Full Text Available Abstract (E: Using "micrology", as set out by Adorno in Negative Dialectics, this paper tries to
characterize a central feature of Chris Marker's approach, as iconographer and writer, namely the way
in which he explores the echoes of history and culture in the singularity and rarity of the documentary.
As traveller and photographer he catches and collects microcosmic fragments, tying them up and
editing them in the various frames of the book, the film or the new media.
Abstract (F: En s'appuyant sur la "micrologie" proposée par Adorno dans la Dialectique négative,
cet article tente de caractériser un aspect de la démarche de Chris Marker, iconographe et écrivain.
C'est en effet dans le singulier et la rareté documentaires que ce cinéaste sonde des échos historiques et
culturels. Voyageur et photographe, il saisit et collectionne des fragments microcosmiques, les liant et
les montant dans les cadres divers du livre, du film et des nouveaux médias.
The PROcurement Management Information System (PROMIS) provides both detailed and summary level information on all procurement actions performed within NASA's procurement offices at Marshall Space Flight Center (MSFC). It provides not only on-line access, but also schedules procurement actions, monitors their progress, and updates Forecast Award Dates. Except for a few computational routines coded in FORTRAN, the majority of the systems is coded in a high level language called NATURAL. A relational Data Base Management System called ADABAS is utilized. Certain fields, called descriptors, are set up on each file to allow the selection of records based on a specified value or range of values. The use of like descriptors on different files serves as the link between the falls, thus producing a relational data base. Twenty related files are currently being maintained on PROMIS.
Dowdle, S Blake; Glass, Natalie; Anthony, Chris A; Hettrich, Carolyn M
The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of question banks for health domains through computer adaptive testing (CAT). For patients with glenohumeral arthritis, (1) there would be high correlation between traditional patient-reported outcome (PRO) measures and the PROMIS upper extremity item bank (PROMIS UE) and PROMIS physical function CAT (PROMIS PF CAT), and (2) PROMIS PF CAT would not demonstrate ceiling effects. Cohort study (diagnosis); Level of evidence, 3. Sixty-one patients with glenohumeral osteoarthritis were included. Each patient completed the American Shoulder and Elbow Surgeons (ASES) assessment form, Marx Shoulder Activity Scale, Short Form-36 physical function scale (SF-36 PF), EuroQol 5 Dimensions (EQ-5D) questionnaire, Western Ontario Osteoarthritis Shoulder (WOOS) index, PROMIS PF CAT, and the PROMIS UE. Correlation was defined as high (>0.7), moderate (0.4-0.6), or weak (0.2-0.3). Significant floor and ceiling effects were present if more than 15% of individuals scored the lowest or highest possible total score on any PRO. The PROMIS PF demonstrated excellent correlation with the SF-36 PF ( r = 0.81, P ceiling or floor effects observed. The mean number of items administered by the PROMIS PRO was 4. These data suggest that for a patient population with operative shoulder osteoarthritis, PROMIS UE and PROMIS PF CAT may be valid alternative PROs. Additionally, PROMIS PF CAT offers a decreased question burden with no ceiling effects.
Dowdle, S. Blake; Glass, Natalie; Anthony, Chris A.; Hettrich, Carolyn M.
Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of question banks for health domains through computer adaptive testing (CAT). Hypothesis: For patients with glenohumeral arthritis, (1) there would be high correlation between traditional patient-reported outcome (PRO) measures and the PROMIS upper extremity item bank (PROMIS UE) and PROMIS physical function CAT (PROMIS PF CAT), and (2) PROMIS PF CAT would not demonstrate ceiling effects. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: Sixty-one patients with glenohumeral osteoarthritis were included. Each patient completed the American Shoulder and Elbow Surgeons (ASES) assessment form, Marx Shoulder Activity Scale, Short Form–36 physical function scale (SF-36 PF), EuroQol 5 Dimensions (EQ-5D) questionnaire, Western Ontario Osteoarthritis Shoulder (WOOS) index, PROMIS PF CAT, and the PROMIS UE. Correlation was defined as high (>0.7), moderate (0.4-0.6), or weak (0.2-0.3). Significant floor and ceiling effects were present if more than 15% of individuals scored the lowest or highest possible total score on any PRO. Results: The PROMIS PF demonstrated excellent correlation with the SF-36 PF (r = 0.81, P ceiling or floor effects observed. The mean number of items administered by the PROMIS PRO was 4. Conclusion: These data suggest that for a patient population with operative shoulder osteoarthritis, PROMIS UE and PROMIS PF CAT may be valid alternative PROs. Additionally, PROMIS PF CAT offers a decreased question burden with no ceiling effects. PMID:28944248
Coleman, P. G.
This short tribute to Chris Beling, who died in July 2010 at the age of 54, is written on behalf of all members of the positron research community, by whom he was much loved and admired. Obituary Picture 1 Chris Beling, a much respected and admired member of the positron research community who was a familiar face at SLOPOS and other positron conferences over the past three decades, suffered heart failure as he swam out to rescue his younger brother Jeremy while holidaying in his home town of Paignton, in the southwest of England, on June 18 2010. Chris gained a first-class honours degree in physics at Keble College, Oxford, in 1977, and his PhD in Radiation Physics from the University of London in 1981. His postdoctoral research, performed with Alan Smith at St Bart's Medical College in London, focussed on positron studies of liquids . His appointment as a lecturer at University College London in 1983 marked the beginning of his research involving positron beams  which was to continue for the rest of his life. In 1987 he moved to the University of Hong Kong (HKU), where he became professor of physics in 2007, working with Professor Steve Fung (with whom he studied at Oxford) and later with Francis Ling. During his 23 years in Hong Kong Chris developed his research interests, concentrating principally on positron beam studies of semiconductors . His brother Jeremy commented that 'moving to Hong Kong was the making of Chris; he found love and happiness'. Chris's research interests reflected the deep intellectual interest he had in his work. He maintained a strong interest in developing the capabilities of positron beam systems - initially by proposing models for field-assisted moderators to increase slow positron yields  and later by constructing a hybrid magnetic/electrostatic beam  and scanning annihilation spectroscopy , among other imaginative advances. His interests in semiconductor physics led him to develop a positron technique analogous to
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Abstract (E: This essay creatively explores a group of artists, writers, and other special individuals whose work or life story can be described as having an intriguing affinity with the protean career of Chris Marker. Avoiding the ‘usual suspects’ (such as Godard or Sebald, it discusses gossip columnist Milt Machlin, record collector Harry Smith, painter Gianfranco Baruchello, writer-filmmaker Edgardo Cozarinsky, and several others. From this constellation, a particular view of Markerian poetics emerges, touching upon the meanings of anonymity, storytelling, history and archiving.
Abstract (F: Cet essai brosse de manière créative le portrait d’un groupe d'artistes, d'écrivains et d'autres personnes particulières dont le travail ou la biographie peuvent être décrits comme montrant une étrange mais certaine connivence avec la carrière protéiforme de Chris Marker. Evitant les lieux communs (comme Godard ou Sebald, cet article trace des références moins attendues :
Nestor, Siim, 1974-
Drum'n'bassi esimese superstaari Goldie esinemisest 16. nov. Circulation-sarja peol Lillepaviljonis Tallinnas. Londoni diskori Chris Simmondsi esinemistest 15. nov. Tartu klubis Tallinn ja 16. nov. Tallinnas kohvikus Moskva
Hancock, Kyle J; Glass, Natalie; Anthony, Chris A; Hettrich, Carolyn M; Albright, John; Amendola, Annunziato; Wolf, Brian R; Bollier, Matthew
The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed as an extensive question bank with multiple health domains that could be utilized for computerized adaptive testing (CAT). In the present study, we investigated the use of the PROMIS Physical Function CAT (PROMIS PF CAT) in an otherwise healthy population scheduled to undergo surgery for meniscal injury with the hypotheses that (1) the PROMIS PF CAT would correlate strongly with patient-reported outcome instruments that measure physical function and would not correlate strongly with those that measure other health domains, (2) there would be no ceiling effects, and (3) the test burden would be significantly less than that of the traditional measures. Patients scheduled to undergo meniscal surgery completed the PROMIS PF CAT, Knee injury and Osteoarthritis Outcome Score (KOOS), Marx Knee Activity Rating Scale, Short Form-36 (SF-36), and EuroQol-5 Dimension (EQ-5D) questionnaires. Correlations were defined as high (≥0.7), high-moderate (0.61 to 0.69), moderate (0.4 to 0.6), moderate-weak (0.31 to 0.39), or weak (≤0.3). If ≥15% respondents to a patient-reported outcome measure obtained the highest or lowest possible score, the instrument was determined to have a significant ceiling or floor effect. A total of 107 participants were analyzed. The PROMIS PF CAT had a high correlation with the SF-36 Physical Functioning (PF) (r = 0.82, p ceiling effects, with 0% of the participants achieving the lowest and highest score, respectively. The PROMIS PF CAT correlates strongly with currently used patient-reported outcome measures of physical function and demonstrates no ceiling effects for patients with meniscal injury requiring surgery. It may be a reasonable alternative to more burdensome patient-reported outcome measures.
Filchev, Lachezar; Dimitrov, Petar
The dawn of 21st century is marked by severe and unpredictable natural and man - made hazards and disasters linked as to climate change as to human impact on environment. To study their effects on natural landscapes and protected areas it is important to perform, in some restrict regime protected areas, a continuous monitoring. Earth observation by satellites is one of the most promising instruments for this as it has the necessary time, spatial, and spectral resolution for this as well as it provides for non-contact estimation of the overall condition of the environment. This study presents preliminary results of fire scars area estimation on the territory of Bistrishko Branishte UNESCO Man and Biosphere (MAB) reserve in Vitosha Mountain, Bulgaria using CHRIS/PROBA satellite data. During the summer and early autumn of 2012 CHRIS/PROBA instrument was tasked to perform a series of acquisitions with a view to study the vegetation structure. The study uses two CHRIS/PROBA scenes acquired subsequently on 22 June 2012 and on 28 September 2012. The wildfire, which effects are studied, took place during the first two weeks of July 2012. After it was settled the second acquisition of CHRIS/PROBA instrument made possible the analysis of the post fire situation. The methods used for the study are the standard methods for image change detection based on spectral data employed in ENVI software (Academic license). In order to perform the change detection, the CHRIS/PROBA source data was geometrically and atmospherically corrected as well as co-registered. The multi angle product of CHRIS/PROBA Mode 1, consisting of 5 images, was used to check to what extent the five viewing angles affect the area estimation of the fire scars in the mountainous area following same procedures. The results from the analysis shown that almost 60 hectares from the coniferous vegetation (dead and healthy tree stands) were devastated by the wildfire.
Objectives. To determine the incidence of puerperal sepsis after caesarean section (CS) at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa. Methods. A longitudinal descriptive study was done on women undergoing CS, with follow-up for readmission or development of sepsis, including telephone ...
Eugenic Theories are clearly alive and well in present-day society--or this is at least true of those theories relating to the passing on of abilities and talents from one generation to the next. This depressing thought was prompted by a reading of Chris Woodhead's latest book "A Desolation of Learning."
Book Title: Chris Hani: A Jacana Pocket Biography. Author: Hugh Macmillan. Jacana: Auckland Park, 2014. 152 pp. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's ...
Chris Higgins took on the roles of Editor of "Educational Theory," and Editor-in-Chief of the "Philosophy of Education Yearbook" published by the Philosophy of Education Society, in 2013, after having been an Associate Editor and Book Review Editor for "Educational Theory" for six years. Higgins worked closely with…
Eva van der Meij
Full Text Available Abstract Background To assess the construct validity and responsiveness of the PROMIS Physical Function v1.2 short form 8b (PROMIS-PF, and the PROMIS Ability to Participate in Social Roles and Activities v2.0 short form 8a (PROMIS-APS in postoperative recovery. Methods An observational pilot study was conducted in which 30 patients participated, undergoing various forms of abdominal surgery. Patients completed the PROMIS-PF and PROMIS-APS, the Short Form 36 Health Survey (SF-36 and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS at several time points before and after surgery. The construct validity and responsiveness of the two PROMIS short forms were evaluated by testing pre-defined hypotheses and were considered adequate when at least 75% of the data was consistent with the hypotheses. Construct validity was evaluated by calculating Spearman correlations and the responsiveness by calculating effect sizes. Results 6/7 (85.7% of the results were consistent with the hypotheses supporting the construct validity of the PROMIS-PF. For the PROMIS-APS this was the case in 7/15 (46.7% of the results. For the PROMIS-PF, 6/7 (85.7% of the results were consistent with the hypotheses, supporting responsiveness. Regarding the responsiveness of the PROMIS-APS, only 7 out of 13 (53.8% of these results were consistent with the hypotheses. Conclusions This study supported the construct validity and the responsiveness of the PROMIS-PF v1.2 short form 8b for measuring recovery in abdominal surgery. Considering the major advantages of PROMIS, we recommend the use of the PROMIS-PF in abdominal surgery.
Overbeek, Celeste L; Nota, Sjoerd P F T; Jayakumar, Prakash; Hageman, Michiel G; Ring, David
To assess disability more efficiently with less burden on the patient, the National Institutes of Health has developed the Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function-an instrument based on item response theory and using computer adaptive testing (CAT). Initially, upper and lower extremity disabilities were not separated and we were curious if the PROMIS Physical Function CAT could measure upper extremity disability and the Quick Disability of Arm, Shoulder and Hand (QuickDASH). We aimed to find correlation between the PROMIS Physical Function and the QuickDASH questionnaires in patients with upper extremity illness. Secondarily, we addressed whether the PROMIS Physical Function and QuickDASH correlate with the PROMIS Depression CAT and PROMIS Pain Interference CAT instruments. Finally, we assessed factors associated with QuickDASH and PROMIS Physical Function in multivariable analysis. A cohort of 93 outpatients with upper extremity illnesses completed the QuickDASH and three PROMIS CAT questionnaires: Physical Function, Pain Interference, and Depression. Pain intensity was measured with an 11-point ordinal measure (0-10 numeric rating scale). Correlation between PROMIS Physical Function and the QuickDASH was assessed. Factors that correlated with the PROMIS Physical Function and QuickDASH were assessed in multivariable regression analysis after initial bivariate analysis. There was a moderate correlation between the PROMIS Physical Function and the QuickDASH questionnaire (r=-0.55, p<0.001). Greater disability as measured with the PROMIS and QuickDASH correlated most strongly with PROMIS Depression (r=-0.35, p<0.001 and r=0.34, p<0.001 respectively) and Pain Interference (r=-0.51, p<0.001 and r=0.74, p<0.001 respectively). The factors accounting for the variability in PROMIS scores are comparable to those for the QuickDASH except that the PROMIS Physical Function is influenced by other pain conditions while the QuickDASH is
Hartman, John D; Craig, Benjamin M
Summarizing patient-reported outcomes (PROs) on a quality-adjusted life year (QALY) scale is an essential component to any economic evaluation comparing alternative medical treatments. While multiple studies have compared PRO items and instruments based on their psychometric properties, no study has compared the preference-based summary of the EQ-5D-3L and Patient Reported Outcomes Measurement Information System (PROMIS-29) instruments. As part of this comparison, a major aim of this manuscript is to transform PROMIS-29 utility values to an EQ-5D-3L scale. A nationally representative survey of 2623 US adults completed the 29-item PROMIS health profile instrument (PROMIS-29) and the 3-level version of the EQ-5D instrument (EQ-5D-3L). Their responses were summarized on a health utility scale using published estimates. Using regression analysis, PROMIS-29 and EQ-5D-3L utility weights were compared with each other as well as with self-reported general health. PROMIS-29 utility weights were much lower than the EQ-5D-3L weights. However, a correlation coefficient of 0.769 between the utility values of the two instruments suggests that the main discordance is simply a difference in scale between the measures. It is also possible to map PROMIS-29 utility weights onto an EQ-5D-3L scale. EQ-5D-3L losses equal .1784 × (PROMIS-29 Losses) .7286 . The published estimates of the PROMIS-29 produce lower utility values than many other health instruments. Mapping the PROMIS-29 estimates to an EQ-5D-3L scale alleviates this issue and allows for a more straightforward comparison between the PROMIS-29 and other common health instruments.
Pillay, J; Ramokgopa, MT
Chris Hani Baragwanath Academic Hospital (CHBAH) is the third largest hospital in the world and is the largest in the Southern hemisphere, serving a population of more than 3.5 million people.¹ The purpose of this review is to identify the orthopaedic-related health events that occur within the population being serviced by the hospital, and in doing so provide a tool to be used for improving orthopaedic-related patient care and outcomes in public health services.² We also took special interes...
Irwin, Debra E; Gross, Heather E; Stucky, Brian D; Thissen, David; DeWitt, Esi Morgan; Lai, Jin Shei; Amtmann, Dagmar; Khastou, Leyla; Varni, James W; DeWalt, Darren A
Pediatric self-report should be considered the standard for measuring patient reported outcomes (PRO) among children. However, circumstances exist when the child is too young, cognitively impaired, or too ill to complete a PRO instrument and a proxy-report is needed. This paper describes the development process including the proxy cognitive interviews and large-field-test survey methods and sample characteristics employed to produce item parameters for the Patient Reported Outcomes Measurement Information System (PROMIS) pediatric proxy-report item banks. The PROMIS pediatric self-report items were converted into proxy-report items before undergoing cognitive interviews. These items covered six domains (physical function, emotional distress, social peer relationships, fatigue, pain interference, and asthma impact). Caregivers (n = 25) of children ages of 5 and 17 years provided qualitative feedback on proxy-report items to assess any major issues with these items. From May 2008 to March 2009, the large-scale survey enrolled children ages 8-17 years to complete the self-report version and caregivers to complete the proxy-report version of the survey (n = 1548 dyads). Caregivers of children ages 5 to 7 years completed the proxy report survey (n = 432). In addition, caregivers completed other proxy instruments, PedsQL™ 4.0 Generic Core Scales Parent Proxy-Report version, PedsQL™ Asthma Module Parent Proxy-Report version, and KIDSCREEN Parent-Proxy-52. Item content was well understood by proxies and did not require item revisions but some proxies clearly noted that determining an answer on behalf of their child was difficult for some items. Dyads and caregivers of children ages 5-17 years old were enrolled in the large-scale testing. The majority were female (85%), married (70%), Caucasian (64%) and had at least a high school education (94%). Approximately 50% had children with a chronic health condition, primarily asthma, which was diagnosed or treated within 6
Irwin Debra E
Full Text Available Abstract Background Pediatric self-report should be considered the standard for measuring patient reported outcomes (PRO among children. However, circumstances exist when the child is too young, cognitively impaired, or too ill to complete a PRO instrument and a proxy-report is needed. This paper describes the development process including the proxy cognitive interviews and large-field-test survey methods and sample characteristics employed to produce item parameters for the Patient Reported Outcomes Measurement Information System (PROMIS pediatric proxy-report item banks. Methods The PROMIS pediatric self-report items were converted into proxy-report items before undergoing cognitive interviews. These items covered six domains (physical function, emotional distress, social peer relationships, fatigue, pain interference, and asthma impact. Caregivers (n = 25 of children ages of 5 and 17 years provided qualitative feedback on proxy-report items to assess any major issues with these items. From May 2008 to March 2009, the large-scale survey enrolled children ages 8-17 years to complete the self-report version and caregivers to complete the proxy-report version of the survey (n = 1548 dyads. Caregivers of children ages 5 to 7 years completed the proxy report survey (n = 432. In addition, caregivers completed other proxy instruments, PedsQL™ 4.0 Generic Core Scales Parent Proxy-Report version, PedsQL™ Asthma Module Parent Proxy-Report version, and KIDSCREEN Parent-Proxy-52. Results Item content was well understood by proxies and did not require item revisions but some proxies clearly noted that determining an answer on behalf of their child was difficult for some items. Dyads and caregivers of children ages 5-17 years old were enrolled in the large-scale testing. The majority were female (85%, married (70%, Caucasian (64% and had at least a high school education (94%. Approximately 50% had children with a chronic health condition, primarily
Thomson, J T; Smith, M D; Omoshoro-Jones, J A O; Devar, J D; Khan, Z K; Jugmohan, B J
Deep biliary cannulation is essential in performing a therapeutic ERCP. Cannulation can be enhanced through the utilization of a pre-cut by means of a needle knife sphincterotomy. Retrospective analysis of the Chris Hani Baragwanath Academic Hospital's ERCP database was performed. All ERCPs performed with the aid of a needle knife were identified and analysed for successful and unsuccessful deep biliary cannulation. 2830 ERCPs were performed during the study period. 369 (13%) required needle knife sphincterotomies and successful deep biliary cannulation was achieved in 229 (62%) of these patients. Repeat ERCPs were performed on 125 (34%) patients. 61 (49%) of the repeat ERCPs were performed because of previously failed cannulation. 34 (56%) of these repeat ERCPs resulted in successful deep biliary cannulation at re-attempt. 99% of successful cannulations at repeat ERCP had had a needle knife sphincterotomy at the first ERCP. Needle knife sphincterotomy improves deep biliary cannulation at initial ERCP and subsequent ERCPs with low incidences of complications.
... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Chris Craft Silver Cup Races, Algonac, MI. 100.916 Section 100.916 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.916 Chris Craft Silver Cup...
Gibbons, Laura E; Feldman, Betsy J; Crane, Heidi M; Mugavero, Michael; Willig, James H; Patrick, Donald; Schumacher, Joseph; Saag, Michael; Kitahata, Mari M; Crane, Paul K
We provide detailed instructions for analyzing patient-reported outcome (PRO) data collected with an existing (legacy) instrument so that scores can be calibrated to the PRO Measurement Information System (PROMIS) metric. This calibration facilitates migration to computerized adaptive test (CAT) PROMIS data collection, while facilitating research using historical legacy data alongside new PROMIS data. A cross-sectional convenience sample (n = 2,178) from the Universities of Washington and Alabama at Birmingham HIV clinics completed the PROMIS short form and Patient Health Questionnaire (PHQ-9) depression symptom measures between August 2008 and December 2009. We calibrated the tests using item response theory. We compared measurement precision of the PHQ-9, the PROMIS short form, and simulated PROMIS CAT. Dimensionality analyses confirmed the PHQ-9 could be calibrated to the PROMIS metric. We provide code used to score the PHQ-9 on the PROMIS metric. The mean standard errors of measurement were 0.49 for the PHQ-9, 0.35 for the PROMIS short form, and 0.37, 0.28, and 0.27 for 3-, 8-, and 9-item-simulated CATs. The strategy described here facilitated migration from a fixed-format legacy scale to PROMIS CAT administration and may be useful in other settings.
Katzan, Irene L; Lapin, Brittany
The International Consortium for Health Outcomes Measurement recently included the 10-item PROMIS GH (Patient-Reported Outcomes Measurement Information System Global Health) scale as part of their recommended Standard Set of Stroke Outcome Measures. Before collection of PROMIS GH is broadly implemented, it is necessary to assess its performance in the stroke population. The objective of this study was to evaluate the psychometric properties of PROMIS GH in patients with ischemic stroke and intracerebral hemorrhage. PROMIS GH and 6 PROMIS domain scales measuring same/similar constructs were electronically collected on 1102 patients with ischemic and hemorrhagic strokes at various stages of recovery from their stroke who were seen in a cerebrovascular clinic from October 12, 2015, through June 2, 2017. Confirmatory factor analysis was performed to evaluate the adequacy of 2-factor structure of component scores. Test-retest reliability and convergent validity of PROMIS GH items and component scores were assessed. Discriminant validity and responsiveness were compared between PROMIS GH and PROMIS domain scales measuring the same or related constructs. Analyses were repeated stratified by stroke subtype and modified Rankin Scale score validity was good with significant correlations between all PROMIS GH items and PROMIS domain scales ( P 0.5) was demonstrated for 8 of the 10 PROMIS GH items. Reliability and validity remained consistent across stroke subtype and disability level (modified Rankin Scale, <2 versus ≥2). PROMIS GH exhibits acceptable performance in patients with stroke. Our findings support International Consortium for Health Outcomes Measurement recommendation to use PROMIS GH as part of the standard set of outcome measures in stroke. © 2017 American Heart Association, Inc.
Left to right: (back) Rolf Heuer, Peter Jenni, Lyn Evans, Chris Llewellyn Smith, Steve Cowley, Zehra Sayers, David Gross, Chris Allsopp, Robert Jaffe, Bikash Sinha; (front) Geoffrey West, Álvaro de Rújula, John Ellis.
Crins, M H P; Roorda, L D; Smits, N; de Vet, H C W; Westhovens, R; Cella, D; Cook, K F; Revicki, D; van Leeuwen, J; Boers, M; Dekker, J; Terwee, C B
The aims of the current study were to calibrate the item parameters of the Dutch-Flemish PROMIS Pain Behavior item bank using a sample of Dutch patients with chronic pain and to evaluate cross-cultural validity between the Dutch-Flemish and the US PROMIS Pain Behavior item banks. Furthermore, reliability and construct validity of the Dutch-Flemish PROMIS Pain Behavior item bank were evaluated. The 39 items in the bank were completed by 1042 Dutch patients with chronic pain. To evaluate unidimensionality, a one-factor confirmatory factor analysis (CFA) was performed. A graded response model (GRM) was used to calibrate the items. To evaluate cross-cultural validity, Differential item functioning (DIF) for language (Dutch vs. English) was evaluated. Reliability of the item bank was also examined and construct validity was studied using several legacy instruments, e.g. the Roland Morris Disability Questionnaire. CFA supported the unidimensionality of the Dutch-Flemish PROMIS Pain Behavior item bank (CFI = 0.960, TLI = 0.958), the data also fit the GRM, and demonstrated good coverage across the pain behavior construct (threshold parameters range: -3.42 to 3.54). Analysis showed good cross-cultural validity (only six DIF items), reliability (Cronbach's α = 0.95) and construct validity (all correlations ≥0.53). The Dutch-Flemish PROMIS Pain Behavior item bank was found to have good cross-cultural validity, reliability and construct validity. The development of the Dutch-Flemish PROMIS Pain Behavior item bank will serve as the basis for Dutch-Flemish PROMIS short forms and computer adaptive testing (CAT). © 2015 European Pain Federation - EFIC®
Martine H P Crins
Full Text Available The Patient-Reported Outcomes Measurement Information System (PROMIS is a universally applicable set of instruments, including item banks, short forms and computer adaptive tests (CATs, measuring patient-reported health across different patient populations. PROMIS CATs are highly efficient and the use in practice is considered feasible with little administration time, offering standardized and routine patient monitoring. Before an item bank can be used as CAT, the psychometric properties of the item bank have to be examined. Therefore, the objective was to assess the psychometric properties of the Dutch-Flemish PROMIS Physical Function item bank (DF-PROMIS-PF in Dutch patients receiving physical therapy.Cross-sectional study.805 patients >18 years, who received any kind of physical therapy in primary care in the past year, completed the full DF-PROMIS-PF (121 items.Unidimensionality was examined by Confirmatory Factor Analysis and local dependence and monotonicity were evaluated. A Graded Response Model was fitted. Construct validity was examined with correlations between DF-PROMIS-PF T-scores and scores on two legacy instruments (SF-36 Health Survey Physical Functioning scale [SF36-PF10] and the Health Assessment Questionnaire Disability-Index [HAQ-DI]. Reliability (standard errors of theta was assessed.The results for unidimensionality were mixed (scaled CFI = 0.924, TLI = 0.923, RMSEA = 0.045, 1th factor explained 61.5% of variance. Some local dependence was found (8.2% of item pairs. The item bank showed a broad coverage of the physical function construct (threshold-parameters range: -4.28-2.33 and good construct validity (correlation with SF36-PF10 = 0.84 and HAQ-DI = -0.85. Furthermore, the DF-PROMIS-PF showed greater reliability over a broader score-range than the SF36-PF10 and HAQ-DI.The psychometric properties of the DF-PROMIS-PF item bank are sufficient. The DF-PROMIS-PF can now be used as short forms or CAT to measure the level of
Curtis Tatsuoka PhD
Full Text Available Activities of daily living can be affected by cognitive decline. Self-report measurement of functioning is attractive due to ease of data collection, low cost, and accessibility via technology-assisted means, and for understanding patient perspective. A concern is with reliability of such measurement as cognitive decline occurs. We compared a widely used, self-report “legacy” measure of functioning, Lawton and Brody’s Instrumental Activities of Daily Living Scale (IADLS, with a subset of physical functioning items from the Patient-Reported Outcomes Measurement Information System (PROMIS. The study sample consisted of 304 individuals of varying cognitive status: normal, mild cognitive impairment (MCI, or early dementia. An expert consensus method was used to select PROMIS functional items most relevant to neurocognitive disorder and to identify major functional sub-domains. Selected PROMIS functional subscales and the IADLS were then evaluated with respect to cognitive status. Few PROMIS functional items were useful in identifying MCI, while we reaffirmed the utility of the IADLS. Also, even mild depression levels were found to have negative effects on functioning according to both PROMIS and IADLS.
Full Text Available
Abstract (E: This article focuses on the relationship between the work of André Bazin and Chris Marker from the late 1940s through to the late 1950s and beyond. The division between Bazin's ŘRight Bankř affiliation with Les Cahiers du Cinéma on the one hand, and Markerřs ŘLeft Bankř allegiances on the other, is called into question here as my argument seeks to muddy the waters of their conventional ideological separation across the river Seine. Working alliteratively through Markerřs well-known talent for deft montage along with his militancy, I consider Bazinřs praise for Markerřs editing technique Ŕ in spite of famously expressing a preference elsewhere for the long take, and deep focus cinematography Ŕ and I address their political differences and convergences. Yet I also explore the rather more unexpected question of metaphysics in order to further emphasize a closer relationship between these two figures. I chart the emergence of an enduring spiritual bond between critic and filmmaker that surfaces first in Markerřs writings for the left-wing Catholic journal L’EspritExamination of the PROMIS upper extremity item bank.
Hung, Man; Voss, Maren W; Bounsanga, Jerry; Crum, Anthony B; Tyser, Andrew R
Clinical measurement. The psychometric properties of the PROMIS v1.2 UE item bank were tested on various samples prior to its release, but have not been fully evaluated among the orthopaedic population. This study assesses the performance of the UE item bank within the UE orthopaedic patient population. The UE item bank was administered to 1197 adult patients presenting to a tertiary orthopaedic clinic specializing in hand and UE conditions and was examined using traditional statistics and Rasch analysis. The UE item bank fits a unidimensional model (outfit MNSQ range from 0.64 to 1.70) and has adequate reliabilities (person = 0.84; item = 0.82) and local independence (item residual correlations range from -0.37 to 0.34). Only one item exhibits gender differential item functioning. Most items target low levels of function. The UE item bank is a useful clinical assessment tool. Additional items covering higher functions are needed to enhance validity. Supplemental testing is recommended for patients at higher levels of function until more high function UE items are developed. 2c. Copyright © 2016 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
Owen, Robert J; Zebala, Lukas P; Peters, Colleen; McAnany, Steven
Retrospective review. To determine the correlation of Patient-Reported Outcomes Measurement Information System (PROMIS) physical function with Neck Disability Index (NDI) and Modified Japanese Orthopedic Association (mJOA) scores in the surgical cervical myelopathy patient population. Outcome measures such as NDI and mJOA are essential for analyzing treatments for cervical myelopathy. Administrative burdens impose limits on completion of these measures. The PROMIS group developed an outcome measure to improve reporting of patient symptoms and function and to reduce administrative burden. Despite early success, NDI and mJOA have not been compared with PROMIS in patients with cervical myelopathy. This study determines the correlation of NDI and mJOA with PROMIS in surgical patients with cervical myelopathy. A total of 60 patients with cervical myelopathy undergoing surgery were included. PROMIS, NDI, and mJOA were collected preoperatively, and in the first 6 months postoperatively. Correlations between NDI, mJOA, and PROMIS were quantified using Pearson correlation coefficients. Students t tests were used to test significance. All 60 (100%) of patients completed preoperative questionnaires. Fifty-five (92%) of patients completed initial follow-up questionnaires within the first 6 months. PROMIS physical function and NDI demonstrated a strong negative correlation at baseline and in initial follow-up (R = -0.69, -0.76). PROMIS and mJOA demonstrated a strong positive correlation at baseline and in initial follow-up (R = 0.61, 0.72). PROMIS physical function has a strong negative correlation with NDI and a strong positive correlation with mJOA at baseline and in the early postoperative course in patients undergoing surgery for cervical myelopathy. Surgeons may factor these outcomes into the delivery and interpretation of patient-reported outcome measures in this population. Use of PROMIS may improve completion of outcome measures in the office and reduce
Susan J Bartlett
Full Text Available To evaluate the reliability and validity of 11 PROMIS measures to assess symptoms and impacts identified as important by people with rheumatoid arthritis (RA.Consecutive patients (N = 177 in an observational study completed PROMIS computer adapted tests (CATs and a short form (SF assessing pain, fatigue, physical function, mood, sleep, and participation. We assessed test-test reliability and internal consistency using correlation and Cronbach's alpha. We assessed convergent validity by examining Pearson correlations between PROMIS measures and existing measures of similar domains and known groups validity by comparing scores across disease activity levels using ANOVA.Participants were mostly female (82% and white (83% with mean (SD age of 56 (13 years; 24% had ≤ high school, 29% had RA ≤ 5 years with 13% ≤ 2 years, and 22% were disabled. PROMIS Physical Function, Pain Interference and Fatigue instruments correlated moderately to strongly (rho's ≥ 0.68 with corresponding PROs. Test-retest reliability ranged from .725-.883, and Cronbach's alpha from .906-.991. A dose-response relationship with disease activity was evident in Physical Function with similar trends in other scales except Anger.These data provide preliminary evidence of reliability and construct validity of PROMIS CATs to assess RA symptoms and impacts, and feasibility of use in clinical care. PROMIS instruments captured the experiences of RA patients across the broad continuum of RA symptoms and function, especially at low disease activity levels. Future research is needed to evaluate performance in relevant subgroups, assess responsiveness and identify clinically meaningful changes.
Scott, Elizabeth J; Westermann, Robert; Glass, Nathalie A; Hettrich, Carolyn; Wolf, Brian R; Bollier, Matthew J
The Patient-Reported Outcomes Measurement Information System (PROMIS) is designed to advance patient-reported outcome (PRO) instruments by utilizing question banks for major health domains. To compare the responsiveness and construct validity of the PROMIS physical function computer adaptive test (PF CAT) with current PRO instruments for patients before and up to 2 years after anterior cruciate ligament (ACL) reconstruction. Cohort study (diagnosis); Level of evidence, 2. Initially, 157 patients completed the PROMIS PF CAT, Short Form-36 Health Survey (SF-36 physical function [PF] and general health [GH]), Marx Activity Rating Scale (MARS), Knee injury and Osteoarthritis Outcome Score (KOOS activities of daily living [ADL], sport, and quality of life [QOL]), and EuroQol-5 dimensions questionnaire (EQ-5D) at 6 weeks, 6 months, and 2 years after ACL reconstruction. Correlations between instruments, ceiling and floor effects, effect sizes (Cohen d ), and standardized response means to describe responsiveness were evaluated. Subgroup analyses compared participants with and without additional arthroscopic procedures using linear mixed models. At baseline, 6 weeks, and 6 months, the PROMIS PF CAT showed excellent or excellent-good correlations with the SF-36 PF ( r = 0.75-0.80, P ceiling or floor effects of all instruments tested, and patients answered, on average, 4 questions. There was no significant difference in baseline physical function scores between subgroups; at follow-up, all groups showed improvements in scores that were not statistically different. The PROMIS PF CAT is a valid tool to assess outcomes after ACL reconstruction up to 2 years after surgery, demonstrating the highest responsiveness to change with the fewest ceiling and floor effects and a low time burden among all instruments tested. The PROMIS PF CAT is a beneficial alternative for assessing physical function in adults before and after ACL reconstruction.
Boody, Barrett S; Bhatt, Surabhi; Mazmudar, Aditya S; Hsu, Wellington K; Rothrock, Nan E; Patel, Alpesh A
OBJECTIVE The Patient-Reported Outcomes Measurement Information System (PROMIS), which is funded by the National Institutes of Health, is a set of adaptive, responsive assessment tools that measures patient-reported health status. PROMIS measures have not been validated for surgical patients with cervical spine disorders. The objective of this project is to evaluate the validity (e.g., convergent validity, known-groups validity, responsiveness to change) of PROMIS computer adaptive tests (CATs) for pain behavior, pain interference, and physical function in patients undergoing cervical spine surgery. METHODS The legacy outcome measures Neck Disability Index (NDI) and SF-12 were used as comparisons with PROMIS measures. PROMIS CATs, NDI-10, and SF-12 measures were administered prospectively to 59 consecutive tertiary hospital patients who were treated surgically for degenerative cervical spine disorders. A subscore of NDI-5 was calculated from NDI-10 by eliminating the lifting, headaches, pain intensity, reading, and driving sections and multiplying the final score by 4. Assessments were administered preoperatively (baseline) and postoperatively at 6 weeks and 3 months. Patients presenting for revision surgery, tumor, infection, or trauma were excluded. Participants completed the measures in Assessment Center, an online data collection tool accessed by using a secure login and password on a tablet computer. Subgroup analysis was also performed based on a primary diagnosis of either cervical radiculopathy or cervical myelopathy. RESULTS Convergent validity for PROMIS CATs was supported with multiple statistically significant correlations with the existing legacy measures, NDI and SF-12, at baseline. Furthermore, PROMIS CATs demonstrated known-group validity and identified clinically significant improvements in all measures after surgical intervention. In the cervical radiculopathy and myelopathic cohorts, the PROMIS measures demonstrated similar responsiveness to the
Hays, Ron D; Revicki, Dennis A; Feeny, David; Fayers, Peter; Spritzer, Karen L; Cella, David
Preference-based health-related quality of life (HR-QOL) scores are useful as outcome measures in clinical studies, for monitoring the health of populations, and for estimating quality-adjusted life-years. This was a secondary analysis of data collected in an internet survey as part of the Patient-Reported Outcomes Measurement Information System (PROMIS(®)) project. To estimate Health Utilities Index Mark 3 (HUI-3) preference scores, we used the ten PROMIS(®) global health items, the PROMIS-29 V2.0 single pain intensity item and seven multi-item scales (physical functioning, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, sleep disturbance), and the PROMIS-29 V2.0 items. Linear regression analyses were used to identify significant predictors, followed by simple linear equating to avoid regression to the mean. The regression models explained 48 % (global health items), 61 % (PROMIS-29 V2.0 scales), and 64 % (PROMIS-29 V2.0 items) of the variance in the HUI-3 preference score. Linear equated scores were similar to observed scores, although differences tended to be larger for older study participants. HUI-3 preference scores can be estimated from the PROMIS(®) global health items or PROMIS-29 V2.0. The estimated HUI-3 scores from the PROMIS(®) health measures can be used for economic applications and as a measure of overall HR-QOL in research.
Botden, Sanne M. B. I.; Buzink, Sonja N.; Schijven, Marlies P.; Jakimowicz, Jack J.
Background: Conventional video trainers lack the ability to assess the trainee objectively, but offer modalities that are often missing in virtual reality simulation, such as realistic haptic feedback. The ProMIS augmented reality laparoscopic simulator retains the benefit of a traditional box
Botden, Sanne M. B. I.; Buzink, Sonja N.; Schijven, Marlies P.; Jakimowicz, Jack J.
BACKGROUND: Conventional video trainers lack the ability to assess the trainee objectively, but offer modalities that are often missing in virtual reality simulation, such as realistic haptic feedback. The ProMIS augmented reality laparoscopic simulator retains the benefit of a traditional box
Derengowski, Rich; Gruel, Andrew
External Data and Attribute Hyperlink are computer programs that can be added to Promis*e(trademark) which is a commercial software system that automates routine tasks in the design (including drawing schematic diagrams) of electrical control systems. The programs were developed under the Stennis Space Center's (SSC) Dual Use Technology Development Program to provide capabilities for SSC's BMCS configuration management system which uses Promis*e(trademark). The External Data program enables the storage and management of information in an external database linked to a drawing. Changes can be made either in the database or on the drawing. Information that originates outside Promis*e(trademark) can be stored in custom fields that can be added to the database. Although this information is not available in Promis*e(trademark) printed drawings, it can be associated with symbols in the drawings, and can be retrieved through the drawings when the software is running. The Attribute Hyperlink program enables the addition of hyperlink information as attributes of symbols. This program enables the formation of a direct hyperlink between a schematic diagram and an Internet site or a file on a compact disk, on the user's hard drive, or on another computer on a network to which the user's computer is connected. The user can then obtain information directly related to the part (e.g., maintenance, or troubleshooting information) associated with the hyperlink.
Oude Voshaar, M.A.H.; ten Klooster, P.M.; Glas, C.A.W.; Vonkeman, H.E.; Taal, E; Krishnan, E.; Moens, H.J.B.; Boers, M.; Terwee, C.B.; van Riel, P.L.C.M.; van de Laar, M.A.F.J.
