reporting of absolute risk difference (RD is recommended for clinical and epidemiological prospective studies. In analyses of multicenter studies, adjustment for center is necessary when randomization is stratified by center or when there is large variation in patients outcomes across centers. While regression methods are used to estimate RD adjusted for baseline predictors and clustering, no formal evaluation of their performance has been previously conducted. Methods We performed a simulation study to evaluate 6 regression methods fitted under a generalized estimating equation framework: binomial identity, Poisson identity, Normal identity, log binomial, log Poisson, and logistic regression model. We compared the model estimates to unadjusted estimates. We varied the true response function (identity or log, number of subjects per center, true risk difference, control outcome rate, effect of baseline predictor, and intracenter correlation. We compared the models in terms of convergence, absolute bias and coverage of 95 % confidence intervals for RD. Results The 6 models performed very similar to each other for the majority of scenarios. However, the log binomial model did not converge for a large portion of the scenarios including a baseline predictor. In scenarios with outcome rate close to the parameter boundary, the binomial and Poisson identity models had the best performance, but differences from other models were negligible. The unadjusted method introduced little bias to the RD estimates, but its coverage was larger than the nominal value in some scenarios with an identity response. Under the log response, coverage from the unadjusted method was well below the nominal value (<80 % for some scenarios. Conclusions We recommend the use of a binomial or Poisson GEE model with identity link to estimate RD for correlated binary outcome data. If these models fail to run, then either a logistic regression, log Poisson

  4. When Not to Go SOLO? Contraindications Based on Implant Experience

    NARCIS (Netherlands)

    Wollersheim, Laurens W.; Li, Wilson W.; Kaya, Abdullah; van Boven, Wim J.; van der Meulen, Jan; de Mol, Bas A.

    2016-01-01

    Because of the design and specific implantation technique of the stentless Freedom SOLO bioprosthesis, patient selection is crucial. The aim of the study was to discuss the contraindications to this prosthesis based on the authors' implant experience. Between April 2005 and February 2015, one

  5. Father Involvement: The Importance of Paternal Solo Care

    Science.gov (United States)

    Wilson, Katherine R.; Prior, Margot R.

    2010-01-01

    Paternal time spent caring for children alone is qualitatively different from time together mediated by the presence of the mother and may be particularly relevant to father-child relations. Many fathers spend minimal time alone with their children. Indeed, it is still commonly referred to as "babysitting". We explored the concept of Solo Care as…

  6. The Outward Bound Solo: A Study of Participants' Perceptions

    Science.gov (United States)

    Kalisch, Kenneth R.; Bobilya, Andrew J.; Daniel, Brad

    2011-01-01

    Research on wilderness experience programs indicates there is much to learn about specific components of the overall experience. The solo, where students are intentionally separated from their expedition group for an extended time for reflection, has long had an anecdotal reputation for enhancing the quality of participants' experiences. The…

  7. The National Solo and Ensemble Contest 1929-1937

    Science.gov (United States)

    Meyers, Brian D.

    2012-01-01

    This study is the first investigation of the nine-year history of the National Solo and Ensemble Contests, held in the United States in conjunction with the National School Band and Orchestra Contests of the late 1920s and early to mid-1930s. Primary sources used include letters from those involved with the planning of the contests, meeting…

  8. Economic impact of dental hygienists on solo dental practices.

    Science.gov (United States)

    Lazar, Vickie F; Guay, Albert H; Beazoglou, Tryfon J

    2012-08-01

    The fact that a significant percentage of dentists employ dental hygienists raises an important question: Are dental practices that utilize a dental hygienist structurally and operationally different from practices that do not? This article explores differences among dental practices that operate with and without dental hygienists. Using data from the American Dental Association's 2003 Survey of Dental Practice, a random sample survey of U.S. dentists, descriptive statistics were used to compare selected characteristics of solo general practitioners with and without dental hygienists. Multivariate regression analysis was used to estimate the effect of dental hygienists on the gross billings and net incomes of solo general practitioners. Differences in practice characteristics--such as hours spent in the practice and hours spent treating patients, wait time for a recall visit, number of operatories, square feet of office space, net income, and gross billings--were found between solo general practitioners who had dental hygienists and those who did not. Solo general practitioners with dental hygienists had higher gross billings. Higher gross billings would be expected, as would higher expenses. However, net incomes of those with dental hygienists were also higher. In contrast, the mean waiting time for a recall visit was higher among dentists who employed dental hygienists. Depending on personal preferences, availability of qualified personnel, etc., dentists who do not employ dental hygienists but have been contemplating that path may want to further research the benefits and opportunities that may be realized.

  9. Influence of Solo and Double Parenting on the Adjustment Problems ...

    African Journals Online (AJOL)

    This study investigated the influence of solo and double parenting on the adjustment problems of secondary school adolescents. Adolescents\\' adjustment problems were studied under four groups. These include social, family, personal and academic categories. The sample for the study consisted of 630 adolescents made ...

  10. 14 CFR 61.87 - Solo requirements for student pilots.

    Science.gov (United States)

    2010-01-01

    ...; (5) Emergency procedures and equipment malfunctions; (6) Operation of hot air or gas source, ballast... balloon or an airship requiring more than one pilot flight crewmember. (b) Aeronautical knowledge. A... and procedures for pre-solo flight training in a balloon. A student pilot who is receiving training in...

  11. An Annotated Guide and Interactive Database for Solo Horn Repertoire

    Science.gov (United States)

    Schouten, Sarah

    2012-01-01

    Given the horn's lengthy history, it is not surprising that many scholars have examined the evolution of the instrument from the natural horn to the modern horn and its expansive repertoire. Numerous dissertations, theses, and treatises illuminate specific elements of the horn's solo repertoire; however, no scholar has produced a…

  12. KAJIAN DESAIN TOYOTA KIJANG DAN PENGUATAN CITRA PADA MASYARAKAT SOLO

    Directory of Open Access Journals (Sweden)

    Satriana Didiek Isnanta

    2007-01-01

    Full Text Available Indonesia's modern consumer societies develop in conjunction with the history of global economy and the transformation of consumer capitalism. This happens in many communities in cities of Indonesia, including Solo. With a population of 500 thousand at night and 1.5 million during the day, it is a potential market for global products. Therefore, it is obvious if the Solo people's tastes are no different than other communities, because of the consumer behaviour and global economy that are intertwined. The value of the meaning of products have also shifted, such as with cars. Cars that usually function as a vehicle no different than a wagon, have changed into a symbol of social class for the modern society, even for the people of Solo. The functions and facilities of the Various brands and types of cars, and elements that are related to automotive technology, are not too different. What makes the difference between these cars lays on the design of the form and image. This form design is able to create an image for certain social class for its user and its product brand. The most interesting phenomenon from automotive products in Indonesia is what happened with Toyota Kijang. Since its launch on 1977, Toyota Kijang, which is on its fifth generation this year, has succeeded in becoming the number one choice for cars for Indonesians. Abstract in Bahasa Indonesia: Masyarakat konsumen Indonesia mutakhir tumbuh beriringan dengan sejarah globalisasi ekonomi dan transformasi kapitalisme konsumsi Hal ini terjadi di banyak masyarakat perkotaan Indonesia termasuk masyarakat kota Solo. Dengan jumlah penduduk sebesar 500 ribu jiwa pada malam hari dan 1,5 juta jiwa pada siang hari merupakan pasar potensial bagi produk-produk global, maka tidak mengherankan bila selera masyarakat Solo sekarang tidak ubahnya dengan selera masyarakat lain karena perilaku konsumtif dan globalisasi ekonomi sangat terkait. Dalam menilai sebuah makna produkpun juga telah bergeser, tak

  13. Change for the better: an innovative model of care delivering positive patient and workforce outcomes.

    Science.gov (United States)

    Cann, Tina; Gardner, Anne

    2012-01-01

    To evaluate patient and workforce outcomes following the implementation of the Practice Partnership Model of Care. Pre-test-post-test design. A 29-bed surgical ward at a tertiary-level regional hospital. Summary de-identified data from all patients and ward nursing staff in the study period. The Practice Partnership Model of Care has four main components: working in partnership; clinical handover at the bedside; comfort rounds; and environmental modifications. These reflect patient-centered and quality focused initiatives and use a total quality improvement framework that aims to transform care at the bedside. Patient outcomes: changes in patient safety (measured by numbers of medication errors and patient falls); satisfaction with care (use of the call bell system, number of complaints and compliments). Workforce outcomes: changes in staff satisfaction (measured through staff sick leave). A statistically significant reduction in use of nurse call bells (p=<0.001) post-implementation. Medication errors and patient falls reduced, with an overall reduction of 4% in staff sick leave. The Practice Partnership Model of Care positively affected patient and workforce outcomes, suggesting further exploration of this model in other hospital contexts is warranted.

  14. Queue-based modelling and detection of parameters involved in stroke outcome

    DEFF Research Database (Denmark)

    Vilic, Adnan; Petersen, John Asger; Wienecke, Troels

    2017-01-01

    We designed a queue-based model, and investigated which parameters are of importance when predicting stroke outcome. Medical record forms have been collected for 57 ischemic stroke patients, including medical history and vital sign measurement along with neurological scores for the first twenty...

  15. School Factors Explaining Achievement on Cognitive and Affective Outcomes : Establishing a Dynamic Model of Educational Effectiveness

    NARCIS (Netherlands)

    Creemers, Bert; Kyriakides, Leonidas

    2010-01-01

    The dynamic model of educational effectiveness defines school level factors associated with student outcomes. Emphasis is given to the two main aspects of policy, evaluation, and improvement in schools which affect quality of teaching and learning at both the level of teachers and students: a)

  16. Outcome for Children Receiving the Early Start Denver Model before and after 48 Months

    Science.gov (United States)

    Vivanti, Giacomo; Dissanayake, Cheryl

    2016-01-01

    The Early Start Denver Model (ESDM) is an intervention program recommended for pre-schoolers with autism ages 12-48 months. The rationale for this recommendation is the potential for intervention to affect developmental trajectories during early sensitive periods. We investigated outcomes of 32 children aged 18-48 months and 28 children aged…

  17. A Mixed Methods Comparison of Teachers' Lunar Modeling Lesson Implementation and Student Learning Outcomes

    Science.gov (United States)

    Lamar, Mary F.; Wilhelm, Jennifer Anne; Cole, Merryn

    2018-01-01

    The authors compare three teachers' adaptations and implementation of a lunar modeling lesson to explain marked differences in student learning outcomes on a spatial-scientific lunar assessment. They used a modified version of the Practices of Science Observation Protocol (P-SOP; Forbes, Biggers, & Zangori, 2013) to identify ways in which…

  18. Early Treatment Outcome in Failure to Thrive: Predictions from a Transactional Model.

    Science.gov (United States)

    Drotar, Dennis

    Children diagnosed with environmentally based failure to thrive early during their first year of life were seen at 12 and 18 months for assessment of psychological development (cognition, language, symbolic play, and behavior during testing). Based on a transactional model of outcome, factors reflecting biological vulnerability (wasting and…

  19. Tiered Models of Integrated Academic and Behavioral Support: Effect of Implementation Level on Academic Outcomes

    Science.gov (United States)

    Noltemeyer, Amity; Sansosti, Frank J.

    2012-01-01

    This exploratory study examined (a) Integrated Systems Model (ISM) implementation levels, and (b) the effect of implementation of the academic and behavioral components of ISM on student academic outcomes. Participants included 2,660 students attending six suburban elementary schools. Hierarchical linear regression was conducted using a control…

  20. Functional outcome measures in a surgical model of hip osteoarthritis in dogs.

    Science.gov (United States)

    Little, Dianne; Johnson, Stephen; Hash, Jonathan; Olson, Steven A; Estes, Bradley T; Moutos, Franklin T; Lascelles, B Duncan X; Guilak, Farshid

    2016-12-01

    The hip is one of the most common sites of osteoarthritis in the body, second only to the knee in prevalence. However, current animal models of hip osteoarthritis have not been assessed using many of the functional outcome measures used in orthopaedics, a characteristic that could increase their utility in the evaluation of therapeutic interventions. The canine hip shares similarities with the human hip, and functional outcome measures are well documented in veterinary medicine, providing a baseline for pre-clinical evaluation of therapeutic strategies for the treatment of hip osteoarthritis. The purpose of this study was to evaluate a surgical model of hip osteoarthritis in a large laboratory animal model and to evaluate functional and end-point outcome measures. Seven dogs were subjected to partial surgical debridement of cartilage from one femoral head. Pre- and postoperative pain and functional scores, gait analysis, radiographs, accelerometry, goniometry and limb circumference were evaluated through a 20-week recovery period, followed by histological evaluation of cartilage and synovium. Animals developed histological and radiographic evidence of osteoarthritis, which was correlated with measurable functional impairment. For example, Mankin scores in operated limbs were positively correlated to radiographic scores but negatively correlated to range of motion, limb circumference and 20-week peak vertical force. This study demonstrates that multiple relevant functional outcome measures can be used successfully in a large laboratory animal model of hip osteoarthritis. These measures could be used to evaluate relative efficacy of therapeutic interventions relevant to human clinical care.

  1. Outcomes-Balanced Framework for Emergency Management: A Predictive Model for Preparedness

    Science.gov (United States)

    2013-09-01

    Management Total Quality Management (TQM) was developed by W. Edwards Deming in the post-World War II reconstruction period in Japan. It ushered in a...FIGURES Figure 1. From Total Quality Management Principles ....................................................30 Figure 2. Outcomes Logic Model (After...THIRA Threat and Hazard Identification and Risk Assessment TQM Total Quality Management UTL Universal Task List xiv ACKNOWLEDGMENTS German

  2. Meta-analysis of studies with bivariate binary outcomes: a marginal beta-binomial model approach.

    Science.gov (United States)

    Chen, Yong; Hong, Chuan; Ning, Yang; Su, Xiao

    2016-01-15

    When conducting a meta-analysis of studies with bivariate binary outcomes, challenges arise when the within-study correlation and between-study heterogeneity should be taken into account. In this paper, we propose a marginal beta-binomial model for the meta-analysis of studies with binary outcomes. This model is based on the composite likelihood approach and has several attractive features compared with the existing models such as bivariate generalized linear mixed model (Chu and Cole, 2006) and Sarmanov beta-binomial model (Chen et al., 2012). The advantages of the proposed marginal model include modeling the probabilities in the original scale, not requiring any transformation of probabilities or any link function, having closed-form expression of likelihood function, and no constraints on the correlation parameter. More importantly, because the marginal beta-binomial model is only based on the marginal distributions, it does not suffer from potential misspecification of the joint distribution of bivariate study-specific probabilities. Such misspecification is difficult to detect and can lead to biased inference using currents methods. We compare the performance of the marginal beta-binomial model with the bivariate generalized linear mixed model and the Sarmanov beta-binomial model by simulation studies. Interestingly, the results show that the marginal beta-binomial model performs better than the Sarmanov beta-binomial model, whether or not the true model is Sarmanov beta-binomial, and the marginal beta-binomial model is more robust than the bivariate generalized linear mixed model under model misspecifications. Two meta-analyses of diagnostic accuracy studies and a meta-analysis of case-control studies are conducted for illustration. Copyright © 2015 John Wiley & Sons, Ltd.

  3. A model-based correction for outcome reporting bias in meta-analysis.

    Science.gov (United States)

    Copas, John; Dwan, Kerry; Kirkham, Jamie; Williamson, Paula

    2014-04-01

    It is often suspected (or known) that outcomes published in medical trials are selectively reported. A systematic review for a particular outcome of interest can only include studies where that outcome was reported and so may omit, for example, a study that has considered several outcome measures but only reports those giving significant results. Using the methodology of the Outcome Reporting Bias (ORB) in Trials study of (Kirkham and others, 2010. The impact of outcome reporting bias in randomised controlled trials on a cohort of systematic reviews. British Medical Journal 340, c365), we suggest a likelihood-based model for estimating the effect of ORB on confidence intervals and p-values in meta-analysis. Correcting for bias has the effect of moving estimated treatment effects toward the null and hence more cautious assessments of significance. The bias can be very substantial, sometimes sufficient to completely overturn previous claims of significance. We re-analyze two contrasting examples, and derive a simple fixed effects approximation that can be used to give an initial estimate of the effect of ORB in practice.

  4. Corruption and population health outcomes: an analysis of data from 133 countries using structural equation modeling.

    Science.gov (United States)

    Factor, Roni; Kang, Minah

    2015-09-01

    The current study aims to develop a theoretical framework for understanding the antecedents of corruption and the effects of corruption on various health indicators. Using structural equation models, we analyzed a multinational dataset of 133 countries that included three main groups of variables--antecedents of corruption, corruption measures, and health indicators. Controlling for various factors, our results suggest that corruption rises as GDP per capita falls and as the regime becomes more autocratic. Higher corruption is associated with lower levels of health expenditure as a percentage of GDP per capita, and with poorer health outcomes. Countries with higher GDP per capita and better education for women have better health outcomes regardless of health expenditures and regime type. Our results suggest that there is no direct relationship between health expenditures and health outcomes after controlling for the other factors in the model. Our study enhances our understanding of the conceptual and theoretical links between corruption and health outcomes in a population, including factors that may mediate how corruption can affect health outcomes.

  5. Disease Progression/Clinical Outcome Model for Castration-Resistant Prostate Cancer in Patients Treated with Eribulin

    NARCIS (Netherlands)

    Van Hasselt, J. G C; Gupta, A.; Hussein, Z.; Beijnen, J. H.; Schellens, J. H M; Huitema, A. D R

    2015-01-01

    Frameworks that associate cancer dynamic disease progression models with parametric survival models for clinical outcome have recently been proposed to support decision making in early clinical development. Here we developed such a disease progression clinical outcome model for castration-resistant

  6. Parameter dependence and outcome dependence in dynamical models for state vector reduction

    International Nuclear Information System (INIS)

    Ghirardi, G.C.; Grassi, R.; Butterfield, J.; Fleming, G.N.

    1993-01-01

    The authors apply the distinction between parameter independence and outcome independence to the linear and nonlinear models of a recent nonrelativistic theory of continuous state vector reduction. It is shown that in the nonlinear model there is a set of realizations of the stochastic process that drives the state vector reduction for which parameter independence is violated for parallel spin components in the EPR-Bohm setup. Such a set has an appreciable probability of occurrence (∼ 1/2). On the other hand, the linear model exhibits only extremely small parameter dependence effects. Some specific features of the models are investigated and it is recalled that, as has been pointed out recently, to be able to speak of definite outcomes (or equivalently of possessed objective elements of reality) at finite times, the criteria for their attribution to physical systems must be slightly changed. The concluding section is devoted to a detailed discussion of the difficulties met when attempting to take, as a starting point for the formulation of a relativistic theory, a nonrelativistic scheme which exhibits parameter dependence. Here the authors derive a theorem which identifies the precise sense in which the occurrence of parameter dependence forbids a genuinely relativistic generalization. Finally, the authors show how the appreciable parameter dependence of the nonlinear model gives rise to problems with relativity, while the extremely weak parameter dependence of the linear model does not give rise to any difficulty, provided the appropriate criteria for the attribution of definite outcomes are taken into account. 19 refs

  7. Model to support the evaluation of the impact of the use and management of the soil on the water balance=Modelo de suporte à avaliação do impacto do uso e manejo do solo no balanço hídrico

    Directory of Open Access Journals (Sweden)

    Gleiph Ghiotto Menezes

    2012-10-01

    Full Text Available The purpose of this work was to develop a hydrological model for the simulation of the water balance in agricultural areas. The model uses a double exponential equation to represent the rainfall profile and uses the Green-Ampt-Mein-Larson equation to estimate the soil water infiltration rate. To evaluate the model, monthly and yearly rainfall and runoff data were obtained from four experimental plots located at the State University of Santa Catarina, UDESC, in the period from 2003 to 2008. The four treatments were bare soil (BS, conventional tillage (CT, minimum tillage (MT and no-tillage (NT. The simulation was carried out using two synthetic rainfall series, one adjusted on a monthly basis (SAMB and the other adjusted on a daily basis (SADB. The parameters for the Green-Amp equation modified by Mein-Larson (GAML were adjusted, and the best combination was found to be the replacement of the saturated hydraulic conductivity (K by the constant infiltration rate (fc and the estimation of the wetting front head pressure as a function of the hydraulic conductivity in the saturation zone (ψ(Kw. There was not a significant difference between the observed annual mean runoff and the annual mean runoff estimated by the model.O objetivo deste trabalho foi desenvolver um modelo hidrológico para a simulação do balanço hídrico em áreas agrícolas. O modelo utiliza uma função dupla-exponencial para representar o perfil de precipitação, e a equação de Green-Ampt modificada por Mein-Larson (GAML para estimar a taxa de infiltração de água no solo. Para a avaliação do modelo foram utilizados dados mensais e anuais de precipitação e escoamento superficial obtidos de quatro parcelas experimentais lozalizadas no campus da Universidade do Estado de Santa Catarina – UDESC, no período de 2003 a 2008. Os tratamentos foram o solo sem cultivo (BS, o preparo convencional (CT, o cultivo mínimo (MT e a semeadura direta (NT. A simulação foi realizada

  8. Modelagem de atributos físico-hídricos do solo numa bacia hidrográfica da região do Alto Rio Grande, MG Physical-hydric soil attribute modeling in a watershed in the region of alto Rio Grande, MG

    Directory of Open Access Journals (Sweden)

    Carlos Rogério de Mello

    2007-10-01

    Full Text Available O presente trabalho objetivou desenvolver modelos para estimativa dos atributos físico-hídricos do solo porosidade drenável (PD e capacidade total de retenção de água (CTA, com base em atributos físicos de fácil e rápida obtenção (textura, argila dispersa em água, volume total de poros, densidade do solo e densidade de partícula e a determinação de matéria orgânica. Os atributos foram coletados na bacia hidrográfica do Ribeirão Marcela, na camada de 0 a 15 cm, obedecendo aos grids de 240 x 240 e 60 x 60 m, totalizando 165 pontos amostrados. Trabalhou-se com regressão múltipla linear, constituindo-se variáveis por meio da combinação dos diferentes atributos entre si e estimando os respectivos coeficientes pelo método dos mínimos quadrados, utilizando-se o programa SAS for Windows. Os modelos gerados para CTA e PD apresentaram boa qualidade estatística, com elevados coeficientes de determinação, baixos erros de estimativa e variáveis significativas, o que permitiu sua aplicação na estimativa desses atributos na bacia hidrográfica do Ribeirão Marcela, representativa do domínio dos Latossolos na região do Alto Rio Grande, fornecendo assim subsídios para implantação de projetos agrícolas e ambientais, especialmente no auxílio à parametrização de modelos de simulação hidrossedimentológica, os quais estão em desenvolvimento para aplicação na região.This study aimed to develop models to estimate the two physical-hydric soil attributes, drainable porosity (PD and water holding capacity (CTA, based on easily and quickly measured physical attributes (particle-size distribution, water dispersible clay, total porosity, bulk density and particle density. Disturbed and undisturbed soil samples were collected in the Ribeirão Marcela watershed, from the of 0-15 cm layer, in grids of 240 x 240 and 60 x 60 m, totaling 165 sample points. Linear multiple regression was applied, using variables that combined the

  9. Comparison of case-based and lecture-based learning in dental education using the SOLO taxonomy.

    Science.gov (United States)

    Ilgüy, Mehmet; Ilgüy, Dilhan; Fişekçioğlu, Erdoğan; Oktay, Inci

    2014-11-01

    The aim of this study was to compare the impact of case-based learning (CBL) and lecture-based learning (LBL) on fourth-year dental students' clinical decision making by using the Structure of Observed Learning Outcome (SOLO) taxonomy. Participants in the study were fourth-year dental students (n=55) in academic year 2012-13 taught in a large-group LBL context and fourth-year dental students (n=54) in academic year 2013-14 taught with the CBL methodology; both took place in the oral diseases course at Yeditepe University Faculty of Dentistry, Istanbul, Turkey. All eligible students participated, for a 100 percent response rate. A real case was presented to the students in both groups to assess their clinical decision making on the topic of oral diseases. Their performance was evaluated with the SOLO taxonomy. Student t-test was used for statistical evaluation, and significance was set at the pSOLO taxonomy than students taught with LBL. These findings suggest that an integrated case-based curriculum may be effective in promoting students' deep learning and it holds promise for better integration of clinical cases likely to be encountered during independent practice.

  10. Improving Student Learning Outcomes Marketing Strategy Lesson By Applying SFAE Learning Model

    Directory of Open Access Journals (Sweden)

    Winda Nur Rohmawati

    2017-11-01

    Full Text Available Research objectives for improving student learning outcomes on the subjects of marketing strategy through the implementation of model learning SFAE. This type of research this is a class action research using a qualitative approach which consists of two cycles with the subject Marketing X grade SMK YPI Darussalam 2 Cerme Gresik Regency. This research consists of four stages: (1 the Planning Act, (2 the implementation of the action, (3 observations (observation, and (4 Reflection. The result of the research shows that cognitive and affective learning outcomes of students have increased significantly.

  11. Improving Gastric Cancer Outcome Prediction Using Single Time-Point Artificial Neural Network Models

    Science.gov (United States)

    Nilsaz-Dezfouli, Hamid; Abu-Bakar, Mohd Rizam; Arasan, Jayanthi; Adam, Mohd Bakri; Pourhoseingholi, Mohamad Amin

    2017-01-01

    In cancer studies, the prediction of cancer outcome based on a set of prognostic variables has been a long-standing topic of interest. Current statistical methods for survival analysis offer the possibility of modelling cancer survivability but require unrealistic assumptions about the survival time distribution or proportionality of hazard. Therefore, attention must be paid in developing nonlinear models with less restrictive assumptions. Artificial neural network (ANN) models are primarily useful in prediction when nonlinear approaches are required to sift through the plethora of available information. The applications of ANN models for prognostic and diagnostic classification in medicine have attracted a lot of interest. The applications of ANN models in modelling the survival of patients with gastric cancer have been discussed in some studies without completely considering the censored data. This study proposes an ANN model for predicting gastric cancer survivability, considering the censored data. Five separate single time-point ANN models were developed to predict the outcome of patients after 1, 2, 3, 4, and 5 years. The performance of ANN model in predicting the probabilities of death is consistently high for all time points according to the accuracy and the area under the receiver operating characteristic curve. PMID:28469384

  12. The Adverse Effect of Spasticity on 3-Month Poststroke Outcome Using a Population-Based Model

    Directory of Open Access Journals (Sweden)

    S. R. Belagaje

    2014-01-01

    Full Text Available Several devices and medications have been used to address poststroke spasticity. Yet, spasticity’s impact on outcomes remains controversial. Using data from a cohort of 460 ischemic stroke patients, we previously published a validated multivariable regression model for predicting 3-month modified Rankin Score (mRS as an indicator of functional outcome. Here, we tested whether including spasticity improved model fit and estimated the effect spasticity had on the outcome. Spasticity was defined by a positive response to the question “Did you have spasticity following your stroke?” on direct interview at 3 months from stroke onset. Patients who had expired by 90 days (n=30 or did not have spasticity data available (n=102 were excluded. Spasticity affected the 3-month functional status (β=0.420, 95 CI=0.194 to 0.645 after accounting for age, diabetes, leukoaraiosis, and retrospective NIHSS. Using spasticity as a covariable, the model’s R2 changed from 0.599 to 0.622. In our model, the presence of spasticity in the cohort was associated with a worsened 3-month mRS by an average of 0.4 after adjusting for known covariables. This significant adverse effect on functional outcomes adds predictive value beyond previously established factors.

  13. Joint modeling of correlated binary outcomes: The case of contraceptive use and HIV knowledge in Bangladesh.

    Directory of Open Access Journals (Sweden)

    Di Fang

    Full Text Available Recent advances in statistical methods enable the study of correlation among outcomes through joint modeling, thereby addressing spillover effects. By joint modeling, we refer to simultaneously analyzing two or more different response variables emanating from the same individual. Using the 2011 Bangladesh Demographic and Health Survey, we jointly address spillover effects between contraceptive use (CUC and knowledge of HIV and other sexually transmitted diseases. Jointly modeling these two outcomes is appropriate because certain types of contraceptive use contribute to the prevention of HIV and STDs and the knowledge and awareness of HIV and STDs typically lead to protection during sexual intercourse. In particular, we compared the differences as they pertained to the interpretive advantage of modeling the spillover effects of joint modeling HIV and CUC as opposed to addressing them separately. We also identified risk factors that determine contraceptive use and knowledge of HIV and STDs among women in Bangladesh. We found that by jointly modeling the correlation between HIV knowledge and contraceptive use, the importance of education decreased. The HIV prevention program had a spillover effect on CUC: what seemed to be impacted by education can be partially contributed to one's exposure to HIV knowledge. The joint model revealed a less significant impact of covariates as opposed to both separate models and standard models. Additionally, we found a spillover effect that would have otherwise been undiscovered if we did not jointly model. These findings further suggested that the simultaneous impact of correlated outcomes can be adequately addressed for the commonality between different responses and deflate, which is otherwise overestimated when examined separately.

  14. A distributed delay approach for modeling delayed outcomes in pharmacokinetics and pharmacodynamics studies.

    Science.gov (United States)

    Hu, Shuhua; Dunlavey, Michael; Guzy, Serge; Teuscher, Nathan

    2018-04-01

    A distributed delay approach was proposed in this paper to model delayed outcomes in pharmacokinetics and pharmacodynamics studies. This approach was shown to be general enough to incorporate a wide array of pharmacokinetic and pharmacodynamic models as special cases including transit compartment models, effect compartment models, typical absorption models (either zero-order or first-order absorption), and a number of atypical (or irregular) absorption models (e.g., parallel first-order, mixed first-order and zero-order, inverse Gaussian, and Weibull absorption models). Real-life examples were given to demonstrate how to implement distributed delays in Phoenix ® NLME™ 8.0, and to numerically show the advantages of the distributed delay approach over the traditional methods.

  15. Fail or flourish? Cognitive appraisal moderates the effect of solo status on performance.

    Science.gov (United States)

    White, Judith B

    2008-09-01

    When everyone in a group shares a common social identity except one individual, the one who is different from the majority has solo status. Solo status increases one's visibility and performance pressure, which may result in stress. Stress has divergent effects on performance, and individuals' response to stressful situations is predicted by their cognitive appraisal (challenge or threat) of the situation. Two experiments test the hypothesis that cognitive appraisal moderates the effect of solo status on performance. Experiment 1 finds that at relatively high appraisal levels (resources exceed demands), solo status improves men's and women's performance; at relatively low appraisal levels, solo status hurts performance. Experiment 2 replicates this effect for solo status based on minimal group assignment. Results suggest that for individuals who feel challenged and not threatened by their work, it may help to be a solo.

  16. Mediation Analysis with Survival Outcomes: Accelerated Failure Time Versus Proportional Hazards Models

    Directory of Open Access Journals (Sweden)

    Lois A Gelfand

    2016-03-01

    Full Text Available Objective: Survival time is an important type of outcome variable in treatment research. Currently, limited guidance is available regarding performing mediation analyses with survival outcomes, which generally do not have normally distributed errors, and contain unobserved (censored events. We present considerations for choosing an approach, using a comparison of semi-parametric proportional hazards (PH and fully parametric accelerated failure time (AFT approaches for illustration.Method: We compare PH and AFT models and procedures in their integration into mediation models and review their ability to produce coefficients that estimate causal effects. Using simulation studies modeling Weibull-distributed survival times, we compare statistical properties of mediation analyses incorporating PH and AFT approaches (employing SAS procedures PHREG and LIFEREG, respectively under varied data conditions, some including censoring. A simulated data set illustrates the findings.Results: AFT models integrate more easily than PH models into mediation models. Furthermore, mediation analyses incorporating LIFEREG produce coefficients that can estimate causal effects, and demonstrate superior statistical properties. Censoring introduces bias in the coefficient estimate representing the treatment effect on outcome – underestimation in LIFEREG, and overestimation in PHREG. With LIFEREG, this bias can be addressed using an alternative estimate obtained from combining other coefficients, whereas this is not possible with PHREG.Conclusions: When Weibull assumptions are not violated, there are compelling advantages to using LIFEREG over PHREG for mediation analyses involving survival-time outcomes. Irrespective of the procedures used, the interpretation of coefficients, effects of censoring on coefficient estimates, and statistical properties should be taken into account when reporting results.

  17. Development and validation of a dynamic outcome prediction model for paracetamol-induced acute liver failure

    DEFF Research Database (Denmark)

    Bernal, William; Wang, Yanzhong; Maggs, James

    2016-01-01

    : The models developed here show very good discrimination and calibration, confirmed in independent datasets, and suggest that many patients undergoing transplantation based on existing criteria might have survived with medical management alone. The role and indications for emergency liver transplantation......BACKGROUND: Early, accurate prediction of survival is central to management of patients with paracetamol-induced acute liver failure to identify those needing emergency liver transplantation. Current prognostic tools are confounded by recent improvements in outcome independent of emergency liver...... transplantation, and constrained by static binary outcome prediction. We aimed to develop a simple prognostic tool to reflect current outcomes and generate a dynamic updated estimation of risk of death. METHODS: Patients with paracetamol-induced acute liver failure managed at intensive care units in the UK...

  18. Modeling Outcomes with Floor or Ceiling Effects: An Introduction to the Tobit Model

    Science.gov (United States)

    McBee, Matthew

    2010-01-01

    In gifted education research, it is common for outcome variables to exhibit strong floor or ceiling effects due to insufficient range of measurement of many instruments when used with gifted populations. Common statistical methods (e.g., analysis of variance, linear regression) produce biased estimates when such effects are present. In practice,…

  19. Escoamento superficial e desagregação do solo em entressulcos em solo franco-argilo-arenoso com resíduos vegetais Interrill surface runoff and soil detachment on a sandy clay loam soil with residue cover

    Directory of Open Access Journals (Sweden)

    Elemar Antonino Cassol

    2004-07-01

    Full Text Available A presença de resíduos vegetais sobre a superfície do solo altera as características do escoamento superficial gerado pela chuva e a desagregação e transporte de sedimento resultantes do processo erosivo. O objetivo deste trabalho foi avaliar as condições hidráulicas e as relações de desagregação do solo e de resistência ao escoamento com a presença de resíduos vegetais na erosão em entressulcos. O experimento foi realizado no laboratório, com um Argissolo Vermelho distrófico típico, em parcelas com 0,10 m m-1 de declive sob chuva simulada. O solo foi coberto por resíduos vegetais de palha de soja, nas doses de 0, 0,05, 0,1, 0,2, 0,4 e 0,8 kg m-2. O aumento na cobertura do solo (CS com resíduos vegetais elevou a altura da lâmina de escoamento e a rugosidade hidráulica e reduziu a velocidade média do escoamento, provocada pelo aumento das forças viscosas promovida pela interposição física dos resíduos ao escoamento. O resultado é a redução na taxa de desagregação do solo (Di. A Di foi de 5,35x10-4 kg m-2 s-1 para solo descoberto e 1,50x10-5 kg m-2 s-1 em solo com 100% de cobertura na maior dose de palha. Os modelos de Laflen e potencial foram adequados para estimar o coeficiente de cobertura para resíduo em contato direto com a superfície do solo em função da cobertura do solo.Soil surface cover with crop residue modifies surface flow characteristics, generated by excess rainfall, and soil detachment and sediment transport resulting from the erosion process. The objective of this study was to evaluate the hydraulic conditions, detachment and flow resistance on interrill erosion on soil covered with residue. The experiment was conducted in the laboratory, on a Hapludult soil at a slope of 0.10 m m-1, under simulated rainfall and soil surface covered with soybean residue at the rates of 0, 0.05, 0.1, 0.2, 0.4, and 0.8 kg m-2. The increase in soil surface cover (SC with residue, caused an increase in water flow

  20. Neurophysiological model of tinnitus: dependence of the minimal masking level on treatment outcome.

    Science.gov (United States)

    Jastreboff, P J; Hazell, J W; Graham, R L

    1994-11-01

    Validity of the neurophysiological model of tinnitus (Jastreboff, 1990), outlined in this paper, was tested on data from multicenter trial of tinnitus masking (Hazell et al., 1985). Minimal masking level, intensity match of tinnitus, and the threshold of hearing have been evaluated on a total of 382 patients before and after 6 months of treatment with maskers, hearing aids, or combination devices. The data has been divided into categories depending on treatment outcome and type of approach used. Results of analysis revealed that: i) the psychoacoustical description of tinnitus does not possess a predictive value for the outcome of the treatment; ii) minimal masking level changed significantly depending on the treatment outcome, decreasing on average by 5.3 dB in patients reporting improvement, and increasing by 4.9 dB in those whose tinnitus remained the same or worsened; iii) 73.9% of patients reporting improvement had their minimal masking level decreased as compared with 50.5% for patients not showing improvement, which is at the level of random change; iv) the type of device used has no significant impact on the treatment outcome and minimal masking level change; v) intensity match and threshold of hearing did not exhibit any significant changes which can be related to treatment outcome. These results are fully consistent with the neurophysiological interpretation of mechanisms involved in the phenomenon of tinnitus and its alleviation.

  1. Semeadura de milho em solo sob preparo reduzido

    Directory of Open Access Journals (Sweden)

    W. Boller

    1998-03-01

    Full Text Available Para avaliar a viabilidade da implantação da cultura do milho em solo sob preparo reduzido, em dezembro de 1988, instalou-se um experimento em um Latossolo Vermelho-Escuro distrófico, no município de Passo Fundo (RS. Na testemunha, o preparo do solo foi realizado por meio de uma escarificação mais uma gradagem com grade leve. Nos demais cinco tratamentos, o solo foi preparado por meio de uma operação conjugada (escarificador equipado com rolo destorroador. Na testemunha e em um dos tratamentos sob preparo conjugado, não foram realizadas adaptações na semeadora-adubadora. Nos demais tratamentos, foram adaptados discos de corte ondulados, ou secções de rolos destorroadores, na frente das linhas da semeadora. A percentagem de cobertura do solo, dois dias após a semeadura, foi significativamente menor (Tukey ao nível de 5% na testemunha, enquanto nos demais tratamentos, caracterizados como conservacionistas, não se perceberam diferenças. O diâmetro médio geométrico (DMG dos agregados do solo não apresentou diferenças significativas entre os tratamentos, porém os agregados coletados nas linhas apresentaram DMG significativamente menores do que aqueles encontrados nas entrelinhas. A velocidade de absorção de água pelas sementes, o comprimento médio ponderado das radículas, o índice de velocidade de emergência e o estande inicial de plantas de milho não variaram significativamente em função dos tratamentos. Os resultados evidenciam que o preparo conjugado do solo por meio de um escarificador equipado com um cilindro destorroador permitiu implantar a cultura do milho, sem a necessidade de operações de preparo secundário (gradagens e sem requerer adaptações na semeadora-adubadora.

  2. A New Statistical Method to Determine the Degree of Validity of Health Economic Model Outcomes against Empirical Data.

    Science.gov (United States)

    Corro Ramos, Isaac; van Voorn, George A K; Vemer, Pepijn; Feenstra, Talitha L; Al, Maiwenn J

    2017-09-01

    The validation of health economic (HE) model outcomes against empirical data is of key importance. Although statistical testing seems applicable, guidelines for the validation of HE models lack guidance on statistical validation, and actual validation efforts often present subjective judgment of graphs and point estimates. To discuss the applicability of existing validation techniques and to present a new method for quantifying the degrees of validity statistically, which is useful for decision makers. A new Bayesian method is proposed to determine how well HE model outcomes compare with empirical data. Validity is based on a pre-established accuracy interval in which the model outcomes should fall. The method uses the outcomes of a probabilistic sensitivity analysis and results in a posterior distribution around the probability that HE model outcomes can be regarded as valid. We use a published diabetes model (Modelling Integrated Care for Diabetes based on Observational data) to validate the outcome "number of patients who are on dialysis or with end-stage renal disease." Results indicate that a high probability of a valid outcome is associated with relatively wide accuracy intervals. In particular, 25% deviation from the observed outcome implied approximately 60% expected validity. Current practice in HE model validation can be improved by using an alternative method based on assessing whether the model outcomes fit to empirical data at a predefined level of accuracy. This method has the advantage of assessing both model bias and parameter uncertainty and resulting in a quantitative measure of the degree of validity that penalizes models predicting the mean of an outcome correctly but with overly wide credible intervals. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  3. The effect of learning models and emotional intelligence toward students learning outcomes on reaction rate

    Science.gov (United States)

    Sutiani, Ani; Silitonga, Mei Y.

    2017-08-01

    This research focused on the effect of learning models and emotional intelligence in students' chemistry learning outcomes on reaction rate teaching topic. In order to achieve the objectives of the research, with 2x2 factorial research design was used. There were two factors tested, namely: the learning models (factor A), and emotional intelligence (factor B) factors. Then, two learning models were used; problem-based learning/PBL (A1), and project-based learning/PjBL (A2). While, the emotional intelligence was divided into higher and lower types. The number of population was six classes containing 243 grade X students of SMAN 10 Medan, Indonesia. There were 15 students of each class were chosen as the sample of the research by applying purposive sampling technique. The data were analyzed by applying two-ways analysis of variance (2X2) at the level of significant α = 0.05. Based on hypothesis testing, there was the interaction between learning models and emotional intelligence in students' chemistry learning outcomes. Then, the finding of the research showed that students' learning outcomes in reaction rate taught by using PBL with higher emotional intelligence is higher than those who were taught by using PjBL. There was no significant effect between students with lower emotional intelligence taught by using both PBL and PjBL in reaction rate topic. Based on the finding, the students with lower emotional intelligence were quite hard to get in touch with other students in group discussion.

  4. Mobility Device Quality Affects Participation Outcomes for People With Disabilities: A Structural Equation Modeling Analysis.

    Science.gov (United States)

    Magasi, Susan; Wong, Alex; Miskovic, Ana; Tulsky, David; Heinemann, Allen W

    2018-01-01

    To test the effect that indicators of mobility device quality have on participation outcomes in community-dwelling adults with spinal cord injury, traumatic brain injury, and stroke by using structural equation modeling. Survey, cross-sectional study, and model testing. Clinical research space at 2 academic medical centers and 1 free-standing rehabilitation hospital. Community-dwelling adults (N=250; mean age, 48±14.3y) with spinal cord injury, traumatic brain injury, and stroke. Not applicable. The Mobility Device Impact Scale, Patient-Reported Outcomes Measurement Information System Social Function (version 2.0) scale, including Ability to Participate in Social Roles and Activities and Satisfaction with Social Roles and Activities, and the 2 Community Participation Indicators' enfranchisement scales. Details about device quality (reparability, reliability, ease of maintenance) and device type were also collected. Respondents used ambulation aids (30%), manual (34%), and power wheelchairs (30%). Indicators of device quality had a moderating effect on participation outcomes, with 3 device quality variables (repairability, ease of maintenance, device reliability) accounting for 20% of the variance in participation. Wheelchair users reported lower participation enfranchisement than did ambulation aid users. Mobility device quality plays an important role in participation outcomes. It is critical that people have access to mobility devices and that these devices be reliable. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  5. Stakeholder Perceptions, Learning Opportunities, and Student Outcomes in Three Clinical Learning Models.

    Science.gov (United States)

    Hendricks, Susan; DeMeester, Deborah; Stephenson, Evelyn; Welch, Janet

    2016-05-01

    Understanding the strengths and challenges of various clinical models is important for nursing education. Three long-standing clinical models (preceptored, hybrid, and traditional) were compared on several outcome measures related to satisfaction, learning opportunities, and student outcomes. Students, faculty, and preceptors participated in this study. Although no differences were noted in satisfaction or standardized examination scores, students in the preceptored clinical model were able to practice more psychomotor skills. Although participants in the preceptored model reported spending more time communicating with staff nurses than did those in the other models, students in the traditional model spent more time with faculty. No differences were noted among groups in student clinical observation time. All clinical learning models were focused on how clinical time was structured, without an emphasis on how faculty and preceptors work with students to develop nursing clinical reasoning skills. Identifying methodology to impact thinking in the clinical environment is a key next step. [J Nurs Educ. 2016;55(5):271-277.]. Copyright 2016, SLACK Incorporated.

  6. Fertility intentions and outcomes: Implementing the Theory of Planned Behavior with graphical models.

    Science.gov (United States)

    Mencarini, Letizia; Vignoli, Daniele; Gottard, Anna

    2015-03-01

    This paper studies fertility intentions and their outcomes, analyzing the complete path leading to fertility behavior according to the social psychological model of Theory Planned Behavior (TPB). We move beyond existing research using graphical models to have a precise understanding, and a formal description, of the developmental fertility decision-making process. Our findings yield new results for the Italian case which are empirically robust and theoretically coherent, adding important insights to the effectiveness of the TPB for fertility research. In line with TPB, all intentions' primary antecedents are found to be determinants of the level of fertility intentions, but do not affect fertility outcomes, being pre-filtered by fertility intentions. Nevertheless, in contrast with TPB, background factors are not fully mediated by intentions' primary antecedents, influencing directly fertility intentions and even fertility behaviors. Copyright © 2014 Elsevier Ltd. All rights reserved.

  7. The Influence Of Learning Model Guided Findings Of Student Learning Outcomes

    Directory of Open Access Journals (Sweden)

    A. SaefulBahri

    2015-03-01

    Full Text Available Abstract This study examines the influence of the learning model guided findings on student learning outcomes in subjects PAI eighth grade students of SMP Plus al Masoem. The research method used in this study is a quantitative method in the form of quasi-experiment Quasi-Experimental Design. The findings of the study are expected to demonstrate 1 the difference significant increase in learning outcomes between the experimental class using guided discovery method that uses the control class discussion of learning models 2 Constraints in the method of guided discovery activities and the limited ability of educators in the experimental class in implements the method of guided discovery and constraints faced by students while digging the information they need so we need special strategies to motivate students in the experimental class in order for them creatively find the right way to gather information that supports learning PAI.

  8. little sister: An Afro-Temporal Solo-Play.

    Science.gov (United States)

    De Berry, Misty

    2017-07-03

    little sister: An Afro-Temporal Solo-Play is at once a memory-scape and a mytho-biography set to poetry, movement, and mixed media. A performance poem spanning from the Antebellum South to present-moment Chicago, it tells the story of a nomadic spirit named little-she who shape-shifts through the memories and imaginings of her sister, the narrator. Through the characters little-she and the narrator, the solo-performance explores embodied ways to rupture and relieve the impact of macro forms of violence in the micro realm of the everyday. To this end, little sister witnesses and disrupts the legacy of violence in the lives of queer Black women through a trans-temporal navigation of everyday encounters within familial, small groups and intimate partner spaces.

  9. Effects of Risk Aversion on Market Outcomes: A Stochastic Two-Stage Equilibrium Model

    DEFF Research Database (Denmark)

    Kazempour, Jalal; Pinson, Pierre

    2016-01-01

    This paper evaluates how different risk preferences of electricity producers alter the market-clearing outcomes. Toward this goal, we propose a stochastic equilibrium model for electricity markets with two settlements, i.e., day-ahead and balancing, in which a number of conventional and stochastic...... by its optimality conditions, resulting in a mixed complementarity problem. Numerical results from a case study based on the IEEE one-area reliability test system are derived and discussed....

