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Sample records for reliable change index

  1. The two errors of using the within-subject standard deviation (WSD) as the standard error of a reliable change index.

    Science.gov (United States)

    Maassen, Gerard H

    2010-08-01

    In this Journal, Lewis and colleagues introduced a new Reliable Change Index (RCI(WSD)), which incorporated the within-subject standard deviation (WSD) of a repeated measurement design as the standard error. In this note, two opposite errors in using WSD this way are demonstrated. First, being the standard error of measurement of only a single assessment makes WSD too small when practice effects are absent. Then, too many individuals will be designated reliably changed. Second, WSD can grow unlimitedly to the extent that differential practice effects occur. This can even make RCI(WSD) unable to detect any reliable change.

  2. Usefulness of the Reliable Change Index for psychology and psychiatry in clinical practice: a case report of cognitive-behavioral therapy

    Directory of Open Access Journals (Sweden)

    Danielle de Souza Costa

    2015-10-01

    Full Text Available Objective: The reliable change index (RCI is a simple statistical computation which estimate if changes in two psychometric measures are probably due to measurement error or can be accounted by other factor, as a clinical intervention. Despite its clinical usefulness, the method is underutilized by psychiatrists and psychologists. We consider the use of the RCI in clinical practice by a case report of cognitive-behavioral therapy. Method: a female patient of 40 years old sought cognitive-behavioral therapy due to symptoms of depression. We structured the intervention in 16 sessions and used Beck Depression Inventory II (BDI-II for the assessment of depressive symptoms and answered in each session. Using published data about the BDI-II reliability and its standard deviation, we calculated the RCI before and after the intervention. Results and conclusions: The patient started the treatment with moderate to severe symptoms of depression and showed almost a linear decrease of the symptoms along the sections. Although no reliable change could be associated with the first month of treatment, starting at the second month, we documented a reliable decrease in the depressive symptoms from session 4 to 16. The RCI index it’s a useful method to assess if changes in psychometric measures may represent real change or occur by measurement error.

  3. A reliability analysis of the revised competitiveness index.

    Science.gov (United States)

    Harris, Paul B; Houston, John M

    2010-06-01

    This study examined the reliability of the Revised Competitiveness Index by investigating the test-retest reliability, interitem reliability, and factor structure of the measure based on a sample of 280 undergraduates (200 women, 80 men) ranging in age from 18 to 28 years (M = 20.1, SD = 2.1). The findings indicate that the Revised Competitiveness Index has high test-retest reliability, high inter-item reliability, and a stable factor structure. The results support the assertion that the Revised Competitiveness Index assesses competitiveness as a stable trait rather than a dynamic state.

  4. FRELIB, Failure Reliability Index Calculation

    International Nuclear Information System (INIS)

    Parkinson, D.B.; Oestergaard, C.

    1984-01-01

    1 - Description of problem or function: Calculation of the reliability index given the failure boundary. A linearization point (design point) is found on the failure boundary for a stationary reliability index (min) and a stationary failure probability density function along the failure boundary, provided that the basic variables are normally distributed. 2 - Method of solution: Iteration along the failure boundary which must be specified - together with its partial derivatives with respect to the basic variables - by the user in a subroutine FSUR. 3 - Restrictions on the complexity of the problem: No distribution information included (first-order-second-moment-method). 20 basic variables (could be extended)

  5. Structural hybrid reliability index and its convergent solving method based on random–fuzzy–interval reliability model

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    Hai An

    2016-08-01

    Full Text Available Aiming to resolve the problems of a variety of uncertainty variables that coexist in the engineering structure reliability analysis, a new hybrid reliability index to evaluate structural hybrid reliability, based on the random–fuzzy–interval model, is proposed in this article. The convergent solving method is also presented. First, the truncated probability reliability model, the fuzzy random reliability model, and the non-probabilistic interval reliability model are introduced. Then, the new hybrid reliability index definition is presented based on the random–fuzzy–interval model. Furthermore, the calculation flowchart of the hybrid reliability index is presented and it is solved using the modified limit-step length iterative algorithm, which ensures convergence. And the validity of convergent algorithm for the hybrid reliability model is verified through the calculation examples in literature. In the end, a numerical example is demonstrated to show that the hybrid reliability index is applicable for the wear reliability assessment of mechanisms, where truncated random variables, fuzzy random variables, and interval variables coexist. The demonstration also shows the good convergence of the iterative algorithm proposed in this article.

  6. Reliability and validity of the de Morton Mobility Index in individuals with sub-acute stroke.

    Science.gov (United States)

    Braun, Tobias; Marks, Detlef; Thiel, Christian; Grüneberg, Christian

    2018-02-04

    To establish the validity and reliability of the de Morton Mobility Index (DEMMI) in patients with sub-acute stroke. This cross-sectional study was performed in a neurological rehabilitation hospital. We assessed unidimensionality, construct validity, internal consistency reliability, inter-rater reliability, minimal detectable change and possible floor and ceiling effects of the DEMMI in adult patients with sub-acute stroke. The study included a total sample of 121 patients with sub-acute stroke. We analysed validity (n = 109) and reliability (n = 51) in two sub-samples. Rasch analysis indicated unidimensionality with an overall fit to the model (chi-square = 12.37, p = 0.577). All hypotheses on construct validity were confirmed. Internal consistency reliability (Cronbach's alpha = 0.94) and inter-rater reliability (intraclass correlation coefficient = 0.95; 95% confidence interval: 0.92-0.97) were excellent. The minimal detectable change with 90% confidence was 13 points. No floor or ceiling effects were evident. These results indicate unidimensionality, sufficient internal consistency reliability, inter-rater reliability, and construct validity of the DEMMI in patients with a sub-acute stroke. Advantages of the DEMMI in clinical application are the short administration time, no need for special equipment and interval level data. The de Morton Mobility Index, therefore, may be a useful performance-based bedside test to measure mobility in individuals with a sub-acute stroke across the whole mobility spectrum. Implications for Rehabilitation The de Morton Mobility Index (DEMMI) is an unidimensional measurement instrument of mobility in individuals with sub-acute stroke. The DEMMI has excellent internal consistency and inter-rater reliability, and sufficient construct validity. The minimal detectable change of the DEMMI with 90% confidence in stroke rehabilitation is 13 points. The lack of any floor or ceiling effects on hospital admission indicates

  7. Structural hybrid reliability index and its convergent solving method based on random–fuzzy–interval reliability model

    OpenAIRE

    Hai An; Ling Zhou; Hui Sun

    2016-01-01

    Aiming to resolve the problems of a variety of uncertainty variables that coexist in the engineering structure reliability analysis, a new hybrid reliability index to evaluate structural hybrid reliability, based on the random–fuzzy–interval model, is proposed in this article. The convergent solving method is also presented. First, the truncated probability reliability model, the fuzzy random reliability model, and the non-probabilistic interval reliability model are introduced. Then, the new...

  8. The Reliable Change Index (RCI) of the WHO-5 in primary prevention of mental disorders. A measurement-based pilot study in positive psychiatry

    DEFF Research Database (Denmark)

    Bech, Per; Lindberg, Lone; Moeller, Stine B

    2018-01-01

    with the removal of the stressor. We have focused on a measurement-based method to prevent the development of an adjustment disorder. AIM: The aim of this study has been to analyze from an ongoing Worklife Barometer Survey in which the World Health Organization Well-Being Scale (WHO-5) has been applied to prevent...... distress leading to an adjustment disorder. METHODS: Persons identified with a decrease of 15 points in their repeatedly WHO-5 ratings over three months were through a brief psychological intervention by experienced psychologists. The Reliable Change Index (RCI) was used to determine the clinically...... meaningful change in the WHO-5 ratings. RESULTS: Within the group who received the psychological intervention (N = 1338), 35% of the persons were identified by the RCI analysis to have developed a clinically reliable change in the WHO-5 at the time of the intervention. The remaining 65% of the persons...

  9. Test-retest reliability of the Work Ability Index questionnaire

    NARCIS (Netherlands)

    de Zwart, B. C. H.; Frings-Dresen, M. H. W.; Van Duivenbooden, J. C.

    2002-01-01

    The goal of the study was to assess the test-retest reliability of the Work Ability Index (WAI) questionnaire. Reliability was tested using a test-retest design with a 4 week interval between measurements. Valid data were collected among 97 elderly construction workers aged 40 years and older. We

  10. Reliability and Validity of Athletes Disability Index Questionnaire.

    Science.gov (United States)

    Noormohammadpour, Pardis; Hosseini Khezri, Alireza; Farahbakhsh, Farzin; Mansournia, Mohammad Ali; Smuck, Matthew; Kordi, Ramin

    2018-03-01

    The purpose of this study was to evaluate validity and reliability of a new proposed questionnaire for assessment of functional disability in athletes with low back pain (LBP). Validity and reliability study. Elite athletes participating in different fields of sports. Participants were 165 male and female athletes (between 12 and 50 years old) with LBP. Athlete Disability Index (ADI) Questionnaire which is developed by the authors for assessing LBP-related disability in athletes, Oswestry Disability Index (ODI), and the Roland-Morris Disability Questionnaire (RDQ). Self-reported responses were collected regarding LBP-related disability through ADI, ODI, and RDQ. The test-retest reliability was strong, and intraclass correlation value ranged between 0.74 and 0.94. The Cronbach alpha coefficient value of 0.91 (P visual analog scale was r = 0.626 (P disability levels were mild in the large majority of subjects (91.5% and 86.0%, respectively). Alternatively, disability assessments by the ADI did not cluster at the mild level and ranged more broadly from mild to very high. The ADI is a reliable and valid instrument for assessing disability in athletes with LBP. Compared with the available LBP disability questionnaires used in the general population, ADI can more precisely stratify the disability levels of athletes due to LBP.

  11. Establishing reliable cognitive change in children with epilepsy: The procedures and results for a sample with epilepsy

    NARCIS (Netherlands)

    van Iterson, L.; Augustijn, P.B.; de Jong, P.F.; van der Leij, A.

    2013-01-01

    The goal of this study was to investigate reliable cognitive change in epilepsy by developing computational procedures to determine reliable change index scores (RCIs) for the Dutch Wechsler Intelligence Scales for Children. First, RCIs were calculated based on stability coefficients from a

  12. Establishing Reliable Cognitive Change in Children with Epilepsy: The Procedures and Results for a Sample with Epilepsy

    Science.gov (United States)

    van Iterson, Loretta; Augustijn, Paul B.; de Jong, Peter F.; van der Leij, Aryan

    2013-01-01

    The goal of this study was to investigate reliable cognitive change in epilepsy by developing computational procedures to determine reliable change index scores (RCIs) for the Dutch Wechsler Intelligence Scales for Children. First, RCIs were calculated based on stability coefficients from a reference sample. Then, these RCIs were applied to a…

  13. The Neck Disability Index-Russian Language Version (NDI-RU): A Study of Validity and Reliability.

    Science.gov (United States)

    Bakhtadze, Maxim A; Vernon, Howard; Zakharova, Olga B; Kuzminov, Kirill O; Bolotov, Dmitry A

    2015-07-15

    Cross-cultural adaptation and psychometric testing. To perform a validated Russian translation and then to evaluate the validity and reliability of the Russian language version of the Neck Disability Index (NDI-RU). Neck pain is highly prevalent and can greatly affect daily activity. The Neck Disability Index (NDI) is the most frequently used scale for self-rating of disability due to neck pain. Its translated versions are applied in many countries. However, the Russian language version of the NDI has not been developed yet. Cross-cultural adaptation of the NDI-RU was performed according to established guidelines. Then, the NDI-RU was evaluated for content validity, concurrent criterion validity, internal consistency, test-retest reliability, factor structure, and minimum detectable change. Two hundred thirty-two patients took part in the study in total: 109 in validity (39.5 ± 10 yr), 123 in reliability (38.4 ± 11 yr; 80 in the test-retest phase). A culturally valid translation was achieved. NDI-RU total scores were distributed normally. Floor/ceiling effects were absent. Good values of Cronbach α were obtained for each item (from 0.80 to 0.84) and for the total NDI-RU (0.83). A 2-factor solution was found for the NDI-RU. The average interitem correlation coefficient was 0.53. Intraclass correlation coefficients for test-retest reliability coefficients ranged from 0.65 to 0.92 for different items and 0.91 for the total NDI-RU. Moderate correlation (Spearman rs = 0.62; P Russian language version of the Neck Disability Index resulted in a valid, reliable instrument that can be used both in clinical practice and scientific investigations. 1.

  14. Reliability of levator scapulae index in subjects with and without scapular downward rotation syndrome.

    Science.gov (United States)

    Lee, Ji-Hyun; Cynn, Heon-Seock; Choi, Woo-Jeong; Jeong, Hyo-Jung; Yoon, Tae-Lim

    2016-05-01

    The objective of this study was to introduce levator scapulae (LS) measurement using a caliper and the levator scapulae index (LSI) and to investigate intra- and interrater reliability of the LSI in subjects with and without scapular downward rotation syndrome (SDRS). Two raters measured LS length twice in 38 subjects (19 with SDRS and 19 without SDRS). For reliability testing, intraclass correlation coefficients (ICCs), standard error of measurement (SEM), and minimal detectable change (MDC) were calculated. Intrarater reliability analysis resulted with ICCs ranging from 0.94 to 0.98 in subjects with SDRS and 0.96 to 0.98 in subjects without SDRS. These results represented that intrarater reliability in both groups were excellent for measuring LS length with the LSI. Interrater reliability was good (ICC: 0.82) in subjects with SDRS; however, interrater reliability was moderate (ICC: 0.75) in subjects without SDRS. Additionally, SEM and MDC were 0.13% and 0.36% in subjects with SDRS and 0.35% and 0.97% in subjects without SDRS. In subjects with SDRS, low dispersion of the measurement errors and MDC were shown. This study suggested that the LSI is a reliable method to measure LS length and is more reliable for subjects with SDRS. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. A confirmatory study of the Combined Index of Severity of Fibromyalgia (ICAF*: factorial structure, reliability and sensitivity to change

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    Rejas Javier

    2011-06-01

    Full Text Available Abstract Background Fibromyalgia (FM is a complex syndrome that affects many aspects of the patients life and it is very difficult to evaluate in clinical practice. A recent study has developed the Combined Index of Severity of Fibromyalgia (ICAF, an instrument that evaluates diverse aspects of FM and offers five indices: emotional, physical, active coping, passive coping and total. The objective of this study is to confirm the structure of the ICAF, check its test-retest reliability, assess its sensitivity to change, and compare the results obtained in a sample of patients with fibromyalgia with another sample of healthy controls. Methods A total of 232 patients took part in the study, 228 women and 4 men, with a mean age of 47.73 years of age (SD = 8.61 and a time of disease evolution since diagnosis of 4.28 years (SD = 4.03. The patients from the FM group completed the ICAF. Between one and two weeks later, they again attended the clinic and complete the 59 items on the ICAF (retest and immediately afterwards they began treatment (according to daily clinical practice criteria. A sample of healthy subjects was also studied as a control group: 110 people were included (106 women and 4 men with a mean age of 46.01 years of age (SD = 9.35. The study was conducted in Spain. Results The results obtained suggest that the four-factor model obtained in the previous study adequately fits the data obtained in this study. The test-retest reliability and internal consistency were all significant and show a high degree of correlation for all the factors as well as in overall score. With the exception of the passive coping factor, all the other scores, including the overall score, were sensitive to change after the therapeutic intervention. The ICAF scores of the patients with fibromyalgia compared with those of the control group were markedly different. Conclusions The findings suggest that the ICAF is a valid, reliable, sensitive to change instrument with

  16. A confirmatory study of the Combined Index of Severity of Fibromyalgia (ICAF*): factorial structure, reliability and sensitivity to change

    Science.gov (United States)

    2011-01-01

    Background Fibromyalgia (FM) is a complex syndrome that affects many aspects of the patients life and it is very difficult to evaluate in clinical practice. A recent study has developed the Combined Index of Severity of Fibromyalgia (ICAF), an instrument that evaluates diverse aspects of FM and offers five indices: emotional, physical, active coping, passive coping and total. The objective of this study is to confirm the structure of the ICAF, check its test-retest reliability, assess its sensitivity to change, and compare the results obtained in a sample of patients with fibromyalgia with another sample of healthy controls. Methods A total of 232 patients took part in the study, 228 women and 4 men, with a mean age of 47.73 years of age (SD = 8.61) and a time of disease evolution since diagnosis of 4.28 years (SD = 4.03). The patients from the FM group completed the ICAF. Between one and two weeks later, they again attended the clinic and complete the 59 items on the ICAF (retest) and immediately afterwards they began treatment (according to daily clinical practice criteria). A sample of healthy subjects was also studied as a control group: 110 people were included (106 women and 4 men) with a mean age of 46.01 years of age (SD = 9.35). The study was conducted in Spain. Results The results obtained suggest that the four-factor model obtained in the previous study adequately fits the data obtained in this study. The test-retest reliability and internal consistency were all significant and show a high degree of correlation for all the factors as well as in overall score. With the exception of the passive coping factor, all the other scores, including the overall score, were sensitive to change after the therapeutic intervention. The ICAF scores of the patients with fibromyalgia compared with those of the control group were markedly different. Conclusions The findings suggest that the ICAF is a valid, reliable, sensitive to change instrument with the added advantage

  17. Reliability of the Emergency Severity Index: Meta-analysis

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    Amir Mirhaghi

    2015-01-01

    Full Text Available Objectives: Although triage systems based on the Emergency Severity Index (ESI have many advantages in terms of simplicity and clarity, previous research has questioned their reliability in practice. Therefore, the aim of this meta-analysis was to determine the reliability of ESI triage scales. Methods: This metaanalysis was performed in March 2014. Electronic research databases were searched and articles conforming to the Guidelines for Reporting Reliability and Agreement Studies were selected. Two researchers independently examined selected abstracts. Data were extracted in the following categories: version of scale (latest/older, participants (adult/paediatric, raters (nurse, physician or expert, method of reliability (intra/inter-rater, reliability statistics (weighted/unweighted kappa and the origin and publication year of the study. The effect size was obtained by the Z-transformation of reliability coefficients. Data were pooled with random-effects models and a meta-regression was performed based on the method of moments estimator. Results: A total of 19 studies from six countries were included in the analysis. The pooled coefficient for the ESI triage scales was substantial at 0.791 (95% confidence interval: 0.787‒0.795. Agreement was higher with the latest and adult versions of the scale and among expert raters, compared to agreement with older and paediatric versions of the scales and with other groups of raters, respectively. Conclusion: ESI triage scales showed an acceptable level of overall reliability. However, ESI scales require more development in order to see full agreement from all rater groups. Further studies concentrating on other aspects of reliability assessment are needed.

  18. Reliable Change Indices and Standardized Regression-Based Change Score Norms for Evaluating Neuropsychological Change in Children with Epilepsy

    Science.gov (United States)

    Busch, Robyn M.; Lineweaver, Tara T.; Ferguson, Lisa; Haut, Jennifer S.

    2015-01-01

    Reliable change index scores (RCIs) and standardized regression-based change score norms (SRBs) permit evaluation of meaningful changes in test scores following treatment interventions, like epilepsy surgery, while accounting for test-retest reliability, practice effects, score fluctuations due to error, and relevant clinical and demographic factors. Although these methods are frequently used to assess cognitive change after epilepsy surgery in adults, they have not been widely applied to examine cognitive change in children with epilepsy. The goal of the current study was to develop RCIs and SRBs for use in children with epilepsy. Sixty-three children with epilepsy (age range 6–16; M=10.19, SD=2.58) underwent comprehensive neuropsychological evaluations at two time points an average of 12 months apart. Practice adjusted RCIs and SRBs were calculated for all cognitive measures in the battery. Practice effects were quite variable across the neuropsychological measures, with the greatest differences observed among older children, particularly on the Children’s Memory Scale and Wisconsin Card Sorting Test. There was also notable variability in test-retest reliabilities across measures in the battery, with coefficients ranging from 0.14 to 0.92. RCIs and SRBs for use in assessing meaningful cognitive change in children following epilepsy surgery are provided for measures with reliability coefficients above 0.50. This is the first study to provide RCIs and SRBs for a comprehensive neuropsychological battery based on a large sample of children with epilepsy. Tables to aid in evaluating cognitive changes in children who have undergone epilepsy surgery are provided for clinical use. An excel sheet to perform all relevant calculations is also available to interested clinicians or researchers. PMID:26043163

  19. The 'Hub Disruption Index', a reliable index sensitive to the brain networks reorganization. A study of the contralesional hemisphere in stroke

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    Maite Termenon

    2016-08-01

    Full Text Available Stroke, resulting in focal structural damage, induces changes in brain function at both local and global levels. Following stroke, cerebral networks present structural and functional reorganization to compensate for the dysfunctioning provoked by the lesion itself and its remote effects. As some recent studies underlined the role of the contralesional hemisphere during recovery, we studied its role %of the contralesional hemispherein the reorganization of brain function of stroke patients using resting state fMRI and graph theory. We explored this reorganization using the 'hub disruption index' (kappa, a global index sensitive to the reorganization of nodes within the graph. For a given graph metric, kappa of a subject corresponds to the slope of the linear regression model between the mean local network measures of a reference group, and the difference between that reference and the subject under study. In order to translate the use of kappa in clinical context, a prerequisite to achieve meaningful results is to investigate the reliability of this index. In a preliminary part, we studied the reliability of kappa by computing the intraclass correlation coefficient in a cohort of 100 subjects from the Human Connectome Project. Then, we measured intra-hemispheric kappa index in the contralesional hemisphere of 20 subacute stroke patients compared to 20 age-matched healthy controls. Finally, due to the small number of patients, we tested the robustness of our results repeating the experiment 1000 times by bootstrapping on the Human Connectome Project database. Statistical analysis showed a significant reduction of kappa for the contralesional hemisphere of right stroke patients compared to healthy controls. Similar results were observed for the right contralesional hemisphere of left stroke patients. We showed that kappa, is more reliable than global graph metrics and more sensitive to detect differences between groups of patients as compared to

  20. Examining the reliability of ADAS-Cog change scores.

    Science.gov (United States)

    Grochowalski, Joseph H; Liu, Ying; Siedlecki, Karen L

    2016-09-01

    The purpose of this study was to estimate and examine ways to improve the reliability of change scores on the Alzheimer's Disease Assessment Scale, Cognitive Subtest (ADAS-Cog). The sample, provided by the Alzheimer's Disease Neuroimaging Initiative, included individuals with Alzheimer's disease (AD) (n = 153) and individuals with mild cognitive impairment (MCI) (n = 352). All participants were administered the ADAS-Cog at baseline and 1 year, and change scores were calculated as the difference in scores over the 1-year period. Three types of change score reliabilities were estimated using multivariate generalizability. Two methods to increase change score reliability were evaluated: reweighting the subtests of the scale and adding more subtests. Reliability of ADAS-Cog change scores over 1 year was low for both the AD sample (ranging from .53 to .64) and the MCI sample (.39 to .61). Reweighting the change scores from the AD sample improved reliability (.68 to .76), but lengthening provided no useful improvement for either sample. The MCI change scores had low reliability, even with reweighting and adding additional subtests. The ADAS-Cog scores had low reliability for measuring change. Researchers using the ADAS-Cog should estimate and report reliability for their use of the change scores. The ADAS-Cog change scores are not recommended for assessment of meaningful clinical change.

  1. Reliability enhancement of portal frame structure by finite element synthesis

    International Nuclear Information System (INIS)

    Nakagiri, S.

    1989-01-01

    The stochastic finite element methods have been applied to the evaluation of structural response and reliability of uncertain structural systems. The structural reliability index of the advanced first-order second moment (AFOSM) method is a candidate of the measure of assessing structural safety and reliability. The reliability index can be evaluated when a baseline design of structures under interest is proposed and the covariance matrix of the probabilistic variables is acquired to represent uncertainties involved in the structure systems. The reliability index thus evaluated is not assured the largest one for the structure. There is left a possibility to enhance the structural reliability for the given covariance matrix by changing the baseline design. From such a viewpoint of structural optimization, some ideas have been proposed to maximize the reliability or to minimize the failure probability of uncertain structural systems. A method of changing the design is proposed to increase the reliability index from its baseline value to another desired value. The reliability index in this paper is calculated mainly by the method of Lagrange multiplier

  2. Validity and reliability of the Brazilian version of the Work Ability Index questionnaire.

    Science.gov (United States)

    Martinez, Maria Carmen; Latorre, Maria do Rosário Dias de Oliveira; Fischer, Frida Marina

    2009-06-01

    To evaluate the validity and reliability of the Portuguese language version of a work ability index. Cross sectional survey of a sample of 475 workers from an electrical company in the state of Sao Paulo, Southeastern Brazil (spread across ten municipalities in the Campinas area), carried out in 2005. The following aspects of the Brazilian version of the Work Ability Index were evaluated: construct validity, using factorial exploratory analysis, and discriminant capacity, by comparing mean Work Ability Index scores in two groups with different absenteeism levels; criterion validity, by determining the correlation between self-reported health and Work Ability Index score; and reliability, using Cronbach's alpha to determine the internal consistency of the questionnaire. Factorial analysis indicated three factors in the work ability construct: issues pertaining to 'mental resources' (20.6% of the variance), self-perceived work ability (18.9% of the variance), and presence of diseases and health-related limitations (18.4% of the variance). The index was capable of discriminating workers according to levels of absenteeism, identifying a significantly lower (pindex and all dimensions of health status analyzed (pindex was high, with a Cronbach's alpha of 0.72. The Brazilian version of the Work Ability Index showed satisfactory psychometric properties with respect to construct validity, thus constituting an appropriate option for evaluating work ability in both individual and population-based settings.

  3. High reliability solid refractive index matching materials for field installable connections in FTTH network

    Science.gov (United States)

    Saito, Kotaro; Kihara, Mitsuru; Shimizu, Tomoya; Yoneda, Keisuke; Kurashima, Toshio

    2015-06-01

    We performed environmental and accelerated aging tests to ensure the long-term reliability of solid type refractive index matching material at a splice point. Stable optical characteristics were confirmed in environmental tests based on an IEC standard. In an accelerated aging test at 140 °C, which is very much higher than the specification test temperature, the index matching material itself and spliced fibers passing through it had steady optical characteristics. Then we performed an accelerated aging test on an index matching material attached to a built-in fiber before splicing it in the worst condition, which is different from the normal use configuration. As a result, we confirmed that the repeated insertion and removal of fiber for splicing resulted in failure. We consider that the repetition of adhesion between index matching material and fibers causes the splice to degrade. With this result, we used the Arrhenius model to estimate a median lifetime of about 68 years in a high temperature environment of 60 °C. Thus solid type index matching material at a splice point is highly reliable over long periods under normal conditions of use.

  4. Reliability of a Novel CBCT-Based 3D Classification System for Maxillary Canine Impactions in Orthodontics: The KPG Index

    Science.gov (United States)

    Visconti, Luca; Martin, Conchita

    2013-01-01

    The aim of this study was to evaluate both intra- and interoperator reliability of a radiological three-dimensional classification system (KPG index) for the assessment of degree of difficulty for orthodontic treatment of maxillary canine impactions. Cone beam computed tomography (CBCT) scans of fifty impacted canines, obtained using three different scanners (NewTom, Kodak, and Planmeca), were classified using the KPG index by three independent orthodontists. Measurements were repeated one month later. Based on these two sessions, several recommendations on KPG Index scoring were elaborated. After a joint calibration session, these recommendations were explained to nine orthodontists and the two measurement sessions were repeated. There was a moderate intrarater agreement in the precalibration measurement sessions. After the calibration session, both intra- and interrater agreement were almost perfect. Indexes assessed with Kodak Dental Imaging 3D module software showed a better reliability in z-axis values, whereas indexes assessed with Planmeca Romexis software showed a better reliability in x- and y-axis values. No differences were found between the CBCT scanners used. Taken together, these findings indicate that the application of the instructions elaborated during this study improved KPG index reliability, which was nevertheless variously influenced by the use of different software for images evaluation. PMID:24235889

  5. Reliability of a Novel CBCT-Based 3D Classification System for Maxillary Canine Impactions in Orthodontics: The KPG Index

    Directory of Open Access Journals (Sweden)

    Domenico Dalessandri

    2013-01-01

    Full Text Available The aim of this study was to evaluate both intra- and interoperator reliability of a radiological three-dimensional classification system (KPG index for the assessment of degree of difficulty for orthodontic treatment of maxillary canine impactions. Cone beam computed tomography (CBCT scans of fifty impacted canines, obtained using three different scanners (NewTom, Kodak, and Planmeca, were classified using the KPG index by three independent orthodontists. Measurements were repeated one month later. Based on these two sessions, several recommendations on KPG Index scoring were elaborated. After a joint calibration session, these recommendations were explained to nine orthodontists and the two measurement sessions were repeated. There was a moderate intrarater agreement in the precalibration measurement sessions. After the calibration session, both intra- and interrater agreement were almost perfect. Indexes assessed with Kodak Dental Imaging 3D module software showed a better reliability in z-axis values, whereas indexes assessed with Planmeca Romexis software showed a better reliability in x- and y-axis values. No differences were found between the CBCT scanners used. Taken together, these findings indicate that the application of the instructions elaborated during this study improved KPG index reliability, which was nevertheless variously influenced by the use of different software for images evaluation.

  6. Maturity index on reliability: covering non-technical aspects of IEC61508 reliability certification

    International Nuclear Information System (INIS)

    Brombacher, A.C.

    1999-01-01

    One of the more recent developments in the field of reliability and safety is the realisation that these aspects are not only a function of the product itself, but also of the organisation realising this product. A second development is a trend from an often predominantly qualitative analysis towards a quantitative analysis. In contrast to the (older) DIN 0801, the (more recent) IEC61508 requires, on product level, also a quantitative analysis and, on organisational level, an assessment of the lifecycle of a product by analysing the (maturity of the) relevant business processes (DIN V VDE 0801. Grundsaetze fuer Rechner in Systemen mit Sicherheitsaufgaben, 1990; DIN V 0801. Grundlegende Sicherheitsbetrachtungen fuer MSR-Schutzeinrichtungen, 1994; DIN V VDE 0801 A1. Grundsaetze fuer Rechner in Systemen mit Sicherheitsaufgaben, Aenderung A1, 1994; IEC 61508 Functional Safety of electrical/electronic/programmable electronic safety-related systems, draft 4.0, 1997). The IEC standard 61508 covers: (i) technical aspects, both on a quantitative and a qualitative level; (ii) organisational aspects, both on aspects of maturity of business processes (quantitative) and on aspects of the definition and application of procedures (qualitative). This paper shows the necessity for an analysis on all aspects in a safety certification process, and presents an overview of the available tools and techniques for the various quadrants. As methods and tools for especially quadrant C are currently unavailable, this paper will propose a method to assess and improve the maturity of an organisation on reliability management: the maturity index on reliability (MIR)

  7. Cumulative trauma disorders in the upper extremities: reliability of the postural and repetitive risk-factors index.

    Science.gov (United States)

    James, C P; Harburn, K L; Kramer, J F

    1997-08-01

    This study addresses test-retest reliability of the Postural and Repetitive Risk-Factors Index (PRRI) for work-related upper body injuries. This assessment was developed by the present authors. A repeated measures design was used to assess the test-retest reliability of a videotaped work-site assessment of subjects' movements. Ten heavy users of video display terminals (VDTs) from a local banking industry participated in the study. The 10 subjects' movements were videotaped for 2 hours on each of 2 separate days, while working on-site at their VDTs. The videotaped assessment, which utilized known postural risk factors for developing musculoskeletal disorder, pain, and discomfort in heavy VDT users (ie, repetitiveness, awkward and static postures, and contraction time), was called the PRRI. The videotaped movement assessments were subsequently analyzed in 15-minute sessions (five sessions per 2-hour videotape, which produced a total of 10 sessions over the 2 testing days), and each session was chosen randomly from the videotape. The subjects' movements were given a postural risk score according to the criteria in the PRRI. Each subject was therefore tested a total of 10 times (ie, 10 sessions), over two days. The maximum PRRI score for both sides of the body was 216 points. Reliability coefficients (RCs) for the PRRI scores were calculated, and the reliability of any one session met the minimum criterion for excellent reliability, which was .75. A two-way analysis of variance (ANOVA) confirmed that there was no statistically significant difference between sessions (p < .05). Calculations using the standard error of measurement (SEM) indicated that an individual tested once, on one day and with a PRRI score of 25, required a change of at least 8 points in order to be confident that a true change in score had occurred. The significant results from the reliability tests indicated that the PRRI was a reliable measurement tool that could be used by occupational health

  8. Establishment of the reliability and validity of the Stress Index for Children or Adolescents with Tourette Syndrome (SICATS).

    Science.gov (United States)

    Chao, Kuo-Yu; Wang, Huei-Shyong; Chang, Hsueh-Ling; Wang, Yi-Wen; See, Lai-Chu

    2010-02-01

    The aim of this study was to evaluate the validity and reliability of the stress index for 10-18-years-old children or adolescents with Tourette syndrome. Tourette syndrome is a chronic tic disorder, which occurs in childhood. Children with Tourette syndrome exhibit sudden and unexpected voices or movements that may have influence on their daily activities and cause interaction barriers for children with Tourette syndrome. Therefore, a self-report stress index is necessary for children with Tourette syndrome to quickly measure the stress they have. Eight experts rated appropriateness, comprehensiveness and relevance of the questionnaire to establish content validity. A total of 116 paediatric patients filled out the stress index for 10-18-years-old children or adolescents with Tourette syndrome to evaluate its construct validity using exploratory factor analysis and internal consistency. Data from 90 pairs of paediatric patients and their caregivers were used to evaluate the inter-rater reliability. The criterion validity index ranged from 80-98%. One item was deleted because of a small item-to-total correlation. Therefore, 26 items made up the final stress index for 10-18-years-old children or adolescents with Tourette syndrome. In exploratory factor analysis, four factors (unfairly treated, psychological, symptom control and future concern) were achieved and accounted for 52.3% of the total variance. Cronbach's alphas of the stress index for 10-18-years-old children or adolescents with Tourette syndrome were 0.89. The inter-rater reliability of stress Index for 10-18-years-old children or adolescents with Tourette syndrome (Pearson correlation coefficient between patients and their caregivers) was 0.56. The stress Index for 10-18-years-old children or adolescents with Tourette syndrome is a self-administered tool to assess the stress of children or adolescents with Tourette syndrome. Validity (content and construct) and reliability (internal consistency and inter

  9. Reliability Engineering

    International Nuclear Information System (INIS)

    Lee, Sang Yong

    1992-07-01

    This book is about reliability engineering, which describes definition and importance of reliability, development of reliability engineering, failure rate and failure probability density function about types of it, CFR and index distribution, IFR and normal distribution and Weibull distribution, maintainability and movability, reliability test and reliability assumption in index distribution type, normal distribution type and Weibull distribution type, reliability sampling test, reliability of system, design of reliability and functionality failure analysis by FTA.

  10. The Barthel Index: comparing inter-rater reliability between nurses and doctors in an older adult rehabilitation unit.

    LENUS (Irish Health Repository)

    Hartigan, Irene

    2011-02-01

    To ensure accuracy in recording the Barthel Index (BI) in older people, it is essential to determine who is best placed to administer the index. The aim of this study was to compare doctors\\' and nurses\\' reliability in scoring the BI.

  11. Determination of Reliability Index and Weibull Modulus as a Measure of Hypereutectic Silumins Survival

    Directory of Open Access Journals (Sweden)

    J. Szymszal

    2007-07-01

    Full Text Available The first part of the study describes the methods used to determine Weibull modulus and the related reliability index of hypereutectic silumins containing about 17% Si, assigned for manufacture of high-duty castings to be used in automotive applications and aviation. The second part of the study discusses the importance of chemical composition, including the additions of 3% Cu, 1,5% Ni and 1,5% Mg, while in the third part attention was focussed on the effect of process history, including mould type (sand or metal as well as the inoculation process and heat treatment (solutioning and ageing applied to the cast AlSi17Cu3Mg1,5Ni1,5 alloy, on the run of Weibull distribution function and reliability index calculated for the tensile strength Rm of the investigated alloys.

  12. Relevance of the study premises in the reliability indexes; Relevancia das premissas de estudo nos indices de confiabilidade

    Energy Technology Data Exchange (ETDEWEB)

    Camara Neto, Felipe [Furnas Centrais Eletricas S.A, Rio de Janeiro, RJ (Brazil)], email: fcamara@furnas.com.br; Schilling, Marcus Th. [Universidade Federal Fluminense (UFF) Niteroi, RJ (Brazil). Dept. de Engenharia Eletrica], E-mail: schilling@ic.uff.br; Silva, Armando M. Leite da [Universidade Federal de Itajuba (UNIFEI), MG (Brazil). Inst. de Sistemas Eletricos e Energia], E-mail: armando@unifei.edu.br

    2009-07-01

    This article gives subsidies for overcoming the difficulties for the conceptual interpretation of the reliability indexes coming from the probabilistic analysis typical of power systems adequacy. Firstly, it is listed a set of factors that contribute to the generation of significant statistic amplitudes of numerical values. After this, a referential paradigm is obtained for the Brazilian test-system of 107 bars, according to the used methodology in various companies in Brazil. Taking as reference the obtained pattern, a set of experiments is done, and it is obtained the variation range of the severity index, and a set of another traditional indexes in the reliability analysis.

  13. Reliability and validity of the cross-culturally adapted Turkish version of the Core Outcome Measures Index for low back pain.

    Science.gov (United States)

    Çetin, Engin; Çelik, Evrim Coşkun; Acaroğlu, Emre; Berk, Haluk

    2018-01-01

    To produce a cross-culturally adapted and validated Turkish version of The Core Outcome Measure Index (COMI) Back questionnaire. Ninety-six Turkish-speaking patients with non-specific low back pain (LBP) were recruited from orthopedic and physical therapy outpatient clinics in a public hospital. They completed a booklet of questionnaires containing Turkish version of COMI, adjectival pain scale, Roland Morris disability questionnaire, European 5 Dimension Questionnaire and brief version of World Health Organization Quality of Life Questionnaire. Within following 7-14 days, 67 patients, reported no or minimal changes in their back pain status, completed the Turkish COMI again to assess reproducibility. Data quality was good with very few missing answers. COMI summary index score displayed 3% floor effects and no ceiling effects. The correlations between the COMI summary index score and each of the full instrument whole scores were found to be excellent to very good (ρ = - 0.81 to 0.74). Reliability expressed as intraclass correlation coefficient (ICC) was 0.95 (95% CI 0.91-0.97). Standard error of measurement (SEM agreement ) was acceptable at 0.41 and the minimum detectable change (MDC 95% ) was 1.14. Turkish version of the COMI has acceptable psychometric properties. It is a valid and reliable instrument and cross-culturally adapted, in accordance with established guidelines, for the use by Turkish-speaking patients. It can be recommended for use in evaluation of patients with chronic LBP in daily practice, in international multicenter studies and in spine registry systems.

  14. Measurements of photoinduced refractive index changes in ...

    Indian Academy of Sciences (India)

    Abstract. We report the pump–probe measurements of nonlinear refractive index changes in photochromic bacteriorhodopsin films. The photoinduced absorption is caused by pump beam at 532 nm and the accompanying refractive index changes are studied using a probe beam at 633 nm. The proposed technique is ...

  15. Reliability of ultrasonographic measurements in suspected patients of developmental dysplasia of the hip and correlation with the acetabular index

    Directory of Open Access Journals (Sweden)

    Cem Copuroglu

    2011-01-01

    Full Text Available Background: Ultrasonography is accepted as a useful imaging modality in the early detection of developmental dysplasia of the hip (DDH. Early detection and early treatment of DDH prevents hip dislocation and related physical, social, economic, and psychological problems. The purpose of this study was to evaluate the reliability of ultrasonographic and roentgenographic measurements measured by seven different observers. Materials and Methods: The alpha angles of 66 hips in 33 patients were measured using the Graf method by seven different observers. Acetabular index degrees on plane roentgenograms were measured in order to assess the correlation between the ultrasonographic alpha angle and the radiographic acetabular index, which both show the bony acetabular depth, retrospectively. Results: The interclass correlation coefficient, measuring the interobserver reliability, was high and statistically significant for the ultrasonographic measurements. There was a negative correlation between the alpha angle and the acetabular index. Conclusions: Ultrasonography, when applied properly, is a reliable technique between different observers, in the diagnosis and follow up of DDH. When assessed concomitantly with the roentgenographic measurements, the results are reliable and statistically meaningful.

  16. Cross-cultural adaptation, reliability and validity of the Turkish version of the Lower Limb Functional Index.

    Science.gov (United States)

    Duruturk, Neslihan; Tonga, Eda; Gabel, Charles Philip; Acar, Manolya; Tekindal, Agah

    2015-07-26

    This study aims to adapt culturally a Turkish version of the Lower Limb Functional Index (LLFI) and to determine its validity, reliability, internal consistency, measurement sensitivity and factor structure in lower limb problems. The LLFI was translated into Turkish and cross-culturally adapted with a double forward-backward protocol that determined face and content validity. Individuals (n = 120) with lower limb musculoskeletal disorders completed the LLFI and Short Form-36 questionnaires and the Timed Up and Go physical test. The psychometric properties were evaluated for the all participants from patient-reported outcome measures made at baseline and repeated at day 3 to determine criterion between scores (Pearson's r), internal consistency (Cronbachs α) and test-retest reliability (intraclass correlation coefficient - ICC 2.1 ). Error was determined using standard error of the measurement (SEM) and minimal detectable change at the 90% level (MDC 90 ), while factor structure was determined using exploratory factor analysis with maximum likelihood extraction and Varimax rotation. The psychometric characteristics showed strong criterion validity (r = 0.74-0.76), high internal consistency (α = 0.82) and high test-retest reability (ICC 2.1  = 0.97). The SEM of 3.2% gave an MDC 90  = 5.8%. The factor structure was uni-dimensional. Turkish version of LLFI was found to be valid and reliable for the measurement of lower limb function in a Turkish population. Implications for Rehabilitation Lower extremity musculoskeletal disorders are common and greatly impact activities among the affected individuals pertaining to daily living, work, leisure and quality of life. Patient-reported outcome (PRO) measures have advantages as they are practical, cost-effective and clinically convenient for use in patient-centered care. The Lower Limb Functional Index is a recently validated PRO measure shown to have strong clinimetric properties.

  17. Reliability and Validity of the ‘‘Personal Well-Being Index- Cognitive Disability’’ on Mentally Retarded Students

    Directory of Open Access Journals (Sweden)

    Alireza Agha Yousefi

    2013-06-01

    Full Text Available Objective:Having a good quality of life has always been desirable for humans, and the concept of a good life and the ways of achieving it have become important over the years. Personal wellbeing is the mental component of quality of life. Thus, the current study was conducted to assess the reliability and validity of the ‘‘Personal Well-Being Index- Cognitive Disability’’ on mentally retarded students.Method:200 mentally retarded students in north districts of Tehran (districts 1, 2 and 3 were selected by systematic random sampling. The collected data using Personal Well-Being Index- Cognitive Disability was analyzed by Cronbach’s alpha coefficient for internal consistency and linear multivariate regression for construct validity.Results:Results confirmed the reliability and validity for the Personal Well-Being Index- Cognitive Disability in mentally retarded students of exceptional schools. Studying the internal consistency of seven items showed that all the items were correlated with the total score and their scores averages were similar to each other. This indicates that the test’s questions have reliability with regard to evaluation of a common feature and results showed Personal Well-Being Index- Cognitive Disability had the most extensive coverage of construct validity .Conclusion:Personal Well-Being Index- Cognitive Disability scale could be applied to measure personal wellbeing in mentally retarded students.

  18. A quantitative index for classification of plantar thermal changes in the diabetic foot

    Science.gov (United States)

    Hernandez-Contreras, D.; Peregrina-Barreto, H.; Rangel-Magdaleno, J.; Gonzalez-Bernal, J. A.; Altamirano-Robles, L.

    2017-03-01

    One of the main complications caused by diabetes mellitus is the development of diabetic foot, which in turn, can lead to ulcerations. Because ulceration risks are linked to an increase in plantar temperatures, recent approaches analyze thermal changes. These approaches try to identify spatial patterns of temperature that could be characteristic of a diabetic group. However, this is a difficult task since thermal patterns have wide variations resulting on complex classification. Moreover, the measurement of contralateral plantar temperatures is important to determine whether there is an abnormal difference but, this only provides information when thermal changes are asymmetric and in absence of ulceration or amputation. Therefore, in this work is proposed a quantitative index for measuring the thermal change in the plantar region of participants diagnosed diabetes mellitus regards to a reliable reference (control) or regards to the contralateral foot (as usual). Also, a classification of the thermal changes based on a quantitative index is proposed. Such classification demonstrate the wide diversity of spatial distributions in the diabetic foot but also demonstrate that it is possible to identify common characteristics. An automatic process, based on the analysis of plantar angiosomes and image processing, is presented to quantify these thermal changes and to provide valuable information to the medical expert.

  19. Intra- and interrater reliability and agreement of the Danish version of the Dynamic Gait Index in older people with balance impairments

    DEFF Research Database (Denmark)

    Jønsson, Line R; Kristensen, Morten; Tibaek, Sigrid

    2011-01-01

    To examine the intrarater and interrater reliability and agreement of the Danish version of the Dynamic Gait Index (DGI) in hospitalized and community-dwelling older people with balance impairments.......To examine the intrarater and interrater reliability and agreement of the Danish version of the Dynamic Gait Index (DGI) in hospitalized and community-dwelling older people with balance impairments....

  20. Cross-cultural adaptation, reliability and validity of the Arabic version of the reduced Western Ontario and McMaster Universities Osteoarthritis index in patients with knee osteoarthritis.

    Science.gov (United States)

    Alghadir, Ahmad; Anwer, Shahnawaz; Iqbal, Zaheen Ahmed; Alsanawi, Hisham Abdulaziz

    2016-01-01

    We adapted the reduced Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index for the Arabic language and tested its metric properties in patients with knee osteoarthritis (OA). One hundred and twenty-one consecutive patients who were referred for physiotherapy to the outpatient department were asked to answer the Arabic version of the reduced WOMAC index (ArWOMAC). After the completion of the ArWOMAC, the intensity of knee pain and general health status were assessed using the visual analog scale (VAS) and the 12-item short form health survey (SF-12), respectively. A second assessment was performed at least 48 h after the first session to assess test-retest reliability. The test-retest reliability was quantified using the intra-class correlation coefficient (ICC), and Cronbach's alpha was calculated to assess the internal consistency of the Arabic questionnaire. The construct validity was assessed using Spearman rank correlation coefficients. The total ArWOMAC scale and pain and function subscales were internally consistent with Cronbach's coefficient alpha of 0.91, 0.89 and 0.90, respectively. Test-retest reliability was good to excellent with ICC of 0.91, 0.89 and 0.90, respectively. SF-12 and VAS score significantly correlated with ArWOMAC index (p < 0.01), which support the construct validity. The standard error of measurement (SEM) of the total scale was 2.94, based on repeated measurements for test-retest. The minimum detectable change based on the SEM for test-retest was 8.15. The ArWOMAC index is a reliable and valid instrument for evaluating the severity of knee OA, with metric properties in agreement with the original version. Although, the reduced WOMAC index has been clinically utilized within the Saudi population, the Arabic version of this instrument is not validated for an Arab population to measure lower limb functional disability caused by OA. The Arabic version of reduced WOMAC (ArWOMAC) index is a reliable and valid scale

  1. The Addiction Severity Index: Reliability and validity in a Dutch alcoholic population

    OpenAIRE

    Dejong, C.A.J.; Willems, J.C.E.W.; Schippers, G.M.; Hendriks, V.M.

    1995-01-01

    The Addiction Severity Index (ASI) was evaluated for its psychometric qualities in a Dutch alcoholic population admitted to an addiction treatment center in the Netherlands. Its factorial structure in this population was found to be consistent with the established six factor structure of the ASI. Reliability analysis revealed that the homogeneity of the subscales was acceptable with the exception of the Alcohol Scale. The six subscales were not highly intercorrelated. The results of this stud...

  2. Reliability measures for indexed semi-Markov chains applied to wind energy production

    International Nuclear Information System (INIS)

    D'Amico, Guglielmo; Petroni, Filippo; Prattico, Flavio

    2015-01-01

    The computation of the dependability measures is a crucial point in many engineering problems as well as in the planning and development of a wind farm. In this paper we address the issue of energy production by wind turbines by using an indexed semi-Markov chain as a model of wind speed. We present the mathematical model, the data and technical characteristics of a commercial wind turbine (Aircon HAWT-10kW). We show how to compute some of the main dependability measures such as reliability, availability and maintainability functions. We compare the results of the model with real energy production obtained from data available in the Lastem station (Italy) and sampled every 10 min. - Highlights: • Semi-Markov models. • Time series generation of wind speed. • Computation of availability, reliability and maintainability.

  3. A Malay version of the Child Oral Impacts on Daily Performances (Child-OIDP index: assessing validity and reliability

    Directory of Open Access Journals (Sweden)

    Yusof Zamros YM

    2012-06-01

    Full Text Available Abstract Background The study aimed to develop and test a Malay version of the Child-OIDP index, evaluate its psychometric properties and report on the prevalence of oral impacts on eight daily performances in a sample of 11–12 year old Malaysian schoolchildren. Methods The Child-OIDP index was translated from English into Malay. The Malay version was tested for reliability and validity on a non-random sample of 132, 11–12 year old schoolchildren from two urban schools in Kuala Lumpur. Psychometric analysis of the Malay Child-OIDP involved face, content, criterion and construct validity tests as well as internal and test-retest reliability. Non-parametric statistical methods were used to assess relationships between Child-OIDP scores and other subjective outcome measures. Results The standardised Cronbach’s alpha was 0.80 and the weighted Kappa was 0.84 (intraclass correlation = 0.79. The index showed significant associations with different subjective measures viz. perceived satisfaction with mouth, perceived needs for dental treatment, perceived oral health status and toothache experience in the previous 3 months (p  Conclusion This study indicated that the Malay Child-OIDP index is a valid and reliable instrument to measure the oral impacts of daily performances in 11–12 year old urban schoolchildren in Malaysia.

  4. Development of a German version of the Oswestry Disability Index. Part 1: cross-cultural adaptation, reliability, and validity.

    Science.gov (United States)

    Mannion, A F; Junge, A; Fairbank, J C T; Dvorak, J; Grob, D

    2006-01-01

    Patient-orientated assessment methods are of paramount importance in the evaluation of treatment outcome. The Oswestry Disability Index (ODI) is one of the condition-specific questionnaires recommended for use with back pain patients. To date, no German version has been published in the peer-reviewed literature. A cross-cultural adaptation of the ODI for the German language was carried out, according to established guidelines. One hundred patients with chronic low-back pain (35 conservative, 65 surgical) completed a questionnaire booklet containing the newly translated ODI, along with a 0-10 pain visual analogue scale (VAS), the Roland Morris Disability Questionnaire, and Likert scales for disability, medication intake and pain frequency [to assess ODI's construct (convergent) validity]. Thirty-nine of these patients completed a second questionnaire within 2 weeks (to assess test-retest reliability). The intraclass correlation coefficient for the test-retest reliability of the questionnaire was 0.96. In test-retest, 74% of the individual questions were answered identically, and 21% just one grade higher or lower. The standard error of measurement (SEM) was 3.4, giving a "minimum detectable change" (MDC(95%)) for the ODI of approximately 9 points, i.e. the minimum change in an individual's score required to be considered "real change" (with 95% confidence) over and above measurement error. The ODI scores correlated with VAS pain intensity (r = 0.78, P disability, medication use and pain frequency (in each case P Oswestry questionnaire is reliable and valid, and shows psychometric characteristics as good as, if not better than, the original English version. It should represent a valuable tool for use in future patient-orientated outcome studies in German-speaking lands.

  5. The development, validity, and reliability of the Addiction Profile Index (API).

    Science.gov (United States)

    Ögel, Kültegin; Evren, Cüneyt; Karadağ, Figen; Gürol, Defne Tamar

    2012-01-01

    The objective of this study was to develop a practical questionnaire for multidimensional assessment of problems associated with alcohol and substance abuse that would also be useful for treatment planning. The Addiction Profile Index (API) is a self-report questionnaire consisting of 37 items and the following 5 subscales: characteristics of substance use; dependency diagnosis; the effects of subsance use on the user; craving; motivation to quit using substances. The study included 345 alcohol and/or substance abusers from 2 addiction treatment clinics and a prison addiction service. The validity of the questionnaire was assessed using the Michigan Alcoholism Screening Test (MAST), Readiness to Change Questionnaire (SOCRATES), Penn Alcohol Craving Scale (PACS), Drug Craving Scale (DCS), Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), and Addiction Severity Index (ASI). The Cronbach's alpha coefficient for the total API was 0.89 and for the subscales it ranged from 0.63 to 0.86. Item-total correlation coefficients ranged from 0.42 to 0.89. The Spearman Brown split-half method coefficient for the total API was 0.83. In all, 4 factors were obtained using explanatory factor analysis that represented 52.3% of the total variance. The API craving subscale was observed to be consistent with PACS and the API motivation subscale was consistent with SOCRATES. The API total score was strongly correlated with the mean MAST score, and the composite ASI medical status, substance use, legal status, and family social relations subscale scores. Based on ROC analyses, the area under curve was 0.90. With a total API cut-off score of 4, the scale's sensitivity and specificity 0.85 was 0.78, respectively. The findings show that the API is a valid and reliable questionnaire that can be used to measure the severity of different dimensions of substance dependency.

  6. Reliable change indices and standardized regression-based change score norms for evaluating neuropsychological change in children with epilepsy.

    Science.gov (United States)

    Busch, Robyn M; Lineweaver, Tara T; Ferguson, Lisa; Haut, Jennifer S

    2015-06-01

    Reliable change indices (RCIs) and standardized regression-based (SRB) change score norms permit evaluation of meaningful changes in test scores following treatment interventions, like epilepsy surgery, while accounting for test-retest reliability, practice effects, score fluctuations due to error, and relevant clinical and demographic factors. Although these methods are frequently used to assess cognitive change after epilepsy surgery in adults, they have not been widely applied to examine cognitive change in children with epilepsy. The goal of the current study was to develop RCIs and SRB change score norms for use in children with epilepsy. Sixty-three children with epilepsy (age range: 6-16; M=10.19, SD=2.58) underwent comprehensive neuropsychological evaluations at two time points an average of 12 months apart. Practice effect-adjusted RCIs and SRB change score norms were calculated for all cognitive measures in the battery. Practice effects were quite variable across the neuropsychological measures, with the greatest differences observed among older children, particularly on the Children's Memory Scale and Wisconsin Card Sorting Test. There was also notable variability in test-retest reliabilities across measures in the battery, with coefficients ranging from 0.14 to 0.92. Reliable change indices and SRB change score norms for use in assessing meaningful cognitive change in children following epilepsy surgery are provided for measures with reliability coefficients above 0.50. This is the first study to provide RCIs and SRB change score norms for a comprehensive neuropsychological battery based on a large sample of children with epilepsy. Tables to aid in evaluating cognitive changes in children who have undergone epilepsy surgery are provided for clinical use. An Excel sheet to perform all relevant calculations is also available to interested clinicians or researchers. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Long term test-retest reliability of Oswestry Disability Index in male office workers.

    Science.gov (United States)

    Irmak, Rafet; Baltaci, Gul; Ergun, Nevin

    2015-01-01

    The Oswestry Disability Index (ODI) is one of the most common condition specific outcome measures used in the management of spinal disorders. But there is insufficient study on healthy populations and long term test-retest reliability. This is important because healthy populations are often used for control groups in low back pain interventions, and knowing the reliability of the controls affects the interpretation of the findings of these studies. The purpose of this study is to determine the long term test-retest reliability of ODI in office workers. Participants who have no chronic low back pain history were included in study. Subjects were assessed by the Turkish-ODI 2.0 (e-forms) on 1st, 2nd, 4th, 8th, 15th, 30th days to determine the stability of ODI scores over time. The study began with 58 (12 female, 46 male) participants. 36 (3 female, 33 male) participated for the full 30 days. Kolmogorov-Smirnov and Friedman tests were used. Test-retest reliability was evaluated by using nonparametric statistics. All tests were done by using SPSS-11. There was no statistically significant difference among the median scores of each day. (χ= 6.482, p >  0.05). The difference between median score of the days with 1st day was neither statistically nor clinically significant. ODI has long term test re-test reliability in healthy subjects over a 1 month time interval.

  8. Reliability concepts applied to cutting tool change time

    Energy Technology Data Exchange (ETDEWEB)

    Patino Rodriguez, Carmen Elena, E-mail: cpatino@udea.edu.c [Department of Industrial Engineering, University of Antioquia, Medellin (Colombia); Department of Mechatronics and Mechanical Systems, Polytechnic School, University of Sao Paulo, Sao Paulo (Brazil); Francisco Martha de Souza, Gilberto [Department of Mechatronics and Mechanical Systems, Polytechnic School, University of Sao Paulo, Sao Paulo (Brazil)

    2010-08-15

    This paper presents a reliability-based analysis for calculating critical tool life in machining processes. It is possible to determine the running time for each tool involved in the process by obtaining the operations sequence for the machining procedure. Usually, the reliability of an operation depends on three independent factors: operator, machine-tool and cutting tool. The reliability of a part manufacturing process is mainly determined by the cutting time for each job and by the sequence of operations, defined by the series configuration. An algorithm is presented to define when the cutting tool must be changed. The proposed algorithm is used to evaluate the reliability of a manufacturing process composed of turning and drilling operations. The reliability of the turning operation is modeled based on data presented in the literature, and from experimental results, a statistical distribution of drilling tool wear was defined, and the reliability of the drilling process was modeled.

  9. Reliability concepts applied to cutting tool change time

    International Nuclear Information System (INIS)

    Patino Rodriguez, Carmen Elena; Francisco Martha de Souza, Gilberto

    2010-01-01

    This paper presents a reliability-based analysis for calculating critical tool life in machining processes. It is possible to determine the running time for each tool involved in the process by obtaining the operations sequence for the machining procedure. Usually, the reliability of an operation depends on three independent factors: operator, machine-tool and cutting tool. The reliability of a part manufacturing process is mainly determined by the cutting time for each job and by the sequence of operations, defined by the series configuration. An algorithm is presented to define when the cutting tool must be changed. The proposed algorithm is used to evaluate the reliability of a manufacturing process composed of turning and drilling operations. The reliability of the turning operation is modeled based on data presented in the literature, and from experimental results, a statistical distribution of drilling tool wear was defined, and the reliability of the drilling process was modeled.

  10. [Reliability of the PROFUND index to predict 4-year mortality in polypathological patients].

    Science.gov (United States)

    Díez-Manglano, Jesús; Del Corral Beamonte, Esther; Ramos Ibáñez, Rosa; Lambán Aranda, María Pilar; Toyas Miazza, Carla; Rodero Roldán, María Del Mar; Ortiz Domingo, Concepción; Munilla López, Eulalia; de Escalante Yangüela, Begoña

    2016-09-16

    To determine the usefullness of the PROFUND index to assess the risk of global death after 4 years in polypathological patients. Multicenter prospective cohort (Internal Medicine and Geriatrics) study. Polypathological patients admitted between March 1st and June 30th 2011 were included. For each patient, data concerning age, sex, living at home or in a nursing residence, polypathology categories, Charlson, Barthel and Lawton-Brody indexes, Pfeiffer questionnaire, socio-familial Gijon scale, delirium, number of drugs, hemoglobin and creatinine values were gathered, and the PROFUND index was calculated. The follow-up lasted 4 years. We included 441 patients, 324 from Internal Medicine and 117 from Geriatrics, with a mean age of 80.9 (8.7) years. Of them, 245 (55.6%) were women. Heart (62.7%), neurological (41.4%) and respiratory (37.3%) diseases were the most frequent. Geriatrics inpatients were older and more dependants and presented greater cognitive deterioration. After 4 years, 335 (76%) patients died. Mortality was associated with age, dyspnoea, Barthel index<60, delirium, advanced neoplasia and≥4 admissions in the last year. The area under the curve of the PROFUND index was 0.748, 95% CI 0.689-0.806, P<.001 in Internal Medicine and 0.517, 95% CI 0.369-0.666, P=.818 in Geriatrics patients, respectively. The PROFUND index is a reliable tool for predicting long-term global mortality in polypathological patients from Internal Medicine but not from Geriatrics departments. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  11. The Children's Body Image Scale: reliability and use with international standards for body mass index.

    Science.gov (United States)

    Truby, Helen; Paxton, Susan J

    2008-03-01

    To test the reliability of the Children's Body Image Scale (CBIS) and assess its usefulness in the context of new body size charts for children. Participants were 281 primary schoolchildren with 50% being retested after 3 weeks. The CBIS figure scale was compared with a range of international body mass index (BMI) reference standards. Children had a high degree of body image dissatisfaction. The test-retest reliability of the CBIS was supported. The CBIS is a useful tool for assessing body image in children with sound scale properties. It can also be used to identify the body size of children, which lies outside the healthy weight range of BMI.

  12. Is air-displacement plethysmography a reliable method of detecting ongoing changes in percent body fat within obese children involved in a weight management program?

    DEFF Research Database (Denmark)

    Ewane, Cecile; McConkey, Stacy A; Kreiter, Clarence D

    2010-01-01

    (percent body fat) over time. The gold standard method, hydrodensitometry, has severe limitations for the pediatric population. OBJECTIVE: This study examines the reliability of air-displacement plethysmography (ADP) in detecting percent body fat changes within obese children over time. METHODS: Percent...... body fat by ADP, weight, and body mass index (BMI) were measured for eight obese children aged 5-12 years enrolled in a weight management program over a 12-month period. These measurements were taken at initial evaluation, 1.5 months, 3 months, 6 months, and 12 months to monitor the progress...... of the subjects and detect any changes in these measures over time. Statistical analysis was used to determine the reliability of the data collected. RESULTS: The reliability estimate for percent body fat by ADP was 0.78. This was much lower than the reliability of BMI, 0.98, and weight measurements, 0...

  13. Inter-rater reliability of h-index scores calculated by Web of Science and Scopus for clinical epidemiology scientists.

    Science.gov (United States)

    Walker, Benjamin; Alavifard, Sepand; Roberts, Surain; Lanes, Andrea; Ramsay, Tim; Boet, Sylvain

    2016-06-01

    We investigated the inter-rater reliability of Web of Science (WoS) and Scopus when calculating the h-index of 25 senior scientists in the Clinical Epidemiology Program of the Ottawa Hospital Research Institute. Bibliometric information and the h-indices for the subjects were computed by four raters using the automatic calculators in WoS and Scopus. Correlation and agreement between ratings was assessed using Spearman's correlation coefficient and a Bland-Altman plot, respectively. Data could not be gathered from Google Scholar due to feasibility constraints. The Spearman's rank correlation between the h-index of scientists calculated with WoS was 0.81 (95% CI 0.72-0.92) and with Scopus was 0.95 (95% CI 0.92-0.99). The Bland-Altman plot showed no significant rater bias in WoS and Scopus; however, the agreement between ratings is higher in Scopus compared to WoS. Our results showed a stronger relationship and increased agreement between raters when calculating the h-index of a scientist using Scopus compared to WoS. The higher inter-rater reliability and simple user interface used in Scopus may render it the more effective database when calculating the h-index of senior scientists in epidemiology. © 2016 Health Libraries Group.

  14. Modeling Travel Time Reliability of Road Network Considering Connected Vehicle Guidance Characteristics Indexes

    Directory of Open Access Journals (Sweden)

    Jiangfeng Wang

    2017-01-01

    Full Text Available Travel time reliability (TTR is one of the important indexes for effectively evaluating the performance of road network, and TTR can effectively be improved using the real-time traffic guidance information. Compared with traditional traffic guidance, connected vehicle (CV guidance can provide travelers with more timely and accurate travel information, which can further improve the travel efficiency of road network. Five CV characteristics indexes are selected as explanatory variables including the Congestion Level (CL, Penetration Rate (PR, Compliance Rate (CR, release Delay Time (DT, and Following Rate (FR. Based on the five explanatory variables, a TTR model is proposed using the multilogistic regression method, and the prediction accuracy and the impact of characteristics indexes on TTR are analyzed using a CV guidance scenario. The simulation results indicate that 80% of the RMSE is concentrated within the interval of 0 to 0.0412. The correlation analysis of characteristics indexes shows that the influence of CL, PR, CR, and DT on the TTR is significant. PR and CR have a positive effect on TTR, and the average improvement rate is about 77.03% and 73.20% with the increase of PR and CR, respectively, while CL and DT have a negative effect on TTR, and TTR decreases by 31.21% with the increase of DT from 0 to 180 s.

  15. Validity and Reliability Study of Bahasa Malaysia Version of Voice Handicap Index-10.

    Science.gov (United States)

    Ong, Fei Ming; Husna Nik Hassan, Nik Fariza; Azman, Mawaddah; Sani, Abdullah; Mat Baki, Marina

    2018-05-21

    This study aimed to determine the validity and reliability of Bahasa Malaysia version of Voice Handicap Index-10 (mVHI-10). This cross-sectional study was carried out in the Otorhinolaryngology, Head and Neck Surgery Department of Universiti Kebangsaan Malaysia Medical Centre (UKMMC) from June 2015 to May 2016. The mVHI-10 was produced following a rigorous forward and backward translation. One hundred participants, including 50 healthy volunteers (17 male, 33 female) and 50 patients with voice disorders (26 male, 24 female), were recruited to complete the mVHI-10 before flexible laryngoscopic examinations and acoustic analysis. The mVHI-10 was repeated in 2 weeks via telephone interview or clinic visit. Its reliability and validity were assessed using interclass correlation. The test-retest reliability for total mVHI-10 and each item score was high, with the Cronbach alpha of >0.90. The total mVHI-10 score and domain scores were significantly higher (P Kaiser-Meyer-Olkin measure was 0.92, which depicted excellent construct validity. There was a significant positive correlation between the mVHI-10 score and jitter and shimmer result (P < 0.001). The present study showed good reliability and validity of the mVHI-10 when applied to both healthy volunteers and patients with voice disorders. We recommend the use of the mVHI-10 in daily clinical practice among Bahasa Malaysia-speaking population. Copyright © 2018 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  16. Reliability data banks

    International Nuclear Information System (INIS)

    Cannon, A.G.; Bendell, A.

    1991-01-01

    Following an introductory chapter on Reliability, what is it, why it is needed, how it is achieved and measured, the principles of reliability data bases and analysis methodologies are the subject of the next two chapters. Achievements due to the development of data banks are mentioned for different industries in the next chapter, FACTS, a comprehensive information system for industrial safety and reliability data collection in process plants are covered next. CREDO, the Central Reliability Data Organization is described in the next chapter and is indexed separately, as is the chapter on DANTE, the fabrication reliability Data analysis system. Reliability data banks at Electricite de France and IAEA's experience in compiling a generic component reliability data base are also separately indexed. The European reliability data system, ERDS, and the development of a large data bank come next. The last three chapters look at 'Reliability data banks, - friend foe or a waste of time'? and future developments. (UK)

  17. Designing time-of-use program based on stochastic security constrained unit commitment considering reliability index

    International Nuclear Information System (INIS)

    Nikzad, Mehdi; Mozafari, Babak; Bashirvand, Mahdi; Solaymani, Soodabeh; Ranjbar, Ali Mohamad

    2012-01-01

    Recently in electricity markets, a massive focus has been made on setting up opportunities for participating demand side. Such opportunities, also known as demand response (DR) options, are triggered by either a grid reliability problem or high electricity prices. Two important challenges that market operators are facing are appropriate designing and reasonable pricing of DR options. In this paper, time-of-use program (TOU) as a prevalent time-varying program is modeled linearly based on own and cross elasticity definition. In order to decide on TOU rates, a stochastic model is proposed in which the optimum TOU rates are determined based on grid reliability index set by the operator. Expected Load Not Supplied (ELNS) is used to evaluate reliability of the power system in each hour. The proposed stochastic model is formulated as a two-stage stochastic mixed-integer linear programming (SMILP) problem and solved using CPLEX solver. The validity of the method is tested over the IEEE 24-bus test system. In this regard, the impact of the proposed pricing method on system load profile; operational costs and required capacity of up- and down-spinning reserve as well as improvement of load factor is demonstrated. Also the sensitivity of the results to elasticity coefficients is investigated. -- Highlights: ► Time-of-use demand response program is linearly modeled. ► A stochastic model is proposed to determine the optimum TOU rates based on ELNS index set by the operator. ► The model is formulated as a short-term two-stage stochastic mixed-integer linear programming problem.

  18. Reliability and validity of the Bowel Function Index for evaluating opioid-induced constipation: translation, cultural adaptation and validation of the Portuguese version (BFI-P).

    Science.gov (United States)

    Dueñas, María; Mendonça, Liliane; Sampaio, Rute; Gouvinhas, Cláudia; Oliveira, Daniela; Castro-Lopes, José Manuel; Azevedo, Luís Filipe

    2017-03-01

    The Bowel Function Index (BFI) is a simple and sound bowel function and opioid-induced constipation (OIC) screening tool. We aimed to develop the translation and cultural adaptation of this measure (BFI-P) and to assess its reliability and validity for the Portuguese language and a chronic pain population. The BFI-P was created after a process including translation, back translation and cultural adaptation. Participants (n = 226) were recruited in a chronic pain clinic and were assessed at baseline and after one week. Internal consistency, test-retest reliability, responsiveness, construct (convergent and known groups) and factorial validity were assessed. Test-retest reliability had an intra-class correlation of 0.605 for BFI mean score. Internal consistency of BFI had Cronbach's alpha of 0.865. The construct validity of BFI-P was shown to be excellent and the exploratory factor analysis confirmed its unidimensional structure. The responsiveness of BFI-P was excellent, with a suggested 17-19 point and 8-12 point change in score constituting a clinically relevant change in constipation for patients with and without previous constipation, respectively. This study had some limitations, namely, the criterion validity of BFI-P was not directly assessed; and the absence of a direct criterion for OIC precluded the assessment of the criterion based responsiveness of BFI-P. Nevertheless, BFI may importantly contribute to better OIC screening and its Portuguese version (BFI-P) has been shown to have excellent reliability, internal consistency, validity and responsiveness. Further suggestions regarding statistically and clinically important change cut-offs for this instrument are presented.

  19. Procedures and methods that increase reliability and reproducibility of the transplanted kidney perfusion index

    International Nuclear Information System (INIS)

    Smokvina, A.

    1994-01-01

    At different times following surgery and during various complications, 119 studies were performed on 57 patients. In many patients studies were repeated several times. Twenty-three studies were performed in as many patients, in whom a normal function of the transplanted kidney was established by other diagnostic methods and retrospective analysis. Comparison was made of the perfusion index results obtained by the Hilson et al. method from 1978 and the ones obtained by my own modified method, which for calculating the index also takes into account: the time difference in appearance of the initial portions of the artery and kidney curves; the positioning of the region of interest over the distal part of the aorta; the bolus injection into the arteriovenous shunt of the forearm with high specific activity of small volumes of Tc-99m labelled agents; a fast 0.5 seconds study of data collection; and a standard for normalization of numerical data. The reliability of one or the other method tested by simulated time shift of the peak of arterial curves shows that the deviation percentage from the main index value in the unmodified method is 2-5 times greater than in the modified method. The normal value of the perfusion index applying the modified method is 91-171. (author)

  20. Determination of Reliability Index and Weibull Modulus as a Measure of Hypereutectic Silumins Survival

    OpenAIRE

    J. Szymszal; J. Piątkowski; J. Przondziono

    2007-01-01

    The first part of the study describes the methods used to determine Weibull modulus and the related reliability index of hypereutectic silumins containing about 17% Si, assigned for manufacture of high-duty castings to be used in automotive applications and aviation. The second part of the study discusses the importance of chemical composition, including the additions of 3% Cu, 1,5% Ni and 1,5% Mg, while in the third part attention was focussed on the effect of process history, including moul...

  1. Evaluation of the Validity and Reliability of the Chinese Healthy Eating Index

    Directory of Open Access Journals (Sweden)

    Ya-Qun Yuan

    2018-01-01

    Full Text Available The Chinese Healthy Eating Index (CHEI is a measuring instrument of diet quality in accordance with the Dietary Guidelines for Chinese (DGC-2016. The objective of the study was to evaluate the validity and reliability of the CHEI. Data from 12,473 adults from the China Health and Nutrition Survey (CHNS-2011, including 3-day–24-h dietary recalls were used in this study. The CHEI was assessed by four exemplary menus developed by the DGC-2016, the general linear models, the independent t-test and the Mann–Whitney U-test, the Spearman’s correlation analysis, the principal components analysis (PCA, the Cronbach’s coefficient, and the Pearson correlation with nutrient intakes. A higher CHEI score was linked with lower exposure to known risk factors of Chinese diets. The CHEI scored nearly perfect for exemplary menus for adult men (99.8, adult women (99.7, and the healthy elderly (99.1, but not for young children (91.2. The CHEI was able to distinguish the difference in diet quality between smokers and non-smokers (P < 0.0001, people with higher and lower education levels (P < 0.0001, and people living in urban and rural areas (P < 0.0001. Low correlations with energy intake for the CHEI total and component scores (|r| < 0.34, P < 0.01 supported the index assessed diet quality independently of diet quantity. The PCA indicated that underlying multiple dimensions compose the CHEI, and Cronbach’s coefficient α was 0.22. Components of dairy, fruits and cooking oils had the greatest impact on the total score. People with a higher CHEI score had not only a higher absolute intake of nutrients (P < 0.001, but also a more nutrient-dense diet (P < 0.001. Our findings support the validity and reliability of the CHEI when using the 3-day–24-h recalls.

  2. Operator adaptation to changes in system reliability under adaptable automation.

    Science.gov (United States)

    Chavaillaz, Alain; Sauer, Juergen

    2017-09-01

    This experiment examined how operators coped with a change in system reliability between training and testing. Forty participants were trained for 3 h on a complex process control simulation modelling six levels of automation (LOA). In training, participants either experienced a high- (100%) or low-reliability system (50%). The impact of training experience on operator behaviour was examined during a 2.5 h testing session, in which participants either experienced a high- (100%) or low-reliability system (60%). The results showed that most operators did not often switch between LOA. Most chose an LOA that relieved them of most tasks but maintained their decision authority. Training experience did not have a strong impact on the outcome measures (e.g. performance, complacency). Low system reliability led to decreased performance and self-confidence. Furthermore, complacency was observed under high system reliability. Overall, the findings suggest benefits of adaptable automation because it accommodates different operator preferences for LOA. Practitioner Summary: The present research shows that operators can adapt to changes in system reliability between training and testing sessions. Furthermore, it provides evidence that each operator has his/her preferred automation level. Since this preference varies strongly between operators, adaptable automation seems to be suitable to accommodate these large differences.

  3. The Addiction Severity Index: reliability and validity in a Dutch alcoholic population.

    Science.gov (United States)

    DeJong, C A; Willems, J C; Schippers, G M; Hendriks, V M

    1995-04-01

    The Addiction Severity Index (ASI) was evaluated for its psychometric qualities in a Dutch alcoholic population admitted to an addiction treatment center in The Netherlands. Its factorial structure in this population was found to be consistent with the established six factor structure of the ASI. Reliability analysis revealed that the homogeneity of the subscales was acceptable with the exception of the Alcohol Scale. The six subscales were not highly intercorrelated. The results of this study indicate that the ASI is a useful instrument for the assessment of several problems associated with alcoholism. However, the Alcohol Scale appears to be limited as a diagnostic and research instrument in the field of inpatient treatment of alcohol dependence in The Netherlands.

  4. The reliability of three psoriasis assessment tools: Psoriasis area and severity index, body surface area and physician global assessment.

