WorldWideScience

Sample records for retrospective performance assessment

  1. Prevalence of GMC performance assessments in the United Kingdom: a retrospective cohort analysis by country of medical qualification.

    Science.gov (United States)

    Mehdizadeh, L; Potts, H W W; Sturrock, A; Dacre, J

    2017-04-04

    The demographics of doctors working in the UK are changing. The United Kingdom (UK) has voted to leave the European Union (EU) and there is heightened political discourse around the world about the impact of migration on healthcare services. Previous work suggests that foreign trained doctors perform worse than UK graduates in postgraduate medical examinations. We analysed the prevalence by country of primary medical qualification of doctors who were required to take an assessment by the General Medical Council (GMC) because of performance concerns. This was a retrospective cohort analysis of data routinely collected by the GMC. We compared doctors who had a GMC performance assessment between 1996 and 2013 with the medical register in the same period. The outcome measures were numbers experiencing performance assessments by country or region of medical qualification. The rate of performance assessment varied significantly by place of medical qualification and by year; χ 2 (17) = 188, p Economic Area (EEA), were more likely to have a performance assessment than UK trained doctors, with the exception of South African trained doctors. The rate of performance assessment varies significantly by place of medical qualification. This is the first study to explore the risk of performance assessment by individual places of medical qualification. While concern has largely focused on the competence of non-EEA, International Medical Graduates, we discuss implications for how to ensure European trained doctors are fit to practise before their medical licence in the UK is granted. Further research is needed to investigate whether these country effects hold true when controlling for factors like doctors' sex, age, length of time working in the UK, and English language skills. This will allow evidence-based decisions to be made around the regulatory environment the UK should adopt once it leaves the EU. Patients should be reassured that the vast majority of all doctors

  2. A Retrospective Performance Assessment of the Developmental Neurotoxicity Study in Support of OECD Test Guideline 426

    DEFF Research Database (Denmark)

    Makris, Susan L.; Raffaele, Kathleen; Allen, Sandra

    2009-01-01

    OBJECTIVE: We conducted a review of the history and performance of developmental neurotoxicity mic (DNT) testing in support of the finalization and implementation of Organisation of Economic Co-operation and Development (OECD) DNT test guideline 426 (TG 426). INFORMATION SOURCES AND ANALYSIS......: In this review we summarize extensive scientific efforts that form the foundation for this testing paradigm, including basic neurotoxicology research, interlaboratory collaborative studies, expert workshops, and validation studies, and we address the relevance, applicability, and use of the DNT study in risk...... and international acceptance of new or updated test methods for hazard characterization. Multiple independent, expert scientific peer reviews affirm these conclusions....

  3. Prevalence of GMC performance assessments in the United Kingdom: a retrospective cohort analysis by country of medical qualification

    OpenAIRE

    Mehdizadeh, L.; Potts, H. W. W.; Sturrock, A.; Dacre, J.

    2017-01-01

    Background The demographics of doctors working in the UK are changing. The United Kingdom (UK) has voted to leave the European Union (EU) and there is heightened political discourse around the world about the impact of migration on healthcare services. Previous work suggests that foreign trained doctors perform worse than UK graduates in postgraduate medical examinations. We analysed the prevalence by country of primary medical qualification of doctors who were required to take an assessment ...

  4. Validity of the performance-oriented mobility assessment in predicting fall of stroke survivors: a retrospective cohort study.

    Science.gov (United States)

    An, SeungHeon; Lee, YunBok; Lee, GyuChang

    2014-06-01

    Falling is one of the most common complications in stroke survivors. It is therefore important to evaluate the risk of falls. In this study, we investigated the usability of the performance-oriented mobility assessment (POMA) for predicting falls in stroke patients. The POMA examines the level of balance and mobility. Data were collected on the number of falls and physical functions from 72 stroke survivors. Physical functions were measured using the POMA balance subscale, One Leg Stand test (OLS), Sit To Stand test (STS), 10-m Walk Test (10WT), Fugl-Meyer assessment (FM), and Trunk Impairment Scale (TIS). Since the accuracy of the POMA balance subscale was moderate, the cutoff value used for predicting falls was 12.5 points (sensitivity: 72%; specificity: 74%), and the area under the curve was 0.78 (95% confidence interval: 0.66-0.91, p risk of falling increased by 0.304 times more than the group over 12.5 points. The POMA balance subscale is a valid tool for assessing the physical function and fall risk of stroke survivors.

  5. Performance assessment of retrospective meteorological inputs for use in air quality modeling during TexAQS 2006

    Science.gov (United States)

    Ngan, Fong; Byun, Daewon; Kim, Hyuncheol; Lee, Daegyun; Rappenglück, Bernhard; Pour-Biazar, Arastoo

    2012-07-01

    To achieve more accurate meteorological inputs than was used in the daily forecast for studying the TexAQS 2006 air quality, retrospective simulations were conducted using objective analysis and 3D/surface analysis nudging with surface and upper observations. Model ozone using the assimilated meteorological fields with improved wind fields shows better agreement with the observation compared to the forecasting results. In the post-frontal conditions, important factors for ozone modeling in terms of wind patterns are the weak easterlies in the morning for bringing in industrial emissions to the city and the subsequent clockwise turning of the wind direction induced by the Coriolis force superimposing the sea breeze, which keeps pollutants in the urban area. Objective analysis and nudging employed in the retrospective simulation minimize the wind bias but are not able to compensate for the general flow pattern biases inherited from large scale inputs. By using an alternative analyses data for initializing the meteorological simulation, the model can re-produce the flow pattern and generate the ozone peak location closer to the reality. The inaccurate simulation of precipitation and cloudiness cause over-prediction of ozone occasionally. Since there are limitations in the meteorological model to simulate precipitation and cloudiness in the fine scale domain (less than 4-km grid), the satellite-based cloud is an alternative way to provide necessary inputs for the retrospective study of air quality.

  6. Retrospective assessment of seasonal allergic symptoms

    DEFF Research Database (Denmark)

    Bodtger, U; Poulsen, Lars K.; Malling, H-J

    2003-01-01

    The history of the severity of seasonal allergic symptoms is often obtained post-seasonally as a retrospective assessment. Correct rating is essential when determining the efficacy of pharmaceutical treatment, indications for allergen-specific immunotherapy (SIT), or inclusion into controlled cli...

  7. Performance assessment

    International Nuclear Information System (INIS)

    Doe, T.

    1985-01-01

    The purpose of performance assessment is to show that the repository is expected to serve its stated function - disposing of radioactive waste safely both during operation and for the postclosure period. Performance assessment is a straightforward concept, but its application may be very complicated. The concept of performance assessment has been clarified by the Nuclear Regulatory Commission (NRC) in their Draft Generic Technical Position on Licensing Assessment Methodology for High-Level Waste Geologic Repositories (NRC, 1984). This document has gone a long way toward defining the criteria that the NRC will use to determine whether or not information from site characterization is adequate to meet the regulations of the Nuclear Regulatory Commission and the Environmental Protection Agency (EPA). A favorable determination is required for issuance of a construction authorization, which is the first major regulatory requirement for developing a working repository. It is, therefore, essential that a research program be developed that not only resolves the outstanding technical issues, but also does it in such a way that the results are clearly applicable to the formal performance assessment and licensing procedures. The definitions of performance assessment are reviewed and the current NRC thinking is summarized

  8. Assessment of the performances of AcuStar HIT and the combination with heparin-induced multiple electrode aggregometry: a retrospective study.

    Science.gov (United States)

    Minet, V; Bailly, N; Douxfils, J; Osselaer, J C; Laloy, J; Chatelain, C; Elalamy, I; Chatelain, B; Dogné, J M; Mullier, F

    2013-09-01

    Early diagnosis of immune heparin-induced thrombocytopenia (HIT) is challenging. HemosIL® AcuStar HIT and heparin-induced multiple electrode aggregometry (HIMEA) were recently proposed as rapid diagnostic methods. We conducted a study to assess performances of AcuStar HIT-IgG (PF4-H) and AcuStar HIT-Ab (PF4-H). The secondary objective was to compare the performances of the combination of Acustar HIT and HIMEA with standardised clinical diagnosis. Sera of 104 suspected HIT patients were retrospectively tested with AcuStar HIT. HIMEA was performed on available sera (n=81). The clinical diagnosis was established by analysing in a standardized manner the patient's medical records. These tests were also compared with PF4-Enhanced®, LTA, and SRA in subsets of patients. Thresholds were determined using ROC curve analysis with clinical outcome as reference. Using the recommended thresholds (1.00AU), the negative predictive value (NPV) of HIT-IgG and HIT-Ab were 100.0% (95% CI: 95.9%-100.0% and 95.7%-100.0%). The positive predictive value (PPV) were 64.3% (95% CI: 35.1%-87.2.2%) and 45.0% (95% CI: 23.2%-68.6%), respectively. Using our thresholds (HIT-IgG: 2.89AU, HIT-Ab: 9.41AU), NPV of HIT-IgG and HIT-Ab were 100.0% (95% CI: 96.0%-100.0% and 96.1%-100.0%). PPV were 75.0% (95% CI: 42.7%-94.5%) and 81.8% (95% CI: 48.3%-97.7%), respectively. Of the 79 patients with a medium-high pretest probability score, 67 were negative using HIT-IgG (PF4-H) test at our thresholds. HIMEA was performed on HIT-IgG positive patients. Using this combination, only one patient on 79 was incorrectly diagnosed. Acustar HIT showed good performances to exclude the diagnosis of HIT. Combination with HIMEA improves PPV. Copyright © 2013 Elsevier Ltd. All rights reserved.

  9. Assessing Pragmatics: DCTS and Retrospective Verbal Reports

    Science.gov (United States)

    Beltrán-Palanques, Vicente

    2016-01-01

    Assessing pragmatic knowledge in the instructed setting is seen as a complex but necessary task, which requires the design of appropriate research methodologies to examine pragmatic performance. This study discusses the use of two different research methodologies, namely those of Discourse Completion Tests/Tasks (DCTs) and verbal reports. Research…

  10. Retrospective assessment of seasonal allergic symptoms

    DEFF Research Database (Denmark)

    Bødtger, Uffe; Poulsen, L K; Malling, H-J

    2003-01-01

    in a double-blind study. Assessment of severity of symptoms from the nose, eyes and lungs were performed daily during the season 2000, and post-seasonally 6 months after the season in 1999 and 2000. A four-point verbal descriptor scale (VDS-4) was used at all occasions. A mean in-seasonal symptom rating...

  11. Effects of training self-assessment and using assessment standards on retrospective and prospective monitoring of problem solving

    NARCIS (Netherlands)

    Baars, Martine; Vink, Sigrid; van Gog, Tamara; de Bruin, Anique; Paas, Fred

    2014-01-01

    Both retrospective and prospective monitoring are considered important for self-regulated learning of problem-solving skills. Retrospective monitoring (or self-assessment; SA) refers to students' assessments of how well they performed on a problem just completed. Prospective monitoring (or Judgments

  12. Retrospective outcome analysis of urethroplasties performed for ...

    African Journals Online (AJOL)

    Forty two patients had bulbar urethra strictures (61%), with 8 (11%) located in the posterior, and penile & bulbar regions, respectively. The remaining strictures were located in the penile urethra (16%). Surgery performed included bulbar (12) and membranous anastomotic (8) urethroplasty, ventral (13) and dorsal (22) buccal ...