  10. Validation of a model of family caregiver communication types and related caregiver outcomes.

    Science.gov (United States)

    Wittenberg, Elaine; Kravits, Kate; Goldsmith, Joy; Ferrell, Betty; Fujinami, Rebecca

    2017-02-01

    Caring for the family is included as one of the eight domains of quality palliative care, calling attention to the importance of the family system and family communications about cancer during care and treatment of the disease. Previously, a model of family caregiver communication defined four caregiver communication types-Manager, Carrier, Partner, Lone-each with a unique communication pattern. The purpose of the present study was to extend the model of family caregiver communication in cancer care to further understand the impact of family communication burden on caregiving outcomes. This mixed-method study employed fieldnotes from a family caregiver intervention focused on quality of life and self-reported caregiver communication items to identify a specific family caregiver type. Caregiver types were then analyzed using outcome measures on psychological distress, skills preparedness, family inventory of needs, and quality-of-life domains. Corroboration between fieldnotes and self-reported communication for caregivers (n = 21, 16 women, mean age of 53 years) revealed a definitive classification of the four caregiver types (Manager = 6, Carrier = 5, Partner = 6, Lone = 4). Mean scores on self-reported communication items documented different communication patterns congruent with the theoretical framework of the model. Variation in caregiver outcomes measures confirmed the model of family caregiver communication types. Partner and Lone caregivers reported the lowest psychological distress, with Carrier caregivers feeling least prepared and Manager caregivers reporting the lowest physical quality of life. This study illustrates the impact of family communication on caregiving and increases our knowledge and understanding about the role of communication in caregiver burden. The research provides the first evidence-based validation for a family caregiver communication typology and its relationship to caregiver outcomes. Future research is needed to develop and test

  11. Estimating overall exposure effects for the clustered and censored outcome using random effect Tobit regression models.

    Science.gov (United States)

    Wang, Wei; Griswold, Michael E

    2016-11-30

    The random effect Tobit model is a regression model that accommodates both left- and/or right-censoring and within-cluster dependence of the outcome variable. Regression coefficients of random effect Tobit models have conditional interpretations on a constructed latent dependent variable and do not provide inference of overall exposure effects on the original outcome scale. Marginalized random effects model (MREM) permits likelihood-based estimation of marginal mean parameters for the clustered data. For random effect Tobit models, we extend the MREM to marginalize over both the random effects and the normal space and boundary components of the censored response to estimate overall exposure effects at population level. We also extend the 'Average Predicted Value' method to estimate the model-predicted marginal means for each person under different exposure status in a designated reference group by integrating over the random effects and then use the calculated difference to assess the overall exposure effect. The maximum likelihood estimation is proposed utilizing a quasi-Newton optimization algorithm with Gauss-Hermite quadrature to approximate the integration of the random effects. We use these methods to carefully analyze two real datasets. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  12. Single-center experience using the Freedom SOLO aortic bioprosthesis.

    Science.gov (United States)

    Iliopoulos, Dimitrios C; Deveja, Aris Rezar; Androutsopoulou, Vasiliki; Filias, Vasilios; Kastelanos, Eleftherios; Satratzemis, Vasilios; Khalpey, Zain; Koudoumas, Dimitrios

    2013-07-01

    This study reviews a single institution experience with the Freedom SOLO (Sorin Group, Saluggia, Italy) aortic bioprosthesis. Between October 2006 and February 2010, 128 patients (64 men, 64 women; mean age, 75.8 ± 5.1 years) underwent aortic valve replacement using the Freedom SOLO stentless aortic valve. The follow-up time was 36.7 ± 1.2 months and 100% complete. Concomitant procedures were performed in 77 patients (60%). The mean standard European System for Cardiac Operative Risk Evaluation was 9 ± 2.7. Grade 3 aortic stenosis was present in 73% of patients, mixed aortic stenosis and regurgitation were present in 40% of patients, and mitral regurgitation was present in 46% of patients. The mean crossclamp time was 53 ± 12 minutes for isolated Freedom SOLO aortic valve implantation and 80 ± 28 minutes for concomitant procedures, and the mean cardiopulmonary bypass time was 103 ± 31 minutes. The mean implanted valve size was 22.6 ± 1.4 mm. The mean intensive care unit and hospital stays were 2.4 ± 1.1 days and 8.8 ± 2.6 days, respectively. Three patients underwent reoperation for bleeding. The 15-day, 30-day, and perioperative mortality were all 4.6%. The 36-month survival was 95.4% ± 1.6% for the cohort with a low European System for Cardiac Operative Risk Evaluation (9). Echocardiographic data preoperatively, immediately postoperatively, and at 3, 6, and 12 months postoperatively showed peak transvalvular gradients of 75 ± 23, 17 ± 6, 18 ± 6.5, 16 ± 6, and 16 ± 9 mm Hg, respectively (P SOLO stentless aortic valve has excellent early and intermediate-term results. Published by Mosby, Inc.

  13. A generative representation for the evolution of jazz solos

    DEFF Research Database (Denmark)

    Bäckman, Kjell; Dahlstedt, Palle

    2008-01-01

    This paper describes a system developed to create computer based jazz improvisation solos. The generation of the improvisation material uses interactive evolution, based on a dual genetic representation: a basic melody line representation, with energy constraints ("rubber band") and a hierarchic...... developed for this specific type of music. This is the first published part of an ongoing research project in generative jazz, based on probabilistic and evolutionary strategies....

  14. Modeling the Offensive-Defensive Interaction and Resulting Outcomes in Basketball.

    Directory of Open Access Journals (Sweden)

    Leonardo Lamas

    Full Text Available We analyzed the interaction between offensive (i.e. space creation dynamics--SCDs and defensive (i.e. space protection dynamics--SPDs actions in six play outcomes (free shot, contested shot, new SCD, reset, foul, and turnover in Spanish professional basketball games.Data consisted of 1548 SCD-SPD-outcome triples obtained from six play-off games. We used Bayesian methods to compute marginal probabilities of six outcomes following five different SCDs. We also computed probabilities of the six outcomes following the 16 most frequent SCD-SPD combinations.The pick action (e.g. pick and roll, pop and pop was the most prevalent SCD (33%. However, this SCD did not produce the highest probability of a free shot (0.235. The highest probability of a free shot followed the SCD without ball (0.409. The pick was performed not only to attempt scoring but also to initiate offenses, as it produced the highest probability leading to a new SCD (0.403. Additionally, the SPD performed influenced the outcome of the SCD. This reinforces the notion that the opposition (offensive-defensive interaction should be considered. To the best of our knowledge, in team sports, this is the first study to successfully model the tactical features involved in offense-defense interactions. Our analyses revealed that the high frequency of occurrence of some SCDs may be justified not only by an associated high probability of free shots but also by the possibility of progressively create more space in the defense (i.e. a new SCD as outcome. In the second case, it evidences offensive strategic features of progressive disruption of the defensive system through the concatenation of subsequent offensive actions.

  15. Modeling the Offensive-Defensive Interaction and Resulting Outcomes in Basketball.

    Science.gov (United States)

    Lamas, Leonardo; Santana, Felipe; Heiner, Matthew; Ugrinowitsch, Carlos; Fellingham, Gilbert

    2015-01-01

    We analyzed the interaction between offensive (i.e. space creation dynamics--SCDs) and defensive (i.e. space protection dynamics--SPDs) actions in six play outcomes (free shot, contested shot, new SCD, reset, foul, and turnover) in Spanish professional basketball games. Data consisted of 1548 SCD-SPD-outcome triples obtained from six play-off games. We used Bayesian methods to compute marginal probabilities of six outcomes following five different SCDs. We also computed probabilities of the six outcomes following the 16 most frequent SCD-SPD combinations. The pick action (e.g. pick and roll, pop and pop) was the most prevalent SCD (33%). However, this SCD did not produce the highest probability of a free shot (0.235). The highest probability of a free shot followed the SCD without ball (0.409). The pick was performed not only to attempt scoring but also to initiate offenses, as it produced the highest probability leading to a new SCD (0.403). Additionally, the SPD performed influenced the outcome of the SCD. This reinforces the notion that the opposition (offensive-defensive interaction) should be considered. To the best of our knowledge, in team sports, this is the first study to successfully model the tactical features involved in offense-defense interactions. Our analyses revealed that the high frequency of occurrence of some SCDs may be justified not only by an associated high probability of free shots but also by the possibility of progressively create more space in the defense (i.e. a new SCD as outcome). In the second case, it evidences offensive strategic features of progressive disruption of the defensive system through the concatenation of subsequent offensive actions.

  16. The Effect of Group Investigation Learning Model with Brainstroming Technique on Students Learning Outcomes

    Directory of Open Access Journals (Sweden)

    Astiti Kade kAyu

    2018-01-01

    Full Text Available This study aims to determine the effect of group investigation (GI learning model with brainstorming technique on student physics learning outcomes (PLO compared to jigsaw learning model with brainstroming technique. The learning outcome in this research are the results of learning in the cognitive domain. The method used in this research is experiment with Randomised Postest Only Control Group Design. Population in this research is all students of class XI IPA SMA Negeri 9 Kupang year lesson 2015/2016. The selected sample are 40 students of class XI IPA 1 as the experimental class and 38 students of class XI IPA 2 as the control class using simple random sampling technique. The instrument used is 13 items description test. The first hypothesis was tested by using two tailed t-test. From that, it is obtained that H0 rejected which means there are differences of students physics learning outcome. The second hypothesis was tested using one tailed t-test. It is obtained that H0 rejected which means the students PLO in experiment class were higher than control class. Based on the results of this study, researchers recommend the use of GI learning models with brainstorming techniques to improve PLO, especially in the cognitive domain.

  17. Interplay between Solo and keratin filaments is crucial for mechanical force–induced stress fiber reinforcement

    Science.gov (United States)

    Fujiwara, Sachiko; Ohashi, Kazumasa; Mashiko, Toshiya; Kondo, Hiroshi; Mizuno, Kensaku

    2016-01-01

    Mechanical force–induced cytoskeletal reorganization is essential for cell and tissue remodeling and homeostasis; however, the underlying cellular mechanisms remain elusive. Solo (ARHGEF40) is a RhoA-targeting guanine nucleotide exchange factor (GEF) involved in cyclical stretch–induced human endothelial cell reorientation and convergent extension cell movement in zebrafish gastrula. In this study, we show that Solo binds to keratin-8/keratin-18 (K8/K18) intermediate filaments through multiple sites. Solo overexpression promotes the formation of thick actin stress fibers and keratin bundles, whereas knockdown of Solo, expression of a GEF-inactive mutant of Solo, or inhibition of ROCK suppresses stress fiber formation and leads to disorganized keratin networks, indicating that the Solo-RhoA-ROCK pathway serves to precisely organize keratin networks, as well as to promote stress fibers. Of importance, knockdown of Solo or K18 or overexpression of GEF-inactive or deletion mutants of Solo suppresses tensile force–induced stress fiber reinforcement. Furthermore, knockdown of Solo or K18 suppresses tensile force-induced RhoA activation. These results strongly suggest that the interplay between Solo and K8/K18 filaments plays a crucial role in tensile force–induced RhoA activation and consequent actin cytoskeletal reinforcement. PMID:26823019

  18. Risk adjustment models for short-term outcomes after surgical resection for oesophagogastric cancer.

    Science.gov (United States)

    Fischer, C; Lingsma, H; Hardwick, R; Cromwell, D A; Steyerberg, E; Groene, O

    2016-01-01

    Outcomes for oesophagogastric cancer surgery are compared with the aim of benchmarking quality of care. Adjusting for patient characteristics is crucial to avoid biased comparisons between providers. The study objective was to develop a case-mix adjustment model for comparing 30- and 90-day mortality and anastomotic leakage rates after oesophagogastric cancer resections. The study reviewed existing models, considered expert opinion and examined audit data in order to select predictors that were consequently used to develop a case-mix adjustment model for the National Oesophago-Gastric Cancer Audit, covering England and Wales. Models were developed on patients undergoing surgical resection between April 2011 and March 2013 using logistic regression. Model calibration and discrimination was quantified using a bootstrap procedure. Most existing risk models for oesophagogastric resections were methodologically weak, outdated or based on detailed laboratory data that are not generally available. In 4882 patients with oesophagogastric cancer used for model development, 30- and 90-day mortality rates were 2·3 and 4·4 per cent respectively, and 6·2 per cent of patients developed an anastomotic leak. The internally validated models, based on predictors selected from the literature, showed moderate discrimination (area under the receiver operating characteristic (ROC) curve 0·646 for 30-day mortality, 0·664 for 90-day mortality and 0·587 for anastomotic leakage) and good calibration. Based on available data, three case-mix adjustment models for postoperative outcomes in patients undergoing curative surgery for oesophagogastric cancer were developed. These models should be used for risk adjustment when assessing hospital performance in the National Health Service, and tested in other large health systems. © 2015 BJS Society Ltd Published by John Wiley & Sons Ltd.

  19. DRENAGEM SUPERFICIAL DE SOLOS ARGILOSOS DO NORTE DO PARANÁ

    Directory of Open Access Journals (Sweden)

    Rogério Teixeira de Faria

    1999-08-01

    Full Text Available RESUMO Foi avaliado o desempenho de práticas de drenagem superficial e cobertura morta em uma área de várzea do norte do Paraná. Antes e após o cultivo do arroz, foram comparadas as taxas de drenagem em tratamentos com e sem drenos torpedo e determinadas a vazão e a obstrução dos condutos. Sob o cultivo do feijoeiro, foram avaliados os efeitos dos drenos torpedo e de "camas" na drenagem e de cobertura morta (palha de arroz na retenção de água do solo. Os resultados indicaram que os drenos torpedo foram mais eficientes se construídos com solo menos úmido, porém sua longevidade foi menor que um ano. Sob o feijoeiro, os drenos torpedo e cobertura morta mantiveram o lençol freático mais profundo e o solo com menor tensão de umidade, mas esses efeitos ocorreram abaixo da zona radicular (15 cm, resultando em baixa produtividade.

  20. Mediation Analysis with Survival Outcomes: Accelerated Failure Time vs. Proportional Hazards Models

    Science.gov (United States)

    Gelfand, Lois A.; MacKinnon, David P.; DeRubeis, Robert J.; Baraldi, Amanda N.

    2016-01-01

    Objective: Survival time is an important type of outcome variable in treatment research. Currently, limited guidance is available regarding performing mediation analyses with survival outcomes, which generally do not have normally distributed errors, and contain unobserved (censored) events. We present considerations for choosing an approach, using a comparison of semi-parametric proportional hazards (PH) and fully parametric accelerated failure time (AFT) approaches for illustration. Method: We compare PH and AFT models and procedures in their integration into mediation models and review their ability to produce coefficients that estimate causal effects. Using simulation studies modeling Weibull-distributed survival times, we compare statistical properties of mediation analyses incorporating PH and AFT approaches (employing SAS procedures PHREG and LIFEREG, respectively) under varied data conditions, some including censoring. A simulated data set illustrates the findings. Results: AFT models integrate more easily than PH models into mediation models. Furthermore, mediation analyses incorporating LIFEREG produce coefficients that can estimate causal effects, and demonstrate superior statistical properties. Censoring introduces bias in the coefficient estimate representing the treatment effect on outcome—underestimation in LIFEREG, and overestimation in PHREG. With LIFEREG, this bias can be addressed using an alternative estimate obtained from combining other coefficients, whereas this is not possible with PHREG. Conclusions: When Weibull assumptions are not violated, there are compelling advantages to using LIFEREG over PHREG for mediation analyses involving survival-time outcomes. Irrespective of the procedures used, the interpretation of coefficients, effects of censoring on coefficient estimates, and statistical properties should be taken into account when reporting results. PMID:27065906

  1. Development of a Bayesian model to estimate health care outcomes in the severely wounded

    Directory of Open Access Journals (Sweden)

    Alexander Stojadinovic

    2010-08-01

    Full Text Available Alexander Stojadinovic1, John Eberhardt2, Trevor S Brown3, Jason S Hawksworth4, Frederick Gage3, Douglas K Tadaki3, Jonathan A Forsberg5, Thomas A Davis3, Benjamin K Potter5, James R Dunne6, E A Elster31Combat Wound Initiative Program, 4Department of Surgery, Walter Reed Army Medical Center, Washington, DC, USA; 2DecisionQ Corporation, Washington, DC, USA; 3Regenerative Medicine Department, Combat Casualty Care, Naval Medical Research Center, Silver Spring, MD, USA; 5Integrated Department of Orthopaedics and Rehabilitation, 6Department of Surgery, National Naval Medical Center, Bethesda, MD, USABackground: Graphical probabilistic models have the ability to provide insights as to how clinical factors are conditionally related. These models can be used to help us understand factors influencing health care outcomes and resource utilization, and to estimate morbidity and clinical outcomes in trauma patient populations.Study design: Thirty-two combat casualties with severe extremity injuries enrolled in a prospective observational study were analyzed using step-wise machine-learned Bayesian belief network (BBN and step-wise logistic regression (LR. Models were evaluated using 10-fold cross-validation to calculate area-under-the-curve (AUC from receiver operating characteristics (ROC curves.Results: Our BBN showed important associations between various factors in our data set that could not be developed using standard regression methods. Cross-validated ROC curve analysis showed that our BBN model was a robust representation of our data domain and that LR models trained on these findings were also robust: hospital-acquired infection (AUC: LR, 0.81; BBN, 0.79, intensive care unit length of stay (AUC: LR, 0.97; BBN, 0.81, and wound healing (AUC: LR, 0.91; BBN, 0.72 showed strong AUC.Conclusions: A BBN model can effectively represent clinical outcomes and biomarkers in patients hospitalized after severe wounding, and is confirmed by 10-fold

  2. Modelagem não linear da extração de zinco de um solo tratado com lodo de esgoto = Non-linear modeling of zinc extracted from a sewage sludge-treated soil

    Directory of Open Access Journals (Sweden)

    Edcarlos Miranda de Souza

    2010-07-01

    Full Text Available A predição da disponibilidade de elementos-traço para plantas com o uso de extratores é dificilmente obtida. Por essa razão, um método de extração sucessiva que simulou a solução da rizosfera com misturas de ácidos orgânicos sintéticos para acessar a disponibilidade potencial desses elementos em longo prazo foi anteriormente proposto. Com o emprego deste método, dados de extrações sucessivas de zinco pelas misturas de ácidos orgânicos, bem como por extratores usados na rotina (Mehlich I, DTPA e NH4OAc foram ajustados por meio de um modelo não-linear baseado nos mecanismos cinéticos de primeira ordem. A partir do ajuste deste modelo, o presente trabalho realizou um estudo rigoroso sobre as propriedades estatísticas dos estimadores, fazendo um esboço da nãolinearidade do modelo, tendo como referência medidas de curvatura. O objetivo foi verificar se as propriedades assintóticas dos estimadores seriam válidas, considerando o tamanho daamostra realizada, para o ajuste do modelo aos dados da extração sucessiva de zinco. A inferência clássica, baseada na aproximação linear, foi considerada, tendo, como técnica alternativa, a metodologia bootstrap. No geral, a metodologia da aproximação linear, a técnica bootstrap e as medidas de curvatura validaram a precisão dos resultados inferenciais obtidos na predição da disponibilidade de zinco.The prediction of trace element availability to plants using chemical extractants is hard to achieve. For this reason, a successive extraction method which simulated a rhizosphere solution employing synthetic organic acids was previously proposed. The method wasdeveloped in order to access the long term potential availability of trace elements to plants. Data from successive zinc extractions with organic acid mixtures, as well as with routine extractants (Mehlich I, DTPA, and NH4OAc adjusted to a non-linear model based in firstorder kinetic mechanisms. The aim of the present study

  3. Synchrony-desynchrony in the tripartite model of fear: Predicting treatment outcome in clinically phobic children.

    Science.gov (United States)

    Benoit Allen, Kristy; Allen, Ben; Austin, Kristin E; Waldron, Jonathan C; Ollendick, Thomas H

    2015-08-01

    The tripartite model of fear posits that the fear response entails three loosely coupled components: subjective distress, behavioral avoidance, and physiological arousal. The concept of synchrony vs. desynchrony describes the degree to which changes in the activation of these components vary together (synchrony), independently, or inversely (both forms of desynchrony) over time. The present study assessed synchrony-desynchrony and its relationship to treatment outcome in a sample of 98 children with specific phobias both prior to and 1 week after receiving one-session treatment, a 3 h cognitive-behavioral intervention. The results suggest an overall pattern of desynchronous change whereby youth improved on behavioral avoidance and subjective distress following treatment, but their level of cardiovascular reactivity remained stable. However, we found evidence that synchronous change on the behavioral avoidance and subjective distress components was related to better treatment outcome, whereas desynchronous change on these components was related to poorer treatment outcome. These findings suggest that a fuller understanding of the three response systems and their interrelations in phobic youth may assist us in the assessment and treatment of these disorders, potentially leading to a more person-centered approach and eventually to enhanced treatment outcomes. Copyright © 2015 Elsevier Ltd. All rights reserved.

  4. Sugarcane leaf area index modeling under different soil water conditions Modelagem do índice de área foliar em cana-de-açúcar sob diferentes condições hídricas do solo

    Directory of Open Access Journals (Sweden)

    D.A. Teruel

    1997-06-01

    Full Text Available The knowledge of the Leaf Area Index (LAI variation during the whole crop cycle is essential to the modeling of the plant growth and development and, consequently, of the crop yield. Sugarcane LAI evolution models were developed for different crop cycles, by adjusting observed LAI values and growing degree-days summation data on a power-exponential function. The resultant equations simulate adequately the LAI behavior during the entire crop cycle. The effect of different water stress levels was calculated in different growth periods, upon the LAI growth The LAI growth deficit was correlated with the ratio between actual evapotranspiration and máximum evapotranspiration, and a constant named kuu was obtained hi each situation. It was noticed that the kLAI must be estimated not Just for different growth periods, but also for different water stress levels in each growth period.O conhecimento da variação do índice de Área Foliar (IAF durante todo o ciclo da cultura é essencial para que se possa modelar o crescimento e o desenvolvimento das plantas e, em conseqüência, a produtividade da cultura. Desenvolveu-se neste trabalho modelos de estimativa de IAF da cultura da cana-de-açúcar para os diferentes ciclos de cultivo, a partir do ajuste de valores medidos de IAF e dados de somatório de graus-dia corrigido pelo comprimento do dia a urna função do tipo exponencial-potencial. As equações obtidas modelam adequadamente a variação do IAF durante todo o ciclo. Foi também calculado o efeito de diferentes níveis de déficit hídrico e em diferentes estádios fenológicos, sobre o crescimento do IAF. Correlacionou-se o déficit de crescimento de IAF com a relação entre a evapotranspiracão real e evapotranspiração máxima da cultura e obteve-se, em cada situação, uma constante chamada aquí de kIAF. Em face dos resultados conclui-se que kIAF deve ser estimado não só para diferentes estádios fenológicos mas também para diferentes

  5. The Context, Process, and Outcome Evaluation Model for Organisational Health Interventions.

    Science.gov (United States)

    Fridrich, Annemarie; Jenny, Gregor J; Bauer, Georg F

    2015-01-01

    To facilitate evaluation of complex, organisational health interventions (OHIs), this paper aims at developing a context, process, and outcome (CPO) evaluation model. It builds on previous model developments in the field and advances them by clearly defining and relating generic evaluation categories for OHIs. Context is defined as the underlying frame that influences and is influenced by an OHI. It is further differentiated into the omnibus and discrete contexts. Process is differentiated into the implementation process, as the time-limited enactment of the original intervention plan, and the change process of individual and collective dynamics triggered by the implementation process. These processes lead to proximate, intermediate, and distal outcomes, as all results of the change process that are meaningful for various stakeholders. Research questions that might guide the evaluation of an OHI according to the CPO categories and a list of concrete themes/indicators and methods/sources applied within the evaluation of an OHI project at a hospital in Switzerland illustrate the model's applicability in structuring evaluations of complex OHIs. In conclusion, the model supplies a common language and a shared mental model for improving communication between researchers and company members and will improve the comparability and aggregation of evaluation study results.

  6. The Context, Process, and Outcome Evaluation Model for Organisational Health Interventions

    Science.gov (United States)

    Fridrich, Annemarie; Jenny, Gregor J.; Bauer, Georg F.

    2015-01-01

    To facilitate evaluation of complex, organisational health interventions (OHIs), this paper aims at developing a context, process, and outcome (CPO) evaluation model. It builds on previous model developments in the field and advances them by clearly defining and relating generic evaluation categories for OHIs. Context is defined as the underlying frame that influences and is influenced by an OHI. It is further differentiated into the omnibus and discrete contexts. Process is differentiated into the implementation process, as the time-limited enactment of the original intervention plan, and the change process of individual and collective dynamics triggered by the implementation process. These processes lead to proximate, intermediate, and distal outcomes, as all results of the change process that are meaningful for various stakeholders. Research questions that might guide the evaluation of an OHI according to the CPO categories and a list of concrete themes/indicators and methods/sources applied within the evaluation of an OHI project at a hospital in Switzerland illustrate the model's applicability in structuring evaluations of complex OHIs. In conclusion, the model supplies a common language and a shared mental model for improving communication between researchers and company members and will improve the comparability and aggregation of evaluation study results. PMID:26557665

  7. Modelling variable dropout in randomised controlled trials with longitudinal outcomes: application to the MAGNETIC study.

    Science.gov (United States)

    Kolamunnage-Dona, Ruwanthi; Powell, Colin; Williamson, Paula Ruth

    2016-04-28

    Clinical trials with longitudinally measured outcomes are often plagued by missing data due to patients withdrawing or dropping out from the trial before completing the measurement schedule. The reasons for dropout are sometimes clearly known and recorded during the trial, but in many instances these reasons are unknown or unclear. Often such reasons for dropout are non-ignorable. However, the standard methods for analysing longitudinal outcome data assume that missingness is non-informative and ignore the reasons for dropout, which could result in a biased comparison between the treatment groups. In this article, as a post hoc analysis, we explore the impact of informative dropout due to competing reasons on the evaluation of treatment effect in the MAGNETIC trial, the largest randomised placebo-controlled study to date comparing the addition of nebulised magnesium sulphate to standard treatment in acute severe asthma in children. We jointly model longitudinal outcome and informative dropout process to incorporate the information regarding the reasons for dropout by treatment group. The effect of nebulised magnesium sulphate compared with standard treatment is evaluated more accurately using a joint longitudinal-competing risk model by taking account of such complexities. The corresponding estimates indicate that the rate of dropout due to good prognosis is about twice as high in the magnesium group compared with standard treatment. We emphasise the importance of identifying reasons for dropout and undertaking an appropriate statistical analysis accounting for such dropout. The joint modelling approach accounting for competing reasons for dropout is proposed as a general approach for evaluating the sensitivity of conclusions to assumptions regarding missing data in clinical trials with longitudinal outcomes. EudraCT number 2007-006227-12 . Registration date 18 Mar 2008.

  8. Preparo do solo e emissão de CO2, temperatura e umidade do solo em área canavieira

    Directory of Open Access Journals (Sweden)

    Juliano L. Iamaguti

    2015-05-01

    Full Text Available O preparo mecânico do solo é uma das práticas agrícolas que contribuem para o aumento da perda de carbono via emissão de CO2 do solo (FCO2. Com este trabalho objetivou-se investigar o efeito de três sistemas de preparo do solo na FCO2, temperatura e umidade do solo em área de reforma da cultura de cana-de-açúcar. A área experimental foi constituída de três parcelas, cada uma recebendo um dos preparos do solo: preparo convencional (PC, subsolagem convencional (SC e subsolagem localizada (SL. A FCO2, temperatura e a umidade do solo foram avaliadas durante o período total de 17 dias. A FCO2 foi maior no preparo PC (0,75 g CO2 m-2 h-1. A temperatura do solo não diferiu (p > 0,05 entre as subsolagens: SL (26,2 ºC e SC (25,9 ºC. A umidade do solo foi maior na SL (24%, seguida pela SC (21,8% e preparo PC (18,3%. Apenas no preparo PC foi observada correlação significativa (r = –0,71; p < 0,05 entre FCO2 e a temperatura do solo. O preparo PC apresentou emissão total (2.864,3 kg CO2 ha-1, superior às emissões nas subsolagens: SC (1.970,9 kg CO2 ha-1 e SL (1.707,7 kg CO2 ha-1. A conversão do sistema de preparo PC para a SL diminuiu as emissões de CO2 do solo, reduzindo a contribuição da agricultura para o aumento dos gases de efeito estufa na atmosfera.

  9. Insight, self-stigma and psychosocial outcomes in Schizophrenia: a structural equation modelling approach.

    Science.gov (United States)

    Lien, Y-J; Chang, H-A; Kao, Y-C; Tzeng, N-S; Lu, C-W; Loh, C-H

    2018-04-01

    Poor insight is prevalent in patients with schizophrenia and has been associated with acute illness severity, medication non-adherence and poor treatment outcomes. Paradoxically, high insight has been associated with various undesirable outcomes, including low self-esteem, depression and low subjective quality of life (QoL) in patients with schizophrenia. Despite the growing body of studies conducted in Western countries supporting the pernicious effects of improved insight in psychosis, which bases on the level of self-stigma, the effects are unclear in non-Western societies. The current study examined the role of self-stigma in the relationship between insight and psychosocial outcomes in a Chinese population. A total of 170 outpatients with schizophrenia spectrum disorders were recruited from two general university hospitals. Sociodemographic data and clinical variables were recorded and self-report scales were employed to measure self-stigma, depression, insight, self-esteem and subjective QoL. Structural equation modelling (SEM) was used to analyse the cross-sectional data. High levels of self-stigma were reported by 39% of the participants (n = 67). The influences of insight, self-stigma, self-esteem and depression on subjective QoL were confirmed by the SEM results. Our model with the closest fit to the data (χ 2 = 33.28; df = 20; p = 0.03; χ 2/df = 1.66; CFI = 0.98; TLI = 0.97; RMSEA = 0.06) demonstrated that self-stigma might fully mediate the association of insight with low self-esteem, depression and poor subjective QoL. High insight into illness contributed to self-stigma, which caused low self-esteem and depression and, consequently, low QoL. Notably, insight did not directly affect self-esteem, depression or QoL. Furthermore, the association of insight with poor psychosocial outcomes was not moderated by self-stigma. Our findings support the mediating model of insight relevant to the poor psychosocial outcomes of individuals diagnosed with

  10. Moderate Traumatic Brain Injury: Clinical Characteristics and a Prognostic Model of 12-Month Outcome.

    Science.gov (United States)

    Einarsen, Cathrine Elisabeth; van der Naalt, Joukje; Jacobs, Bram; Follestad, Turid; Moen, Kent Gøran; Vik, Anne; Håberg, Asta Kristine; Skandsen, Toril

    2018-03-31

    Patients with moderate traumatic brain injury (TBI) often are studied together with patients with severe TBI, even though the expected outcome of the former is better. Therefore, we aimed to describe patient characteristics and 12-month outcomes, and to develop a prognostic model based on admission data, specifically for patients with moderate TBI. Patients with Glasgow Coma Scale scores of 9-13 and age ≥16 years were prospectively enrolled in 2 level I trauma centers in Europe. Glasgow Outcome Scale Extended (GOSE) score was assessed at 12 months. A prognostic model predicting moderate disability or worse (GOSE score ≤6), as opposed to a good recovery, was fitted by penalized regression. Model performance was evaluated by area under the curve of the receiver operating characteristics curves. Of the 395 enrolled patients, 81% had intracranial lesions on head computed tomography, and 71% were admitted to an intensive care unit. At 12 months, 44% were moderately disabled or worse (GOSE score ≤6), whereas 8% were severely disabled and 6% died (GOSE score ≤4). Older age, lower Glasgow Coma Scale score, no day-of-injury alcohol intoxication, presence of a subdural hematoma, occurrence of hypoxia and/or hypotension, and preinjury disability were significant predictors of GOSE score ≤6 (area under the curve = 0.80). Patients with moderate TBI exhibit characteristics of significant brain injury. Although few patients died or experienced severe disability, 44% did not experience good recovery, indicating that follow-up is needed. The model is a first step in development of prognostic models for moderate TBI that are valid across centers. Copyright © 2018 The Author(s). Published by Elsevier Inc. All rights reserved.

  11. The effect of physician staffing model on patient outcomes in a medical progressive care unit.

    Science.gov (United States)

    Yoo, E J; Damaghi, N; Shakespeare, W G; Sherman, M S

    2016-04-01

    Although evidence supports the impact of intensivist physician staffing in improving intensive care unit (ICU) outcomes, the optimal coverage for progressive care units (PCU) is unknown. We sought to determine how physician staffing models influence outcomes for intermediate care patients. We conducted a retrospective observational comparison of patients admitted to the medical PCU of an academic hospital during 12-month periods of high-intensity and low-intensity staffing. A total of 318 PCU patients were eligible for inclusion (143 high-intensity and 175 low-intensity). We found that low-intensity patients were more often stepped up from the emergency department and floor, whereas high-intensity patients were ICU transfers (61% vs 42%, P = .001). However, Mortality Probability Model scoring was similar between the 2 groups. In adjusted analysis, there was no association between intensity of staffing and hospital mortality (odds ratio, 0.84; 95% confidence interval, 0.36-1.99; P = .69) or PCU mortality (odds ratio, 0.96; 95% confidence interval, 0.38-2.45; P = .69). There was also no difference in subsequent ICU admission rates or in PCU length of stay. We found no evidence that high-intensity intensivist physician staffing improves outcomes for intermediate care patients. In a strained critical care system, our study raises questions about the role of the intensivist in the graded care options between intensive and conventional ward care. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. Antecedents and outcomes of abusive supervision: test of a trickle-down model.

    Science.gov (United States)

    Aryee, Samuel; Chen, Zhen Xiong; Sun, Li-Yun; Debrah, Yaw A

    2007-01-01

    The authors examined antecedents of abusive supervision and the relative importance of interactional and procedural justice as mediators of the relationship between abusive supervision and the work outcomes of affective organizational commitment and individual- and organization-directed citizenship behaviors. Data were obtained from subordinate-supervisor dyads from a telecommunication company located in southeastern China. Results of moderated regression analysis revealed that authoritarian leadership style moderated the relationship between supervisors' perceptions of interactional justice and abusive supervision such that the relationship was stronger for supervisors high rather than low in authoritarian leadership style. In addition, results of structural equation modeling analysis revealed that subordinates' perceptions of interactional but not procedural justice fully mediated the relationship between abusive supervision and the work outcomes. Implications for future investigations of abusive supervision are discussed. 2007 APA, all rights reserved

  13. Differential cytokine gene expression according to outcome in a hamster model of leptospirosis.

    Directory of Open Access Journals (Sweden)

    Frédérique Vernel-Pauillac

    Full Text Available BACKGROUND: Parameters predicting the evolution of leptospirosis would be useful for clinicians, as well as to better understand severe leptospirosis, but are scarce and rarely validated. Because severe leptospirosis includes septic shock, similarities with predictors evidenced for sepsis and septic shock were studied in a hamster model. METHODOLOGY/PRINCIPAL FINDINGS: Using an LD50 model of leptospirosis in hamsters, we first determined that 3 days post-infection was a time-point that allowed studying the regulation of immune gene expression and represented the onset of the clinical signs of the disease. In the absence of tools to assess serum concentrations of immune effectors in hamsters, we determined mRNA levels of various immune genes, especially cytokines, together with leptospiraemia at this particular time-point. We found differential expression of both pro- and anti-inflammatory mediators, with significantly higher expression levels of tumor necrosis factor alpha, interleukin 1alpha, cyclo-oxygenase 2 and interleukin 10 genes in nonsurvivors compared to survivors. Higher leptospiraemia was also observed in nonsurvivors. Lastly, we demonstrated the relevance of these results by comparing their respective expression levels using a LD100 model or an isogenic high-passage nonvirulent variant. CONCLUSIONS/SIGNIFICANCE: Up-regulated gene expression of both pro- and anti-inflammatory immune effectors in hamsters with fatal outcome in an LD50 model of leptospirosis, together with a higher Leptospira burden, suggest that these gene expression levels could be predictors of adverse outcome in leptospirosis.

  14. A comparison of approaches for simultaneous inference of fixed effects for multiple outcomes using linear mixed models

    DEFF Research Database (Denmark)

    Jensen, Signe Marie; Ritz, Christian

    2018-01-01

    Longitudinal studies with multiple outcomes often pose challenges for the statistical analysis. A joint model including all outcomes has the advantage of incorporating the simultaneous behavior but is often difficult to fit due to computational challenges. We consider 2 alternative approaches to ......, pairwise fitting shows a larger loss in efficiency than the marginal models approach. Using an alternative to the joint modelling strategy will lead to some but not necessarily a large loss of efficiency for small sample sizes....

  15. MATHEMATICAL MODEL OF FORECASTING FOR OUTCOMES IN VICTIMS OF METHANE-COAL MIXTURE EXPLOSION

    Directory of Open Access Journals (Sweden)

    E. Y. Fistal

    2016-01-01

    Full Text Available BACKGROUND. The severity of the victims’ state  in the early period after the combined  trauma (with the prevalence of a thermal  injury is associated with the development of numerous  changes  in all organs and systems  which make proper  diagnosis  of complications and estimation of lethal  outcome  probability extremely  difficult to be performed.MATERIAL AND METHODS. The article  presents a mathematical model  for predicting  lethal  outcomes  in victims of methanecoal mixture explosion, based on case histories of 220 miners who were treated at the Donetsk Burn Center in 1994–2012.RESULTS. It was revealed  that  the  probability  of lethal  outcomes  in victims of methane-coal mixture  explosion was statistically significantly affected  with the  area  of deep  burns  (p<0.001, and  the  severe traumatic brain injury (p<0.001. In the probability of lethal  outcomes,  tactics  of surgical treatment for burn wounds in the early hours after the injury was statistically significant (p=0.003. It involves the primary debridement of burn wounds in the period of burn shock with the simultaneous closure of affected  surfaces with temporary biological covering.CONCLUSION. These neural network models are easy to practice and may be created  for the most common pathologic conditions  frequently encountered in clinical practice.

  16. Ecology and the challenge of a multifunctional use of soil Ecologia e o desafio do uso multifuncional do solo

    Directory of Open Access Journals (Sweden)

    Patrick Lavelle

    2009-08-01

    Full Text Available Soil zoology and soil ecology have become very active fields of research since the early 1990s. A search in the ISI Web of Science databases showed a steady increase in publications about that theme over the last two decades, and 3,612 bibliographic references were found for that theme for the period of 2004 to 2008. The researches covered mostly soil environmental issues, toxicology and ecology. The issue of theoretical development in soil ecology is discussed, and arguments are presented against the idea that the soil ecology theory is deficient. Finally, the need for a general model of soil function and soil management is discussed and some options are presented to reach this goal.A zoologia e a ecologia do solo tornaram-se áreas de pesquisa muito ativas a partir do início da década de 1990. Uma busca realizada na base de dados ISI Web of Science mostrou um gradual aumento no número de publicações sobre o assunto nas últimas duas décadas, tendo sido encontradas 3.612 referências bibliográficas para o período de 2004 a 2008. As pesquisas abordaram principalmente assuntos ambientais, toxicologia e ecologia. O desenvolvimento da teoria em ecologia do solo é discutido, e são apresentados argumentos contra a ideia de que existe deficiência na teoria em ecologia do solo. Finalmente, é discutida a necessidade de um modelo geral de funcionamento e manejo do solo, e são apresentadas algumas opções para atingir esse objetivo.

  17. Albedo do Solo abaixo do Dossel em Área de Vochysia divergens Pohl no Norte do Pantanal

    Directory of Open Access Journals (Sweden)

    Jonathan Willian Zangeski Novais

    2016-06-01

    Full Text Available Resumo Este artigo analisou o albedo do solosolo abaixo do dossel considerando duas etapas no ciclo hidrológico, a primeira em que o solo estava inundado e a segunda em que o solo estava coberto por serrapilheira acumulada sobre o solo em área inundável de Vochysia divergens Pohl no Pantanal, Brasil. Os valores de αsolo foram calculados pela relação entre as radiação solar global refletida e a incidente medidas abaixo do dossel por meio de estações meteorológicas. A inundação da área ocorreu durante fevereiro a junho e posteriormente houve um aumento gradativo de serrapilheira acumulada sobre o solo. O αsolo variou sazonalmente com maiores valores durante o período seco em que houve um aumento de aproximadamente 42% do αsolo em relação ao período com inundação. Análises de correlação cruzada entre o αsolo e precipitação, umidade do solo e a serrapilheira acumulada sobre o solo explicam em parte a influência direta e/ou indireta sobre o αsolo. A precipitação não influenciou diretamente sobre o αsolo do mês atual, enquanto que a umidade do solo influenciou diretamente sobre o αsolo no mês atual e nos seguintes meses, e a serrapilheira acumulada do solo correlacionou-se positivamente com o αsolo indicando influência direta no mês atual.

  18. Diagnóstico e desenvolvimento inicial de mamoneira em solos de áreas degradadas

    Directory of Open Access Journals (Sweden)

    Rivaldo Vital Santos

    2015-08-01

    Full Text Available A degradação do solo no semiárido também ocorre pelo desmatamento da Caatinga e pela remoção da camada superficial do solo, cujo destino é a indústria de cerâmica ou olarias. O presente trabalho objetivou avaliar o crescimento da mamoneira em solos degradados. Os tratamentos consistiram de solos degradados: subsolo degradado-1, subsolo degradado-2 e área desmatada; quatro doses de fósforo (0, 100, 200, 300 mgkg-1 P, com três repetições. As testemunhas absolutas, sem fósforo, corresponderam ao solo salinizado não corrigido, solo-1 não degradado, solo-2 não degradado e solo de caatinga não desmatada. O solo degradado por sais, o subsolo-2, recebeu correção com gesso agrícola, foi incubado e lavado. Os resultados demonstraram que a análise do subsolo degradado revelou alta salinidade e baixos teores de fósforo e matéria orgânica, o subsolo degradado salino exige correção com gesso para tornar possível o cultivo da mamona em caatinga desmatada e subsolos degradados. As doses de fósforo não promoveram desenvolvimento significativo em mudas de mamona.

  19. Effect of emotional dissonance on organizational citizenship behavior: testing the stressor-strain-outcome model.

    Science.gov (United States)

    Cheung, Francis Yue-Lok; Cheung, Ray Yu-Hin

    2013-01-01

    In this study, the stressor-strain-outcome (SSO) model developed by Koeske and Koeske was adopted to examine the mediating effect of burnout between emotional dissonance and organizational citizenship behavior (OCB). The study involved 264 full-time Chinese school teachers (82 men, 16 women, and 22 individuals whose genders were not specified; mean age = 34.4 years and SD = 8.09 years). Correlation analysis showed that emotional dissonance is positively related to all three burnout dimensions (i.e., emotional exhaustion, depersonalization, and lack of personal accomplishment). Emotional dissonance is also negatively related to OCB toward individuals. Results from structural equation modeling support the SSO model, which states that emotional dissonance first leads to burnout and then to lower OCB. The limitations and implications to the school management, such as provision of emotional regulation training and strengthening of the social network system, were also discussed.

  20. Animal models for clinical and gestational diabetes: maternal and fetal outcomes.

    Science.gov (United States)

    Kiss, Ana Ci; Lima, Paula Ho; Sinzato, Yuri K; Takaku, Mariana; Takeno, Marisa A; Rudge, Marilza Vc; Damasceno, Débora C

    2009-10-19

    Diabetes in pregnant women is associated with an increased risk of maternal and neonatal morbidity and remains a significant medical challenge. Diabetes during pregnancy may be divided into clinical diabetes and gestational diabetes. Experimental models are developed with the purpose of enhancing understanding of the pathophysiological mechanisms of diseases that affect humans. With regard to diabetes in pregnancy, experimental findings from models will lead to the development of treatment strategies to maintain a normal metabolic intrauterine milieu, improving perinatal development by preventing fetal growth restriction or macrosomia. Based on animal models of diabetes during pregnancy previously reported in the medical literature, the present study aimed to compare the impact of streptozotocin-induced severe (glycemia >300 mg/dl) and mild diabetes (glycemia between 120 and 300 mg/dl) on glycemia and maternal reproductive and fetal outcomes of Wistar rats to evaluate whether the animal model reproduces the maternal and perinatal results of clinical and gestational diabetes in humans. On day 5 of life, 96 female Wistar rats were assigned to three experimental groups: control (n = 16), severe (n = 50) and mild diabetes (n = 30). At day 90 of life, rats were mated. On day 21 of pregnancy, rats were killed and their uterine horns were exposed to count implantation and fetus numbers to determine pre- and post-implantation loss rates. The fetuses were classified according to their birth weight. Severe and mild diabetic dams showed different glycemic responses during pregnancy, impairing fetal glycemia and weight, confirming that maternal glycemia is directly associated with fetal development. Newborns from severe diabetic mothers presented growth restriction, but mild diabetic mothers were not associated with an increased rate of macrosomic fetuses. Experimental models of severe diabetes during pregnancy reproduced maternal and fetal outcomes of pregnant women

  1. Deconstructing Constructivism: Modeling Causal Relationships Among Constructivist Learning Environment Factors and Student Outcomes in Introductory Chemistry

    Science.gov (United States)

    Komperda, Regis

    The purpose of this dissertation is to test a model of relationships among factors characterizing aspects of a student-centered constructivist learning environment and student outcomes of satisfaction and academic achievement in introductory undergraduate chemistry courses. Constructivism was chosen as the theoretical foundation for this research because of its widespread use in chemical education research and practice. In a constructivist learning environment the role of the teacher shifts from delivering content towards facilitating active student engagement in activities that encourage individual knowledge construction through discussion and application of content. Constructivist approaches to teaching introductory chemistry courses have been adopted by some instructors as a way to improve student outcomes, but little research has been done on the causal relationships among particular aspects of the learning environment and student outcomes. This makes it difficult for classroom teachers to know which aspects of a constructivist teaching approach are critical to adopt and which may be modified to better suit a particular learning environment while still improving student outcomes. To investigate a model of these relationships, a survey designed to measure student perceptions of three factors characterizing a constructivist learning environment in online courses was adapted for use in face-to-face chemistry courses. These three factors, teaching presence, social presence, and cognitive presence, were measured using a slightly modified version of the Community of Inquiry (CoI) instrument. The student outcomes investigated in this research were satisfaction and academic achievement, as measured by standardized American Chemical Society (ACS) exam scores and course grades. Structural equation modeling (SEM) was used to statistically model relationships among the three presence factors and student outcome variables for 391 students enrolled in six sections of a

  2. Comparative study analysing women's childbirth satisfaction and obstetric outcomes across two different models of maternity care

    Science.gov (United States)

    Conesa Ferrer, Ma Belén; Canteras Jordana, Manuel; Ballesteros Meseguer, Carmen; Carrillo García, César; Martínez Roche, M Emilia

    2016-01-01

    Objectives To describe the differences in obstetrical results and women's childbirth satisfaction across 2 different models of maternity care (biomedical model and humanised birth). Setting 2 university hospitals in south-eastern Spain from April to October 2013. Design A correlational descriptive study. Participants A convenience sample of 406 women participated in the study, 204 of the biomedical model and 202 of the humanised model. Results The differences in obstetrical results were (biomedical model/humanised model): onset of labour (spontaneous 66/137, augmentation 70/1, p=0.0005), pain relief (epidural 172/132, no pain relief 9/40, p=0.0005), mode of delivery (normal vaginal 140/165, instrumental 48/23, p=0.004), length of labour (0–4 hours 69/93, >4 hours 133/108, p=0.011), condition of perineum (intact perineum or tear 94/178, episiotomy 100/24, p=0.0005). The total questionnaire score (100) gave a mean (M) of 78.33 and SD of 8.46 in the biomedical model of care and an M of 82.01 and SD of 7.97 in the humanised model of care (p=0.0005). In the analysis of the results per items, statistical differences were found in 8 of the 9 subscales. The highest scores were reached in the humanised model of maternity care. Conclusions The humanised model of maternity care offers better obstetrical outcomes and women's satisfaction scores during the labour, birth and immediate postnatal period than does the biomedical model. PMID:27566632

  3. Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals.