Objective: To calibrate the Dutch-Flemish version of the PROMIS physical function (PF) item bank in patients with rheumatoid arthritis (RA) and to evaluate cross-cultural measurement equivalence with US general population and RA data. Methods: Data were collected from RA patients enrolled in the
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Flynn, Kathryn E; Lin, Li; Cyranowski, Jill M; Reeve, Bryce B; Reese, Jennifer Barsky; Jeffery, Diana D; Smith, Ashley Wilder; Porter, Laura S; Dombeck, Carrie B; Bruner, Deborah Watkins; Keefe, Francis J; Weinfurt, Kevin P
We describe the development and validation of the Patient-Reported Outcomes Measurement Information System(®) Sexual Function and Satisfaction (PROMIS(®) SexFS; National Institutes of Health) measures, version 1.0, for cancer populations. To develop a customizable self-report measure of sexual function and satisfaction as part of the U.S. National Institutes of Health PROMIS Network. Our multidisciplinary working group followed a comprehensive protocol for developing psychometrically robust patient-reported outcome measures including qualitative (scale development) and quantitative (psychometric evaluation) development. We performed an extensive literature review, conducted 16 focus groups with cancer patients and multiple discussions with clinicians, and evaluated candidate items in cognitive testing with patients. We administered items to 819 cancer patients. Items were calibrated using item-response theory and evaluated for reliability and validity. The PROMIS SexFS measures, version 1.0, include 81 items in 11 domains: Interest in Sexual Activity, Lubrication, Vaginal Discomfort, Erectile Function, Global Satisfaction with Sex Life, Orgasm, Anal Discomfort, Therapeutic Aids, Sexual Activities, Interfering Factors, and Screener Questions. In addition to content validity (patients indicate that items cover important aspects of their experiences) and face validity (patients indicate that items measure sexual function and satisfaction), the measure shows evidence for discriminant validity (domains discriminate between groups expected to be different) and convergent validity (strong correlations between scores on PROMIS and scores on conceptually similar older measures of sexual function), as well as favorable test-retest reliability among people not expected to change (interclass correlations from two administrations of the instrument, 1 month apart). The PROMIS SexFS offers researchers a reliable and valid set of tools to measure self-reported sexual function
Almario, Christopher V; Chey, William D; Khanna, Dinesh; Mosadeghi, Sasan; Ahmed, Shahzad; Afghani, Elham; Whitman, Cynthia; Fuller, Garth; Reid, Mark; Bolus, Roger; Dennis, Buddy; Encarnacion, Rey; Martinez, Bibiana; Soares, Jennifer; Modi, Rushaba; Agarwal, Nikhil; Lee, Aaron; Kubomoto, Scott; Sharma, Gobind; Bolus, Sally; Spiegel, Brennan M R
The National Institutes of Health (NIH) created the Patient Reported Outcomes Measurement Information System (PROMIS) to allow efficient, online measurement of patient-reported outcomes (PROs), but it remains untested whether PROMIS improves outcomes. Here, we aimed to compare the impact of gastrointestinal (GI) PROMIS measures vs. usual care on patient outcomes. We performed a pragmatic clinical trial with an off-on study design alternating weekly between intervention (GI PROMIS) and control arms at one Veterans Affairs and three university-affiliated specialty clinics. Adults with GI symptoms were eligible. Intervention patients completed GI PROMIS symptom questionnaires on an e-portal 1 week before their visit; PROs were available for review by patients and their providers before and during the clinic visit. Usual care patients were managed according to customary practices. Our primary outcome was patient satisfaction as determined by the Consumer Assessment of Healthcare Providers and Systems questionnaire. Secondary outcomes included provider interpersonal skills (Doctors' Interpersonal Skills Questionnaire (DISQ)) and shared decision-making (9-item Shared Decision Making Questionnaire (SDM-Q-9)). There were 217 and 154 patients in the GI PROMIS and control arms, respectively. Patient satisfaction was similar between groups (P>0.05). Intervention patients had similar assessments of their providers' interpersonal skills (DISQ 89.4±11.7 vs. 89.8±16.0, P=0.79) and shared decision-making (SDM-Q-9 79.3±12.4 vs. 79.0±22.0, P=0.85) vs. This is the first controlled trial examining the impact of NIH PROMIS in clinical practice. One-time use of GI PROMIS did not improve patient satisfaction or assessment of provider interpersonal skills and shared decision-making. Future studies examining how to optimize PROs in clinical practice are encouraged before widespread adoption.
Eisenstein, Eric L; Diener, Lawrence W; Nahm, Meredith; Weinfurt, Kevin P
New technologies may be required to integrate the National Institutes of Health's Patient Reported Outcome Management Information System (PROMIS) into multi-center clinical trials. To better understand this need, we identified likely PROMIS reporting formats, developed a multi-center clinical trial process model, and identified gaps between current capabilities and those necessary for PROMIS. These results were evaluated by key trial constituencies. Issues reported by principal investigators fell into two categories: acceptance by key regulators and the scientific community, and usability for researchers and clinicians. Issues reported by the coordinating center, participating sites, and study subjects were those faced when integrating new technologies into existing clinical trial systems. We then defined elements of a PROMIS Tool Kit required for integrating PROMIS into a multi-center clinical trial environment. The requirements identified in this study serve as a framework for future investigators in the design, development, implementation, and operation of PROMIS Tool Kit technologies.
Summary report from discussions with Robert Bernero and Chris Whipple regarding compliance with the Swedish HLW Regulations from meetings in Stockholm. The report also contains bibliographical information and preliminary observations made by Robert Bernero and Chris Whipple.
Summary report from discussions with Robert Bernero and Chris Whipple regarding compliance with the Swedish HLW Regulations from meetings in Stockholm. The report also contains bibliographical information and preliminary observations made by Robert Bernero and Chris Whipple
Eisenstein, Eric L.; Diener, Lawrence W.; Nahm, Meredith; Weinfurt, Kevin P.
New technologies may be required to integrate the National Institutes of Health’s Patient Reported Outcome Management Information System (PROMIS) into multi-center clinical trials. To better understand this need, we identified likely PROMIS reporting formats, developed a multi-center clinical trial process model, and identified gaps between current capabilities and those necessary for PROMIS. These results were evaluated by key trial constituencies. Issues reported by principal investigators ...
Man Sing Wong
Full Text Available Current remote sensing techniques fail to address the task of air quality monitoring over complex regions where multiple pollution sources produce high spatial variability. This is due to a lack of suitable satellite-sensor combinations and appropriate aerosol optical thickness (AOT retrieval algorithms. The new generation of small satellites, with their lower costs and greater flexibility has the potential to address this problem, with customised platform-sensor combinations dedicated to monitoring single complex regions or mega-cities. This paper demonstrates the ability of the European Space AgencyÃ¢Â€Â™s small satellite sensor CHRIS/PROBA to provide reliable AOT estimates at a spatially detailed level over Hong Kong, using a modified version of the dense dark vegetation (DDV algorithm devised for MODIS. Since CHRIS has no middle-IR band such as the MODIS 2,100 nm band which is transparent to fine aerosols, the longest waveband of CHRIS, the 1,019 nm band was used to approximate surface reflectance, by the subtraction of an offset derived from synchronous field reflectance spectra. Aerosol reflectance in the blue and red bands was then obtained from the strong empirical relationship observed between the CHRIS 1,019 nm, and the blue and red bands respectively. AOT retrievals for three different dates were shown to be reliable, when compared with AERONET and Microtops II sunphotometers, and a Lidar, as well as air quality data at ground stations. The AOT images exhibited considerable spatial variability over the 11 x 11km image area and were able to indicate both local and long distance sources.
van Kooten, Jojanneke A M C; van Litsenburg, Raphaёle R L; Yoder, Whitney R; Kaspers, Gertjan J L; Terwee, Caroline B
Sleep problems are common in adolescents and have a negative impact on daytime functioning. However, there is a lack of well-validated adolescent sleep questionnaires. The Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance and Sleep-Related Impairment item banks are well-validated instruments developed for and tested in adults. The aim of this study was to evaluate their structural validity in adolescents. Test and retest data were collected for the Dutch-Flemish V1.0 PROMIS Sleep Disturbance (27) and Sleep-Related Impairment (16 items) item banks from 1046 adolescents (11-19 years). Cross-validation methods, Confirmatory (CFA), and Exploratory Factor Analyses (EFA) were used. Fit indices and factor loadings were used to improve the models. The final models were assessed for model fit using retest data. The one-factor Sleep Disturbance (CFI = 0.795, TLI = 0.778, RMSEA = 0.117) and Sleep-Related Impairment (CFI = 0.897, TLI = 0.882, RMSEA = 0.156) models could not be replicated in adolescents. Cross-validation resulted in a final Sleep Disturbance model of 23 and a Sleep-Related Impairment model of 11 items. Retest data CFA showed adequate fit for the Sleep-Related Impairment-11 (CFI = 0.981, TLI = 0.976, RMSEA = 0.116). The Sleep Disturbance-23 model fit indices stayed below the recommended values (CFI = 0.895, TLI = 0.885, RMSEA = 0.105). While the PROMIS Sleep Disturbance-23 for adolescents and PROMIS Sleep-Related Impairment-11 for adolescents provide a framework to assess adolescent sleep, additional research is needed to replicate these findings in a larger and more diverse sample.
Brodke, Darrel S; Goz, Vadim; Voss, Maren W; Lawrence, Brandon D; Spiker, William Ryan; Hung, Man
The Oswestry Disability Index v2.0 (ODI), SF36 Physical Function Domain (SF-36 PFD), and PROMIS Physical Function CAT v1.2 (PF CAT) questionnaires were prospectively collected from 1607 patients complaining of back or leg pain, visiting a university-based spine clinic. All questionnaires were collected electronically, using a tablet computer. The aim of this study was to compare the psychometric properties of the PROMIS PF CAT with the ODI and SF36 Physical Function Domain in the same patient population. Evidence-based decision-making is improved by using high-quality patient-reported outcomes measures. Prior studies have revealed the shortcomings of the ODI and SF36, commonly used in spine patients. The PROMIS Network has developed measures with excellent psychometric properties. The Physical Function domain, delivered by Computerized Adaptive Testing (PF CAT), performs well in the spine patient population, though to-date direct comparisons with common measures have not been performed. Standard Rasch analysis was performed to directly compare the psychometrics of the PF CAT, ODI, and SF36 PFD. Spearman correlations were computed to examine the correlations of the three instruments. Time required for administration was also recorded. One thousand six hundred seven patients were administered all assessments. The time required to answer all items in the PF CAT, ODI, and SF-36 PFD was 44, 169, and 99 seconds. The ceiling and floor effects were excellent for the PF CAT (0.81%, 3.86%), while the ceiling effects were marginal and floor effects quite poor for the ODI (6.91% and 44.24%) and SF-36 PFD (5.97% and 23.65%). All instruments significantly correlated with each other. The PROMIS PF CAT outperforms the ODI and SF-36 PFD in the spine patient population and is highly correlated. It has better coverage, while taking less time to administer with fewer questions to answer. 2.
Yost, Kathleen J; Waller, Niels G; Lee, Minji K; Vincent, Ann
Efficient management of fibromyalgia (FM) requires precise measurement of FM-specific symptoms. Our objective was to assess the measurement properties of the Patient-Reported Outcome Measurement Information System (PROMIS) fatigue item bank (FIB) in people with FM. We applied classical psychometric and item response theory methods to cross-sectional PROMIS-FIB data from two samples. Data on the clinical FM sample were obtained at a tertiary medical center. Data for the U.S. general population sample were obtained from the PROMIS network. The full 95-item bank was administered to both samples. We investigated dimensionality of the item bank in both samples by separately fitting a bifactor model with two group factors; experience and impact. We assessed measurement invariance between samples, and we explored an alternate factor structure with the normative sample and subsequently confirmed that structure in the clinical sample. Finally, we assessed whether reporting FM subdomain scores added value over reporting a single total score. The item bank was dominated by a general fatigue factor. The fit of the initial bifactor model and evidence of measurement invariance indicated that the same constructs were measured across the samples. An alternative bifactor model with three group factors demonstrated slightly improved fit. Subdomain scores add value over a total score. We demonstrated that the PROMIS-FIB is appropriate for measuring fatigue in clinical samples of FM patients. The construct can be presented by a single score; however, subdomain scores for the three group factors identified in the alternative model may also be reported.
Fries, James F; Witter, James; Rose, Matthias; Cella, David; Khanna, Dinesh; Morgan-DeWitt, Esi
Patient-reported outcome (PRO) questionnaires record health information directly from research participants because observers may not accurately represent the patient perspective. Patient-reported Outcomes Measurement Information System (PROMIS) is a US National Institutes of Health cooperative group charged with bringing PRO to a new level of precision and standardization across diseases by item development and use of item response theory (IRT). With IRT methods, improved items are calibrated on an underlying concept to form an item bank for a "domain" such as physical function (PF). The most informative items can be combined to construct efficient "instruments" such as 10-item or 20-item PF static forms. Each item is calibrated on the basis of the probability that a given person will respond at a given level, and the ability of the item to discriminate people from one another. Tailored forms may cover any desired level of the domain being measured. Computerized adaptive testing (CAT) selects the best items to sharpen the estimate of a person's functional ability, based on prior responses to earlier questions. PROMIS item banks have been improved with experience from several thousand items, and are calibrated on over 21,000 respondents. In areas tested to date, PROMIS PF instruments are superior or equal to Health Assessment Questionnaire and Medical Outcome Study Short Form-36 Survey legacy instruments in clarity, translatability, patient importance, reliability, and sensitivity to change. Precise measures, such as PROMIS, efficiently incorporate patient self-report of health into research, potentially reducing research cost by lowering sample size requirements. The advent of routine IRT applications has the potential to transform PRO measurement.
Bevans, Katherine B; Meltzer, Lisa J; De La Motte, Anna; Kratchman, Amy; Viél, Dominique; Forrest, Christopher B
To develop the Patient Reported Outcome Measurement Information System (PROMIS) Pediatric Sleep Health item pool and evaluate its content validity. Participants included 8 expert sleep clinician-researchers, 64 children ages 8-17 years, and 54 parents of children ages 5-17 years. We started with item concepts and expressions from the PROMIS Sleep Disturbance and Sleep Related Impairment adult measures. Additional pediatric sleep health concepts were generated by expert (n = 8), child (n = 28), and parent (n = 33) concept elicitation interviews and a systematic review of existing pediatric sleep health questionnaires. Content validity of the item pool was evaluated with item translatability review, readability analysis, and child (n = 36) and parent (n = 21) cognitive interviews. The final pediatric Sleep Health item pool includes 43 items that assess sleep disturbance (children's capacity to fall and stay asleep, sleep quality, dreams, and parasomnias) and sleep-related impairments (daytime sleepiness, low energy, difficulty waking up, and the impact of sleep and sleepiness on cognition, affect, behavior, and daily activities). Items are translatable and relevant and well understood by children ages 8-17 and parents of children ages 5-17. Rigorous qualitative procedures were used to develop and evaluate the content validity of the PROMIS Pediatric Sleep Health item pool. Once the item pool's psychometric properties are established, the scales will be useful for measuring children's subjective experiences of sleep.
Fischer, H Felix; Wahl, Inka; Nolte, Sandra; Liegl, Gregor; Brähler, Elmar; Löwe, Bernd; Rose, Matthias
To investigate differential item functioning (DIF) of PROMIS Depression items between US and German samples we compared data from the US PROMIS calibration sample (n = 780), a German general population survey (n = 2,500) and a German clinical sample (n = 621). DIF was assessed in an ordinal logistic regression framework, with 0.02 as criterion for R 2 -change and 0.096 for Raju's non-compensatory DIF. Item parameters were initially fixed to the PROMIS Depression metric; we used plausible values to account for uncertainty in depression estimates. Only four items showed DIF. Accounting for DIF led to negligible effects for the full item bank as well as a post hoc simulated computer-adaptive test (German general population sample was considerably lower compared to the US reference value of 50. Overall, we found little evidence for language DIF between US and German samples, which could be addressed by either replacing the DIF items by items not showing DIF or by scoring the short form in German samples with the corrected item parameters reported. Copyright © 2016 John Wiley & Sons, Ltd.
Hanish, Alyson E; Lin-Dyken, Deborah C; Han, Joan C
The National Institutes of Health Patient-Reported Outcomes Measurement Information System (PROMIS) has self-reported health measures available for both pediatric and adult populations, but no pediatric measures are available currently in the sleep domains. The purpose of this observational study was to perform preliminary validation studies on age-appropriate, self-reported sleep measures in healthy adolescents. This study examined 25 healthy adolescents' self-reported daytime sleepiness, sleep disturbance, sleep-related impairment, and sleep patterns. Healthy adolescents completed a physical exam at the National Institutes of Health Clinical Center (Bethesda, MD), had no chronic medical conditions, and were not taking any chronic medications. The Cleveland Adolescent Sleepiness Questionnaire (CASQ), PROMIS Sleep Disturbance (v. 1.0; 8a), and PROMIS Sleep-Related Impairment (v. 1.0; 8b) questionnaires were completed, and sleep patterns were assessed using actigraphy. Total scores on the three sleep questionnaires were correlated (all Spearman's r > .70, p psychometrically sound sleep questionnaires. Findings suggest the potential research and clinical utility of adult versions of PROMIS sleep measures in adolescents. Future studies should include larger, more diverse samples and explore additional psychometric properties of PROMIS sleep measures to provide age-appropriate, validated, and reliable measures of sleep in adolescents.
Kean, Jacob; Monahan, Patrick O; Kroenke, Kurt; Wu, Jingwei; Yu, Zhangsheng; Stump, Tim E; Krebs, Erin E
To compare the sensitivity to change and the responsiveness to intervention of the PROMIS Pain Interference short forms, Brief Pain Inventory (BPI), 3-item PEG scale, and SF-36 Bodily Pain subscale in a sample of patients with persistent musculoskeletal pain of moderate severity. Standardized response means, standardized effect sizes, and receiver operating curve analyses were used to assess change between baseline and 3-month assessments in 250 participants who participated in a randomized clinical effectiveness trial of collaborative telecare management for moderate to severe and persistent musculoskeletal pain. The BPI, PEG, and SF-36 Bodily Pain measures were more sensitive to patient-reported global change than the PROMIS Pain Interference short forms, especially for the clinically improved group, for which the change detected by the PROMIS short forms was not statistically significant. The BPI was more responsive to the clinical intervention than the SF-36 Bodily Pain and PROMIS Pain Interference measures. Post hoc analyses exploring these findings did not suggest that differences in content or rating scale structure (number of response options or anchoring language) adequately explained the observed differences in the detection of change. In this clinical trial, the BPI and PEG measures were better able to detect change than the SF-36 Bodily Pain and PROMIS Pain Interference measures.
Patel, Alpesh A; Dodwad, Shah-Nawaz M; Boody, Barrett S; Bhatt, Surabhi; Savage, Jason W; Hsu, Wellington K; Rothrock, Nan E
Prospective, cohort study. Demonstrate validity of PROMIS physical function, pain interference, and pain behavior computer adaptive tests (CATs) in surgically treated lumbar stenosis patients. There has been increasing attention given to patient reported outcomes associated with spinal interventions. Historical patient outcome measures have inadequate validation, demonstrate floor/ceiling effects, and infrequently used due to time constraints. PROMIS is an adaptive, responsive NIH assessment tool that measures patient-reported health status. 98 consecutive patients were surgically treated for lumbar spinal stenosis and were assessed using PROMIS CATs, ODI, ZCQ and SF-12. Prior lumbar surgery, history of scoliosis, cancer, trauma, or infection were excluded. Completion time, preoperative assessment, 6 week and 3 month postoperative scores were collected. At baseline, 49%, 79%, and 81% of patients had PROMIS PB, PI, and PF scores greater than 1 SD worse than the general population. 50.6% were categorized as severely disabled, crippled, or bed bound by ODI. PROMIS CATs demonstrated convergent validity through moderate to high correlations with legacy measures (r = 0.35-0.73). PROMIS CATs demonstrated known groups validity when stratified by ODI levels of disability. ODI improvements of at least 10 points on average had changes in PROMIS scores in the expected direction (PI = -12.98, PB = -9.74, PF = 7.53). PROMIS CATs demonstrated comparable responsiveness to change when evaluated against legacy measures. PROMIS PB and PI decreased 6.66 and 9.62 and PROMIS PF increased 6.8 points between baseline and 3-months post-op (p validity, known groups validity, and responsiveness for surgically treated patients with lumbar stenosis to detect change over time and are more efficient than legacy instruments. 2.
Pilkonis, Paul A; Yu, Lan; Dodds, Nathan E; Johnston, Kelly L; Lawrence, Suzanne M; Daley, Dennis C
The Patient-Reported Outcomes Measurement Information System (PROMIS) includes five item banks for alcohol use. There are limited data, however, regarding their validity (e.g., convergent validity, responsiveness to change). To provide such data, we conducted a prospective study with 225 outpatients being treated for substance abuse. Assessments were completed shortly after intake and at 1-month and 3-month follow-ups. The alcohol item banks were administered as computerized adaptive tests (CATs). Fourteen CATs and one six-item short form were also administered from eight other PROMIS domains to generate a comprehensive health status profile. After modeling treatment outcome for the sample as a whole, correlates of outcome from the PROMIS health status profile were examined. For convergent validity, the largest correlation emerged between the PROMIS alcohol use score and the Alcohol Use Disorders Identification Test (r=.79 at intake). Regarding treatment outcome, there were modest changes across the target problem of alcohol use and other domains of the PROMIS health status profile. However, significant heterogeneity was found in initial severity of drinking and in rates of change for both abstinence and severity of drinking during follow-up. This heterogeneity was associated with demographic (e.g., gender) and health-profile (e.g., emotional support, social participation) variables. The results demonstrated the validity of PROMIS CATs, which require only 4-6 items in each domain. This efficiency makes it feasible to use a comprehensive health status profile within the substance use treatment setting, providing important prognostic information regarding abstinence and severity of drinking. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Crins, Martine H P; Roorda, Leo D; Smits, Niels; de Vet, Henrica C W; Westhovens, Rene; Cella, David; Cook, Karon F; Revicki, Dennis; van Leeuwen, Jaap; Boers, Maarten; Dekker, Joost; Terwee, Caroline B
The Dutch-Flemish PROMIS Group translated the adult PROMIS Pain Interference item bank into Dutch-Flemish. The aims of the current study were to calibrate the parameters of these items using an item response theory (IRT) model, to evaluate the cross-cultural validity of the Dutch-Flemish translations compared to the original English items, and to evaluate their reliability and construct validity. The 40 items in the bank were completed by 1085 Dutch chronic pain patients. Before calibrating the items, IRT model assumptions were evaluated using confirmatory factor analysis (CFA). Items were calibrated using the graded response model (GRM), an IRT model appropriate for items with more than two response options. To evaluate cross-cultural validity, differential item functioning (DIF) for language (Dutch vs. English) was examined. Reliability was evaluated based on standard errors and Cronbach's alpha. To evaluate construct validity correlations with scores on legacy instruments (e.g., the Disabilities of the Arm, Shoulder and Hand Questionnaire) were calculated. Unidimensionality of the Dutch-Flemish PROMIS Pain Interference item bank was supported by CFA tests of model fit (CFI = 0.986, TLI = 0.986). Furthermore, the data fit the GRM and showed good coverage across the pain interference continuum (threshold-parameters range: -3.04 to 3.44). The Dutch-Flemish PROMIS Pain Interference item bank has good cross-cultural validity (only two out of 40 items showing DIF), good reliability (Cronbach's alpha = 0.98), and good construct validity (Pearson correlations between 0.62 and 0.75). A computer adaptive test (CAT) and Dutch-Flemish PROMIS short forms of the Dutch-Flemish PROMIS Pain Interference item bank can now be developed.
Martine H P Crins
Full Text Available The Dutch-Flemish PROMIS Group translated the adult PROMIS Pain Interference item bank into Dutch-Flemish. The aims of the current study were to calibrate the parameters of these items using an item response theory (IRT model, to evaluate the cross-cultural validity of the Dutch-Flemish translations compared to the original English items, and to evaluate their reliability and construct validity. The 40 items in the bank were completed by 1085 Dutch chronic pain patients. Before calibrating the items, IRT model assumptions were evaluated using confirmatory factor analysis (CFA. Items were calibrated using the graded response model (GRM, an IRT model appropriate for items with more than two response options. To evaluate cross-cultural validity, differential item functioning (DIF for language (Dutch vs. English was examined. Reliability was evaluated based on standard errors and Cronbach's alpha. To evaluate construct validity correlations with scores on legacy instruments (e.g., the Disabilities of the Arm, Shoulder and Hand Questionnaire were calculated. Unidimensionality of the Dutch-Flemish PROMIS Pain Interference item bank was supported by CFA tests of model fit (CFI = 0.986, TLI = 0.986. Furthermore, the data fit the GRM and showed good coverage across the pain interference continuum (threshold-parameters range: -3.04 to 3.44. The Dutch-Flemish PROMIS Pain Interference item bank has good cross-cultural validity (only two out of 40 items showing DIF, good reliability (Cronbach's alpha = 0.98, and good construct validity (Pearson correlations between 0.62 and 0.75. A computer adaptive test (CAT and Dutch-Flemish PROMIS short forms of the Dutch-Flemish PROMIS Pain Interference item bank can now be developed.
Martijn A H Oude Voshaar
Full Text Available OBJECTIVE: To calibrate the Dutch-Flemish version of the PROMIS physical function (PF item bank in patients with rheumatoid arthritis (RA and to evaluate cross-cultural measurement equivalence with US general population and RA data. METHODS: Data were collected from RA patients enrolled in the Dutch DREAM registry. An incomplete longitudinal anchored design was used where patients completed all 121 items of the item bank over the course of three waves of data collection. Item responses were fit to a generalized partial credit model adapted for longitudinal data and the item parameters were examined for differential item functioning (DIF across country, age, and sex. RESULTS: In total, 690 patients participated in the study at time point 1 (T2, N = 489; T3, N = 311. The item bank could be successfully fitted to a generalized partial credit model, with the number of misfitting items falling within acceptable limits. Seven items demonstrated DIF for sex, while 5 items showed DIF for age in the Dutch RA sample. Twenty-five (20% items were flagged for cross-cultural DIF compared to the US general population. However, the impact of observed DIF on total physical function estimates was negligible. DISCUSSION: The results of this study showed that the PROMIS PF item bank adequately fit a unidimensional IRT model which provides support for applications that require invariant estimates of physical function, such as computer adaptive testing and targeted short forms. More studies are needed to further investigate the cross-cultural applicability of the US-based PROMIS calibration and standardized metric.
Full Text Available Abstract (E: Chris Marker films the last moments of Andrei Tarkovski’s life for the collection
Cinéma, de notre temps. Une jounée d’Andrei Arsenevitch is neither a portrait nor a visual study, but
rather a work of mirroring and reflection. The film is profoundly amicable. It shows, through a series
of poetic figures, the strange bonds between man and his images. They do not look like him, but
instead are implicit resemblances, correlating fiction and life, forms of idleness that feed all genuine
Abstract (F: C’est pour la collection Cinéma, de notre temps, que Chris Marker filme les derniers
moments de la vie d’Andrei Tarkovski. Ni portrait ni étude visuelle, Une journée d’Andrei Arsenevitch
est plus sûrement une oeuvre en miroir, profondément amicale, qui compose selon une série de figures
poétiques l’étrange relation qui relie un homme à ses images. Elles ne lui ressemblent pas, elles font
de l’implicite ressemblance qui met en contact la fiction et la vie, la forme d’un désoeuvrement qui
nourrit toute inspiration véritable.
Nixon, Devon C; McCormick, Jeremy J; Johnson, Jeffrey E; Klein, Sandra E
Traditional patient-reported outcome instruments like the Foot and Ankle Ability Measure (FAAM) quantify patient disability but often are limited by responder burden and incomplete questionnaires. The Patient-Reported Outcome Measurement Information System (PROMIS) overcomes such obstacles through computer-adaptive technology and can capture outcome data from various domains including physical and psychosocial function. Prior work has compared the FAAM with PROMIS physical function; however, there is little evidence comparing the association between foot and ankle-specific tools like the FAAM with more general outcomes measures of PROMIS pain interference and depression in foot and ankle conditions. (1) We asked whether there was a relationship between FAAM Activities of Daily Living (ADL) scores with PROMIS physical function, pain interference, and depression in patients with hallux valgus. (2) Additionally, we asked if we could identify specific factors that are associated with variance in FAAM and PROMIS physical function scores in patients with hallux valgus. Eighty-five new patients with either a primary or secondary diagnosis of hallux valgus based on clinic billing codes from July 2015 to February 2016 were retrospectively identified. Patients completed FAAM ADL paper-based surveys and electronic PROMIS questionnaires for physical function, pain interference, and depression from new patient visits at a single time. Spearman rho correlations were performed between FAAM ADL and PROMIS scores. Analyses then were used to identify differences in FAAM ADL and PROMIS physical function measures based on demographic variables. Stepwise linear regressions then determined which demographic and/or outcome variable(s) accounted for the variance in FAAM ADL and PROMIS physical function scores. FAAM scores correlated strongly with PROMIS physical function (r = 0.70, p hallux valgus. PROMIS tools allow for more-efficient data collection across multiple domains and, moving
Guattery, Jason M; Dardas, Agnes Z; Kelly, Michael; Chamberlain, Aaron; McAndrew, Christopher; Calfee, Ryan P
The Patient Reported Outcomes Measurement Information System (PROMIS) was developed to provide valid, reliable, and standardized measures to gather patient-reported outcomes for many health domains, including depression, independent of patient condition. Most studies confirming the performance of these measures were conducted with a consented, volunteer study population for testing. Using a study population that has undergone the process of informed consent may be differentiated from the validation group because they are educated specifically as to the purpose of the questions and they will not have answers recorded in their permanent health record. (1) When given as part of routine practice to an orthopaedic population, do PROMIS Physical Function and Depression item banks produce score distributions different than those produced by the populations used to calibrate and validate the item banks? (2) Does the presence of a nonnormal distribution in the PROMIS Depression scores in a clinical population reflect a deliberately hasty answering of questions by patients? (3) Are patients who are reporting minimal depressive symptoms by scoring the minimum score on the PROMIS Depression Computer Adaptive Testing (CAT) distinct from other patients according to demographic data or their scores on other PROMIS assessments? Univariate descriptive statistics and graphic histograms were used to describe the frequency distribution of scores for the Physical Function and Depression item banks for all orthopaedic patients 18 years or older who had an outpatient visit between June 2015 and December 2016. The study population was then broken into two groups based on whether they indicated a lack of depressive symptoms and scored the minimum score (34.2) on the Depression CAT assessment (Floor Group) or not (Standard Group). The distribution of Physical Function CAT scores was compared between the two groups. Finally, a time-per-question value was calculated for both the Physical
Laasik, Andres, 1960-2016
Chris Kraus filmi "Polli päevikud" (Saksamaa-Austria-Eesti) saamisloost. Näitlejatest, Tambet Tuisu osatäitmisest. Film üheks peategelaseks on režissööri vanatädi, luuletaja Oda Saefer. Tegevus toimub Eestis 1914. a. Polli (Põlula) mõis ehitati filmi jaoks üles Matsiranda Varbla lähedal. PÖFF-i EurAsia programmi žürii tunnistas Chris Krausi parimaks režissööriks
Schnohr, Christina W.; Rasmussen, Charlotte L.; Langberg, Henning
of the Physical Function item bank into Danish. METHODS: We followed the PROMIS standard procedure, including: 1) two independent translations, 2) back translation, 3) independent reviews of translation quality, and 4) cognitive interviews with a representative sample of the adult population from the municipality...
Carolina Amaral de Aguiar
Full Text Available Nos anos 1960 a Revolução Cubana ocupou o centro do debate entre os intelectuais de esquerda na França. Por outro lado, o governo revolucionário convidou europeus para colaborar com o desenvolvimento de novas instituições, caso do ICAIC. Chris Marker, um dos convidados desse instituto, estabeleceu trocas com realizadores cubanos e montou dois documentários analisados neste artigo: Cuba si (1961 e La bataille des dix millions (1970. O primeiro visava a combater as críticas da imprensa conservadora a Fidel, enquanto o segundo se voltou para a própria esquerda que abandonava Cuba como um modelo.
Dwivedi, Manish; Kumar, Vinay
High-spatial resolution Remote Sensing (RS) data provides detailed information which ensures high-definition visual image analysis of earth surface features. These data sets also support improved information extraction capabilities at a fine scale. In order to improve the spatial resolution of coarser resolution RS data, the Super Resolution Reconstruction (SRR) technique has become widely acknowledged which focused on multi-angular image sequences. In this study multi-angle CHRIS/PROBA data of Kutch area is used for SR image reconstruction to enhance the spatial resolution from 18 m to 6m in the hope to obtain a better land cover classification. Various SR approaches like Projection onto Convex Sets (POCS), Robust, Iterative Back Projection (IBP), Non-Uniform Interpolation and Structure-Adaptive Normalized Convolution (SANC) chosen for this study. Subjective assessment through visual interpretation shows substantial improvement in land cover details. Quantitative measures including peak signal to noise ratio and structural similarity are used for the evaluation of the image quality. It was observed that SANC SR technique using Vandewalle algorithm for the low resolution image registration outperformed the other techniques. After that SVM based classifier is used for the classification of SRR and data resampled to 6m spatial resolution using bi-cubic interpolation. A comparative analysis is carried out between classified data of bicubic interpolated and SR derived images of CHRIS/PROBA and SR derived classified data have shown a significant improvement of 10-12% in the overall accuracy. The results demonstrated that SR methods is able to improve spatial detail of multi-angle images as well as the classification accuracy.
Papuga, Mark O; Mesfin, Addisu; Molinari, Robert; Rubery, Paul T
A prospective and retrospective cross-sectional cohort analysis. The aim of this study was to show that Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive testing (CAT) assessments for physical function and pain interference can be efficiently collected in a standard office visit and to evaluate these scores with scores from previously validated Oswestry Disability Index (ODI) and Neck Disability Index (NDI) providing evidence of convergent validity for use in patients with spine pathology. Spinal surgery outcomes are highly variable, and substantial debate continues regarding the role and value of spine surgery. The routine collection of patient-based outcomes instruments in spine surgery patients may inform this debate. Traditionally, the inefficiency associated with collecting standard validated instruments has been a barrier to routine use in outpatient clinics. We utilized several CAT instruments available through PROMIS and correlated these with the results obtained using "gold standard" legacy outcomes measurement instruments. All measurements were collected at a routine clinical visit. The ODI and the NDI assessments were used as "gold standard" comparisons for patient-reported outcomes. PROMIS CAT instruments required 4.5 ± 1.8 questions and took 35 ± 16 seconds to complete, compared with ODI/NDI requiring 10 questions and taking 188 ± 85 seconds when administered electronically. Linear regression analysis of retrospective scores involving a primary back complaint revealed moderate to strong correlations between ODI and PROMIS physical function with r values ranging from 0.5846 to 0.8907 depending on the specific assessment and patient subsets examined. Routine collection of physical function outcome measures in clinical practice offers the ability to inform and improve patient care. We have shown that several PROMIS CAT instruments can be efficiently administered during routine clinical visits. The
Bjorner, Jakob B; Rose, Matthias; Gandek, Barbara
OBJECTIVES: To test the impact of the method of administration (MOA) on score level, reliability, and validity of scales developed in the Patient Reported Outcomes Measurement Information System (PROMIS). STUDY DESIGN AND SETTING: Two nonoverlapping parallel forms each containing eight items from......, no significant mode differences were found and all confidence intervals were within the prespecified minimal important difference of 0.2 standard deviation. Parallel-forms reliabilities were very high (ICC = 0.85-0.93). Only one across-mode ICC was significantly lower than the same-mode ICC. Tests of validity...... questionnaire (PQ), personal digital assistant (PDA), or personal computer (PC) and a second form by PC, in the same administration. Method equivalence was evaluated through analyses of difference scores, intraclass correlations (ICCs), and convergent/discriminant validity. RESULTS: In difference score analyses...
Full Text Available ABSTRACT Background: With a high rate of recurrence, urolithiasis is a chronic disease that impacts quality of life. The Patient Reported Outcomes Measurement Information System is an NIH validated questionnaire to assess patient quality of life. We evaluated the impact of urolithiasis on quality of life using the NIH-sponsored PROMIS-43 questionnaire. Materials and Methods: Patients reporting to the kidney stone clinic were interviewed to collect information on stone history and demographic information and were asked to complete the PROMIS-43 questionnaire. Quality of life scores were analyzed using gender and age matched groups for the general US population. Statistical comparisons were made based on demographic information and patient stone history. Statistical significance was P<0.05. Results: 103 patients completed the survey. 36% of respondents were male, the average age of the group was 52 years old, with 58% primary income earners, and 35% primary caregivers. 7% had never passed a stone or had a procedure while 17% passed 10 or more stones in their lifetime. Overall, pain and physical function were worse in patients with urolithiasis. Primary income earners had better quality of life while primary caregivers and those with other chronic medical conditions were worse. Patients on dietary and medical therapy had better quality of life scores. Conclusions: Urolithiasis patients subjectively have worse pain and physical function than the general population. The impact of pain on quality of life was greatest in those patients who had more stone episodes, underscoring the importance of preventive measures. Stone prevention measures improve quality of life.
Kroenke, Kurt; Talib, Tasneem L; Stump, Timothy E; Kean, Jacob; Haggstrom, David A; DeChant, Paige; Lake, Kittie R; Stout, Madison; Monahan, Patrick O
Symptoms account for more than 400 million clinic visits annually in the USA. The SPADE symptoms (sleep, pain, anxiety, depression, and low energy/fatigue) are particularly prevalent and undertreated. To assess the effectiveness of providing PROMIS (Patient-Reported Outcome Measure Information System) symptom scores to clinicians on symptom outcomes. Randomized clinical trial conducted from March 2015 through May 2016 in general internal medicine and family practice clinics in an academic healthcare system. Primary care patients who screened positive for at least one SPADE symptom. After completing the PROMIS symptom measures electronically immediately prior to their visit, the 300 study participants were randomized to a feedback group in which their clinician received a visual display of symptom scores or a control group in which scores were not provided to clinicians. The primary outcome was the 3-month change in composite SPADE score. Secondary outcomes were individual symptom scores, symptom documentation in the clinic note, symptom-specific clinician actions, and patient satisfaction. Most patients (84%) had multiple clinically significant (T-score ≥ 55) SPADE symptoms. Both groups demonstrated moderate symptom improvement with a non-significant trend favoring the feedback compared to control group (between-group difference in composite T-score improvement, 1.1; P = 0.17). Symptoms present at baseline resolved at 3-month follow-up only one third of the time, and patients frequently still desired treatment. Except for pain, clinically significant symptoms were documented less than half the time. Neither symptom documentation, symptom-specific clinician actions, nor patient satisfaction differed between treatment arms. Predictors of greater symptom improvement included female sex, black race, fewer medical conditions, and receiving care in a family medicine clinic. Simple feedback of symptom scores to primary care clinicians in the absence of
Full Text Available The construction of traditional gender roles has affected the understanding of being feminine and masculine. This understanding seems to influence gender performance in the film Mrs. Doubtfire. This onehourandfiftysevenminute film was directed by Chris Columbus. This study is conducted to examine how gender performativity is illustrated in the film and what ideology lies within the film. Queer theory, especially gender performativity by Judith Butler is used as the framework of the study. The study is done by observing and analysing chosen scenes from the film focusing on the performance of Daniel Hillard as Euphegenia Doubtfire. Narrative aspect of the film is not only the main concern; the nonnarrative is also part of the analysis especially on costume, makeup, performance and color. The main finding of this study is this film in one hand celebrates traditional gender roles but on the other hand promotes gender as performance. Femininity is pictured as fluid. Therefore, it is also a performativity. The contestation between those two opposing ideas is smoothly wrapped through amusing film such as Mrs. Doubtfire. Abstrak: Film Mrs. Doubtfire karya Chris Columbus menampilkan konstruksi yang berbeda dengan konstruksi peran gender yang telah menjadi mainstream. Berdurasi 1 jam dan 57 menit, film ini menampilkan konstruksi maskulinitas dan femininitas yang dapat saling bertukar, cair, dan tidak baku. Studi ini mengkaji dua pertanyaan utama. Pertama, bagaimana konstruksi peran gender digugat melalui performativitas gender? Kedua, ideologi apa yang terdapat dalam film? Teori Queer terutama gender performativitas yang dikemukakan oleh Judith Butler menjadi kerangka penelitian ini. Penelitian ini dilakukan dengan mengobservasi dan menganalisis adegan terpilih dengan berfokus pada penampilan Daniel Hillard sebagai Euphegenia Doubtfire. Aspek naratif dalam film bukan satusatunya perhatian utama. Aspek nonnaratif juga menjadi bagian
Rothman, Emily F; Nagaswaran, Anita; Johnson, Renee M; Adams, Kelley M; Scrivens, Juliane; Baughman, Allyson
Dating abuse is a prevalent adolescent health problem with substantial public health consequences. As many as 1 in 10 high school students in the United States reports being "hit, slapped, or physically hurt on purpose" by his or her boyfriend or girlfriend in the past year. The authors used the Rihanna-Chris Brown dating abuse incident of 2009 as a case study to conduct what is, to our knowledge, the first assessment of media framing of dating abuse. The authors reviewed the 20 leading U.S. single-copy sales magazines published from February to April 2009 and identified 48 relevant articles, which were all printed in 7 tabloid magazines. The authors conducted a content analysis of the media frames of the articles using 5 frame categories: (a) abuse is objectionable, (b) victim-blaming, (c) abuse is sexualized/romanticized, (d) myths about abuse perpetration, and (e) abuse is normalized. Abuse is objectionable was the dominant frame of 40% of articles, victim-blaming in 36%. Although the majority of articles reviewed (83%) made at least passing reference to the idea that abuse is wrong, a minority (40%) used a dominant frame that condemned abuse. Instead, the majority of articles communicated mixed messages about dating abuse, and many minimized the seriousness of partner abuse perpetration. Advocacy is needed to improve future tabloid media framing of dating abuse incidents.