  13. Environmental impact assessment: Retrospect and prospect

    International Nuclear Information System (INIS)

    Jay, Stephen; Jones, Carys; Slinn, Paul; Wood, Christopher

    2007-01-01

    The widespread experience of environmental impact assessment (EIA) as an anticipatory environmental management tool has generated a considerable debate over the extent to which it is achieving its purposes. This has been measured in terms of EIA 'effectiveness', especially as discussion has moved away from issues of procedural implementation, to the more substantive goals of EIA and its place within broader decision-making contexts. Empirical studies have revealed the relatively weak degree of influence on planning decisions that is being exerted by EIA, which is increasingly being attributed to its rationalist beginnings. This article seeks to direct this debate towards the founding political purposes of EIA which, it is argued, provide a neglected, yet strong, basis for EIA reform. A number of illustrative suggestions are made as a result of this redirection, to enable EIA to adopt a more determinative role in decision making and to contribute to more sustainable patterns of development planning

  14. Process of performance assessment

    International Nuclear Information System (INIS)

    King, C.M.; Halford, D.K.

    1987-01-01

    Performance assessment is the process used to evaluate the environmental consequences of disposal of radioactive waste in the biosphere. An introductory review of the subject is presented. Emphasis is placed on the process of performance assessment from the standpoint of defining the process. Performance assessment, from evolving experience at DOE sites, has short-term and long-term subprograms, the components of which are discussed. The role of mathematical modeling in performance assessment is addressed including the pros and cons of current approaches. Finally, the system/site/technology issues as the focal point of this symposium are reviewed

  15. NRC performance assessment program

    International Nuclear Information System (INIS)

    Coplan, S.M.

    1986-01-01

    The U.S. Nuclear Regulatory Commission's (NRC) performance assessment program includes the development of guidance to the U.S. Department of Energy (DOE) on preparation of a license application and on conducting the studies to support a license application. The nature of the licensing requirements of 10 CFR Part 60 create a need for performance assessments by the DOE. The NRC and DOE staffs each have specific roles in assuring the adequacy of those assessments. Performance allocation is an approach for determining what testing and analysis will be needed during site characterization to assure that an adequate data base is available to support the necessary performance assessments. From the standpoint of establishing is implementable methodology, the most challenging performance assessment needed for licensing is the one that will be used to determine compliance with the U.S. Environmental Protection Agency's (EPA) containment requirement

  16. Social and environmental aspects of the Manantali dam. Retrospective assessment

    International Nuclear Information System (INIS)

    Ficatier, Yves; Niasse, Madiodio

    2008-04-01

    After the great drought of the 1970's, and in order to better exploit the water resources of the Senegal river basin, an important project had been launched which comprises the Diama and Manantali dams, the construction or rehabilitation of dikes, and the construction of a hydroelectric plant for the Manantali dam. In order to provide a retrospective assessment of the social and environmental aspects (impacts on agriculture, fishing, electricity production, water availability, and so on) associated with the Manantali dam, this study reports an analysis of major advances and problems noticed at the social and environmental level in the Senegal river basin, an assessment of negative and positive social and environmental impacts of various components of the project achieved with the financial support of French and German institutions (deforestation, construction of both dams, of dikes, and of the energy equipment), an analysis of the way these social and environmental impacts have been managed all along the planning and realisation process, an assessment of social and environmental impacts of the program as a whole (impact studies, realisation, noticed impacts, efficiency in impact management), an analysis of the way existing standards of the moment have been taken into account in the management of environmental issues, and a global assessment of the program according to criteria defined by the DAC (Development Assistance Committee) of the OECD: relevance, efficiency, impact on development, and sustainability

  17. Improved power performance assessment methods

    Energy Technology Data Exchange (ETDEWEB)

    Frandsen, S; Antoniou, I; Dahlberg, J A [and others

    1999-03-01

    The uncertainty of presently-used methods for retrospective assessment of the productive capacity of wind farms is unacceptably large. The possibilities of improving the accuracy have been investigated and are reported. A method is presented that includes an extended power curve and site calibration. In addition, blockage effects with respect to reference wind speed measurements are analysed. It is found that significant accuracy improvements are possible by the introduction of more input variables such as turbulence and wind shear, in addition to mean wind speed and air density. Also, the testing of several or all machines in the wind farm - instead of only one or two - may provide a better estimate of the average performance. (au)

  18. REIDAC. A software package for retrospective dose assessment in internal contamination with radionuclides

    International Nuclear Information System (INIS)

    Kurihara, Osamu; Kanai, Katsuta; Takada, Chie; Takasaki, Koji; Ito, Kimio; Momose, Takumaro; Hato, Shinji; Ikeda, Hiroshi; Oeda, Mikihiro; Kurosawa, Naohiro; Fukutsu, Kumiko; Yamada, Yuji; Akashi, Makoto

    2007-01-01

    For cases of internal contamination with radionuclides, it is necessary to perform an internal dose assessment to facilitate radiation protection. For this purpose, the ICRP has supplied the dose coefficients and the retention and excretion rates for various radionuclides. However, these dosimetric quantities are calculated under typical conditions and are not necessarily detailed enough for dose assessment situations in which specific information on the incident or/and individual biokinetic characteristics could or should be taken into account retrospectively. This paper describes a newly developed PC-based software package called Retrospective Internal Dose Assessment Code (REIDAC) that meets the needs of retrospective dose assessment. REIDAC is made up of a series of calculation programs and a package of software. The former calculates the dosimetric quantities for any radionuclide being assessed and the latter provides a user with the graphical user interface (GUI) for executing the programs, editing parameter values and displaying results. The accuracy of REIDAC was verified by comparisons with dosimetric quantities given in the ICRP publications. This paper presents the basic structure of REIDAC and its calculation methods. Sensitivity analysis of the aerosol size for 239 Pu compounds and provisional calculations for wound contamination with 241 Am were performed as examples of the practical application of REIDAC. (author)

  19. Assessing Scientific Performance.

    Science.gov (United States)

    Weiner, John M.; And Others

    1984-01-01

    A method for assessing scientific performance based on relationships displayed numerically in published documents is proposed and illustrated using published documents in pediatric oncology for the period 1979-1982. Contributions of a major clinical investigations group, the Childrens Cancer Study Group, are analyzed. Twenty-nine references are…

  20. Performance assessment calculational exercises

    International Nuclear Information System (INIS)

    Barnard, R.W.; Dockery, H.A.

    1990-01-01

    The Performance Assessment Calculational Exercises (PACE) are an ongoing effort coordinated by Yucca Mountain Project Office. The objectives of fiscal year 1990 work, termed PACE-90, as outlined in the Department of Energy Performance Assessment (PA) Implementation Plan were to develop PA capabilities among Yucca Mountain Project (YMP) participants by calculating performance of a Yucca Mountain (YM) repository under ''expected'' and also ''disturbed'' conditions, to identify critical elements and processes necessary to assess the performance of YM, and to perform sensitivity studies on key parameters. It was expected that the PACE problems would aid in development of conceptual models and eventual evaluation of site data. The PACE-90 participants calculated transport of a selected set of radionuclides through a portion of Yucca Mountain for a period of 100,000 years. Results include analyses of fluid-flow profiles, development of a source term for radionuclide release, and simulations of contaminant transport in the fluid-flow field. Later work included development of a problem definition for perturbations to the originally modeled conditions and for some parametric sensitivity studies. 3 refs

  1. Context for performance assessment

    International Nuclear Information System (INIS)

    Kocher, D.C.

    1997-01-01

    In developing its recommendations on performance assessment for disposal of low-level radioactive waste, Scientific committee 87-3 of the National Council on Radiation Protection and Measurements (NCRP) has considered a number of topics that provide a context for the development of suitable approaches to performance assessment. This paper summarizes the Committee' discussions on these topics, including (1) the definition of low-level waste and its sources and properties, as they affect the variety of wastes that must be considered, (2) fundamental objectives and principles of radioactive waste disposal and their application to low-level waste, (3) current performance objectives for low-level waste disposal in the US, with particular emphasis on such unresolved issues of importance to performance assessment as the time frame for compliance, requirements for protection of groundwater and surface water, inclusion of doses from radon, demonstrating compliance with fixed performance objectives using highly uncertain model projections, and application of the principle that releases to the environment should be maintained as low as reasonably achievable (ALARA), (4) the role of active and passive institutional controls over disposal sites, (5) the role of the inadvertent human intruder in low-level waste disposal, (6) model validation and confidence in model outcomes, and (7) the concept of reasonable assurance of compliance

  2. Texas' performance assessment work

    International Nuclear Information System (INIS)

    Charbeneau, R.J.; Hertel, N.E.; Pollard, C.G.

    1990-01-01

    The Texas Low-Level Radioactive Waste Disposal Authority is completing two years of detailed on-site suitability studies of a potential low-level radioactive waste disposal site in Hudspeth County, Texas. The data from these studies have been used to estimate site specific parameters needed to do a performance assessment of the site. The radiological impacts of the site have been analyzed as required for a license application. The approach adopted for the performance assessment was to use simplified and yet conservative assumptions with regard to releases, radionuclide transport, and dose calculations. The methodologies employed in the performance assessment are reviewed in the paper. Rather than rely on a single computer code, a modular approach to the performance assessment was selected. The HELP code was used to calculate the infiltration rate through the trench covers and the amount of leachate released from this arid site. Individual pathway analyses used spreadsheet calculations. These calculations were compared with those from other computer models including CRRIS, INGDOS, PATHRAE, and MICROSHIELD copyright, and found to yield conservative estimates of the effective whole body dose. The greatest difficulty in performing the radiological assessment of the site was the selection of reasonable source terms for release into the environment. A surface water pathway is unreasonable for the site. Though also unlikely, the groundwater pathway with exposure through a site boundary well was found to yield the largest calculated dose. The more likely pathway including transport of leachate from the facility through the unsaturated zone and returning to the ground surface yields small doses. All calculated doses associated with normal releases of radioactivity are below the regulatory limits

  3. Energy performance assessment methodology

    Energy Technology Data Exchange (ETDEWEB)

    Platzer, W.J. [Fraunhofer Inst. for Solar Energy Systems, Freiburg (Germany)

    2006-01-15

    The energy performance of buildings are intimately connected to the energy performance of building envelopes. The better we understand the relation between the quality of the envelope and the energy consumption of the building, the better we can improve both. We have to consider not only heating but all service energies related to the human comfort in the building, such as cooling, ventilation, lighting as well. The complexity coming from this embracing approach is not to be underestimated. It is less and less possible to realted simple characteristic performance indicators of building envelopes (such as the U-value) to the overall energy performance. On the one hand much more paramters (e.g. light transmittance) come into the picture we have to assess the product quality in a multidimensional world. Secondly buildings more and more have to work on a narrow optimum: For an old, badly insulated building all solar gains are useful for a high-performance building with very good insulation and heat recovery systems in the ventilation overheating becomes more likely. Thus we have to control the solar gains, and sometimes we need high gains, sometimes low ones. And thirdly we see that the technology within the building and the user patterns and interactions as well influence the performance of a building envelope. The aim of this project within IEA Task27 was to improve our knowledge on the complex situation and also to give a principal approach how to assess the performance of the building envelope. The participants have contributed to this aim not pretending that we have reached the end. (au)

  4. Waste package performance assessment

    International Nuclear Information System (INIS)

    Lester, D.H.

    1981-01-01

    This paper describes work undertaken to assess the life-expectancy and post-failure nuclide release behavior of high-level and waste packages in a geologic repository. The work involved integrating models of individual phenomena (such as heat transfer, corrosion, package deformation, and nuclide transport) and using existing data to make estimates of post-emplacement behavior of waste packages. A package performance assessment code was developed to predict time to package failure in a flooded repository and subsequent transport of nuclides out of the leaking package. The model has been used to evaluate preliminary package designs. The results indicate, that within the limitation of model assumptions and data base, packages lasting a few hundreds of years could be developed. Very long lived packages may be possible but more comprehensive data are needed to confirm this

  5. Retrospective internal radiation exposure assessment in occupational epidemiology

    International Nuclear Information System (INIS)

    Neton, J.W.; Flora, J.T.; Spitz, H.B.; Taulbee, T.D.