    Science.gov (United States)

    Dubois, Carl-Ardy; D'amour, Danielle; Tchouaket, Eric; Clarke, Sean; Rivard, Michèle; Blais, Régis

    2013-04-01

    To examine the associations of four distinct nursing care organizational models with patient safety outcomes. Cross-sectional correlational study. Using a standardized protocol, patients' records were screened retrospectively to detect occurrences of patient safety-related events. Binary logistic regression was used to assess the associations of those events with four nursing care organizational models. Twenty-two medical units in 11 hospitals in Quebec, Canada, were clustered into 4 nursing care organizational models: 2 professional models and 2 functional models. Two thousand six hundred and ninety-nine were patients hospitalized for at least 48 h on the selected units. Composite of six safety-related events widely-considered sensitive to nursing care: medication administration errors, falls, pneumonia, urinary tract infection, unjustified restraints and pressure ulcers. Events were ultimately sorted into two categories: events 'without major' consequences for patients and events 'with' consequences. After controlling for patient characteristics, patient risk of experiencing one or more events (of any severity) and of experiencing an event with consequences was significantly lower, by factors of 25-52%, in both professional models than in the functional models. Event rates for both functional models were statistically indistinguishable from each other. Data suggest that nursing care organizational models characterized by contrasting staffing, work environment and innovation characteristics may be associated with differential risk for hospitalized patients. The two professional models, which draw mainly on registered nurses (RNs) to deliver nursing services and reflect stronger support for nurses' professional practice, were associated with lower risks than are the two functional models.

  4. iStent as a Solo Procedure for Glaucoma Patients: A Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Malvankar-Mehta, Monali S; Chen, Yufeng Nancy; Iordanous, Yiannis; Wang, Wan Wendy; Costella, John; Hutnik, Cindy M L

    2015-01-01

    Glaucoma is a leading cause of irreversible blindness. It is firmly entrenched in the traditional treatment paradigm to start with pharmacotherapy. However, pharmacotherapy is not benign and has been well documented to have a number of significant challenges. Minimally invasive glaucoma surgery (MIGS) that targets the outflow pathway with minimal to no scleral dissection has resulted in the need to reconsider the glaucoma treatment paradigm. To perform a systematic review and meta-analysis to evaluate and quantify the effect on post-operative intraocular pressure (IOP) and number of topical glaucoma medications, in patients receiving the iStent MIGS device as the solo procedure without concurrent cataract surgery. A systematic review was conducted by searching various databases between January 1, 2000, and June 30, 2014. Studies reporting up to a maximum follow-up period of 24 months were retrieved and screened using the EPPI-Reviewer 4 gateway. Percentage reduction in IOP (IOPR%), and mean reduction in topical glaucoma medications after surgery were computed. Meta-analysis was performed using STATA v. 13.0. The standardized mean difference (SMD) was calculated as the effect size for continuous scale outcomes. Heterogeneity was determined using the I2 statistics, Z-value, and χ2 statistics. Fixed-effect and random-effect models were developed based on heterogeneity. Sub-group analysis was performed based on the number of iStents implanted and the follow-up period. The outcome measures were changes in the IOP and number of glaucoma medications. The search strategy identified 105 records from published literature and 9 records from the grey literature. Five studies with 248 subjects were included for quantitative synthesis. A 22% IOP reduction (IOPR%) from baseline occurred at 18-months after one iStent implant, 30% at 6-months after two iStents implantations, and 40% at 6-months after implantation of three iStents. A mean reduction of 1.2 bottles per patient of

  5. Outcomes of laryngohyoid suspension techniques in an ovine model of profound oropharyngeal dysphagia.

    Science.gov (United States)

    Johnson, Christopher M; Venkatesan, Naren N; Siddiqui, M Tausif; Cates, Daniel J; Kuhn, Maggie A; Postma, Gregory M; Belafsky, Peter C

    2017-12-01

    To evaluate the efficacy of various techniques of laryngohyoid suspension in the elimination of aspiration utilizing a cadaveric ovine model of profound oropharyngeal dysphagia. Animal study. The head and neck of a Dorper cross ewe was placed in the lateral fluoroscopic view. Five conditions were tested: baseline, thyroid cartilage to hyoid approximation (THA), thyroid cartilage to hyoid to mandible (laryngohyoid) suspension (LHS), LHS with cricopharyngeus muscle myotomy (LHS-CPM), and cricopharyngeus muscle myotomy (CPM) alone. Five 20-mL trials of barium sulfate were delivered into the oropharynx under fluoroscopy for each condition. Outcome measures included the penetration aspiration scale (PAS) and the National Institutes of Health (NIH) Swallow Safety Scale (NIH-SSS). Median baseline PAS and NIH-SSS scores were 8 and 6, respectively, indicating severe impairment. THA scores were not improved from baseline. LHS alone reduced the PAS to 1 (P = .025) and NIH-SSS to 2 (P = .025) from baseline. LHS-CPM reduced the PAS to 1 (P = .025) and NIH-SSS to 0 (P = .025) from baseline. CPM alone did not improve scores. LHS-CPM displayed improved NIH-SSS over LHS alone (P = .003). This cadaveric model represents end-stage profound oropharyngeal dysphagia such as what could result from severe neurological insult. CPM alone failed to improve fluoroscopic outcomes in this model. Thyrohyoid approximation also failed to improve outcomes. LHS significantly improved both PAS and NIH-SSS. The addition of CPM to LHS resulted in improvement over suspension alone. NA. Laryngoscope, 127:E422-E427, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  6. Cultivo sem solo do morangueiro Strawberry soilless cultivation

    Directory of Open Access Journals (Sweden)

    Gustavo Giménez

    2008-02-01

    Full Text Available O morangueiro é uma cultura importante em vários países, principalmente nos Estados Unidos e na Europa, por suas características sensoriais, propriedades nutritivas e por sua rentabilidade. O cultivo comercial sem solo de morangueiro está bem desenvolvido na Europa, onde tem permitido um aumento da produtividade e qualidade da produção assim como a ampliação da oferta do produto ao longo do ano. Predomina o sistema aberto, em sacolas ou vasos com diferentes tipos de substratos, utilizando-se densidades de 8 a 12plantas m-2. As produtividades obtidas estão entre 5 e 10kg m-2. Para isolar as plantas do solo e facilitar o manejo da cultura, os vasos ou sacolas são suspensos a uma altura entre 0,8 e 1m da superfície do solo. A composição da solução nutritiva é variável, refletindo as diferentes condições produtivas. As mudas são produzidas principalmente em bandejas com substrato, a partir de pontas de estolões obtidas da multiplicação de plantas matrizes provenientes da propagação in vitro. No Brasil, o cultivo sem solo de morangueiro é ainda incipiente e os resultados produtivos e econômicos têm sido insatisfatórios, principalmente por falta de informações de pesquisas capazes de indicar sistemas apropriados de cultivo para as condições locais. É necessário desenvolver sistemas sustentáveis, preferencialmente fechados, combinando alta produtividade e elevada eficiência de utilização da água e dos nutrientes. No presente trabalho, são revisados os principais aspectos da produção em sistemas de cultivo sem solo de mudas e fruta de morangueiro. São descritos a produção de mudas, os sistemas e as soluções nutritivas empregadas em diferentes países. Ao final, são feitas inferências sobre a possibilidade de adoção e geração do sistema de cultivo sem solo apropriado para as condições brasileiras.Strawberry is a very important crop in Europe and USA due to its nutritional and sensorial

  7. Linking Adverse Outcome Pathways to Dynamic Energy Budgets: A Conceptual Model

    Energy Technology Data Exchange (ETDEWEB)

    Murphy, Cheryl [Michigan State University, East Lansing; Nisbet, Roger [University of California Santa Barbara; Antczak, Philipp [University of Liverpool, UK; Reyero, Natalia [Army Corps of Engineers, Vicksburg; Gergs, Andre [Gaiac; Lika, Dina [University of Crete; Mathews, Teresa J. [ORNL; Muller, Eric [University of California, Santa Barbara; Nacci, Dianne [U.S. Environmental Protection Agency (EPA); Peace, Angela L. [ORNL; Remien, Chris [University of Idaho; Schulz, Irv [Pacific Northwest National Laboratory (PNNL); Watanabe, Karen [Arizona State University

    2018-02-01

    Ecological risk assessment quantifies the likelihood of undesirable impacts of stressors, primarily at high levels of biological organization. Data used to inform ecological risk assessments come primarily from tests on individual organisms or from suborganismal studies, indicating a disconnect between primary data and protection goals. We know how to relate individual responses to population dynamics using individual-based models, and there are emerging ideas on how to make connections to ecosystem services. However, there is no established methodology to connect effects seen at higher levels of biological organization with suborganismal dynamics, despite progress made in identifying Adverse Outcome Pathways (AOPs) that link molecular initiating events to ecologically relevant key events. This chapter is a product of a working group at the National Center for Mathematical and Biological Synthesis (NIMBioS) that assessed the feasibility of using dynamic energy budget (DEB) models of individual organisms as a “pivot” connecting suborganismal processes to higher level ecological processes. AOP models quantify explicit molecular, cellular or organ-level processes, but do not offer a route to linking sub-organismal damage to adverse effects on individual growth, reproduction, and survival, which can be propagated to the population level through individual-based models. DEB models describe these processes, but use abstract variables with undetermined connections to suborganismal biology. We propose linking DEB and quantitative AOP models by interpreting AOP key events as measures of damage-inducing processes in a DEB model. Here, we present a conceptual model for linking AOPs to DEB models and review existing modeling tools available for both AOP and DEB.

  8. Vulnerabilidade Natural do Solo de Silveira Martins-RS

    Directory of Open Access Journals (Sweden)

    Franciele Francisca Marmentini Rovani

    Full Text Available A análise ambiental, com base nos processos de morfogênese e pedogênese, possibilita informações importantes para a elaboração de políticas públicas visando o uso e ocupação da paisagem de maneira sustentável. Com isso, objetivou-se identificar os diferentes níveis de vulnerabilidade natural à perda de solo do município de Silveira Martins, RS. Foi elaborado um banco de dados espaciais em um ambiente de Sistemas de Informações Geográficas (SIG com auxílio do software Spring. O zoneamento da vulnerabilidade natural à perda de solo foi elaborado com base nas informações referentes à declividade, geomorfologia, geologia e solos de acordo com o grau de vulnerabilidade de cada informação, por meio da álgebra de mapas. Para o território municipal de Silveira Martins identificou-se a ocorrência de cinco classes. Destacam-se as unidades estáveis com predomínio dos processos formadores do solo (38,08% da área municipal, e as unidades moderadamente vulneráveis, prevalecendo os processos erosivos (53,67%. As áreas classificadas como moderadamente vulnerável e vulnerável (8,25%, correspondem a áreas com inclinações superiores a 25º e com formação geológica e geomorfológica menos estáveis. Nas unidades em que predominou a vulnerabilidade natural, sugere-se especial atenção em relação ao meio natural e aos agentes que o influenciam, visando boas práticas sociais associadas às políticas ambientais no processo de tomada de decisões econômicas, possibilitando a valorização e proteção do meio natural.

  9. Joint Models of Longitudinal and Time-to-Event Data with More Than One Event Time Outcome: A Review.

    Science.gov (United States)

    Hickey, Graeme L; Philipson, Pete; Jorgensen, Andrea; Kolamunnage-Dona, Ruwanthi

    2018-01-31

    Methodological development and clinical application of joint models of longitudinal and time-to-event outcomes have grown substantially over the past two decades. However, much of this research has concentrated on a single longitudinal outcome and a single event time outcome. In clinical and public health research, patients who are followed up over time may often experience multiple, recurrent, or a succession of clinical events. Models that utilise such multivariate event time outcomes are quite valuable in clinical decision-making. We comprehensively review the literature for implementation of joint models involving more than a single event time per subject. We consider the distributional and modelling assumptions, including the association structure, estimation approaches, software implementations, and clinical applications. Research into this area is proving highly promising, but to-date remains in its infancy.

  10. Physical aggression, compromised social support, and 10-year marital outcomes: Testing a relational spillover model.

    Science.gov (United States)

    Sullivan, Kieran T; Pasch, Lauri A; Lawrence, Erika; Bradbury, Thomas N

    2015-12-01

    The purpose of the present study was to test a relational spillover model of physical aggression whereby physical aggression affects marital outcomes due to its effects on how spouses ask for and provide support to one another. Newlywed couples (n = 172) reported levels of physical aggression over the past year and engaged in interactions designed to elicit social support; marital adjustment, and stability were assessed periodically over the first 10 years of marriage. Multilevel modeling revealed that negative support behavior mediated the relationship between physical aggression and 10-year marital adjustment levels whereas positive support behavior mediated the relationship between physical aggression and divorce status. These findings emphasize the need to look beyond conflict when explaining how aggression affects relationships and when working with couples with a history of physical aggression who are seeking to improve their relationships. (c) 2015 APA, all rights reserved).

  11. THE EFFECT OF LEARNING INQUIRY TRAINING MODEL ON STUDENT LEARNING OUTCOMES ON MEASUREMENT MATERIALS

    Directory of Open Access Journals (Sweden)

    Felisa Irawani Hutabarat

    2017-06-01

    Full Text Available This research aims to know the effect of learning model of inquiry learning results students training material measurement. This type of research is quasi experiment. Sampling done by cluster random sampling by taking 2 classes from grade 9 i.e. class X SCIENCE experiments as a class-B that add up to 35 people and class X SCIENCE-C as control classes that add up to 35 people. The instruments used to find out the results of student learning is the learning outcomes tests have been validated in multiple choice form numbered 15 reserved and activity sheets students. The results of the value obtained 37.71 pretes and postest 70.11. The t-test analysis retrieved thitung greater than ttabel so that it can be concluded no difference due to the influence of the learning model of inquiry learning results students training material measurement.

  12. Models of Workplace Incivility: The Relationships to Instigated Incivility and Negative Outcomes

    Directory of Open Access Journals (Sweden)

    Kristoffer Holm

    2015-01-01

    Full Text Available The aim of the study was to investigate workplace incivility as a social process, examining its components and relationships to both instigated incivility and negative outcomes in the form of well-being, job satisfaction, turnover intentions, and sleeping problems. The different components of incivility that were examined were experienced and witnessed incivility from coworkers as well as supervisors. In addition, the organizational factors, social support, control, and job demands, were included in the models. A total of 2871 (2058 women and 813 men employees who were connected to the Swedish Hotel and Restaurant Workers Union completed an online questionnaire. Overall, the results from structural equation modelling indicate that whereas instigated incivility to a large extent was explained by witnessing coworker incivility, negative outcomes were to a high degree explained by experienced supervisor incivility via mediation through perceived low social support, low control, and high job demands. Unexpectedly, the relationships between incivility (experienced coworker and supervisor incivility, as well as witnessed supervisor incivility and instigated incivility were moderated by perceived high control and high social support. The results highlight the importance of including different components of workplace incivility and organizational factors in future studies of the area.

  13. Modeling strategy to identify patients with primary immunodeficiency utilizing risk management and outcome measurement.

    Science.gov (United States)

    Modell, Vicki; Quinn, Jessica; Ginsberg, Grant; Gladue, Ron; Orange, Jordan; Modell, Fred

    2017-06-01

    This study seeks to generate analytic insights into risk management and probability of an identifiable primary immunodeficiency defect. The Jeffrey Modell Centers Network database, Jeffrey Modell Foundation's 10 Warning Signs, the 4 Stages of Testing Algorithm, physician-reported clinical outcomes, programs of physician education and public awareness, the SPIRIT® Analyzer, and newborn screening, taken together, generates P values of less than 0.05%. This indicates that the data results do not occur by chance, and that there is a better than 95% probability that the data are valid. The objectives are to improve patients' quality of life, while generating significant reduction of costs. The advances of the world's experts aligned with these JMF programs can generate analytic insights as to risk management and probability of an identifiable primary immunodeficiency defect. This strategy reduces the uncertainties related to primary immunodeficiency risks, as we can screen, test, identify, and treat undiagnosed patients. We can also address regional differences and prevalence, age, gender, treatment modalities, and sites of care, as well as economic benefits. These tools support high net benefits, substantial financial savings, and significant reduction of costs. All stakeholders, including patients, clinicians, pharmaceutical companies, third party payers, and government healthcare agencies, must address the earliest possible precise diagnosis, appropriate intervention and treatment, as well as stringent control of healthcare costs through risk assessment and outcome measurement. An affected patient is entitled to nothing less, and stakeholders are responsible to utilize tools currently available. Implementation offers a significant challenge to the entire primary immunodeficiency community.

  14. Models of Workplace Incivility: The Relationships to Instigated Incivility and Negative Outcomes.

    Science.gov (United States)

    Holm, Kristoffer; Torkelson, Eva; Bäckström, Martin

    2015-01-01

    The aim of the study was to investigate workplace incivility as a social process, examining its components and relationships to both instigated incivility and negative outcomes in the form of well-being, job satisfaction, turnover intentions, and sleeping problems. The different components of incivility that were examined were experienced and witnessed incivility from coworkers as well as supervisors. In addition, the organizational factors, social support, control, and job demands, were included in the models. A total of 2871 (2058 women and 813 men) employees who were connected to the Swedish Hotel and Restaurant Workers Union completed an online questionnaire. Overall, the results from structural equation modelling indicate that whereas instigated incivility to a large extent was explained by witnessing coworker incivility, negative outcomes were to a high degree explained by experienced supervisor incivility via mediation through perceived low social support, low control, and high job demands. Unexpectedly, the relationships between incivility (experienced coworker and supervisor incivility, as well as witnessed supervisor incivility) and instigated incivility were moderated by perceived high control and high social support. The results highlight the importance of including different components of workplace incivility and organizational factors in future studies of the area.

  15. A dual-stage moderated mediation model linking authoritarian leadership to follower outcomes.

    Science.gov (United States)

    Schaubroeck, John M; Shen, Yimo; Chong, Sinhui

    2017-02-01

    Although authoritarian leadership is viewed pejoratively in the literature, in general it is not strongly related to important follower outcomes. We argue that relationships between authoritarian leadership and individual employee outcomes are mediated by perceived insider status, yet in different ways depending on work unit power distance climate and individual role breadth self-efficacy. Results from technology company employees in China largely supported our hypothesized model. We observed negative indirect effects of authoritarian leadership on job performance, affective organizational commitment, and intention to stay among employees in units with relatively low endorsement of power distance, whereas the indirect relationships were not significant among employees in relatively high power distance units. These conditional indirect effects of authoritarian leadership on performance and intention to stay were significantly stronger among employees with relatively high role breadth self-efficacy. We discuss how the model and findings promote understanding of how, and under what circumstances, authoritarian leadership may influence followers' performance and psychological connections to their organizations. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  16. The Effect of Cooperative Learning Model of Teams Games Tournament (TGT) and Students' Motivation toward Physics Learning Outcome

    Science.gov (United States)

    Nadrah; Tolla, Ismail; Ali, Muhammad Sidin; Muris

    2017-01-01

    This research aims at describing the effect of cooperative learning model of Teams Games Tournament (TGT) and motivation toward physics learning outcome. This research was a quasi-experimental research with a factorial design conducted at SMAN 2 Makassar. Independent variables were learning models. They were cooperative learning model of TGT and…

  17. [Acute kidney injury after pediatric cardiac surgery: risk factors and outcomes. Proposal for a predictive model].

    Science.gov (United States)

    Cardoso, Bárbara; Laranjo, Sérgio; Gomes, Inês; Freitas, Isabel; Trigo, Conceição; Fragata, Isabel; Fragata, José; Pinto, Fátima

    2016-02-01

    To characterize the epidemiology and risk factors for acute kidney injury (AKI) after pediatric cardiac surgery in our center, to determine its association with poor short-term outcomes, and to develop a logistic regression model that will predict the risk of AKI for the study population. This single-center, retrospective study included consecutive pediatric patients with congenital heart disease who underwent cardiac surgery between January 2010 and December 2012. Exclusion criteria were a history of renal disease, dialysis or renal transplantation. Of the 325 patients included, median age three years (1 day-18 years), AKI occurred in 40 (12.3%) on the first postoperative day. Overall mortality was 13 (4%), nine of whom were in the AKI group. AKI was significantly associated with length of intensive care unit stay, length of mechanical ventilation and in-hospital death (p<0.01). Patients' age and postoperative serum creatinine, blood urea nitrogen and lactate levels were included in the logistic regression model as predictor variables. The model accurately predicted AKI in this population, with a maximum combined sensitivity of 82.1% and specificity of 75.4%. AKI is common and is associated with poor short-term outcomes in this setting. Younger age and higher postoperative serum creatinine, blood urea nitrogen and lactate levels were powerful predictors of renal injury in this population. The proposed model could be a useful tool for risk stratification of these patients. Copyright © 2015 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

  18. Outcomes and opportunities: a nurse-led model of chronic disease management in Australian general practice.

    Science.gov (United States)

    Eley, Diann S; Patterson, Elizabeth; Young, Jacqui; Fahey, Paul P; Del Mar, Chris B; Hegney, Desley G; Synnott, Robyn L; Mahomed, Rosemary; Baker, Peter G; Scuffham, Paul A

    2013-01-01

    The Australian government's commitment to health service reform has placed general practice at the centre of its agenda to manage chronic disease. Concerns about the capacity of GPs to meet the growing chronic disease burden has stimulated the implementation and testing of new models of care that better utilise practice nurses (PN). This paper reports on a mixed-methods study nested within a larger study that trialled the feasibility and acceptability of a new model of nurse-led chronic disease management in three general practices. Patients over 18 years of age with type 2 diabetes, hypertension or stable ischaemic heart disease were randomised into PN-led or usual GP-led care. Primary outcomes were self-reported quality of life and perceptions of the model's feasibility and acceptability from the perspective of patients and GPs. Over the 12-month study quality of life decreased but the trend between groups was not statistically different. Qualitative data indicate that the PN-led model was acceptable and feasible to GPs and patients. It is possible to extend the scope of PN care to lead the routine clinical management of patients' stable chronic diseases. All GPs identified significant advantages to the model and elected to continue with the PN-led care after our study concluded.

  19. How Do People Think About Interdependence? A Multidimensional Model of Subjective Outcome Interdependence.

    Science.gov (United States)

    Gerpott, Fabiola H; Balliet, Daniel; Columbus, Simon; Molho, Catherine; de Vries, Reinout E

    2017-09-04

    Interdependence is a fundamental characteristic of social interactions. Interdependence Theory states that 6 dimensions describe differences between social situations. Here we examine if these 6 dimensions describe how people think about their interdependence with others in a situation. We find that people (in situ and ex situ) can reliably differentiate situations according to 5, but not 6, dimensions of interdependence: (a) mutual dependence, (b) power, (c) conflict, (d) future interdependence, and (e) information certainty. This model offers a unique framework for understanding how people think about social situations compared to another recent model of situation construal (DIAMONDS). Furthermore, we examine factors that are theorized to shape perceptions of interdependence, such as situational cues (e.g., nonverbal behavior) and personality (e.g., HEXACO and Social Value Orientation). We also study the implications of subjective interdependence for emotions and cooperative behavior during social interactions. This model of subjective interdependence explains substantial variation in the emotions people experience in situations (i.e., happiness, sadness, anger, and disgust), and explains 24% of the variance in cooperation, above and beyond the DIAMONDS model. Throughout these studies, we develop and validate a multidimensional measure of subjective outcome interdependence that can be used in diverse situations and relationships-the Situational Interdependence Scale (SIS). We discuss how this model of interdependence can be used to better understand how people think about social situations encountered in close relationships, organizations, and society. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  20. Models of psychological service provision under Australia's Better Outcomes in Mental Health Care program.

    Science.gov (United States)

    Pirkis, Jane; Burgess, Philip; Kohn, Fay; Morley, Belinda; Blashki, Grant; Naccarella, Lucio

    2006-08-01

    The Access to Allied Psychological Services component of Australia's Better Outcomes in Mental Health Care program enables eligible general practitioners to refer consumers to allied health professionals for affordable, evidence-based mental health care, via 108 projects conducted by Divisions of General Practice. The current study profiled the models of service delivery across these projects, and examined whether particular models were associated with differential levels of access to services. We found: 76% of projects were retaining their allied health professionals under contract, 28% via direct employment, and 7% some other way; Allied health professionals were providing services from GPs' rooms in 63% of projects, from their own rooms in 63%, from a third location in 42%; and The referral mechanism of choice was direct referral in 51% of projects, a voucher system in 27%, a brokerage system in 24%, and a register system in 25%. Many of these models were being used in combination. No model was predictive of differential levels of access, suggesting that the approach of adapting models to the local context is proving successful.

  1. Modelling the results of health promotion activities in Switzerland: development of the Swiss Model for Outcome Classification in Health Promotion and Prevention.

    Science.gov (United States)

    Spencer, Brenda; Broesskamp-Stone, Ursel; Ruckstuhl, Brigitte; Ackermann, Günter; Spoerri, Adrian; Cloetta, Bernhard

    2008-03-01

    This paper describes the Model for Outcome Classification in Health Promotion and Prevention adopted by Health Promotion Switzerland (SMOC, Swiss Model for Outcome Classification) and the process of its development. The context and method of model development, and the aim and objectives of the model are outlined. Preliminary experience with application of the model in evaluation planning and situation analysis is reported. On the basis of an extensive literature search, the model is situated within the wider international context of similar efforts to meet the challenge of developing tools to assess systematically the activities of health promotion and prevention.

  2. The application of welat latino for creating paes in solo wedding bride

    Science.gov (United States)

    Ihsani, Ade Novi Nurul; Krisnawati, Maria; Prasetyaningtyas, Wulansari; Anggraeni, Puput; Bela, Herlina Tria; Zunaedah, Putri Wahyu

    2018-03-01

    The purposes of this research were: 1) to find out the process of creating innovative welat, 2) to find out how to use innovative welat for Solo wedding bride paes creation. The method used in the research was research and development (R & D). Sampling technique in this research was purposive sampling by using 13 people as models. The data collection technique used observation and documentation. Data analysis technique used descriptive technique. The results of the study showed that 1) there were two times design change of the validity of welat creation, each product passed through several stages of designing, forming, determining the material and printing, 3) the first way of using the welat determined the distance dot between the cengkorongan of both forms by using welat according to the existed mold. In conclusion, Innovative welat can produce paes in accordance with the standard and shorten the process.

  3. Urbanization and the Resulting Peripheralization in Solo Raya, Indonesia

    Science.gov (United States)

    Pradoto, W.; Mardiansjah, F. H.; Manullang, O. R.; Putra, A. A.

    2018-02-01

    Dynamic urbanization in Solo Raya, a local term for Surakarta Metropolitan, amongst rapid regional based-urbanization in Indonesia, shows the unbalance pattern of growth. A number of Surakarta City’s peripherals become the newly growing area which is characterized by a well-facilitated region, while the former urbanized areas next to the city center present the declining process. Different socioeconomic development triggers a unique mosaic of socio-spatial pattern, on which the phenomena of peripheralization could be investigated. Urban investment that boosted by the political will of both the national and local government has led to a shift in demographic condition. A relatively massive in-migration has been attracted to the peripheral and creates the new landscape of urban-rural society. Complex dynamic of metropolitan growth and the resulting peripheralization reminds that socio-spatial pattern calls the challenges for managing the rapid change of land use and space use. The pattern of urbanization that differs upon the surrounding areas of Surakarta City would be interesting to be explored. This paper will discuss the conceptual framework of peripheral urbanization and the methodological approach. It is actually the part of ongoing research on peripheralisation in Solo Raya.

  4. Aortic Valve Replacement With the Stentless Freedom SOLO Bioprosthesis: A Systematic Review

    NARCIS (Netherlands)

    Wollersheim, Laurens W.; Li, Wilson W.; Bouma, Berto J.; Repossini, Alberto; van der Meulen, Jan; de Mol, Bas A.

    2015-01-01

    This systematic review examined the clinical and hemodynamic performance of the stentless Freedom SOLO (Sorin Group, Milan, Italy) aortic bioprosthesis. The occurrence of postoperative thrombocytopenia was also analyzed. The Freedom SOLO is safe to use in everyday practice, with short cross-clamp

  5. SOLO-taksonomi – et muligt redskab i læringsmålstyret matematikundervisning

    DEFF Research Database (Denmark)

    Hansen, Rune

    2015-01-01

    SOLO-taksonomien beskrives som værende et muligt redskab til at stilladsere lærerens arbejde med faglig målsætning i matematikundervisningen.......SOLO-taksonomien beskrives som værende et muligt redskab til at stilladsere lærerens arbejde med faglig målsætning i matematikundervisningen....

  6. Thrombocytopenia after aortic valve replacement with freedom solo bioprosthesis: a propensity study.

    Science.gov (United States)

    Piccardo, Alessandro; Rusinaru, Dan; Petitprez, Benoit; Marticho, Paul; Vaida, Ioana; Tribouilloy, Christophe; Caus, Thierry

    2010-05-01

    The incidence of postoperative thrombocytopenia after aortic valve replacement with the Freedom Solo bioprosthesis remains unclear. This propensity-matched study was carried out to evaluate the incidence and clinical impact of thrombocytopenia in patients receiving the Freedom Solo bioprosthesis. Patients who underwent aortic valve replacement with a Freedom Solo or Carpentier-Edwards Perimount pericardial prosthesis at our institution between 2006 and 2008 were screened retrospectively. Exclusion criteria included double valve replacement, redo surgery, and active endocarditis. Two hundred six patients were considered eligible for this analysis. Using propensity scores 36 matched pairs of patients with a Freedom Solo or Perimount bioprosthesis were obtained. The primary end point was the occurrence of postoperative thrombocytopenia. Secondary end points were postoperative thromboembolic or hemorrhagic events and 30-day mortality. Before matching, severe thrombocytopenia (Solo bioprosthesis and 1% with a Perimount bioprosthesis (p Solo (p Solo and Perimount bioprostheses, respectively (p Solo implantation. However, this complication was not related to any deleterious events in our study population. Copyright (c) 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  7. A 76-year old man with a torn Freedom SOLO bioprosthesis

    NARCIS (Netherlands)

    Wollersheim, Laurens W.; Li, Wilson W.; van der Meulen, Jan; de Mol, Bas A.

    2014-01-01

    We describe a case of a 76-year old male who presented with progressive dyspnoea. He underwent an aortic valve replacement with a Freedom SOLO bioprosthesis 6 years ago. Transthoracic echocardiography showed a moderate-to-severe leakage of the Freedom SOLO bioprosthesis. During surgical

  8. The Effect of Selected Nonmusical Factors on Adjudicators' Ratings of High School Solo Vocal Performances

    Science.gov (United States)

    Howard, Sandra A.

    2012-01-01

    The purpose of this study was to examine the effect of differentiated performance attire and stage deportment on adjudicators' ratings of high school solo vocal performances. High school choral students (n = 153) and undergraduate (n = 97) and graduate music majors (n = 32) served as adjudicators (N = 282). Adjudicators rated recorded solo vocal…

  9. Composição química da solução do solo nas diferentes classes de poro do solo Chemical composition of soil solution in different soil pore classes

    Directory of Open Access Journals (Sweden)

    Thomas Vincent Gloaguen

    2009-10-01

    Full Text Available A composição química da solução do solo pode ser considerada indicadora da presença de nutrientes ou contaminantes no solo. Para analisar a variação dessa composição nos poros do solo, utilizou-se um sistema de extração sequencial da solução do solo em diferentes classes de diâmetro de poro. Colunas de PVC foram construídas e preenchidas com terra fina seca ao ar de um Cambissolo Háplico distrófico, e irrigadas com água destilada (T1, efluente de estação de tratamento de esgoto sanitário EETE (T2 e EETE + 1,2 g L-1 CaSO4 (T3, aplicando lâminas de 150 e 300 mm. Antes da irrigação e após cada lâmina, aplicaram-se na base de cada coluna os seguintes potenciais: 0, 13,3, 26,7, 40,0 e 53,3 kPa para extração e coleta da solução do solo nas faixas de poros: Ø > 76,2 µm, 44,6 44,6 m. Todos os dados foram ajustados significativamente ao modelo linear Y = a - b.log(X, onde Y é o atributo avaliado e X o diâmetro de poro do solo. Embora a concentração de NO3-na microporosidade supere o valor limite [NO3-]lim para água doce potável (Classe 1, a baixa concentração na macroporosidade (sempre inferior a [NO3-]lim/4 limita o risco de contaminação por lixiviação. Constatou-se também que a adição de gesso promove a redução da concentração de NO3-e de Na+ no solo.The chemistry of the soil solution can be regarded as an indicator of the presence of nutrients or contaminants in the soil. To evaluate the variation of this chemical composition in the soil pores, a sequential system of extraction of the soil solution from the different soil pore classes was used. Soil columns were constructed and filled with air-dried fine soil of a Dystrophic Ultisol, and irrigated with: distilled water (T1, treated wastewater (T2 and treated wastewater + 1.2 g L-1 CaSO4 (T3 at irrigation levels of 150 and 300 mm, added progressively (without leaching. Before and after irrigation the soil solution was extracted by applying successive

  10. Psychological Empowerment Among Urban Youth: Measurement Model and Associations with Youth Outcomes.

    Science.gov (United States)

    Eisman, Andria B; Zimmerman, Marc A; Kruger, Daniel; Reischl, Thomas M; Miller, Alison L; Franzen, Susan P; Morrel-Samuels, Susan

    2016-12-01

    Empowerment-based strategies have become widely used method to address health inequities and promote social change. Few researchers, however, have tested theoretical models of empowerment, including multidimensional, higher-order models. We test empirically a multidimensional, higher-order model of psychological empowerment (PE), guided by Zimmerman's conceptual framework including three components of PE: intrapersonal, interactional, and behavioral. We also investigate if PE is associated with positive and negative outcomes among youth. The sample included 367 middle school youth aged 11-16 (M = 12.71; SD = 0.91); 60% female, 32% (n = 117) white youth, 46% (n = 170) African-American youth, and 22% (n = 80) identifying as mixed race, Asian-American, Latino, Native American, or other ethnic/racial group; schools reported 61-75% free/reduced lunch students. Our results indicated that each of the latent factors for the three PE components demonstrate a good fit with the data. Our results also indicated that these components loaded on to a higher-order PE factor (X 2  = 32.68; df: 22; p = .07; RMSEA: 0.04; 95% CI: .00, .06; CFI: 0.99). We found that the second-order PE factor was negatively associated with aggressive behavior and positively associated with prosocial engagement. Our results suggest that empowerment-focused programs would benefit from incorporating components addressing how youth think about themselves in relation to their social contexts (intrapersonal), understanding social and material resources needed to achieve specific goals (interactional), and actions taken to influence outcomes (behavioral). Our results also suggest that integrating the three components and promoting PE may help increase likelihood of positive behaviors (e.g., prosocial involvement); we did not find an association between PE and aggressive behavior. Implications and future directions for empowerment research are discussed. © Society for Community Research and

  11. Counting the costs of overweight and obesity: modeling clinical and cost outcomes.

    Science.gov (United States)

    Tucker, Daniel M D; Palmer, Andrew J; Valentine, William J; Roze, Stéphane; Ray, Joshua A

    2006-03-01

    To quantify changes in clinical and cost outcomes associated with increasing levels of body mass index (BMI) in a US setting. A semi-Markov model was developed to project and compare life expectancy (LE), quality-adjusted life expectancy (QALE) and direct medical costs associated with distinct levels of BMI in simulated adult cohorts over a lifetime horizon. Cohort definitions included age (20-65 years), gender, race, and BMI (24-45 kg m(-2)). Cohorts were exclusively male or female and either Caucasian or African-American. Mortality rates were adjusted according to these factors using published data. BMI progression over time was modeled. BMI-dependent US direct medical costs were derived from published sources and inflated to year 2004 values. A third party reimbursement perspective was taken. QALE and costs were discounted at 3% per annum. In young Caucasian cohorts LE decreased as BMI increased. However, in older Caucasian cohorts the BMI associated with greatest longevity was higher than 25 kg m(-2). A similar pattern was observed in young adult African-American cohorts. A survival paradox was projected in older African-American cohorts, with some BMI levels in the obese category associated with greatest longevity. QALE in all four race/gender cohorts followed similar patterns to LE. Sensitivity analyses demonstrated that simulating BMI progression over time had an important impact on results. Direct costs in all four cohorts increased with BMI, with a few exceptions. Optimal BMI, in terms of longevity, varied between race/gender cohorts and within these cohorts, according to age, contributing to the debate over what BMI level or distribution should be considered ideal in terms of mortality risk. Simulating BMI progression over time had a substantial impact on health outcomes and should be modeled in future health economic analyses of overweight and obesity.

  12. Chronic stress impacts the cardiovascular system: animal models and clinical outcomes.

    Science.gov (United States)

    Golbidi, Saeid; Frisbee, Jefferson C; Laher, Ismail

    2015-06-15

    Psychological stresses are associated with cardiovascular diseases to the extent that cardiovascular diseases are among the most important group of psychosomatic diseases. The longstanding association between stress and cardiovascular disease exists despite a large ambiguity about the underlying mechanisms. An array of possibilities have been proposed including overactivity of the autonomic nervous system and humoral changes, which then converge on endothelial dysfunction that initiates unwanted cardiovascular consequences. We review some of the features of the two most important stress-activated systems, i.e., the humoral and nervous systems, and focus on alterations in endothelial function that could ensue as a result of these changes. Cardiac and hematologic consequences of stress are also addressed briefly. It is likely that activation of the inflammatory cascade in association with oxidative imbalance represents key pathophysiological components of stress-induced cardiovascular changes. We also review some of the commonly used animal models of stress and discuss the cardiovascular outcomes reported in these models of stress. The unique ability of animals for adaptation under stressful conditions lessens the extrapolation of laboratory findings to conditions of human stress. An animal model of unpredictable chronic stress, which applies various stress modules in a random fashion, might be a useful solution to this predicament. The use of stress markers as indicators of stress intensity is also discussed in various models of animal stress and in clinical studies. Copyright © 2015 the American Physiological Society.

  13. The Impact of New Payment Models on Quality of Diabetes Care and Outcomes.

    Science.gov (United States)

    McGinley, Erin L; Gabbay, Robert A

    2016-06-01

    Historic changes in healthcare reimbursement and payment models due to the Affordable Care Act in the United States have the potential to transform how providers care for chronic diseases such as diabetes. Payment experimentation has provided insights into how changing incentives for primary care providers can yield improvements in the triple aim: improving patient experience, improving the health of populations, and reducing costs of healthcare. Much of this has involved leveraging widespread adoption of the patient-centered medical home (PCMH) with diabetes often the focus. While evidence is mounting that the PCMH can improve diabetes outcomes, some PCMH demonstrations have displayed mixed results. One of the first large-scale PCMH demonstrations developed around diabetes was conducted by the Commonwealth of Pennsylvania. Different payment models were employed across a series of staggered regional rollouts that provided a case study for the influence of innovative payment models. These learning laboratories provide insights into the role of reimbursement models and changes in how practice transformation is implemented. Ultimately, evolving payment systems focused on the total cost of care, such as Accountable Care Organizations, hold promise to transform diabetes care and produce significant cost savings through the prevention of complications.

  14. Formas de potássio em solos representativos do Estado da Paraíba

    Directory of Open Access Journals (Sweden)

    Jailma dos Santos de Medeiros

    Full Text Available Os solos do Estado da Paraíba apresentam grande diversidade de características químicas, físicas e mineralógicas, acarretando em variações nos teores e formas de K disponíveis no solo. Objetivou-se com este trabalho avaliar os teores de K não-trocável, K trocável e K solúvel em doze solos do Estado da Paraíba, na ausência e na presença de fertilização potássica, e correlacioná-los com as características químicas, físicas e mineralógicas desses solos. O estudo constou de 60 tratamentos, sendo 12 solos e cinco doses de K (0; 50; 100; 200 e 300 mg dm-3 na forma de cloreto de potássio, com três repetições. Após receberem os tratamentos, os solos foram incubados por um período de 21 dias, e em seguida, uma sub-amostra de 0,2 dm³ de cada solo foi retirada para determinação dos teores de K não-trocável, K trocável e K solúvel. Os solos formados sob clima semiárido foram os solos que apresentaram as maiores reservas de K não-trocável. Solos com maior proporção de mica e minerais do tipo 2:1 na fração argila apresentaram os maiores teores de K não-trocável e K trocável. Independente do grupo de solos, os teores de silte apresentaram correlação elevada com os teores de K não-trocável e de K trocável. Nos solos mais desenvolvidos, não foi evidenciada fixação de K proveniente do fertilizante. Porém, nos solos menos desenvolvidos, a fixação de K ficou evidenciada pela pequena quantidade de K recuperada pelo extrator acetato de amônio nos solos mais argilosos e, principalmente, naqueles com predominância de minerais do tipo 2:1 e mica.

  15. Dose dependency of outcomes of intrapleural fibrinolytic therapy in new rabbit empyema models

    Science.gov (United States)

    Florova, Galina; Azghani, Ali O.; Buchanan, Ann; Boren, Jake; Allen, Timothy; Rahman, Najib M.; Koenig, Kathleen; Chamiso, Mignote; Karandashova, Sophia; Henry, James; Idell, Steven

    2016-01-01

    The incidence of empyema (EMP) is increasing worldwide; EMP generally occurs with pleural loculation and impaired drainage is often treated with intrapleural fibrinolytic therapy (IPFT) or surgery. A number of IPFT options are used clinically with empiric dosing and variable outcomes in adults. To evaluate mechanisms governing intrapleural fibrinolysis and disease outcomes, models of Pasteurella multocida and Streptococcus pneumoniae were generated in rabbits and the animals were treated with either human tissue (tPA) plasminogen activator or prourokinase (scuPA). Rabbit EMP was characterized by the development of pleural adhesions detectable by chest ultrasonography and fibrinous coating of the pleura. Similar to human EMP, rabbits with EMP accumulated sizable, 20- to 40-ml fibrinopurulent pleural effusions associated with extensive intrapleural organization, significantly increased pleural thickness, suppression of fibrinolytic and plasminogen-activating activities, and accumulation of high levels of plasminogen activator inhibitor 1, plasminogen, and extracellular DNA. IPFT with tPA (0.145 mg/kg) or scuPA (0.5 mg/kg) was ineffective in rabbit EMP (n = 9 and 3 for P. multocida and S. pneumoniae, respectively); 2 mg/kg tPA or scuPA IPFT (n = 5) effectively cleared S. pneumoniae-induced EMP collections in 24 h with no bleeding observed. Although intrapleural fibrinolytic activity for up to 40 min after IPFT was similar for effective and ineffective doses of fibrinolysin, it was lower for tPA than for scuPA treatments. These results demonstrate similarities between rabbit and human EMP, the importance of pleural fluid PAI-1 activity, and levels of plasminogen in the regulation of intrapleural fibrinolysis and illustrate the dose dependency of IPFT outcomes in EMP. PMID:27343192

  16. Animal models for clinical and gestational diabetes: maternal and fetal outcomes

    Directory of Open Access Journals (Sweden)

    Kiss Ana CI

    2009-10-01

    Full Text Available Abstract Background Diabetes in pregnant women is associated with an increased risk of maternal and neonatal morbidity and remains a significant medical challenge. Diabetes during pregnancy may be divided into clinical diabetes and gestational diabetes. Experimental models are developed with the purpose of enhancing understanding of the pathophysiological mechanisms of diseases that affect humans. With regard to diabetes in pregnancy, experimental findings from models will lead to the development of treatment strategies to maintain a normal metabolic intrauterine milieu, improving perinatal development by preventing fetal growth restriction or macrosomia. Based on animal models of diabetes during pregnancy previously reported in the medical literature, the present study aimed to compare the impact of streptozotocin-induced severe (glycemia >300 mg/dl and mild diabetes (glycemia between 120 and 300 mg/dl on glycemia and maternal reproductive and fetal outcomes of Wistar rats to evaluate whether the animal model reproduces the maternal and perinatal results of clinical and gestational diabetes in humans. Methods On day 5 of life, 96 female Wistar rats were assigned to three experimental groups: control (n = 16, severe (n = 50 and mild diabetes (n = 30. At day 90 of life, rats were mated. On day 21 of pregnancy, rats were killed and their uterine horns were exposed to count implantation and fetus numbers to determine pre- and post-implantation loss rates. The fetuses were classified according to their birth weight. Results Severe and mild diabetic dams showed different glycemic responses during pregnancy, impairing fetal glycemia and weight, confirming that maternal glycemia is directly associated with fetal development. Newborns from severe diabetic mothers presented growth restriction, but mild diabetic mothers were not associated with an increased rate of macrosomic fetuses. Conclusion Experimental models of severe diabetes during pregnancy

  17. ARTIKULASI IDENTITAS WONG SOLO DI EKS ENKLAVE SURAKARTA: KONSTRUKSI BAHASA DAN PEMERTAHANANNYA

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    Sulistyowati .

    2014-06-01

    Full Text Available Culturally Kotagede and Imogiri consist of the ex enclave regions of Surakarta which are called Kotagede SK and Imogiri SK. The community of the ex Surakarta enclave is also known as Wong Solo. This article describes the existence of Wong Solo in Surakarta ex enclave in maintaining its identities. The label of priyayi, courteous, alus, glamorous, and umuk attached to Wong Solo articulated through language practices and material culture. Historical and sociocultural perspective used to describe the verbal expression as identity markers and narratives elicited through etnographic work. It is assumed that the romanticism of the elite, class consciousness, and awareness of the preservation of tradition dominate retention Wong Solo. Cultural agencies, Surakarta and Yogyakarta Palace in the historical affinity presented by abdi dalem juru kunci of the kings of Mataram cemetery become binding factor of Wong Solo identity in Surakarta ex enclave.