Sommer, Morten Otto Alexander
) Synthetic pathway construction 2) Cell factory optimization 3) Control of populations during fermentation Ligand responsive regulation and selection systems will directly couple the presence of a desired chemical product or flux state within a cell, to the survival of the cell. As such, they allow......The global chemical industry is transitioning from petrochemical production processes to bio-based production processes. This transition creates a clear market need for technologies that reduce the development time and cost of cell factories. PROMYS will develop, validate and implement a novel...... will drastically accelerate the construction, optimization and performance of cell factories by enabling industrial users to impose non-natural objectives on the engineered cell factory. PROMYS will address three major challenges in metabolic engineering that limit the development of new cell factories: 1...
Rose, Matthias; Bjørner, Jakob; Gandek, Barbara
OBJECTIVE: To document the development and psychometric evaluation of the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) item bank and static instruments. STUDY DESIGN AND SETTING: The items were evaluated using qualitative and quantitative methods. A total...... response model was used to estimate item parameters, which were normed to a mean of 50 (standard deviation [SD]=10) in a US general population sample. RESULTS: The final bank consists of 124 PROMIS items covering upper, central, and lower extremity functions and instrumental activities of daily living...... to identify differences between age and disease groups. CONCLUSION: The item bank provides a common metric and can improve the measurement of PF by facilitating the standardization of patient-reported outcome measures and implementation of CATs for more efficient PF assessments over a larger range....
Crins, Martine H P; Terwee, Caroline B; Klausch, Thomas; Smits, Niels; de Vet, Henrica C W; Westhovens, Rene; Cella, David; Cook, Karon F; Revicki, Dennis A; van Leeuwen, Jaap; Boers, Maarten; Dekker, Joost; Roorda, Leo D
The objective of this study was to assess the psychometric properties of the Dutch-Flemish Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function item bank in Dutch patients with chronic pain. A bank of 121 items was administered to 1,247 Dutch patients with chronic pain. Unidimensionality was assessed by fitting a one-factor confirmatory factor analysis and evaluating resulting fit statistics. Items were calibrated with the graded response model and its fit was evaluated. Cross-cultural validity was assessed by testing items for differential item functioning (DIF) based on language (Dutch vs. English). Construct validity was evaluated by calculation correlations between scores on the Dutch-Flemish PROMIS Physical Function measure and scores on generic and disease-specific measures. Results supported the Dutch-Flemish PROMIS Physical Function item bank's unidimensionality (Comparative Fit Index = 0.976, Tucker Lewis Index = 0.976) and model fit. Item thresholds targeted a wide range of physical function construct (threshold-parameters range: -4.2 to 5.6). Cross-cultural validity was good as four items only showed DIF for language and their impact on item scores was minimal. Physical Function scores were strongly associated with scores on all other measures (all correlations ≤ -0.60 as expected). The Dutch-Flemish PROMIS Physical Function item bank exhibited good psychometric properties. Development of a computer adaptive test based on the large bank is warranted. Copyright © 2017 Elsevier Inc. All rights reserved.
Rose, Matthias; Bjorner, Jakob B; Gandek, Barbara; Bruce, Bonnie; Fries, James F; Ware, John E
To document the development and psychometric evaluation of the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) item bank and static instruments. The items were evaluated using qualitative and quantitative methods. A total of 16,065 adults answered item subsets (n>2,200/item) on the Internet, with oversampling of the chronically ill. Classical test and item response theory methods were used to evaluate 149 PROMIS PF items plus 10 Short Form-36 and 20 Health Assessment Questionnaire-Disability Index items. A graded response model was used to estimate item parameters, which were normed to a mean of 50 (standard deviation [SD]=10) in a US general population sample. The final bank consists of 124 PROMIS items covering upper, central, and lower extremity functions and instrumental activities of daily living. In simulations, a 10-item computerized adaptive test (CAT) eliminated floor and decreased ceiling effects, achieving higher measurement precision than any comparable length static tool across four SDs of the measurement range. Improved psychometric properties were transferred to the CAT's superior ability to identify differences between age and disease groups. The item bank provides a common metric and can improve the measurement of PF by facilitating the standardization of patient-reported outcome measures and implementation of CATs for more efficient PF assessments over a larger range. Copyright © 2014. Published by Elsevier Inc.
Morean, Meghan E; Krishnan-Sarin, Suchitra; S O'Malley, Stephanie
Adolescent e-cigarette use (i.e., "vaping") likely confers risk for developing nicotine dependence. However, there have been no studies assessing e-cigarette nicotine dependence in youth. We evaluated the psychometric properties of the 4-item Patient-Reported Outcomes Measurement Information System Nicotine Dependence Item Bank for E-cigarettes (PROMIS-E) for assessing youth e-cigarette nicotine dependence and examined risk factors for experiencing stronger dependence symptoms. In 2017, 520 adolescent past-month e-cigarette users completed the PROMIS-E during a school-based survey (50.5% female, 84.8% White, 16.22[1.19] years old). Adolescents also reported on sex, grade, race, age at e-cigarette use onset, vaping frequency, nicotine e-liquid use, and past-month cigarette smoking. Analyses included conducting confirmatory factor analysis and examining the internal consistency of the PROMIS-E. Bivariate correlations and independent-samples t-tests were used to examine unadjusted relationships between e-cigarette nicotine dependence and the proposed risk factors. Regression models were run in which all potential risk factors were entered as simultaneous predictors of PROMIS-E scores. The single-factor structure of the PROMIS-E was confirmed and evidenced good internal consistency. Across models, larger PROMIS-E scores were associated with being in a higher grade, initiating e-cigarette use at an earlier age, vaping more frequently, using nicotine e-liquid (and higher nicotine concentrations), and smoking cigarettes. Adolescent e-cigarette users reported experiencing nicotine dependence, which was assessed using the psychometrically sound PROMIS-E. Experiencing stronger nicotine dependence symptoms was associated with characteristics that previously have been shown to confer risk for frequent vaping and tobacco cigarette dependence. Copyright © 2018 Elsevier B.V. All rights reserved.
Haverman, Lotte; Grootenhuis, Martha A; Raat, Hein; van Rossum, Marion A J; van Dulmen-den Broeder, Eline; Hoppenbrouwers, Karel; Correia, Helena; Cella, David; Roorda, Leo D; Terwee, Caroline B
The Patient-Reported Outcomes Measurement Information System (PROMIS(®)) is a new, state-of-the-art assessment system for measuring patient-reported health and well-being of adults and children. It has the potential to be more valid, reliable, and responsive than existing PROMs. The items banks are designed to be self-reported and completed by children aged 8-18 years. The PROMIS items can be administered in short forms or through computerized adaptive testing. This paper describes the translation and cultural adaption of nine PROMIS item banks (151 items) for children in Dutch-Flemish. The translation was performed by FACITtrans using standardized PROMIS methodology and approved by the PROMIS Statistical Center. The translation included four forward translations, two back-translations, three independent reviews (at least two Dutch, one Flemish), and pretesting in 24 children from the Netherlands and Flanders. For some items, it was necessary to have separate translations for Dutch and Flemish: physical function-mobility (three items), anger (one item), pain interference (two items), and asthma impact (one item). Challenges faced in the translation process included scarcity or overabundance of possible translations, unclear item descriptions, constructs broader/smaller in the target language, difficulties in rank ordering items, differences in unit of measurement, irrelevant items, or differences in performance of activities. By addressing these challenges, acceptable translations were obtained for all items. The Dutch-Flemish PROMIS items are linguistically equivalent to the original USA version. Short forms are now available for use, and entire item banks are ready for cross-cultural validation in the Netherlands and Flanders.
Full Text Available This paper aims to approach the artists Chris Marker and W.G. Sebald, trying to determine and develop pervasive questions in their works: the construction of a historiographic discourse, the ambiguities of memory, the erratic movement of their characters and essayistic thinking. We have tried to draft some starting points to make possible the writing of a memory as a cartography, created through walking on the world and also through the collection of images and of stories that tell about lives that went astray in the mis-paths of History.
Morean, Meghan; Krishnan-Sarin, Suchitra; Sussman, Steve; Foulds, Jonathan; Fishbein, Howard; Grana, Rachel; O'Malley, Stephanie S
Psychometrically sound measures of e-cigarette dependence are lacking. We modified the PROMIS Nicotine Dependence Item Banks for use with e-cigarettes and evaluated the psychometrics of the 22-, 8- and 4-item adapted versions. 1009 adults who reported using e-cigarettes at least weekly completed an anonymous survey in Summer 2016 (50.2% male, 77.1% White, mean age 35.81 [10.71], 66.4% daily e-cigarette users, 72.6% current cigarette smokers). Psychometric analyses included confirmatory factor analysis, internal consistency, measurement invariance, examination of mean-level differences, convergent validity, and test-criterion relationships with e-cigarette use outcomes. All PROMIS-E versions had confirmable, internally consistent latent structures that were scalar invariant by sex, race, e-cigarette use (non-daily/daily), e-liquid nicotine content (no/yes), and current cigarette smoking status (no/yes). Daily e-cigarette users, nicotine e-liquid users, and cigarette smokers reported being more dependent on e-cigarettes than their counterparts. All PROMIS-E versions correlated strongly with one another, evidenced convergent validity with the Penn State E-cigarette Dependence Index and time to first e-cigarette use in the morning, and evidenced test-criterion relationships with vaping frequency, e-liquid nicotine concentration, and e-cigarette quit attempts. Similar results were observed when analyses were conducted within subsamples of exclusive e-cigarette users and duals-users of cigarettes and e-cigarettes. Each PROMIS-E version evidenced strong psychometric properties for assessing e-cigarette dependence in adults who either use e-cigarette exclusively or who are dual-users of cigarettes and e-cigarettes. However, results indicated little benefit of the longer versions over the 4-item PROMIS-E, which provides an efficient assessment of e-cigarette dependence. The availability of the novel, psychometrically sound PROMIS-E can further research on a wide range of
Alcantara, Joel; Lamont, Andrea E; Ohm, Jeanne; Alcantara, Junjoe
To characterize pediatric chiropractic and assess pediatric quality of life (QoL). A prospective cohort. Setting/Locations: Individual offices within a practice-based research network located throughout the United States. A convenience sample of children (8-17 years) under chiropractic care and their parents. Chiropractic spinal adjustments and adjunctive therapies. Survey instrument measuring sociodemographic information and correlates from the clinical encounter along with the Patient Reported Outcomes Measurement Information System (PROMIS)-25 to measure QoL (i.e., depression, anxiety, and pain interference). Sociodemographic and clinical correlates were analyzed using descriptive statistics (i.e., frequencies/percentages, means, and standard deviations). The PROMIS-25 data were analyzed using scoring manuals, converting raw scores to T score metric (mean = 50; SD = 10). A generalized linear mixed model was utilized to examine covariates (i.e., sex, number of visits, and motivation for care) that may have played an important role on the PROMIS outcome. The original data set consisted of 915 parent-child dyads. After data cleaning, a total of 881 parents (747 females, 134 males; mean age = 42.03 years) and 881 children (467 females and 414 males; mean age = 12.49 years) comprised this study population. The parents were highly educated and presented their child for mainly wellness care. The mean number of days and patient visits from baseline to comparative QoL measures was 38.12 days and 2.74 (SD = 2.61), respectively. After controlling for the effects of motivation for care, patient visits, duration of complaint, sex, and pain rating, significant differences were observed in the probability of experiencing problems (vs. no reported problems) across all QoL domains (Wald = 82.897, df = 4, p < 0.05). Post hoc comparisons demonstrated the children were less likely to report any symptoms of depression (Wald = 6.1474, df = 1
Full Text Available Chris Lang is a climate justice activist and currently runs REDD-Monitor, a website that follows projects and developments around REDD (www.redd-monitor.org. The acronym REDD refers to Re- ducing Emissions from Deforestation and Forest Degradation and is a UN programme that aims to offer incentives for countries in the Global South to reduce emissions from deforestation by creating financial values for the forest carbon stocks. In this interview, Lang talks about structural shortcomings of REDD and the danger of carbon cowboys, provides an insight in the 1 billion dollar agreement between Norway and Indonesia, and discusses the relation between REDD and indigenous peoples’ rights. ----- Chris Lang ist Klimaaktivist und betreibt derzeit die Webseite REDD-Monitor, die Projekte und En- twicklungen rund um REDD verfolgt (www.redd-monitor.org. Die Abkürzung REDD bezieht sich auf das UN-Programm Reducing Emissions from Deforestation and Forest Degradation, das darauf abzielt, Anreize für Länder des globalen Südens zu schaffen, ihre Emissionen aus Abholzung durch finanzielle Werte für den Kohlenstoffgehalt der Wälder zu reduzieren. In diesem Interview spricht Lang über strukturelle Schwächen von REDD und der Gefahr durch carbon cowboys. Er gibt einen Einblick in das 1-Milliarde-Dollar Abkommen zwischen Norwegen und Indonesien und diskutiert die Beziehung zwischen REDD und den Rechten indigener Völker.
Understanding health-related quality of life in caregivers of civilians and service members/veterans with traumatic brain injury: Establishing the reliability and validity of PROMIS Fatigue and Sleep Disturbance item banks.
Carlozzi, Noelle E; Ianni, Phillip A; Tulsky, David S; Brickell, Tracey A; Lange, Rael T; French, Louis M; Cella, David; Kallen, Michael A; Miner, Jennifer A; Kratz, Anna L
To examine the reliability and validity of Patient Reported Outcomes Measurement Information System (PROMIS) measures of sleep disturbance and fatigue in TBI caregivers and to determine the severity of fatigue and sleep disturbance in these caregivers. Cross-sectional survey data collected through an online data capture platform. Four rehabilitation hospitals and Walter Reed National Military Medical Center. Caregivers (N=560) of civilians (n=344) and service member/veterans (n=216) with TBI. Not Applicable MAIN OUTCOME MEASURES: PROMIS sleep and fatigue measures administered as both computerized adaptive tests (CATs) and 4-item short forms (SFs). For both samples, floor and ceiling effects for the PROMIS measures were low (internal consistency was very good (all alphas ≥0.80), and test-retest reliability was acceptable (all r≥0.70 except for the fatigue CAT in the service member/veteran sample r=0.63). Convergent validity was supported by moderate correlations between the PROMIS and related measures. Discriminant validity was supported by low correlations between PROMIS measures and measures of dissimilar constructs. PROMIS scores indicated significantly worse sleep and fatigue for those caring for someone with high levels versus low levels of impairment. Findings support the reliability and validity of the PROMIS CAT and SF measures of sleep disturbance and fatigue in caregivers of civilians and service members/veterans with TBI. Copyright © 2018. Published by Elsevier Inc.
Understanding Health-related Quality of Life in Caregivers of Civilians and Service Members/Veterans with Traumatic Brain Injury: Establishing the Reliability and Validity of PROMIS Mental Health Measures.
Carlozzi, Noelle E; Hanks, Robin; Lange, Rael T; Brickell D Psych, Tracey A; Ianni, Phillip A; Miner, Jennifer A; French Psy D, Louis M; Kallen, Michael A; Sander, Angelle M
To provide important reliability and validity data to support the use of the PROMIS Mental Health measures in caregivers of civilians or service members/veterans with traumatic brain injury (TBI). Patient-reported outcomes surveys administered through an electronic data collection platform. Three TBI Model Systems rehabilitation hospitals, an academic medical center, and a military medical treatment facility. 560 caregivers of individuals with a documented TBI (344 civilians and 216 military) INTERVENTION: Not Applicable MAIN OUTCOME MEASURES: PROMIS Anxiety, Depression, and Anger Item Banks RESULTS: Internal consistency for all of the PROMIS Mental Health item banks was very good (all α > .86) and three-week test retest reliability was good to adequate (ranged from .65 to .85). Convergent validity and discriminant validity of the PROMIS measures was also supported. Caregivers of individuals that were low functioning had worse emotional HRQOL (as measured by the three PROMIS measures) than caregivers of high functioning individuals, supporting known groups validity. Finally, levels of distress, as measured by the PROMIS measures, were elevated for those caring for low-functioning individuals in both samples (rates ranged from 26.2% to 43.6% for caregivers of low-functioning individuals). Results support the reliability and validity of the PROMIS Anxiety, Depression, and Anger item banks in caregivers of civilians and service members/veterans with TBI. Ultimately, these measures can be used to provide a standardized assessment of HRQOL as it relates to mental health in these caregivers. Copyright © 2018. Published by Elsevier Inc.
Forrest, Christopher B; Devine, Janine; Bevans, Katherine B; Becker, Brandon D; Carle, Adam C; Teneralli, Rachel E; Moon, JeanHee; Tucker, Carole A; Ravens-Sieberer, Ulrike
To describe the psychometric evaluation and item response theory calibration of the PROMIS Pediatric Life Satisfaction item banks, child-report, and parent-proxy editions. A pool of 55 life satisfaction items was administered to 1992 children 8-17 years old and 964 parents of children 5-17 years old. Analyses included descriptive statistics, reliability, factor analysis, differential item functioning, and assessment of construct validity. Thirteen items were deleted because of poor psychometric performance. An 8-item short form was administered to a national sample of 996 children 8-17 years old, and 1294 parents of children 5-17 years old. The combined sample (2988 children and 2258 parents) was used in item response theory (IRT) calibration analyses. The final item banks were unidimensional, the items were locally independent, and the items were free from impactful differential item functioning. The 8-item and 4-item short form scales showed excellent reliability, convergent validity, and discriminant validity. Life satisfaction decreased with declining socio-economic status, presence of a special health care need, and increasing age for girls, but not boys. After IRT calibration, we found that 4- and 8-item short forms had a high degree of precision (reliability) across a wide range (>4 SD units) of the latent variable. The PROMIS Pediatric Life Satisfaction item banks and their short forms provide efficient, precise, and valid assessments of life satisfaction in children and youth.
Alcantara, Joel; Ohm, Jeanne; Alcantara, Junjoe
To measure the cross-informant variant of pediatric quality of life (QoL) based on self-reports and parent proxy measures. A secondary analysis of baseline data obtained from two independent studies measuring the QoL based on the pediatric PROMIS-25 self-report and the PROMIS parent-proxy items banks. A scoring manual associated raw scores to a T score metric (mean = 50; SD = 10). Reliability of QoL ratings utilized the ICC while comparison of mean T Scores utilized the unpaired t-test. A total of 289 parent-child dyads comprised our study responders. Average age for parents and children was 41.27 years and 12.52 years, respectively. The mean T score (child self-report: parent proxy) for each QoL domains were: mobility (50.82:52.58), anxiety (46.73:44.21), depression (45.18:43.60), fatigue (45.59:43.92), peer-relationships (52.15:52.88) and pain interference (47.47:44.80). Parents tend to over-estimate their child's QoL based on measures of anxiety, depression, fatigue, peer-relationships and pain interference. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.
Scott, Elizabeth; Glass, Natalie; Wolf, Brian R.; Hettrich, Carolyn M.; Bollier, Matthew
Objectives: Anterior cruciate ligament reconstruction is a commonly performed orthopaedic procedure. PROMIS (Patient-Reported Outcome Measurement Information System) was developed by the National Institutes of Health in an effort to advance patient-reported outcome (PRO) instruments by developing question banks for major health domains. Our goal was to compare the responsiveness and construct validity of the PROMIS physical function (PF) computer adaptive test (CAT) with current PRO instruments utilized in patients who undergo anterior cruciate ligament reconstruction. Methods: A total of 174 patients ages 14-53 scheduled to undergo anterior cruciate ligament reconstruction were asked to complete PROMIS PF-CAT, Short Form-36 Health Survey (SF36-PF and -GH), Marx activity rating scale (Marx), Knee Injury and Osteoarthritis Score (KOOS-ADL, -Sport, -QOL), and the EuroQol five dimensions questionnaire (EQ5D) at their preoperative visit. These surveys were repeated at six weeks and six months after surgery. Correlations between PRO instruments was defined as excellent (>0.7), excellent-good (0.61-0.7), good (0.4-0.6), and poor (0.2-0.3) using Spearman Correlation Coefficients. The effect size (Cohen d) and standardized response mean (SRM) were used to describe the responsiveness of each PRO at the 6 week and 6 month follow-up visits and were defined as small (0.2), medium (0.5) and large (0.8). Ceiling and floor effects were defined as present if ≥15% of participants scored the highest or lowest score on a PRO, respectively. Subgroup analyses were performed comparing change in PRO scores at follow-up between participants with and without additional arthroscopic procedures (meniscal debridement and/or repair, microfracture, or OATS vs ACL reconstruction only) using linear mixed models. Results: There were excellent and excellent-good correlations between the PROMIS PF-CAT and physical function PROs including the SF36-PF (r=0.75-0.80, p0.05) to poor correlation with
Susana S. Martins
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Abstract (E: From 1954 to 1958, Chris Marker edited the travel books series Petite Planète, providing an alternative to more conventional guidebooks. The aim of this article is to pay special attention to the photographic dimension of these books, particularly in their essayistic composition. Starting from the concrete analysis of a short photo-sequence included in the book on Portugal, I propose here to investigate the central role of the ‘essay’ in the work of Chris Marker, not only as an aesthetical choice but fundamentally as a privileged form of political commitment.
Abstract (F: De 1954 à 1958, Chris Marker fut rédacteur de la collection de livres de voyage Petite Planète, qui offrait une alternative aux guides de voyage plus classiques. Cet article vise à accorder une attention toute particulière à l'aspect photographique de ces livres, et plus spécialement à leur composition
Choi, Seung W; Schalet, Benjamin; Cook, Karon F; Cella, David
Interest in measuring patient-reported outcomes has increased dramatically in recent decades. This has simultaneously produced numerous assessment options and confusion. In the case of depressive symptoms, there are many commonly used options for measuring the same or a very similar concept. Public and professional reporting of scores can be confused by multiple scale ranges, normative levels, and clinical thresholds. A common reporting metric would have great value and can be achieved when similar instruments are administered to a single sample and then linked to each other to produce cross-walk score tables (e.g., Dorans, 2007; Kolen & Brennan, 2004). Using multiple procedures based on item response theory and equipercentile methods, we produced cross-walk tables linking 3 popular "legacy" depression instruments-the Center for Epidemiologic Studies Depression Scale (Radloff, 1977; N = 747), the Beck Depression Inventory-II (Beck, Steer, & Brown, 1996; N = 748), and the 9-item Patient Health Questionnaire (Kroenke, Spitzer, & Williams, 2001; N = 1,120)-to the depression metric of the National Institutes of Health (NIH) Patient-Reported Outcomes Measurement Information System (PROMIS; Cella et al., 2010). The PROMIS Depression metric is centered on the U.S. general population, matching the marginal distributions of gender, age, race, and education in the 2000 U.S. census (Liu et al., 2010). The linking relationships were evaluated by resampling small subsets and estimating confidence intervals for the differences between the observed and linked PROMIS scores; in addition, PROMIS cutoff scores for depression severity were estimated to correspond with those commonly used with the legacy measures. Our results allow clinicians and researchers to retrofit existing data of 3 popular depression measures to the PROMIS Depression metric and vice versa.
Jacobson, C Jeffrey; Kashikar-Zuck, Susmita; Farrell, Jennifer; Barnett, Kimberly; Goldschneider, Ken; Dampier, Carlton; Cunningham, Natoshia; Crosby, Lori; DeWitt, Esi Morgan
As initial steps in a broader effort to develop and test pediatric pain behavior and pain quality item banks for the Patient-Reported Outcomes Measurement Information System (PROMIS), we used qualitative interview and item review methods to 1) evaluate the overall conceptual scope and content validity of the PROMIS pain domain framework among children with chronic/recurrent pain conditions, and 2) develop item candidates for further psychometric testing. To elicit the experiential and conceptual scope of pain outcomes across a variety of pediatric recurrent/chronic pain conditions, we conducted 32 semi-structured individual and 2 focus-group interviews with children and adolescents (8-17 years), and 32 individual and 2 focus-group interviews with parents of children with pain. Interviews with pain experts (10) explored the operational limits of pain measurement in children. For item bank development, we identified existing items from measures in the literature, grouped them by concept, removed redundancies, and modified the remaining items to match PROMIS formatting. New items were written as needed and cognitive debriefing was completed with the children and their parents, resulting in 98 pain behavior (47 self, 51 proxy), 54 quality, and 4 intensity items for further testing. Qualitative content analyses suggest that reportable pain outcomes that matter to children with pain are captured within and consistent with the pain domain framework in PROMIS. PROMIS pediatric pain behavior, quality, and intensity items were developed based on a theoretical framework of pain that was evaluated by multiple stakeholders in the measurement of pediatric pain, including researchers, clinicians, and children with pain and their parents, and the appropriateness of the framework was verified. Copyright © 2015 American Pain Society. Published by Elsevier Inc. All rights reserved.
Garcia Millan, V. E.
The tropical dry forest is the largest and most threatened ecosystem in Latin America. Remote sensing can effectively contribute to the surveillance of conservation measurements and laws through the monitoring of natural protected areas, at the required temporal and spatial scales. CHRIS/PROBA is the only satellite that presents quasi-simultaneous multi-angular pointing and hyperspectral spectroscopy. These two characteristics permit the study of structural and compositional traces of successional stages within the tropical dry forest. The current study presents the results of mapping the succession of tropical dry forest in the Parque Estadual de la Mata-Seca, in Minas Gerais, Brazil, using a temporal analysis of CHRIS/PROBA images in a time frame of 7 years, between 2008 and 2014. For the purpose the -55° angle of observation has been used, which enhances spectral differences between successional stages. Spectral Angle Mapper has been used for mapping succession of tropical dry forest and afterwards Change Detection Analysis has been performed. Based on our observations, the tropical dry forest in the Parque Estadual de la Mataseca recovers at a fast rate, for the observed period (2008-2014). More than the 50% of the early and intermediate forests has been recovered to a mature forest. Significantly, around a 12% of old pastures have been converted into forest. The spatial analysis also reveals that the areas that recover most rapidly are located in the east of the Park, close to mature forests. The provision of seeds from these forests might be the cause for the fast recovery.
Photo no 02 : Also at the brief ceremony were some of those who contributed to these and subsequent physics developments at CERN, and for whom Salam's name has a special meaning : left to right - Maurice Jacob, John Ellis, Don Cundy, Chris Llewellyn Smith, Horst Wachsmuth, Luigi Di Lella, Alan Ball, Gregoire Kantardjian, Gordon Fraser, Guy Acquistapace.
DeWalt Darren A
Full Text Available Abstract Background The evaluation of patient-reported outcomes (PROs in health care has seen greater use in recent years, and methods to improve the reliability and validity of PRO instruments are advancing. This paper discusses the cognitive interviewing procedures employed by the Patient Reported Outcomes Measurement Information System (PROMIS pediatrics group for the purpose of developing a dynamic, electronic item bank for field testing with children and adolescents using novel computer technology. The primary objective of this study was to conduct cognitive interviews with children and adolescents to gain feedback on items measuring physical functioning, emotional health, social health, fatigue, pain, and asthma-specific symptoms. Methods A total of 88 cognitive interviews were conducted with 77 children and adolescents across two sites on 318 items. From this initial item bank, 25 items were deleted and 35 were revised and underwent a second round of cognitive interviews. A total of 293 items were retained for field testing. Results Children as young as 8 years of age were able to comprehend the majority of items, response options, directions, recall period, and identify problems with language that was difficult for them to understand. Cognitive interviews indicated issues with item comprehension on several items which led to alternative wording for these items. Conclusion Children ages 8–17 years were able to comprehend most item stems and response options in the present study. Field testing with the resulting items and response options is presently being conducted as part of the PROMIS Pediatric Item Bank development process.
Full Text Available BackgroundThyroid diseases in pregnancy are associated with adverse outcomes for mother and fetus.No studies have been reported examining the spectrum and nature of such disorders in the Black population of South Africa.AimsTo examine thyroid disorders in pregnancy at Chris Hani Baragwanath Academic Hospital in Soweto, by assessing the causes, management and outcomes.MethodsA retrospective review of thyroid disorders was undertaken in 88 patients, attending the Antenatal Endocrine Clinic over a four-year period. All underwent initial and follow-up clinical and biochemical assessments.Maternal delivery records and thyroid function tests of the neonates 48 hours or later following delivery were reviewed.ResultsFifty-eight (66% were hyperthyroid, 23(26% hypothyroid, and 7(8% had euthyroid colloid goiters. Forty-eight (83% hyperthyroid patients had Gravesâ€™ disease, whilst had gestational hyperthyroidism. Regarding the hypothyroid patients, more than half followed I131 ablation for Gravesâ€™ disease. Eighty-seven percent of the hyperthyroid and 83% of the hypothyroid patients were euthyroid prior to delivery. One fatal maternal outcome, due to uterine rupture and six intra-partum fetal losses occurred. Amongst neonates, there was one case of a tracheo-esophageal fistula and one of neonatal thyrotoxicosis.ConclusionThis is the first report in sub-Saharan Africa detailing thyroid diseases in pregnancy.
Full Text Available Utilization of household organic waste each year is increasing due to various problems will arise such as air pollution, can have an impact of the disease and the danger of flooding. Waste that can be used are organic waste such as leftover vegetables, fruits, leftover dried leaves and twigs. Household organic waste is the most widely used in daily life because of the need for food so that the quantity is more and more produced and will accumulate because the ground is not capable of degrading in significant amounts, so as to damage the environment in the form of air pollution (odor and can cause impact disease. Along with the impact of the organic waste to be treated in a household environment prior to turning it into more useful forms such as liquid organic fertilizer. Liquid fertilizers are more easily absorbed by plants and in the form konsetrat so it is more economical because it can be diluted. This research aims to use household organic waste into liquid fertilizer and see the impact of bio-activator EM4 and Promi to manufacture liquid fertilizer from organic C content. The method used in the form of waste materials vegetables such as kale, mustard greens, spinach and carrots as well as dried leaves 300 g cleaned and cut into small pieces and then put in the composter before fermentation in lightly mist or moistened with a bio-activator before hand and then fermented for 7 days , The fermentation process is done with a variety of bio-activator 2.5 mL, 5 mL, 7.5 mL, 10 mL, and 12.5 mL. Organic liquid fertilizer produced by using EM4 and Promi can be used as a bio-activator in fertilizer use but bio-activator EM4 provide more effective work in mengdegradasi organic waste to produce high levels of organic C approximately 23% compared to bio-activator Compromise approximately 18% and so is the content of other compounds EM4 such as nitrogen for 3.8%, 3.0% P2O5 content of K2O content of 4.2% and 3.2% Compromise Nitrogen levels, levels of 2
Full Text Available Multi-angle remote sensing can either be regarded as an added source of uncertainty for variable retrieval, or as a source of additional information, which enhances variable retrieval compared to traditional single-angle observation. However, the magnitude of these angular and band effects for forest structure parameters is difficult to quantify. We used the Discrete Anisotropic Radiative Transfer (DART model and the Zelig model to simulate the forest canopy Bidirectional Reflectance Distribution Factor (BRDF in order to build a look-up table, and eight vegetation indices were used to assess the relationship between BRDF and forest biomass in order to find the sensitive angles and bands. Further, the European Space Agency (ESA mission, Compact High Resolution Imaging Spectrometer onboard the Project for On-board Autonomy (CHRIS-PROBA and field sample measurements, were selected to test the angular and band effects on forest biomass retrieval. The results showed that the off-nadir vegetation indices could predict the forest biomass more accurately than the nadir. Additionally, we found that the viewing angle effect is more important, but the band effect could not be ignored, and the sensitive angles for extracting forest biomass are greater viewing angles, especially around the hot and dark spot directions. This work highlighted the combination of angles and bands, and found a new index based on the traditional vegetation index, Atmospherically Resistant Vegetation Index (ARVI, which is calculated by combining sensitive angles and sensitive bands, such as blue band 490 nm/−55°, green band 530 nm/55°, and the red band 697 nm/55°, and the new index was tested to improve the accuracy of forest biomass retrieval. This is a step forward in multi-angle remote sensing applications for mining the hidden relationship between BRDF and forest structure information, in order to increase the utilization efficiency of remote sensing data.
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3.10 Vectorial Addition of Sea and Wind Currents 50 B1 Flame Length for Gases Venting Through Holes 177 B2 Equivalent...determined are: • Flame length (flame height), • Safe distance for people (away from the flame) • Safe distance for people in fire-protective clothing (away...pencil so it can be erased) Determine the flame length from Figure B1, using the venting hole diameter and the curve corresponding to the specific
Jeffery, Diana D; Tzeng, Janice P; Keefe, Francis J; Porter, Laura S; Hahn, Elizabeth A; Flynn, Kathryn E; Reeve, Bryce B; Weinfurt, Kevin P
For this report, the authors described the initial activities of the Cancer Patient-Reported Outcomes Measurement Information System (PROMIS)-Sexual Function domain group, which is part of the National Institutes of Health Roadmap Initiative to develop brief questionnaires or individually tailored assessments of quality-of-life domains. Presented are a literature review of sexual function measures used in cancer populations and descriptions of the domains found in those measures. By using a consensus-driven approach, an electronic bibliographic search was conducted for articles that were published from 1991 to 2007, and 486 articles were identified for in-depth review. In total, 257 articles reported the administration of a psychometrically evaluated sexual function measure to individuals who were diagnosed with cancer. Apart from the University of California-Los Angeles Prostate Cancer Index, the International Index of Erectile Function, and the Female Sexual Function Index, the 31 identified measures have not been tested widely in cancer populations. Most measures were multidimensional and included domains related to the sexual response cycle and to general sexual satisfaction. The current review supports the need for a flexible, psychometrically robust measure of sexual function for use in oncology settings and strongly justifies the development of the PROMIS-Sexual Function instrument. When the PROMIS-Sexual Function instrument is available publicly, cancer clinicians and researchers will have another measure with which to assess patient-reported sexual function outcomes in addition to the few legacy measures that were identified through this review. Copyright (c) 2009 American Cancer Society.
Huybregts, Lieven; Becquey, Elodie; Zongrone, Amanda; Le Port, Agnes; Khassanova, Regina; Coulibaly, Lazare; Leroy, Jef L; Rawat, Rahul; Ruel, Marie T
Evidence suggests that both preventive and curative nutrition interventions are needed to tackle child acute malnutrition (AM) in developing countries. In addition to reducing the incidence of AM, providing preventive interventions may also help increase attendance (and coverage) of AM screening, a major constraint in the community-based management of child acute malnutrition (CMAM) model. There is a paucity of evidence-based strategies to deliver integrated preventive and curative interventions effectively and affordably at scale. The aim of the Innovative Approaches for the Prevention of Childhood Malnutrition (PROMIS) study is to assess the feasibility, quality of implementation, effectiveness and cost-effectiveness of an integrated child malnutrition prevention and treatment intervention package implemented through a community-based platform in Mali and a facility-based platform in Burkina Faso. The PROMIS intervention entails a comprehensive preventive package offered on a monthly basis to caregivers of children, while children are screened for acute malnutrition (AM). The package consists of behavior change communication on essential nutrition and hygiene actions, and monthly preventive doses of small quantity lipid-based nutrient supplements (SQ-LNS) for children aged 6 to 23.9 months. Positive AM cases are referred to treatment services offered by first-line health services according to the CMAM model. The PROMIS intervention will be evaluated using a mixed methods approach. The impact study encompasses two types of study design: i) repeated cross-sectional surveys conducted at baseline and at endline after 24 months of program implementation and ii) a longitudinal study with a monthly follow-up for 18 months. Primary study impact measures include the incidence and endpoint prevalence of AM, AM screening coverage and treatment compliance. A process evaluation will assess the feasibility and quality of implementation of the intervention guided by country
Full Text Available Abstract Background Evidence suggests that both preventive and curative nutrition interventions are needed to tackle child acute malnutrition (AM in developing countries. In addition to reducing the incidence of AM, providing preventive interventions may also help increase attendance (and coverage of AM screening, a major constraint in the community-based management of child acute malnutrition (CMAM model. There is a paucity of evidence-based strategies to deliver integrated preventive and curative interventions effectively and affordably at scale. The aim of the Innovative Approaches for the Prevention of Childhood Malnutrition (PROMIS study is to assess the feasibility, quality of implementation, effectiveness and cost-effectiveness of an integrated child malnutrition prevention and treatment intervention package implemented through a community-based platform in Mali and a facility-based platform in Burkina Faso. Methods/Design The PROMIS intervention entails a comprehensive preventive package offered on a monthly basis to caregivers of children, while children are screened for acute malnutrition (AM. The package consists of behavior change communication on essential nutrition and hygiene actions, and monthly preventive doses of small quantity lipid-based nutrient supplements (SQ-LNS for children aged 6 to 23.9 months. Positive AM cases are referred to treatment services offered by first-line health services according to the CMAM model. The PROMIS intervention will be evaluated using a mixed methods approach. The impact study encompasses two types of study design: i repeated cross-sectional surveys conducted at baseline and at endline after 24 months of program implementation and ii a longitudinal study with a monthly follow-up for 18 months. Primary study impact measures include the incidence and endpoint prevalence of AM, AM screening coverage and treatment compliance. A process evaluation will assess the feasibility and quality of
Polazišno pitanje ovoga članka, nadahnuto tvrdnjama Waltera Kaspera, glasi: Ako milosrđe po definiciji u sebi nužno uključuje trpljenje može li se, dok držimo sigurnim da je netrpljivost jedna od bitnih vlastitosti božanske naravi, o njemu uopće govoriti, kako Kasper potiče, kao o temeljnom Božjem svojstvu i odrednici Božje biti? To se pitanje i odgovor na nj obrađuje pod kristološkim vidom i to na temelju promišljanja izabranih crkvenih otaca u čijim djelima pronalazimo govor o Božjem milosr...
Review: Chris Alden, Sergio Chichava (eds, China and Mozambique: From Comrades to Capitalists (2014 / Giles Mohan et al., Chinese Migrants and Africa’s Development: New Imperialists or Agents of Change? (2014
Full Text Available Review of: Chris Alden and Sergio Chichava (eds, China and Mozambique: From Comrades to Capitalists, Johannesburg: Jacana Media, 2014, ISBN 9781920196943, 240 pp.andGiles Mohan, Ben Lampert, May Tan-Mullins and Daphne Chang, Chinese Migrants and Africa’s Development: New Imperialists or Agents of Change?, London: Zed Books, 2014, ISBN 9781780329178, 192 pp.
PeoplePersonality: Chris Clarke - a physicist who studies ice cream Teaching Anecdotes: Annie Jump Cannon Obituary: György Marx 1927-2002 Starting Out: What Katie did next: part 3 Opinions: What is really important?
Featuring relationships, personalities, interactions, environments and reputations involved in physics and education PERSONALITY (156) Chris Clarke - a physicist who studies ice cream TEACHING ANECDOTES (157) Annie Jump Cannon OBITUARY (158) György Marx 1927-2002 Steven Chapman STARTING OUT (159) What Katie did next: part 3 Katie Pennicott OPINIONS (160) What is really important? Kerry Parker
Evaluating measurement invariance across assessment modes of phone interview and computer self-administered survey for the PROMIS measures in a population-based cohort of localized prostate cancer survivors.
Wang, Mian; Chen, Ronald C; Usinger, Deborah S; Reeve, Bryce B
To evaluate measurement invariance (phone interview vs computer self-administered survey) of 15 PROMIS measures responded by a population-based cohort of localized prostate cancer survivors. Participants were part of the North Carolina Prostate Cancer Comparative Effectiveness and Survivorship Study. Out of the 952 men who took the phone interview at 24 months post-treatment, 401 of them also completed the same survey online using a home computer. Unidimensionality of the PROMIS measures was examined using single-factor confirmatory factor analysis (CFA) models. Measurement invariance testing was conducted using longitudinal CFA via a model comparison approach. For strongly or partially strongly invariant measures, changes in the latent factors and factor autocorrelations were also estimated and tested. Six measures (sleep disturbance, sleep-related impairment, diarrhea, illness impact-negative, illness impact-positive, and global satisfaction with sex life) had locally dependent items, and therefore model modifications had to be made on these domains prior to measurement invariance testing. Overall, seven measures achieved strong invariance (all items had equal loadings and thresholds), and four measures achieved partial strong invariance (each measure had one item with unequal loadings and thresholds). Three measures (pain interference, interest in sexual activity, and global satisfaction with sex life) failed to establish configural invariance due to between-mode differences in factor patterns. This study supports the use of phone-based live interviewers in lieu of PC-based assessment (when needed) for many of the PROMIS measures.