    Science.gov (United States)

    Bożek, Agnieszka; Reich, Adam

    2017-08-01

    A wide variety of psoriasis assessment tools have been proposed to evaluate the severity of psoriasis in clinical trials and daily practice. The most frequently used clinical instrument is the psoriasis area and severity index (PASI); however, none of the currently published severity scores used for psoriasis meets all the validation criteria required for an ideal score. The aim of this study was to compare and assess the reliability of 3 commonly used assessment instruments for psoriasis severity: the psoriasis area and severity index (PASI), body surface area (BSA) and physician global assessment (PGA). On the scoring day, 10 trained dermatologists evaluated 9 adult patients with plaque-type psoriasis using the PASI, BSA and PGA. All the subjects were assessed twice by each physician. Correlations between the assessments were analyzed using the Pearson correlation coefficient. Intra-class correlation coefficient (ICC) was calculated to analyze intra-rater reliability, and the coefficient of variation (CV) was used to assess inter-rater variability. Significant correlations were observed among the 3 scales in both assessments. In all 3 scales the ICCs were > 0.75, indicating high intra-rater reliability. The highest ICC was for the BSA (0.96) and the lowest one for the PGA (0.87). The CV for the PGA and PASI were 29.3 and 36.9, respectively, indicating moderate inter-rater variability. The CV for the BSA was 57.1, indicating high inter-rater variability. Comparing the PASI, PGA and BSA, it was shown that the PGA had the highest inter-rater reliability, whereas the BSA had the highest intra-rater reliability. The PASI showed intermediate values in terms of interand intra-rater reliability. None of the 3 assessment instruments showed a significant advantage over the other. A reliable assessment of psoriasis severity requires the use of several independent evaluations simultaneously.

  5. Cross-cultural adaptation, validity, and reliability of the Persian version of the spine functional index.

    Science.gov (United States)

    Mokhtarinia, Hamid Reza; Hosseini, Azadeh; Maleki-Ghahfarokhi, Azam; Gabel, Charles Philip; Zohrabi, Majid

    2018-05-15

    There are various instruments and methods to evaluate spinal health and functional status. Whole-spine patient reported outcome (PRO) measures, such as the Spine Functional Index (SFI), assess the spine from the cervical to lumbo-sacral sections as a single kinetic chain. The aim of this study was to cross-culturally adapt the SFI for Persian speaking patients (SFI-Pr) and determine the psychometric properties of reliability and validity (convergent and construct) in a Persian patient population. The SFI (English) PRO was translated into Persian according to published guidelines. Consecutive symptomatic spine patients (104 female and 120 male aged between 18 and 60) were recruited from three Iranian physiotherapy centers. Test-retest reliability was performed in a sub-sample (n = 31) at baseline and repeated between days 3-7. Convergent validity was determined by calculating the Pearson's r correlation coefficient between the SFI-Pr and the Persian Roland Morris Questionnaire (RMQ) for back pain patients and the Neck Disability Index (NDI) for neck patients. Internal consistency was assessed using Cronbach's α. Exploratory Factor Analysis (EFA) used Maximum Likelihood Extraction followed by Confirmatory Factor Analysis (CFA). High levels of internal consistency (α = 0.81, item range = 0.78-0.82) and test-retest reliability (r = 0.96, item range = 0.83-0.98) were obtained. Convergent validity was very good between the SFI and RMQ (r = 0.69) and good between the SFI and NDI (r = 0.57). The EFA from the perspective of parsimony suggests a one-factor solution that explained 26.5% of total variance. The CFA was inconclusive of the one factor structure as the sample size was inadequate. There were no floor or ceiling effects. The SFI-Pr PRO can be applied as a specific whole-spine status assessment instrument for clinical and research studies in Persian language populations.

  6. The Locomotor Capabilities Index; validity and reliability of the Swedish version in adults with lower limb amputation

    Directory of Open Access Journals (Sweden)

    Andersson Ingemar H

    2009-05-01

    Full Text Available Abstract Background The Locomotor Capabilities Index (LCI is a validated measure of lower-limb amputees' ability to perform activities with prosthesis. We have developed the LCI Swedish version and evaluated its validity and reliability. Methods Cross-cultural adaptation to Swedish included forward/backward translations and field testing. The Swedish LCI was then administered to 144 amputees (55 women, mean age 74 (40–93 years, attending post-rehabilitation prosthetic training. Construct validity was assessed by examining the relationship between the LCI and Timed "Up-and-Go" (TUG test and between the LCI and EQ-5D health utility index in 2 subgroups of 40 and 20 amputees, respectively. Discriminative validity was assessed by comparing scores in different age groups and in unilateral and bilateral amputees. Test-retest reliability (1–2 weeks was evaluated in 20 amputees (14 unilateral. Results The Swedish LCI showed good construct convergent validity, with high correlation with the TUG (r = -0.75 and the EQ-5D (r = 0.84, and discriminative validity, with significantly worse mean scores for older than younger and for bilateral than unilateral amputees (p Conclusion The Swedish version of the LCI demonstrated good validity and internal consistency in adult amputees. Test-retest reliability in a small subsample appears to be acceptable. The high ceiling effect of the LCI may imply that it would be most useful in assessing amputees with low to moderate functional abilities.

  7. How indexes have changed

    International Nuclear Information System (INIS)

    Farrar, G.L.

    1993-01-01

    The accompanying table compares refinery construction and operating wages monthly for the years 1990 and 1991. The Nelson-Farrar refinery construction cost indexes are inflation indexes, while the operating indexes incorporate a productivity which shows improvement with experience and the increasing size of operations. The refinery construction wage indexes in the table show a steady advance over the 2-year period. Common labor indexes moved up faster than skilled indexes. Refinery operating wages showed a steady increase, while productivities averaged higher near the end of the period. Net result is that labor costs remained steady for the period

  8. The reliability of the Extra Load Index as a measure of relative load carriage economy.

    Science.gov (United States)

    Hudson, Sean; Cooke, Carlton; Lloyd, Ray

    2017-09-01

    The aim of this study was to measure the reliability of the extra load index (ELI) as a method for assessing relative load carriage economy. Seventeen volunteers (12 males, 5 females) performed walking trials at 3 km·h -1 , 6 km·h -1 and a self-selected speed. Trial conditions were repeated 7 days later to assess test-retest reliability. Trials involved four 4-minute periods of walking, each separated by 5 min of rest. The initial stage was performed unloaded followed in a randomised order by a second unloaded period and walking with backpacks of 7 and 20 kg. Results show ELI values did not differ significantly between trials for any of the speeds (p = 0.46) with either of the additional loads (p = 0.297). The systematic bias, limits of agreement and coefficients of variation were small in all trial conditions. We conclude the ELI appears to be a reliable measure of relative load carriage economy. Practitioner Summary: This paper demonstrates that the ELI is a reliable measure of load carriage economy at a range of walking speeds with both a light and heavy load. The ELI, therefore, represents a useful tool for comparing the relative economy associated with different load carriage systems.

  9. Reliability, validity, and minimal detectable change of the push-off test scores in assessing upper extremity weight-bearing ability.

    Science.gov (United States)

    Mehta, Saurabh P; George, Hannah R; Goering, Christian A; Shafer, Danielle R; Koester, Alan; Novotny, Steven

    2017-11-01

    Clinical measurement study. The push-off test (POT) was recently conceived and found to be reliable and valid for assessing weight bearing through injured wrist or elbow. However, further research with larger sample can lend credence to the preliminary findings supporting the use of the POT. This study examined the interrater reliability, construct validity, and measurement error for the POT in patients with wrist conditions. Participants with musculoskeletal (MSK) wrist conditions were recruited. The performance on the POT, grip isometric strength of wrist extensors was assessed. The shortened version of the Disabilities of the Arm, Shoulder and Hand and numeric pain rating scale were completed. The intraclass correlation coefficient assessed interrater reliability of the POT. Pearson correlation coefficients (r) examined the concurrent relationships between the POT and other measures. The standard error of measurement and the minimal detectable change at 90% confidence interval were assessed as measurement error and index of true change for the POT. A total of 50 participants with different elbow or wrist conditions (age: 48.1 ± 16.6 years) were included in this study. The results of this study strongly supported the interrater reliability (intraclass correlation coefficient: 0.96 and 0.93 for the affected and unaffected sides, respectively) of the POT in patients with wrist MSK conditions. The POT showed convergent relationships with the grip strength on the injured side (r = 0.89) and the wrist extensor strength (r = 0.7). The POT showed smaller standard error of measurement (1.9 kg). The minimal detectable change at 90% confidence interval for the POT was 4.4 kg for the sample. This study provides additional evidence to support the reliability and validity of the POT. This is the first study that provides the values for the measurement error and true change on the POT scores in patients with wrist MSK conditions. Further research should examine the

  10. Change in refractive index of muscle tissue during laser-induced interstitial thermotherapy.

    Science.gov (United States)

    Chen, Na; Chen, Meimei; Liu, Shupeng; Guo, Qiang; Chen, Zhenyi; Wang, Tingyun

    2014-01-01

    This paper presents a long-period fiber-grating (LPG) based Michelson interferometric refractometry to monitor the change in refractive index of porcine muscle during laser-induced interstitial thermotherapy (LITT). As the wavelength of RI interferometer alters with the change in refractive index around the probe, the LPG based refractometry is combined with LITT system to measure the change in refractive index of porcine muscle when irradiated by laser. The experimental results show the denaturation of tissue alters the refractive index significantly and the LPG sensor can be applied to monitor the tissue state during the LITT.

  11. An analysis of reliability and validity of the papilla index score of implant-supported single crowns of maxillary central incisors

    DEFF Research Database (Denmark)

    Peng, Min; Fei, Wei; Hosseini, Mandana

    2012-01-01

    Objectives: To test the reliability and validity of the papilla index scores of the implant-supported single crowns (ISSCs) of maxillary central incisors. Materials and Methods: Twenty-five patients with 25 ISSCs were included. Two prosthodontists evaluated the papilla index score (PIS) of three...... inter-observer agreement. The PIS score demonstrated significant correlation to the corresponding PP value (rs=.567, p=.000). Conclusions: The feasibility, reliability and validity of the PIS made the parameter useful for quality control of the pri-implant soft tissue of ISSCs....... fill percent (PP) was calculated. The validity of PIS was tested against the corresponding papilla fill percent (PP) by using the Spearman correlation analysis. Results: The intra-observer agreement was >70% in 4/5 and >50% in all observations, the pooled Cohen’s ¿ was 0.64 and 0.70 for two observers...

  12. Validity and Reliability of the Persian Version of the Dysphagia Handicap Index (DHI).

    Science.gov (United States)

    Asadollahpour, Faezeh; Baghban, Kowsar; Asadi, Mozhgan

    2015-05-01

    The Dysphagia Handicap Index (DHI) is one of the instruments used for measuring a dysphagic patient's self-assessment. In some ways, it reflects the patient's quality of life. Although it has been recognized and widely applied in English speaking populations, it has not been used in its present forms in Persian speaking countries. The purpose of this study was to adapt a Persian version of the DHI and to evaluate its validity, consistency, and reliability in the Persian population with oropharyngeal dysphagia. Some stages for cross-cultural adaptation were performed, which consisted in translation, synthesis, back translation, review by an expert committee, and final proof reading. The generated Persian DHI was administered to 85 patients with oropharyngeal dysphagia and 89 control subjects at Zahedan city between May 2013 and August 2013. The patients and control subjects answered the same questionnaire 2 weeks later to verify the test-retest reliability. Internal consistency and test-retest reliability were evaluated. The results of the patients and the control group were compared. The Persian DHI showed good internal consistency (Cronbach's alpha coefficients range from 0.82 to 0.94). Also, good test-retest reliability was found for the total scores of the Persian DHI (r=0.89). There was a significant difference between the DHI scores of the control group and those of the oropharyngeal dysphagia group (P‹0.001). The Persian version of the DHI achieved Face and translation validity. This study demonstrated that the Persian DHI is a valid tool for self-assessment of the handicapping effects of dysphagia on the physical, functional, and emotional aspects of patient life and can be a useful tool for screening and treatment planning for the Persian-speaking dysphagic patients, regardless of the cause or the severity of the dysphagia.

  13. Validity and Reliability of the Persian Version of the Dysphagia Handicap Index (DHI

    Directory of Open Access Journals (Sweden)

    faezeh asadollahpour

    2015-05-01

    Full Text Available Introduction: The Dysphagia Handicap Index (DHI is one of the instruments used for measuring a dysphagic patient’s self-assessment. In some ways, it reflects the patient’s quality of life. Although it has been recognized and widely applied in English speaking populations, it has not been used in its present forms in Persian speaking countries. The purpose of this study was to adapt a Persian version of the DHI and to evaluate its validity, consistency, and reliability in the Persian population with oropharyngeal dysphagia.   Materials and Methods: Some stages for cross-cultural adaptation were performed, which consisted in translation, synthesis, back translation, review by an expert committee, and final proof reading. The generated Persian DHI was administered to 85 patients with oropharyngeal dysphagia and 89 control subjects at Zahedan city between May 2013 and August 2013. The patients and control subjects answered the same questionnaire 2 weeks later to verify the test-retest reliability. Internal consistency and test-retest reliability were evaluated. The results of the patients and the control group were compared.   Results: The Persian DHI showed good internal consistency (Cronbach’s alpha coefficients range from 0.82 to 0.94. Also, good test-retest reliability was found for the total scores of the Persian DHI (r=0.89. There was a significant difference between the DHI scores of the control group and those of the oropharyngeal dysphagia group (P‹0.001.   Conclusion:  The Persian version of the DHI achieved Face and translation validity. This study demonstrated that the Persian DHI is a valid tool for self-assessment of the handicapping effects of dysphagia on the physical, functional, and emotional aspects of patient life and can be a useful tool for screening and treatment planning for the Persian-speaking dysphagic patients, regardless of the cause or the severity of the dysphagia.

  14. Refractive-index changes in lithium niobate crystals by radiation damages

    International Nuclear Information System (INIS)

    Zamani Meymian, Mohammad Reza

    2007-01-01

    For the study in this thesis 3 He 2+ ions with the energy of about 40 MeV were applied. The results of these studies show a timely very stable anisotrope refractive-index change in the range of some 10 -3 . The radiation damages caused by ions cause a decreasement of the ordinary refractive index n o and an increasement of the extra-ordinary refractive index n e . While the absolute values for Δn o and Δn e are nearly equal the birefringence of the material (n e -n o ) smaller. The generated refractive-index change is dose dependent and the curve Δn has at increasing dose a strongly nonlinear slope with a characteristic stage at the radiation dose of about 2 x 10 20 ions/m 2

  15. Statistical Primer for Athletic Trainers: The Essentials of Understanding Measures of Reliability and Minimal Important Change.

    Science.gov (United States)

    Riemann, Bryan L; Lininger, Monica R

    2018-01-01

      To describe the concepts of measurement reliability and minimal important change.   All measurements have some magnitude of error. Because clinical practice involves measurement, clinicians need to understand measurement reliability. The reliability of an instrument is integral in determining if a change in patient status is meaningful.   Measurement reliability is the extent to which a test result is consistent and free of error. Three perspectives of reliability-relative reliability, systematic bias, and absolute reliability-are often reported. However, absolute reliability statistics, such as the minimal detectable difference, are most relevant to clinicians because they provide an expected error estimate. The minimal important difference is the smallest change in a treatment outcome that the patient would identify as important.   Clinicians should use absolute reliability characteristics, preferably the minimal detectable difference, to determine the extent of error around a patient's measurement. The minimal detectable difference, coupled with an appropriately estimated minimal important difference, can assist the practitioner in identifying clinically meaningful changes in patients.

  16. The influence of different error estimates in the detection of postoperative cognitive dysfunction using reliable change indices with correction for practice effects.

    Science.gov (United States)

    Lewis, Matthew S; Maruff, Paul; Silbert, Brendan S; Evered, Lis A; Scott, David A

    2007-02-01

    The reliable change index (RCI) expresses change relative to its associated error, and is useful in the identification of postoperative cognitive dysfunction (POCD). This paper examines four common RCIs that each account for error in different ways. Three rules incorporate a constant correction for practice effects and are contrasted with the standard RCI that had no correction for practice. These rules are applied to 160 patients undergoing coronary artery bypass graft (CABG) surgery who completed neuropsychological assessments preoperatively and 1 week postoperatively using error and reliability data from a comparable healthy nonsurgical control group. The rules all identify POCD in a similar proportion of patients, but the use of the within-subject standard deviation (WSD), expressing the effects of random error, as an error estimate is a theoretically appropriate denominator when a constant error correction, removing the effects of systematic error, is deducted from the numerator in a RCI.

  17. Measuring reliable change in cognition using the Edinburgh Cognitive and Behavioural ALS Screen (ECAS).

    Science.gov (United States)

    Crockford, Christopher; Newton, Judith; Lonergan, Katie; Madden, Caoifa; Mays, Iain; O'Sullivan, Meabhdh; Costello, Emmet; Pinto-Grau, Marta; Vajda, Alice; Heverin, Mark; Pender, Niall; Al-Chalabi, Ammar; Hardiman, Orla; Abrahams, Sharon

    2018-02-01

    Cognitive impairment affects approximately 50% of people with amyotrophic lateral sclerosis (ALS). Research has indicated that impairment may worsen with disease progression. The Edinburgh Cognitive and Behavioural ALS Screen (ECAS) was designed to measure neuropsychological functioning in ALS, with its alternate forms (ECAS-A, B, and C) allowing for serial assessment over time. The aim of the present study was to establish reliable change scores for the alternate forms of the ECAS, and to explore practice effects and test-retest reliability of the ECAS's alternate forms. Eighty healthy participants were recruited, with 57 completing two and 51 completing three assessments. Participants were administered alternate versions of the ECAS serially (A-B-C) at four-month intervals. Intra-class correlation analysis was employed to explore test-retest reliability, while analysis of variance was used to examine the presence of practice effects. Reliable change indices (RCI) and regression-based methods were utilized to establish change scores for the ECAS alternate forms. Test-retest reliability was excellent for ALS Specific, ALS Non-Specific, and ECAS Total scores of the combined ECAS A, B, and C (all > .90). No significant practice effects were observed over the three testing sessions. RCI and regression-based methods produced similar change scores. The alternate forms of the ECAS possess excellent test-retest reliability in a healthy control sample, with no significant practice effects. The use of conservative RCI scores is recommended. Therefore, a change of ≥8, ≥4, and ≥9 for ALS Specific, ALS Non-Specific, and ECAS Total score is required for reliable change.

  18. Work index determination with changing of control screen

    International Nuclear Information System (INIS)

    Noaparast, M.; Delavarian, M.

    2001-01-01

    Work index is a measure to define ores/minerals grind ability which is significantly used in Bond (1952) to calculate the required energy of ores' comminution. Work index for any material is experimentally calculated under specific conditions and it is a certain value. To understand the effect of changing control screen in work index calculation, three different ores Alam-Kuh Pb-Zn ore, Sarcheshmeh Cu Ore, and Abe-Garm Region Dolomite were tested, using 425, 212,150 and 100 micron screens (totally 12 sets of tests). Results showed that the work index values increase with the increases of screen size. The relation between root of screen size and fines produced per revolution of mill and also, screen size and size of products out of which 80% passes through this size appeared to be linear for all three different ores. The constants of these linear equations were estimated using regression technique

  19. Standard error of measurement of five health utility indexes across the range of health for use in estimating reliability and responsiveness

    Science.gov (United States)

    Palta, Mari; Chen, Han-Yang; Kaplan, Robert M.; Feeny, David; Cherepanov, Dasha; Fryback, Dennis

    2011-01-01

    Background Standard errors of measurement (SEMs) of health related quality of life (HRQoL) indexes are not well characterized. SEM is needed to estimate responsiveness statistics and provides guidance on using indexes on the individual and group level. SEM is also a component of reliability. Purpose To estimate SEM of five HRQoL indexes. Design The National Health Measurement Study (NHMS) was a population based telephone survey. The Clinical Outcomes and Measurement of Health Study (COMHS) provided repeated measures 1 and 6 months post cataract surgery. Subjects 3844 randomly selected adults from the non-institutionalized population 35 to 89 years old in the contiguous United States and 265 cataract patients. Measurements The SF6-36v2™, QWB-SA, EQ-5D, HUI2 and HUI3 were included. An item-response theory (IRT) approach captured joint variation in indexes into a composite construct of health (theta). We estimated: (1) the test-retest standard deviation (SEM-TR) from COMHS, (2) the structural standard deviation (SEM-S) around the composite construct from NHMS and (3) corresponding reliability coefficients. Results SEM-TR was 0.068 (SF-6D), 0.087 (QWB-SA), 0.093 (EQ-5D), 0.100 (HUI2) and 0.134 (HUI3), while SEM-S was 0.071, 0.094, 0.084, 0.074 and 0.117, respectively. These translate into reliability coefficients for SF-6D: 0.66 (COMHS) and 0.71 (NHMS), for QWB: 0.59 and 0.64, for EQ-5D: 0.61 and 0.70 for HUI2: 0.64 and 0.80, and for HUI3: 0.75 and 0.77, respectively. The SEM varied considerably across levels of health, especially for HUI2, HUI3 and EQ-5D, and was strongly influenced by ceiling effects. Limitations Repeated measures were five months apart and estimated theta contain measurement error. Conclusions The two types of SEM are similar and substantial for all the indexes, and vary across the range of health. PMID:20935280

  20. Standard error of measurement of 5 health utility indexes across the range of health for use in estimating reliability and responsiveness.

    Science.gov (United States)

    Palta, Mari; Chen, Han-Yang; Kaplan, Robert M; Feeny, David; Cherepanov, Dasha; Fryback, Dennis G

    2011-01-01

    Standard errors of measurement (SEMs) of health-related quality of life (HRQoL) indexes are not well characterized. SEM is needed to estimate responsiveness statistics, and is a component of reliability. To estimate the SEM of 5 HRQoL indexes. The National Health Measurement Study (NHMS) was a population-based survey. The Clinical Outcomes and Measurement of Health Study (COMHS) provided repeated measures. A total of 3844 randomly selected adults from the noninstitutionalized population aged 35 to 89 y in the contiguous United States and 265 cataract patients. The SF6-36v2™, QWB-SA, EQ-5D, HUI2, and HUI3 were included. An item-response theory approach captured joint variation in indexes into a composite construct of health (theta). The authors estimated 1) the test-retest standard deviation (SEM-TR) from COMHS, 2) the structural standard deviation (SEM-S) around theta from NHMS, and 3) reliability coefficients. SEM-TR was 0.068 (SF-6D), 0.087 (QWB-SA), 0.093 (EQ-5D), 0.100 (HUI2), and 0.134 (HUI3), whereas SEM-S was 0.071, 0.094, 0.084, 0.074, and 0.117, respectively. These yield reliability coefficients 0.66 (COMHS) and 0.71 (NHMS) for SF-6D, 0.59 and 0.64 for QWB-SA, 0.61 and 0.70 for EQ-5D, 0.64 and 0.80 for HUI2, and 0.75 and 0.77 for HUI3, respectively. The SEM varied across levels of health, especially for HUI2, HUI3, and EQ-5D, and was influenced by ceiling effects. Limitations. Repeated measures were 5 mo apart, and estimated theta contained measurement error. The 2 types of SEM are similar and substantial for all the indexes and vary across health.

  1. Reading for Reliability: Preservice Teachers Evaluate Web Sources about Climate Change

    Science.gov (United States)

    Damico, James S.; Panos, Alexandra

    2016-01-01

    This study examined what happened when 65 undergraduate prospective secondary level teachers across content areas evaluated the reliability of four online sources about climate change: an oil company webpage, a news report, and two climate change organizations with competing views on climate change. The students evaluated the sources at three time…

  2. Reliability of an instrument to determine lower limb comfort in professional football

    Directory of Open Access Journals (Sweden)

    Michael Kinchington

    2010-06-01

    Full Text Available Michael Kinchington1, Kevin Ball1, Geraldine Naughton21School of Human Movement, Recreation and Performance, Victoria University, Melbourne, Australia; 2The Centre of Physical Activity Across the Lifespan (COPAAL, Australian Catholic University, Victoria, AustraliaAims and Objectives: This study extends previous work in the field of injury awareness using a novel lower limb comfort index (LLCI, which was developed to assess comfort in professional football. Participants rated comfort for designated anatomical segments of the lower limb utilizing a seven point Likert scale. The aims of the study were (i to assess the reliability of the LLCI in a competitive football environment (Australian Rules and Rugby League, and (ii to assess whether LLCI measurements were responsive to changes in lower limb comfort over time.Methods and Results: The reliability of the LLCI was observed in two professional football environments: Training Week (mean difference 0.1 point, intra-class correlation coefficient, ICC 0.99 for n = 41 participants; and Match Day (mean difference 0.2 points, ICC 0.97 for n = 22 players. Measurements of lower limb comfort were responsive to changes in comfort over time. Within-player differences were not significant for periods 0–8 hrs (P > 0.05 but, generally, significant for time periods 0–24 hrs (P < 0.05, and significant between 24–96 hrs (P < 0.01. The results indicate that the LLCI was reliable when tested for repeated measures and indicated how the index measures lower limb comfort changes over time.Conclusion: This study shows that the use of a lower limb comfort index, when used in a competitive football environment, is both reliable and responsive to change during both a training week and under match day conditions.Keywords: lower limb comfort, musculoskeletal, football, injury

  3. Reliability of nuclear power plants and equipment

    International Nuclear Information System (INIS)

    1985-01-01

    The standard sets the general principles, a list of reliability indexes and demands on their selection. Reliability indexes of nuclear power plants include the simple indexes of fail-safe operation, life and maintainability, and of storage capability. All terms and notions are explained and methods of evaluating the indexes briefly listed - statistical, and calculation experimental. The dates when the standard comes in force in the individual CMEA countries are given. (M.D.)

  4. Spectral Index Changes with Brightness for γ-Ray Loud Blazars J. H. ...

    Indian Academy of Sciences (India)

    spectral index changes depending on γ-ray brightness is obtained. ... the γ-ray band. Key words. Active galactic nuclei (AGN): blazars: γ-ray emission: spectral index. 1. Introduction. Generally, the spectrum of one source changes with its .... Pearl River Scholar Funded Scheme (GDUPS) (2009), Yangcheng Scholar Funded.

  5. A reliability index for assessment of crack profile reconstructed from ECT signals using a neural-network approach

    International Nuclear Information System (INIS)

    Yusa, Noritaka; Chen, Zhenmao; Miya, Kenzo; Cheng, Weiying

    2002-01-01

    This paper proposes a reliability parameter to enhance an version scheme developed by authors. The scheme is based upon an artificial neural network that simulates mapping between eddy current signals and crack profiles. One of the biggest advantages of the scheme is that it can deal with conductive cracks, which is necessary to reconstruct natural cracks. However, it has one significant disadvantage: the reliability of reconstructed profiles was unknown. The parameter provides an index for assessment of the crack profile and overcomes this disadvantage. After the parameter is validated by reconstruction of simulated cracks, it is applied to reconstruction of natural cracks that occurred in steam generator tubes of a pressurized water reactor. It is revealed that the parameter is applicable to not only simulated cracks but also natural ones. (author)

  6. Reliability and Minimum Detectable Change of Temporal-Spatial, Kinematic, and Dynamic Stability Measures during Perturbed Gait.

    Directory of Open Access Journals (Sweden)

    Christopher A Rábago

    Full Text Available Temporal-spatial, kinematic variability, and dynamic stability measures collected during perturbation-based assessment paradigms are often used to identify dysfunction associated with gait instability. However, it remains unclear which measures are most reliable for detecting and tracking responses to perturbations. This study systematically determined the between-session reliability and minimum detectable change values of temporal-spatial, kinematic variability, and dynamic stability measures during three types of perturbed gait. Twenty young healthy adults completed two identical testing sessions two weeks apart, comprised of an unperturbed and three perturbed (cognitive, physical, and visual walking conditions in a virtual reality environment. Within each session, perturbation responses were compared to unperturbed walking using paired t-tests. Between-session reliability and minimum detectable change values were also calculated for each measure and condition. All temporal-spatial, kinematic variability and dynamic stability measures demonstrated fair to excellent between-session reliability. Minimal detectable change values, normalized to mean values ranged from 1-50%. Step width mean and variability measures demonstrated the greatest response to perturbations with excellent between-session reliability and low minimum detectable change values. Orbital stability measures demonstrated specificity to perturbation direction and sensitivity with excellent between-session reliability and low minimum detectable change values. We observed substantially greater between-session reliability and lower minimum detectable change values for local stability measures than previously described which may be the result of averaging across trials within a session and using velocity versus acceleration data for reconstruction of state spaces. Across all perturbation types, temporal-spatial, orbital and local measures were the most reliable measures with the

  7. Village-level supply reliability of surface water irrigation in rural China: effects of climate change

    Science.gov (United States)

    Li, Yanrong; Wang, Jinxia

    2018-06-01

    Surface water, as the largest part of water resources, plays an important role on China's agricultural production and food security. And surface water is vulnerable to climate change. This paper aims to examine the status of the supply reliability of surface water irrigation, and discusses how it is affected by climate change in rural China. The field data we used in this study was collected from a nine-province field survey during 2012 and 2013. Climate data are offered by China's National Meteorological Information Center which contains temperature and precipitation in the past 30 years. A Tobit model (or censored regression model) was used to estimate the influence of climate change on supply reliability of surface water irrigation. Descriptive results showed that, surface water supply reliability was 74 % in the past 3 years. Econometric results revealed that climate variables significantly influenced the supply reliability of surface water irrigation. Specifically, temperature is negatively related with the supply reliability of surface water irrigation; but precipitation positively influences the supply reliability of surface water irrigation. Besides, climate influence differs by seasons. In a word, this paper improves our understanding of the impact of climate change on agriculture irrigation and water supply reliability in the micro scale, and provides a scientific basis for relevant policy making.

  8. Nottingham Prognostic Index in Triple-Negative Breast Cancer: a reliable prognostic tool?

    International Nuclear Information System (INIS)

    Albergaria, André; Ricardo, Sara; Milanezi, Fernanda; Carneiro, Vítor; Amendoeira, Isabel; Vieira, Daniella; Cameselle-Teijeiro, Jorge; Schmitt, Fernando

    2011-01-01

    A breast cancer prognostic tool should ideally be applicable to all types of invasive breast lesions. A number of studies have shown histopathological grade to be an independent prognostic factor in breast cancer, adding prognostic power to nodal stage and tumour size. The Nottingham Prognostic Index has been shown to accurately predict patient outcome in stratified groups with a follow-up period of 15 years after primary diagnosis of breast cancer. Clinically, breast tumours that lack the expression of Oestrogen Receptor, Progesterone Receptor and Human Epidermal growth factor Receptor 2 (HER2) are identified as presenting a 'triple-negative' phenotype or as triple-negative breast cancers. These poor outcome tumours represent an easily recognisable prognostic group of breast cancer with aggressive behaviour that currently lack the benefit of available systemic therapy. There are conflicting results on the prevalence of lymph node metastasis at the time of diagnosis in triple-negative breast cancer patients but it is currently accepted that triple-negative breast cancer does not metastasize to axillary nodes and bones as frequently as the non-triple-negative carcinomas, favouring instead, a preferentially haematogenous spread. Hypothetically, this particular tumour dissemination pattern would impair the reliability of using Nottingham Prognostic Index as a tool for triple-negative breast cancer prognostication. The present study tested the effectiveness of the Nottingham Prognostic Index in stratifying breast cancer patients of different subtypes with special emphasis in a triple-negative breast cancer patient subset versus non- triple-negative breast cancer. We demonstrated that besides the fact that TNBC disseminate to axillary lymph nodes as frequently as luminal or HER2 tumours, we also showed that TNBC are larger in size compared with other subtypes and almost all grade 3. Additionally, survival curves demonstrated that these prognostic factors are

  9. The Assessment of Sustainability Indexes and Climate Change Impacts on Integrated Water Resource Management

    Directory of Open Access Journals (Sweden)

    Joel Hernández-Bedolla

    2017-03-01

    Full Text Available Integrated water resource management (IWRM is facing great challenges due to growing uncertainties caused by climate change (CC, rapid socio-economic and technological changes, and population growth. In the present study, we have developed different indices to assess the availability of water using an IWRM approach. These indices evaluate supply to demands, surface availability, groundwater availability, reservoirs, and environmental flow. Moreover, reliability, resilience, and vulnerability were determined. Sustainability index (SI and sustainability index by groups (SG were determined based on the five indices (all indices vary from 0 to 1. The impacts of climate change affect surface and groundwater availability, as do the agricultural, urban, and industrial requirements on the different supplies. We used the generalized AQUATOOL Decision Support System Shell (DSSS to evaluate the IWRM in the Rio Grande Basin (Morelia, México. Various emission scenarios from representative concentration pathways (RCPs were applied to the basin for the years 2015–2039 and 2075–2099. The results indicate increases in agricultural and urban demand, and decreases in surface runoff, as well as groundwater recharge. The proposed indices are useful for different approaches (decision-makers, water policy, and drought risks, among others. CC significantly affects the different proposed indices and indicates a decrease of the SI, SG1, and SG2 (i.e., less availability. For example, we found that SG2 decreased from 0.812 to 0.195 under the RCP 8.5 2075–2099 scenario, and SG2 equal to 0.252 and 0.326 for the RCP 6.0 2075–2099 and RCP 4.5 2070–2099 scenarios, respectively (values close to 0 indicate worst drought conditions.

  10. Photochromic Polyurethanes Showing a Strong Change of Transparency and Refractive Index

    Directory of Open Access Journals (Sweden)

    Luca Oggioni

    2017-09-01

    Full Text Available Photochromic polymers have been studied as rewritable systems for optical elements with tunable transparency in the visible and refractive index in the NIR. Six diarylethene monomers have been synthesized to give thin films of photochromic polyurethanes. The absorption properties of the monomers in solution and of the corresponding polymeric films have been evaluated showing that a transparency contrast in the visible spectrum of the order of 10 3 can be obtained by a suitable choice of the chemical structure and illumination wavelength. The change in the refractive index in the NIR have been determined by ellipsometry showing changes larger than 10 − 2 . A trend of this variation with the absorption properties has been also highlighted. Fresnel lenses working on the basis of both a change of the transparency and the refractive index (amplitude and phase have been demonstrated.

  11. Reliability and validity of the Yoruba version of the Oswestry disability index.

    Science.gov (United States)

    Aiyegbusi, Ayoola Ibifubara; Akodu, Ashiyat Kehinde; Agbede, Eniolorunda Olajide

    2017-01-01

    Low back pain (LBP) is a major cause of disability, and the Oswestry Disability Index (ODI) is a validated assessment tool for evaluating disability in LBP patients. Cross-cultural adaptation of the ODI is important because not all populations are proficient in English. The Yoruba language is an indigenous language spoken by 40 million people in the Western part of Nigeria and some countries in West Africa and Latin America. Currently, no validated Yoruba version of ODI is available. The aim of the study was to translate, culturally adapt and validate the ODI in Yoruba language for participants with LBP. The ODI was translated into Yoruba, and this translated version was analysed in terms of semantics and linguistics. Then, the Yoruba version was translated back into English and both versions administered to 160 participants with LBP. The internal consistency using Cronbach's alpha coefficient, criterion validity and test-retest reliability were assessed using Spearman's rank correlation with significance set at Pdisability in LBP patients.

  12. Development of Dimensionless Index Assessing Low Impact Development in Urban Areas

    Science.gov (United States)

    Jun, S. H.; Lee, E. H.; Kim, J. H.

    2017-12-01

    Because the rapid urbanization and industrialization have increased the impervious area of watersheds, inundation in urban area and water pollution of river by non-point pollutants have caused serious problems for a long time. Low Impact Development (LID) techniques have been implemented for the solution of these problems due to its cost effectiveness for mitigating the water quality and quantity impact on urban areas. There have been many studies about the effectiveness of LID, but there is a lack of research on developing an index for the assessment of LID performance. In this study, the dimensionless reliability index of LID is proposed. The index is developed using Distance Measure Method (DMM). DMM is used to consider the parameters that have different units. The parameters for reliability of LID are the amount of pollutant at the outfall and the flooding volume. Both parameters become dimensionless index by DMM. Weighted factors in dimensionless index are considered to realize the behavior of reliability for the variation of importance to the parameters. LID is applied to an actual area called Gasan city in Seoul, South Korea where inundation is frequently occurred. The reliability is estimated for 16 different rainfall events. For each rainfall event, the parameters with LID installation are compared with those of no LID installation. Depending on which parameter is considered more important, the results showed difference. In conclusion, the optimal locations of LID are suggested as the weighted factors change.

  13. Reliability, validity, and responsiveness of the Western Ontario and McMaster Universities Osteoarthritis Index for elderly patients with a femoral neck fracture

    NARCIS (Netherlands)

    P.T.P.W. Burgers (Paul); R.W. Poolman (Rudolf); T.M. van Bakel (Theodorus); W.E. Tuinebreijer (Wim); S.M. Zielinski (Stephanie); M. Bhandari (Mohit); P. Patka (Peter); E.M.M. van Lieshout (Esther)

    2015-01-01

    markdownabstractBackground: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) has been extensively evaluated in groups of patients with osteoarthritis, yet not in patients with a femoral neck fracture. This study aimed to determine the reliability, construct validity, and

  14. Principles of Bridge Reliability

    DEFF Research Database (Denmark)

    Thoft-Christensen, Palle; Nowak, Andrzej S.

    The paper gives a brief introduction to the basic principles of structural reliability theory and its application to bridge engineering. Fundamental concepts like failure probability and reliability index are introduced. Ultimate as well as serviceability limit states for bridges are formulated......, and as an example the reliability profile and a sensitivity analyses for a corroded reinforced concrete bridge is shown....

  15. Maynard Smith: amplifying the reasons for signal reliability.

    Science.gov (United States)

    Harper, D G C

    2006-03-21

    One of the many questions to which John Maynard Smith contributed was that of why most animal signals are reliable. He initially rejected the "handicap" argument but gradually accepted it, a process I briefly describe. This episode illustrated his preference for mathematical models over verbal ones, and the generosity with which he could change his mind. Even after accepting that some signals are reliable because of their strategic costs, he argued for a pluralistic approach to signal reliability. Signal complexity was a developing interest when he died. Signals usually involve several components, some of which appear to amplify other signal components. The terms "amplifier" and "index" require more thought to reduce the scope for semantic confusion. I conclude by describing Maynard Smith's fascination with peacocks Pavo cristatus.

  16. Reliability and Validity of the Dutch Version of the Behavioural Status Index: A Nurse-Rated Forensic Assessment Tool

    Science.gov (United States)

    Chakhssi, Farid; de Ruiter, Corine; Bernstein, David

    2010-01-01

    The Behavioural Status Index (BEST-Index) has been introduced into Dutch forensic psychiatry to measure change in risk level of future violence. The BEST-Index is a structured observational measure that assesses aggressive behavior, degree of insight, social skills, self-care, and work and leisure skills during inpatient treatment. Thus far,…

  17. Adaptation of the Oswestry Disability Index to Kannada Language and Evaluation of Its Validity and Reliability.

    Science.gov (United States)

    Mohan, Venkatdeep; G S, Prashanth; Meravanigi, Gururaja; N, Rajagopalan; Yerramshetty, Janardhan

    2016-06-01

    A translation, cross-cultural adaptation, and validation study. The aim of this study was to translate, adapt cross-culturally, and validate the Kannada version of the Oswestry Disability Index (ODI). Low back pain is recognized as an important public health problem. Self-administered condition-specific questionnaires are important tools for assessing a patient. For low backache, the ODI is used widely. Preferred language of a region can have an effect on interpretation of questions and thus scoring. A search of literature showed no previously validated Kannada version of the ODI. Cross-cultural adaptation and translation was carried out according to previously set guidelines. Patients were recruited from the orthopedic outpatient department. They filled out a booklet containing the Kannada version of the ODI, Kannada version of the Roland Morris Disability Questionnaire (RMDQ), and a 10-point visual analog scale for pain (VASpain). The Kannada ODI was answered by 91 patients and retested in 35 patients. After removing questionnaires with stray or ambiguous markings causing difficulty in computation of scores, 76 test questionnaires and 32 retest questionnaires were available for statistical analysis. The Kannada version showed an excellent internal consistency (Cronbach's alpha = 0.92). The Kannada version of the ODI showed good correlation with the RMDQ (r = 0.72) and moderate correlation with VASpain (r = 0.58). It also showed an excellent test-retest reliability (ICC = 0.96). Standard error of measurement (SEM) was also low (4.08) and a difference of 11 points is the "Minimum Detectable Change (MDC)." The Kannada version of the ODI that was developed showed consistency and reliability. It can be used for assessment of low back pain and treatment outcomes in Kannada-speaking populations. However, in view of a smaller sample size, it will benefit from verification at multiple centers and with more patients. 3.

  18. Reliability, validity, and responsiveness of the Western Ontario and McMaster Universities Osteoarthritis Index for elderly patients with a femoral neck fracture

    NARCIS (Netherlands)

    Burgers, P.T.; Poolman, R.W.; Bakel, T.M. Van; Tuinebreijer, W.E.; Zielinski, S.M.; Bhandari, M.; Patka, P.; Lieshout, E.M. van; Kampen, A. van; Biert, J.; Vugt, A.B. van; Edwards, M.J.R.; Blokhuis, T.J.; Frolke, J.P.; Geeraedts, L.M.G.; Gardeniers, J.W.M.; Tan, E.C.T.H.; Poelhekke, L.M.S.J.; Waal Malefijt, M.C. de; Schreurs, B.W.; et al.,

    2015-01-01

    BACKGROUND: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) has been extensively evaluated in groups of patients with osteoarthritis, yet not in patients with a femoral neck fracture. This study aimed to determine the reliability, construct validity, and responsiveness of

  19. Reliability, Validity, and Responsiveness of the Western Ontario and McMaster Universities Osteoarthritis Index for Elderly Patients with a Femoral Neck Fracture

    NARCIS (Netherlands)

    Burgers, Paul T. P. W.; Poolman, Rudolf W.; van Bakel, Theodorus M. J.; Tuinebreijer, Wim E.; Zielinski, Stephanie M.; Bhandari, Mohit; Patka, Peter; van Lieshout, Esther M. M.; Devereaux, P. J.; Guyatt, Gordon H.; Einhorn, Thomas A.; Thabane, Lehana; Schemitsch, Emil H.; Koval, Kenneth J.; Frihagen, Frede; Tetsworth, Kevin; Guerra-Farfan, Ernesto; Walter, Stephen D.; Sprague, Sheila; Swinton, Marilyn; Scott, Taryn; McKay, Paula; Madden, Kim; Heels-Ansdell, Diane; Buckingham, Lisa; Duraikannan, Aravin; Silva, Heather; Heetveld, Martin J.; Burgers, T. P. W.; Zura, Robert D.; Avram, Victoria; Eygendaal, Denise; Krips, Rover; Raven, Eric E. J.; Haverlag, Robert; Mutsaerts, Eduard L. A. R.; Haverkamp, Daniel; van den Bekerom, Michel P. J.; Beimers, Lijkele; de Vries, Jasper; Zurcher, Arthur W.; Bulstra, Gythe H.; Campo, Martin M.; Somford, Mathijs P.; Schep, Niels W. L.; Festen, Sebastiaan; Geeraedts, Leo M. G.; Peters, Rolf; Goslings, J. Carel; Ponsen, Kees Jan

    2015-01-01

    Background: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) has been extensively evaluated in groups of patients with osteoarthritis, yet not in patients with a femoral neck fracture. This study aimed to determine the reliability, construct validity, and responsiveness of

  20. Gait Deviation Index, Gait Profile Score and Gait Variable Score in children with spastic cerebral palsy: Intra-rater reliability and agreement across two repeated sessions.

    Science.gov (United States)

    Rasmussen, Helle Mätzke; Nielsen, Dennis Brandborg; Pedersen, Niels Wisbech; Overgaard, Søren; Holsgaard-Larsen, Anders

    2015-07-01

    The Gait Deviation Index (GDI) and Gait Profile Score (GPS) are the most used summary measures of gait in children with cerebral palsy (CP). However, the reliability and agreement of these indices have not been investigated, limiting their clinimetric quality for research and clinical practice. The aim of this study was to investigate the intra-rater reliability and agreement of summary measures of gait (GDI; GPS; and the Gait Variable Score (GVS) derived from the GPS). The intra-rater reliability and agreement were investigated across two repeated sessions in 18 children aged 5-12 years diagnosed with spastic CP. No systematic bias was observed between the sessions and no heteroscedasticity was observed in Bland-Altman plots. For the GDI and GPS, excellent reliability with intraclass correlation coefficient (ICC) values of 0.8-0.9 was found, while the GVS was found to have fair to good reliability with ICCs of 0.4-0.7. The agreement for the GDI and the logarithmically transformed GPS, in terms of the standard error of measurement as a percentage of the grand mean (SEM%) varied from 4.1 to 6.7%, whilst the smallest detectable change in percent (SDC%) ranged from 11.3 to 18.5%. For the logarithmically transformed GVS, we found a fair to large variation in SEM% from 7 to 29% and in SDC% from 18 to 81%. The GDI and GPS demonstrated excellent reliability and acceptable agreement proving that they can both be used in research and clinical practice. However, the observed large variability for some of the GVS requires cautious consideration when selecting outcome measures. Copyright © 2015 Elsevier B.V. All rights reserved.

  1. Estimating search engine index size variability: a 9-year longitudinal study.

    Science.gov (United States)

    van den Bosch, Antal; Bogers, Toine; de Kunder, Maurice

    One of the determining factors of the quality of Web search engines is the size of their index. In addition to its influence on search result quality, the size of the indexed Web can also tell us something about which parts of the WWW are directly accessible to the everyday user. We propose a novel method of estimating the size of a Web search engine's index by extrapolating from document frequencies of words observed in a large static corpus of Web pages. In addition, we provide a unique longitudinal perspective on the size of Google and Bing's indices over a nine-year period, from March 2006 until January 2015. We find that index size estimates of these two search engines tend to vary dramatically over time, with Google generally possessing a larger index than Bing. This result raises doubts about the reliability of previous one-off estimates of the size of the indexed Web. We find that much, if not all of this variability can be explained by changes in the indexing and ranking infrastructure of Google and Bing. This casts further doubt on whether Web search engines can be used reliably for cross-sectional webometric studies.

  2. Emergency Severity Index version 4: a valid and reliable tool in pediatric emergency department triage.

    Science.gov (United States)

    Green, Nicole A; Durani, Yamini; Brecher, Deena; DePiero, Andrew; Loiselle, John; Attia, Magdy

    2012-08-01

    The Emergency Severity Index version 4 (ESI v.4) is the most recently implemented 5-level triage system. The validity and reliability of this triage tool in the pediatric population have not been extensively established. The goals of this study were to assess the validity of ESI v.4 in predicting hospital admission, emergency department (ED) length of stay (LOS), and number of resources utilized, as well as its reliability in a prospective cohort of pediatric patients. The first arm of the study was a retrospective chart review of 780 pediatric patients presenting to a pediatric ED to determine the validity of ESI v.4. Abstracted data included acuity level assigned by the triage nurse using ESI v.4 algorithm, disposition (admission vs discharge), LOS, and number of resources utilized in the ED. To analyze the validity of ESI v.4, patients were divided into 2 groups for comparison: higher-acuity patients (ESI levels 1, 2, and 3) and lower-acuity patients (ESI levels 4 and 5). Pearson χ analysis was performed for categorical variables. For continuous variables, we conducted a comparison of means based on parametric distribution of variables. The second arm was a prospective cohort study to determine the interrater reliability of ESI v.4 among and between pediatric triage (PT) nurses and pediatric emergency medicine (PEM) physicians. Three raters (2 PT nurses and 1 PEM physician) independently assigned triage scores to 100 patients; k and interclass correlation coefficient were calculated among PT nurses and between the primary PT nurses and physicians. In the validity arm, the distribution of ESI score levels among the 780 cases are as follows: ESI 1: 2 (0.25%); ESI 2: 73 (9.4%); ESI 3: 289 (37%); ESI 4: 251 (32%); and ESI 5: 165 (21%). Hospital admission rates by ESI level were 1: 100%, 2: 42%, 3: 14.9%, 4: 1.2%, and 5: 0.6%. The admission rate of the higher-acuity group (76/364, 21%) was significantly greater than the lower-acuity group (4/415, 0.96%), P group was

  3. Discordance Between Body Mass Index (BMI) and a Novel Body Composition Change Index (BCCI) as Outcome Measures in Weight Change Interventions.

    Science.gov (United States)

    Nugent, Stephen D; Kaats, Gilbert R; Preuss, Harry G

    2018-01-01

    A general assumption is that the body mass index (BMI) reflects changes in fat mass (FM). However, it fails to distinguish the type of weight that is lost or gained-fat mass (FM) or fat-free mass (FFM). The BMI treats both changes the same although they have opposite health consequences. The objective of this study was to propose a more precise measure, a body composition change index (BCCI), which distinguishes between changes in FM and FFM, and this study compares it with using the BMI as an outcome measure. Data were obtained from 3,870 subjects who had completed dual-energy x-ray absorptiometry (DEXA) total body scans at baseline and end-of-study when participating in a variety of weight-loss interventions. Since height remained constant in this adult cohort, changes in the BMI corresponded with scale weight changes (r = 0.994), allowing BMI changes to be converted to "lbs." to match the statistic used for calculation of the BCCI. The BCCI is calculated by scoring increases in FFM (lbs.) and decreases in FM (lbs.) as positive outcomes and scoring decreases in FFM and increases in FM as negative outcomes. The BCCI is the net sum of these calculations. Differences between scale weight changes and BCCI values were subsequently compared to obtain "discordance scores." Discordance scores ranged from 0.0 lbs. to >30.0 lbs. with a mean absolute value of between the two measures of 7.79 lbs. (99% confidence interval: 7.49-8.10, p BCCI and the BMI to evaluate the efficacy of weight loss interventions. If assessing changes in body composition is a treatment goal, use of the BMI could result in significantly erroneous conclusions.

  4. A FRAMEWORK OF CHANGE DETECTION BASED ON COMBINED MORPHOLOGICA FEATURES AND MULTI-INDEX CLASSIFICATION

    Directory of Open Access Journals (Sweden)

    S. Li

    2017-09-01

    Full Text Available Remote sensing images are particularly well suited for analysis of land cover change. In this paper, we present a new framework for detection of changing land cover using satellite imagery. Morphological features and a multi-index are used to extract typical objects from the imagery, including vegetation, water, bare land, buildings, and roads. Our method, based on connected domains, is different from traditional methods; it uses image segmentation to extract morphological features, while the enhanced vegetation index (EVI, the differential water index (NDWI are used to extract vegetation and water, and a fragmentation index is used to the correct extraction results of water. HSV transformation and threshold segmentation extract and remove the effects of shadows on extraction results. Change detection is performed on these results. One of the advantages of the proposed framework is that semantic information is extracted automatically using low-level morphological features and indexes. Another advantage is that the proposed method detects specific types of change without any training samples. A test on ZY-3 images demonstrates that our framework has a promising capability to detect change.

  5. a Framework of Change Detection Based on Combined Morphologica Features and Multi-Index Classification

    Science.gov (United States)

    Li, S.; Zhang, S.; Yang, D.

    2017-09-01

    Remote sensing images are particularly well suited for analysis of land cover change. In this paper, we present a new framework for detection of changing land cover using satellite imagery. Morphological features and a multi-index are used to extract typical objects from the imagery, including vegetation, water, bare land, buildings, and roads. Our method, based on connected domains, is different from traditional methods; it uses image segmentation to extract morphological features, while the enhanced vegetation index (EVI), the differential water index (NDWI) are used to extract vegetation and water, and a fragmentation index is used to the correct extraction results of water. HSV transformation and threshold segmentation extract and remove the effects of shadows on extraction results. Change detection is performed on these results. One of the advantages of the proposed framework is that semantic information is extracted automatically using low-level morphological features and indexes. Another advantage is that the proposed method detects specific types of change without any training samples. A test on ZY-3 images demonstrates that our framework has a promising capability to detect change.

  6. Analysis and assessment of water treatment plant reliability

    Directory of Open Access Journals (Sweden)

    Szpak Dawid

    2017-03-01

    Full Text Available The subject of the publication is the analysis and assessment of the reliability of the surface water treatment plant (WTP. In the study the one parameter method of reliability assessment was used. Based on the flow sheet derived from the water company the reliability scheme of the analysed WTP was prepared. On the basis of the daily WTP work report the availability index Kg for the individual elements included in the WTP, was determined. Then, based on the developed reliability scheme showing the interrelationships between elements, the availability index Kg for the whole WTP was determined. The obtained value of the availability index Kg was compared with the criteria values.

  7. Excellent cross-cultural validity, intra-test reliability and construct validity of the dutch rivermead mobility index in patients after stroke undergoing rehabilitation

    NARCIS (Netherlands)

    Roorda, Leo D.; Green, John; De Kluis, Kiki R. A.; Molenaar, Ivo W.; Bagley, Pam; Smith, Jane; Geurts, Alexander C. H.

    2008-01-01

    Objective: To investigate the cross-cultural validity of international Dutch-English comparisons when using the Dutch Rivermead Mobility Index (RMI), and the intra-test reliability and construct validity of the Dutch RMI. Methods: Cross-cultural validity was studied in a combined data-set of Dutch

  8. Test-retest reliability and responsiveness of the Barthel Index-based Supplementary Scales in patients with stroke.

    Science.gov (United States)

    Lee, Ya-Chen; Yu, Wan-Hui; Hsueh, I-Ping; Chen, Sheng-Shiung; Hsieh, Ching-Lin

    2017-10-01

    A lack of evidence on the test-retest reliability and responsiveness limits the utility of the BI-based Supplementary Scales (BI-SS) in both clinical and research settings. To examine the test-retest reliability and responsiveness of the BI-based Supplementary Scales (BI-SS) in patients with stroke. A repeated-assessments design (1 week apart) was used to examine the test-retest reliability of the BI-SS. For the responsiveness study, the participants were assessed with the BI-SS and BI (treated as an external criterion) at admission to and discharge from rehabilitation wards. Seven outpatient rehabilitation units and one inpatient rehabilitation unit. Outpatients with chronic stroke. Eighty-four outpatients with chronic stroke participated in the test-retest reliability study. Fifty-seven inpatients completed baseline and follow-up assessments in the responsiveness study. For the test-retest reliability study, the values of the intra-class correlation coefficient and the overall percentage of minimal detectable change for the Ability Scale and Self-perceived Difficulty Scale were 0.97, 12.8%, and 0.78, 35.8%, respectively. For the responsiveness study, the standardized effect size and standardized response mean (representing internal responsiveness) of the Ability Scale and Self-perceived Difficulty Scale were 1.17 and 1.56, and 0.78 and 0.89, respectively. Regarding external responsiveness, the change in score of the Ability Scale had significant and moderate association with that of the BI (r=0.61, Ptest-retest reliability and sufficient responsiveness for patients with stroke. However, the Self-perceived Difficulty Scale of the BI-SS has substantial random measurement error and insufficient external responsiveness, which may affect its utility in clinical settings. The findings of this study provide empirical evidence of psychometric properties of the BI-SS for assessing ability and self-perceived difficulty of ADL in patients with stroke.

  9. Reliability Evaluation of Bridges Based on Nonprobabilistic Response Surface Limit Method

    Directory of Open Access Journals (Sweden)

    Xuyong Chen

    2017-01-01

    Full Text Available Due to many uncertainties in nonprobabilistic reliability assessment of bridges, the limit state function is generally unknown. The traditional nonprobabilistic response surface method is a lengthy and oscillating iteration process and leads to difficultly solving the nonprobabilistic reliability index. This article proposes a nonprobabilistic response surface limit method based on the interval model. The intention of this method is to solve the upper and lower limits of the nonprobabilistic reliability index and to narrow the range of the nonprobabilistic reliability index. If the range of the reliability index reduces to an acceptable accuracy, the solution will be considered convergent, and the nonprobabilistic reliability index will be obtained. The case study indicates that using the proposed method can avoid oscillating iteration process, make iteration process stable and convergent, reduce iteration steps significantly, and improve computational efficiency and precision significantly compared with the traditional nonprobabilistic response surface method. Finally, the nonprobabilistic reliability evaluation process of bridge will be built through evaluating the reliability of one PC continuous rigid frame bridge with three spans using the proposed method, which appears to be more simple and reliable when lack of samples and parameters in the bridge nonprobabilistic reliability evaluation is present.

  10. EVALUATION OF THE ANTIGENICITY AND IMMUNOGENICITY OF Eimeria tenella BY REPRODUCTIVE INDEX AND HISTOPATHOLOGICAL CHANGES OF CECAL COCCIDIOSIS VIRULENT LIVE VACCINE IN BROILER CHICKENS.

    Science.gov (United States)

    Suprihati, Endang; Yunus, Muchammad

    2018-01-01

    The development of vaccine to control coccidiosis caused by Eimeria tenella ( E. tenella ) in chickens is intensifying because of the increasing threat of drug resistance to anticoccidial agents. It is important, therefore, to develop a reliable standard method for the assessment of vaccine afficacy particularly antigenicity and immunogenicity become crucial. Evaluation of E. tenella antigenicity and immunogenicity to some low doses can be reflected by reproductive index and histopathological changes. The complete random design of research was used in this study. Sixty of two weeks old broilers were divided into four groups and each group composed 15 replications. The group 1 was chicken group without virulent E. tenella oocyst inoculation. The group 2, 3 and group 4 were chicken group inoculated with virulent E. tenella oocyst at doses of 1.0 x 10 2 , 2.0 x 10 2 , 3.0 x 10 2 , respectively. Then all chicken groups were challenged with E. tenella oocyst at doses of 1.0 x 10 3 . Observation of research that represented antigenicity and immunogenicity was clinical sign, reproductive index, histopathological changes. On virulent E. tenella inoculation step, some clinical signs such as appetite, weakness, and diarrhea were very slight on all chicken groups. While on challenge test step, there were no clinical signs of all chicken groups except the group 1. For the reproductive index of virulent E. tenella inoculation step, there were no significantly differences in all chicken groups except the group 1. As reproductive index, the same result pattern was seen for histopathological changes. The low number virulent E. tenella had low reproductive index and few histopathological changes effect that represents a promising strategy to prevent cecal coccidiosis in chickens.

  11. Interferometer for Measuring Fast Changes of Refractive Index and Temperature in Transparent Liquids

    DEFF Research Database (Denmark)

    Miller, Arne; Hussmann, E. K.; McLaughlin, W. L.

    1975-01-01

    A double‐beam interferometer has been designed for detecting changes of refractive index in transparent liquids associated with the absorption of ionizing radiation energy, due to short electron beam pulses from an accelerator. The response time of the interferometer is less than 0.2 μsec......, and refractive index changes of the order of 10−7 can be measured, corresponding to a temperature change of ∼10−3  °C and an absorbed dose in water of ∼350 rad. The interferometer can be used as either a real‐time or integrating radiation dosimeter, if the temperature coefficient of the refractive index (dn...

  12. 18 CFR 39.10 - Changes to an Electric Reliability Organization Rule or Regional Entity Rule.

    Science.gov (United States)

    2010-04-01

    ... RULES CONCERNING CERTIFICATION OF THE ELECTRIC RELIABILITY ORGANIZATION; AND PROCEDURES FOR THE ESTABLISHMENT, APPROVAL, AND ENFORCEMENT OF ELECTRIC RELIABILITY STANDARDS § 39.10 Changes to an Electric... Reliability Organization Rule or Regional Entity Rule. 39.10 Section 39.10 Conservation of Power and Water...

  13. Validity and reliability of English and Marathi Oswestry Disability Index (version 2.1a) in Indian population.

    Science.gov (United States)

    Joshi, Veena D; Raiturker, Pradyumna P Pai; Kulkarni, Aditi A

    2013-05-15

    A total of 200 patients with low back pain (LBP) completed an English and Marathi Oswestry Disability Index (ODI) questionnaires (100 each), visual analogue scale, and Roland-Morris Disability Questionnaire. To validate the English and Marathi versions of ODI (version 2.1a). Patient-orientated assessment methods are important in the evaluation of treatment outcome. The ODI is one of the condition-specific questionnaires recommended for the use of patients with LBP. An adaptation of the ODI (version 2.1a) for Marathi language was carried out according to established guidelines. Average age of patients who answered the English ODI was 42 ± 15, whereas that of Marathi-speaking patients was 52 ± 15 years. About 40% were males. The Cronbach α reliability score was 0.877 for English and 0.943 for Marathi. Forty-seven and 53 of these patients were retested with English and Marathi ODI within 2 weeks (to assess test-retest reliability). The intraclass correlation coefficient (ICC) for the test-retest reliability of the questionnaire was 0.877 and 0.943 for English and Marathi respectively. The ODI scores correlated with visual analogue scale pain intensity (r = 0.67, P Disability Questionnaire score (r = 0.71, P Disability Questionnaire scores (r = 0.503, P Oswestry questionnaire is reliable and valid, and shows psychometric characteristics as good as the English version. It should represent a valuable tool for use in future patient-orientated outcome studies for population with LBP in India.

  14. Reliability and validity study on the Hungarian versions of the oswestry disability index and the Quebec back pain disability scale.

    Science.gov (United States)

    Valasek, Tamás; Varga, Peter Paul; Szövérfi, Zsolt; Kümin, Michelle; Fairbank, Jeremy; Lazary, Aron

    2013-05-01

    Patient-reported outcome measurements (PROMs) are widely used in spine care. The development of reliable and valid National versions of spine-related disability questionnaires is strongly recommended from both the clinical and scientific points-of-view. The aims of this study were to adapt and validate the Oswestry Disability Index (ODI) and the Quebec back pain disability scale (QDS) for use with the Hungarian language. After translating and culturally adapting the ODI and QDS, 133 patients with lumbar degenerative spinal disorder filled in the questionnaire booklet twice within 2 weeks. Subjects completed the Hungarian versions of the two PROMs as well as the WHOQoL-BREF validated as a general life quality questionnaire and Visual Analogue Scale of pain. Internal consistency, reliability and construct validity of the questionnaires were determined, as were the standard error of measurement (SEM) and minimal detectable change (MDC) scores. The Hungarian ODI consisted of one factor that showed good internal consistency (Cronbach-α 0.890). The QDS showed a four-factor structure with Cronbach-α values between 0.788 and 0.917. No significant floor or ceiling effects were observed. The test-retest analysis showed excellent reliability of the Hungarian ODI and QDS. The intraclass correlation coefficients (ICC) were 0.927 and 0.923, respectively. SEM values of 4.8 and 5.2 resulted in a MDC of 13 and 14 points in the Hungarian ODI and QDS, respectively. The correlation coefficient (r) between pain and ODI was 0.680 (p 0.4, p disability measured by the Hungarian ODI and QDS was significantly higher in the surgical subgroup than in non-surgically treated patients (p < 0.001). Translation and cultural adaptation of the ODI and QDS were successful. Hungarian versions of the ODI and QDS proved to be reliable, valid PROMs confirming that they can be used in future clinical and scientific work with Hungarian-speaking spine patients.

  15. The effect of refractive index changes in an intracavity absorption on the laser output power

    International Nuclear Information System (INIS)

    Al-Hawat, Sh.; Eskef, M.

    2007-10-01

    A model describing the intra-cavity absorption has been developed. The model allows for a reliable description of the attenuation of laser power as a function of the gas pressure inside the absorption cell, conducting both real and imaginary parts of the refractive index of the absorbing gas. The model relies on an adequate integration of the additional loss due to the absorption into the rate equations. After that the rate equations are solved under steady state conditions, which is quite reliable for a cw CO 2 laser. The oscillation, clearly observed in case of weak absorption, is described in the framework of an interference model considering the electric field inside the cavity as the interference result of successive phase correlated waves differing from each other in the number of passes made through the cavity. The phase shift is determined by the optical length of the cavity depending on the real part of the refractive index of the gas in the absorption cell. The model has been applied to analyze a large set of attenuation curves obtained in a previous work, in which intra-cavity absorption was measured for the three gases CFC-11, 12, 22 using a tunable cw CO 2 laser at 44 lines of the emission spectrum of the CO 2 molecule distributed on the branches P and R of the two bands at 9.6 μm and 10.6 μm. For mostly all examples, the value of the absorption cross section (imaginary part of the refractive index) has been determined by fitting the model to the experimental data. Furthermore, the value of the linear polarizability (real part of the refractive index) has been calculated from the oscillation period for all examples, in which the attenuation curve exhibits reliable oscillating behavior. The results are in fair agreement with the values of the absorption cross section published in the Hitran data base, as well as with the results obtained from independent absorption measurements performed outside the cavity (Author)

  16. The Impact of Climate Change in Rainfall Erosivity Index on Humid Mudstone Area

    Science.gov (United States)

    Yang, Ci-Jian; Lin, Jiun-Chuan

    2017-04-01

    It has been quite often pointed out in many relevant studies that climate change may result in negative impacts on soil erosion. Then, humid mudstone area is highly susceptible to climate change. Taiwan has extreme erosion in badland area, with annual precipitation over 2000 mm/y which is a considerably 3 times higher than other badland areas around the world, and with around 9-13 cm/y in denudation rate. This is the reason why the Erren River, a badland dominated basin has the highest mean sediment yield in the world, over 105 t km2 y. This study aims to know how the climate change would affect soil erosion from the source in the Erren River catchment. Firstly, the data of hourly precipitation from 1992 to 2016 are used to establish the regression between rainfall erosivity index (R, one of component for USLE) and precipitation. Secondly, using the 10 climate change models (provide form IPCC AR5) simulates the changes of monthly precipitation in different scenario from 2017 to 2216, and then over 200 years prediction R values can be use to describe the tendency of soil erosion in the future. The results show that (1) the relationship between rainfall erosion index and precipitation has high correction (>0.85) during 1992-2016. (2) From 2017 to 2216, 7 scenarios show that annual rainfall erosion index will increase over 2-18%. In contrast, the others will decrease over 7-14%. Overall, the variations of annual rainfall erosion index fall in the range of -14 to 18%, but it is important to pay attention to the variation of annual rainfall erosion index in extreme years. These fall in the range of -34 to 239%. This explains the extremity of soil erosion will occur easily in the future. Keywords: Climate Change, Mudstone, Rainfall Erosivity Index, IPCC AR5

  17. Reliability of Coulomb stress changes inferred from correlated uncertainties of finite-fault source models

    KAUST Repository

    Woessner, J.

    2012-07-14

    Static stress transfer is one physical mechanism to explain triggered seismicity. Coseismic stress-change calculations strongly depend on the parameterization of the causative finite-fault source model. These models are uncertain due to uncertainties in input data, model assumptions, and modeling procedures. However, fault model uncertainties have usually been ignored in stress-triggering studies and have not been propagated to assess the reliability of Coulomb failure stress change (ΔCFS) calculations. We show how these uncertainties can be used to provide confidence intervals for co-seismic ΔCFS-values. We demonstrate this for the MW = 5.9 June 2000 Kleifarvatn earthquake in southwest Iceland and systematically map these uncertainties. A set of 2500 candidate source models from the full posterior fault-parameter distribution was used to compute 2500 ΔCFS maps. We assess the reliability of the ΔCFS-values from the coefficient of variation (CV) and deem ΔCFS-values to be reliable where they are at least twice as large as the standard deviation (CV ≤ 0.5). Unreliable ΔCFS-values are found near the causative fault and between lobes of positive and negative stress change, where a small change in fault strike causes ΔCFS-values to change sign. The most reliable ΔCFS-values are found away from the source fault in the middle of positive and negative ΔCFS-lobes, a likely general pattern. Using the reliability criterion, our results support the static stress-triggering hypothesis. Nevertheless, our analysis also suggests that results from previous stress-triggering studies not considering source model uncertainties may have lead to a biased interpretation of the importance of static stress-triggering.

  18. 21 CFR 516.163 - Change in ownership of an index file.

    Science.gov (United States)

    2010-04-01

    ... (CONTINUED) ANIMAL DRUGS, FEEDS, AND RELATED PRODUCTS NEW ANIMAL DRUGS FOR MINOR USE AND MINOR SPECIES Index of Legally Marketed Unapproved New Animal Drugs for Minor Species § 516.163 Change in ownership of an... owner shall submit in writing to FDA a statement that all rights in the index file have been transferred...

  19. Demonstration of the test-retest reliability and sensitivity of the Lower Limb Functional Index-10 as a measure of functional recovery post burn injury: a cross-sectional repeated measures study design.

    Science.gov (United States)

    Ryland, Margaret E; Grisbrook, Tiffany L; Wood, Fiona M; Phillips, Michael; Edgar, Dale W

    2016-01-01

    Lower limb burns can significantly delay recovery of function. Measuring lower limb functional outcomes is challenging in the unique burn patient population and necessitates the use of reliable and valid tools. The aims of this study were to examine the test-retest reliability, sensitivity, and internal consistency of Sections 1 and 3 of the Lower Limb Functional Index-10 (LLFI-10) questionnaire for measuring functional ability in patients with lower limb burns over time. Twenty-nine adult patients who had sustained a lower limb burn injury in the previous 12 months completed the test-retest procedure of the study. In addition, the minimal detectable change (MDC) was calculated for Section 1 and 3 of the LLFI-10. Section 1 is focused on the activity limitations experienced by patients with a lower limb disorder whereas Section 3 involves patients indicating their current percentage of pre-injury duties. Section 1 of the LLFI-10 demonstrated excellent test-retest reliability (intra-class correlation coefficient (ICC) 0.98, 95 % CI 0.96-0.99) whilst Section 3 demonstrated high test-retest reliability (ICC 0.88, 95 % CI 0.79-0.94). MDC scores for Sections 1 and 3 were 1.27 points and 30.22 %, respectively. Internal consistency was demonstrated with a significant negative association (r s  = -0.83) between Sections 1 and 3 of the LLFI-10 (p reliable for measuring functional ability in patients who have sustained lower limb burns in the previous 12 months, and furthermore, Section 1 is sensitive to changes in patient function over time.

  20. Index change of chalcogenide materials from precision glass molding processes

    Science.gov (United States)

    Deegan, J.; Walsh, K.; Lindberg, G.; Benson, R.; Gibson, D.; Bayya, S.; Sanghera, J.; Stover, E.

    2015-05-01

    With the increase in demand for infrared optics for thermal applications and the use of glass molding of chalcogenide materials to support these higher volume optical designs, an investigation of changes to the optical properties of these materials is required. Typical precision glass molding requires specific thermal conditions for proper lens molding of any type of optical glass. With these conditions a change (reduction) of optical index occurs after molding of all oxide glass types and it is presumed that a similar behavior will happen with chalcogenide based materials. We will discuss the effects of a typical molding thermal cycle for use with commercially and newly developed chalcogenide materials and show results of index variation from nominally established material data.

  1. Psychometric properties of the Numeric Pain Rating Scale and Neck Disability Index in patients with cervicogenic headache.

    Science.gov (United States)

    Young, Ian A; Dunning, James; Butts, Raymond; Cleland, Joshua A; Fernández-de-Las-Peñas, César

    2018-01-01

    Background Self-reported disability and pain intensity are commonly used outcomes in patients with cervicogenic headaches. However, there is a paucity of psychometric evidence to support the use of these self-report outcomes for individuals treated with cervicogenic headaches. Therefore, it is unknown if these measures are reliable, responsive, or result in meaningful clinically important changes in this patient population. Methods A secondary analysis of a randomized clinical trial (n = 110) examining the effects of spinal manipulative therapy with and without exercise in patients with cervicogenic headaches. Reliability, construct validity, responsiveness and thresholds for minimal detectable change and clinically important difference values were calculated for the Neck Disability Index and Numeric Pain Rating Scale. Results The Neck Disability Index exhibited excellent reliability (ICC = 0.92; [95 % CI: 0.46-0.97]), while the Numeric Pain Rating Scale exhibited moderate reliability (ICC = 0.72; [95 % CI: 0.08-0.90]) in the short term. Both instruments also exhibited adequate responsiveness (area under the curve; range = 0.78-0.93) and construct validity ( p numeric pain rating scale and a 5.5-point reduction on the neck disability index after 4 weeks of intervention to be considered clinically meaningful.

  2. Comparison of reliability and responsiveness of patient-reported clinical outcome measures in knee osteoarthritis rehabilitation.

    Science.gov (United States)

    Williams, Valerie J; Piva, Sara R; Irrgang, James J; Crossley, Chad; Fitzgerald, G Kelley

    2012-08-01

    Secondary analysis, pretreatment-posttreatment observational study. To compare the reliability and responsiveness of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Knee Outcome Survey activities of daily living subscale (KOS-ADL), and the Lower Extremity Functional Scale (LEFS) in individuals with knee osteoarthritis (OA). The WOMAC is the current standard in patient-reported measures of function in patients with knee OA. The KOS-ADL and LEFS were designed for potential use in patients with knee OA. If the KOS-ADL and LEFS are to be considered viable alternatives to the WOMAC for measuring patient-reported function in individuals with knee OA, they should have measurement properties comparable to the WOMAC. It would also be important to determine whether either of these instruments may be superior to the WOMAC in terms of reliability or responsiveness in this population. Data from 168 subjects with knee OA, who participated in a rehabilitation program, were used in the analyses. Reliability and responsiveness of each outcome measure were estimated at follow-ups of 2, 6, and 12 months. Reliability was estimated by calculating the intraclass correlation coefficient (ICC2,1) for subjects who were unchanged in status from baseline at each follow-up time, based on a global rating of change score. To examine responsiveness, the standard error of the measurement, minimal detectable change, minimal clinically important difference, and the Guyatt responsiveness index were calculated for each outcome measure at each follow-up time. All 3 outcome measures demonstrated reasonable reliability and responsiveness to change. Reliability and responsiveness tended to decrease somewhat with increasing follow-up time. There were no substantial differences between outcome measures for reliability or any of the 3 measures of responsiveness at any follow-up time. The results do not indicate that one outcome measure is more reliable or responsive than

  3. Análise da confiabilidade e da correlação de dois índices de estimativa da maturação esquelética: índice carpal e índice vertebral Reliability and correlation analysis of two skeletal maturation evaluation indexes: hand-wrist index and cervical vertebrae index

    Directory of Open Access Journals (Sweden)

    Melissa Feres Damian

    2006-10-01

    Full Text Available OBJETIVO: o objetivo deste estudo foi avaliar a confiabilidade e a correlação de dois índices de estimativa da maturação esquelética. METODOLOGIA: foi utilizada uma amostra de 210 radiografias carpais e telerradiografias laterais, de arquivo, de pacientes de ambos os gêneros, com idade entre 7 e 18 anos. As radiografias carpais foram utilizadas na determinação do Índice de Maturação Carpal (IMC e as telerradiografias laterais na determinação do Índice de Maturação Vertebral (IMV. Cada grupo de radiografias foi examinado e reexaminado por 4 avaliadores, para analisar a confiabilidade de cada índice, e ainda foi realizada a comparação entre os estágios do IMC e do IMV, para avaliar a correlação entre os índices. RESULTADOS: os resultados demonstraram que não houve diferença estatisticamente significante entre os 4 observadores nas avaliações do IMC e do IMV (pAIM: the aim of this study were to evaluate the reliability and correlation of two different skeletal maturation evaluation indexes. METHODS: two hundred and ten hand-wrist and cephalometric radiographs from files of patients with 7- 18 years old were used. The hand-wrist radiographs were used to determine the skeletal maturation index (SMI and the cephalometric radiographs to determine the cervical vertebrae maturation index (CVMI. Four independent evaluators were asked to examine twice each radiography and to verify the reliability of each index. The stages of SMI and CVMI were compared to evaluate the relationship between them. RESULTS: the results were not statisticaly different among the four evaluators on SMI and CVMI indexes (p<0.00001. The correlation average to SMI was 95% for the first evaluation and 93.5% for the second evaluation. On the CVMI, the correlation average was 84% for the first evaluation and 74% for the second evaluation. The correlation intraoperator did not showed significant difference (p<0.00001 and the average for SMI was 93.5% and for

  4. CMOS image sensor-based immunodetection by refractive-index change.

    Science.gov (United States)

    Devadhasan, Jasmine P; Kim, Sanghyo

    2012-01-01

    A complementary metal oxide semiconductor (CMOS) image sensor is an intriguing technology for the development of a novel biosensor. Indeed, the CMOS image sensor mechanism concerning the detection of the antigen-antibody (Ag-Ab) interaction at the nanoscale has been ambiguous so far. To understand the mechanism, more extensive research has been necessary to achieve point-of-care diagnostic devices. This research has demonstrated a CMOS image sensor-based analysis of cardiovascular disease markers, such as C-reactive protein (CRP) and troponin I, Ag-Ab interactions on indium nanoparticle (InNP) substrates by simple photon count variation. The developed sensor is feasible to detect proteins even at a fg/mL concentration under ordinary room light. Possible mechanisms, such as dielectric constant and refractive-index changes, have been studied and proposed. A dramatic change in the refractive index after protein adsorption on an InNP substrate was observed to be a predominant factor involved in CMOS image sensor-based immunoassay.