    2000-01-01

    Epidemiologic studies of workers at U.S. Department of Energy facilities are being conducted by the U.S. National Institute for Occupational Safety and Health to evaluate the health risk associated with exposure to sources of external and internal ionizing radiation. While exposure to external sources of radiation can be estimated from personal dosimeter data, reconstruction of exposure due to internally deposited radioactivity is more challenging because bioassay monitoring data is frequently less complete. Although comprehensive monitoring was provided for workers with the highest internal exposures, the majority of workers were monitored relatively infrequently. This monitoring was conducted to demonstrate compliance with regulations rather than to evaluate exposure for use in epidemiologic studies. Attributes of past internal monitoring programs that challenge accurate exposure assessment include: incomplete characterization of the workplace source term; a lack of timely measurements; insensitive and/or nonspecific bioassay measurements; and the presence of censored data. In spite of these limitations, many facilities have collected a large amount of worker and workplace monitoring information that can be used to evaluate internal exposure while minimizing worker misclassification. This paper describes a systematic approach for using the available worker and workplace monitoring data that can lead to either a qualitative or quantitative retrospective assessment of internal exposures. Various aspects of data analysis will be presented, including the evaluation of minimum detectable dose, the treatment of censored data, and the use of combinations of bioassay and workplace data to characterize exposures. Examples of these techniques applied to a cohort study involving chronic exposure scenarios to uranium are provided. A strategy for expressing exposure or dose in fundamental, unweighted units related to the quantity of radiation delivered to an organ will also

  6. TURVA-2012: Performance assessment

    International Nuclear Information System (INIS)

    Hellae, Pirjo; Snellman, Margit; Marcos, Nuria; Pastina, Barbara; Smith, Paul; Koskinen, Kari

    2014-01-01

    TURVA-2012 is Posiva's safety case in support of the Preliminary Safety Analysis Report (PSAR) and application for a construction licence for a repository for disposal of spent nuclear fuel at the Olkiluoto site in south-western Finland. Posiva's safety concept is based on long-term isolation and containment, which is achieved through a robust engineered barrier system (EBS) design and favourable geological conditions at the repository site. The reference design considered in the TURVA-2012 safety case is the KBS-3V design, with the EBS consisting of a copper-iron canister, a buffer of swelling clay material, a backfill in the deposition tunnels of low-permeability material and closure of the central tunnels and other underground openings. The host rock acts as a natural barrier. Each barrier contributes to safety through one or more safety function. The conditions needed for the barriers to fulfil their respective safety functions are expressed in terms of performance targets for the EBS and the target properties for the host rock. The performance assessment (Posiva, 2013), which is a key component of TURVA-2012, analyses the ability of the repository system to provide containment and isolation of the spent nuclear fuel during the long-term evolution of the system and the site. The conditions needed for the barriers to fulfil their respective safety functions are expressed in terms of performance targets for the engineered barriers and target properties for the host rock, for example properties related to the corrosion resistance and mechanical strength of the canister as well as groundwater flow and composition. The analyses take into account the uncertainties in the initial state, the subsequent thermal, hydraulic, mechanical and chemical evolution of the repository system and uncertainties in the evolution. The conclusions of the performance assessment are based mostly on the output of key modelling activities. Whenever modelling is not possible the conclusions

  7. ASSESSING THE GOVERNANCE FOR COMMODITY PRICE STABILIZATION - A RETROSPECTIVE LOOK

    Directory of Open Access Journals (Sweden)

    Pop Larisa Nicoleta

    2015-07-01

    Full Text Available The volatility of commodity prices has become once again a matter of profound and controversial debates for both political and academic spheres worldwide in the framework of the global economy severely distressed by the recent economic turbulences. Although commodity markets were already notorious for their price instability, the events the world economy experienced in the years 2000s offered new connotations to this phenomenon. In the first decade of this millennium, the commodity markets have struggled with high volatility, with prices reaching historical peaks just to crash dramatically some months later and very soon to restart their rise. The significant increase in volatility generated many debates about its triggering factors, the implications in terms of risk exposure of economic actors, but also the need for reconfiguring regulatory policy frameworks. The quest for the most appropriate means to deal with commodity price turbulences has known different stages over the years. Decision makers worldwide have sought alternatives, formulated and tested various mechanisms whose central aim was to mitigate price fluctuations. Governments formulate and implement consistent regulatory policies whose international coordination is a ‘sine qua non’ condition for stabilizing these markets. However, the turbulences on commodity markets often generate policy responses that sometimes exacerbate rather than mitigate the price instability. The purpose of this paper is to assess the subject of governance regarding commodity price stabilization, offering a retrospective look at the mechanisms implemented over the years, with a central focus on the International Commodity Agreements – instruments through which in the previous decades the producer and consumer governments worldwide pursued price stabilization for some key commodities like sugar, coffee, cocoa, tin and natural rubber. After analyzing the effectiveness of the International Agreements and

  8. Georgia's Teacher Performance Assessment

    Science.gov (United States)

    Fenton, Anne Marie; Wetherington, Pamela

    2016-01-01

    Like most states, Georgia until recently depended on an assessment of content knowledge to award teaching licenses, along with a licensure recommendation from candidates' educator preparation programs. While the content assessment reflected candidates' grasp of subject matter, licensure decisions did not hinge on direct, statewide assessment of…

  9. OLEM Performance Assessment Information

    Data.gov (United States)

    U.S. Environmental Protection Agency — This asset includes a variety of data sets that measure the performance of Office of Land and Emergency Management (OLEM) programs in support of the Office of the...

  10. Simply Performance Assessment

    Science.gov (United States)

    McLaughlin, Cheryl A.; McLaughlin, Felecia C.; Pringle, Rose M.

    2013-01-01

    This article presents the experiences of Miss Felecia McLaughlin, a fourth-grade teacher from the island of Jamaica who used the model proposed by Bass et al. (2009) to assess conceptual understanding of four of the six types of simple machines while encouraging collaboration through the creation of learning teams. Students had an opportunity to…

  11. Total System Performance Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Yong Soo; Kang, Chul Hyung; Lee, Youn Myoung; Han, Ji Woong; Choi, Jong Won; Hahn, Pil Soo; Park, Jeong Hwa; Jeong, Mi Seon

    2007-06-15

    Based on the KAERI FEP list developed through the previous studies, the KAERI FEP Encyclopedia has been developed. Current version is 1.0 which includes all relevant FEPs to compose of two references and all alternative scenarios. Many interaction FEPs between scenario defining FEP(SDF) are created throughout the study. FEPs are classified into many Integrated FEP(IFEP) which eventually become the elements of the RES matrix. The FEAS program one of the component of the KAERI's CYPRUS information system is added to develop the FEP, RES, AC, AMF and finally scenarios. It assists to create transparent way to deal with assessment from the stage of the planning of the R and D to the final stage of the external audit and regulatory body review. Even though MASCOT-K and compartment analysis codes such as AMBER, GoldSim and Ecolego are excellent for TSPA they by in heritage possess a certain limitation especially to identify a proper migration cross sectional area when a relatively big component intersects with a tiny one such as a fracture. It is truly 3D phenomena in nature. MDPSA code is developed which is expected to overcome limitations in compartment models while successfully deals with natural disruptive events. The R and D target for the TSPA is to develop the sufficient scenarios and their variation cases to understand the safety of KRS in every possible aspect. For this, reference scenarios, alternative scenarios covering engineered barrier failure and natural events are developed and assessed respectively for around 100 cases. The stylized template to assess the Korean reference biosphere is developed using the AMBER. Three critical groups, agricultural, freshwater and marine water fishing groups are identified to assess the DCF following the guidelines of ICRP. Based on the QA principles of T2R3, the web based QA system is developed using the procedures in the USNRC 10CFR50 Appendix B. The QA system is combined with the PAID and FEAS to create the comprehensive

  12. Total System Performance Assessment

    International Nuclear Information System (INIS)

    Hwang, Yong Soo; Kang, Chul Hyung; Lee, Youn Myoung; Han, Ji Woong; Choi, Jong Won; Hahn, Pil Soo; Park, Jeong Hwa; Jeong, Mi Seon

    2007-06-01

    Based on the KAERI FEP list developed through the previous studies, the KAERI FEP Encyclopedia has been developed. Current version is 1.0 which includes all relevant FEPs to compose of two references and all alternative scenarios. Many interaction FEPs between scenario defining FEP(SDF) are created throughout the study. FEPs are classified into many Integrated FEP(IFEP) which eventually become the elements of the RES matrix. The FEAS program one of the component of the KAERI's CYPRUS information system is added to develop the FEP, RES, AC, AMF and finally scenarios. It assists to create transparent way to deal with assessment from the stage of the planning of the R and D to the final stage of the external audit and regulatory body review. Even though MASCOT-K and compartment analysis codes such as AMBER, GoldSim and Ecolego are excellent for TSPA they by in heritage possess a certain limitation especially to identify a proper migration cross sectional area when a relatively big component intersects with a tiny one such as a fracture. It is truly 3D phenomena in nature. MDPSA code is developed which is expected to overcome limitations in compartment models while successfully deals with natural disruptive events. The R and D target for the TSPA is to develop the sufficient scenarios and their variation cases to understand the safety of KRS in every possible aspect. For this, reference scenarios, alternative scenarios covering engineered barrier failure and natural events are developed and assessed respectively for around 100 cases. The stylized template to assess the Korean reference biosphere is developed using the AMBER. Three critical groups, agricultural, freshwater and marine water fishing groups are identified to assess the DCF following the guidelines of ICRP. Based on the QA principles of T2R3, the web based QA system is developed using the procedures in the USNRC 10CFR50 Appendix B. The QA system is combined with the PAID and FEAS to create the comprehensive

  13. Total System Performance Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Yong Soo; Kang, Chul Hyung; Lee, Youn Myoung; Han, Ji Woong; Choi, Jong Won; Hahn, Pil Soo; Park, Jeong Hwa; Jeong, Mi Seon

    2007-06-15

    Based on the KAERI FEP list developed through the previous studies, the KAERI FEP Encyclopedia has been developed. Current version is 1.0 which includes all relevant FEPs to compose of two references and all alternative scenarios. Many interaction FEPs between scenario defining FEP(SDF) are created throughout the study. FEPs are classified into many Integrated FEP(IFEP) which eventually become the elements of the RES matrix. The FEAS program one of the component of the KAERI's CYPRUS information system is added to develop the FEP, RES, AC, AMF and finally scenarios. It assists to create transparent way to deal with assessment from the stage of the planning of the R and D to the final stage of the external audit and regulatory body review. Even though MASCOT-K and compartment analysis codes such as AMBER, GoldSim and Ecolego are excellent for TSPA they by in heritage possess a certain limitation especially to identify a proper migration cross sectional area when a relatively big component intersects with a tiny one such as a fracture. It is truly 3D phenomena in nature. MDPSA code is developed which is expected to overcome limitations in compartment models while successfully deals with natural disruptive events. The R and D target for the TSPA is to develop the sufficient scenarios and their variation cases to understand the safety of KRS in every possible aspect. For this, reference scenarios, alternative scenarios covering engineered barrier failure and natural events are developed and assessed respectively for around 100 cases. The stylized template to assess the Korean reference biosphere is developed using the AMBER. Three critical groups, agricultural, freshwater and marine water fishing groups are identified to assess the DCF following the guidelines of ICRP. Based on the QA principles of T2R3, the web based QA system is developed using the procedures in the USNRC 10CFR50 Appendix B. The QA system is combined with the PAID and FEAS to create the

  14. Introduction to radiological performance assessment

    International Nuclear Information System (INIS)

    Moss, G.