Full Text Available We assessed the occurrence of Vibrio pathogens in the final effluents of five wastewater treatment plants (WWTPs located in Amathole and Chris Hani District Municipalities in South Africa over a 12 months period between September 2012 and August 2013 using standard membrane filtration technique followed by cultivation on thiosulphate citrate-bile salts-sucrose (TCBS agar. The identities of the presumptive Vibrio isolates were confirmed using polymerase chain reaction (PCR including delineation into V. parahaemolyticus, V. vulnificus and V. fluvialis pathotypes. The counts of Vibrio spp. varied with months in all the study sites and ranged in the order of 101 and 104 CFU/100mL. Vibrio distribution also showed seasonality with high counts being obtained in autumn and spring (p < 0.05. Prevalence of Vibrio spp. among the five WWTPs also differed significantly (p < 0.05. Of the 300 isolates that were confirmed as belonging to the Vibrio genus, 29% (86 were V. fluvialis, 28% (84 were V. vulnificus and 12% (35 were V. parahaemolyticus. The isolation of Vibrio pathogens from the final effluent suggests that this pathogen is in circulation in some pockets of the population and that the WWTPs under study do not efficiently remove bacterial pathogens from the wastewater and consequently are threats to public health.
Julia Gonçalves Declie Fagioli
Full Text Available O que propomos, no presente artigo, é pensar a montagem – e, mais especificamente, a montagem de imagens de arquivo – como processo de mediação entre as imagens e o espectador. Para isso, recorremos às ideias de Georges Didi-Huberman para refletir sobre as imagens do sonho e as imagens de arquivo. Ambas – cada uma à sua maneira – carregam vestígios da memória e possuem caráter lacunar. Apenas quando são articuladas no sonho, ou na montagem – no caso do cinema documentário – que se configura um novo sentido. Analisaremos “Sem sol” de Chris Marker, em que as imagens de arquivo são montadas de forma a proporcionar uma reflexão sobre a memória e a história. O filme é construído com imagens de arquivo e leituras de cartas de um cinegrafista viajante, o que confere à narrativa um caráter imaginativo, característica essencial da lembrança e da memória.
Camila Eugênia Zumpano
Full Text Available Resumo: O objetivo deste estudo foi realizar a adaptação transcultural da escala de Saúde Global do Patient-Reported Outcomes Measurement Information System (PROMIS para a língua portuguesa. Os dez itens sobre Saúde Global foram adaptados transculturalmente por meio do método proposto pelo Functional Assessment of Chronic Illness Therapy (FACIT. A versão final do instrumento para a língua portuguesa foi autoadministrada em 1.010 participantes no Brasil. A precisão da escala foi verificada usando-se a análise dos efeitos piso e teto, confiabilidade da consistência interna e confiabilidade teste-reteste. Utilizou-se a análise fatorial exploratória e confirmatória para avaliação da validade de construto e dimensionalidade do instrumento. A calibração dos itens foi realizada por meio do Modelo de Resposta Gradual proposto por Samejima. Quatro itens globais necessitaram de ajustes após a realização do pré-teste. A análise das propriedades psicométricas demonstrou que a escala de Saúde Global tem boa confiabilidade, com coeficiente alfa de Cronbach de 0,83 e coeficiente de correlação intraclasse de 0,89. As análises fatorial exploratória e confirmatória revelaram um bom ajuste ao modelo previamente estabelecido de duas dimensões. As escalas de Saúde Física Global e Saúde Mental Global apresentaram uma boa cobertura do traço latente, de acordo com o Modelo de Resposta Gradual. Os itens Saúde Global do PROMIS para a língua portuguesa apresentaram equivalência em relação à versão original e propriedades psicométricas satisfatórias para a aplicação direcionada à população brasileira na prática clínica e em pesquisas.
Tõnson, Margit, 1978-
Briti raadio- ja telesatiirik Christopher Morris ja tema (tele)tegemised seoses kinos Sõprus linastuva islamiäärmuslastest kõneleva komöödiafilmiga "Neli lõvi" (Suurbritannia 2010). Lisaks M. T. "Napid detailid eraelust"
JOSEPH P. EIMICKE
Full Text Available The aims of this paper are to present findings related to differential item functioning (DIF in the Patient Reported Outcome Measurement Information System (PROMIS depression item bank, and to discuss potential threats to the validity of results from studies of DIF. The 32 depression items studied were modified from several widely used instruments. DIF analyses of gender, age and education were performed using a sample of 735 individuals recruited by a survey polling firm. DIF hypotheses were generated by asking content experts to indicate whether or not they expected DIF to be present, and the direction of the DIF with respect to the studied comparison groups. Primary analyses were conducted using the graded item response model (for polytomous, ordered response category data with likelihood ratio tests of DIF, accompanied by magnitude measures. Sensitivity analyses were performed using other item response models and approaches to DIF detection. Despite some caveats, the items that are recommended for exclusion or for separate calibration were "I felt like crying" and "I had trouble enjoying things that I used to enjoy." The item, "I felt I had no energy," was also flagged as evidencing DIF, and recommended for additional review. On the one hand, false DIF detection (Type 1 error was controlled to the extent possible by ensuring model fit and purification. On the other hand, power for DIF detection might have been compromised by several factors, including sparse data and small sample sizes. Nonetheless, practical and not just statistical significance should be considered. In this case the overall magnitude and impact of DIF was small for the groups studied, although impact was relatively large for some individuals.
Um estudo observacional do filme Denise está Chamando à luz da teoria de ação de Chris Argyris e Donald Schön Study of the motion picture "Denise Calls Up" focusing on the action theory by Chris Argyris and Donald Schön
Nildes R. Pitombo Leite
Full Text Available Este trabalho apresenta uma análise do mundo comportamental retratado no filme Denise está Chamando (Denise Calls Up, de Hal Salwen (1995, cujas características (omissão, distanciamento, manipulação subreptícia, mentiras piedosas, controle e proteção unilaterais são típicas do Oposto ao Modelo I e delicadas para serem identificadas, analisadas e discutidas facilmente nas interações humanas. Esse modelo é oriundo da Teoria de Ação proposta por Chris Argyris e Donald Schön (1977, 1996, aqui utilizados como base de argumentação. Buscou-se, neste trabalho, responder à pergunta de como pesquisadores e consultores podem tornar conhecidos modelos mentais e seus modos de ação. Apresentou-se, ainda, uma perspectiva de análise fílmica, com vistas a contribuir para o incremento de um trabalho científico no Brasil que possa auxiliar grupos e organizações na análise de suas ações. O estudo caracteriza-se como qualitativo, observacional, com base em observação indireta e não-participante. Escolheu-se o método da análise de discurso, baseado em cenas elucidativas da proposição teórica estudada. A fundamentação teórica tentou contextualizar, de modo sucinto, os elementos da Teoria de Ação, identificando, com base no filme, o mundo comportamental que permeia as relações humanas.Behavioral dynamics portrayed in the motion picture, "Denise Calls Up" by Hal Salwen (1955, were analyzed in relation to omission, indifference, surreptitious manipulation, merciful lies and unilateral control and protection. These attitudes are typical of the Opposite of Model I by Chris Argyris and Donald Schön (1995 and are difficult to identify, analyze and discuss in human interactions. Arguments were based on the Model, which was part of their Theory of Action (1977, 1996, and questioned how researchers and consultants could make mental models and modi operandi better known to others. An analysis of the film was also presented thereby
Natália Fontes Caputo de Castro
Full Text Available O Patient-Reported Outcome Measurement Information System (PROMIS, estruturado em domínios físicos e psicossociais, superou lacunas ao propor nova ferramenta de avaliação de resultados aplicáveis às doenças crônicas com base em técnicas avançadas de estatística (TRI e testes adaptativos computadorizados (CAT. O objetivo do estudo foi adaptar culturalmente os Bancos de Itens de Ansiedade e Depressão do PROMIS para a língua portuguesa. O processo seguiu rigorosas recomendações do FACIT por meio da tradução avançada, reconciliação, retrotradução, revisão do FACIT, revisores independentes, finalização das etapas pelo FACIT, pré-teste e incorporação dos resultados do pré- teste. A versão traduzida foi pré-testada em dez pacientes, sendo necessária a modificação nos itens 3, 46 e 53 de Ansiedade e no item 46 de Depressão. As alterações alcançaram a equivalência de significado e a versão final foi compatível com as habilidades linguísticas e culturais da população brasileira. Concluiu-se que a versão traduzida é semântica e conceitualmente equivalente aos originais.
31.0%), blood (21.8%), meninges (7.3%), and peritoneum (2.9%). Disseminated tuberculosis occurred in 25.0%. The median age was 33 years (range 18 - 87 years). Males comprised 53.2% overall, with a female majority in the peritonitis group.
Jan 22, 2014 ... Extrapulmonary tuberculosis (EPTB) occurs in 15. - 20% of immunocompetent and 20 - 70% of HIV- infected patients with tuberculosis (TB). There are few recent incidence data for EPTB. In the USA, incidence rates were 5.93/100 000 population in black males in Tennessee and 209/100 000 among ...
Adults with an epilepsy history fare significantly worse on positive mental and physical health than adults with other common chronic conditions-Estimates from the 2010 National Health Interview Survey and Patient Reported Outcome Measurement System (PROMIS) Global Health Scale.
Kobau, Rosemarie; Cui, Wanjun; Zack, Matthew M
Healthy People 2020, a national health promotion initiative, calls for increasing the proportion of U.S. adults who self-report good or better health. The Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health Scale (GHS) was identified as a reliable and valid set of items of self-reported physical and mental health to monitor these two domains across the decade. The purpose of this study was to examine the percentage of adults with an epilepsy history who met the Healthy People 2020 target for self-reported good or better health and to compare these percentages to adults with history of other common chronic conditions. Using the 2010 National Health Interview Survey, we compared and estimated the age-standardized prevalence of reporting good or better physical and mental health among adults with five selected chronic conditions including epilepsy, diabetes, heart disease, cancer, and hypertension. We examined response patterns for physical and mental health scale among adults with these five conditions. The percentages of adults with epilepsy who reported good or better physical health (52%) or mental health (54%) were significantly below the Healthy People 2020 target estimate of 80% for both outcomes. Significantly smaller percentages of adults with an epilepsy history reported good or better physical health than adults with heart disease, cancer, or hypertension. Significantly smaller percentages of adults with an epilepsy history reported good or better mental health than adults with all other four conditions. Health and social service providers can implement and enhance existing evidence-based clinical interventions and public health programs and strategies shown to improve outcomes in epilepsy. These estimates can be used to assess improvements in the Healthy People 2020 Health-Related Quality of Life and Well-Being Objective throughout the decade. Published by Elsevier Inc.
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Abstract (E: This paper examines Chris Marker’s film Sans Soleil in relation to Jean-François Lyotard’s theory of the sublime. Through an analysis of the film’s representation of memory, time and temporality it will argue that Marker’s film effectively “invokes the unpresentable in presentation itself” (Lyotard, 1992: 15.
Abstract (F: Cet article examine le film Sans Soleil de Chris Marker en relation avec la théorie du sublime de Jean-François Lyotard. À travers une analyse de la représentation de la mémoire, du temps et de la temporalité du film, il soutient que le film de Marker invoque d’une manière effective “l’irreprésentable dans la représentation même” (Lyotard, 1992: 15.
Wolkers, H.; Karman, C.C.
De nieuwe havensleepboot E3-Tug bespaart brandstof en vermindert emissies. IMARES Wageningen UR ontwikkelde de software die een optimale combinatie berekent van de elektrische en de dieselvoortstuwing.
Dec 5, 2017 ... Corresponding author: V Nicolaou (email@example.com). Over the past two decades, ... developed nations, with Graves' disease (GD) accounting for the majority of cases (85%). ..... Author contributions. VC: lead researcher ...
Elizabeth Isichei, A history of the Igbo people (London: Macmillan Press, 1976), pp. 165-166. ... fortune-tellers, make charms and wear them, and do a thousand and one other things ..... under any circumstances, not even when their friends died and a .... had equipped with a powerful influence in all spheres of life, battled.
NICKEL AMMONIUM SULFATE NAS No NICKEL BROMIDE NBR No NICKEL CARBONYL NKC No 3 NICKEL CHLORIDE NCL No NICKEL CYANIDE NCN No NICKEL FLUOBORATE NFB No...Neoprene Good Poor Poor Fair Good Good Nitrile Rubber Fair Fair Fair Good Good Good *Sources: Encyclopedia of Polymer Science and Engineering, 2nd Edition...two types. The first type consists of a rubber ball with a toggle bolt arranged so that it can be tightened to expand the rubber ball to fit the hole
Majanduslik langus Lätis, Leedus ja Eestis on sarnane Euroopas toimuvaga ning väljendub SKP kasvu aeglustumises, kõrges inflatsioonis ja tööpuuduse kasvus. Vt. samas: Estonia - hope of balanced budget; Lithuania - export will help
Over the years in Nigeria, Theatre has played a significant role in raising the level of Socio-political consciousness of the masses. During the colonial era theatre practitioners had produce plays that were politically uncomfortable to the colonial regimes. Since the dawn of independence the problem of nation building has ...
its effect on one's life and quality of life, including social, familial ... its sequelae. To screen for cervical cancer and its precursor abnormal cells ..... being outcomes of patients with depression compared with chronic general medical illnesses.
Full Text Available Abstract:Background:A systematic review concluded that a caesarean section that is performed for medical indications will save lives, but is associated with short and long term complications. The caesarean section rate at CHBAH was 39.78% in 2015.Â Objectives:To evaluate the indications for caesarean section.Methods:This was a cross-sectional studyÂ in the week 23rd June to the 29th June 2015. Each file was Â evaluated for the Â correctness of the decision by at least two researchers. Each reviewer could state that he/she absolutely agreed, partially agreed, did not agree or could not make an assessmen.Results:The mean age was 27.01 (6.35; range- 15-44. The median parity was 1(IQR=0-2; range=0-4. No co-morbdities was found in 20 (13.61%. Complications occurred in 25 (17.01% women. The median gestational age at delivery was 38.14 (IQR=36.39-40.14; range-28.0-42.4. The median Apgar (5 min was 10 (IQR=9-10; range- 0-10. The median birth weight was 3040 g (IQR=2530-3440; range- 825-4575 g. The most common indications were fetal distress (n=73; 49.66% and dystocia (n=42; 28.57%. There was absolute agreement between the 2 reviewers in the following; retained 2nd twin, APH of unknown origin, placenta previa, severe IUGR, multiple pregnancy, abnormal presentation, eclampsia, two caesarean sections. When the indication was fetal distress, dystocia, 2nd stage caesarean section, or with 1 previous caesarean the absolute agreement was between 73.85% and 90.24%.Conclusion:There wereÂ few absolute disagreements with the indication. There needs to be an evaluation of methods to diagnose fetal distress and dystocia.Â Â
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Visser, Peter; Dueck, T.A.; Dijk, van C.J.
De overheid wil gebruik van duurzaam 'groen gas' ofwel 'biogas' stimuleren. De vraag is of dit gas een verhoogd risico oplevert bij het gebruik van rookgassen voor CO2-dosering in de tuinbouw. Biogas kan mee helpen aan het gebruik van duurzamer energie in de glastuinbouw
Hong, Ickpyo; Velozo, Craig A; Li, Chih-Ying; Romero, Sergio; Gruber-Baldini, Ann L; Shulman, Lisa M
The aim of this study is to investigate the psychometrics of the Patient-Reported Outcomes Measurement Information System self-efficacy for managing daily activities item bank. The item pool was field tested on a sample of 1087 participants via internet (n = 250) and in-clinic (n = 837) surveys. All participants reported having at least one chronic health condition. The 35 item pool was investigated for dimensionality (confirmatory factor analyses, CFA and exploratory factor analysis, EFA), item-total correlations, local independence, precision, and differential item functioning (DIF) across gender, race, ethnicity, age groups, data collection modes, and neurological chronic conditions (McFadden Pseudo R (2) less than 10 %). The item pool met two of the four CFA fit criteria (CFI = 0.952 and SRMR = 0.07). EFA analysis found a dominant first factor (eigenvalue = 24.34) and the ratio of first to second eigenvalue was 12.4. The item pool demonstrated good item-total correlations (0.59-0.85) and acceptable internal consistency (Cronbach's alpha = 0.97). The item pool maintained its precision (reliability over 0.90) across a wide range of theta (3.70), and there was no significant DIF. The findings indicated the item pool has sound psychometric properties and the test items are eligible for development of computerized adaptive testing and short forms.
Auriault, F; Thollon, L; Peres, J; Delotte, J; Kayvantash, K; Brunet, C; Behr, M
This study report documents the development of a finite element (FE) model for analyzing trauma in pregnant women involved in road accidents and help the design of a specific safety device. The model is representative of a 50th percentile pregnant woman at 26 weeks of pregnancy in sitting position. To achieve this, the HUMOS 2 model, which has been validated in a wide range of dynamic tests, was scaled to the morphology of a woman in the 50th percentile and coupled with a model of gravid uterus. During scaling, special attention was paid to the pelvic region which is known to differ considerably in morphological terms between men and women. The gravid uterus model includes a placenta, a fetus, uterosacral ligaments and the amniotic fluid by means of fluid structure interaction formulation. The uterus and the female model were coupled using an original method whereby the growth of an uterus was simulated to compress the abdominal organs in a realistic manner. The model was validated based on experimental tests described in the literature. Additional tests based on abdominal loadings with a seatbelt on Post Mortem Human Surrogates (PMHS) coupled to silicone uterus were also performed. Results highlighted the role of the possible interaction of the fetus in the pregnant woman abdominal response. Experimental corridors taking into account the presence of this fetus could therefore be proposed. © 2013 Elsevier Ltd. All rights reserved.
Walsh, Tasanee R; Irwin, Debra E; Meier, Andrea; Varni, James W; DeWalt, Darren A
To understand differences in perceptions of patient-reported outcome domains between children with asthma and children from the general population. We used this information in the development of patient-reported outcome items for the Patient-Reported Outcomes Measurement Information System Pediatrics project. We conducted focus groups composed of ethnically, racially, and geographically diverse youth (8-12, 13-17 years) from the general population and youth with asthma. We performed content analysis to identify important themes. We identified five unique and different challenges that may confront youth with asthma as compared to general population youth: (1) They experience more difficulties when participating in physical activities; (2) They may experience anxiety about having an asthma attack at anytime and anywhere; (3) They may experience sleep disturbances and fatigue secondary to their asthma symptoms; (4) Their health condition has a greater effect on their emotional well-being and interpersonal relationships; and (5) Youth with asthma report that asthma often leaves them with insufficient energy to complete their school activities, especially physical activities. The results confirm unique experiences for children with asthma across a broad range of health domains and enhance the breadth of all domains when creating an item bank.
Tucker, Joan S; Shadel, William G; Edelen, Maria Orlando; Stucky, Brian D; Li, Zhen; Hansen, Mark; Cai, Li
The positive emotional and sensory expectancies of cigarette smoking include improved cognitive abilities, positive affective states, and pleasurable sensorimotor sensations. This paper describes development of Positive Emotional and Sensory Expectancies of Smoking item banks that will serve to standardize the assessment of this construct among daily and nondaily cigarette smokers. Data came from daily (N = 4,201) and nondaily (N =1,183) smokers who completed an online survey. To identify a unidimensional set of items, we conducted item factor analyses, item response theory analyses, and differential item functioning analyses. Additionally, we evaluated the performance of fixed-item short forms (SFs) and computer adaptive tests (CATs) to efficiently assess the construct. Eighteen items were included in the item banks (15 common across daily and nondaily smokers, 1 unique to daily, 2 unique to nondaily). The item banks are strongly unidimensional, highly reliable (reliability = 0.95 for both), and perform similarly across gender, age, and race/ethnicity groups. A SF common to daily and nondaily smokers consists of 6 items (reliability = 0.86). Results from simulated CATs indicated that, on average, less than 8 items are needed to assess the construct with adequate precision using the item banks. These analyses identified a new set of items that can assess the positive emotional and sensory expectancies of smoking in a reliable and standardized manner. Considerable efficiency in assessing this construct can be achieved by using the item bank SF, employing computer adaptive tests, or selecting subsets of items tailored to specific research or clinical purposes. © The Author 2014. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: firstname.lastname@example.org.
Como telespectadores de Black sitcoms norte-americanas, temos observado, nessas séries, uma propensão à abordagem de temáticas que silenciam a luta pela dessegregação racial nos Estados Unidos. Nossa hipótese é que grande parte dos seriados tende a assimilar uma percepção homogeneizante de afro-americanidade, firmada em estereótipos e verdades supostamente inquestionáveis acerca de negritude. O negro é sempre visto pela perspectiva de um outro, cuja posição central no discurso produz sentidos...
Full Text Available From the celestial to the cyberspatial sphere and from imaginary beings to self-constructed online personas, symptom constellations are representing our ‘way of being’. Using this as a vaulting point, Angeliki Malakasioti is taking symptom representation a step further, towards the reasons of manifestation, towards observation and refection on the phenomena of digital experience. Her research is a diagnostic experiment and at the same time a theoretical as well as an artistic body of work that comments on the mental qualities of the cyborg when inhabiting cyberspace. Aspects of the digital self are discussed and its symptoms are interpreted into spatial qualities; into imaginary semi-living beings and intimate non-spaces.
Bouwman-van Velden, Pieternel; Blok, C.; Kaarsemaker, R.C.
Op basis van proeven is er een concept beoordelingsrichtlijn (BRL) voor het pH buffergedrag van opkweekpotten opgesteld. Onderdeel van het onderzoek is het ontwikkelen van methodieken om pH gedrag in steenwol te meten. De richtlijnen doen vooral dienst om schades tijdens de opkweek te voorkomen
AURIAULT, Florent; THOLLON, Lionel; PERES, Jérémie; DELOTTE, J; KAYVANTASH, K; BRUNET, Christian; BEHR, Michel
The percentage of trauma during pregnancy related to road accident is between 50% and 75%. This type of trauma can result in premature birth or even foetal loss. To analyse and understand the injury mechanisms in pregnant women involved in a car accident, several studies proposed computational or physical tools to simulate accidents. Specific dummy and numerical models have been proposed and validated using experimental data from post-mortem human surrogate (PMHS) scaled with the equal-stress...
All people have to deal with feelings of loneliness, isolation, fear, and lack of acceptance, especially in the teenage years. Both of the novels "Staying Fat for Sarah Byrnes" and "Frankenstein" deal with these issues. By 10th grade, students are really searching for who they are and what they want out of life. It is…
Fagioli,Julia Gonçalves Declie
O que propomos, no presente artigo, é pensar a montagem – e, mais especificamente, a montagem de imagens de arquivo – como processo de mediação entre as imagens e o espectador. Para isso, recorremos às ideias de Georges Didi-Huberman para refletir sobre as imagens do sonho e as imagens de arquivo. Ambas – cada uma à sua maneira – carregam vestígios da memória e possuem caráter lacunar. Apenas quando são articuladas no sonho, ou na montagem – no caso do cinema documentário – que se configura u...
Outcomes of Node-positive Breast Cancer Patients Treated With Accelerated Partial Breast Irradiation Via Multicatheter Interstitial Brachytherapy: The Pooled Registry of Multicatheter Interstitial Sites (PROMIS) Experience.
Kamrava, Mitchell; Kuske, Robert R; Anderson, Bethany; Chen, Peter; Hayes, John; Quiet, Coral; Wang, Pin-Chieh; Veruttipong, Darlene; Snyder, Margaret; Demanes, David J
To report outcomes for breast-conserving therapy using adjuvant accelerated partial breast irradiation (APBI) with interstitial multicatheter brachytherapy in node-positive compared with node-negative patients. From 1992 to 2013, 1351 patients (1369 breast cancers) were treated with breast-conserving surgery and adjuvant APBI using interstitial multicatheter brachytherapy. A total of 907 patients (835 node negative, 59 N1a, and 13 N1mic) had >1 year of data available and nodal status information and are the subject of this analysis. Median age (range) was 59 years old (22 to 90 y). T stage was 90% T1 and ER/PR/Her2 was positive in 87%, 71%, and 7%. Mean number of axillary nodes removed was 12 (SD, 6). Cox multivariate analysis for local/regional control was performed using age, nodal stage, ER/PR/Her2 receptor status, tumor size, grade, margin, and adjuvant chemotherapy/antiestrogen therapy. The mean (SD) follow-up was 7.5 years (4.6). The 5-year actuarial local control (95% confidence interval) in node-negative versus node-positive patients was 96.3% (94.5-97.5) versus 95.8% (87.6-98.6) (P=0.62). The 5-year actuarial regional control in node-negative versus node-positive patients was 98.5% (97.3-99.2) versus 96.7% (87.4-99.2) (P=0.33). The 5-year actuarial freedom from distant metastasis and cause-specific survival were significantly lower in node-positive versus node-negative patients at 92.3% (82.4-96.7) versus 97.8% (96.3-98.7) (P=0.006) and 91.3% (80.2-96.3) versus 98.7% (97.3-99.3) (P=0.0001). Overall survival was not significantly different. On multivariate analysis age 50 years and below, Her2 positive, positive margin status, and not receiving chemotherapy or antiestrogen therapy were associated with a higher risk of local/regional recurrence. Patients who have had an axillary lymph node dissection and limited node-positive disease may be candidates for treatment with APBI. Further research is ultimately needed to better define specific criteria for APBI in node-positive patients.
Bartlett, Susan J; Witter, James; Cella, David; Ahmed, Sara
Patient-reported outcome (PRO) data are beneficial to a range of stakeholders including patients, clinicians, researchers, national funding and regulatory agencies, health system administrators, and policymakers. Because stakeholders represent diverse groups and needs, it is challenging to reach consensus on how to advance PRO development and harmonize data across settings to enable use for multiple secondary purposes. Collaborative national networks can facilitate the sharing of expertise, resources, and necessary infrastructure; create development, use, and reporting standards; optimize formats to efficiently store and transfer data; and disseminate tools and information for widespread uptake. In the United States, the National Institutes of Health's Patient-Reported Outcomes Measurement Information System offers an example of how collaborators can work across distances to form essential partnerships, create a common vision, and leverage technology to accelerate the development and testing of universal PROs that are broadly applicable across health conditions and settings. Copyright © 2017 Elsevier Inc. All rights reserved.
Vučković Juroš, Tanja
Namjera je ovog rada ocrtati interakcionistički model kolektivnih sjećanja koji bi komplementirao do sada dominantne semiotičke i institucionalne pristupe sjećanjima. Snaga semiotičkih i institucionalnih pristupa jest ponajprije u strukturnoj analizi objekata sjećanja i proizvodnje kolektivnih sjećanja od strane političkih elita i mainstream medija, no ti pristupi nailaze na poteškoće pri objašnjavanju uloge pojedinaca i njihova pregovaranja prikaza prošlosti koje dobivaju odozgo. Upravo tu d...
Science Education and Teacher Effectiveness: Implications of the Next Generation Science Standards (NGSS): Q&A with Chris Wilson, Ph.D., and Jody Bintz, M.S. REL Mid-Atlantic Teacher Effectiveness Webinar Series
Regional Educational Laboratory Mid-Atlantic, 2014
This webinar explored how the Next Generation Science Standards (NGSS) provide an instructional framework to support professional growth and inform teacher evaluation systems for science instruction. This Q&A addressed the questions participants had for Dr. Wilson and Jody Bintz following the webinar. The webinar recording and PowerPoint…
The author has been invited to reply to this response to her article of December 2006 in this journal. This response can only be a summary of some of her findings and a reiteration, in very truncated form, of her arguments. She would refer any interested reader back to her original extended review of the PIRLS project as it was there that she lays…
Een revolutie gaat aan gekijf ten onder : de Stijl en de "Russische kwestie", najaar 1919 : een briefwisseling tussen Theo van Doesburg, Chris Beekman, Robert van 't Hoff, J.J.P. Oud en Antony Kok, met inleiding en annotaties
Correspondence (38 letters, annotated) between several artists of the avant-gardist 'De Stijl'-grouping concerning the 'Russian question' (i.e. the controverse on sending a request to Parliament for free postal communication with artists in the Soviet Union). In literature on 'De Stijl', the
Augmented versus virtual reality laparoscopic simulation: what is the difference? A comparison of the ProMIS augmented reality laparoscopic simulator versus LapSim virtual reality laparoscopic simulator
Botden, Sanne M. B. I.; Buzink, Sonja N.; Schijven, Marlies P.; Jakimowicz, Jack J.
BACKGROUND: Virtual reality (VR) is an emerging new modality for laparoscopic skills training; however, most simulators lack realistic haptic feedback. Augmented reality (AR) is a new laparoscopic simulation system offering a combination of physical objects and VR simulation. Laparoscopic
Briti plaadifirma WarpP teemalisest peost 2. juunil KUMUs minifestivali KUMU ÖÖ raames (auditooriumisaalis linastuvad WarpFilmsi lühifilmid "Warp Vision", Chris Cunninghami "Rubber Johnny" ja Chris Morrise "Mu Wrongs")
Hõbemägi, Priit, 1957-
Uutest heliplaatidest George Benson "The Essential George Benson", Roy Orbison "The Essential Roy Orbisson", K.D. Lang "Reintaration", Blondie "Greatest Hits", Chris Isaak "Best Of Chris Isaak", Barry Manilov "The Essential Barry Manilow", ABBA "Greatest Hits"
... in the AD docket shortly after receipt. FOR FURTHER INFORMATION CONTACT: Chris Hartman, Aerospace.... Send information to ATTN: Chris Hartman, Aerospace Engineer, Airframe Branch, ANM-120S, FAA, Seattle...
Bukh, Per Nikolaj
Anmeldelse af Organizational Traps: Leadership, Culture and Organization Design, Chris Argyris, Oxford University Press......Anmeldelse af Organizational Traps: Leadership, Culture and Organization Design, Chris Argyris, Oxford University Press...
Rachel Crellin, Chris Fowler and Richard Tipping, eds. Prehistory without Borders: The Prehistoric Archaeology of the Tyne-Forth Region ( : Oxford: Oxbow Books, 2016, 244 pp., 124 b/w figs, 19 tables, hbk, ISBN 978-1-78-570199-3)
Borders, in the sense of modern geopolitical boundaries, have no bearing on prehistoric realities, yet they do affect archaeology as a discipline―particularly when one is committed to thinking, working, and writing on regions that transcend administrative limits, whether regional or national. While
A Content Analysis of Google Scholar: Coverage Varies by Discipline and by Database. A review of: Neuhaus, Chris, Ellen Neuhaus, Alan Asher, and Clint Wrede. “The Depth and Breadth of Google Scholar: An Empirical Study.” portal: Libraries and the Academy 6.2 (Apr. 2006: 127‐41.
Full Text Available Objective – To ascertain the coverage by discipline, publication date, publication language, and upload frequency of the scholarly articles found in Google Scholar.Design – Comparative content analyses.Setting – Electronic information resources accessible via the internet (both freely accessible and for‐fee databases.Subjects – Forty‐seven online databases and Google Scholar.Methods – The study compared the content of 47 databases (21 Internet resources freely available to the general public; 26 restricted access databases covering a variety of subjects with the content of Google Scholar. Each database was assigned to one of the following discipline categories: business, education, humanities, science and medicine, social science, and multidisciplinary. From April through July 2005, researchers generated random samples of 50 article titles from each of the 47 databases and searched the titles on Google Scholar to determine inclusion. Related studies were conducted for publication date and publication language analysis, and for the Google Scholar upload frequency study. For the publication date study, random samples from one database (PsycINFO with a high degree of variability in Google Scholar coverage were searched for 1990, 2000, and 2004. For the publication language study, Google Scholar coverage of PsycINFO articles in English was compared to coverage of PsycINFO articles published in non‐English languages. For the upload frequency study, two databases chosen for their high degree of coverage (BioMedCentral and PubMed were monitored to determine how often the new content was uploaded to Google Scholar.Main Results – This study revealed that content covered by Google Scholar varies greatly from database to database and from discipline to discipline. Of the 47 databases studied, coverage ranged from 6% to 100%. Mean and median values of coverage for all databases were both 60%. The mean discipline category scores varied from the humanities databases at 10% coverage, to the social sciences and education at 39% and 41% respectively, to science and medicine databases at 76% coverage. Mean coverage was 77% for the multidisciplinary databases. Mean coverage of open access journal databases was 95%, freely accessible databases had 84% mean coverage, and single publisher databases had 83% mean coverage. The publication language study found a bias towards English language publications. As well, a publication date bias was found – coverage of earlier dates was not as thorough as coverage of more recent publications. In the upload frequency study, for BioMed Central and PubMed there appears to be an approximately 15‐week delay in the uploading of new material to Google Scholar.Conclusions – The results of this study serve to alert researchers and information professionals that Google Scholar (in beta test mode at the time of the study has poor coverage in certain areas. To those with access to commercial databases, this serves as a cautionary tale. To those with a dearth of commercial databases, Google Scholar is a welcome site and can provide at least some information. The researchers state that the search engine itself could make future content studies unnecessary if it decides to make its content collection methodology transparent to users. Upload frequency, Google Scholar’s linking services, the advanced search option, and the “cited by” feature could all be subjects of future studies. For its first year in operation, Google Scholar offers a broad range of discipline coverage with substantial depth in some areas. At the time of the study, Google Scholar was working with libraries and vendors to connect search results to library‐licensed fulltext.
charides have attracted greater attention as a promis- ing carbon-based ... extensively studied due to importance of HMF as a plat- form chemical.4 Potential applications of HMF includes its selective oxidation to FDCA,5,6 hydrogenolysis to.
Jones, Jordan T; Carle, Adam C; Wootton, Janet; Liberio, Brianna; Lee, Jiha; Schanberg, Laura E; Ying, Jun; Morgan DeWitt, Esi; Brunner, Hermine I
To validate the pediatric Patient-Reported Outcomes Measurement Information System short forms (PROMIS-SFs) in childhood-onset systemic lupus erythematosus (SLE) in a clinical setting. At 3 study visits, childhood-onset SLE patients completed the PROMIS-SFs (anger, anxiety, depressive symptoms, fatigue, physical function-mobility, physical function-upper extremity, pain interference, and peer relationships) using the PROMIS assessment center, and health-related quality of life (HRQoL) legacy measures (Pediatric Quality of Life Inventory, Childhood Health Assessment Questionnaire, Simple Measure of Impact of Lupus Erythematosus in Youngsters [SMILEY], and visual analog scales [VAS] of pain and well-being). Physicians rated childhood-onset SLE activity on a VAS and completed the Systemic Lupus Erythematosus Disease Activity Index 2000. Using a global rating scale of change (GRC) between study visits, physicians rated change of childhood-onset SLE activity (GRC-MD1: better/same/worse) and change of patient overall health (GRC-MD2: better/same/worse). Questionnaire scores were compared in support of validity and responsiveness to change (external standards: GRC-MD1, GRC-MD2). In this population-based cohort (n = 100) with a mean age of 15.8 years (range 10-20 years), the PROMIS-SFs were completed in less than 5 minutes in a clinical setting. The PROMIS-SF scores correlated at least moderately (Pearson's r ≥ 0.5) with those of legacy HRQoL measures, except for the SMILEY. Measures of childhood-onset SLE activity did not correlate with the PROMIS-SFs. Responsiveness to change of the PROMIS-SFs was supported by path, mixed-model, and correlation analyses. To assess HRQoL in childhood-onset SLE, the PROMIS-SFs demonstrated feasibility, internal consistency, construct validity, and responsiveness to change in a clinical setting. © 2016, American College of Rheumatology.
Kisala, Pamela A; Tulsky, David S; Kalpakjian, Claire Z; Heinemann, Allen W; Pohlig, Ryan T; Carle, Adam; Choi, Seung W
To develop a calibrated item bank and computer adaptive test to assess anxiety symptoms in individuals with spinal cord injury (SCI), transform scores to the Patient Reported Outcomes Measurement Information System (PROMIS) metric, and create a statistical linkage with the Generalized Anxiety Disorder (GAD)-7, a widely used anxiety measure. Grounded-theory based qualitative item development methods; large-scale item calibration field testing; confirmatory factor analysis; graded response model item response theory analyses; statistical linking techniques to transform scores to a PROMIS metric; and linkage with the GAD-7. Setting Five SCI Model System centers and one Department of Veterans Affairs medical center in the United States. Participants Adults with traumatic SCI. Spinal Cord Injury-Quality of Life (SCI-QOL) Anxiety Item Bank Seven hundred sixteen individuals with traumatic SCI completed 38 items assessing anxiety, 17 of which were PROMIS items. After 13 items (including 2 PROMIS items) were removed, factor analyses confirmed unidimensionality. Item response theory analyses were used to estimate slopes and thresholds for the final 25 items (15 from PROMIS). The observed Pearson correlation between the SCI-QOL Anxiety and GAD-7 scores was 0.67. The SCI-QOL Anxiety item bank demonstrates excellent psychometric properties and is available as a computer adaptive test or short form for research and clinical applications. SCI-QOL Anxiety scores have been transformed to the PROMIS metric and we provide a method to link SCI-QOL Anxiety scores with those of the GAD-7.
Paulino Pereira, Nuno Rui; Janssen, Stein J; Raskin, Kevin A; Hornicek, Francis J; Ferrone, Marco L; Shin, John H; Bramer, Jos A M; van Dijk, Cornelis Nicolaas; Schwab, Joseph H
Assessing quality of life, functional outcome, and pain has become important in assessing the effectiveness of treatment for metastatic spine disease. Many questionnaires are able to measure these outcomes; few are validated in patients with metastatic spine disease. As a result, there is no consensus on the ideal questionnaire to use in these patients. Our study aim was to assess whether certain questionnaires measuring quality of life, functional outcome, and pain (1) correlated with each other, (2) measured the construct they claim to measure, (3) had good coverage-floor and ceiling effects, (4) were reliable, and (5) whether there were differences in completion time between them. This is a prospective cross-sectional survey study from three outpatient clinics (two orthopedic oncology clinics and one neurosurgery clinic) from two affiliated tertiary hospital care centers. We included 100 consecutive patients with metastatic spine disease between July 2014 and February 2016. We excluded non-English-speaking patients. The following questionnaires were given in random order: Oswestry Disability Index (ODI) or Neck Disability Index (NDI), Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function, PROMIS Pain Intensity, EuroQol-5 Dimensions (EQ-5D), and the Spine Oncology Study Group Outcome Questionnaire (SOSG-OQ). We used exploratory factor analysis-correlating questionnaires with an underlying mathematically derived trait-to assess if questionnaires measured the same concept. Coverage was assessed by floor and ceiling effects, and reliability was assessed by standard error of measurement as a function of ability. Differences in completion times were tested using the Friedman test. Questionnaires measured the construct they were developed for, as demonstrated with high correlations (>0.7) with the underlying trait. A floor effect was present in the PROMIS Pain Intensity (7.0%), ODI or NDI (4.0%), and the PROMIS Physical Function (1
... notice should be addressed to: USDA, Forest Service, Attn: Chris French, Acting Assistant Director for... information on people, including the use of automated, electronic, mechanical, or other technological...
Brodey, Benjamin B; Gonzalez, Nicole L; Elkin, Kathryn Ann; Sasiela, W Jordan; Brodey, Inger S
The computerized administration of self-report psychiatric diagnostic and outcomes assessments has risen in popularity. If results are similar enough across different administration modalities, then new administration technologies can be used interchangeably and the choice of technology can be based on other factors, such as convenience in the study design. An assessment based on item response theory (IRT), such as the Patient-Reported Outcomes Measurement Information System (PROMIS) depression item bank, offers new possibilities for assessing the effect of technology choice upon results. To create equivalent halves of the PROMIS depression item bank and to use these halves to compare survey responses and user satisfaction among administration modalities-paper, mobile phone, or tablet-with a community mental health care population. The 28 PROMIS depression items were divided into 2 halves based on content and simulations with an established PROMIS response data set. A total of 129 participants were recruited from an outpatient public sector mental health clinic based in Memphis. All participants took both nonoverlapping halves of the PROMIS IRT-based depression items (Part A and Part B): once using paper and pencil, and once using either a mobile phone or tablet. An 8-cell randomization was done on technology used, order of technologies used, and order of PROMIS Parts A and B. Both Parts A and B were administered as fixed-length assessments and both were scored using published PROMIS IRT parameters and algorithms. All 129 participants received either Part A or B via paper assessment. Participants were also administered the opposite assessment, 63 using a mobile phone and 66 using a tablet. There was no significant difference in item response scores for Part A versus B. All 3 of the technologies yielded essentially identical assessment results and equivalent satisfaction levels. Our findings show that the PROMIS depression assessment can be divided into 2 equivalent
Paz, Sylvia H; Spritzer, Karen L; Reise, Steven P; Hays, Ron D
About 70% of Latinos, 5 years old or older, in the United States speak Spanish at home. Measurement equivalence of the PROMIS ® pain interference (PI) item bank by language of administration (English versus Spanish) has not been evaluated. A sample of 527 adult Spanish-speaking Latinos completed the Spanish version of the 41-item PROMIS ® pain interference item bank. We evaluate dimensionality, monotonicity and local independence of the Spanish-language items. Then we evaluate differential item functioning (DIF) using ordinal logistic regression with item response theory scores estimated from DIF-free "anchor" items. One of the 41 items in the Spanish version of the PROMIS ® PI item bank was identified as having significant uniform DIF. English- and Spanish-speaking subjects with the same level of pain interference responded differently to 1 of the 41 items in the PROMIS ® PI item bank. This item was not retained due to proprietary issues. The original English language item parameters can be used when estimating PROMIS ® PI scores.