  5. Reliability, validity and sensitivity to change of neurogenic bowel dysfunction score in patients with spinal cord injury

    DEFF Research Database (Denmark)

    Erdem, D.; Hava, D.; Keskinoglu, P.

    2017-01-01

    cord injury (SCI). The reliability of NBD score was assessed by test-retest reliability and internal consistency. Cronbach's alpha coefficient was calculated to determine internal consistency. The construct validity was evaluated by exploring correlations between the NBD score and SF-36 scales, patient...... assessment of impact of NBD on quality of life (QoL) and the physician global assessment (PGA). The Global Rating of Change (GRC) scale was used to assess the change of NBD to investigate the sensitivity of the score to change. Results: Cronbach's alpha coefficient was 0.547. In test-retest reliability...

  6. SDI: Is it a reliable fouling index?

    NARCIS (Netherlands)

    Al-Hadidi, A.M.M.; Kemperman, Antonius J.B.; Schippers, J.C.; Wessling, Matthias; van der Meer, Walterus Gijsbertus Joseph

    2012-01-01

    The ASTM considers the silt density index (SDI) test as a standard test for fouling potential of RO and NF feed waters. Up to date, the SDI is used at many full- and pilot-scale installations. The design and choice of the applied RO pretreatment is to a large extent based on the SDI test on the raw

  7. Institutional Change and Governance Indexes in Transition Economies: the case of Poland

    Directory of Open Access Journals (Sweden)

    Pasquale Tridico

    2006-12-01

    Full Text Available In the former communist countries, institutional change, i.e. transition towards market economy, is affected not only by introduction of law and formal institutions (change "by design", but also by social norms, old values and habits (informal institutions. I present an empirical paper focusing on transition of the Polish Economy. I used a questionnaire which was administered to a sample of about 1000 Polish firms in order to verify the impact of economic institutions on the "residual productivity". Throughout the questionnaire I built six governance indexes. Then I tested the impact of the governance indexes on the productivity of firms. I observed that the economic performance of the eastern regions of Poland, where governance indexes are worse than western, are poorer than that of the western regions of Poland

  8. Determination of femtosecond-laser-induced refractive-index changes in an optical fiber from far-field measurements

    DEFF Research Database (Denmark)

    Savolainen, Juha-Matti; Grüner-Nielsen, Lars; Kristensen, Poul

    2014-01-01

    A new method for direct writing of localized, circularly symmetric refractive-index changes in optical fibers with a femtosecond laser is demonstrated. The refractive-index changes are characterized using a novel approach employing comparison of numerical simulations to the measured far......-field profiles of unmodified and modified fibers. From the analysis, a negative refractive-index change of −0.015 0.005 within a radius of 0.6 0.1 μm is determined....

  9. Improving the reliability of fishery predictions under climate change

    DEFF Research Database (Denmark)

    Brander, Keith

    2015-01-01

    The increasing number of publications assessing impacts of climate change on marine ecosystems and fisheries attests to rising scientific and public interest. A selection of recent papers, dealing more with biological than social and economic aspects, is reviewed here, with particular attention...... to the reliability of projections of climate impacts on future fishery yields. The 2014 Intergovernmental Panel on Climate Change (IPCC) report expresses high confidence in projections that mid- and high-latitude fish catch potential will increase by 2050 and medium confidence that low-latitude catch potential...... understanding of climate impacts, such as how to improve coupled models from physics to fish and how to strengthen confidence in analysis of time series...

  10. Assessing Changes in the Reliability of the U.S. Electric Power System

    Energy Technology Data Exchange (ETDEWEB)

    Larsen, Peter H. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Stanford Univ., CA (United States). Dept. of Physics; LaCommare, Kristina H. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Eto, Joseph H. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sweeney, James L. [Stanford Univ., CA (United States)

    2015-08-01

    Over the past 15 years, the most well-publicized efforts to assess trends in U.S. electric power system reliability have focused only on a subset of all power interruption events (see, for example, Amin 2008 and Campbell 2012)—namely, only the very largest events, which trigger immediate emergency reporting to federal agencies and industry regulators. Anecdotally, these events are thought by many to represent no more than 10% of the power interruptions experienced annually by electricity consumers. Moreover, a review of these emergency reports has identified shortcomings in relying on these data as reliable sources for assessing trends, even with the reliability events they report (Fisher et al. 2012). Recent work has begun to address these limitations by examining trends in reliability data collected annually by electricity distribution companies (Eto et al. 2012). In principle, all power interruptions experienced by electricity customers, regardless of size, are recorded by the distribution utility. Moreover, distribution utilities have a long history of recording this information, often in response to mandates from state public utility commissions (Eto et al. 2006). Thus, studies that rely on reliability data collected by distribution utilities can, in principle, provide a more complete basis upon which to assess trends or changes in reliability over time.

  11. Relationship of the change in implied volatility with the underlying equity index return in Thailand

    OpenAIRE

    Thakolsri, Supachock; Sethapramote, Yuthana; Jiranyakul, Komain

    2016-01-01

    In this study, we examine the relationship between the change in implied volatility index and the underlying stock index return in the Thai stock market. The data used are daily data during November 2010 to December 2013. The regression analysis is performed on stationary series. The empirical results reveal that there is evidence of a significantly negative and asymmetric relationship between the underlying stock index return and the change in implied volatility. The finding in this study gi...

  12. Association of childhood body mass index and change in body mass index with first adult ischemic stroke

    DEFF Research Database (Denmark)

    Gjærde, Line K.; Gamborg, Michael; Ängquist, Lars

    2017-01-01

    IMPORTANCE: The incidence of ischemic stroke among young adults is rising and is potentially due to an increase in stroke risk factors occurring at younger ages, such as obesity. OBJECTIVES: To investigate whether childhood body mass index (BMI) and change in BMI are associated with adult ischemi...

  13. Night-to-night arousal variability and interscorer reliability of arousal measurements.

    Science.gov (United States)

    Loredo, J S; Clausen, J L; Ancoli-Israel, S; Dimsdale, J E

    1999-11-01

    Measurement of arousals from sleep is clinically important, however, their definition is not well standardized, and little data exist on reliability. The purpose of this study is to determine factors that affect arousal scoring reliability and night-to-night arousal variability. The night-to-night arousal variability and interscorer reliability was assessed in 20 subjects with and without obstructive sleep apnea undergoing attended polysomnography during two consecutive nights. Five definitions of arousal were studied, assessing duration of electroencephalographic (EEG) frequency changes, increases in electromyographic (EMG) activity and leg movement, association with respiratory events, as well as the American Sleep Disorders Association (ASDA) definition of arousals. NA. NA. NA. Interscorer reliability varied with the definition of arousal and ranged from an Intraclass correlation (ICC) of 0.19 to 0.92. Arousals that included increases in EMG activity or leg movement had the greatest reliability, especially when associated with respiratory events (ICC 0.76 to 0.92). The ASDA arousal definition had high interscorer reliability (ICC 0.84). Reliability was lowest for arousals consisting of EEG changes lasting <3 seconds (ICC 0.19 to 0.37). The within subjects night-to-night arousal variability was low for all arousal definitions In a heterogeneous population, interscorer arousal reliability is enhanced by increases in EMG activity, leg movements, and respiratory events and decreased by short duration EEG arousals. The arousal index night-to-night variability was low for all definitions.

  14. Climate change and marine fisheries: Least developed countries top global index of vulnerability.

    Science.gov (United States)

    Blasiak, Robert; Spijkers, Jessica; Tokunaga, Kanae; Pittman, Jeremy; Yagi, Nobuyuki; Österblom, Henrik

    2017-01-01

    Future impacts of climate change on marine fisheries have the potential to negatively influence a wide range of socio-economic factors, including food security, livelihoods and public health, and even to reshape development trajectories and spark transboundary conflict. Yet there is considerable variability in the vulnerability of countries around the world to these effects. We calculate a vulnerability index of 147 countries by drawing on the most recent data related to the impacts of climate change on marine fisheries. Building on the Intergovernmental Panel on Climate Change framework for vulnerability, we first construct aggregate indices for exposure, sensitivity and adaptive capacity using 12 primary variables. Seven out of the ten most vulnerable countries on the resulting index are Small Island Developing States, and the top quartile of the index includes countries located in Africa (17), Asia (7), North America and the Caribbean (4) and Oceania (8). More than 87% of least developed countries are found within the top half of the vulnerability index, while the bottom half includes all but one of the Organization for Economic Co-operation and Development member states. This is primarily due to the tremendous variation in countries' adaptive capacity, as no such trends are evident from the exposure or sensitivity indices. A negative correlation exists between vulnerability and per capita carbon emissions, and the clustering of states at different levels of development across the vulnerability index suggests growing barriers to meeting global commitments to reducing inequality, promoting human well-being and ensuring sustainable cities and communities. The index provides a useful tool for prioritizing the allocation of climate finance, as well as activities aimed at capacity building and the transfer of marine technology.

  15. Reliability and sensitivity to change of the timed standing balance test in children with down syndrome

    Directory of Open Access Journals (Sweden)

    Vencita Priyanka Aranha

    2016-01-01

    Full Text Available Objective: To estimate the reliability and sensitivity to change of the timed standing balance test in children with Down syndrome (DS. Methods: It was a nonblinded, comparison study with a convenience sample of subjects consisting of children with DS (n = 9 aged 8–17 years. The main outcome measure was standing balance which was assessed using timed standing balance test, the time required to maintain in four conditions, eyes open static, eyes closed static, eyes open dynamic, and eyes closed dynamic. Results: Relative reliability was excellent for all four conditions with an Interclass Correlation Coefficient (ICC ranging from 0.91 to 0.93. The variation between repeated measurements for each condition was minimal with standard error of measurement (SEM of 0.21–0.59 s, suggestive of excellent absolute reliability. The sensitivity to change as measured by smallest real change (SRC was 1.27 s for eyes open static, 1.63 s for eyes closed static, 0.58 s for eyes open dynamic, and 0.61 s for eyes closed static. Conclusions: Timed standing balance test is an easy to administer test and sensitive to change with strong absolute and relative reliabilities, an important first step in establishing its utility as a clinical balance measure in children with DS.

  16. Changes in Nitric Oxide Level and Thickness Index of Synovial Fluid ...

    African Journals Online (AJOL)

    Changes in Nitric Oxide Level and Thickness Index of Synovial Fluid in Osteoarthritis Patients ... Tropical Journal of Pharmaceutical Research ... and moderate phase patients after intra-articular injection of sodium hyaluronate, while the effect ...

  17. Climate change sensitivity index for Pacific salmon habitat in southeast Alaska.

    Directory of Open Access Journals (Sweden)

    Colin S Shanley

    Full Text Available Global climate change may become one of the most pressing challenges to Pacific Salmon conservation and management for southeast Alaska in the 21st Century. Predicted hydrologic change associated with climate change will likely challenge the ability of specific stocks to adapt to new flow regimes and resulting shifts in spawning and rearing habitats. Current research suggests egg-to-fry survival may be one of the most important freshwater limiting factors in Pacific Salmon's northern range due to more frequent flooding events predicted to scour eggs from mobile spawning substrates. A watershed-scale hydroclimatic sensitivity index was developed to map this hypothesis with an historical stream gauge station dataset and monthly multiple regression-based discharge models. The relative change from present to future watershed conditions predicted for the spawning and incubation period (September to March was quantified using an ensemble global climate model average (ECHAM5, HadCM3, and CGCM3.1 and three global greenhouse gas emission scenarios (B1, A1B, and A2 projected to the year 2080. The models showed the region's diverse physiography and climatology resulted in a relatively predictable pattern of change: northern mainland and steeper, snow-fed mountainous watersheds exhibited the greatest increases in discharge, an earlier spring melt, and a transition into rain-fed hydrologic patterns. Predicted streamflow increases for all watersheds ranged from approximately 1-fold to 3-fold for the spawning and incubation period, with increased peak flows in the spring and fall. The hydroclimatic sensitivity index was then combined with an index of currently mapped salmon habitat and species diversity to develop a research and conservation priority matrix, highlighting potentially vulnerable to resilient high-value watersheds. The resulting matrix and observed trends are put forth as a framework to prioritize long-term monitoring plans, mitigation

  18. Reliability demonstration test planning: A three dimensional consideration

    International Nuclear Information System (INIS)

    Yadav, Om Prakash; Singh, Nanua; Goel, Parveen S.

    2006-01-01

    Increasing customer demand for reliability, fierce market competition on time-to-market and cost, and highly reliable products are making reliability testing more challenging task. This paper presents a systematic approach for identifying critical elements (subsystems and components) of the system and deciding the types of test to be performed to demonstrate reliability. It decomposes the system into three dimensions (i.e. physical, functional and time) and identifies critical elements in the design by allocating system level reliability to each candidate. The decomposition of system level reliability is achieved by using criticality index. The numerical value of criticality index for each candidate is derived based on the information available from failure mode and effects analysis (FMEA) document or warranty data from a prior system. It makes use of this information to develop reliability demonstration test plan for the identified (critical) failure mechanisms and physical elements. It also highlights the benefits of using prior information in order to locate critical spots in the design and in subsequent development of test plans. A case example is presented to demonstrate the proposed approach

  19. Reliability and validity study of the Gujarati version of the Oswestry Disability Index 2.1a.

    Science.gov (United States)

    Shah, Sweni; Balaganapathy, M

    2017-09-22

    Among all musculoskeletal disorders back pain is the most common reason for functional limitation in working age. It is due to low back pain (LBP) that the ODI has become one of the principal outcome measures for evaluation of disability and has been widely used in research as well as in clinical practice. So far, validated Gujarati version of the ODI 2.1a has not been reported. To accomplish the translation and validation of the Oswestry Disability Index (ODI) version 2.1a into the Gujarati language. Cross-sectional study. The validation of the ODI-Gujarati was tested in 120 patients diagnosed with non-specific LBP, who were receiving physiotherapy at a clinic in Gujarat, India. Data was collected at on initial visit and after 48 hours. During both visits, patients completed the Oswestry Disability Index-Gujarati (ODI-G), Roland-Morris Disability Questionnaire-Gujarati (RMDQ-G), and Visual Analogue Scale-Pain (VAS-P). Internal consistency was measured by Cronbach's alpha. The Gujarati version indicated high internal consistency (α= 0.96). Test-retest reliability was measured by intra-class correlation coefficient and it revealed very high correlation (ICC = 0.92). Construct validity was confirmed by strong correlation with RMDQ-G (r= 0.76), and concurrent validity indicated moderate correlation with VAS-P (r= 0.50). Factor analysis explained that the ODI was loaded on 1 factor. The Oswestry disability index version 2.1a was successfully translated into Gujarati language, showing excellent psychometric properties. Therefore, it can be used in evaluating the disability amongst Gujarati population with LBP for both clinical and research purposes.

  20. The Changing Cost of Performing Agricultural Research: An Index Approach

    OpenAIRE

    Murphy, Joseph W.; Kaldor, Donald R.

    1981-01-01

    Inflation erodes the purchasing power of dollars in every budget in our society. Budgets of agricultural research organizations have been no exception. Inflation has been defined as an increase in the average of prices {I}. A popular indicator of the rate of inflation is the annual percentage change in the Consumer Price Index (cpr) {2}, The CPI is intended to apply to consumer purchases, yet the concept implies that a similar indicator of the annual percentage change in prices of inputs purc...

  1. A reliability analysis tool for SpaceWire network

    Science.gov (United States)

    Zhou, Qiang; Zhu, Longjiang; Fei, Haidong; Wang, Xingyou

    2017-04-01

    A SpaceWire is a standard for on-board satellite networks as the basis for future data-handling architectures. It is becoming more and more popular in space applications due to its technical advantages, including reliability, low power and fault protection, etc. High reliability is the vital issue for spacecraft. Therefore, it is very important to analyze and improve the reliability performance of the SpaceWire network. This paper deals with the problem of reliability modeling and analysis with SpaceWire network. According to the function division of distributed network, a reliability analysis method based on a task is proposed, the reliability analysis of every task can lead to the system reliability matrix, the reliability result of the network system can be deduced by integrating these entire reliability indexes in the matrix. With the method, we develop a reliability analysis tool for SpaceWire Network based on VC, where the computation schemes for reliability matrix and the multi-path-task reliability are also implemented. By using this tool, we analyze several cases on typical architectures. And the analytic results indicate that redundancy architecture has better reliability performance than basic one. In practical, the dual redundancy scheme has been adopted for some key unit, to improve the reliability index of the system or task. Finally, this reliability analysis tool will has a directive influence on both task division and topology selection in the phase of SpaceWire network system design.

  2. Validation of the prosthetic esthetic index

    DEFF Research Database (Denmark)

    Özhayat, Esben B; Dannemand, Katrine

    2014-01-01

    OBJECTIVES: In order to diagnose impaired esthetics and evaluate treatments for these, it is crucial to evaluate all aspects of oral and prosthetic esthetics. No professionally administered index currently exists that sufficiently encompasses comprehensive prosthetic esthetics. This study aimed...... to validate a new comprehensive index, the Prosthetic Esthetic Index (PEI), for professional evaluation of esthetics in prosthodontic patients. MATERIAL AND METHODS: The content, criterion, and construct validity; the test-retest, inter-rater, and internal consistency reliability; and the sensitivity...... furthermore distinguish between participants and controls, indicating sufficient sensitivity. CONCLUSION: The PEI is considered a valid and reliable instrument involving sufficient aspects for assessment of the professionally evaluated esthetics in prosthodontic patients. CLINICAL RELEVANCE...

  3. Analysis of operating reliability of WWER-1000 unit

    International Nuclear Information System (INIS)

    Bortlik, J.

    1985-01-01

    The nuclear power unit was divided into 33 technological units. Input data for reliability analysis were surveys of operating results obtained from the IAEA information system and certain indexes of the reliability of technological equipment determined using the Bayes formula. The missing reliability data for technological equipment were used from the basic variant. The fault tree of the WWER-1000 unit was determined for the peak event defined as the impossibility of reaching 100%, 75% and 50% of rated power. The period was observed of the nuclear power plant operation with reduced output owing to defect and the respective time needed for a repair of the equipment. The calculation of the availability of the WWER-1000 unit was made for different variant situations. Certain indexes of the operating reliability of the WWER-1000 unit which are the result of a detailed reliability analysis are tabulated for selected variants. (E.S.)

  4. The validity and reliability of the my jump 2 app for measuring the reactive strength index and drop jump performance.

    Science.gov (United States)

    Haynes, Tom; Bishop, Chris; Antrobus, Mark; Brazier, Jon

    2018-03-27

    This is the first study to independently assess the concurrent validity and reliability of the My Jump 2 app for measuring drop jump performance. It is also the first to evaluate the app's ability to measure the reactive strength index (RSI). Fourteen male sport science students (age: 29.5 ± 9.9 years) performed three drop jumps from 20 cm and 40 cm (totalling 84 jumps), assessed via a force platform and the My Jump 2 app. Reported metrics included reactive strength index, jump height, ground contact time, and mean power. Measurements from both devices were compared using the intraclass correlation coefficient (ICC), Pearson product moment correlation coefficient (r), Cronbach's alpha (α), coefficient of variation (CV) and BlandAltman plots. Near perfect agreement was seen between devices at 20 cm for RSI (ICC = 0.95) and contact time (ICC = 0.99) and at 40 cm for RSI (ICC = 0.98), jump height (ICC = 0.96) and contact time (ICC = 0.92); with very strong agreement seen at 20 cm for jump height (ICC = 0.80). In comparison with the force plate the app showed good validity for RSI (20 cm: r = 0.94; 40 cm; r = 0.97), jump height (20 cm: r = 0.80; 40 cm; r = 0.96) and contact time (20 cm = 0.96; 40 cm; r = 0.98). The results of the present study show that the My Jump 2 app is a valid and reliable tool for assessing drop jump performance.

  5. Standardizing foot-type classification using arch index values.

    Science.gov (United States)

    Wong, Christopher Kevin; Weil, Rich; de Boer, Emily

    2012-01-01

    The lack of a reliable classification standard for foot type makes drawing conclusions from existing research and clinical decisions difficult, since different foot types may move and respond to treatment differently. The purpose of this study was to determine interrater agreement for foot-type classification based on photo-box-derived arch index values. For this correlational study with two raters, a sample of 11 healthy volunteers with normal to obese body mass indices was recruited from both a community weight-loss programme and a programme in physical therapy. Arch index was calculated using AutoCAD software from footprint photographs obtained via mirrored photo-box. Classification as high-arched, normal, or low-arched foot type was based on arch index values. Reliability of the arch index was determined with intra-class correlations; agreement on foot-type classification was determined using quadratic weighted kappa (κw). Average arch index was 0.215 for one tester and 0.219 for the second tester, with an overall range of 0.017 to 0.370. Both testers classified 6 feet as low-arched, 9 feet as normal, and 7 feet as high-arched. Interrater reliability for the arch index was ICC=0.90; interrater agreement for foot-type classification was κw=0.923. Classification of foot type based on arch index values derived from plantar footprint photographs obtained via mirrored photo-box showed excellent reliability in people with varying BMI. Foot-type classification may help clinicians and researchers subdivide sample populations to better differentiate mobility, gait, or treatment effects among foot types.

  6. Standardizing Foot-Type Classification Using Arch Index Values

    Science.gov (United States)

    Weil, Rich; de Boer, Emily

    2012-01-01

    ABSTRACT Purpose: The lack of a reliable classification standard for foot type makes drawing conclusions from existing research and clinical decisions difficult, since different foot types may move and respond to treatment differently. The purpose of this study was to determine interrater agreement for foot-type classification based on photo-box-derived arch index values. Method: For this correlational study with two raters, a sample of 11 healthy volunteers with normal to obese body mass indices was recruited from both a community weight-loss programme and a programme in physical therapy. Arch index was calculated using AutoCAD software from footprint photographs obtained via mirrored photo-box. Classification as high-arched, normal, or low-arched foot type was based on arch index values. Reliability of the arch index was determined with intra-class correlations; agreement on foot-type classification was determined using quadratic weighted kappa (κw). Results: Average arch index was 0.215 for one tester and 0.219 for the second tester, with an overall range of 0.017 to 0.370. Both testers classified 6 feet as low-arched, 9 feet as normal, and 7 feet as high-arched. Interrater reliability for the arch index was ICC=0.90; interrater agreement for foot-type classification was κw=0.923. Conclusions: Classification of foot type based on arch index values derived from plantar footprint photographs obtained via mirrored photo-box showed excellent reliability in people with varying BMI. Foot-type classification may help clinicians and researchers subdivide sample populations to better differentiate mobility, gait, or treatment effects among foot types. PMID:23729964

  7. Reliability, validity and minimal detectable change of the Mini-BESTest in Greek participants with chronic stroke.

    Science.gov (United States)

    Lampropoulou, Sofia I; Billis, Evdokia; Gedikoglou, Ingrid A; Michailidou, Christina; Nowicky, Alexander V; Skrinou, Dimitra; Michailidi, Fotini; Chandrinou, Danae; Meligkoni, Margarita

    2018-02-23

    This study aimed to investigate the psychometric characteristics of reliability, validity and ability to detect change of a newly developed balance assessment tool, the Mini-BESTest, in Greek patients with stroke. A prospective, observational design study with test-retest measures was conducted. A convenience sample of 21 Greek patients with chronic stroke (14 male, 7 female; age of 63 ± 16 years) was recruited. Two independent examiners administered the scale, for the inter-rater reliability, twice within 10 days for the test-retest reliability. Bland Altman Analysis for repeated measures assessed the absolute reliability and the Standard Error of Measurement (SEM) and the Minimum Detectable Change at 95% confidence interval (MDC 95% ) were established. The Greek Mini-BESTest (Mini-BESTest GR ) was correlated with the Greek Berg Balance Scale (BBS GR ) for assessing the concurrent validity and with the Timed Up and Go (TUG), the Functional Reach Test (FRT) and the Greek Falls Efficacy Scale-International (FES-I GR ) for the convergent validity. The Mini-BESTestGR demonstrated excellent inter-rater reliability (ICC (95%CI) = 0.997 (0.995-0.999, SEM = 0.46) with the scores of two raters within the limits of agreement (mean dif  = -0.143 ± 0.727, p > 0.05) and test-retest reliability (ICC (95%CI) = 0.966 (0.926-0.988), SEM = 1.53). Additionally, the Mini-BESTest GR yielded very strong to moderate correlations with BBS GR (r = 0.924, p reliability and the equally good validity of the Mini-BESTest GR , strongly support its utility in Greek people with chronic stroke. Its ability to identify clinically meaningful changes and falls risk need further investigation.

  8. Translation of oswestry disability index into Tamil with cross cultural adaptation and evaluation of reliability and validity(§).

    Science.gov (United States)

    Vincent, Joshua Israel; Macdermid, Joy Christine; Grewal, Ruby; Sekar, Vincent Prabhakaran; Balachandran, Dinesh

    2014-01-01

    Prospective longitudinal validation study. To translate and cross-culturally adapt the Oswestry Disability Index (ODI) to the Tamil language (ODI-T), and to evaluate its reliability and construct validity. ODI is widely used as a disease specific questionnaire in back pain patients to evaluate pain and disability. A thorough literature search revealed that the Tamil version of the ODI has not been previously published. The ODI was translated and cross-culturally adapted to the Tamil language according to established guidelines. 30 subjects (16 women and 14 men) with a mean age of 42.7 years (S.D. 13.6; Range 22 - 69) with low back pain were recruited to assess the psychometric properties of the ODI-T Questionnaire. Patients completed the ODI-T, Roland-Morris disability questionnaire (RMDQ), VAS-pain and VAS-disability at baseline and 24-72 hours from the baseline visit. The ODI-T displayed a high degree of internal consistency, with a Cronbach's alpha of 0.92. The test-retest reliability was high (n=30) with an ICC of 0.92 (95% CI, 0.84 to 0.96) and a mean re-test difference of 2.6 points lower on re-test. The ODI-T scores exhibited a strong correlation with the RMDQ scores (r = 0.82) pTamil version of the ODI Questionnaire is a valid and reliable tool that can be used to measure subjective outcomes of pain and disability in Tamil speaking patients with low back pain.

  9. Automated indexing of Internet stories for health behavior change: weight loss attitude pilot study.

    Science.gov (United States)

    Manuvinakurike, Ramesh; Velicer, Wayne F; Bickmore, Timothy W

    2014-12-09

    Automated health behavior change interventions show promise, but suffer from high attrition and disuse. The Internet abounds with thousands of personal narrative accounts of health behavior change that could not only provide useful information and motivation for others who are also trying to change, but an endless source of novel, entertaining stories that may keep participants more engaged than messages authored by interventionists. Given a collection of relevant personal health behavior change stories gathered from the Internet, the aim of this study was to develop and evaluate an automated indexing algorithm that could select the best possible story to provide to a user to have the greatest possible impact on their attitudes toward changing a targeted health behavior, in this case weight loss. An indexing algorithm was developed using features informed by theories from behavioral medicine together with text classification and machine learning techniques. The algorithm was trained using a crowdsourced dataset, then evaluated in a 2×2 between-subjects randomized pilot study. One factor compared the effects of participants reading 2 indexed stories vs 2 randomly selected stories, whereas the second factor compared the medium used to tell the stories: text or animated conversational agent. Outcome measures included changes in self-efficacy and decisional balance for weight loss before and after the stories were read. Participants were recruited from a crowdsourcing website (N=103; 53.4%, 55/103 female; mean age 35, SD 10.8 years; 65.0%, 67/103 precontemplation; 19.4%, 20/103 contemplation for weight loss). Participants who read indexed stories exhibited a significantly greater increase in self-efficacy for weight loss compared to the control group (F1,107=5.5, P=.02). There were no significant effects of indexing on change in decisional balance (F1,97=0.05, P=.83) and no significant effects of medium on change in self-efficacy (F1,107=0.04, P=.84) or decisional

  10. The reliability of the Associate Platinum digital foot scanner in measuring previously developed footprint characteristics: a technical note.

    Science.gov (United States)

    Papuga, M Owen; Burke, Jeanmarie R

    2011-02-01

    An ink pad and paper, pressure-sensitive platforms, and photography have previously been used to collect footprint data used in clinical assessment. Digital scanners have been widely used more recently to collect such data. The purpose of this study was to evaluate the intra- and interrater reliability of a flatbed digital image scanning technology to capture footprint data. This study used a repeated-measures design on 32 (16 male 16 female) healthy subjects. The following measured indices of footprint were recorded from 2-dimensional images of the plantar surface of the foot recorded with an Associate Platinum (Foot Levelers Inc, Roanoke, VA) digital foot scanner: Staheli index, Chippaux-Smirak index, arch angle, and arch index. Intraclass correlation coefficient (ICC) values were calculated to evaluate intrarater, interday, and interclinician reliability. The ICC values for intrarater reliability were greater than or equal to .817, indicating an excellent level of reproducibility in assessing the collected images. Analyses of variance revealed that there were no significant differences between raters for each index (P > .05). The ICC values also indicated excellent reliability (.881-.971) between days and clinicians in all but one of the indices of footprint, arch angle (.689), with good reliability between clinicians. The full-factorial analysis of variance model did not reveal any interaction effects (P > .05), which indicated that indices of footprint were not changing across days and clinicians. Scanning technology used in this study demonstrated good intra- and interrater reliability measurements of footprint indices, as demonstrated by high ICC values. Copyright © 2011 National University of Health Sciences. Published by Mosby, Inc. All rights reserved.

  11. Frontiers of reliability

    CERN Document Server

    Basu, Asit P; Basu, Sujit K

    1998-01-01

    This volume presents recent results in reliability theory by leading experts in the world. It will prove valuable for researchers, and users of reliability theory. It consists of refereed invited papers on a broad spectrum of topics in reliability. The subjects covered include Bayesian reliability, Bayesian reliability modeling, confounding in a series system, DF tests, Edgeworth approximation to reliability, estimation under random censoring, fault tree reduction for reliability, inference about changes in hazard rates, information theory and reliability, mixture experiment, mixture of Weibul

  12. Patient state index and cerebral blood flow changes during shoulder arthroscopy in beach chair position.

    Science.gov (United States)

    Buget, Mehmet Ilke; Atalar, Ata Can; Edipoglu, Ipek Saadet; Sungur, Zerrin; Sivrikoz, Nukhet; Karadeniz, Meltem; Saka, Esra; Kucukay, Suleyman; Senturk, Mert N

    2016-01-01

    The aim of the study were to demonstrate the possible hemodynamic changes and cerebral blood flow alterations in patients who were positioned from supine to beach chair position; and to detect if the position change causes any cortical activity alteration as measured by the 4-channeled electroencephalography monitor. 35 patients were included. Before the induction, mean arterial pressure and patient state index values were recorded (T0). After the intubation, doppler-ultrasonography of the patients' internal carotid and vertebral arteries were evaluated to acquire cerebral blood flow values from the formula. In supine position, mean arterial pressure, patient state index and cerebral blood flow values were recorded (T1) and the patient was positioned to beach chair position. After 5min all measurements were repeated (T2). Measurements of patient state index and mean arterial pressure were repeated after 20 (T3), and 40 (T4)min. There was a significant decrease between T0 and T1 in heart rate (80.5±11.6 vs. 75.9±14.4beats/min), MAP (105.8±21.9 vs. 78.9±18.4mmHg) and PSI (88.5±8.3 vs. 30.3±9.7) (all pstate index values (T1-T4) showed no significant change; however, comparing only T1 and T2 resulted in a statically significant decrease in patient state index. There was a significant decrease in cerebral blood flow after beach chair position. Beach chair position was associated with a decrease in cerebral blood flow and patient state index values. Patient state index was affected by the gravitational change of the cerebral blood flow; however, both factors were not directly correlated to each other. Moreover, the decrease in patient state index value was transient and returned to normal values within 20min. Copyright © 2015 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

  13. [Patient state index and cerebral blood flow changes during shoulder arthroscopy in beach chair position].

    Science.gov (United States)

    Buget, Mehmet Ilke; Atalar, Ata Can; Edipoglu, Ipek Saadet; Sungur, Zerrin; Sivrikoz, Nukhet; Karadeniz, Meltem; Saka, Esra; Kucukay, Suleyman; Senturk, Mert N

    2016-01-01

    The aim of the study were to demonstrate the possible hemodynamic changes and cerebral blood flow alterations in patients who were positioned from supine to beach chair position; and to detect if the position change causes any cortical activity alteration as measured by the 4-channeled electroencephalography monitor. 35 patients were included. Before the induction, mean arterial pressure and patient state index values were recorded (T0). After the intubation, doppler-ultrasonography of the patients' internal carotid and vertebral arteries were evaluated to acquire cerebral blood flow values from the formula. In supine position, mean arterial pressure, patient state index and cerebral blood flow values were recorded (T1) and the patient was positioned to beach chair position. After 5min all measurements were repeated (T2). Measurements of patient state index and mean arterial pressure were repeated after 20 (T3), and 40 (T4)min. There was a significant decrease between T0 and T1 in heart rate (80.5±11.6 vs. 75.9±14.4beats/min), MAP (105.8±21.9 vs. 78.9±18.4mmHg) and PSI (88.5±8.3 vs. 30.3±9.7) (all pstate index values (T1-T4) showed no significant change; however, comparing only T1 and T2 resulted in a statically significant decrease in patient state index. There was a significant decrease in cerebral blood flow after beach chair position. Beach chair position was associated with a decrease in cerebral blood flow and patient state index values. Patient state index was affected by the gravitational change of the cerebral blood flow; however, both factors were not directly correlated to each other. Moreover, the decrease in patient state index value was transient and returned to normal values within 20min. Copyright © 2015 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

  14. The development of a magnetic resonance imaging index for fistulising Crohn's disease

    NARCIS (Netherlands)

    Samaan, M. A.; Puylaert, C. A. J.; Levesque, B. G.; Zou, G. Y.; Stitt, L.; Taylor, S. A.; Shackelton, L. M.; Vandervoort, M. K.; Khanna, R.; Santillan, C.; Rimola, J.; Hindryckx, P.; Nio, C. Y.; Sandborn, W. J.; D'Haens, G.; Feagan, B. G.; Jairath, V.; Stoker, J.

    2017-01-01

    Magnetic resonance imaging (MRI) is the gold standard for assessment of perianal fistulising Crohn's disease (CD). The Van Assche index is the most commonly used MRI fistula index. To assess the reliability of the Van Assche index, and to modify the instrument to improve reliability and create a

  15. An Energy-Based Limit State Function for Estimation of Structural Reliability in Shock Environments

    Directory of Open Access Journals (Sweden)

    Michael A. Guthrie

    2013-01-01

    Full Text Available limit state function is developed for the estimation of structural reliability in shock environments. This limit state function uses peak modal strain energies to characterize environmental severity and modal strain energies at failure to characterize the structural capacity. The Hasofer-Lind reliability index is briefly reviewed and its computation for the energy-based limit state function is discussed. Applications to two degree of freedom mass-spring systems and to a simple finite element model are considered. For these examples, computation of the reliability index requires little effort beyond a modal analysis, but still accounts for relevant uncertainties in both the structure and environment. For both examples, the reliability index is observed to agree well with the results of Monte Carlo analysis. In situations where fast, qualitative comparison of several candidate designs is required, the reliability index based on the proposed limit state function provides an attractive metric which can be used to compare and control reliability.

  16. Follow-up of CT-derived airway wall thickness: Correcting for changes in inspiration level improves reliability

    Energy Technology Data Exchange (ETDEWEB)

    Pompe, Esther, E-mail: e.pompe@umcutrecht.nl [Department of Respiratory Medicine, University Medical Center Utrecht, Utrecht (Netherlands); Rikxoort, Eva M. van [Department of Radiology, Radboud University Medical Center, Nijmegen (Netherlands); Mets, Onno M. [Department of Radiology, University Medical Center Utrecht, Utrecht (Netherlands); Charbonnier, Jean-Paul [Department of Radiology, Radboud University Medical Center, Nijmegen (Netherlands); Kuhnigk, Jan-Martin [Institute for Medical Image Computing, Fraunhofer MEVIS, Bremen (Germany); Koning, Harry J. de [Department of Public Health, Erasmus Medical Center, Rotterdam (Netherlands); Oudkerk, Matthijs [University of Groningen, University Medical Center Groningen, Groningen, Department of Radiology (Netherlands); Vliegenthart, Rozemarijn [University of Groningen, University Medical Center Groningen, Groningen, Department of Radiology (Netherlands); University of Groningen, University Medical Center Groningen, Center for Medical Imaging-North East Netherlands, Groningen (Netherlands); Zanen, Pieter; Lammers, Jan-Willem J. [Department of Respiratory Medicine, University Medical Center Utrecht, Utrecht (Netherlands); Ginneken, Bram van [Department of Radiology, Radboud University Medical Center, Nijmegen (Netherlands); Jong, Pim A. de; Mohamed Hoesein, Firdaus A.A. [Department of Radiology, University Medical Center Utrecht, Utrecht (Netherlands)

    2016-11-15

    Objectives: Airway wall thickness (AWT) is affected by changes in lung volume. This study evaluated whether correcting AWT on computed tomography (CT) for differences in inspiration level improves measurement agreement, reliability, and power to detect changes over time. Methods: Participants of the Dutch-Belgian lung cancer screening trial who underwent 3-month repeat CT for an indeterminate pulmonary nodule were included. AWT on CT was calculated by the square root of the wall area at a theoretical airway with an internal perimeter of 10 mm (Pi10). The scan with the highest lung volume was labelled as the reference scan and the scan with the lowest lung volume was labelled as the comparison scan. Pi10 derived from the comparison scan was corrected by multiplying it with the ratio of CT lung volume of the comparison scan to CT lung volume on the reference scan. Agreement of uncorrected and corrected Pi10 was studied with the Bland-Altman method, reliability with intra-class correlation coefficients (ICC), and power to detect changes over time was calculated. Results: 315 male participants were included. Limit of agreement and reliability for Pi10 was −0.61 to 0.57 mm (ICC = 0.87), which improved to −0.38 to 0.37 mm (ICC = 0.94) after correction for inspiration level. To detect a 15% change over 3 months, 71 subjects are needed for Pi10 and 26 subjects for Pi10 adjusted for inspiration level. Conclusions: Correcting Pi10 for differences in inspiration level improves reliability, agreement, and power to detect changes over time.

  17. Practice effects and test-re-test reliability of the Five Digit Test in patients with stroke over four serial assessments.

    Science.gov (United States)

    Chiu, En-Chi; Koh, Chia-Lin; Tsai, Chia-Yin; Lu, Wen-Shian; Sheu, Ching-Fan; Hsueh, I-Ping; Hsieh, Ching-Lin

    2014-01-01

    To investigate practice effect and test-re-test reliability of the Five Digit Test (FDT) over four serial assessments in patients with stroke. Single-group repeated measures design. Twenty-five patients with stroke were administered the FDT in four consecutive assessments every 2 weeks. The FDT contains four parts with five indices: 'basic measures of attention and processing speed', 'selective attention', 'alternating attention', 'ability of inhibition' and 'ability of switching'. The five indices of the FDT showed trivial-to-small practice effects (Cohen's d = 0.03-0.47) and moderate-to-excellent test-re-test reliability (intra-class correlation coefficient = 0.59-0.97). Practice effects of the five indices all appeared cumulative, but one index, 'basic measures of attention and processing speed', reached a plateau after the second assessment. The minimum and maximum values of the 90% confidence interval (CI) of reliable change index modified for practice (RCIp) for this index were [-17.6, 11.2]. One of five indices of the FDT reached a plateau, whose minimum and maximum values of the 90% CI RCIp are useful to determine whether the change in an individual's score is real. However, clinicians and researchers should be cautious when interpreting the test results of these four indices over repeated assessments.

  18. Reliability evaluation for offshore wind farms

    DEFF Research Database (Denmark)

    Zhao, Menghua; Blåbjerg, Frede; Chen, Zhe

    2005-01-01

    In this paper, a new reliability index - Loss Of Generation Ratio Probability (LOGRP) is proposed for evaluating the reliability of an electrical system for offshore wind farms, which emphasizes the design of wind farms rather than the adequacy for specific load demand. A practical method...... to calculate LOGRP of offshore wind farms is proposed and evaluated....

  19. Evaluation of structural reliability using simulation methods

    Directory of Open Access Journals (Sweden)

    Baballëku Markel

    2015-01-01

    Full Text Available Eurocode describes the 'index of reliability' as a measure of structural reliability, related to the 'probability of failure'. This paper is focused on the assessment of this index for a reinforced concrete bridge pier. It is rare to explicitly use reliability concepts for design of structures, but the problems of structural engineering are better known through them. Some of the main methods for the estimation of the probability of failure are the exact analytical integration, numerical integration, approximate analytical methods and simulation methods. Monte Carlo Simulation is used in this paper, because it offers a very good tool for the estimation of probability in multivariate functions. Complicated probability and statistics problems are solved through computer aided simulations of a large number of tests. The procedures of structural reliability assessment for the bridge pier and the comparison with the partial factor method of the Eurocodes have been demonstrated in this paper.

  20. Estimating the reliability of glycemic index values and potential sources of methodological and biological variability.

    Science.gov (United States)

    Matthan, Nirupa R; Ausman, Lynne M; Meng, Huicui; Tighiouart, Hocine; Lichtenstein, Alice H

    2016-10-01

    The utility of glycemic index (GI) values for chronic disease risk management remains controversial. Although absolute GI value determinations for individual foods have been shown to vary significantly in individuals with diabetes, there is a dearth of data on the reliability of GI value determinations and potential sources of variability among healthy adults. We examined the intra- and inter-individual variability in glycemic response to a single food challenge and methodologic and biological factors that potentially mediate this response. The GI value for white bread was determined by using standardized methodology in 63 volunteers free from chronic disease and recruited to differ by sex, age (18-85 y), and body mass index [BMI (in kg/m 2 ): 20-35]. Volunteers randomly underwent 3 sets of food challenges involving glucose (reference) and white bread (test food), both providing 50 g available carbohydrates. Serum glucose and insulin were monitored for 5 h postingestion, and GI values were calculated by using different area under the curve (AUC) methods. Biochemical variables were measured by using standard assays and body composition by dual-energy X-ray absorptiometry. The mean ± SD GI value for white bread was 62 ± 15 when calculated by using the recommended method. Mean intra- and interindividual CVs were 20% and 25%, respectively. Increasing sample size, replication of reference and test foods, and length of blood sampling, as well as AUC calculation method, did not improve the CVs. Among the biological factors assessed, insulin index and glycated hemoglobin values explained 15% and 16% of the variability in mean GI value for white bread, respectively. These data indicate that there is substantial variability in individual responses to GI value determinations, demonstrating that it is unlikely to be a good approach to guiding food choices. Additionally, even in healthy individuals, glycemic status significantly contributes to the variability in GI value

  1. Reliability and validity of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index in Italian patients with osteoarthritis of the knee.

    Science.gov (United States)

    Salaffi, F; Leardini, G; Canesi, B; Mannoni, A; Fioravanti, A; Caporali, R; Lapadula, G; Punzi, L

    2003-08-01

    The Western Ontario and McMaster Universities (WOMAC) Osteoarthritis (OA) Index is a tested questionnaire to assess symptoms and physical functional disability in patients with OA of the knee and the hip. We adapted the WOMAC for the Italian language and tested its metric properties in 304 patients with symptomatic OA of the knee. Three hundred and four consecutive patients, attending 29 rheumatologic outpatient clinic in northern, central, and southern Italy, were asked to answer two disease-specific questionnaires (WOMAC and Lequesne algofunctional index) and one generic instrument (Medical Outcomes Study SF-36 Health Survey-MOS SF-36). A sample of 258 patients was readministered the WOMAC 7-10 days after the first visit and the structured interview, which also assessed demographic and other characteristics. Internal consistency was assessed using Cronbach's alpha, reliability using intraclass correlation coefficients (ICCs), and construct and discriminant validity using Spearman's correlations, Wilcoxon rank sum test, and Kruskal-Wallis test. All WOMAC subscales (pain, stiffness, and physical function) were internally consistent with Cronbach's coefficient alpha of 0.91, 0.81, and 0.84, respectively. Test-retest reliability was satisfactory with ICCs of 0.86, 0.68, and 0.89, respectively. In comparison with the SF-36, the expected correlations were found when comparing items measuring similar constructs, supporting the concepts of convergent construct validity. Very high correlations were also obtained between WOMAC scores and Lequesne OA algofunctional index. WOMAC physical function, but not WOMAC stiffness and pain subscales, was weakly associated with radiological OA severity (P=0.03). Also, WOMAC pain score was inversely correlated (P=0.01) with years of formal education. Examination of discriminant validity showed that the scores on the WOMAC and SF-36 followed hypothesized patterns: the WOMAC discriminated better among subjects with varying severity of

  2. Changes in body mass index in long-term childhood cancer survivors

    NARCIS (Netherlands)

    van Santen, HM; Geskus, Ronald B; Raemaekers, Steven; van Trotsenburg, A S Paul; Vulsma, Thomas; van der Pal, Helena J H; Caron, Hubert N; Kremer, Leontien C M

    2015-01-01

    BACKGROUND: Previous studies have reported changes in the body mass index (BMI) with time in childhood cancer survivors (CCSs) during follow-up. The limitations of these studies include that they described only a subgroup of survivors or used questionnaires with self-reported heights and weights.

  3. Effect of Climate Change on Reliability of Rainwater Harvesting Systems for Kabarole District, Uganda

    Directory of Open Access Journals (Sweden)

    Violet Kisakye

    2018-01-01

    Full Text Available This paper assesses the effect of climate change on reliability of rainwater harvesting systems for Kabarole district, Uganda, as predicted by 6 best performing global circulation models (GCMs. A daily water balance model was used to simulate the performance of a rainwater harvesting system using historical daily rainfall data for 20 years. The GCMs used to generate daily rainfall projections for 2025–2055 and 2060–2090 periods included; ACCESS1-0, BCC-CSM-1-M, CNRM-CM5, HADGEM2-CC, HADGEM2-ES and MIROC5. Analysis was based on the Ugandan weather seasons which included March, April, May (MAM and September, October, November (SON rain seasons in addition to December, January, February (DJF and June, July, August (JJA dry seasons. While an increase in reliability is predicted for the SON season, the worst-case scenario is projected during the MAM season with a reliability reduction of over 40% for the 2055–2090 period. This corresponds to a 27% reduction in water security for the same period. The DJF season is also expected to experience reduced water security by 1–8% for 2025–2055 and 2060–2090 with a 0.5 m3 tank size. Therefore, some form of extra harvesting surface and increased tank size will be required to maintain 80% systems reliability considering climate change.

  4. A Korean version of the Oral Impacts on Daily Performances (OIDP scale in elderly populations: Validity, reliability and prevalence

    Directory of Open Access Journals (Sweden)

    Tsakos Georgios

    2008-02-01

    Full Text Available Abstract Background This study aimed to develop a Korean version of the OIDP index for elderly people and to assess the levels of sociodental impacts in an older Korean population. Methods The OIDP index for elderly people was cross-culturally adapted from English into Korean and then the derived instrument was tested for reliability and validity. The study population was elderly (65+ year-old residents of Gangneung City, South Korea. Twenty two of the 222 senior day centres were randomly selected. Results 687 people were invited and 668 participated in the study (response rate: 97.2%. The standardized Cronbach's alpha coefficient was 0.85. The OIDP related significantly with different subjective measures of oral and general health (p Conclusion The Korean OIDP index showed satisfactory validity and internal consistency reliability, confirming its appropriateness for use among older Korean people. The prevalence of oral health related impacts was high. Future studies should focus on the test-retest reliability and the sensitivity to change of the Korean OIDP.

  5. An Introduction To Reliability

    International Nuclear Information System (INIS)

    Park, Kyoung Su

    1993-08-01

    This book introduces reliability with definition of reliability, requirement of reliability, system of life cycle and reliability, reliability and failure rate such as summary, reliability characteristic, chance failure, failure rate which changes over time, failure mode, replacement, reliability in engineering design, reliability test over assumption of failure rate, and drawing of reliability data, prediction of system reliability, conservation of system, failure such as summary and failure relay and analysis of system safety.

  6. Is pupillary response a reliable index of word recognition? Evidence from a delayed lexical decision task.

    Science.gov (United States)

    Haro, Juan; Guasch, Marc; Vallès, Blanca; Ferré, Pilar

    2017-10-01

    Previous word recognition studies have shown that the pupillary response is sensitive to a word's frequency. However, such a pupillary effect may be due to the process of executing a response, instead of being an index of word processing. With the aim of exploring this possibility, we recorded the pupillary responses in two experiments involving a lexical decision task (LDT). In the first experiment, participants completed a standard LDT, whereas in the second they performed a delayed LDT. The delay in the response allowed us to compare pupil dilations with and without the response execution component. The results showed that pupillary response was modulated by word frequency in both the standard and the delayed LDT. This finding supports the reliability of using pupillometry for word recognition research. Importantly, our results also suggest that tasks that do not require a response during pupil recording lead to clearer and stronger effects.

  7. Changes in body mass index in long-term childhood cancer survivors

    NARCIS (Netherlands)

    van Santen, Hanneke M.; Geskus, Ronald B.; Raemaekers, Steven; van Trotsenburg, A. S. Paul; Vulsma, Thomas; van der Pal, Helena J. H.; Caron, Hubert N.; Kremer, Leontien C. M.

    2015-01-01

    Previous studies have reported changes in the body mass index (BMI) with time in childhood cancer survivors (CCSs) during follow-up. The limitations of these studies include that they described only a subgroup of survivors or used questionnaires with self-reported heights and weights. The goal of

  8. Genomic prediction for Nordic Red Cattle using one-step and selection index blending

    DEFF Research Database (Denmark)

    Guosheng, Su; Madsen, Per; Nielsen, Ulrik Sander

    2012-01-01

    This study investigated the accuracy of direct genomic breeding values (DGV) using a genomic BLUP model, genomic enhanced breeding values (GEBV) using a one-step blending approach, and GEBV using a selection index blending approach for 15 traits of Nordic Red Cattle. The data comprised 6,631 bulls...... genotyped and nongenotyped bulls for one-step blending, and to scale DGV and its expected reliability in the selection index blending. Weighting (scaling) factors had a small influence on reliabilities of GEBV, but a large influence on the variation of GEBV. Based on the validation analyses, averaged over...... the 15 traits, the reliability of DGV for bulls without daughter records was 11.0 percentage points higher than the reliability of conventional pedigree index. Further gain of 0.9 percentage points was achieved by combining information from conventional pedigree index using the selection index blending...

  9. Reliability of Doppler and stethoscope methods of determining systolic blood pressures: considerations for calculating an ankle-brachial index.

    Science.gov (United States)

    Chesbro, Steven B; Asongwed, Elmira T; Brown, Jamesha; John, Emmanuel B

    2011-01-01

    The purposes of this study were to: (1) identify the interrater and intrarater reliability of systolic blood pressures using a stethoscope and Doppler to determine an ankle-brachial index (ABI), and (2) to determine the correlation between the 2 methods. Peripheral arterial disease (PAD) affects approximately 8 to 12 million people in the United States, and nearly half of those with this disease are asymptomatic. Early detection and prompt treatment of PAD will improve health outcomes. It is important that clinicians perform tests that determine the presence of PAD. Two individual raters trained in ABI procedure measured the systolic blood pressures of 20 individuals' upper and lower extremities. Standard ABI measurement protocols were observed. Raters individually recorded the systolic blood pressures of each extremity using a stethoscope and a Doppler, for a total of 640 independent measures. Interrater reliability of Doppler measurements to determine SBP at the ankle was very strong (intraclass correlation coefficient [ICC], 0.93-0.99) compared to moderate to strong reliability using a stethoscope (ICC, 0.64-0.87). Agreement between the 2 devices to determine SBP was moderate to very weak (ICC, 0.13-0.61). Comparisons of the use of Doppler and stethoscope to determine ABI showed weak to very weak intrarater correlation (ICC, 0.17-0.35). Linear regression analysis of the 2 methods to determine ABI showed positive but weak to very weak correlations (r2 = .013, P = .184). A Doppler ultrasound is recommended over a stethoscope for accuracy in systolic pressure readings for ABI measurements.

  10. Reliability and Validity of a New Test of Change-of-Direction Speed for Field-Based Sports: the Change-of-Direction and Acceleration Test (CODAT).

    Science.gov (United States)

    Lockie, Robert G; Schultz, Adrian B; Callaghan, Samuel J; Jeffriess, Matthew D; Berry, Simon P

    2013-01-01

    Field sport coaches must use reliable and valid tests to assess change-of-direction speed in their athletes. Few tests feature linear sprinting with acute change- of-direction maneuvers. The Change-of-Direction and Acceleration Test (CODAT) was designed to assess field sport change-of-direction speed, and includes a linear 5-meter (m) sprint, 45° and 90° cuts, 3- m sprints to the left and right, and a linear 10-m sprint. This study analyzed the reliability and validity of this test, through comparisons to 20-m sprint (0-5, 0-10, 0-20 m intervals) and Illinois agility run (IAR) performance. Eighteen Australian footballers (age = 23.83 ± 7.04 yrs; height = 1.79 ± 0.06 m; mass = 85.36 ± 13.21 kg) were recruited. Following familiarization, subjects completed the 20-m sprint, CODAT, and IAR in 2 sessions, 48 hours apart. Intra-class correlation coefficients (ICC) assessed relative reliability. Absolute reliability was analyzed through paired samples t-tests (p ≤ 0.05) determining between-session differences. Typical error (TE), coefficient of variation (CV), and differences between the TE and smallest worthwhile change (SWC), also assessed absolute reliability and test usefulness. For the validity analysis, Pearson's correlations (p ≤ 0.05) analyzed between-test relationships. Results showed no between-session differences for any test (p = 0.19-0.86). CODAT time averaged ~6 s, and the ICC and CV equaled 0.84 and 3.0%, respectively. The homogeneous sample of Australian footballers meant that the CODAT's TE (0.19 s) exceeded the usual 0.2 x standard deviation (SD) SWC (0.10 s). However, the CODAT is capable of detecting moderate performance changes (SWC calculated as 0.5 x SD = 0.25 s). There was a near perfect correlation between the CODAT and IAR (r = 0.92), and very large correlations with the 20-m sprint (r = 0.75-0.76), suggesting that the CODAT was a valid change-of-direction speed test. Due to movement specificity, the CODAT has value for field sport

  11. A Squeezed Artificial Neural Network for the Symbolic Network Reliability Functions of Binary-State Networks.

    Science.gov (United States)

    Yeh, Wei-Chang

    Network reliability is an important index to the provision of useful information for decision support in the modern world. There is always a need to calculate symbolic network reliability functions (SNRFs) due to dynamic and rapid changes in network parameters. In this brief, the proposed squeezed artificial neural network (SqANN) approach uses the Monte Carlo simulation to estimate the corresponding reliability of a given designed matrix from the Box-Behnken design, and then the Taguchi method is implemented to find the appropriate number of neurons and activation functions of the hidden layer and the output layer in ANN to evaluate SNRFs. According to the experimental results of the benchmark networks, the comparison appears to support the superiority of the proposed SqANN method over the traditional ANN-based approach with at least 16.6% improvement in the median absolute deviation in the cost of extra 2 s on average for all experiments.Network reliability is an important index to the provision of useful information for decision support in the modern world. There is always a need to calculate symbolic network reliability functions (SNRFs) due to dynamic and rapid changes in network parameters. In this brief, the proposed squeezed artificial neural network (SqANN) approach uses the Monte Carlo simulation to estimate the corresponding reliability of a given designed matrix from the Box-Behnken design, and then the Taguchi method is implemented to find the appropriate number of neurons and activation functions of the hidden layer and the output layer in ANN to evaluate SNRFs. According to the experimental results of the benchmark networks, the comparison appears to support the superiority of the proposed SqANN method over the traditional ANN-based approach with at least 16.6% improvement in the median absolute deviation in the cost of extra 2 s on average for all experiments.

  12. Evaluating the test-retest reliability of symptom indices associated with the ImPACT post-concussion symptom scale (PCSS).

    Science.gov (United States)

    Merritt, Victoria C; Bradson, Megan L; Meyer, Jessica E; Arnett, Peter A

    2018-05-01

    The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is a commonly used tool in sports concussion assessment. While test-retest reliabilities have been established for the ImPACT cognitive composites, few studies have evaluated the psychometric properties of the ImPACT's Post-Concussion Symptom Scale (PCSS). The purpose of this study was to establish the test-retest reliability of symptom indices associated with the PCSS. Participants included 38 undergraduate students (50.0% male) who underwent neuropsychological testing as part of their participation in their psychology department's research subject pool. The majority of the participants were Caucasian (94.7%) and had no history of concussion (73.7%). All participants completed the ImPACT at two time points, approximately 6 weeks apart. The PCSS was the main outcome measure, and eight symptom indices were calculated (a total symptom score, three symptom summary indices, and four symptom clusters). Pearson correlations (r) and intraclass correlation coefficients (ICCs) were computed as measures of test-retest reliability. Overall, reliabilities ranged from low to high (r = .44 to .80; ICC = .44 to .77). The cognitive symptom cluster exhibited the highest test-retest reliability (r = .80, ICC = .77), followed by the positive symptom total (PST) index, an indicator of the total number of symptoms endorsed (r = .71, ICC = .69). In contrast, the commonly used total symptom score showed lower test-retest reliability (r = .67, ICC = .62). Paired-samples t tests revealed no significant differences between test and retest for any of the symptom variables (all p > .01). Finally, reliable change indices (RCI) were computed to determine whether differences observed between test and retest represented clinically significant change. RCI values were provided for each symptom index at the 80%, 90%, and 95% confidence intervals. These results suggest that evaluating additional symptom

  13. Exploring energy efficiency in several European countries. An attribution analysis of the Divisia structural change index

    International Nuclear Information System (INIS)

    Fernández González, P.

    2015-01-01

    Highlights: • We present a new attribution analysis approach to study structural change index. • Based on LMDI method, we decompose changes in AEI in the EU in 1995–2010. • Mild AEI drop as a result of structural change, particularly in Eastern economies. • Transport, hotels and restaurants: positive contributors, specifically in Western EU. • Strategies should be focused on Industry: the most influential sector in reducing AEI. - Abstract: This paper aims at exploring the influence that the changes in sectoral composition in most EU economies have had on aggregate energy intensity. We rely on the so-called Logarithmic Mean Divisia Index (LMDI) method, implemented within a multiplicative energy intensity approach. Then, based on the Index Decomposition Analysis (IDA), we present, develop and apply a new methodology that enables the exploration of the contribution of each sector to the percent change in the structural factors index. Our findings show: (a) a greater importance of the intensity factor over the structural one, (b) a positive influence of structural change in some ex-communist countries, and (c) a strong, negative contribution of the industrial sector (including construction) to changes in aggregate energy intensity in most European economies, particularly in the Western ones. In short, adaptation to more efficient techniques, innovation, R and D, and substitution for higher quality energies, seem to be the action lines to follow, although in former communist countries these strategies should be accompanied by other policies aiming at accelerating the transition processes

  14. Extreme storms, sea level rise, and coastal change: implications for infrastructure reliability in the Gulf of Mexico

    Science.gov (United States)

    Anarde, K.; Kameshwar, S.; Irza, N.; Lorenzo-Trueba, J.; Nittrouer, J. A.; Padgett, J.; Bedient, P. B.

    2016-12-01

    Predicting coastal infrastructure reliability during hurricane events is important for risk-based design and disaster planning, such as delineating viable emergency response routes. Previous research has focused on either infrastructure vulnerability to coastal flooding or the impact of changing sea level and landforms on surge dynamics. Here we investigate the combined impact of sea level, morphology, and coastal flooding on the reliability of highway bridges - the only access points between barrier islands and mainland communities - during future extreme storms. We forward model coastal flooding for static projections of geomorphic change using ADCIRC+SWAN. First-order parameters that are adjusted include sea level and elevation. These are varied for each storm simulation to evaluate relative impact on the reliability of bridges surrounding Freeport, TX. Simulated storms include both synthetic and historical events, which are classified by intensity using the storm's integrated kinetic energy, a metric for surge generation potential. Reliability is estimated through probability of failure - given wave and surge loads - and time inundated. Findings include that: 1) bridge reliability scales inversely with surge height, and 2) sea level rise reduces bridge reliability due to a monotonic increase in surge height. The impact of a shifting landscape on bridge reliability is more complex: barrier island rollback can increase or decrease inundation times for storms of different intensity due to changes in wind-setup and back-barrier bay interactions. Initial storm surge readily inundates the coastal landscape during large intensity storms, however the draining of inland bays following storm passage is significantly impeded by the barrier. From a coastal engineering standpoint, we determine that to protect critical infrastructure, efforts now implemented that nourish low-lying barriers may be enhanced by also armoring back-bay coastlines and elevating bridge approach

  15. Photovoltaic and Wind Turbine Integration Applying Cuckoo Search for Probabilistic Reliable Optimal Placement

    OpenAIRE

    R. A. Swief; T. S. Abdel-Salam; Noha H. El-Amary

    2018-01-01

    This paper presents an efficient Cuckoo Search Optimization technique to improve the reliability of electrical power systems. Various reliability objective indices such as Energy Not Supplied, System Average Interruption Frequency Index, System Average Interruption, and Duration Index are the main indices indicating reliability. The Cuckoo Search Optimization (CSO) technique is applied to optimally place the protection devices, install the distributed generators, and to determine the size of ...

  16. Suppression of panel flutter of near-space aircraft based on non-probabilistic reliability theory

    Directory of Open Access Journals (Sweden)

    Ye-Wei Zhang

    2016-03-01

    Full Text Available The vibration active control of the composite panels with the uncertain parameters in the hypersonic flow is studied using the non-probabilistic reliability theory. Using the piezoelectric patches as active control actuators, dynamic equations of panel are established by finite element method and Hamilton’s principle. And the control model of panel with uncertain parameters is obtained. According to the non-probabilistic reliability index, and besides being based on H∞ robust control theory and non-probabilistic reliability theory, the non-probabilistic reliability performance function is given. Moreover, the relationships between the robust controller and H∞ performance index and reliability are established. Numerical results show that the control method under the influence of reliability, H∞ performance index, and approaching velocity is effective to the vibration suppression of panel in the whole interval of uncertain parameters.

  17. Generation reliability assessment in oligopoly power market using Monte Carlo simulation

    International Nuclear Information System (INIS)

    Haroonabadi, H.; Haghifam, M.R.

    2007-01-01

    This paper addressed issues regarding power generation reliability assessment (HLI) in deregulated power pool markets. Most HLI reliability evaluation methods are based on the loss of load (LOLE) approach which is among the most suitable indices to describe the level of generation reliability. LOLE refers to the time in which load is greater than the amount of available generation. While most reliability assessments deal only with power system constraints, this study considered HLI reliability assessment in an oligopoly power market using Monte Carlo simulation (MCS). It evaluated the sensitivity of the reliability index to different reserve margins and future margins. The reliability index was determined by intersecting the offer and demand curves of power plants and comparing them to other parameters. The paper described the fundamentals of an oligopoly power pool market and proposed an algorithm for HLI reliability assessment for such a market. The proposed method was assessed on the IEEE-Reliability Test System with satisfactory results. In all cases, generation reliability indices were evaluated with different reserve margins and various load levels. 19 refs., 7 figs., 1 appendix

  18. The reliability of the ankle-brachial index in the Atherosclerosis Risk in Communities (ARIC study and the NHLBI Family Heart Study (FHS

    Directory of Open Access Journals (Sweden)

    Catellier Diane J

    2006-02-01

    Full Text Available Abstract Background A low ankle-brachial index (ABI is associated with increased risk of coronary heart disease, stroke, and death. Regression model parameter estimates may be biased due to measurement error when the ABI is included as a predictor in regression models, but may be corrected if the reliability coefficient, R, is known. The R for the ABI computed from DINAMAP™ readings of the ankle and brachial SBP is not known. Methods A total of 119 participants in both the Atherosclerosis Risk in Communities (ARIC study and the NHLBI Family Heart Study (FHS had repeat ABIs taken within 1 year, using a common protocol, automated oscillometric blood pressure measurement devices, and technician pool. Results The estimated reliability coefficient for the ankle systolic blood pressure (SBP was 0.68 (95% CI: 0.57, 0.77 and for the brachial SBP was 0.74 (95% CI: 0.62, 0.83. The reliability for the ABI based on single ankle and arm SBPs was 0.61 (95% CI: 0.50, 0.70 and the reliability of the ABI computed as the ratio of the average of two ankle SBPs to two arm SBPs was estimated from simulated data as 0.70. Conclusion These reliability estimates may be used to obtain unbiased parameter estimates if the ABI is included in regression models. Our results suggest the need for repeated measures of the ABI in clinical practice, preferably within visits and also over time, before diagnosing peripheral artery disease and before making therapeutic decisions.

  19. A sonographic lesion index for Crohn's disease helps monitor changes in transmural bowel damage during therapy.

    Science.gov (United States)

    Zorzi, Francesca; Stasi, Elisa; Bevivino, Gerolamo; Scarozza, Patrizio; Biancone, Livia; Zuzzi, Sara; Rossi, Carla; Pallone, Francesco; Calabrese, Emma

    2014-12-01

    Therapeutic antibodies against tumor necrosis factor α (anti-TNF) are effective in patients with Crohn's disease (CD). Mucosal healing is a surrogate marker of efficacy, but little is known about the effects of anti-TNF agents on structural damage in the intestine. Small-intestine contrast ultrasonography (SICUS) is a valuable tool for assessing CD lesions. A new sonographic quantitative index (the sonographic lesion index for CD [SLIC]) was developed to quantify changes in CD lesions detected by SICUS. We explored whether the SLIC can be used to monitor transmural bowel damage in CD patients during anti-TNF therapy. We performed a prospective study of 29 patients with ileal or ileocolonic CD treated with anti-TNF agents; patients underwent SICUS before and after scheduled induction and maintenance therapy. To determine whether changes that can be detected by SICUS occur independently of anti-TNF therapy, 7 patients with ileal CD treated with mesalamine were enrolled as controls. A clinical response was defined as steroid-free remission, with CD activity index scores less than 150. We observed significant improvements in SLIC scores and subscores after induction and maintenance therapy with anti-TNFs, compared with before therapy. SLIC scores and subscores and index classes were improved significantly in patients with vs without clinical responses. Controls had no improvements in terms of CD activity index or SLIC scores, or index classes. Sonographic assessment using the quantitative index SLIC can be used to monitor changes in transmural bowel damage during anti-TNF therapy for CD. Copyright © 2014 AGA Institute. Published by Elsevier Inc. All rights reserved.

  20. ENSO-Based Index Insurance: Approach and Peru Flood Risk Management Application

    Science.gov (United States)

    Khalil, A. F.; Kwon, H.; Lall, U.; Miranda, M. J.; Skees, J. R.

    2006-12-01

    Index insurance has recently been advocated as a useful risk transfer tool for disaster management situations where rapid fiscal relief is desirable, and where estimating insured losses may be difficult, time consuming, or subject to manipulation and falsification. For climate related hazards, a rainfall or temperature index may be proposed. However, rainfall may be highly spatially variable relative to the gauge network, and in many locations data are inadequate to develop an index due to short time-series and the spatial dispersion of stations. In such cases, it may be helpful to consider a climate proxy index as a regional rainfall index. This is particularly useful if a long record is available for the climate index through an independent source and it is well correlated with the regional rainfall hazard. Here, ENSO related climate indices are explored for use as a proxy to extreme rainfall in one of the departments of Peru -- Piura. The ENSO index insurance product may be purchased by banks or microfinance institutions (MFIs) to aid agricultural damage relief in Peru. Crop losses in the region are highly correlated with floods, but are difficult to assess directly. Beyond agriculture, many other sectors suffer as well. Basic infrastructure is destroyed during the most severe events. This disrupts trade for many micro-enterprises. The reliability and quality of the local rainfall data is variable. Averaging the financial risk across the region is desirable. Some issues with the implementation of the proxy ENSO index are identified and discussed. Specifically, we explore (a) the reliability of the index at different levels of probability of exceedance of maximum seasonal rainfall; (b) the potential for clustering of payoffs; (c) the potential that the index could be predicted with some lead time prior to the flood season; and (d) evidence for climate change or non-stationarity in the flood exceedance probability from the long ENSO record. Finally, prospects for

  1. A Brazilian Vulnerability Index Towards Natural Disasters and Climatic Change - Flashfloods and Landslides.

    Science.gov (United States)

    Debortoli, N. S.; Camarinha, P. I., Sr.; Marengo, J. A.; Rodrigues, R.

    2015-12-01

    There are some evidences that hydrological climate extremes events have become more frequent an intense in the last decades due to climatic change. In Brazil, flashfloods and landslides were responsible for 74% of the deaths related to natural disasters in 1991-2010 period. In this sense, climate change could be considered a threat which can further increase these numbers, if actions of adaptation and reducing vulnerability are not taken. To evaluate Brazil's vulnerability hotspots to these disasters, two vulnerability indexes were developed using three sets of variables: (1) climate, with IPCC climate extreme indexes; (2) environmental, including land use, drainage systems, relief map, slope, road density and hydrography variables; (3) socioeconomic, including Gini coefficient, HDI (Human Development Index), housing conditions and poverty-related index. The variables were normalized on a scale between 0 to 1 and related using Map Algebra technique (ArcGIS). As part of the effort to contribute to the elaboration of the Third National Communication to the United Nations Framework Convention on Climate Change (UNFCCC), and to contribute to the assessment of impacts on strategic country's issues, simulations at higher resolution were carried out using Eta-20km RCM (Regional Climate Model) nested with two global climate models: HadGEM ES and MIROC 5 (INPE Brazilian National Institute for Space Research). For the baseline period of 1961-1990, the vulnerability indexes were adjusted by an iterative process, which was validated by comparing it to the Brazilian National Disasters Data. The same indexes found at baseline were used to estimate the vulnerability until the end of the XXI century, using the 4.5 and 8.5 IPCC/AR5 RCP (Representative Concentration Pathways) scenarios. The results indicate a large increase in Brazil's vulnerability to landslides mainly in coastal zone, southern states, high lands of southeast states, and along the Amazon River due to climatic

  2. Extracting information from an ensemble of GCMs to reliably assess future global runoff change

    NARCIS (Netherlands)

    Sperna Weiland, F.C.; Beek, L.P.H. van; Weerts, A.H.; Bierkens, M.F.P.

    2011-01-01

    Future runoff projections derived from different global climate models (GCMs) show large differences. Therefore, within this study the, information from multiple GCMs has been combined to better assess hydrological changes. For projections of precipitation and temperature the Reliability ensemble

  3. Follow-up of CT-derived airway wall thickness : Correcting for changes in inspiration level improves reliability

    NARCIS (Netherlands)

    Pompe, Esther; van Rikxoort, Eva M; Mets, Onno M; Charbonnier, Jean-Paul; Kuhnigk, Jan-Martin; de Koning, Harry J; Oudkerk, Matthijs; Vliegenthart, Rozemarijn; Zanen, Pieter; Lammers, Jan-Willem J; van Ginneken, Bram; de Jong, Pim A; Mohamed Hoesein, Firdaus A A

    2016-01-01

    OBJECTIVES: Airway wall thickness (AWT) is affected by changes in lung volume. This study evaluated whether correcting AWT on computed tomography (CT) for differences in inspiration level improves measurement agreement, reliability, and power to detect changes over time. METHODS: Participants of the

  4. Follow-up of CT-derived airway wall thickness : Correcting for changes in inspiration level improves reliability

    NARCIS (Netherlands)

    Pompe, Esther; van Rikxoort, Eva M.; Mets, Onno M.; Charbonnier, Jean-Paul; Kuhnigk, Jan-Martin; de Koning, Harry J.; Oudkerk, Matthijs; Vliegenthart, Rozemarijn; Zanen, Pieter; Lammers, Jan-Willem J.; van Ginneken, Bram; de Jong, Pim A.; Hoesein, Firdaus A. A. Mohamed

    2016-01-01

    Objectives: Airway wall thickness (AWT) is affected by changes in lung volume. This study evaluated whether correcting AWT on computed tomography (CT) for differences in inspiration level improves measurement agreement, reliability, and power to detect changes over time. Methods: Participants of the

  5. Refractive-index changes in lithium niobate crystals by radiation damages; Brechungsindexaenderungen in Lithiumniobat-Kristallen durch Strahlenschaeden

    Energy Technology Data Exchange (ETDEWEB)

    Zamani Meymian, Mohammad Reza

    2007-12-18

    For the study in this thesis {sup 3}He{sup 2+} ions with the energy of about 40 MeV were applied. The results of these studies show a timely very stable anisotrope refractive-index change in the range of some 10{sup -3}. The radiation damages caused by ions cause a decreasement of the ordinary refractive index n{sub o} and an increasement of the extra-ordinary refractive index n{sub e}. While the absolute values for {delta}n{sub o} and {delta}n{sub e} are nearly equal the birefringence of the material (n{sub e}-n{sub o}) smaller. The generated refractive-index change is dose dependent and the curve {delta}n has at increasing dose a strongly nonlinear slope with a characteristic stage at the radiation dose of about 2 x 10{sup 20} ions/m{sup 2}.

  6. Reliability, validity, and sensitivity to change of the lower extremity functional scale in individuals affected by stroke.

    Science.gov (United States)

    Verheijde, Joseph L; White, Fred; Tompkins, James; Dahl, Peder; Hentz, Joseph G; Lebec, Michael T; Cornwall, Mark

    2013-12-01

    To investigate reliability, validity, and sensitivity to change of the Lower Extremity Functional Scale (LEFS) in individuals affected by stroke. The secondary objective was to test the validity and sensitivity of a single-item linear analog scale (LAS) of function. Prospective cohort reliability and validation study. A single rehabilitation department in an academic medical center. Forty-three individuals receiving neurorehabilitation for lower extremity dysfunction after stroke were studied. Their ages ranged from 32 to 95 years, with a mean of 70 years; 77% were men. Test-retest reliability was assessed by calculating the classical intraclass correlation coefficient, and the Bland-Altman limits of agreement. Validity was assessed by calculating the Pearson correlation coefficient between the instruments. Sensitivity to change was assessed by comparing baseline scores with end of treatment scores. Measurements were taken at baseline, after 1-3 days, and at 4 and 8 weeks. The LEFS, Short-Form-36 Physical Function Scale, Berg Balance Scale, Six-Minute Walk Test, Five-Meter Walk Test, Timed Up-and-Go test, and the LAS of function were used. The test-retest reliability of the LEFS was found to be excellent (ICC = 0.96). Correlated with the 6 other measures of function studied, the validity of the LEFS was found to be moderate to high (r = 0.40-0.71). Regarding the sensitivity to change, the mean LEFS scores from baseline to study end increased 1.2 SD and for LAS 1.1 SD. LEFS exhibits good reliability, validity, and sensitivity to change in patients with lower extremity impairments secondary to stroke. Therefore, the LEFS can be a clinically efficient outcome measure in the rehabilitation of patients with subacute stroke. The LAS is shown to be a time-saving and reasonable option to track changes in a patient's functional status. Copyright © 2013 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  7. Potential change in lodgepole pine site index and distribution under climatic change in Alberta

    Energy Technology Data Exchange (ETDEWEB)

    Monserud, R.A. [United States Dept. of Agriculture Forest Service, Portland, OR (United States); Yang, Y.; Huang, S. [Alberta Sustainable Resource Development, Edmonton, AB (Canada). Forest Management Branch; Tchebakova, N. [Russian Academy of Sciences, Krasnoyarsk (Russian Federation). Sukachev Forest Inst.