    1995-02-01

    A radiological performance assessment is conducted to provide reasonable assurance that performance objectives for low-level radioactive waste (LLW) disposal will be met. Beginning in the early stages of development, a radiological performance assessment continues through the operational phase, and is instrumental in the postclosure of the facility. Fundamental differences exist in the regulation of commercial and defense LLW, but the radiological performance assessment process is essentially the same for both. The purpose of this document is to describe that process in a concise and straightforward manner. This document focuses on radiological performance assessment as it pertains to commercial LLW disposal, but is applicable to US Department of Energy sites as well. Included are discussions on performance objectives, site characterization, and how a performance assessment is conducted. A case study is used to illustrate how the process works as a whole. A bibliography is provided to assist in locating additional information

  15. The process of performance assessment

    International Nuclear Information System (INIS)

    King, C.M.; Halford, D.K.

    1986-01-01

    An introductory review of the subject of ''Performance Assessment'' will be presented. Emphasis will be placed on the process of performance assessment from the standpoint of defining the process. Performance assessment, from evolving experience at DOE sites, has short-term and long-term subprograms, the components of which will be discussed. The role of mathematical modeling in performance assessment will be addressed including the pros and cons of current approaches. Finally, the ''system/site/technology'' issues as the focal point of this symposium will be reviewed

  16. Technology Performance Level Assessment Methodology.

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, Jesse D.; Bull, Diana L; Malins, Robert Joseph; Costello, Ronan Patrick; Aurelien Babarit; Kim Nielsen; Claudio Bittencourt Ferreira; Ben Kennedy; Kathryn Dykes; Jochem Weber

    2017-04-01

    The technology performance level (TPL) assessments can be applied at all technology development stages and associated technology readiness levels (TRLs). Even, and particularly, at low TRLs the TPL assessment is very effective as it, holistically, considers a wide range of WEC attributes that determine the techno-economic performance potential of the WEC farm when fully developed for commercial operation. The TPL assessment also highlights potential showstoppers at the earliest possible stage of the WEC technology development. Hence, the TPL assessment identifies the technology independent “performance requirements.” In order to achieve a successful solution, the entirety of the performance requirements within the TPL must be considered because, in the end, all the stakeholder needs must be achieved. The basis for performing a TPL assessment comes from the information provided in a dedicated format, the Technical Submission Form (TSF). The TSF requests information from the WEC developer that is required to answer the questions posed in the TPL assessment document.

  17. Prospective and retrospective ECG-gating for CT coronary angiography perform similarly accurate at low heart rates

    Energy Technology Data Exchange (ETDEWEB)

    Stolzmann, Paul, E-mail: paul.stolzmann@usz.ch [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Goetti, Robert; Baumueller, Stephan [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Plass, Andre; Falk, Volkmar [Clinic for Cardiovascular Surgery, University Hospital Zurich (Switzerland); Scheffel, Hans; Feuchtner, Gudrun; Marincek, Borut [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Alkadhi, Hatem [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland); Cardiac MR PET CT Program, Massachusetts General Hospital and Harvard Medical School, Boston, MA (United States); Leschka, Sebastian [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland)

    2011-07-15

    Objective: To compare, in patients with suspicion of coronary artery disease (CAD) and low heart rates, image quality, diagnostic performance, and radiation dose values of prospectively and retrospectively electrocardiography (ECG)-gated dual-source computed tomography coronary angiography (CTCA) for the diagnosis of significant coronary stenoses. Materials and methods: Two-hundred consecutive patients with heart rates {<=}70 bpm were retrospectively enrolled; 100 patients undergoing prospectively ECG-gated CTCA (group 1) and 100 patients undergoing retrospectively-gated CTCA (group 2). Coronary artery segments were assessed for image quality and significant luminal diameter narrowing. Sensitivity, specificity, positive predictive values (PPV), negative predictive values (NPV), and accuracy of both CTCA groups were determined using conventional catheter angiography (CCA) as reference standard. Radiation dose values were calculated. Results: Both groups were comparable regarding gender, body weight, cardiovascular risk profile, severity of CAD, mean heart rate, heart rate variability, and Agatston score (all p > 0.05). There was no significant difference in the rate of non-assessable coronary segments between group 1 (1.6%, 24/1404) and group 2 (1.4%, 19/1385; p = 0.77); non-diagnostic image quality was significantly (p < 0.001) more often attributed to stair step artifacts in group 1. Segment-based sensitivity, specificity, PPV, NPV, and accuracy were 98%, 98%, 88%, 100%, and 100% among group 1; 96%, 99%, 90%, 100%, and 98% among group 2, respectively. Parameters of diagnostic performance were similar (all p > 0.05). Mean effective radiation dose of prospectively ECG-gated CTCA (2.2 {+-} 0.4 mSv) was significantly (p < 0.0001) smaller than that of retrospectively ECG-gated CTCA (8.1 {+-} 0.6 mSv). Conclusion: Prospectively ECG-gated CTCA yields similar image quality, performs as accurately as retrospectively ECG-gated CTCA in patients having heart rates {<=}70 bpm

  18. Geospatial Technology In Environmental Impact AssessmentsRetrospective.

    Directory of Open Access Journals (Sweden)

    Goparaju Laxmi

    2015-10-01

    Full Text Available Environmental Impact Assessments are studies conducted to give us an insight into the various impacts caused by an upcoming industry or any developmental activity. It should address various social, economic and environmental issues ensuring that negative impacts are mitigated. In this context, geospatial technology has been used widely in recent times.

  19. High frame rate retrospectively triggered Cine MRI for assessment of murine diastolic function.

    Science.gov (United States)

    Coolen, Bram F; Abdurrachim, Desiree; Motaal, Abdallah G; Nicolay, Klaas; Prompers, Jeanine J; Strijkers, Gustav J

    2013-03-01

    To assess left ventricular (LV) diastolic function in mice with Cine MRI, a high frame rate (>60 frames per cardiac cycle) is required. For conventional electrocardiography-triggered Cine MRI, the frame rate is inversely proportional to the pulse repetition time (TR). However, TR cannot be lowered at will to increase the frame rate because of gradient hardware, spatial resolution, and signal-to-noise limitations. To overcome these limitations associated with electrocardiography-triggered Cine MRI, in this paper, we introduce a retrospectively triggered Cine MRI protocol capable of producing high-resolution high frame rate Cine MRI of the mouse heart for addressing left ventricular diastolic function. Simulations were performed to investigate the influence of MRI sequence parameters and the k-space filling trajectory in relation to the desired number of frames per cardiac cycle. An optimized protocol was applied in vivo and compared with electrocardiography-triggered Cine for which a high-frame rate could only be achieved by several interleaved acquisitions. Retrospective high frame rate Cine MRI proved superior to the interleaved electrocardiography-triggered protocols. High spatial-resolution Cine movies with frames rates up to 80 frames per cardiac cycle were obtained in 25 min. Analysis of left ventricular filling rate curves allowed accurate determination of early and late filling rates and revealed subtle impairments in left ventricular diastolic function of diabetic mice in comparison with nondiabetic mice. Copyright © 2012 Wiley Periodicals, Inc.

  20. Direct and retrospective assessment of factors contributing to compulsive buying.

    Science.gov (United States)

    Miltenberger, Raymond G; Redlin, Jennifer; Crosby, Ross; Stickney, Marcella; Mitchell, Jim; Wonderlich, Stephen; Faber, Ronald; Smyth, Joshua

    2003-03-01

    Compulsive buying is a disorder that has begun to receive attention from researchers in recent years. The results of a handful of studies suggest that compulsive buying occurs in response to negative emotions and results in a decrease in the intensity of the negative emotions. In this investigation, we used interview and self-monitoring methods to evaluate the antecedents and consequences of compulsive buying in a sample of women who met criteria for compulsive buying on the compulsive buying scale (J. Consumer Res. 19 (1992) 459). As a group, the participants reported negative emotions as the most common antecedents to compulsive buying, and euphoria or relief from the negative emotions as the most common consequence of compulsive buying. These findings were consistent across the interview and self-monitoring assessment methods. The implications for assessment and treatment are discussed.

  1. Performance Assessment National Review Group

    International Nuclear Information System (INIS)

    Lieberman, J.A.; Davis, S.N.; Harleman, D.R.F.

    1985-02-01

    Performance assessment involves predicting the potential radiological impact of a nuclear waste disposal system, taking into account all of the natural and engineered components of the system. It includes the analysis and evaluation of predicted system and component performance to determine compliance with regulatory performance criteria. In the context of the nuclear waste management program, performance assessment has five major purposes: to assist in the evaluation and selection of repository sites; to guide the research, development, and testing programs; to assist in the evaluation of repository designs; to assist in the evaluation of the design and performance of engineered barriers; and to show regulatory compliance and support repository licensing. Current performance assessment methodologies are still in the developmental stage. Only the simplest of bounding calculations have produced quantitative predictions of radionuclide releases. The methodologies require considerable extension and validation before they can provide answers suitable for project decisions and licensing. 135 refs., 9 figs., 1 tab

  2. Retrospective Attention Interacts with Stimulus Strength to Shape Working Memory Performance.

    Science.gov (United States)

    Wildegger, Theresa; Humphreys, Glyn; Nobre, Anna C

    2016-01-01

    Orienting attention retrospectively to selective contents in working memory (WM) influences performance. A separate line of research has shown that stimulus strength shapes perceptual representations. There is little research on how stimulus strength during encoding shapes WM performance, and how effects of retrospective orienting might vary with changes in stimulus strength. We explore these questions in three experiments using a continuous-recall WM task. In Experiment 1 we show that benefits of cueing spatial attention retrospectively during WM maintenance (retrocueing) varies according to stimulus contrast during encoding. Retrocueing effects emerge for supraliminal but not sub-threshold stimuli. However, once stimuli are supraliminal, performance is no longer influenced by stimulus contrast. In Experiments 2 and 3 we used a mixture-model approach to examine how different sources of error in WM are affected by contrast and retrocueing. For high-contrast stimuli (Experiment 2), retrocues increased the precision of successfully remembered items. For low-contrast stimuli (Experiment 3), retrocues decreased the probability of mistaking a target with distracters. These results suggest that the processes by which retrospective attentional orienting shape WM performance are dependent on the quality of WM representations, which in turn depends on stimulus strength during encoding.

  3. Retrospective Attention Interacts with Stimulus Strength to Shape Working Memory Performance.

    Directory of Open Access Journals (Sweden)

    Theresa Wildegger

    Full Text Available Orienting attention retrospectively to selective contents in working memory (WM influences performance. A separate line of research has shown that stimulus strength shapes perceptual representations. There is little research on how stimulus strength during encoding shapes WM performance, and how effects of retrospective orienting might vary with changes in stimulus strength. We explore these questions in three experiments using a continuous-recall WM task. In Experiment 1 we show that benefits of cueing spatial attention retrospectively during WM maintenance (retrocueing varies according to stimulus contrast during encoding. Retrocueing effects emerge for supraliminal but not sub-threshold stimuli. However, once stimuli are supraliminal, performance is no longer influenced by stimulus contrast. In Experiments 2 and 3 we used a mixture-model approach to examine how different sources of error in WM are affected by contrast and retrocueing. For high-contrast stimuli (Experiment 2, retrocues increased the precision of successfully remembered items. For low-contrast stimuli (Experiment 3, retrocues decreased the probability of mistaking a target with distracters. These results suggest that the processes by which retrospective attentional orienting shape WM performance are dependent on the quality of WM representations, which in turn depends on stimulus strength during encoding.