Hays, Ron D; Spritzer, Karen L; Schalet, Benjamin D; Cella, David
The PROMIS-29 v2.0 profile assesses pain intensity using a single 0-10 numeric rating item and seven health domains (physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance) using four items per domain. This paper describes the development of physical and mental health summary scores for the PROMIS-29 v2.0. We conducted factor analyses of PROMIS-29 scales on data collected from two internet panels (n = 3000 and 2000). Confirmatory factor analyses provided support for a physical health factor defined by physical function, pain (interference and intensity), and ability to participate in social roles and activities, and a mental health factor defined primarily by emotional distress (anxiety and depressive symptoms). Reliabilities for these two summary scores were 0.98 (physical health) and 0.97 (mental health). Correlations of the PROMIS-29 v2.0 physical and mental health summary scores with chronic conditions and other health-related quality of life measures were consistent with a priori hypotheses. This study develops and provides preliminary evidence supporting the reliability and validity of PROMIS-29 v2.0 physical and mental health summary scores that can be used in future studies to assess impacts of health care interventions and track changes in health over time. Further evaluation of these and alternative summary measures is recommended.
Sikk, Rein, 1961-
Inglise tantsuõpetajast Chris Davisest, kes on käinud Viljandi pärimusmuusika festivalil, meeste rahvatantsupeol Rakveres ja mujal Eestis ning peab eestlasi maailma parimateks vaimuvara hoidjateks. Chris Davis õpetab inglise rahvatantse oma kodumaal ja nüüd ka Eestis ning liitus kaerajaani Euroopasse viimise kampaaniaga
Chris Corker was the lead on bringing the 2011 Higher Education Research Scholarship Group Conference to fruition, both in the months preceding the event and on the day. In this viewpoint, Chris shares his experiences of conference administration and delivery, and explores how conferences and swans have more in common that you would imagine.
idCategory=34&idsub=180&id=10887&t=US+anti- missile+defense%3A+The+view+from+Poland [Accessed October 29, 2007]. 174 Tabassum Zakaria and Chris Borowski...files/bueros/china/04642.pdf [Accessed April 14, 2008]. Zakaria, Tabassum and Borowski, Chris. “Poland says U.S. shield a ‘foregone conclusion
Research Staff Research Staff desc Greg Wilson Center Director Dr. Greg Wilson is the Director of @nrel.gov 303-384-6649 Bosco, Nicholas Staff Scientist Nick.Bosco@nrel.gov 303-384-6337 Braunecker, Wade IV-Physics Michael.Deceglie@nrel.gov 303-384-6104 Deline, Chris Staff Engineer Chris.Deline@nrel.gov
Full Text Available Reviewers: Alice Favre email@example.com Expert in cut-off lows occurring over South Africa Chris Reason firstname.lastname@example.org Expert in southern Africa climate variability Michael Pook email@example.com Expert in developing synoptic climatology...
.... Higgins, Counsel to the Director of Enforcement, 202-418- 5864, [email protected] , Commodity Futures... Prohibit Disruptive Trading a. Panelists: Tom Gira--Financial Industry Regulatory Authority; Chris Heymeyer.... Panelists: Tom Gira--Financial Industry Regulatory Authority; Chris Heymeyer--National Futures Association...
National Laboratory/Battelle Energy Alliance Chris Kowalczyk STI Manager (208) 526-9047 Support and Test Services, LLC. Mona Higgins Directives & Documents Dept, Supervisor (702) 295-5428 Energy Alliance Chris Kowalczyk STI Manager (208) 526-9047 firstname.lastname@example.org Idaho National
Bjorner, Jakob B; Rose, Matthias; Gandek, Barbara
assistant (PDA), or personal computer (PC) on the Internet, and a second form by PC, in the same administration. Structural invariance, equivalence of item responses, and measurement precision were evaluated using confirmatory factor analysis and item response theory methods. RESULTS: Multigroup...... levels in IVR, PQ, or PDA administration as compared to PC. Availability of large item response theory-calibrated PROMIS item banks allowed for innovations in study design and analysis.......PURPOSE: To test the impact of method of administration (MOA) on the measurement characteristics of items developed in the Patient-Reported Outcomes Measurement Information System (PROMIS). METHODS: Two non-overlapping parallel 8-item forms from each of three PROMIS domains (physical function...
Riggio, Heidi R; Uhalt, Joshua; Matthies, Brigitte K
Two self-report experiments examined how religiosity affects attributions made for a target person's death. Online adults (Study 1, N = 427) and undergraduate students (Study 2, N = 326) read about Chris who had a heart attack, used religious or health behaviors, and lived or died. Participants made attributions to Chris and God (both studies), and reported their emotions (Study 2). Participants made more attributions to Chris when he lived than when he died, but only when he used health behaviors. The highly religious made more attributions to God, but not when Chris used religious behaviors and died (the God-serving bias); they reported the most positive emotions when Chris lived after using religious behaviors (the Hallelujah effect). Directions for future research in terms of implicit religious beliefs and normative evaluations of religion are discussed.
Liu, Yanyan; Hinds, Pamela S; Wang, Jichuan; Correia, Helena; Du, Shizheng; Ding, Jian; Gao, Wen Jun; Yuan, Changrong
The Pediatric Patient-Reported Outcomes Measurement Information System (PROMIS) measures were developed using modern measurement theory and tested in a variety of settings to assess the quality of life, function, and symptoms of children and adolescents experiencing a chronic illness and its treatment. Developed in English, this set of measures had not been translated into Chinese. The objective of this study was to develop the Chinese version of the Pediatric PROMIS measures (C-Ped-PROMIS), specifically 8 short forms, and to pretest the translated measures in children and adolescents through cognitive interviewing methodology. The C-Ped-PROMIS was developed following the standard Functional Assessment of Chronic Illness Therapy Translation Methodology. Bilingual teams from the United States and China reviewed the translation to develop a provisional version, which was then pretested with cognitive interview by probing 10 native Chinese-speaking children aged 8 to 17 years in China. The translation was finalized by the bilingual teams. Most items, response options, and instructions were well understood by the children, and some revisions were made to address patient's comments during the cognitive interview. The results indicated that the C-Ped-PROMIS items were semantically and conceptually equivalent to the original. Children aged 8 to 17 years in China were able to comprehend these measures and express their experience and feelings about illness or their life. The C-Ped-PROMIS is available for psychometric validation. Future work will be directed at translating the rest of the item banks, calibrating them and creating a Chinese final version of the short forms.
Liu, Yanyan; Yuan, Changrong; Wang, Jichuan; Brown, Jeanne Geiger; Zhou, Fen; Zhao, Xiufang; Shen, Min; Hinds, Pamela S
Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric forms measure symptoms and function of pediatric patients experiencing chronic disease by using the same measures. Comparability is one of the most important purposes of the PROMIS initiative. This study aimed to test the factorial structures of four symptom measures (i.e., Anxiety, Depression, Fatigue, and Pain Interference) in the original English and the Chinese versions and examine the measurement invariance of the measures across two cultures. Four PROMIS Pediatric measures were used to assess symptoms, respectively, in Chinese (n = 232) and American (n = 200) children and adolescents (8-17 years old) in treatment for cancer or in survivorship. The categorical confirmatory factor analysis (CCFA) model was used to examine factorial structures, and multigroup CCFA was applied to test measurement invariance of these measures between the Chinese and American samples. The CCFA models of the four PROMIS Pediatric symptom measures fit the data well for both the Chinese and American children and adolescents. Minor partial measurement invariance was identified. Factor means and factor variances of the four PROMIS measures were not significantly different between the two populations. Our results provide evidence that the four PROMIS Pediatric symptom measures have valid factorial structures and a statistical property of measurement invariance across American and Chinese children and adolescents with cancer. This means that the items of these measures were interpreted in a conceptually similar manner by two groups. They could be readily used for meaningful cross-cultural comparisons involving pediatric oncology patients in these two countries.
Menendez, Mariano E; Eberlin, Kyle R; Mudgal, Chaitanya S; Ring, David
Although upper-extremity disability has been shown to correlate highly with various psychosocial aspects of illness (e.g., self-efficacy, depression, kinesiophobia, and pain catastrophizing), the role of language in musculoskeletal health status is less certain. In an English-speaking outpatient hand surgery office setting, we sought to determine (1) whether a patient's primary native language (English or Spanish) is an independent predictor of upper-extremity disability and (2) whether there are any differences in the contribution of measures of psychological distress to disability between native English- and Spanish-speaking patients. A total of 122 patients (61 native English speakers and 61 Spanish speakers) presenting to an orthopaedic hand clinic completed sociodemographic information and three Patient-Reported Outcomes Measurement Information System (PROMIS)-based computerized adaptive testing questionnaires: PROMIS Pain Interference, PROMIS Depression, and PROMIS Upper-Extremity Physical Function. Bivariate and multivariable linear regression modeling were performed. Spanish-speaking patients reported greater upper-extremity disability, pain interference, and symptoms of depression than English-speaking patients. After adjusting for sociodemographic covariates and measures of psychological distress using multivariable regression modeling, the patient's primary language was not retained as an independent predictor of disability. PROMIS Depression showed a medium correlation (r = -0.35; p Spanish-speaking patients. PROMIS Pain Interference had a large correlation with disability in both patient cohorts (Spanish-speaking: r = -0.66; p immigration to the USA did not correlate with disability among Spanish speakers. Primary language has less influence on symptom intensity and magnitude of disability than psychological distress and ineffective coping strategies. Interventions to optimize mood and to reduce pain interference should be considered in
Gruber-Baldini, Ann L; Velozo, Craig; Romero, Sergio; Shulman, Lisa M
The Patient-Reported Outcomes Measurement Information System ® (PROMIS ® ) was designed to develop, validate, and standardize item banks to measure key domains of physical, mental, and social health in chronic conditions. This paper reports the calibration and validation testing of the PROMIS Self-Efficacy for Managing Chronic Conditions measures. PROMIS Self-Efficacy for Managing Chronic Conditions item banks comprise five domains, Self-Efficacy for Managing: Daily Activities, Symptoms, Medications and Treatments, Emotions, and Social Interactions. Banks were calibrated in 1087 subjects from two data sources: 837 patients with chronic neurologic conditions (epilepsy, multiple sclerosis, neuropathy, Parkinson disease, and stroke) and 250 subjects from an online Internet sample of adults with general chronic conditions. Scores were compared with one legacy scale: Self-Efficacy for Managing Chronic Disease 6-Item scale (SEMCD6) and five PROMIS short forms: Global Health (Physical and Mental), Physical Function, Fatigue, Depression, and Anxiety. The sample was 57% female, mean age = 53.8 (SD = 14.7), 76% white, 21% African American, 6% Hispanic, and 76% with greater than high school education. Full-item banks were created for each domain. All measures had good internal consistency and correlated well with SEMCD6 (r = 0.56-0.75). Significant correlations were seen between the Self-Efficacy measures and other PROMIS short forms (r > 0.38). The newly developed PROMIS Self-Efficacy for Managing Chronic Conditions measures include five domains of self-efficacy that were calibrated across diverse chronic conditions and show good internal consistency and cross-sectional validity.
Paz, Sylvia H; Jones, Loretta; Calderón, José L; Hays, Ron D
Depression and physical function are particularly important health domains for the elderly. The Geriatric Depression Scale (GDS) and the Patient-Reported Outcomes Measurement Information System (PROMIS ® ) physical function item bank are two surveys commonly used to measure these domains. It is unclear if these two instruments adequately measure these aspects of health in minority elderly. The aim of this study was to estimate the readability of the GDS and PROMIS ® physical function items and to assess their comprehensibility using a sample of African American and Latino elderly. Readability was estimated using the Flesch-Kincaid and Flesch Reading Ease (FRE) formulae for English versions, and a Spanish adaptation of the FRE formula for the Spanish versions. Comprehension of the GDS and PROMIS ® items by minority elderly was evaluated with 30 cognitive interviews. Readability estimates of a number of items in English and Spanish of the GDS and PROMIS ® physical functioning items exceed the U.S. recommended 5th-grade threshold for vulnerable populations, or were rated as 'fairly difficult', 'difficult', or 'very difficult' to read. Cognitive interviews revealed that many participants felt that more than the two (yes/no) GDS response options were needed to answer the questions. Wording of several PROMIS ® items was considered confusing, and interpreting responses was problematic because they were based on using physical aids. Problems with item wording and response options of the GDS and PROMIS ® physical function items may reduce reliability and validity of measurement when used with minority elderly.
Validation of the National Institutes of Health Patient-Reported Outcomes Measurement Information System Survey as a Quality-of-Life Instrument for Patients with Malignant Brain Tumors and Their Caregivers.
Romero, Melissa M; Flood, Lisa Sue; Gasiewicz, Nanci K; Rovin, Richard; Conklin, Samantha
At present there is a lack of well-validated surveys used to measure quality of life in patients with malignant brain tumors and their caregivers. The main objective of this pilot study was to validate the National Institutes of Health Patient-Reported Outcomes Measurement Information System (NIH PROMIS) survey for use as a quality-of-life measure in this population. This article presents the rationale for using the NIH PROMIS instrument as a quality-of-life measure for patients with malignant brain tumors and their caregivers. Copyright © 2015 Elsevier Inc. All rights reserved.
A numberof Chris Freeman's colleagues were asked to reflect on what they thought describes his life and work in a few words. Some of the colleagues replied including former SPRU students that were taught or supervised by Chris Freeman. Their views on what they thought were Chris Freeman's defining...... life is not free from fluctuations, cycles, disruptions, crises and destructions both human and ecological. Innovation research ought to position itself to address environmental, financial and economic crises. The third is innovation research for development by addressing not only poverty erdaication...
Smith Chris Anderson Xiaolin Zhong Jean-Luc Cambier Ann Karagozian, Committee Chair University of California, Los Angeles 2012 iv E-7 To my mother...of my committee, Professor Xiaolin Zhong and Professor Chris Anderson, for their guidance. I would like to thank my current and past labmates, Chris ...detonations. Phys. Fluids, 15:112–122, 2003. 221 E-246  H. D. Ng, A. J. Higgins , C. B. Kiyanda, M. I. Radulescu, J. H. S. Lee, K. R. Bates, and N
Gajanana, D; Gromov, V; Timmer, P
In the KM3NeT project , Cherenkov light from the muon interactions with transparent matter around the detector, is used to detect neutrinos. Photo multiplier tubes (PMT) used as photon sensor, are housed in a glass sphere (aka Optical Module) to detect single photons from the Cherenkov light. The PMT needs high operational voltage ( ∼ 1.5 kV) and is generated by a Cockroft-Walton (CW) multiplier circuit. The electronics required to control the PMT's and collect the signals is integrated in two ASIC's namely: 1) a front-end mixed signal ASIC (PROMiS) for the readout of the PMT and 2) an analog ASIC (CoCo) to generate pulses for charging the CW circuit and to control the feedback of the CW circuit. In this article, we discuss the two integrated circuits and test results of the complete setup. PROMiS amplifies the input charge, converts it to a pulse width and delivers the information via LVDS signals. These LVDS signals carry accurate information on the Time of arrival ( 2 C bus. This unique combination of the ASIC's results in a very cost and power efficient PMT base design.
Oude Voshaar, Antonius H.; ten Klooster, Peter M.; Glas, Cornelis A.W.; Vonkeman, Harald Erwin; Krishnan, Eswar; van de Laar, Mart A F J
OBJECTIVE: To evaluate and compare the measurement precision and sensitivity to change of the Health Assessment Questionnaire disability index (HAQ DI), the Short Form 36 physical functioning scale (PF-10), and simulated Patient-Reported Outcomes Measurement Information System (PROMIS) physical
Ward, Joe H., Jr.; And Others
An overview is presented of the procedure for offering jobs in the Air Force Procurement Management Information System (PROMIS), an assignment system which makes possible the use of human resources research findings to improve individual personnel assignments. A general framework for viewing personnel assignment systems is presented; then job…
Recently, the string cosmology has received considerable attention in the ... require a quantum theory of gravity, for which string theory seems to be the most promis- ..... where d2 is a constant of integration, which is taken as unity without the loss of ..... The solutions present interesting features in the presence of vis-.
Mar 29, 2018 ... (a–d) Top and side views of the optimum structure of anatase TiO2 (001) surfaces adsorbing a single Li .... Rate capability is an important requirement for a promis- .... tific Research Foundation of Hunan Provincial Education.
Apr 8, 2016 ... its absence) in both his paintings and in his prison memoir, The True Confessions of an Albino Terrorist (1984). While Saayman makes a promis- ing case for an oeuvre-wide reading of. Breytenbach's creative output, her own reading lacks depth and insight. Whereas the book argues that different genres ...
PCBs were used extensively in school building materials (caulk and lighting fixture ballasts) during the approximate period of 1950-1978. Most of the schools built nationwide during this period have not had indoor air sampling conducted for PCBs. Passive air sampling holds promi...
Dragsted, Lars Ove; Gao, Qian; Scalbert, Augustin
Biomarkers of food intake (BFIs) are a promising tool for limiting misclassification in nutrition research where more subjective dietary assessment instruments are used. They may also be used to assess compliance to dietary guidelines or to a dietary intervention. Biomarkers therefore hold promis...
Psychometric evaluation of the pediatric and parent-proxy Patient-Reported Outcomes Measurement Information System and the Neurology and Traumatic Brain Injury Quality of Life measurement item banks in pediatric traumatic brain injury.
Bertisch, Hilary; Rivara, Frederick P; Kisala, Pamela A; Wang, Jin; Yeates, Keith Owen; Durbin, Dennis; Zonfrillo, Mark R; Bell, Michael J; Temkin, Nancy; Tulsky, David S
The primary objective is to provide evidence of convergent and discriminant validity for the pediatric and parent-proxy versions of the Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety, Depression, Anger, Peer Relations, Mobility, Pain Interference, and Fatigue item banks, the Neurology Quality of Life measurement system (Neuro-QOL) Cognition-General Concerns and Stigma item banks, and the Traumatic Brain Injury Quality of Life (TBI-QOL) Executive Function and Headache item banks in a pediatric traumatic brain injury (TBI) sample. Participants were 134 parent-child (ages 8-18 years) days. Children all sustained TBI and the dyads completed outcome ratings 6 months after injury at one of six medical centers across the United States. Ratings included PROMIS, Neuro-QOL, and TBI-QOL item banks, as well as the Pediatric Quality of Life inventory (PedsQL), the Health Behavior Inventory (HBI), and the Strengths and Difficulties Questionnaire (SDQ) as legacy criterion measures against which these item banks were validated. The PROMIS, Neuro-QOL, and TBI-QOL item banks demonstrated good convergent validity, as evidenced by moderate to strong correlations with comparable scales on the legacy measures. PROMIS, Neuro-QOL, and TBI-QOL item banks showed weaker correlations with ratings of unrelated constructs on legacy measures, providing evidence of discriminant validity. Our results indicate that the constructs measured by the PROMIS, Neuro-QOL, and TBI-QOL item banks are valid in our pediatric TBI sample and that it is appropriate to use these standardized scores for our primary study analyses.
Ow, Yen Ling Mandy; Thumboo, Julian; Cella, David; Cheung, Yin Bun; Yong Fong, Kok; Wee, Hwee Lin
To identify health-related quality of life (HRQOL) domains of importance to multiethnic Asian systemic lupus erythematosus (SLE) patients, to identify content gaps in existing SLE-specific HRQOL measures, and to determine whether the Patient-Reported Outcomes Measurement Information System (PROMIS) item banks could serve as a core set of questions for HRQOL assessment among SLE patients. English-speaking patients with physician-diagnosed SLE from a specialist clinic in a tertiary care hospital in Singapore and a patient support group were recruited. Thematic analysis was performed to distill themes from transcripts through open coding by 2 independent coders and axial coding for refinement of categories. Items from 3 existing SLE-specific measures and PROMIS Version 1.0 Item Banks were compared with identified subthemes. Twenty-seven female and 2 male participants (21 Chinese, 4 Malay, 3 Indian, 1 other) ages 23-62 years participated in 6 focus groups and 2 individual interviews, respectively. Twenty-one domains and 92 subthemes were identified. Domains of family, relationships, stigma and discrimination, and freedom were unaddressed by existing SLE-specific measures. Forty subthemes from 14 domains were addressed by the PROMIS Version 1.0 Item Banks (Physical Function, Pain, Fatigue, Sleep Disturbance, Sleep-Related Impairment, Anger, Anxiety, and Depression banks). Family and stigma and discrimination (identified as content gaps) may be accentuated in the Asian sociocultural context. PROMIS item banks have tremendous potential to serve as a core set of items for HRQOL assessment in SLE patients. Additional items may be written to fill the gaps in existing PROMIS item banks. Copyright © 2011 by the American College of Rheumatology.
Most scientists think of science as completely objective, but lab studies by social scientists - including several carried out in nanotechnology labs - suggest that it is more subjective than many scientists realize. Chris Toumey looks at the results of these studies.
Valme, Valner, 1970-
Uutest plaatidest David Guetta "Just A Little More Love", Bond "Shine", Chris de Burgh "Timing Is Everything...", Diana Krall "Live In Paris", Richard Ascroft "Human Conditions", Rein Laaneorg "Teine elu", Leaves "Breathe", Derek Trucks Band "Jouful Noise"
California Natural Resource Agency — This dataset was developed by Chris Stermer (CDFG - RAP Program). No original metadata were located, but the following is an abstract from a document describing the...
IX Pimedate Ööde Filmifestivali alafestival "Animated Dreams" ja seal esinevad külalised : tšehhi animaator Michaela Pavlatova, Chris J. Robinson Kanadast, Anna Doyle Suurbritanniast. Lisatud animafestivali ajakava
Üheksakorruseline ristkihtpuitpaneelidest korterelamu Londonis. Arhitektid: Sophie Goldhill, Chris Gray, Kristen Haggart, Andrew Waugh arhitektuuribüroost Waugh Thistleton. Konstruktorid: Megan Yates, Matthew Linegar, Bruno Dujič. Ristlamineeritud puitpaneelid valmistas Austria firma KLH
Karajev, Nikolai, 1978-
Vastukajasid J.K. Rowling'u Harry Potteri lugudele, kuna ekraanile jõuab teine nende ekraniseering "Harry Potter ja saladuste kamber" ("Harry Potter and the Chamber of Secrets") : režissöör Chris Columbus
Sept 26, 2016. Chris Lukas, the Special Agent in Charge of the Electronic Crimes Division within the OIG's Office of Investigations talks about computer forensics, cybercrime in the EPA and his division's role in criminal investigations.
The relationship between humans and technology is often viewed as a debate between technophobes who oppose technology, irrespective of its benefits, and technophiles who think that all technology is good. Chris Toumey prefers the cyborg point of view.
of Silicon Valley venture capital and the world of global development, policy, and governmental change. Chris will discuss using data, science, and failure to drive investment and development decisions, as well as issues in developing good companies
Chris O'Connelli "Auto" Vanemuises, lavastaja Mark Babych. Etendusele tegid muusika ansamblist Bizarre tuntud muusikud Tristan Priimägi ja Lauri Liivak, kes artiklis sellest räägivad. Esietendus 2. detsembril 2000
ment reliable financial transactions by banks and other finan- cial institutions ..... we meet influence all of us, and John was definitely a role model for many of us. ..... Chris Lynch, Former President and Chief Executive Officer of Vertica Systems.
Martson, Ilona, 1970-
Eile oli Londonis Joanne Rowling'u lasteraamatu "Harry Potter ja Tarkade kivi" ekraniseeringu esilinastus. Selle 125 miljonit dollarit maksnud USA filmi režissöör on Chris Columbus ja peaosas 12-aastane Daniel Radcliff
Mikiver, Ilmar, 1920-2010
Euroopa Liidu ja NATO koostöö USA-ga terrorivastases võitluses on paremaks muutunud, sellest annab tunnistust Euroopa Komitee esimehe Romano Prodi ja Euroliidu välisasjade peavoliniku Chris Patteni ühisdeklaratsioon Euroopa kaasvastutusest
Beyrer, Chris; Makofane, Keletso; Orazulike, Ifeanyi; Diouf, Daouda; Baral, Stefan D
Chris Beyrer and colleagues reflect on an underappreciated trend in multiple African, Asian, and Caribbean settings, in which the provision of HIV and other essential health services for sexual and gender minorities is expanding despite challenging legal and social environments.
Haav, Margus, 1969-
Uutest heliplaatidest Def Räädu "Succiety", Sepeltura "The BEst Of", "Reich Remixed", Chris Rea "The Road To Hell & Back", Solveig Slettahjell "Good Rain", The Fratellis "Costello Music", Siouxsie And The Banshees "VoicesOn The Air"
Inglise jazzsaksofonisti Courtney Pine heliplaadi "Resistance" esitluskontserdist 15. dets. Rock Cafés Tallinnas. Inglise laulja Chris Norman läti ansamblitega üritusel "Hansa disco night Nr.4" 9. dets. Kipsala Hallis Riias
and data recording throughout his career. From earthquake, radiation and process monitoring through to live and studio sound recording, cinema ...Mr Chris French and Ms Alicia Malter for undertaking the preliminary structural design and drafting of the trials superstructure. UNCLASSIFIED
Peegel, Mari, 1978-
Uutest heliplaatidest Neil Tennant/Chris Lowe "Battleship Potemkin", Institute "Distort Yourself", Bob Dylan "No Direction Home", Jem "Finally Woken", Machine Men "Elegies", Jamie Cullum "Catching Tales", Bloodhound Gang "Hefty Fine"
..., Manager/Member. Application Type: New NVO & OFF License. Hospitality Logistics International LLC (NVO...), 11690 NW. 105th Street, Law 4W, Miami, FL 33178. Officers: Chris Merritt, Vice President (QI), John H...
version checklist was used to assess the impairments, activity limitations and participation restrictions experienced by a sample of HIV-positive in-patients admitted to Chris Hani Baragwanath Hospital in Johannesburg, South Africa. Laboratory ...
... Advisory Committee meetings are open to the public. Interested citizens are encouraged to attend. The... meeting to Chris Strebig, Public Affairs Specialist, at (360) 891-5005, or write to Forest Headquarters...
Nijland, R.; Kik, C.
Chris Kik van de Wageningse genenbank reisde door de zuidelijke Kaukasus om het zaad van wilde spinazie te verzamelen. Veredelingsbedrijven wachtten gretig op zijn terugkeer; zij zitten te springen om vers bloed voor de spinazieteelt.
Aastalõpus Eestis linastuvatest põnevusfilmidest tutvustavalt: Euroopa filmide valik Tallinnfilmi kinodes, James Cameroni "Avatar", Chris Weitz'i "Videviku saaga: Noorkuu", Terry Gilliami "Doktor Parnassuse Imaginaarium" ja Guy Ritchie "Sherlock Holmes"
Joanne Rowling'u lasteraamatu "Harry Potter ja Tarkade kivi" ekraniseeringu esilinastus Eestis on 21. detsembril Coca-Cola Plazas. Selle USA filmi režissöör on Chris Columbus ja peaosas 12-aastane Daniel Radcliffe
The use of silver nanoparticles to clean clothes and the use of magnetite nanoparticles to clean water provide contrasting illustrations of the potential environmental consequences of nanotechnology, as Chris Toumey explains.
Ethical questions arising from biotechnology first, then nanotechnology, and synthetic biology now, present common features, but as Chris Toumey explains, the scientific and ethical issues arising in each case should be treated individually.
Uutest plaatidest Chris De Burgh "Quiet Revolution", Travis "The MAn Who", Helloween "Metal Jukebox", Barbara Streisand "A Love Like Ours", Air "Premiers Symptomes", "Love Parade 1999 Music Is Tehe Key"
Children's Hospital and 48% at Chris Hani Baragwanath Academic. Hospital. ... pulmonary pathology, although primary or idiopathic PPHN also occurs. ..... Baquero H, Soliz A, Neira F, Venegas ME, Sola A. Oral sildenafil in Neonates with.
the USA and Europe only 23% of individuals presenting with COPD were accurately ... Senior Consultant, Chris Hani Baragwanath Hospital, University of the Witwatersrand, Johannesburg. Andrew ... recession of the lower ribs on inspiration.
Vene režissööri loomigulistest seisukohtadest seoses tema filmide retrospektiiviga Tallinna Kinomajas ja dokumentaalfilmiga "Üks päev Andrei Tarkovski elus" ( Prantsusmaa, režissöör Chris Marker) ETVs
Arhitektuuri ja disaini veebiportaali Architonic salong Kölni mööblimessil. Projekteerija: LAVA (Laboratory for Visionary Architecture, Stuttgart, Sydney). Arhitektid: Tobias Wallisser, Chris Bosse. Loov meeskond: Kadri Kaldam, Stephan M. Albrecht, Kristof Gavrielides
Brain injuries can happen in a car, at home, on the playground, or while playing sports; they can result in severe disability and even death. In this podcast, Dr. Chris Taylor discusses the dangers of brain injuries.
25 Aug 2015 ... Author: Chris van der Walt1. Affiliation: ... Een van die bekendste uitdrukkings wat met vrede geassosieer word, is: 'Swords into ploughshares' .... interpersoonlike verhoudings (Jos 9:15) ..... hulle nie haastig hoef te vertrek nie.
Mapping water use and drought with satellite remote sensing. Martha C. Anderson, Bill Kustas, Feng Gao, Kate Semmens. USDA-Agricultural Research Service Hydrology and Remote Sensing Laboratory, Beltsville, MD. Chris Hain NOAA-NESDIS
Chris Frost Media Ethics and Self Regulation, reviewed by Michael Foley Damien Kiberd (ed.) Media in Ireland: The Search for Ethical Journalism, reviewed by David Quin Peter Mason and Derrick Smith Magazine Law: A Practical Guide, reviewed by Eavan Murphy
Vickerstaff, Sarah; Phillipson, Chris; Wilkie, Ross
... has been requested. ISBN 978 1 84742 808 0 hardback The rights of Sarah Vickerstaff, Chris Phillipson and Ross Wilkie to be identified as editors of this work has been asserted by them in accordance wit...
Dec 16, 2016 ... between Yoruba and Irish culture. ... is based was funded by a Government of Ireland Postgraduate Scholarship from the Irish ... work, and as a British Caucasian I was a cultural outsider. My identity as a Pentecostal Chris-.
Kanadalane Chris J. Robinson esitles Viru keskuses Rahva Raamatu poes oma Varraku kirjastuse vahendusel 2003.a. ilmunud raamatut "Between Genius & Utter Illiteracy : A Story of Estonian Animation", mis on eesti animatsiooni ajalugu, mille kirjutamiseni eestlased pole veel jõudnud
Tuumalu, Tiit, 1971-
Chris Robinsoni raamat eesti animafilmidest "Between genius & utter illiteracy : a story of Estonian animation", mille andis välja kirjastus Varrak. Ka Janno Põldma ja Jaan Ruusi arvamused raamatu kohta
PÖFFi alafestivalist "Animated Dreams", mille raames toimub Ottawa animafilmide festivali kunstilise juhi Chris J. Robinsoni raamatu "Between Genius and Utter Illiteracy : a Story of Estonian Animation" esitlus
Intriigidest Venemaa kinoladvikus, mille tulemusena saadetakse Venemaalt Oscarit "püüdma" erapoolikult valitud sugugi mitte parim film. Ka selle aastasest Oscari-gala juhi Chris Rock'i solvavast käitumisest ürituse eel
0300 hours (Zulu) somewhere north of Baghdad Major Chris Foster, call sign BACH-21, was flying a CAP mission supporting two flights of Air Guard F-16s attacking an Iraqi armor division retreating south towards Baghdad...
... 3, 2007 from Keith F. Higgins, Chair, Committee on Federal Regulation of Securities, American Bar.... Cernocky (``Cernocky Letter''); letter dated May 11, 2012 from Chris Barnard (``Barnard Letter''); letter...
... are Double H, L.P.; James T. Hansen; Linda L. Hansen; George W. Higgins; and Edith M. Higgins. The... their original terms. Dated: June 27, 2013. Chris D. Field, Manager, Emergency Management Program, U.S...
... CONTACT: David Meister, Director, Division of Enforcement, 202-418-5624, or Mark D. Higgins, Counsel... and NPRA at page 11. \\65\\ API and NPRA at page 23. Mr. Chris Barnard (``Barnard'') believes the...
... money market fund boards''); letter dated Sep. 12, 2008 from Keith F. Higgins, Chair, Committee on... 1934, 76 FR at 26566. \\53\\ Id. \\54\\ See letter dated Jun. 6, 2011 from Chris Barnard (the ``Barnard...
R, Virginia Commonwealth University Dr. Chris Giza, Professor of Pediatric Neurology and Neurosurgery, UCLA Brain Injury Research Center October...Sara Higgins , MPH Analyst, Grant Thornton LLP Kendal Brown, MBA Management Analyst, Information Innovators, Inc. Margaret Welsh Management
Durling, David; Barker, Philip; Jacobs, Gabriel; Milton, James; Ward, Robert
Researching into Teaching Methods in Colleges and Universities by Clinton Bennett, Lorraine Foreman‐Peck and Chris Higgins, London: Kogan Page, 1996. ISBN: 0–7494–1768–4, 136 (+ vii) pages, paperback. £14.99.
... name, title, firm name, address, telephone, and fax number) to [email protected] . Persons without access to the Internet can call Chris Moser or Lori Benner at 301-796-1300 to register. Persons needing a...
Comparison between preoperative biopsy and post-excision histology results in sarcoma: Experience at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa. KG Panda, MJ Hale, D Kruger, TE Luvhengo ...
Feldmanis, Andris, 1982-
Vestern "Melquiades Estrada kolm matust" ("The Three Burials of Melquiades Estrada") : stsenarist Guillermo Arriaga : režissöör ja osatäitja Tommy Lee Jones : operaator Chris Menges : Ameerika Ühendriigid, 2005
Funk, Karlo, 1971-
IV Pimedate Ööde Filmifestivali filmidest : "Olles John Malkovich" ("Being John Malkovich") : režissöör Spike Jonze ja dokumentaalfilm "Ameerika film" ("American Movie") : režissöör Chris Smith
Full Text Available Peer reviewed introduction to the Special Issue on Global Climate Change Policy: Post-Copenhagen Discord, guest edited by Chris Riedy and Ian M. McGregor, University of Technology, Sydney.
based and size-based estimates is able to accurately plan, launch, and execute on schedule. Bob Sinclair, NAWCWD Chris Rickets , NAWCWD Brad Hodgins...Office by Carnegie Mellon University. SMPSP and SMTSP are service marks of Carnegie Mellon University. 1. Rickets , Chris A, “A TSP Software Maintenance...Life Cycle”, CrossTalk, March, 2005. 2. Koch, Alan S, “TSP Can Be the Building blocks for CMMI”, CrossTalk, March, 2005. 3. Hodgins, Brad, Rickets
12. II viidi TÜ raamatukogus läbi Chris Halesi (Inglismaa) ja Teijo Pellineni (Soome) juhtimisel show "Cause and Effect". 13. II Tartu Kunstimajas seminar "Interaktiivne narratiiv ja digitaalne film", kus esinevad Chris Hales, Morten Schjudt (Taani) ja Klaas Kuitenbrouwer (Holland). Korraldaja: Tartu Kõrgema Kunstikooli meedia- ja reklaamikunsti osakond. Avatakse kõrgema kunstikooli üliõpilaste interaktiivse filmi projektide näitus "In-Cinema"
Parnarouskis, M.C.; Flessner, M.F.; Potts, R.G.
The Chemical Hazards Response Information System (CHRIS) has been specifically designed to meet the emergency needs of US Coast Guard field personnel, currently providing them with information on 900 hazardous chemicals, with methods of predicting hazards resulting from accidental discharges, and with procedures for selecting and implementing response to accident discharges. The major components of CHRIS and the computerized hazard assessment models within the Hazard Assessment Computer System are described in detail.
could be misdirected without the wise guidance of Amela and Chris , my advisors. Thank you, Amela, for all your time, dedication, patience, and...valuable advice, even during your vacations. Thank you, Chris , for presenting me with otherwise hard subjects of modeling and simulation in such a didactic...behavior (Bandura, 1986). According to Compeau and Higgins (1995), self-efficacy can influence the learner’s choice about the behavior to undertake, effort
Stensel, Donnie Stallman, Urv Patel, Matthew Higgins , Ambalavanan Jayaraman, Gokhan Alptekin, Steve Dietz, Matthew Cates, and Kerry Libberton 5d. PROJECT...Mark Schmidt, Mr. Chris Simpson, Ms. Tina Springer, Mr. Dan Stewart, Professor Don Veverka, Ms. Corine Weiss, Mr. Gerald Williams, and Capt. Frank...Smith were involved in this demonstration including Ms. Janelle Amador, Mr. Chris Avina, Mr. Cameron Clark, Mr. Cale McPherson, Mr. Tyler Miller, Ms
MATHEMATICS from the NAVAL POSTGRADUATE SCHOOL December 2014 Randy Boucher Approved By: Wei Kang Professor Chris L. Frenzen Professor Department of...also to the members of my committee: Dr. Frank Giraldo, Dr. Chris Frenzen, Dr. Mike Ross and Dr. Arthur Krener. Each of you planted great seeds of...Louis Lions, Universite Paris, Paris, France, Oct. 2005.  J. R. Higgins , Completeness and Basis Properties of Sets of Special Functions. Cam
14 Chris Giles and Stefan Wagstyl, “IMF Warns of Third Eurozone Recession Since Finan- cial Crisis,” Financial Times, October 8, 2014. 15 Ulrich...Jones, and Kathrin Hille, “Russian Air Incursions Rattle Baltic States,” Financial Times, September 25, 2014. 25 Andrew Higgins , “Tensions Surge in...Opening of the Munich Security Conference, January 31, 2014. Giles, Chris , and Stefan Wagstyl, “IMF Warns of Third Eurozone Recession Since Financial
56 According to Chris Looney, writing for Syria Comment: Its hostility towards minority groups, draconian legal system, and brutal repression of...Council on Foreign Relations, Washington, DC. Higgins , Eliot. Brown Moses blog, brown-moses.blogspot.com/. Institute for the Study of War, Washington...syrian-war/. 57. See www.joshualandis.com/blog/al-qaedas-governance-strate- gy-raqqa- chris -looney/. 58. Norman Benotman and Roisin Blake, Jabat al-Nusra
German Double Track Lines) (HATCHED - Narrow Gauge Trench Rails) (Figure 2.1 Reprinted with permission from Chris Baker “The German Retreat to the...The First World War: Germany and Austria-Hungary, 1914-1918, 331. 157 Chris Baker, "Extract From the War Diary of 118 Siege Battery RGA," http...combustion engine to develop landing craft to move troops from transport ships to the beaches. The famed Higgins boat was the accomplice to this
Mellema, Jos J; O'Connor, Casey M; Overbeek, Celeste L; Hageman, Michiel G; Ring, David
Patients and surgeons can feel uncomfortable discussing coping strategies, psychological distress, and stressful circumstances. It has been suggested that patient-reported outcome measures (PROMs) facilitate the discussion of factors associated with increased symptoms and disability. This study assessed the effect of providing feedback to patients regarding their coping strategy and illness behavior on patient satisfaction and patient-physician communication in orthopedic surgery. In a prospective study, 136 orthopedic patients were randomly assigned to either receive feedback about the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference computer-adaptive test (CAT) prior to the visit with the hand surgeon or not. The primary outcome was patient satisfaction with the consultation and secondary outcomes involved patient-physician communication. Bivariate and multivariable analyses were performed to determine the influence of the feedback on patient satisfaction and communication. There was no significant difference in patient satisfaction between patients who received feedback and patients who did not (P = 0.70). Feedback was associated with more frequent discussion of coping strategies (P = 0.045) in bivariate analysis but was not independently associated: in multivariable analysis, only PROMIS Pain Interference CAT and age were identified as independent predictors (odds ratio (OR) 1.1; 95 % confidence interval (CI) 1.0-1.1, P = 0.013, and OR 0.97, 95 % CI 0.94-0.99, P = 0.032, respectively). No factors were associated with discussion of stressors. Discussion of circumstances was independently associated with increased PROMIS Pain Interference CAT, marital status, and work status. We found that feedback regarding coping strategies and illness behavior using the PROMIS Pain Interference CAT did not affect patient satisfaction. Although feedback was associated with increased discussion of illness behavior in bivariate
Il existe encore des défis importants à relever afin de garantir que les populations les plus vulnérables, y compris les femmes, les enfants et les adolescents, puissent vivre en bonne santé et profiter du mieux-être promis dans les Objectifs de développement durable. Leurs mauvaises conditions de santé sont souvent ...
Tulsky, David S; Kisala, Pamela A; Kalpakjian, Claire Z; Bombardier, Charles H; Pohlig, Ryan T; Heinemann, Allen W; Carle, Adam; Choi, Seung W
To develop a calibrated spinal cord injury-quality of life (SCI-QOL) item bank, computer adaptive test (CAT), and short form to assess depressive symptoms experienced by individuals with SCI, transform scores to the Patient Reported Outcomes Measurement Information System (PROMIS) metric, and create a crosswalk to the Patient Health Questionnaire (PHQ)-9. We used grounded-theory based qualitative item development methods, large-scale item calibration field testing, confirmatory factor analysis, item response theory (IRT) analyses, and statistical linking techniques to transform scores to a PROMIS metric and to provide a crosswalk with the PHQ-9. Five SCI Model System centers and one Department of Veterans Affairs medical center in the United States. Adults with traumatic SCI. Spinal Cord Injury--Quality of Life (SCI-QOL) Depression Item Bank Individuals with SCI were involved in all phases of SCI-QOL development. A sample of 716 individuals with traumatic SCI completed 35 items assessing depression, 18 of which were PROMIS items. After removing 7 non-PROMIS items, factor analyses confirmed a unidimensional pool of items. We used a graded response IRT model to estimate slopes and thresholds for the 28 retained items. The SCI-QOL Depression measure correlated 0.76 with the PHQ-9. The SCI-QOL Depression item bank provides a reliable and sensitive measure of depressive symptoms with scores reported in terms of general population norms. We provide a crosswalk to the PHQ-9 to facilitate comparisons between measures. The item bank may be administered as a CAT or as a short form and is suitable for research and clinical applications.