    2008-02-15

    The Alberta climate model was used in conjunction with climate change scenario projections from 3 global circulation models to estimate the impact of global climate change on lodgepole pine site productivity in Alberta. The modelling study demonstrated that mean growing degree days greater than 5 degrees C (GGD{sub 5}) were increased by 18 per cent, 38 per cent, and 65 per cent by the 2020s, 2050s, and 2080s respectively. Changes in precipitation did not occur. A dryness index was used to predict productivity ranges and GDD{sub 5}. Results showed that productivity increased by 3 meters for each 30-year period. A large reduction in growing areas was also indicated. Initially, warming increased the potential growing range by 67 per cent by the year 2020. By 2080, growing ranges had decreased to 58 per cent of its current area. Changes in range should be considered when setting longer-term forest management plans. It was concluded that the increased risk of both insect and wildfire outbreaks must also be considered. 40 refs., 3 tabs., 4 figs.

  8. Reliability on the move: safety and reliability in transportation

    International Nuclear Information System (INIS)

    Guy, G.B.

    1989-01-01

    The development of transportation has been a significant factor in the development of civilisation as a whole. Our technical ability to move people and goods now seems virtually limitless when one considers for example the achievements of the various space programmes. Yet our current achievements rely heavily on high standards of safety and reliability from equipment and the human component of transportation systems. Recent failures have highlighted our dependence on equipment and human reliability. This book represents the proceedings of the 1989 Safety and Reliability Society symposium held at Bath on 11-12 October 1989. The structure of the book follows the structure of the symposium itself and the papers selected represent current thinking the the wide field of transportation, and the areas of rail (6 papers, three on railway signalling), air including space (two papers), road (one paper), road and rail (two papers) and sea (three papers) are covered. There are four papers concerned with general transport issues. Three papers concerned with the transport of radioactive materials are indexed separately. (author)

  9. Between-Day Reliability of Pre-Participation Screening Components in Pre-Professional Ballet and Contemporary Dancers.

    Science.gov (United States)

    Kenny, Sarah J; Palacios-Derflingher, Luz; Owoeye, Oluwatoyosi B A; Whittaker, Jackie L; Emery, Carolyn A

    2018-03-15

    Critical appraisal of research investigating risk factors for musculoskeletal injury in dancers suggests high quality reliability studies are lacking. The purpose of this study was to determine between-day reliability of pre-participation screening (PPS) components in pre-professional ballet and contemporary dancers. Thirty-eight dancers (35 female, 3 male; median age; 18 years; range: 11 to 30 years) participated. Screening components (Athletic Coping Skills Inventory-28, body mass index, percent total body fat, total bone mineral density, Foot Posture Index-6, hip and ankle range of motion, three lumbopelvic control tasks, unipedal dynamic balance, and the Y-Balance Test) were conducted one week apart. Intra-class correlation coefficients (ICCs: 95% confidence intervals), standard error of measurement, minimal detectable change (MDC), Bland-Altman methods of agreement [95% limits of agreement (LOA)], Cohen's kappa coefficients, standard error, and percent agreements were calculated. Depending on the screening component, ICC estimates ranged from 0.51 to 0.98, kappa coefficients varied between -0.09 and 0.47, and percent agreement spanned 71% to 95%. Wide 95% LOA were demonstrated by Foot Posture Index-6 (right: -6.06, 7.31), passive hip external rotation (right: -9.89, 16.54), and passive supine turnout (left: -15.36, 17.58). The PPS components examined demonstrated moderate to excellent relative reliability with mean between-day differences less than MDC, or sufficient percent agreement, across all assessments. However, due to wide 95% limits of agreement, the Foot Posture Index-6 and passive hip range of motion are not recommended for screening injury risk in pre-professional dancers.

  10. A study of operational and testing reliability in software reliability analysis

    International Nuclear Information System (INIS)

    Yang, B.; Xie, M.

    2000-01-01

    Software reliability is an important aspect of any complex equipment today. Software reliability is usually estimated based on reliability models such as nonhomogeneous Poisson process (NHPP) models. Software systems are improving in testing phase, while it normally does not change in operational phase. Depending on whether the reliability is to be predicted for testing phase or operation phase, different measure should be used. In this paper, two different reliability concepts, namely, the operational reliability and the testing reliability, are clarified and studied in detail. These concepts have been mixed up or even misused in some existing literature. Using different reliability concept will lead to different reliability values obtained and it will further lead to different reliability-based decisions made. The difference of the estimated reliabilities is studied and the effect on the optimal release time is investigated

  11. Robustness of reliable change indices to variability in Parkinson's disease with mild cognitive impairment.

    Science.gov (United States)

    Turner, T H; Renfroe, J B; Elm, J; Duppstadt-Delambo, A; Hinson, V K

    2016-01-01

    Ability to identify change is crucial for measuring response to interventions and tracking disease progression. Beyond psychometrics, investigations of Parkinson's disease with mild cognitive impairment (PD-MCI) must consider fluctuating medication, motor, and mental status. One solution is to employ 90% reliable change indices (RCIs) from test manuals to account for account measurement error and practice effects. The current study examined robustness of 90% RCIs for 19 commonly used executive function tests in 14 PD-MCI subjects assigned to the placebo arm of a 10-week randomized controlled trial of atomoxetine in PD-MCI. Using 90% RCIs, the typical participant showed spurious improvement on one measure, and spurious decline on another. Reliability estimates from healthy adults standardization samples and PD-MCI were similar. In contrast to healthy adult samples, practice effects were minimal in this PD-MCI group. Separate 90% RCIs based on the PD-MCI sample did not further reduce error rate. In the present study, application of 90% RCIs based on healthy adults in standardization samples effectively reduced misidentification of change in a sample of PD-MCI. Our findings support continued application of 90% RCIs when using executive function tests to assess change in neurological populations with fluctuating status.

  12. Validity and reliability of the Turkish version of the Optimality Index-US (OI-US) to assess maternity care outcomes.

    Science.gov (United States)

    Yucel, Cigdem; Taskin, Lale; Low, Lisa Kane

    2015-12-01

    Although obstetrical interventions are used commonly in Turkey, there is no standardized evidence-based assessment tool to evaluate maternity care outcomes. The Optimality Index-US (OI-US) is an evidence-based tool that was developed for the purpose of measuring aggregate perinatal care processes and outcomes against an optimal or best possible standard. This index has been validated and used in Netherlands, USA and UK until now. The objective of this study was to adapt the OI-US to assess maternity care outcomes in Turkey. Translation and back translation were used to develop the Optimality Index-Turkey (OI-TR) version. To evaluate the content validity of the OI-TR, an expert panel group (n=10) reviewed the items and evidence-based quality of the OI-TR for application in Turkey. Following the content validity process, the OI-TR was used to assess 150 healthy and 150 high-risk pregnant women who gave birth at a high volume, urban maternity hospital in Turkey. The scores between the two groups were compared to assess the discriminant validity of the OI-TR. The percentage of agreement between two raters and the Kappa statistic were calculated to evaluate the reliability. Content validity was established for the OI-TR by an expert group. Discriminant validity was confirmed by comparing the OI scores of healthy pregnant women (mean OI score=77.65%) and those of high-risk pregnant women (mean OI score=78.60%). The percentage of agreement between the two raters was 96.19, and inter-rater agreement was provided for each item in the OI-TR. OI-TR is a valid and reliable tool that can be used to assess maternity care outcomes in Turkey. The results of this study indicate that although the risk statuses of the women differed, the type of care they received was essentially the same, as measured by the OI-TR. Care was not individualised based on risk and for a majority of items was inconsistent with evidence based practice, which is not optimal. Use of the OI-TR will help to

  13. Learning modulation of odor representations: new findings from Arc-indexed networks

    Directory of Open Access Journals (Sweden)

    Qi eYuan

    2014-12-01

    Full Text Available We first review our understanding of odor representations in rodent olfactory bulb and anterior piriform cortex. We then consider learning-induced representation changes. Finally we describe the perspective on network representations gained from examining Arc-indexed odor networks of awake rats. Arc-indexed networks are sparse and distributed, consistent with current views. However Arc provides representations of repeated odors. Arc-indexed repeated odor representations are quite variable. Sparse representations are assumed to be compact and reliable memory codes. Arc suggests this is not necessarily the case. The variability seen is consistent with electrophysiology in awake animals and may reflect top down-cortical modulation of context. Arc-indexing shows that distinct odors share larger than predicted neuron pools. These may be low-threshold neuronal subsets.Learning’s effect on Arc-indexed representations is to increase the stable or overlapping component of rewarded odor representations. This component can decrease for similar odors when their discrimination is rewarded. The learning effects seen are supported by electrophysiology, but mechanisms remain to be elucidated.

  14. Projecting the potential evapotranspiration by coupling different formulations and input data reliabilities: The possible uncertainty source for climate change impacts on hydrological regime

    Science.gov (United States)

    Wang, Weiguang; Li, Changni; Xing, Wanqiu; Fu, Jianyu

    2017-12-01

    Representing atmospheric evaporating capability for a hypothetical reference surface, potential evapotranspiration (PET) determines the upper limit of actual evapotranspiration and is an important input to hydrological models. Due that present climate models do not give direct estimates of PET when simulating the hydrological response to future climate change, the PET must be estimated first and is subject to the uncertainty on account of many existing formulae and different input data reliabilities. Using four different PET estimation approaches, i.e., the more physically Penman (PN) equation with less reliable input variables, more empirical radiation-based Priestley-Taylor (PT) equation with relatively dependable downscaled data, the most simply temperature-based Hamon (HM) equation with the most reliable downscaled variable, and downscaling PET directly by the statistical downscaling model, this paper investigated the differences of runoff projection caused by the alternative PET methods by a well calibrated abcd monthly hydrological model. Three catchments, i.e., the Luanhe River Basin, the Source Region of the Yellow River and the Ganjiang River Basin, representing a large climatic diversity were chosen as examples to illustrate this issue. The results indicated that although similar monthly patterns of PET over the period 2021-2050 for each catchment were provided by the four methods, the magnitudes of PET were still slightly different, especially for spring and summer months in the Luanhe River Basin and the Source Region of the Yellow River with relatively dry climate feature. The apparent discrepancy in magnitude of change in future runoff and even the diverse change direction for summer months in the Luanhe River Basin and spring months in the Source Region of the Yellow River indicated that the PET method related uncertainty occurred, especially in the Luanhe River Basin and the Source Region of the Yellow River with smaller aridity index. Moreover, the

  15. Translation of Oswestry Disability Index into Tamil with Cross Cultural Adaptation and Evaluation of Reliability and Validity§

    Science.gov (United States)

    Vincent, Joshua Israel; MacDermid, Joy Christine; Grewal, Ruby; Sekar, Vincent Prabhakaran; Balachandran, Dinesh

    2014-01-01

    Study Design: Prospective longitudinal validation study Objective: To translate and cross-culturally adapt the Oswestry Disability Index (ODI) to the Tamil language (ODI-T), and to evaluate its reliability and construct validity. Summary of Background Data: ODI is widely used as a disease specific questionnaire in back pain patients to evaluate pain and disability. A thorough literature search revealed that the Tamil version of the ODI has not been previously published. Methods: The ODI was translated and cross-culturally adapted to the Tamil language according to established guidelines. 30 subjects (16 women and 14 men) with a mean age of 42.7 years (S.D. 13.6; Range 22 - 69) with low back pain were recruited to assess the psychometric properties of the ODI-T Questionnaire. Patients completed the ODI-T, Roland-Morris disability questionnaire (RMDQ), VAS-pain and VAS-disability at baseline and 24-72 hours from the baseline visit. Results: The ODI-T displayed a high degree of internal consistency, with a Cronbach's alpha of 0.92. The test-retest reliability was high (n=30) with an ICC of 0.92 (95% CI, 0.84 to 0.96) and a mean re-test difference of 2.6 points lower on re-test. The ODI-T scores exhibited a strong correlation with the RMDQ scores (r = 0.82) pdisability in Tamil speaking patients with low back pain. PMID:24563681

  16. Content Validity Index and Intra- and Inter-Rater Reliability of a New Muscle Strength/Endurance Test Battery for Swedish Soldiers.

    Directory of Open Access Journals (Sweden)

    Helena Larsson

    Full Text Available The objective of this study was to examine the content validity of commonly used muscle performance tests in military personnel and to investigate the reliability of a proposed test battery. For the content validity investigation, thirty selected tests were those described in the literature and/or commonly used in the Nordic and North Atlantic Treaty Organization (NATO countries. Nine selected experts rated, on a four-point Likert scale, the relevance of these tests in relation to five different work tasks: lifting, carrying equipment on the body or in the hands, climbing, and digging. Thereafter, a content validity index (CVI was calculated for each work task. The result showed excellent CVI (≥0.78 for sixteen tests, which comprised of one or more of the military work tasks. Three of the tests; the functional lower-limb loading test (the Ranger test, dead-lift with kettlebells, and back extension, showed excellent content validity for four of the work tasks. For the development of a new muscle strength/endurance test battery, these three tests were further supplemented with two other tests, namely, the chins and side-bridge test. The inter-rater reliability was high (intraclass correlation coefficient, ICC2,1 0.99 for all five tests. The intra-rater reliability was good to high (ICC3,1 0.82-0.96 with an acceptable standard error of mean (SEM, except for the side-bridge test (SEM%>15. Thus, the final suggested test battery for a valid and reliable evaluation of soldiers' muscle performance comprised the following four tests; the Ranger test, dead-lift with kettlebells, chins, and back extension test. The criterion-related validity of the test battery should be further evaluated for soldiers exposed to varying physical workload.

  17. Reliability analysis of Markov history-dependent repairable systems with neglected failures

    International Nuclear Information System (INIS)

    Du, Shijia; Zeng, Zhiguo; Cui, Lirong; Kang, Rui

    2017-01-01

    Markov history-dependent repairable systems refer to the Markov repairable systems in which some states are changeable and dependent on recent evolutional history of the system. In practice, many Markov history-dependent repairable systems are subjected to neglected failures, i.e., some failures do not affect system performances if they can be repaired promptly. In this paper, we develop a model based on the theory of aggregated stochastic processes to describe the history-dependent behavior and the effect of neglected failures on the Markov history-dependent repairable systems. Based on the developed model, instantaneous and steady-state availabilities are derived to characterize the reliability of the system. Four reliability-related time distributions, i.e., distribution for the k th working period, distribution for the k th failure period, distribution for the real working time in an effective working period, distribution for the neglected failure time in an effective working period, are also derived to provide a more comprehensive description of the system's reliability. Thanks to the power of the theory of aggregated stochastic processes, closed-form expressions are obtained for all the reliability indexes and time distributions. Finally, the developed indexes and analysis methods are demonstrated by a numerical example. - Highlights: • Markovian history-dependent repairable systems with neglected failures is modeled. • Aggregated stochastic processes are used to derive reliability indexes and time distributions. • Closed-form expressions are derived for the considered indexes and distributions.

  18. Reliability of standing weight-bearing (0.25T) MR imaging findings and positional changes in the lumbar spine

    Energy Technology Data Exchange (ETDEWEB)

    Hansen, Bjarke B.; Bliddal, Henning [Department of Reumatology, Copenhagen University Hospital, The Parker Institute, Koebenhavn Oe (Denmark); Hansen, Philip; Christensen, Anders F.; Trampedach, Charlotte; Rasti, Zoreh; Boesen, Mikael [Copenhagen University Hospital, Department of Radiology, Koebenhavn Oe (Denmark)

    2018-01-15

    To test the reliability and absolute agreement of common degenerative findings in standing positional magnetic resonance imaging (pMRI). Low back pain patients with and without sciatica were consecutively enrolled to undergo a supine and standing pMRI. Three readers independently evaluated the standing pMRI for herniation, spinal stenosis, spondylolisthesis, HIZ lesions and facet joint effusion. The evaluation included a semi-quantitative grading of spinal stenosis, foraminal stenosis and spinal nerve root compression. The standing pMRI images were evaluated with full access to supine MRI. In case lower grades or the degenerative findings were not present in the supine images, this was reported separately as position-dependent changes. A subsample of 20 pMRI examinations was reevaluated after two months. The reproducibility was assessed by inter- and intra-reader reliability (kappa statistic) and absolute agreement between readers. Fifty-six patients were included in this study. There was fair-to-substantial inter-reader reliability (κ 0.47 to 0.82) and high absolute agreement (72.3% to 99.1%) for the pMRI findings. The intra-reader assessment showed similar reliability and agreement (κ 0.36 to 0.85; absolute agreement: 62.5% to 98.8%). Positional changes between the supine and standing position showed a fair-to-moderate inter- and intra-reader reliability (κ 0.25 to 0.52; absolute agreement: 97.0% to 99.1). Evaluation of the lumbar spine for degenerative findings by standing pMRI has acceptable reproducibility; however, positional changes from the supine to the standing position as an independent outcome should be interpreted with caution because of lower reliability, which calls for further standardisation. (orig.)

  19. Reliability of standing weight-bearing (0.25T) MR imaging findings and positional changes in the lumbar spine

    International Nuclear Information System (INIS)

    Hansen, Bjarke B.; Bliddal, Henning; Hansen, Philip; Christensen, Anders F.; Trampedach, Charlotte; Rasti, Zoreh; Boesen, Mikael

    2018-01-01

    To test the reliability and absolute agreement of common degenerative findings in standing positional magnetic resonance imaging (pMRI). Low back pain patients with and without sciatica were consecutively enrolled to undergo a supine and standing pMRI. Three readers independently evaluated the standing pMRI for herniation, spinal stenosis, spondylolisthesis, HIZ lesions and facet joint effusion. The evaluation included a semi-quantitative grading of spinal stenosis, foraminal stenosis and spinal nerve root compression. The standing pMRI images were evaluated with full access to supine MRI. In case lower grades or the degenerative findings were not present in the supine images, this was reported separately as position-dependent changes. A subsample of 20 pMRI examinations was reevaluated after two months. The reproducibility was assessed by inter- and intra-reader reliability (kappa statistic) and absolute agreement between readers. Fifty-six patients were included in this study. There was fair-to-substantial inter-reader reliability (κ 0.47 to 0.82) and high absolute agreement (72.3% to 99.1%) for the pMRI findings. The intra-reader assessment showed similar reliability and agreement (κ 0.36 to 0.85; absolute agreement: 62.5% to 98.8%). Positional changes between the supine and standing position showed a fair-to-moderate inter- and intra-reader reliability (κ 0.25 to 0.52; absolute agreement: 97.0% to 99.1). Evaluation of the lumbar spine for degenerative findings by standing pMRI has acceptable reproducibility; however, positional changes from the supine to the standing position as an independent outcome should be interpreted with caution because of lower reliability, which calls for further standardisation. (orig.)

  20. Reliability of standing weight-bearing (0.25T) MR imaging findings and positional changes in the lumbar spine.

    Science.gov (United States)

    Hansen, Bjarke B; Hansen, Philip; Christensen, Anders F; Trampedach, Charlotte; Rasti, Zoreh; Bliddal, Henning; Boesen, Mikael

    2018-01-01

    To test the reliability and absolute agreement of common degenerative findings in standing positional magnetic resonance imaging (pMRI). Low back pain patients with and without sciatica were consecutively enrolled to undergo a supine and standing pMRI. Three readers independently evaluated the standing pMRI for herniation, spinal stenosis, spondylolisthesis, HIZ lesions and facet joint effusion. The evaluation included a semi-quantitative grading of spinal stenosis, foraminal stenosis and spinal nerve root compression. The standing pMRI images were evaluated with full access to supine MRI. In case lower grades or the degenerative findings were not present in the supine images, this was reported separately as position-dependent changes. A subsample of 20 pMRI examinations was reevaluated after two months. The reproducibility was assessed by inter- and intra-reader reliability (kappa statistic) and absolute agreement between readers. Fifty-six patients were included in this study. There was fair-to-substantial inter-reader reliability (κ 0.47 to 0.82) and high absolute agreement (72.3% to 99.1%) for the pMRI findings. The intra-reader assessment showed similar reliability and agreement (κ 0.36 to 0.85; absolute agreement: 62.5% to 98.8%). Positional changes between the supine and standing position showed a fair-to-moderate inter- and intra-reader reliability (κ 0.25 to 0.52; absolute agreement: 97.0% to 99.1). Evaluation of the lumbar spine for degenerative findings by standing pMRI has acceptable reproducibility; however, positional changes from the supine to the standing position as an independent outcome should be interpreted with caution because of lower reliability, which calls for further standardisation.

  1. Structural Reliability of Wind Turbine Blades

    DEFF Research Database (Denmark)

    Dimitrov, Nikolay Krasimirov

    turbine blades. The main purpose is to draw a clear picture of how reliability-based design of wind turbines can be done in practice. The objectives of the thesis are to create methodologies for efficient reliability assessment of composite materials and composite wind turbine blades, and to map...... the uncertainties in the processes, materials and external conditions that have an effect on the health of a composite structure. The study considers all stages in a reliability analysis, from defining models of structural components to obtaining the reliability index and calibration of partial safety factors...... by developing new models and standards or carrying out tests The following aspects are covered in detail: ⋅ The probabilistic aspects of ultimate strength of composite laminates are addressed. Laminated plates are considered as a general structural reliability system where each layer in a laminate is a separate...

  2. A brief symptom index for advanced renal cell carcinoma

    Directory of Open Access Journals (Sweden)

    Cella David

    2006-09-01

    Full Text Available Abstract Background Our objective was to test a brief, symptom index for advanced renal cell carcinoma, a disease affecting over 38,000 Americans each year and often diagnosed in late stages. Methods We conducted secondary data analyses on patient-reported outcomes of 209 metastatic renal cell carcinoma patients participating in a Phase III clinical trial. Patient-reported outcomes, obtained from the FACT-Biological Response Modifier (FACT-BRM scale, were available at baseline, 2, and 8 weeks. We analyzed data from eight FACT-BRM items previously identified by clinical experts to represent the most important symptoms of advanced renal cell carcinoma. Items comprising this index assess nausea, pain, appetite, perceived sickness, fatigue and weakness, with higher scores indicating fewer symptoms. We determined reliability and validity of the index and estimated a minimally important difference. Results The index had excellent internal reliability at all three time points (alphas ≥ 0.83. Baseline scores were able to discriminate patients across Karnofsky performance status, number of metastatic sites, and risk group categories (ps Conclusion The 8-item index of patient-reported symptoms of renal cell carcinoma appears to be a psychometrically sound measure. It is a brief, reliable, and valid measure that can easily be adapted for use in clinical trials and observational studies.

  3. Reliability data collection and use in risk and availability assessment

    International Nuclear Information System (INIS)

    Colombari, V.

    1989-01-01

    For EuReDatA it is a prevailing objective to initiate and support contact between experts, companies and institutions active in reliability engineering and research. Main topics of this 6th EuReDatA Conference are: Reliability data banks; incidents data banks; common cause data; source and propagation of uncertainties; computer aided risk analysis; reliability and incidents data acquisition and processing; human reliability; probabilistic safety and availability assessment; feedback of reliability into system design; data fusion; reliability modeling and techniques; structural and mechanical reliability; consequence modeling; software and electronic reliability; reliability tests. Some conference papers are separately indexed in the database. (HP)

  4. Femtosecond index change mechanisms and morphology of SiC crystalline materials

    International Nuclear Information System (INIS)

    DesAutels, Logan; Brewer, Christopher; Powers, Peter; Walker, Mark; Tomlin, David; Fratini, Albert; Juhl, Shane; Chen Weibin

    2009-01-01

    Femtosecond lasers have a unique ability of processing bulk transparent materials for various applications such as micromachining, waveguide manufacturing, and photonic bandgap structures just to name a few. These applications depend on the formation of micron or submicron size features that are known to be index modifications to the bulk substrate [H. Guo, H. Jiang, Y. Fang, C. Peng, H. Yang, Y. Li, Q. Gong, J. Opt. A: Pure Appl. Opt. 6 (2004) 787]. To the best of our knowledge the physical understanding of how these index-modified features are formed is still unknown, but many good theories exist such as Petite et al. [G. Petite, P. Daguzan, S. Guizard, P. Martin, in: IEEE Annual Report Conference on Electrical Insulation and Dielectric Phenomena, vol. 15, IEEE, 1995, pp. 40-44] or Tien et al. [A. Tien, S. Backus, H. Kapteyn, M. Murnane, G. Mourou, Phys. Rev. Lett. 82 (1999) 3883]. In this Letter the question on the physical cause for index changes is investigated by the combined efforts between Wright-Patterson AFB (WPAFB) and the University of Dayton (UD) using numerous imaging equipment such as TEM, AFM, NSOM, Nomarski microscopy, X-ray crystallography, Raman spectroscopy, and even diffraction efficiency experiments. With all the combined imaging equipment this research is able to present valuable data and deduce plausible theories of the physics of the index modification mechanism

  5. Predicting fiber refractive index from a measured preform index profile

    Science.gov (United States)

    Kiiveri, P.; Koponen, J.; Harra, J.; Novotny, S.; Husu, H.; Ihalainen, H.; Kokki, T.; Aallos, V.; Kimmelma, O.; Paul, J.

    2018-02-01

    When producing fiber lasers and amplifiers, silica glass compositions consisting of three to six different materials are needed. Due to the varying needs of different applications, substantial number of different glass compositions are used in the active fiber structures. Often it is not possible to find material parameters for theoretical models to estimate thermal and mechanical properties of those glass compositions. This makes it challenging to predict accurately fiber core refractive index values, even if the preform index profile is measured. Usually the desired fiber refractive index value is achieved experimentally, which is expensive. To overcome this problem, we analyzed statistically the changes between the measured preform and fiber index values. We searched for correlations that would help to predict the Δn-value change from preform to fiber in a situation where we don't know the values of the glass material parameters that define the change. Our index change models were built using the data collected from preforms and fibers made by the Direct Nanoparticle Deposition (DND) technology.

  6. Visual-Haptic Integration: Cue Weights are Varied Appropriately, to Account for Changes in Haptic Reliability Introduced by Using a Tool

    Directory of Open Access Journals (Sweden)

    Chie Takahashi

    2011-10-01

    Full Text Available Tools such as pliers systematically change the relationship between an object's size and the hand opening required to grasp it. Previous work suggests the brain takes this into account, integrating visual and haptic size information that refers to the same object, independent of the similarity of the ‘raw’ visual and haptic signals (Takahashi et al., VSS 2009. Variations in tool geometry also affect the reliability (precision of haptic size estimates, however, because they alter the change in hand opening caused by a given change in object size. Here, we examine whether the brain appropriately adjusts the weights given to visual and haptic size signals when tool geometry changes. We first estimated each cue's reliability by measuring size-discrimination thresholds in vision-alone and haptics-alone conditions. We varied haptic reliability using tools with different object-size:hand-opening ratios (1:1, 0.7:1, and 1.4:1. We then measured the weights given to vision and haptics with each tool, using a cue-conflict paradigm. The weight given to haptics varied with tool type in a manner that was well predicted by the single-cue reliabilities (MLE model; Ernst and Banks, 2002. This suggests that the process of visual-haptic integration appropriately accounts for variations in haptic reliability introduced by different tool geometries.

  7. Two-year changes in anthropometric and motor ability values as talent identification indexes in youth soccer players.

    Science.gov (United States)

    Hirose, Norikazu; Seki, Taigo

    2016-02-01

    The present study examined 2-year changes in anthropometric variables and motor abilities in elite male youth soccer players to identify potential talent identification indexes. This was a cross-sequential study examining two different age groups at two time points. Height, weight, 40-m sprint speed, muscular power (5-step bounding), and change of direction (COD) ability (10 m×5 COD) were measured in 12- and 14-year-old soccer players and repeated after 2 years (at 14 and 16 years of age). Correlations and changes in ranking between the two measurements were determined. Both groups had small ranking changes in height (12-14-year-olds: r=0.80, 14-16-year-olds: r=0.89; ptalent identification index for youth soccer players. On the other hand, muscular power and COD ability is changeable during growth period suggests that these parameters is not useful for talent identification index. Copyright © 2015 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  8. Performance of intraclass correlation coefficient (ICC) as a reliability index under various distributions in scale reliability studies.

    Science.gov (United States)

    Mehta, Shraddha; Bastero-Caballero, Rowena F; Sun, Yijun; Zhu, Ray; Murphy, Diane K; Hardas, Bhushan; Koch, Gary

    2018-04-29

    Many published scale validation studies determine inter-rater reliability using the intra-class correlation coefficient (ICC). However, the use of this statistic must consider its advantages, limitations, and applicability. This paper evaluates how interaction of subject distribution, sample size, and levels of rater disagreement affects ICC and provides an approach for obtaining relevant ICC estimates under suboptimal conditions. Simulation results suggest that for a fixed number of subjects, ICC from the convex distribution is smaller than ICC for the uniform distribution, which in turn is smaller than ICC for the concave distribution. The variance component estimates also show that the dissimilarity of ICC among distributions is attributed to the study design (ie, distribution of subjects) component of subject variability and not the scale quality component of rater error variability. The dependency of ICC on the distribution of subjects makes it difficult to compare results across reliability studies. Hence, it is proposed that reliability studies should be designed using a uniform distribution of subjects because of the standardization it provides for representing objective disagreement. In the absence of uniform distribution, a sampling method is proposed to reduce the non-uniformity. In addition, as expected, high levels of disagreement result in low ICC, and when the type of distribution is fixed, any increase in the number of subjects beyond a moderately large specification such as n = 80 does not have a major impact on ICC. Copyright © 2018 John Wiley & Sons, Ltd.

  9. Reliability and validity of the Korean version of Pediatric Voice Handicap Index: in school age children.

    Science.gov (United States)

    Park, Sung Shin; Kwon, Tack-Kyun; Choi, Seong Hee; Lee, Won Yong; Hong, Young Hye; Jeong, Nyun Gi; Sung, Myung-Whun; Kim, Kwang Hyun

    2013-01-01

    The aim of this study was to assess the reliability and validity of the Pediatric Voice Handicap Index (pVHI) for cross-cultural adaptation of the Korean version with school age children. The questionnaire was translated into Korean and was completed by 101 Korean parents who have children with or without disordered voice. The Korean version-pVHI scores were obtained with 60 parents of normal children and 41 parents who have children with voice problems. Content validity was verified by five experienced speech-language pathologists with clinical specialization in voice disorders. Internal consistency was calculated through Cronbach's α coefficient and test-retest reliability of the Korean version-pVHI score was determined using Pearson product-moment correlation coefficients. Mann-Whitney U test was used to compare GRBAS with the Korean version-pVHI scores between normal and dysphonia group. The relationship between the parent-reported the Korean version-pVHI total scores and perceptual ratings of voice quality from experts was investigated using Spearman correlation coefficients. The results showed that the Korean version-pVHI provided a high internal consistency (α=0.92) and test-retest reliability of its subscales: total (T) 0.97, functional (F) 0.90, physical (P) 0.95, emotional (E) 0.92. The Korean version-pVHI mean scores in normal group were 1.28 (T), 0.62 (F), 0.35 (P) and 0.32 (E), respectively whereas those of the Korean version-pVHI in children group with dysphonia were 23.13 (T), 8.90 (F), 9.54 (P) and 4.93 (E). Significant differences in the Korean version-pVHI (T, F, P, E) and perceptual evaluation (grade, rough, breathy) between normal and dysphonia group were revealed (PKorean version-pVHI parameters (T) and perceptual measures (G) was exhibited in children with dysphonia. The subjective Korean version-pVHI can be applicable and useful supplementary tool for evaluating parents' perception of their children's voice dysfunction, identifying

  10. Fast Reliability Assessing Method for Distribution Network with Distributed Renewable Energy Generation

    Science.gov (United States)

    Chen, Fan; Huang, Shaoxiong; Ding, Jinjin; Ding, Jinjin; Gao, Bo; Xie, Yuguang; Wang, Xiaoming

    2018-01-01

    This paper proposes a fast reliability assessing method for distribution grid with distributed renewable energy generation. First, the Weibull distribution and the Beta distribution are used to describe the probability distribution characteristics of wind speed and solar irradiance respectively, and the models of wind farm, solar park and local load are built for reliability assessment. Then based on power system production cost simulation probability discretization and linearization power flow, a optimal power flow objected with minimum cost of conventional power generation is to be resolved. Thus a reliability assessment for distribution grid is implemented fast and accurately. The Loss Of Load Probability (LOLP) and Expected Energy Not Supplied (EENS) are selected as the reliability index, a simulation for IEEE RBTS BUS6 system in MATLAB indicates that the fast reliability assessing method calculates the reliability index much faster with the accuracy ensured when compared with Monte Carlo method.

  11. Diet quality index for healthy food choices

    Directory of Open Access Journals (Sweden)

    Simone Caivano

    2013-12-01

    Full Text Available OBJECTIVE: To present a Diet Quality Index proper for dietary intake studies of Brazilian adults. METHODS: A diet quality index to analyze the incorporation of healthy food choices was associated with a digital food guide. This index includes moderation components, destined to indicate foods that may represent a risk when in excess, and adequacy components that include sources of nutrients and bioactive compounds in order to help individuals meet their nutritional requirements. The diet quality index-digital food guide performance was measured by determining its psychometric properties, namely content and construct validity, as well as internal consistency. RESULTS: The moderation and adequacy components correlated weakly with dietary energy (-0.16 to 0.09. The strongest correlation (0.52 occurred between the component 'sugars and sweets' and the total score. The Cronbach's coefficient alpha for reliability was 0.36. CONCLUSION: Given that diet quality is a complex and multidimensional construct, the Diet Quality Index-Digital Food Guide, whose validity is comparable to those of other indices, is a useful resource for Brazilian dietary studies. However, new studies can provide additional information to improve its reliability.

  12. Effect of surface roughness variation on the transmission characteristics of D-shaped fibers with ambient index change

    International Nuclear Information System (INIS)

    Kim, Hyun-Joo; Kwon, Oh-Jang; Han, Young-Geun

    2010-01-01

    The influence of surface roughness on the sensitivity of D-shaped fibers to changes in the ambient index was investigated. In order to obtain D-shaped fibers with different surface roughness, we polished one side of the fibers by using different abrasive grits. The topographies of the surfaces of the polished D-shaped fibers were then observed by using atomic force microscopy (AFM). The light scattered from the rough surfaces of the D-shaped fibers was measured by using optical microscopy. The effect of an ambient index change on the transmission characteristics of D-shaped fibers was measured for various values of the surface roughness. The experimental results indicate that variations in the surface roughness have a considerable influence on the sensitivity of the transmission characteristics of D-shaped fibers to changes in the ambient index.

  13. Test-retest reliability and smallest detectable change of the Bristol Impact of Hypermobility (BIoH) questionnaire.

    Science.gov (United States)

    Palmer, S; Manns, S; Cramp, F; Lewis, R; Clark, E M

    2017-12-01

    The Bristol Impact of Hypermobility (BIoH) questionnaire is a patient-reported outcome measure developed in conjunction with adults with Joint Hypermobility Syndrome (JHS). It has demonstrated strong concurrent validity with the Short Form-36 (SF-36) physical component score but other psychometric properties have yet to be established. This study aimed to determine its test-retest reliability and smallest detectable change (SDC). A test-retest reliability study. Participants were recruited from the Hypermobility Syndromes Association, a patient organisation in the United Kingdom. Recruitment packs were sent to 1080 adults who had given permission to be contacted about research. BIoH and SF-36 questionnaires were administered at baseline and repeated two weeks later. An 11-point global rating of change scale (-5 to +5) was also administered at two weeks. Test-retest analysis and calculation of the SDC was conducted on 'stable' patients (defined as global rating of change -1 to +1). 462 responses were received. 233 patients reported a 'stable' condition and were included in analysis (95% women; mean (SD) age 44.5 (13.9) years; BIoH score 223.6 (54.0)). The BIoH questionnaire demonstrated excellent test-retest reliability (ICC 0.923, 95% CI 0.900-0.940). The SDC was 42 points (equivalent to 19% of the mean baseline score). The SF-36 physical and mental component scores demonstrated poorer test-retest reliability and larger SDCs (as a proportion of the mean baseline scores). The results provide further evidence of the potential of the BIoH questionnaire to underpin research and clinical practice for people with JHS. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Ultrasound assessment for grading structural tendon changes in supraspinatus tendinopathy: an inter-rater reliability study

    DEFF Research Database (Denmark)

    Ingwersen, Kim Gordon; Hjarbæk, John; Eshøj, Henrik

    2016-01-01

    Aim To evaluate the inter-rater reliability of measuring structural changes in the tendon of patients, clinically diagnosed with supraspinatus tendinopathy (cases) and healthy participants (controls), on ultrasound (US) images captured by standardised procedures. Methods A total of 40 participant...

  15. Reliability analysis of wind embedded power generation system for ...

    African Journals Online (AJOL)

    This paper presents a method for Reliability Analysis of wind energy embedded in power generation system for Indian scenario. This is done by evaluating the reliability index, loss of load expectation, for the power generation system with and without integration of wind energy sources in the overall electric power system.

  16. Changes in cardiac index and blood pressure on positioning children prone for scoliosis surgery.

    Science.gov (United States)

    Brown, Z E; Görges, M; Cooke, E; Malherbe, S; Dumont, G A; Ansermino, J M

    2013-07-01

    In this prospective observational study we investigated the changes in cardiac index and mean arterial pressure in children when positioned prone for scoliosis correction surgery. Thirty children (ASA 1-2, aged 13-18 years) undergoing primary, idiopathic scoliosis repair were recruited. The cardiac index and mean arterial blood pressure (median (IQR [range])) were 2.7 (2.3-3.1 [1.4-3.7]) l.min(-1).m(-2) and 73 (66-80 [54-91]) mmHg, respectively, at baseline; 2.9 (2.5-3.2 [1.7-4.4]) l.min(-1).m(-2) and 73 (63-81 [51-96]) mmHg following a 5-ml.kg(-1) fluid bolus; and 2.5 (2.2-2.7 [1.4-4.8]) l.min(-1).m(-2) and 69 (62-73 [46-85]) mmHg immediately after turning prone. Turning prone resulted in a median reduction in cardiac index of 0.5 l.min(-1).m(-2) (95% CI 0.3-0.7 l.min(-1).m(-2), p=0.001), or 18.5%, with a large degree of inter-subject variability (+10.3% to -40.9%). The changes in mean arterial blood pressure were not significant. Strategies to predict, prevent and treat decreases in cardiac index need to be developed. © 2013 The Association of Anaesthetists of Great Britain and Ireland.

  17. Thermal stability and practical applications of UV induced index changes in silica glasses

    DEFF Research Database (Denmark)

    Rathje, Jacob

    2000-01-01

    This thesis represents the partial fulfilment of the requirements for the danish ph.d. degree. I have been involved in both basic research of UV induced refractive index changes in silica glasses and in concrete applications. I have performed work on the thermal stability of UV-induced index...... the asymmetry showed good agreement with the obeserved data. The results were used to make a direction sensitive bend sensor of only one fiber. The sensor has further the advantage that it is insensitve to cross sensitivity from temperature, strin, and other external factors. Finally, an investigation of Nragg...... changes in silica glasses where a new continuous isochronal annealing method was introduced. The method was applied to gratings written in D2-loaded fibers and non-loaded fibers. For the non-loaded fibers the obtained results are in good agreement with what has previously been observed. For the D2-loaded...

  18. Bulk electric system reliability evaluation incorporating wind power and demand side management

    Science.gov (United States)

    Huang, Dange

    Electric power systems are experiencing dramatic changes with respect to structure, operation and regulation and are facing increasing pressure due to environmental and societal constraints. Bulk electric system reliability is an important consideration in power system planning, design and operation particularly in the new competitive environment. A wide range of methods have been developed to perform bulk electric system reliability evaluation. Theoretically, sequential Monte Carlo simulation can include all aspects and contingencies in a power system and can be used to produce an informative set of reliability indices. It has become a practical and viable tool for large system reliability assessment technique due to the development of computing power and is used in the studies described in this thesis. The well-being approach used in this research provides the opportunity to integrate an accepted deterministic criterion into a probabilistic framework. This research work includes the investigation of important factors that impact bulk electric system adequacy evaluation and security constrained adequacy assessment using the well-being analysis framework. Load forecast uncertainty is an important consideration in an electrical power system. This research includes load forecast uncertainty considerations in bulk electric system reliability assessment and the effects on system, load point and well-being indices and reliability index probability distributions are examined. There has been increasing worldwide interest in the utilization of wind power as a renewable energy source over the last two decades due to enhanced public awareness of the environment. Increasing penetration of wind power has significant impacts on power system reliability, and security analyses become more uncertain due to the unpredictable nature of wind power. The effects of wind power additions in generating and bulk electric system reliability assessment considering site wind speed

  19. Refractive index modulation of Sb70Te30 phase-change thin films by multiple femtosecond laser pulses

    International Nuclear Information System (INIS)

    Lei, Kai; Wang, Yang; Jiang, Minghui; Wu, Yiqun

    2016-01-01

    In this study, the controllable effective refractive index modulation of Sb 70 Te 30 phase-change thin films between amorphous and crystalline states was achieved experimentally by multiple femtosecond laser pulses. The modulation mechanism was analyzed comprehensively by a spectral ellipsometer measurement, surface morphology observation, and two-temperature model calculations. We numerically demonstrate the application of the optically modulated refractive index of the phase-change thin films in a precisely adjustable color display. These results may provide further insights into ultrafast phase-transition mechanics and are useful in the design of programmable photonic and opto-electrical devices based on phase-change memory materials.

  20. The Portuguese version of the Outcome Questionnaire (OQ-45): Normative data, reliability, and clinical significance cut-offs scores.

    Science.gov (United States)

    Machado, Paulo P P; Fassnacht, Daniel B

    2015-12-01

    The Outcome Questionnaire (OQ-45) is one of the most extensively used standardized self-report instruments to monitor psychotherapy outcomes. The questionnaire is designed specifically for the assessment of change during psychotherapy treatments. Therefore, it is crucial to provide norms and clinical cut-off values for clinicians and researchers. The current study aims at providing study provides norms, reliability indices, and clinical cut-off values for the Portuguese version of the scale. Data from two large non-clinical samples (high school/university, N = 1,669; community, N = 879) and one clinical sample (n = 201) were used to investigate psychometric properties and derive normative data for all OQ-45 subscales and the total score. Significant and substantial differences were found for all subscales between the clinical and non-clinical sample. The Portuguese version also showed adequate reliabilities (internal consistency, test-retest), which were comparable to the original version. To assess individual clinical change, clinical cut-off values and reliable change indices were calculated allowing clinicians and researchers to monitor and evaluate clients' individual change. The Portuguese version of the OQ-45 is a reliable instrument with comparable Portuguese norms and cut-off scores to those from the original version. This allows clinicians and researchers to use this instrument for evaluating change and outcome in psychotherapy. This study provides norms for non-clinical and clinical Portuguese samples and investigates the reliability (internal consistency and test-retest) of the OQ-45. Cut-off values and reliable change index are provided allowing clinicians to evaluate clinical change and clients' response to treatment, monitoring the quality of mental health care services. These can be used, in routine clinical practice, as benchmarks for treatment progress and to empirically base clinical decisions such as continuation of treatment or considering

  1. Pulse energy dependence of refractive index change in lithium niobium silicate glass during femtosecond laser direct writing.

    Science.gov (United States)

    Cao, Jing; Poumellec, Bertrand; Brisset, François; Lancry, Matthieu

    2018-03-19

    Femtosecond laser-induced refractive index changes in lithium niobium silicate glass were explored at high repetition rate (300 fs, 500 kHz) by polarized light microscopy, full-wave retardation plate, quantitative birefringence microscopy, and digital holographic microscopy. We found three regimes on energy increase. The first one corresponds to isotropic negative refractive index change (for pulse energy ranging 0.4-0.8 μJ/pulse, 0.6 NA, 5μm/s, 650μm focusing depth in the glass). The second one (0.8-1.2 μJ/pulse) corresponds to birefringence with well-defined slow axis orientation. The third one (above 1.2 μJ/pulse) is related to birefringence direction fluctuation. Interestingly, these regimes are consistent with crystallization ones. In addition, an asymmetric orientational writing effect has been detected on birefringence. These topics extend the possibility of controlling refractive index change in multi-component glasses.

  2. Application of SAW method for multiple-criteria comparative analysis of the reliability of heat supply organizations

    Science.gov (United States)

    Akhmetova, I. G.; Chichirova, N. D.

    2016-12-01

    Heat supply is the most energy-consuming sector of the economy. Approximately 30% of all used primary fuel-and-energy resources is spent on municipal heat-supply needs. One of the key indicators of activity of heat-supply organizations is the reliability of an energy facility. The reliability index of a heat supply organization is of interest to potential investors for assessing risks when investing in projects. The reliability indices established by the federal legislation are actually reduced to a single numerical factor, which depends on the number of heat-supply outages in connection with disturbances in operation of heat networks and the volume of their resource recovery in the calculation year. This factor is rather subjective and may change in a wide range during several years. A technique is proposed for evaluating the reliability of heat-supply organizations with the use of the simple additive weighting (SAW) method. The technique for integrated-index determination satisfies the following conditions: the reliability level of the evaluated heat-supply system is represented maximum fully and objectively; the information used for the reliability-index evaluation is easily available (is located on the Internet in accordance with demands of data-disclosure standards). For reliability estimation of heat-supply organizations, the following indicators were selected: the wear of equipment of thermal energy sources, the wear of heat networks, the number of outages of supply of thermal energy (heat carrier due to technological disturbances on heat networks per 1 km of heat networks), the number of outages of supply of thermal energy (heat carrier due to technologic disturbances on thermal energy sources per 1 Gcal/h of installed power), the share of expenditures in the cost of thermal energy aimed at recovery of the resource (renewal of fixed assets), coefficient of renewal of fixed assets, and a coefficient of fixed asset retirement. A versatile program is developed

  3. Turkish Version of the Student Nurse Stress Index: Validity and Reliability

    Directory of Open Access Journals (Sweden)

    Gamze Sarikoc, PhD, RN

    2017-06-01

    Conclusion: Results showed that the SNSI had a satisfactory level of reliability and validity in nursing students in Turkey. Multicenter studies including nursing students from different nursing schools are recommended for the SNSI to be generalized.

  4. Spectral Reflectance and Vegetation Index Changes in Deciduous Forest Foliage Following Tree Removal: Potential for Deforestation Monitoring

    Science.gov (United States)

    Peng, D.; Hu, Y.; Li, Z.

    2016-05-01

    It is important to detect and quantify deforestation to guide strategic decisions regarding environment, socioeconomic development, and climate change. In the present study, we conducted a field experiment to examine spectral reflectance and vegetation index changes in poplar and locust tree foliage with different leaf area indices over the course of three sunny days, following tree removal from the canopy. The spectral reflectance of foliage from harvested trees was measured using an ASD FieldSpec Prospectroradiometer; synchronous meteorological data were also obtained. We found that reflectance in short-wave infrared and red-edge reflectance was more time sensitive after tree removal than reflectance in other spectral regions, and that the normalized difference water index (NDWI) and the red-edge chlorophyll index (CIRE) were the preferred indicators of these changes from several indices evaluated. Synthesized meteorological environments were found to influence water and chlorophyll contents after tree removal, and this subsequently changed the spectral canopy reflectance. Our results indicate the potential for such tree removal to be detected with NDWI or CIRE from the second day of a deforestation event.

  5. Customer Dissatisfaction Index and its Improvement Costs

    Science.gov (United States)

    Lvovs, Aleksandrs; Mutule, Anna

    2010-01-01

    The paper gives description of customer dissatisfaction index (CDI) that can be used as reliability level characterizing factor. The factor is directly joined with customer satisfaction of power supply and can be used for control of reliability level of power supply for residential customers. CDI relations with other reliability indices are shown. Paper also gives a brief overview of legislation of Latvia in power industry that is the base for CDI introduction. Calculations of CDI improvement costs are performed in the paper too.

  6. Evidence-Based Indicators of Neuropsychological Change in the Individual Patient: Relevant Concepts and Methods

    Science.gov (United States)

    Duff, Kevin

    2012-01-01

    Repeated assessments are a relatively common occurrence in clinical neuropsychology. The current paper will review some of the relevant concepts (e.g., reliability, practice effects, alternate forms) and methods (e.g., reliable change index, standardized based regression) that are used in repeated neuropsychological evaluations. The focus will be on the understanding and application of these concepts and methods in the evaluation of the individual patient through examples. Finally, some future directions for assessing change will be described. PMID:22382384

  7. Mechanical reliability analysis of tubes intended for hydrocarbons

    Energy Technology Data Exchange (ETDEWEB)

    Nahal, Mourad; Khelif, Rabia [Badji Mokhtar University, Annaba (Algeria)

    2013-02-15

    Reliability analysis constitutes an essential phase in any study concerning reliability. Many industrialists evaluate and improve the reliability of their products during the development cycle - from design to startup (design, manufacture, and exploitation) - to develop their knowledge on cost/reliability ratio and to control sources of failure. In this study, we obtain results for hardness, tensile, and hydrostatic tests carried out on steel tubes for transporting hydrocarbons followed by statistical analysis. Results obtained allow us to conduct a reliability study based on resistance request. Thus, index of reliability is calculated and the importance of the variables related to the tube is presented. Reliability-based assessment of residual stress effects is applied to underground pipelines under a roadway, with and without active corrosion. Residual stress has been found to greatly increase probability of failure, especially in the early stages of pipe lifetime.

  8. Reliability Study Regarding the Use of Histogram Similarity Methods for Damage Detection

    Directory of Open Access Journals (Sweden)

    Nicoleta Gillich

    2013-01-01

    Full Text Available The paper analyses the reliability of three dissimilarity estimators to compare histograms, as support for a frequency-based damage detection method, able to identify structural changes in beam-like structures. First a brief presentation of the own developed damage detection method is made, with focus on damage localization. It consists actually in comparing a histogram derived from measurement results, with a large series of histograms, namely the damage location indexes for all locations along the beam, obtained by calculus. We tested some dissimilarity estimators like the Minkowski-form Distances, the Kullback-Leibler Divergence and the Histogram Intersection and found the Minkowski Distance as the method providing best results. It was tested for numerous locations, using real measurement results and with results artificially debased by noise, proving its reliability.

  9. Relationships among participant international prostate symptom score, benign prostatic hyperplasia impact index changes and global ratings of change in a trial of phytotherapy in men with lower urinary tract symptoms.

    Science.gov (United States)

    Barry, Michael J; Cantor, Alan; Roehrborn, Claus G

    2013-03-01

    We related changes in American Urological Association symptom index scores with bother measures and global ratings of change in men with lower urinary tract symptoms who were enrolled in a saw palmetto trial. To be eligible for study men were 45 years old or older, and had a peak uroflow of 4 ml per second or greater and an American Urological Association symptom index score of 8 to 24. Participants self-administered the American Urological Association symptom index, International Prostate Symptom Score quality of life item, Benign Prostatic Hyperplasia Impact Index and 2 global change questions at baseline, and at 24, 48 and 72 weeks. In 357 participants global ratings of a little better were associated with a mean decrease in American Urological Association symptom index scores from 2.8 to 4.1 points across 3 time points. The analogous range for mean decreases in Benign Prostatic Hyperplasia Impact Index scores was 1.0 to 1.7 points and for the International Prostate Symptom Score quality of life item it was 0.5 to 0.8 points. At 72 weeks for the first global change question each change measure discriminated between participants who rated themselves at least a little better vs unchanged or worse 70% to 72% of the time. A multivariate model increased discrimination to 77%. For the second global change question each change measure correctly discriminated ratings of at least a little better vs unchanged or worse 69% to 74% of the time and a multivariate model increased discrimination to 79%. Changes in American Urological Association symptom index scores could discriminate between participants rating themselves at least a little better vs unchanged or worse. Our findings support the practice of powering studies to detect group mean differences in American Urological Association symptom index scores of at least 3 points. Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  10. The impact of Land use Change on Water Pollution Index of Kali Madiun Sub-watershed

    Directory of Open Access Journals (Sweden)

    Pranatasari Dyah Susanti

    2017-07-01

    Full Text Available Land use change is one of the effects of population growth and increased human activities. Land use change that overlooked the rule of ecosystem sustainability has a propensity to adversely affect the environment, including the decline of water quality. Kali Madiun is a sub-watershed of Bengawan Solo Watershed that allegedly endured the impacts of land use change. This study aimed to investigate the impacts of land use change on the water quality index of Kali Madiun Sub-watershed. Land use change analysis was done by overlay analysis of spatial data including the maps of land use in 2010 and 2015. Samples were the surface water in the upper, middle and lower part of Kali Madiun Sub-Watershed. Water quality analysis was carried out by comparing the results of water quality parameter assessment based on Government Regulation No. 82 of 2001, while water quality index was figured out by an assessment based on the Decree of the Minister of Environment No. 115 of 2003. The results indicated that during the five years observation, there were land use changes in the upper, middle and lower part of Kali Madiun Sub-watershed. Several parameters increased in 2010 to 2015, namely: TDS, BOD, COD, nitrate, detergents, oils and greases. Pollution index shifted from slightly polluted in 2010 into moderately polluted in 2015. We propose a strategy to solve these problems by the involvement of stakeholders and the participation of local community in managing both domestic and industrial wastes. Also, it should be supported by palpable regulations related to land conversion. Furthermore, it is expected that the effort will reduce the potential of pollution and improve the water quality.

  11. Five preference-based indexes in cataract and heart failure patients were not equally responsive to change.

    Science.gov (United States)

    Kaplan, Robert M; Tally, Steven; Hays, Ron D; Feeny, David; Ganiats, Theodore G; Palta, Mari; Fryback, Dennis G

    2011-05-01

    To compare the responsiveness to clinical change of five widely used preference-based health-related quality-of-life indexes in two longitudinal cohorts. Five generic instruments were simultaneously administered to 376 adults undergoing cataract surgery and 160 adults in heart failure management programs. Patients were assessed at baseline and reevaluated after 1 and 6 months. The measures were the Short Form (SF)-6D (based on responses scored from SF-36v2), Self-Administered Quality of Well-being Scale (QWB-SA), the EuroQol-5D developed by the EuroQol Group, the Health Utilities Indexes Mark 2 (HUI2) and Mark 3 (HUI3). Cataract patients completed the National Eye Institute Visual Functioning Questionnaire-25, and heart failure patients completed the Minnesota Living with Heart Failure Questionnaire. Responsiveness was estimated by the standardized response mean. For cataract patients, mean changes between baseline and 1-month follow-up for the generic indices ranged from 0.00 (SF-6D) to 0.052 (HUI3) and were statistically significant for all indexes except the SF-6D. For heart failure patients, only the SF-6D showed significant change from baseline to 1 month, whereas only the QWB-SA change was significant between 1 and 6 months. Preference-based methods for measuring health outcomes are not equally responsive to change. Copyright © 2011 Elsevier Inc. All rights reserved.

  12. Spatiotemporal variation of long-term drought propensity through reliability-resilience-vulnerability based Drought Management Index

    Science.gov (United States)

    Chanda, Kironmala; Maity, Rajib; Sharma, Ashish; Mehrotra, Rajeshwar

    2014-10-01

    This paper characterizes the long-term, spatiotemporal variation of drought propensity through a newly proposed, namely Drought Management Index (DMI), and explores its predictability in order to assess the future drought propensity and adapt drought management policies for a location. The DMI was developed using the reliability-resilience-vulnerability (RRV) rationale commonly used in water resources systems analysis, under the assumption that depletion of soil moisture across a vertical soil column is equivalent to the operation of a water supply reservoir, and that drought should be managed not simply using a measure of system reliability, but should also take into account the readiness of the system to bounce back from drought to a normal state. Considering India as a test bed, 5 year long monthly gridded (0.5° Lat × 0.5° Lon) soil moisture data are used to compute the RRV at each grid location falling within the study domain. The Permanent Wilting Point (PWP) is used as the threshold, indicative of transition into water stress. The association between resilience and vulnerability is then characterized through their joint probability distribution ascertained using Plackett copula models for four broad soil types across India. The joint cumulative distribution functions (CDF) of resilience and vulnerability form the basis for estimating the DMI as a five-yearly time series at each grid location assessed. The status of DMI over the past 50 years indicate that drought propensity is consistently low toward northern and north eastern parts of India but higher in the western part of peninsular India. Based on the observed past behavior of DMI series on a climatological time scale, a DMI prediction model comprising deterministic and stochastic components is developed. The predictability of DMI for a lead time of 5 years is found to vary across India, with a Pearson correlation coefficient between observed and predicted DMI above 0.6 over most of the study area

  13. How reliably can climate change and mitigation policy impacts on electric utilities be assessed?

    International Nuclear Information System (INIS)

    Dowlatabadi, H.; Kopp, R.J.; Palmer, K.; De Witt, D.

    1993-01-01

    Numerous mechanisms link climate change and electric utilities. Electricity generation releases radiatively active trace substances (RATS). Significant changes in atmospheric concentration of RATS can lead to a change in regional and global climate regimes. Mitigation action designed to prevent or limit climate change is possible through curbing emissions. Climate change and related mitigation actions impact on electric utilities. Foresight in electric utility planning requires reliable predictions of how the utilities may be affected in the decades ahead. In this paper the impacts of climate change and mitigation policies are noted, and our ability to assess these is reviewed. To this end a suite of models exploring supply and demand questions have been developed. The overall conclusion of the study is that the demand-side uncertainties dominate other unknowns and need to be better characterized and understood. (author)

  14. Validity and Reliability of the Turkish Version of the Adapted Rhodes Index of Nausea and Vomiting for Pediatrics by Child (ARINVc) and by Parent (ARINVp).

    Science.gov (United States)

    Akçay Didişen, Nurdan; Yavuz, Betül; Yardimci, Figen; Basbakkal, D Zümrüt

    2018-04-01

    The study was conducted methodologically to adapt the Adapted Rhodes Index of Nausea and Vomiting for Pediatrics by Child (ARINVc) and Adapted Rhodes Index of Nausea and Vomiting for Pediatrics by Parent (ARINVp) into Turkish. The scales are administered to children who receive chemotherapy and to their parents, respectively. The study sample consisted of 8- to 18-year-old children who were hospitalized in the pediatric oncology and hematology clinics of a university hospital, met the sampling criteria, and agreed to participate in the research. The study data were collected with the Sociodemographic Attributes Information Form, ARINVc, and ARINVp using the face-to-face interview method. The mean ages of the children and their mothers and fathers who participated in the study were 13.26 ± 2.01, 36.33 ± 5.10, and 40.17 ± 4.94 years, respectively. The mean total scores obtained from the ARINVc and ARINVp were 5.43 ± 4.06 and 5.70 ± 3.77, respectively. While Cronbach's alpha reliability coefficients of the scales were .85 for the ARINVc and .84 for the ARINVp, the item-total correlation coefficients were between 0.60 and 0.89 for the ARINVc and between 0.66 and 0.85 for the ARINVp ( P < .01). The Turkish versions of ARINVc and ARINVp were determined to be valid and reliable scales.

  15. The transparency, reliability and utility of tropical rainforest land-use and land-cover change models.

    Science.gov (United States)

    Rosa, Isabel M D; Ahmed, Sadia E; Ewers, Robert M

    2014-06-01

    Land-use and land-cover (LULC) change is one of the largest drivers of biodiversity loss and carbon emissions globally. We use the tropical rainforests of the Amazon, the Congo basin and South-East Asia as a case study to investigate spatial predictive models of LULC change. Current predictions differ in their modelling approaches, are highly variable and often poorly validated. We carried out a quantitative review of 48 modelling methodologies, considering model spatio-temporal scales, inputs, calibration and validation methods. In addition, we requested model outputs from each of the models reviewed and carried out a quantitative assessment of model performance for tropical LULC predictions in the Brazilian Amazon. We highlight existing shortfalls in the discipline and uncover three key points that need addressing to improve the transparency, reliability and utility of tropical LULC change models: (1) a lack of openness with regard to describing and making available the model inputs and model code; (2) the difficulties of conducting appropriate model validations; and (3) the difficulty that users of tropical LULC models face in obtaining the model predictions to help inform their own analyses and policy decisions. We further draw comparisons between tropical LULC change models in the tropics and the modelling approaches and paradigms in other disciplines, and suggest that recent changes in the climate change and species distribution modelling communities may provide a pathway that tropical LULC change modellers may emulate to further improve the discipline. Climate change models have exerted considerable influence over public perceptions of climate change and now impact policy decisions at all political levels. We suggest that tropical LULC change models have an equally high potential to influence public opinion and impact the development of land-use policies based on plausible future scenarios, but, to do that reliably may require further improvements in the

  16. Gait Deviation Index, Gait Profile Score and Gait Variable Score in children with spastic cerebral palsy

    DEFF Research Database (Denmark)

    Rasmussen, Helle Mätzke; Nielsen, Dennis Brandborg; Pedersen, Niels Wisbech

    2015-01-01

    Abstract The Gait Deviation Index (GDI) and Gait Profile Score (GPS) are the most used summary measures of gait in children with cerebral palsy (CP). However, the reliability and agreement of these indices have not been investigated, limiting their clinimetric quality for research and clinical...... to good reliability with ICCs of 0.4–0.7. The agreement for the GDI and the logarithmically transformed GPS, in terms of the standard error of measurement as a percentage of the grand mean (SEM%) varied from 4.1 to 6.7%, whilst the smallest detectable change in percent (SDC%) ranged from 11.3 to 18...

  17. Dataset on statistical analysis of editorial board composition of Hindawi journals indexed in Emerging sources citation index

    Directory of Open Access Journals (Sweden)

    Hilary I. Okagbue

    2018-04-01

    Full Text Available This data article contains the statistical analysis of the total, percentage and distribution of editorial board composition of 111 Hindawi journals indexed in Emerging Sources Citation Index (ESCI across the continents. The reliability of the data was shown using correlation, goodness-of-fit test, analysis of variance and statistical variability tests. Keywords: Hindawi, Bibliometrics, Data analysis, ESCI, Random, Smart campus, Web of science, Ranking analytics, Statistics

  18. Difficulties in using Oswestry Disability Index in Indian patients and validity and reliability of translator-assisted Oswestry Disability Index.

    Science.gov (United States)

    Aithala, Janardhana P

    2015-06-09

    In Indian patients, in view of language plurality and illiteracy, self-reporting of English version of Oswestry Disability Index (ODI) is not practical. Our study aim was to find out to what extent self-reporting of ODI was possible and in cases where self-reporting was not possible, to see validity and reliability of a translator-assisted ODI score. Fifty patients with low backache and who could not use the English version were assessed with ODI with the use of two translators at a gap of 3 h in a test and retest manner. Patients were also asked to report the most important disabling activity in their day-to-day life. A total of 58 questionnaires were filled during the study period out of which eight patients (14%) self-reported English version; while 50 patients needed a translator. The Cronbach's alpha between two translators for the ODI scores of 50 patients was 0.866, but aggregate of difference between two scores for each ODI component shows high difference between two translators for question nos. 3, 9, and 10. Cronbach's alpha was best when item no. 3 was deleted (0.875, translator 1; 0.777, translator 2). Thirty-seven people did not answer the question related to sexual activity. Agreement between two values was assessed using Kendall's tau and was found good (0.585, Spearman's coefficient 0.741). Kendall's tau values correlating total ODI score and individual components show that all the items move together, but correlation was poor for question no. 3 (P value 0.16 for translator 2). Translator-assisted ODI is a good outcome assessment tool in backache assessment in places where validated local language versions are not available, but in Indian patients, inclusion of question nos. 3 and 8 related to weight lifting and sexual function needs to be reviewed.

  19. The OMERACT Psoriatic Arthritis Magnetic Resonance Imaging Score (PsAMRIS) is reliable and sensitive to change: results from an OMERACT workshop

    DEFF Research Database (Denmark)

    Bøyesen, Pernille; McQueen, Fiona M; Gandjbakhch, Frédérique

    2011-01-01

    The aim of this multireader exercise was to assess the reliability and sensitivity to change of the psoriatic arthritis magnetic resonance imaging score (PsAMRIS) in PsA patients followed for 1 year.......The aim of this multireader exercise was to assess the reliability and sensitivity to change of the psoriatic arthritis magnetic resonance imaging score (PsAMRIS) in PsA patients followed for 1 year....

  20. Vulnerability of birds to climate change in California's Sierra Nevada

    OpenAIRE

    Rodney B. Siegel; Peter Pyle; James H. Thorne; Andrew J. Holguin; Christine A. Howell; Sarah Stock; Morgan W. Tingley

    2014-01-01

    In a rapidly changing climate, effective bird conservation requires not only reliable information about the current vulnerability of species of conservation concern, but also credible projections of their future vulnerability. Such projections may enable managers to preempt or reduce emerging climate-related threats through appropriate habitat management. We used NatureServe's Climate Change Vulnerability Index (CCVI) to predict vulnerability to climate change of 168 bird species that breed i...

  1. Myasthenia Gravis Impairment Index: Responsiveness, meaningful change, and relative efficiency.

    Science.gov (United States)

    Barnett, Carolina; Bril, Vera; Kapral, Moira; Kulkarni, Abhaya V; Davis, Aileen M

    2017-12-05

    To study responsiveness and meaningful change of the Myasthenia Gravis Impairment Index (MGII) and its relative efficiency compared to other measures. We enrolled 95 patients receiving prednisone, IV immunoglobulin (IVIg), or plasma exchange (PLEX) and 54 controls. Patients were assessed with the MGII and other measures-including the Quantitative Myasthenia Gravis Score, Myasthenia Gravis Composite, and Myasthenia Gravis Activities of Daily Living-at baseline and 3-4 weeks after treatment. Statistical markers of responsiveness included between-groups and within-group differences, and we estimated the relative efficiency of the MGII compared to other measures. Patient-meaningful change was assessed with an anchor-based method, using the patient's impression of change. We determined the minimal detectable change (MDC) and the minimal important difference (MID) at the group and individual level. Treated patients had a higher change in MGII scores than controls (analysis of covariance p 1 favoring the MGII. The MGII demonstrated responsiveness to prednisone, IVIg, and PLEX in patients with myasthenia. There is a differential response in ocular and generalized symptoms to type of therapy. The MGII has higher relative efficiency than comparison measures and is viable for use in clinical trials. Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.

  2. A Benchmark for Evaluating Moving Object Indexes

    DEFF Research Database (Denmark)

    Chen, Su; Jensen, Christian Søndergaard; Lin, Dan

    2008-01-01

    that targets techniques for the indexing of the current and near-future positions of moving objects. This benchmark enables the comparison of existing and future indexing techniques. It covers important aspects of such indexes that have not previously been covered by any benchmark. Notable aspects covered......Progress in science and engineering relies on the ability to measure, reliably and in detail, pertinent properties of artifacts under design. Progress in the area of database-index design thus relies on empirical studies based on prototype implementations of indexes. This paper proposes a benchmark...... include update efficiency, query efficiency, concurrency control, and storage requirements. Next, the paper applies the benchmark to half a dozen notable moving-object indexes, thus demonstrating the viability of the benchmark and offering new insight into the performance properties of the indexes....

  3. Reliability and validity of academic motivation scale for sports high school students’

    Directory of Open Access Journals (Sweden)

    Haslofça Fehime

    2016-01-01

    Full Text Available This study was designed to test validity and reliability of Academic Motivation Scale (AMS for sports high school students. The research conducted with 357 volunteered girls (n=117 and boys (n=240. Confirmatory factor analysis showed that Chi square (χ2, degrees of freedom (df and χ2/df ratio were 1102.90, 341 and 3.234, respectively. Goodness of Fit Index, Comparative Fit Index, Non-normed Fit Index and Incremental Fit Index were between 0.92-0.95. Additionally, Adjusted Goodness of Fit Index, An Average Errors Square Root and Root Mean Square Error of Approximation were 0.88, 0.070 and 0.079, respectively. Subscale reliability coefficients were between 0.77 and 0.86. Test-retest correlations of AMS were found between 0.79 and 0.91. Results showed that scale was suitable for determination of sports high school students’ academicals motivation levels.

  4. The Danish Neck Disability Index

    DEFF Research Database (Denmark)

    Lauridsen, Henrik Hein; O'Neill, Lotte; Kongsted, Alice

    2017-01-01

    Objective: To (1) translate and culturally adapt and (2) determine the clinimetric properties of the Danish 8-item Neck Disability Index (NDI-8) in primary sector patients (PSPs) and secondary sector patients (SSPs). Methods: Analyses included 326 patients with neck pain. Validity and reliability...

  5. Measuring health-related quality of life in patients with mild to moderate eczema and psoriasis: clinical validity, reliability and sensitivity to change of the DLQI. The Cavide Research Group.

    Science.gov (United States)

    Badia, X; Mascaró, J M; Lozano, R

    1999-10-01

    The aim of this study was to assess the feasibility, validity, reliability and sensitivity to change of a Spanish version of the Dermatology Life Quality Index (DLQI) in patients with mild to moderate eczema and psoriasis who were treated with topical corticosteroids. The final study sample comprised 237 patients (48% eczema). Discriminant validity was tested by comparing patients' scores with those of a random sample of the general population (n = 100), and convergent validity by analysing correlations between DLQI scores, measures of clinical severity, and domain scores on the Nottingham Health Profile (NHP). Internal consistency and test-retest reliability were tested in clinically stable patients (n = 94), and responsiveness in a clinically unstable group (n = 143) initiating treatment with topical corticosteroids. Patient scores were significantly higher than general population scores (4.3 vs. 0. 27, P effect size for the total group of de novo patients = 0.70), though the great majority of changes occurred in items 1 and 2. The NHP Emotional Reactions and Mobility domains were more responsive than some DLQI domains. In clinical trials of treatments for mild to moderate eczema and psoriasis, it is likely that only items 1 and 2 of the DLQI will be needed, and it is probably advisable to include generic instruments alongside the DLQI.

  6. Spatiotemporal variation of watershed health propensity through reliability-resilience-vulnerability based drought index (case study: Shazand Watershed in Iran).

    Science.gov (United States)

    Sadeghi, Seyed Hamidreza; Hazbavi, Zeinab

    2017-06-01

    Quantitative response of the watershed health to climate variability is of critical importance for watershed managers. However, existing studies seldom considered the impact of climate variability on watershed health. The present study therefore aimed to analyze the temporal and spatial variability of reliability (R el ), resilience (R es ) and vulnerability (V ul ) indicators in node years of 1986, 1998, 2008 and 2014 in connection with Standardized Precipitation Index (SPI) for 24 sub-watersheds in the Shazand Watershed of Markazi Province in Iran. The analysis was based on rainfall variability as one of the main climatic drivers. To achieve the study purposes, the monthly rainfall time series of eight rain gauge stations distributed across the watershed or neighboring areas were analyzed and corresponding SPIs and R el R es V ul indicators were calculated. Ultimately, the spatial variation of SPI oriented R el R es V ul was mapped for the study watershed using Geographic Information System (GIS). The average and standard deviation of SPI-R el R es V ul index for the study years of 1986, 1998, 2008 and 2014 was obtained 0.240±0.025, 0.290±0.036, 0.077±0.0280 and 0.241±0.081, respectively. In overall, the results of the study proved the spatiotemporal variations of SPI-R el R es V ul watershed health index in the study area. Accordingly, all the sub-watersheds of the Shazand Watershed were grouped in unhealthy and very unhealthy conditions in all the study years. For 1986 and 1998 all the sub-watersheds were assessed in unhealthy status. Whilst, it declined to very unhealthy condition in 2008 and then some 75% of the watershed ultimately referred again to unhealthy and the rest still remained under very unhealthy conditions in 2014. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Photovoltaic and Wind Turbine Integration Applying Cuckoo Search for Probabilistic Reliable Optimal Placement

    Directory of Open Access Journals (Sweden)

    R. A. Swief

    2018-01-01

    Full Text Available This paper presents an efficient Cuckoo Search Optimization technique to improve the reliability of electrical power systems. Various reliability objective indices such as Energy Not Supplied, System Average Interruption Frequency Index, System Average Interruption, and Duration Index are the main indices indicating reliability. The Cuckoo Search Optimization (CSO technique is applied to optimally place the protection devices, install the distributed generators, and to determine the size of distributed generators in radial feeders for reliability improvement. Distributed generator affects reliability and system power losses and voltage profile. The volatility behaviour for both photovoltaic cells and the wind turbine farms affect the values and the selection of protection devices and distributed generators allocation. To improve reliability, the reconfiguration will take place before installing both protection devices and distributed generators. Assessment of consumer power system reliability is a vital part of distribution system behaviour and development. Distribution system reliability calculation will be relayed on probabilistic reliability indices, which can expect the disruption profile of a distribution system based on the volatility behaviour of added generators and load behaviour. The validity of the anticipated algorithm has been tested using a standard IEEE 69 bus system.

  8. Reliability assessment of complex electromechanical systems under epistemic uncertainty

    International Nuclear Information System (INIS)

    Mi, Jinhua; Li, Yan-Feng; Yang, Yuan-Jian; Peng, Weiwen; Huang, Hong-Zhong

    2016-01-01

    The appearance of macro-engineering and mega-project have led to the increasing complexity of modern electromechanical systems (EMSs). The complexity of the system structure and failure mechanism makes it more difficult for reliability assessment of these systems. Uncertainty, dynamic and nonlinearity characteristics always exist in engineering systems due to the complexity introduced by the changing environments, lack of data and random interference. This paper presents a comprehensive study on the reliability assessment of complex systems. In view of the dynamic characteristics within the system, it makes use of the advantages of the dynamic fault tree (DFT) for characterizing system behaviors. The lifetime of system units can be expressed as bounded closed intervals by incorporating field failures, test data and design expertize. Then the coefficient of variation (COV) method is employed to estimate the parameters of life distributions. An extended probability-box (P-Box) is proposed to convey the present of epistemic uncertainty induced by the incomplete information about the data. By mapping the DFT into an equivalent Bayesian network (BN), relevant reliability parameters and indexes have been calculated. Furthermore, the Monte Carlo (MC) simulation method is utilized to compute the DFT model with consideration of system replacement policy. The results show that this integrated approach is more flexible and effective for assessing the reliability of complex dynamic systems. - Highlights: • A comprehensive study on the reliability assessment of complex system is presented. • An extended probability-box is proposed to convey the present of epistemic uncertainty. • The dynamic fault tree model is built. • Bayesian network and Monte Carlo simulation methods are used. • The reliability assessment of a complex electromechanical system is performed.

  9. Nonlinear Conte-Zbilut-Federici (CZF Method of Computing LF/HF Ratio: A More Reliable Index of Changes in Heart Rate Variability

    Directory of Open Access Journals (Sweden)

    Vernon Bond Jr

    2016-09-01

    Full Text Available Objectives: Acupuncture treatments are safe and effective for a wide variety of diseases involving autonomic dysregulation. Heart rate variability (HRV is a noninvasive method for assessing sympathovagal balance. The low frequency/high frequency (LF/HF spectral power ratio is an index of sympathovagal influence on heart rate and of cardi

  10. Modeling of seismic hazards for dynamic reliability analysis

    International Nuclear Information System (INIS)

    Mizutani, M.; Fukushima, S.; Akao, Y.; Katukura, H.

    1993-01-01

    This paper investigates the appropriate indices of seismic hazard curves (SHCs) for seismic reliability analysis. In the most seismic reliability analyses of structures, the seismic hazards are defined in the form of the SHCs of peak ground accelerations (PGAs). Usually PGAs play a significant role in characterizing ground motions. However, PGA is not always a suitable index of seismic motions. When random vibration theory developed in the frequency domain is employed to obtain statistics of responses, it is more convenient for the implementation of dynamic reliability analysis (DRA) to utilize an index which can be determined in the frequency domain. In this paper, we summarize relationships among the indices which characterize ground motions. The relationships between the indices and the magnitude M are arranged as well. In this consideration, duration time plays an important role in relating two distinct class, i.e. energy class and power class. Fourier and energy spectra are involved in the energy class, and power and response spectra and PGAs are involved in the power class. These relationships are also investigated by using ground motion records. Through these investigations, we have shown the efficiency of employing the total energy as an index of SHCs, which can be determined in the time and frequency domains and has less variance than the other indices. In addition, we have proposed the procedure of DRA based on total energy. (author)

  11. Extented second moment algebra as an efficient tool in structural reliability

    International Nuclear Information System (INIS)

    Ditlevsen, O.