  18. A 76-year old man with a torn Freedom SOLO bioprosthesis.

    Science.gov (United States)

    Wollersheim, Laurens W; Li, Wilson W; van der Meulen, Jan; de Mol, Bas A

    2014-01-01

    We describe a case of a 76-year old male who presented with progressive dyspnoea. He underwent an aortic valve replacement with a Freedom SOLO bioprosthesis 6 years ago. Transthoracic echocardiography showed a moderate-to-severe leakage of the Freedom SOLO bioprosthesis. During surgical reintervention, a partial tear of the left coronary cusp was seen from the commissure of the right coronary cusp to its base. After radiographic and microscopic examination, no clear cause was found for the failure of this Freedom SOLO bioprosthesis. To our knowledge, this is the third failure of a Freedom SOLO bioprosthesis reported in the literature. When the long-term follow-up of the Freedom SOLO bioprosthesis is available, it has to be compared with other bioprosthesis for long-term durability.

  19. African-American Solo Grandparents Raising Grandchildren: A Representative Profile of Their Health Status.

    Science.gov (United States)

    Whitley, Deborah M; Fuller-Thomson, Esme

    2017-04-01

    The objective of this study is to document the health profile of 252 African-American grandparents raising their grandchildren solo, compared with 1552 African-American single parents. The 2012 Behavior Risk Factor Surveillance System is used to compare the specific physical and mental health profiles of these two family groups. The findings suggest solo grandparents have prevalence of many health conditions, including arthritis (50.3 %), diabetes (20.1 %), heart attack (16.6 %) and coronary heart disease (16.6 %). Logistic regression analyses suggest that solo grandparents have much higher odds of several chronic health disorders in comparison with single parents, but this difference is largely explained by age. Although solo grandparents have good access to health care insurance and primary care providers, a substantial percentage (44 %) rate their health as fair or poor. Practice interventions to address African American solo grandparents' health needs are discussed.

  20. Feasibility of four-arm robotic lobectomy as solo surgery in patients with clinical stage I lung cancer.

    Science.gov (United States)

    Park, Seong Yong; Suh, Jee Won; Narm, Kyoung Sik; Lee, Chang Young; Lee, Jin Gu; Paik, Hyo Chae; Chung, Kyoung Young; Kim, Dae Joon

    2017-06-01

    This study was performed to investigate the feasibility of four-arm robotic lobectomy (FARL) as a solo surgical technique in patients with non-small cell lung cancer (NSCLC). Early outcome and long-term survival of FARL were compared with those of video-assisted thoracoscopic lobectomy (VATL). Prospective enrollment of patients with clinical stage I NSCLC undergoing FARL or VATL (20 patients in each group) was planned. Interim analysis for early postoperative outcome was performed after the initial 10 cases in each group. The study was terminated early because of safety issues in the FARL group after enrollment of 12 FARL and 17 VATL patients from 2011 to 2012. There were no differences in clinical characteristics between groups. Lobectomy time and total operation time were significantly longer in the FARL group (P=0.003). There were three life-threatening events in the FARL group (2 bleedings, 1 bronchus tear) that necessitated thoracotomy conversion in 1 patient. There were no differences in other operative outcomes including pain score, complications, or length of hospital stay. Pathologic stage and number of dissected lymph nodes (LNs) were also comparable. During a follow-up of 48.9±9.5 months, recurrence was identified in 2 (16.7%) patients in FARL group and 3 (23.5%) in VATL group. Five-year overall survival (100% vs . 87.5%, P=0.386) and disease-free survival (82.5% vs . 75.6%, P=0.589) were comparable. FARL as solo surgery could not be recommended because of safety issues. It required a longer operation time and had no benefits over VATL in terms of early postoperative outcome or long-term survival.

  1. Risk-adjusted Outcomes of Clinically Relevant Pancreatic Fistula Following Pancreatoduodenectomy: A Model for Performance Evaluation.

    Science.gov (United States)

    McMillan, Matthew T; Soi, Sameer; Asbun, Horacio J; Ball, Chad G; Bassi, Claudio; Beane, Joal D; Behrman, Stephen W; Berger, Adam C; Bloomston, Mark; Callery, Mark P; Christein, John D; Dixon, Elijah; Drebin, Jeffrey A; Castillo, Carlos Fernandez-Del; Fisher, William E; Fong, Zhi Ven; House, Michael G; Hughes, Steven J; Kent, Tara S; Kunstman, John W; Malleo, Giuseppe; Miller, Benjamin C; Salem, Ronald R; Soares, Kevin; Valero, Vicente; Wolfgang, Christopher L; Vollmer, Charles M

    2016-08-01

    To evaluate surgical performance in pancreatoduodenectomy using clinically relevant postoperative pancreatic fistula (CR-POPF) occurrence as a quality indicator. Accurate assessment of surgeon and institutional performance requires (1) standardized definitions for the outcome of interest and (2) a comprehensive risk-adjustment process to control for differences in patient risk. This multinational, retrospective study of 4301 pancreatoduodenectomies involved 55 surgeons at 15 institutions. Risk for CR-POPF was assessed using the previously validated Fistula Risk Score, and pancreatic fistulas were stratified by International Study Group criteria. CR-POPF variability was evaluated and hierarchical regression analysis assessed individual surgeon and institutional performance. There was considerable variability in both CR-POPF risk and occurrence. Factors increasing the risk for CR-POPF development included increasing Fistula Risk Score (odds ratio 1.49 per point, P ratio 3.30, P performance outliers were identified at the surgeon and institutional levels. Of the top 10 surgeons (≥15 cases) for nonrisk-adjusted performance, only 6 remained in this high-performing category following risk adjustment. This analysis of pancreatic fistulas following pancreatoduodenectomy demonstrates considerable variability in both the risk and occurrence of CR-POPF among surgeons and institutions. Disparities in patient risk between providers reinforce the need for comprehensive, risk-adjusted modeling when assessing performance based on procedure-specific complications. Furthermore, beyond inherent patient risk factors, surgical decision-making influences fistula outcomes.

  2. Cancer imaging phenomics toolkit: quantitative imaging analytics for precision diagnostics and predictive modeling of clinical outcome.

    Science.gov (United States)

    Davatzikos, Christos; Rathore, Saima; Bakas, Spyridon; Pati, Sarthak; Bergman, Mark; Kalarot, Ratheesh; Sridharan, Patmaa; Gastounioti, Aimilia; Jahani, Nariman; Cohen, Eric; Akbari, Hamed; Tunc, Birkan; Doshi, Jimit; Parker, Drew; Hsieh, Michael; Sotiras, Aristeidis; Li, Hongming; Ou, Yangming; Doot, Robert K; Bilello, Michel; Fan, Yong; Shinohara, Russell T; Yushkevich, Paul; Verma, Ragini; Kontos, Despina

    2018-01-01

    The growth of multiparametric imaging protocols has paved the way for quantitative imaging phenotypes that predict treatment response and clinical outcome, reflect underlying cancer molecular characteristics and spatiotemporal heterogeneity, and can guide personalized treatment planning. This growth has underlined the need for efficient quantitative analytics to derive high-dimensional imaging signatures of diagnostic and predictive value in this emerging era of integrated precision diagnostics. This paper presents cancer imaging phenomics toolkit (CaPTk), a new and dynamically growing software platform for analysis of radiographic images of cancer, currently focusing on brain, breast, and lung cancer. CaPTk leverages the value of quantitative imaging analytics along with machine learning to derive phenotypic imaging signatures, based on two-level functionality. First, image analysis algorithms are used to extract comprehensive panels of diverse and complementary features, such as multiparametric intensity histogram distributions, texture, shape, kinetics, connectomics, and spatial patterns. At the second level, these quantitative imaging signatures are fed into multivariate machine learning models to produce diagnostic, prognostic, and predictive biomarkers. Results from clinical studies in three areas are shown: (i) computational neuro-oncology of brain gliomas for precision diagnostics, prediction of outcome, and treatment planning; (ii) prediction of treatment response for breast and lung cancer, and (iii) risk assessment for breast cancer.

  3. Evaluating the Outcomes of Students’ Training in the Context of Information Technology Model of Education

    Directory of Open Access Journals (Sweden)

    B. Y. Staritchenko

    2013-01-01

    Full Text Available The paper deals with the urgent problem of estimating the students training quality in higher educational institutions; the authors emphasize the need for transition to the European Credit Transfer System (ECTS corresponding with the Bologna Declaration in order to provide both academic and labor mobility of students and university graduates. The system of credit accumulation is described according to the ECTS grading scale along with the specifics of its implementation in the Russian universities. However, as the statistic success criterion can not be applied to the Russian higher schools, the author recommends using the percentage of a performed task as the outcome index indicating the discipline mastering. The algorithm of academic activity and its outcome estimation is observed in the framework of the IT-educational model. The examples of planning the content of the discipline basic minimum are given along with the complexity valuation, timing and credit distribution. The formula for identifying the volume and individual task assessment are given; the possibility of combining the national assessment scale with ECTS is denoted.

  4. Nursing practice environment, job outcomes and safety climate: a structural equation modelling analysis.

    Science.gov (United States)

    Dos Santos Alves, Daniela Fernanda; da Silva, Dirceu; de Brito Guirardello, Edinêis

    2017-01-01

    To assess correlations between the characteristics of the nursing practice environment, job outcomes and safety climate. The nursing practice environment is critical to the well-being of professionals and to patient safety, as highlighted by national and international studies; however, there is a lack of evidence regarding this theme in paediatric units. A cross-sectional study, in two paediatric hospitals in Brazil, was conducted from December 2013 to February 2014. For data collection, we used the Nursing Work Index - Revised, Safety Attitudes Questionnaire - Short Form 2006 and the Maslach Burnout Inventory, and for analysis Spearman's correlation coefficient and structural equation modelling were used. Two hundred and sixty-seven professional nurses participated in the study. Autonomy, control over the work environment and the relationship between nursing and medical staff are factors associated with job outcomes and safety climate and can be considered their predictors. Professional nurses with greater autonomy, good working relationships and control over their work environment have lower levels of emotional exhaustion, higher job satisfaction, less intention of leaving the job and the safety climate is positive. Initiatives to improve the professional practice environment can improve the safety of paediatric patients and the well-being of professional nurses. © 2016 John Wiley & Sons Ltd.

  5. Interplay between Solo and keratin filaments is crucial for mechanical force-induced stress fiber reinforcement.

    Science.gov (United States)

    Fujiwara, Sachiko; Ohashi, Kazumasa; Mashiko, Toshiya; Kondo, Hiroshi; Mizuno, Kensaku

    2016-03-15

    Mechanical force-induced cytoskeletal reorganization is essential for cell and tissue remodeling and homeostasis; however, the underlying cellular mechanisms remain elusive. Solo (ARHGEF40) is a RhoA-targeting guanine nucleotide exchange factor (GEF) involved in cyclical stretch-induced human endothelial cell reorientation and convergent extension cell movement in zebrafish gastrula. In this study, we show that Solo binds to keratin-8/keratin-18 (K8/K18) intermediate filaments through multiple sites. Solo overexpression promotes the formation of thick actin stress fibers and keratin bundles, whereas knockdown of Solo, expression of a GEF-inactive mutant of Solo, or inhibition of ROCK suppresses stress fiber formation and leads to disorganized keratin networks, indicating that the Solo-RhoA-ROCK pathway serves to precisely organize keratin networks, as well as to promote stress fibers. Of importance, knockdown of Solo or K18 or overexpression of GEF-inactive or deletion mutants of Solo suppresses tensile force-induced stress fiber reinforcement. Furthermore, knockdown of Solo or K18 suppresses tensile force-induced RhoA activation. These results strongly suggest that the interplay between Solo and K8/K18 filaments plays a crucial role in tensile force-induced RhoA activation and consequent actin cytoskeletal reinforcement. © 2016 Fujiwara et al. This article is distributed by The American Society for Cell Biology under license from the author(s). Two months after publication it is available to the public under an Attribution–Noncommercial–Share Alike 3.0 Unported Creative Commons License (http://creativecommons.org/licenses/by-nc-sa/3.0).

  6. Projecting Sexual and Injecting HIV Risks into Future Outcomes with Agent-Based Modeling

    Science.gov (United States)

    Bobashev, Georgiy V.; Morris, Robert J.; Zule, William A.

    Longitudinal studies of health outcomes for HIV could be very costly cumbersome and not representative of the risk population. Conversely, cross-sectional approaches could be representative but rely on the retrospective information to estimate prevalence and incidence. We present an Agent-based Modeling (ABM) approach where we use behavioral data from a cross-sectional representative study and project the behavior into the future so that the risks of acquiring HIV could be studied in a dynamical/temporal sense. We show how the blend of behavior and contact network factors (sexual, injecting) play the role in the risk of future HIV acquisition and time till obtaining HIV. We show which subjects are the most likely persons to get HIV in the next year, and whom they are likely to infect. We examine how different behaviors are related to the increase or decrease of HIV risks and how to estimate the quantifiable risk measures such as survival HIV free.

  7. From scientific discovery to health outcomes: A synergistic model of doctoral nursing education.

    Science.gov (United States)

    Michael, Melanie J; Clochesy, John M

    2016-05-01

    Across the globe, health system leaders and stakeholder are calling for system-level reforms in education, research, and practice to accelerate the uptake and application of new knowledge in practice and to improve health care delivery and health outcomes. An evolving bi-dimensional research-practice focused model of doctoral nursing education in the U.S. is creating unprecedented opportunities for collaborative translational and investigative efforts for nurse researchers and practitioners. The nursing academy must commit to a shared goal of preparing future generations of nurse scientists and practitioners with the capacity and motivation to work together to accelerate the translation of evidence into practice in order to place nursing at the forefront of health system improvement efforts and advance the profession. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Patient-reported outcomes in insomnia: development of a conceptual framework and endpoint model.

    Science.gov (United States)

    Kleinman, Leah; Buysse, Daniel J; Harding, Gale; Lichstein, Kenneth; Kalsekar, Anupama; Roth, Thomas

    2013-01-01

    This article describes qualitative research conducted with patients with clinical diagnoses of insomnia and focuses on the development of a conceptual framework and endpoint model that identifies a hierarchy and interrelationships of potential outcomes in insomnia research. Focus groups were convened to discuss how patients experience insomnia and to generate items for patient-reported questionnaires on insomnia and associated daytime consequences. Results for the focus group produced two conceptual frameworks: one for sleep and one for daytime impairment. Each conceptual framework consists of hypothesized domains and items in each domain based on patient language taken from the focus group. These item pools may ultimately serve as a basis to develop new questionnaires to assess insomnia.

  9. Stem Cells for Cartilage Repair: Preclinical Studies and Insights in Translational Animal Models and Outcome Measures

    Directory of Open Access Journals (Sweden)

    Melissa Lo Monaco

    2018-01-01

    Full Text Available Due to the restricted intrinsic capacity of resident chondrocytes to regenerate the lost cartilage postinjury, stem cell-based therapies have been proposed as a novel therapeutic approach for cartilage repair. Moreover, stem cell-based therapies using mesenchymal stem cells (MSCs or induced pluripotent stem cells (iPSCs have been used successfully in preclinical and clinical settings. Despite these promising reports, the exact mechanisms underlying stem cell-mediated cartilage repair remain uncertain. Stem cells can contribute to cartilage repair via chondrogenic differentiation, via immunomodulation, or by the production of paracrine factors and extracellular vesicles. But before novel cell-based therapies for cartilage repair can be introduced into the clinic, rigorous testing in preclinical animal models is required. Preclinical models used in regenerative cartilage studies include murine, lapine, caprine, ovine, porcine, canine, and equine models, each associated with its specific advantages and limitations. This review presents a summary of recent in vitro data and from in vivo preclinical studies justifying the use of MSCs and iPSCs in cartilage tissue engineering. Moreover, the advantages and disadvantages of utilizing small and large animals will be discussed, while also describing suitable outcome measures for evaluating cartilage repair.

  10. Stem Cells for Cartilage Repair: Preclinical Studies and Insights in Translational Animal Models and Outcome Measures.

    Science.gov (United States)

    Lo Monaco, Melissa; Merckx, Greet; Ratajczak, Jessica; Gervois, Pascal; Hilkens, Petra; Clegg, Peter; Bronckaers, Annelies; Vandeweerd, Jean-Michel; Lambrichts, Ivo

    2018-01-01

    Due to the restricted intrinsic capacity of resident chondrocytes to regenerate the lost cartilage postinjury, stem cell-based therapies have been proposed as a novel therapeutic approach for cartilage repair. Moreover, stem cell-based therapies using mesenchymal stem cells (MSCs) or induced pluripotent stem cells (iPSCs) have been used successfully in preclinical and clinical settings. Despite these promising reports, the exact mechanisms underlying stem cell-mediated cartilage repair remain uncertain. Stem cells can contribute to cartilage repair via chondrogenic differentiation, via immunomodulation, or by the production of paracrine factors and extracellular vesicles. But before novel cell-based therapies for cartilage repair can be introduced into the clinic, rigorous testing in preclinical animal models is required. Preclinical models used in regenerative cartilage studies include murine, lapine, caprine, ovine, porcine, canine, and equine models, each associated with its specific advantages and limitations. This review presents a summary of recent in vitro data and from in vivo preclinical studies justifying the use of MSCs and iPSCs in cartilage tissue engineering. Moreover, the advantages and disadvantages of utilizing small and large animals will be discussed, while also describing suitable outcome measures for evaluating cartilage repair.

  11. Patterns of Use of an Agent-Based Model and a System Dynamics Model: The Application of Patterns of Use and the Impacts on Learning Outcomes

    Science.gov (United States)

    Thompson, Kate; Reimann, Peter

    2010-01-01

    A classification system that was developed for the use of agent-based models was applied to strategies used by school-aged students to interrogate an agent-based model and a system dynamics model. These were compared, and relationships between learning outcomes and the strategies used were also analysed. It was found that the classification system…

  12. Towards single embryo transfer? Modelling clinical outcomes of potential treatment choices using multiple data sources: predictive models and patient perspectives.

    Science.gov (United States)

    Roberts, Sa; McGowan, L; Hirst, Wm; Brison, Dr; Vail, A; Lieberman, Ba

    2010-07-01

    In vitro fertilisation (IVF) treatments involve an egg retrieval process, fertilisation and culture of the resultant embryos in the laboratory, and the transfer of embryos back to the mother over one or more transfer cycles. The first transfer is usually of fresh embryos and the remainder may be cryopreserved for future frozen cycles. Most commonly in UK practice two embryos are transferred (double embryo transfer, DET). IVF techniques have led to an increase in the number of multiple births, carrying an increased risk of maternal and infant morbidity. The UK Human Fertilisation and Embryology Authority (HFEA) has adopted a multiple birth minimisation strategy. One way of achieving this would be by increased use of single embryo transfer (SET). To collate cohort data from treatment centres and the HFEA; to develop predictive models for live birth and twinning probabilities from fresh and frozen embryo transfers and predict outcomes from treatment scenarios; to understand patients' perspectives and use the modelling results to investigate the acceptability of twin reduction policies. A multidisciplinary approach was adopted, combining statistical modelling with qualitative exploration of patients' perspectives: interviews were conducted with 27 couples at various stages of IVF treatment at both UK NHS and private clinics; datasets were collated of over 90,000 patients from the HFEA registry and nearly 9000 patients from five clinics, both over the period 2000-5; models were developed to determine live birth and twin outcomes and predict the outcomes of policies for selecting patients for SET or DET in the fresh cycle following egg retrieval and fertilisation, and the predictions were used in simulations of treatments; two focus groups were convened, one NHS and one web based on a patient organisation's website, to present the results of the statistical analyses and explore potential treatment policies. The statistical analysis revealed no characteristics that

  13. Outcomes of an innovative model of acute delirium care: the Geriatric Monitoring Unit (GMU

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    Chong MS

    2014-04-01

    Full Text Available Mei Sian Chong, Mark Chan, Laura Tay, Yew Yoong Ding Department of Geriatric Medicine, Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore Objective: Delirium is associated with poor outcomes following acute hospitalization. The Geriatric Monitoring Unit (GMU is a specialized five-bedded unit for acute delirium care. It is modeled after the Delirium Room program, with adoption of core interventions from the Hospital Elder Life Program and use of evening light therapy to consolidate circadian rhythms and improve sleep in older inpatients. This study examined whether the GMU program improved outcomes in delirious patients. Method: A total of 320 patients, including 47 pre-GMU, 234 GMU, and 39 concurrent control subjects, were studied. Clinical characteristics, cognitive status, functional status (Modified Barthel Index [MBI], and chemical restraint-use data were obtained. We also looked at in-hospital complications of falls, pressure ulcers, nosocomial infection rate, and discharge destination. Secondary outcomes of family satisfaction (for the GMU subjects were collected. Results: There were no significant demographic differences between the three groups. Pre-GMU subjects had longer duration of delirium and length of stay. MBI improvement was most evident in the GMU compared with pre-GMU and control subjects (19.2±18.3, 7.5±11.2, 15.1±18.0, respectively (P<0.05. The GMU subjects had a zero restraint rate, and pre-GMU subjects had higher antipsychotic dosages. This translated to lower pressure ulcer and nosocomial infection rate in the GMU (4.1% and 10.7%, respectively and control (1.3% and 7.7%, respectively subjects compared with the pre-GMU (9.1% and 23.4%, respectively subjects (P<0.05. No differences were observed in mortality or discharge destination among the three groups. Caregivers of GMU subjects felt the multicomponent intervention to be useful, with scheduled activities voted the most beneficial in patient

  14. Should the IDC-9 Trauma Mortality Prediction Model become the new paradigm for benchmarking trauma outcomes?

    Science.gov (United States)

    Haider, Adil H; Villegas, Cassandra V; Saleem, Taimur; Efron, David T; Stevens, Kent A; Oyetunji, Tolulope A; Cornwell, Edward E; Bowman, Stephen; Haack, Sara; Baker, Susan P; Schneider, Eric B

    2012-06-01

    Optimum quantification of injury severity remains an imprecise science with a need for improvement. The accuracy of the criterion standard Injury Severity Score (ISS) worsens as a patient's injury severity increases, especially among patients with penetrating trauma. The objective of this study was to comprehensively compare the mortality prediction ability of three anatomic injury severity indices: the ISS, the New ISS (NISS), and the DRG International Classification of Diseases-9th Rev.-Trauma Mortality Prediction Model (TMPM-ICD-9), a recently developed contemporary injury assessment model. Retrospective analysis of patients in the National Trauma Data Bank from 2007 to 2008. The TMPM-ICD-9 values were computed and compared with the ISS and NISS for each patient using in-hospital mortality after trauma as the outcome measure. Discrimination and calibration were compared using the area under the receiver operator characteristic curve. Subgroup analysis was performed to compare each score across varying ranges of injury severity and across different types of injury. A total of 533,898 patients were identified with a crude mortality rate of 4.7%. The ISS and NISS performed equally in the groups with minor (ISS, 1-8) and moderate (ISS, 9-15) injuries, regardless of the injury type. However, in the populations with severe (ISS, 16-24) and very severe (ISS, ≥ 25) injuries for all injury types, the NISS predicted mortality better than the ISS did. The TMPM-ICD-9 outperformed both the NISS and ISS almost consistently. The NISS and TMPM-ICD-9 are both superior predictors of mortality as compared with the ISS. The immediate adoption of NISS for evaluating trauma outcomes using trauma registry data is recommended. The TMPM-ICD-9 may be an even better measure of human injury, and its use in administrative or nonregistry data is suggested. Further research on its attributes is recommended because it has the potential to become the basis for benchmarking trauma outcomes

  15. Mapeamento preliminar de solos com horizonte B textural e B nítico na região de Lavras, MG Preliminary mapping of alfisols and ultisols in the region of Lavras, MG

    Directory of Open Access Journals (Sweden)

    Marilusa Pinto Coelho Lacerda

    2009-06-01

    Full Text Available Estudos de caracterização de solos e estabelecimento de relações entre pedologia, geologia e geomorfologia permitem a elaboração de modelos preditivos da distribuição dos solos na paisagem. Objetivou-se, com o presente trabalho, estudar estas relações, com a finalidade de representar a distribuição de solos com horizonte B textural e B nítico na paisagem da região de Lavras, MG, por intermédio da geração de mapa preliminar de solos, utilizando técnicas de geoprocessamento. Os estudos foram realizados em solos com horizonte B textural e B nítico, uma vez que esses solos apresentam características relacionadas à variação da composição geoquímica das rochas ígneas de origem, refletindo-se em vários atributos dos solos, enfatizando a cor e o teor de Fe2O3. Foram realizadas campanhas de campo com avaliações morfológicas, físicas e químicas de perfis de solos representativos, desenvolvidos a partir de unidades geológicas de composições geoquímicas distintas, estabelecendo as relações pedogeológicas. Verificou-se, também, a distribuição dos solos na paisagem, com o estabelecimento das relações pedogeomorfológicas. Foi constatado que tais solos são desenvolvidos na região em relevo caracterizado por classes de declividade de 12 a 45%, originando diferentes classes de solos com horizonte B textural e B nítico, diretamente relacionados à variação do material de origem. Os critérios estabelecidos nas relações entre pedologia, geologia e geomorfologia permitiram avaliar a distribuição dos solos na paisagem estudada e a geração do mapa preliminar de solos, com individualização de solos com horizonte B textural e B nítico.Studies of characterization of soils and establishment of relationships among pedology, geology and geomorphology allow the elaboration of models of soil distribution in landscaping. This study aimed at studies of this nature, with the purpose of representing the distribution of

  16. Solo dwarfs I: survey introduction and first results for the Sagittarius dwarf irregular galaxy

    Science.gov (United States)

    Higgs, C. R.; McConnachie, A. W.; Irwin, M.; Bate, N. F.; Lewis, G. F.; Walker, M. G.; Côté, P.; Venn, K.; Battaglia, G.

    2016-05-01

    We introduce the Solitary Local dwarfs survey (Solo), a wide-field photometric study targeting every isolated dwarf galaxy within 3 Mpc of the Milky Way. Solo is based on (u)gi multiband imaging from Canada-France-Hawaii Telescope/MegaCam for northern targets, and Magellan/Megacam for southern targets. All galaxies fainter than MV ≃ -18 situated beyond the nominal virial radius of the Milky Way and M31 (≳300 kpc) are included in this volume-limited sample, for a total of 42 targets. In addition to reviewing the survey goals and strategy, we present results for the Sagittarius dwarf irregular galaxy (Sag DIG), one of the most isolated, low-mass galaxies, located at the edge of the Local Group. We analyse its resolved stellar populations and their spatial distributions. We provide updated estimates of its central surface brightness and integrated luminosity, and trace its surface brightness profile to a level fainter than 30 mag arcsec-2. Sag DIG is well described by a highly elliptical (disc-like) system following a single component Sérsic model. However, a low-level distortion is present at the outer edges of the galaxy that, were Sag DIG not so isolated, would likely be attributed to some kind of previous tidal interaction. Further, we find evidence of an extremely low level, extended distribution of stars beyond ˜5 arcmin (>1.5 kpc) that suggests Sag DIG may be embedded in a very low-density stellar halo. We compare the stellar and H I structures of Sag DIG, and discuss results for this galaxy in relation to other isolated, dwarf irregular galaxies in the Local Group.

  17. Are anti-inflammatory agents effective in treating gingivitis as solo or adjunct therapies? A systematic review.

    Science.gov (United States)

    Polak, David; Martin, Conchita; Sanz-Sánchez, Ignacio; Beyth, Nurit; Shapira, Lior

    2015-04-01

    Systematically review the scientific evidence for efficiency of anti-inflammatory agents against gingivitis, either as solo treatments or adjunctive therapies. A protocol was developed aimed to answer the following focused question: "Are anti-inflammatory agents effective in treating gingivitis as solo or adjunct therapies?" RCTs and cohort studies on anti-inflammatory agents against gingivitis studies were searched electronically. Screening, data extraction and quality assessment were conducted. The primary outcome measures were indices of gingival inflammation. A sub-analysis was performed dividing the active agents into anti-inflammatory and other drugs. The search identified 3188 studies, of which 14 RCTs met the inclusion criteria. The use of anti-inflammatory or other agents, in general showed a higher reduction in the test than in the control in terms of gingival indexes and bleeding scores. Only two RCTs on inflammatory drugs could be meta-analysed, showing a statistically significant reduction in the GI in the experimental group [WMD = -0.090; 95% CI (-0.105; -0.074); p = 0.000]. However, the contribution of both studies to the global result was unbalanced (% weight: 99.88 and 0.12 respectively). Most of the tested material showed beneficial effect as anti-inflammatory agents against gingivitis, either as a single treatment modality or as an adjunctive therapy. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  18. Monitoring risk-adjusted outcomes in congenital heart surgery: does the appropriateness of a risk model change with time?

    Science.gov (United States)

    Tsang, Victor T; Brown, Katherine L; Synnergren, Mats Johanssen; Kang, Nicholas; de Leval, Marc R; Gallivan, Steve; Utley, Martin

    2009-02-01

    Risk adjustment of outcomes in pediatric congenital heart surgery is challenging due to the great diversity in diagnoses and procedures. We have previously shown that variable life-adjusted display (VLAD) charts provide an effective graphic display of risk-adjusted outcomes in this specialty. A question arises as to whether the risk model used remains appropriate over time. We used a recently developed graphic technique to evaluate the performance of an existing risk model among those patients at a single center during 2000 to 2003 originally used in model development. We then compared the distribution of predicted risk among these patients with that among patients in 2004 to 2006. Finally, we constructed a VLAD chart of risk-adjusted outcomes for the latter period. Among 1083 patients between April 2000 and March 2003, the risk model performed well at predicted risks above 3%, underestimated mortality at 2% to 3% predicted risk, and overestimated mortality below 2% predicted risk. There was little difference in the distribution of predicted risk among these patients and among 903 patients between June 2004 and October 2006. Outcomes for the more recent period were appreciably better than those expected according to the risk model. This finding cannot be explained by any apparent bias in the risk model combined with changes in case-mix. Risk models can, and hopefully do, become out of date. There is scope for complacency in the risk-adjusted audit if the risk model used is not regularly recalibrated to reflect changing standards and expectations.

  19. A New Statistical Method to Determine the Degree of Validity of Health Economic Model Outcomes against Empirical Data.

    NARCIS (Netherlands)

    Corro Ramos, Isaac; van Voorn, George A K; Vemer, Pepijn; Feenstra, Talitha L; Al, Maiwenn J

    2017-01-01

    The validation of health economic (HE) model outcomes against empirical data is of key importance. Although statistical testing seems applicable, guidelines for the validation of HE models lack guidance on statistical validation, and actual validation efforts often present subjective judgment of

  20. Non-contact measurement of rotation angle with solo camera

    Science.gov (United States)

    Gan, Xiaochuan; Sun, Anbin; Ye, Xin; Ma, Liqun

    2015-02-01

    For the purpose to measure a rotation angle around the axis of an object, a non-contact rotation angle measurement method based on solo camera was promoted. The intrinsic parameters of camera were calibrated using chessboard on principle of plane calibration theory. The translation matrix and rotation matrix between the object coordinate and the camera coordinate were calculated according to the relationship between the corners' position on object and their coordinates on image. Then the rotation angle between the measured object and the camera could be resolved from the rotation matrix. A precise angle dividing table (PADT) was chosen as the reference to verify the angle measurement error of this method. Test results indicated that the rotation angle measurement error of this method did not exceed +/- 0.01 degree.

  1. On the relationship between justice judgments, outcomes and identity orientations among Iranian EFL learners: A structural equation model

    Directory of Open Access Journals (Sweden)

    Seyyed Ayatollah Razmjoo

    2015-06-01

    Full Text Available One problem which can be observed in the field of EFL/ESL learning is that a number of English major BA and MA students are not highly committed to their major and decide not to continue their graduate studies. Sometimes even graduate students from English majors prefer to extend their education or work in an unrelated field. This might be attributed to the extent to which they perceive evaluation procedures and outcomes as fair. Considering this, the present study investigates first the relationships between justice judgments, outcomes and identity orientations. The study, then, uses structural equation modeling in order to examine whether identity orientation has any mediating effect on the relationship between justice judgment and outcomes. Participants were74 students in Department of Foreign Languages and Linguistics, Shiraz University selected based on convenience sampling. They filled out three questionnaires on distributive and procedural justice judgments, rule compliance and outcome satisfaction, and personal and social identity orientations. The collected data was then analyzed using descriptive statistics, correlation, and structural equation modeling. Based on the obtained findings, procedural justice had significant positive correlation with rule compliance and distributive justice was significantly correlated with outcome satisfaction. The generated structural equation model also indicated that justice judgments only directly affected outcomes and identity had no mediating effect on the causal relationship between the two.

  2. Impact of Personality Disorder Cluster on Depression Outcomes Within Collaborative Care Management Model of Care.

    Science.gov (United States)

    George, Merit P; Garrison, Gregory M; Merten, Zachary; Heredia, Dagoberto; Gonzales, Cesar; Angstman, Kurt B

    2018-01-01

    follow-up (AOR = 0.95; 95% CI 0.45-2.00). Out of the 3 clusters, the presence of a cluster B PD diagnosis was most significantly associated with poorer depression outcomes at 6-month follow-up, including reduced remission rates and increased risk for PDS. The cluster A/nonspecified PD group also showed poor outcomes; however, the heterogeneity of this subgroup with regard to PD features must be noted. The development of novel targeted interventions for at-risk clusters may be warranted in order to improve outcomes of these patients within the CCM model of care.

  3. Propolis extract in postharvest conservation Solo papaya cv. 'Golden'

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    Flávia Regina Passos

    2016-12-01

    Full Text Available The high perishability of papaya (Carica papaya L. reduces its lifespan as well as limits marketing. Coating the fruits is an alternative to aid food preservation. We aimed to evaluate the effects of coating propolis extract on the physicochemical characteristics of papaya stored at room temperature. Solo papayas cv. 'Golden' were randomly divided into five postharvest treatment groups, three forms of dip-coating (70% alcohol, hydroalcoholic extract of propolis to 2.5%, and hydroalcoholic extract of propolis to 5% and two controls (one uncoated and one with refrigerated uncoated fruits. The weight loss, firmness, soluble solids (SS, titratable acidity (TA, SS/TA, and hydrogen potential (pH were evaluated at the intervals of 4 days every 12th storage day. Sensory analysis was performed on the 4th day of storage of papayas and evaluated by untrained through the acceptance testing. Treatments “refrigerated”, “propolis 2.5%”, and “5% propolis” presented with the lowest weight loss. The firmness level for treatment propolis 5% was superior to that of control, alcohol, and 2.5% propolis treatments. The SS was greater for propolis 5% treatment, which only differed from the alcohol treatment. The TA and SS/TA did not vary with the treatments, but with the storage time. The pH of refrigerated papaya showed significant differences in relation to other treatments. The fruits subjected to refrigerated treatment presented with chilling injury. Papayas coated with propolis extract showed sensory acceptability similar to that in other treatments on the 4th day of storage. The coating of propolis extract is a promising alternative for the control of weight loss and for the maintenance of firmness in Solo papaya cv. 'Golden'.

  4. Regression models for linking patterns of growth to a later outcome: infant growth and childhood overweight

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    Andrew K. Wills

    2016-04-01

    Full Text Available Abstract Background Regression models are widely used to link serial measures of anthropometric size or changes in size to a later outcome. Different parameterisations of these models enable one to target different questions about the effect of growth, however, their interpretation can be challenging. Our objective was to formulate and classify several sets of parameterisations by their underlying growth pattern contrast, and to discuss their utility using an expository example. Methods We describe and classify five sets of model parameterisations in accordance with their underlying growth pattern contrast (conditional growth; being bigger v being smaller; becoming bigger and staying bigger; growing faster v being bigger; becoming and staying bigger versus being bigger. The contrasts are estimated by including different sets of repeated measures of size and changes in size in a regression model. We illustrate these models in the setting of linking infant growth (measured on 6 occasions: birth, 6 weeks, 3, 6, 12 and 24 months in weight-for-height-for-age z-scores to later childhood overweight at 8y using complete cases from the Norwegian Childhood Growth study (n = 900. Results In our expository example, conditional growth during all periods, becoming bigger in any interval and staying bigger through infancy, and being bigger from birth were all associated with higher odds of later overweight. The highest odds of later overweight occurred for individuals who experienced high conditional growth or became bigger in the 3 to 6 month period and stayed bigger, and those who were bigger from birth to 24 months. Comparisons between periods and between growth patterns require large sample sizes and need to consider how to scale associations to make comparisons fair; with respect to the latter, we show one approach. Conclusion Studies interested in detrimental growth patterns may gain extra insight from reporting several sets of growth pattern

  5. Allostatic load: A theoretical model for understanding the relationship between maternal posttraumatic stress disorder and adverse birth outcomes.

    Science.gov (United States)

    Li, Yang; Rosemberg, Marie-Anne Sanon; Seng, Julia S

    2018-07-01

    Adverse birth outcomes such as preterm birth and low birth weight are significant public health concerns and contribute to neonatal morbidity and mortality. Studies have increasingly been exploring the predictive effects of maternal posttraumatic stress disorder (PTSD) on adverse birth outcomes. However, the biological mechanisms by which maternal PTSD affects birth outcomes are not well understood. Allostatic load refers to the cumulative dysregulations of the multiple physiological systems as a response to multiple social-ecological levels of chronic stress. Allostatic load has been well documented in relation to both chronic stress and adverse health outcomes in non-pregnant populations. However, the mediating role of allostatic load is less understood when it comes to maternal PTSD and adverse birth outcomes. To propose a theoretical model that depicts how allostatic load could mediate the impact of maternal PTSD on birth outcomes. We followed the procedures for theory synthesis approach described by Walker and Avant (2011), including specifying focal concepts, identifying related factors and relationships, and constructing an integrated representation. We first present a theoretical overview of the allostatic load theory and the other 4 relevant theoretical models. Then we provide a brief narrative review of literature that empirically supports the propositions of the integrated model. Finally, we describe our theoretical model. The theoretical model synthesized has the potential to advance perinatal research by delineating multiple biomarkers to be used in future. After it is well validated, it could be utilized as the theoretical basis for health care professionals to identify high-risk women by evaluating their experiences of psychosocial and traumatic stress and to develop and evaluate service delivery and clinical interventions that might modify maternal perceptions or experiences of stress and eliminate their impacts on adverse birth outcomes. Copyright

  6. The interrelationship between performance anxiety and efficiency of solo music performance

    Directory of Open Access Journals (Sweden)

    Katarina Habe

    2000-06-01

    Full Text Available The aim of the research was to study the influence of performance anxiety on efficiency of solo music performance. Internal (self-contempt, positive self-evaluation and external criteria (musical rewards, successful solo performances, successful auditions of efficiency of solo music performance were taken into consideration. The research was grounded on studies from the field of sports psychology and on the few studies that were carried out in the field of psychology of music. The research was conducted on 94 students of Music Academy, grouped by gender and field of study (instrumentalists, solo vocalists and composers vs. students of music teaching. The symptoms of performance anxiety were measured by a part of the Performance Anxiety Questionnaire, and efficiency of solo music performance by the Efficiency of Music Performance Questionnaire. Both questionnaires were developed for the purpose of the study. The results reveal the interrelationship between the internal criteria of efficiency in solo music performance and performance anxiety. On the other hand, only trends of correlation were established between performance anxiety and the external criteria of solo music performance. The research findings imply the important role of cognition as a mediator between performance anxiety and performance efficiency.

  7. Transforming Healthcare Delivery: Integrating Dynamic Simulation Modelling and Big Data in Health Economics and Outcomes Research.

    Science.gov (United States)

    Marshall, Deborah A; Burgos-Liz, Lina; Pasupathy, Kalyan S; Padula, William V; IJzerman, Maarten J; Wong, Peter K; Higashi, Mitchell K; Engbers, Jordan; Wiebe, Samuel; Crown, William; Osgood, Nathaniel D

    2016-02-01

    In the era of the Information Age and personalized medicine, healthcare delivery systems need to be efficient and patient-centred. The health system must be responsive to individual patient choices and preferences about their care, while considering the system consequences. While dynamic simulation modelling (DSM) and big data share characteristics, they present distinct and complementary value in healthcare. Big data and DSM are synergistic-big data offer support to enhance the application of dynamic models, but DSM also can greatly enhance the value conferred by big data. Big data can inform patient-centred care with its high velocity, volume, and variety (the three Vs) over traditional data analytics; however, big data are not sufficient to extract meaningful insights to inform approaches to improve healthcare delivery. DSM can serve as a natural bridge between the wealth of evidence offered by big data and informed decision making as a means of faster, deeper, more consistent learning from that evidence. We discuss the synergies between big data and DSM, practical considerations and challenges, and how integrating big data and DSM can be useful to decision makers to address complex, systemic health economics and outcomes questions and to transform healthcare delivery.

  8. Quantifying relative importance: Computing standardized effects in models with binary outcomes

    Science.gov (United States)

    Grace, James B.; Johnson, Darren; Lefcheck, Jonathan S.; Byrnes, Jarrett E.K.

    2018-01-01

    Scientists commonly ask questions about the relative importances of processes, and then turn to statistical models for answers. Standardized coefficients are typically used in such situations, with the goal being to compare effects on a common scale. Traditional approaches to obtaining standardized coefficients were developed with idealized Gaussian variables in mind. When responses are binary, complications arise that impact standardization methods. In this paper, we review, evaluate, and propose new methods for standardizing coefficients from models that contain binary outcomes. We first consider the interpretability of unstandardized coefficients and then examine two main approaches to standardization. One approach, which we refer to as the Latent-Theoretical or LT method, assumes that underlying binary observations there exists a latent, continuous propensity linearly related to the coefficients. A second approach, which we refer to as the Observed-Empirical or OE method, assumes responses are purely discrete and estimates error variance empirically via reference to a classical R2 estimator. We also evaluate the standard formula for calculating standardized coefficients based on standard deviations. Criticisms of this practice have been persistent, leading us to propose an alternative formula that is based on user-defined “relevant ranges”. Finally, we implement all of the above in an open-source package for the statistical software R.

  9. Boolean network model for cancer pathways: predicting carcinogenesis and targeted therapy outcomes.

    Directory of Open Access Journals (Sweden)

    Herman F Fumiã

    Full Text Available A Boolean dynamical system integrating the main signaling pathways involved in cancer is constructed based on the currently known protein-protein interaction network. This system exhibits stationary protein activation patterns--attractors--dependent on the cell's microenvironment. These dynamical attractors were determined through simulations and their stabilities against mutations were tested. In a higher hierarchical level, it was possible to group the network attractors into distinct cell phenotypes and determine driver mutations that promote phenotypic transitions. We find that driver nodes are not necessarily central in the network topology, but at least they are direct regulators of central components towards which converge or through which crosstalk distinct cancer signaling pathways. The predicted drivers are in agreement with those pointed out by diverse census of cancer genes recently performed for several human cancers. Furthermore, our results demonstrate that cell phenotypes can evolve towards full malignancy through distinct sequences of accumulated mutations. In particular, the network model supports routes of carcinogenesis known for some tumor types. Finally, the Boolean network model is employed to evaluate the outcome of molecularly targeted cancer therapies. The major find is that monotherapies were additive in their effects and that the association of targeted drugs is necessary for cancer eradication.

  10. Preoperative Cognitive Impairment As a Predictor of Postoperative Outcomes in a Collaborative Care Model.

    Science.gov (United States)

    Zietlow, Kahli; McDonald, Shelley R; Sloane, Richard; Browndyke, Jeffrey; Lagoo-Deenadayalan, Sandhya; Heflin, Mitchell T

    2018-03-01

    To compare postoperative outcomes of individuals with and without cognitive impairment enrolled in the Perioperative Optimization of Senior Health (POSH) program at Duke University, a comanagement model involving surgery, anesthesia, and geriatrics. Retrospective analysis of individuals enrolled in a quality improvement program. Tertiary academic center. Older adults undergoing surgery and referred to POSH (N = 157). Cognitive impairment was defined as a score less than 25 out of 30 (adjusted for education) on the St. Louis University Mental Status (SLUMS) Examination. Median length of stay (LOS), mean number of postoperative complications, rates of postoperative delirium (POD, %), 30-day readmissions (%), and discharge to home (%) were compared using bivariate analysis. Seventy percent of participants met criteria for cognitive impairment (mean SLUMS score 20.3 for those with cognitive impairment and 27.7 for those without). Participants with and without cognitive impairment did not significantly differ in demographic characteristics, number of medications (including anticholinergics and benzodiazepines), or burden of comorbidities. Participants with and without cognitive impairment had similar LOS (P = .99), cumulative number of complications (P = .70), and 30-day readmission (P = .20). POD was more common in those with cognitive impairment (31% vs 24%), but the difference was not significant (P = .34). Participants without cognitive impairment had higher rates of discharge to home (80.4% vs 65.1%, P = .05). Older adults with and without cognitive impairment referred to the POSH program fared similarly on most postoperative outcomes. Individuals with cognitive impairment may benefit from perioperative geriatric comanagement. Questions remain regarding the validity of available measures of cognition in the preoperative period. © 2018, Copyright the Authors Journal compilation © 2018, The American Geriatrics Society.

  11. Modelling relationships between match events and match outcome in elite football.

    Science.gov (United States)

    Liu, Hongyou; Hopkins, Will G; Gómez, Miguel-Angel

    2016-08-01

    Identifying match events that are related to match outcome is an important task in football match analysis. Here we have used generalised mixed linear modelling to determine relationships of 16 football match events and 1 contextual variable (game location: home/away) with the match outcome. Statistics of 320 close matches (goal difference ≤ 2) of season 2012-2013 in the Spanish First Division Professional Football League were analysed. Relationships were evaluated with magnitude-based inferences and were expressed as extra matches won or lost per 10 close matches for an increase of two within-team or between-team standard deviations (SD) of the match event (representing effects of changes in team values from match to match and of differences between average team values, respectively). There was a moderate positive within-team effect from shots on target (3.4 extra wins per 10 matches; 99% confidence limits ±1.0), and a small positive within-team effect from total shots (1.7 extra wins; ±1.0). Effects of most other match events were related to ball possession, which had a small negative within-team effect (1.2 extra losses; ±1.0) but a small positive between-team effect (1.7 extra wins; ±1.4). Game location showed a small positive within-team effect (1.9 extra wins; ±0.9). In analyses of nine combinations of team and opposition end-of-season rank (classified as high, medium, low), almost all between-team effects were unclear, while within-team effects varied depending on the strength of team and opposition. Some of these findings will be useful to coaches and performance analysts when planning training sessions and match tactics.