Cohen, Matthew L; Kisala, Pamela A; Dyson-Hudson, Trevor A; Tulsky, David S
To develop modern patient-reported outcome measures that assess pain interference and pain behavior after spinal cord injury (SCI). Grounded-theory based qualitative item development; large-scale item calibration field-testing; confirmatory factor analyses; graded response model item response theory analyses; statistical linking techniques to transform scores to the Patient Reported Outcome Measurement Information System (PROMIS) metric. Five SCI Model Systems centers and one Department of Veterans Affairs medical center in the United States. Adults with traumatic SCI. N/A. Spinal Cord Injury - Quality of Life (SCI-QOL) Pain Interference item bank, SCI-QOL Pain Interference short form, and SCI-QOL Pain Behavior scale. Seven hundred fifty-seven individuals with traumatic SCI completed 58 items addressing various aspects of pain. Items were then separated by whether they assessed pain interference or pain behavior, and poorly functioning items were removed. Confirmatory factor analyses confirmed that each set of items was unidimensional, and item response theory analyses were used to estimate slopes and thresholds for the items. Ultimately, 7 items (4 from PROMIS) comprised the Pain Behavior scale and 25 items (18 from PROMIS) comprised the Pain Interference item bank. Ten of these 25 items were selected to form the Pain Interference short form. The SCI-QOL Pain Interference item bank and the SCI-QOL Pain Behavior scale demonstrated robust psychometric properties. The Pain Interference item bank is available as a computer adaptive test or short form for research and clinical applications, and scores are transformed to the PROMIS metric.
Lai, Jin-Shei; Hammel, Joy; Jerousek, Sara; Goldsmith, Arielle; Miskovic, Ana; Baum, Carolyn; Wong, Alex W; Dashner, Jessica; Heinemann, Allen W
To develop a measure of perceived systems, services, and policies facilitators (see Chapter 5 of the International Classification of Functioning, Disability and Health) for people with neurologic disabilities and to evaluate the effect of perceived systems, services, and policies facilitators on health-related quality of life. Qualitative approaches to develop and refine items. Confirmatory factor analysis including 1-factor confirmatory factor analysis and bifactor analysis to evaluate unidimensionality of items. Rasch analysis to identify misfitting items. Correlational and analysis of variance methods to evaluate construct validity. Community-dwelling individuals participated in telephone interviews or traveled to the academic medical centers where this research took place. Participants (N=571) had a diagnosis of spinal cord injury, stroke, or traumatic brain injury. They were 18 years or older and English speaking. Not applicable. An item bank to evaluate environmental access and support levels of services, systems, and policies for people with disabilities. We identified a general factor defined as "access and support levels of the services, systems, and policies at the level of community living" and 3 local factors defined as "health services," "community living," and "community resources." The systems, services, and policies measure correlated moderately with participation measures: Community Participation Indicators (CPI) - Involvement, CPI - Control over Participation, Quality of Life in Neurological Disorders - Ability to Participate, Quality of Life in Neurological Disorders - Satisfaction with Role Participation, Patient-Reported Outcomes Measurement Information System (PROMIS) Ability to Participate, PROMIS Satisfaction with Role Participation, and PROMIS Isolation. The measure of systems, services, and policies facilitators contains items pertaining to health services, community living, and community resources. Investigators and clinicians can measure
Nakon uvodnoga poglavlja, koje sažeto predstavlja temeljne teze Derridaovih ranih čitanja Freuda i Lacana, ovaj tekst nastoji ukazati na ulogu što su ju u njegovu kasnijem radu imali Nicolas Abraham i Maria Torok. Introjekcija/inkorporacija, kripta, kriptonimija, transgeneracijska sablast – ključni pojmovi njihove psihoanalize, nastali detaljnom revizijom Freudova koncepta tugovanja – predstavljaju temelj Derridaovim promišljanjima odnosa sablasnoga i tekstualnoga, te tugovanja kao etičkoga p...
Gender linguistics is a cynosure branch within the framework of language sociology and it deals with the effect that the gender, as a variable, has on the creation of lingual diversities. Because a great many of the social-cultural concepts, including gender, are multifaceted, one-dimensional and absolute perceptions of such concepts lead to some sort of superficiality, particularly in research areas. The present article, firstly, deals with the presentation of the notions opined by two promi...
the promi- nent writer, jurisprudent, and preacher, Sheikh Abu - bakar Gummi. Born in the early 1920s, he first made a name for himself as a critic of...contemporary, religious and political. For al- though the Caliphate is now not what it used to be, it still has substance and its leaders, the Sultan ...priest—was the Sultan . Based in Sokoto, he claimed descent from the Prophet Muhammad, an assertion that, rhetorically at least, made both him and
Robson, Joanna C.; Tomasson, Gunnar; Milman, Nataliya; Ashdown, Sue; Boonen, Annelies; Casey, George C.; Cronholm, Peter F.; Cuthbertson, David; Dawson, Jill; Direskeneli, Haner; Easley, Ebony; Kermani, Tanaz A.; Farrar, John T.; Gebhart, Don; Lanier, Georgia; Luqmani, Raashid A.; Mahr, Alfred; McAlear, Carol A.; Peck, Jacqueline; Shea, Beverley; Shea, Judy A.; Sreih, Antoine G.; Tugwell, Peter S.; Merkel, Peter A.
Objective The antineutrophil cytoplasmic antibody–associated vasculitides (AAV) are multiorgan diseases. Patients with AAV report impairment in their health-related quality of life (HRQOL) and have different priorities regarding disease assessment compared with physicians. The Outcome Measures in Rheumatology (OMERACT) Vasculitis Working Group previously received endorsement for a core set of domains in AAV. Two approaches to measure patient-reported outcomes (PRO) were presented at OMERACT 2016. Methods A novel 5-step tool was used to facilitate assessment of the instruments by delegates: the OMERACT Filter 2.0 Instrument Selection Algorithm, with a red-amber-green checklist of questions, including (1) good match with domain (face and content validity), (2) feasibility, (3) do numeric scores make sense (construct validity)?, (4) overall ratings of discrimination, and (5) can individual thresholds of meaning be defined? Delegates gave an overall endorsement. Three generic Patient-Reported Outcomes Measurement Information System (PROMIS) instruments (fatigue, physical functioning, and pain interference) and a disease-specific PRO, the AAV-PRO (6 domains related to symptoms and HRQOL), were presented. Results OMERACT delegates endorsed the use of the PROMIS instruments for fatigue, physical functioning, and pain interference (87.6% overall endorsement) and the disease-specific AAV-PRO instrument (89.4% overall endorsement). Conclusion The OMERACT Vasculitis Working Group gained endorsement by OMERACT for use of the PROMIS and the AAV-PRO in clinical trials of vasculitis. These instruments are complementary to each other. The PROMIS and the AAV-PRO need further work to assess their utility in longitudinal settings, including their ability to discriminate between treatments of varying efficacy in the setting of a randomized controlled trial. PMID:28864650
Tafernaberry, Gabriela; Otero, Gabriela; Agorio, Caroline; Dapueto, Juan J
Chronic venous ulcers (CVU) represent a frequent condition, with difficult therapeutic approaches, that impact on patients quality of life, and generate an economic burden to patients and health systems. To perform the cultural adaptation and initial evaluation of the Charing Cross Venous Ulcer Questionnaire (CCVUQ) for Uruguay, and to study the health-related quality of life (HRQL) of patients with CVU. The translated and culturally adapted version of the CCVUQ was applied to a convenience sample of 50 patients. In addition, the PROMIS Global Health Survey was included in the assessment. Both questionnaires showed good internal consistency (Cronbach alfa > 0.70). A statistically significant association was observed between the CCVUQ total scores, its subscales and both dimensions of the PROMIS: Global Physical (GPH) and Global Mental Health (GMH) (rho ≥ 0.40). The CCVUQ mean score was 54.9 ± 42 points while GPH and GMH mean scores were 37.9 ± 29 points, and 43.1 ± 35.1 points respectively. Simple linear regression showed that patients with higher income reported better emotional well-being, while in younger patients, ulcers had a higher impact on Emotional Status and Cosmetics. The translated and adapted version of the CCVUQ was easy to comprehend and apply, showing good psychometric properties. When used in association with the PROMIS Global Health Measure it provides complementary information. HRQL was severely affected in the study sample.
Oude Voshaar, Martijn Ah; Ten Klooster, Peter M; Taal, Erik; Krishnan, Eswar; van de Laar, Mart Afj
Patient-reported physical function is an established outcome domain in clinical studies in rheumatology. To overcome the limitations of the current generation of questionnaires, the Patient-Reported Outcomes Measurement Information System (PROMIS®) project in the USA has developed calibrated item banks for measuring several domains of health status in people with a wide range of chronic diseases. The aim of this study was to translate and cross-culturally adapt the PROMIS physical function item bank to the Dutch language and to pretest it in a sample of patients with arthritis. The items of the PROMIS physical function item bank were translated using rigorous forward-backward protocols and the translated version was subsequently cognitively pretested in a sample of Dutch patients with rheumatoid arthritis. Few issues were encountered in the forward-backward translation. Only 5 of the 124 items to be translated had to be rewritten because of culturally inappropriate content. Subsequent pretesting showed that overall, questions of the Dutch version were understood as they were intended, while only one item required rewriting. Results suggest that the translated version of the PROMIS physical function item bank is semantically and conceptually equivalent to the original. Future work will be directed at creating a Dutch-Flemish final version of the item bank to be used in research with Dutch speaking populations.
Milette, Katherine; Hudson, Marie; Körner, Annett; Baron, Murray; Thombs, Brett D
SSc is a rare autoimmune CTD characterized by thickening and fibrosis of skin and internal organs. There is significant mortality and no cure. Sleep disturbance has been identified as an important contributor to poor quality of life. The objective was to investigate socio-demographic and medical factors potentially associated with sleep disturbance in SSc. The sample consisted of patients from the Canadian Scleroderma Research Group's (CSRG) 15-centre, pan-Canadian Registry assessed with the 8-item Patient-Reported Outcome Measurement Information System (PROMIS) sleep disturbance scale short form, version 1.0. Pearson's correlations were used to assess bivariate association of socio-demographic and medical variables with PROMIS sleep scores. The independent association of PROMIS sleep disturbance scores and factors previously identified as associated with sleep disturbance in the general population, in SSc and other rheumatic diseases, was assessed using multiple linear regression. Among 397 patients in the study (88% female, mean age 57.5 years), 25% (n = 98) had diffuse cutaneous SSc. Mean duration since onset of non-RP symptoms was 10.6 years. Number of gastrointestinal symptoms (standardized regression coefficient β = 0.19, P = 0.001), pain severity (β = 0.21, P sleep disturbance. Gastrointestinal symptoms, pain and pruritus were associated with sleep disturbance in SSc. Additional research is needed on sleep in SSc so that well-informed sleep interventions can be developed and tested.
Sturgeon, John A; Dixon, Eric A; Darnall, Beth D; Mackey, Sean C
Individuals with chronic pain show greater vulnerability to depression or anger than those without chronic pain, and also show greater interpersonal difficulties and physical disability. The present study examined data from 675 individuals with chronic pain during their initial visits to a tertiary care pain clinic using assessments from Stanford University's Collaborative Health Outcomes Information Registry (CHOIR). Using a path modeling analysis, the mediating roles of Patient-Reported Outcomes Measurement Information Systems (PROMIS) Physical Function and PROMIS Satisfaction with Social Roles and Activities were tested between pain intensity and PROMIS Depression and Anger. Pain intensity significantly predicted both depression and anger, and both physical function and satisfaction with social roles mediated these relationships when modeled in separate 1-mediator models. Notably, however, when modeled together, ratings of satisfaction with social roles mediated the relationship between physical function and both anger and depression. Our results suggest that the process by which chronic pain disrupts emotional well-being involves both physical function and disrupted social functioning. However, the more salient factor in determining pain-related emotional distress seems to be disruption of social relationships, than global physical impairment. These results highlight the particular importance of social factors to pain-related distress, and highlight social functioning as an important target for clinical intervention in chronic pain.
Sir Chris Llewellyn Smith Lyn Evans British CERN personalities were rewarded for their contribution to physics in this year's prestigious New Year Honours. Chris Llewellyn Smith, Director General from 1994 to 1998, was knighted for services to particle physics. 'The citation, 'for services to particle physics', obviously includes my period at CERN. The honour therefore recognises the work of everyone at CERN, including particularly the contributions of those who worked with me in the Directorate and the Management Board', said Sir Chris. Lyn Evans, Director of the LHC project, was awarded the CBE, Commander of the British Empire, for services to accelerator physics. Erwin Gabathuler, Director of Research from 1981 to 1983 was awarded the OBE, Officer of the British Empire, for services to physics.
Measurement Equivalence of the Patient Reported Outcomes Measurement Information System® (PROMIS®) Pain Interference Short Form Items: Application to Ethnically Diverse Cancer and Palliative Care Populations.
Teresi, Jeanne A; Ocepek-Welikson, Katja; Cook, Karon F; Kleinman, Marjorie; Ramirez, Mildred; Reid, M Carrington; Siu, Albert
Reducing the response burden of standardized pain measures is desirable, particularly for individuals who are frail or live with chronic illness, e.g., those suffering from cancer and those in palliative care. The Patient Reported Outcome Measurement Information System ® (PROMIS ® ) project addressed this issue with the provision of computerized adaptive tests (CAT) and short form measures that can be used clinically and in research. Although there has been substantial evaluation of PROMIS item banks, little is known about the performance of PROMIS short forms, particularly in ethnically diverse groups. Reviewed in this article are findings related to the differential item functioning (DIF) and reliability of the PROMIS pain interference short forms across diverse sociodemographic groups. DIF hypotheses were generated for the PROMIS short form pain interference items. Initial analyses tested item response theory (IRT) model assumptions of unidimensionality and local independence. Dimensionality was evaluated using factor analytic methods; local dependence (LD) was tested using IRT-based LD indices. Wald tests were used to examine group differences in IRT parameters, and to test DIF hypotheses. A second DIF-detection method used in sensitivity analyses was based on ordinal logistic regression with a latent IRT-derived conditioning variable. Magnitude and impact of DIF were investigated, and reliability and item and scale information statistics were estimated. The reliability of the short form item set was excellent. However, there were a few items with high local dependency, which affected the estimation of the final discrimination parameters. As a result, the item, "How much did pain interfere with enjoyment of social activities?" was excluded in the DIF analyses for all subgroup comparisons. No items were hypothesized to show DIF for race and ethnicity; however, five items showed DIF after adjustment for multiple comparisons in both primary and sensitivity
its_time_to_create_a_megacities_combat_unit_110717.html. 47 Steve Krippel and Chris Ricci, “The Stryker Brigade Combat Team: America’s Early Entry Force,” Infantry, July...vehicles to transport the large amounts of equipment to do their job , which is to fight dismounted in complex terrain. Light infantry is necessary...2015_National_Military_Strategy.pdf. Krippel, Steve , and Chris Ricci. “The Stryker Brigade Combat Team: America’s Early Entry Force.” Infantry, July-September 2014
Architecture as civilizing ideal - The inspired modernism of A.H. Wegerif Ahazuerus Hendrikus (Henk) Wegerif was born in Apeldoorn on 13th of April 1888, the son of Gerrit Wegerif and Elsje Breman. Both his father and grandfather were building contractors, as was his paternal uncle, Chris Wegerif. This versatile man in particular had a great influence on Henk Wegerif’s spiritual development. Around 1900, Chris Wegerif, co-founder of the Hague art shop ‘Arts and Crafts’, and his wife Agathe Gr...
This work offers a summary of the book: « Google+ for business: How Google's Social Network Changes Everything » by Chris Brogan.Summary of the ideas in Chris Brogan's book « Google+ for business » highlights that the social network created by Google now has lore than 175 million users and is tied to the largest search engines in the world. Therefore, Google+ could end up being the best online business building tool ever developed. So if you can master using Google+ today, you will be well positioned for what happens in the future as Google, YouTube and others continue to bring new developmen
Uutest singlitest : Urban Species "Woman", Cesaria Evora "Sangue De Beirona (remix de Francois K)", Catatonia "Strange Glue", Chris Isaak "Please", Echobeatz "Mas Que Nada", Morcheeba "Blindfold", Chris Rea "Sweet Summer Day", 187 Lockdown "The Don", Bebe Winars "Stay/Thank You", Embrace "My Weakness Is None Of Your Business", Goo Goo Dolls "Iris" ja ameerika popi plaatidest Better Than Ezra "How Does Your Garden Grow?", Barenaked Ladies "Stunt", The Uninvited "The Uninvited, Lilys "Better Can't Make Your Life Better", CIV "Civ", Hootie & The Blowfish "Musical Chairs"
* 5th Edition of best-selling After Effects book by renowned authors Trish and Chris Meyer covers the important updates in After Effects CS4 and CS5 * Covers both essential and advanced techniques, from basic layer manipulation and animation through keying, motion tracking, and color management * Companion DVD is packed with project files for version CS5, source materials, and nearly 200 pages of bonus chapters Trish and Chris Meyer share over 17 years of hard-earned, real-world film and video production experience inside this critically acclaimed text. More than a step-by-step review of th
geotechnical, structures, environmental and construction. First, in the geotechnical division, Lt Col Chris Senseney is researching “Computational Modeling of...communicate. “It’s a new area for us,” said Lt Col Chris McClernon, director of the center. “We started it last summer, because we know communications...Sales de Souza, Major Mark Braun, 1st Lt Melanie Ortiz, 1st Lt Seth Rodgers and Cadet 1st Class Jordan Higgins are working on a research project
al Qaeda training camps 17 Benjamin and Simon, 2002, p. 268. 18 Alan Cullison and Andrew Higgins , “A Once Stormy Terror Was Solidified by Cruise...December 11, 2001c. 23 Philip Smucker, “Dissent Grows in Caves of Tora Bora,” Christian Science Monitor, December 11, 2001a. 24 Chris Tomlinson, “U.S...Herald Tribune, December 11, 2001; Glasser, 2001c. 28 Chris Tomlinson, “Afghan Fighters Advance on Tora Bora,” Associated Press, December 11, 2001b
This is an edited extract from the keynote address given by Dr. Chris Wetherell at the 26th Biennial Conference of the Australian Association of Mathematics Teachers Inc. The author investigates the surprisingly rich structure that exists within a simple arrangement of numbers: the times tables.
Larsen, Chris Holmsted
Den navnkundige landsretssagfører Carl Madsen var en forbenet kritiker af dansk retspsykiatri, og sent i 1950’erne indledte han et drabeligt opgør med den tidsubestemte forvaring af psykisk afvigende forbrydere i anstalten ved Herstedvester. Historikeren Chris Holmsted Larsen ser nærmere på den k...
miniSASS — A novel technique for community participation in river health monitoring and management · EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. P Mark Graham, Chris WS Dickens, R Jim Taylor, 25-35. http://dx.doi.org/10.2989/16085910409503789 ...
James Fein from ONR, Mr. Chris Hillenbrand became the ONR Program Officer for the SAUVIM project. In 2002, Dr. David Drumheller became the new ONR...Gary McMurtry, Dr. Song K. Choi & Mr. Oliver T. Easterday Past Personnel: Mr. Yann Douyere, Mr. Alan Parsa & Mr. Max D. Cremer Objectives The
departure of Mr. James Fein from ONR, Mr. Chris Hillenbrand became the ONR Program Officer for the SAUVIM project. In 2002, Dr. David Drumheller...Dr. Gary McMurtry, Dr. Song K. Choi & Mr. Oliver T. Easterday Past Personnel: Mr. Yann Douyere, Mr. Alan Parsa & Mr. Max D. Cremer Objectives
Avijit, David Baelde, Lars Birkedal, Kaustuv Chaudhuri, Derek Dreyer, Joshua Dun- field, Deepak Garg, Daniel Lee, Ruy Ley-Wild, William Lovas, Chris...MIT Press, 2002. R. L. Constable, S. F. Allen, H. M. Bromley, W. R. Cleaveland, J. F. Cremer , R. W. Harper, D. J. Howe, T. B. Knoblock, N. P. Mendler
White, Amy Weber, Simon Taxel, Hikmat Daghestani, Chris Stetson, Michael Mobilia, and the Blacksburg Rugby Football Club. Finally, I would...Background and Motivation ........................................................................................... 1 1.1. Introduction...Background and Motivation 1.1 Introduction The decontamination of chemical warfare agents is of great importance to both the military and civilian
Objectives: Assessment of fast-food consumption in urban black adolescents. Design: The current research was a descriptive cross-sectional study. Setting: Subjects attending the Birth to Twenty (Bt20) research facility at the Chris Hani Baragwanath Hospital in Soweto, Johannesburg between September 2007 and May ...
is in Luxembourg, where men are retiring at 57 years, although the official age at which to receive a pension is 65. Demographers now talk about the “young old” ... end, health and economics permitting, it is an individual choice. Dr Chris Ellis. Family Physician, Pietermaritzburg, KwaZulu-Natal e-mail: cristobalellis@gmail.
Ann Schrader, Mr. Mike Frost, and Mr. Chris Sisko for their outstanding support and continued development of the ATCF system. 5 JTWC Personnel...AG2 Ethan Wright AGAA Kristin Terrell AGAA Tyler Terrell AGAN Vaughan Dill 6 Table of Contents CHAPTER 1 WESTERN NORTH PACIFIC OCEAN
.... Crocetti Jr., Louis D. Cullen, Susan M. Cummiskey, Chris Daitch, William Davis, Delia P. Dayton, Mark de.... Armstrong, Charles R. Ayala, Janice Aytes, Michael L. Bacon, Roxana Baldwin, William D. Baroukh, Nader Barr... Brundage, William Bucella, Donna A. Bucher, Steven P. Buckingham, Patricia A. Burke, Richard Butcher...
Tõnson, Margit, 1978-
Eestlaste kaasosalusel vändatud režissöör Chris Krausi filmist "Polli päevikud" (Saksa-Austria-Eesti 2010). Suurem osa "Polli päevikutest" filmiti 2009. a. suvel Pärnumaal Varbla vallas. Muusika autor Annette Focks
Kressa, Kaarel, 1983-
Eestlaste kaasosalusel vändatud režissöör Chris Krausi filmi "Polli päevikud" vastuvõtust Toronto rahvusvahelisel filmifestivalil. Kriitik Dan Fainaru arvamusest. Suurem osa "Polli päevikutest" filmiti 2009. a. suvel Pärnumaal Varbla vallas. Meespeaosalist kehastab Tambet Tuisk
In his article, Chris Burt focuses on the relationship between time and autobiographical memory. The question Burt puts forward is whether temporal markers in reports on autobiographic memories reflect specific temporal information or result from rather complex cognitive processing of time-relevant knowledge. The aspect of time is inherent to the…
Tutvustavat näitlejate ja nende rollide juurde J.K. Rowling'u Harry Potteri lugude teises filmis "Harry Potter ja saladuste kamber" ("Harry Potter and the Chamber of Secrets") : režissöör Chris Columbus. Filmi esilinastumisest New Yorgis
13-aastane inglise poiss Daniel Radcliff, kes mängib Harry Potterit ka J.K. Rowling'u Harry Potteri lugude teises filmis "Harry Potter ja saladuste kamber" ("Harry Potter and the Chamber of Secrets") : režissöör Chris Columbus : Ameerika Ühendriigid 2002
J.K. Rowling'u Harry Potteri lugude teine film "Harry Potter ja saladuste kamber" ("Harry Potter and the Chamber of Secrets") : režissöör Chris Columbus ja filmi kassatulu võrdlus teiste suurfilmidega esilinastuse nädalal USAs, Itaalias ja Suurbritannias
13-aastane inglise poiss Daniel Radcliffe, kes mängib Harry Potterit ka J.K. Rowling'u Harry Potteri lugude teises filmis "Harry Potter ja saladuste kamber" ("Harry Potter and the Chamber of Secrets") : režissöör Chris Columbus : Ameerika Ühendriigid 2002
Andersen, H. J.
In this paper three different skills and competencies of the local agricultural adviser are described: "The specialist, the reflective specialist and the reflective listener". The skills and competencies are framed as potentials and theoretically rooted in the ideas of George Herbert Mead, Chris Argyris and Donald Schon. The empirical…
Aug 26, 2016 ... Author Affiliations. Kinnock V munthali1 2 Chris Theron1 F Danie Auret1 Sergio M M Coelho1. Department of Physics, University of Pretoria, Pretoria 0002, South Africa; Department of Mathematics, Science and Sports Education, University of Namibia, HP Campus, P/Bag 5507, Oshakati, Namibia ...
When Chris Hatcher joined the Primary Evolution Project team at the University of Reading, his goal was to find effective strategies to teach evolution in a way that keeps children engaged and enthused. Hatcher has collaborated with colleagues at the University's Institute of Education to break the evolution unit down into distinct topics and…
By Andrea Frydl and Kristine Jones, Guest Writers, and Ken Michaels, Staff Writer On October 10, U.S. Senator Barbara Mikulski and Congressman Chris Van Hollen, both from Maryland, toured the Advanced Technology Research Facility (ATRF), accompanied by NCI Director Harold Varmus, Chief Technology Officer Atsuo Kuki, and other FNL leaders. Mikulski toured several Maryland
Pärnu uue kunsti muuseumis linastub tänasel kultuurihommikul hollandlaste Jasha de Wilde ja Chris Relleke dokumentaalfilm "Starkiss", mis räägib ühest india kuulsamast rändtsirkusest. Tsirkus on kokku ostnud 50 alaealist tüdrukut, kes peavad sõnakuulelikult eluohtlikku tööd tegema. Holland 2003
Jul 15, 2008 ... care, surgical procedures, central venous and urinary catheters and previous ... resistant (MDR) strain, is an important problem at Chris Hani. Baragwanath ... drugs, to characterise bacteraemic isolates, and to investigate the clustering and ... from blood cultures were collected and stored for future analysis.
DOI: 10.1007/s12043-014-0785-7; ePublication: 5 September 2014. Abstract. First-principles calculations .... For calculating elastic stiffness constants, C11, C12, C13, C33 and C44, we have taken ..... 89, 5815 (2001).  G Chris, Van de Walle ...
Center for Homeland Defense and Security
Center for Homeland Defense and Security, OUT OF THE CLASSROOM Download the paper: Paper: Managing Information Across All Levels of the Coast Guard” While a student at CHDS, then-Coast Guardsman Chris Kluckhuhn was well aware of the different communications platforms...
Objective. To determine compliance with Section 40 (1-3) of the Mental Health Care Act (MHCA) No 17 of 2002, viz. handing over custody by the South African Police Service (SAPS) of suspected mentally ill patients to medical services at Chris Hani Baragwanath Hospital (CHBH). Methods. The study was a retrospective ...
Heliplaadid kauplustest Lasering: David Gilmour "On An Island", Liisi Koikson "Väike järv - kontsert Pirgu mõisas" (CD+DVD), Chris Isaak "Best Of", Tool "10 000 Days", Morrissey "Ringleader Of The Tormentors", No-Big-Silence "War In Wonderland"
"The United Kingdom Atomic Energy Authority (UKAEA) announced the appointment of Professor Sir Chris Llewellyn Smith FRS (Fellow of the Royal Society) as Director of Culham, responsible for developing and implementing the strategy for the UK's fusion research programme" (1 page).
This study aimed at determining the clinical manifestations, outcome and prognostic factors associated with P. aeruginosa bacteraemia at the Chris Hani Baragwanath Hospital during the period 1998-99; to describe and quantify resistance to anti-pseudomonal drugs, and characterization of bacteraemic isolates, investigate ...
Additionally I would like to thank Dr. Greg Parnell, Ph.D., MAJ Melanie Vinton, COL William Sorrells, COL Simon Goerger, Ph.D., COL Chris Hill, Ph.D., and... Klein , J. Orasanu, R. Calderwood, & C. E. Zsambok (Eds.), Decision Making in Action: Models and Methods (pp. 327-345). Norwood, NJ: Ablex Publishers
Laasik, Andres, 1960-2016
Lühiarvustused USA 2007.a. filmidele : animafilm "Shrek Kolmas" ("Shrek the Third", režissöörid Chris Miller, Raman Hui) ja ulmefilm "Ma olen legend" ("I Am Legend"; režissöör Francis Lawrence)
From October to November 2004, and from July to September 2005, a survey of 55 plants was conducted in five District Municipalities (Cacadu, Chris Hani, Amathola, Ukhahlamba and O.R. Tambo) of the Eastern Cape Province, with the aim of examining the disinfection practices used in small rural systems of the Eastern ...
Although numerous statements on ethics in nanotechnology have been published, they exist as seemingly disparate, stand-alone works. Inspired by a process that the field of genetic engineering went through in the 1970s, Chris Toumey suggests one way in which some clarity could be brought to the topic.
USA sarjale "The X-Files" põhinev teine järjefilm "Salatoimikud: Ma tahan uskuda" ("The X-Files: I Want to Believe") : režissöör Chris Carter : peaosades David Duchovny, Gillian Anderson : Ameerika Ühendriigid - Kanada 2008
USA sarjale "The X-Files" põhinev teine järjefilm "Salatoimikud: Ma tahan uskuda" ("The X-Files: I Want to Believe") : režissöör Chris Carter : peaosades David Duchovny, Gillian Anderson : Ameerika Ühendriigid - Kanada 2008
Niineste, Mart, 1983-
USA sarjale "The X-Files" põhinev teine järjefilm "Salatoimikud: Ma tahan uskuda" ("The X-Files: I Want to Believe") : režissöör Chris Carter : peaosades David Duchovny, Gillian Anderson : Ameerika Ühendriigid - Kanada 2008
USA sarjale "The X-Files" põhinev teine järjefilm "Salatoimikud: Ma tahan uskuda" ("The X-Files: I Want to Believe") : režissöör Chris Carter : peaosades David Duchovny, Gillian Anderson : Ameerika Ühendriigid - Kanada 2008. Intervjuu ilmus juulis portaalis USA Weekend
College, 2006); and David Tucker and Chris- topher Lamb , “Restructuring Special Operations Forces for Emerging Threats, NDU Strategic Forum, January...Secretary of Defense Gates, SOCOM commander Admiral Eric Olson, and Assistant Secretary of Defense for SOLIC/IC Michael Vickers. See: Stew Mag- nuson
He had four children Irene Majale,. Prof. Mike Majale (Architect) Victoria Majale Ojiambo and Chris Majale. Dr. Majale died on 21st April 1978. As an orthopaedic Surgeon he worked at Kenyatta. National Hospital (KNH), Kabete Orthopaedic Unit and. Armed Forces Memorial Hospital. He did not do any private practice.
Mar 24, 2013 ... H.E. Dr. Kosit Panpiemras, Former Minister of Finance and. Industry, Kingdom of Thailand and Chairman of the Board of. Executive Directors, Bangkok Bank Public Company Limited. • Dr. Babatunde Osotimehin, Executive Director, United Nations. Population Fund. • Dr. Chris Elias, President, Global ...
Euroopa Komisjoni president Romano Prodi, välisasjade komissar Chris Patten ja kaubandusvolinik Pascal Lamy alustavad visiiti Moskvasse. Venemaalt oodatakse lõplikku kinnitust kirjutamaks alla partnerluse ja koostöö lepingu laienemisele uute EL-i riikidega enne 1. maid
Association for Education in Journalism and Mass Communication.
The Magazines section of this collection of conference presentations contains the following 15 papers: "'National Geographic Magazine' and the Vietnam War: Did We Just Get Pretty Pictures?" (John W. Williams); "Free Speech at All Costs: A Short History of 'The Masses'" (Chris Lamb); "Newspapers Locally Edited Magazines…
Background: Impaired liver function tests and co-infection with hepatitis viruses in AIDS patients are common in western countries. Objective: To assess liver function and prevalence of co-infection with hepatitis B and hepatitis C viruses in AIDS patients at Chris Hani Baragwanath Hospital. Design: A prospective study.
This article describes the infrastructure in global, national and site or regional levels. It concentrates mainly on the ... Research Unit at Chris Hani-Baragwanath Hospital in. Soweto and at the MRC in Durban, as well as two ... and maintenance of CABs, which are required to reduce the perceived power imbalance between ...
Brain injuries can happen in a car, at home, on the playground, or while playing sports; they can result in severe disability and even death. In this podcast, Dr. Chris Taylor discusses the dangers of brain injuries. Created: 3/20/2014 by MMWR. Date Released: 3/20/2014.
In two interviews Janet Reno, former U.S. Attorney General, discusses the biggest challenges facing children and youth and how government, families, and communities can come together to meet these challenges. The first interview was conducted by Mary Shahbazian; the second was conducted by Father Chris Riley. (Author)
The eviction of Sir Chris Llewellyn Smith from the top position at UCL is evidence of a change in university management. Vice-chancellors are discarded like football managers if they don't get results according to Lucy Hodges (1 page).
Sprogpolitik består ikke udelukkende i valg af undervisningssprog, heller ikke på et universitet. Når rektor på universitetet i Stellenbosch, Chris Brink, i sin nye bog, The taaldebat at Stellenbosch, kun diskuterer undervisningssproget, foreligger der en så stor grad af forenkling, at en stor de...
wee religieuse redes. Hierdie groep mense (gewoonlik gelowige Chris- tene en Jdde) glo dat die volk Israel deur God uitverkies is en dat God dus in 'n besondere sin in Ou-Israel se geskiedenis gewerk het en hom daarin geopenbaar het. Deur Ou-Israel se geskiedenis te bestudeer kom mens meer van God se openbaring ...
Redazione Reti Medievali (a cura di
Full Text Available Peer reviewed by Renato Bordone, Filippo Burgarella, Sandro Carocci, Alexandra Chavarria Arnau, Simone Collavini, Salvatore Cosentino, Cristina La Rocca, Lech Leciejewicz, Jean-Claude Maire Vigueur, Marc Mayer, Eduardo Manzano Moreno, Fabio Saggioro, Chris Wickham, Enrico Zanini, Luca Zavagno.
Rossman, Allan; Franklin, Christine
Chris Franklin is Senior Lecturer, Undergraduate Coordinator, and Lothar Tresp Honoratus Honors Professor of Statistics at the University of Georgia. She is a Fellow of the American Statistical Association and received the USCOTS Lifetime Achievement Award in 2013. This interview took place via email on August 16, 2013-October 9, 2013. Franklin…
Home; Journals; Journal of Biosciences. Anshu Aggarwal. Articles written in Journal of Biosciences. Volume 27 Issue 4 July 2002 pp 339-346 Articles. Place prioritization for biodiversity content · Sahotra Sarkar Anshu Aggarwal Justin Garson Chris R Margules Juliane Zeidler · More Details Abstract Fulltext PDF.
We aimed to investigate the stage of breast cancer at first diagnosis and assess possible determinants of late-stage presentation. A consecutive series of women with newly diagnosed breast cancer at Chris Hani Baragwanath Academic Hospital (CHBAH), Soweto, South Africa were analysed. We retrospectively reviewed ...
accomplishment. You announced you were going to cut 60% of us, then said “Just kidding !” —you keep me on my toes. To David Spade and the late great Chris Farley...Towards a Swarm of Nano Quadrators,” (University of Pennsylvania, 2012) is featured on YouTube . The GRASP lab’s control algorithm establishes a leader
Dec 3, 2009 ... imaging revealed thoraco-omphalopagus conjoined twins with complex thoracic and abdominal structures, ... Fetal magnetic resonance imaging (FMRI) was performed on a. General Electric 1.5 tesla MR ... MB BCh, FCRad (SA). Department of Radiology, Chris Hani Baragwanath Hospital, University of the.
“In the name of the Son”: Fatherhood's Critical Legitimacy, Sonhood and Masculinities in Chris Abani's Graceland and The Virgin of Flames · EMAIL FULL TEXT EMAIL FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. CEW Ouma, 77-94. http://dx.doi.org/10.4314/eia.v38i2.5 ...
not a perchance commendation,” the fourth-century Church Father John. Chrysostom ... ISSN 1015-8758 (Print) / ISSN 2309-9089 (Online). © UV/UFS. Prof. Chris L. de Wet, Department of Biblical and Ancient Studies, University of ... Style (Collins et al. ..... of Christianity, figures such as Paul showed more solidarity with the.
New research by social scientists is presenting a clearer picture of the factors that influence the public perception of nanotechnology and, as Chris Toumey reports, the results present challenges for those working to increase public acceptance of nanoscience and technology.See focus on public perceptions of nanotechnology.
CERN Press Office. Geneva
CERN's Large Electron-Positron collider got the green light today to achieve its full potential by running for an additional year in the year 2000. Delegates attending the 110th meeting of the Laboratory's governing body, Council, approved the move after a careful presentation of the proposal's scientific merits and financial aspects by CERN's Director General Chris Llewellyn Smith.
Chris Peers begins his response to Jim Mackenzie's article, "Peers on Socrates and Plato" by asking "What is the 'masculine imaginary?'" Peers defines the term "imaginary" as it is applied in his article, "Freud, Plato and Irigaray: A Morpho-Logic of Teaching and Learning" (2012) and draws…
University of Chicago, USA Prof. Godwin Kowero African Forest Forum, Nairobi, Kenya Prof. Janice Olawoye University of Ibadan, Ibadan, Nigeria Dr Lucia Rodriguez The Earth Institute, Columbia University, USA. Dr Pauline Dube University of Botswana, Botswana Prof. Chris Gordon University of Legon, Accra, Ghana Prof.
... ERIK PAUL FURLER NICOLAS SILVAN FURRER GAJA MARIA FURRER JONAS KEVIN FURRER SACHA GABRIELLA GAGNON... CATHERINE MARIE MILNE NATASHA JANE MIN CHRIS SHIK MIN STEVE BAE MIZRACHI ELI HAIM MONTAGUE ALEXANDRE NICOLAS... CHRISTIAN MARTIN SYZ ISABEL SUSAN TAN CHUAN LIONG TAN WEI-EE BEVERLY [[Page 25544
... initiatives aimed at improving consumers' financial literacy and decision-making skills. \\1\\ 12 U.S.C. s. 5493... consumers' financial decision-making skills and outcomes. Current Actions: New request for a generic..., (Attention: Chris Willey, Chief Information Officer), 1700 G Street NW., Washington, DC 20552. Instructions...
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2013-N-0001... accommodations due to a disability, please contact Chris Nguyen (see Contact Person) at least 7 days in advance... phases of the investigation, to assure the safety and rights of subjects, and, in Phases 2 and 3, to help...
South African Family Practice. Journal Home · ABOUT · Advanced Search · Current Issue · Archives · Journal Home > Vol 58, No 5 (2016) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Books as therapy. Chris Ellis. Abstract. No Abstract. Full Text: EMAIL FREE ...
Just as the recession has taken a toll in other states, New Jersey state budget coffers are shriveling up as public colleges and other state-supported services are asked to do more with less. New Jersey Gov. Chris Christie's slashing of $173 million from public colleges and universities has drawn the ire of higher education leaders, educators and…
This podcast describes the outbreak of Rickettsia felis in Kenya between August 2006 and June 2008, and in rural Senegal from November 2008 through July 2009. CDC infectious disease pathologist Dr. Chris Paddock discusses what researchers learned about this flea-borne disease and how to prevent infection.
OBJECTIVE: Identification of frequency and severity of rheumatic fever/rheumatic heart disease (RF/RHD) in the catchment area of Gauteng hospitals. DESIGN: A retrospective descriptive analysis using hospital-based computer databases. SETTING: Helen Joseph, Chris Hani Baragwanath and Johannesburg
Chris Powers Praxair Plasma Processes Roy Christensen Boro Djordjevic Valimet JHU George Kim Herb Herman Perpetual Technologies SUNY - Stoneybrook Dan...array evaluated consisted of an array of Chromium Bowties manufactured in Taiwan using direct e-beam write. arra regeys d (Wratten 25) Green (Wratten 58
In 1987 Chris Smeenk wrote in this journal about the libraries of the Dutch art historical institutes. In the 22 years that have since passed many changes have occurred, perhaps most notably the merging of the many autonomous institute libraries into larger ones. Has this led to a more professional
Nijland, R.; Kik, C.
Chris Kik van het Centrum voor Genetische Bronnen Nederland (CGN) keerde afgelopen weekend terug van een eenmansexpeditie door Azerbeidzjan, Georgië en Armenië. Resultaat van de reis: een koffer volgepropt met 53 witte linnen zakjes zaad van wilde en lokaal geteelde spinazie. Dat materiaal gaat
Mar 16, 1991 ... We should like to thank Dr Fritz Bach, University of Minnesota, for generously providing the DQf3 probe; Dr R. Martell for his advice and constructive criticism; Chris Martin and Derek Taljaard for technical assistance and Veronique Bruneau for typing the manuscript. This work was supported by grants from ...