    1982-01-01

    During the seventies, second moment structural reliability analysis was extensively discussed with respect to philosophy and method. One recent clarification into a consistent formalism is represented by the extended second moment reliability theory with the generalized reliability index as its measure of safety. Its methods of formal failure probability calculations are useful independent of the opinion that one may adopt about the philosophy of the second moment reliability formalism. After an introduction of the historical development of the philosphy the paper gives a short introductory review of the extended second moment structural reliability theory. (orig.)

  12. Validity and Reliability of Knowledge, Attitude and Behavior Assessment Tool Among Vulnerable Women Concerning Sexually Transmitted Diseases

    Directory of Open Access Journals (Sweden)

    Zahra Boroumandfar

    2016-05-01

    Full Text Available Objective: The study aimed to design and evaluate the content and face validity, and reliability of knowledge, attitude, and behavior questionnaire on preventive behaviors among vulnerable women concerning sexually transmitted diseases (STDs.Materials and methods: This cross-sectional study was carried out in two phases of an action research. In the first phase, to explain STDs preventive domains, 20 semi- structured interviews were conducted with the vulnerable women, residing at women prison and women referred to counseling centers. After analyzing content of interviews, three domains were identified: improve their knowledge, modify their attitude and change their behaviors. In the second phase, the questionnaire was designed and tested in a pilot study. Then, its content validity was evaluated. Face validity and reliability of the questionnaire were assessed by test re- test method and Cronbach alpha respectively.Results: Index of content validity in each three domain of the questionnaire (knowledge, attitude and behavior concerning STDs was obtained over 0.6. Overall content validity index was 0.86 in all three domains of the questionnaire. The Cronbach’s alpha as reliability of questionnaire was 0.80 for knowledge, 0.79 for attitude and 0.85 for behavior.Conclusion: The results showed that the designed questionnaire was a valid and reliable tool to measure knowledge, attitude and behavior of vulnerable women, predisposed to risk of STDs.

  13. A review of culturally adapted versions of the Oswestry Disability Index: the adaptation process, construct validity, test-retest reliability and internal consistency.

    Science.gov (United States)

    Sheahan, Peter J; Nelson-Wong, Erika J; Fischer, Steven L

    2015-01-01

    The Oswestry Disability Index (ODI) is a self-report-based outcome measure used to quantify the extent of disability related to low back pain (LBP), a substantial contributor to workplace absenteeism. The ODI tool has been adapted for use by patients in several non-English speaking nations. It is unclear, however, if these adapted versions of the ODI are as credible as the original ODI developed for English-speaking nations. The objective of this study was to conduct a review of the literature to identify culturally adapted versions of the ODI and to report on the adaptation process, construct validity, test-retest reliability and internal consistency of these ODIs. Following a pragmatic review process, data were extracted from each study with regard to these four outcomes. While most studies applied adaptation processes in accordance with best-practice guidelines, there were some deviations. However, all studies reported high-quality psychometric properties: group mean construct validity was 0.734 ± 0.094 (indicated via a correlation coefficient), test-retest reliability was 0.937 ± 0.032 (indicated via an intraclass correlation coefficient) and internal consistency was 0.876 ± 0.047 (indicated via Cronbach's alpha). Researchers can be confident when using any of these culturally adapted ODIs, or when comparing and contrasting results between cultures where these versions were employed. Implications for Rehabilitation Low back pain is the second leading cause of disability in the world, behind only cancer. The Oswestry Disability Index (ODI) has been developed as a self-report outcome measure of low back pain for administration to patients. An understanding of the various cross-cultural adaptations of the ODI is important for more concerted multi-national research efforts. This review examines 16 cross-cultural adaptations of the ODI and should inform the work of health care and rehabilitation professionals.

  14. A clinical tool to measure plagiocephaly in infants using a flexicurve: a reliability study

    Directory of Open Access Journals (Sweden)

    Leung A

    2013-10-01

    Full Text Available Amy Leung,1 Pauline Watter,2 John Gavranich3 1Department of Physiotherapy, Royal Children's Hospital, Brisbane, Australia; 2Physiotherapy Division, University of Queensland, Brisbane, Australia; 3Child and Family Health Services, West Moreton Health Service District, Ipswich, Australia Purpose: There has been an increasing incidence of infants presenting with plagiocephaly in the last two decades. A practical, economical, and reliable clinical plagiocephaly measure is essential to assess progression and intervention outcomes. This study investigated the reliability of a modified cranial vault asymmetry index using a flexible curve in infants. Measurement: A flexicurve was molded to the infant's head and its shape maintained as it was placed onto paper to trace the head shape. Using a small modification of Loveday and De Chaplain's procedure to measure a cranial vault asymmetry index, a pair of diagonals were drawn at 30° through the midpoint of the central line to their intersection with the traced head outline. The difference in length of the paired diagonals was divided by the short diameter then multiplied by 100%, yielding the modified cranial vault-asymmetry index. Patients and methods: Infants referred to a community health physiotherapist for assessment due to suspected abnormal head shape were included. To explore intrarater reliability, 34 infants aged 3–14 months were measured twice (T1/T1′ at the beginning, and 21 of these remeasured twice at the end (T2/T2′ of their physiotherapy sessions. Test–retest reliability used matched-average data (T1/T1′ and (T2/T2′ from 21 infants. To explore interrater reliability, 18 healthy infants aged 2–6 months were recruited. Each infant was measured once by each rater. Results: For intrarater reliability, the intraclass correlation coefficient with 54 degrees of freedom (ICCdf54 was 0.868 (95% confidence interval [CI] 0.783–0.921; for test–retest reliability, ICCdf20 = 0.958 (95

  15. In situ visualizing the evolution of the light-induced refractive index change of Mn:KLTN crystal with digital holographic interferometry

    Directory of Open Access Journals (Sweden)

    Jinxin Han

    2015-04-01

    Full Text Available The light-induced refractive index change in Mn:KLTN crystal, illuminated by focused light sheet, is visualized in situ and quantified by digital holographic interferometry. By numerically retrieving a series of sequential phase maps from recording digital holograms, the spatial distribution of the induced refractive index change can be visualized and estimated readily. This technique enables the observation of the temporal evolution of the refractive index change under different recording situations such as writing laser power, applied voltage, and temperature, and the photoconductivity of Mn:KLTN crystal can be calculated as well, the experimental results are in good agreement with the theory. The research results suggest that the presented method is successful and feasible.

  16. An index of financial safety of China

    Directory of Open Access Journals (Sweden)

    Xiaojun Jia

    2015-04-01

    indexes rose, which indicates the external environment improved so did China’s financial safety status; from 2012 to 2013 indexes declined because due to the rapid development of banks’ financial products and trust products, banks’ off-balance-sheet assets and liquidity risks increased. The changes of financial safety indexes are generally identical with those of China’s financial safety status.Research limitations/implications: In the empirical analysis part, this article tries to selective 24 indicators synthetic index of China's financial security, but due to some of the indicators data acquisition is relatively difficult, can only Selective 10 of 25 indicators and gather the annual data of 10 indicators from 2003 to 2013 to synthetic index. The information of eliminated indicators cannot be reflected in the index. Index change also does not reflect of the risk from these indicators. In order to make up for the above limitations, this paper is mainly to introduce and analysis our latest financial institutions business trends associated with these eliminated indicators to get the conclusions more reliable.Originality/value: The aim of this research is to estimate financial safety of China with the application of the index of financial safety of a country using the annual data of 2003-2013. Through synthetic index of financial security measure the risks of China's financial system, provide the basis for the government macro financial policy. The Originality of the paper is mainly manifested in incorporating factors which have made important impacts on China’s financial safety in recent years, but have not been taken into consideration in the existing studies into the newly constructed financial safety index system. For example, some factors that cannot be controlled easily might have huge hidden risk hazards. To be more specific, factors such as off-balance-sheet business, interbank business and shadow banking might trigger liquidity risks. In this way, the

  17. Reliability testing across the Environmental Quality Index and national environmental indices.

    Science.gov (United States)

    One challenge in environmental epidemiology is the exploration of cumulative environmental exposure across multiple domains (e.g. air, water, land). The Environmental Quality Index (EQI), created by the U.S. EPA, uses principle component analyses combining environmental domains (...

  18. Reliability and comparative validity of a Diet Quality Index for assessing dietary patterns of preschool-aged children in Sydney, Australia.

    Science.gov (United States)

    Kunaratnam, Kanita; Halaki, Mark; Wen, Li Ming; Baur, Louise A; Flood, Victoria M

    2018-03-01

    To report on the reliability and validity of a Diet Quality Index (DQI) to assess preschoolers dietary patterns using a short food frequency questionnaire (sFFQ) and 3-day food records (3d-FR). Seventy-seven preschool carers/parents completed a telephone interview on preschoolers (2-5-year olds) dietary habits in metropolitan Sydney. Agreement in scores was assessed using intraclass correlation (ICC) and paired t-tests for repeated sFFQ-DQI scores and Bland-Altman methods and paired t-tests for sFFQ-DQI and 3d-FR-DQI scores. Mean-total sFFQ-DQI ICC scores was high = 0.89, 95% CI (0.81, 0.93). There was weak agreement between sFFQ-DQI and 3d-FR-DQI scores (r = 0.36, p < 0.01). The 3d-FR-DQI scores were positively associated with carbohydrate, folate, ß-carotene, magnesium, calcium, protein, total fat and negatively associated with sugar, starch, niacin, vitamin C, phosphorus, polyunsaturated fat, and monounsaturated fat. The sFFQ-DQI demonstrated good reliability but weak validity. Associations between nutrients and 3d-FR-DQI scores indicate promising usability and warrants further investigation. Further research is needed to establish its validity in accurately scoring children's diet quality using sFFQ compared to 3d-FR before the tool can be implemented for use in population settings.

  19. Evaluating North American Electric Grid Reliability Using the Barabasi-Albert Network Model

    OpenAIRE

    Chassin, David P.; Posse, Christian

    2004-01-01

    The reliability of electric transmission systems is examined using a scale-free model of network structure and failure propagation. The topologies of the North American eastern and western electric networks are analyzed to estimate their reliability based on the Barabasi-Albert network model. A commonly used power system reliability index is computed using a simple failure propagation model. The results are compared to the values of power system reliability indices previously obtained using s...

  20. Effect of Fitness Qigong-Wuqinxi exercise on some physiological indexes of female college students

    Directory of Open Access Journals (Sweden)

    PAN Guojian

    2016-02-01

    Full Text Available To know the reaction and adaption of human body after taking Fitness Qigong-Wuqinxi exercise and promote the popularity of Fitness Qigong-Wuqinxi exercise in universities,especially in female college students who do not major in sports,we observed their gas metabolism indexes and heart rates and contrast body shape and some physical quality indexes before and after the regular exercise for 16 weeks.The results showed that the indexes of waist,BMI,back force,grip force,and proneness when sitting improved obviously.Although height,weight,abdominal skinfold thickness,body fate percentage didn′t have significant change,the development trend is toward the direction of health.After exercise for 16 weeks,the three indexes of lung ventilation (VE、VO2、VCO2 showed wave shape.It is obvious that Fitness Qigong-Wuqinxi exercise can obviously improve the body shape,physical quality,and the function of heart and lung.Also,the wave feature of the indexes of lung ventilation can adjust the cardiopulmonary function,so Fitness Qigong-Wuqinxi exercise is a new safe and reliable fitness program.

  1. Quantile index for gradual and abrupt change detection from CFB boiler sensor data in online settings

    NARCIS (Netherlands)

    Maslov, A.; Pechenizkiy, M.; Kärkkäinen, T.; Tähtinen, M.

    2012-01-01

    In this paper we consider the problem of online detection of gradual and abrupt changes in sensor data having high levels of noise and outliers. We propose a simple heuristic method based on the Quantile Index (QI) and study how robust this method is for detecting both gradual and abrupt changes

  2. Novel Threat-risk Index Using Probabilistic Risk Assessment and Human Reliability Analysis - Final Report

    Energy Technology Data Exchange (ETDEWEB)

    George A. Beitel

    2004-02-01

    In support of a national need to improve the current state-of-the-art in alerting decision makers to the risk of terrorist attack, a quantitative approach employing scientific and engineering concepts to develop a threat-risk index was undertaken at the Idaho National Engineering and Environmental Laboratory (INEEL). As a result of this effort, a set of models has been successfully integrated into a single comprehensive model known as Quantitative Threat-Risk Index Model (QTRIM), with the capability of computing a quantitative threat-risk index on a system level, as well as for the major components of the system. Such a threat-risk index could provide a quantitative variant or basis for either prioritizing security upgrades or updating the current qualitative national color-coded terrorist threat alert.

  3. National intelligence estimates and the Failed State Index.

    Science.gov (United States)

    Voracek, Martin

    2013-10-01

    Across 177 countries around the world, the Failed State Index, a measure of state vulnerability, was reliably negatively associated with the estimates of national intelligence. Psychometric analysis of the Failed State Index, compounded of 12 social, economic, and political indicators, suggested factorial unidimensionality of this index. The observed correspondence of higher national intelligence figures to lower state vulnerability might arise through these two macro-level variables possibly being proxies of even more pervasive historical and societal background variables that affect both.

  4. Development and psychometrics of the five item daily index in a psychiatric sample.

    Science.gov (United States)

    Dyer, Kale; Hooke, Geoff; Page, Andrew C

    2014-01-01

    Effective treatment of affective disorders requires the ability to reliably monitor patient progress and outcome. The current study aimed to establish the Daily Index-5 (DI-5) as a psychometrically sound and clinically valid measure of treatment response in psychiatric care for use as a companion measure with the WHO Wellbeing Index (WHO-5; Bech et al., 1996. Psychother. Psychosom. 65, 183-190.). Eight hundred and ninety four consecutive inpatients and day-patients at a psychiatric facility completed the DI-5, WHO-5, SF-36 (Ware et al., 1993. SF-36 Health Survey: Manual and Interpretation Guide. The Health Institute, New England Medical Centre, Boston, MA.) and DASS-21 (Lovibond and Lovibond, 1995b. Manual for the Depression Anxiety Stress Scales. Psychology Foundation, Sydney, Australia.; Ware et al., 1993. SF-36 Health Survey: Manual and Interpretation Guide. The Health Institute, New England Medical Centre, Boston, MA.) routinely during treatment. The DI-5 was shown to be a measure with high reliability and validity. In addition criteria for clinically significant recovery are presented with an example implementation of a Clinical Significance Monitoring system. Finally, the latent structure of the DI-5 is established as a uni-dimensional index of affective disorder. The results may be generalized to samples with primary diagnoses of depressive and/or anxiety disorders though assessment of the DI-5 as a measure of treatment response is warranted in patients with other primary diagnoses. The current study indicates that the DI-5 is a quick to administer and interpret, reliable and valid measure for assessing patient outcome that is appropriate for use in monitoring patient change. © 2013 Published by Elsevier B.V.

  5. Estimating Search Engine Index Size Variability

    DEFF Research Database (Denmark)

    Van den Bosch, Antal; Bogers, Toine; De Kunder, Maurice

    2016-01-01

    One of the determining factors of the quality of Web search engines is the size of their index. In addition to its influence on search result quality, the size of the indexed Web can also tell us something about which parts of the WWW are directly accessible to the everyday user. We propose a novel...... method of estimating the size of a Web search engine’s index by extrapolating from document frequencies of words observed in a large static corpus of Web pages. In addition, we provide a unique longitudinal perspective on the size of Google and Bing’s indices over a nine-year period, from March 2006...... until January 2015. We find that index size estimates of these two search engines tend to vary dramatically over time, with Google generally possessing a larger index than Bing. This result raises doubts about the reliability of previous one-off estimates of the size of the indexed Web. We find...

  6. Wobbe index control system in gas industry processes; Systeme de controle de l'index de Wobbe du gaz naturel dans les processus industriels

    Energy Technology Data Exchange (ETDEWEB)

    Cassibba, M.; Bertani, M. [SNAM, (Italy)

    2000-07-01

    Natural gas supplied to industry for process utilizations originates from different sources and that can cause fluctuations in gas composition. Changing gas composition may lead to production problems in industry with sensitive thermal processes (particularly glass industry and thermal metal treatments), such as efficiency and product quality. An equipment suitable to control and adjust such variations has been developed. Experimental tests in laboratory were carried out in order to investigate the control system accuracy and reliability. In particular five different settings were tested: at a preset thermal input by adjusting the natural gas flow rate in respect to Wobbe Index variations; at a set furnace temperature and stack oxygen level with variable thermal input by monitoring the Wobbe Index value; at constant Wobbe Index value by adding air to natural gas; at constant thermal input and prefixed Wobbe Index value by adding air to natural gas and varying the air and gas mixture flow rate; gross calorific value control by adding air or LPG to natural gas. All the tested settings gave good results. This report illustrates these results and the main features of the control system. The control and regulation system was installed in two glass factories for field tests. (authors)

  7. Bus Operation Monitoring Oriented Public Transit Travel Index System and Calculation Models

    Directory of Open Access Journals (Sweden)

    Jiancheng Weng

    2013-01-01

    Full Text Available This study proposed a two-dimensional index system which is concerned essentially with urban travel based on travel modes and user satisfaction. First, the public transit was taken as an example to describe the index system establishing process. In consideration of convenience, rapid, reliability, comfort, and safety, a bus service evaluation index system was established. The indicators include the N-minute coverage of bus stops, average travel speed, and fluctuation of travel time between stops and bus load factor which could intuitively describe the characteristics of public transport selected to calculate bus travel indexes. Then, combined with the basic indicators, the calculation models of Convenience Index (CI, Rapid Index (RI, Reliability Index (RBI, and Comfort Index (CTI were established based on the multisource data of public transit including the real-time bus GPS data and passenger IC card data. Finally, a case study of Beijing bus operation evaluation and analysis was conducted by taking real bus operation data including GPS data and passenger transaction recorder (IC card data. The results showed that the operation condition of the public transit was well reflected and scientifically classified by the bus travel index models.

  8. Corruption perception index as an indicator of the level of corruption in an individual country and the world

    Directory of Open Access Journals (Sweden)

    Irina A. Moiseeva

    2018-03-01

    Full Text Available Objective to evaluate the methodology of corruption analysis based on the corruption perception index. nbsp Methods the author used such sociological method as nonparticipant simple observation methods of expert assessments and analysis of documents grouping and summarizing calculation of generalizing indicators analysis economicmathematical and statistical techniques. nbsp Results the corruption perception index like any other method of studying corruption available in science cannot be recognized as a universal indicator of its measurement. It does not meet the requirements of measurement reliability the number of data sources and countries included in the index changed new surveys emerged and some studies were discontinued changes to the calculation methodology were made. Therefore the only reliable technique is to compare the data on a particular state from the same specific source over a period of time. However the author believes that the monitoring of changes of this indicator in a particular state may be important for assessing the achievement of the statersquos tasks aimed at improving the investment climate. nbsp Scientific novelty despite numerous studies of certain aspects of anticorruption the search for a universal method for evaluating the effectiveness of this struggle continues. Basing on the data studied by the author a quantitative sociologicalstatistical assessment of the effectiveness of anticorruption measures in the Republic of Belarus and neighboring countries is given. The article also substantiates the proposal to develop the anticorruption index for the countries which are similar in the standards of doing business and a common understanding of national interests and methods of achieving them namely the Customs Union CIS BRICS and SCO countries. Practical significance the provisions and conclusions of the research can be used by the state authorities and public organizations for the formation and implementation of the

  9. The reliability and validity of a Venezuelan version of the Bath Ankylosing Spondylitis Functional Index (BASFI) and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI).

    Science.gov (United States)

    Rauseo Vera, Mayra; Gutiérrez-González, Luis Arturo; Maldonado, Irama; Al Snih, Soham

    2017-09-21

    Spondyloarthropathies (SpA) are disabling diseases with a prevalence of 1.9% in the general population. The indices designed for monitoring the disease should be valid, reliable and cross-culturally adapted for decision-making concerning the appropriate treatment. Changing an adjective or pronoun in a self-administered questionnaire could be the big difference in condensing an idea in a few words and transmitting that concept to all those who share the same language. To develop a Venezuelan version of the original English version of the BASDAI/BASFI and to evaluate its reliability and validity in Venezuelan patients with SpA. Certified linguists were needed for the translation of a Venezuelan version of the BASDAI/BASFI. The evaluation of reliability and validity was performed by calculating correlation coefficients in addition to Cronbach's alpha correlation between the BASDAI score and the clinical parameters (for example: erythrocyte sedimentation rate, C-reactive protein, modified Schöber test, occiput-to-wall distance and enthesis count). We studied 40 patients including 31 men (77.5%) and 9 women (22.5%). The mean age was 35.9 years ± standard deviation (SD) 12.01 and the disease duration was 11.5 years (± SD 9.5). The most common diagnoses were undifferentiated spondyloarthritis (45%), ankylosing spondylitis (27.5%) and psoriatic arthritis (20%). The incidences of reactive arthritis, ankylosing spondylitis and juvenile Reiter's syndrome were 2.5% each. The test-retest reliability of the BASDAI and BASFI was high (R = 0.99 and 0.99, respectively; P<.0001). The internal consistency for the BASDAI was high (Cronbach's alpha = 0.88; P=.002) and the intraclass correlation coefficient for internal consistency: 0.9867 (P=.001). Internal consistency for the BASFI: Cronbach's alpha = 0.7985 (P=.002), intraclass correlation coefficient for internal consistency: 0.9055 (P=.001). Construct validity of the BASDAI was high for general well-being of the patient (R = 0

  10. Facial Angiofibroma Severity Index (FASI): reliability assessment of a new tool developed to measure severity and responsiveness to therapy in tuberous sclerosis-associated facial angiofibroma.

    Science.gov (United States)

    Salido-Vallejo, R; Ruano, J; Garnacho-Saucedo, G; Godoy-Gijón, E; Llorca, D; Gómez-Fernández, C; Moreno-Giménez, J C

    2014-12-01

    Tuberous sclerosis complex (TSC) is an autosomal dominant neurocutaneous disorder characterized by the development of multisystem hamartomatous tumours. Topical sirolimus has recently been suggested as a potential treatment for TSC-associated facial angiofibroma (FA). To validate a reproducible scale created for the assessment of clinical severity and treatment response in these patients. We developed a new tool, the Facial Angiofibroma Severity Index (FASI) to evaluate the grade of erythema and the size and extent of FAs. In total, 30 different photographs of patients with TSC were shown to 56 dermatologists at each evaluation. Three evaluations using the same photographs but in a different random order were performed 1 week apart. Test and retest reliability and interobserver reproducibility were determined. There was good agreement between the investigators. Inter-rater reliability showed strong correlations (> 0.98; range 0.97-0.99) with inter-rater correlation coefficients (ICCs) for the FASI. The global estimated kappa coefficient for the degree of intra-rater agreement (test-retest) was 0.94 (range 0.91-0.97). The FASI is a valid and reliable tool for measuring the clinical severity of TSC-associated FAs, which can be applied in clinical practice to evaluate the response to treatment in these patients. © 2014 British Association of Dermatologists.

  11. Development of the Informing Relatives Inventory (IRI): Assessing Index Patients' Knowledge, Motivation and Self-Efficacy Regarding the Disclosure of Hereditary Cancer Risk Information to Relatives.

    Science.gov (United States)

    de Geus, Eveline; Aalfs, Cora M; Menko, Fred H; Sijmons, Rolf H; Verdam, Mathilde G E; de Haes, Hanneke C J M; Smets, Ellen M A

    2015-08-01

    Despite the use of genetic services, counselees do not always share hereditary cancer information with at-risk relatives. Reasons for not informing relatives may be categorized as a lack of: knowledge, motivation, and/or self-efficacy. This study aims to develop and test the psychometric properties of the Informing Relatives Inventory, a battery of instruments that intend to measure counselees' knowledge, motivation, and self-efficacy regarding the disclosure of hereditary cancer risk information to at-risk relatives. Guided by the proposed conceptual framework, existing instruments were selected and new instruments were developed. We tested the instruments' acceptability, dimensionality, reliability, and criterion-related validity in consecutive index patients visiting the Clinical Genetics department with questions regarding hereditary breast and/or ovarian cancer or colon cancer. Data of 211 index patients were included (response rate = 62%). The Informing Relatives Inventory (IRI) assesses three barriers in disclosure representing seven domains. Instruments assessing index patients' (positive) motivation and self-efficacy were acceptable and reliable and suggested good criterion-related validity. Psychometric properties of instruments assessing index patients knowledge were disputable. These items were moderately accepted by index patients and the criterion-related validity was weaker. This study presents a first conceptual framework and associated inventory (IRI) that improves insight into index patients' barriers regarding the disclosure of genetic cancer information to at-risk relatives. Instruments assessing (positive) motivation and self-efficacy proved to be reliable measurements. Measuring index patients knowledge appeared to be more challenging. Further research is necessary to ensure IRI's dimensionality and sensitivity to change.

  12. Applications of Optical Interferometer Techniques for Precision Measurements of Changes in Temperature, Growth and Refractive Index of Materials

    Directory of Open Access Journals (Sweden)

    Rami Reddy Bommareddi

    2014-05-01

    Full Text Available Optical metrology techniques used to measure changes in thickness; temperature and refractive index are surveyed. Optical heterodyne detection principle and its applications for precision measurements of changes in thickness and temperature are discussed. Theoretical formulations are developed to estimate crystal growth rate, surface roughness and laser cooling/heating of solids. Applications of Michelson and Mach-Zehnder interferometers to measure temperature changes in laser heating of solids are described. A Mach-Zehnder interferometer is used to measure refractive index and concentration variations of solutions in crystal growth experiments. Additionally, fluorescence lifetime sensing and fluorescence ratio method are described for temperature measurement. For all the above techniques, uncertainty calculations are included.

  13. The Environmental Action Internal Control Index.

    Science.gov (United States)

    Smith-Sebasto, N. J.; Fortner, Rosanne W.

    1994-01-01

    Reports research designed to develop a reliable and valid instrument to assess the relationship between locus of control of reinforcement and environmentally responsible behavior in (n=853) undergraduate students. Results suggest that the Environmental Action Internal Control Index can accurately predict environmentally responsible behavior.…

  14. Comparison of reliability of lateral cephalogram and computed ...

    African Journals Online (AJOL)

    2014-05-07

    May 7, 2014 ... measurements acquired from both the modalities are reliable and reproducible, but .... paint on all the slice of the image stack in the axial plane of ..... between body mass index, age and upper airway measurements in snorers.

  15. Malmquist Productivity Index on Efficiency Layers

    Directory of Open Access Journals (Sweden)

    F. Rezai balf ∗

    2012-09-01

    Full Text Available Data Envelopment Analysis (DEA, a popular linear programming technique is useful to rate comparatively operational effiency of decision Making Unit (DMU based on the their deterministic inputoutput data. The Malmquist productivity index in DEA, calculable with the distance function, for measurement the productivity change among two variant time period or two variant group in the same time. This index is based on two factor of efficiency change index and a technological change index. In this paper, we operate on the collective Malmquist productivity index, which performs clustering operation DMUs with classification into different levels of efficient frontier, and then we discuss on the relation between Malmquist index on the efficiency layers and their attractiveness and progress

  16. Indexation doesn't make sense

    OpenAIRE

    Harry. M Kat

    2002-01-01

    In this brief note we argue that for investors that are serious about matching (the risks of) assets and liabilities, indexation is a doubtful proposition as significant autonomous changes may occur in the industry allocation and accompanying risk-return profile of the portfolio underlying the index. The name of the index may not change, but the underlying portfolio does!

  17. The reliability and internal consistency of one-shot and flicker change detection for measuring individual differences in visual working memory capacity.

    Science.gov (United States)

    Pailian, Hrag; Halberda, Justin

    2015-04-01

    We investigated the psychometric properties of the one-shot change detection task for estimating visual working memory (VWM) storage capacity-and also introduced and tested an alternative flicker change detection task for estimating these limits. In three experiments, we found that the one-shot whole-display task returns estimates of VWM storage capacity (K) that are unreliable across set sizes-suggesting that the whole-display task is measuring different things at different set sizes. In two additional experiments, we found that the one-shot single-probe variant shows improvements in the reliability and consistency of K estimates. In another additional experiment, we found that a one-shot whole-display-with-click task (requiring target localization) also showed improvements in reliability and consistency. The latter results suggest that the one-shot task can return reliable and consistent estimates of VWM storage capacity (K), and they highlight the possibility that the requirement to localize the changed target is what engenders this enhancement. Through a final series of four experiments, we introduced and tested an alternative flicker change detection method that also requires the observer to localize the changing target and that generates, from response times, an estimate of VWM storage capacity (K). We found that estimates of K from the flicker task correlated with estimates from the traditional one-shot task and also had high reliability and consistency. We highlight the flicker method's ability to estimate executive functions as well as VWM storage capacity, and discuss the potential for measuring multiple abilities with the one-shot and flicker tasks.

  18. Clinical use of the ABO-Scoring Index: reliability and subtraction frequency.

    Science.gov (United States)

    Lieber, William S; Carlson, Sean K; Baumrind, Sheldon; Poulton, Donald R

    2003-10-01

    This study tested the reliability and subtraction frequency of the study model-scoring system of the American Board of Orthodontists (ABO). We used a sample of 36 posttreatment study models that were selected randomly from six different orthodontic offices. Intrajudge and interjudge reliability was calculated using nonparametric statistics (Spearman rank coefficient, Wilcoxon, Kruskal-Wallis, and Mann-Whitney tests). We found differences ranging from 3 to 6 subtraction points (total score) for intrajudge scoring between two sessions. For overall total ABO score, the average correlation was .77. Intrajudge correlation was greatest for occlusal relationships and least for interproximal contacts. Interjudge correlation for ABO score averaged r = .85. Correlation was greatest for buccolingual inclination and least for overjet. The data show that some judges, on average, were much more lenient than others and that this resulted in a range of total scores between 19.7 and 27.5. Most of the deductions were found in the buccal segments and most were related to the second molars. We present these findings in the context of clinicians preparing for the ABO phase III examination and for orthodontists in their ongoing evaluation of clinical results.

  19. Reliability, standard error, and minimum detectable change of clinical pressure pain threshold testing in people with and without acute neck pain.

    Science.gov (United States)

    Walton, David M; Macdermid, Joy C; Nielson, Warren; Teasell, Robert W; Chiasson, Marco; Brown, Lauren

    2011-09-01

    Clinical measurement. To evaluate the intrarater, interrater, and test-retest reliability of an accessible digital algometer, and to determine the minimum detectable change in normal healthy individuals and a clinical population with neck pain. Pressure pain threshold testing may be a valuable assessment and prognostic indicator for people with neck pain. To date, most of this research has been completed using algometers that are too resource intensive for routine clinical use. Novice raters (physiotherapy students or clinical physiotherapists) were trained to perform algometry testing over 2 clinically relevant sites: the angle of the upper trapezius and the belly of the tibialis anterior. A convenience sample of normal healthy individuals and a clinical sample of people with neck pain were tested by 2 different raters (all participants) and on 2 different days (healthy participants only). Intraclass correlation coefficient (ICC), standard error of measurement, and minimum detectable change were calculated. A total of 60 healthy volunteers and 40 people with neck pain were recruited. Intrarater reliability was almost perfect (ICC = 0.94-0.97), interrater reliability was substantial to near perfect (ICC = 0.79-0.90), and test-retest reliability was substantial (ICC = 0.76-0.79). Smaller change was detectable in the trapezius compared to the tibialis anterior. This study provides evidence that novice raters can perform digital algometry with adequate reliability for research and clinical use in people with and without neck pain.

  20. Prediction of safety critical software operational reliability from test reliability using testing environment factors

    International Nuclear Information System (INIS)

    Jung, Hoan Sung; Seong, Poong Hyun

    1999-01-01

    It has been a critical issue to predict the safety critical software reliability in nuclear engineering area. For many years, many researches have focused on the quantification of software reliability and there have been many models developed to quantify software reliability. Most software reliability models estimate the reliability with the failure data collected during the test assuming that the test environments well represent the operation profile. User's interest is however on the operational reliability rather than on the test reliability. The experiences show that the operational reliability is higher than the test reliability. With the assumption that the difference in reliability results from the change of environment, from testing to operation, testing environment factors comprising the aging factor and the coverage factor are developed in this paper and used to predict the ultimate operational reliability with the failure data in testing phase. It is by incorporating test environments applied beyond the operational profile into testing environment factors. The application results show that the proposed method can estimate the operational reliability accurately. (Author). 14 refs., 1 tab., 1 fig

  1. RTE - Reliability report 2016

    International Nuclear Information System (INIS)

    2017-06-01

    Every year, RTE produces a reliability report for the past year. This document lays out the main factors that affected the electrical power system's operational reliability in 2016 and the initiatives currently under way intended to ensure its reliability in the future. Within a context of the energy transition, changes to the European interconnected network mean that RTE has to adapt on an on-going basis. These changes include the increase in the share of renewables injecting an intermittent power supply into networks, resulting in a need for flexibility, and a diversification in the numbers of stakeholders operating in the energy sector and changes in the ways in which they behave. These changes are dramatically changing the structure of the power system of tomorrow and the way in which it will operate - particularly the way in which voltage and frequency are controlled, as well as the distribution of flows, the power system's stability, the level of reserves needed to ensure supply-demand balance, network studies, assets' operating and control rules, the tools used and the expertise of operators. The results obtained in 2016 are evidence of a globally satisfactory level of reliability for RTE's operations in somewhat demanding circumstances: more complex supply-demand balance management, cross-border schedules at interconnections indicating operation that is closer to its limits and - most noteworthy - having to manage a cold spell just as several nuclear power plants had been shut down. In a drive to keep pace with the changes expected to occur in these circumstances, RTE implemented numerous initiatives to ensure high levels of reliability: - maintaining investment levels of euro 1.5 billion per year; - increasing cross-zonal capacity at borders with our neighbouring countries, thus bolstering the security of our electricity supply; - implementing new mechanisms (demand response, capacity mechanism, interruptibility, etc.); - involvement in tests or projects

  2. The use of adaptable automation: Effects of extended skill lay-off and changes in system reliability.

    Science.gov (United States)

    Sauer, Juergen; Chavaillaz, Alain

    2017-01-01

    This experiment aimed to examine how skill lay-off and system reliability would affect operator behaviour in a simulated work environment under wide-range and large-choice adaptable automation comprising six different levels. Twenty-four participants were tested twice during a 2-hr testing session, with the second session taking place 8 months after the first. In the middle of the second testing session, system reliability changed. The results showed that after the retention interval trust increased and self-confidence decreased. Complacency was unaffected by the lay-off period. Diagnostic speed slowed down after the retention interval but diagnostic accuracy was maintained. No difference between experimental conditions was found for automation management behaviour (i.e. level of automation chosen and frequency of switching between levels). There were few effects of system reliability. Overall, the findings showed that subjective measures were more sensitive to the impact of skill lay-off than objective behavioural measures. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Development and validation of the Dyspnea Index (DI): a severity index for upper airway-related dyspnea.

    Science.gov (United States)

    Gartner-Schmidt, Jackie L; Shembel, Adrianna C; Zullo, Thomas G; Rosen, Clark A

    2014-11-01

    To (1) develop and validate the Dyspnea Index (DI); (2) quantify severity of symptoms in upper airway dyspnea; and (3) validate the DI as an outcome measure. Survey development and validation. Three hundred sixty-nine participants were recruited for different phases of the study. Two hundred participants with chief complaints of dyspnea were given a 41-item questionnaire addressing common symptoms of dyspnea related to the upper airway. The questions were then reduced based on principal component analysis (PCA) and internal consistency resulting in a 10-item questionnaire. Cognitive interviews were conducted with 15 participants. Test-retest reliability and discriminant validity were measured from 51 participants. The DI was further validated by administering the index to 57 healthy controls (HC). Validation of the DI as a treatment outcome tool occurred with 46 participants' pre- and post-treatment scores. PCA revealed that only a single factor was being measured in both the original 41- and 10-item questionnaires. Additional cognitive interviewing suggested that no modification was needed to the DI. Test-retest reliability was r = 0.83. Discriminant validity was r = 0.62. The Mann-Whitney test demonstrated significant differences between healthy/symptomatic participants. Scores from the HC cohort resulted in a mean of 3.12 (SEM = 0.484; SD = 3.65) for the normative values. The DI is an effective and efficient instrument to quantify patients' symptoms of upper airway dyspnea. It is a statistically robust index, with significant reliability and validity, and can be dependably used as a treatment outcome measure. Copyright © 2014 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  4. Validity of the American Board of Orthodontics Discrepancy Index and the Peer Assessment Rating Index for comprehensive evaluation of malocclusion severity.

    Science.gov (United States)

    Liu, S; Oh, H; Chambers, D W; Baumrind, S; Xu, T

    2017-08-01

    To assess the validity of the American Board of Orthodontics Discrepancy Index (ABO-DI) and Peer Assessment Rating (PAR) Index in evaluating malocclusion severity in Chinese orthodontic patients. A stratified random sample of 120 orthodontic patients based on Angle classification was collected from six university orthodontic centres. Sixty-nine orthodontists rated malocclusion severity on a five-point scale by assessing a full set of pre-treatment records for each case and listed reasons for their decision. Their judgement was then compared with ABO-DI and PAR scores determined by three calibrated examiners. Excellent interexaminer reliability of clinician judgement, ABO-DI and PAR index was demonstrated by the Intraclass Correlation Coefficient (rho= 0.995, 0.990 and 0.964, respectively). Both the ABO-DI and US-PAR index showed good correlation with clinician judgement (r=.700 and r=.707, respectively). There was variability among the different Angle classifications: the ABO-DI showed the highest correlation with clinician judgement in Class II patients (r=.780), whereas the US-PAR index showed the highest correlation with clinician judgement in Class III patients (r=.710). Both indices demonstrated the lowest correlations with clinician judgement in Class I patients. With strong interexaminer agreement, the panel consensus was used for validating the ABO-DI and US-PAR index for malocclusion severity. Overall, the ABO-DI and US-PAR index were reliable for measuring malocclusion severity with significantly variable weightings for different Angle classifications. Further modification of the indices for different Angle classification may be indicated. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  5. Transient stability index for online stability assessment and contingency evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Ribbens-Pavella, M; Murthy, P G; Horward, J L; Carpentier, J L

    1982-04-01

    An on-line methodology is proposed for assessing the robustness of a power system from the point of view of transient stability, and a scalar expression, the transient stability index, is accordingly derived. The reliability and sensitivity of this index are tested by means of simulations for a number of power system cases. The index is shown to be appropriate for online stability assessment, contingency evaluation and preventive control. 14 refs.

  6. Evaluation of Changes in Index Properties of Lateritic Soil Stabilized with Fly Ash

    Directory of Open Access Journals (Sweden)

    Agapitus AMADI

    2010-12-01

    Full Text Available For soils to be suitable in civil engineering projects, they must meet existing local requirements for index properties in addition to certain strength criteria. Typically, specifications limit these properties to some threshold values which in most cases are project specific. Some lateritic soils in their natural state need some treatment/modification to meet these specification requirements. The objective of this study was to evaluate changes in the index properties (i.e., particle size distribution, Atterberg limits and compaction characteristics of a residually derived lateritic soil following fly ash application. Lateritic soil – fly ash mixtures with up to 20% fly ash by dry weight of soil were tested and specimens for compaction characteristics were prepared at different compaction states (optimum, dry and wet of optimum moisture content and compacted using British Standard Light (BSL compactive effort. While soil – fly ash mixtures containing up to 15% fly ash classify as CL according to USCS classification system and plotted above A-line in the plasticity chart, it was observed that changes in the gradation characteristics of soil sample treated with 20% fly ash resulted in the alteration of its classification to ML as well as the crossing of the A- line to the silty region. The liquid limit (LL varied from 42.2 to 29.53% representing 70% reduction while the plasticity index (PI of specimen treated with 20% fly ash was 16% lower than that of natural soil. The optimum moisture content (OMC ranged from 17.36% for the natural soil to 18.34% for soil mixtures containing 20% fly ash which yielded dry unit weight of 17.2kN/m3 for the natural soil and 16.1kN/m3 for samples treated with 20% fly ash. From the study, useful data were obtained showing substantial and desirable changes in the properties of lateritic soil as a civil engineering material on application of fly ash.

  7. The impact of reliability on the productivity of railroad companies

    DEFF Research Database (Denmark)

    Abate, Megersa Abera; Lijesen, Mark; Pels, Eric

    2013-01-01

    This paper studies the relationship between reliability (proxied by punctuality) and productivity in passenger railroad services. Increasing reliability may lower productivity, as it requires inputs, that can’t be used to produce outputs. The relationship between reliability and productivity also...... runs through other factors, in which case a positive relationship may be expected. We apply data envelopment analysis and the Malmquist index approach to a panel of seven European railway systems to explore this relationship. Our empirical results suggest that increasing reliability does not harm...... the productivity of railway operations and aiming to improve both may be a feasible strategy. © 2013 Elsevier Ltd. All rights reserved....

  8. Refractive index modulation of Sb{sub 70}Te{sub 30} phase-change thin films by multiple femtosecond laser pulses

    Energy Technology Data Exchange (ETDEWEB)

    Lei, Kai; Wang, Yang, E-mail: ywang@siom.ac.cn; Jiang, Minghui; Wu, Yiqun [Key Laboratory of High Power Laser Materials, Shanghai Institute of Optics and Fine Mechanics, Chinese Academy of Sciences, Shanghai 201800 (China)

    2016-05-07

    In this study, the controllable effective refractive index modulation of Sb{sub 70}Te{sub 30} phase-change thin films between amorphous and crystalline states was achieved experimentally by multiple femtosecond laser pulses. The modulation mechanism was analyzed comprehensively by a spectral ellipsometer measurement, surface morphology observation, and two-temperature model calculations. We numerically demonstrate the application of the optically modulated refractive index of the phase-change thin films in a precisely adjustable color display. These results may provide further insights into ultrafast phase-transition mechanics and are useful in the design of programmable photonic and opto-electrical devices based on phase-change memory materials.

  9. Reliability, factor analysis and internal consistency calculation of the Insomnia Severity Index (ISI) in French and in English among Lebanese adolescents.

    Science.gov (United States)

    Chahoud, M; Chahine, R; Salameh, P; Sauleau, E A

    2017-06-01

    Our goal is to validate and to verify the reliability of the French and English versions of the Insomnia Severity Index (ISI) in Lebanese adolescents. A cross-sectional study was implemented. 104 Lebanese students aged between 14 and 19 years participated in the study. The English version of the questionnaire was distributed to English-speaking students and the French version was administered to French-speaking students. A scale (1 to 7 with 1 = very well understood and 7 = not at all) was used to identify the level of the students' understanding of each instruction, question and answer of the ISI. The scale's structural validity was assessed. The factor structure of ISI was evaluated by principal component analysis. The internal consistency of this scale was evaluated by Cronbach's alpha. To assess test-retest reliability the intraclass correlation coefficient (ICC) was used. The principal component analysis confirmed the presence of a two-component factor structure in the English version and a three-component factor structure in the French version with eigenvalues > 1. The English version of the ISI had an excellent internal consistency (α = 0.90), while the French version had a good internal consistency (α = 0.70). The ICC presented an excellent agreement in the French version (ICC = 0.914, CI = 0.856-0.949) and a good agreement in the English one (ICC = 0.762, CI = 0.481-890). The Bland-Altman plots of the two versions of the ISI showed that the responses over two weeks' were comparable and very few outliers were detected. The results of our analyses reveal that both English and French versions of the ISI scale have good internal consistency and are reproducible and reliable. Therefore, it can be used to assess the prevalence of insomnia in Lebanese adolescents.

  10. Test-retest reliability of cognitive EEG

    Science.gov (United States)

    McEvoy, L. K.; Smith, M. E.; Gevins, A.

    2000-01-01

    OBJECTIVE: Task-related EEG is sensitive to changes in cognitive state produced by increased task difficulty and by transient impairment. If task-related EEG has high test-retest reliability, it could be used as part of a clinical test to assess changes in cognitive function. The aim of this study was to determine the reliability of the EEG recorded during the performance of a working memory (WM) task and a psychomotor vigilance task (PVT). METHODS: EEG was recorded while subjects rested quietly and while they performed the tasks. Within session (test-retest interval of approximately 1 h) and between session (test-retest interval of approximately 7 days) reliability was calculated for four EEG components: frontal midline theta at Fz, posterior theta at Pz, and slow and fast alpha at Pz. RESULTS: Task-related EEG was highly reliable within and between sessions (r0.9 for all components in WM task, and r0.8 for all components in the PVT). Resting EEG also showed high reliability, although the magnitude of the correlation was somewhat smaller than that of the task-related EEG (r0.7 for all 4 components). CONCLUSIONS: These results suggest that under appropriate conditions, task-related EEG has sufficient retest reliability for use in assessing clinical changes in cognitive status.

  11. Reliability, validity, and responsiveness of the Western Ontario and McMaster Universities Osteoarthritis Index for elderly patients with a femoral neck fracture.

    Science.gov (United States)

    Burgers, Paul T P W; Poolman, Rudolf W; Van Bakel, Theodorus M J; Tuinebreijer, Wim E; Zielinski, Stephanie M; Bhandari, Mohit; Patka, Peter; Van Lieshout, Esther M M

    2015-05-06

    The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) has been extensively evaluated in groups of patients with osteoarthritis, yet not in patients with a femoral neck fracture. This study aimed to determine the reliability, construct validity, and responsiveness of the WOMAC compared with the Short Form-12 (SF-12) and the EuroQol 5D (EQ-5D) questionnaires for the assessment of elderly patients with a femoral neck fracture. Reliability was tested by assessing the Cronbach alpha. Construct validity was determined with the Pearson correlation coefficient. Change scores were calculated from ten weeks to twelve months of follow-up. Standardized response means and floor and ceiling effects were determined. Analyses were performed to compare the results for patients less than eighty years old with those for patients eighty years of age or older. The mean WOMAC total score was 89 points before the fracture in the younger patients and increased from 70 points at ten weeks to 81 points at two years postoperatively. In the older age group, these scores were 86, 75, and 78 points. The mean WOMAC pain scores before the fracture and at ten weeks and two years postoperatively were 92, 76, and 87 points, respectively, in the younger age group and 92, 84, and 93 points in the older age group. Function scores were 89, 68, and 79 points for the younger age group and 84, 71, and 73 points for the older age group. The Cronbach alpha for pain, stiffness, function, and the total scale ranged from 0.83 to 0.98 for the younger age group and from 0.79 to 0.97 for the older age group. Construct validity was good, with 82% and 79% of predefined hypotheses confirmed in the younger and older age groups, respectively. Responsiveness was moderate. No floor effects were found. Moderate to large ceiling effects were found for pain and stiffness scales at ten weeks and twelve months in younger patients (18% to 36%) and in the older age group (38% to 53%). The WOMAC showed good

  12. Sensitivity Weaknesses in Application of some Statistical Distribution in First Order Reliability Methods

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Enevoldsen, I.

    1993-01-01

    It has been observed and shown that in some examples a sensitivity analysis of the first order reliability index results in increasing reliability index, when the standard deviation for a stochastic variable is increased while the expected value is fixed. This unfortunate behaviour can occur when...... a stochastic variable is modelled by an asymmetrical density function. For lognormally, Gumbel and Weibull distributed stochastic variables it is shown for which combinations of the/3-point, the expected value and standard deviation the weakness can occur. In relation to practical application the behaviour...... is probably rather infrequent. A simple example is shown as illustration and to exemplify that for second order reliability methods and for exact calculations of the probability of failure this behaviour is much more infrequent....

  13. Does Changing Examiner Stations During UK Postgraduate Surgery Objective Structured Clinical Examinations Influence Examination Reliability and Candidates' Scores?

    Science.gov (United States)

    Brennan, Peter A; Croke, David T; Reed, Malcolm; Smith, Lee; Munro, Euan; Foulkes, John; Arnett, Richard

    2016-01-01

    Objective structured clinical examinations (OSCE) are widely used for summative assessment in surgery. Despite standardizing these as much as possible, variation, including examiner scoring, can occur which may affect reliability. In study of a high-stakes UK postgraduate surgical OSCE, we investigated whether examiners changing stations once during a long examining day affected marking, reliability, and overall candidates' scores compared with examiners who examined the same scenario all day. An observational study of 18,262 examiner-candidate interactions from the UK Membership of the Royal College of Surgeons examination was carried at 3 Surgical Colleges across the United Kingdom. Scores between examiners were compared using analysis of variance. Examination reliability was assessed with Cronbach's alpha, and the comparative distribution of total candidates' scores for each day was evaluated using t-tests of unit-weighted z scores. A significant difference was found in absolute scores differences awarded in the morning and afternoon sessions between examiners who changed stations at lunchtime and those who did not (p design and examiner experience in surgical OSCEs and beyond. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  14. The Localized Scleroderma Skin Severity Index and Physician Global Assessment of Disease Activity: A Work in Progress Toward Development of Localized Scleroderma Outcome Measures

    Science.gov (United States)

    ARKACHAISRI, THASCHAWEE; VILAIYUK, SOAMARAT; LI, SUZANNE; O’NEIL, KATHLEEN M.; POPE, ELENA; HIGGINS, GLORIA C.; PUNARO, MARILYNN; RABINOVICH, EGLA C.; ROSENKRANZ, MARGALIT; KIETZ, DANIEL A.; ROSEN, PAUL; SPALDING, STEVEN J.; HENNON, TERESA R.; TOROK, KATHRYN S.; CASSIDY, ELAINE; MEDSGER, THOMAS A.

    2013-01-01

    Objective To develop and evaluate a Localized Scleroderma (LS) Skin Severity Index (LoSSI) and global assessments’ clinimetric property and effect on quality of life (QOL). Methods A 3-phase study was conducted. The first phase involved 15 patients with LS and 14 examiners who assessed LoSSI [surface area (SA), erythema (ER), skin thickness (ST), and new lesion/extension (N/E)] twice for inter/intrarater reliability. Patient global assessment of disease severity (PtGA-S) and Children’s Dermatology Life Quality Index (CDLQI) were collected for intrarater reliability evaluation. The second phase was aimed to develop clinical determinants for physician global assessment of disease activity (PhysGA-A) and to assess its content validity. The third phase involved 2 examiners assessing LoSSI and PhysGA-A on 27 patients. Effect of training on improving reliability/validity and sensitivity to change of the LoSSI and PhysGA-A was determined. Results Interrater reliability was excellent for ER [intraclass correlation coefficient (ICC) 0.71], ST (ICC 0.70), LoSSI (ICC 0.80), and PhysGA-A (ICC 0.90) but poor for SA (ICC 0.35); thus, LoSSI was modified to mLoSSI. Examiners’ experience did not affect the scores, but training/practice improved reliability. Intrarater reliability was excellent for ER, ST, and LoSSI (Spearman’s rho = 0.71–0.89) and moderate for SA. PtGA-S and CDLQI showed good intrarater agreement (ICC 0.63 and 0.80). mLoSSI correlated moderately with PhysGA-A and PtGA-S. Both mLoSSI and PhysGA-A were sensitive to change following therapy. Conclusion mLoSSI and PhysGA-A are reliable and valid tools for assessing LS disease severity and show high sensitivity to detect change over time. These tools are feasible for use in routine clinical practice. They should be considered for inclusion in a core set of LS outcome measures for clinical trials. PMID:19833758

  15. Optimization and Reliability Problems in Structural Design of Wind Turbines

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard

    2007-01-01

    are discussed. Limit state equations are presented for fatigue limit states and for ultimate limit states with extreme wind load, and illustrated by bending failure. Illustrative examples are presented, and as a part of the results optimal reliability levels are obtained which corresponds to an annual...... reliability index equal to 3. An example with fatigue failure indicates that the reliability level is almost the same for single wind turbines and for wind turbines in wind farms if the wake effects are modeled equivalently in the design equation and the limit state equation....

  16. Reliability of construction materials

    International Nuclear Information System (INIS)

    Merz, H.

    1976-01-01

    One can also speak of reliability with respect to materials. While for reliability of components the MTBF (mean time between failures) is regarded as the main criterium, this is replaced with regard to materials by possible failure mechanisms like physical/chemical reaction mechanisms, disturbances of physical or chemical equilibrium, or other interactions or changes of system. The main tasks of the reliability analysis of materials therefore is the prediction of the various failure reasons, the identification of interactions, and the development of nondestructive testing methods. (RW) [de

  17. Reliability assessment of serviceability performance of braced retaining walls using a neural network approach

    Science.gov (United States)

    Goh, A. T. C.; Kulhawy, F. H.

    2005-05-01

    In urban environments, one major concern with deep excavations in soft clay is the potentially large ground deformations in and around the excavation. Excessive movements can damage adjacent buildings and utilities. There are many uncertainties associated with the calculation of the ultimate or serviceability performance of a braced excavation system. These include the variabilities of the loadings, geotechnical soil properties, and engineering and geometrical properties of the wall. A risk-based approach to serviceability performance failure is necessary to incorporate systematically the uncertainties associated with the various design parameters. This paper demonstrates the use of an integrated neural network-reliability method to assess the risk of serviceability failure through the calculation of the reliability index. By first performing a series of parametric studies using the finite element method and then approximating the non-linear limit state surface (the boundary separating the safe and failure domains) through a neural network model, the reliability index can be determined with the aid of a spreadsheet. Two illustrative examples are presented to show how the serviceability performance for braced excavation problems can be assessed using the reliability index.

  18. Reliabilities of genomic estimated breeding values in Danish Jersey

    DEFF Research Database (Denmark)

    Thomasen, Jørn Rind; Guldbrandtsen, Bernt; Su, Guosheng

    2012-01-01

    In order to optimize the use of genomic selection in breeding plans, it is essential to have reliable estimates of the genomic breeding values. This study investigated reliabilities of direct genomic values (DGVs) in the Jersey population estimated by three different methods. The validation methods...... were (i) fivefold cross-validation and (ii) validation on the most recent 3 years of bulls. The reliability of DGV was assessed using squared correlations between DGV and deregressed proofs (DRPs). In the recent 3-year validation model, estimated reliabilities were also used to assess the reliabilities...... of DGV. The data set consisted of 1003 Danish Jersey bulls with conventional estimated breeding values (EBVs) for 14 different traits included in the Nordic selection index. The bulls were genotyped for Single-nucleotide polymorphism (SNP) markers using the Illumina 54 K chip. A Bayesian method was used...

  19. Determination of Satisfaction Index as a tool in evaluation of CME Program

    Directory of Open Access Journals (Sweden)

    Kuldeep Singh

    2014-03-01

    Full Text Available Continuing Medical Education is an indispensable part of physician's learning. Welldesigned program based on andragogy principles can enhance learning by motivatingthe learner and providing platform to encourage self directed learning. The presentstudy aimed to explore the impact of program “NAMS-AIIMS Regional Symposiumon Sleep Medicine” in changing the behavior and attitude of participants using“Satisfaction Index” and descriptive analysis of responses as evaluation tools forprogram effectiveness. This descriptive cross sectional study captured the response ofparticipants through a pre-tested and validated questionnaire administered at the end ofsymposium. The result showed almost equal sex distribution (M: F- 27: 34 withmajority being UG students (86%. Reliability of data showed Cronbach's Alpha of0.98 indicating high reliability. Satisfaction index (SI calculated as per WHOEducational Handbook for Health Personnel showed highest satisfaction for conduciveenvironment of symposium (87.87 % followed by provision for time to seekclarifications (87.21%, provision of appropriate Learning Resource material (85.90% and handling of critical comments by organizers (85.57%. Descriptive analysisshowed majority responses as highly positive to our questionnaire with suggestions formore such activity, inclusion of clinical cases and other aspects of practical relevance.Key words : evaluation, program, satisfaction index, Kirkpatrick Model, studentsatisfaction, adult learning, Knowles Theory.

  20. The relationship between cost estimates reliability and BIM adoption: SEM analysis

    Science.gov (United States)

    Ismail, N. A. A.; Idris, N. H.; Ramli, H.; Rooshdi, R. R. Raja Muhammad; Sahamir, S. R.

    2018-02-01

    This paper presents the usage of Structural Equation Modelling (SEM) approach in analysing the effects of Building Information Modelling (BIM) technology adoption in improving the reliability of cost estimates. Based on the questionnaire survey results, SEM analysis using SPSS-AMOS application examined the relationships between BIM-improved information and cost estimates reliability factors, leading to BIM technology adoption. Six hypotheses were established prior to SEM analysis employing two types of SEM models, namely the Confirmatory Factor Analysis (CFA) model and full structural model. The SEM models were then validated through the assessment on their uni-dimensionality, validity, reliability, and fitness index, in line with the hypotheses tested. The final SEM model fit measures are: P-value=0.000, RMSEA=0.0790.90, TLI=0.956>0.90, NFI=0.935>0.90 and ChiSq/df=2.259; indicating that the overall index values achieved the required level of model fitness. The model supports all the hypotheses evaluated, confirming that all relationship exists amongst the constructs are positive and significant. Ultimately, the analysis verified that most of the respondents foresee better understanding of project input information through BIM visualization, its reliable database and coordinated data, in developing more reliable cost estimates. They also perceive to accelerate their cost estimating task through BIM adoption.

  1. [Authorization, translation, back translation and language modification of the simplified Chinese adult comorbidity-27 index].

    Science.gov (United States)

    Gao, L; Mao, C; Yu, G Y; Peng, X

    2016-10-09

    Objective: To translate the adult comorbidity evaluation-27(ACE-27) index authored by professor JF Piccirillo into Chinese and for the purpose of assessing the possible impact of comorbidity on survival of oral cancer patients and improving cancer staging. Methods: The translation included the following steps, obtaining permission from professor Piccirillo, translation, back translation, language modification, adjusted by the advice from the professors of oral and maxillofacial surgery. The test population included 154 patients who were admitted to Peking University of Stomatology during March 2011. Questionnaire survey was conducted on these patients. Retest of reliability, internal consistency reliability, content validity, and structure validity were performed. Results: The simplified Chinese ACE-27 index was established. The Cronbach's α was 0.821 in the internal consistency reliability test. The Kaiser-Meyer-Olkin (KMO) value of 8 items was 0.859 in the structure validity test. Conclusions: The simplified Chinese ACE-27 index has good feasibility and reliability. It is useful to assess the comorbidity of oral cancer patients.

  2. Detection of non-absorbing charge dynamics via refractive index change in dye-sensitized solar cells.

    Science.gov (United States)

    Kuwahara, Shota; Hata, Hiroaki; Taya, Soichiro; Maeda, Naotaka; Shen, Qing; Toyoda, Taro; Katayama, Kenji

    2013-04-28

    The carrier dynamics in dye-sensitized solar cells was investigated by using the transient grating, in addition to the transient absorption method and transient photocurrent method on the order of microseconds to seconds. The signals for the same sample were obtained under a short-circuit condition to compare the carrier dynamics via refractive index change with the transient photocurrent measurement. Optically silent carrier dynamics by transient absorption have been successfully observed via a refractive index change. The corresponding signal components were originated from the charge dynamics at the solid/liquid interface, especially on the liquid side; rearrangement or diffusion motion of charged redox species occurred when the injected electrons were trapped at the TiO2 surface and when the electron-electrolyte recombination occurred at the interface. The assignments were confirmed from the dependence on the viscosity of the solvent and the presence of 4-tert-butyl pyridine. As the viscosity of the solvent increased, the rearrangement and the motion of the charged redox species were delayed. Since the rearrangement dynamics was changed by the presence of 4-tert-butyl pyridine, it affected not only the TiO2 surface but also the redox species close to the interface.

  3. Development of a New Fall Risk Assessment Index for Older Adults

    Directory of Open Access Journals (Sweden)

    Minoru Yamada, RPT, PhD

    2012-09-01

    Conclusion: We have demonstrated that the new index is a reliable indicator for falls in elderly people who have higher levels of functional capacity. Our data suggest that a score of more than 1 point by the new index can predict falls in robust elderly people.

  4. Development of a lane change risk index using vehicle trajectory data.

    Science.gov (United States)

    Park, Hyunjin; Oh, Cheol; Moon, Jaepil; Kim, Seongho

    2018-01-01

    Surrogate safety measures (SSMs) have been widely used to evaluate crash potential, which is fundamental for the development of effective safety countermeasures. Unlike existing SSMs, which are mainly focused on the evaluation of longitudinal vehicle maneuvering leading to rear-end crashes, this study proposes a new method for estimating crash risk while a subject vehicle changes lanes, referred to as the lane change risk index (LCRI). A novel feature of the proposed methodology is its incorporation of the amount of exposure time to potential crash and the expected crash severity level by applying a fault tree analysis (FTA) to the evaluation framework. Vehicle interactions between a subject vehicle and adjacent vehicles in the starting lane and the target lane are evaluated in terms of crash potential during lane change. Vehicle trajectory data obtained from a traffic stream, photographed using a drone flown over a freeway segment, is used to investigate the applicability of the proposed methodology. This study compares the characteristics of compulsory and discretionary lane changes observed in a work zone section and a general section of a freeway using the LCRI. It is expected that the outcome of this study will be valuable in evaluating the effectiveness of various traffic operations and control strategies in terms of lane change safety. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Nonlinear intersubband absorption and refractive index changes in square and graded quantum well modulated by temperature and Hydrostatic pressure

    International Nuclear Information System (INIS)

    Ozturk, Emine; Sokmen, Ismail

    2013-01-01

    In this study, the effects of hydrostatic pressure and temperature on the linear and nonlinear intersubband transitions and the refractive index changes in the conduction band of square and graded quantum well (QW) are theoretically calculated within the framework of effective mass approximation. Results obtained show that the energy levels in different QWs and intersubband properties can be modified and controlled by the hydrostatic pressure and temperature. The modulation of the absorption coefficients and the refractive index changes which can be suitable for good performance optical modulators and various infrared optical device applications can be easily obtained by tuning the temperature and the hydrostatic pressure. - Highlights: ► Linear and nonlinear optical processes can be changed by pressure and temperature. ► Magnitude and energy of absorption peaks decrease as pressure increases. ► Refractive index changes in magnitude and energy decrease by increasing pressure. ► Energy differences are dependent on pressure, temperature and QW shapes. ► By increasing pressure we can obtain redshift in the optical transitions. ► For SQW, the absorption spectrum shows blueshift as the temperature increases. ► For GQW, the absorption spectrum shows redshift by temperature.

  6. Reliability and Correlation of Static and Dynamic Foot Arch Measurement in a Healthy Pediatric Population.

    Science.gov (United States)

    Scholz, Timo; Zech, Astrid; Wegscheider, Karl; Lezius, Susanne; Braumann, Klaus-Michael; Sehner, Susanne; Hollander, Karsten

    2017-09-01

    Measurement of the medial longitudinal foot arch in children is a controversial topic, as there are many different methods without a definite standard procedure. The purpose of this study was to 1) investigate intraday and interrater reliability regarding dynamic arch index and static arch height, 2) explore the correlation between both arch indices, and 3) examine the variation of the medial longitudinal arch at two different times of the day. Eighty-six children (mean ± SD age, 8.9 ± 1.9 years) participated in the study. Dynamic footprint data were captured with a pedobarographic platform. For static arch measurements, a specially constructed caliper was used to assess heel-to-toe length and dorsum height. A mixed model was established to determine reliability and variation. Reliability was found to be excellent for the static arch height index in sitting (intraday, 0.90; interrater, 0.80) and standing positions (0.88 and 0.85) and for the dynamic arch index (both 1.00). There was poor correlation between static and dynamic assessment of the medial longitudinal arch (standing dynamic arch index, r = -0.138; sitting dynamic arch index, r = -0.070). Static measurements were found to be significantly influenced by the time of day (P body mass index (P mind. For clinical purposes, static and dynamic arch data should be interpreted separately.

  7. Fundamental study on applicability of resilience index for system safety assessment

    International Nuclear Information System (INIS)

    Suzuki, Masaaki; Demachi, Kazuyuki; Murakami, Kenta

    2015-01-01

    We have developed a new index called Resilience index, which evaluate the reliability of system safety of nuclear power plant under severe accident by considering the capability to recover from the situation the system safety function was lost. In this paper, a detailed evaluation procedure for the Resilience index was described. System safety of a PWR plant under severe accident was then assessed according to the Resilience index concept to discuss applicability of the index. We found that the Resilience index successfully visualize the management capability, and therefore, resilience capability of a nuclear power plant. (author)

  8. Reliability, Construct Validity and Interpretability of the Brazilian version of the Rapid Upper Limb Assessment (RULA) and Strain Index (SI).

    Science.gov (United States)

    Valentim, Daniela Pereira; Sato, Tatiana de Oliveira; Comper, Maria Luiza Caíres; Silva, Anderson Martins da; Boas, Cristiana Villas; Padula, Rosimeire Simprini

    There are very few observational methods for analysis of biomechanical exposure available in Brazilian-Portuguese. This study aimed to cross-culturally adapt and test the measurement properties of the Rapid Upper Limb Assessment (RULA) and Strain Index (SI). The cross-cultural adaptation and measurement properties test were established according to Beaton et al. and COSMIN guidelines, respectively. Several tasks that required static posture and/or repetitive motion of upper limbs were evaluated (n>100). The intra-raters' reliability for the RULA ranged from poor to almost perfect (k: 0.00-0.93), and SI from poor to excellent (ICC 2.1 : 0.05-0.99). The inter-raters' reliability was very poor for RULA (k: -0.12 to 0.13) and ranged from very poor to moderate for SI (ICC 2.1 : 0.00-0.53). The agreement was good for RULA (75-100% intra-raters, and 42.24-100% inter-raters) and to SI (EPM: -1.03% to 1.97%; intra-raters, and -0.17% to 1.51% inter-raters). The internal consistency was appropriate for RULA (α=0.88), and low for SI (α=0.65). Moderate construct validity were observed between RULA and SI, in wrist/hand-wrist posture (rho: 0.61) and strength/intensity of exertion (rho: 0.39). The adapted versions of the RULA and SI presented semantic and cultural equivalence for the Brazilian Portuguese. The RULA and SI had reliability estimates ranged from very poor to almost perfect. The internal consistency for RULA was better than the SI. The correlation between methods was moderate only of muscle request/movement repetition. Previous training is mandatory to use of observations methods for biomechanical exposure assessment, although it does not guarantee good reproducibility of these measures. Copyright © 2017 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

  9. A GIS BASED EVALUATION OF LAND USE CHANGES AND ECOLOGICAL CONNECTIVITY INDEX

    Directory of Open Access Journals (Sweden)

    Poppy Indrayani

    2017-03-01

    Full Text Available Recently, the Makassar region is a significant land use planning and management issue, and has many impacts on the ecological function and structure landscape. With the development and infrastructure initiatives mostly around the urban centers, the urbanization and sprawl would impact the environment and the natural resources. Therefore, environmental management and careful strategic spatial planning in landscape ecological network is crucial when aiming for sustainable development. In this paper, the impacts of land use changes from 1997 to 2012 on the landscape ecological connectivity in the Makassar region were evaluated using Geographic Information System (GIS. The resulted GIS analysis clearly showed that land use changes occurring in the Makassar region have caused profound changes in landscape pattern. The spatial model had a predictive capability allowing the quantitative assessment and comparison of the impacts resulting from different land use on the ecological connectivity index. The results had an effective performance in identifying the vital ecological areas and connectivity prior to development plan in areas.

  10. Proceedings of the SRESA national conference on reliability and safety engineering

    International Nuclear Information System (INIS)

    Varde, P.V.; Vaishnavi, P.; Sujatha, S.; Valarmathi, A.

    2014-01-01

    The objective of this conference was to provide a forum for technical discussions on recent developments in the area of risk based approach and Prognostic Health Management of critical systems in decision making. The reliability and safety engineering methods are concerned with the way which the product fails, and the effects of failure is to understand how a product works and assures acceptable levels of safety. The reliability engineering addresses all the anticipated and possibly unanticipated causes of failure to ensure the occurrence of failure is prevented or minimized. The topics discussed in the conference were: Reliability in Engineering Design, Safety Assessment and Management, Reliability analysis and Assessment , Stochastic Petri nets for reliability Modeling, Dynamic Reliability, Reliability Prediction, Hardware Reliability, Software Reliability in Safety Critical Issues, Probabilistic Safety Assessment, Risk Informed Approach, Dynamic Models for Reliability Analysis, Reliability based Design and Analysis, Prognostics and Health Management, Remaining Useful Life (RUL), Human Reliability Modeling, Risk Based Applications, Hazard and Operability Study (HAZOP), Reliability in Network Security and Quality Assurance and Management etc. The papers relevant to INIS are indexed separately

  11. Study on the evaluation index of active power reserve

    Science.gov (United States)

    Guo, Xiaorui; Liu, Jiantao; Wang, Ke; Min, Lu

    2018-01-01

    Based on the role of active reserve at different time scales, divides the evaluation dimension of active reserve. Analysis the calculation principle of traditional reliability index such as probability of system safety, lack of power shortage and electricity shortage expectancy, and studies the applicability of these indicators to evaluate the reserve capacity on different dimensions. Resolves the evaluation index of active reserve capacity from the dimensions of time dimension, spatial dimension, system state, risk degree and economy, then construct evaluation index of active reserve capacity.

  12. Delta neutrophil index: A reliable marker to differentiate perforated appendicitis from non-perforated appendicitis in the elderly.

    Science.gov (United States)

    Shin, Dong Hyuk; Cho, Young Suk; Kim, Yoon Sung; Ahn, Hee Cheol; Oh, Young Taeck; Park, Sang O; Won, Moo-Ho; Cho, Jun Hwi; Kim, Young Myeong; Seo, Jeong Yeol; Lee, Young Hwan

    2018-01-01

    Delta neutrophil index (DNI) is a new inflammatory marker and the present study aimed to evaluate the predictive value of the DNI for the presence of a perforation in elderly with acute appendicitis. This retrospective observational study was conducted on 108 consecutive elderly patients (≥65 years old) with acute appendicitis treated over a 24-month period. Sixty-nine of the 108 patients (median, IQR: 72, 67-77 years) were allocated to the perforated appendicitis group (63.9%) and 39 to the non-perforated appendicitis group (36.1%). WBC, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio and DNI were significantly higher in the perforated group. In multiple logistic regression analyses, initial DNI was the only independent marker that can significantly predict the presence of perforation in multiple regression [odds ratio 9.38, 95% confidence interval (2.51-35.00), P=.001]. Receiver operator characteristic curve analysis showed that DNI is a good predictor for the presence of appendiceal perforation at an optimal cut-off for DNI being 1.4% (sensitivity 67.7%, specificity 90.0%, AUC 0.807). Clinicians can reliably differentiate acute perforated appendicitis from non-perforated appendicitis by DNI level of 1.4 or more in elderly patients. © 2017 Wiley Periodicals, Inc.

  13. Polaron effects on the linear and the nonlinear optical absorption coefficients and refractive index changes in cylindrical quantum dots with applied magnetic field

    International Nuclear Information System (INIS)

    Wu Qingjie; Guo Kangxian; Liu Guanghui; Wu Jinghe

    2013-01-01

    Polaron effects on the linear and the nonlinear optical absorption coefficients and refractive index changes in cylindrical quantum dots with the radial parabolic potential and the z-direction linear potential with applied magnetic field are theoretically investigated. The optical absorption coefficients and refractive index changes are presented by using the compact-density-matrix approach and iterative method. Numerical calculations are presented for GaAs/AlGaAs. It is found that taking into account the electron-LO-phonon interaction, not only are the linear, the nonlinear and the total optical absorption coefficients and refractive index changes enhanced, but also the total optical absorption coefficients are more sensitive to the incident optical intensity. It is also found that no matter whether the electron-LO-phonon interaction is considered or not, the absorption coefficients and refractive index changes above are strongly dependent on the radial frequency, the magnetic field and the linear potential coefficient.

  14. Changes in the total Oswestry Index and its ten items in females and males pre- and post-surgery for lumbar disc herniation: a 1-year follow-up

    Science.gov (United States)

    Kautiainen, Hannu; Järvenpää, Salme; Arkela-Kautiainen, Marja; Ylinen, Jari

    2006-01-01

    To study the characteristics and changes in the total Oswestry Disability Index (ODI) and in its ten component items in female and male patients pre- and post-surgery for lumbar disc herniation. Ninety-eight patients [mean (SD) age 43 (13), 61% males] undergoing lumbar disc herniation surgery were selected for this clinical 12-month follow-up. Subjective disability and back and leg pain were assessed by ODI version 1.0 and the visual analog scale. Pre-operatively females had a significantly higher mean (SD) total ODI [59(3)] than males [51(2)] (P = 0.030). Females were more disabled in the walking, sex life, social life and travelling items of the ODI compared to males. The total Oswestry decreased by 38 (95% CI − 44 to − 31) in females and by 34 (− 39 to − 30) in males at the 1-year follow-up. Most of the improvement (88% in females and 80% in males) occurred during the first 6 weeks; thereafter the changes were minor. In males the changes were greatest in pain, social life and travelling and in females in walking, social life and travelling. Internal consistency value of ODI was 0.88 (95% CI 0.82–0.91). Item analysis of the ODI showed that all the items except pain had high corrected item correlation. As recovery following lumbar disc surgery occurred to a great extent during the first 6 weeks, the early post-operative outcome appears to be quite a reliable indicator of the overall post-operative outcome over the 1-year follow-up. The ODI proved to capture a wide range of disability in these lumbar disc surgery patients, thereby supporting the future use of the index. The “pain intensity” component, which collects data on the use of painkillers in version 1.0 of the ODI did not support the item structure of the index in this study. The use of ODI version 2.0 might remove this problem. PMID:16912888

  15. Reliability of wind turbine subassemblies

    NARCIS (Netherlands)

    Spinato, F.; Tavner, P.J.; Bussel, van G.J.W.; Koutoulakos, E.

    2009-01-01

    We have investigated the reliability of more than 6000 modern onshore wind turbines and their subassemblies in Denmark and Germany over 11 years and particularly changes in reliability of generators, gearboxes and converters in a subset of 650 turbines in Schleswig Holstein, Germany. We first start

  16. Reliability and validity of the Dutch version of the Readiness to Change Questionnaire.

    Science.gov (United States)

    Defuentes-Merillas, L; Dejong, C A J; Schippers, G M

    2002-01-01

    The aim of the present study was to evaluate the psychometric properties of the Dutch version of the Readiness to Change Questionnaire (RCQ-D). The subjects were 246 excessive drinkers admitted to an addiction treatment centre and 54 offenders convicted of an alcohol-related crime in The Netherlands. The factor structure of the RCQ-D for the two samples combined was found to be consistent with the three-factor structure established for the original RCQ. The reliability of the items for each scale was found to be satisfactory. Allocated stage of change showed significant differences between the different subsamples. As expected, the scale scores for adjacent stages of change showed significantly higher inter-correlations than the scale scores for non-adjacent stages. Additionally, the negatively formulated items from the pre-contemplation scale were reformulated positively and their internal consistency tested among the offender sample. The positively formulated pre-contemplation items showed a higher alpha value than the negatively formulated items. We therefore suggest that the positively formulated items should replace the negatively formulated ones.

  17. On Bayesian System Reliability Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Soerensen Ringi, M

    1995-05-01

    The view taken in this thesis is that reliability, the probability that a system will perform a required function for a stated period of time, depends on a person`s state of knowledge. Reliability changes as this state of knowledge changes, i.e. when new relevant information becomes available. Most existing models for system reliability prediction are developed in a classical framework of probability theory and they overlook some information that is always present. Probability is just an analytical tool to handle uncertainty, based on judgement and subjective opinions. It is argued that the Bayesian approach gives a much more comprehensive understanding of the foundations of probability than the so called frequentistic school. A new model for system reliability prediction is given in two papers. The model encloses the fact that component failures are dependent because of a shared operational environment. The suggested model also naturally permits learning from failure data of similar components in non identical environments. 85 refs.