  12. Potassium estimation in the soil solution based on electrical conductivity and soil water content Estimativa de potássio na solução do solo baseada na condutividade elétrica e umidade do solo

    Directory of Open Access Journals (Sweden)

    Torquato M. de Andrade Neto

    2012-06-01

    Full Text Available The objective of this work was to evaluate and to validate models for estimating potassium in the soil solution as a function of bulk electrical conductivity (ECw, soil water content (q and a soil solution electrical conductivity (ECss. Treatments consisted of using three concentrations of injecting solution of potassium chloride (1.0, 2.5 and 4.0 g L-1 which were applied by two trickle irrigation systems (microsprinkler and drip during the first cycle of the banana crop cv. Terra Maranhão. Results showed that it is feasible to estimate potassium concentration in the soil solution from data of ECss and q obtained by time domain reflectometry (TDR using an equation that combined a linear and a potential model. The estimated values of potassium concentration were close to the ones measured along the crop cycle under field conditions, with a mean normalized deviation of 10.0%, maximum and minimum deviation of 5.0 and 13.0%, respectively.O objetivo deste trabalho foi avaliar e validar modelo de estimativa de potássio na solução do solo, como função da condutividade elétrica aparente (CEa, da umidade do solo (q e da condutividade elétrica da solução do solo (CEss. Os tratamentos consistiram no uso de três concentrações de cloreto de potássio da solução de injeção (1,0, 2,5 e 4,0 g L-1 aplicadas por microaspersão e por gotejamento, durante o primeiro ciclo da cultura da bananeira cultivar Terra Maranhão. Os resultados mostraram que é viável estimar a concentração de K+ na solução do solo a partir de dados de q e CEa, obtidos por meio da técnica da reflectometria no domínio do tempo (TDR para condições de campo, com uso de equação resultante da combinação de um modelo linear e um potencial. Os valores de K+ estimados se aproximaram dos medidos ao longo do ciclo da cultura da bananeira "Terra" nas condições de campo, com desvio normalizado médio de 10%, desvio máximo e mínimo de 5,0 e 13,0%, respectivamente.

  13. Mapa digital de solos: uma proposta metodológica usando inferência fuzzy Digital soil map: a methodological proposal using fuzzy inference

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    Claudia C. Nolasco-Carvalho

    2009-02-01

    Full Text Available Elaborou-se um mapa digital de solos de uma área na região de Mucugê, BA, com o objetivo de avaliar o uso de geotecnologias na cartografia de solos. A metodologia desenvolvida a partir do modelo de inferência para solos - SoLIM , requer o conhecimento prévio da área por um especialista em mapeamento e está alicerçada na equação dos fatores de formação do solo e no modelo de distribuição dos solos na paisagem. Os dados, advindos do Modelo Digital do Terreno - MDT, da vegetação e da geologia, foram associados ao conhecimento do pedólogo e integrados em ambiente SIG (Sistema de Informações Geográficas sob inferência fuzzy. A modelagem por lógica fuzzy permitiu apontar as incertezas e transições da cobertura pedológica e gerou um mapa digital de solo que, quando comparado com o mapa convencional da área, mostrou menor generalização no domínio de espaços e parâmetros, ou seja, um refinamento da escala, porém a aplicabilidade da metodologia depende da validação de campo e da repetição em outras áreas.A digital soil map was elaborated for an area in the region of Mucugê-BA using data integration derived from a digital elevation model (DEM of the vegetation and geology that was associated with a soil scientist's knowledge and correlated in a GIS environment (Geography Information System under fuzzy inference, as a methodological proposal. The methodology was developed and based on the soil-land inference model - SoLIM, on the soil factor equation and the soil-landscape model. The fuzzy logic is able to simulate the uncertainty and transitions that often appear in pedologic systems. The results show that the methodology allows the generation of digital soil maps with increased scale and to reduce soil classe generalizations in the space and parameter domain. However, this methodology is very dependent upon the soil expert's knowledge and accuracy of the data base. To verify the applicability of the methodology the

  14. Effect of the internal optics on the outcome of custom-LASIK in an eye model

    Science.gov (United States)

    Manns, Fabrice; Ho, Arthur; Parel, Jean-Marie

    2004-07-01

    Purpose. The purpose of this study was to evaluate if changes in the aberration-contribution of the internal optics of the eye have a significant effect on the outcome of wavefront-guided corneal reshaping. Methods. The Navarro-Escudero eye model was simulated using optical analysis software. The eye was rendered myopic by shifting the plane of the retina. Custom-LASIK was simulated by changing the radius of curvature and asphericity of the anterior corneal surface of the eye model. The radius of curvature was adjusted to provide a retinal conjugate at infinity. Three approaches were used to determine the postoperative corneal asphericity: minimizing third-order spherical aberration, minimizing third-order coma, and maximizing the Strehl ratio. The aberration contribution of the anterior corneal surface and internal optics was calculated before and after each simulated customized correction. Results. For a 5.2mm diameter pupil, the contribution of the anterior corneal surface to third-order spherical aberration and coma (in micrometers) was 2.22 and 2.49 preop, -0.36 and 2.83 postop when spherical aberration is minimized, 5.88 and 1.10 postop when coma is minimized, and -0.63 and 2.91 postop when Strehl ratio is maximized. The contribution of the internal optics of the eye to spherical aberration and coma for the same four conditions was: 0.43 and -1.13, 0.37 and -1.10, 0.37 and -1.10 and 0.37 and -1.10, respectively. Conclusion. In the model eye, the contribution of the internal optics of the eye to the change in the ocular aberration state is negligible.

  15. Condutividade elétrica, reação do solo e acidez potencial em solos adubados com composto de lixo

    Directory of Open Access Journals (Sweden)

    C. H. Abreu Junior

    2000-09-01

    Full Text Available Foram estudados os efeitos da aplicação do composto de lixo, proveniente da cidade de São Paulo (usina de compostagem São Matheus, na presença e ausência de calcário dolomítico (para elevar a saturação por bases a 70% e de adubos minerais, sobre a condutividade elétrica (CE, pH em CaCl2 0,01 mol L-1 e em água, e acidez potencial (H + Al de 21 solos ácidos e cinco solos alcalinos, nos quais o calcário foi substituído por gesso. O experimento foi realizado em condições de casa de vegetação em delineamento em blocos ao acaso, com parcelas em faixas e três repetições. Foi verificado que a aplicação do composto de lixo promoveu o aumento da CE dos solos. Todavia, esse efeito foi inferior àquele causado pelos adubos minerais. Os maiores valores de CE (> 2 dS m-1 foram causados pelas aplicações do composto + calcário + adubo nos solos ácidos e do composto + adubo + gesso nos solos alcalinos. Porém, quanto maior a capacidade de troca catiônica (CTC inicial dos solos ácidos e pH inicial dos solos alcalinos, menores foram os efeitos dos tratamentos sobre o incremento da CE. A aplicação do composto promoveu, também, o aumento do pH e a redução da acidez potencial. Esse efeito do composto foi, em média, superior àquele causado pela aplicação do calcário. A aplicação conjunta do composto e calcário promoveu um efeito aditivo de seus efeitos isolados sobre o pH e acidez potencial do solo. A adição dos adubos minerais tendeu a reduzir o pH por causa da acidificação residual da uréia. Esse efeito foi bem evidente nos solos alcalinos. O aumento do pH e da CE foi acompanhado por uma diminuição na diferença entre os valores de pH medido em CaCl2 e em água, notadamente nos solos ácidos. A aplicação do composto de lixo para melhorar a acidez do solo, manejando-se adequadamente o calcário e adubos minerais nos solos ácidos ou gesso nos solos alcalinos, parece ser uma prática agrícola viável.

  16. Sistem Bisnis Waralaba Restoran Ayam Bakar Wong Solo Dalam Perspektif Ekonomi Islam

    OpenAIRE

    Rahman, Taufiqur

    2015-01-01

    This article tries to analyze the franchise business system of Ayam Bakar Wong Solo Restaurant through the Islamic economics perspective. The franchise business system applied by the Ayam Bakar Wong Solo is a cooperation (shirkah) with the type of shirkah mudârabah, where there is a cooperation between the Ayam Bakar Wong Solo as a manager (mudârib) and investors as owners of capital (sahib al-mâl). Both parties allied in the venture capital and the advantage of the alliance is divided in acc...

  17. Mudanças na estrutura do solo avaliada com uso de tomografia computadorizada.

    OpenAIRE

    PIRES, L. F.; BACCHI, O. O. S.

    2010-01-01

    O objetivo deste trabalho foi avaliar, em escala milimétrica, a modificação da densidade e da porosidade de amostras deformadas de solo submetidas a ciclos de umedecimento e secamento (U-S), por meio da tomografia computadorizada de raios gama. Amostras com 98,1 cm³ foram preparadas procedendo ao peneiramento do solo em malha de 2 mm e acondicionamento de forma homogênea em tubos de PVC. As amostras de solo foram submetidas a um, dois e três ciclos de U-S. As amostras controle não foram subme...

  18. COMPEREHENSIVE TECHNICAL STUDIES OF FLOOD CONTROL OVER SOLO CITY AREA (CASE STUDY IN DEMANGAN BARRAGE

    Directory of Open Access Journals (Sweden)

    Ali Trusharyanto

    2013-05-01

    Full Text Available City of Surakarta, known as Solo City is one of cities in Central Java Province traversed by Bengawan Solo River. Heavy rainfall in upstream area of Bengawan Solo River causes increase in high water level at downstream. Bengawan Solo River will be higher than water level in drainage system which may induce a backwater flow. Since Colonization era, the government has built dikes and barrages against backwater flow and inundation problem. One of the barrages was Demangan Barrage dividing river flow into Bengawan Solo River and Pepe River. It was equipped with total capacity pump of 12,3 m3/s. The inundation is not only caused by the backwater flow coming from Bengawan Solo River, but also surface runoff as the result of the excess rainfall which cannot be drained gravitationally to the main river if the gate was closed. Therefore, comprehensive study combining hydrology and hydraulics analysis is highly needed in order to achieve more effective flood control management. Hydrology analysis was done to estimate the direct runoff hydrograph from catchment area in Solo City to downstream of Pepe River. While in hydraulics case, hydraulic parameter in downstream of Pepe River influenced by Bengawan Solo River stream was analyzed. Both studies were simulated using software HEC-RAS 4.1.0 version. The simulation considered drainage channel, gate, pump system and dike in Pepe River downstream. Simulation using 10 years of return period in Solo City and average annual water level in Bengawan Solo River showed that Pepe River can flow through the gate, while the highest water level is still below the dike. Simulation considering 10 years of return period, water level hydrograph of Bengawan Solo River, existing pump, and gate operation inferred that Pepe River surpassed top of dike. Capacity of required pump should be more than 168,3 m3/s in order to pass 10 years of return period. By combining operational of existing pump and dike elevated up to +87,63 m

  19. Structural equation modeling of motor impairment, gross motor function, and the functional outcome in children with cerebral palsy.

    Science.gov (United States)

    Park, Eun-Young; Kim, Won-Ho

    2013-05-01

    Physical therapy intervention for children with cerebral palsy (CP) is focused on reducing neurological impairments, improving strength, and preventing the development of secondary impairments in order to improve functional outcomes. However, relationship between motor impairments and functional outcome has not been proved definitely. This study confirmed the construct of motor impairment and performed structural equation modeling (SEM) between motor impairment, gross motor function, and functional outcomes of regarding activities of daily living in children with CP. 98 children (59 boys, 39 girls) with CP participated in this cross-sectional study. Mean age was 11 y 5 mo (SD 1 y 9 mo). The Manual Muscle Test (MMT), the Modified Ashworth Scale (MAS), range of motion (ROM) measurement, and the selective motor control (SMC) scale were used to assess motor impairments. Gross motor function and functional outcomes were measured using the Gross Motor Function Measure (GMFM) and the Functional Skills domain of the Pediatric Evaluation of Disability Inventory (PEDI) respectively. Measurement of motor impairment was consisted of strength, spasticity, ROM, and SMC. The construct of motor impairment was confirmed though an examination of a measurement model. The proposed SEM model showed good fit indices. Motor impairment effected gross motor function (β=-.0869). Gross motor function and motor impairment affected functional outcomes directly (β=0.890) and indirectly (β=-0.773) respectively. We confirmed that the construct of motor impairment consist of strength, spasticity, ROM, and SMC and it was identified through measurement model analysis. Functional outcomes are best predicted by gross motor function and motor impairments have indirect effects on functional outcomes. Copyright © 2013 Elsevier Ltd. All rights reserved.

  20. SOIL ERODIBILITY IN THE BRAZILIAN COASTAL PLAINS ERODIBILIDADE DO SOLO NOS TABULEIROS COSTEIROS

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    Nilton Curi

    2011-07-01

    Full Text Available

    In order to determine soil losses caused by water erosion, in different situations, erosion prediction models, such as the Universal Soil Loss Equation (USLE, are used. Their application on agricultural and environmental planning depends on the determination of the USLE factors, including erodibility (K factor. The objective of this study was to determine erodibility for the main soil classes of the Brazilian Coastal Plains region, in Aracruz, Espírito Santo State. The experiment was established in the following soils: medium/clayey texture Yellow Argisol (PA1, Haplic Plinthosol (FX, and moderately rocky Yellow Argisol (PA2. For the calculation of soil erodibility, data of erosivity and soil losses, from November 1997 to May 2004, were used. Soil losses samplings were performed for each rainfall event regarded as erosive. The erodibility values were 0.007 Mg h MJ-1 mm-1

  1. Modelling multiple hospital outcomes: the impact of small area and primary care practice variation

    Directory of Open Access Journals (Sweden)

    Congdon Peter

    2006-11-01

    Full Text Available Abstract Background: Appropriate management of care – for example, avoiding unnecessary attendances at, or admissions to, hospital emergency units when they could be handled in primary care – is an important part of health strategy. However, some variations in these outcomes could be due to genuine variations in health need. This paper proposes a new method of explaining variations in hospital utilisation across small areas and the general practices (GPs responsible for patient primary care. By controlling for the influence of true need on such variations, one may identify remaining sources of excess emergency attendances and admissions, both at area and practice level, that may be related to the quality, resourcing or organisation of care. The present paper accordingly develops a methodology that recognises the interplay between population mix factors (health need and primary care factors (e.g. referral thresholds, that allows for unobserved influences on hospitalisation usage, and that also reflects interdependence between hospital outcomes. A case study considers relativities in attendance and admission rates at a North London hospital involving 149 small areas and 53 GP practices. Results: A fixed effects model shows variations in attendances and admissions are significantly related (positively to area and practice need, and nursing home patients, and related (negatively to primary care access and distance of patient homes from the hospital. Modelling the impact of known factors alone is not sufficient to produce a satisfactory fit to the observations, and random effects at area and practice level are needed to improve fit and account for overdispersion. Conclusion: The case study finds variation in attendance and admission rates across areas and practices after controlling for need, and remaining differences between practices may be attributable to referral behaviour unrelated to need, or to staffing, resourcing, and access issues. In

  2. Treatment Outcomes From a Specialist Model for Treating Tobacco Use Disorder in a Medical Center.

    Science.gov (United States)

    Burke, Michael V; Ebbert, Jon O; Schroeder, Darrell R; McFadden, David D; Hays, J Taylor

    2015-11-01

    Cigarette smoking causes premature mortality and multiple morbidity; stop smoking improves health. Higher rates of smoking cessation can be achieved through more intensive treatment, consisting of medication and extended counseling of patients, but there are challenges to integrating these interventions into healthcare delivery systems. A care model using a master-level counselor trained as a tobacco treatment specialist (TTS) to deliver behavioral intervention, teamed with a supervising physician/prescriber, affords an opportunity to integrate more intensive tobacco dependence treatment into hospitals, clinics, and other medical systems. This article analyzes treatment outcomes and predictors of abstinence for cigarette smokers being treated using the TTS-physician team in a large outpatient clinic over a 7-year period.This is an observational study of a large cohort of cigarette smokers treated for tobacco dependence at a medical center. Patients referred by the primary healthcare team for a TTS consult received a standard assessment and personalized treatment planning guided by a workbook. Medication and behavioral plans were developed collaboratively with each patient. Six months after the initial assessment, a telephone call was made to ascertain a 7-day period of self-reported abstinence. The univariate association of each baseline patient characteristic with self-reported tobacco abstinence at 6 months was evaluated using the chi-squared test. In addition, a multiple logistic regression analysis was performed with self-reported tobacco abstinence as the dependent variable and all baseline characteristics included as explanatory variables.Over a period of 7 years (2005-2011), 6824 cigarette smokers who provided general research authorization were seen for treatment. The 6-month self-reported abstinence rate was 28.1% (95% confidence interval: 27.7-30.1). The patients most likely to report abstinence were less dependent, more motivated to quit, and did not

  3. Uso do radar penetrante no solo (GPR na investigação dos solos dos tabuleiros costeiros no litoral norte do estado da Bahia

    Directory of Open Access Journals (Sweden)

    J. M. Ucha

    2002-06-01

    Full Text Available Foram estudados nove perfis ao longo de uma toposseqüência sobre os sedimentos do Grupo Barreiras, na Fazenda Rio Negro, município de Entre Rios (BA, utilizando a prospecção eletromagnética por meio do Radar Penetrante no Solo - "Ground-penetrating radar - GPR", objetivando analisar a utilização dessa ferramenta na aquisição de informações sobre as feições que ocorrem no solo, mediante a comparação entre os radargramas obtidos e a descrição pedológica. O equipamento utilizado foi um Geophysical Survey System modelo GPR SR system-2, com antena de 80 MHz. A análise radargramétrica confirmou o aparecimento dos fragipãs e duripãs em profundidade, que ocorrem sempre acompanhados de um processo de transformação dos solos do tipo Latossolo Amarelo e Argissolo Amarelo em Espodossolo. Os padrões de reflexão mostram claramente os domínios dos solos argilosos e dos solos arenosos, com e sem a presença dos horizontes endurecidos.

  4. No Variation in Patient Care Outcomes After Implementation of Resident Shift Work Duty Hour Limitations and a Hospitalist Model System.

    Science.gov (United States)

    Hollier, John M; Wilson, Stephen D

    This study examines whether implementing a resident shift work schedule (RSWS) alone or combined with a hospitalist-led model system (HMS/RSWS) affects patient care outcomes or costs at a pediatric tertiary care teaching hospital. A retrospective sample compared pre- and postintervention groups for the most common primary discharge diagnoses, including asthma and cellulitis (RSWS intervention) and inflammatory bowel disease and diabetic ketoacidosis (HMS/RSWS intervention). Outcome variables included length of stay, number of subspecialty consultations, and hospitalization charges. For the RSWS intervention, the preintervention (n = 107) and postintervention (n = 92) groups showed no difference in any of the outcome variables. For the HMS/RSWS intervention, the preintervention (n = 98) and postintervention (n = 69) groups did not differ in demographics or length of stay. However, subspecialty consultations increased significantly during postintervention from 0.83 to 1.52 consults/hospitalization ( P care outcomes at a pediatric tertiary care teaching hospital.

  5. A European Multicenter Study of 616 Patients Receiving the Freedom Solo Stentless Bioprosthesis.

    Science.gov (United States)

    Thalmann, Markus; Grubitzsch, Herko; Matschke, Klaus; Glauber, Mattia; Tan, Erwin; Francois, Katrien; Amorim, Mario J; Hensens, Ab G; Cesari, Francesco; Feyrer, Richard; Diegeler, Anno; Veit, Franz; Repossini, Alberto

    2016-01-01

    The purpose of this study was to evaluate the safety and performance of the Freedom Solo valve in aortic valve replacement by clinical and hemodynamic outcomes. Six hundred sixteen patients underwent aortic valve replacement in 18 European centers; mean age was 74.5 ± 5.9 years, 54.1% of the patients were male, and concomitant procedures were performed in 43.2% of the patients. The majority (69%) of the implanted sizes were 23 mm and 25 mm. At 1 year, overall survival was 94.0%, whereas freedom from valve-related death was 98.6%. There were 9 (1.5%) early (≤ 30 days) and 27 (4.4%) late (>30 days) deaths. Early and late valve-related mortality was 0.3% (n = 2) and 1.1% (n = 7), respectively. Freedom from explant was 97.6%; 10 valves were explanted for endocarditis and 4 for paravalvular leak. There were 10 (1.6%) early and 5 (0.8%) late strokes. Atrioventricular block requiring pacemaker implant occurred in 8 (1.3%) and 1 (0.2%) patients in the early and late postoperative period, respectively. Thrombocytopenia was seen in 27 cases (4.4%) in the early postoperative period. Preoperatively, 93.8% of patients were in New York Heart Association functional classes II through IV, whereas at 1 year 96.9% of patients were in New York Heart Association functional classes I and II. At 1-year follow-up, mean and peak pressure gradients were 7.2 and 14.6 mm Hg, respectively. Indexed left ventricular mass decreased by 12% from 138 g/m(2) at discharge to 122 g/m(2) at 1 year. At 1-year follow-up after Freedom Solo implantation, we found acceptable clinical results with low mortality and morbidity and good hemodynamic performance, confirming safety and effectiveness in this multicenter experience. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  6. ANALYSIS LEARNING MODEL OF DISCOVERY AND UNDERSTANDING THE CONCEPT PRELIMINARY TO PHYSICS LEARNING OUTCOMES SMA

    Directory of Open Access Journals (Sweden)

    Sri Rosepda Sebayang

    2015-12-01

    Full Text Available This study aims: 1 to determine whether the student learning outcomes using discovery learning is better than conventional learning 2 To determine whether the learning outcomes of students who have a high initial concept understanding better then of low initial concept understanding, and 3 to determine the effect of interaction discovery learning and understanding of the initial concept of the learning outcomes of students. The samples in this study was taken by cluster random sampling two classes where class X PIA 3 as a class experiment with applying discovery learning and class X PIA 2 as a control class by applying conventional learning. The instrument used in this study is a test of learning outcomes in the form of multiple-choice comprehension test initial concept description form. The results of research are: 1 learning outcomes of students who were taught with discovery learning is better than the learning outcomes of students who are taught by conventional learning, 2 student learning outcomes with high initial conceptual understanding better than the learning outcomes of students with low initial conceptual understanding, and 3 there was no interaction between discovery learning and understanding of initial concepts for the student learning outcomes.

  7. Componentes principais como preditores no mapeamento digital de classes de solos Principal components as predictor variables in digital mapping of soil classes

    Directory of Open Access Journals (Sweden)

    Alexandre ten Caten

    2011-07-01

    Full Text Available Tecnologias disponíveis para a observação da Terra oferecem uma grande gama de informações sobre componentes ambientais que, por estarem relacionadas com a formação dos solos, podem ser usadas como variáveis preditoras no Mapeamento Digital de Solos (MDS. No entanto, modelos com um grande número de preditores, bem como a existência de multicolinearidade entre os dados, podem ser ineficazes no mapeamento de classes e propriedades do solo. O objetivo deste estudo foi empregar a Análise de Componentes Principais (ACP visando a selecionar e diminuir o número de preditores na regressão logística múltipla multinomial (RLMM utilizada no mapeamento de classes de solos. Nove covariáveis ambientais, ligadas ao fator de formação relevo, foram derivadas de um Modelo Digital de Elevação e denominadas variáveis originais, estas foram submetidas à ACP e transformadas em Componentes Principais (CP. As RLMM foram desenvolvidas utilizando-se atributos de terreno e as CP como variáveis explicativas. O mapa de solos gerado a partir de três CP (65,6% da variância original obteve um índice kappa de 37,3%, inferior aos 48,5% alcançado pelo mapa de solos gerado a partir de todas as nove variáveis originais.Available technologies for Earth observation offer a wide range of predictors relevant to Digital Soil Mapping (DSM. However, models with a large number of predictors, as well as, the existence of multicollinearity among the data, may be ineffective in the mapping of classes and soil properties. The aim of this study was to use the Principal Component Analysis (PCA to reduce the number of predictors in the multinomial logistic regression (MLR used in soil mapping. Nine environmental covariates, related to the relief factor of soil formation, were derived from a digital elevation model and named the original variables, which were submitted to PCA and transformed into principal components (PC. The MLR were developed using the terrain

  8. Catalyzing Interdisciplinary Research and Training: Initial Outcomes and Evolution of the Affinity Research Collaboratives Model.

    Science.gov (United States)

    Ravid, Katya; Seta, Francesca; Center, David; Waters, Gloria; Coleman, David

    2017-10-01

    Team science has been recognized as critical to solving increasingly complex biomedical problems and advancing discoveries in the prevention, diagnosis, and treatment of human disease. In 2009, the Evans Center for Interdisciplinary Biomedical Research (ECIBR) was established in the Department of Medicine at Boston University School of Medicine as a new organizational paradigm to promote interdisciplinary team science. The ECIBR is made up of affinity research collaboratives (ARCs), consisting of investigators from different departments and disciplines who come together to study biomedical problems that are relevant to human disease and not under interdisciplinary investigation at the university. Importantly, research areas are identified by investigators according to their shared interests. ARC proposals are evaluated by a peer review process, and collaboratives are funded annually for up to three years.Initial outcomes of the first 12 ARCs show the value of this model in fostering successful biomedical collaborations that lead to publications, extramural grants, research networking, and training. The most successful ARCs have been developed into more sustainable organizational entities, including centers, research cores, translational research projects, and training programs.To further expand team science at Boston University, the Interdisciplinary Biomedical Research Office was established in 2015 to more fully engage the entire university, not just the medical campus, in interdisciplinary research using the ARC mechanism. This approach to promoting team science may be useful to other academic organizations seeking to expand interdisciplinary research at their institutions.

  9. Outcomes of different Class II treatments : Comparisons using the American Board of Orthodontics Model Grading System.

    Science.gov (United States)

    Akinci Cansunar, Hatice; Uysal, Tancan

    2016-07-01

    The aim of this study was to evaluate the clinical outcomes of three different Class II treatment modalities followed by fixed orthodontic therapy, using the American Board of Orthodontics Model Grading System (ABO-MGS). As a retrospective study, files of patients treated at postgraduate orthodontic  clinics in different cities in Turkey was randomly selected. From 1684 posttreatment records, 669 patients were divided into three groups: 269 patients treated with extraction of two upper premolars, 198 patients treated with cervical headgear, and 202 patients treated with functional appliances. All the cases were evaluated by one researcher using ABO-MGS. The χ (2), Z test, and multivariate analysis of variance were used for statistical evaluation (p < 0.05). No significant differences were found among the groups in buccolingual inclination, overjet, occlusal relationship, and root angulation. However, there were significant differences in alignment, marginal ridge height, occlusal contact, interproximal contact measurements, and overall MGS average scores. The mean treatment time between the extraction and functional appliance groups was significantly different (p = 0.017). According to total ABO-MGS scores, headgear treatment had better results than functional appliances. The headgear group had better tooth alignment than the extraction group. Headgear treatment resulted in better occlusal contacts than the functional appliances and had lower average scores for interproximal contact measurements. Functional appliances had the worst average scores for marginal ridge height. Finally, the functional appliance group had the longest treatment times.

  10. Statistical inference for the additive hazards model under outcome-dependent sampling.

    Science.gov (United States)

    Yu, Jichang; Liu, Yanyan; Sandler, Dale P; Zhou, Haibo

    2015-09-01

    Cost-effective study design and proper inference procedures for data from such designs are always of particular interests to study investigators. In this article, we propose a biased sampling scheme, an outcome-dependent sampling (ODS) design for survival data with right censoring under the additive hazards model. We develop a weighted pseudo-score estimator for the regression parameters for the proposed design and derive the asymptotic properties of the proposed estimator. We also provide some suggestions for using the proposed method by evaluating the relative efficiency of the proposed method against simple random sampling design and derive the optimal allocation of the subsamples for the proposed design. Simulation studies show that the proposed ODS design is more powerful than other existing designs and the proposed estimator is more efficient than other estimators. We apply our method to analyze a cancer study conducted at NIEHS, the Cancer Incidence and Mortality of Uranium Miners Study, to study the risk of radon exposure to cancer.

  11. The outcomes of perceived work-based support for mothers: A conceptual model

    Directory of Open Access Journals (Sweden)

    Patricia Meglich

    2016-01-01

    Full Text Available With the increase in the proportion of women holding leadership positions work-based support has been identified as an important issue in female workers’ job performance and their decisions to have children and to return to work after giving birth. Nonetheless, we need to better understand how mothers develop these perceptions about support at the workplace and how these perceptions in turn affect their decisions and behavior. Job performance (both task and contextual, work attitudes, and retention of female workers with children are influenced by the psychological contract expectations reflected in the perceived level of support provided by organizational, supervisor, and peer sources. Based on an integrative literature review, we propose a comprehensive model linking perceived multi-dimensional work-based support for motherhood with different work-related outcomes in order to more fully explain the decisions and behaviors of working mothers and how organizations might better accommodate the specific needs of this important contingent of the workforce.

  12. Parental monitoring, parental warmth, and minority youths' academic outcomes: exploring the integrative model of parenting.

    Science.gov (United States)

    Lowe, Katie; Dotterer, Aryn M

    2013-09-01

    Guided by the integrative model of parenting, the present study investigated the relationship between parental monitoring and racial/ethnic minority adolescents' school engagement and academic motivation as a function of parental warmth, and explored whether these associations varied for boys and girls. Participants (60 % female) were 208 sixth through eighth grade students (63 % African American, 19 % Latino, 18 % Multiracial) from an urban middle school in the Midwestern United States. Youth completed an in-school survey with items on parenting (parental monitoring, mothers'/fathers' warmth), cognitive engagement (school self-esteem), behavioral engagement (school trouble), and academic motivation (intrinsic motivation). As hypothesized, mothers' warmth enhanced the association between parental monitoring and youths' engagement and motivation. No gender differences in these associations emerged. Fathers' warmth strengthened the negative association between parental monitoring and school trouble, and this association was stronger for boys. Implications regarding the importance of sustaining a high level of monitoring within the context of warm parent-adolescent relationships to best support academic outcomes among minority youth are discussed.

  13. Improving Health Outcomes of Children through Effective Parenting: Model and Methods

    Science.gov (United States)

    Okafor, Martha; Sarpong, Daniel F.; Ferguson, Aneeqah; Satcher, David

    2013-01-01

    This article reports on the design, development, testing and presentation of preliminary evidence of a translational, culturally relevant parenting education model, titled Smart and Secured Children (SSC). SSC, a quality parenting curriculum, prepares disparate African American parents as leaders for transforming their parenting behaviors and leading their peers and community in changing existing parenting culture. The article recommends expanded utility of identified promising processes, approaches and practices to engage African American parents to lead in addressing health inequity conditions in their families and communities. It adds to the growing scientific literature on the association between parent–child relationship quality and a wide variety of children physical, emotional and social outcomes. SSC applied principles of developmental theories; community based participatory research (CBPR), and iterative Delphi method between the community stakeholders, parents and researchers. The delivery approach of SSC was revamped from professional-led to parent-led content presentation and delivery methods using a conversational learning approach, referred to as ‘conversepedia’. Parents’ leadership development training and delivery of this curriculum in social supportive groups improved their mental wellbeing, parenting capacity and leadership skills. Parents do matter and can choose positive influence in their lives and are capable of reversing negative peer influence. PMID:24366048

  14. Improving Health Outcomes of Children through Effective Parenting: Model and Methods

    Directory of Open Access Journals (Sweden)

    Martha Okafor

    2013-12-01

    Full Text Available This article reports on the design, development, testing and presentation of preliminary evidence of a translational, culturally relevant parenting education model, titled Smart and Secured Children (SSC. SSC, a quality parenting curriculum, prepares disparate African American parents as leaders for transforming their parenting behaviors and leading their peers and community in changing existing parenting culture. The article recommends expanded utility of identified promising processes, approaches and practices to engage African American parents to lead in addressing health inequity conditions in their families and communities. It adds to the growing scientific literature on the association between parent–child relationship quality and a wide variety of children physical, emotional and social outcomes. SSC applied principles of developmental theories; community based participatory research (CBPR, and iterative Delphi method between the community stakeholders, parents and researchers. The delivery approach of SSC was revamped from professional-led to parent-led content presentation and delivery methods using a conversational learning approach, referred to as ‘conversepedia’. Parents’ leadership development training and delivery of this curriculum in social supportive groups improved their mental wellbeing, parenting capacity and leadership skills. Parents do matter and can choose positive influence in their lives and are capable of reversing negative peer influence.

  15. Creating a Common Data Model for Comparative Effectiveness with the Observational Medical Outcomes Partnership.

    Science.gov (United States)

    FitzHenry, F; Resnic, F S; Robbins, S L; Denton, J; Nookala, L; Meeker, D; Ohno-Machado, L; Matheny, M E

    2015-01-01

    Adoption of a common data model across health systems is a key infrastructure requirement to allow large scale distributed comparative effectiveness analyses. There are a growing number of common data models (CDM), such as Mini-Sentinel, and the Observational Medical Outcomes Partnership (OMOP) CDMs. In this case study, we describe the challenges and opportunities of a study specific use of the OMOP CDM by two health systems and describe three comparative effectiveness use cases developed from the CDM. The project transformed two health system databases (using crosswalks provided) into the OMOP CDM. Cohorts were developed from the transformed CDMs for three comparative effectiveness use case examples. Administrative/billing, demographic, order history, medication, and laboratory were included in the CDM transformation and cohort development rules. Record counts per person month are presented for the eligible cohorts, highlighting differences between the civilian and federal datasets, e.g. the federal data set had more outpatient visits per person month (6.44 vs. 2.05 per person month). The count of medications per person month reflected the fact that one system's medications were extracted from orders while the other system had pharmacy fills and medication administration records. The federal system also had a higher prevalence of the conditions in all three use cases. Both systems required manual coding of some types of data to convert to the CDM. The data transformation to the CDM was time consuming and resources required were substantial, beyond requirements for collecting native source data. The need to manually code subsets of data limited the conversion. However, once the native data was converted to the CDM, both systems were then able to use the same queries to identify cohorts. Thus, the CDM minimized the effort to develop cohorts and analyze the results across the sites.

  16. Performance of third-trimester combined screening model for prediction of adverse perinatal outcome.

    Science.gov (United States)

    Miranda, J; Triunfo, S; Rodriguez-Lopez, M; Sairanen, M; Kouru, H; Parra-Saavedra, M; Crovetto, F; Figueras, F; Crispi, F; Gratacós, E

    2017-09-01

    To explore the potential value of third-trimester combined screening for the prediction of adverse perinatal outcome (APO) in the general population and among small-for-gestational-age (SGA) fetuses. This was a nested case-control study within a prospective cohort of 1590 singleton gestations undergoing third-trimester evaluation (32 + 0 to 36 + 6 weeks' gestation). Maternal baseline characteristics, mean arterial blood pressure, fetoplacental ultrasound and circulating biochemical markers (placental growth factor (PlGF), lipocalin-2, unconjugated estriol and inhibin A) were assessed in all women who subsequently had an APO (n = 148) and in a control group without perinatal complications (n = 902). APO was defined as the occurrence of stillbirth, umbilical artery cord blood pH < 7.15, 5-min Apgar score < 7 or emergency operative delivery for fetal distress. Logistic regression models were developed for the prediction of APO in the general population and among SGA cases (defined as customized birth weight < 10 th centile). The prevalence of APO was 9.3% in the general population and 27.4% among SGA cases. In the general population, a combined screening model including a-priori risk (maternal characteristics), estimated fetal weight (EFW) centile, umbilical artery pulsatility index (UA-PI), estriol and PlGF achieved a detection rate for APO of 26% (area under receiver-operating characteristics curve (AUC), 0.59 (95% CI, 0.54-0.65)), at a 10% false-positive rate (FPR). Among SGA cases, a model including a-priori risk, EFW centile, UA-PI, cerebroplacental ratio, estriol and PlGF predicted 62% of APO (AUC, 0.86 (95% CI, 0.80-0.92)) at a FPR of 10%. The use of fetal ultrasound and maternal biochemical markers at 32-36 weeks provides a poor prediction of APO in the general population. Although it remains limited, the performance of the screening model is improved when applied to fetuses with suboptimal fetal growth. Copyright © 2016 ISUOG. Published by John Wiley & Sons

  17. A predictive model for pressure ulcer outcome: the Wound Healing Index.

    Science.gov (United States)

    Horn, Susan D; Barrett, Ryan S; Fife, Caroline E; Thomson, Brett

    2015-12-01

    The purpose of this learning activity is to provide information regarding the creation of a risk-stratification system to predict the likelihood of the healing of body and heel pressure ulcers (PrUs). This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. After participating in this educational activity, the participant should be better able to:1. Explain the need for a PrU risk stratification tool.2. Describe the purpose and methodology of the study.3. Delineate the results of the study and development of the Wound Healing Index. : To create a validated system to predict the healing likelihood of patients with body and heel pressure ulcers (PrUs), incorporating only patient- and wound-specific variables. The US Wound Registry data were examined retrospectively and assigned a clear outcome (healed, amputated, and so on). Significant variables were identified with bivariate analyses. Multivariable logistic regression models were created based on significant factors (P wound clinics in 24 states : A total of 7973 body PrUs and 2350 heel PrUs were eligible for analysis. Not applicable : Healed PrU MAIN RESULTS:: Because of missing data elements, the logistic regression development model included 6640 body PrUs, of which 4300 healed (64.8%), and the 10% validation sample included 709 PrUs, of which 477 healed (67.3%). For heel PrUs, the logistic regression development model included 1909 heel PrUs, of which 1240 healed (65.0%), and the 10% validation sample included 203 PrUs, of which 133 healed (65.5%). Variables significantly predicting healing were PrU size, PrU age, number of concurrent wounds of any etiology, PrU Stage III or IV, evidence of bioburden/infection, patient age, being nonambulatory, having renal transplant, paralysis, malnutrition, and/or patient hospitalization for any reason. Body and heel PrU Wound Healing Indices are comprehensive, user-friendly, and validated predictive models for

  18. Manejo da fertirrigação e controle da salinidade do solo sob ambiente protegido, utilizando-se extratores de solução do solo

    OpenAIRE

    Dias,Nildo da S.; Duarte,Sergio N.; Gheyi,Hans R.; Medeiros,José F. de; Soares,Tales M.

    2005-01-01

    Com o objetivo de avaliar o uso de extratores de soluções do solo no auxílio ao manejo da fertirrigação e no controle da salinidade em solo cultivado com melão rendilhado, conduziu-se um estudo em ambiente protegido na área experimental do Departamento de Engenharia Rural da ESALQ/USP, localizada no município de Piracicaba, SP. Os tratamentos se compunham da combinação de dois fatores: 6 níveis de salinidade inicial do solo (S1 = 1,0; S2 = 2,0; S3 = 3,0; S4 = 4,0; S5 = 5,0 e S6 = 6,0 dS m-1) ...

  19. Diversidade de Trichocomaceae isoladas de solo em dois ecossistemas florestais.

    Directory of Open Access Journals (Sweden)

    Marcelo Elias Fraga

    2010-08-01

    Full Text Available A família Trichocomaceae inclui os gêneros de fungos anamórficos, Aspergillus e Penicillium. Muitos membros dessa família são importantes causadores de degradação de alimentos, biodeterioração, patogênicos a animais, e algumas espécies são usadas em biotecnologia e podem produzir micotoxinas. O presente trabalho foi realizado em duas áreas, durante o período de um ano (2006-2007 com coletas em área de plantio de pinus (Pinus elliotti e Corymbia (Corymbia citriodora com idade aproximada de 20 anos, no campus da UFRRJ, Seropédica, Rio de Janeiro, Brasil. Na área de cada cobertura vegetal foi estabelecida uma parcela de aproximadamente 500 m2, onde foram coletadas aleatoriamente dez amostras simples, em intervalos regulares de 70 dias. No momento da coleta foram medidas as temperaturas do solo com geotermômetro digital. Durante o de estudo também foi quantificada a precipitação pluviométrica e a temperatura ambiente. No período, foi verificada uma pequena variação da temperatura do solo nas áreas, valores de 21,93 a 27,69oC na área de pinus e 22,22 a 26,58oC na área de Corymbia. A variação mensal da umidade relativa mínima foi de 27,2/20,5 e máxima de 82,6/63,2 e os maiores valores de precipitação observados foi no mês de janeiro (22 dias. Em relação à micobiota, foi observada uma variação crescente da unidade formadora de colônia (UFC nos período de maior temperatura e umidade relativa com índices variando de 12,8/58,2 e 20,3/83,3x103 para Corymbia e pinus respectivamente. O número total de fungos foi de 190 isolados, pertencentes a cinco gêneros e 54 espécies diferente, sendo 32 Penicillium spp., 19 Aspergillus spp., um Eupenicillium javanicu, um Eurotium chevalieri e um Sclerocleista ornata. A espécie mais abundante foi Penicillium decumbens, sendo encontrada em todas as coletas. Os períodos de maior concentração de UFC estão correlacionados com os períodos de chuva, umidade relativa e

  20. Value of Value-Added Models Based on Student Outcomes to Evaluate Teaching

    Science.gov (United States)

    Berk, Ronald A.

    2016-01-01

    Recently, student outcomes have bubbled to the top of debates about how to evaluate teaching in community and liberal arts colleges, universities, and professional schools, but even more international attention has been riveted on how outcomes are being used to evaluate teachers and administrators K-12 (Harris, 2012; Rowen & Raudenbush, 2016;…

  1. Aligning Learning and Talent Development Performance Outcomes with Organizational Objectives: A Proposed Model

    Science.gov (United States)

    Ware, Iris

    2017-01-01

    The value proposition for learning and talent development (LTD) is often challenged due to human resources' inability to demonstrate meaningful outcomes in relation to organizational needs and return-on-investment. The primary role of human resources (HR) and the learning and talent development (LTD) function is to produce meaningful outcomes to…

  2. Racial Variation in Vocational Rehabilitation Outcomes: A Structural Equation Modeling Approach

    Science.gov (United States)

    Martin, Frank H.

    2010-01-01

    Numerous studies have indicated racial and ethnic disparities in the vocational rehabilitation (VR) system, including differences in acceptance, services provided, closure types, and employment outcomes. Few of these studies, however, have used advanced multivariate techniques or latent constructs to measure quality of employment outcomes (QEO) or…

  3. Characteristics of females who sexually offend: a comparison of solo and co-offenders.

    Science.gov (United States)

    Gillespie, Steven M; Williams, Rebecca; Elliott, Ian A; Eldridge, Hilary J; Ashfield, Sherry; Beech, Anthony R

    2015-06-01

    Although recent typologies of female sexual offenders have recognized the importance of having a co-offender, the clinical characteristics of solo and co-female sexual offenders remain poorly understood. The aim of this study was to compare solo (n = 20) and co- (n = 20) female sexual offenders on a variety of clinical characteristics. It was found that although solo and co-offenders reported similar developmental experiences and psychological dispositions, differences were found in environmental niche, offense preceding, and positive factors. Specifically, solo offenders demonstrated a greater presence of personal vulnerabilities including mental health and substance abuse difficulties. Co-offenders reported a greater presence of environmentally based factors, including a current partner who was a known sex offender and involvement with antisocial peers. It is suggested that these results have implications for understanding assessment and intervention needs for these groups of sexual offenders. © The Author(s) 2014.

  4. Pemetaan Kelembagaan dalam Kajian Lingkungan Hidup Strategis DAS Bengawan Solo Hulu

    Directory of Open Access Journals (Sweden)

    Sri Rum Giyarsih

    2015-10-01

    Full Text Available Fakta empiris memberikan pembuktian terhadap pentingnya pengembangan kelembagaan dalam rangka mencapai keberhasilan suatu program pembangunan, bahkan seringkali program pembangunan yang mengabaikan pengembangan kelembagaan berakhir dengan kegagalan. Pengembangan kelembagaan telah menjadi bagian dari strategi pembangunan tak terkecuali dalam Kajian Lingkungan Hidup Strategis di DAS Bengawan Solo Hulu. Sasaran yang ingin dicapai dari kegiatan pengembangan kelembagaan adalah tumbuhnya kelembagaan yang tangguh, dinamis, dan berdaya saing serta mandiri dalam melakukan pengelolaan lingkungan. Untuk mencapai hal ini maka perlu dilakukan pemetaan kelembagaan di DAS tersebut. Dari pemetaan kelembagaan yang ada di wilayah ini terdapat tiga lembaga yang dapat melakukan kegiatan Koordinasi, Intergrasi, Sinergitas, Sinkronisasi (KISS yaitu BKPRD (Badan Koordinasi Penataan Ruang Daerah, BP DAS (Badan Pengelolaan Daerah Aliran Sungai/Forum DAS, dan TKPSDA WS Bengawan Solo (Tim Koordinasi Pengelolaan Sumberdaya Air Wilayah Sungai Bengawan Solo. Di antara ketiga lembaga tersebut maka TKPSDA adalah lembaga yang dipercaya untuk melakukan Koordinasi, Intergrasi, Sinergitas, Sinkronisasi (KISS dalam pengelolaan lingkungan DAS Bengawan Solo Hulu.

  5. Using empirical Bayes predictors from generalized linear mixed models to test and visualize associations among longitudinal outcomes.

    Science.gov (United States)

    Mikulich-Gilbertson, Susan K; Wagner, Brandie D; Grunwald, Gary K; Riggs, Paula D; Zerbe, Gary O

    2018-01-01

    Medical research is often designed to investigate changes in a collection of response variables that are measured repeatedly on the same subjects. The multivariate generalized linear mixed model (MGLMM) can be used to evaluate random coefficient associations (e.g. simple correlations, partial regression coefficients) among outcomes that may be non-normal and differently distributed by specifying a multivariate normal distribution for their random effects and then evaluating the latent relationship between them. Empirical Bayes predictors are readily available for each subject from any mixed model and are observable and hence, plotable. Here, we evaluate whether second-stage association analyses of empirical Bayes predictors from a MGLMM, provide a good approximation and visual representation of these latent association analyses using medical examples and simulations. Additionally, we compare these results with association analyses of empirical Bayes predictors generated from separate mixed models for each outcome, a procedure that could circumvent computational problems that arise when the dimension of the joint covariance matrix of random effects is large and prohibits estimation of latent associations. As has been shown in other analytic contexts, the p-values for all second-stage coefficients that were determined by naively assuming normality of empirical Bayes predictors provide a good approximation to p-values determined via permutation analysis. Analyzing outcomes that are interrelated with separate models in the first stage and then associating the resulting empirical Bayes predictors in a second stage results in different mean and covariance parameter estimates from the maximum likelihood estimates generated by a MGLMM. The potential for erroneous inference from using results from these separate models increases as the magnitude of the association among the outcomes increases. Thus if computable, scatterplots of the conditionally independent empirical Bayes

  6. Comparison of robustness to outliers between robust poisson models and log-binomial models when estimating relative risks for common binary outcomes: a simulation study.