  4. Retrospective lifetime dietary patterns predict cognitive performance in community-dwelling older Australians.

    Science.gov (United States)

    Hosking, Diane E; Nettelbeck, Ted; Wilson, Carlene; Danthiir, Vanessa

    2014-07-28

    Dietary intake is a modifiable exposure that may have an impact on cognitive outcomes in older age. The long-term aetiology of cognitive decline and dementia, however, suggests that the relevance of dietary intake extends across the lifetime. In the present study, we tested whether retrospective dietary patterns from the life periods of childhood, early adulthood, adulthood and middle age predicted cognitive performance in a cognitively healthy sample of 352 older Australian adults >65 years. Participants completed the Lifetime Diet Questionnaire and a battery of cognitive tests designed to comprehensively assess multiple cognitive domains. In separate regression models, lifetime dietary patterns were the predictors of cognitive factor scores representing ten constructs derived by confirmatory factor analysis of the cognitive test battery. All regression models were progressively adjusted for the potential confounders of current diet, age, sex, years of education, English as native language, smoking history, income level, apoE ɛ4 status, physical activity, other past dietary patterns and health-related variables. In the adjusted models, lifetime dietary patterns predicted cognitive performance in this sample of older adults. In models additionally adjusted for intake from the other life periods and mechanistic health-related variables, dietary patterns from the childhood period alone reached significance. Higher consumption of the 'coffee and high-sugar, high-fat extras' pattern predicted poorer performance on simple/choice reaction time, working memory, retrieval fluency, short-term memory and reasoning. The 'vegetable and non-processed' pattern negatively predicted simple/choice reaction time, and the 'traditional Australian' pattern positively predicted perceptual speed and retrieval fluency. Identifying early-life dietary antecedents of older-age cognitive performance contributes to formulating strategies for delaying or preventing cognitive decline.

  5. Relationship between reflection ability and clinical performance: a cross-sectional and retrospective-longitudinal correlational cohort study in midwifery.

    Science.gov (United States)

    Embo, M; Driessen, E; Valcke, M; van der Vleuten, C P M

    2015-01-01

    increasingly, reflection is highlighted as integral to core practice competencies but empirical research into the relationship between reflection and performance in the clinical workplace is scarce. this study investigated the relationship between reflection ability and clinical performance. we designed a cross-sectional and a retrospective-longitudinal cohort study. Data from first, second and third year midwifery students were collected to study the variables 'clinical performance' and 'reflection ability'. Data were analysed with SPSS for Windows, Release 20.0. Descriptive statistics, Pearson׳s Product Moment Correlation Coefficients (r) and r² values were computed to investigate associations between the research variables. the results showed a moderate observed correlation between reflection ability and clinical performance scores. When adopting a cross-sectional perspective, all correlation values were significant (p0.6). The results based on the retrospective-longitudinal data set explained a moderate proportion of the variance after correction for attenuation. Finally, the results indicate that 'reflection ability' scores of earlier years are significant related with 'clinical performance' scores of subsequent years. These results suggest that (1) reflection ability is linked to clinical performance; (2) that written reflections are an important, but not the sole way to assess professional competence and that (3) reflection is a contributor to clinical performance improvement. the data showed a moderate but significant relationship between 'reflection ability' and 'clinical performance' scores in clinical practice of midwifery students. Reflection therefore seems an important component of professional competence. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. Prospective memory, working memory, retrospective memory and self-rated memory performance in persons with intellectual disability

    OpenAIRE

    Levén, Anna; Lyxell, Björn; Andersson, Jan; Danielsson, Henrik; Rönnberg, Jerker

    2008-01-01

    The purpose of the present study was to examine the relationship between prospective memory, working memory, retrospective memory and self-rated memory capacity in adults with and without intellectual disability. Prospective memory was investigated by means of a picture-based task. Working memory was measured as performance on span tasks. Retrospective memory was scored as recall of subject performed tasks. Self-ratings of memory performance were based on the prospective and retrospective mem...

  7. Performance assessment: a peer review

    International Nuclear Information System (INIS)

    Lieberman, J.A.; Lee, W.W.L.

    1986-01-01

    This paper describes the rationale, membership, operation and major observations of the Performance Assessment National Review Group. The Group was assembled by Weston at the request of the US Department of Energy Office of Civilian Radioactive Waste Management to review performance assessment work in the US basalt, salt and tuff repository projects. The purposes were to evaluate the adequacy of the current methods, identify deficiencies, and suggest potential improvement on repository performance assessment. To perform the review, Weston retained a group of distinguished consultants who have had extensive experience in disciplines pertinent to management of radioactive wastes including mathematical modeling of fluid transport. Topics reviewed included flow and transport, source term and uncertainty analysis. While the emphasis was on methodologies, the Projects were specifically requested to show currently available results so that the way they utilized familiar methodologies could be evaluated. This paper will highlight some of the technical observations of the Group as well as some managerial and institutional issues

  8. DOE site performance assessment activities

    International Nuclear Information System (INIS)

    1990-07-01

    Information on performance assessment capabilities and activities was collected from eight DOE sites. All eight sites either currently dispose of low-level radioactive waste (LLW) or plan to dispose of LLW in the near future. A survey questionnaire was developed and sent to key individuals involved in DOE Order 5820.2A performance assessment activities at each site. The sites surveyed included: Hanford Site (Hanford), Idaho National Engineering Laboratory (INEL), Los Alamos National Laboratory (LANL), Nevada Test Site (NTS), Oak Ridge National Laboratory (ORNL), Paducah Gaseous Diffusion Plant (Paducah), Portsmouth Gaseous Diffusion Plant (Portsmouth), and Savannah River Site (SRS). The questionnaire addressed all aspects of the performance assessment process; from waste source term to dose conversion factors. This report presents the information developed from the site questionnaire and provides a comparison of site-specific performance assessment approaches, data needs, and ongoing and planned activities. All sites are engaged in completing the radioactive waste disposal facility performance assessment required by DOE Order 5820.2A. Each site has achieved various degrees of progress and have identified a set of critical needs. Within several areas, however, the sites identified common needs and questions

  9. Performance assessment - risk assessment vive la differences

    International Nuclear Information System (INIS)

    Nitschke, R.L.

    1997-01-01

    In the sister worlds of radioactive waste management disposal and environmental restoration, there are two similar processes and computational approaches for determining the acceptability of the proposed activities. While similar, these two techniques can lead to confusion and misunderstanding if the differences are not recognized and appreciated. In the case of radioactive waste management, the performance assessment process is used to determine compliance with certain prescribed 'performance objectives'. These objectives are designed to ensure that the disposal of radioactive (high-level, low-level, and/or transuranic) waste will be protective of human health and the environment. The environmental link is primarily through assuring protection of the groundwater as a resource. In the case of environmental restoration, the risk assessment process is used to determine the proper remedial action response, if any, for a past hazardous waste release. The process compares the 'no action' or 'leave as is' option with both carcinogenic and noncarcinogenic values for human health to determine the need for any action and to help to help determine just what the appropriate action would need to be. The impacts to the ecological system are evaluated in a slightly, different but similar fashion. Now the common objectives between these two processes notwithstanding. There are some key and fundamental differences that need to be answered that make direct comparisons or a common approach inappropriate. Failure to recognize this can lead to confusion and misunderstanding. This can be particularly problematic when one is faced with an active disposal facility located within the boundaries of an environmental restoration site as is the case at the Idaho National Engineering Laboratory (INEL). Through a critical evaluation of the performance assessment and risk assessment processes, highlighting both similarities and differences, it is hoped that greater understanding and appreciation

  10. Power performance assessment. Final report

    International Nuclear Information System (INIS)

    Frandsen, S.

    1998-12-01

    In the increasingly commercialised wind power marketplace, the lack of precise assessment methods for the output of an investment is becoming a barrier for wider penetration of wind power. Thus, addressing this problem, the overall objectives of the project are to reduce the financial risk in investment in wind power projects by significantly improving the power performance assessment methods. Ultimately, if this objective is successfully met, the project may also result in improved tuning of the individual wind turbines and in optimisation methods for wind farm operation. The immediate, measurable objectives of the project are: To prepare a review of existing contractual aspects of power performance verification procedures of wind farms; to provide information on production sensitivity to specific terrain characteristics and wind turbine parameters by analyses of a larger number of wind farm power performance data available to the proposers; to improve the understanding of the physical parameters connected to power performance in complex environment by comparing real-life wind farm power performance data with 3D computational flow models and 3D-turbulence wind turbine models; to develop the statistical framework including uncertainty analysis for power performance assessment in complex environments; and to propose one or more procedures for power performance evaluation of wind power plants in complex environments to be applied in contractual agreements between purchasers and manufacturers on production warranties. Although the focus in this project is on power performance assessment the possible results will also be of benefit to energy yield forecasting, since the two tasks are strongly related. (au) JOULE III. 66 refs.; In Co-operation Renewable Energy System Ltd. (GB); Centre for Renewable Energy (GR); Aeronautic Research Centre (SE); National Engineering Lab. (GB); Public Power Cooperation (GR)

  11. Retrospective Cues Based on Object Features Improve Visual Working Memory Performance in Older Adults

    OpenAIRE

    Gilchrist, Amanda L.; Duarte, Audrey; Verhaeghen, Paul

    2015-01-01

    Research with younger adults has shown that retrospective cues can be used to orient top-down attention toward relevant items in working memory. We examined whether older adults could take advantage of these cues to improve memory performance. Younger and older adults were presented with visual arrays of five colored shapes; during maintenance, participants were either presented with an informative cue based on an object feature (here, object shape or color) that would be probed, or with an u...

  12. PERFORMANCE ASSESSMENT FOR FIELD SPORTS

    Directory of Open Access Journals (Sweden)

    Christopher Carling

    2009-03-01

    Full Text Available DESCRIPTION The book covers the various sport science assessment procedures for sports such as soccer, rugby, field hockey and lacrosse. It provides detailed and clear information about laboratory and field-based methods that can be used to assess and improve both individual and team performance. PURPOSE The book aims to provide a contemporary reference tool for selection of appropriate testing procedures for sports across a range of scientific disciplines. FEATURES The text begins with a chapter on the rationales for performance assessments, the use of technology and the necessity for procedures to conform to scientific rigor, explaining the importance of test criteria. This chapter ends by emphasizing the importance of the feedback process and vital considerations for the practitioner when interpreting the data, selecting which information is most important and how to deliver this back to the athlete or coach in order to deliver a positive performance outcome. The next two chapters focus on psychological assessments with respect to skill acquisition, retention and execution providing a variety of qualitative and quantitative options, underpinned with scientific theory and contextualized in order to improve the understanding of the application of these methods to improve anticipation and decision-making to enhance game intelligence.Chapter 4 provides coverage of match analysis techniques in order to make assessments of technical, tactical and physical performances. Readers learn about a series of methodologies ranging from simplistic pen and paper options through to sophisticated technological systems with some exemplar data also provided. Chapters 5 through 7 cover the physiological based assessments, including aerobic, anaerobic and anthropometric procedures. Each chapter delivers a theoretical opening section before progressing to various assessment options and the authors make great efforts to relate to sport-specific settings. The final

  13. Comments from the Developmental Neurotoxicology Committee of the Japanese Teratology Society on the OECD Guideline for the Testing of Chemicals, Proposal for a New Guideline 426, Developmental Neurotoxicity Study, Draft Document (October 2006 version), and on the Draft Document of the Retrospective Performance Assessment of the Draft Test Guideline 426 on Developmental Neurotoxicity.