Welcome by Professor Rolf Heuer, Director General of CERN The history of the Web with Ben Segal, Jean-Francois Groff and Robert CailliauQuestions for the panel : Jean-Francois Groff, Ben Segal, Tim Berners-Lee and Robert CailliauThe future of the Web with Chris Bizer, Stephane Boyera, Dan Brickley and Tom Scott
This interview with poet Chris Mann offers a defence of poetry in a society – like. South Africa – of diverse, even competing language, cultural and political demands. What role and responsibility does the poet have in acknowledging differences and crossing inter-cultural barriers, while seeking wider ethical and aesthetic
Pleasure and the arts: enjoying literature, painting and music. By Christopher Butler (2004) · EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Elisa Galgut, 71-74. Book Review Unsung: South African jazz musicians under apartheid. By Chatradari Devroop and Chris Walton (2007) ...
Martson, Ilona, 1970-
Joanne Rowling'u lasteraamatu "Harry Potter ja Tarkade kivi" ekraniseeringu esilinastus Eestis on 21. detsembril Coca Cola Plazas. Selle 125 miljonit dollarit maksnud USA filmi režissöör on Chris Columbus ja peaosas 12-aastane Daniel Radcliff
Valme, Valner, 1970-
Uutest plaatidest Dream Theater "Six Degrees Of Inner Turbulence", Michael Jackson "Greatest Hits HIStory", Lulu "Together", Reba Mcentyre "I'm A Survivor", Harry Connick "Songs I Heard" Julio Iglesias "Ao Meu Brasil", Chris Norman "Breathe Me In", Sex Pistols "Jubilee"
Mihkelson, Immo, 1959-
Uutest plaatidest Chris Isaak "Always Got Tonight", Laurie Anderson "Live At Town Hall", Louis Armstrong "Now You Has Jazz", Marc Anthony "Mended", "Chill: Brasil", Universumi Direktorid "Räpane rock'n'roll", Kid Rock "Cocky", Red Hot Chili Peppers "By The Way"
Rational behavior in decision making. A comparison between humans, computers, and fast and frugal strategies Chris Snijders and Frits Tazelaar (Eindhoven University of Technology, The Netherlands) Real life decisions often have to be made in "noisy" circumstances: not all crucial information is
Author Affiliations. Kinnock V munthali1 2 Chris Theron1 F Danie Auret1 Sergio M M Coelho1. Department of Physics, University of Pretoria, Pretoria 0002, South Africa; Department of Mathematics, Science and Sports Education, University of Namibia, HP Campus, P/Bag 5507, Oshakati, Namibia ...
... (202) 435-7678. SUPPLEMENTARY INFORMATION: Title: Report of Terms of Credit Card Plans. OMB Control..., report the information on credit card pricing and fees. Previously, the information was collected under... responses. Dated: January 9, 2012. Chris Willey, Chief Information Officer, Consumer Financial Protection...
Keskkonnakujunduse kategoorias tõsteti 2007. a. esile: Heathrow Terminal 5 klubi (arhitektid Chris Bagot, Oliver Salway, disainerid Joe Ferry, Emma Lally, Monique van der Hurk, Hillary Clark jt.), Lohringi metroojaam Bohumis (Rübsamen & Partner, kunstnikud Eva-Maria Joeressen, Klaus Kessner), kauplus Freitag Zürichis (arhitektid Harald Echsle, Annette Spillmann, disainerid Daniel ja Markus Freitag)
Animakomöödia "Metsikud lained" ("Surf's Up") : režissöörid Ash Brannon, Chris Buck : Ameerika Ühendriigid 2007. Dubleeritud eesti keelde. Lisatud nimekiri nii originaali kui ka eestikeelse dublaazhi näitlejatest. dublaazhi režissöör Veiko Anvelt
Banoobhai, Shabbir. 2002. Inward Moon Outward Sun. Pietermaritzburg: Gecko Poetry. Michael Chapman (ed.). 2002. The New Century of South African Poetry. Johannesburg: Jonathan Ball Publishers. R N Currey. 2001. Collected Poems. Cape Town: David Philip; Oxford: James Currey. Chris Mann. 2002. Heartlands.
Many critics hailed the new film, "Four Lions," by director Chris Morris as "provocative, incendiary, audacious, and shocking" and "one of the funniest and boldest comedies of the year." As a satirist, Morris already established his wit signature with the production of the mockumentary series, "Brass Eye." Using the same absurdist approach, he…
Photo 05 : Claude Guitton (left), Project Manager for the EDF/Knight Piesold joint venture responsible for design and site supervision for LHC civil engineering at Point 1 takes the Director-General Chris Llewellyn Smith and LHC Project Leader Lyn Evans on a tour of the site.
Het leven op de Griekse ‘agora’ was bruisender, dynamischer en belangrijker voor het functioneren van de stad dan tot nu toe aangenomen. Dat stelt Chris Dickenson op basis van zijn promoteonderzoek. De agora was een levendige openbare ruimte tot ver in de Romeinse periode, die zeer belangrijk bleef
McKernan, M. D.
This paper explores the background history and sources of the Afghanistan collection at the University Library, University of Nebraska at Omaha (UNO). Credit for the impetus behind the development of the collection is given to Chris Jung, a former UNO geography/geology faculty member; Ronald Roskens, then UNO chancellor; and the Afghanistan…
The former director general of CERN, Sir Chris Llewellyn Smith, takes over as director of the Culham fusion laboratory in Oxfordshire, UK. Plans for the laboratory include continuing the success of the Joint European Torus (JET) and the Mega Amp Spherical Tokamak (MAST) (1 page)
..., Final EIS, USFS, SD, Steamboat Project, Proposes to Implement Multiple Resource Management Actions... Counties, SD, Review Period Ends: 03/26/2012, Contact: Chris Stores 605-642-4622. EIS No. 20120039, Draft EIS, USFS, WA, South George Vegetation and Fuels Management Project, To Improve Forest Health and...
Full Text Available RoundTable on Technology, Teaching and Tools. This is a roundtable audio interview conducted by James Farmer, founder of Edublogs, with Anne Bartlett-Bragg (University of Technology Sydney and Chris Bigum (Deakin University. Skype was used to make and record the audio conference and the resulting sound file was edited by Andrew McLauchlan.
Evidence of AIDS mortality from an alternative source: A Swaziland case study · EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Alan Whiteside, Chris Desmond, John King, Jane Tomlinson, Conway Sithungo, 35-38. http://dx.doi.org/10.2989/16085906.2002.9626542 ...
A novel theory, the Second Event theory, advanced by Chris Busby, suggested that certain man-made radioisotopes could bypass cellular genetic repair mechanisms and cause cancer at very low dose. The present paper, after some introductory comments on the effects of particle tracks on cells, goes on to present the author's own perception of this Second Event theory. (UK)
Bernsmann, F.; Ersen, O.; Voegel, J.-C.; Jan, E.; Kotov, N. A.; Ball, V. Melanin -Containing Films: Growth from Dopamine Solutions versus Layer-by-Layer...Chen, Wei; Doty, Chris; Xu, Chuanlai; Kotov, Nicholas A.. Smart Electronic Yarns and Wearable Fabrics for Human Biomonitoring made by Carbon Nanotube
Rahvusvahelise võistlusprogrammi EurAsia võiduteosest, Sergei Loznitsa mängufilmist „Minu õnn”, (Ukraina - Holland - Saksamaa - Prantsusmaa) ja parima režissööri auhinna pälvinud Chris Krause eestiainelisest filmis "Polli päevikud"(Saksamaa - Austria - Eesti). Artikli lõpus loetletud filmifestivali auhinnasaajad
of choice to rule out cancer in patients presenting with MNG is fine- ... Method. Records of patients who underwent thyroidectomy between January 2005 and December 2010 at Chris Hani .... each of benign goitre and atypical cells, one Hurthle cell lesion .... 6%) in their retrospective audit of MNG post thyroidectomy. The.
This article explores the aesthetics and ethics of participatory performance through "The Oh Fuck Moment" by Hannah Jane Walker and Chris Thorpe, a performance that aesthetically explores ethically troubling material and manipulation. Ethical criticism of participatory art in recent years has focused on the way the audience member is…
Pärnu Rotary klubi aastapäevapeol 11. mail Ammende villas anti stipendium viiele Pärnumaa noorele, teiste seas pälvis preemia Pärnu Ülejõe Gümnaasiumi muusikaõpetaja Fred Rõigas ja Pärnu Muusikakoolis trompetit õppiv Chris Sommer
This podcast accompanies the publication of a series of articles on melanoma surveillance in the United States, available in the November supplement edition of the Journal of the American Academy of Dermatology. Chris Johnson, from the Cancer Data Registry of Idaho, discusses analyses examining the relationship between melanoma and two variables at the county level, ultraviolet radiation and socioeconomic status.
...: (1) The Law Offices of Adele L. Abrams; (2) the United Mine Workers of America; (3) the Secretary of...) Industrial Minerals Association-North America; (6) Alliance Coal, LLC; (7) Chris Barber; (8) Arch Coal, Inc...; discovery would not be permitted except as ordered by the Judge; interlocutory appeals would not be...
Uutest heliplaatidest dieter Bohlen "Dieter", Neil Young "Living With War", "Hip Hop IV", Chris Isaak "Best Of", Tom Jones "Graetest Hits", juanes "Mi Sangre", The Poison "Bullet For My Valentine", "Metal For Masses", Pet Shop Boys "Fundamental", Prince "3121", gnarls Barkley "St Elsewhere" Hoobastank "Every Man For Himself"
assessment of complications such as abscess formation, fistula. MDCT in the diagnosis of small-bowel obstruction by a retained surgical swab. M. Bindapersad, M.B. Ch.B., F.C.Rad. (Diag.) N. Govender, M.B. Ch.B. Department of Radiology, Chris Hani Baragwanath Hospital and Faculty of Health Sciences, University of the ...
Waller, Nicky; Baker, Chris
Nicky Waller and Chris Baker believe that change can be a good thing and explain how their training has helped others to adjust to the new science curriculum. In September 2013, teachers across England received the definitive version of the new primary curriculum "Leading Change in the Primary Science Curriculum." This course aimed to…
Tanya Lubansky, and Lindsey Nielsen for logistics support and company on the 541 “Rock”; and Chris Fairall, Dan Wolfe , and Sergio Pezoa of NOAA/ESRL...the turbulent air-sea heat fluxes. J. Geophys. Res., 97, 603 11429–11441. 604 , 2002a: Parameterizing scalar transfer over snow and ice
... supporting the day- to-day operating needs of human resource operations and management. The system is... administering programs for or about employees. The system has data needed to update the Central Personnel Data... eliminates the need for CHRIS to create and distribute these reports. The system also provides management...
capacity to promote Chiang Mai as an alternative site to Bangkok for foreign trade and investment. • Also in January 2003 Thaksin unveiled a 100 billion...and Chris Baker, Thailand’s Crisis ( Chiang Mai : Silkworm Books, 2000). 13. See for example Joseph Stiglitz, "Dealing With Debt: How to Reform the
Home; Journals; Journal of Biosciences; Volume 31; Issue 1. Issue front cover thumbnail. Volume 31, Issue 1. March 2006, pages 1-176e. pp 1-2. Clipboard: Ancient Indian roots? Denise R Carvalho-Silva Tatiana Zerjal Chris Tyler-Smith · More Details Fulltext PDF. pp 3-4. Commentary: Magic with moulds: Meiotic and ...
There is more to be said about two of the topics Chris Peers addresses in his article "Freud, Plato and Irigaray: A morpho-logic of teaching and learning" (2012, Educational Philosophy and Theory, 44, 760-774), namely the Socratic method of teaching and Plato's stance with regard to women and feminism. My purpose in this article is…
works intended for an academic audience. Serious students of ... Eight lives down is Chris Hunter's first book and Extreme risk, his second. Both can be .... At this point in the review, it should be clear that Eight lives down,. Extreme risk and ..... According to an article in The New York, the iCasualties website is published.
Architecture as civilizing ideal - The inspired modernism of A.H. Wegerif Ahazuerus Hendrikus (Henk) Wegerif was born in Apeldoorn on 13th of April 1888, the son of Gerrit Wegerif and Elsje Breman. Both his father and grandfather were building contractors, as was his paternal uncle, Chris Wegerif.
In this podcast, CDC's Dr. Chris Van Beneden discusses the dangers of group A strep infections. Created: 6/13/2011 by National Center for Emerging Zoonotic and Infectious Diseases (NCEZID). Date Released: 6/13/2011.
Machine Guidance Using LocataNet In this pilot study , conducted at the BlueScope Steel warehouse in Port Kembla, Australia, the LocataNet system...Study at BlueScope Steel”. Proceedings of the 2004 Annual Meeting of the Institute of Navigation. Dayton, OH, June 2004. 4. Barnes, Joel, Chris
Hurricanes are one of Mother Natureâs most powerful forces. Host Bret Atkins talks with CDCâs National Center for Environmental Health Director Dr. Chris Portier about the main threats of a hurricane and how you can prepare.
Peters, Brenda; Forlin, Chris
It is possible that many benefits may be found for all concerned in education and child development in understanding how knowledge of the brain and its development can inform early years practice. This article, written by Brenda Peters and Chris Forlin, both from the Hong Kong Institute of Education, reviews literature based on neuroscience to…
and Col Chris D. Crawford . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 United States Air Force Academy Physics Department and Space...colleagues at the US Air Force Academy (USAFA) outline how the USAFA Physics Department is arming our future Airmen with the technical skills...Operations Command (AFSOC) completed an analysis for the Aircrew Training and Rehearsal Support ( ATARS ) program. ATARS , which provides AFSOC crews a
Proceedings of REMR (Repair, Evaluation, Maintenance, and Rehabilitation Research Program) Workshop on Assessment of the Stability of Concrete Structures on Rock Held in Vicksburg, Mississippi on 10-12 September 1985.
2159 Godwin, Neal Jr. SWOCO-O 2 729-2429 Greene , Brian NCBED-DD 2 473-2241 Gribar, John ORPED-DM 1 722-6820 Groves, Chris Shannon & Wilson - Gustafson...8217 behavor . For these reasons, it is now common (or should be) to continuously monitor the structure and its foundation throughout its service life. One of the
The Web is radically changing the ways in which we can collectively compile, curate, filter and make sense of information. This holds promise for embracing complexity and truly informed decisions for sustainability in a connected world. In this book, Chris Davis reveals that there exists tremendous
Ecological association between HIV and concurrency point-prevalence in South Africa's ethnic groups. Chris Kenyon. Abstract. HIV prevalence between different ethnic groups within South Africa exhibits considerable variation. Numerous authors believe that elevated sexual partner concurrency rates are important in the ...
Bayer, Carey Roth
Numerous books exist on parent-teen communication related to sex, sexuality, and sexual health. However, Chris Fariello and Pierre-Paul Tellier take a new, question-and-answer approach to reaching today's busy parents in their book "99 Things Parents Wish They Knew Before[R]...Having "THE" Talk". The concept behind the book is innovative, but the…
Brian McLaughlin (Rutgers) Chris Megone (Leeds) Seumas Miller (Charles Sturt) Ruth Garrett Millikan (Connecticut) Michael Pendlebury (Witwatersrand) John Perry (Stanford) Philip Pettit (Australian National University) Amélie Oksenberg Rorty (Brandeis) Mark Sainsbury (Texas—Austin) John Searle (California Berkeley)
Dr. Chris Paddock, a rickettsiologist and infectious disease pathologist discusses a tick-transmitted bacterium, Rickettsia parkeri. Created: 8/18/2011 by National Center for Emerging Zoonotic and Infectious Diseases (NCEZID). Date Released: 8/18/2011.
Ola Rotimi's characterisation of Ovonramwen in Ovonramwen Nogbaisi has generated dissatisfaction among critics, chief among whom are Michael Etherton and Chris Dunton. While attempting to place these critics' views in proper perspective, this paper assesses Rotimi's characterisation of Ovonramwen against the ...
Editorial: aboard the Red Dragon in 2017. Chris Thurman. Abstract. No Abstract. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.4314/sisa.v29i1.1 · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors ...
Editorial: Looking at Shakespeare with new eyes. Chris Thurman. Abstract. No Abstract. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.4314/sisa.v28i1.1 · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians ...
Täispikk animafilm "Shrek Kolmas" ("Shrek the Third") : režissöör Chris Miller : eestikeelse dublaazhi režissöör Janno Põldma : Ameerika Ühendriigid 2007. Ära on nimetatud ka kõikide rollide eesti keelde dubleerijad
Täispikk animafilm "Shrek Kolmas" ("Shrek the Third") : režissöör Chris Miller : eestikeelse dublaazhi režissöör Janno Põldma : Ameerika Ühendriigid 2007. Rollide eesti keelde dubleerijad. Lisatud nimekiri "Viis aastat eestikeelseid Hollywoodi animafilme"
In this article, the author responds to an article written by Chris Whittle, in which he maintains that most of America's education troubles will be over in just a quarter century. The author notes that Whittle's assumptions differ markedly from the available evidence on what works and ignore the complexity of the combined elements of politics,…
Center, San Diego, CA, USA b The Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA c Teachers College, Columbia...Gordon Lynch; Denise Lovec- Jenkins ; Rayna Matsuno PhD; Danielle Mitchell; Kristin Motylinski; Anna Nagel MPH; Chiping Nieh PhD; Chris O’Malley MPH
Soans, Hanno, 1974-
Kunstnikud tutvustavad Kumus avanäitusel eksponeeritud kunstiteoseid: Anssi Kasitonni "Jah-monstrum", Chris Evans "Radikaalne lojaalsus", Neeme Külm "Betooni valatud lehm", Cevdet Erek "Teine sild", Heli Ryhänen "Ootus", Hans Hammert "Õhupallikabel", Veronica Brovall "Lahutus", Karsten Konrad "Supersuziseacat", Anders Krüger "Mis silma alt ära, see unustatud", Tommy Stockel "Tulevaste asjade kuju"
In "The Humanist Moment," Chris Higgins sets out to recover a tenable, living humanism, rejecting both the version vilified by the anti-humanists and the one sentimentalized by the reactionary nostalgists. Rescuing humanism from such polemics is only the first step, as we find at least nine rival, contemporary definitions of humanism.…
not have pulled through with my sanity intact. I am very grateful to Chris Miller for helping with MATLAB code as well as IT support. Many times, he...Principles and Applications. Springer-Verlag Berlin Heidelberg, pp724. 96 Maslowki, W., J.C. Kinney, M. Higgins , and A. Roberts, 2012: The
In "The Good Life of Teaching: An Ethics of Professional Practice," Chris Higgins (2011) reminds people that "self-interest and altruism, personal freedom and social roles, and practical wisdom and personhood" have been ancient philosophical topics that remain vitally important in the practice of contemporary teaching and learning. One of the most…
Jenkins; David Luxton, PhD; Danielle Mitchell; Kristin Motylinski; Anna Nagel, MPH; Chiping Nieh, PhD; Chris O’Malley, MPH; Ser- guey Parkhomovsky...1996;143:228-239. 36. Barlas FM, Higgins WB, Pflieger JC, Diecker K. 2011 Department of Defense Health Related Behaviors Survey of Active Duty
In this essay, Elizabeth Campbell reviews three recent books that address the ethical nature of professional practice: "Knowledge and Virtue in Teaching and Learning: The Primacy of Dispositions," by Hugh Sockett; "The Good Life of Teaching: An Ethics of Professional Practice," by Chris Higgins; and "Towards Professional…
possible by: least squares; my wife Amy and my parents Chris and Umberto; my adviser Ryan Eustice; my thesis committee members, Prof. Grizzle, Prof. Hero...Berkeley, CA, USA, July 2014. (p. 13, 22, 107)  J. R. McBride, J. C. Ivan, D. S. Rhode, J. D. Rupp, M. Y. Rupp, J. D. Higgins , D. D. Turner, and
Matthias, Laurie R.
This article responds to Chris Higgins' (2010) claim that perpetuating the myth of altruism is a factor that leads to teacher burnout, thus making "flourishing teacher" an oxymoron. It does so by exploring various views of the Christian concepts of agape, kenosis, and desire, debunking some persistent definitions that linger in Christian…
There remains a concern in philosophy of education circles to assert that teaching is a social practice. Its initiation occurs in a conversation between Alasdair MacIntyre and Joe Dunne which inspired a Special Issue of the "Journal of Philosophy of Education." This has been recently utilised in a further Special Issue by Chris Higgins.…
Languages and Systems (TOPLAS) 28, 1 (2006), 175–205.  Higgins , K. Spear-phishing attacks out of China targeted source code, intellectual property...Spinuzzi. Building more usable APIs. IEEE Software, 15(3):78–86, 1998.  Chris Parnin and Christoph Treude. Measuring api documentation on the web. In
Park City, Utah, May 2013. . L. S. Rothman, D. Jacquemart, A. Barbe, D. Chris Benner, M. Birk, L. R. Brown, M. R. Carleer, J. C. Chackerian, K...2371. . J. Higgins , X. Zhou, R. Liu, T. T. S. Huang, “Theoretical Study of Thermal Decomposition Mechanism of Oxalic Acid”, J. Phys. Chem. A
Full Text Available observations in the Southern Ocean 2 3 Kevin M. Schmidta, Sebastiaan Swartb,c,d, Chris Reasonc, Sarah Nicholsonb,c 4 a Marine Research Institute, University of Cape Town, Rondebosch, South Africa 5 b Southern Ocean Carbon & Climate Observatory, Council...
supporting me in this program, and specifically, Assistant Administrators Robin Kane, John Sanders, and Chris McLaughlin for their sponsorship. I hope...analysis. Edited by Michael Borenstein, Larry V. Hedges, Julian P. T. Higgins , and Hannah R. Rothstein, 377–387. Chichester, UK: John Wiley & Sons, 2009
Stanek, Simon Kilner, Chris Forbes-Ewan, Phil Warwick, Terry Moon, Roger Stanley, Kate Flinders and Julia Carins. UNCLASSIFIED DSTO-TN-1379...factors, in International Nonthermal Food Processing Workshop - FIESTA 2012. 2012: Melbourne, Australia. p. 52. 11. Higgins , K.T., The 80-foot microwave
In this essay, Chris Higgins sets out to disentangle the tradition of humane learning from contemporary distinctions and debates. The first section demonstrates how a bloated and incoherent "humanism" now functions primarily as a talisman or a target, that is, as a prompt to choose sides. It closes with the image of Doris Salcedo's…
"Why is the practice of teaching worth putting at the centre of one's life?" Chris Higgins believes that this question must be properly addressed if people who become teachers are to become themselves--are to discover a way of simultaneously practicing their profession and "flourishing" as human beings. In this essay, the author aims to give an…
Regelski, Thomas A.
In his recent monograph, Chris Higgins (2011) offers a remarkably original, thoughtful, and provocative argument for "an ethics of professional practice" for teachers. His study brings together a wealth of ideas and authors not often discussed in relation to each other, and it draws out elusive themes and ideas often overlooked in most…
Music education is generally equated with the act of teaching music. In "The Good Life of Teaching: An Ethics of Professional Practice," the remarkable book that orients the essays in this issue of "Action, Criticism, and Theory for Music Education," Chris Higgins argues, among other things, that the view of teaching as a helping profession--one…
Foreman-Peck, Lorraine; Heilbronn, Ruth
This paper presents a view of action research (AR) as a valuable way in which teachers can pose fertile questions and engage in inquiry with transformative possibilities. This counters claims of its being at best a sterile method of teacher research and at worst a perilous trap for teachers. Chris Higgins has argued that AR has lost its original…
Morton, Charlene A.
In his book, Chris Higgins acknowledges the challenges of teaching associated with heavy workloads, increasing responsibilities, and often diminishing respect from the very public institutions that teachers serve. However, his purpose is not to deplore the external conditions of teaching but to raise concerns about its service culture. He argues…
Readers of the draft new English primary science curriculum (DfE, 2012) might be concerned to see that there is much more detail on the Earth science content than previously in the United Kingdom. In this article, Chris King, a professor of Earth Science Education at Keele University and Director of the Earth Science Education Unit (ESEU),…
Larsen, Bjarke Alexander; Andkjær, Kasper Ingdahl; Schoenau-Fog, Henrik
This paper proposes a new relation model, called "The Moody Mask model", for Interactive Digital Storytelling (IDS), based on Franceso Osborne's "Mask Model" from 2011. This, mixed with some elements from Chris Crawford's Personality Models, is a system designed for dynamic interaction between ch...
Comparison between preoperative biopsy and post-excision histology results in sarcoma: Experience at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. KG Panda, MJ Hale, D Kruger, ...
Jan 28, 2015 ... Andrea Nattrass and myself, his publishers, who henpecked him and forced numerous deadlines on him. Chris could dodge a deadline masterfully, launching into yet another hilarious story or relating the latest skinder, all serious work completely forgotten. I was banned from discussing deadlines with him ...
Briti kontradmiral Chris Parry hoiatab oma ettekandes, et lähema 30 aasta jooksul hõivavad Euroopa immigrandid Kolmandast Maailmast, neil ei midagi ühist Euroopaga, veelgi enam - nad vihkavad seda. Intervjuu Briti parlamendiliikme Boris Johnsoniga. Postindustriaalse ühiskonna uurimise keskuse teaduslik juht Vladislav Inozemtsev on seisukohal, et immigrandid Venemaa julgeolekut ei ohusta. Tabel
Parex panga uus juht Chris Gwilliam ei usu, et lähiajal võiks oodata panga müümist ja leiab, et kõige tähtsam on see, et riigi investeering teeniks end tasa. Parex panga endiste omanikute kohtuasjast
Perez, Jorge L; Mosher, Zachary A; Watson, Shawna L; Sheppard, Evan D; Brabston, Eugene W; McGwin, Gerald; Ponce, Brent A
Patient-reported outcome measures (PROMs) are increasingly used to quantify patients' perceptions of functional ability. The American Medical Association and NIH suggest patient materials be written at or below 6th to 8th grade reading levels, respectively, yet one recent study asserts that few PROMs comply with these recommendations, and suggests that the majority of PROMs are written at too high of a reading level for self-administered patient use. Notably, this study was limited in its use of only one readability algorithm, although there is no commonly accepted, standard readability algorithm for healthcare-related materials. Our study, using multiple readability equations and heeding equal weight to each, hopes to yield a broader, all-encompassing estimate of readability, thereby offering a more accurate assessment of the readability of orthopaedic PROMS. (1) What proportion of orthopaedic-related PROMs and orthopaedic-related portions of the NIH Patient Reported Outcomes Measurement Information System (PROMIS ® ) are written at or below the 6th and 8th grade levels? (2) Is there a correlation between the number of questions in the PROM and reading level? (3) Using systematic edits based on guidelines from the Centers for Medicare and Medicaid Services, what proportion of PROMs achieved American Medical Association and NIH-recommended reading levels? Eighty-six (86) independent, orthopaedic and general wellness PROMs, drawn from commonly referenced orthopaedic websites and prior studies, were chosen for analysis. Additionally, owing to their increasing use in orthopaedics, four relevant short forms, and 11 adult, physical health question banks from the PROMIS ® , were included for analysis. All documents were analyzed for reading grade levels using 19 unique readability algorithms. Descriptive statistics were performed using SPSS Version 22.0. The majority of the independent PROMs (64 of 86; 74%) were written at or below the 6th grade level, with 81 of 86
Measurement Equivalence of the Patient Reported Outcomes Measurement Information System® (PROMIS®) Pain Interference Short Form Items: Application to Ethnically Diverse Cancer and Palliative Care Populations
Teresi, Jeanne A.; Ocepek-Welikson, Katja; Cook, Karon F.; Kleinman, Marjorie; Ramirez, Mildred; Reid, M. Carrington; Siu, Albert
Reducing the response burden of standardized pain measures is desirable, particularly for individuals who are frail or live with chronic illness, e.g., those suffering from cancer and those in palliative care. The Patient Reported Outcome Measurement Information System® (PROMIS®) project addressed this issue with the provision of computerized adaptive tests (CAT) and short form measures that can be used clinically and in research. Although there has been substantial evaluation of PROMIS item banks, little is known about the performance of PROMIS short forms, particularly in ethnically diverse groups. Reviewed in this article are findings related to the differential item functioning (DIF) and reliability of the PROMIS pain interference short forms across diverse sociodemographic groups. Methods DIF hypotheses were generated for the PROMIS short form pain interference items. Initial analyses tested item response theory (IRT) model assumptions of unidimensionality and local independence. Dimensionality was evaluated using factor analytic methods; local dependence (LD) was tested using IRT-based LD indices. Wald tests were used to examine group differences in IRT parameters, and to test DIF hypotheses. A second DIF-detection method used in sensitivity analyses was based on ordinal logistic regression with a latent IRT-derived conditioning variable. Magnitude and impact of DIF were investigated, and reliability and item and scale information statistics were estimated. Results The reliability of the short form item set was excellent. However, there were a few items with high local dependency, which affected the estimation of the final discrimination parameters. As a result, the item, “How much did pain interfere with enjoyment of social activities?” was excluded in the DIF analyses for all subgroup comparisons. No items were hypothesized to show DIF for race and ethnicity; however, five items showed DIF after adjustment for multiple comparisons in both primary and
Lillehei, Angela Smith; Savik, Kay; Reis, Reilly
Abstract Objectives: To compare the effectiveness of lavender (Lavandula angustifolia) and sleep hygiene versus sleep hygiene alone on sleep quantity and sleep quality and to determine sustained effect at two-week follow-up. Design: A randomized controlled trial with investigator blinding and steps taken to blind the participants. Setting: Participants' usual sleep setting. Subjects: Seventy-nine college students with self-reported sleep issues. Interventions: The intervention took place over five nights with baseline, postintervention, and two-week follow-up assessments. Both groups practiced good sleep hygiene and wore an inhalation patch on their chest at night. One group wore a patch with 55 μl of lavender essential oil and the other group wore a blank patch. Outcome measures: Sleep quantity was measured using a Fitbit® tracker and a sleep diary, and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) and the NIH Patient-Reported Outcomes Measurement Information System (PROMIS) sleep disturbance short form. Results: The lavender and sleep hygiene group demonstrated better sleep quality at postintervention and two-week follow-up (PSQI p=0 .01, <0.001 and PROMIS p=0.04, 0.007, respectively). The sleep-hygiene-only group also demonstrated better sleep quality but to a lesser extent (PSQI p=0.02, 0.06 and PROMIS p=0.03, 0.03, respectively). Additionally, a clinical effect was found for the lavender group at postintervention, along with a significant finding for waking feeling refreshed (p=0.01). Sleep quantity did not differ between groups. Conclusions: Lavender and sleep hygiene together, and sleep hygiene alone to a lesser degree, improved sleep quality for college students with self-reported sleep issues, with an effect remaining at follow-up. PMID:26133206
Botden, Sanne M.B.I.; Buzink, Sonja N.; Schijven, Marlies P.
Background Virtual reality (VR) is an emerging new modality for laparoscopic skills training; however, most simulators lack realistic haptic feedback. Augmented reality (AR) is a new laparoscopic simulation system offering a combination of physical objects and VR simulation. Laparoscopic instruments are used within an hybrid mannequin on tissue or objects while using video tracking. This study was designed to assess the difference in realism, haptic feedback, and didactic value between AR and VR laparoscopic simulation. Methods The ProMIS AR and LapSim VR simulators were used in this study. The participants performed a basic skills task and a suturing task on both simulators, after which they filled out a questionnaire about their demographics and their opinion of both simulators scored on a 5-point Likert scale. The participants were allotted to 3 groups depending on their experience: experts, intermediates and novices. Significant differences were calculated with the paired t-test. Results There was general consensus in all groups that the ProMIS AR laparoscopic simulator is more realistic than the LapSim VR laparoscopic simulator in both the basic skills task (mean 4.22 resp. 2.18, P < 0.000) as well as the suturing task (mean 4.15 resp. 1.85, P < 0.000). The ProMIS is regarded as having better haptic feedback (mean 3.92 resp. 1.92, P < 0.000) and as being more useful for training surgical residents (mean 4.51 resp. 2.94, P < 0.000). Conclusions In comparison with the VR simulator, the AR laparoscopic simulator was regarded by all participants as a better simulator for laparoscopic skills training on all tested features. PMID:17361356
Schneider, Stefan; May, Marcella; Stone, Arthur A
Quality of life (QoL) measurement relies upon participants providing meaningful responses, but not all respondents may pay sufficient attention when completing self-reported QoL measures. This study examined the impact of careless responding on the reliability and validity of Internet-based QoL assessments. Internet panelists (n = 2000) completed Patient-Reported Outcomes Measurement Information System (PROMIS®) short-forms (depression, fatigue, pain impact, applied cognitive abilities) and single-item QoL measures (global health, pain intensity) as part of a larger survey that included multiple checks of whether participants paid attention to the items. Latent class analysis was used to identify groups of non-careless and careless responders from the attentiveness checks. Analyses compared psychometric properties of the QoL measures (reliability of PROMIS short-forms, correlations among QoL scores, "known-groups" validity) between non-careless and careless responder groups. Whether person-fit statistics derived from PROMIS measures accurately discriminated careless and non-careless responders was also examined. About 7.4% of participants were classified as careless responders. No substantial differences in the reliability of PROMIS measures between non-careless and careless responder groups were observed. However, careless responding meaningfully and significantly affected the correlations among QoL domains, as well as the magnitude of differences in QoL between medical and disability groups (presence or absence of disability, depression diagnosis, chronic pain diagnosis). Person-fit statistics significantly and moderately distinguished between non-careless and careless responders. The results support the importance of identifying and screening out careless responders to ensure high-quality self-report data in Internet-based QoL research.
Davis, Lorie L; Kroenke, Kurt; Monahan, Patrick; Kean, Jacob; Stump, Timothy E
Sleep disturbance, pain, anxiety, depression, and low energy/fatigue, the SPADE pentad, are the most prevalent and co-occurring symptoms in the general population and clinical practice. Co-occurrence of SPADE symptoms may produce additive impairment and negatively affect treatment response, potentially undermining patients' health and functioning. The purpose of this paper is to determine: (1) prevalence and comorbidity (ie, clustering) of SPADE symptoms; (2) internal reliability and construct validity of a composite SPADE symptom score derived from the Patient-Reported Outcomes Measurement Information System (PROMIS) measures; and (3) whether improvement in somatic symptom burden represented by a composite score predicted subsequent measures of functional status at 3 and 12 months follow-up. Secondary analysis of data from the Stepped Care to Optimize Pain care Effectiveness study, a randomized trial of a collaborative care intervention for Veterans with chronic pain. Most patients had multiple SPADE symptoms; only 9.6% of patients were monosymptomatic. The composite PROMIS symptom score had good internal reliability (Cronbach's alpha=0.86) and construct validity and strongly correlated with multiple measures of functional status; improvement in the composite score significantly correlated with higher scores for 5 of 6 functional status outcomes. The standardized error of measurement (SEM) for the composite T-score was 2.84, suggesting a 3-point difference in an individual's composite score may be clinically meaningful. Brief PROMIS measures may be useful in evaluating SPADE symptoms and overall symptom burden. Because symptom burden may predict functional status outcomes, better identification and management of comorbid symptoms may be warranted.
U dinamičnom sučeljavanju s rezultatima drugih društvenohumanističkih disciplina, teologija promišlja u njihovu svjetlu put rasta u vjeri i osmišljava planove religioznog odgoja i naobrazbe. Ne umanjujući pozitivne efekte i plodnu suradnju (jačanje senzibilnosti za dobne, kulturne, socijalne i razvojno-psihološke specifičnosti osobe vjernika) prilog ukazuje i na granice mišljenja, kako postoji neosporna paralela psihičkog i religioznog razvoja osobnosti, te da religioznos...
Scott, Robert A; Scott, Laura J; Mägi, Reedik
To characterise type 2 diabetes (T2D) associated variation across the allele frequency spectrum, we conducted a meta-analysis of genome-wide association data from 26,676 T2D cases and 132,532 controls of European ancestry after imputation using the 1000 Genomes multi-ethnic reference panel. Promi...... secretion, and in adipocytes, monocytes and hepatocytes for insulin action-associated loci. These findings highlight the predominant role played by common variants of modest effect and the diversity of biological mechanisms influencing T2D pathophysiology....
Članak predstavlja jedno od najvažnijih filozofsko-teoloških djela o prijateljstvu “De spirituali amicitia”, koje je napisao srednjovjekovni cistercit Aelred iz Rievaulxa. U prvomu dijelu članka ukratko se progovora o Aelredovu životu te o njegovu djelu “Speculum Caritatis” koje je korisno za bolje razumijevanje djela “De spirituali amicitia”. U drugomu, središnjem dijelu ovoga članka analiziraju se Aalredova promišljanja o prijateljstvu, i to u tri odlomka koja slijede s...
Bruce, Bonnie; Fries, James F; Ambrosini, Debbie; Lingala, Bharathi; Gandek, Barbara; Rose, Matthias; Ware, John E
Physical function is a key component of patient-reported outcome (PRO) assessment in rheumatology. Modern psychometric methods, such as Item Response Theory (IRT) and Computerized Adaptive Testing, can materially improve measurement precision at the item level. We present the qualitative and quantitative item-evaluation process for developing the Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function item bank. The process was stepwise: we searched extensively to identify extant Physical Function items and then classified and selectively reduced the item pool. We evaluated retained items for content, clarity, relevance and comprehension, reading level, and translation ease by experts and patient surveys, focus groups, and cognitive interviews. We then assessed items by using classic test theory and IRT, used confirmatory factor analyses to estimate item parameters, and graded response modeling for parameter estimation. We retained the 20 Legacy (original) Health Assessment Questionnaire Disability Index (HAQ-DI) and the 10 SF-36's PF-10 items for comparison. Subjects were from rheumatoid arthritis, osteoarthritis, and healthy aging cohorts (n = 1,100) and a national Internet sample of 21,133 subjects. We identified 1,860 items. After qualitative and quantitative evaluation, 124 newly developed PROMIS items composed the PROMIS item bank, which included revised Legacy items with good fit that met IRT model assumptions. Results showed that the clearest and best-understood items were simple, in the present tense, and straightforward. Basic tasks (like dressing) were more relevant and important versus complex ones (like dancing). Revised HAQ-DI and PF-10 items with five response options had higher item-information content than did comparable original Legacy items with fewer response options. IRT analyses showed that the Physical Function domain satisfied general criteria for unidimensionality with one-, two-, three-, and four-factor models
Thorndahl, Søren; Rasmussen, Michael R.; Grum, M.; Neve, S. L.
This paper describes the first radar based forecast of flow and/or water level in sewer systems in Denmark. The rainfall is successfully forecasted with a lead time of 1-2 hours, and flow/levels are forecasted an additional ½-1½ hours using models describing the behaviour of the sewer system. Both radar data and flow/water level model are continuously updated using online rain gauges and online in-sewer measurements, in order to make the best possible predictions. The project show very promis...
Møller, Martin Nue; Wanscher, Jens; Larsen, Per Leganger
Balloon dilation of Eustachian tube is a novel method for managing chronic ventilatory dysfunction in patients with chronic otitis media, as an alternative to classic grommet insertion. Although few retrospective studies have been conducted the method seems to be rapid, simple and safe with promi......Balloon dilation of Eustachian tube is a novel method for managing chronic ventilatory dysfunction in patients with chronic otitis media, as an alternative to classic grommet insertion. Although few retrospective studies have been conducted the method seems to be rapid, simple and safe...
Sablić, Marija; Blažević, Ines
Nacionalni okvirni kurikulum temeljni je dokument koji na nacionalnoj razini donosi vrijednosti i opće ciljeve odgoja i obrazovanja. Odgojem i obrazovanjem izričemo kakvo društvo želimo biti i kakvog čovjeka želimo odgajati i obrazovati. Važno je stoga prepoznati zajedničke vrijednosti koje trebaju podupirati odgojno-obrazovno djelovanje. U tom se smislu od učitelja očekuje promišljanje o vrijednostima te djelovanje u skladu sa zajednički usuglašenim društveno-kulturnim i odgojno-obrazovnim v...