  18. On Bayesian System Reliability Analysis

    International Nuclear Information System (INIS)

    Soerensen Ringi, M.

    1995-01-01

    The view taken in this thesis is that reliability, the probability that a system will perform a required function for a stated period of time, depends on a person's state of knowledge. Reliability changes as this state of knowledge changes, i.e. when new relevant information becomes available. Most existing models for system reliability prediction are developed in a classical framework of probability theory and they overlook some information that is always present. Probability is just an analytical tool to handle uncertainty, based on judgement and subjective opinions. It is argued that the Bayesian approach gives a much more comprehensive understanding of the foundations of probability than the so called frequentistic school. A new model for system reliability prediction is given in two papers. The model encloses the fact that component failures are dependent because of a shared operational environment. The suggested model also naturally permits learning from failure data of similar components in non identical environments. 85 refs

  19. The Blame Index: Exploring the Change in Social Work Students' Perceptions of Poverty

    Science.gov (United States)

    Delavega, Elena; Kindle, Peter A.; Peterson, Susan; Schwartz, Charles

    2017-01-01

    This study reports the development of a new Blame Index to determine attributions of the causes of poverty along a single structural-to-individual dimension. A multisite pre-/post-group design tested the degree of change in social work students' (N = 177) perception of poverty as a result of taking a single BSW social policy course or an MSW…

  20. [Reliability and validity of the Chinese version on Alcohol Use Disorders Identification Test].

    Science.gov (United States)

    Zhang, C; Yang, G P; Li, Z; Li, X N; Li, Y; Hu, J; Zhang, F Y; Zhang, X J

    2017-08-10

    Objective: To assess the reliability and validity of the Chinese version on Alcohol Use Disorders Identification Test (AUDIT) among medical students in China and to provide correct way of application on the recommended scales. Methods: An E-questionnaire was developed and sent to medical students in five different colleges. Students were all active volunteers to accept the testings. Cronbach's α and split-half reliability were calculated to evaluate the reliability of AUDIT while content, contract, discriminant and convergent validity were performed to measure the validity of the scales. Results: The overall Cronbach's α of AUDIT was 0.782 and the split-half reliability was 0.711. Data showed that the domain Cronbach's α and split-half reliability were 0.796 and 0.794 for hazardous alcohol use, 0.561 and 0.623 for dependence symptoms, and 0.647 and 0.640 for harmful alcohol use. Results also showed that the content validity index on the levels of items I-CVI) were from 0.83 to 1.00, the content validity index of scale level (S-CVI/UA) was 0.90, content validity index of average scale level (S-CVI/Ave) was 0.99 and the content validity ratios (CVR) were from 0.80 to 1.00. The simplified version of AUDIT supported a presupposed three-factor structure which could explain 61.175% of the total variance revealed through exploratory factor analysis. AUDIT semed to have good convergent and discriminant validity, with the success rate of calibration experiment as 100%. Conclusion: AUDIT showed good reliability and validity among medical students in China thus worth for promotion on its use.

  1. Reliability Constrained Priority Load Shedding for Aerospace Power System Automation

    Science.gov (United States)

    Momoh, James A.; Zhu, Jizhong; Kaddah, Sahar S.; Dolce, James L. (Technical Monitor)

    2000-01-01

    The need for improving load shedding on board the space station is one of the goals of aerospace power system automation. To accelerate the optimum load-shedding functions, several constraints must be involved. These constraints include congestion margin determined by weighted probability contingency, component/system reliability index, generation rescheduling. The impact of different faults and indices for computing reliability were defined before optimization. The optimum load schedule is done based on priority, value and location of loads. An optimization strategy capable of handling discrete decision making, such as Everett optimization, is proposed. We extended Everett method to handle expected congestion margin and reliability index as constraints. To make it effective for real time load dispatch process, a rule-based scheme is presented in the optimization method. It assists in selecting which feeder load to be shed, the location of the load, the value, priority of the load and cost benefit analysis of the load profile is included in the scheme. The scheme is tested using a benchmark NASA system consisting of generators, loads and network.

  2. Development and psychometric testing of the 'Motivation and Self-Efficacy in Early Detection of Skin Lesions' index.

    Science.gov (United States)

    Dyson, Judith; Cowdell, Fiona

    2014-12-01

    To develop and psychometrically test the Motivation and Self-Efficacy in Early Detection of Skin Lesions Index. Skin cancer is the most frequently diagnosed cancer worldwide. The primary strategy used to prevent skin cancer is promotion of sun avoidance and the use of sun protection. However, despite costly and extensive campaigns, cases of skin cancer continue to increase. If found and treated early, skin cancer is curable. Early detection is, therefore, very important. The study was conducted in 2013. Instrument Development. A literature review and a survey identified barriers (factors that hinder) and levers (factors that help) to skin self-examination. These were categorized according to a the Theoretical Domains Framework and this formed the basis of an instrument, which was tested for validity and reliability using confirmatory factor analysis and Cronbach's alpha respectively. A five-factor 20-item instrument was used that tested well for reliability and construct validity. Test-retest reliability was good for all items and domains. The five factors were: (i) Outcome expectancies; (ii) Intention; (iii) Self-efficacy; (iv) Social influences; (v) Memory. The Motivation and Self-Efficacy in Early Detection of Skin Lesions Index provides a reliable and valid method of assessing barriers and levers to skin self-examination. The next step is to design a theory-based intervention that can be tailored according to individual determinants to behaviour change identified by this instrument. © 2014 John Wiley & Sons Ltd.

  3. A Longitudinal Analysis of Search Engine Index Size

    DEFF Research Database (Denmark)

    Van den Bosch, Antal; Bogers, Toine; De Kunder, Maurice

    2015-01-01

    One of the determining factors of the quality of Web search engines is the size of their index. In addition to its influence on search result quality, the size of the indexed Web can also tell us something about which parts of the WWW are directly accessible to the everyday user. We propose a novel...... method of estimating the size of a Web search engine’s index by extrapolating from document frequencies of words observed in a large static corpus of Web pages. In addition, we provide a unique longitudinal perspective on the size of Google and Bing’s indexes over a nine-year period, from March 2006...... until January 2015. We find that index size estimates of these two search engines tend to vary dramatically over time, with Google generally possessing a larger index than Bing. This result raises doubts about the reliability of previous one-off estimates of the size of the indexed Web. We find...

  4. Test-retest reliability of pulse amplitude tonometry measures of vascular endothelial function: implications for clinical trial design.

    Science.gov (United States)

    McCrea, Cindy E; Skulas-Ray, Ann C; Chow, Mosuk; West, Sheila G

    2012-02-01

    Endothelial dysfunction is an important outcome for assessing vascular health in intervention studies. However, reliability of the standard non-invasive method (flow-mediated dilation) is a significant challenge for clinical applications and multicenter trials. We evaluated the repeatability of pulse amplitude tonometry (PAT) to measure change in pulse wave amplitude during reactive hyperemia (Itamar Medical Ltd, Caesarea, Israel). Twenty healthy adults completed two PAT tests (mean interval = 19.5 days) under standardized conditions. PAT-derived measures of endothelial function (reactive hyperemia index, RHI) and arterial stiffness (augmentation index, AI) showed strong repeatability (intra-class correlations = 0.74 and 0.83, respectively). To guide future research, we also analyzed sample size requirements for a range of effect sizes. A crossover design powered at 0.90 requires 28 participants to detect a 15% change in RHI. Our study is the first to show that PAT measurements are repeatable in adults over an interval greater than 1 week.

  5. Japanese version of the Family Dermatology Life Quality Index: Translation and validation.

    Science.gov (United States)

    Higaki, Yuko; Tanaka, Masaru; Futei, Yuko; Kamo, Toshiko; Basra, Mohammad Khurshid Azam; Finlay, Andrew Yule

    2017-08-01

    Skin conditions affect the quality of life (QoL) of patients and their family. To assess family members' QoL, a questionnaire uniquely designed for family members is necessary. We translated the Family Dermatology Life Quality Index (FDLQI), originally created and validated by Basra et al., into Japanese, and evaluated its reliability and validity. For psychometric evaluations, 150 dermatology patients and their family members were included. The Japanese version of the FDLQI showed high test-retest reliability (intraclass correlation coefficient = 0.95) and internal consistency reliability (Cronbach's alpha = 0.86). FDLQI scores significantly correlated with DLQI scores (r = 0.58, P Family members of patients with inflammatory skin diseases showed higher FDLQI scores than those with isolated lesions, but the difference was not statistically significant (P = 0.062, Mann-Whitney U-test). Responsiveness to change was demonstrated in a group in which the patient's skin condition was assessed as improved (n = 37, r = 0.46, P < 0.01) but not in that in which it became worse. The difference of the change between the two groups was statistically significant (P < 0.01). Additionally, the change in FDLQI scores and GQ were significantly correlated (r = 0.40, P < 0.01). Exploratory factor analysis suggested essential unidimensionality of the instrument. We showed acceptable validity and responsiveness of this Japanese version of FDLQI. Further clinical epidemiological studies are required to confirm this. © 2017 Japanese Dermatological Association.

  6. Reliability of flipper-banded penguins as indicators of climate change.

    Science.gov (United States)

    Saraux, Claire; Le Bohec, Céline; Durant, Joël M; Viblanc, Vincent A; Gauthier-Clerc, Michel; Beaune, David; Park, Young-Hyang; Yoccoz, Nigel G; Stenseth, Nils C; Le Maho, Yvon

    2011-01-13

    In 2007, the Intergovernmental Panel on Climate Change highlighted an urgent need to assess the responses of marine ecosystems to climate change. Because they lie in a high-latitude region, the Southern Ocean ecosystems are expected to be strongly affected by global warming. Using top predators of this highly productive ocean (such as penguins) as integrative indicators may help us assess the impacts of climate change on marine ecosystems. Yet most available information on penguin population dynamics is based on the controversial use of flipper banding. Although some reports have found the effects of flipper bands to be deleterious, some short-term (one-year) studies have concluded otherwise, resulting in the continuation of extensive banding schemes and the use of data sets thus collected to predict climate impact on natural populations. Here we show that banding of free-ranging king penguins (Aptenodytes patagonicus) impairs both survival and reproduction, ultimately affecting population growth rate. Over the course of a 10-year longitudinal study, banded birds produced 41% [corrected] fewer chicks and had a survival rate 16 percentage points [corrected] lower than non-banded birds, demonstrating a massive long-term impact of banding and thus refuting the assumption that birds will ultimately adapt to being banded. Indeed, banded birds still arrived later for breeding at the study site and had longer foraging trips even after 10 years. One of our major findings is that responses of flipper-banded penguins to climate variability (that is, changes in sea surface temperature and in the Southern Oscillation index) differ from those of non-banded birds. We show that only long-term investigations may allow an evaluation of the impact of flipper bands and that every major life-history trait can be affected, calling into question the banding schemes still going on. In addition, our understanding of the effects of climate change on marine ecosystems based on flipper

  7. Filter indexing for spectrophotometer system

    International Nuclear Information System (INIS)

    Chamran, M.M.; Scott, L.B.; Williams, P.B.

    1982-01-01

    A spectrophotometer system has an optical system for transmitting a beam from a source at select wavelengths onto a detector. A plurality of filters are positioned in a tray. A stepper mechanism indexes the tray along a path. A microcomputer controls the stepper mechanism and the optical system. The wavelength is successively changed over a range, the tray is indexed to move a select filter into the beam at a predetermined wavelength and the changing is discontinued during indexing

  8. Stochastic models in reliability and maintenance

    CERN Document Server

    2002-01-01

    Our daily lives can be maintained by the high-technology systems. Computer systems are typical examples of such systems. We can enjoy our modern lives by using many computer systems. Much more importantly, we have to maintain such systems without failure, but cannot predict when such systems will fail and how to fix such systems without delay. A stochastic process is a set of outcomes of a random experiment indexed by time, and is one of the key tools needed to analyze the future behavior quantitatively. Reliability and maintainability technologies are of great interest and importance to the maintenance of such systems. Many mathematical models have been and will be proposed to describe reliability and maintainability systems by using the stochastic processes. The theme of this book is "Stochastic Models in Reliability and Main­ tainability. " This book consists of 12 chapters on the theme above from the different viewpoints of stochastic modeling. Chapter 1 is devoted to "Renewal Processes," under which cla...

  9. Safety, reliability and worker satisfaction during organizational change

    NARCIS (Netherlands)

    Zwetsloot, G.I.J.M.; Drupsteen, L.; Vroome, E.M.M. de

    2014-01-01

    The research presented in this paper was carried out in four process industry plants in the Netherlands, to identify factors that have the potential to increase safety and reliability while maintaining or improving job satisfaction. The data used were gathered as part of broader trajectories in

  10. Validity and reliability of the Fels physical activity questionnaire for children.

    Science.gov (United States)

    Treuth, Margarita S; Hou, Ningqi; Young, Deborah R; Maynard, L Michele

    2005-03-01

    The aim was to evaluate the reliability and validity of the Fels physical activity questionnaire (PAQ) for children 7-19 yr of age. A cross-sectional study was conducted among 130 girls and 99 boys in elementary (N=70), middle (N=81), and high (N=78) schools in rural Maryland. Weight and height were measured on the initial school visit. All the children then wore an Actiwatch accelerometer for 6 d. The Fels PAQ for children was given on two separate occasions to evaluate reliability and was compared with accelerometry data to evaluate validity. The reliability of the Fels PAQ for the girls, boys, and the elementary, middle, and high school age groups range was r=0.48-0.76. For the elementary school children, the correlation coefficient examining validity between the Fels PAQ total score and Actiwatch (counts per minute) was 0.34 (P=0.004). The correlation coefficients were lower in middle school (r=0.11, P=0.31) and high school (r=0.21, P=0.006) adolescents. The sport index of the Fels PAQ for children had the highest validity in the high school participants (r=0.34, P=0.002). The Fels PAQ for children is moderately reliable for all age groups of children. Validity of the Fels PAQ for children is acceptable for elementary and high school students when the total activity score or the sport index is used. The sport index was similar to the total score for elementary students but was a better measure of physical activity among high school students.

  11. A reliable and valid index was developed to measure appropriate psychotropic drug use in dementia

    NARCIS (Netherlands)

    van der Spek, K.; Gerritsen, D.L.; Smalbrugge, M.; Nelissen-Vrancken, M.H.J.M.; Wetzels, R.B.; Smeets, C.H.W.; Zuidema, S.U.; Koopmans, R.T.C.M.

    2015-01-01

    Objectives The aim of this study was to develop an index derived from the Medication Appropriateness Index (MAI) items that is suited for clinical studies evaluating appropriateness of psychotropic drug use (PDU) for neuropsychiatric symptoms (NPS) in patients with dementia in nursing homes and to

  12. The Effects of Forest Area Changes on Extreme Temperature Indexes between the 1900s and 2010s in Heilongjiang Province, China

    Directory of Open Access Journals (Sweden)

    Lijuan Zhang

    2017-12-01

    Full Text Available Land use and land cover changes (LUCC are thought to be amongst the most important impacts exerted by humans on climate. However, relatively little research has been carried out so far on the effects of LUCC on extreme climate change other than on regional temperatures and precipitation. In this paper, we apply a regional weather research and forecasting (WRF climate model using LUCC data from Heilongjiang Province, that was collected between the 1900s and 2010s, to explore how changes in forest cover influence extreme temperature indexes. Our selection of extreme high, low, and daily temperature indexes for analysis in this study enables the calculation of a five-year numerical integration trail with changing forest space. Results indicate that the total forested area of Heilongjiang Province decreased by 28% between the 1900s and 2010s. This decrease is most marked in the western, southwestern, and northeastern parts of the province. Our results also reveal a remarkable correlation between change in forested area and extreme high and low temperature indexes. Further analysis enabled us to determine that the key factor explaining increases in extreme high temperature indexes (i.e., calculated using the number of warm days, warm nights, as well as tropical nights, and summer days is decreasing forest area; data also showed that this factor caused a decrease in extreme low temperature indexes (i.e., calculated using the number of cold days and cold nights, as well as frost days, and ice days and an increase in the maximum value of daily minimum temperature. Spatial data demonstrated that there is a significant correlation between forest-to-farmland conversion and extreme temperature indexes throughout most of our study period. Spatial data demonstrated that there is a significant correlation between forest-to-farmland conversion and extreme temperature indexes throughout most of our study period. Positive correlations are also present between

  13. Islanding Detection of Synchronous Machine-Based DGs using Average Frequency Based Index

    Directory of Open Access Journals (Sweden)

    M. Bakhshi

    2013-06-01

    Full Text Available Identification of intentional and unintentional islanding situations of dispersed generators (DGs is one of the most important protection concerns in power systems. Considering safety and reliability problems of distribution networks, an exact diagnosis index is required to discriminate the loss of the main network from the existing parallel operation. Hence, this paper introduces a new islanding detection method for synchronous machine–based DGs. This method uses the average value of the generator frequency to calculate a new detection index. The proposed method is an effective supplement of the over/under frequency protection (OFP/UFP system. The analytical equations and simulation results are used to assess the performance of the proposed method under various scenarios such as different types of faults, load changes and capacitor bank switching. To show the effectiveness of the proposed method, it is compared with the performance of both ROCOF and ROCOFOP methods.

  14. The Addiction Severity Index: Reliability and validity in a Dutch alcoholic population

    NARCIS (Netherlands)

    Dejong, C.A.J.; Willems, J.C.E.W.; Schippers, G.M.; Hendriks, V.M.

    1995-01-01

    The Addiction Severity Index (ASI) was evaluated for its psychometric qualities in a Dutch alcoholic population admitted to an addiction treatment center in the Netherlands. Its factorial structure in this population was found to be consistent with the established six factor structure of the ASI.

  15. Spot market natural gas strategies and reliability dealing with changing industry conditions

    International Nuclear Information System (INIS)

    McClure, D.C.

    1992-01-01

    Many in the energy industry thought the natural gas buying game had finally settled down to a predictable pattern in the 90's. After a tumultuous decade in the 80's they are ready to turn their attention to new challenges such as electricity wheeling and cogeneration. They were wrong. There is plenty of change left in the natural gas industry for the rest of the century. This growth will dramatically increase the number of options available to Energy Buyers, giving them new flexibility to design programs that meet goals for cost reduction, supply reliability, and administrative effort. However, with new options also come the responsibility for choices. Energy Managers of well designed gas programs will make these choices after careful consideration of the pro's and con's of each option. In short, the effective Buyer will develop a natural gas strategy. This report will begin by reviewing the basic types of change occurring in the industry, and then discuss some of the varied strategy options available to the Energy Buyer

  16. Assessment of reliability, validity, responsiveness and minimally important change of the German Hip dysfunction and osteoarthritis outcome score (HOOS) in patients with osteoarthritis of the hip.

    Science.gov (United States)

    Arbab, Dariusch; van Ochten, Johannes H M; Schnurr, Christoph; Bouillon, Bertil; König, Dietmar

    2017-12-01

    Patient-reported outcome measures are a critical tool in evaluating the efficacy of orthopedic procedures. The intention of this study was to evaluate reliability, validity, responsiveness and minimally important change of the German version of the Hip dysfunction and osteoarthritis outcome score (HOOS). The German HOOS was investigated in 251 consecutive patients before and 6 months after total hip arthroplasty. All patients completed HOOS, Oxford-Hip Score, Short-Form (SF-36) and numeric scales for pain and disability. Test-retest reliability, internal consistency, floor and ceiling effects, construct validity and minimal important change were analyzed. The German HOOS demonstrated excellent test-retest reliability with intraclass correlation coefficient values > 0.7. Cronbach´s alpha values demonstrated strong internal consistency. As hypothesized, HOOS subscales strongly correlated with corresponding OHS and SF-36 domains. All subscales showed excellent (effect size/standardized response means > 0.8) responsiveness between preoperative assessment and postoperative follow-up. The HOOS and all subdomains showed higher changes than the minimal detectable change which indicates true changes. The German version of the HOOS demonstrated good psychometric properties. It proved to be valid, reliable and responsive to the changes instrument for use in patients with hip osteoarthritis undergoing total hip replacement.

  17. Interrater and Test-Retest Reliability and Minimal Detectable Change of the Balance Evaluation Systems Test (BESTest) and Subsystems With Community-Dwelling Older Adults.

    Science.gov (United States)

    Wang-Hsu, Elizabeth; Smith, Susan S

    2017-01-10

    Falls are a common cause of injuries and hospital admissions in older adults. Balance limitation is a potentially modifiable factor contributing to falls. The Balance Evaluation Systems Test (BESTest), a clinical balance measure, categorizes balance into 6 underlying subsystems. Each of the subsystems is scored individually and summed to obtain a total score. The reliability of the BESTest and its individual subsystems has been reported in patients with various neurological disorders and cancer survivors. However, the reliability and minimal detectable change (MDC) of the BESTest with community-dwelling older adults have not been reported. The purposes of our study were to (1) determine the interrater and test-retest reliability of the BESTest total and subsystem scores; and (2) estimate the MDC of the BESTest and its individual subsystem scores with community-dwelling older adults. We used a prospective cohort methodological design. Community-dwelling older adults (N = 70; aged 70-94 years; mean = 85.0 [5.5] years) were recruited from a senior independent living community. Trained testers (N = 3) administered the BESTest. All participants were tested with the BESTest by the same tester initially and then retested 7 to 14 days later. With 32 of the participants, a second tester concurrently scored the retest for interrater reliability. Testers were blinded to each other's scores. Intraclass correlation coefficients [ICC(2,1)] were used to determine the interrater and test-retest reliability. Test-retest reliability was also analyzed using method error and the associated coefficients of variation (CVME). MDC was calculated using standard error of measurement. Interrater reliability (N = 32) of the BESTest total score was ICC(2, 1) = 0.97 (95% confidence interval [CI], 0.94-0.99). The ICCs for the individual subsystem scores ranged from 0.85 to 0.94. Test-retest reliability (N = 70) of the BESTest total score was ICC(2,1) = 0.93 (95% CI, 0.89-0.96). ICCs for the

  18. Reliability Analysis of a Steel Frame

    Directory of Open Access Journals (Sweden)

    M. Sýkora

    2002-01-01

    Full Text Available A steel frame with haunches is designed according to Eurocodes. The frame is exposed to self-weight, snow, and wind actions. Lateral-torsional buckling appears to represent the most critical criterion, which is considered as a basis for the limit state function. In the reliability analysis, the probabilistic models proposed by the Joint Committee for Structural Safety (JCSS are used for basic variables. The uncertainty model coefficients take into account the inaccuracy of the resistance model for the haunched girder and the inaccuracy of the action effect model. The time invariant reliability analysis is based on Turkstra's rule for combinations of snow and wind actions. The time variant analysis describes snow and wind actions by jump processes with intermittencies. Assuming a 50-year lifetime, the obtained values of the reliability index b vary within the range from 3.95 up to 5.56. The cross-profile IPE 330 designed according to Eurocodes seems to be adequate. It appears that the time invariant reliability analysis based on Turkstra's rule provides considerably lower values of b than those obtained by the time variant analysis.

  19. A Reliable and Valid Survey to Predict a Patient’s Gagging Intensity

    Directory of Open Access Journals (Sweden)

    Casey M. Hearing

    2014-07-01

    Full Text Available Objectives: The aim of this study was to devise a reliable and valid survey to predict the intensity of someone’s gag reflex. Material and Methods: A 10-question Predictive Gagging Survey was created, refined, and tested on 59 undergraduate participants. The questions focused on risk factors and experiences that would indicate the presence and strength of someone’s gag reflex. Reliability was assessed by administering the survey to a group of 17 participants twice, with 3 weeks separating the two administrations. Finally, the survey was given to 25 dental patients. In these cases, patients completed an informed consent form, filled out the survey, and then had a maxillary impression taken while their gagging response was quantified from 1 to 5 on the Fiske and Dickinson Gagging Intensity Index. Results: There was a moderate positive correlation between the Predictive Gagging Survey and Fiske and Dickinson’s Gagging Severity Index, r = +0.64, demonstrating the survey’s validity. Furthermore, the test-retest reliability was r = +0.96, demonstrating the survey’s reliability. Conclusions: The Predictive Gagging Survey is a 10-question survey about gag-related experiences and behaviours. We established that it is a reliable and valid method to assess the strength of someone’s gag reflex.

  20. RELIABILITY OF ANKLE-FOOT MORPHOLOGY, MOBILITY, STRENGTH, AND MOTOR PERFORMANCE MEASURES.

    Science.gov (United States)

    Fraser, John J; Koldenhoven, Rachel M; Saliba, Susan A; Hertel, Jay

    2017-12-01

    Assessment of foot posture, morphology, intersegmental mobility, strength and motor control of the ankle-foot complex are commonly used clinically, but measurement properties of many assessments are unclear. To determine test-retest and inter-rater reliability, standard error of measurement, and minimal detectable change of morphology, joint excursion and play, strength, and motor control of the ankle-foot complex. Reliability study. 24 healthy, recreationally-active young adults without history of ankle-foot injury were assessed by two clinicians on two occasions, three to ten days apart. Measurement properties were assessed for foot morphology (foot posture index, total and truncated length, width, arch height), joint excursion (weight-bearing dorsiflexion, rearfoot and hallux goniometry, forefoot inclinometry, 1 st metatarsal displacement) and joint play, strength (handheld dynamometry), and motor control rating during intrinsic foot muscle (IFM) exercises. Clinician order was randomized using a Latin Square. The clinicians performed independent examinations and did not confer on the findings for the duration of the study. Test-retest and inter-tester reliability and agreement was assessed using intraclass correlation coefficients (ICC 2,k ) and weighted kappa ( K w ). Test-retest reliability ICC were as follows: morphology: .80-1.00, joint excursion: .58-.97, joint play: -.67-.84, strength: .67-.92, IFM motor rating: K W -.01-.71. Inter-rater reliability ICC were as follows: morphology: .81-1.00, joint excursion: .32-.97, joint play: -1.06-1.00, strength: .53-.90, and IFM motor rating: K w .02-.56. Measures of ankle-foot posture, morphology, joint excursion, and strength demonstrated fair to excellent test-retest and inter-rater reliability. Test-retest reliability for rating of perceived difficulty and motor performance was good to excellent for short-foot, toe-spread-out, and hallux exercises and poor to fair for lesser toe extension. Joint play measures had

  1. Reliability Evaluation Of The City Transport Buses Under Actual Conditions

    Directory of Open Access Journals (Sweden)

    Rymarz Joanna

    2015-12-01

    Full Text Available The purpose of this paper was to present a reliability comparison of two types of city transport buses. Case study on the example of the well-known brands of city buses: Solaris Urbino 12 and Mercedes-Benz 628 Conecto L used at Municipal Transport Company in Lublin was presented in details. A reliability index for the most failure parts and complex systems for the period of time failures was determined. The analysis covered damages of the following systems: engine, electrical system, pneumatic system, brake system, driving system, central heating and air-conditioning and doors. Reliability was analyzed based on Weibull model. It has been demonstrated, that during the operation significant reliability differences occur between the buses produced nowadays.

  2. El Niño-Southern Oscillation-based index insurance for floods: Statistical risk analyses and application to Peru

    Science.gov (United States)

    Khalil, Abedalrazq F.; Kwon, Hyun-Han; Lall, Upmanu; Miranda, Mario J.; Skees, Jerry

    2007-10-01

    Index insurance has recently been advocated as a useful risk transfer tool for disaster management situations where rapid fiscal relief is desirable and where estimating insured losses may be difficult, time consuming, or subject to manipulation and falsification. For climate-related hazards, a rainfall or temperature index may be proposed. However, rainfall may be highly spatially variable relative to the gauge network, and in many locations, data are inadequate to develop an index because of short time series and the spatial dispersion of stations. In such cases, it may be helpful to consider a climate proxy index as a regional rainfall index. This is particularly useful if a long record is available for the climate index through an independent source and it is well correlated with the regional rainfall hazard. Here El Niño-Southern Oscillation (ENSO) related climate indices are explored for use as a proxy to extreme rainfall in one of the districts of Peru, Piura. The ENSO index insurance product may be purchased by banks or microfinance institutions to aid agricultural damage relief in Peru. Crop losses in the region are highly correlated with floods but are difficult to assess directly. Beyond agriculture, many other sectors suffer as well. Basic infrastructure is destroyed during the most severe events. This disrupts trade for many microenterprises. The reliability and quality of the local rainfall data are variable. Averaging the financial risk across the region is desirable. Some issues with the implementation of the proxy ENSO index are identified and discussed. Specifically, we explore (1) the reliability of the index at different levels of probability of exceedance of maximum seasonal rainfall, (2) the effect of sampling uncertainties and the strength of the proxy's association to local outcome, (3) the potential for clustering of payoffs, (4) the potential that the index could be predicted with some lead time prior to the flood season, and (5) evidence

  3. Relationship between fermentation index and other biochemical changes evaluated during the fermentation of Mexican cocoa (Theobroma cacao) beans.

    Science.gov (United States)

    Romero-Cortes, Teresa; Salgado-Cervantes, Marco Antonio; García-Alamilla, Pedro; García-Alvarado, Miguel Angel; Rodríguez-Jimenes, Guadalupe del C; Hidalgo-Morales, Madeleine; Robles-Olvera, Víctor

    2013-08-15

    During traditional cocoa processing, the end of fermentation is empirically determined by the workers; consequently, a high variability on the quality of fermented cocoa beans is observed. Some physicochemical properties (such as fermentation index) have been used to measure the degree of fermentation and changes in quality, but only after the fermentation process has concluded, using dried cocoa beans. This would suggest that it is necessary to establish a relationship between the chemical changes inside the cocoa bean and the fermentation conditions during the fermentation in order to standardize the process. Cocoa beans were traditionally fermented inside wooden boxes, sampled every 24 h and analyzed to evaluate fermentation changes in complete bean, cotyledon and dried beans. The value of the fermentation index suggested as the minimal adequate (≥1) was observed at 72 h in all bean parts analyzed. At this time, values of pH, spectral absorption, total protein hydrolysis and vicilin-class globulins of fermented beans suggested that they were well fermented. Since no difference was found between the types of samples, the pH value could be used as a first indicator of the end of the fermentation and confirmed by evaluation of the fermentation index using undried samples, during the process. © 2013 Society of Chemical Industry.

  4. An Analytical Study on an Orthodontic Index: Index of Complexity, Outcome and Need (ICON)

    Science.gov (United States)

    Torkan, Sepide; Pakshir, Hamid Reza; Fattahi, Hamid Reza; Oshagh, Morteza; Momeni Danaei, Shahla; Salehi, Parisa; Hedayati, Zohreh

    2015-01-01

    Statement of the Problem The validity of the Index of Complexity, Outcome and Need (ICON) which is an orthodontic index developed and introduced in 2000 should be studied in different ethnic groups. Purpose The aim of this study was to perform an analysis on the ICON and to verify whether this index is valid for assessing both the need and complexity of orthodontic treatment in Iran. Materials and Method Five orthodontists were asked to score pre-treatment diagnostic records of 100 patients with a uniform distribution of different types of malocclusions determined by Dental Health Component of the Index of Treatment Need. A calibrated examiner also assessed the need for orthodontic treatment and complexity of the cases based on the ICON index as well as the Index of Orthodontic Treatment Need (IOTN). 10 days later, 25% of the cases were re-scored by the panel of experts and the calibrated orthodontist. Results The weighted kappa revealed the inter-examiner reliability of the experts to be 0.63 and 0.51 for the need and complexity components, respectively. ROC curve was used to assess the validity of the index. A new cut-off point was adjusted at 35 in lieu of 43 as the suggested cut-off point. This cut-off point showed the highest level of sensitivity and specificity in our society for orthodontic treatment need (0.77 and 0.78, respectively), but it failed to define definite ranges for the complexity of treatment. Conclusion ICON is a valid index in assessing the need for treatment in Iran when the cut-off point is adjusted to 35. As for complexity of treatment, the index is not validated for our society. It seems that ICON is a well-suited substitute for the IOTN index. PMID:26331142

  5. A questionnaire to evaluate the impact of chronic diseases: validated translation and Illness Effects Questionnaire (IEQ reliability study

    Directory of Open Access Journals (Sweden)

    Patrícia Pinto Fonseca

    2012-01-01

    Full Text Available INTRODUCTION: Patients' perception about their health condition, mainly involving chronic diseases, has been investigated in many studies and it has been associated to depression, compliance with the treatment, quality of life and prognosis. The Illness Effects Questionnaire (IEQ is a tool which makes the standardized evaluation of patients' perception about their illness possible, so that it is brief and accessible to the different clinical settings. This work aims to begin the transcultural adaptation of the IEQ to Brazil through the validated translation and the reliability study. METHODS: The back-translation method and the test-retest reliability study were used in a sample of 30 adult patients under chronic hemodialysis. The reliability indexes were estimated using the Pearson, Spearman, Weighted Kappa and Cronbach's alpha coefficients. RESULTS: The semantic equivalence was reached through the validated translation. In this study, the reliability indexes obtained were respectively: 0.85 and 0.75 (p < 0.001; 0.68 and 0.92 (p < 0.0001. DISCUSSION: The reliability indexes obtained attest to the stability of responses in both evaluations. Additional procedures are necessary for the transcultural adaptation of the IEQ to be complete. CONCLUSION: The results indicate the translation validity and the reliability of the Brazilian version of the IEQ for the sample studied.

  6. Reliability Evaluation of Bridges Based on Nonprobabilistic Response Surface Limit Method

    OpenAIRE

    Chen, Xuyong; Chen, Qian; Bian, Xiaoya; Fan, Jianping

    2017-01-01

    Due to many uncertainties in nonprobabilistic reliability assessment of bridges, the limit state function is generally unknown. The traditional nonprobabilistic response surface method is a lengthy and oscillating iteration process and leads to difficultly solving the nonprobabilistic reliability index. This article proposes a nonprobabilistic response surface limit method based on the interval model. The intention of this method is to solve the upper and lower limits of the nonprobabilistic ...

  7. Reliability of a patient survey assessing cost-related changes in health care use among high deductible health plan enrollees

    Directory of Open Access Journals (Sweden)

    Galbraith Alison A

    2011-05-01

    Full Text Available Abstract Background Recent increases in patient cost-sharing for health care have lent increasing importance to monitoring cost-related changes in health care use. Despite the widespread use of survey questions to measure changes in health care use and related behaviors, scant data exists on the reliability of such questions. Methods We administered a cross-sectional survey to a stratified random sample of families in a New England health plan's high deductible health plan (HDHP with ≥ $500 in annualized out-of-pocket expenditures. Enrollees were asked about their knowledge of their plan, information seeking, behavior change associated with having a deductible, experience of delay in care due in part to cost, and hypothetical delay in care due in part to cost. Initial respondents were mailed a follow-up survey within two weeks of each family returning the original survey. We computed several agreement statistics to measure the test-retest reliability for select questions. We also conducted continuity adjusted chi-square, and McNemar tests in both the original and follow-up samples to measure the degree to which our results could be reproduced. Analyses were stratified by self-reported income. Results The test-retest reliability was moderate for the majority of questions (0.41 - 0.60 and the level of test-retest reliability did not differ substantially across each of the broader domains of questions. The observed proportions of respondents with delayed or foregone pediatric, adult, or any family care were similar when comparing the original and follow-up surveys. In the original survey, respondents in the lower-income group were more likely to delay or forego pediatric care, adult care, or any family care. All of the tests comparing income groups in the follow-up survey produced the same result as in the original survey. Conclusions In this population of HDHP beneficiaries, we found that survey questions concerning plan knowledge, information

  8. Test-retest reliability and minimal detectable change of two simplified 3-point balance measures in patients with stroke.

    Science.gov (United States)

    Chen, Yi-Miau; Huang, Yi-Jing; Huang, Chien-Yu; Lin, Gong-Hong; Liaw, Lih-Jiun; Lee, Shih-Chieh; Hsieh, Ching-Lin

    2017-10-01

    The 3-point Berg Balance Scale (BBS-3P) and 3-point Postural Assessment Scale for Stroke Patients (PASS-3P) were simplified from the BBS and PASS to overcome the complex scoring systems. The BBS-3P and PASS-3P were more feasible in busy clinical practice and showed similarly sound validity and responsiveness to the original measures. However, the reliability of the BBS-3P and PASS-3P is unknown limiting their utility and the interpretability of scores. We aimed to examine the test-retest reliability and minimal detectable change (MDC) of the BBS-3P and PASS-3P in patients with stroke. Cross-sectional study. The rehabilitation departments of a medical center and a community hospital. A total of 51 chronic stroke patients (64.7% male). Both balance measures were administered twice 7 days apart. The test-retest reliability of both the BBS-3P and PASS-3P were examined by intraclass correlation coefficients (ICC). The MDC and its percentage over the total score (MDC%) of each measure was calculated for examining the random measurement errors. The ICC values of the BBS-3P and PASS-3P were 0.99 and 0.97, respectively. The MDC% (MDC) of the BBS-3P and PASS-3P were 9.1% (5.1 points) and 8.4% (3.0 points), respectively, indicating that both measures had small and acceptable random measurement errors. Our results showed that both the BBS-3P and the PASS-3P had good test-retest reliability, with small and acceptable random measurement error. These two simplified 3-level balance measures can provide reliable results over time. Our findings support the repeated administration of the BBS-3P and PASS-3P to monitor the balance of patients with stroke. The MDC values can help clinicians and researchers interpret the change scores more precisely.

  9. 12 CFR 34.22 - Index.

    Science.gov (United States)

    2010-01-01

    ... an index or combination of indices to which changes in the interest rate will be linked. This index... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Index. 34.22 Section 34.22 Banks and Banking... Mortgages § 34.22 Index. (a) In general. If a national bank makes an ARM loan to which 12 CFR 226.19(b...

  10. Validation of an Arabic version of the Oswestry index in Saudi Arabia.

    Science.gov (United States)

    Algarni, A S; Ghorbel, S; Jones, J G; Guermazi, M

    2014-12-01

    The aim of this study was to adapt and validate the Tunisian version of the Oswestry Disability Index (ODI) within a Saudi Arabian population. The translation of items 8 and 10 taken out of the Tunisian version was conducted according to Beaton's method. Adaptations were made after a pilot study on 100 patients. The validation study included 100 patients suffering from chronic low back pain aged 18 to 65 years old. Intra-observer reliability was assessed using the intra-class coefficient (ICC). Spearman rank correlation coefficient, the Kruskall-Wallis test and factor analysis were used to evaluate construct validity (convergent and divergent validity). Internal consistency was assessed by Cronbach's alpha coefficient. One hundred Saudi patients were included in the study. Intra-observer reliability was excellent (ICC: 0.99). The correlations of the index with the VAS pain scale (r=0.708), the Roland-Morris Low Back Pain Disability (r=0.656), and the Quebec Back Pain Disability Scale (r=0.792) suggest good construct validity. Factor analysis unveiled two main factors explaining a cumulative percentage variance of 63.5%. The first factor represents static activities and the second factor represents dynamic activities. The Arabic version of the ODI adapted to the Saudi population has high metrological qualities. Further studies assessing its responsiveness to change should be conducted. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  11. Methodological considerations concerning the development of oral dental erosion indexes: literature survey, validity and reliability

    Science.gov (United States)

    Kutschmann, Marcus; Bardehle, Doris

    2008-01-01

    Within the context of preventing non-communicable diseases, the World Health Report (2002) and the WHO Global Oral Health Program (2003) put forward a new strategy of disease prevention and health promotion. Greater emphasis is placed on developing global policies in oral health promotion and oral disease prevention. The Decayed, Missing, Filled Teeth (DMFT) index does not meet new challenges in the field of oral health. Dental erosion seems to be a growing problem, and in some countries, an increase in erosion of teeth is associated with an increase in the consumption of beverages containing acids. Therefore, within a revision of the WHO Oral Health Surveys Basic Methods, new oral disease patterns, e.g. dental erosion, have to be taken into account. Within the last 20 years, many studies on dental erosion have been carried out and published. There has been a rapid growth in the number of indexes quantifying dental erosion process in different age groups. However, these indexes are not comparable. This article discusses quality criteria which an index intended for assessing tooth erosion should possess. PMID:18228060

  12. Informal networks and resilience to climate change impacts: A collective approach to index insurance

    DEFF Research Database (Denmark)

    Trærup, Sara Lærke Meltofte

    2012-01-01

    This article contributes to the understanding of how to proceed with the development of index-insurance in order to reach extended population coverage with the insurance. The approach is applied to an example from a region in Tanzania. One of the main coping strategies that resource-poor households...... networks become insufficient since the majority of risk-sharers will be affected by the shock at the same time. This paper proposes a collective approach to index-insurance in which the members of an informal network will be insured as one insurance taker. The paper raises a conceptual argument...... that targeting households through existing informal networks will remove a number of prevailing barriers to the takeup of insurance and consequently the approach has the potential to increase households’ resilience to climate change impacts. The policy implications of the conclusions are significant since...

  13. Position Mooring Control Based on a Structural Reliability Criterion

    DEFF Research Database (Denmark)

    Fang, Shaoji; Leira, Bernt J.; Blanke, Mogens

    2013-01-01

    is achieved using structural reliability indices in a cost function, where both the mean mooring-line tension and dynamic effects are considered. An optimal set-point is automatically produced without need for manual interaction. The parameters of the extreme value distribution are calculated on-line thereby...... mooring lines simultaneously from exceeding a stress threshold, this paper suggests a new algorithm to determine the reference position and an associated control system. The safety of each line is assessed through a structural reliability index. A reference position where all mooring lines are safe...

  14. Reliability of a questionnaire on substance use among adolescent students, Brazil.

    Science.gov (United States)

    Machado Neto, Adelmo de Souza; Andrade, Tarcisio Matos; Fernandes, Gilênio Borges; Zacharias, Helder Paulo; Carvalho, Fernando Martins; Machado, Ana Paula Souza; Dias, Ana Carmen Costa; Garcia, Ana Carolina Rocha; Santana, Lauro Reis; Rolin, Carlos Eduardo; Sampaio, Cyntia; Ghiraldi, Gisele; Bastos, Francisco Inácio

    2010-10-01

    To analyze reliability of a self-applied questionnaire on substance use and misuse among adolescent students. Two cross-sectional studies were carried out for the instrument test-retest. The sample comprised male and female students aged 1119 years from public and private schools (elementary, middle, and high school students) in the city of Salvador, Northeastern Brazil, in 2006. A total of 591 questionnaires were applied in the test and 467 in the retest. Descriptive statistics, the Kappa index, Cronbach's alpha and intraclass correlation were estimated. The prevalence of substance use/misuse was similar in both test and retest. Sociodemographic variables showed a "moderate" to "almost perfect" agreement for the Kappa index, and a "satisfactory" (>0.75) consistency for Cronbach's alpha and intraclass correlation. The age which psychoactive substances (tobacco, alcohol, and cannabis) were first used and chronological age were similar in both studies. Test-retest reliability was found to be a good indicator of students' age of initiation and their patterns of substance use. The questionnaire reliability was found to be satisfactory in the population studied.

  15. Reliability analysis of stiff versus flexible piping

    International Nuclear Information System (INIS)

    Lu, S.C.

    1985-01-01

    The overall objective of this research project is to develop a technical basis for flexible piping designs which will improve piping reliability and minimize the use of pipe supports, snubbers, and pipe whip restraints. The current study was conducted to establish the necessary groundwork based on the piping reliability analysis. A confirmatory piping reliability assessment indicated that removing rigid supports and snubbers tends to either improve or affect very little the piping reliability. The authors then investigated a couple of changes to be implemented in Regulatory Guide (RG) 1.61 and RG 1.122 aimed at more flexible piping design. They concluded that these changes substantially reduce calculated piping responses and allow piping redesigns with significant reduction in number of supports and snubbers without violating ASME code requirements. Furthermore, the more flexible piping redesigns are capable of exhibiting reliability levels equal to or higher than the original stiffer design. An investigation of the malfunction of pipe whip restraints confirmed that the malfunction introduced higher thermal stresses and tended to reduce the overall piping reliability. Finally, support and component reliabilities were evaluated based on available fragility data. Results indicated that the support reliability usually exhibits a moderate decrease as the piping flexibility increases. Most on-line pumps and valves showed an insignificant reduction in reliability for a more flexible piping design

  16. Reliability and sensitivity to change of the OMERACT rheumatoid arthritis magnetic resonance imaging score in a multireader, longitudinal setting

    DEFF Research Database (Denmark)

    Haavardsholm, ea; Østergaard, Mikkel; Kvan, NP

    2005-01-01

    OBJECTIVE: To assess the intra- and interreader reliability and the sensitivity to change of the Outcome Measures in Rheumatology Clinical Trials (OMERACT) Rheumatoid Arthritis Magnetic Resonance Imaging Score (RAMRIS) system on digital images of the wrist joints of patients with early or establi...

  17. Some remarks on software reliability

    International Nuclear Information System (INIS)

    Gonzalez Hernando, J.; Sanchez Izquierdo, J.

    1978-01-01

    Trend in modern NPPCI is toward a broad use of programmable elements. Some aspects concerning present status of programmable digital systems reliability are reported. Basic differences between software and hardware concept require a specific approach in all the reliability topics concerning software systems. The software reliability theory was initialy developed upon hardware models analogies. At present this approach is changing and specific models are being developed. The growing use of programmable systems necessitates emphasizing the importance of more adequate regulatory requirements to include this technology in NPPCI. (author)

  18. Reliability-Based Robustness Analysis for a Croatian Sports Hall

    DEFF Research Database (Denmark)

    Čizmar, Dean; Kirkegaard, Poul Henning; Sørensen, John Dalsgaard

    2011-01-01

    This paper presents a probabilistic approach for structural robustness assessment for a timber structure built a few years ago. The robustness analysis is based on a structural reliability based framework for robustness and a simplified mechanical system modelling of a timber truss system....... A complex timber structure with a large number of failure modes is modelled with only a few dominant failure modes. First, a component based robustness analysis is performed based on the reliability indices of the remaining elements after the removal of selected critical elements. The robustness...... is expressed and evaluated by a robustness index. Next, the robustness is assessed using system reliability indices where the probabilistic failure model is modelled by a series system of parallel systems....

  19. Reliability of FEV1/FEV6 to Diagnose Airflow Obstruction Compared with FEV1/FVC: The PLATINO Longitudinal Study

    Science.gov (United States)

    Perez-Padilla, Rogelio; Wehrmeister, Fernando C.; Celli, Bartolome R.; Lopez-Varela, Maria Victorina; Montes de Oca, Maria; Muiño, Adriana; Talamo, Carlos; Jardim, Jose R.; Valdivia, Gonzalo; Lisboa, Carmen; Menezes, Ana Maria B.

    2013-01-01

    QUESTION A 6-second spirometry test is easier than full exhalations. We compared the reliability of the ratio of the Forced expiratory volume in 1 second/Forced expiratory volume in 6 seconds (FEV1/FEV6) to the ratio of the FEV1/Forced vital capacity (FEV1/FVC) for the detection of airway obstruction. METHODS The PLATINO population-based survey in individuals aged 40 years and over designed to estimate the prevalence of post-Bronchodilator airway obstruction repeated for the same study participants after 5–9 years in three Latin-American cities. RESULTS Using the FEV1/FVCindex, COPD prevalence apparently changed from 9.8 to 13.2% in Montevideo, from 9.7 to 6.0% in São Paulo and from 8.5 to 6.6% in Santiago, despite only slight declines in smoking prevalence (from 30.8% to 24.3%). These changes were associated with differences in Forced expiratory time (FET) between the two surveys. In contrast, by using the FEV1/FEV6 to define airway obstruction, the changes in prevalence were smaller: 9.7 to 10.6% in Montevideo, 8.6 to 9.0% in São Paulo, and 7.5 to 7.9% in Santiago. Changes in the prevalence of COPD with criteria based on FEV1/FVC correlated strongly with changes in the FET of the tests (R2 0.92) unlike the prevalence based on a low FEV1/FEV6 (R2 = 0.40). CONCLUSION The FEV1/FEV6 is a more reliable index than FEV1/FVC because FVC varies with the duration of the forced exhalation. Reporting FET and FEV1/FEV6

  20. Reliability of FEV1/FEV6 to diagnose airflow obstruction compared with FEV1/FVC: the PLATINO longitudinal study.

    Directory of Open Access Journals (Sweden)

    Rogelio Perez-Padilla

    Full Text Available QUESTION: A 6-second spirometry test is easier than full exhalations. We compared the reliability of the ratio of the Forced expiratory volume in 1 second/Forced expiratory volume in 6 seconds (FEV1/FEV6 to the ratio of the FEV1/Forced vital capacity (FEV1/FVC for the detection of airway obstruction. METHODS: The PLATINO population-based survey in individuals aged 40 years and over designed to estimate the prevalence of post-Bronchodilator airway obstruction repeated for the same study participants after 5-9 years in three Latin-American cities. RESULTS: Using the FEV1/FVCindex, COPD prevalence apparently changed from 9.8 to 13.2% in Montevideo, from 9.7 to 6.0% in São Paulo and from 8.5 to 6.6% in Santiago, despite only slight declines in smoking prevalence (from 30.8% to 24.3%. These changes were associated with differences in Forced expiratory time (FET between the two surveys. In contrast, by using the FEV1/FEV6 to define airway obstruction, the changes in prevalence were smaller: 9.7 to 10.6% in Montevideo, 8.6 to 9.0% in São Paulo, and 7.5 to 7.9% in Santiago. Changes in the prevalence of COPD with criteria based on FEV1/FVC correlated strongly with changes in the FET of the tests (R(2 0.92 unlike the prevalence based on a low FEV1/FEV6 (R(2 =0.40. CONCLUSION: The FEV1/FEV6 is a more reliable index than FEV1/FVC because FVC varies with the duration of the forced exhalation. Reporting FET and FEV1/FEV6

  1. Reliability of electronic systems

    International Nuclear Information System (INIS)

    Roca, Jose L.

    2001-01-01

    Reliability techniques have been developed subsequently as a need of the diverse engineering disciplines, nevertheless they are not few those that think they have been work a lot on reliability before the same word was used in the current context. Military, space and nuclear industries were the first ones that have been involved in this topic, however not only in these environments it is that it has been carried out this small great revolution in benefit of the increase of the reliability figures of the products of those industries, but rather it has extended to the whole industry. The fact of the massive production, characteristic of the current industries, drove four decades ago, to the fall of the reliability of its products, on one hand, because the massively itself and, for other, to the recently discovered and even not stabilized industrial techniques. Industry should be changed according to those two new requirements, creating products of medium complexity and assuring an enough reliability appropriated to production costs and controls. Reliability began to be integral part of the manufactured product. Facing this philosophy, the book describes reliability techniques applied to electronics systems and provides a coherent and rigorous framework for these diverse activities providing a unifying scientific basis for the entire subject. It consists of eight chapters plus a lot of statistical tables and an extensive annotated bibliography. Chapters embrace the following topics: 1- Introduction to Reliability; 2- Basic Mathematical Concepts; 3- Catastrophic Failure Models; 4-Parametric Failure Models; 5- Systems Reliability; 6- Reliability in Design and Project; 7- Reliability Tests; 8- Software Reliability. This book is in Spanish language and has a potentially diverse audience as a text book from academic to industrial courses. (author)

  2. Reliability of System Identification Techniques to Assess Standing Balance in Healthy Elderly.

    Directory of Open Access Journals (Sweden)

    Jantsje H Pasma

    Full Text Available System identification techniques have the potential to assess the contribution of the underlying systems involved in standing balance by applying well-known disturbances. We investigated the reliability of standing balance parameters obtained with multivariate closed loop system identification techniques.In twelve healthy elderly balance tests were performed twice a day during three days. Body sway was measured during two minutes of standing with eyes closed and the Balance test Room (BalRoom was used to apply four disturbances simultaneously: two sensory disturbances, to the proprioceptive and the visual system, and two mechanical disturbances applied at the leg and trunk segment. Using system identification techniques, sensitivity functions of the sensory disturbances and the neuromuscular controller were estimated. Based on the generalizability theory (G theory, systematic errors and sources of variability were assessed using linear mixed models and reliability was assessed by computing indexes of dependability (ID, standard error of measurement (SEM and minimal detectable change (MDC.A systematic error was found between the first and second trial in the sensitivity functions. No systematic error was found in the neuromuscular controller and body sway. The reliability of 15 of 25 parameters and body sway were moderate to excellent when the results of two trials on three days were averaged. To reach an excellent reliability on one day in 7 out of 25 parameters, it was predicted that at least seven trials must be averaged.This study shows that system identification techniques are a promising method to assess the underlying systems involved in standing balance in elderly. However, most of the parameters do not appear to be reliable unless a large number of trials are collected across multiple days. To reach an excellent reliability in one third of the parameters, a training session for participants is needed and at least seven trials of two

  3. Investigation on the Patterns of Global Vegetation Change Using a Satellite-Sensed Vegetation Index

    Directory of Open Access Journals (Sweden)

    Ainong Li

    2010-06-01

    Full Text Available The pattern of vegetation change in response to global change still remains a controversial issue. A Normalized Difference Vegetation Index (NDVI dataset compiled by the Global Inventory Modeling and Mapping Studies (GIMMS was used for analysis. For the period 1982–2006, GIMMS-NDVI analysis indicated that monthly NDVI changes show homogenous trends in middle and high latitude areas in the northern hemisphere and within, or near, the Tropic of Cancer and Capricorn; with obvious spatio-temporal heterogeneity on a global scale over the past two decades. The former areas featured increasing vegetation activity during growth seasons, and the latter areas experienced an even greater amplitude in places where precipitation is adequate. The discussion suggests that one should be cautious of using the NDVI time-series to analyze local vegetation dynamics because of its coarse resolution and uncertainties.

  4. Mercurious Oil Index (MOI) : A new indicator for the global oil price

    OpenAIRE

    Leeuw, de, J.; Dorsman, A.B.; Nelissen, R.

    2008-01-01

    “The” price of oil does not exist. This paper describes the development of a (new) oil index, the Mercurious Oil Index (MOI). This index can be seen as an indicator for the global price of oil. We will discuss why this index is a reliable global price reference, and why it is superior to and more useful than the existing indices and/or benchmarks. Indices are very helpful instruments for the tracking and prediction of markets, to measure performance or sentiment and to form a solid basis on w...

  5. Translation, cultural adaptation and validation for Brazilian Portuguese of the Cardiff Acne Disability Index instrument.

    Science.gov (United States)

    Grando, Luciana Rosa; Horn, Roberta; Cunha, Vivian Trein; Cestari, Tania Ferreira

    2016-04-01

    The Cardiff Acne Disability Index was originally developed in English for measuring quality of life of acne patients. Considering the psychosocial impact of this disease, it is important to have instruments culturally and linguistically validated for use in Brazilian adolescents. To translate the Cardiff Acne Disability Index into Brazilian Portuguese, culturally adapt it, and verify its reliability and validity in adolescent patients with acne. In the first step, the Cardiff Acne Disability Index was translated and validated linguistically to Brazilian Portuguese in accordance with international guidelines published. In the second step, the validation of the Cardiff Acne Disability Index into Brazilian Portuguese instrument was performed, when patients aged from 12 to 20 years with acne were selected. The participants were interviewed to collect demographic data, submitted to the classification of acne by the Global Acne Grading System and invited to respond the Cardiff Acne Disability Index into Brazilian Portuguese version and DLQI (>16 years) or CDLQI (≤16 years). The internal consistency of Cardiff Acne Disability Index into Brazilian Portuguese was assessed by Cronbach's alpha coefficient and concurrent validity was measured by the Spearman correlation coefficient and Student 's t-test for paired samples. The study included 100 adolescents. The Cardiff Acne Disability Index into Brazilian Portuguese version showed good reliability and internal consistency (Cronbach's alpha = 0.73). The concurrent validity of the scale was supported by a strong and significant correlation with CDLQI / DLQI instruments (rs=0.802;pPortuguese version is a reliable, valid and valuable tool to measure the impact of acne on quality of life in adolescent patients.

  6. [Evaluation of circulatory state using pulse oximeter: 2. PI (perfusion index) x PVI (pleth variability index)].

    Science.gov (United States)

    Kaneda, Toru; Suzuki, Toshiyasu

    2009-07-01

    Pulse oximeter expressed by SpO2 is used for monitoring respiratory state during operation and in ICU. Perfusion index (PI) and pleth variability index (PVI) as new indexes are calculated from pulse oximeter (Masimo SET Radical-7, Masimo Corp., USA, 1998) waveforms. And these indices were used as parameters to evaluate the circulatory state. For PI calculation, the pulsatile infrared signal is indexed against the nonpulsatile infrared signal and expressed as a percentage. It might thus be of future value in assessment of perioperative changes in peripheral perfusion. PVI is a measure of a dynamic change in PI that occurs during complete respiratory cycle. It might be thought that PVI, an index automatically derived from the pulse oximeter waveform analysis, had potentially clinical applications for noninvasive hypovolemia detection and fluid responsiveness monitoring.

  7. Grated waveguide-based optical cavities as compact sensors for sub-nanometre cantilever deflections, and small refractive-index changes

    NARCIS (Netherlands)

    Kauppinen, L.J.; Hoekstra, Hugo; Dijkstra, Mindert; de Ridder, R.M.; Krijnen, Gijsbertus J.M.; MacCraith, B; McDonagh, C.

    2008-01-01

    The paper reports on theoretical and experimental results of integrated optical (IO) cavities defined by grated waveguides in $Si_3N_4$ and Si, for the accurate detection of cantilever deflection and bulk index changes.

  8. Change of T, B lymphocyte subsets and Th1/Th2 indexes of patients with recurrent spontaneous abortion

    Institute of Scientific and Technical Information of China (English)

    Shi-Hua Zhou

    2016-01-01

    Objective:To analyze and investigate the change state of T, B lymphocyte subsets and Th1/Th2 indexes of patients with recurrent spontaneous abortion. Methods: A total of 92 patients with recurrent spontaneous abortion in our hospital from June 2013 to July 2015 were selected as the observation group and 92 women with health delivery history at the same time were selected as the control group,then the peripheral blood T, B lymphocyte subsets and Th1/Th2 indexes of two groups were detected and compared and the peripheral blood T, B lymphocyte subsets and Th1/Th2 indexes of patients with different gestational age at abortion and abortion times were compared too. Results:The peripheral blood T, B lymphocyte subsets and Th1/Th2 indexes of observation group and control group all had obvious differences,and those blood indexes levels' differences of patients with different gestational age at abortion and abortion times were obvious too, all P<0.05 and the differences were significant. Conclusions: The T, B lymphocyte subsets and Th1/Th2 indexes of patients with recurrent spontaneous abortion show abnormal state and the differences of detection results of patients with different gestational age at abortion and abortion times are relatively obvious,so those indexes should be monitored and improved intentinonally.

  9. Litterfall and Leaf Area Index in the CONECOFOR Permanent Monitoring Plots

    Directory of Open Access Journals (Sweden)

    Andrea CUTINI

    2002-09-01

    Full Text Available Forest canopies are more sensitive and react more promptly to abiotic and biotic disturbances than other stand structural components. Monitoring crown and canopy characteristics is therefore a crucial issue for intensive and continuous monitoring programs of forest ecosystem status. These observations formed the basis for the measurement of annual litter production and leaf area index (LAI in the Italian permanent monitoring plots (CONECOFOR program established within the EC-UN/ECE program "Intensive Monitoring (Level II of Forest Ecosystems". Preliminary results after three years of observation are presented. The low value of within plot mean relative standard deviation (20.8 ± 1.9% of litter production, which in any case never exceeded 30%, accounted for the good sampling error and accuracy of the chosen method, which seems to be accurate enough to detect changes in litter production through the years. The higher inconsistency of the amount of woody and fruits fractions over the years demonstrated the greater reliability of leaf fraction or, on the other hand, of LAI compared to total litter. Mean values of annual leaf-litter and total litter production and LAI were rather high in comparison with data reported in literature for similar stands, and reflected both a medium-high productivity and a juvenile phase in the development of the selected stands on average. Focusing on changes in litter production through the years, statistical analysis on a sub-sample of plots showed the existence of significant differences both in leaf litter and total litter production. These findings seem to attribute to the "year" factor a driving role in determining changes in litter production and LAI. Temporal intermittence in data collection, together with the shortness of the monitoring period, make it difficult to speculate or arrive at definitive conclusions on changes in litter production due to time-dependent factors. The importance of having a complete

  10. A novel insulin resistance index to monitor changes in insulin sensitivity and glucose tolerance: the ACT NOW study.

    Science.gov (United States)

    Tripathy, Devjit; Cobb, Jeff E; Gall, Walter; Adam, Klaus-Peter; George, Tabitha; Schwenke, Dawn C; Banerji, MaryAnn; Bray, George A; Buchanan, Thomas A; Clement, Stephen C; Henry, Robert R; Kitabchi, Abbas E; Mudaliar, Sunder; Ratner, Robert E; Stentz, Frankie B; Reaven, Peter D; Musi, Nicolas; Ferrannini, Ele; DeFronzo, Ralph A

    2015-05-01

    The objective was to test the clinical utility of Quantose M(Q) to monitor changes in insulin sensitivity after pioglitazone therapy in prediabetic subjects. Quantose M(Q) is derived from fasting measurements of insulin, α-hydroxybutyrate, linoleoyl-glycerophosphocholine, and oleate, three nonglucose metabolites shown to correlate with insulin-stimulated glucose disposal. Participants were 428 of the total of 602 ACT NOW impaired glucose tolerance (IGT) subjects randomized to pioglitazone (45 mg/d) or placebo and followed for 2.4 years. At baseline and study end, fasting plasma metabolites required for determination of Quantose, glycated hemoglobin, and oral glucose tolerance test with frequent plasma insulin and glucose measurements to calculate the Matsuda index of insulin sensitivity were obtained. Pioglitazone treatment lowered IGT conversion to diabetes (hazard ratio = 0.25; 95% confidence interval = 0.13-0.50; P < .0001). Although glycated hemoglobin did not track with insulin sensitivity, Quantose M(Q) increased in pioglitazone-treated subjects (by 1.45 [3.45] mg·min(-1)·kgwbm(-1)) (median [interquartile range]) (P < .001 vs placebo), as did the Matsuda index (by 3.05 [4.77] units; P < .0001). Quantose M(Q) correlated with the Matsuda index at baseline and change in the Matsuda index from baseline (rho, 0.85 and 0.79, respectively; P < .0001) and was progressively higher across closeout glucose tolerance status (diabetes, IGT, normal glucose tolerance). In logistic models including only anthropometric and fasting measurements, Quantose M(Q) outperformed both Matsuda and fasting insulin in predicting incident diabetes. In IGT subjects, Quantose M(Q) parallels changes in insulin sensitivity and glucose tolerance with pioglitazone therapy. Due to its strong correlation with improved insulin sensitivity and its ease of use, Quantose M(Q) may serve as a useful clinical test to identify and monitor therapy in insulin-resistant patients.

  11. Quality of life in oncological patients with oropharyngeal dysphagia: validity and reliability of the Dutch version of the MD Anderson Dysphagia Inventory and the Deglutition Handicap Index.

    Science.gov (United States)

    Speyer, Renée; Heijnen, Bas J; Baijens, Laura W; Vrijenhoef, Femke H; Otters, Elsemieke F; Roodenburg, Nel; Bogaardt, Hans C

    2011-12-01

    Quality of life is an important outcome measurement in objectifying the current health status or therapy effects in patients with oropharyngeal dysphagia. In this study, the validity and reliability of the Dutch version of the Deglutition Handicap Index (DHI) and the MD Anderson Dysphagia Inventory (MDADI) have been determined for oncological patients with oropharyngeal dysphagia. At Maastricht University Medical Center, 76 consecutive patients were selected and asked to fill in three questionnaires on quality of life related to oropharyngeal dysphagia (the SWAL-QOL, the MDADI, and the DHI) as well as a simple one-item visual analog Dysphagia Severity Scale. None of the quality-of-life questionnaires showed any floor or ceiling effect. The test-retest reliability of the MDADI and the Dysphagia Severity Scale proved to be good. The test-retest reliability of the DHI could not be determined because of insufficient data, but the intraclass correlation coefficients were rather high. The internal consistency proved to be good. However, confirmatory factor analysis could not distinguish the underlying constructs as defined by the subscales per questionnaire. When assessing criterion validity, both the MDADI and the DHI showed satisfactory associations with the SWAL-QOL (reference or gold standard) after having removed the less relevant subscales of the SWAL-QOL. In conclusion, when assessing the validity and reliability of the Dutch version of the DHI or the MDADI, not all psychometric properties have been adequately met. In general, because of difficulties in the interpretation of study results when using questionnaires lacking sufficient psychometric quality, it is recommended that researchers strive to use questionnaires with the most optimal psychometric properties.

  12. Reliability and validity study of the Finnish version 2.0 of the oswestry disability index.

    Science.gov (United States)

    Pekkanen, Liisa; Kautiainen, Hannu; Ylinen, Jari; Salo, Petri; Häkkinen, Arja

    2011-02-15

    Prospective clinical validation study. The aims of this study were to translate into Finnish and culturally adapt and study the psycho-metric properties of the Oswestry Disability Index (ODI) version 2.0. The ODI is one of the most commonly reported back-specific disability questionnaires. It is widely used both in clinical work and in medical studies. To date, no validated Finnish version of the ODI version 2.0 has been reported. The ODI version 2.0 was translated into the Finnish language. A total of 115 patients with back pain, referred by the primary care physician to the outpatient clinic of the department of physical medicine and rehabilitation, were recruited for this study. The patients answered a questionnaire package that included the Finnish ODI 2.0, Back Pain Questionnaire for Visual Analogue Assessment (Million-VAS), Visual Analogue Scales of back and leg pain (VASback, VASleg), the Depressions Scale, and a question on their subjectively perceived health. The package was administered twice; 2 weeks before and at the arrival to the clinic. Reproducibility of the ODI was 0.90 (95% confidence interval [CI] = 0.85-0.94) and the internal consistency was 0.86 (95% CI = 0.81-0.90). Factor analysis showed that the ODI was loaded on 2 factors, which explained 51% of the total variance. In testing convergent validity ODI correlated with Million-VAS, r = 0.75 (95% CI = 0.64-0.84); VASback, r = 0.48 (95% CI = 0.32-0.62); and VAS leg, r = 0.41 (95% CI = 0.23-0.57). The Finnish ODI version 2.0 proved to be a valid and reliable instrument that showed psychometric properties comparable with the original English version. Therefore, it can be used in assessing the disability among Finnish-speaking patients with back pain for both clinical and scientific purposes.

  13. On the Reliability of Unit Value Ratios in International Comparisons

    NARCIS (Netherlands)

    Timmer, Marcel P.

    1996-01-01

    In this paper reliability indicators are developed for the Laspeyres and Paasche index type currency conversion factors used in the industry of origin approach to international comparisons of output. Given the fact that these conversion factors are calculated on basis of a sampling technique,

  14. Accelerator Availability and Reliability Issues

    Energy Technology Data Exchange (ETDEWEB)

    Steve Suhring

    2003-05-01

    Maintaining reliable machine operations for existing machines as well as planning for future machines' operability present significant challenges to those responsible for system performance and improvement. Changes to machine requirements and beam specifications often reduce overall machine availability in an effort to meet user needs. Accelerator reliability issues from around the world will be presented, followed by a discussion of the major factors influencing machine availability.

  15. ATLAS EventIndex Data Collection Supervisor and Web Interface

    CERN Document Server

    Garcia Montoro, Carlos; The ATLAS collaboration; Sanchez, Javier

    2016-01-01

    The EventIndex project consists in the development and deployment of a complete catalogue of events for the ATLAS experiment [1][2] at the LHC accelerator at CERN. In 2015 the ATLAS experiment has produced 12 billion real events in 1 million files, and 5 billion simulated events in 8 million files. The ATLAS EventIndex is running in production since mid-2015, reliably collecting information worldwide about all produced events and storing them in a central Hadoop infrastructure. A subset of this information is copied to an Oracle relational database. This paper presents two components of the ATLAS EventIndex [3]: its data collection supervisor and its web interface partner.

  16. ATLAS EventIndex Data Collection Supervisor and Web Interface

    CERN Document Server

    Garcia Montoro, Carlos; The ATLAS collaboration

    2016-01-01

    The EventIndex project consists in the development and deployment of a complete catalogue of events for the ATLAS experiment at the LHC accelerator at CERN. In 2015 the ATLAS experiment has produced 12 billion real events in 1 million files, and 5 billion simulated events in 8 million files. The ATLAS EventIndex is running in production since mid- 2015, reliably collecting information worldwide about all produced events and storing them in a central Hadoop infrastructure. A subset of this information is copied to an Oracle relational database. These slides present two components of the ATLAS EventIndex: its data collection supervisor and its web interface partner.

  17. Indexing Creativity Fostering Teacher Behaviour: Replication and Modification

    Science.gov (United States)

    Dikici, Ayhan; Soh, Kaycheng

    2015-01-01

    Many measurement tools on creativity are available in the literature. One of these scales is Creativity Fostering Teacher Behaviour Index (CFTIndex) developed for Singaporean teacher originally. It was then translated into Turkish and trialled on teachers in Nigde province with acceptable reliability and factorial validity. The main purpose of…

  18. Stock index adjustments, analyst coverage and institutional holdings: Evidence from China

    Directory of Open Access Journals (Sweden)

    Song Zhu

    2017-09-01

    Full Text Available Using 231 pairs of matched firms from 2009 to 2012 in Chinese stock market, we find that the stock index adjustment significantly affects the analyst coverage, which in addition to the stock index leads to more analyst coverage, while deletion from the stock index has no significant effect, indicating that stock index adjustment can significantly change the information environments of firms that are added to the index. An index adjustment also affects institutional holdings in consideration of new information (e.g., changes in fundamentals and information environments. Changes in institutional holdings are partially due to changes in analyst coverage, and both index funds and other types can change their portfolios in response to changes in the target firms’ informativeness.

  19. Association between dietary phytochemical index and 3-year changes in weight, waist circumference and body adiposity index in adults: Tehran Lipid and Glucose study

    Directory of Open Access Journals (Sweden)

    Mirmiran Parvin

    2012-12-01

    Full Text Available Abstract Background High intakes of phytochemical-rich foods have favorable effects on the prevention of chronic diseases. In this study we assessed the dietary phytochemical index (PI in relation to 3-year change in weight, waist circumference (WC, body adiposity index (BAI among Tehranian adults. Methods This longitudinal study was conducted in the framework of Tehran Lipid and Glucose Study, between 2006–2008 and 2009–2011, on 1938 adults, aged 19–70 y. The usual intake of participants was measured at baseline using a validated semi-quantitative food frequency questionnaire and dietary PI was calculated. Anthropometric measures were assessed both at baseline and 3 years later. Multiple regression models were used to estimate mean difference changes in anthropometrics associated with various dietary PI. Results The mean age of participants was 40.4 ± 13.0 y, at baseline, respectively. Mean weight gain was 1.49 ± 5.06 kg (1.65 ± 5.3 kg in men and 1.34 ± 4.9 kg in women during 3-year period. After adjustment for potential confounding variables including age at baseline, sex, BMI, educational levels, smoking, physical activity, total energy intake, dietary intake of carbohydrate, fat and protein, dietary intakes of whole grains in the highest quartile category of PI were inversely associated with 3-year changes in weight and WC (P for trend . Dietary intake of fruits in the highest quartile was also associated with lower weight gain during the study period (P for trend . There was significant inverse association between the highest quartile category of dietary PI with the 3-year changes in weight and BAI (P for trend . Conclusion Higher dietary PI could have favorable effects on prevention of weight gain and reduction of body adiposity in adults.

  20. Reliability evaluation of power systems

    CERN Document Server

    Billinton, Roy

    1996-01-01

    The Second Edition of this well-received textbook presents over a decade of new research in power system reliability-while maintaining the general concept, structure, and style of the original volume. This edition features new chapters on the growing areas of Monte Carlo simulation and reliability economics. In addition, chapters cover the latest developments in techniques and their application to real problems. The text also explores the progress occurring in the structure, planning, and operation of real power systems due to changing ownership, regulation, and access. This work serves as a companion volume to Reliability Evaluation of Engineering Systems: Second Edition (1992).

  1. Test-Retest Reliability and Minimal Detectable Change of Randomized Dichotic Digits in Learning-Disabled Children: Implications for Dichotic Listening Training.

    Science.gov (United States)

    Mahdavi, Mohammad Ebrahim; Pourbakht, Akram; Parand, Akram; Jalaie, Shohreh

    2018-03-01

    Evaluation of dichotic listening to digits is a common part of many studies for diagnosis and managing auditory processing disorders in children. Previous researchers have verified test-retest relative reliability of dichotic digits results in normal children and adults. However, detecting intervention-related changes in the ear scores after dichotic listening training requires information regarding trial-to-trial typical variation of individual ear scores that is estimated using indices of absolute reliability. Previous studies have not addressed absolute reliability of dichotic listening results. To compare the results of the Persian randomized dichotic digits test (PRDDT) and its relative and absolute indices of reliability between typical achieving (TA) and learning-disabled (LD) children. A repeated measures observational study. Fifteen LD children were recruited from a previously performed study with age range of 7-12 yr. The control group consisted of 15 TA schoolchildren with age range of 8-11 yr. The Persian randomized dichotic digits test was administered on the children under free recall condition in two test sessions 7-12 days apart. We compared the average of the ear scores and ear advantage between TA and LD children. Relative indices of reliability included Pearson's correlation and intraclass correlation (ICC 2,1 ) coefficients and absolute reliability was evaluated by calculation of standard error of measurement (SEM) and minimal detectable change (MDC) using the raw ear scores. The Pearson correlation coefficient indicated that in both groups of children the ear scores of test and retest sessions were strongly and positively (greater than +0.8) correlated. The ear scores showed excellent ICC coefficient of consistency (0.78-0.82) and fair to excellent ICC coefficient of absolute agreement (0.62-0.74) in TA children and excellent ICC coefficients of consistency and absolute agreement in LD children (0.76-0.87). SEM and SEM% of the ear scores in TA

  2. The reliability, minimal detectable change and concurrent validity of a gravity-based bubble inclinometer and iphone application for measuring standing lumbar lordosis.

    Science.gov (United States)

    Salamh, Paul A; Kolber, Morey

    2014-01-01

    To investigate the reliability, minimal detectable change (MDC90) and concurrent validity of a gravity-based bubble inclinometer (inclinometer) and iPhone® application for measuring standing lumbar lordosis. Two investigators used both an inclinometer and an iPhone® with an inclinometer application to measure lumbar lordosis of 30 asymptomatic participants. ICC models 3,k and 2,k were used for the intrarater and interrater analysis, respectively. Good interrater and intrarater reliability was present for the inclinometer with Intraclass Correlation Coefficients (ICC) of 0.90 and 0.85, respectively and the iPhone® application with ICC values of 0.96 and 0.81. The minimal detectable change (MDC90) indicates that a change greater than or equal to 7° and 6° is needed to exceed the threshold of error using the iPhone® and inclinometer, respectively. The concurrent validity between the two instruments was good with a Pearson product-moment coefficient of correlation (r) of 0.86 for both raters. Ninety-five percent limits of agreement identified differences ranging from 9° greater in regards to the iPhone® to 8° less regarding the inclinometer. Both the inclinometer and iPhone® application possess good interrater reliability, intrarater reliability and concurrent validity for measuring standing lumbar lordosis. This investigation provides preliminary evidence to suggest that smart phone applications may offer clinical utility comparable to inclinometry for quantifying standing lumbar lordosis. Clinicians should recognize potential individual differences when using these devices interchangeably.