    Science.gov (United States)

    Chen, Wansu; Shi, Jiaxiao; Qian, Lei; Azen, Stanley P

    2014-06-26

    To estimate relative risks or risk ratios for common binary outcomes, the most popular model-based methods are the robust (also known as modified) Poisson and the log-binomial regression. Of the two methods, it is believed that the log-binomial regression yields more efficient estimators because it is maximum likelihood based, while the robust Poisson model may be less affected by outliers. Evidence to support the robustness of robust Poisson models in comparison with log-binomial models is very limited. In this study a simulation was conducted to evaluate the performance of the two methods in several scenarios where outliers existed. The findings indicate that for data coming from a population where the relationship between the outcome and the covariate was in a simple form (e.g. log-linear), the two models yielded comparable biases and mean square errors. However, if the true relationship contained a higher order term, the robust Poisson models consistently outperformed the log-binomial models even when the level of contamination is low. The robust Poisson models are more robust (or less sensitive) to outliers compared to the log-binomial models when estimating relative risks or risk ratios for common binary outcomes. Users should be aware of the limitations when choosing appropriate models to estimate relative risks or risk ratios.

  7. A Longitudinal Model of School Climate, Social Justice Orientation, and Academic Outcomes among Latina/o Students

    Science.gov (United States)

    Pérez-Gualdrón, Leyla, M.; Helms, Janet E.

    2017-01-01

    Background: Social justice orientation (SJO) is the motivation to promote justice and equity among all in society. Researchers argue that students of Color with high SJO can resist structural racism in their schools/society and have positive academic outcomes. Purpose: In the present study, a longitudinal model of cultural and environmental…

  8. A dual process model of diversity outcomes : The case of the South African Police Service in the Pretoria area

    NARCIS (Netherlands)

    Jackson, L.T.B.; van de Vijver, F.J.R.; Molokoane, D.H.

    2013-01-01

    Orientation: The study addresses the question of how employees of the South African Police Service (SAPS) cope with intercultural relations in an increasingly diverse organisation. Research purpose: A dual-process model of diversity outcomes was tested in which a distinction is made between a

  9. Peran Lembaga Sosial Ppap Seroja dalam Memberikan Motivasi Belajar Kepada Anak Rawan di Kota Solo

    OpenAIRE

    Robaaniyahya, Riska

    2015-01-01

    Penelitian ini bertujuan untuk mengetahui cara yang dilakukan Lembaga Sosial PPAP Seroja dalam memberikan motivasi belajar kepada anak rawan di Kota Solo beserta dampaknya. Penelitian ini dilaksanakan di Lembaga Sosial PPAP Seroja dengan teknik pemilihan informan berupa purposive sampling. Informan yang dipilih dalam penelitian ini adalah pengurus dan tentor di PLK Seroja, anak rawan di PLK Seroja, dan staff Dinas Sosial Tenaga Kerja dan Transmigrasi Kota Solo. Pendekatan penelitian yang digu...

  10. Sílica solúvel em solos Soluble silica in soils

    Directory of Open Access Journals (Sweden)

    Bernardo van Raij

    1973-01-01

    Full Text Available Determinou-se a silica solúvel nos horizontes superficial e B2 de 44 perfis de solos do Estado de São Paulo. A extração da silica com solução 0,0025M de cloreto de cálcio evitou a dispersão dos solos e forneceu resultados em média apenas 8% menores do que a silica solúvel em água. Os resultados variaram de 2,2 a 92,2 ppm de SiO2. Verificou-se que, para solos com teores semelhantes de argila, os teores de silica solúvel foram maiores para solos com horizonte B textural, quando comparados com solos de horizonte B latossólico. Dentro dos agrupamentos de solos com horizonte B textural e horizonte B latossólico, os teores de silica solúvel foram maiores para os solos mais argilosos. Não foi observada relação entre silica solúvel e o pH dos solos.The extraction of soluble silica of soils with 0.0025M calcium chloride solution avoided dispersion of clay and results were on the average only 8% lower than water soluble silica. The results for surface and B2 horizons of 44 soil profiles of the State of São Paulo varied between 2.2 and 92.9 ppm of SiO2. For soils with similar clay contents, soluble silica was higher for soil with argillic B horizons as compared with soils with oxic B horizons. Within each group of soils, higher soluble silica results were associated with higher clay contents. Soluble silica apparently was not related to soil pH.

  11. Desain Interior Four Points Solo untuk Menampilkan Citra Hotel Bisnis Elegan Kontemporer dengan Sentuhan Budaya Jawa

    OpenAIRE

    Paramita, Trivesti Laksmi

    2015-01-01

    Kota Solo sebagai salah satu potensi pariwisata di sentral Jawa telah banyak kemajuan. Sebagai salah satu kota wisata MICE (Meeting, Incentive, Convention, and Exhibition) di Indonesia, Solo melengkapi kemajuan infrastuktur kotanya dengan fasilitas penunjang, kemudahan akses dan akomodasi bagi para pebisnis. Hotel bisnis adalah hotel yang fasilitas utamanya dapat mengakomodasi seluruh kegiatan bisnis tamu hotel. Four Points by Sheraton yang merupakan hotel bisnis dengan klasifikasi bintang em...

  12. PEMANFAATAN SISTEM INFORMASI GEOGRAFIS BERBASIS WEB UNTUK PEMETAAN LOKASI PASAR DAN PUSAT PERBELANJAAN DI KOTA SOLO

    Directory of Open Access Journals (Sweden)

    Murinto

    2012-04-01

    Full Text Available Kota Solo merupakan salah satu kota terbesar di Jawa Tengah selain kota Semarang yang dijadikan sebagai ibukota propinsi. Dalam hal perekonomian kota Solo memiliki peranan penting terutama dalam bidang industri dan perdagangan. Sebagai penunjang perekonomian di bidang industri dan perdagangan, di kota Solo terdapat pasar (pasar tradisional dan pasar modern (pusat perbelanjaan. Pasar – pasar tersebut dikelola oleh Dinas Pasar yang merupakan instansi pemerintahan yang ada di kota Solo. Pasar – pasar tersebut banyak tersebar di beberapa kecamatan di kota Solo. Karena banyaknya pasar yang tersebar di wilayah kecamatan yang ada di kota Solo maka dinas pasar khususnya dan masyarakat umumnya tidak dapat secara pasti mendapatkan informasi tentang keberadaan lokasi dan fasilitas – fasilitas yang ada di pasar seperti barang yang dijual, dan jumlah kios. Tujuan penelitian ini adalah membuat Sistem Informasi Geografis berbasis web untuk mengetahui lokasi pasar tradisional dan pasar modern (pusat perbelanjaan, barang yang dijual, dan jumlah kios. Penelitian ini menggunakan metode pengumpulan data dengan cara observasi, dokumentasi, wawancara dan pencarian di Internet. Metode yang dilakukan dalam merancang sistem informasi geografis pasar tradisional dan pasar modern (pusat perbelanjaan di kota Solo berbasis web adalah dengan menganalisa kebutuhan sistem, merancang sistem, melakukan digitasi peta dengan perangkat lunak ArcView 3.3, mengimplementasikan program dengan PHP dan MySQL, dan menguji program. Untuk melakukan evaluasi terhadap aplikasi ini dilakukan dengan metode black box test dan alpha test. Hasil dari penelitian ini adalah sebuah aplikasi Sistem Informasi Geografis untuk Pemetaan Lokasi Pasar Tradisional dan Pasar Modern (Pusat Perbelanjaan di Kota Solo Berbasis Web yang dapat digunakan dinas pasar dan masyarakat untuk mengetahui lokasi pasar, barang yang dijual dipasar, dan jumlah kios.

  13. TEACHERS PERCEPTIONS OF CLASSROOM PRACTICES BASED ON SOLO TAXONOMY IN SECONDARY SCHOOL SYSTEM

    OpenAIRE

    P. H. Kusumawathie; Norhisham Mohamad; Ferdous Azam

    2017-01-01

    Purpose: The purpose of this study is to explore the conceptual awareness of accounting teachers in their teaching learning process based on SOLO Taxonomy curriculum approach in secondary level schools. Further, the study explored the relationship between the curriculum development inputs and the SOLO based curriculum development process. The curriculum development inputs are teacher effectiveness, school community, school environment and technology availability. Method: Data was collected th...

  14. Equipamento para extração de amostras indeformadas de solo

    Directory of Open Access Journals (Sweden)

    M. A. Teixeira

    2000-12-01

    Full Text Available O presente trabalho teve como objetivo desenvolver um equipamento para coletar amostras indeformadas de solo de 75 mm de diâmetro a uma profundidade de até 0,60 m, bem como avaliar a qualidade das amostras retiradas. O amostrador foi constituído por um tubo de PVC, acondicionado dentro de um tubo cravador de alumínio equipado com uma ponteira de aço, formando um conjunto sem movimento rotativo. Envolveu este conjunto uma rosca-sem-fim, equipada com três lâminas de corte na sua extremidade. O conjunto foi adaptado a um veículo especificamente projetado para o tráfego no campo (VAS - Veículo Amostrador de Solo. As amostras obtidas pelo VAS foram comparadas com as testemunhas, obtidas pelo método do bloco da parafina, por meio de testes laboratoriais, para verificar a ocorrência de alterações estruturais. Os testes foram: inspeção visual, densidade do solo, ensaio de compressão triaxial rápido e ensaio de adensamento. As amostras obtidas pelo VAS em solo argiloso (Latossolo Roxo apresentaram confiabiliade (95% dos valores de densidade do solo, características de resistência à compressão e adensamento iguais à testemunha. O equipamento mostrou-se prático, versátil e adequado para retirar amostras de solos argilosos, sendo a qualidade das amostras semelhante à obtida pelos métodos tradicionais de extração do anel volumétrico e de bloco de solos. O equipamento desenvolvido pode ser útil na coleta de dados para mapeamento de solos, com o auxílio de uma antena de GPS.

  15. Nilai-nilai Modal Sosial Yang Terkandung Dalam Perkembangan Pariwisata (Studi Kota Solo)

    OpenAIRE

    Kusuma, Arifin Fafan K; Darwanto

    2015-01-01

    Solo City is a city with the second highest visit in Central Java. Development of tourism in the city of Solo is not separated from the role of community participation in developing tourism in this city. Public participation can not be separated from the tourism economy. Embedded value of social capital is one of the things that make up the community participation in tourism development. Collective action in the form of public participation can be a catalyst driving the tourism sector in orde...

  16. Transporte do paclobutrazol em colunas de solos Paclobutrazol transport in soil columns

    Directory of Open Access Journals (Sweden)

    Mônica Lúcia Milfont

    2008-10-01

    Full Text Available O paclobutrazol (PBZ é um regulador de crescimento utilizado em sistemas agrícolas com o propósito de controlar o crescimento vegetativo, estimulando a capacidade reprodutiva das plantas. Esse regulador de crescimento permanece ativo no solo por muito tempo, e sua meia-vida varia com o tipo de solo e as condições climáticas, podendo afetar severamente o desenvolvimento dos cultivos subseqüentes e, por lixiviação, contaminar os aqüíferos. Este trabalho teve como objetivo estudar os mecanismos envolvidos no transporte e na sorção do PBZ em colunas, utilizando amostras de um Argissolo Amarelo eutrófico e de um Vertissolo Háplico órtico, ambos da região do Vale do Rio São Francisco. Os ensaios de deslocamento miscível do traçador (solução de KBr e do paclobutrazol foram realizados considerando duas vazões (0,4 e 1,6 cm³ min-1 para ambos os solos. As variáveis hidrodispersivas foram obtidas pelo ajuste do modelo convecção dispersão (CDE às curvas de eluição experimentais do KBr, e as variáveis do modelo CDE-2 sítios de sorção, às curvas de eluição experimentais do PBZ por intermédio do programa CXTFIT 2.0. O paclobutrazol foi mais facilmente transportado no Vertissolo Háplico que no Argissolo Amarelo. A taxa de recuperação foi menor para a menor vazão para ambos os solos. A quantidade de PBZ não recuperada pode ser atribuída, sobretudo, à histerese no processo de sorção irreversível. O modelo CDE a dois sítios de sorção representa adequadamente os dados experimentais das curvas de eluição do paclobutrazol. Os resultados obtidos evidenciam que o paclobutrazol, utilizado em pomares com manga irrigada cujos solos são o Argissolo Amarelo e o Vertissolo Háplico, oferece risco real de contaminação das águas subterrâneas da região.Paclobutrazol (PBZ is a post-emergence plant growth regulator used in agricultural systems with the objective of vegetative control growth, thereby increasing the

  17. Greater expectations: using hierarchical linear modeling to examine expectancy for treatment outcome as a predictor of treatment response.

    Science.gov (United States)

    Price, Matthew; Anderson, Page; Henrich, Christopher C; Rothbaum, Barbara Olasov

    2008-12-01

    A client's expectation that therapy will be beneficial has long been considered an important factor contributing to therapeutic outcomes, but recent empirical work examining this hypothesis has primarily yielded null findings. The present study examined the contribution of expectancies for treatment outcome to actual treatment outcome from the start of therapy through 12-month follow-up in a clinical sample of individuals (n=72) treated for fear of flying with either in vivo exposure or virtual reality exposure therapy. Using a piecewise hierarchical linear model, outcome expectancy predicted treatment gains made during therapy but not during follow-up. Compared to lower levels, higher expectations for treatment outcome yielded stronger rates of symptom reduction from the beginning to the end of treatment on 2 standardized self-report questionnaires on fear of flying. The analytic approach of the current study is one potential reason that findings contrast with prior literature. The advantages of using hierarchical linear modeling to assess interindividual differences in longitudinal data are discussed.

  18. DISCUSSÕES SOBRE O CONCEITO DE ESCALA E OS MAPEAMENTOS DE SOLOS NO BRASIL

    Directory of Open Access Journals (Sweden)

    Joildes Brasil dos Santos

    2012-11-01

    Full Text Available Os primeiros levantamentos de solos do Brasil datam da década de 50 até meados dos anos 80, graças às expedições lideradas projeto RadamBrasil o que cominou na carta de solos do Brasil. Posteriormente, estudos da Empresa Brasileira de Pesquisa Agropecuária (EMBRAPA e do Instituto Brasileiro de Geografia e Estatística (IBGE incrementaram novas informações a esse mapeamento, e mais recentemente classificaram os solos nacionais segundo o Sistema Brasileiro de Classificação de Solos (SiBCS, 2009, na escala de 1:5.000.000. Haja vista as dimensões continentais do Brasil, essas representações, em pequenas escalas da distribuição dos solos, engendram num problema de generalização excessiva, que não contempla a realidade local. Neste sentido, este artigo terá como objetivo discutir questões referentes à escala e suas ambíguas conceituações, no tocante a abordagem escalar na Ciência Geográfica. Relacionado a isso, perscrutar a certa dos mapeamentos de solos atuais do Brasil, e como estes, a depender da escala, se apresentam de formas distintas.

  19. SOLO: a meiotic protein required for centromere cohesion, coorientation, and SMC1 localization in Drosophila melanogaster.

    Science.gov (United States)

    Yan, Rihui; Thomas, Sharon E; Tsai, Jui-He; Yamada, Yukihiro; McKee, Bruce D

    2010-02-08

    Sister chromatid cohesion is essential to maintain stable connections between homologues and sister chromatids during meiosis and to establish correct centromere orientation patterns on the meiosis I and II spindles. However, the meiotic cohesion apparatus in Drosophila melanogaster remains largely uncharacterized. We describe a novel protein, sisters on the loose (SOLO), which is essential for meiotic cohesion in Drosophila. In solo mutants, sister centromeres separate before prometaphase I, disrupting meiosis I centromere orientation and causing nondisjunction of both homologous and sister chromatids. Centromeric foci of the cohesin protein SMC1 are absent in solo mutants at all meiotic stages. SOLO and SMC1 colocalize to meiotic centromeres from early prophase I until anaphase II in wild-type males, but both proteins disappear prematurely at anaphase I in mutants for mei-S332, which encodes the Drosophila homologue of the cohesin protector protein shugoshin. The solo mutant phenotypes and the localization patterns of SOLO and SMC1 indicate that they function together to maintain sister chromatid cohesion in Drosophila meiosis.

  20. Efeito de doses de boro no crescimento vegetativo de girassol em diferentes classes de solos

    Directory of Open Access Journals (Sweden)

    Manoel Euba Neto

    2014-06-01

    Full Text Available A baixa disponibilidade de boro (B no solo é um dos fatores que mais limita a produção do girassol, planta oleaginosa caracterizada por ampla adaptabilidade climática. O objetivo desta pesquisa foi avaliar a influência de doses de boro, aplicadas em distintas classes de solos, no desenvolvimento do girassol cultivar Hélio 863. As amostras foram coletadas na camada de 0-20 cm dos solos: Argissolo Acinzentado (PAC; Argissolo Vermelho-Amarelo (PVA; Neossolo Litólico (RL; Argissolo Vermelho eutrófico (PVe; Neossolo Flúvico (RY e Vertissolo Háplico (VX. O delineamento experimental foi em blocos casualizados, em esquema fatorial 6 x 4 (solos x doses, com quatro repetições. A unidade experimental foi representada por uma planta por vaso. Os solos apresentaram efeito significativo (p < 0,01 sobre todos os parâmetros de crescimento estudados. As plantas de girassol cultivadas nos solos RY, VX, PAC e RL apresentaram a maior área foliar, os maiores capítulos, o maior teor de boro foliar e maior número de folhas e altura de plantas, respectivamente. A adubação com boro não influenciou a produção de fitomassa seca do girassol cv. Hélio 863.

  1. MICRONUTRIENTES NOS SOLOS DO MUNICÍPIO DE SANTA CRUZ DO SUL, RS, BRASIL

    Directory of Open Access Journals (Sweden)

    Alcido Kirst

    2007-12-01

    Full Text Available O presente trabalho teve como objetivo principal avaliar a fertilidade dos solos do município de Santa Cruz do Sul, RS, Brasil, em relação aos micronutrientes zinco, ferro, manganês, cobre e boro, baseado nos laudos técnicos de análise de solo realizados pelo Laboratório de Solos da Universidade de Santa Cruz do Sul, no período de 2001 a 2005. Ao todo, 3548 laudos de solo foram interpretados. As técnicas analíticas para a determinação destas variáveis seguiram a metodologia utilizada pela Rede Oficial de Laboratórios de Análises de Solos e Tecido Vegetal do Rio Grande do Sul e Santa Catarina (ROLAS. Os resultados indicaram que a avaliação da fertilidade dos solos do município apresentou altas concentrações  dos micronutrientes zinco, cobre, manganês e ferro e concentrações médias de boro, indicando adequadas condições de fertilidade para as culturas predominantes na região.

  2. Modelo para estimativa da infiltração de água e perfil de umidade do solo

    Directory of Open Access Journals (Sweden)

    Roberto Avelino Cecílio

    2013-04-01

    Full Text Available A adequada modelagem da infiltração de água no solo é fundamental para estimação do movimento de água, erosão hídrica, recarga e contaminação de aquíferos. Este trabalho apresenta um modelo para estimativa da infiltração de água no solo (GAML-c, com base no modelo de Green-Ampt-Mein-Larson, que provê descrição da geometria e do deslocamento da frente de umedecimento no solo. Testes experimentais foram conduzidos em Latossolo Vermelho-Amarelo para avaliar o GAML-c, usando-se quatro diferentes cenários: considerando a condutividade hidráulica do solo igual à taxa de infiltração estável (Tie e a umidade máxima do solo igual ao teor de água na zona de transmissão (θw (TW; condutividade hidráulica do solo igual à do solo saturado (K0 e a umidade máxima do solo igual θw (KW; condutividade hidráulica do solo igual à Tie e a umidade máxima do solo igual ao teor de água na saturação (θs (TS; e condutividade hidráulica do solo igual a K0 e a umidade máxima do solo igual θs (KS. Verificou-se que o GAML-c no cenário TW foi o melhor estimador do perfil de umidade do solo, resultando em aceitáveis estimativas da infiltração de água.

  3. How Adverse Outcome Pathways Can Aid the Development and Use of Computational Prediction Models for Regulatory Toxicology

    Energy Technology Data Exchange (ETDEWEB)

    Wittwehr, Clemens; Aladjov, Hristo; Ankley, Gerald; Byrne, Hugh J.; de Knecht, Joop; Heinzle, Elmar; Klambauer, Günter; Landesmann, Brigitte; Luijten, Mirjam; MacKay, Cameron; Maxwell, Gavin; Meek, M. E. (Bette); Paini, Alicia; Perkins, Edward; Sobanski, Tomasz; Villeneuve, Dan; Waters, Katrina M.; Whelan, Maurice

    2016-12-19

    Efforts are underway to transform regulatory toxicology and chemical safety assessment from a largely empirical science based on direct observation of apical toxicity outcomes in whole organism toxicity tests to a predictive one in which outcomes and risk are inferred from accumulated mechanistic understanding. The adverse outcome pathway (AOP) framework has emerged as a systematic approach for organizing knowledge that supports such inference. We argue that this systematic organization of knowledge can inform and help direct the design and development of computational prediction models that can further enhance the utility of mechanistic and in silico data for chemical safety assessment. Examples of AOP-informed model development and its application to the assessment of chemicals for skin sensitization and multiple modes of endocrine disruption are provided. The role of problem formulation, not only as a critical phase of risk assessment, but also as guide for both AOP and complementary model development described. Finally, a proposal for actively engaging the modeling community in AOP-informed computational model development is made. The contents serve as a vision for how AOPs can be leveraged to facilitate development of computational prediction models needed to support the next generation of chemical safety assessment.

  4. A dual-process model of diversity outcomes: The case South African police service in the Pretoria area

    Directory of Open Access Journals (Sweden)

    Leon T.B. Jackson

    2013-09-01

    Full Text Available Orientation: The study addresses the question of how employees of the South African Police Service (SAPS cope with intercultural relations in an increasingly diverse organisation. Research purpose: A dual-process model of diversity outcomes was tested in which a distinction is made between a positive (work-related stream that links positive diversity conditions through active coping to work outcomes and a relatively independent health related stream of negative antecedents, mediating passive coping skills and ill-health related outcomes. Motivation for the study: To test the viability of a dual-process model to understand diversity outcomes in the workplace. Research design, approach and methods: A convenience sample (n= 158 was recruited from members of the SAPS in Gauteng, using a cross-sectional design. Instruments used in previous acculturation research were adapted to measure contextual factors, coping and diversity outcomes. Main findings: A very good fit for the proposed hypothetical model was found. Approach coping partially mediated the relationship between positive acculturation conditions and the subjective experience of work success whereas avoidance coping fully mediated the relationship between discrimination, and ill-health symptoms are related to ill-health symptoms. Practical/managerial implications: Mainstream-facilitating conditions and discrimination influence individual coping styles, which in turn impact on ill-health and the subjective experience of work success. In addition, ill-health also impacts negatively on work-success experiences amongst the sampled SAPS members. It would thus make sense for the SAPS to sanction discrimination. Contribution/value added: A variation of the mediated dual-process model for diversity (Jackson & Van de Vijver, in press, using coping strategies as mediators was supported. The model adds new insights in diversity in organisations.

  5. Nurse practice environment, workload, burnout, job outcomes, and quality of care in psychiatric hospitals: a structural equation model approach.

    Science.gov (United States)

    Van Bogaert, Peter; Clarke, Sean; Willems, Riet; Mondelaers, Mieke

    2013-07-01

    To study the relationships between nurse practice environment, workload, burnout, job outcomes and nurse-reported quality of care in psychiatric hospital staff. Nurses' practice environments in general hospitals have been extensively investigated. Potential variations across practice settings, for instance in psychiatric hospitals, have been much less studied. A cross-sectional design with a survey. A structural equation model previously tested in acute hospitals was evaluated using survey data from a sample of 357 registered nurses, licensed practical nurses, and non-registered caregivers from two psychiatric hospitals in Belgium between December 2010-April 2011. The model included paths between practice environment dimensions and outcome variables, with burnout in a mediating position. A workload measure was also tested as a potential mediator between the practice environment and outcome variables. An improved model, slightly modified from the one validated earlier in samples of acute care nurses, was confirmed. This model explained 50% and 38% of the variance in job outcomes and nurse-reported quality of care respectively. In addition, workload was found to play a mediating role in accounting for job outcomes and significantly improved a model that ultimately explained 60% of the variance in these variables. In psychiatric hospitals as in general hospitals, nurse-physician relationship and other organizational dimensions such as nursing and hospital management were closely associated with perceptions of workload and with burnout and job satisfaction, turnover intentions, and nurse-reported quality of care. Mechanisms linking key variables and differences across settings in these relationships merit attention by managers and researchers. © 2012 Blackwell Publishing Ltd.

  6. Corporate Social Responsibility and Employee Outcomes: A Moderated Mediation Model of Organizational Identification and Moral Identity.

    Science.gov (United States)

    Wang, Wei; Fu, Ying; Qiu, Huiqing; Moore, James H; Wang, Zhongming

    2017-01-01

    Corporate social responsibility (CSR) research is not new, but its importance to today's socially conscious market environment is even more evident in recent years. This study moves beyond CSR as simply the socially responsible actions and policies of organizations and focuses on the complex psychology of CSR as it relates to individuals within the organization. Given CSR can positively affect both the individuals within the organization and the organization itself, better understanding and leveraging the mechanisms and conditions of CSR that facilitate desired employee outcomes is crucial for organizational performance. However, scholars lack consensus in determining a theoretical framework for understanding how and under what conditions CSR will make an impact on employees and ultimately organizational performance. This study adds clarity by exploring the effect of perceived CSR on a more comprehensive set of employees' attitudinal and behavioral reactions (i.e., turnover intention, in-role job performance, and helping behavior) via the mediating mechanism of organizational identification and the moderating condition of moral identity. Hypotheses were derived using social identity theory. Results were based on data obtained from 340 Chinese manufacturing employee-supervisor dyads. This study found that employees' perceived CSR had an indirect relationship via organizational identification with each of the variables: (1) turnover intention, (2) in-role job performance, and (3) helping behavior. Specifically, the negative relationship between perceived CSR and turnover intention was stronger when employees had higher moral identity and the positive relationship between perceived CSR and in-role job performance and helping behavior was amplified by moral identity. Our findings show how the mediating mechanism of organizational identity and the moderating condition of moral identity work together to improve organizational effectiveness. The findings reveal several

  7. Corporate Social Responsibility and Employee Outcomes: A Moderated Mediation Model of Organizational Identification and Moral Identity

    Directory of Open Access Journals (Sweden)

    Wei Wang

    2017-11-01

    Full Text Available Corporate social responsibility (CSR research is not new, but its importance to today’s socially conscious market environment is even more evident in recent years. This study moves beyond CSR as simply the socially responsible actions and policies of organizations and focuses on the complex psychology of CSR as it relates to individuals within the organization. Given CSR can positively affect both the individuals within the organization and the organization itself, better understanding and leveraging the mechanisms and conditions of CSR that facilitate desired employee outcomes is crucial for organizational performance. However, scholars lack consensus in determining a theoretical framework for understanding how and under what conditions CSR will make an impact on employees and ultimately organizational performance. This study adds clarity by exploring the effect of perceived CSR on a more comprehensive set of employees’ attitudinal and behavioral reactions (i.e., turnover intention, in-role job performance, and helping behavior via the mediating mechanism of organizational identification and the moderating condition of moral identity. Hypotheses were derived using social identity theory. Results were based on data obtained from 340 Chinese manufacturing employee-supervisor dyads. This study found that employees’ perceived CSR had an indirect relationship via organizational identification with each of the variables: (1 turnover intention, (2 in-role job performance, and (3 helping behavior. Specifically, the negative relationship between perceived CSR and turnover intention was stronger when employees had higher moral identity and the positive relationship between perceived CSR and in-role job performance and helping behavior was amplified by moral identity. Our findings show how the mediating mechanism of organizational identity and the moderating condition of moral identity work together to improve organizational effectiveness. The

  8. Predictors of outcome after elective endovascular abdominal aortic aneurysm repair and external validation of a risk prediction model.

    Science.gov (United States)

    Wisniowski, Brendan; Barnes, Mary; Jenkins, Jason; Boyne, Nicholas; Kruger, Allan; Walker, Philip J

    2011-09-01

    Endovascular abdominal aortic aneurysm (AAA) repair (EVAR) has been associated with lower operative mortality and morbidity than open surgery but comparable long-term mortality and higher delayed complication and reintervention rates. Attention has therefore been directed to identifying preoperative and operative variables that influence outcomes after EVAR. Risk-prediction models, such as the EVAR Risk Assessment (ERA) model, have also been developed to help surgeons plan EVAR procedures. The aims of this study were (1) to describe outcomes of elective EVAR at the Royal Brisbane and Women's Hospital (RBWH), (2) to identify preoperative and operative variables predictive of outcomes after EVAR, and (3) to externally validate the ERA model. All elective EVAR procedures at the RBWH before July 1, 2009, were reviewed. Descriptive analyses were performed to determine the outcomes. Univariate and multivariate analyses were performed to identify preoperative and operative variables predictive of outcomes after EVAR. Binomial logistic regression analyses were used to externally validate the ERA model. Before July 1, 2009, 197 patients (172 men), who were a mean age of 72.8 years, underwent elective EVAR at the RBWH. Operative mortality was 1.0%. Survival was 81.1% at 3 years and 63.2% at 5 years. Multivariate analysis showed predictors of survival were age (P = .0126), American Society of Anesthesiologists (ASA) score (P = .0180), and chronic obstructive pulmonary disease (P = .0348) at 3 years and age (P = .0103), ASA score (P = .0006), renal failure (P = .0048), and serum creatinine (P = .0022) at 5 years. Aortic branch vessel score was predictive of initial (30-day) type II endoleak (P = .0015). AAA tortuosity was predictive of midterm type I endoleak (P = .0251). Female sex was associated with lower rates of initial clinical success (P = .0406). The ERA model fitted RBWH data well for early death (C statistic = .906), 3-year survival (C statistic = .735), 5-year

  9. Uranium and Molybdenum extraction from a Cerro Solo deposit ore

    International Nuclear Information System (INIS)

    Becquart, Elena T.; Arias, Maria J.; Fuente, Juan C. de la; Misischia, Yamila A.; Santa Cruz, Daniel E.; Tomellini, Guido C.

    2009-01-01

    Cerro Solo, located in Chubut, Argentina, is a sandstone type uranium-molybdenum deposit. Good recovery of both elements can be achieved by acid leaching of the ore but the presence of molybdenum in pregnant liquors is an inconvenient to uranium separation and purification. A two steps process is developed. A selective alkaline leaching of the ore with sodium hydroxide allows separating and recovering of molybdenum and after solid-liquid separation, the ore is acid leached to recover uranium. Several samples averaging 0,2% uranium and 0,1% molybdenum with variable U/Mo ratio have been used and in both steps, leaching and oxidant reagents concentration, temperature and residence time in a stirred tank leaching have been studied. In alkaline leaching molybdenum recoveries greater than 96% are achieved, with 1% uranium extraction. In acid leaching up to 93% of the uranium is extracted and Mo/U ratio in solvent extraction feed is between 0,013 and 0,025. (author)

  10. Rehabilitation of compensable workplace injuries: effective payment models for quality vocational rehabilitation outcomes in a changing social landscape.

    Science.gov (United States)

    Matthews, Lynda R; Hanley, Francine; Lewis, Virginia; Howe, Caroline

    2015-01-01

    With social and economic costs of workplace injury on the increase, efficient payment models that deliver quality rehabilitation outcomes are of increasing interest. This paper provides a perspective on the issue informed by both refereed literature and published research material not available commercially (gray literature). A review of payment models, workers' compensation and compensable injury identified relevant peer-reviewed and gray literature that informed our discussion. Fee-for-service and performance-based payment models dominate the health and rehabilitation literature, each described as having benefits and challenges to achieving quality outcomes for consumers. There appears to be a movement toward performance-based payments in compensable workplace injury settings as they are perceived to promote time-efficient services and support innovation in rehabilitation practice. However, it appears that the challenges that arise for workplace-based rehabilitation providers and professionals when working under the various payment models, such as staff retention and quality of client-practitioner relationship, are absent from the literature and this could lead to flawed policy decisions. Robust evidence of the benefits and costs associated with different payment models - from the perspectives of clients/consumers, funders and service providers - is needed to inform best practice in rehabilitation of compensable workplace injuries. Available but limited evidence suggests that payment models providing financial incentives for stakeholder-agreed vocational rehabilitation outcomes tend to improve service effectiveness in workers' compensation settings, although there is little evidence of service quality or client satisfaction. Working in a system that identifies payments for stakeholder-agreed outcomes may be more satisfying for rehabilitation practitioners in workers' compensation settings by allowing more clinical autonomy and innovative practice. Researchers

  11. Development and validation of outcome prediction models for aneurysmal subarachnoid haemorrhage : The SAHIT multinational cohort study

    NARCIS (Netherlands)

    Jaja, Blessing N R; Saposnik, Gustavo; Lingsma, Hester F.; Macdonald, Erin; Thorpe, Kevin E.; Mamdani, Muhammed; Steyerberg, Ewout W.; Molyneux, Andrew; Manoel, Airton Leonardo De Oliveira; Schatlo, Bawarjan; Hanggi, Daniel; Hasan, David M.; Wong, George K C; Etminan, Nima; Fukuda, Hitoshi; Torner, James C.; Schaller, Karl L.; Suarez, Jose I.; Stienen, Martin N.; Vergouwen, Mervyn D.I.; Rinkel, Gabriel J.E.; Spears, Julian; Cusimano, Michael D.; Todd, Michael; Le Roux, Peter; Kirkpatrick, Peter J.; Pickard, John; Van Den Bergh, Walter M.; Murray, Gordon D; Johnston, S. Claiborne; Yamagata, Sen; Mayer, Stephan A.; Schweizer, Tom A.; Macdonald, R. Loch

    2018-01-01

    Objective To develop and validate a set of practical prediction tools that reliably estimate the outcome of subarachnoid haemorrhage from ruptured intracranial aneurysms (SAH). Design Cohort study with logistic regression analysis to combine predictors and treatment modality. Setting Subarachnoid

  12. A model to begin to use clinical outcomes in medical education.

    Science.gov (United States)

    Haan, Constance K; Edwards, Fred H; Poole, Betty; Godley, Melissa; Genuardi, Frank J; Zenni, Elisa A

    2008-06-01

    The latest phase of the Accreditation Council for Graduate Medical Education (ACGME) Outcome Project challenges graduate medical education (GME) programs to select meaningful clinical quality indicators by which to measure trainee performance and progress, as well as to assess and improve educational effectiveness of programs. The authors describe efforts to measure educational quality, incorporating measurable patient-care outcomes to guide improvement. University of Florida College of Medicine-Jacksonville education leaders developed a tiered framework for selecting clinical indicators whose outcomes would illustrate integration of the ACGME competencies and their assessment with learning and clinical care. In order of preference, indicators selected should align with a specialty's (1) national benchmarked consensus standards, (2) national specialty society standards, (3) standards of local, institutional, or regional quality initiatives, or (4) top-priority diagnostic and/or therapeutic categories for the specialty, based on areas of high frequency, impact, or cost. All programs successfully applied the tiered process to clinical indicator selection and then identified data sources to track clinical outcomes. Using clinical outcomes in resident evaluation assesses the resident's performance as reflective of his or her participation in the health care delivery team. Programmatic improvements are driven by clinical outcomes that are shown to be below benchmark across the residents. Selecting appropriate clinical indicators-representative of quality of care and of graduate medical education-is the first step toward tracking educational outcomes using clinical data as the basis for evaluation and improvement. This effort is an important aspect of orienting trainees to using data for monitoring and improving care processes and outcomes throughout their careers.

  13. Psychological contract breach and outcomes: Combining meta-analysis and structural equation models.

    Science.gov (United States)

    Topa Cantisano, Gabriela; Morales Domínguez, J Francisco; Depolo, Marco

    2008-08-01

    In this study, meta-analytic procedures were used to examine the relationships between psychological contract perceived breach and certain outcome variables, such as organizational commitment, job satisfaction and organizational citizenship behaviours (OCB). Our review of the literature generated 41 independent samples in which perceived breach was used as a predictor of these personal and organizational outcomes. A medium effect size (ES) for desirable outcomes (job satisfaction, organizational commitment, organizational trust, OCB and performance) was obtained (r=-.35). For undesirable outcomes (neglect in role duties and intention to leave), ES were also medium (r=.31). When comparing attitudinal (job satisfaction, organizational commitment, organizational trust) and behavioural outcomes (OCB, neglect in role duties and performance), a stronger ES was found for attitudinal (r=-.24) than for behavioural outcomes (r=-.11). Potential moderator variables were examined, and it was found that they explained only a percentage of variability of primary studies. Structural equation analysis of the pooled meta-analytical correlation matrix indicated that the relationships of perceived breach with satisfaction, OCB, intention to leave and performance are fully mediated by organizational trust and commitment. Results are discussed in order to suggest theoretical and empirical implications.

  14. Relação entre potássio na solução do solo, umidade e condutividade elétrica aparente do solo Relationship between potassium in the soil solution, soil water content and bulk electrical conductivity

    Directory of Open Access Journals (Sweden)

    Gessionei da S. Santana

    2007-04-01

    Full Text Available Através de modelos que relacionam umidade (teta, condutividade elétrica aparente do solo (CEa e condutividade elétrica da solução do solo (CEw, objetivou-se avaliar, para condição de laboratório, a viabilidade de se estimar a concentração de potássio na solução do solo (K, para solos de classe textural franca (CTf e franco-arenosa (CTfa. Cinco soluções de cloreto de potássio, referentes a cinco condutividades elétricas (1,0, 2,5, 4,0, 5,5 e 7,0 dS m-1, foram aplicadas sobre o solo acondicionado em colunas de PVC, de forma a se obter cinco teta do solo (17,0 ± 1,4, 19,0 ± 1,8, 21,4 ± 2,2, 23,4 ± 2,2 e 26,0 ± 3,0%, em volume. Efetuaram-se leituras de teta e CEa com um aparelho de reflectometria no domínio do tempo (TDR e se extraiu solução do solo com extrator de cápsula de cerâmica, para determinar a CEw e o K. Três modelos foram ajustados aos dados, por meio de planilha eletrônica. É viável estimar a concentração de K na solução do solo, a partir detetae CEa, para condição de laboratório, por meio dos modelos de Rhoades et al. (1976, Vogeler et al. (1996 e Mualen & Friedman (1991, adaptados com uma relação entre CEw e K do tipo potência, nas faixas de 0 a 60 e 0 a 120 mg L-1, para solos de CTf e CTfa, respectivamente.The objective of this work was to evaluate the feasibility of estimating the potassium (K concentration in the soil solution, under laboratory conditions, for loamy (CTf and sandy loam (CTfa soils, through models that relate soil water content (theta, bulk electrical conductivity (CEa and soil solution electrical conductivity (CEw. Five potassium chloride solutions with electrical conductivities of 1.0, 2.5, 4.0, 5.5 and 7.0 dS m-1, were applied in a soil packed in PVC columns in order to obtain five soil water contents (17.0 ± 1.4, 19.0 ± 1.8, 21.4 ± 2.2, 23.4 ± 2.2 and 26.0 ± 3.0%, on volume basis. Readings of theta and CEa were obtained by using time domain reflectometry (TDR

  15. PROCESSOS HIDRO-EROSIVOS EM SOLOS DEGRADADOS EM RELEVO DE BAIXA DECLIVIDADE

    Directory of Open Access Journals (Sweden)

    Leonardo dos Santos Pereira

    2016-06-01

    Full Text Available Muitas pesquisas conferem maior peso na alta declividade do terreno como fator decisivo no processo hidro-erosivo. Porém, foi avaliado que baixas declividades (~4º já são suficientes para se iniciar o escoamento superficial. A pesquisa teve como objetivo fazer uma caracterização físico-química de solo degradado, monitorar o seu potencial matricial e o processo de formação de escoamento em uma sub-bacia do rio Maranduba - Ubatuba/SP, em encosta com baixa declividade. O trabalho se baseou na instalação de parcelas de erosão em solo sem cobertura vegetal para analisar as perdas de solo e água, bem como as propriedades físicas e químicas do solo (Porosidade, textura, densidade, pH e matéria orgânica. As parcelas se localizam na parte intermediária de um morrote com encosta retilínea, esse sofreu alteração em sua morfologia original por meio de um corte de encosta (UTM: 0474211/7395934.  O solo do local é um Latossolo que apresenta o horizonte B exposto. Cerca de 6,9 t/ha de solo foram perdidos durante o monitoramento (01 agosto 2013-20 dezembro 2014 e mais de 5.354,7 m3 de água foram escoados superficialmente. Salienta-se a fragilidade dos ambientes degradados de baixa declividade frente às altas taxas de perdas de solo e água, que, no período de 17 meses de monitoramento e com chuvas dentro da normalidade para o município, totalizaram 63 dias com ocorrências de escoamento, em solos que tendem à saturação por períodos prolongados. Portanto, o transporte das partículas de solo superficialmente está atrelado à baixa drenagem do terreno e à perda da resistência do solo, corroborando em períodos longos de umidade antecedente, sendo este um dos fatores decisivos para se iniciar o escoamento superficial.

  16. Sobrevivência de Bradyrhizobium e Azorhizobium em misturas de solo contaminadas com metais pesados

    Directory of Open Access Journals (Sweden)

    A. Matsuda

    2002-03-01

    Full Text Available Estudos foram realizados no Departamento de Ciência do Solo da Universidade Federal de Lavras (MG, no período de novembro/1999 a janeiro/2000, com o objetivo de avaliar a sobrevivência de estirpe e isolados de rizóbio em solo contaminado com metais pesados e verificar a relação entre tolerância do rizóbio a metais pesados em meio de cultura e sua sobrevivência em solo contaminado. Foram utilizados os dois microrganismos mais tolerantes [BR-4406 (estirpe recomendada para Enterolobium spp. e UFLA-01-457 (isolado de solo contaminado, ambos pertencentes ao gênero Bradyrhizobium ] e os dois mais sensíveis (UFLA-01-486 e UFLA-01-510, isolados de solo contaminado, pertencentes ao gênero Azorhizobium , todos selecionados de um grupo de 60estirpes/isolados em estudos prévios deste laboratório, em meio de cultura suplementado com metais pesados.Empregaram-se misturas de um Latossolo Vermelho-Escuro (LE que continham 0, 15 e 45% (v/v de um Latossolo Vermelho-Amarelo plíntico contaminado com Zn, Cd, Pb e Cu. As misturas de solo contaminado foram inoculadas com 20mL de cultura em YM na fase log das estirpes mencionadas, as quais foram testadas separadamente com três repetições. A avaliação do número de células viáveis no solo, realizada aos 0, 7, 14, 21 e 28dias de incubação, pelo método das diluições sucessivas e inoculação em placas com meio YMA, revelou comportamento diferenciado entre os organismos estudados. O número médio de células que sobreviveram ao final de 28 dias de incubação foi de (em UFCg-1de solo: 10(10,36, 10(10,29 e 10(9,70, para Bradyrhizobium, e 10(9,36, 10(7,54 e 0, para Azorhizobium em misturas de 0, 15 e 45% de solo contaminado, respectivamente. Portanto, houve maior sobrevivência de Bradyrhizobium do que de Azorhizobium , indicando maior tolerância a metais pesados do primeiro gênero.Como Bradyrhizobium foi também mais tolerante "in vitro", os resultados indicam haver relação entre o

  17. Oxidação do enxofre elementar em solos tropicais

    Directory of Open Access Journals (Sweden)

    Horowitz Nelson

    2006-01-01

    Full Text Available O uso de fertilizantes que contêm baixos teores de enxofre (S, em solos com baixos teores de matéria orgânica, pode resultar em limitação desse nutriente para as culturas. O uso do S-elementar como fertilizante, isoladamente ou associado a fórmulas comerciais, pode reduzir os custos de adubação em solos deficientes de S. Os objetivos deste estudo foram: a verificar se, em dois solos tropicais, ocorre oxidação de S-elementar; b avaliar se o período de incubação de seis dias sugerido por Janzen & Bettany (1987a é adequado para estimar a oxidação do S-elementar e c medir o efeito da oxidação do S-elementar sobre o pH do solo. Para isso, foi realizado um experimento com amostras de um ARGISSOLO VERMELHO AMARELO eutrófico abruptíco e de um LATOSSOLO VERMELHO DISTRÓFICO típico. As amostras dos dois solos foram incubadas com seis doses de enxofre (0, 1,5, 3,0, 6,0 9,0 e 12g de So kg-1 de solo por períodos entre 0 e 70 dias. A incubação foi feita em estufa, a uma temperatura de 27o + 1o C. Ambos os solos tiveram capacidade para oxidar o S-elementar para S-sulfato, forma disponível à planta. No argissolo, o teor de S-sulfato resultante da oxidação do S-elementar foi 563mg dm-3 de solo, enquanto que, no latossolo, foi de 207mg dm-3 de solo, indicando capacidade diferenciada de ambos para oxidar o S-elementar. Em ambos os solos houve diminuição do pH, sendo mais acentuada para o argissolo. O período de incubação para avaliação da oxidação do S-elementar de seis dias sugerido por Janzen & Bettany (1987a parece ser insuficiente.

  18. Spiritual AIM and the work of the chaplain: a model for assessing spiritual needs and outcomes in relationship.

    Science.gov (United States)

    Shields, Michele; Kestenbaum, Allison; Dunn, Laura B

    2015-02-01

    Distinguishing the unique contributions and roles of chaplains as members of healthcare teams requires the fundamental step of articulating and critically evaluating conceptual models that guide practice. However, there is a paucity of well-described spiritual assessment models. Even fewer of the extant models prescribe interventions and describe desired outcomes corresponding to spiritual assessments. This article describes the development, theoretical underpinnings, and key components of one model, called the Spiritual Assessment and Intervention Model (Spiritual AIM). Three cases are presented that illustrate Spiritual AIM in practice. Spiritual AIM was developed over the past 20 years to address the limitations of existing models. The model evolved based in part on observing how different people respond to a health crisis and what kinds of spiritual needs appear to emerge most prominently during a health crisis. Spiritual AIM provides a conceptual framework for the chaplain to diagnose an individual's primary unmet spiritual need, devise and implement a plan for addressing this need through embodiment/relationship, and articulate and evaluate the desired and actual outcome of the intervention. Spiritual AIM's multidisciplinary theory is consistent with the goals of professional chaplaincy training and practice, which emphasize the integration of theology, recognition of interpersonal dynamics, cultural humility and competence, ethics, and theories of human development. Further conceptual and empirical work is needed to systematically refine, evaluate, and disseminate well-articulated spiritual assessment models such as Spiritual AIM. This foundational work is vital to advancing chaplaincy as a theoretically grounded and empirically rigorous healthcare profession.