Alonso, Jordi; Bartlett, Susan J; Rose, Matthias; Aaronson, Neil K; Chaplin, John E; Efficace, Fabio; Leplège, Alain; Lu, Aiping; Tulsky, David S; Raat, Hein; Ravens-Sieberer, Ulrike; Revicki, Dennis; Terwee, Caroline B; Valderas, Jose M; Cella, David; Forrest, Christopher B
Patient-reported outcomes (PROs) play an increasingly important role in clinical practice and research. Modern psychometric methods such as item response theory (IRT) enable the creation of item banks that support fixed-length forms as well as computerized adaptive testing (CAT), often resulting in improved measurement precision and responsiveness. Here we describe and discuss the case for developing an international core set of PROs building from the US PROMIS® network.PROMIS is a U.S.-based cooperative group of research sites and centers of excellence convened to develop and standardize PRO measures across studies and settings. If extended to a global collaboration, PROMIS has the potential to transform PRO measurement by creating a shared, unifying terminology and metric for reporting of common symptoms and functional life domains. Extending a common set of standardized PRO measures to the international community offers great potential for improving patient-centered research, clinical trials reporting, population monitoring, and health care worldwide. Benefits of such standardization include the possibility of: international syntheses (such as meta-analyses) of research findings; international population monitoring and policy development; health services administrators and planners access to relevant information on the populations they serve; better assessment and monitoring of patients by providers; and improved shared decision making.The goal of the current PROMIS International initiative is to ensure that item banks are translated and culturally adapted for use in adults and children in as many countries as possible. The process includes 3 key steps: translation/cultural adaptation, calibration, and validation. A universal translation, an approach focusing on commonalities, rather than differences across versions developed in regions or countries speaking the same language, is proposed to ensure conceptual equivalence for all items. International item
This book surveys recent theoretical and experimental studies of optical properties of low-dimensional materials. As an extended version of Optical Properties of Low-Dimensional Materials (Volume 1, published in 1995 by World Scientific), Volume 2 covers a wide range of interesting low-dimensional materials including both inorganic and organic systems, such as disordered polymers, deformable molecular crystals, dilute magnetic semiconductors, SiGe/Si short-period superlattices, GaAs quantum wires, semiconductor microcavities, and photonic crystals. There are excellent review articles by promis
Jarvis, Matt J.; Rawlings, Steve; Barrio, F. Eugenio; Hill, Gary J.; Bauer, Amanda; Croft, Steve
The Universe became fully reionized, and observable optically, at a time corresponding to redshift z ~ 6.5, so it is only by studying the HI and molecular absorption lines against higher-redshift, radio-loud sources that one can hope to make detailed studies of the earliest stages of galaxy formation. At present no targets for such studies are known. In these proceedings we describe a survey which is underway to find radio-loud quasars at z > 6.5, and present broad-band SEDs of our most promi...
Analiziraju se suvremeni koncepti javne uprave i predlaže novi model promišljanja prilagodbe javnih službi promjenjivom društvenom kontekstu. Kritiziraju se tendencije reduciranja upravne akcije na menadžerske prakse koje nagrizaju klasičnu birokraciju s rizicima ukidanja autonomije uprave kao dijela političkog sustava. Noviji prijedlozi za reformu javne uprave poznati pod egidom neoweberijanske države (Bouckaert i Pollitt) dobra su alternativa menadžerskom pristupu. S osloncem na rad Niklasa...
Multi-input-multi-output (MIMO) communication has emerged as a promis- ing technology for meeting the increasing demand on higher data rates. The technology exploits the spatial resource dimension by sending the datas- treams to different locations in the multi element array (MEA) domain while...... conventionally to a single antenna element while mod- ulating the other datastreams in the analogue RF domain, using simple switched antenna systems (SAS) or sophisticated reactance-assisted antenna systems. The use of a SAS is found simple to implement, but can hardly handle high order signal formats...
U tradicionalnim medijima često ćemo pronaći suptilno pojavljivanje pogrešnog uvjerenja da su etika medija i etika novinarstva sinonimni, odnosno da između njih možemo staviti znak jednakosti. Nerazumijevanje proizlazi iz sužavanja relevantne moralno-etičke medijske komunikacije i prakse na područje novinarstva umjesto razumijevanja da se radi o primjeni filozofsko-etičkih promišljanja posebnog područja ljudske prakse vezane za masovnu komunikaciju. To upućuje na nastojanja da se odbija činje...
Full Text Available Nitya Bakshi,1,2 Diana Ross,1 Lakshmanan Krishnamurti1,2 1Division of Pediatric Hematology-Oncology-BMT, Department of Pediatrics, Emory University, Atlanta, GA, USA; 2Aflac Cancer and Blood Disorders Center, Children’s Healthcare of Atlanta, Atlanta, GA, USA Abstract: While acute episodic pain is the hallmark of sickle cell disease (SCD, transition to chronic pain is a major cause of morbidity and impaired quality of life. One of the core diagnostic criteria used by Analgesic, Anesthetic, and Addiction Clinical Trial Translations Innovations Opportunities and Networks-American Pain Society Pain Taxonomy (AAPT to define chronic SCD pain is the presence of pain on a “majority of days” in the past 6 months in one or more locations. The frequency characteristic of “majority of days” is adapted from the criteria of 15 days or more per month, used to define chronic migraine, but there are inadequate data to support this cutoff in SCD. Using an existing dataset of adults with SCD who completed patient-reported outcomes of pain interference, physical functioning, anxiety, depression, and fatigue using the National Institutes of Health (NIH patient-reported outcomes measures information system (PROMIS short-form instruments, we examined the association of the presence of pain on 3 or more days per week with patient-reported outcomes of functioning. In unadjusted analyses, presence of pain on 3 or more days a week was associated with higher median PROMIS scores of pain interference, anxiety, and depression. Median PROMIS scores of fatigue and physical function were worse in women compared with men in unadjusted analyses. We did not find any difference in median PROMIS pain scores between adults aged ≤35 years compared with those aged ≥35 years. In linear regression models, after adjustment for age and sex, the presence of pain on 3 or more days a week was found to be associated with worse pain interference and anxiety. These data support
Lennon, N; Church, C; Miller, F
To describe self-reported life satisfaction and motor function of young adults with cerebral palsy (CP). A total of 57 young adults with spastic CP classified as levels I (seven), II (25), III (16), IV (nine) by the Gross Motor Function Classification System, followed from childhood by our CP clinic, returned at a mean age of 27 years two months (SD 3 years 4 months). Self-reported life satisfaction and mobility status were measured by the Pediatric Outcomes Data Collection Instrument (PODCI), Patient-Reported Outcomes Measurement Information System (PROMIS), Functional Mobility Scale (FMS) and a project questionnaire. Surgical history and childhood mobility were confirmed from medical records. The Functional Mobility Scale demonstrated limited but stable mobility function from childhood to adulthood. The PROMIS and PODCI revealed limited motor function compared with a non-disabled normative reference (p mobility function using the FMS correlated highly (r = 0.8; p mobility is limited and community independence is not fully achieved in young adults with CP, these participants maintained childhood levels of mobility function into young adulthood, were satisfied with social roles and had minimal reports of pain.
Lin, David W; Romanelli, John R; Kuhn, Jay N; Thompson, Renee E; Bush, Ron W; Seymour, Neal E
This study aimed to define perceptions of the need and the value of new simulation devices for laparoscopic and robot-assisted surgery. The initial experience of surgeons using both robotic and nonrobotic laparoscopic simulators to perform an advanced laparoscopic skill was evaluated. At the 2006 Society of American Gastroesophageal Surgeons (SAGES) meeting, 63 Learning Center attendees used a new virtual reality robotic surgery simulator (SEP Robot) and either a computer-enhanced laparoscopic simulator (ProMIS) or a virtual reality simulator (SurgicalSIM). Demographic and training data were collected by an intake survey. Subjects then were assessed during one iteration of laparoscopic suturing and knot-tying on the SEP Robot and either the ProMIS or the SurgicalSIM. A posttask survey determined users' impressions of task realism, interface quality, and educational value. Performance data were collected and comparisons made between user-defined groups, different simulation platforms, and posttask survey responses. The task completion rate was significantly greater for experts than for nonexperts on the virtual reality platforms (SurgicalSIM: 100% vs 36%; SEP Robot: 93% vs 63%; p platforms, whereas simulator metrics best discriminated expertise for the videoscopic platform. Similar comparisons for the virtual reality platforms were not feasible because of the low task completion rate for nonexperts. The added degrees of freedom associated with the robotic surgical simulator instruments facilitated completion of the task by nonexperts. All platforms were perceived as effective training tools.
Gershon, Richard; Rothrock, Nan E; Hanrahan, Rachel T; Jansky, Liz J; Harniss, Mark; Riley, William
The National Institutes of Health sponsored Patient-Reported Outcome Measurement Information System (PROMIS) aimed to create item banks and computerized adaptive tests (CATs) across multiple domains for individuals with a range of chronic diseases. Web-based software was created to enable a researcher to create study-specific Websites that could administer PROMIS CATs and other instruments to research participants or clinical samples. This paper outlines the process used to develop a user-friendly, free, Web-based resource (Assessment Center) for storage, retrieval, organization, sharing, and administration of patient-reported outcomes (PRO) instruments. Joint Application Design (JAD) sessions were conducted with representatives from numerous institutions in order to supply a general wish list of features. Use Cases were then written to ensure that end user expectations matched programmer specifications. Program development included daily programmer "scrum" sessions, weekly Usability Acceptability Testing (UAT) and continuous Quality Assurance (QA) activities pre- and post-release. Assessment Center includes features that promote instrument development including item histories, data management, and storage of statistical analysis results. This case study of software development highlights the collection and incorporation of user input throughout the development process. Potential future applications of Assessment Center in clinical research are discussed.
Gross, Alden L.; Jones, Richard N.; Inouye, Sharon K.
We scaled a measure of physical functioning to a population-based normative sample by extending self-reported basic and instrumental activities of daily living with items from the MOS SF-12. We used item response theory to place items administered to a sample of older elective surgery patients on a common metric linked to the PROMIS normative sample using published data. The summary measure for physical functioning was internally consist (Cronbach’s alpha=0.83), reliable across a broad range of functioning, and was moderately correlated with walking speed (r=0.52) and energy expenditure (r=0.40). Demonstrating predictive criterion validity, less impaired scores were associated with lower risk of discharge to a rehabilitation facility (OR=0.38, 95% CI: 0.22,0.66) and shorter hospital stays (IRR=0.87, 95% CI: 0.79,0.97). Our approach may facilitate direct comparison of physical functioning measures across existing and future studies using a common, population-based metric, when overlapping items with the NIH PROMIS item bank are present. PMID:25651587
Laughon Matthew M
Full Text Available Abstract Background To develop an accurate, proxy-reported bedside measurement tool for assessment of the severity of bronchopulmonary dysplasia (also called chronic lung disease in preterm infants to supplement providers' current biometric measurements of the disease. Methods We adapted Patient-Reported Outcomes Measurement Information System (PROMIS methodology to develop the Proxy-Reported Pulmonary Outcomes Scale (PRPOS. A multidisciplinary group of registered nurses, nurse practitioners, neonatologists, developmental specialists, and feeding specialists at five academic medical centers participated in the PRPOS development, which included five phases: (1 identification of domains, items, and responses; (2 item classification and selection using a modified Delphi process; (3 focus group exploration of items and response options; (4 cognitive interviews on a preliminary scale; and (5 final revision before field testing. Results Each phase of the process helped us to identify, classify, review, and revise possible domains, questions, and response options. The final items for field testing include 26 questions or observations that a nurse assesses before, during, and after routine care time and feeding. Conclusions We successfully created a prototype scale using modified PROMIS methodology. This process can serve as a model for the development of proxy-reported outcomes scales in other pediatric populations.
Eluri, Swathi; Cross, Raymond K; Martin, Christopher; Weinfurt, Kevin P; Flynn, Kathryn E; Long, Millie D; Chen, Wenli; Anton, Kristen; Sandler, Robert S; Kappelman, Michael D
Aspects of sexual health, which can be adversely affected by chronic disease, have been inadequately explored in inflammatory bowel disease (IBD). We evaluated patient-reported interest in sexual activity and satisfaction with sex life in a large cohort of IBD patients. We conducted a cross-sectional study within the Crohn's and Colitis Foundation Partners Internet cohort. Sequential participants completed a 6-question supplemental online survey to examine sexual interest and satisfaction using the Patient-Reported Outcome Measurement Information System ® (PROMIS ® ) Sexual Function and Satisfaction measures. One-sample t tests were used to compare interest and satisfaction scores to general population norms. Among 2569 individuals, 1639 had Crohn's disease (CD), 930 had ulcerative colitis (UC) or indeterminate colitis, and 71% were women. Mean PROMIS scores for sexual interest were comparable to the general US population in men (CD: 49 and UC: 48 vs. population mean 50) and women (CD: 41 and UC: 40 vs. population mean 42). However, sexual satisfaction scores were lower than the US population in men (CD: 48 and UC: 48 vs. 51) and women (CD: 47 and UC: 46 vs. 49), p satisfaction and lowered IBD-specific quality of life. IBD patients in a large online survey had similar levels of sexual interest but decreased sexual satisfaction compared to the general population. Exploring these sexual health domains during clinical encounters can aid in improving IBD quality of life.
Forrest, Christopher B; Ravens-Sieberer, Ulrike; Devine, Janine; Becker, Brandon D; Teneralli, Rachel; Moon, JeanHee; Carle, Adam; Tucker, Carole A; Bevans, Katherine B
The purpose of this study is to describe the psychometric evaluation and item response theory calibration of the PROMIS Pediatric Positive Affect item bank, child-report and parent-proxy editions. The initial item pool comprising 53 items, previously developed using qualitative methods, was administered to 1,874 children 8-17 years old and 909 parents of children 5-17 years old. Analyses included descriptive statistics, reliability, factor analysis, differential item functioning, and construct validity. A total of 14 items were deleted, because of poor psychometric performance, and an 8-item short form constructed from the remaining 39 items was administered to a national sample of 1,004 children 8-17 years old, and 1,306 parents of children 5-17 years old. The combined sample was used in item response theory (IRT) calibration analyses. The final item bank appeared unidimensional, the items appeared locally independent, and the items were free from differential item functioning. The scales showed excellent reliability and convergent and discriminant validity. Positive affect decreased with children's age and was lower for those with a special health care need. After IRT calibration, we found that 4 and 8 item short forms had a high degree of precision (reliability) across a wide range of the latent trait (>4 SD units). The PROMIS Pediatric Positive Affect item bank and its short forms provide an efficient, precise, and valid assessment of positive affect in children and youth.
Fatigue is a disabling, multifaceted symptom that is highly prevalent and stubbornly persistent. Although fatigue is a frequent complaint among patients with fibromyalgia, it has not received the same attention as pain. Reasons for this include lack of standardized nomenclature to communicate about fatigue, lack of evidence-based guidelines for fatigue assessment, and a deficiency in effective treatment strategies. Fatigue does not occur in isolation; rather, it is present concurrently in varying severity with other fibromyalgia symptoms such as chronic widespread pain, unrefreshing sleep, anxiety, depression, cognitive difficulties, and so on. Survey-based and preliminary mechanistic studies indicate that multiple symptoms feed into fatigue and it may be associated with a variety of physiological mechanisms. Therefore, fatigue assessment in clinical and research settings must consider this multi-dimensionality. While no clinical trial to date has specifically targeted fatigue, randomized controlled trials, systematic reviews, and meta-analyses indicate that treatment modalities studied in the context of other fibromyalgia symptoms could also improve fatigue. The Outcome Measures in Rheumatology (OMERACT) Fibromyalgia Working Group and the Patient Reported Outcomes Measurement Information System (PROMIS) have been instrumental in propelling the study of fatigue in fibromyalgia to the forefront. The ongoing efforts by PROMIS to develop a brief fibromyalgia-specific fatigue measure for use in clinical and research settings will help define fatigue, allow for better assessment, and advance our understanding of fatigue. PMID:24289848
Katzan, Irene L; Thompson, Nicolas R; Lapin, Brittany; Uchino, Ken
There is uncertainty regarding the clinical utility of the data obtained from patient-reported outcome measures (PROMs) for patient care. We evaluated the incremental information obtained by PROMs compared to the clinician-reported modified Rankin Scale (mRS). This was an observational study of 3283 ischemic stroke patients seen in a cerebrovascular clinic from September 14, 2012 to June 16, 2015 who completed the routinely collected PROMs: Stroke Impact Scale-16 (SIS-16), EQ-5D, Patient Health Questionnaire-9, PROMIS Physical Function, and PROMIS fatigue. The amount of variation in the PROMs explained by mRS was determined using r 2 after adjustment for age and level of stroke impairment. The proportion with meaningful change was calculated for patients with ≥2 visits. Concordance with change in the other scales and the ability to discriminate changes in health state as measured by c-statistic was evaluated for mRS versus SIS-16. Correlation between PROMs and mRS was highest for SIS-16 ( r =-0.64, P measures. PROMs provide additional valuable information compared to the mRS alone in stroke patients seen in the ambulatory setting. SIS-16 may have a better ability to identify change than mRS in health status of relevance to the patient. PROMs may be a useful addition to mRS in the assessment of health status in clinical practice. © 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.
Stout, Madison E; Meints, Samantha M; Hirsh, Adam T
Previous research suggests that women who experience pain during intercourse also experience higher rates of depressive symptoms. Loneliness might be one factor that contributes to this relationship. We hypothesized that women who experience more severe and interfering pain during intercourse would report higher rates of loneliness and higher rates of depressive symptoms. Further, we hypothesized that loneliness would mediate the relationship between pain during intercourse and depressive symptoms. A total of 104 female participants (85.6% white, 74.03% partnered, 20.9 [3.01] years old) completed an online survey including demographic information, PROMIS Vaginal Discomfort Measure, PROMIS Depression Measure, and Revised UCLA Loneliness Scale. Pearson correlations and bootstrapped mediation analysis examined the relationships among pain during intercourse, loneliness, and depressive symptoms. Pain during intercourse, loneliness, and depressive symptoms were all significantly correlated (p pain during intercourse and depressive symptoms (indirect effect = 0.077; 95% CI 0.05-0.19). After accounting for loneliness, pain during intercourse was not significantly related to depressive symptoms, suggesting that loneliness fully mediated the relationship between pain during intercourse and depressive symptoms. These findings are consistent with previous studies highlighting that pain during intercourse is related to depressive symptoms. The current study adds to that literature and suggests that more frequent and severe pain during intercourse leads to more loneliness, which then leads to increased depressive symptoms. This line of work has important implications for treating women who experience depressive symptoms and pain during intercourse.
Rye Hanton, Cassia; Kwon, Yong-Jun; Aung, Thawda; Whittington, Jackie; High, Robin R; Goulding, Evan H; Schenk, A Katrin; Bonasera, Stephen J
Cellular mobile telephone technology shows much promise for delivering and evaluating healthcare interventions in cost-effective manners with minimal barriers to access. There is little data demonstrating that these devices can accurately measure clinically important aspects of individual functional status in naturalistic environments outside of the laboratory. The objective of this study was to demonstrate that data derived from ubiquitous mobile phone technology, using algorithms developed and previously validated by our lab in a controlled setting, can be employed to continuously and noninvasively measure aspects of participant (subject) health status including step counts, gait speed, and activity level, in a naturalistic community setting. A second objective was to compare our mobile phone-based data against current standard survey-based gait instruments and clinical physical performance measures in order to determine whether they measured similar or independent constructs. A total of 43 ambulatory, independently dwelling older adults were recruited from Nebraska Medicine, including 25 (58%, 25/43) healthy control individuals from our Engage Wellness Center and 18 (42%, 18/43) functionally impaired, cognitively intact individuals (who met at least 3 of 5 criteria for frailty) from our ambulatory Geriatrics Clinic. The following previously-validated surveys were obtained on study day 1: (1) Late Life Function and Disability Instrument (LLFDI); (2) Survey of Activities and Fear of Falling in the Elderly (SAFFE); (3) Patient Reported Outcomes Measurement Information System (PROMIS), short form version 1.0 Physical Function 10a (PROMIS-PF); and (4) PROMIS Global Health, short form version 1.1 (PROMIS-GH). In addition, clinical physical performance measurements of frailty (10 foot Get up and Go, 4 Meter walk, and Figure-of-8 Walk [F8W]) were also obtained. These metrics were compared to our mobile phone-based metrics collected from the participants in the community
20 years ago, in the summer of 1989, an office was created to assist the thousands of users who come to CERN each year, working over the broad range of projects and collaborations. Chris Onions (right), head of the Users’ Office, with Bryan Pattison (left), the Office’s founder.Before the inception of the Users Office, it was common for users to spend at least an entire day moving from office to office in search of necessary documentation and information in order to make their stay official. "Though the Office has undergone various changes throughout its lifetime, it has persisted in being a welcoming bridge to facilitate the installation of visitors coming from all over the world", says Chris Onions, head of the Users Office. This September, the Office will celebrate its 20-year anniversary with a drink offered to representatives of the User community, the CERN management and staff members from the services with whom the Office is involved. &...
CERN people mobilize for the 50th anniversary of CERN. About 50 people are involved in teams, to organise the programme, ranging from the day of festivities and design of «souvenir» objects to special edition publications. On 20 January in Divonne-Les-Bains, the main co-ordinators gathered for the project launch meeting. Present at the meeting: Lorenza Accusani (Sponsoring), Jean-Luc Baldy (Globe of Innovation), Elena Battistin (Open Day), Maurizio Bona (Steering Commitee, General Security), Jean-Luc Caron (Webmaster), Paola Catapano (Project Leader), Bernard Denis (Meeting Moderator), Claude Ducastel (Site Security), Friedemann Eder (Host State Relations), Chris Fabjan (Steering Commitee), Federico Ferrini (Events in the Member States), Adolfo Fucci (Events in the Host States), Chris Griggs (Security), Wendy Korda (Official Day, 19 October), Danièle Lajust (Events in Host States), Rolf Landua (Steering Commitee), Annick Lyraud (Director General's Assistant), Robert Magnin (Technical Co-ordinator), Rafael...
Students studying construction management and related subjects need to have a broad understanding of the major aspects of controlling the building processes. Operations Management for Construction is one of three textbooks (Business Organisation, Operations Management and Finance Control) written to systematically cover the field. Focusing on construction sites and operations which are challenging to run, Chris March explores issues such as the setting up of the site, the deciding of the methodology of construction, and the sequence of work and resourcing. As changing and increasing regulations affect the way sites are managed, he also considers the issues and methods of successful administering, safety, quality and environment. Finally, the contractor's responsibility to the environment, including relationships with third parties, selection of materials, waste management and sustainability is discussed. Chris March has a wealth of practical experience in the construction industry, as well as considerable exp...
Dr. Christopher P. McKay, Planetary Scientist with the Space Science Division of NASA Ames. Chris received his Ph.D. in AstroGeophysics from the University of Colorado in 1982 and has been a research scientist with the NASA Ames Research Center since that time. His current research focuses on the evolution of the solar system and the origin of life. He is also actively involved in planning for future Mars missions including human exploration. Chris been involved in research in Mars-like environments on Earth, traveling to the Antarctic dry valleys, Siberia, the Canadian Arctic, and the Atacama desert to study life in these Mars-like environments. His was a co-I on the Titan Huygen s probe in 2005, the Mars Phoenix lander mission for 2007, and the Mars Science Lander mission for 2009.
Jeffrey Donnelly, Richard Moss, Joseph Donoghue, Steve Kish, Jim Elsner, Robert Evans, David LaBranche, Justin LaRose, Adam Parris, Chris Weaver...Garrow, L., Higgins , M., and Meyer, M. (2013). ”Impacts of Climate Change on Scour‐ Vulnerable Bridges: Assessment Based on HYRISK.” J. Infrastruct...Adam Parris NOAA Regional Integrated Sciences and Assessments Program Y Chris Weaver U.S. Global Change Research Program Y 83 Name
Seneta, E; Crépel, P; Fienberg, S; Gani, J
Statisticians of the Centuries aims to demonstrate the achievements of statistics to a broad audience, and to commemorate the work of celebrated statisticians. This is done through short biographies that put the statistical work in its historical and sociological context, emphasizing contributions to science and society in the broadest terms rather than narrow technical achievement. The discipline is treated from its earliest times and only individuals born prior to the 20th Century are included. The volume arose through the initiative of the International Statistical Institute (ISI), the principal representative association for international statistics (founded in 1885). Extensive consultations within the statistical community, and with prominent members of ISI in particular, led to the names of the 104 individuals who are included in the volume. The biographies were contributed by 73 authors from across the world. The editors are the well-known statisticians Chris Heyde and Eugene Seneta. Chris Heyde is Pro...
The start of construction of the 87-kilometre US Superconducting Supercollider (SSC) was celebrated in Dallas at the beginning of October with a Texas-style meeting on SSC physics and experiments. Chris Quigg described it as 'laying the keel of a new vessel of discovery'. The vessel is scheduled to make its maiden voyage with 20 TeV (20,000 GeV) proton beams in 1998.
PXSLServlet Paul A. Open Source Relational x X 23 Tchistopolskii sql2dtd David Mertz Public domain Relational x -- sql2xml Scott Hathaway Public...March 2003. [Hunter 2001] Hunter, David ; Cagle, Kurt; Dix, Chris; Kovack, Roger; Pinnock, Jonathan, Rafter, Jeff; Beginning XML (2nd Edition...Postgraduate School Monterey, California 4. Curt Blais Naval Postgraduate School Monterey, California 5 Erik Chaum NAVSEA Undersea
Rosetti USN U.S. Navy Chesterton, IN 6. Erik Chaum NUWC Newport, RI 7. David Bellino NPRI Newport, RI 8. Dick Nadolink NUWC Newport, RI...found at (http://www.parallelgraphics.com/products/cortona). G. JFREECHART JFreeChart is an open source Java API created by David Gilbert and...www.xj3d.org/. Accessed 3 September 2004. Hunter, David , Kurt Cagle, and Chris Dix, eds. Beginning XML, Second Edition. Indianapolis, IN
With the NHS aiming to reduce its 2007 carbon footprint by 10% by 2015, Chris Horsley, managing director of Babcock Wanson UK, a provider of industrial boilers and burners, thermal oxidisers, air treatment, water treatment, and associated services, looks at how one NHS Trust has approached the challenge, and considerably reduced its carbon emissions, by refurbishing its boiler house and moving from oil to gas-fired steam generation.
considered under RMAT, expanding the range of attack pathways available to attackers, and inclusion of off-airport freight pro- cessing, catering ...perspectives on risk from Boeing and from consultations with Randy Harris of Delta Airlines , Eric Thacker of the Air Transport Association, and Chris...multiple first-class airline tickets) and, as a result, less attractive than publicly available information, which is relatively inexpensive. It
Elken, Jaan, 1954-
Inglise kunstniku Damien Hirsti kolmest maalinäitusest. Michael Landy kuraatoriprojektist "Art Bin" South London Gallerys. Kunstnik Mark Rothkost rääkiva John Logani näidendi "Red" ("Punane") lavastusest Donmar Warehouse'is ja 2009 a. jaanuaris lõppenud Mark Rothko tööde näitusest Tate Modernis. Manchesteris sündinud mustanahalise kunstniku Chris Ofili retrospektiivist Tate Britainis. Näitusest "The Real Van Gogh" Royal Academy of Arts'is
Índia Mara Martins
Full Text Available This work's proposal, which combines two different researches, is to discuss the narrative and aesthetic possibilities of the animated biographic documentary, using the short film Ryan, by Chris Landerth, as a base. It is of particular interest to problematize the options of representation and of the creative process of this (subgenre, having as a scenery the multiple paths that the digital offers and, also, the challenges that the "me culture" brings to the documentary.
Program objectives. Source: Chris Sabine , NOAA-PMEL. Chapter 15. International Research and CooperationClimate Change Science Program Strategic Plan...Laboratory Mary C. Erickson National Oceanic and Atmospheric Administration Jaime Esper National Aeronautics and Space Administration 181 Robert Etkins...Sweeney, C., Poison, A., Metzl, N., Tilbrook, B., Bates, N.,Wanninkhof, R., Feely, R.A., Sabine , C., Olafsson, J., and Nojiri,Y., 2002: Global sea-air
Computational devices can be chemically conjugated to different strands of DNA that are then self-assembled according to strict Watson − Crick binding rules... DNA -Enabled Integrated Molecular Systems for Computation and Sensing Craig LaBoda,† Heather Duschl,† and Chris L. Dwyer*,†,‡ †Department of...guided folding of DNA , inspired by nature, allows designs to manipulate molecular-scale processes unlike any other material system. Thus, DNA can be
food and money to the crew of a downed British Wellington. Source: A. Korthals Altes, Luchtgevaar: Luchtaanvallen op Nederland , 1940- 1945...of the Liberation of Europe (New York: Free Press, 2008). 6Chris van der Heijden, Grijs Verleden: Nederland en de Tweede Wereldoorlog (Amsterdam... Nederland Tijdens de Tweede Wereldoorlog (Den Haag, The Netherlands: Studiegroep Luchtoorlog 1939-1945, 2008), 141-143. 3 Endless Controversy Strategic
William D. Shannon, Richard R. Sharp, Thomas J. Sharpton, Narmada Shenoy, Nihar U. Sheth, Gina A. Simone, Indresh Singh, Chris S. Smillie, Jack D... William D. Shannon, Richard R. Sharp, Thomas J. Sharpton, Narmada Shenoy, Nihar U. Sheth, Gina A. Simone, Indresh Singh, Christopher S. Smillie, Jack D...Susanne J. Szabo, Jeff Porter, Harri Lähdesmäki, Curtis Huttenhower, Dirk Gevers, Thomas W. Cullen , Mikael Knip, on behalf of the DIABIMMUNE Study Group
Full Text Available The development of the Neighbourhood Justice Centre (NJC in the Melbourne suburb of Collingwood is a first for Australia and reflects a universal growing interest in addressing the underlying causes of criminal behaviour and disadvantage as well as improving access to justice.By Tim Hasslet, School of Integrative Systems, University of Queensland, Chris Ballenden, Ponte Consulting; Saroj Godbole, Ponte Consulting; Kerry Walker, Director, Neighbourhood Justice Centre, Melbourne
waveguide. Alcohol fuels (ethanol and methonal) as well as aviation fuel replacements ( Fischer -Tropsch (FT) synfuel and an FT blend with JP-8) were studied...replacements ( Fischer -Tropsch (FT) synfuel and an FT blend with JP-8) were studied here. During acoustic excitation, the flame surrounding the droplet was...Wegener is approved. Chris R. Anderson Jeff D. Eldredge Ivett A. Leyva Owen I. Smith Ann R. Karagozian, Committee Chair University of California, Los
AFRL-RH-WP-TR-2016-0074 ACTIVE LEARNING FOR AUTOMATIC AUDIO PROCESSING OF UNWRITTEN LANGUAGES (ALAPUL) Dimitra Vergyri Andreas Kathol Wen Wang...FA8650-15-C-9101 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) *Dimitra Vergyri; Andreas Kathol; Wen Wang; Chris Bartels; Julian VanHout...feature transform through deep auto-encoders for better phone recognition performance. We target iterative learning to improve the system through
any changes to priorities or additional projects that require immediate research. Work Program; Research Elicitation Unclassified UU UU UU UU 35 MAJ...conduct analysis for the Army. 1 Marks, Chris, Nesbitt, Peter. TRAC FY14 Research Requirements Elicitation . Technical Report TRAC-M-TM-13-059. 700 Dyer... Requirements Elicitation Interviews Interview Guide: 1. Describe a research requirement in the areas of topics, techniques, and methodologies. 2
Juur, Mart, 1964-
Heliplaatidest: Holly Valance "Footprints", Peven Everett "Studio Confessions", filmimuusika "The Guru", Onyx "Bacdafucup Part II", The Wallflowers "Red Letter Days", Chris Rea "Stony Road", Public Enemy "Revolverolution", Roxette "The Ballad Hits", Jephte Guillaume & The Tet Kale Orkestra "Voyage Of Dreams", Dictaphone "m.=addiction", Spaceheads "Low pressure", erinevad esitajad "The Best Of Bond James Bond", Jeff Mills "At First Sight", Tracy Chapman "Let it Rain"
Alam, Sabina; Patel, Jigisha
On 24 November 2003, BMC Medicine published its first article. Ten years and over 900 articles later we look back at some of the most notable milestones for the journal and discuss advances and innovations in medicine over the last decade. Our editorial board members, Leslie Biesecker, Thomas Powles, Chris Del Mar, Robert Snow and David Moher, also comment on the changes they expect to see in their fields over the coming years.
Foote, Christopher; Darimont, Chris T; Baguette, Michel; Blanchet, Simon; Jacobus, Luke M; Mazzi, Dominique; Settele, Josef
For the fifth year, BMC Ecology is proud to present the winning images from our annual image competition. The 2017 edition received entries by talented shutterbug-ecologists from across the world, showcasing research that is increasing our understanding of ecosystems worldwide and the beauty and diversity of life on our planet. In this editorial we showcase the winning images, as chosen by our Editorial Board and guest judge Chris Darimont, as well as our selection of highly commended images. Enjoy!
Maximum parsimony; Sibling species; Species complex; Myxomatosis ; DNA barcoding; Australia; Papua New Guinea; ITS2; COI; COII; EF-11. Introduction... myxomatosis to con- trol rabbits (Fenner and RatcliVe, 1965). Chris Green used data from cross-matings and the band- ing pattern of polytene chromosomes to... myxomatosis based on distribution but more sam- pling is required to conWrm this. Many of the sampling locations in this study and the allozyme study of
On 13 September, physicists from around the world joined John Ellis at a colloquium to celebrate his 65th birthday, and as he ended his long career as a distinguished CERN staff member and joins King’s College London. Here he is in the audience with fellow theorists, Nobel laureate Gerard ’t Hooft and Chris Llewellyn Smith, former director-general of CERN.
Cooper, Antony K
Full Text Available SouthAfrica AntonyCooperandPeterSchmitz icomtek,CSIR,POBox395,Pretoria,0001,SouthAfrica Email:email@example.com,firstname.lastname@example.org 7January2002 1.Background TheCouncilforScientificandIndustrialResearch(CSIR)isoneofeightstatutoryScienceCouncils in...,especiallyPietByleveld,Andrew Davidson,BarkiesBarkhuizen,GerritRobbertse,KevinRossouwandChrisNaude. 6.References AntonyKCooper,PietByleveldandPeterMUSchmitz,“UsingGIStoreconcilecrimesceneswith thoseindicatedbyserialcriminals”,paperpresentedattheFifthInternationalCrime Mapping...
Tran, Hung; Zhu, Dan; Tuya, Nyambayar
Background: The Internet has created new efficient channels of doing business. For this nontraditional market, a business strategy that is both effective and efficient needs to be employed. The Long Tail business strategy was developed by Chris Anderson in 2006. It is possible that the Long Tail strategy not only can increase revenue by offering more “niche” products, but also can enhance customers’ loyalty toward the company. However, in order to achieve the latter, companies need to communi...
Bleakley, Chris; Bieuzen,Francois; Davison,Gareth; Costello,Joseph
Chris M Bleakley,1 François Bieuzen,2 Gareth W Davison,1 Joseph T Costello3 1Sport and Exercise Science Research Institute, Faculty of Life and Health Sciences, University of Ulster, Newtownabbey, Northern Ireland; 2Research Department, Laboratory of Sport, Expertise and Performance, French National Institute of Sport (INSEP), Paris, France; 3School of Exercise and Nutrition Sciences and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, A...
attacks highlight the urgency of the threat. Identifying and understanding the threat is just the first part of the problem. The challenge is...2015, http://sanfrancisco.cbslocal.com/2015/04/26/golden- gate-bridge-officials-ask- sen -feinstein-for-help-restricting-drones/Ref 19. Arthur Nelson...April 2015, http://sanfrancisco.cbslocal.com/2015/04/26/golden-gate- bridge-officials-ask- sen -feinstein-for-help-restricting-drones. Downey, Chris
Des Alwi, Friends and exiles; A memoir of the nutmeg isles and the Indonesian nationalist movement. (Chris F. van Fraassen) James A. Anderson, The rebel den of Nùng Trí Cao; Loyalty and identity along the Sino-Vietnamese frontier. (Emmanuel Poisson) Reggie Baay, De njai; Het concubinaat in Nederlands-Indië. (Maya Sutedja-Liem) John Barker (ed.), The anthropology of morality in Melanesia and beyond. (Jaap Timmer) Kees Buijs, Powers of blessing from t...
Pikkov, Ülo, 1976-
Animafilmist kui realistlikust filmiliigist. Artiklis viited ka mitmetele filmiteoreetikutele nagu Juri Lotman, Martin Heidegger, Steve Reinke, Paul Wells, Stephen Rowley. Näited filmidest "Lusitania uppumine" ("The Sinking of theLusitania", Winsor McCay, 1918), "Ryan" (Chris Landherth, 2004), "Creature Comforts" (Nick Park, 1989), "Pocahontas" (1995), "Jurassic Park" (Steven Spielberg, 1993), "Beavis ja Butt-head" (1993-1997), "South Park" (1997-2007)
Interactive communication of faith Experience ordering strategies and the quality of intergenerative communication of faith in the christian community. An investigation into the possibilities for improvement of intergenerative communication of faith, using Hannah Arendt’s historic and philosophic analyses and the insights of epigenetic psychology and extrapolating these to the pedagogy of religion. Summary This investigation starts from the observation that communication of faith in our Chris...
Program (HPCMP) The DoD HPCMP CREATE Program is a Tri-Service Program launched in 2006 by OSD and the HPCMP to develop and deploy eleven physics -based...best practices, System of Systems guide and capstone marketplace to development of technical leaders. ENTERPRISE HEALTH MANAGEMENT/PROGNOSTICS...DIAGNOSTICS/RELIABILTY Track Chairs: Chris Resig, The Boeing Company The health of the system as a whole – the enterprise – is a critical function of
DEW Directed-Energy Weapons DOD Department of Defense DPJ Democratic Party of Japan EM Electro-magnetic FMS Foreign Military Sales GSDF Ground...data.oecd.org/japan.htm. 75 Chris Matthews, “Forget Greece, Japan is the World’s Real Economic Time Bomb ,” Fortune, February 26, 2015, http...fortune.com/2015/02/26/japan-economic-time- bomb /. 25 to fund repair facilities, buy parts, or pay contractors? In terms of operating costs, will the JSDF
As a result, DLA has been de- veloping strong work/life programs. Many of DLA’s global facilities have fi tness centers, and the agency encourages...judges were Karen Barley, president and co-founder of Corporate University Enterprise Inc.; Robert Mosher, global chief learning and strategy...capabilities technology off ers and to extend their distance learning media. Dr. Chris Hardy, director of the DAU eLearning and Tech- nology Center, is
for his willingness to spend time providing me valuable advice on regression and partition tree analysis, and Ms. Mary Macdonald, for her... Conner 2014) TOW missiles. The BGM-71 has a shaped-charge warhead, and one of the variants, the TOW-2B Aero, has the highest engagement range of...What Does Congress Do?” Accessed July 15. http://www.congresslink.org/print_basics_congress.htm. Conners , Chris. 2014. “Cavalry Fighting Vehicle
Coated Propellants Dr. Thelma Manning , U.S. Army RDECOM-ARDEC 11829 - Investment Cast Titanium in Gun and Missile Systems Mr. Chris Jensen, Alcoa...Design on the Interior Ballistic Performance of Deterrent Coated Propellants, Dr. Thelma Manning , U.S. Army, RDECOM- ARDEC – ENERGETICS II 11867 - IM...Jeff Siewert, Arrow Tech; Ms. Shellie Clift, NSWC-Dahlgren Emerging Technologies - Systems: u Mr. Mark Serben, U.S. Army ARDEC; Mr. Joe Buzzett, GD
Coated Propellants Dr. Thelma Manning , U.S. Army RDECOM-ARDEC 11829 - Investment Cast Titanium in Gun and Missile Systems Mr. Chris Jensen, Alcoa...Design on the Interior Ballistic Performance of Deterrent Coated Propellants, Dr. Thelma Manning , U.S. Army, RDECOM- ARDEC – ENERGETICS II 11867 - IM...Jeff Siewert, Arrow Tech; Ms. Shellie Clift, NSWC-Dahlgren Emerging Technologies - Systems: u Mr. Mark Serben, U.S. Army ARDEC; Mr. Joe Buzzett, GD
Bernard Kerik; Lieutenant Colonel Chris Kinnan, USAF; Lewis Lucke; William Luti; Roman Martinez; Dayton Maxwell; Michael McNerney; Frank Miller...Post, April 12, 2003; Rupert Cornwell , “U.S.-Backed Iraqis Launch Bid for 28 After Saddam: Prewar Planning and the Occupation of Iraq from a lack...Lori Latif Shak Bernard Hanish Khalid Hassan Foreign procurement DoD DoD – TBD Garabeet Ishaqian Military Industriali- zation Military production
National Guard Graham Richard EPA Region VIII Greenwalt Robert Lawrence Livermore National Laboratory Hard Dave Colorado Department of Emergency...Jefferson County Office of Emergency Management Smedley Chuck Denver Public Health Stein Steve Pacific Northwest National Laboratory Steinhour LeeAnn...Laboratory Brooke Buddemeier email@example.com Chris Campbell firstname.lastname@example.org Robert Greenwalt email@example.com Wilthea Hibbard hibbard3
Jeff Dixius Mr. Dave Edwards Mr. Evan Baisden Ms. Mechelle vandermlen Mr. Kreston Harris Ms. Dorell Dubiak Mr. Ed Wingo Mr. David Devine...Traver, USN Mr. Chris Zahnow Mr. Ed Anderson Ms. Annette Seman Mr. Todd Manning Mr. Michael DeJournett Mr. Jerry Goodson Ms. Julie N. Van Schaik...Patton (DY) Vanessa Tatum (SL) DMAG MEO JAH Tod Billings DeCA MEO Accounting JAE Dan Singer DeCA MEO Vendor Pay JAJ Regina Emrich MEOs Accounts Payable
HAZARDOUS CARGOS (CONT’D) *20-DEC-85 CHEMICAL NAIIE CHRIS CFR OTHER TLV-TWA SEG CODE ROUTE PPM NO. WAX : CANDELILLA D 684 WAX . CARNAUBA WCA D 685 WAX ...50 693 * WAX : PARAFFIN IJPF D 2 MG/M3 696 MXYLENE XLM D 100 693 O-XYLENE XLO D 100 694 P-XYLENE XLP D 100 695 ZINC DIALKYLDITHIOPHOSPHATE ZDP D 10