  3. Reliability and validity of non-radiographic methods of thoracic kyphosis measurement: a systematic review.

    Science.gov (United States)

    Barrett, Eva; McCreesh, Karen; Lewis, Jeremy

    2014-02-01

    A wide array of instruments are available for non-invasive thoracic kyphosis measurement. Guidelines for selecting outcome measures for use in clinical and research practice recommend that properties such as validity and reliability are considered. This systematic review reports on the reliability and validity of non-invasive methods for measuring thoracic kyphosis. A systematic search of 11 electronic databases located studies assessing reliability and/or validity of non-invasive thoracic kyphosis measurement techniques. Two independent reviewers used a critical appraisal tool to assess the quality of retrieved studies. Data was extracted by the primary reviewer. The results were synthesized qualitatively using a level of evidence approach. 27 studies satisfied the eligibility criteria and were included in the review. The reliability, validity and both reliability and validity were investigated by sixteen, two and nine studies respectively. 17/27 studies were deemed to be of high quality. In total, 15 methods of thoracic kyphosis were evaluated in retrieved studies. All investigated methods showed high (ICC ≥ .7) to very high (ICC ≥ .9) levels of reliability. The validity of the methods ranged from low to very high. The strongest levels of evidence for reliability exists in support of the Debrunner kyphometer, Spinal Mouse and Flexicurve index, and for validity supports the arcometer and Flexicurve index. Further reliability and validity studies are required to strengthen the level of evidence for the remaining methods of measurement. This should be addressed by future research. Copyright © 2013 Elsevier Ltd. All rights reserved.

  4. Assessment of Silt Density Index (SDI) as Fouling Propensity Parameter in Reverse Osmosis Desalination

    KAUST Repository

    Rachman, Rinaldi

    2011-07-01

    Reverse osmosis operations are facing persistent fouling phenomenon that has challenged the integrity of these processes. Prediction of fouling potential by measuring a fouling index toward feed water is essential to ensure robust operation. Moreover, employing a reliable fouling index with good reproducibility and precision is necessary. Silt density index (SDI) is considered insufficient in terms of reliability and empirical theory, among other limitations. Nevertheless due its simplicity, SDI measurement is utilized extensively in RO desalination systems. The aim of this research is to assess the reliability of SDI. Methods include the investigation of different SDI membranes and study of the nature of the SDI filtration. Results demonstrate the existence of the membrane properties\\' variation within manufacturers, which then causes a lack of accuracy in fouling risk estimation. The nature of particles during SDI filtration provides information that particle concentration and size play a significant role on SDI quantification with substantial representation given by particles with size close to membrane nominal pore size. Moreover, turbidity assisted SDI measurements along with determination of UF pretreated and clean water fouling potential, establishes the indication of non-fouling related phenomena involved on SDI measurement such as a natural organic matter adsorption and hydrodynamic condition that alters during filtration. Additionally, it was found that the latter affects the sensitivity of SDI by being represented by some portions of SDI value. Keywords: Reverse Osmosis, Fouling index, Particulate Fouling, Silt Density Index (SDI), and Assessment of SDI.

  5. [Impact analysis of shuxuetong injection on abnormal changes of ALT based on generalized boosted models propensity score weighting].

    Science.gov (United States)

    Yang, Wei; Yi, Dan-Hui; Xie, Yan-Ming; Yang, Wei; Dai, Yi; Zhi, Ying-Jie; Zhuang, Yan; Yang, Hu

    2013-09-01

    To estimate treatment effects of Shuxuetong injection on abnormal changes on ALT index, that is, to explore whether the Shuxuetong injection harms liver function in clinical settings and to provide clinical guidance for its safe application. Clinical information of traditional Chinese medicine (TCM) injections is gathered from hospital information system (HIS) of eighteen general hospitals. This is a retrospective cohort study, using abnormal changes in ALT index as an outcome. A large number of confounding biases are taken into account through the generalized boosted models (GBM) and multiple logistic regression model (MLRM) to estimate the treatment effects of Shuxuetong injections on abnormal changes in ALT index and to explore possible influencing factors. The advantages and process of application of GBM has been demonstrated with examples which eliminate the biases from most confounding variables between groups. This serves to modify the estimation of treatment effects of Shuxuetong injection on ALT index making the results more reliable. Based on large scale clinical observational data from HIS database, significant effects of Shuxuetong injection on abnormal changes in ALT have not been found.

  6. Determining Reliability and Validity of the Persian Version of Software Usability Measurements Inventory (SUMI) Questionnaire

    OpenAIRE

    seyed abolfazl zakerian; Roya Azizi; Mehdi Rahgozar

    2013-01-01

    The term usability refers to a special index for success of an operating system. This study aimed to determine the reliability and validity of the Software Usability Measurements Inventory (SUMI) questionnaire as one of the valid and common questionnaires about usability evaluation. The back translation method was used to translate the questionnaire from English to Persian back to English. Moreover, repeatability or test-retest reliability was practically used to determine the reliability of ...

  7. Reliability and discriminatory power of methods for dental plaque quantification

    Directory of Open Access Journals (Sweden)

    Daniela Prócida Raggio

    2010-04-01

    Full Text Available OBJECTIVE: This in situ study evaluated the discriminatory power and reliability of methods of dental plaque quantification and the relationship between visual indices (VI and fluorescence camera (FC to detect plaque. MATERIAL AND METHODS: Six volunteers used palatal appliances with six bovine enamel blocks presenting different stages of plaque accumulation. The presence of plaque with and without disclosing was assessed using VI. Images were obtained with FC and digital camera in both conditions. The area covered by plaque was assessed. Examinations were done by two independent examiners. Data were analyzed by Kruskal-Wallis and Kappa tests to compare different conditions of samples and to assess the inter-examiner reproducibility. RESULTS: Some methods presented adequate reproducibility. The Turesky index and the assessment of area covered by disclosed plaque in the FC images presented the highest discriminatory powers. CONCLUSION: The Turesky index and images with FC with disclosing present good reliability and discriminatory power in quantifying dental plaque.

  8. 47 CFR Alphabetical Index - Part 78

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Part 78 Index Alphabetical Index... SERVICE Technical Regulations Modulation limits. Pt. 78, Index Alphabetical Index—Part 78 A Antenna... Changes in equipment 78.109 Conditions for license 78.27 Coordination, frequencies 78.36 Cross reference...

  9. Changes in Intracellular Water Following Hemodialysis Treatment Lead to Changes in Estimates of Lean Tissue Using Bioimpedance Spectroscopy.

    Science.gov (United States)

    El-Kateb, Sally; Davenport, Andrew

    2016-06-01

    Bioelectrical impedance (BIA) devices are being introduced into hemodialysis (HD) centers to aid determining normohydrated weight and also provide body composition assessment by estimating lean tissue mass index (LTMI) and fat mass index (FMI). BIA devices differ, with most using a 2-body compartmental model, which can be affected by hydration status, and as such for reliable measurements, these should be made postdialysis when patients are not overhydrated, which is inconvenient for both patients and staff. The development of BIA devices using a 3-compartmental body model, separately estimating normohydrated LTMI potentially, now offers the advantage of making reliable measurements of body composition prior to dialysis. We measured body composition predialysis and postdialysis in 50 HD patients using a 3-body compartment model BIA device. Although there were no statistically significant differences for the whole cohort in LTMI and FMI (pre and post HD-13.5 ± 4.2 vs 13.9 ± 4.7 kg/m(2), and 10.5 ± 5.5 vs 10.6 ± 5.4 kg/m(2) respectively), the correlation (r(2)) between pre and post HD was only 0.27 and 0.37 kg/m(2) respectively, with a mean ± SD bias on Bland-Altman analysis, -0.67 ± 4.25 and 0.33 ± 4.77 kg/m(2) respectively. Changes in intracellular water were associated with changes in LTMI (r(2) = 0.99, P < .001). Similarly, a fall in LTMI was associated with a corresponding increase in FMI (r(2) = -0.86, P < .001). In clinical practice, predialysis bioimpedance measurements are more convenient. However, for more reliable and reproducible assessments of nutrition status, we suggest that measurements of body composition should be made when patients are not overhydrated. © 2015 American Society for Parenteral and Enteral Nutrition.

  10. Analyzing the topological, electrical and reliability characteristics of a power transmission system for identifying its critical elements

    International Nuclear Information System (INIS)

    Zio, E.; Golea, L.R.

    2012-01-01

    The subject of this paper is the analysis of an electrical transmission system with the objective of identifying its most critical elements with respect to failures and attacks. The methodological approach undertaken is based on graph-theoretical (topological) network analysis. Four different perspectives of analysis are considered within the formalism of weighed networks, adding to the purely topological analysis of the system, the reliability and electrical characteristics of its components. In each phase of the analysis: i) a graph-theoretical representation is offered to highlight the structure of the most important system connections according to the particular characteristics examined (topological, reliability, electrical or electrical-reliability), ii) the classical degree index of a network node is extended to account for the different characteristics considered. The application of these concepts of analysis to an electrical transmission system of literature confirms the importance of different perspectives of analysis on such a critical infrastructure. - Highlights: ► We analyze a power system from topological, reliability and electrical perspectives. ► We rank critical components within a vulnerability assessment framework. ► We compute an extended degree to rank critical energy paths. ► We compare several analytical approaches and provide a table for choosing among them. ► We suggest network changes to increase the reliability of highly loaded energy paths.

  11. Interpreting weightings of the peer assessment rating index and the discrepancy index across contexts on Chinese patients.

    Science.gov (United States)

    Liu, Siqi; Oh, Heesoo; Chambers, David William; Xu, Tianmin; Baumrind, Sheldon

    2018-04-06

    Determine optimal weightings of Peer Assessment Rating (PAR) index and Discrepancy Index (DI) for malocclusion severity assessment in Chinese orthodontic patients. Sixty-nine Chinese orthodontists assessed a full set of pre-treatment records from a stratified random sample of 120 subjects gathered from six university orthodontic centres. Using professional judgment as the outcome variable, multiple regression analyses were performed to derive customized weighting systems for the PAR index and DI, for all subjects and each Angle classification subgroup. Professional judgment was consistent, with an Intraclass Correlation Coefficient (ICC) of 0.995. The PAR index or DI can be reliably measured, with ICC = 0.959 and 0.990, respectively. The predictive accuracy of PAR index was greatly improved by the Chinese weighting process (from r = 0.431 to r = 0.788) with almost equal distribution in each Angle classification subgroup. The Chinese-weighted DI showed a higher predictive accuracy, at P = 0.01, compared with the PAR index (r = 0.851 versus r = 0.788). A better performance was found in the Class II group (r = 0.890) when compared to Class I (r = 0.736) and III (r = 0.785) groups. The Chinese-weighted PAR index and DI were capable of predicting 62 per cent and 73 per cent of total variance in the professional judgment of malocclusion severity in Chinese patients. Differential prediction across Angle classifications merits attention since different weighting formulas were found.

  12. High-Reliability Health Care: Getting There from Here

    Science.gov (United States)

    Chassin, Mark R; Loeb, Jerod M

    2013-01-01

    Context Despite serious and widespread efforts to improve the quality of health care, many patients still suffer preventable harm every day. Hospitals find improvement difficult to sustain, and they suffer “project fatigue” because so many problems need attention. No hospitals or health systems have achieved consistent excellence throughout their institutions. High-reliability science is the study of organizations in industries like commercial aviation and nuclear power that operate under hazardous conditions while maintaining safety levels that are far better than those of health care. Adapting and applying the lessons of this science to health care offer the promise of enabling hospitals to reach levels of quality and safety that are comparable to those of the best high-reliability organizations. Methods We combined the Joint Commission's knowledge of health care organizations with knowledge from the published literature and from experts in high-reliability industries and leading safety scholars outside health care. We developed a conceptual and practical framework for assessing hospitals’ readiness for and progress toward high reliability. By iterative testing with hospital leaders, we refined the framework and, for each of its fourteen components, defined stages of maturity through which we believe hospitals must pass to reach high reliability. Findings We discovered that the ways that high-reliability organizations generate and maintain high levels of safety cannot be directly applied to today's hospitals. We defined a series of incremental changes that hospitals should undertake to progress toward high reliability. These changes involve the leadership's commitment to achieving zero patient harm, a fully functional culture of safety throughout the organization, and the widespread deployment of highly effective process improvement tools. Conclusions Hospitals can make substantial progress toward high reliability by undertaking several specific

  13. Prediction of software operational reliability using testing environment factor

    International Nuclear Information System (INIS)

    Jung, Hoan Sung

    1995-02-01

    Software reliability is especially important to customers these days. The need to quantify software reliability of safety-critical systems has been received very special attention and the reliability is rated as one of software's most important attributes. Since the software is an intellectual product of human activity and since it is logically complex, the failures are inevitable. No standard models have been established to prove the correctness and to estimate the reliability of software systems by analysis and/or testing. For many years, many researches have focused on the quantification of software reliability and there are many models developed to quantify software reliability. Most software reliability models estimate the reliability with the failure data collected during the test assuming that the test environments well represent the operation profile. User's interest is on the operational reliability rather than on the test reliability, however. The experiences show that the operational reliability is higher than the test reliability. With the assumption that the difference in reliability results from the change of environment, testing environment factor comprising the aging factor and the coverage factor are defined in this work to predict the ultimate operational reliability with the failure data. It is by incorporating test environments applied beyond the operational profile into testing environment factor Test reliability can also be estimated with this approach without any model change. The application results are close to the actual data. The approach used in this thesis is expected to be applicable to ultra high reliable software systems that are used in nuclear power plants, airplanes, and other safety-critical applications

  14. Validity and Reliability of Turkish Male Breast Self-Examination Instrument.

    Science.gov (United States)

    Erkin, Özüm; Göl, İlknur

    2018-04-01

    This study aims to measure the validity and reliability of Turkish male breast self-examination (MBSE) instrument. The methodological study was performed in 2016 at Ege University, Faculty of Nursing, İzmir, Turkey. The MBSE includes ten steps. For validity studies, face validity, content validity, and construct validity (exploratory factor analysis) were done. For reliability study, Kuder Richardson was calculated. The content validity index was found to be 0.94. Kendall W coefficient was 0.80 (p=0.551). The total variance explained by the two factors was found to be 63.24%. Kuder Richardson 21 was done for reliability study and found to be 0.97 for the instrument. The final instrument included 10 steps and two stages. The Turkish version of MBSE is a valid and reliable instrument for early diagnose. The MBSE can be used in Turkish speaking countries and cultures with two stages and 10 steps.

  15. The Berg Balance Scale has high intra- and inter-rater reliability but absolute reliability varies across the scale: a systematic review.

    Science.gov (United States)

    Downs, Stephen; Marquez, Jodie; Chiarelli, Pauline

    2013-06-01

    What is the intra-rater and inter-rater relative reliability of the Berg Balance Scale? What is the absolute reliability of the Berg Balance Scale? Does the absolute reliability of the Berg Balance Scale vary across the scale? Systematic review with meta-analysis of reliability studies. Any clinical population that has undergone assessment with the Berg Balance Scale. Relative intra-rater reliability, relative inter-rater reliability, and absolute reliability. Eleven studies involving 668 participants were included in the review. The relative intrarater reliability of the Berg Balance Scale was high, with a pooled estimate of 0.98 (95% CI 0.97 to 0.99). Relative inter-rater reliability was also high, with a pooled estimate of 0.97 (95% CI 0.96 to 0.98). A ceiling effect of the Berg Balance Scale was evident for some participants. In the analysis of absolute reliability, all of the relevant studies had an average score of 20 or above on the 0 to 56 point Berg Balance Scale. The absolute reliability across this part of the scale, as measured by the minimal detectable change with 95% confidence, varied between 2.8 points and 6.6 points. The Berg Balance Scale has a higher absolute reliability when close to 56 points due to the ceiling effect. We identified no data that estimated the absolute reliability of the Berg Balance Scale among participants with a mean score below 20 out of 56. The Berg Balance Scale has acceptable reliability, although it might not detect modest, clinically important changes in balance in individual subjects. The review was only able to comment on the absolute reliability of the Berg Balance Scale among people with moderately poor to normal balance. Copyright © 2013 Australian Physiotherapy Association. Published by .. All rights reserved.

  16. Relationships of storm-time changes in thermospheric mass density with solar wind/IMF parameters and ring current index of Sym-H

    Science.gov (United States)

    Zhou, Yunliang; Ma, S. Y.; Xiong, Chao; Luehr, Hermann

    The total air mass densities at about 500 km altitude are derived using super-STAR accelerom-eter measurements onboard GRACE satellites for 25 great magnetic storms with minimum Dst less than 100 nT during 2002 to 2006 years. Taking NRLMSISE-00 model-predicted densities without active ap index input as a reference baseline of quiet-time mass density, the storm-time changes in upper thermospheric mass densities are obtained by subtraction for all the storm events and sorted into different grids of latitude by local time sector. The relationships of the storm-time density changes with various interplanetary parameters and magnetospheric ring current index of Sym-H are statistically investigated. The parameters include Akasofu energy coupling function, the merging electric field Em, the magnitude of IMF component in the GSM y-z plane etc. as calculated from OMNI data at 1 AU. It is found that the storm-time changes in the upper thermospheric mass density have the best linear correlation with the Sym-H index in general, showing nearly zero time delay at low-latitudes and a little time ahead at high-latitudes for most cases. Unexpectedly, the magnitude of IMF component in the y-z plane, Byz, shows correlation with storm-time mass density changes better and closer than Akasofu function and even Em. And, the mass density changes lag behind Byz about 1-4 hours for most cases at low-latitudes. The correlations considered above are local time dependent, showing the lowest at dusk sectors. For the largest superstorm of November 2003, the changes in mass density are correlated very closely with Byz, Em, and Sym-H index, showing correlation coefficients averaged over all latitudes in noon sector as high as 0.93, 0.91 and 0.90 separately. The physical factors controlling the lag times between the mass density changes at mid-low-latitudes and the interplanetary parameter variations are also analyzed. The results in this study may pro-vide useful suggestions for establishing

  17. Speculation of the Time-Dependent Change of FIB4 Index in Patients with Nonalcoholic Fatty Liver Disease: A Retrospective Study.

    Science.gov (United States)

    Miyata, Hiroshi; Miyata, Satoru

    2018-01-01

    To speculate on the time-dependent change of FIB4 index in patients with nonalcoholic fatty liver disease (NAFLD) and its increase-decrease rate per year, simply and accurately. In all 23 patients with NAFLD with the value of FIB4 index over 1.30 at the peak, the period from the first to each examination date was calculated and this period (years) was regarded as x . Next, the mean value of FIB4 index during the past year to each examination date was regarded as y . In every y , the minimum and the maximum y value were found out. Between x corresponding to this minimum y and x corresponding to this maximum y , the correlation between x and y was analyzed as the main subject. Then, the slope of each correlation was investigated, because it should indicate increase-decrease rate per year. In all 23 patients, the correlations as the main subject were recognized and the mean absolute value of correlation coefficient ( r ) was 0.91 ± 0.08. As for the slope, the mean absolute value was 0.1371 ± 0.1147 (/year). Simply and accurately, the time-dependent change of FIB4 index and its increase-decrease rate per year could be approximately speculated.

  18. Prediction of software operational reliability using testing environment factors

    International Nuclear Information System (INIS)

    Jung, Hoan Sung; Seong, Poong Hyun

    1995-01-01

    A number of software reliability models have been developed to estimate and to predict software reliability. However, there are no established standard models to quantify software reliability. Most models estimate the quality of software in reliability figures such as remaining faults, failure rate, or mean time to next failure at the testing phase, and they consider them ultimate indicators of software reliability. Experience shows that there is a large gap between predicted reliability during development and reliability measured during operation, which means that predicted reliability, or so-called test reliability, is not operational reliability. Customers prefer operational reliability to test reliability. In this study, we propose a method that predicts operational reliability rather than test reliability by introducing the testing environment factor that quantifies the changes in environments

  19. Reliability of structures of industrial installations. Theory and applications of probabilistic mechanics

    International Nuclear Information System (INIS)

    Procaccia, H.; Morilhat, P.; Carle, R.; Menjon, G.

    1996-01-01

    The management of the service life of mechanical materials implies an evaluation of their risk of failure during their use. To evaluate this risk the following methods are used: the classical frequency statistics applied to experience feedback data concerning failures noticed during operation of active parts (pumps, valves, exchangers, circuit breakers etc..); the Bayesian approach in the case of scarce statistical data and when experts are needed to compensate the lack of information; the structures reliability approach when no data are available and when a theoretical model of degradation must be used, in particular for passive structures (pressure vessels, pipes, tanks, etc..). The aim of this book is to describe the principles and applications of this third approach to industrial installations. Chapter 1 recalls the historical aspects of the probabilistic approach to the reliability of structures and the existing codes. Chapter 2 presents the level 1 deterministic method applied so far for the conceiving of passive structures. The Cornell reliability index, already used in civil engineering codes, is defined in chapter 3. The Hasofer and Lind reliability index, a generalization of the Cornell index, is defined in chapter 4. Chapter 5 concerns the application of probabilistic approaches to optimization studies with the introduction of the economical variables linked to the risk and the possible actions to limit this risk (in-service inspection, maintenance, repairing etc..). Chapters 6 and 7 describe the Monte Carlo simulation and approximation methods for failure probabilistic calculations, and recall the fracture mechanics basis and the models of load and degradation of industrial installations. Some applications are given in chapter 9 with the cases of the safety margins quantization of a fissured pipe and the optimizing of the in-service inspection policy of a steam generator. Chapter 10 raises the problem of the coupling between mechanical and reliability

  20. Non-Weight-Bearing and Weight-Bearing Ultrasonography of Select Foot Muscles in Young, Asymptomatic Participants: A Descriptive and Reliability Study.

    Science.gov (United States)

    Battaglia, Patrick J; Mattox, Ross; Winchester, Brett; Kettner, Norman W

    The primary aim of this study was to determine the reliability of diagnostic ultrasound imaging for select intrinsic foot muscles using both non-weight-bearing and weight-bearing postures. Our secondary aim was to describe the change in muscle cross-sectional area (CSA) and dorsoplantar thickness when bearing weight. An ultrasound examination was performed with a linear ultrasound transducer operating between 9 and 12 MHz. Long-axis and short-axis ultrasound images of the abductor hallucis, flexor digitorum brevis, and quadratus plantae were obtained in both the non-weight-bearing and weight-bearing postures. Two examiners independently collected ultrasound images to allow for interexaminer and intraexaminer reliability calculation. The change in muscle CSA and dorsoplantar thickness when bearing weight was also studied. There were 26 participants (17 female) with a mean age of 25.5 ± 3.8 years and a mean body mass index of 28.0 ± 7.8 kg/m 2 . Inter-examiner reliability was excellent when measuring the muscles in short axis (intraclass correlation coefficient >0.75) and fair to good in long axis (intraclass correlation coefficient >0.4). Intraexaminer reliability was excellent for the abductor hallucis and flexor digitorum brevis and ranged from fair to good to excellent for the quadratus plantae. Bearing weight did not reduce interexaminer or intraexaminer reliability. All muscles exhibited a significant increase in CSA when bearing weight. This is the first report to describe weight-bearing diagnostic ultrasound of the intrinsic foot muscles. Ultrasound imaging is reliable when imaging these muscles bearing weight. Furthermore, muscle CSA increases in the weight-bearing posture. Copyright © 2016. Published by Elsevier Inc.

  1. Measurement of cardiac index by transpulmonary thermodilution using an implanted central venous access port: a prospective study in patients scheduled for oncologic high-risk surgery.

    Science.gov (United States)

    Suria, Stéphanie; Wyniecki, Anne; Eghiaian, Alexandre; Monnet, Xavier; Weil, Grégoire

    2014-01-01

    Transpulmonary thermodilution allows the measurement of cardiac index for high risk surgical patients. Oncologic patients often have a central venous access (port-a-catheter) for chronic treatment. The validity of the measurement by a port-a-catheter of the absolute cardiac index and the detection of changes in cardiac index induced by fluid challenge are unknown. We conducted a monocentric prospective study. 27 patients were enrolled. 250 ml colloid volume expansions for fluid challenge were performed during ovarian cytoreductive surgery. The volume expansion-induced changes in cardiac index measured by transpulmonary thermodilution by a central venous access (CIcvc) and by a port-a-catheter (CIport) were recorded. 23 patients were analyzed with 123 pairs of measurements. Using a Bland and Altman for repeated measurements, the bias (lower and upper limits of agreement) between CIport and CIcvc was 0.14 (-0.59 to 0.88) L/min/m2. The percentage error was 22%. The concordance between the changes in CIport and CIcvc observed during volume expansion was 92% with an r = 0.7 (with exclusion zone). No complications (included sepsis) were observed during the follow up period. The transpulmonary thermodilution by a port-a-catheter is reliable for absolute values estimation of cardiac index and for measurement of the variation after fluid challenge. clinicaltrials.gov NCT02063009.

  2. Reliability theory for repair service organization simulation and increase of innovative attraction of industrial enterprises

    Science.gov (United States)

    Dolzhenkova, E. V.; Iurieva, L. V.

    2018-05-01

    The study presents the author's algorithm for the industrial enterprise repair service organization simulation based on the reliability theory, as well as the results of its application. The monitoring of the industrial enterprise repair service organization is proposed to perform on the basis of the enterprise's state indexes for the main resources (equipment, labour, finances, repair areas), which allows quantitative evaluation of the reliability level as a resulting summary rating of the said parameters and the ensuring of an appropriate level of the operation reliability of the serviced technical objects. Under the conditions of the tough competition, the following approach is advisable: the higher efficiency of production and a repair service itself, the higher the innovative attractiveness of an industrial enterprise. The results of the calculations show that in order to prevent inefficient losses of production and to reduce the repair costs, it is advisable to apply the reliability theory. The overall reliability rating calculated on the basis of the author's algorithm has low values. The processing of the statistical data forms the reliability characteristics for the different workshops and services of an industrial enterprise, which allows one to define the failure rates of the various units of equipment and to establish the reliability indexes necessary for the subsequent mathematical simulation. The proposed simulating algorithm contributes to an increase of the efficiency of the repair service organization and improvement of the innovative attraction of an industrial enterprise.

  3. Herth hope index: psychometric testing of the Chinese version.

    Science.gov (United States)

    Chan, Keung Sum; Li, Ho Cheung William; Chan, Sally Wai-Chi; Lopez, Violeta

    2012-09-01

    This article is a report on psychometric testing of the Chinese version of the herth hope index. The availability of a valid and reliable instrument that accurately measures the level of hope in patients with heart failure is crucial before any hope-enhancing interventions can be appropriately planned and evaluated. There is no such instrument for Chinese people. A test-retest, within-subjects design was used. A purposive sample of 120 Hong Kong Chinese patients with heart failure between the ages of 60 and 80 years admitted to two medical wards was recruited during an 8-month period in 2009. Participants were asked to respond to the Chinese version of the herth hope index, Hamilton depression rating scale and Rosenberg's self-esteem scale. The internal consistency, content validity and construct validity and test-retest reliability of the Chinese version of the herth hope index were assessed. The newly translated scale demonstrated adequate internal consistency, good content validity and appropriate convergent and discriminant validity. Confirmatory factor analysis added further evidence of the construct validity of the scale. Results suggest that the newly translated scale can be used as a self-report assessment tool in assessing the level of hope in Hong Kong Chinese patients with heart failure. © 2011 Blackwell Publishing Ltd.

  4. Reliability of power system with open access

    International Nuclear Information System (INIS)

    Ehsani, A.; Ranjbar, A. M.; Fotuhi Firuzabad, M.; Ehsani, M.

    2003-01-01

    Recently, in many countries, electric utility industry is undergoing considerable changes in regard to its structure and regulation. It can be clearly seen that the thrust towards privatization and deregulation or re regulation of the electric utility industry will introduce numerous reliability problems that will require new criteria and analytical tools that recognize the residual uncertainties in the new environment. In this paper, different risks and uncertainties in competitive electricity markets are briefly introduced; the approach of customers, operators, planners, generation bodies and network providers to the reliability of deregulated system is studied; the impact of dispersed generation on system reliability is evaluated; and finally, the reliability cost/reliability worth issues in the new competitive environment are considered

  5. Improving the Efficiency of Administrative Decision-Making when Monitoring Reliability and Safety of Oil and Gas Equipment

    Directory of Open Access Journals (Sweden)

    Zemenkova Maria

    2016-01-01

    Full Text Available Methodology of rapid assessment of reliability index was developed based on system analysis of technological parameters. Within functioning of on-line monitoring system of reliability index of industrial facility this method allows to increase efficiency of making managerial decisions on technical and preventive maintenance. The technique is based on the analysis of technological parameters of operational modes of pipeline transport facilities registered by dispatcher controls. The created technique can be used by the operating, research, design institutes and oil and gas transport enterprises when declaring industrial safety. The received mathematical models allow federal services of supervision, the independent expert organizations to predict the development of reliability in the registered block of dispatching data either in real time mode, or taking into account the dynamics of service conditions of the object.

  6. Reliability and minimal detectable change of a modified passive neck flexion test in patients with chronic nonspecific neck pain and asymptomatic subjects.

    Science.gov (United States)

    López-de-Uralde-Villanueva, Ibai; Acuyo-Osorio, Mario; Prieto-Aldana, María; La Touche, Roy

    2017-04-01

    The Passive Neck Flexion Test (PNFT) can diagnose meningitis and potential spinal disorders. Little evidence is available concerning the use of a modified version of the PNFT (mPNFT) in patients with chronic nonspecific neck pain (CNSNP). To assess the reliability of the mPNFT in subjects with and without CNSNP. The secondary objective was to assess the differences in the symptoms provoked by the mPNFT between these two populations. We used repeated measures concordance design for the main objective and cross-sectional design for the secondary objective. A total of 30 asymptomatic subjects and 34 patients with CNSNP were recruited. The following measures were recorded: the range of motion at the onset of symptoms (OS-mPNFT), the range of motion at the submaximal pain (SP-mPNFT), and evoked pain intensity on the mPNFT (VAS-mPNFT). Good to excellent reliability was observed for OS-mPNFT and SP-mPNFT in the asymptomatic group (intra-examiner reliability: 0.95-0.97; inter-examiner reliability: 0.86-0.90; intra-examiner test-retest reliability: 0.84-0.87). In the CNSNP group, a good to excellent reliability was obtained for the OS-mPNFT (intra-examiner reliability: 0.89-0.96; inter-examiner reliability: 0.83-0.86; intra-examiner test-retest reliability: 0.83-0.85) and the SP-PNFT (intra-examiner reliability: 0.94-0.98; inter-examiner reliability: 0.80-0.82; intra-examiner test-retest reliability: 0.88-0.91). The CNSNP group showed statistically significant differences in OS-mPNFT (t = 4.92; P reliable tool regardless of the examiner and the time factor. Patients with CNSNP have a decrease range of motion and more pain than asymptomatic subjects in the mPNFT. This exceeds the minimal detectable changes for OS-mPNFT and VAS-mPNFT. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Visual-Haptic Integration: Cue Weights are Varied Appropriately, to Account for Changes in Haptic Reliability Introduced by Using a Tool

    OpenAIRE

    Chie Takahashi; Simon J Watt

    2011-01-01

    Tools such as pliers systematically change the relationship between an object's size and the hand opening required to grasp it. Previous work suggests the brain takes this into account, integrating visual and haptic size information that refers to the same object, independent of the similarity of the ‘raw’ visual and haptic signals (Takahashi et al., VSS 2009). Variations in tool geometry also affect the reliability (precision) of haptic size estimates, however, because they alter the change ...

  8. Improving the reliability of female fertility breeding values using type and milk yield traits that predict energy status in Australian Holstein cattle.

    Science.gov (United States)

    González-Recio, O; Haile-Mariam, M; Pryce, J E

    2016-01-01

    The objectives of this study were (1) to propose changing the selection criteria trait for evaluating fertility in Australia from calving interval to conception rate at d 42 after the beginning of the mating season and (2) to use type traits as early fertility predictors, to increase the reliability of estimated breeding values for fertility. The breeding goal in Australia is conception within 6 wk of the start of the mating season. Currently, the Australian model to predict fertility breeding values (expressed as a linear transformation of calving interval) is a multitrait model that includes calving interval (CVI), lactation length (LL), calving to first service (CFS), first nonreturn rate (FNRR), and conception rate. However, CVI has a lower genetic correlation with the breeding goal (conception within 6 wk of the start of the mating season) than conception rate. Milk yield, type, and fertility data from 164,318 cow sired by 4,766 bulls were used. Principal component analysis and genetic correlation estimates between type and fertility traits were used to select type traits that could subsequently be used in a multitrait analysis. Angularity, foot angle, and pin set were chosen as type traits to include in an index with the traits that are included in the multitrait fertility model: CVI, LL, CFS, FNRR, and conception rate at d 42 (CR42). An index with these 8 traits is expected to achieve an average bull first proof reliability of 0.60 on the breeding objective (conception within 6 wk of the start of the mating season) compared with reliabilities of 0.39 and 0.45 for CR42 only or the current 5-trait Australian model. Subsequently, we used the first eigenvector of a principal component analysis with udder texture, bone quality, angularity, and body condition score to calculate an energy status indicator trait. The inclusion of the energy status indicator trait composite in a multitrait index with CVI, LL, CFS, FNRR, and CR42 achieved a 12-point increase in

  9. Evaluation of Network Reliability for Computer Networks with Multiple Sources

    Directory of Open Access Journals (Sweden)

    Yi-Kuei Lin

    2012-01-01

    Full Text Available Evaluating the reliability of a network with multiple sources to multiple sinks is a critical issue from the perspective of quality management. Due to the unrealistic definition of paths of network models in previous literature, existing models are not appropriate for real-world computer networks such as the Taiwan Advanced Research and Education Network (TWAREN. This paper proposes a modified stochastic-flow network model to evaluate the network reliability of a practical computer network with multiple sources where data is transmitted through several light paths (LPs. Network reliability is defined as being the probability of delivering a specified amount of data from the sources to the sink. It is taken as a performance index to measure the service level of TWAREN. This paper studies the network reliability of the international portion of TWAREN from two sources (Taipei and Hsinchu to one sink (New York that goes through a submarine and land surface cable between Taiwan and the United States.

  10. [Assessment of the validity and reliability of the processes of change scale based on the transtheoretical model of vegetable consumption behavior in Japanese male workers].

    Science.gov (United States)

    Kushida, Osamu; Murayama, Nobuko

    2012-12-01

    A core construct of the Transtheoretical model is that the processes and stages of change are strongly related to observable behavioral changes. We created the Processes of Change Scale of vegetable consumption behavior and examined the validity and reliability of this scale. In September 2009, a self-administered questionnaire was administered to male Japanese employees, aged 20-59 years, working at 20 worksites in Niigata City in Japan. The stages of change (precontempration, contemplation, preparation, action, and maintenance stage) were measured using 2 items that assessed participants' current implementation of the target behavior (eating 5 or more servings of vegetables per day) and their readiness to change their habits. The Processes of Change Scale of vegetable consumption behavior comprised 10 items assessing 5 cognitive processes (consciousness raising, emotional arousal, environmental reevaluation, self-reevaluation, and social liberation) and 5 behavioral processes (commitment, rewards, helping relationships, countering, and environment control). Each item was selected from an existing scale. Decisional balance (pros [2 items] and cons [2 items]), and self-efficacy (3 items) were also assessed, because these constructs were considered to be relevant to the processes of change. The internal consistency reliability of the scale was examined using Cronbach's alpha. Its construct validity was examined using a factor analysis of the processes of change, decisional balance, and self-efficacy variables, while its criterion-related validity was determined by assessing the association between the scale scores and the stages of change. The data of 527 (out of 600) participants (mean age, 41.1 years) were analyzed. Results indicated that the Processes of Change Scale had sufficient internal consistency reliability (Cronbach's alpha: cognitive processes=0.722, behavioral processes=0.803). The processes of change were divided into 2 factors: "consciousness raising

  11. Relaxation time and impurity effects on linear and nonlinear refractive index changes in (In,Ga)N–GaN spherical QD

    Energy Technology Data Exchange (ETDEWEB)

    El Ghazi, Haddou, E-mail: hadghazi@gmail.com [LPS, Faculty of Science, Dhar El Mehrez, BP 1796 Fes-Atlas (Morocco); Special Mathematics, CPGE My Youssef, Rabat (Morocco); Jorio, Anouar [LPS, Faculty of Science, Dhar El Mehrez, BP 1796 Fes-Atlas (Morocco)

    2014-10-01

    By means of a combination of Quantum Genetic Algorithm and Hartree–Fock–Roothaan method, the changes in linear, third-order nonlinear and total refractive index associated with intra-conduction band transition are investigated with and without shallow-donor impurity in wurtzite (In,Ga)N–GaN spherical quantum dot. For both cases with and without impurity, the calculation is performed within the framework of single band effective-mass and parabolic band approximations. Impurity's position and relaxation time effects are investigated. It is found that the modulation of the refractive index changes, suitable for good performance optical modulators and various infra-red optical device applications can be easily obtained by tailoring the relaxation time and the position of the impurity.

  12. Relaxation time and impurity effects on linear and nonlinear refractive index changes in (In,Ga)N–GaN spherical QD

    International Nuclear Information System (INIS)

    El Ghazi, Haddou; Jorio, Anouar

    2014-01-01

    By means of a combination of Quantum Genetic Algorithm and Hartree–Fock–Roothaan method, the changes in linear, third-order nonlinear and total refractive index associated with intra-conduction band transition are investigated with and without shallow-donor impurity in wurtzite (In,Ga)N–GaN spherical quantum dot. For both cases with and without impurity, the calculation is performed within the framework of single band effective-mass and parabolic band approximations. Impurity's position and relaxation time effects are investigated. It is found that the modulation of the refractive index changes, suitable for good performance optical modulators and various infra-red optical device applications can be easily obtained by tailoring the relaxation time and the position of the impurity

  13. Comparing the Palmer Drought Index and the Standardized Precipitation Index for Zagreb Gric Observatory

    Science.gov (United States)

    Pandzic, K.; Likso, T.

    2012-04-01

    Conventional Palmer Drought Index (PDI) and recent Standardized Precipitation Index (SPI) for Zagreb Gric Observatory are compared by spectral analysis technique. Data for a period 1862-2010 are used. The results indicate that SPI is simpler for interpretation but PDI more comprehensive index. On the other side, lack of temperature within SPI, make impossible application of it on climate change interpretation. Possible applications of them in irrigation scheduling system is considered as well for drought risk assessment.

  14. Validity and reliability of the persian version of templer death anxiety scale in family caregivers of cancer patients.

    Science.gov (United States)

    Soleimani, Mohammad Ali; Bahrami, Nasim; Yaghoobzadeh, Ameneh; Banihashemi, Hedieh; Nia, Hamid Sharif; Haghdoost, Ali Akbar

    2016-01-01

    Due to increasing recognition of the importance of death anxiety for understanding human nature, it is important that researchers who investigate death anxiety have reliable and valid methodology to measure. The purpose of this study was to evaluate the validity and reliability of the Persian version of Templer Death Anxiety Scale (TDAS) in family caregivers of cancer patients. A sample of 326 caregivers of cancer patients completed a 15-item questionnaire. Principal components analysis (PCA) followed by a varimax rotation was used to assess factor structure of the DAS. The construct validity of the scale was assessed using exploratory and confirmatory factor analyses. Convergent and discriminant validity were also examined. Reliability was assessed with Cronbach's alpha coefficients and construction reliability. Based on the results of the PCA and consideration of the meaning of our items, a three-factor solution, explaining 60.38% of the variance, was identified. A confirmatory factor analysis (CFA) then supported the adequacy of the three-domain structure of the DAS. Goodness-of-fit indices showed an acceptable fit overall with the full model {χ(2)(df) = 262.32 (61), χ(2)/df = 2.04 [adjusted goodness of fit index (AGFI) = 0.922, parsimonious comparative fit index (PCFI) = 0.703, normed fit Index (NFI) = 0.912, CMIN/DF = 2.048, root mean square error of approximation (RMSEA) = 0.055]}. Convergent and discriminant validity were shown with construct fulfilled. The Cronbach's alpha and construct reliability were greater than 0.70. The findings show that the Persian version of the TDAS has a three-factor structure and acceptable validity and reliability.

  15. Content validity and reliability of test of gross motor development in Chilean children

    Directory of Open Access Journals (Sweden)

    Marcelo Cano-Cappellacci

    2015-01-01

    Full Text Available ABSTRACT OBJECTIVE To validate a Spanish version of the Test of Gross Motor Development (TGMD-2 for the Chilean population. METHODS Descriptive, transversal, non-experimental validity and reliability study. Four translators, three experts and 92 Chilean children, from five to 10 years, students from a primary school in Santiago, Chile, have participated. The Committee of Experts has carried out translation, back-translation and revision processes to determine the translinguistic equivalence and content validity of the test, using the content validity index in 2013. In addition, a pilot implementation was achieved to determine test reliability in Spanish, by using the intraclass correlation coefficient and Bland-Altman method. We evaluated whether the results presented significant differences by replacing the bat with a racket, using T-test. RESULTS We obtained a content validity index higher than 0.80 for language clarity and relevance of the TGMD-2 for children. There were significant differences in the object control subtest when comparing the results with bat and racket. The intraclass correlation coefficient for reliability inter-rater, intra-rater and test-retest reliability was greater than 0.80 in all cases. CONCLUSIONS The TGMD-2 has appropriate content validity to be applied in the Chilean population. The reliability of this test is within the appropriate parameters and its use could be recommended in this population after the establishment of normative data, setting a further precedent for the validation in other Latin American countries.

  16. Reliability engineering

    International Nuclear Information System (INIS)

    Lee, Chi Woo; Kim, Sun Jin; Lee, Seung Woo; Jeong, Sang Yeong

    1993-08-01

    This book start what is reliability? such as origin of reliability problems, definition of reliability and reliability and use of reliability. It also deals with probability and calculation of reliability, reliability function and failure rate, probability distribution of reliability, assumption of MTBF, process of probability distribution, down time, maintainability and availability, break down maintenance and preventive maintenance design of reliability, design of reliability for prediction and statistics, reliability test, reliability data and design and management of reliability.

  17. Assessment of the Reliability of Concrete Bridges

    DEFF Research Database (Denmark)

    Middleton, C. R.; Thoft-Christensen, Palle

    Although there has been a considerable amount of research into different aspects of concrete bridge reliability, it has still not been widely adopted in professional practice other than in the development and calibration of codes. This situation appears to be changing as there has been a signific......Although there has been a considerable amount of research into different aspects of concrete bridge reliability, it has still not been widely adopted in professional practice other than in the development and calibration of codes. This situation appears to be changing as there has been...... adopted to assist in achieving this goal. Rather than review the specific research on this subject this paper examines a number of key issues related to the practical application of reliability analysis to the assessment of concrete bridges....

  18. Inter-examiner reliability of a standardized Ultra-sonographic method for classification of changes related to supraspinatus tendinopathy – a pilot study

    DEFF Research Database (Denmark)

    Larsen, Camilla Marie; Ingwersen, Kim Gordon; Hjarnbæk, John

    2015-01-01

    Inter-examiner reliability of a standardized Ultra-sonographic method for classification of changes related to supraspinatus tendinopathy – a pilot study Ingwersen KG1, 2, Hjarbaek J3, Eshøj H1, Larsen CM1, 4, Vobbe J5, Juul-Kristensen B1, 6 1Institute of Sports Science and Clinical Biomechanics......, University of Southern Denmark, Odense, Denmark. 2Physiotherapy Department, Hospital Lillebaelt, Vejle Hospital, Vejle, Denmark 3Department of Radiology, Musculoskeletal section, Odense University Hospital, Odense, Denmark 4Health Sciences Research Centre, University College Lillebaelt, Odense Denmark 5...... athletes. For optimizing rehabilitation to the different stages of tendinopathy (1) ultra-sonography (US) may be used. Reliability of such method for RT is lacking. Aims. To develop and test inter-examiner reliability of US for classifying RT. Materials and Methods. A three-phased standardized protocol...

  19. Test-retest reliability and four-week changes in cardiopulmonary fitness in stroke patients: evaluation using a robotics-assisted tilt table.

    Science.gov (United States)

    Saengsuwan, Jittima; Berger, Lucia; Schuster-Amft, Corina; Nef, Tobias; Hunt, Kenneth J

    2016-09-06

    Exercise testing devices for evaluating cardiopulmonary fitness in patients with severe disability after stroke are lacking, but we have adapted a robotics-assisted tilt table (RATT) for cardiopulmonary exercise testing (CPET). Using the RATT in a sample of patients after stroke, this study aimed to investigate test-retest reliability and repeatability of CPET and to prospectively investigate changes in cardiopulmonary outcomes over a period of four weeks. Stroke patients with all degrees of disability underwent 3 separate CPET sessions: 2 tests at baseline (TB1 and TB2) and 1 test at follow up (TF). TB1 and TB2 were at least 24 h apart. TB2 and TF were 4 weeks apart. A RATT equipped with force sensors in the thigh cuffs, a work rate estimation algorithm and a real-time visual feedback system was used to guide the patients' exercise work rate during CPET. Test-retest reliability and repeatability of CPET variables were analysed using paired t-tests, the intraclass correlation coefficient (ICC), the coefficient of variation (CoV), and Bland and Altman limits of agreement. Changes in cardiopulmonary fitness during four weeks were analysed using paired t-tests. Seventeen sub-acute and chronic stroke patients (age 62.7 ± 10.4 years [mean ± SD]; 8 females) completed the test sessions. The median time post stroke was 350 days. There were 4 severely disabled, 1 moderately disabled and 12 mildly disabled patients. For test-retest, there were no statistically significant differences between TB1 and TB2 for most CPET variables. Peak oxygen uptake, peak heart rate, peak work rate and oxygen uptake at the ventilatory anaerobic threshold (VAT) and respiratory compensation point (RCP) showed good to excellent test-retest reliability (ICC 0.65-0.94). For all CPET variables, CoV was 4.1-14.5 %. The mean difference was close to zero in most of the CPET variables. There were no significant changes in most cardiopulmonary performance parameters during the 4-week period

  20. Validity and Reliability of 10-Hz Global Positioning System to Assess In-line Movement and Change of Direction.

    Science.gov (United States)

    Nikolaidis, Pantelis T; Clemente, Filipe M; van der Linden, Cornelis M I; Rosemann, Thomas; Knechtle, Beat

    2018-01-01

    The objectives of the present study were to examine the validity and reliability of the 10 Hz Johan GPS unit in assessing in-line movement and change of direction. The validity was tested against the criterion measure of 200 m track-and-field (track-and-field athletes, n = 8) and 20 m shuttle run endurance test (female soccer players, n = 20). Intra-unit and inter-unit reliability was tested by intra-class correlation coefficient (ICC) and coefficient of variation (CV), respectively. An analysis of variance examined differences between the GPS measurement and five laps of 200 m at 15 km/h, and t -test examined differences between the GPS measurement and 20 m shuttle run endurance test. The difference between the GPS measurement and 200 m distance ranged from -0.13 ± 3.94 m (95% CI -3.42; 3.17) in the first lap to 2.13 ± 2.64 m (95% CI -0.08; 4.33) in the fifth lap. A good intra-unit reliability was observed in 200 m (ICC = 0.833, 95% CI 0.535; 0.962). Inter-unit CV ranged from 1.31% (fifth lap) to 2.20% (third lap). The difference between the GPS measurement and 20 m shuttle run endurance test ranged from 0.33 ± 4.16 m (95% CI -10.01; 10.68) in 11.5 km/h to 9.00 ± 5.30 m (95% CI 6.44; 11.56) in 8.0 km/h. A moderate intra-unit reliability was shown in the second and third stage of the 20 m shuttle run endurance test (ICC = 0.718, 95% CI 0.222;0.898) and good reliability in the fifth, sixth, seventh and eighth (ICC = 0.831, 95% CI -0.229;0.996). Inter-unit CV ranged from 2.08% (11.5 km/h) to 3.92% (8.5 km/h). Based on these findings, it was concluded that the 10 Hz Johan system offers an affordable valid and reliable tool for coaches and fitness trainers to monitor training and performance.

  1. Development and initial validation of the Localized Scleroderma Skin Damage Index and Physician Global Assessment of disease Damage: a proof-of-concept study

    Science.gov (United States)

    Vilaiyuk, Soamarat; Torok, Kathryn S.; Medsger, Thomas A.

    2010-01-01

    Objective. To develop and assess the psychometric properties of the Localized Scleroderma (LS) Skin Damage Index (LoSDI) and Physician Global Assessment of disease Damage (PGA-D). Methods. Damage was defined as irreversible/persistent changes (>6 months) due to previous active disease/complications of therapy. Eight rheumatologists assessed the importance of 17 variables in formulating the PGA-D/LoSDI. LS patients were evaluated by two rheumatologists using both tools to assess their psychometric properties. LoSDI was calculated by summing three scores for cutaneous features of damage [dermal atrophy (DAT), subcutaneous atrophy (SAT) and dyspigmentation (DP)] measured at 18 anatomic sites. Patient GA of disease severity (PtGA-S), Children's Dermatology Life Quality Index (CDLQI) and PGA-D were recorded at the time of each examination. Results. Thirty LS patients (112 lesions) and nine patient-visit pairs (18 lesions) were included for inter- and intra-rater reliability study. LoSDI and its domains DAT, SAT, DP and PGA-D demonstrated excellent inter- and intra-rater reliability (reliability coefficients 0.86–0.99 and 0.74–0.96, respectively). LoSDI correlated moderately with PGA-D and poorly with PtGA-S and CDLQI. PGA-D correlated moderately with PtGA-S, but poorly with CDLQI. Conclusions. To complete the LS Cutaneous Assessment Tool (LoSCAT), we developed and evaluated the psychometric properties of the LoSDI and PGA-D in addition to the LS Skin Severity Index (LoSSI). These instruments will facilitate evaluation of LS patients for individual patient management and clinical trials. LoSDI and PGA-D demonstrated excellent reliability and high validity. LoSCAT provides an improved understanding of LS natural history. Further study in a larger group of patients is needed to confirm these preliminary findings. PMID:20008472

  2. The Achievement of Therapeutic Objectives Scale: Interrater Reliability and Sensitivity to Change in Short-Term Dynamic Psychotherapy and Cognitive Therapy

    Science.gov (United States)

    Valen, Jakob; Ryum, Truls; Svartberg, Martin; Stiles, Tore C.; McCullough, Leigh

    2011-01-01

    This study examined interrater reliability and sensitivity to change of the Achievement of Therapeutic Objectives Scale (ATOS; McCullough, Larsen, et al., 2003) in short-term dynamic psychotherapy (STDP) and cognitive therapy (CT). The ATOS is a process scale originally developed to assess patients' achievements of treatment objectives in STDP,…

  3. High-reliability health care: getting there from here.

    Science.gov (United States)

    Chassin, Mark R; Loeb, Jerod M

    2013-09-01

    Despite serious and widespread efforts to improve the quality of health care, many patients still suffer preventable harm every day. Hospitals find improvement difficult to sustain, and they suffer "project fatigue" because so many problems need attention. No hospitals or health systems have achieved consistent excellence throughout their institutions. High-reliability science is the study of organizations in industries like commercial aviation and nuclear power that operate under hazardous conditions while maintaining safety levels that are far better than those of health care. Adapting and applying the lessons of this science to health care offer the promise of enabling hospitals to reach levels of quality and safety that are comparable to those of the best high-reliability organizations. We combined the Joint Commission's knowledge of health care organizations with knowledge from the published literature and from experts in high-reliability industries and leading safety scholars outside health care. We developed a conceptual and practical framework for assessing hospitals' readiness for and progress toward high reliability. By iterative testing with hospital leaders, we refined the framework and, for each of its fourteen components, defined stages of maturity through which we believe hospitals must pass to reach high reliability. We discovered that the ways that high-reliability organizations generate and maintain high levels of safety cannot be directly applied to today's hospitals. We defined a series of incremental changes that hospitals should undertake to progress toward high reliability. These changes involve the leadership's commitment to achieving zero patient harm, a fully functional culture of safety throughout the organization, and the widespread deployment of highly effective process improvement tools. Hospitals can make substantial progress toward high reliability by undertaking several specific organizational change initiatives. Further research

  4. Preparing for climate change regulation : an assessment of the current state of date reliability in the Canadian electrical industry

    International Nuclear Information System (INIS)

    Schuh, C.

    2003-01-01

    This presentation provided an overview of current Canadian greenhouse gas (GHG) reporting requirements, predictions about GHG regulations, and the current state of GHGs data reliability in the Canadian electrical industry. The author argued that while potential management strategies are necessary, they are not sufficient to meet Kyoto or similar types of initiatives because they do not provide incentives for reductions, they do not establish accountability, nor do they encourage reliable data. It was predicted that the first climate change regulation will be a sectoral agreement enacted at the federal/provincial level. It was also predicted that future regulations will include a requirement to report GHG emissions in a reliable manner and that regulators will use the data to track performance. The final prediction was that the onus will be on the companies to prove that the data is reliable as regulators will have limited resources to check the data. It was noted that the current state of data is not suitable for analytical testing because of a lack of clear definitions, a lack of industry comparison, inability to compare between companies, inability to compare between different types of power generation, and the inability to compare between years. It was suggested that data reliability could be improved by having the regulators review and monitor the reported data, or by having a third party review and provide assurance on the reported data. It was concluded that there will have to be agreement at the industry level on common measurement and calculation methodology, as well as an agreement on a common scope of reporting. 4 figs

  5. CHANGE ON SPEED AIR CHARACTERISTICS THE POWER INDICATOR INDEXES OF PNEUMATIC ENGINE WITHOUT HEATING THE CHARGE DURING THE ADMITTANCE

    Directory of Open Access Journals (Sweden)

    A. Voronkov

    2014-10-01

    Full Text Available The experimental data on change according to speed characteristics of power indicator indexes of the four cylinder pneumatic engine D/S = 76/66 with a slide-valve air distributor at unchangeable temperature of compressed input air is considered.

  6. Obesity, change of body mass index and subsequent physical and mental health functioning: a 12-year follow-up study among ageing employees

    OpenAIRE

    Anna Svärd; Jouni Lahti; Eira Roos; Ossi Rahkonen; Eero Lahelma; Tea Lallukka; Minna Mänty

    2017-01-01

    Abstract Background Studies suggest an association between weight change and subsequent poor physical health functioning, whereas the association with mental health functioning is inconsistent. We aimed to examine whether obesity and change of body mass index among normal weight, overweight and obese women and men associate with changes in physical and mental health functioning. Meth...

  7. Development of the Italian version of the Oswestry Disability Index (ODI-I): A cross-cultural adaptation, reliability, and validity study.

    Science.gov (United States)

    Monticone, Marco; Baiardi, Paola; Ferrari, Silvano; Foti, Calogero; Mugnai, Raffaele; Pillastrini, Paolo; Vanti, Carla; Zanoli, Gustavo

    2009-09-01

    Evaluation of the psychometric properties of a translated, culturally adapted questionnaire. Translating, culturally adapting, and validating the Italian version of the Oswestry Disability Index (ODI-I), allowing its use in Italian-speaking patients with low back pain inside and outside Italy. Growing attention is devoted to standardized outcome measures to improve interventions for low back pain. A translated form of the ODI in patients with low back pain has never been validated within the Italian population. The ODI-I questionnaire was developed involving forward-backward translation, final review by an expert committee and test of the prefinal version to establish as better as possible proper correspondence with the original English latest version (2.1a). Psychometric testing included factor analysis, reliability by internal consistency (Cronbach alpha) and test-retest repeatability (Intraclass Coefficient Correlation), concurrent validity by comparing the ODI-I to Visual Analogue Scale, (Pearson correlation), and construct validity by comparing the ODI-I to Roland Morris Disability Questionnaire, RMDQ, and to Short Form Health Survey, Short Form Health Survey-36 (Pearson correlation). The authors required a 3-month period before achieving a shared version of the ODI-I. The questionnaire was administered to 126 subjects, showing satisfying acceptability. Factor analysis demonstrated a 1-factor structure (45% of explained variance). The questionnaire showed high internal consistency (alpha = 0.855) and good test-retest reliability (ICC = 0.961). Concurrent validity was confirmed by a high correlation with Visual Analogue Scale (r = 0.73, P < 0.001), Construct validity revealed high correlations with RMDQ (r = 0.819, P < 0.001), and with Short Form Health Survey-36 domains, highly significant with the exception of Mental Health (r = -0.139, P = 0.126). The ODI outcome measure was successfully translated into Italian, showing good factorial structure and

  8. Classifier Fusion With Contextual Reliability Evaluation.

    Science.gov (United States)

    Liu, Zhunga; Pan, Quan; Dezert, Jean; Han, Jun-Wei; He, You

    2018-05-01

    Classifier fusion is an efficient strategy to improve the classification performance for the complex pattern recognition problem. In practice, the multiple classifiers to combine can have different reliabilities and the proper reliability evaluation plays an important role in the fusion process for getting the best classification performance. We propose a new method for classifier fusion with contextual reliability evaluation (CF-CRE) based on inner reliability and relative reliability concepts. The inner reliability, represented by a matrix, characterizes the probability of the object belonging to one class when it is classified to another class. The elements of this matrix are estimated from the -nearest neighbors of the object. A cautious discounting rule is developed under belief functions framework to revise the classification result according to the inner reliability. The relative reliability is evaluated based on a new incompatibility measure which allows to reduce the level of conflict between the classifiers by applying the classical evidence discounting rule to each classifier before their combination. The inner reliability and relative reliability capture different aspects of the classification reliability. The discounted classification results are combined with Dempster-Shafer's rule for the final class decision making support. The performance of CF-CRE have been evaluated and compared with those of main classical fusion methods using real data sets. The experimental results show that CF-CRE can produce substantially higher accuracy than other fusion methods in general. Moreover, CF-CRE is robust to the changes of the number of nearest neighbors chosen for estimating the reliability matrix, which is appealing for the applications.

  9. 76 FR 71011 - Reliability Technical Conference Agenda

    Science.gov (United States)

    2011-11-16

    ... process? Do you support the exemption process changes identified by the RTOs or other entities in comments... reliability plans? b. Do you support the exemption process changes identified by the RTOs or other entities in...

  10. Application of the Haines Index in the fire warning system

    Science.gov (United States)

    Kalin, Lovro; Marija, Mokoric; Tomislav, Kozaric

    2016-04-01

    Croatia, as all Mediterranean countries, is strongly affected by large wildfires, particularly in the coastal region. In the last two decades the number and intensity of fires has been significantly increased, which is unanimously associated with climate change, e.g. global warming. More extreme fires are observed, and the fire-fighting season has been expanded to June and September. The meteorological support for fire protection and planning is therefore even more important. At the Meteorological and Hydrological Service of Croatia a comprehensive monitoring and warning system has been established. It includes standard components, such as short term forecast of Fire Weather Index (FWI), but long range forecast as well. However, due to more frequent hot and dry seasons, FWI index often does not provide additional information of extremely high fire danger, since it regularly takes the highest values for long periods. Therefore the additional tools have been investigated. One of widely used meteorological products is the Haines index (HI). It provides information of potential fire growth, taking into account only the vertical instability of the atmosphere, and not the state of the fuel. Several analyses and studies carried out at the Service confirmed the correlation of high HI values with large and extreme fires. The Haines index forecast has been used at the Service for several years, employing European Centre for Medium Range Weather Forecast (ECMWF) global prediction model, as well as the limited-area Aladin model. The verification results show that these forecast are reliable, when compared to radiosonde measurements. All these results provided the introduction of the additional fire warnings, that are issued by the Service's Forecast Department.

  11. Diurnal variation and reliability of the urine lactate concentration after maximal exercise.

    Science.gov (United States)

    Nikolaidis, Stefanos; Kosmidis, Ioannis; Sougioultzis, Michail; Kabasakalis, Athanasios; Mougios, Vassilis

    2018-01-01

    The postexercise urine lactate concentration is a novel valid exercise biomarker, which has exhibited satisfactory reliability in the morning hours under controlled water intake. The aim of the present study was to investigate the diurnal variation of the postexercise urine lactate concentration and its reliability in the afternoon hours. Thirty-two healthy children (11 boys and 21 girls) and 23 adults (13 men and 10 women) participated in the study. All participants performed two identical sessions of eight 25 m bouts of maximal freestyle swimming executed every 2 min with passive recovery in between. These sessions were performed in the morning and afternoon and were separated by 3-4 days. Adults performed an additional afternoon session that was also separated by 3-4 days. All swimmers drank 500 mL of water before and another 500 mL after each test. Capillary blood and urine samples were collected before and after each test for lactate determination. Urine creatinine, urine density and body water content were also measured. The intraclass correlation coefficient was used as a reliability index between the morning and afternoon tests, as well as between the afternoon test and retest. Swimming performance and body water content exhibited excellent reliability in both children and adults. The postexercise blood lactate concentration did not show diurnal variation, showing a good reliability between the morning and afternoon tests, as well as high reliability between the afternoon test and retest. The postexercise urine density and lactate concentration were affected by time of day. However, when lactate was normalized to creatinine, it exhibited excellent reliability in children and good-to-high reliability in adults. The postexercise urine lactate concentration showed high reliability between the afternoon test and retest, independent of creatinine normalization. The postexercise blood and urine lactate concentrations were significantly correlated in all

  12. Serum triiodothyronine and free triiodothyronine index in normal pregnancy

    International Nuclear Information System (INIS)

    Karunanidhi, A.; Charles, S.X.; Kanagasabapathy, A.S.

    1981-01-01

    The thyroid function at various stages of pregnancy and after delivery was assessed by measuring serum total triiodothyronine (T 3 ), T 3 resin uptake (T 3 RU) and free triiodothyronine index (FT 3 I). In first, second and third trimesters of pregnancy, the mean values of serum total T 3 were significantly elevated (P 3 I remained unaltered. During labour, both serum total T 3 and FT 3 I observed during labour and after delivery may be due to the changes in blood oestrogen levels. This study indicates that serum free T 3 concentrations in pregnancy remained unaltered in the presence of elevated serum total T 3 levels. FT 3 I determination would thus appear to be a reliable in vitro thyroid function test for the assessment of thyroid function throughout pregnancy. Serum total T 3 was measured by radioimmunoassay using radioiodinated T 3 ( 125 I-T 3 ). (author)

  13. TyG Index Change Is More Determinant for Forecasting Type 2 Diabetes Onset Than Weight Gain.

    Science.gov (United States)

    Navarro-González, David; Sánchez-Íñigo, Laura; Fernández-Montero, Alejandro; Pastrana-Delgado, Juan; Martinez, Jose Alfredo

    2016-05-01

    The risk of type 2 diabetes associated with obesity appears to be influenced by other metabolic abnormalities, and there is controversy about the harmless condition of the metabolically healthy obese (MHO) state. The aim of this study is to assess the risk of diabetes and the impact of changes in weight and in triglyceride-glucose index (TyG index), according to the metabolic health and obesity states.We analyzed prospective data of the Vascular Metabolic CUN cohort, a population-based study among a White European population (mean follow-up, 8.9 years). Incident diabetes was assessed in 1923 women and 3016 men with a mean age at baseline of 55.33 ± 13.68 and 53.78 ± 12.98 years old.A Cox proportional-hazard analysis was conducted to estimate the hazard ratio (HR) of diabetes on metabolically healthy nonobese (MHNO), metabolically healthy obese, metabolically unhealthy nonobese (MUNO), and metabolically unhealthy obese (MUO). A continuous standardized variable (z-score) was derived to compute the HR for diabetes per 1-SD increment in the body mass index (BMI) and the TyG index.MHO, MUNO, and MUO status were associated with the development of diabetes, HR of 2.26 (95% CI: 1.25-4.07), 3.04 (95% CI: 1.69-5.47), and 4.04 (95% CI: 2.14-7.63), respectively. MUNO individuals had 1.82 greater risk of diabetes compared to MHO subjects (95% CI: 1.04-3.22). The HRs for incident diabetes per 1-SD increment in BMI and TyG indexes were 1.23 (95% CI: 1.04-1.44) and 1.54 (95% CI: 1.40-1.68). The increase in BMI did not raise the risk of developing diabetes among metabolically unhealthy subjects, whereas increasing the TyG index significantly affect the risk in all metabolic health categories.Metabolic health is more important determinant for diabetes onset than weight gain. The increase in weight does not raise the risk of developing diabetes among metabolically unhealthy subjects.

  14. The prone bridge test: Performance, validity, and reliability among older and younger adults.

    Science.gov (United States)

    Bohannon, Richard W; Steffl, Michal; Glenney, Susan S; Green, Michelle; Cashwell, Leah; Prajerova, Kveta; Bunn, Jennifer

    2018-04-01

    The prone bridge maneuver, or plank, has been viewed as a potential alternative to curl-ups for assessing trunk muscle performance. The purpose of this study was to assess prone bridge test performance, validity, and reliability among younger and older adults. Sixty younger (20-35 years old) and 60 older (60-79 years old) participants completed this study. Groups were evenly divided by sex. Participants completed surveys regarding physical activity and abdominal exercise participation. Height, weight, body mass index (BMI), and waist circumference were measured. On two occasions, 5-9 days apart, participants held a prone bridge until volitional exhaustion or until repeated technique failure. Validity was examined using data from the first session: convergent validity by calculating correlations between survey responses, anthropometrics, and prone bridge time, known groups validity by using an ANOVA comparing bridge times of younger and older adults and of men and women. Test-retest reliability was examined by using a paired t-test to compare prone bridge times for Session1 and Session 2. Furthermore, an intraclass correlation coefficient (ICC) was used to characterize relative reliability and minimal detectable change (MDC 95% ) was used to describe absolute reliability. The mean prone bridge time was 145.3 ± 71.5 s, and was positively correlated with physical activity participation (p ≤ 0.001) and negatively correlated with BMI and waist circumference (p ≤ 0.003). Younger participants had significantly longer plank times than older participants (p = 0.003). The ICC between testing sessions was 0.915. The prone bridge test is a valid and reliable measure for evaluating abdominal performance in both younger and older adults. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. [Changes in dental caries indexes in school children in an area of Xochimilco, Mexico: 1984-1992].

    Science.gov (United States)

    Irigoyen-Camacho, M E; Molina-Feichero, N; Villanueva-Arriaga, R; García-López, S

    1995-01-01

    To describe the changes in dental caries prevalence and severity, in a group of primary schoolchildren. Two dental caries surveys were carried out, one in 1984 and the other in 1992. The dental caries indices were registered using the World Health Organization's criteria. A group of 6-7 years old schoolchildren living in the East Region of Xochimilco were included in the study. A total of 279 children participated in this study; 153 in 1984 and 126 in 1992. The mean value of the deft index was 5.65 (SD 3.35) in 1984, and the mean value of the deft index was 4.89 (SD 3.7) in 1992. For the permanent dentition the DMFT was 0.51 (SD 1.0) in 1984 and 0.48 (SD 0.82) in 1992. Differences in dental caries indices, between the first and second survey, were significant only for the primary dentition in the six years old group (95% CI 0.36, 2.15). An increase in the proportion of filled teeth was found. However, the treatment needs are still very high (69% for primary teeth and 86% for permanent teeth). The findings from this study seem to indicate little change in the prevalence and severity of dental caries in the population in the period of study.

  16. The impact of hydraulic flow unit & reservoir quality index on pressure profile and productivity index in multi-segments reservoirs

    Directory of Open Access Journals (Sweden)

    Salam Al-Rbeawi

    2017-12-01

    Full Text Available The objective of this paper is studying the impact of the hydraulic flow unit and reservoir quality index (RQI on pressure profile and productivity index of horizontal wells acting in finite reservoirs. Several mathematical models have been developed to investigate this impact. These models have been built based on the pressure distribution in porous media, depleted by a horizontal well, consist of multi hydraulic flow units and different reservoir quality index. The porous media are assumed to be finite rectangular reservoirs having different configurations and the wellbores may have different lengths. Several analytical models describing flow regimes have been derived wherein hydraulic flow units and reservoir quality index have been included in addition to rock and fluid properties. The impact of these two parameters on reservoir performance has also been studied using steady state productivity index.It has been found that both pressure responses and flow regimes are highly affected by the existence of multiple hydraulic flow units in the porous media and the change in reservoir quality index for these units. Positive change in the RQI could lead to positive change in both pressure drop required for reservoir fluids to move towards the wellbore and hence the productivity index.

  17. Radiation-induced changes in cell proliferation kinetics in uterine cervix cancer

    Energy Technology Data Exchange (ETDEWEB)

    Siracka, E; Siracky, J; Pappova, N [Slovenska Akademia Vied, Bratislava (Czechoslovakia). Cancer Research Inst.; Schreiner, P [Komenskeho Univ., Bratislava (Czechoslovakia). Chair of Oncology and Radiology

    1979-06-01

    In vitro double labeling autoradiography for measuring the labeling index, duration of S phase and potential doubling time has been used to assess the effect of a single and fractionated test dose of irradiation in uterine cervix cancer applied in 21 patients. Tumor-labeling index fell significantly in those tumors which had a high labeling index before irradiation, and these cases were found later to exhibit a good radiation response. Duration of S phase which ranged between 9 and 27 hours prior to irradiation was increased. Differences between the potential doubling time and the actual doubling time suggest a massive cell loss in tumors which were, for the most part, of exophytic type. Fractionated irradiation provides more reliable informations than a single dose and is useful for investigation of dynamic changes in the kinetics of an asynchronous cell population.

  18. Urine temperature as an index for the core temperature of industrial workers in hot or cold environments

    Science.gov (United States)

    Kawanami, Shoko; Horie, Seichi; Inoue, Jinro; Yamashita, Makiko

    2012-11-01

    Workers working in hot or cold environments are at risk for heat stroke and hypothermia. In Japan, 1718 people including 47 workers died of heat stroke in 2010 (Ministry of Health Labour and Welfare, Japan 2011). While the American Conference of Governmental Industrial Hygienists (ACGIH) recommendation lists the abnormal core temperature of workers as a criterion for halting work, no method has been established for reliably measuring core temperatures at workplaces. ISO 9886 (Ergonomics-evaluation of thermal strain by physiological measurements. ISO copyright office, Geneva, pp 3-14; 2004) recognizes urine temperature as an index of core temperature only at normal temperature. In this study we ascertained whether or not urine temperature could serve as an index for core temperature at temperatures above and below the ISO range. We measured urine temperature of 31 subjects (29.8 ± 11.9 years) using a thermocouple sensor placed in the toilet bowl at ambient temperature settings of 40, 20, and 5˚C, and compared them with rectal temperature. At all ambient temperature settings, urine temperature correlated closely with rectal temperature exhibiting small mean bias. Urine temperature changed in a synchronized manner with rectal temperature at 40˚C. A Bland and Altman analysis showed that the limits of agreement (mean bias ± 2SD) between rectal and urine temperatures were -0.39 to +0.15˚C at 40˚C (95%CI -0.44 to +0.20˚C) and -0.79 to +0.29˚C at 5˚C (-0.89 to +0.39˚C). Hence, urine temperature as measured by the present method is a practical surrogate index for rectal temperature and represents a highly reliable biological monitoring index for assessing hot and cold stresses of workers at actual workplaces.

  19. Reliability engineering: Old problems and new challenges

    International Nuclear Information System (INIS)

    Zio, E.

    2009-01-01

    The first recorded usage of the word reliability dates back to the 1800s, albeit referred to a person and not a technical system. Since then, the concept of reliability has become a pervasive attribute worth of both qualitative and quantitative connotations. In particular, the revolutionary social, cultural and technological changes that have occurred from the 1800s to the 2000s have contributed to the need for a rational framework and quantitative treatment of the reliability of engineered systems and plants. This has led to the rise of reliability engineering as a scientific discipline. In this paper, some considerations are shared with respect to a number of problems and challenges which researchers and practitioners in reliability engineering are facing when analyzing today's complex systems. The focus will be on the contribution of reliability to system safety and on its role within system risk analysis

  20. Prediction of software operational reliability using testing environment factors

    International Nuclear Information System (INIS)

    Jung, Hoan Sung; Seong, Poong Hyun

    1995-01-01

    For many years, many researches have focused on the quantification of software reliability and there are many models developed to quantify software reliability. Most software reliability models estimate the reliability with the failure data collected during the test assuming that the test environments well represent the operation profile. The experiences show that the operational reliability is higher than the test reliability User's interest is on the operational reliability rather than on the test reliability, however. With the assumption that the difference in reliability results from the change of environment, testing environment factors comprising the aging factor and the coverage factor are defined in this study to predict the ultimate operational reliability with the failure data. It is by incorporating test environments applied beyond the operational profile into testing environment factors. The application results are close to the actual data

  1. The German version of the Expanded Prostate Cancer Index Composite (EPIC): translation, validation and minimal important difference estimation.

    Science.gov (United States)

    Umbehr, Martin H; Bachmann, Lucas M; Poyet, Cedric; Hammerer, Peter; Steurer, Johann; Puhan, Milo A; Frei, Anja

    2018-02-20

    No official German translation exists for the 50-item Expanded Prostate Cancer Index Composite (EPIC), and no minimal important difference (MID) has been established yet. The aim of the study was to translate and validate a German version of the EPIC with cultural adaptation to the different German speaking countries and to establish the MID. We translated and culturally adapted the EPIC into German. For validation, we included a consecutive subsample of 92 patients with localized prostate cancer undergoing radical prostatectomy who participated the Prostate Cancer Outcomes Cohort. Baseline and follow-up assessments took place before and six weeks after prostatectomy in 2010 and 2011. We assessed the EPIC, EORTC QLQ-PR25, Feeling Thermometer, SF-36 and a global rating of health state change variable. We calculated the internal consistency, test-retest reliability, construct validity, responsiveness and MID. For most EPIC domains and subscales, our a priori defined criteria for reliability were fulfilled (construct reliability: Cronbach's alpha 0.7-0.9; test-retest reliability: intraclass-correlation coefficient ≥ 0.7). Cross-sectional and longitudinal correlations between EPIC and EORTC QLQ-PR25 domains ranged from 0.14-0.79, and 0.06-0.5 and 0.08-0.72 for Feeling Thermometer and SF-36, respectively. We established MID values of 10, 4, 12, and 6 for the urinary, bowel, sexual and hormonal domain. The German version of the EPIC is reliable, responsive and valid to measure HRQL in prostate cancer patients and is now available in German language. With the suggested MID we provide interpretation to what extent changes in HRQL are clinically relevant for patients. Hence, study results are of interest beyond German speaking countries.

  2. Dietary determinants of changes in waist circumference adjusted for body mass index - a proxy measure of visceral adiposity.

    Directory of Open Access Journals (Sweden)

    Dora Romaguera

    2010-07-01

    Full Text Available Given the recognized health effects of visceral fat, the understanding of how diet can modulate changes in the phenotype "waist circumference for a given body mass index (WC(BMI", a proxy measure of visceral adiposity, is deemed necessary. Hence, the objective of the present study was to assess the association between dietary factors and prospective changes in visceral adiposity as measured by changes in the phenotype WC(BMI.We analyzed data from 48,631 men and women from 5 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC study. Anthropometric measurements were obtained at baseline and after a median follow-up time of 5.5 years. WC(BMI was defined as the residuals of waist circumference regressed on body mass index, and annual change in WC(BMI (DeltaWC(BMI, cm/y was defined as the difference between residuals at follow-up and baseline, divided by follow-up time. The association between energy, energy density (ED, macronutrients, alcohol, glycemic index (GI, glycemic load (GL, fibre and DeltaWC(BMI was modelled using centre-specific adjusted linear regression, and random-effects meta-analyses to obtain pooled estimates. Men and women with higher ED and GI diets showed significant increases in their WC(BMI, compared to those with lower ED and GI [1 kcal/g greater ED predicted a DeltaWC(BMI of 0.09 cm (95% CI 0.05 to 0.13 in men and 0.15 cm (95% CI 0.09 to 0.21 in women; 10 units greater GI predicted a DeltaWC(BMI of 0.07 cm (95% CI 0.03 to 0.12 in men and 0.06 cm (95% CI 0.03 to 0.10 in women]. Among women, lower fibre intake, higher GL, and higher alcohol consumption also predicted a higher DeltaWC(BMI.Results of this study suggest that a diet with low GI and ED may prevent visceral adiposity, defined as the prospective changes in WC(BMI. Additional effects may be obtained among women of low alcohol, low GL, and high fibre intake.