    Science.gov (United States)

    Ema, Makoto; Fukui, Yoshihiro; Aoyama, Hiroaki; Fujiwara, Michio; Fuji, Junichiro; Inouye, Minoru; Iwase, Takayuki; Kihara, Takahide; Oi, Akihide; Otani, Hiroki; Shinomiya, Mitsuhiro; Sugioka, Kozo; Yamano, Tsunekazu; Yamashita, Keisuke H; Tanimura, Takashi

    2007-06-01

    In October 2006, a new revision of the draft guideline (OECD Guideline for the Testing of Chemicals, Proposal for a New Guideline 426. Developmental Neurotoxicity Study) and Draft Document of the Retrospective Performance Assessment (RPA) of the Draft Test Guideline 426 on Developmental Neurotoxicity were distributed following incorporation of the results of the Expert Consultation Meeting in Tokyo on May 24-26, 2005. The draft guideline consists of 50 paragraphs and an appendix with 102 references; and the draft RPA consists of 37 paragraphs with 109 references. National coordinators were requested to arrange for national expert reviews of these draft documents in their member countries. Members of the Developmental Neurotoxicology (DNT) Committee of the Japanese Teratology Society (JTS) reviewed, discussed, and commented on the draft Test Guideline Proposal. The DNT Committee of the JTS also commented on the draft document of the RPA. These comments were sent to the OECD Secretariat. The DNT Committee of the JTS expects the comments to be useful for the finalization of these draft documents.

  14. Methodology for NDA performance assessment

    International Nuclear Information System (INIS)

    Cuypers, M.; Franklin, M.; Guardini, S.

    1986-01-01

    In the framework of the RandD programme of the Joint Research Centre of the Commission of the European Communities, a considerable effort is being dedicated to performance assessment of NDA techniques taking account of field conditions. By taking account of field conditions is meant measurement samples of the size encountered in practice and training which allows inspectors to design cost efficient verification plans for the real situations encountered in the field. Special laboratory facilities referred to as PERLA are being constructed for this purpose. These facilities will be used for measurement experiments and for training. In this paper, performance assessment is discussed under the headings of measurement capability and in-field effectiveness. Considerable emphasis is given to the role of method specific measurement error models. The authors outline the advantages of giving statistical error models a sounder basis in the physical phenomenology of the measurement method

  15. Grip Strength and Its Relationship to Police Recruit Task Performance and Injury Risk: A Retrospective Cohort Study.

    Science.gov (United States)

    Orr, Robin; Pope, Rodney; Stierli, Michael; Hinton, Benjamin

    2017-08-21

    Suitable grip strength is a police occupational requirement. The aim of this study was to investigate the association between grip strength, task performance and injury risk in a police population. Retrospective data of police recruits (n = 169) who had undergone basic recruit training were provided, including handgrip strength results, occupational task performance measures (consisting of police task simulations [SIM], tactical options [TACOPS] and marksmanship assessments) and injury records. Left hand grip strength (41.91 ± 8.29 kg) measures showed a stronger correlation than right hand grip strength (42.15 ± 8.53 kg) with all outcome measures. Recruits whose grip strength scores were lower were significantly more susceptible to failing the TACOPS occupational task assessment than those with greater grip strength scores, with significant ( p ≤ 0.003) weak to moderate, positive correlations found between grip strength and TACOPS performance. A significant ( p performance, with those performing better in marksmanship having higher grip strength. Left hand grip strength was significantly associated with injury risk ( r = -0.181, p = 0.018) but right hand grip strength was not. A positive association exists between handgrip strength and police recruit task performance (notably TACOPS and marksmanship) with recruits who scored poorly on grip strength being at greatest risk of occupational assessment task failure.

  16. Safety Assessment of Two Hybrid Instrumentation Techniques in a Dental Student Endodontic Clinic: A Retrospective Study.

    Science.gov (United States)

    Coelho, Marcelo Santos; Card, Steven John; Tawil, Peter Zahi

    2017-03-01

    The aim of this study was to retrospectively assess the safety potential of a hybrid technique combining nickel-titanium (NiTi) reciprocating and rotary instruments by third- and fourth-year dental students in the predoctoral endodontics clinic at one U.S. dental school. For the study, 3,194 root canal treatments performed by 317 dental students from 2012 through 2015 were evaluated for incidence of ledge creation and instrument separation. The hybrid reciprocating and rotary technique (RRT) consisted of a glide path creation with stainless steel hand files up to size 15/02, a crown down preparation with a NiTi reciprocating instrument, and an apical preparation with NiTi rotary instruments. The control was a traditional rotary and hand technique (RHT) that consisted of the same glide path procedure followed by a crown down preparation with NiTi rotary instruments and an apical preparation with NiTi hand instruments. The results showed that the RHT technique presented a rate of ledge creation of 1.4% per root and the RRT technique was 0.5% per root (protary technique for root canal instrumentation by these dental students provided good safety. This hybrid technique offered a low rate of ledge creation along with no NiTi instrument separation.

  17. Retrospective benzene and total hydrocarbon exposure assessment for a petroleum marketing and distribution worker epidemiology study.

    Science.gov (United States)

    Armstrong, T W; Pearlman, E D; Schnatter, A R; Bowes, S M; Murray, N; Nicolich, M J

    1996-04-01

    A quantitative exposure-estimating algorithm for benzene and total hydrocarbons was developed for a case control study of petroleum marketing and distribution workers. The algorithm used a multiplicative model to adjust recently measured quantitative exposure data to past scenarios for which representative exposure measurement data did not exist. This was accomplished through the development of exposure modifiers to account for differences in the workplace, the materials handled, the environmental conditions, and the tasks performed. Values for exposure modifiers were obtained empirically and through physical/chemical relationships. Dates for changes that altered exposure potential were obtained from archive records, retired employee interviews, and from current operations personnel. Exposure modifiers were used multiplicatively, adjusting available measured data to represent the relevant exposure scenario and time period. Changes in exposure modifiers translated to step changes in exposure estimates. Though limited by availability of data, a validation exercise suggested that the algorithm provided accurate exposure estimates for benzene (compared with measured data in industrial hygiene survey reports); the estimates generally differed by an average of less than 20% from the measured values. This approach is proposed to quantify exposures retrospectively where there are sufficient data to develop reliable current era estimates and where a historical accounting of key exposure modifiers can be developed, but where there are insufficient historic exposure measurements to directly assess historic exposures.

  18. Preliminary melter performance assessment report

    International Nuclear Information System (INIS)

    Elliott, M.L.; Eyler, L.L.; Mahoney, L.A.; Cooper, M.F.; Whitney, L.D.; Shafer, P.J.

    1994-08-01

    The Melter Performance Assessment activity, a component of the Pacific Northwest Laboratory's (PNL) Vitrification Technology Development (PVTD) effort, was designed to determine the impact of noble metals on the operational life of the reference Hanford Waste Vitrification Plant (HWVP) melter. The melter performance assessment consisted of several activities, including a literature review of all work done with noble metals in glass, gradient furnace testing to study the behavior of noble metals during the melting process, research-scale and engineering-scale melter testing to evaluate effects of noble metals on melter operation, and computer modeling that used the experimental data to predict effects of noble metals on the full-scale melter. Feed used in these tests simulated neutralized current acid waste (NCAW) feed. This report summarizes the results of the melter performance assessment and predicts the lifetime of the HWVP melter. It should be noted that this work was conducted before the recent Tri-Party Agreement changes, so the reference melter referred to here is the Defense Waste Processing Facility (DWPF) melter design

  19. Performance Assessment Institute-NV

    Energy Technology Data Exchange (ETDEWEB)

    Lombardo, Joesph [Univ. of Nevada, Las Vegas, NV (United States)

    2012-12-31

    The National Supercomputing Center for Energy and the Environment’s intention is to purchase a multi-purpose computer cluster in support of the Performance Assessment Institute (PA Institute). The PA Institute will serve as a research consortium located in Las Vegas Nevada with membership that includes: national laboratories, universities, industry partners, and domestic and international governments. This center will provide a one-of-a-kind centralized facility for the accumulation of information for use by Institutions of Higher Learning, the U.S. Government, and Regulatory Agencies and approved users. This initiative will enhance and extend High Performance Computing (HPC) resources in Nevada to support critical national and international needs in "scientific confirmation". The PA Institute will be promoted as the leading Modeling, Learning and Research Center worldwide. The program proposes to utilize the existing supercomputing capabilities and alliances of the University of Nevada Las Vegas as a base, and to extend these resource and capabilities through a collaborative relationship with its membership. The PA Institute will provide an academic setting for interactive sharing, learning, mentoring and monitoring of multi-disciplinary performance assessment and performance confirmation information. The role of the PA Institute is to facilitate research, knowledge-increase, and knowledge-sharing among users.

  20. Four decades of gasoline lead emissions and control policies in Europe. A retrospective assessment

    Energy Technology Data Exchange (ETDEWEB)

    Von Storch, Hans; Costa-Cabral, Mariza; Hagner, Charlotte; Feser, Frauke [Institute for Coastal Research, GKSS Research Centre, 21502 Geesthacht (Germany); Pacyna, Jozef; Pacyna, Elisabeth [Norwegian Institute for Air Research (NILU) (Norway); Kolb, Steffen [Institute for Journalism and Communication Research, University of Hamburg, Hamburg (Germany)

    2003-07-20

    Over decades, large amounts of the neurotoxin lead were released into the European environment, mostly from gasoline lead additives. Emissions were growing unabatedly until the 1970s, when a series of regulations on the allowed gasoline lead content were adopted. As a result, in the 1990s most gasoline contained only small amounts of lead. We have examined this case of environmental pollution and regulation, and performed a retrospective assessment of the extent of regional-scale lead pollution and the effects of gasoline lead regulations in Europe. With the help of a regional climate model, NCEP re-analyses, spatially disaggregated lead emissions from road traffic and point sources, and various local data, the airborne pathways and depositions of gasoline lead in Europe since 1958 were reconstructed. It turns out that this approach is successful in describing the time-variable, spatially disaggregated deposition of gasoline lead. Additional data from analyses of concentrations in biota, including plant leaves, mussels and human blood, allows an assessment about the impact of the lead phase-out on the quality of the environment. Demonstrating the success of the lead policies, concentrations in leaves and human blood have steadily declined since the early 1980s. At the same time, the economic repercussions that had been feared did not emerge. Instead, the affected mineral oil and car manufacturing industries in Germany (our case-study) were able to deal with the effort without incurring significant extra costs. We suggest that our method of quantitatively reconstructing and anticipating fluxes and depositions of substances can be applied to other relevant substances as well, such as, for example, Persistent Organic Pollutants, radioactive substances or pollens.

  1. Salt site performance assessment activities

    International Nuclear Information System (INIS)

    Kircher, J.F.; Gupta, S.K.

    1983-01-01

    During this year the first selection of the tools (codes) for performance assessments of potential salt sites have been tentatively selected and documented; the emphasis has shifted from code development to applications. During this period prior to detailed characterization of a salt site, the focus is on bounding calculations, sensitivity and with the data available. The development and application of improved methods for sensitivity and uncertainty analysis is a focus for the coming years activities and the subject of a following paper in these proceedings. Although the assessments to date are preliminary and based on admittedly scant data, the results indicate that suitable salt sites can be identified and repository subsystems designed which will meet the established criteria for protecting the health and safety of the public. 36 references, 5 figures, 2 tables

  2. The DECADE performance assessment program

    International Nuclear Information System (INIS)

    Weber, B.V.; Ottinger, P.F.; Commisso, R.J.; Thompson, J.; Rowley, J.E.; Filios, P.; Babineau, M.A.