  19. Homeostasis model assessment of insulin resistance in relation to the poor functional outcomes in nondiabetic patients with ischemic stroke

    Science.gov (United States)

    Li, Siou; Yin, Changhao; Zhao, Weina; Zhu, Haifu; Xu, Dan; Xu, Qing; Jiao, Yang; Wang, Xue; Qiao, Hong

    2018-01-01

    Whether insulin resistance (IR) predicts worse functional outcome in ischemic stroke is still a matter of debate. The aim of the present study is to determine the association between IR and risk of poor outcome in 173 Chinese nondiabetic patients with acute ischemic stroke. This is a prospective, population-based cohort study. Insulin sensitivity, expressed by the homeostasis model assessment (HOMA) of insulin sensitivity (HOMA index = (fasting insulin × fasting glucose)/22.5). IR was defined by HOMA-IR index in the top quartile (Q4). Functional impairment was evaluated at discharge using the modified Rankin scale (mRS). The median (interquartile range) HOMA-IR was 2.14 (1.17–2.83), and Q4 was at least 2.83. There was a significantly positive correlation between HOMA-IR and National Institutes of Health Stroke Scale (r = 0.408; PIR group were associated with a higher risk of poor functional outcome (odds ratio (OR) = 3.23; 95% confidence interval (CI) = 1.75–5.08; P=0.001). In multivariate models comparing the third and fourth quartiles against the first quartile of the HOMA-IR, levels of HOMA-IR were associated with poor outcome, and the adjusted risk of poor outcome increased by 207% (OR = 3.05 (95% CI 1.70–4.89), P=0.006) and 429% (5.29 (3.05–9.80), PHOMA-IR to clinical examination variables (P=0.02). High HOMA-IR index is associated with a poor functional outcome in nondiabetic patients with acute ischemic stroke. PMID:29588341

  20. Comparison of expected treatment outcomes, obtained using risk models and international guidelines, with observed treatment outcomes in a Dutch cohort of patients with non-muscle-invasive bladder cancer treated with intravesical chemotherapy.

    Science.gov (United States)

    Lammers, Rianne J M; Palou, Joan; Witjes, Wim P J; Janzing-Pastors, Maria H D; Caris, Christien T M; Witjes, J Alfred

    2014-08-01

    To compare the risks according to the American Urological Association (AUA), EAU, European Organization for Research and Treatment of Cancer (EORTC) and Club Urológico Español de Tratamiento Oncologico (CUETO) classifications with real outcomes in a cohort of patients in the Netherlands, and to confirm that patients who were undertreated according to these risk models have worse outcomes than adequately treated patients. Patients treated with complete transurethral resection of bladder tumour and intravesical chemotherapy were included. Not all patients would have received intravesical chemotherapy had they been treated to current standards, and thus comparison of the observed outcomes in our Dutch cohort vs expected outcomes based on the EORTC risk tables and CUETO scoring model was possible. The cohort was reclassified according to the definitions of five index patients (IPs), as defined by the AUA guidelines, and three risk groups, defined according to the EAU guidelines, to compare the outcomes of undertreated patients with those of adequately treated patients. A total of 1001 patients were available for comparison with the AUA definitions and 728 patients were available for comparison with the EORTC and CUETO models. There was a large overlap between the observed outcomes and expected recurrence and progression probabilities when comparison was made using the EORTC risk tables. The observed recurrence outcomes were in general higher than the expected probabilities according to the CUETO risk classification, especially in the long term. No differences in progression were found when comparing these two models to the Dutch cohort. Patients who were undertreated according to the guidelines showed, in general, a higher risk of developing recurrence and progression. Limitations are i.a. its retrospective nature and the differences in grading system. Comparisons between the observed outcomes in our Dutch cohort and the expected outcomes based on EAU and CUETO risk

  1. How Adverse Outcome Pathways Can Aid the Development and Use of Computational Prediction Models for Regulatory Toxicology.

    Science.gov (United States)

    Wittwehr, Clemens; Aladjov, Hristo; Ankley, Gerald; Byrne, Hugh J; de Knecht, Joop; Heinzle, Elmar; Klambauer, Günter; Landesmann, Brigitte; Luijten, Mirjam; MacKay, Cameron; Maxwell, Gavin; Meek, M E Bette; Paini, Alicia; Perkins, Edward; Sobanski, Tomasz; Villeneuve, Dan; Waters, Katrina M; Whelan, Maurice

    2017-02-01

    Efforts are underway to transform regulatory toxicology and chemical safety assessment from a largely empirical science based on direct observation of apical toxicity outcomes in whole organism toxicity tests to a predictive one in which outcomes and risk are inferred from accumulated mechanistic understanding. The adverse outcome pathway (AOP) framework provides a systematic approach for organizing knowledge that may support such inference. Likewise, computational models of biological systems at various scales provide another means and platform to integrate current biological understanding to facilitate inference and extrapolation. We argue that the systematic organization of knowledge into AOP frameworks can inform and help direct the design and development of computational prediction models that can further enhance the utility of mechanistic and in silico data for chemical safety assessment. This concept was explored as part of a workshop on AOP-Informed Predictive Modeling Approaches for Regulatory Toxicology held September 24-25, 2015. Examples of AOP-informed model development and its application to the assessment of chemicals for skin sensitization and multiple modes of endocrine disruption are provided. The role of problem formulation, not only as a critical phase of risk assessment, but also as guide for both AOP and complementary model development is described. Finally, a proposal for actively engaging the modeling community in AOP-informed computational model development is made. The contents serve as a vision for how AOPs can be leveraged to facilitate development of computational prediction models needed to support the next generation of chemical safety assessment. © The Author 2016. Published by Oxford University Press on behalf of the Society of Toxicology.

  2. Behavioral and quality-of-life outcomes in different service models for methadone maintenance treatment in Vietnam.

    Science.gov (United States)

    Tran, Bach Xuan; Nguyen, Long Hoang; Nong, Vuong Minh; Nguyen, Cuong Tat; Phan, Huong Thu Thi; Latkin, Carl A

    2016-02-02

    Integrating HIV/AIDS and methadone maintenance treatment (MMT) services with existing health care delivery system is critical in sustaining efforts to fight HIV/AIDS in large injection-driven epidemics. However, efficiency of different integrative service models is unknown. This study assessed behavioral and health-related quality-of-life (HRQOL) outcomes of MMT in four service delivery models and explored factors associated with these outcomes of interest. A cross-sectional survey was conducted in two HIV epicenters in Vietnam: Hanoi and Nam Dinh Province. All patients in five selected MMT clinics were invited to participate, and 1016 were interviewed (80-90% response rate). Respondents had a mean age of 35.8, taken MMT for average 16.5 months and 3.3% on MMT for 36-60 months. The MMT integrated with rural district health center (DHC) has the highest prevalence of concurrent drug use (11.3%). The percentage of condom use (last sexual intercourse) with primary and casual partners was lowest in the MMT at urban DHCs. Patients at the rural DHC reported very high proportions of pain/discomfort (37.8%), anxiety/depression (43.1%), and mobility (13.3%). In regression models, poorer HRQOL outcomes were found in MMT models in the rural areas or without general health care, and among those patients who were HIV positive, reported concurrent drug use, and had higher numbers of previous drug rehabilitation episodes. Mobility and anxiety/depression are factors that increased the likelihood of concurrent drug use among MMT patients. Outcomes of MMT were diverse across different integrative service models. Policies on rapid expansion of the MMT program in Vietnam should also emphasize on the integration with comprehensive health care services including psychological supports for patients.

  3. Discrete survival model analysis of a couple’s smoking pattern and outcomes of assisted reproduction

    Directory of Open Access Journals (Sweden)

    Jose C. Vanegas

    2017-02-01

    Full Text Available Abstract Background Cigarette smoking has been associated with worse infertility treatment outcomes, yet some studies have found null or inconsistent results. Methods We followed 225 couples who underwent 354 fresh non-donor assisted reproductive technology (ART cycles between 2006 and 2014. Smoking history was self-reported at study entry. We evaluated the associations between smoking patterns and ART success using multivariable discrete time Cox proportional hazards models with six time periods: cycle initiation to egg retrieval, retrieval to fertilization, fertilization to embryo transfer (ET, ET to implantation, implantation to clinical pregnancy, and clinical pregnancy to live birth to estimate hazard ratios (HR and 95% CIs. Time-dependent interactions between smoking intensity and ART time period were used to identify vulnerable periods. Results Overall, 26% of women and 32% of men reported ever smoking. The HR of failing in the ART cycle without attaining live birth for male and female ever smokers was elevated, but non-significant, compared to never smokers regardless of intensity (HR = 1.02 and 1.30, respectively. Female ever smokers were more likely to fail prior to oocyte retrieval (HR: 3.37; 95% CI: 1.00, 12.73. Every one cigarette/day increase in smoking intensity for females was associated with a HR of 1.02 of failing ART (95% CI: 0.97, 1.08, regardless of duration or current smoking status. Women with higher smoking intensities were most likely to fail a cycle prior to oocyte retrieval (HR: 1.07; 95% CI: 1.00, 1.16. Among past smokers, every additional year since a man had quit smoking reduced the risk of failing ART by 4% (HR: 0.96; 95% CI: 0.91, 1.00 particularly between clinical pregnancy and live birth (HR: 0.86; 95% CI: 0.76, 0.96. Conclusions Female smoking intensity, regardless of current smoking status, is positively associated with the risk of failing ART cycles between initiation and oocyte retrieval. In men who ever

  4. Adverse fetal outcome in road accidents: Injury mechanism study and injury criteria development in a pregnant woman finite element model.

    Science.gov (United States)

    Auriault, F; Thollon, L; Pérès, J; Behr, M

    2016-12-01

    This study documents the development of adverse fetal outcome predictors dedicated to the analysis of road accidents involving pregnant women. To do so, a pre-existing whole body finite element model representative of a 50th percentile 26 weeks pregnant woman was used. A total of 8 accident scenarios were simulated with the model positioned on a sled. Each of these scenarios was associated to a risk of adverse fetal outcome based on results from real car crash investigations involving pregnant women from the literature. The use of airbags and accidents involving unbelted occupants were not considered in this study. Several adverse fetal outcome potential predictors were then evaluated with regard to their correlation to this risk of fetal injuries. Three predictors appeared strongly correlated to the risk of adverse fetal outcome: (1) the intra uterine pressure at the placenta fetal side area (r=0.92), (2) the fetal head acceleration (HIC) (r=0.99) and (3) area of utero-placental interface over a strain threshold (r=0.90). Finally, sensitivity analysis against slight variations of the simulation parameters was performed and assess robustness of these criteria. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Cultural processes in parenting and youth outcomes: examining a model of racial-ethnic socialization and identity in diverse populations.

    Science.gov (United States)

    Rodriguez, James; Umaña-Taylor, Adriana; Smith, Emilie Phillips; Johnson, Deborah J

    2009-04-01

    We review and summarize the findings across 7 studies contained in the special section titled, "Racial-Ethnic Socialization, Identity, and Youth Outcomes: Excavating Culture." These studies represent a significant advance for research in issues related to the impact of racial-ethnic socialization and identity on child outcomes. All 7 studies attempted to test in whole or part a hypothetical model in which ethnic-racial socialization in families of color is related to child psychosocial and academic outcomes directly and indirectly through effects on self-system variables such as racial-ethnic identity and self-esteem. Two types of racial socialization messages were of particular interest: messages that promote cultural pride (referred to as ethnic or cultural socialization) and messages that address children's exposure to discrimination (referred to as racial socialization). Collectively, the studies suggest that ethnic-racial socialization processes are related to youth outcomes through indirect associations with ethnic-racial identity and self-esteem. Findings were most consistent in the studies with African American youth and some aspects of the model were not supported for American Indian and Chinese youth. Ethnic and racial group differences and directions for future research are discussed.

  6. Comportamento espectral de materiais de solos e de estruturas biogênicas associadas

    Directory of Open Access Journals (Sweden)

    J. A. M. Demattê

    1998-12-01

    Full Text Available No presente estudo, verificou-se a interferência da macrofauna edáfica sobre os atributos físicos e químicos e sua relação com a reflectância espectral de um Latossolo Vermelho-Amarelo (LV, Terra Roxa Estruturada latossólica (TR e Vertissolo (V. Esses solos localizam-se em três pontos ao longo de uma toposseqüência da região de Piracicaba (SP. As amostras foram direcionadas para os agregados formados pelas formigas cortadeiras (Atta sp., cupins (Cornitermes cumulans e minhocas (Pontoscolex corethrurus, os quais foram comparados com o solo-controle sem atividade visível e recente dos animais (testemunha. Foram avaliadas a granulometria e a composição química das amostras de solo. O comportamento espectral do solo foi obtido em laboratório, utilizando espectroradiômetro entre 400 e 2.500 nm. Os coprólitos de minhoca apresentaram 2 a 3 vezes mais fósforo e um incremento de 30 a 50% na matéria orgânica em relação ao horizonte superficial do solo. Os agregados de cupins e formigas apresentaram composição química semelhante à dos horizontes subsuperficiais dos solos. O comportamento espectral dos agregados biológicos variou conforme sua composição química e profundidade de ação dos animais. No caso da minhoca, as curvas de reflectância foram semelhantes às do horizonte superficial para os três solos. Para as estruturas de cupim e formiga, tanto a composição química como o comportamento espectral corresponderam ao horizonte subsuperficial no LV e TR.

  7. Estimativa da porosidade drenável de um solo de várzea a partir da tensão da água no solo Assessment of drainable porosity of a holm soil from soil-water tension

    Directory of Open Access Journals (Sweden)

    J.E. Queiroz

    1995-12-01

    Full Text Available Um modo alternativo para estimativa da porosidade drenável em função da tensão da água no solo a partir da equação de VAN GENUCHTEN para a curva de retenção, é apresentado e testado para dados obtidos de um solo de várzea ( Gleissolo Eutrófico, textura argilosa. Curvas de retenção de água foram elaboradas com amostras de solo com estrutura indeformada. Na análise dos resultados verificou-se que o maior componente de erro foi devido a causas aleatórias, representando cerca de 12 vezes o erro sistemático. Os índices estatísticos utilizados para verificar o grau de ajuste dos dados experimentais à relação funcional apresentada entre porosidade drenável e tensão de água no solo, mostraram que esta relação pode ser utilizada para estimativa da porosidade drenável, a partir do conhecimento dos parâmetros empíricos da equação de VAN GENUCHTEN.An alternative way to assess the drainable porosity as a function of soil-water tension, from the soil-water retention curve (Van Genuchten's model, is presented for data of a clayey holm gley soil of the county of Piracicaba, SP, Brazil. Soil-water retention curves were determined using undisturbed soil samples. The analysis of the results has shown that the data variability was mainly due to random causes. Statistical indexes used to verify the degree of fitting of the experimental data to the proposed model, have shown that the model can be used to estimate the drainable porosity from the empirical parameters of the Van Genuchten model.

  8. Benefits of walking and solo experiences in UK wild places.

    Science.gov (United States)

    Freeman, Elizabeth; Akhurst, Jacqueline; Bannigan, Katrina; James, Hazel

    2017-12-01

    This paper examines human-nature interaction and how therapeutic this relationship is by investigating the efficacy of structured outdoor experience. Two walking and solo experience (WSEs) explored university students' (aged 20-43 years) perceptions of walking through and being with nature. The first was a 5-day journey (n = 4; 3 females and 1 male) and the second (n = 5; 3 females and 2 males) took place over two weekends, with a 2-week interval in-between. Pre- and post-experience interviews, journal writing, group discussions and a 9-month follow-up interviews were used to collect data and thematic analysis [Braun and Clarke (Using thematic analysis in psychology. Qual Res Psychol 2006;3:77-101.)] was applied. Both WSEs were considered together during analysis, as well as comparisons made between the two, in order to evaluate implications for practice. Benefits of the WSE that contributed to a general sense of well-being were: (i) gaining a sense of freedom and escape; (ii) gaining a sense of awareness and sensitivity to one's environment and its influence (iii) gaining confidence in being able to cope and take action; (iv) gaining a sense of perspective on and appreciation for life. Furthermore, the meaning participants formed in relation to their environment before, during and after the WSE, and the activity within that environment, played a role in their sense of well-being and in their motivations to re-access nature in other places. Findings suggest that WSEs are a cost effective way to give rise to beneficial and durable experiences, but a more holistic approach to policy is needed. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  9. Evaluation of computer-based computer tomography stratification against outcome models in connective tissue disease-related interstitial lung disease: a patient outcome study.

    Science.gov (United States)

    Jacob, Joseph; Bartholmai, Brian J; Rajagopalan, Srinivasan; Brun, Anne Laure; Egashira, Ryoko; Karwoski, Ronald; Kokosi, Maria; Wells, Athol U; Hansell, David M

    2016-11-23

    To evaluate computer-based computer tomography (CT) analysis (CALIPER) against visual CT scoring and pulmonary function tests (PFTs) when predicting mortality in patients with connective tissue disease-related interstitial lung disease (CTD-ILD). To identify outcome differences between distinct CTD-ILD groups derived following automated stratification of CALIPER variables. A total of 203 consecutive patients with assorted CTD-ILDs had CT parenchymal patterns evaluated by CALIPER and visual CT scoring: honeycombing, reticular pattern, ground glass opacities, pulmonary vessel volume, emphysema, and traction bronchiectasis. CT scores were evaluated against pulmonary function tests: forced vital capacity, diffusing capacity for carbon monoxide, carbon monoxide transfer coefficient, and composite physiologic index for mortality analysis. Automated stratification of CALIPER-CT variables was evaluated in place of and alongside forced vital capacity and diffusing capacity for carbon monoxide in the ILD gender, age physiology (ILD-GAP) model using receiver operating characteristic curve analysis. Cox regression analyses identified four independent predictors of mortality: patient age (P < 0.0001), smoking history (P = 0.0003), carbon monoxide transfer coefficient (P = 0.003), and pulmonary vessel volume (P < 0.0001). Automated stratification of CALIPER variables identified three morphologically distinct groups which were stronger predictors of mortality than all CT and functional indices. The Stratified-CT model substituted automated stratified groups for functional indices in the ILD-GAP model and maintained model strength (area under curve (AUC) = 0.74, P < 0.0001), ILD-GAP (AUC = 0.72, P < 0.0001). Combining automated stratified groups with the ILD-GAP model (stratified CT-GAP model) strengthened predictions of 1- and 2-year mortality: ILD-GAP (AUC = 0.87 and 0.86, respectively); stratified CT-GAP (AUC = 0.89 and 0.88, respectively

  10. Development of a Novel Quantitative Adverse Outcome Pathway Predictive Model for Lung Cancer

    Science.gov (United States)

    Traditional methods for carcinogenicity testing are resource-intensive, retrospective, and time consuming. An increasing testing burden has generated interest in the adverse outcome pathway (AOP) concept as a tool to evaluate chemical safety in a more efficient, rapid and effecti...

  11. Online Finance and Economics Courses: A Comparative Study of Course Satisfaction and Outcomes across Learning Models

    Science.gov (United States)

    Wiechowski, Linda; Washburn, Terri L.

    2014-01-01

    Student learning outcomes and course satisfaction scores are two key considerations when assessing the success of any degree program. This empirical study was based upon more than 3,000 end-of-semester course evaluations collected from 171 courses in the 2010-2011 academic year. The study, conducted at a Midwestern business college, considered the…

  12. Associations of Subjective Immersion, Immersion Subfactors, and Learning Outcomes in the Revised Game Engagement Model

    Science.gov (United States)

    Barclay, Paul A.; Bowers, Clint

    2018-01-01

    Serious Educational Video Games (SEGs) play a large role in education for both children and adults. However, the budget for SEGs is typically lower than traditional entertainment video games, bringing with it the need to optimize the learning experience. This article looks at the role game immersion plays in improving learning outcomes, using the…

  13. Learning Outcomes in Vocational Education: A Business Plan Development by Production-Based Learning Model Approach

    Science.gov (United States)

    Kusumaningrum, Indrati; Hidayat, Hendra; Ganefri; Anori, Sartika; Dewy, Mega Silfia

    2016-01-01

    This article describes the development of a business plan by using production-based learning approach. In addition, this development also aims to maximize learning outcomes in vocational education. Preliminary analysis of curriculum and learning and the needs of the market and society become the basic for business plan development. To produce a…

  14. Manejo da fertirrigação e controle da salinidade do solo sob ambiente protegido, utilizando-se extratores de solução do solo Fertigation management and soil salinity control in a protected ambient using soil solution extractors

    Directory of Open Access Journals (Sweden)

    Nildo da S. Dias

    2005-12-01

    Full Text Available Com o objetivo de avaliar o uso de extratores de soluções do solo no auxílio ao manejo da fertirrigação e no controle da salinidade em solo cultivado com melão rendilhado, conduziu-se um estudo em ambiente protegido na área experimental do Departamento de Engenharia Rural da ESALQ/USP, localizada no município de Piracicaba, SP. Os tratamentos se compunham da combinação de dois fatores: 6 níveis de salinidade inicial do solo (S1 = 1,0; S2 = 2,0; S3 = 3,0; S4 = 4,0; S5 = 5,0 e S6 = 6,0 dS m-1 e dois manejos de fertirrigação: tradicional e com controle da condutividade elétrica da solução do solo. Procedeu-se à salinização inicial do solo por meio da aplicação de soluções salinas preparadas a partir de fertilizantes, em que a quantidade de sais a ser adicionada foi determinada tomando-se por base uma curva de salinização artificial, obtida previamente em laboratório. Os resultados mostraram que, com o uso de extratores de solução do solo, pode-se monitorar a concentração iônica da solução do solo, com precisão satisfatória. A salinidade do solo evoluiu com o tempo, estando os maiores níveis próximos à superfície do solo e do gotejador. A diferença no consumo de água entre os níveis de salinidade foi mais evidenciada no manejo controlado da fertirrigação, ajustando-se a um modelo quadrático.A study was carried out under greenhouse conditions at the experimental area of the Department of Rural Engineering of "Escola Superior de Agricultura Luiz de Queiroz-USP", Piracicaba, São Paulo state, Brazil, aiming to evaluate the performance of ceramic cup samplers in fertigation management and soil salinity control in a plot cultivated with netmelon. The treatments consisted of combination of two factors: six levels of initial soil salinity (S1 = 1.0, S2 = 2.0, S3 = 3.0, S4 = 4.0, S5 = 5.0 and S6 = 6.0 dS m-1 and two fertigation management control: the traditional and the control of electrical conductivity of soil

  15. Semiparametric profile likelihood estimation for continuous outcomes with excess zeros in a random-threshold damage-resistance model.

    Science.gov (United States)

    Rice, John D; Tsodikov, Alex

    2017-05-30

    Continuous outcome data with a proportion of observations equal to zero (often referred to as semicontinuous data) arise frequently in biomedical studies. Typical approaches involve two-part models, with one part a logistic model for the probability of observing a zero and some parametric continuous distribution for modeling the positive part of the data. We propose a semiparametric model based on a biological system with competing damage manifestation and resistance processes. This allows us to derive a closed-form profile likelihood based on the retro-hazard function, leading to a flexible procedure for modeling continuous data with a point mass at zero. A simulation study is presented to examine the properties of the method in finite samples. We apply the method to a data set consisting of pulmonary capillary hemorrhage area in lab rats subjected to diagnostic ultrasound. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

  16. Pemodelan Spasial untuk Pembuatan Peta Rawan Banjir dan Peta Tingkat Risiko Banjir Bengawan Solo di Kota Surakarta

    Directory of Open Access Journals (Sweden)

    Toto Cahyono

    2016-09-01

    Full Text Available ABSTRAK Penelitian ini bertujuan untuk melakukan pemodelan spasial untuk menyusun Peta Bahaya Banjir dan Peta Tingkat Risiko Banjir akibat luapan Bengawan Solo di Kota Surakarta. Lokasi penelitian meliputi penggal alur Bengawan Solo di wilayah Kota Surakarta. Metode penelitian yaitu dengan analisis hidrograf, pemodelan banjir, analisis potensi bahaya banjir, analisis kerentanan banjir, dan analisis tingkat risiko banjir. Analisis hidrograf dilakukan dengan menghitung debit puncak rancangan, analisis geometrik sungai, dan analisis karakteristik banjir. Pemodelan spasial banjir menggunakan perangkat lunak ArcView dengan ekstensi HEC-GeoRAS dan perangkat lunak hidrologi HEC-RAS. Analisis potensi bahaya banjir dari peta genangan hasil pemodelan spasial dengan input debit puncak rancangan banjir periode ulang 60. Analisis kerentanan dengan identifikasi elemen yang berisiko pada peta penggunaan lahan daerah bahaya. Analisis tingkat risiko dilakukan dengan cara overlay peta bahaya dan peta kerentanan banjir. Perangkat lunak ArcView 3.3 dengan ekstensi HEC-GeoRAS mampu untuk melakukan pemodelan banjir dengan tingkat validasi yang tinggi. Validasi dilakukan dengan membandingkan kedalaman maksimum hasil pemodelan dengan hasil perhitungan debit puncak rancangan. Nilai  perbedaan antara 0,68% - 4,54%. Meskipun secara kuantitatif peta model bahaya banjir rancangan sesudah pelurusan lebih luas daripada sebelum pelurusan, tetapi berdasarkan uji statistik penambahan luas tersebut tidak berbeda signifikan. Dari peta tingkat risiko banjir diketahui Kelurahan Sewu, Semanggi, Sangkrah dan Gandekan mempunyai potensi risiko banjir tertinggi di Kota Surakarta.   ABSTRACT This research is intended to perform flood modelling in Bengawan Solo River in order to develop flood hazard map, flood vulnerability map, and flood risk map as a result of overflow of such river in Surakarta City. The research area covers cut-off channel of Bengawan Solo in Surakarta City. The

  17. Nurse specialty subcultures and patient outcomes in acute care hospitals: A multiple-group structural equation modeling.

    Science.gov (United States)

    Mallidou, Anastasia A; Cummings, Greta G; Estabrooks, Carole A; Giovannetti, Phyllis B

    2011-01-01

    Hospital organizational culture is widely held to matter to the delivery of services, their effectiveness, and system performance in general. However, little empirical evidence exists to support that culture affects provider and patient outcomes; even less evidence exists to support how this occurs. To explore causal relationships and mechanisms between nursing specialty subcultures and selected patient outcomes (i.e., quality of care, adverse patient events). Martin's differentiation perspective of culture (nested subcultures within organizations) was used as a theoretical framework to develop and test a model. Hospital nurse subcultures were identified as being reflected in formal practices (i.e., satisfactory salary, continuing education, quality assurance program, preceptorship), informal practices (i.e., autonomy, control over practice, nurse-physician relationships), and content themes (i.e., emotional exhaustion). A series of structural equation models were assessed using LISREL on a large nurse survey database representing four specialties (i.e., medical, surgical, intensive care, emergency) in acute care hospitals in Alberta, Canada. Nursing specialty subcultures differentially influenced patient outcomes. Specifically, quality of care (a) was affected by nurses' control over practice, (b) was better in intensive care than in medical specialty, and (c) was related to lower adverse patient events; nurses in intensive care and emergency specialties reported fewer adverse events than did their counterparts in medical specialties. Understanding the meaning of subcultures in clinical settings would influence nurses and administrators efforts to implement clinical change and affect outcomes. More research is needed on nested subcultures within healthcare organizations for better understanding differentiated subspecialty effects on complexity of care and outcomes in hospitals. Copyright © 2010 Elsevier Ltd. All rights reserved.

  18. SISTEM BISNIS WARALABA RESTORAN AYAM BAKAR WONG SOLO DALAM PERSPEKTIF EKONOMI ISLAM

    Directory of Open Access Journals (Sweden)

    Taufiqur Rahman

    2015-08-01

    Full Text Available This article tries to analyze the franchise business system of Ayam Bakar Wong Solo Restaurant through the Islamic economics perspective. The franchise business system applied by the Ayam Bakar Wong Solo is a cooperation (shirkah with the type of shirkah mudârabah, where there is a cooperation between the Ayam Bakar Wong Solo as a manager (mudârib and investors as owners of capital (sahib al-mâl. Both parties allied in the venture capital and the advantage of the alliance is divided in accordance with the agreements that have been agreed between the two. The Ayam Bakar Wong Solo offers two forms of shirkah mudârabah, namely mudârabah mutlaqah and mudârabah muqayyadah. It is found that there is a correspondence between the execution of the Ayam Bakar Wong Solo franchise and shirkah mudârabah practices in Islamic economics because the franchise system which is run has been suitably qualified and has met the rukn of shirkah mudârabah. However, there is a concept of franchis-ing which is more in line with Islamic economics, namely the principle of sharing in mudârabah and mushârakah as a substitute for a franchise concept with franchise fee and royalty fee.

  19. A Comparison of Solo and Multiplayer Active Videogame Play in Children with Unilateral Cerebral Palsy.

    Science.gov (United States)

    Howcroft, Jennifer; Fehlings, Darcy; Wright, Virginia; Zabjek, Karl; Andrysek, Jan; Biddiss, Elaine

    2012-08-01

    Active videogames (AVGs) have potential in terms of physical activity and therapy for children with cerebral palsy. However, the effect of social interaction on AVG play has not yet been assessed. The objective of this study is to determine if multiplayer AVG versus solo affects levels of energy expenditure and movement patterns. Fifteen children (9.77 [standard deviation (SD) 1.78] years old) with hemiplegic cerebral palsy (Gross Motor Function Classification System Level I) participated in solo and multiplayer Nintendo(®) "Wii™ Boxing" (Nintendo, Inc., Redmond, WA) AVG play while energy expenditure and punching frequency were monitored. Moderate levels of physical activity were achieved with no significant differences in energy measures during multiplayer and solo play. Dominant arm punching frequency increased during the multiplayer session from 95.75 (SD 37.93) punches/minute to 107.77 (SD 36.99) punches/minute. Conversely, hemiplegic arm punching frequency decreased from 39.05 (SD 29.57) punches/minutes to 30.73 (SD 24.74) punches/minutes during multiplayer game play. Children enjoyed multiplayer more than solo play. Opportunities to play AVGs with friends and family may translate to more frequent participation in this moderate physical activity. Conversely, increased hemiplegic limb use during solo play may have therapeutic advantages. As such, new strategies are recommended to promote use of the hemiplegic hand during multiplayer AVG play and to optimize commercial AVG systems for applications in virtual reality therapy.

  20. Initial experience with the Freedom Solo® stentless aortic valve in a low volume centre.

    Science.gov (United States)

    Kolseth, Solveig Moss; Nordhaug, Dag; Stenseth, Roar; Wahba, Alexander

    2010-10-01

    Freedom Solo is a stentless biological aortic valve which is implanted supra-annularly with a single suture line. An increased risk of postoperative thrombocytopenia in the early postoperative period has been reported in recent studies. In our study we evaluated postoperative haemodynamic performance and thrombocyte-levels. Thirty seven patients who underwent valve implantation of the Sorin Freedom Solo stentless valve were included. The haemodynamic performance of the valve was evaluated by transthoracic echocardiography postoperatively at the fourth day (mean) and after a median of 4.2 months. The mean gradient (mmHg) of Freedom Solo was 7.5 at four days and 8.6 at 4.2 months. Postoperatively no patient had more than grade 1 leakage. Seven percent of the patients had a reduction of thrombocytes to less than 20% of the preoperative level. Seventy six percent had a minimum postoperative thrombocyte level less than 100*10(9)/L. The 30 days mortality in our patient material was zero. Implantation of the Freedom Solo valve was uncomplicated in our experience. Favourable transvalvular gradients and no significant leaks were found. In accordance with the literature, we found a high percentage of patients having a postoperative level of thrombocytes less than 100*10(9)/L after implantation of Freedom Solo.

  1. The Effects of Musician's Earplugs on Acoustic and Perceptual Measures of Choral and Solo Sound.

    Science.gov (United States)

    Cook-Cunningham, Sheri L

    2017-10-25

    The purpose of this investigation was to assess the effects of earplugs on acoustical and perceptual measures of choral and solo sound. The researcher tested the effects of musician's earplugs on choral and solo timbre and singer perceptions. Members of an intact women's university choir recorded Dona Nobis Pacem under two conditions, no earplugs and with earplugs over time. Approximately half of the choir members also participated as soloists, recording Over the Rainbow under the same two conditions. All recordings were analyzed using long-term average spectra (LTAS). After participating in each recording session, the participants responded to a questionnaire about ability to hear self (solo and choral context) and ability to hear others (choral context) under two conditions, no earplugs and with earplugs. LTAS results revealed that wearing earplugs in a choral setting caused decreased mean signal energy (>1 dB), resulting in less resonant singing. LTAS results also indicated that wearing earplugs in a solo setting had less effect on mean signal energy, resulting in a mean difference solo setting. Findings from this study could provide important information when structuring hearing conservation strategies. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  2. Discrete factor approximations in simultaneous equation models: estimating the impact of a dummy endogenous variable on a continuous outcome.

    Science.gov (United States)

    Mroz, T A

    1999-10-01

    This paper contains a Monte Carlo evaluation of estimators used to control for endogeneity of dummy explanatory variables in continuous outcome regression models. When the true model has bivariate normal disturbances, estimators using discrete factor approximations compare favorably to efficient estimators in terms of precision and bias; these approximation estimators dominate all the other estimators examined when the disturbances are non-normal. The experiments also indicate that one should liberally add points of support to the discrete factor distribution. The paper concludes with an application of the discrete factor approximation to the estimation of the impact of marriage on wages.

  3. Patient perception of nursing service quality; an applied model of Donabedian's structure-process-outcome approach theory.

    Science.gov (United States)

    Kobayashi, Hideyuki; Takemura, Yukie; Kanda, Katsuya

    2011-09-01

    Nursing is a labour-intensive field, and an extensive amount of latent information exists to aid in evaluating the quality of nursing service, with patients' experiences, the primary focus of such evaluations. To effect further improvement in nursing as well as medical care, Donabedian's structure-process-outcome approach has been applied. To classify and confirm patients' specific experiences with regard to nursing service based on Donabedian's structure-process-outcomes model for improving the quality of nursing care. Items were compiled from existing scales and assigned to structure, process or outcomes in Donabedian's model through discussion among expert nurses and pilot data collection. With regard to comfort, surroundings were classified as structure (e.g. accessibility to nurses, disturbance); with regard to patient-practitioner interaction, patient participation was classified as a process (e.g. expertise and skill, patient decision-making); and with regard to changes in patients, satisfaction was classified as an outcome (e.g. information support, overall satisfaction). Patient inquiry was carried out using the finalized questionnaire at general wards in Japanese hospitals in 2005-2006. Reliability and validity were tested using psychometric methods. Data from 1,810 patients (mean age: 59.7 years; mean length of stay: 23.7 days) were analysed. Internal consistency reliability was supported (α = 0.69-0.96), with factor analysis items of structure aggregated to one factor and overall satisfaction under outcome aggregated to one. The remaining items of outcome and process were distributed together in two factors. Inter-scale correlation (r = 0.442-0.807) supported the construct validity of each structure-process-outcome approach. All structure items were represented as negative-worded examples, as they dealt with basic conditions under Japanese universal health care system, and were regarded as representative related to concepts of dissatisfaction and no

  4. THE IMPLEMENTATION OF JOBSHEET-BASED STUDENT TEAMS ACHIEVEMENT DIVISION LEARNING MODEL TO IMPROVE STUDENTS LEARNING OUTCOMES

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    Kadek Dodi Permana

    2016-09-01

    Full Text Available This study aims to improve the Information and Communications Technology (ICT learning outcomes of the students in SMA N 2 Singaraja through the learning model of Job sheet-based Student Team Achievement Division (STAD. This is a classroom action research. The data analysis reveals that learning outcomes in cycle I gain a mean score of 80. 51 and a classical provisions of 15%. There are three students who pass with a minimum score of 85 in cycle I. From these categories, the students’ learning outcomes in the first cycle have not met the criterion of 85%. The mean score of cycle II is 88. 57 and the classical provisions is 90%. In the second cycle, there are 18 students who gain a minimum score of 85. Based on the success criterion, a research study is successful if the minimum completeness criterion reaches 85 and the minimum classical completeness criterion reaches 85%. From the categories, the students’ learning outcomes have been successfully improved since the percentage of classical completeness in the second cycle has reached its expected results.

  5. Studying psychosocial adaptation to end-stage renal disease: the proximal-distal model of health-related outcomes as a base model.

    Science.gov (United States)

    Chan, Ramony; Brooks, Robert; Erlich, Jonathan; Gallagher, Martin; Snelling, Paul; Chow, Josephine; Suranyi, Michael

    2011-05-01

    Studying psychosocial adaptation in end-stage renal disease (ESRD) is increasingly important, as it may explain the variability in health outcomes unaccounted for by clinical factors. The Brenner et al. proximal-distal model of health-related outcomes provides a theoretical foundation for understanding psychosocial adaptation and integrating health outcomes, clinical, and psychosocial factors (Brenner MH, Curbow B, Legro MW. The proximal-distal continuum of multiple health outcome measures: the case of cataract surgery. Med Care. 1995;33(4 Suppl):AS236-44). This study aims to empirically validate the proximal-distal model in the dialysis population and examine the impact of psychosocial factors on the model. A cross-sectional observational study was conducted with a sample of long-term dialysis patients (n=201). Eleven factors: quality of life (QoL), depression, positive affect, comorbidity, symptoms, physical functioning, disease accommodation, loss, self-efficacy, illness acceptance, and social support were measured by standardized psychometric scales. A three-month average of hemoglobin was used. Latent composite structural equation modeling was used to examine the models. The proximal-distal model with slight modification was supported by fit statistics [χ(2)=16.04, df=13, P=.25, root mean square error of approximation (RMSEA)=0.024], indicating that the impact of clinical factors on QoL is mediated through a range of functional and psychological factors, except for hemoglobin which impacts directly on QoL. The model with additional psychosocial factors was also supported by fit statistics (χ(2)=43.59, df=41, P=.36, RMSEA=0.018). These additional factors mainly impact on symptom status, psychological states, and QoL components of the model. The present study supported the proximal-distal model in the dialysis population and demonstrated the considerable impact of psychosocial factors on the model. The proximal-distal model plus psychosocial factors as a

  6. A system dynamics modelling approach to assess the impact of launching a new nicotine product on population health outcomes.

    Science.gov (United States)

    Hill, Andrew; Camacho, Oscar M

    2017-06-01

    In 2012 the US FDA suggested the use of mathematical models to assess the impact of releasing new nicotine or tobacco products on population health outcomes. A model based on system dynamics methodology was developed to project the potential effects of a new nicotine product at a population level. A model representing traditional smoking populations (never, current and former smokers) and calibrated using historical data was extended to a two-product model by including electronic cigarettes use statuses. Smoking mechanisms, such as product initiation, switching, transition to dual use, and cessation, were represented as flows between smoking statuses (stocks) and the potential effect of smoking renormalisation through a feedback system. Mortality over a 50-year period (2000-2050) was the health outcome of interest, and was compared between two scenarios, with and without e-cigarettes being introduced. The results suggest that by 2050, smoking prevalence in adults was 12.4% in the core model and 9.7% (including dual users) in the counterfactual. Smoking-related mortality was 8.4% and 8.1%, respectively. The results suggested an overall beneficial effect from launching e-cigarettes and that system dynamics could be a useful approach to assess the potential population health effects of nicotine products when epidemiological data are not available. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  7. The Influence of Problem Based Learning Model toward Students’ Activities and Learning Outcomes on Financial Management Subject

    Directory of Open Access Journals (Sweden)

    Han Tantri Hardini

    2016-12-01

    Full Text Available This research aims to know the influence of problem based learning model toward students’ activities and achievement on Financial Management subject for undergraduate program students of Accounting Education. It was a quantitative research that used true experimental design. Samples of this study were undergraduate program students of Accounting Education in the year of 2014. Class A were control class and class B were experimental class. Data were analyzed by using t-test in order to determine the differences of learning outcomes between control class and experimental class. Then, questionnaires were distributed to gather students’ activities information in their students’ learning model. Findings show that there is an influence of Problem Based Learning model toward students’ activities and learning outcomes on Financial Management subject for undergraduate program students of Accounting Education since t-count ≥ t-table. It is 6.120 ≥ 1.9904. Students’ learning activities with Problem Based Learning model are better than students who are taught by conventional learning model.

  8. Estimation of causal mediation effects for a dichotomous outcome in multiple-mediator models using the mediation formula.

    Science.gov (United States)

    Wang, Wei; Nelson, Suchitra; Albert, Jeffrey M

    2013-10-30

    Mediators are intermediate variables in the causal pathway between an exposure and an outcome. Mediation analysis investigates the extent to which exposure effects occur through these variables, thus revealing causal mechanisms. In this paper, we consider the estimation of the mediation effect when the outcome is binary and multiple mediators of different types exist. We give a precise definition of the total mediation effect as well as decomposed mediation effects through individual or sets of mediators using the potential outcomes framework. We formulate a model of joint distribution (probit-normal) using continuous latent variables for any binary mediators to account for correlations among multiple mediators. A mediation formula approach is proposed to estimate the total mediation effect and decomposed mediation effects based on this parametric model. Estimation of mediation effects through individual or subsets of mediators requires an assumption involving the joint distribution of multiple counterfactuals. We conduct a simulation study that demonstrates low bias of mediation effect estimators for two-mediator models with various combinations of mediator types. The results also show that the power to detect a nonzero total mediation effect increases as the correlation coefficient between two mediators increases, whereas power for individual mediation effects reaches a maximum when the mediators are uncorrelated. We illustrate our approach by applying it to a retrospective cohort study of dental caries in adolescents with low and high socioeconomic status. Sensitivity analysis is performed to assess the robustness of conclusions regarding mediation effects when the assumption of no unmeasured mediator-outcome confounders is violated. Copyright © 2013 John Wiley & Sons, Ltd.

  9. Estimation of Causal Mediation Effects for a Dichotomous Outcome in Multiple-Mediator Models using the Mediation Formula

    Science.gov (United States)

    Nelson, Suchitra; Albert, Jeffrey M.

    2013-01-01

    Mediators are intermediate variables in the causal pathway between an exposure and an outcome. Mediation analysis investigates the extent to which exposure effects occur through these variables, thus revealing causal mechanisms. In this paper, we consider the estimation of the mediation effect when the outcome is binary and multiple mediators of different types exist. We give a precise definition of the total mediation effect as well as decomposed mediation effects through individual or sets of mediators using the potential outcomes framework. We formulate a model of joint distribution (probit-normal) using continuous latent variables for any binary mediators to account for correlations among multiple mediators. A mediation formula approach is proposed to estimate the total mediation effect and decomposed mediation effects based on this parametric model. Estimation of mediation effects through individual or subsets of mediators requires an assumption involving the joint distribution of multiple counterfactuals. We conduct a simulation study that demonstrates low bias of mediation effect estimators for two-mediator models with various combinations of mediator types. The results also show that the power to detect a non-zero total mediation effect increases as the correlation coefficient between two mediators increases, while power for individual mediation effects reaches a maximum when the mediators are uncorrelated. We illustrate our approach by applying it to a retrospective cohort study of dental caries in adolescents with low and high socioeconomic status. Sensitivity analysis is performed to assess the robustness of conclusions regarding mediation effects when the assumption of no unmeasured mediator-outcome confounders is violated. PMID:23650048

  10. Efeito de coberturas do solo sobre a sobrevivência de Macrophomina phaseolina no feijão-caupi

    Directory of Open Access Journals (Sweden)

    Cheyla Magdala de Sousa Linhares

    2016-06-01

    Full Text Available RESUMO Com o objetivo de avaliar a sobrevivência de Macrophomina phaseolina em solo submetido a diferentes coberturas, conduziu-se dois experimentos em casa de vegetação, no delineamento inteiramente casualizado, em esquema fatorial 5 x 2, com cinco coberturas (Brachiaria brizantha, Pennisetum glaucum, Crotalaria spectabilis, solo coberto com filme de polietileno e solo sem cobertura e solo esterilizado e não esterilizado. No primeiro experimento, as plantas foram cultivadas em vasos e dessecadas, para posterior plantio do feijão-caupi e no segundo, a semeadura da cultura foi realizada em sucessão ao primeiro cultivo. Nos dois experimentos foram colocadas em cada vaso a 10 cm de profundidade, no dia do plantio da cultura, quatro bolsas de tecido contendo, cada uma, 10 gramas de inóculo de M. phaseolina, das quais, duas foram retiradas aos 30 dias após o plantio e duas no final do ciclo da cultura, para posterior plaqueamento e determinação da sobrevivência. Realizou-se também o monitoramento das temperaturas máximas e mínimas diárias do solo. Os tratamentos com solo coberto com material vegetal apresentaram menor elevação da temperatura em relação ao solo coberto com filme de polietileno e sem cobertura, que elevaram a temperatura em até 5,9 e 3,9 ºC, respectivamente, em relação ao solo coberto com palhada de P. glaucum. O solo coberto com filme de polietileno e sem cobertura apresentaram maiores taxas de sobrevivência de M. phaseolina e o solo coberto com palhada de P. glaucum a menor taxa. Maior sobrevivência foi observada no solo não esterilizado.