  3. Study on weathering index for improving the reliability of terrace correlation and chronology. Based on the observation and analysis of terrace deposit distributed in the Mid Niigata region and others

    International Nuclear Information System (INIS)

    Hamada, Takaomi; Hataya, Ryuta

    2009-01-01

    We carried out field survey and laboratory analysis to investigate various weathering indexes in loam and terrace deposit at outcrops of the terraces distributed in Mid-Niigata area and other two areas, which were correlated and chronologized accurately. We also collect and analyze the data of color and hardness of eolian loam, matrix of terrace deposit, thickness of decolorated and/or browning rim of terrace gravels, color and roughness of gravel surface and effective porosity on each terrace. According to result of the analysis, thickness of weathering rind can be an useful index for terrace correlation. Weathering rind is observed frequently in mafic and fine gravels, as a result of statistical survey of occurrence of the patterns of weathering type. According to the result of our field survey, Middle terrace contains few decayed gravels and Higher terrace group, which is older than MIS8 terrace, contains large amounts of decayed gravels. We can distinguish two different age terraces according to ratio of decayed gravel concentration in terrace deposit. Combination of data of thickness of weathering rind of gravel and concentration of decayed gravel in terrace deposit, adequate terrace correlation can be obtained with increased reliability. Difference of weathering degree can be detected by a combination of several indexes that can be observed in outcrops, it is possible to distinguish between different age terraces. Color and hardness of loam, thickness of weathering rind of terrace gravel can be indexes of weathering, these can explain the facts observed in outcrops. (author)

  4. The effect of change in body mass index on volumetric measures of mammographic density

    Science.gov (United States)

    Hart, Vicki; Reeves, Katherine W.; Sturgeon, Susan R.; Reich, Nicholas G.; Sievert, Lynnette Leidy; Kerlikowske, Karla; Ma, Lin; Shepherd, John; Tice, Jeffrey A.; Mahmoudzadeh, Amir Pasha; Malkov, Serghei; Sprague, Brian L.

    2015-01-01

    Background Understanding how changes in body mass index (BMI) relate to changes in mammographic density is necessary to evaluate adjustment for BMI gain/loss in studies of change in density and breast cancer risk. Increase in BMI has been associated with a decrease in percent density, but the effect on change in absolute dense area or volume is unclear. Methods We examined the association between change in BMI and change in volumetric breast density among 24,556 women in the San Francisco Mammography Registry from 2007-2013. Height and weight were self-reported at the time of mammography. Breast density was assessed using single x-ray absorptiometry measurements. Cross-sectional and longitudinal associations between BMI and dense volume (DV), non-dense volume (NDV) and percent dense volume (PDV) were assessed using multivariable linear regression models, adjusted for demographics, risk factors, and reproductive history. Results In cross-sectional analysis, BMI was positively associated with DV (β=2.95 cm3, 95% CI 2.69, 3.21) and inversely associated with PDV (β=-2.03%, 95% CI -2.09, -1.98). In contrast, increasing BMI was longitudinally associated with a decrease in both DV (β=-1.01 cm3, 95% CI -1.59, -0.42) and PDV (β=-1.17%, 95% CI -1.31, -1.04). These findings were consistent for both pre- and postmenopausal women. Conclusion Our findings support an inverse association between change in BMI and change in PDV. The association between increasing BMI and decreasing DV requires confirmation. Impact Longitudinal studies of PDV and breast cancer risk, or those using PDV as an indicator of breast cancer risk, should evaluate adjustment for change in BMI. PMID:26315554

  5. Measuring Academic Performance for Healthcare Researchers with the H Index: Which Search Tool Should Be Used?

    Science.gov (United States)

    Patel, Vanash M.; Ashrafian, Hutan; Almoudaris, Alex; Makanjuola, Jonathan; Bucciarelli-Ducci, Chiara; Darzi, Ara; Athanasiou, Thanos

    2013-01-01

    Objectives To compare H index scores for healthcare researchers returned by Google Scholar, Web of Science and Scopus databases, and to assess whether a researcher's age, country of institutional affiliation and physician status influences calculations. Subjects and Methods One hundred and ninety-five Nobel laureates in Physiology and Medicine from 1901 to 2009 were considered. Year of first and last publications, total publications and citation counts, and the H index for each laureate were calculated from each database. Cronbach's alpha statistics was used to measure the reliability of H index scores between the databases. Laureate characteristic influence on the H index was analysed using linear regression. Results There was no concordance between the databases when considering the number of publications and citations count per laureate. The H index was the most reliably calculated bibliometric across the three databases (Cronbach's alpha = 0.900). All databases returned significantly higher H index scores for younger laureates (p < 0.0001). Google Scholar and Web of Science returned significantly higher H index for physician laureates (p = 0.025 and p = 0.029, respectively). Country of institutional affiliation did not influence the H index in any database. Conclusion The H index appeared to be the most consistently calculated bibliometric between the databases for Nobel laureates in Physiology and Medicine. Researcher-specific characteristics constituted an important component of objective research assessment. The findings of this study call to question the choice of current and future academic performance databases. PMID:22964880

  6. The reliability and stability of visual working memory capacity.

    Science.gov (United States)

    Xu, Z; Adam, K C S; Fang, X; Vogel, E K

    2018-04-01

    Because of the central role of working memory capacity in cognition, many studies have used short measures of working memory capacity to examine its relationship to other domains. Here, we measured the reliability and stability of visual working memory capacity, measured using a single-probe change detection task. In Experiment 1, the participants (N = 135) completed a large number of trials of a change detection task (540 in total, 180 each of set sizes 4, 6, and 8). With large numbers of both trials and participants, reliability estimates were high (α > .9). We then used an iterative down-sampling procedure to create a look-up table for expected reliability in experiments with small sample sizes. In Experiment 2, the participants (N = 79) completed 31 sessions of single-probe change detection. The first 30 sessions took place over 30 consecutive days, and the last session took place 30 days later. This unprecedented number of sessions allowed us to examine the effects of practice on stability and internal reliability. Even after much practice, individual differences were stable over time (average between-session r = .76).

  7. High slope efficiency and high refractive index change in direct-written Yb-doped waveguide lasers with depressed claddings.

    Science.gov (United States)

    Palmer, Guido; Gross, Simon; Fuerbach, Alexander; Lancaster, David G; Withford, Michael J

    2013-07-15

    We report the first Yb:ZBLAN and Yb:IOG10 waveguide lasers fabricated by the fs-laser direct-writing technique. Pulses from a Titanium-Sapphire laser oscillator with 5.1 MHz repetition rate were utilized to generate negative refractive index modifications in both glasses. Multiple modifications were aligned in a depressed cladding geometry to create a waveguide. For Yb:ZBLAN we demonstrate high laser slope efficiency of 84% with a maximum output power of 170 mW. By using Yb:IOG10 a laser performance of 25% slope efficiency and 72 mW output power was achieved and we measured a remarkably high refractive index change exceeding Δn = 2.3 × 10(-2).

  8. Study of structural reliability of existing concrete structures

    Science.gov (United States)

    Druķis, P.; Gaile, L.; Valtere, K.; Pakrastiņš, L.; Goremikins, V.

    2017-10-01

    Structural reliability of buildings has become an important issue after the collapse of a shopping center in Riga 21.11.2013, caused the death of 54 people. The reliability of a building is the practice of designing, constructing, operating, maintaining and removing buildings in ways that ensure maintained health, ward suffered injuries or death due to use of the building. Evaluation and improvement of existing buildings is becoming more and more important. For a large part of existing buildings, the design life has been reached or will be reached in the near future. The structures of these buildings need to be reassessed in order to find out whether the safety requirements are met. The safety requirements provided by the Eurocodes are a starting point for the assessment of safety. However, it would be uneconomical to require all existing buildings and structures to comply fully with these new codes and corresponding safety levels, therefore the assessment of existing buildings differs with each design situation. This case study describes the simple and practical procedure of determination of minimal reliability index β of existing concrete structures designed by different codes than Eurocodes and allows to reassess the actual reliability level of different structural elements of existing buildings under design load.

  9. The German Version of the Herth Hope Index (HHI-D): Development and Psychometric Properties.

    Science.gov (United States)

    Geiser, Franziska; Zajackowski, Katharina; Conrad, Rupert; Imbierowicz, Katrin; Wegener, Ingo; Herth, Kaye A; Urbach, Anne Sarah

    2015-01-01

    The importance of hope is evident in clinical oncological care. Hope is associated with psychological and also physical functioning. However, there is still a dearth of empirical research on hope as a multidimensional concept. The Herth Hope Index is a reliable and valid instrument for the measurement of hope and is available in many languages. Until now no authorized German translation has been published and validated. After translation, the questionnaire was completed by 192 patients with different tumor entities in radiation therapy. Reliability, concurrent validity, and factor structure of the questionnaire were determined. Correlations were high with depression and anxiety as well as optimism and pessimism. As expected, correlations with coping styles were moderate. Internal consistency and test-retest reliability were satisfactory. We could not replicate the original 3-factor model. Application of the scree plot criterion in an exploratory factor analysis resulted in a single-factor structure. The Herth Hope Index - German Version (HHI-D) is a short, reliable, and valid instrument for the assessment of hope in patient populations. We recommend using only the HHI-D total score until further research gives more insights into possible factorial solutions and subscales. © 2015 S. Karger GmbH, Freiburg.

  10. Human reliability in high dose rate afterloading radiotherapy based on FMECA

    International Nuclear Information System (INIS)

    Deng Jun; Fan Yaohua; Yue Baorong; Wei Kedao; Ren Fuli

    2012-01-01

    Objective: To put forward reasonable and feasible recommendations against the procedure with relative high risk during the high dose rate (HDR) afterloading radiotherapy, so as to enhance its clinical application safety, through studying the human reliability in the process of carrying out the HDR afterloading radiotherapy. Methods: Basic data were collected by on-site investigation and process analysis as well as expert evaluation. Failure mode, effect and criticality analysis (FMECA) employed to study the human reliability in the execution of HDR afterloading radiotherapy. Results: The FMECA model of human reliability for HDR afterloading radiotherapy was established, through which 25 procedures with relative high risk index were found,accounting for 14.1% of total 177 procedures. Conclusions: FMECA method in human reliability study for HDR afterloading radiotherapy is feasible. The countermeasures are put forward to reduce the human error, so as to provide important basis for enhancing clinical application safety of HDR afterloading radiotherapy. (authors)

  11. Development of a hybrid pollution index for heavy metals in marine and estuarine sediments.

    Science.gov (United States)

    Brady, James P; Ayoko, Godwin A; Martens, Wayde N; Goonetilleke, Ashantha

    2015-05-01

    Heavy metal pollution of sediments is a growing concern in most parts of the world, and numerous studies focussed on identifying contaminated sediments by using a range of digestion methods and pollution indices to estimate sediment contamination have been described in the literature. The current work provides a critical review of the more commonly used sediment digestion methods and identifies that weak acid digestion is more likely to provide guidance on elements that are likely to be bioavailable than other traditional methods of digestion. This work also reviews common pollution indices and identifies the Nemerow Pollution Index as the most appropriate method for establishing overall sediment quality. Consequently, a modified Pollution Index that can lead to a more reliable understanding of whole sediment quality is proposed. This modified pollution index is then tested against a number of existing studies and demonstrated to give a reliable and rapid estimate of sediment contamination and quality.

  12. Mangrove vulnerability index using GIS

    Science.gov (United States)

    Yunus, Mohd Zulkifli Mohd; Ahmad, Fatimah Shafinaz; Ibrahim, Nuremira

    2018-02-01

    Climate change, particularly its associated sea level rise, is major threat to mangrove coastal areas, and it is essential to develop ways to reduce vulnerability through strategic management planning. Environmental vulnerability can be understood as a function of exposure to impacts and the sensitivity and adaptive capacity of ecological systems towards environmental tensors. Mangrove vulnerability ranking using up to 14 parameters found in study area, which is in Pulau Kukup and Sg Pulai, where 1 is low vulnerability and 5 is very high vulnerability. Mangrove Vulnerability Index (MVI) is divided into 3 main categories Physical Mangrove Index (PMI), Biological Mangrove Index (BMI) and Hazard Mangrove Index (HMI).

  13. Increasing urban community empowerment through changing of poverty rate index on the productive zakat impact

    Science.gov (United States)

    Zaenal, M. H.; Astuti, A. D.; Sadariyah, A. S.

    2018-01-01

    We show how changes in poverty measures can be applied into growth of islamic philanthropy distribution via zakat, and we use the methodology to zakat community development (ZCD) program in Bantul during the 2016. The purpose of the present paper is to prove zakat is able to be a solution part for the community empowerment. The result is the number of productive zakat program beneficiaries whose income is below the poverty line (poor category) before the program are 244 people (H = 0.171) and after the program change to 168 (H = 0.118), which means the program has succeeded in reducing the number of poor people by 76 people (5.34 percent). The poverty gap (P1) of beneficiaries of productive zakat program in Bantul also decrease. The gap between poverty line and average income of beneficiaries is Rp 63,763 before the program, while the gap after the program is Rp 56,992. The income gap (I) is also decline from 0.197 to 0.169. Poverty severity of beneficiaries of productive zakat program in Bantul seen by Sen Index (P2) decrease from 0.093 to 0.062, while using Foster-Greer-Thorbecke Index (P3), the poverty severity decrease from 0.010 to 0.004. The analysis revealed the zakat community empowerment was significant economically in suppressing the poverty rate, and possible for reducing inequality and ending poverty in Indonesia.

  14. Hub Status and Indexation of Container Ports

    Directory of Open Access Journals (Sweden)

    Yong-An Park

    2015-06-01

    This study develops two sub-indexes of port classification and capacity, and combines cases of these two sub-indexes into various types in order to find a proper port hub index. The paper demonstrates how different types of port hub index are useful measurements for evaluating outputs and inputs of container ports. In a case analysis we show that the indexes of period variables and lagged variables have more explanatory power with regard to changes of port throughputs and high correlation with inputs.

  15. Reliability and Validity of the Footprint Assessment Method Using Photoshop CS5 Software in Young People with Down Syndrome.

    Science.gov (United States)

    Gutiérrez-Vilahú, Lourdes; Massó-Ortigosa, Núria; Rey-Abella, Ferran; Costa-Tutusaus, Lluís; Guerra-Balic, Myriam

    2016-05-01

    People with Down syndrome present skeletal abnormalities in their feet that can be analyzed by commonly used gold standard indices (the Hernández-Corvo index, the Chippaux-Smirak index, the Staheli arch index, and the Clarke angle) based on footprint measurements. The use of Photoshop CS5 software (Adobe Systems Software Ireland Ltd, Dublin, Ireland) to measure footprints has been validated in the general population. The present study aimed to assess the reliability and validity of this footprint assessment technique in the population with Down syndrome. Using optical podography and photography, 44 footprints from 22 patients with Down syndrome (11 men [mean ± SD age, 23.82 ± 3.12 years] and 11 women [mean ± SD age, 24.82 ± 6.81 years]) were recorded in a static bipedal standing position. A blinded observer performed the measurements using a validated manual method three times during the 4-month study, with 2 months between measurements. Test-retest was used to check the reliability of the Photoshop CS5 software measurements. Validity and reliability were obtained by intraclass correlation coefficient (ICC). The reliability test for all of the indices showed very good values for the Photoshop CS5 method (ICC, 0.982-0.995). Validity testing also found no differences between the techniques (ICC, 0.988-0.999). The Photoshop CS5 software method is reliable and valid for the study of footprints in young people with Down syndrome.

  16. A study on iliac index in Koran children

    International Nuclear Information System (INIS)

    Kim, Chu Wan

    1973-01-01

    Abnormal pelvic configuration with resultant abnormal value of acetabular angle, iliac angle and iliac index is well known in some congenital and hereditary diseases and its measurement is valuable in establishing diagnosis in these diseases. Considering that there is no available standard values of Korean children, we measured acetabular angles, iliac angles and iliac indices in 150 normal Korean children, 10 cases of congenital dislocation of hip and 2 cases of mongolism. The results are as follows: 1. The values of acetabular angle, iliac angle and lilac index are significantly lower than those of American children. 2. Significant increase in acetabular angle is observed in patients with congenital dislocation of hip and significant decrease in iliac index in patients with mongolism is observed. 3. Iliac index seems to be more reliable than either of acetabular angle and iliac angle in the detection of abnormal pelvic contuor in patients with mongolism. We considered that the pelvic mensuration should be done in large number of normal and patients and further study in this fields should be carried out

  17. A study on the real-time reliability of on-board equipment of train control system

    Science.gov (United States)

    Zhang, Yong; Li, Shiwei

    2018-05-01

    Real-time reliability evaluation is conducive to establishing a condition based maintenance system for the purpose of guaranteeing continuous train operation. According to the inherent characteristics of the on-board equipment, the connotation of reliability evaluation of on-board equipment is defined and the evaluation index of real-time reliability is provided in this paper. From the perspective of methodology and practical application, the real-time reliability of the on-board equipment is discussed in detail, and the method of evaluating the realtime reliability of on-board equipment at component level based on Hidden Markov Model (HMM) is proposed. In this method the performance degradation data is used directly to realize the accurate perception of the hidden state transition process of on-board equipment, which can achieve a better description of the real-time reliability of the equipment.

  18. Systems reliability/structural reliability

    International Nuclear Information System (INIS)

    Green, A.E.

    1980-01-01

    The question of reliability technology using quantified techniques is considered for systems and structures. Systems reliability analysis has progressed to a viable and proven methodology whereas this has yet to be fully achieved for large scale structures. Structural loading variants over the half-time of the plant are considered to be more difficult to analyse than for systems, even though a relatively crude model may be a necessary starting point. Various reliability characteristics and environmental conditions are considered which enter this problem. The rare event situation is briefly mentioned together with aspects of proof testing and normal and upset loading conditions. (orig.)

  19. Reliability of sonographic assessment of tendinopathy in tennis elbow.

    Science.gov (United States)

    Poltawski, Leon; Ali, Syed; Jayaram, Vijay; Watson, Tim

    2012-01-01

    To assess the reliability and compute the minimum detectable change using sonographic scales to quantify the extent of pathology and hyperaemia in the common extensor tendon in people with tennis elbow. The lateral elbows of 19 people with tennis elbow were assessed sonographically twice, 1-2 weeks apart. Greyscale and power Doppler images were recorded for subsequent rating of abnormalities. Tendon thickening, hypoechogenicity, fibrillar disruption and calcification were each rated on four-point scales, and scores were summed to provide an overall rating of structural abnormality; hyperaemia was scored on a five point scale. Inter-rater reliability was established using the intraclass correlation coefficient (ICC) to compare scores assigned independently to the same set of images by a radiologist and a physiotherapist with training in musculoskeletal imaging. Test-retest reliability was assessed by comparing scores assigned by the physiotherapist to images recorded at the two sessions. The minimum detectable change (MDC) was calculated from the test-retest reliability data. ICC values for inter-rater reliability ranged from 0.35 (95% CI: 0.05, 0.60) for fibrillar disruption to 0.77 (0.55, 0.88) for overall greyscale score, and 0.89 (0.79, 0.95) for hyperaemia. Test-retest reliability ranged from 0.70 (0.48, 0.84) for tendon thickening to 0.82 (0.66, 0.90) for overall greyscale score and 0.86 (0.73, 0.93) for calcification. The MDC for the greyscale total score was 2.0/12 and for the hyperaemia score was 1.1/5. The sonographic scoring system used in this study may be used reliably to quantify tendon abnormalities and change over time. A relatively inexperienced imager can conduct the assessment and use the rating scales reliably.

  20. Reliability and Validity Study of a Tool to Measure Cancer Stigma: Patient Version.

    Science.gov (United States)

    Yılmaz, Medine; Dişsiz, Gülçin; Demir, Filiz; Irız, Sibel; Alacacioglu, Ahmet

    2017-01-01

    The aim of this methodological study is to establish the validity and reliability of the Turkish version of "A Questionnaire for Measuring Attitudes toward Cancer (Cancer Stigma) - Patient version." The sample comprised oncology patients who had active cancer treatment. The construct validity was assessed using the confirmatory and exploratory factor analysis. The mean age of the participants was 54.9±12.3 years. In the confirmatory factor analysis, fit values were determined as comparative fit index = 0.93, goodness of fit index = 0.91, normed-fit index=0.91, and root mean square error of approximation RMSEA = 0.09 ( P Kaiser-Meyer-Olkin = 0.88, χ 2 = 1084.41, Df = 66, and Barletta's test P <0.000). The first factor was "impossibility of recovery and experience of social discrimination" and the second factor was "stereotypes of cancer patients." The two-factor structure accounted for 56.74% of the variance. The Cronbach's alpha value was determined as 0.88 for the two-factor scale. "A questionnaire for measuring attitudes toward cancer (cancer stigma) - Patient version" is a reliable and valid questionnaire to assess stigmatization of cancer in cancer patients.

  1. Human factors reliability benchmark exercise, report of the SRD participation

    International Nuclear Information System (INIS)

    Waters, Trevor

    1988-01-01

    Within the scope of the Human Factors Reliability Benchmark Exercise, organised by the Joint Research Centre, Ispra, Italy, the Safety and Reliability Directorate (SRD) team has performed analysis of human factors in two different activities - a routine test and a non-routine operational transient. For both activities, an 'FMEA-like' task, potential errors, and the factors which affect performance. For analysis of the non-routine activity, which involved a significant amount of cognitive processing, such as diagnosis and decision making, a new approach for qualitative analysis has been developed. Modelling has been performed using both event trees and fault trees and examples are provided. Human error probabilities were estimated using the methods Absolute Probability Judgement (APJ), Human Cognitive Reliability Method (HCR), Human Error and Assessment and Reduction Technique (HEART), Success-Likelihood Index Method (SLIM), Technica Empiriza Stima Eurori Operatori (TESEO), and Technique for Human Error Rate Prediction (THERP). A discussion is provided of the lessons learnt in the course of the exercise and unresolved difficulties in the assessment of human reliability. (author)

  2. Reliability of the Star Excursion Balance Test and Two New Similar Protocols to Measure Trunk Postural Control.

    Science.gov (United States)

    López-Plaza, Diego; Juan-Recio, Casto; Barbado, David; Ruiz-Pérez, Iñaki; Vera-Garcia, Francisco J

    2018-05-18

    Although the Star Excursion Balance test (SEBT) has shown a good intrasession reliability, the intersession reliability of this test has not been deeply studied. Furthermore, there is an evident high influence of the lower limbs in the performance of the SEBT, so even if it has been used to measure core stability, it is possibly not the most suitable measurement. The aims of this study were to (1) to assess the absolute and relative between-session reliability of the SEBT and 2 novel variations of this test to assess trunk postural control while sitting, ie, the Star Excursion Sitting Test (SEST) and the Star Excursion Timing Test (SETT); and (2) to analyze the relationships between these 3 test scores. Correlational and reliability test-retest study. Controlled laboratory environment. Twenty-seven physically active men (age: 24.54 ± 3.05 years). Relative and absolute reliability of the SEBT, SEST, and SETT were calculated through the intraclass correlation coefficient (ICC) and standard error of measurement (SEM), respectively. A Pearson correlation analysis was carried out between the variables of the 3 tests. Maximum normalized reach distances were assessed for different SEBT and SEST directions. In addition, composite indexes were calculated for SEBT, SEST, and SETT. The SEBT (dominant leg: ICC = 0.87 [0.73-0.94], SEM = 2.12 [1.66-2.93]; nondominant leg: ICC = 0.74 [0.50-0.87], SEM = 3.23 [2.54-4.45]), SEST (ICC = 0.85 [0.68-0.92], SEM = 1.27 [1.03-1.80]), and SETT (ICC = 0.61 [0.30-0.80], SEM = 2.31 [1.82-3.17]) composite indexes showed moderate-to-high 1-month reliability. A learning effect was detected for some SEBT and SEST directions and for SEST and SETT composite indexes. No significant correlations were found between SEBT and its 2 variations (r ≤ .366; P > .05). A significant correlation was found between the SEST and SETT composite indexes (r = .520; P > .01). SEBT, SEST, and SETT are reliable field protocols to measure postural control. However

  3. Test-retest reliability of the Military Pre-training Questionnaire.

    Science.gov (United States)

    Robinson, M; Stokes, K; Bilzon, J; Standage, M; Brown, P; Thompson, D

    2010-09-01

    Musculoskeletal injuries are a significant cause of morbidity during military training. A brief, inexpensive and user-friendly tool that demonstrates reliability and validity is warranted to effectively monitor the relationship between multiple predictor variables and injury incidence in military populations. To examine the test-retest reliability of the Military Pre-training Questionnaire (MPQ), designed specifically to assess risk factors for injury among military trainees across five domains (physical activity, injury history, diet, alcohol and smoking). Analyses were based on a convenience sample of 58 male British Army trainees. Kappa (kappa), weighted kappa (kappa(w)) and intraclass correlation coefficients (ICC) were used to evaluate the 2-week test-retest reliability of the MPQ. For index measures constituting the assessment of a given construct, internal consistency was assessed by Cronbach's alpha (alpha) coefficients. Reliability of individual items ranged from poor to almost perfect (kappa range = 0.45-0.86; kappa(w) range = 0.11-0.91; ICC range = 0.34-0.86) with most items demonstrating moderate reliability. Overall scores related to physical activity, diet, alcohol and smoking constructs were reliable between both administrations (ICC = 0.63-0.85). Support for the internal consistency of the incorporated alcohol (alpha = 0.78) and cigarette (alpha = 0.75) scales was also provided. The MPQ is a reliable self-report instrument for assessing multiple injury-related risk factors during initial military training. Further assessment of the psychometric properties of the MPQ (e.g. different types of validity) with military populations/samples will support its interpretation and use in future surveillance and epidemiological studies.

  4. The Test-Retest Reliability of New Generation Power Indices of Wingate All-Out Test

    Directory of Open Access Journals (Sweden)

    Ozgur Ozkaya

    2018-04-01

    Full Text Available Although reliability correlations of traditional power indices of the Wingate test have been well documented, no study has analyzed new generation power indices based on milliseconds obtained from a Peak Bike. The purpose of this study was to investigate the retest reliability of new generation power indices. Thirty-two well-trained male athletes who were specialized in basketball, football, tennis, or track and field volunteered to take part in the study (age: 24.3 ± 2.2 years; body mass: 77 ± 8.3 kg; height: 180.3 ± 6.3 cm. Participants performed two Wingate all-out sessions on two separate days. Intra-class correlation coefficient (ICC, standard error measurement (SEM, smallest real differences (SRD and coefficient of variation (CV scores were analyzed based on the test and retest data. Reliability results of traditional power indices calculated based on 5-s means such as peak power, average power, power drop, and fatigue index ratio were similar with the previous findings in literature (ICC ≥ 0.94; CV ≤ 2.8%; SEM ≤ 12.28; SRD% ≤ 7.7%. New generation power indices such as peak power, average power, lowest power, power drop, fatigue index, power decline, maximum speed as rpm, and amount of total energy expenditure demonstrated high reliability (ICC ≥ 0.94; CV ≤ 4.3%; SEM ≤ 10.36; SRD% ≤ 8.8%. Time to peak power, time at maximum speed, and power at maximum speed showed a moderate level of reliability (ICC ≥ 0.73; CV ≤ 8.9%; SEM ≤ 63.01; SRD% ≤ 22.4%. The results of this study indicate that reliability correlations and SRD% of new generation power and fatigue-related indices are similar with traditional 5-s means. However, new time-related indices are very sensitive and moderately reliable.

  5. Assessing insomnia in adolescents: comparison of Insomnia Severity Index, Athens Insomnia Scale and Sleep Quality Index.

    Science.gov (United States)

    Chung, Ka-Fai; Kan, Katherine Ka-Ki; Yeung, Wing-Fai

    2011-05-01

    To compare the psychometric properties of the Chinese versions of Insomnia Severity Index (ISI), Athens Insomnia Scale (AIS) and Sleep Quality Index (SQI) for assessment and screening of insomnia in adolescents. This is a school-based survey of 1516 adolescents aged 12-19 years. Sleep-wake habit questionnaire, ISI, AIS, SQI, Epworth Sleepiness Scale (ESS) and 12-item General Health Questionnaire (GHQ-12) were administered. Insomnia Interview Schedule was used to assess the severity of insomnia symptoms and DSM-IV-TR diagnosis of insomnia. The Cronbach's alpha of ISI, AIS and SQI were 0.83, 0.81 and 0.65, respectively, and the 2-week test-retest reliability were 0.79, 0.80 and 0.72. All three scales had a 2-factor structure, and their scores were significantly correlated with sleep-wake variables, ESS and GHQ-12 scores, smoking and drinking habits, and academic performance. The areas under curve of ISI, AIS and SQI for detecting clinical insomnia were 0.85, 0.80 and 0.85, respectively. The optimal cut-offs for ISI, AIS and SQI were a total score of nine (sensitivity/specificity: 0.87/0.75), seven (sensitivity/specificity: 0.78/0.74) and five (sensitivity/specificity: 0.83/0.79), respectively. The Chinese versions of ISI, AIS and SQI are reliable and valid instruments. The ISI and AIS appear to have better psychometric properties than the SQI. Copyright © 2011 Elsevier B.V. All rights reserved.

  6. Clinically significant changes in the emotional condition of relatives of patients with severe traumatic brain injury during sub-acute rehabilitation

    DEFF Research Database (Denmark)

    Norup, Anne; Kristensen, Karin Spangsberg; Poulsen, Ingrid

    2013-01-01

    .2% and 58.1% of relatives had scores above cut-off values on the anxiety and depression scales, respectively. On the anxiety scale 69.7% of these experienced a reliable improvement according to the Reliable Change Index (RCI) and 45.5% also obtained CSC, as their end-point was below the cut-off value...... the Symptom Checklist-90-R (SCL-90-R) when the patients were admitted to sub-acute rehabilitation and at discharge. Improvement in emotional condition was investigated using the following criteria: (i) statistically reliable improvement; and (ii) clinically significant change (CSC). Results: At admission, 53...... in the patients. Conclusion: Of the relatives who reported scores above cut-off values on the anxiety and depression scales at patient's admission, approximately 40% experienced CSC in anxiety and depression during the patient's rehabilitation. Relatives of patients experiencing improvement during inpatient...

  7. Validity and Reliability of 10-Hz Global Positioning System to Assess In-line Movement and Change of Direction

    Directory of Open Access Journals (Sweden)

    Pantelis T. Nikolaidis

    2018-03-01

    Full Text Available The objectives of the present study were to examine the validity and reliability of the 10 Hz Johan GPS unit in assessing in-line movement and change of direction. The validity was tested against the criterion measure of 200 m track-and-field (track-and-field athletes, n = 8 and 20 m shuttle run endurance test (female soccer players, n = 20. Intra-unit and inter-unit reliability was tested by intra-class correlation coefficient (ICC and coefficient of variation (CV, respectively. An analysis of variance examined differences between the GPS measurement and five laps of 200 m at 15 km/h, and t-test examined differences between the GPS measurement and 20 m shuttle run endurance test. The difference between the GPS measurement and 200 m distance ranged from −0.13 ± 3.94 m (95% CI −3.42; 3.17 in the first lap to 2.13 ± 2.64 m (95% CI −0.08; 4.33 in the fifth lap. A good intra-unit reliability was observed in 200 m (ICC = 0.833, 95% CI 0.535; 0.962. Inter-unit CV ranged from 1.31% (fifth lap to 2.20% (third lap. The difference between the GPS measurement and 20 m shuttle run endurance test ranged from 0.33 ± 4.16 m (95% CI −10.01; 10.68 in 11.5 km/h to 9.00 ± 5.30 m (95% CI 6.44; 11.56 in 8.0 km/h. A moderate intra-unit reliability was shown in the second and third stage of the 20 m shuttle run endurance test (ICC = 0.718, 95% CI 0.222;0.898 and good reliability in the fifth, sixth, seventh and eighth (ICC = 0.831, 95% CI −0.229;0.996. Inter-unit CV ranged from 2.08% (11.5 km/h to 3.92% (8.5 km/h. Based on these findings, it was concluded that the 10 Hz Johan system offers an affordable valid and reliable tool for coaches and fitness trainers to monitor training and performance.

  8. Validation of a Russian-language version of the Foot Functional Index (FFI questionnaire

    Directory of Open Access Journals (Sweden)

    E. V. Orlova

    2016-01-01

    Full Text Available The Foot Functional Index (FFI questionnaire most completely reflects the functional status of patients with joint diseases of the feet.Objective: to study the psychometric properties of a Russian-language version of the FFI questionnaire.Patients and methods. The reliability, sensitivity, and validity of the Russian-language version of the FFI questionnaire were assessed in 55 patients with rheumatoid arthritis (RA. The investigators checked the reliability by assessing the internal consistency (calculating Cronbach's alpha and reproducibility by a test-retest analysis. The criterion validity was evaluated by correlation analysis using HAQ, RAPID3, and pain visual analogue scale (VAS scores. The sensitivity of FFI was studied by comparing its dynamics with RAPID3 changes during treatment.Results. Evaluating the internal consistency yielded a high Cronbach's alpha (0.78. The test-retest analysis demonstrated a significant correlation (0.83 between the results of primary and secondary testing. Assessing the criterion validity showed a high or near-high relationship to the scores of RAPID3 (0.78, HAQ (0.69, and pain VAS (0.76. The group of patients who were observed to have a decrease in disease activity according to RAPID3 from a high (16.2±4.1 to moderate (10.5±5.2 degree displayed a more marked reduction in FFI (ΔFFI = 20.5±2.3 than the group that did not exhibit significant changes in disease activity (ΔFFI = 6.9±3.4.Conclusion. FFI is a reliable, valid, and sensitive tool to evaluate the functional status of patients with foot diseases in RA.

  9. Validation in the cross-cultural adaptation of the Korean version of the Oswestry Disability Index.

    Science.gov (United States)

    Jeon, Chang-Hoon; Kim, Dong-Jae; Kim, Se-Kang; Kim, Dong-Jun; Lee, Hwan-Mo; Park, Heui-Jeon

    2006-12-01

    Disability questionnaires are used for clinical assessment, outcome measurement, and research methodology. Any disability measurement must be adapted culturally for comparability of data, when the patients, who are measured, use different languages. This study aimed to conduct cross-cultural adaptation in translating the original (English) version of the Oswestry Disability Index (ODI) into Korean, and then to assess the reliability of the Korean versions of the Oswestry Disability Index (KODI). We used methodology to obtain semantic, idiomatic, experimental, and conceptual equivalences for the process of cross-cultural adaptation. The KODI were tested in 116 patients with chronic low back pain. The internal consistency and reliability for the KODI reached 0.9168 (Cronbach's alpha). The test-retest reliability was assessed with 32 patients (who were not included in the assessment of Cronbach's alpha) over a time interval of 4 days. Test-retest correlation reliability was 0.9332. The entire process and the results of this study were reported to the developer (Dr. Fairbank JC), who appraised the KODI. There is little evidence of differential item functioning in KODI. The results suggest that the KODI is internally consistent and reliable. Therefore, the KODI can be recommended as a low back pain assessment tool in Korea.

  10. Systems Reliability Framework for Surface Water Sustainability and Risk Management

    Science.gov (United States)

    Myers, J. R.; Yeghiazarian, L.

    2016-12-01

    With microbial contamination posing a serious threat to the availability of clean water across the world, it is necessary to develop a framework that evaluates the safety and sustainability of water systems in respect to non-point source fecal microbial contamination. The concept of water safety is closely related to the concept of failure in reliability theory. In water quality problems, the event of failure can be defined as the concentration of microbial contamination exceeding a certain standard for usability of water. It is pertinent in watershed management to know the likelihood of such an event of failure occurring at a particular point in space and time. Microbial fate and transport are driven by environmental processes taking place in complex, multi-component, interdependent environmental systems that are dynamic and spatially heterogeneous, which means these processes and therefore their influences upon microbial transport must be considered stochastic and variable through space and time. A physics-based stochastic model of microbial dynamics is presented that propagates uncertainty using a unique sampling method based on artificial neural networks to produce a correlation between watershed characteristics and spatial-temporal probabilistic patterns of microbial contamination. These results are used to address the question of water safety through several sustainability metrics: reliability, vulnerability, resilience and a composite sustainability index. System reliability is described uniquely though the temporal evolution of risk along watershed points or pathways. Probabilistic resilience describes how long the system is above a certain probability of failure, and the vulnerability metric describes how the temporal evolution of risk changes throughout a hierarchy of failure levels. Additionally our approach allows for the identification of contributions in microbial contamination and uncertainty from specific pathways and sources. We expect that this

  11. Browse Title Index

    African Journals Online (AJOL)

    Items 51 - 73 of 73 ... Journal Home > Advanced Search > Browse Title Index ... Vol 13 (2006), The ageing eye” functional changes from cradle to gray: A ... Vol 12 (2005), The evaluation of vision in children using monocular vision acuity and ...

  12. A New Index of Democracy

    Directory of Open Access Journals (Sweden)

    Jesús M. de Miguel

    2014-01-01

    Full Text Available The present paper analyses and revises the latest Democracy Index published by the Economist Intelligence Unit in the United Kingdom. We analyze the changes produced in the index from 2006 to 2011, as well as in the five basic factors that constitute the index: electoral process and pluralism; civil liberties; the functioning of government; political participation; and political culture. The analysis of these factors ?measured by sixty variables? has made it possible to develop a new index, based on the data from 167 countries, and calculate a revised ranking. Countries have been classified into four types: democracies, flawed democracies, mixed systems, and authoritarian/totalitarian regimes. The new index permits a better understanding of the impact of the crisis through variables such as economic growth, human development, quality of life, corruption, and violence.

  13. Objective assessment of induced acute pain in neonatology with the Newborn Infant Parasympathetic Evaluation index.

    Science.gov (United States)

    Cremillieux, C; Makhlouf, A; Pichot, V; Trombert, B; Patural, H

    2018-01-25

    Objective tools are needed to improve pain assessment in newborns. The aim of this study was to assess the correlation between the Newborn Infant Parasympathetic Evaluation (NIPE) index and two pain scales during a painful procedure in premature infants. Each baby born at least at 26 weeks of gestational age (GA) undergoing a planned painful procedure in the Neonatal Intensive Care Unit (NICU) was eligible. NIPE index, heart rate variability (HRV) indices and Neonatal Acute Pain scale (DAN) were recorded across three periods: the first at rest 5 min before the painful procedure (T1), the second during it (T2) and the third 3 min after the end of it (T3). The Premature Infant Pain Profile-Revised (PIPP-R) pain scale was recorded at T2. Sixty-four recordings were performed in 29 preterm infants (mean GA = 29.9 ± 4.2 weeks). Twenty-eight tachograms were coupled to NIPE for analysis. We did not find a correlation between the NIPE index and DAN and PIPP-R at the pain time T2. Between T1 and T2, heart rate was higher (159 ± 16 vs. 169 ± 12, p < 0.001). Considering the linear HRV indices, we did not observe a modification in parasympathetic or sympathetic activity, while for the nonlinear HRV indices (H exponent, Approximate and conditional Entropy), a significant change towards a loss of physiological chaotic cardiac behaviour was detected. The NIPE index seems to be not reliable to assess acute pain in the preterm infant, but other HRV indices could be explored as additional tools next to pain scales in NICUs. The NIPE monitor was developed for objective pain assessment in neonates based on HFnu variations, but it does not seem reliable enough for assessing acute pain in real time in preterm neonates. Pain assessment in preterm babies still relies on pain scales. © 2018 European Pain Federation - EFIC®.

  14. Between Flexibility and Reliability. Changing Planning Culture in China

    Directory of Open Access Journals (Sweden)

    Chiu-Yuan Wang

    2014-10-01

    Full Text Available The aim of this research is to provide an outline to address questions with regard to the transformation of planning in China that has occurred after the 1980s. The research is using “planning evolution” as the main research skeleton. The starting point is to investigate to what extent Chinese urban planning has developed after the opening up and other reforms under the state-led and market-driven modes of Chinese reformation, and to investigate how the different modes and various actors have influenced urban planning, based on the investigation of the respective political and economic changes within the initial reformation in general, and planning in particular. In recent years, China has undeniably undergone a dramatic process of urban growth and transformation. Apart from its speed and scope, it is less recognized that these processes are confronting the Chinese planning institutions with new and unexpected demands almost on a daily basis. In reference to the increasing importance of private investments and developments within the Chinese urbanization process, a new balance between public planning and private developments, and between top-down and bottom-up approaches is required to be able to generate both a reliable and responsible framework for long-term urban development and a flexible system of implementation that meets the needs of changing conditions and new demands. Flexibility and reliability become the new demands for planning practice. Based on the theory of planning culture, planning traditions, concepts, systems and decision-making processes are always related to the cultural context and cultural background of the people and societies involved. Investigating the contemporary urban transformation and urban development processes in China can allow us to outline the new planning culture of contemporary China in relation to its historical roots and traditional characteristics in a long term framework. I argue that the changing

  15. Changes in abdominal obesity in Chilean university students stratified by body mass index.

    Science.gov (United States)

    Cossio-Bolaños, Marco; Vilchez-Avaca, Catalina; Contreras-Mellado, Victor; Andruske, Cynthia Lee; Gómez-Campos, Rossana

    2016-01-13

    Studies based on Body Mass Index (BMI) and waist circumference (WC) are generally used to examine the prevalence and tendency of overweight and obesity. These studies help determine the socioeconomic development of a country and improve public health policies. Therefore, the goal of this research was to determine the trend of change in abdominal obesity of Chilean university students according to the Body Mass Index (BMI) measured in intervals of three and six years. For this study, a total of 1598 students of both sexes ranging in age from 18 to 26 from a Chilean university were evaluated. Students were assessed commencing in 2007 (372 males and 315 females), 2010 (250 males and 330 females), and ending in 2013 (153 males and 178 females). During the three transversal assessments, weight, height, and waist circumference were evaluated. BMI was calculated for both sexes. No significant differences were found in age and BMI during the three years evaluated (2007, 2010, and 2013). In 2013, waist circumference (WC) increased significantly (p obese), the university students showed significant increases in WC (Females: p = 0.004; Males: p = 0.035) whereas in 2007 and 2010, the values remained relatively stable. BMI remained constant during 2007, 2010, and 2013. However, the university students of both sexes showed greater risk of abdominal obesity as a result of increased WC in 2013.

  16. Reliability

    OpenAIRE

    Condon, David; Revelle, William

    2017-01-01

    Separating the signal in a test from the irrelevant noise is a challenge for all measurement. Low test reliability limits test validity, attenuates important relationships, and can lead to regression artifacts. Multiple approaches to the assessment and improvement of reliability are discussed. The advantages and disadvantages of several different approaches to reliability are considered. Practical advice on how to assess reliability using open source software is provided.

  17. Validation of a Russian-language version of the Foot Functional Index (FFI) questionnaire

    OpenAIRE

    E. V. Orlova; A. V. Surnov; D. E. Karateev; V. N. Amirdzhanova

    2016-01-01

    The Foot Functional Index (FFI) questionnaire most completely reflects the functional status of patients with joint diseases of the feet.Objective: to study the psychometric properties of a Russian-language version of the FFI questionnaire.Patients and methods. The reliability, sensitivity, and validity of the Russian-language version of the FFI questionnaire were assessed in 55 patients with rheumatoid arthritis (RA). The investigators checked the reliability by assessing the internal consis...

  18. Method for assessing software reliability of the document management system using the RFID technology

    Directory of Open Access Journals (Sweden)

    Kiedrowicz Maciej

    2016-01-01

    Full Text Available The deliberations presented in this study refer to the method for assessing software reliability of the docu-ment management system, using the RFID technology. A method for determining the reliability structure of the dis-cussed software, understood as the index vector for assessing reliability of its components, was proposed. The model of the analyzed software is the control transfer graph, in which the probability of activating individual components during the system's operation results from the so-called operational profile, which characterizes the actual working environment. The reliability structure is established as a result of the solution of a specific mathematical software task. The knowledge of the reliability structure of the software makes it possible to properly plan the time and finan-cial expenses necessary to build the software, which would meet the reliability requirements. The application of the presented method is illustrated by the number example, corresponding to the software reality of the RFID document management system.

  19. Interrater Reliability of the Categorization of Late Radiographic Changes After Lung Stereotactic Body Radiation Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Faruqi, Salman [Department of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, ON (Canada); Giuliani, Meredith E., E-mail: meredith.giuliani@rmp.uhn.on.ca [Department of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, ON (Canada); Raziee, Hamid; Yap, Mei Ling [Department of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, ON (Canada); Roberts, Heidi [Department of Radiology, University Health Network, Toronto, Ontario (Canada); Le, Lisa W. [Department of Biostatistics, Princess Margaret Cancer Centre, Toronto, Ontario (Canada); Brade, Anthony; Cho, John; Sun, Alexander; Bezjak, Andrea; Hope, Andrew J. [Department of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, ON (Canada)

    2014-08-01

    Purpose: Radiographic changes after lung stereotactic body radiation therapy (SBRT) have been categorized into 4 groups: modified conventional pattern (A), mass-like fibrosis; (B), scar-like fibrosis (C), and no evidence of increased density (D). The purpose of this study was to assess the interrater reliability of this categorization system in patients with early-stage non-small cell lung cancer (NSCLC). Methods and Materials: Seventy-seven patients were included in this study, all treated with SBRT for early-stage (T1/2) NSCLC at a single institution, with a minimum follow-up of 6 months. Six experienced clinicians familiar with post-SBRT radiographic changes scored the serial posttreatment CT images independently in a blinded fashion. The proportion of patients categorized as A, B, C, or D at each interval was determined. Krippendorff's alpha (KA), Multirater kappa (M-kappa), and Gwet's AC1 (AC1) scores were used to establish interrater reliability. A leave-one-out analysis was performed to demonstrate the variability among raters. Interrater agreement of the first and last 20 patients scored was calculated to explore whether a training effect existed. Results: The number of ratings ranged from 450 at 6 months to 84 at 48 months of follow-up. The proportion of patients in each category was as follows: A, 45%; B, 16%; C, 13%; and D, 26%. KA and M-kappa ranged from 0.17 to 0.34. AC1 measure range was 0.22 to 0.48. KA increased from 0.24 to 0.36 at 12 months with training. The percent agreement for pattern A peaked at 12 month with a 54% chance of having >50% raters in agreement and decreased over time, whereas that for patterns B and C increased over time to a maximum of 20% and 22%, respectively. Conclusion: This post-SBRT radiographic change categorization system has modest interrater agreement, and there is a suggestion of a training effect. Patterns of fibrosis evolve after SBRT and alternative categorization systems should be evaluated.

  20. Cost-effective solutions to maintaining smart grid reliability

    Science.gov (United States)

    Qin, Qiu

    As the aging power systems are increasingly working closer to the capacity and thermal limits, maintaining an sufficient reliability has been of great concern to the government agency, utility companies and users. This dissertation focuses on improving the reliability of transmission and distribution systems. Based on the wide area measurements, multiple model algorithms are developed to diagnose transmission line three-phase short to ground faults in the presence of protection misoperations. The multiple model algorithms utilize the electric network dynamics to provide prompt and reliable diagnosis outcomes. Computational complexity of the diagnosis algorithm is reduced by using a two-step heuristic. The multiple model algorithm is incorporated into a hybrid simulation framework, which consist of both continuous state simulation and discrete event simulation, to study the operation of transmission systems. With hybrid simulation, line switching strategy for enhancing the tolerance to protection misoperations is studied based on the concept of security index, which involves the faulted mode probability and stability coverage. Local measurements are used to track the generator state and faulty mode probabilities are calculated in the multiple model algorithms. FACTS devices are considered as controllers for the transmission system. The placement of FACTS devices into power systems is investigated with a criterion of maintaining a prescribed level of control reconfigurability. Control reconfigurability measures the small signal combined controllability and observability of a power system with an additional requirement on fault tolerance. For the distribution systems, a hierarchical framework, including a high level recloser allocation scheme and a low level recloser placement scheme, is presented. The impacts of recloser placement on the reliability indices is analyzed. Evaluation of reliability indices in the placement process is carried out via discrete event

  1. Precision of lumbar intervertebral measurements: does a computer-assisted technique improve reliability?

    Science.gov (United States)

    Pearson, Adam M; Spratt, Kevin F; Genuario, James; McGough, William; Kosman, Katherine; Lurie, Jon; Sengupta, Dilip K

    2011-04-01

    Comparison of intra- and interobserver reliability of digitized manual and computer-assisted intervertebral motion measurements and classification of "instability." To determine if computer-assisted measurement of lumbar intervertebral motion on flexion-extension radiographs improves reliability compared with digitized manual measurements. Many studies have questioned the reliability of manual intervertebral measurements, although few have compared the reliability of computer-assisted and manual measurements on lumbar flexion-extension radiographs. Intervertebral rotation, anterior-posterior (AP) translation, and change in anterior and posterior disc height were measured with a digitized manual technique by three physicians and by three other observers using computer-assisted quantitative motion analysis (QMA) software. Each observer measured 30 sets of digital flexion-extension radiographs (L1-S1) twice. Shrout-Fleiss intraclass correlation coefficients for intra- and interobserver reliabilities were computed. The stability of each level was also classified (instability defined as >4 mm AP translation or 10° rotation), and the intra- and interobserver reliabilities of the two methods were compared using adjusted percent agreement (APA). Intraobserver reliability intraclass correlation coefficients were substantially higher for the QMA technique THAN the digitized manual technique across all measurements: rotation 0.997 versus 0.870, AP translation 0.959 versus 0.557, change in anterior disc height 0.962 versus 0.770, and change in posterior disc height 0.951 versus 0.283. The same pattern was observed for interobserver reliability (rotation 0.962 vs. 0.693, AP translation 0.862 vs. 0.151, change in anterior disc height 0.862 vs. 0.373, and change in posterior disc height 0.730 vs. 0.300). The QMA technique was also more reliable for the classification of "instability." Intraobserver APAs ranged from 87 to 97% for QMA versus 60% to 73% for digitized manual

  2. Experimental research of fuel element reliability

    International Nuclear Information System (INIS)

    Cech, B.; Novak, J.; Chamrad, B.

    1980-01-01

    The rate and extent of the damage of the can integrity for fission products is the basic criterion of reliability. The extent of damage is measurable by the fission product leakage into the reactor coolant circuit. An analysis is made of the causes of the fuel element can damage and a model is proposed for testing fuel element reliability. Special experiments should be carried out to assess partial processes, such as heat transfer and fuel element surface temperature, fission gas liberation and pressure changes inside the element, corrosion weakening of the can wall, can deformation as a result of mechanical interactions. The irradiation probe for reliability testing of fuel elements is described. (M.S.)

  3. Extensive validation of the pain disability index in 3 groups of patients with musculoskeletal pain.

    Science.gov (United States)

    Soer, Remko; Köke, Albère J A; Vroomen, Patrick C A J; Stegeman, Patrick; Smeets, Rob J E M; Coppes, Maarten H; Reneman, Michiel F

    2013-04-20

    A cross-sectional study design was performed. To validate the pain disability index (PDI) extensively in 3 groups of patients with musculoskeletal pain. The PDI is a widely used and studied instrument for disability related to various pain syndromes, although there is conflicting evidence concerning factor structure, test-retest reliability, and missing items. Additionally, an official translation of the Dutch language version has never been performed. For reliability, internal consistency, factor structure, test-retest reliability and measurement error were calculated. Validity was tested with hypothesized correlations with pain intensity, kinesiophobia, Rand-36 subscales, Depression, Roland-Morris Disability Questionnaire, Quality of Life, and Work Status. Structural validity was tested with independent backward translation and approval from the original authors. One hundred seventy-eight patients with acute back pain, 425 patients with chronic low back pain and 365 with widespread pain were included. Internal consistency of the PDI was good. One factor was identified with factor analyses. Test-retest reliability was good for the PDI (intraclass correlation coefficient, 0.76). Standard error of measurement was 6.5 points and smallest detectable change was 17.9 points. Little correlations between the PDI were observed with kinesiophobia and depression, fair correlations with pain intensity, work status, and vitality and moderate correlations with the Rand-36 subscales and the Roland-Morris Disability Questionnaire. The PDI-Dutch language version is internally consistent as a 1-factor structure, and test-retest reliable. Missing items seem high in sexual and professional items. Using the PDI as a 2-factor questionnaire has no additional value and is unreliable.

  4. Design and Application of Drought Indexes in Highly Regulated Mediterranean Water Systems

    Science.gov (United States)

    Castelletti, A.; Zaniolo, M.; Giuliani, M.

    2017-12-01

    Costs of drought are progressively increasing due to the undergoing alteration of hydro-meteorological regimes induced by climate change. Although drought management is largely studied in the literature, most of the traditional drought indexes fail in detecting critical events in highly regulated systems, which generally rely on ad-hoc formulations and cannot be generalized to different context. In this study, we contribute a novel framework for the design of a basin-customized drought index. This index represents a surrogate of the state of the basin and is computed by combining the available information about the water available in the system to reproduce a representative target variable for the drought condition of the basin (e.g., water deficit). To select the relevant variables and combinatione thereof, we use an advanced feature extraction algorithm called Wrapper for Quasi Equally Informative Subset Selection (W-QEISS). W-QEISS relies on a multi-objective evolutionary algorithm to find Pareto-efficient subsets of variables by maximizing the wrapper accuracy, minimizing the number of selected variables, and optimizing relevance and redundancy of the subset. The accuracy objective is evaluated trough the calibration of an extreme learning machine of the water deficit for each candidate subset of variables, with the index selected from the resulting solutions identifying a suitable compromise between accuracy, cardinality, relevance, and redundancy. The approach is tested on Lake Como, Italy, a regulated lake mainly operated for irrigation supply. In the absence of an institutional drought monitoring system, we constructed the combined index using all the hydrological variables from the existing monitoring system as well as common drought indicators at multiple time aggregations. The soil moisture deficit in the root zone computed by a distributed-parameter water balance model of the agricultural districts is used as target variable. Numerical results show that

  5. Effect of dextran-induced changes in refractive index and aggregation on optical properties of whole blood

    International Nuclear Information System (INIS)

    Xu Xiangqun; Wang, Ruikang K; Elder, James B; Tuchin, Valery V

    2003-01-01

    The purpose of the present study is to investigate systematically the mechanisms of alterations in the optical properties of whole blood immersed in the biocompatible agent dextran, and to define the optimal concentration of dextrans required for blood optical clearing in order to enhance the capability of light penetration depth for optical imaging applications. In the experiments, dextrans with different molecular weights and various concentrations were employed and investigated by the use of the optical coherence tomography technique. Changes in light attenuation, refractive index and aggregation properties of blood immersed in dextrans were studied. It was concluded from the results that the mechanisms for blood optical clearing are characteristic of the types of dextrans employed, their concentrations and the application stages. Among the substances applied, Dx500 at a concentration at 0.5 g dl -1 gives the best result in improving light penetration depth through the blood. The increase of light transmission at the beginning of the addition of dextrans is mainly attributed to refractive index matching between the scattering centres and the ground matter. Thereafter, the transmission change is probably due to a dextran-induced aggregation-disaggregation effect. Overall, light scattering in the blood could be effectively reduced by the application of dextrans. It represents a promising approach to increasing the imaging depth for in vivo optical imaging of biological tissue, for example optical coherence tomography

  6. Study on seismic reliability for foundation grounds and surrounding slopes of nuclear power plants. Proposal of evaluation methodology and integration of seismic reliability evaluation system

    International Nuclear Information System (INIS)

    Ohtori, Yasuki; Kanatani, Mamoru

    2006-01-01

    This paper proposes an evaluation methodology of annual probability of failure for soil structures subjected to earthquakes and integrates the analysis system for seismic reliability of soil structures. The method is based on margin analysis, that evaluates the ground motion level at which structure is damaged. First, ground motion index that is strongly correlated with damage or response of the specific structure, is selected. The ultimate strength in terms of selected ground motion index is then evaluated. Next, variation of soil properties is taken into account for the evaluation of seismic stability of structures. The variation of the safety factor (SF) is evaluated and then the variation is converted into the variation of the specific ground motion index. Finally, the fragility curve is developed and then the annual probability of failure is evaluated combined with seismic hazard curve. The system facilitates the assessment of seismic reliability. A generator of random numbers, dynamic analysis program and stability analysis program are incorporated into one package. Once we define a structural model, distribution of the soil properties, input ground motions and so forth, list of safety factors for each sliding line is obtained. Monte Carlo Simulation (MCS), Latin Hypercube Sampling (LHS), point estimation method (PEM) and first order second moment (FOSM) implemented in this system are also introduced. As numerical examples, a ground foundation and a surrounding slope are assessed using the proposed method and the integrated system. (author)

  7. Enhanced change detection index for disaster response, recovery assessment and monitoring of buildings and critical facilities-A case study for Muzzaffarabad, Pakistan

    Science.gov (United States)

    de Alwis Pitts, Dilkushi A.; So, Emily

    2017-12-01

    The availability of Very High Resolution (VHR) optical sensors and a growing image archive that is frequently updated, allows the use of change detection in post-disaster recovery and monitoring for robust and rapid results. The proposed semi-automated GIS object-based method uses readily available pre-disaster GIS data and adds existing knowledge into the processing to enhance change detection. It also allows targeting specific types of changes pertaining to similar man-made objects such as buildings and critical facilities. The change detection method is based on pre/post normalized index, gradient of intensity, texture and edge similarity filters within the object and a set of training data. More emphasis is put on the building edges to capture the structural damage in quantifying change after disaster. Once the change is quantified, based on training data, the method can be used automatically to detect change in order to observe recovery over time in potentially large areas. Analysis over time can also contribute to obtaining a full picture of the recovery and development after disaster, thereby giving managers a better understanding of productive management and recovery practices. The recovery and monitoring can be analyzed using the index in zones extending from to epicentre of disaster or administrative boundaries over time.

  8. Development and validation of the Consumer Quality index instrument to measure the experience and priority of chronic dialysis patients.

    Science.gov (United States)

    van der Veer, Sabine N; Jager, Kitty J; Visserman, Ella; Beekman, Robert J; Boeschoten, Els W; de Keizer, Nicolette F; Heuveling, Lara; Stronks, Karien; Arah, Onyebuchi A

    2012-08-01

    Patient experience is an established indicator of quality of care. Validated tools that measure both experiences and priorities are lacking for chronic dialysis care, hampering identification of negative experiences that patients actually rate important. We developed two Consumer Quality (CQ) index questionnaires, one for in-centre haemodialysis (CHD) and the other for peritoneal dialysis and home haemodialysis (PHHD) care. The instruments were validated using exploratory factor analyses, reliability analysis of identified scales and assessing the association between reliable scales and global ratings. We investigated opportunities for improvement by combining suboptimal experience with patient priority. Sixteen dialysis centres participated in our study. The pilot CQ index for CHD care consisted of 71 questions. Based on data of 592 respondents, we identified 42 core experience items in 10 scales with Cronbach's α ranging from 0.38 to 0.88; five were reliable (α ≥ 0.70). The instrument identified information on centres' fire procedures as the aspect of care exhibiting the biggest opportunity for improvement. The pilot CQ index PHHD comprised 56 questions. The response of 248 patients yielded 31 core experience items in nine scales with Cronbach's α ranging between 0.53 and 0.85; six were reliable. Information on kidney transplantation during pre-dialysis showed most room for improvement. However, for both types of care, opportunities for improvement were mostly limited. The CQ index reliably and validly captures dialysis patient experience. Overall, most care aspects showed limited room for improvement, mainly because patients participating in our study rated their experience to be optimal. To evaluate items with high priority, but with which relatively few patients have experience, more qualitative instruments should be considered.

  9. Baseline Levels, and Changes Over Time in Body Mass Index and Fasting Insulin, and Their Relationship to Change in Metabolic Trait Clustering

    Science.gov (United States)

    Sullivan, Lisa M.; Fox, Caroline S.; Wilson, Peter W.F.; Nathan, David M.; Vasan, Ramachandran S.; D'Agostino, Ralph B.; Meigs, James B.

    2014-01-01

    Abstract Background: Multiple abnormal metabolic traits are found together or “cluster” within individuals more often than is predicted by chance. The individual and combined role of adiposity and insulin resistance (IR) on metabolic trait clustering is uncertain. We tested the hypothesis that change in trait clustering is a function of both baseline level and change in these measures. Methods: In 2616 nondiabetic Framingham Offspring Study participants, body mass index (BMI) and fasting insulin were related to a within-person 7-year change in a trait score of 0–4 Adult Treatment Panel III metabolic syndrome traits (hypertension, high triglycerides, low high-density lipoprotein cholesterol, hyperglycemia). Results: At baseline assessment, mean trait score was 1.4 traits, and 7-year mean (SEM) change in trait score was +0.25 (0.02) traits, Pfasting insulin were similarly related to trait score change. In models adjusted for age–sex–baseline cluster score, 7-year change in trait score was significantly related to both a 1-quintile difference in baseline BMI (0.07 traits) and fasting insulin (0.18 traits), and to both a 1-quintile 7-year increase in BMI (0.21 traits) and fasting insulin (0.18 traits). Conclusions: Change in metabolic trait clustering was significantly associated with baseline levels and changes in both BMI and fasting insulin, highlighting the importance of both obesity and IR in the clustering of metabolic traits. PMID:25007010

  10. TyG Index Change Is More Determinant for Forecasting Type 2 Diabetes Onset Than Weight Gain

    Science.gov (United States)

    Navarro-González, David; Sánchez-Íñigo, Laura; Fernández-Montero, Alejandro; Pastrana-Delgado, Juan; Martinez, Jose Alfredo

    2016-01-01

    Abstract The risk of type 2 diabetes associated with obesity appears to be influenced by other metabolic abnormalities, and there is controversy about the harmless condition of the metabolically healthy obese (MHO) state. The aim of this study is to assess the risk of diabetes and the impact of changes in weight and in triglyceride-glucose index (TyG index), according to the metabolic health and obesity states. We analyzed prospective data of the Vascular Metabolic CUN cohort, a population-based study among a White European population (mean follow-up, 8.9 years). Incident diabetes was assessed in 1923 women and 3016 men with a mean age at baseline of 55.33 ± 13.68 and 53.78 ± 12.98 years old. A Cox proportional-hazard analysis was conducted to estimate the hazard ratio (HR) of diabetes on metabolically healthy nonobese (MHNO), metabolically healthy obese, metabolically unhealthy nonobese (MUNO), and metabolically unhealthy obese (MUO). A continuous standardized variable (z-score) was derived to compute the HR for diabetes per 1-SD increment in the body mass index (BMI) and the TyG index. MHO, MUNO, and MUO status were associated with the development of diabetes, HR of 2.26 (95% CI: 1.25–4.07), 3.04 (95% CI: 1.69–5.47), and 4.04 (95% CI: 2.14–7.63), respectively. MUNO individuals had 1.82 greater risk of diabetes compared to MHO subjects (95% CI: 1.04–3.22). The HRs for incident diabetes per 1-SD increment in BMI and TyG indexes were 1.23 (95% CI: 1.04–1.44) and 1.54 (95% CI: 1.40–1.68). The increase in BMI did not raise the risk of developing diabetes among metabolically unhealthy subjects, whereas increasing the TyG index significantly affect the risk in all metabolic health categories. Metabolic health is more important determinant for diabetes onset than weight gain. The increase in weight does not raise the risk of developing diabetes among metabolically unhealthy subjects. PMID:27175686

  11. On the NPP structural reliability

    International Nuclear Information System (INIS)

    Klemin, A.I.; Polyakov, E.F.

    1980-01-01

    Reviewed are the main statements peculiarities and possibilities of the first branch guiding technical material (GTM) ''The methods of calculation of structural reliability of NPP and its systems at the stage of projecting''. It is stated, that in GTM presented are recomendations on the calculation of reliability of such specific systems, as the system of the reactor control and protection the system of measuring instruments and automatics and safe systems. GTM are based on analytical methods of modern theory of realibility with the Use of metodology of minimal cross sections of complex systems. It is stressed, that the calculations on the proposed methods permit to calculate a wide complex of reliability parameters, reflecting separately or together prorerties of NPP dependability and maintainability. For NPP, operating by a variable schedule of leading, aditionally considered are parameters, characterizing reliability with account of the proposed regime of power change, i.e. taking into account failures, caused by decrease of the obtained power lower, than the reguired or increase of the required power higher, than the obtained

  12. Study on weathering index for improving the reliability of terrace correlation and chronology. Part 2. Understanding weathering condition of terrace gravel and induction of application requirement for correlation index

    International Nuclear Information System (INIS)

    Hamada, Takaomi

    2012-01-01

    Geomorphographic survey of fluvial terraces, geological exploration, borehole drilling and investigation, and analysis of weathering condition of terrace gravels were carried out in Chuetsu area, Niigata prefecture, where a great deal of geomorphostratigraphic and tephrostratigraphic data are available. The results of these surveys and investigations indicate that weathering degree of terrace gravels can be considered as an index of the terrace age, and also provide points to remember for sampling and method of sampling and observation. The effective porosity and the thickness of weathering rind of gravels, which are indexes for weathering degree evaluation, in boring core, increase above the depth of about 5m from the top of the hole. Weathering doesn't reach the deep portion, therefore, investigation and evaluation for the weathering degree of terrace gravels must be carried out on the upper portion. Weathering rind thickness and effective porosity of the gravels are dispersive. Dispersion of the weathering rind thickness can be reduced by confining to andesite, and dispersion of the effective porosity can be reduced by limiting range of gravel size. Reducing dispersion, increase trend with age becomes clear in change of the weathering rind thickness and the effective porosity in many of the studied area. It shows that weathering rind thickness and effective porosity are effective for terrace correlation. Dispersion of data in an outcrop isn't small, but data from neighboring terraces with the same age are not different each other. It indicates that weathering rind thickness and effective porosity can be quantitative indexes for terrace age evaluation. In area where weathering rind is effective for terrace correlation, the rate of the weathering rind formation of andesite gravels is about 0.04mm/1000 years. Therefore, MIS6 terraces and MIS8 terraces can be distinguished each other by means of thickness of the weathering rind. This formation rate falls inside the

  13. Integrated Microfibre Device for Refractive Index and Temperature Sensing

    Directory of Open Access Journals (Sweden)

    Sulaiman W. Harun

    2012-08-01

    Full Text Available A microfibre device integrating a microfibre knot resonator in a Sagnac loop reflector is proposed for refractive index and temperature sensing. The reflective configuration of this optical structure offers the advantages of simple fabrication and ease of sensing. To achieve a balance between responsiveness and robustness, the entire microfibre structure is embedded in low index Teflon, except for the 0.5–2 mm diameter microfibre knot resonator sensing region. The proposed sensor has exhibited a linear spectral response with temperature and refractive index. A small change in free spectral range is observed when the microfibre device experiences a large refractive index change in the surrounding medium. The change is found to be in agreement with calculated results based on dispersion relationships.

  14. Nutrition and Physical Activity Knowledge Assessment: Development of Questionnaires and Evaluation of Reliability in African American and Latino Children

    Science.gov (United States)

    Roberts, Lindsay S.; Sharma, Sushma; Hudes, Mark L.; Fleming, Sharon E.

    2012-01-01

    Background: African-American and Latino children living in neighborhoods with a low-socioeconomic index are more at risk of obesity-associated metabolic disease than their higher socioeconomic index and/or white peers. Currently, consistent and reliable questionnaires to evaluate nutrition and physical activity knowledge in these children are…

  15. Two inhibitory control training interventions designed to improve eating behaviour and determine mechanisms of change.

    Science.gov (United States)

    Allom, Vanessa; Mullan, Barbara

    2015-06-01

    Inhibitory control training has been shown to influence eating behaviour in the laboratory; however, the reliability of these effects is not yet established outside the laboratory, nor are the mechanisms responsible for change in behaviour. Two online Stop-Signal Task training interventions were conducted to address these points. In Study 1, 72 participants completed baseline and follow-up measures of inhibitory control, self-regulatory depletion, fat intake and body-mass index. Participants were randomly assigned to complete one of three Stop-Signal Tasks daily for ten days: food-specific inhibition--inhibition in response to unhealthy food stimuli only, general inhibition--inhibition was not contingent on type of stimuli, and control--no inhibition. While fat intake did not decrease, body-mass index decreased in the food-specific condition and change in this outcome was mediated by changes in vulnerability to depletion. In Study 2, the reliability and longevity of these effects were tested by replicating the intervention with a third measurement time-point. Seventy participants completed baseline, post-intervention and follow-up measures. While inhibitory control and vulnerability to depletion improved in both training conditions post-intervention, eating behaviour and body-mass index did not. Further, improvements in self-regulatory outcomes were not maintained at follow-up. It appears that while the training paradigm employed in the current studies may improve self-regulatory outcomes, it may not necessarily improve health outcomes. It is suggested that this may be due to the task parameters, and that a training paradigm that utilises a higher proportion of stop-signals may be necessary to change behaviour. In addition, improvements in self-regulation do not appear to persist over time. These findings further current conceptualisations of the nature of self-regulation and have implications for the efficacy of online interventions designed to improve eating

  16. CERTS: Consortium for Electric Reliability Technology Solutions - Research Highlights

    Energy Technology Data Exchange (ETDEWEB)

    Eto, Joseph

    2003-07-30

    Historically, the U.S. electric power industry was vertically integrated, and utilities were responsible for system planning, operations, and reliability management. As the nation moves to a competitive market structure, these functions have been disaggregated, and no single entity is responsible for reliability management. As a result, new tools, technologies, systems, and management processes are needed to manage the reliability of the electricity grid. However, a number of simultaneous trends prevent electricity market participants from pursuing development of these reliability tools: utilities are preoccupied with restructuring their businesses, research funding has declined, and the formation of Independent System Operators (ISOs) and Regional Transmission Organizations (RTOs) to operate the grid means that control of transmission assets is separate from ownership of these assets; at the same time, business uncertainty, and changing regulatory policies have created a climate in which needed investment for transmission infrastructure and tools for reliability management has dried up. To address the resulting emerging gaps in reliability R&D, CERTS has undertaken much-needed public interest research on reliability technologies for the electricity grid. CERTS' vision is to: (1) Transform the electricity grid into an intelligent network that can sense and respond automatically to changing flows of power and emerging problems; (2) Enhance reliability management through market mechanisms, including transparency of real-time information on the status of the grid; (3) Empower customers to manage their energy use and reliability needs in response to real-time market price signals; and (4) Seamlessly integrate distributed technologies--including those for generation, storage, controls, and communications--to support the reliability needs of both the grid and individual customers.

  17. [Reliability and validity of the Chinese version on Comprehensive Scores for Financial Toxicity based on the patient-reported outcome measures].

    Science.gov (United States)

    Yu, H H; Bi, X; Liu, Y Y

    2017-08-10

    Objective: To evaluate the reliability and validity of the Chinese version on comprehensive scores for financial toxicity (COST), based on the patient-reported outcome measures. Methods: A total of 118 cancer patients were face-to-face interviewed by well-trained investigators. Cronbach's α and Pearson correlation coefficient were used to evaluate reliability. Content validity index (CVI) and exploratory factor analysis (EFA) were used to evaluate the content validity and construct validity, respectively. Results: The Cronbach's α coefficient appeared as 0.889 for the whole questionnaire, with the results of test-retest were between 0.77 and 0.98. Scale-content validity index (S-CVI) appeared as 0.82, with item-content validity index (I-CVI) between 0.83 and 1.00. Two components were extracted from the Exploratory factor analysis, with cumulative rate as 68.04% and loading>0.60 on every item. Conclusion: The Chinese version of COST scale showed high reliability and good validity, thus can be applied to assess the financial situation in cancer patients.

  18. Is anterior N2 enhancement a reliable electrophysiological index of concealed information?

    Science.gov (United States)

    Ganis, Giorgio; Bridges, David; Hsu, Chun-Wei; Schendan, Haline E

    2016-12-01

    Concealed information tests (CITs) are used to determine whether an individual possesses information about an item of interest. Event-related potential (ERP) measures in CITs have focused almost exclusively on the P3b component, showing that this component is larger when lying about the item of interest (probe) than telling the truth about control items (irrelevants). Recent studies have begun to examine other ERP components, such as the anterior N2, with mixed results. A seminal CIT study found that visual probes elicit a larger anterior N2 than irrelevants (Gamer and Berti, 2010) and suggested that this component indexes cognitive control processes engaged when lying about probes. However, this study did not control for potential intrinsic differences among the stimuli: the same probe and irrelevants were used for all participants, and there was no control condition composed of uninformed participants. Here, first we show that the N2 effect found in the study by Gamer and Berti (2010) was in large part due to stimulus differences, as the effect observed in a concealed information condition was comparable to that found in two matched control conditions without any concealed information (Experiments 1 and 2). Next, we addressed the issue of the generality of the N2 findings by counterbalancing a new set of stimuli across participants and by using a control condition with uninformed participants (Experiment 3). Results show that the probe did not elicit a larger anterior N2 than the irrelevants under these controlled conditions. These findings suggest that caution should be taken in using the N2 as an index of concealed information in CITs. Furthermore, they are a reminder that results of CIT studies (not only with ERPs) performed without stimulus counterbalancing and suitable control conditions may be confounded by differential intrinsic properties of the stimuli employed. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. [Responses of normalized difference vegetation index (NDVI) to precipitation changes on the grassland of Tibetan Plateau from 2000 to 2015.

    Science.gov (United States)

    Wang, Zhi Peng; Zhang, Xian Zhou; He, Yong Tao; Li, Meng; Shi, Pei Li; Zu, Jia Xing; Niu, Ben

    2018-01-01

    Precipitation change is an important factor in the inter-annual variation of grassland growth on the Tibetan Plateau. The total amount, distribution pattern and concentration time are three basic characteristics of precipitation change. The temporal and spatial characteristics of precipitation change were analyzed based on climate data of 145 meteorological stations on the Tibetan Plateau and nearby areas from 2000 to 2015. The total precipitation amount was characterized by annual precipitation, distribution pattern of precipitation during the year was characterized by improved precipitation concentration index (PCI), and precipitation centroid (PC) was defined to indicate the change in precipitation concentrated time. To better illustrate the response of grassland to precipitation change, vegetation growth status was characterized by the maximum value of normalized difference vegetation index (NDVI max ). Results indicated that the annual precipitation and PCI had an apparent gradient across the whole plateau and the latest PC occurred in the southern plateau. NDVI max of alpine shrub grassland was significantly correlated with the change of PCI,increased with even distribution of precipitation during growth period, and limited by the total annual precipitation. Alpine meadow did not show significantly correlations with these three indices. The inter-annual variability of NDVI max of steppe was controlled by both PCI and PC. NDVI max of alpine desert grassland was mainly controlled by annual precipitation. In addition to annual total amount of precipitation, the distribution characteristics of precipitation should be further considered when the influence of precipitation change on different types of vegetation on the Qinghai Tibet Plateau was studied.

  20. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in Persian Speaking Patients with Knee Osteoarthritis.

    Science.gov (United States)

    Ebrahimzadeh, Mohammad H; Makhmalbaf, Hadi; Birjandinejad, Ali; Keshtan, Farideh Golhasani; Hoseini, Hosein A; Mazloumi, Seyed Mahdi

    2014-03-01

    Osteoarthritis of the knee is the most common chronic joint disease that involves middle aged and elderly persons. There are different clinical instruments to quantify the health status of patients with knee osteoarthritis and one example is the WOMAC score that has been translated and adapted into different languages. The purpose of this study was cultural adaptation, validation and reliability testing of the Persian version of the WOMAC index in Iranians with knee osteoarthritis. We translated the original WOMAC questionnaire into Persian by the forward and backward technique, and then its psychometric study was done on 169 native Persian speaking patients with knee degenerative joint disease. Mean age of patients was 53.9 years. The SF-36 and KOOS were used to assess construct validity. Reliability testing resulted in a Cronbach's alpha of 0.917, showing the internal consistency of the questionnaire to be a reliable tool. Inter-correlation matrix among different scales of the Persian WOMAC index yielded a highly significant correlation between all subscales including stiffness, pain, and physical function. In terms of validity, Pearson`s correlation coefficient was significant between three domains of the WOMAC with PF, RP, BP, GH, VT, and PCS dimensions of the SF-36 health survey (P<0.005) and KOOS (P<0.0001) . The Persian WOMAC index is a valid and reliable patient- reported clinical instrument for knee osteoarthritis.