    1996-01-01

    Previous analyses of DECADE Module 1 experiments indicated significant current loss between the plasma opening switch (POS) and an electron-beam load. A program was initiated to diagnose and improve the power flow to assess the performance of a multi-module DECADE system. Power flow measurements between the POS and load indicate high vacuum flow, distributed current loss and azimuthal asymmetries. A decreased load impedance reduces the fraction of the load current flowing in vacuum. Improved plasma source symmetry reduces losses near the load for long conduction times. Increased POS impedance is required to significantly improve the power coupling to the load. (author). 6 figs., 9 refs

  3. The DECADE performance assessment program

    Energy Technology Data Exchange (ETDEWEB)

    Weber, B V; Ottinger, P F; Commisso, R J [Naval Research Lab., Washington, DC (United States). Plasma Physics Div.; Goyer, J R; Kortbawi, D [Physics International Co., Berkeley, CA (United States); Thompson, J [Maxwell Labs., San Diego, CA (United States); Rowley, J E; Filios, P [Defense Nuclear Agency, Alexandria, VA (United States); Babineau, M A [Sverdlup Technology, Tullahoma, TN (United States)

    1997-12-31

    Previous analyses of DECADE Module 1 experiments indicated significant current loss between the plasma opening switch (POS) and an electron-beam load. A program was initiated to diagnose and improve the power flow to assess the performance of a multi-module DECADE system. Power flow measurements between the POS and load indicate high vacuum flow, distributed current loss and azimuthal asymmetries. A decreased load impedance reduces the fraction of the load current flowing in vacuum. Improved plasma source symmetry reduces losses near the load for long conduction times. Increased POS impedance is required to significantly improve the power coupling to the load. (author). 6 figs., 9 refs.

  4. Performance assessment of coupled processes

    International Nuclear Information System (INIS)

    Pigford, T.H.

    1987-01-01

    The author considers all processes to be coupled. For example, a waste package heats the surrounding rock and its pore water, creating gradients in density and pressure that result in increased water flow. That process can be described as coupled, in that the flow is a consequence of heating. In a narrower sense, one speaks also of the more weakly coupled transport processes, expressed by the Onsager reciprocal relations, that state that a transport current, i.e., flux, of heat is accompanied by a small transport current of material, as evidenced in isotope separation by thermal diffusion, the Thompson effect in thermoelectricity, etc. This paper presents a performance assessment of coupled processes

  5. Impression formation of tests: retrospective judgments of performance are higher when easier questions come first.

    Science.gov (United States)

    Jackson, Abigail; Greene, Robert L

    2014-11-01

    Four experiments are reported on the importance of retrospective judgments of performance (postdictions) on tests. Participants answered general knowledge questions and estimated how many questions they answered correctly. They gave higher postdictions when easy questions preceded difficult questions. This was true when time to answer each question was equalized and constrained, when participants were instructed not to write answers, and when questions were presented in a multiple-choice format. Results are consistent with the notion that first impressions predominate in overall perception of test difficulty.

  6. Retrospectively Assessed Early Motor and Current Pragmatic Language Skills in Autistic and Neurotypical Children.

    Science.gov (United States)

    Stevenson, Jennifer L; Lindley, Caitlin E; Murlo, Nicole

    2017-08-01

    Autistic individuals often struggle developmentally, even in areas that are not explicit diagnostic criteria, such as motor skills. This study explored the relation between early motor skills, assessed retrospectively, and current pragmatic language skills. Caregivers of neurotypical and autistic children, matched on gender and age, completed assessments of their child's early motor development and current language abilities. Early motor skills were correlated with later pragmatic language skills, and autistic children exhibited fewer motor skills than neurotypical children. In fact, motor skills were a better predictor of an autism spectrum diagnosis than were scores on a measure of current pragmatic language. These results highlight the important role of motor skills in autism spectrum disorders.

  7. Designing Second Language Performance Assessments. Technical Report.

    Science.gov (United States)

    Norris, John M.; Brown, James Dean; Hudson, Thom; Yoshioka, Jim

    This technical report focuses on the decision-making potential provided by second language performance assessments. First, performance assessment is situated within the broader discussion of alternatives in language assessment and in educational assessment in general. Next, issues in performance assessment design, implementation, reliability, and…

  8. Quality assurance in performance assessments

    International Nuclear Information System (INIS)

    Maul, P.R.; Watkins, B.M.; Salter, P.; Mcleod, R

    1999-01-01

    Following publication of the Site-94 report, SKI wishes to review how Quality Assurance (QA) issues could be treated in future work both in undertaking their own Performance Assessment (PA) calculations and in scrutinising documents supplied by SKB (on planning a repository for spent fuels in Sweden). The aim of this report is to identify the key QA issues and to outline the nature and content of a QA plan which would be suitable for SKI, bearing in mind the requirements and recommendations of relevant standards. Emphasis is on issues which are specific to Performance Assessments for deep repositories for radioactive wastes, but consideration is also given to issues which need to be addressed in all large projects. Given the long time over which the performance of a deep repository system must be evaluated, the demonstration that a repository is likely to perform satisfactorily relies on the use of computer-generated model predictions of system performance. This raises particular QA issues which are generally not encountered in other technical areas (for instance, power station operations). The traceability of the arguments used is a key QA issue, as are conceptual model uncertainty, and code verification and validation; these were all included in the consideration of overall uncertainties in the Site-94 project. Additionally, issues which are particularly relevant to SKI include: How QA in a PA fits in with the general QA procedures of the organisation undertaking the work. The relationship between QA as applied by the regulator and the implementor of a repository development programme. Section 2 introduces the discussion of these issues by reviewing the standards and guidance which are available from national and international organisations. This is followed in Section 3 by a review of specific issues which arise from the Site-94 exercise. An outline procedure for managing QA issues in SKI is put forward as a basis for discussion in Section 4. It is hoped that

  9. Quality assurance in performance assessments

    Energy Technology Data Exchange (ETDEWEB)

    Maul, P.R.; Watkins, B.M.; Salter, P.; Mcleod, R [QuantiSci Ltd, Henley-on-Thames (United Kingdom)

    1999-01-01

    Following publication of the Site-94 report, SKI wishes to review how Quality Assurance (QA) issues could be treated in future work both in undertaking their own Performance Assessment (PA) calculations and in scrutinising documents supplied by SKB (on planning a repository for spent fuels in Sweden). The aim of this report is to identify the key QA issues and to outline the nature and content of a QA plan which would be suitable for SKI, bearing in mind the requirements and recommendations of relevant standards. Emphasis is on issues which are specific to Performance Assessments for deep repositories for radioactive wastes, but consideration is also given to issues which need to be addressed in all large projects. Given the long time over which the performance of a deep repository system must be evaluated, the demonstration that a repository is likely to perform satisfactorily relies on the use of computer-generated model predictions of system performance. This raises particular QA issues which are generally not encountered in other technical areas (for instance, power station operations). The traceability of the arguments used is a key QA issue, as are conceptual model uncertainty, and code verification and validation; these were all included in the consideration of overall uncertainties in the Site-94 project. Additionally, issues which are particularly relevant to SKI include: How QA in a PA fits in with the general QA procedures of the organisation undertaking the work. The relationship between QA as applied by the regulator and the implementor of a repository development programme. Section 2 introduces the discussion of these issues by reviewing the standards and guidance which are available from national and international organisations. This is followed in Section 3 by a review of specific issues which arise from the Site-94 exercise. An outline procedure for managing QA issues in SKI is put forward as a basis for discussion in Section 4. It is hoped that

  10. Communicating Performance Assessments Results - 13609

    International Nuclear Information System (INIS)

    Layton, Mark

    2013-01-01

    The F-Area Tank Farms (FTF) and H-Area Tank Farm (HTF) are owned by the U.S. Department of Energy (DOE) and operated by Savannah River Remediation LLC (SRR), Liquid Waste Operations contractor at DOE's Savannah River Site (SRS). The FTF and HTF are active radioactive waste storage and treatment facilities consisting of 51 carbon steel waste tanks and ancillary equipment such as transfer lines, evaporators and pump tanks. Performance Assessments (PAs) for each Tank Farm have been prepared to support the eventual closure of the underground radioactive waste tanks and ancillary equipment. PAs provide the technical bases and results to be used in subsequent documents to demonstrate compliance with the pertinent requirements for final closure of the Tank Farms. The Tank Farms are subject to a number of regulatory requirements. The State regulates Tank Farm operations through an industrial waste water permit and through a Federal Facility Agreement approved by the State, DOE and the Environmental Protection Agency (EPA). Closure documentation will include State-approved Tank Farm Closure Plans and tank-specific closure modules utilizing information from the PAs. For this reason, the State of South Carolina and the EPA must be involved in the performance assessment review process. The residual material remaining after tank cleaning is also subject to reclassification prior to closure via a waste determination pursuant to Section 3116 of the Ronald W. Reagan National Defense Authorization Act of Fiscal Year 2005. PAs are performance-based, risk-informed analyses of the fate and transport of FTF and HTF residual wastes following final closure of the Tank Farms. Since the PAs serve as the primary risk assessment tools in evaluating readiness for closure, it is vital that PA conclusions be communicated effectively. In the course of developing the FTF and HTF PAs, several lessons learned have emerged regarding communicating PA results. When communicating PA results it is

  11. Assessing Climate Risk on Agricultural Production: Insights Using Retrospective Analysis of Crop Insurance and Climatic Trends

    Science.gov (United States)

    Reyes, J. J.; Elias, E.; Eischens, A.; Shilts, M.; Rango, A.; Steele, R.