  11. Web-based tool for dynamic functional outcome after acute ischemic stroke and comparison with existing models.

    Science.gov (United States)

    Ji, Ruijun; Du, Wanliang; Shen, Haipeng; Pan, Yuesong; Wang, Penglian; Liu, Gaifen; Wang, Yilong; Li, Hao; Zhao, Xingquan; Wang, Yongjun

    2014-11-25

    Acute ischemic stroke (AIS) is one of the leading causes of death and adult disability worldwide. In the present study, we aimed to develop a web-based risk model for predicting dynamic functional status at discharge, 3-month, 6-month, and 1-year after acute ischemic stroke (Dynamic Functional Status after Acute Ischemic Stroke, DFS-AIS). The DFS-AIS was developed based on the China National Stroke Registry (CNSR), in which eligible patients were randomly divided into derivation (60%) and validation (40%) cohorts. Good functional outcome was defined as modified Rankin Scale (mRS) score ≤ 2 at discharge, 3-month, 6-month, and 1-year after AIS, respectively. Independent predictors of each outcome measure were obtained using multivariable logistic regression. The area under the receiver operating characteristic curve (AUROC) and plot of observed and predicted risk were used to assess model discrimination and calibration. A total of 12,026 patients were included and the median age was 67 (interquartile range: 57-75). The proportion of patients with good functional outcome at discharge, 3-month, 6-month, and 1-year after AIS was 67.9%, 66.5%, 66.9% and 66.9%, respectively. Age, gender, medical history of diabetes mellitus, stroke or transient ischemic attack, current smoking and atrial fibrillation, pre-stroke dependence, pre-stroke statins using, admission National Institutes of Health Stroke Scale score, admission blood glucose were identified as independent predictors of functional outcome at different time points after AIS. The DFS-AIS was developed from sets of predictors of mRS ≤ 2 at different time points following AIS. The DFS-AIS demonstrated good discrimination in the derivation and validation cohorts (AUROC range: 0.837-0.845). Plots of observed versus predicted likelihood showed excellent calibration in the derivation and validation cohorts (all r = 0.99, P discrimination for good functional outcome and mortality at discharge, 3-month, 6

  12. An evidence-based decision assistance model for predicting training outcome in juvenile guide dogs.

    Science.gov (United States)

    Harvey, Naomi D; Craigon, Peter J; Blythe, Simon A; England, Gary C W; Asher, Lucy

    2017-01-01

    Working dog organisations, such as Guide Dogs, need to regularly assess the behaviour of the dogs they train. In this study we developed a questionnaire-style behaviour assessment completed by training supervisors of juvenile guide dogs aged 5, 8 and 12 months old (n = 1,401), and evaluated aspects of its reliability and validity. Specifically, internal reliability, temporal consistency, construct validity, predictive criterion validity (comparing against later training outcome) and concurrent criterion validity (comparing against a standardised behaviour test) were evaluated. Thirty-nine questions were sourced either from previously published literature or created to meet requirements identified via Guide Dogs staff surveys and staff feedback. Internal reliability analyses revealed seven reliable and interpretable trait scales named according to the questions within them as: Adaptability; Body Sensitivity; Distractibility; Excitability; General Anxiety; Trainability and Stair Anxiety. Intra-individual temporal consistency of the scale scores between 5-8, 8-12 and 5-12 months was high. All scales excepting Body Sensitivity showed some degree of concurrent criterion validity. Predictive criterion validity was supported for all seven scales, since associations were found with training outcome, at at-least one age. Thresholds of z-scores on the scales were identified that were able to distinguish later training outcome by identifying 8.4% of all dogs withdrawn for behaviour and 8.5% of all qualified dogs, with 84% and 85% specificity. The questionnaire assessment was reliable and could detect traits that are consistent within individuals over time, despite juvenile dogs undergoing development during the study period. By applying thresholds to scores produced from the questionnaire this assessment could prove to be a highly valuable decision-making tool for Guide Dogs. This is the first questionnaire-style assessment of juvenile dogs that has shown value in predicting

  13. Fluxo difusivo de zinco em amostras de solo influenciado por textura, íon acompanhante e pH do solo

    Directory of Open Access Journals (Sweden)

    M. F. G. Oliveira

    1999-09-01

    Full Text Available O fluxo difusivo (difusão é a forma mais importante de transporte de zinco no solo, dada sua baixa concentração na solução. Este trabalho teve como objetivo avaliar o fluxo difusivo de Zn em amostras de um solo de textura argilosa (Latossolo Vermelho-Escuro - LE, outro de textura média (Podzólico Vermelho-Amarelo - PV e um terceiro de textura arenosa (Latossolo Vermelho-Amarelo - LV, submetidos a níveis de pH: pH natural (4,38 e 5,40, para o LE; natural (4,87 e 6,00, para o PV, e somente pH natural (4,64, para o LV, e a três fontes de Zn (ZnCl2, ZnEDTA e ZnSO4 nas doses de 0, 20 e 40 mg dm-3 de Zn. As unidades experimentais constituíram-se de 400 cm³ de amostras de solo, colocadas em câmaras feitas de tubos de PVC, com 10 cm de diâmetro e 5 cm de altura, contendo, cada câmara, uma lâmina de resina trocadora de cátions ácido forte (modelo CR61CZR IONICS, Inc como dreno de Zn, nas dimensões de 2,0 x 5,0 cm, colocada à profundidade de 2,5 cm no meio da câmara. As amostras, umedecidas até a capacidade de campo, foram incubadas por um período de 15 dias à temperatura de 24 ± 4ºC. Após esse período, as lâminas foram retiradas, realizando-se a extração do Zn adsorvido às lâminas de resina. O pH do solo demonstrou ser fator de grande importância no controle do fluxo difusivo do Zn, acarretando-lhe grande diminuição quando da elevação de pH. De modo geral, o fluxo difusivo de Zn foi menor com o aumento do teor de argila do solo. O fluxo difusivo de Zn foi maior, nos três solos, quando a fonte utilizada foi ZnCl2.

  14. Motivational sensitivity of outcome-response priming: Experimental research and theoretical models.

    Science.gov (United States)

    Watson, Poppy; Wiers, Reinout W; Hommel, Bernhard; de Wit, Sanne

    2018-02-21

    Outcome-response (O-R) priming is at the core of various associative theories of human intentional action. This is a simple and parsimonious mechanism by which activation of outcome representations (e.g. thinking about the light coming on) leads to activation of the associated motor patterns required to achieve it (e.g. pushing the light switch). In the current manuscript, we review the evidence for such O-R associative links demonstrated by converging (yet until now, separate) strands of research. While there is a wealth of evidence that both the perceptual and motivational properties of an outcome can be encoded in the O-R association and mediate O-R priming, we critically examine the integration of these mechanisms and the conditions under which motivational factors constrain the sensory O-R priming effect. We discuss the clinical relevance of this O-R priming mechanism, whether it can satisfactorily account for human goal-directed behaviour, and the implications for theories of human action control.

  15. A model for overview of student learning: a matrix of educational outcomes versus methodologies.

    Science.gov (United States)

    Johnsen, David C; Marshall, Teresa A; Finkelstein, Michael W; Cunningham-Ford, Marsha A; Straub-Morarend, Cheryl L; Holmes, David C; Armstrong, Steven R; Aquilino, Steven A; Sharp, Helen M; Solow, Catherine M; McQuistan, Michelle R

    2011-02-01

    A concise overview of an institution's aspirations for its students becomes increasingly elusive because dental education has evolving emphases on priorities like critical thinking and adapting to new technology. The purpose of this article is to offer a learner-oriented matrix that gives a focus for discussion and an overview of an institution's educational outcomes. On one axis of the matrix, common educational outcomes are listed: knowledge, technical skills, critical thinking, ethical and professional values, patient and practice management, and social responsibility awareness. On the other axis, methodologies are listed: definition, cultivation strategies, measures (summative/formative, objective/subjective), institutional coordination, and competency determination. By completing the matrix, an overview of the process by which students reach these outcomes emerges. Each institution would likely complete the matrix differently and, ideally, with active discussion. While the matrix can first be used to establish "Where are we now?" for an institution, it can also be a starting point for more extensive matrices and further discussion. Vertical and horizontal analyses of the matrix provide a unique lens for viewing the institution's learning environment.

  16. The development of learning materials based on core model to improve students’ learning outcomes in topic of Chemical Bonding

    Science.gov (United States)

    Avianti, R.; Suyatno; Sugiarto, B.

    2018-04-01

    This study aims to create an appropriate learning material based on CORE (Connecting, Organizing, Reflecting, Extending) model to improve students’ learning achievement in Chemical Bonding Topic. This study used 4-D models as research design and one group pretest-posttest as design of the material treatment. The subject of the study was teaching materials based on CORE model, conducted on 30 students of Science class grade 10. The collecting data process involved some techniques such as validation, observation, test, and questionnaire. The findings were that: (1) all the contents were valid, (2) the practicality and the effectiveness of all the contents were good. The conclusion of this research was that the CORE model is appropriate to improve students’ learning outcomes for studying Chemical Bonding.

  17. Is different better? Models of teaching and their influence on the net financial outcome for general practice teaching posts

    Directory of Open Access Journals (Sweden)

    Cheah Carolyn

    2011-07-01

    Full Text Available Abstract Background In Australia, training for general practice (GP occurs within private practices and their involvement in teaching can have significant financial costs. At the same time there are growing demands for clinical places for all disciplines and for GP there is concern that there are insufficient teaching practices to meet the demand at the medical student, prevocational and vocational training levels. One option to address this may be to change how teaching occurs in the practice. A question that arises in posing such an option is whether different models of teaching change the costs for a teaching practice. The aim of this study is to determine the net financial outcome of teaching models in private GP. Methods Modelling the financial implications for a range of teaching options using a costing framework developed from a survey of teaching practices in South Australia. Each option was compared with the traditional model of teaching where one GP supervisor is singularly responsible for one learner. The main outcome measure was net financial outcome per week. Decisions on the model cost parameters were made by the study's Steering Group which comprised of experienced GP supervisors. Four teaching models are presented. Model 1 investigates the gains from teaching multiple same level learners, Models 2 and 3, the benefits of vertically integrated teaching using different permutations, and Model 4 the concept of a GP teacher who undertakes all the teaching. Results There was a significant increase in net benefits of Aus$547 per week (95% confidence intervals $459, $668 to the practice when a GP taught two same level learners (Model 1 and when a senior registrar participated in teaching a prevocational doctor (Model 3, Aus$263, 95% confidence intervals $80, $570. For Model 2, a practice could significantly reduce the loss if a registrar was involved in vertically integrated teaching which included the training of a medical student (Aus

  18. FATORES QUE CONTROLAM A TEMPERATURA DE SUPERFÍCIE DOS SOLOS DO NOROESTE DO PARANÁ

    OpenAIRE

    Otávio Cristiano Montanher; Danilo Rafael Bastos Rezende Espíndola

    2017-01-01

    Este artigo apresenta um estudo da temperatura de superfície de solos da região noroeste do Estado do Paraná. Essa região possui duas formações rochosas predominantes: formação Caiuá (Kc) e formação Serra Geral (JKsg). Os solos que se desenvolvem sobre essas formações possuem texturas arenosas e argilosas. Formulou-se a seguinte questão: em total exposição, tais solos possuem diferentes valores de temperatura de superfície? Adicionalmente, também foi avaliado o papel térmico da cobertura vege...

  19. Identification of magnetic minerals in the fine-grain sediment on the Bengawan Solo River

    Science.gov (United States)

    Purnama, B.; Kusuma, R.; Legowo, B.; Suharyana; Wijayanta, A. T.

    2018-03-01

    The magnetic mineral content in the fine sediment of Bengawan Solo River is discussed. The fine sediment is obtained on the upper part of the tributary of Bengawan Solo River. Magnetic minerals are separated using permanent magnets. Furthermore the magnetic minerals are overnight dried using oven at 100°C. FTIR characterization indicate that the magnetic minerals in the fine sediment of Bengawan Solo River have the same characteristics as minerals in Cilacap and Purwokerto areas. Magnetic minerals are estimated to form at wave number k = 569.03 cm-1. This hematite content increase to 70.67% after anealling treatment at 600°C for 4 hours in atmosphere condition. This result is interesting because the heating process increases the hematite content. Within results, the magnetic properties of the sample will change.

  20. Perehdytysopas Solo Sokos Hotel Tornin vastaanottoon uudelle työntekijälle

    OpenAIRE

    Plester, Sira

    2013-01-01

    Tämä opinnäytetyö on viitekehys perehdytysoppaalle Solo Sokos Hotel Tornin vastaanottoon. Perehdytysopas ohjeistaa vastaanoton uusia työntekijöitä työtehtävissä sekä tarjoaa tietoa jokapäiväisestä työssä Solo Sokos Hotel Tornin vastaanotossa ja sen ympäristössä. Tässä opinnäytetyössä pohditaan minkälainen hyvän perehdytysoppaan tulisi olla. Opinnäytetyössä pohditaan myös mitä tietoja perehdytysoppaaseen Solo Sokos Hotel Tornin vastaanottoon tarvitsee. Opinnäytetyössä käydään lisäksi l...

  1. Electrochemical attributes and availability of nutrients, toxic elements, and heavy metals in tropical soils Atributos eletroquímicos e disponibilidade de nutrientes, elementos tóxicos e metais pesados em solos tropicais

    Directory of Open Access Journals (Sweden)

    Mauricio Paulo Ferreira Fontes

    2006-12-01

    Full Text Available Electrochemical properties of soils are very important for the understanding of the physico-chemical phenomena which affect soil fertility and the availability of nutrients for plants. This review highlights the electrochemical properties of tropical soils, the behavior and the availability of nutrients, toxic elements and heavy metals in the soil, especially for soils with predominant variable charge minerals. Availability of the elements is related to ionic exchange, solution speciation, and electrostatic and specific adsorptive soil properties. Empirical and surface complexation models are briefly described, and some results of their application in tropical soils are presented. A better understanding of the role of the double diffuse layer of charges and CEC on nutrient cation availability for highly weathered soils is required, as well as a solid comprehension of surface complexation models, in order to improve the knowledge regarding the behavior of anions in soils. More studies have to be conducted to generate results that enable the use of chemical speciation concepts and calculation of several constants used in surface complexation models, especially for highly weathered soils from the humid tropics. There has to be a continuing development and use of computer softwares that have already incorporated the concepts of chemical speciation and adsorption models in the study of nutrients, toxic elements and heavy metal availability in the soil-plant system.As propriedades eletroquímicas dos solos tropicais são muito importantes para entendimento dos fenômenos físico-químicos que afetam a fertilidade do solo e a disponibilidade dos nutrientes das plantas. Essa revisão destaca os atributos eletroquímicos de solos e o comportamento e a disponibilidade de nutrientes, elementos tóxicos e metais pesados no solo, especialmente aqueles com predominância de minerais com cargas variáveis. A disponibilidade dos elementos é relacionada com a

  2. Comparison of maternal and neonatal outcomes for patients with placenta accreta spectrum between online-to-offline management model with standard care model.

    Science.gov (United States)

    Sun, Wen; Yu, Lin; Liu, Shiliang; Chen, Yanhong; Chen, Juanjuan; Wen, Shi Wu; Chen, Dunjin

    2018-03-01

    Online-to-offline is a new model for emergent medical service with the ability to connect care providers with patients on instant basis. This study aims to evaluate maternal and neonatal outcomes in patients with placenta accreta spectrum managed by an online-to-offline care model. Starting from January 1, 2015, management of patients with placenta accreta spectrum was changed from standard care model into an online-to-offline care model through "Wechat" in Guangzhou Medical Centre for Critical Obstetrical Care. This study compared maternal and neonatal outcomes in patients affected by placenta accreta spectrum between 2015 (online-to-offline model) and 2014 (standard care model). A total of 209 cases of placenta accrete spectrum were treated in our center in 2015 and 218 such cases were treated in 2014. Patients treated in 2015 had lower rate of hysterectomy (14.83% versus 20.64%) and shorter hospital stay (7 days versus 8 days). The average interval from admission to emergency cesarean section for critically ill patients was 38.5 min in 2015 versus 50.7 min in 2014. Patients affected by placenta accreta spectrum managed by online-to-offline care model have reduced risk of hysterectomy, shorter hospital stay, and shorter response time from admission to emergency cesarean section. Copyright © 2018 Elsevier B.V. All rights reserved.

  3. Dynamics of melanoma tumor therapy with vesicular stomatitis virus: explaining the variability in outcomes using mathematical modeling.

    Science.gov (United States)

    Rommelfanger, D M; Offord, C P; Dev, J; Bajzer, Z; Vile, R G; Dingli, D

    2012-05-01

    Tumor selective, replication competent viruses are being tested for cancer gene therapy. This approach introduces a new therapeutic paradigm due to potential replication of the therapeutic agent and induction of a tumor-specific immune response. However, the experimental outcomes are quite variable, even when studies utilize highly inbred strains of mice and the same cell line and virus. Recognizing that virotherapy is an exercise in population dynamics, we utilize mathematical modeling to understand the variable outcomes observed when B16ova malignant melanoma tumors are treated with vesicular stomatitis virus in syngeneic, fully immunocompetent mice. We show how variability in the initial tumor size and the actual amount of virus delivered to the tumor have critical roles on the outcome of therapy. Virotherapy works best when tumors are small, and a robust innate immune response can lead to superior tumor control. Strategies that reduce tumor burden without suppressing the immune response and methods that maximize the amount of virus delivered to the tumor should optimize tumor control in this model system.

  4. Joint modelling of longitudinal outcome and interval-censored competing risk dropout in a schizophrenia clinical trial

    Science.gov (United States)

    Gueorguieva, Ralitza; Rosenheck, Robert; Lin, Haiqun

    2011-01-01

    Summary The ‘Clinical antipsychotic trials in intervention effectiveness’ study, was designed to evaluate whether there were significant differences between several antipsychotic medications in effectiveness, tolerability, cost and quality of life of subjects with schizophrenia. Overall, 74 % of patients discontinued the study medication for various reasons before the end of 18 months in phase I of the study. When such a large percentage of study participants fail to complete the study schedule, it is not clear whether the apparent profile in effectiveness reflects genuine changes over time or is influenced by selection bias, with participants with worse (or better) outcome values being more likely to drop out or to discontinue. To assess the effect of dropouts for different reasons on inferences, we construct a joint model for the longitudinal outcome and cause-specific dropouts that allows for interval-censored dropout times. Incorporating the information regarding the cause of dropout improves inferences and provides better understanding of the association between cause-specific dropout and the outcome process. We use simulations to demonstrate the advantages of the joint modelling approach in terms of bias and efficiency. PMID:22468033

  5. Expect With Me: development and evaluation design for an innovative model of group prenatal care to improve perinatal outcomes.

    Science.gov (United States)

    Cunningham, Shayna D; Lewis, Jessica B; Thomas, Jordan L; Grilo, Stephanie A; Ickovics, Jeannette R

    2017-05-18

    Despite biomedical advances and intervention efforts, rates of preterm birth and other adverse outcomes in the United States have remained relatively intransigent. Evidence suggests that group prenatal care can reduce these risks, with implications for maternal and child health as well as substantial cost savings. However, widespread dissemination presents challenges, in part because training and health systems have not been designed to deliver care in a group setting. This manuscript describes the design and evaluation of Expect With Me, an innovative model of group prenatal care with a strong integrated information technology (IT) platform designed to be scalable nationally. Expect With Me follows clinical guidelines from the American Congress of Obstetricians and Gynecologists. Expect With Me incorporates the best evidence-based features of existing models of group care with a novel integrated IT platform designed to improve patient engagement and support, enhance health behaviors and decision making, connect providers and patients, and improve health service delivery. A multisite prospective longitudinal cohort study is being conducted to examine the impact of Expect With Me on perinatal and postpartum outcomes, and to identify and address barriers to national scalability. Process and outcome evaluation will include quantitative and qualitative data collection at patient, provider, and organizational levels. Mixed-method data collection includes patient surveys, medical record reviews, patient focus groups; provider surveys, session evaluations, provider focus groups and in-depth interviews; an online tracking system; and clinical site visits. A two-to-one matched cohort of women receiving individual care from each site will provide a comparison group (n = 1,000 Expect With Me patients; n = 2,000 individual care patients) for outcome and cost analyses. By bundling prevention and care services into a high-touch, high-tech group prenatal care model

  6. Formas extraíveis de ferro em solos do estado do Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    M. G. Pereira

    1999-06-01

    Full Text Available No estado do Rio de Janeiro, destacam-se três feições geomorfológicas: as formações constituídas por rochas do Complexo Cristalino, expostas ou capeadas por seus produtos de alteração; os tabuleiros costeiros, compostos pelos sedimentos da Formação Barreiras, e, por último, as planícies aluvionares, que são formações quaternárias. As diferenças entre os materiais de origem e as classes de relevo e sua influência na formação dos solos têm constituído o tema principal dos estudos de genêse realizados no Rio de Janeiro. Este trabalho teve como objetivo avaliar o comportamento das formas extraíveis de ferro, Feo, Fed e Fes, e as relações entre elas em função do grau de pedogênese dos solos. Para estes solos, as formas de ferro e relações Fed/Fes e Feo/Fed expressaram variações na mineralogia do material de origem, grau de intemperismo dos solos e do material formador, ou classe de drenagem, mais do que a intensidade de pedogênese. Assim, as formas extraíveis de Fe e respectivas relações para avaliar o grau de pedogênese, nos solos do Rio de Janeiro, requerem uma interpretação conjunta das demais propriedades do solo, com ênfase para a morfologia e classes de drenagem.

  7. Estimativa da erodibilidade a partir de atributos de solos com horizonte B textural no Brasil

    Directory of Open Access Journals (Sweden)

    J.J.G.S.M. Marques

    1997-09-01

    Full Text Available Os métodos existentes para estimar a erodibilidade dos solos (fator K não se têm mostrado adequados quando aplicados a solos brasileiros. Este trabalho teve por objetivo o desenvolvimento de método indireto para estimar a erodibilidade, visando obter esse fator, a partir de propriedades do solo facilmente determináveis. Assim, os horizontes A e Bt (B textural de 22 solos de várias regiões geográficas do Brasil foram submetidos a diversas análises químicas e físicas, e a descrição morfológica do perfil foi considerada. Tais resultados (variáveis independentes foram submetidos à análise de regressão linear múltipla em "stepwise", e relacionados com a erodibilidade (fator K medida diretamente no campo (variável dependente. Obtiveram-se várias equações com graus crescentes de complexidade e precisão. A partir das variáveis selecionadas, tanto do horizonte A quanto do Bt, e da distribuição do tamanho das partículas, obtida com e sem dispersante químico, foi possível estimar, satisfatoriamente, a erodibilidade desses solos. As informações contidas na descrição morfológica dos perfis de solo, especialmente as referentes à estrutura, bem como os teores de carbono orgânico, foram de grande importância para a determinação indireta da erodibilidade (fator K.

  8. Komunikasi Bisnis Lintas Budaya Sekretaris Pada Atasan (Studi Pada Alila Hotel Solo

    Directory of Open Access Journals (Sweden)

    Yunita Budi Rahayu Silintowe

    2016-12-01

    Full Text Available There are barriers in communication occurs on secretary at Alila Hotel Solo. Some of obstacles that arise are caused by some leaders or coworkers at Alila Hotel Solo are expatriates or even people in Indonesia who have different cultural backgrounds. There is a culture that affects the way everyone in conveying the message, so that there is a difference in perception between secretary and boss or other colleagues. In this study will be seen from two different viewpoints culture is low context and high context culture. This type of research is qualitative. Data collection techniques is using observation and interview methods to collect the data needed to accurately. The result show that low context and high context culture culture in cross-cultural business communication is not applied exclusively in the process of business communication at Alila Hotel Solo. Hambatan-hambatan dalam berkomunikasi terjadi pada sekretaris di Alila Hotel Solo. Beberapa hambatan yang muncul disebabkan oleh beberapa pimpinan atau rekan kerja di Alila Hotel Solo adalah expatriate atau bahkan orang Indonesia yang memiliki latar belakang budaya berbeda. Budaya mempengaruhi cara setiap orang dalam menyampaikan pesan, sehingga terdapat perbedaan persepsi antara sekretaris dengan atasan atau rekan kerja yang lain. Dalam penelitian ini akan dilihat dari dua sudut pandang yang berbeda yaitu low context culture dan high context culture. Jenis penelitian yang digunakan adalah penelitian kualitatif. Teknik pengambilan data adalah dengan menggunakan metode observasi dan metode wawancara untuk mengumpulkan data-data yang diperlukan secara akurat. Hasil penelitian menunjukkan bahwa low context culture dan high context culture dalam komunikasi bisnis lintas budaya tidak diterapkan secara eksklusif dalam proses komunikasi bisnis di Alila Hotel Solo.

  9. Fósforo da biomassa microbiana em solos sob diferentes sistemas de manejo

    Directory of Open Access Journals (Sweden)

    D. S. Rheinheimer

    2000-09-01

    Full Text Available A biomassa microbiana assume papel importante na reciclagem do fósforo em solos tropicais e subtropicais. Este trabalho teve por objetivo quantificar o teor de fósforo armazenado na biomassa microbiana em solos submetidos a diferentes métodos de preparo e sucessões de culturas. Para tal, foram utilizados quatro experimentos, instalados em diferentes locais no Rio Grande do Sul a partir de 1979, envolvendo métodos de preparo do solo e sucessões de culturas. Em 1997, coletaram-se amostras de solos nos sistemas plantio direto e cultivo convencional, com várias sucessões de culturas, em três camadas de solo. O fósforo acumulado na biomassa microbiana foi determinado por fumigação-extração. O fósforo na biomassa não diferiu entre os métodos de preparo do solo no Latossolo Vermelho Distroférrico típico, mas foi maior no sistema plantio direto em comparação ao cultivo convencional no Latossolo Vermelho Distrófico típico e Argissolo Vermelho Distrófico típico. O cultivo de diferentes plantas anuais não afetou os teores de fósforo microbiano. O fluxo anual de P através da biomassa microbiana variou de 8 a 22 mg dm-3 ano-1 e, no Argissolo Vermelho Distrófico típico, foi maior no sistema plantio direto do que no cultivo convencional.

  10. Adsorção de nitrato em solos de cerrado do Distrito Federal

    Directory of Open Access Journals (Sweden)

    OLIVEIRA JULIANA RIBEIRO ALEXANDRE DE

    2000-01-01

    Full Text Available Os objetivos deste trabalho foram verificar a adsorção de nitrato e identificar as propriedades do solo que mais influenciam este fenômeno, em um Latossolo Vermelho-Escuro, com 56% de argila, em Planaltina, DF. Em 1996 foram coletadas amostras de solo nas profundidades de 0-20, 20-40, 40-80, 80-100 cm, de um experimento com cinco anos de duração, em uma área de cerrado típico e em duas áreas cultivadas com soja e milho, onde o solo apresentava inversão de carga em profundidade. Também foram coletadas amostras em um solo sob cerradão, com carga elétrica líquida negativa em profundidade. A relação entre nitrato adsorvido e nitrato na solução foi descrita pela equação de Freundlich e as relações entre o nitrato adsorvido e algumas propriedades físico-químicas do solo foram estudadas por meio de regressões múltiplas. O nitrato adsorvido aumentou com a profundidade em todos os tratamentos. Esta adsorção foi maior nos solos sob cerrado e cerradão. O deltapH não afetou a adsorção de nitrato. A correlação entre nitrato adsorvido, matéria orgânica e sulfato extraível foi negativa. A adsorção de nitrato aumentou com a redução da matéria orgânica em profundidade e com a redução de sulfato extraível.

  11. Geoquímica de solos do pantanal norte, Mato Grosso

    Directory of Open Access Journals (Sweden)

    Elaine de Arruda Oliveira Coringa

    2014-12-01

    Full Text Available A caracterização e análise geoquímica de solos permitem compreender os processos de migração, dispersão e concentração de elementos químicos no perfil, embasando a correlação dos atributos deles com as classes de solos formadas, o que possibilita inferências acerca das gêneses desses solos. Esta pesquisa teve por objetivos caracterizar e interpretar a composição geoquímica total de elementos maiores e menores em classes de solos representativas do Pantanal norte, na sub-região de Barão de Melgaço, Mato Grosso, Brasil. Foram selecionados 20 perfis das principais classes de solos do Pantanal e analisadas amostras dos horizontes A e B (ou C quanto à concentração de óxidos totais por espectrometria de fluorescência de raios-X, além das caracterizações física, química e mineralógica. Os solos subdividiram-se em dois tipos geoquímicos: um composto por textura arenosa a franco-arenosa com teores relativamente elevados de SiO2 e predominância de caulinita e quartzo, com menor teor de bases e elementos-traço; e outro composto por textura mais argilosa, geoquimicamente heterogêneos e com teores significativos de minerais 2:1, Al2O3, óxidos de Fe e Mn, bases e elementos-traço.

  12. Variabilidade espacial da resistência do solo à penetração e da taxa de estratificação de carbono orgânico do solo em um Latossolo Vermelho eutroférrico

    OpenAIRE

    Fidalski,Jonez; Tormena,Cássio Antonio; Gonçalves,Antonio Carlos Andrade; Oliveira Júnior,Rubem Silvério

    2006-01-01

    A compactação e a qualidade do solo são constantemente questionadas para a definição do manejo de solo em plantio direto. Os objetivos deste estudo foram avaliar a variabilidade espacial da resistência do solo à penetração, da densidade do solo e a taxa de estratificação de carbono orgânico do solo em camadas de um Latossolo Vermelho eutroférrico, textura muito argilosa, em áreas contíguas de plantio direto com rotação de culturas e plantio direto com sucessão de culturas associado à escarifi...

  13. The development of learning material using learning cycle 5E model based stem to improve students’ learning outcomes in Thermochemistry

    Science.gov (United States)

    sugiarti, A. C.; suyatno, S.; Sanjaya, I. G. M.

    2018-04-01

    The objective of this study is describing the feasibility of Learning Cycle 5E STEM (Science, Technology, Engineering, and Mathematics) based learning material which is appropriate to improve students’ learning achievement in Thermochemistry. The study design used 4-D models and one group pretest-posttest design to obtain the information about the improvement of sudents’ learning outcomes. The subject was learning cycle 5E based STEM learning materials which the data were collected from 30 students of Science class at 11th Grade. The techniques used in this study were validation, observation, test, and questionnaire. Some result attain: (1) all the learning materials contents were valid, (2) the practicality and the effectiveness of all the learning materials contents were classified as good. The conclution of this study based on those three condition, the Learnig Cycle 5E based STEM learning materials is appropriate to improve students’ learning outcomes in studying Thermochemistry.

  14. Evaluation of the Cerro Solo nuclear ore, province of Chubut. On the economic parameters of the deposit. Pt. 3

    International Nuclear Information System (INIS)

    Navarra, P.R.; Sardin, P.G.; Urquiza, L.; Bernal, G.J.; Guzman Lobos, D.

    1993-01-01

    Preliminary results of the resources estimation carried out in the Cerro Solo uranium ore deposit, located in the Chubut Province, 1900 km SW from Buenos Aires and 380 Km W from Trelew, presented in tonnes of uranium recoverable at costs up to U$S 80/kgU, are as follows: a) Reasonable assured resources (indicated): 800 tU; b) Estimates Additional Resources (inferred): 2200 tU. Economic evaluation at the order-of-magnitude level, performed using the grade-tonnage model of the deposit, resulted a useful tool in the different stages of the project to identify the influence of technical parameters on the potential profitability. Research about feasibility of in-situ leaching method of exploitation for this deposit introduces an interesting alternative for future uranium production in the country. (Author)

  15. Uso da Canavalia ensiformis como fitorremediador de solos contaminados por chumbo

    OpenAIRE

    Mazzuco, Kátia Teresinha Mateus

    2008-01-01

    Tese (doutorado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Engenharia Química. Atualmente setores de várias áreas têm observado com grande interesse o crescente número de poluentes existentes em todo o mundo. Por esse motivo aumenta o interesse por técnicas remediadoras, tendo neste momento um foco maior o solo. Varias técnicas são estudadas e a fitorremediação possui um lugar de destaque devido à sua eficiência na descontaminação dos solos ...

  16. SOLOS GERADOS A PARTIR DO INTEMPERISMO DE CROSTAS LATERÍTICAS SÍLICO-FERRUGINOSAS

    OpenAIRE

    HORBE, Adriana Maria Coimbra; COSTA, Marcondes Lima da

    1997-01-01

    A porção superior de dois perfis lateriticos localizados nos balneáreos de Outeiro e Mosqueiro, no município de Belém (Pará-Brasil), é constituída pela crosta sílico-ferruginosa e seus fragmentos de crosta, com material areno-argiloso sobreposto formando o solo. A estrutura colunar preservada, o grau de arredondamento crescente dos fragmentos e a composição mineralógica e química demonstram que há uma passagem gradacional entre a crosta, fragmentos e o solo dos dois perfis. Assim, é possível ...

  17. Partição de substâncias húmicas em solos brasileiros

    Directory of Open Access Journals (Sweden)

    Lauana Lopes dos Santos

    2013-08-01

    Full Text Available As substâncias húmicas (SH representam o principal reservatório de carbono orgânico total do solo (COT e sua partição entre diferentes frações de solubilidade em meio alcalino ou ácido pode guardar relação com o tipo de solo e manejo adotado. O objetivo deste trabalho foi comparar a partição das SHs, de acordo com profundidade, tipo de solo, bioma e uso do solo no Brasil. Revisou-se a literatura, incluindo teses, dissertações, artigos e resumos em anais de eventos, em busca de dados sobre o teor de COT, sua porcentagem como ácidos húmicos (AH, ácidos fúlvicos (AF e humina (HU e a razão AH/AF. Os dados foram estratificados por intervalos comparáveis de profundidades (0-5, 5-10, 0-20, 20-50, 50-100 e >100 cm, biomas (Mata Atlântica, Cerrado, Amazônia, Pampa e Caatinga, ordem de solo (Argissolo, Latossolo, Cambissolo, Planossolo, Neossolo, Gleissolo e Organossolo e principais usos do solo (florestas nativas, pastagem natural, pastagem plantada, eucalipto, culturas perenes e anuais. Os dados foram analisados por estatística descritiva, correlações de Spearman e análise de componentes principais (ACP. Nos Argissolos, Latossolos e Organossolos, a fração HU contribuiu com metade do COT, tendendo a diminuir em profundidade. Para Latossolos e Organossolos, a fração AF tendeu a aumentar em profundidade. Em Neossolos, a fração AH aumentou em profundidade, embora tenha diminuído em Gleissolos e Planossolos. A razão AH/AF geralmente diminui em profundidade. Pela ACP, não foi possível identificar um padrão de agrupamento das amostras em razão do tipo de bioma e uso do solo, sugerindo que a partição das SHs tem baixo potencial como indicador de efeitos do manejo ou condições ambientais, embora seja útil para discriminar processos de humificação em algumas ordens de solo.

  18. Comportamento dinâmico de um modelo simples solo-estrutura

    OpenAIRE

    Gonçalves, Fábio André Vaz

    2012-01-01

    Dissertação para obtencão do Grau de Mestre em Engenharia Civil - Perfil Estruturas O comportamento de uma estrutura sujeita a cargas dinâmicas depende de características como a massa, a rigidez dos vários elementos e da capacidade de dissipação de energia. A resposta dinâmica da estrutura apoiada num solo depende das propriedades dinâmicas dos dois sistemas. A resposta do sistema é influenciada pelos efeitos de interacção solo-estrutura. Nesta dissertação estudou-se um m...

  19. Variabilidade espacial e disponibilidade de cobre e zinco em solos de vinhedos e adjacências

    OpenAIRE

    Valladares,Gustavo Souza; Azevedo,Emílio Carlos de; Camargo,Otávio Antônio de; Grego,Célia Regina; Rastoldo,Alessandra Maria Cia Silva

    2009-01-01

    Com o tempo, o uso agrícola pode levar à contaminação do solo por metais pesados, principalmente por se servir de insumos e agroquímicos que possuem cobre e zinco em sua composição. O objetivo deste trabalho foi determinar os teores de cobre e zinco disponíveis no solo extraídos com DTPA e avaliar sua distribuição espacial empregando a geoestatística em áreas de vinhedos comerciais e experimentais e sob outros usos e coberturas nas adjacências das plantações. Foram coletadas amostras de terra...

  20. The Effects of Solo Status on Women's and Men's Success: The Moderating Role of the Performance Context

    Science.gov (United States)

    Viallon, Marie-Laure; Martinot, Delphine

    2009-01-01

    A considerable body of research has shown that being the only representative of one's gender group (solo status) when performing an activity affects women more than men. The aim of our two experiments was to show that the performance context can moderate the effects of numerical status (majority vs. solo) on performance and that men can also be…

  1. Soil infiltration based on bp neural network and grey relational analysis Infiltração no solo com base em rede neural de retropropagação e análise relacional grey

    Directory of Open Access Journals (Sweden)

    Wang Juan

    2013-02-01

    Full Text Available Soil infiltration is a key link of the natural water cycle process. Studies on soil permeability are conducive for water resources assessment and estimation, runoff regulation and management, soil erosion modeling, nonpoint and point source pollution of farmland, among other aspects. The unequal influence of rainfall duration, rainfall intensity, antecedent soil moisture, vegetation cover, vegetation type, and slope gradient on soil cumulative infiltration was studied under simulated rainfall and different underlying surfaces. We established a six factor-model of soil cumulative infiltration by the improved back propagation (BP-based artificial neural network algorithm with a momentum term and self-adjusting learning rate. Compared to the multiple nonlinear regression method, the stability and accuracy of the improved BP algorithm was better. Based on the improved BP model, the sensitive index of these six factors on soil cumulative infiltration was investigated. Secondly, the grey relational analysis method was used to individually study grey correlations among these six factors and soil cumulative infiltration. The results of the two methods were very similar. Rainfall duration was the most influential factor, followed by vegetation cover, vegetation type, rainfall intensity and antecedent soil moisture. The effect of slope gradient on soil cumulative infiltration was not significant.A infiltração da água no solo é um processo fundamental do ciclo natural de água. Estudos sobre a permeabilidade do solo contribuem para avaliar e estimar os recursos hídricos, a regulação e gestão de escoamento, a modelagem da erosão do solo e a poluição de origem difusa e de origem pontual de terras agrícolas, entre outros aspectos. A influência desigual da duração da chuva, a intensidade de precipitação pluvial, a umidade do solo, a cobertura vegetal, o tipo de vegetação e inclinação do terreno sobre a infiltração acumulada no solo foram

  2. Número e espaçamento entre hastes de guia de onda para medida da umidade do solo com TDR Number and spacing between wave guide rods for measurement of soil water content with TDR

    Directory of Open Access Journals (Sweden)

    Eugênio F. Coelho

    2003-08-01

    Full Text Available Com este trabalho, objetivou-se avaliar o desempenho de diferentes modelos matemáticos para ajuste dos dados de umidade, em função da constante dielétrica aparente do solo, e a viabilidade de uso de guias de onda de duas e três hastes, com diferentes espaçamentos. Amostras de solo deformadas foram acondicionadas em segmentos de tubos de PVC de 0,075 m de diâmetro. Construíram-se 24 guias de onda com capacitor e 24 guias de onda sem capacitor, sendo que, para cada tipo, 12 guias de onda de duas hastes e 12 de três hastes, com espaçamento entre hastes de 0,009 a 0,022 m, de impedâncias previamente determinadas, foram inseridas no solo, após a saturação em cada segmento de tubo. Dados de umidade do solo determinados por gravimetria e da constante dielétrica aparente obtidos pelo analisador Trase System, foram tomados em cada recipiente durante a secagem do solo de 0,31 a 0,13 m³ m-3. Cinco modelos matemáticos foram ajustados aos dados de umidade em função da correspondente constante dielétrica aparente do solo e o efeito dos modelos na obtenção da umidade do solo, em função da constante dielétrica aparente, foi avaliado estatisticamente. O modelo de Malicki foi o de melhor ajuste dos dados da constante dielétrica aparente, em função da umidade do solo. As guias de onda de três hastes, de diâmetro 0,003 m, comprimento 0,15 m, com espaçamentos entre hastes de 0,017 m, foram as de melhor desempenho, enquanto as guias de onda de três hastes sem capacitor indicaram melhor desempenho na determinação da umidade do solo, comparadas com as de duas hastes sem capacitor. As guias de onda de três hastes sem capacitor apresentaram melhor desempenho na determinação da umidade do solo que as de três hastes com capacitor.The objective of this study was to evaluate the performance of different mathematical models to adjust the humidity data as a function of the apparent dielectric constant of the soil and to evaluate the

  3. A SOLUÇÃO DO SOLO DE UM LATOSSOLO VERMELHO DISTRÓFICO SUBMETIDO A TRÊS TIPOS DE MANEJO DE SOLO E DE CULTURAS

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    Silvio Tulio Spera

    2014-06-01

    Full Text Available O objetivo do trabalho foi avaliar a interação destes fatores nos atributos químicos da solução de solo de duas camadas de solo situadas entre 0 a 20 cm. O experimento foi conduzido em Passo Fundo, RS, em um Latossolo Vermelho distrófico, após mais de duas décadas de cultivo, sem aplicação de calcário. O delineamento experimental foi de blocos ao acaso, em esquema de subparcelas. Os tratamentos foram: plantio direto (PD, cultivo mínimo com escarificador (PM e preparo convencional com arado e grade (PC. Estes foram combinados com as rotações de culturas: trigo/soja (R1; trigo/soja-ervilhaca/sorgo (R2 e trigo/soja-ervilhaca/sorgo-aveia branca/soja (R3, para avaliar o efeito da interação dessas rotações com o tipo de manejo de solo nos atributos químicos da solução do solo, nas camadas de 0 a 6,7 cm e de 6,8 a 20 cm. Não houve correlações entre os atributos de solo avaliados, em ambas as camadas, mesmo havendo diferenças de níveis de restrição físicas e químicas entre as camadas. Os atributos químicos da solução do solo não foram influenciados pela interação dos fatores estudados, sendo pouco influenciados pela rotação de culturas. O plantio direto propiciou maiores valores de carbono orgânico dissolvido e menor teor e atividade de Al na solução do solo, que pode amenizar a toxidez de Al. Palavra-chave: nutrientes; plantio direto, preparo convencional, química do solo. THE SOIL SOLUTION OF A TYPIC HAPLUSTOX UNDER THREE SOIL MANAGEMENTS AND CROP ROTATIONS ABSTRACT The goal of this work was to evaluate the interaction of these two factors in grain production of crops (harvest 2007, and chemical attributes of the soil solution of two soil layers situated among 0 to 20 cm. The experiment was conducted in Passo Fundo, RS, in a Typic Haplustox, after more than two decades of cropping without limestone application. The experimental design was randomized block, in subplots scheme. The treatments were: no

  4. Crescimento de soja em solos em resposta a doses de Boro, calagem e textura do solo Soybean growth in response to boron dosages, liming and soil texture

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    Rodinei Facco Pegoraro

    2008-08-01

    Full Text Available Neste trabalho, objetivou-se quantificar a produção de matéria seca e os conteúdos de B, Ca e Mg na cultura da soja cultivada em solos com diferentes texturas que receberam doses crescentes de B e calagem, e correlacionar o conteúdo de B absorvido pela planta com o teor de B recuperado com água e CaCl2 ferventes sob influência de doses de boro e a calagem aplicadas em três solos distintos. O experimento foi conduzido em casa de vegetação em esquema fatorial 3 x 2 x 6, consistindo de três solos: textura arenosa (RQ, textura média (LVA1 e textura argilosa (LVA2, com e sem calagem, e seis doses de B (0; 1,5; 3; 6; 9 e 15 mg dm-3, em blocos casualizados com três repetições. Determinou-se o teor de B no solo extraível com água e CaCl2 ferventes após 45 dias da adição das doses de B aos solos, massa de matéria seca da parte aérea e os teores de B, Ca e Mg na soja. Os teores de B recuperado, tanto pela água fervente, quanto pelo CaCl2 fervente foram semelhantes nos três solos estudados e, apresentaram altas correlações com o conteúdo de B e o peso de matéria seca. As doses de B adicionadas aumentaram a sua absorção pelas plantas, mas causaram redução na produção de matéria seca da parte aérea nos solos RQ (textura arenosa, LVA1 (textura média e o LVA2 (textura argilosa com calagem, neste último solo, o efeito é minimizado na presença de maior teor de argila.This work aimed to quantify the dry matter production and the contents of B, Ca and Mg in soybean plants grown in soils with different textures, which received increasing doses of B, and liming. Additionally, it was correlated the B contents in the plants with the B recovered from the soil with boiling water and CaCl2. The experiment was carried out in a greenhouse in a factorial 3 x 2 x 6 (three soils: sand texture (RQ, loamy sand (LVA1 and clayey (LVA2 textures; with and without liming; and six B doses: 0; 1,5; 3; 6; 9 and 15 mg dm-3 arranged in a entirely

  5. Enhanced pyruvate dehydrogenase activity improves cardiac outcomes in a murine model of cardiac arrest.

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    Lin Piao

    Full Text Available Post-ischemic changes in cellular metabolism alter myocardial and neurological function. Pyruvate dehydrogenase (PDH, the limiting step in mitochondrial glucose oxidation, is inhibited by increased expression of PDH kinase (PDK during ischemia/reperfusion injury. This results in decreased utilization of glucose to generate cellular ATP. Post-cardiac arrest (CA hypothermia improves outcomes and alters metabolism, but its influence on PDH and PDK activity following CA are unknown. We hypothesized that therapeutic hypothermia (TH following CA is associated with the inhibition of PDK activity and increased PDH activity. We further hypothesized that an inhibitor of PDK activity, dichloroacetate (DCA, would improve PDH activity and post-CA outcomes.Anesthetized and ventilated adult female C57BL/6 wild-type mice underwent a 12-minute KCl-induced CA followed by cardiopulmonary resuscitation. Compared to normothermic (37°C CA controls, administering TH (30°C improved overall survival (72-hour survival rate: 62.5% vs. 28.6%, P<0.001, post-resuscitation myocardial function (ejection fraction: 50.9±3.1% vs. 27.2±2.0%, P<0.001; aorta systolic pressure: 132.7±7.3 vs. 72.3±3.0 mmHg, P<0.001, and neurological scores at 72-hour post CA (9.5±1.3 vs. 5.4±1.3, P<0.05. In both heart and brain, CA increased lactate concentrations (1.9-fold and 3.1-fold increase, respectively, P<0.01, decreased PDH enzyme activity (24% and 50% reduction, respectively, P<0.01, and increased PDK protein expressions (1.2-fold and 1.9-fold, respectively, P<0.01. In contrast, post-CA treatment with TH normalized lactate concentrations (P<0.01 and P<0.05 and PDK expressions (P<0.001 and P<0.05, while increasing PDH activity (P<0.01 and P<0.01 in both the heart and brain. Additionally, treatment with DCA (0.2 mg/g body weight 30 min prior to CA improved both myocardial hemodynamics 2 hours post-CA (aortic systolic pressure: 123±3 vs. 96±4 mmHg, P<0.001 and 72-hour survival rates

  6. Comparison of logistic regression and neural models in predicting the outcome of biopsy in breast cancer from MRI findings

    International Nuclear Information System (INIS)

    Abdolmaleki, P.; Yarmohammadi, M.; Gity, M.

    2004-01-01

    Background: We designed an algorithmic model based on regression analysis and a non-algorithmic model based on the Artificial Neural Network. Materials and methods: The ability of these models was compared together in clinical application to differentiate malignant from benign breast tumors in a study group of 161 patient's records. Each patient's record consisted of 6 subjective features extracted from MRI appearance. These findings were enclosed as features extracted for an Artificial Neural Network as well as a logistic regression model to predict biopsy outcome. After both models had been trained perfectly on samples (n=100), the validation samples (n=61) were presented to the trained network as well as the established logistic regression models. Finally, the diagnostic performance of models were compared to the that of the radiologist in terms of sensitivity, specificity and accuracy, using receiver operating characteristic curve analysis. Results: The average out put of the Artificial Neural Network yielded a perfect sensitivity (98%) and high accuracy (90%) similar to that one of an expert radiologist (96% and 92%) while specificity was smaller than that (67%) verses 80%). The output of the logistic regression model using significant features showed improvement in specificity from 60% for the logistic regression model using all features to 93% for the reduced logistic regression model, keeping the accuracy around 90%. Conclusion: Results show that Artificial Neural Network and logistic regression model prove the relationship between extracted morphological features and biopsy results. Using statistically significant variables reduced logistic regression model outperformed of Artificial Neural Network with remarkable specificity while keeping high sensitivity is achieved

  7. Edaravone improves survival and neurological outcomes after CPR in a ventricular fibrillation model of rats.

    Science.gov (United States)

    Qin, Tao; Lei, Ling-Yan; Li, Nuo; Shi, Fangying Ruan; Chen, Meng-Hua; Xie, Lu

    2016-10-01

    Overproduction of free radicals is a main factor contributing to cerebral injury after cardiac arrest (CA)/cardiopulmonary resuscitation (CPR). We sought to evaluate the impact of edaravone on the survival and neurological outcomes after CA/CPR in rats. Rats were subjected