    2017-12-01

    The collaborative synthesis of existing datasets, such as long-term climate observations and farmers' crop insurance payments, can increase their overall collective value and societal application. The U.S. Department of Agriculture (USDA) Climate Hubs were created to develop and deliver science-based information and technologies to agricultural and natural resource managers to enable climate-informed decision-making. As part of this mission, Hubs work across USDA and other climate service agencies to synthesize existing information. The USDA Risk Management Agency (RMA) is responsible for overseeing the Federal crop insurance program which currently insures over $100 billion in crops annually. RMA hosts data describing the cause for loss (e.g. drought, wind, irrigation failure) and indemnity amount (i.e. total cost of loss) at multiple spatio-temporal scales (i.e. state, county, year, month). The objective of this paper is to link climate information with indemnities, and their associated cause of loss, to assess climate risk on agricultural production and provide regionally-relevant information to stakeholders to promote resilient working landscapes. We performed a retrospective trend analysis at the state-level for the American Southwest (SW). First, we assessed indemnity-only trends by cause of loss and crop type at varying temporal scales. Historical monthly weather data (i.e. precipitation and temperature) and long-term drought indices (e.g. Palmer Drought Severity Index) were then linked with indemnities and grouped by different causes of loss. Climatological ranks were used to integrate historical comparative intensity of acute and long-term climatic events. Heat and drought as causes of loss were most correlated with temperature and drought indicators, respectively. Across all SW states increasing indemnities were correlated with warmer conditions. Multiple statistical trend analyses suggest a framework is necessary to appropriately measure the biophysical

  12. Communicating Performance Assessments Results - 13609

    Energy Technology Data Exchange (ETDEWEB)

    Layton, Mark [Savannah River Remediation LLC, Building 705-1C, Aiken, SC 29808 (United States)

    2013-07-01

    The F-Area Tank Farms (FTF) and H-Area Tank Farm (HTF) are owned by the U.S. Department of Energy (DOE) and operated by Savannah River Remediation LLC (SRR), Liquid Waste Operations contractor at DOE's Savannah River Site (SRS). The FTF and HTF are active radioactive waste storage and treatment facilities consisting of 51 carbon steel waste tanks and ancillary equipment such as transfer lines, evaporators and pump tanks. Performance Assessments (PAs) for each Tank Farm have been prepared to support the eventual closure of the underground radioactive waste tanks and ancillary equipment. PAs provide the technical bases and results to be used in subsequent documents to demonstrate compliance with the pertinent requirements for final closure of the Tank Farms. The Tank Farms are subject to a number of regulatory requirements. The State regulates Tank Farm operations through an industrial waste water permit and through a Federal Facility Agreement approved by the State, DOE and the Environmental Protection Agency (EPA). Closure documentation will include State-approved Tank Farm Closure Plans and tank-specific closure modules utilizing information from the PAs. For this reason, the State of South Carolina and the EPA must be involved in the performance assessment review process. The residual material remaining after tank cleaning is also subject to reclassification prior to closure via a waste determination pursuant to Section 3116 of the Ronald W. Reagan National Defense Authorization Act of Fiscal Year 2005. PAs are performance-based, risk-informed analyses of the fate and transport of FTF and HTF residual wastes following final closure of the Tank Farms. Since the PAs serve as the primary risk assessment tools in evaluating readiness for closure, it is vital that PA conclusions be communicated effectively. In the course of developing the FTF and HTF PAs, several lessons learned have emerged regarding communicating PA results. When communicating PA results it is

  13. Retrospective exposure assessment and quality control in an international multi-centre case-control study

    DEFF Research Database (Denmark)

    Tinnerberg, H; Heikkilä, P; Huici-Montagud, A

    2003-01-01

    The paper presents the exposure assessment method and quality control procedure used in an international, multi-centre case-control study within a joint Nordic and Italian cohort. This study was conducted to evaluate whether occupational exposure to carcinogens influenced the predictivity of high...... was higher among the original assessors (the assessor from the same country as the subject) than the average prevalence assessed by the other four in the quality control round. The original assessors classified more job situations as exposed than the others. Several reasons for this are plausible: real...... country-specific differences, differences in information available to the home assessor and the others and misunderstandings or difficulties in translation of information. To ensure the consistency of exposure assessments in international retrospective case-control studies it is important to have a well...

  14. Retrospective cues based on object features improve visual working memory performance in older adults.

    Science.gov (United States)

    Gilchrist, Amanda L; Duarte, Audrey; Verhaeghen, Paul

    2016-01-01

    Research with younger adults has shown that retrospective cues can be used to orient top-down attention toward relevant items in working memory. We examined whether older adults could take advantage of these cues to improve memory performance. Younger and older adults were presented with visual arrays of five colored shapes; during maintenance, participants were presented either with an informative cue based on an object feature (here, object shape or color) that would be probed, or with an uninformative, neutral cue. Although older adults were less accurate overall, both age groups benefited from the presentation of an informative, feature-based cue relative to a neutral cue. Surprisingly, we also observed differences in the effectiveness of shape versus color cues and their effects upon post-cue memory load. These results suggest that older adults can use top-down attention to remove irrelevant items from visual working memory, provided that task-relevant features function as cues.

  15. Behavior model for performance assessment

    International Nuclear Information System (INIS)

    Brown-VanHoozer, S. A.

    1999-01-01

    Every individual channels information differently based on their preference of the sensory modality or representational system (visual auditory or kinesthetic) we tend to favor most (our primary representational system (PRS)). Therefore, some of us access and store our information primarily visually first, some auditorily, and others kinesthetically (through feel and touch); which in turn establishes our information processing patterns and strategies and external to internal (and subsequently vice versa) experiential language representation. Because of the different ways we channel our information, each of us will respond differently to a task--the way we gather and process the external information (input), our response time (process), and the outcome (behavior). Traditional human models of decision making and response time focus on perception, cognitive and motor systems stimulated and influenced by the three sensory modalities, visual, auditory and kinesthetic. For us, these are the building blocks to knowing how someone is thinking. Being aware of what is taking place and how to ask questions is essential in assessing performance toward reducing human errors. Existing models give predications based on time values or response times for a particular event, and may be summed and averaged for a generalization of behavior(s). However, by our not establishing a basic understanding of the foundation of how the behavior was predicated through a decision making strategy process, predicative models are overall inefficient in their analysis of the means by which behavior was generated. What is seen is the end result

  16. Behavior model for performance assessment.

    Energy Technology Data Exchange (ETDEWEB)

    Borwn-VanHoozer, S. A.

    1999-07-23

    Every individual channels information differently based on their preference of the sensory modality or representational system (visual auditory or kinesthetic) we tend to favor most (our primary representational system (PRS)). Therefore, some of us access and store our information primarily visually first, some auditorily, and others kinesthetically (through feel and touch); which in turn establishes our information processing patterns and strategies and external to internal (and subsequently vice versa) experiential language representation. Because of the different ways we channel our information, each of us will respond differently to a task--the way we gather and process the external information (input), our response time (process), and the outcome (behavior). Traditional human models of decision making and response time focus on perception, cognitive and motor systems stimulated and influenced by the three sensory modalities, visual, auditory and kinesthetic. For us, these are the building blocks to knowing how someone is thinking. Being aware of what is taking place and how to ask questions is essential in assessing performance toward reducing human errors. Existing models give predications based on time values or response times for a particular event, and may be summed and averaged for a generalization of behavior(s). However, by our not establishing a basic understanding of the foundation of how the behavior was predicated through a decision making strategy process, predicative models are overall inefficient in their analysis of the means by which behavior was generated. What is seen is the end result.

  17. Intercalated Injection, Target Model Construction and H 2 Performance of Retrospective Cost Adaptive Control

    Science.gov (United States)

    Rahman, Yousaf

    This dissertation extends retrospective cost adaptive control (RCAC) by devel- oping a novel interpretation of RCAC, wherein the retrospective cost minimization uses intercalated injection between the controller numerator and denominator to fit a specific closed-loop transfer function to a target model. The target model thus incor- porates the modeling information required by RCAC. To demonstrate the effect of the target model on closed-loop performance, RCAC is applied to a collection of problems that demonstrate adaptive pole placement, where the target model is used to place closed-loop poles; adaptive PID control, where RCAC adaptively tunes PID gains; and LQG cost minimization, where the optimality and closed-loop frequency response of RCAC is compared with the performance of discrete-time LQG controllers. Next, RCAC is applied to plants that are difficult to control using fixed gain con- trollers, including an aircraft lateral dynamics model that has an unknown transition from minimum-phase to nonminimum-phase (NMP) dynamics, as well as plants with severely limited achievable gain and delay margin. xvi. Methods are developed to control NMP plants without knowledge of the NMP zero. Specifically, a decentralized feedback-feedforward architecture as well as quasi- FIR controllers are considered, where the FIR controller operates in parallel with an internal model controller in order to follow commands for NMP plants without knowledge of the NMP zeros. Next, the following question is considered: Are all full-order dynamic compen- sators observer-based? It is shown that the only case where a dynamic compensator is not observer-based is the case where n is odd and the closed-loop spectrum has no real eigenvalues. Since this is the case, such controllers are necessarily suboptimal in the sense of LQG. This question is relevant to understanding the closed-loop pole locations arising from full-order RCAC compensators. Finally, retrospective cost model refinement (RCMR

  18. Predictors of academic performance in the discipline-specific bioscience paper: a retrospective qualitative study.

    Science.gov (United States)

    Khareedi, R

    2018-05-01

    The cohort of students enrolled in the discipline-specific bioscience paper reflects a structural diversity in that it includes students of multiple ethnicities, varied age groups, differing scholastic and life experiences. These divergent identities of students are known to influence academic performance. The purpose of this retrospective quantitative study was to determine the ability of a set of variables such as age, gender, ethnicity, level of prior education, the place from which prior education was obtained, work experience and prior academic achievement to predict academic performance in the discipline-specific bioscience paper. The sample for this study was a purposive sample of all oral health students who had enrolled in the paper at the Auckland University of Technology from 2011 to 2014. The desensitised empirical data of 116 students from the University's database were subject to multivariable regression analysis. Pearson's correlation coefficients were calculated. Prior academic achievement was a statistically significant predictor variable (P academic performance in the discipline-specific bioscience paper and was also positively correlated (r = 0.641, P academic achievement was the only variable that was demonstrated to be correlated to and predictive of the academic performance in the discipline-specific bioscience paper. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  19. 24 CFR 115.206 - Performance assessments; Performance standards.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Performance assessments; Performance standards. 115.206 Section 115.206 Housing and Urban Development Regulations Relating to Housing... AGENCIES Certification of Substantially Equivalent Agencies § 115.206 Performance assessments; Performance...

  20. Retrospective Occupational Exposure Assessment in Community-Based Studies Made Easier

    International Nuclear Information System (INIS)

    Fritschi, L.; Girschik, J.; Friesen, M.C.; Glass, D.; Monash, G.B.; Sadkowsky, T.

    2010-01-01

    Occ DEAS Assessing occupational exposure in retrospective community-based case-control studies is difficult as measured exposure data are very seldom available. The expert assessment method is considered the most accurate way to attribute exposure but it is a time consuming and expensive process and may be seen as subjective, non reproducible, and non transparent. In this paper, we describe these problems and outline our solutions as ope rationalized in a web-based software application (Occ DEAS). The novel aspects of Occ DEAS are combining all steps in the assessment into one software package; enmeshing the process of assessment into the development of questionnaires; selecting the exposure(s) of interest; specifying rules for exposure assignment; allowing manual or automatic assessments; ensuring that circumstances in which exposure is possible for an individual are highlighted for review; providing reports to ensure consistency of assessment. Development of this application has the potential to make high-quality occupational assessment more efficient and accessible for epidemiological studies

  1. Retrospective methods of dose assessment of the Chernobyl 'liquidators'. A comparison

    International Nuclear Information System (INIS)

    Schmidt, M.; Ziggel, H.; Schmitz-Feuerhaake, I.; Dannheim, B.; Schikalov, V.; Usatyj, A.; Shevchenko, V.; Snigireva, G.; Serezhenkov, V.; Klevezal, G.

    1998-01-01

    A database of biomedical and dosimetric data of participants in the liquidation work at Chernobyl was set up. Dose profiles were created by using suitable dose modelling. EPR spectrometric measurements of the tooth enamel was performed as a routine method of retrospective dosimetry for radiation workers at medium to low exposures. Chromosome analyses were carried out in peripheral blood lymphocytes of a cohort of the liquidation workers. Fluorescence in-situ hybridization was also used. The number of workers volunteering to take part in the research, however, was too small to allow statistically relevant results to be obtained. (P.A.)

  2. A further study of the (CR-LR) difference technique for retrospective radon exposure assessment

    International Nuclear Information System (INIS)

    Nikezic, D.; Yip, C.W.Y.; Leung, S.Y.Y.; Leung, J.K.C.; Yu, K.N.

    2006-01-01

    The (CR-LR) difference technique, based on the CR-39 and LR 115 detectors, for the determination of implanted 210 Po in glass after deposition of short-lived radon progeny, was analyzed in details in this paper. The sensitivities of both detectors were calculated using the Monte Carlo method with V functions particularly derived in our previous works for the detectors used in the present experiments. The dependency of the sensitivity ratio on the removed layer of both detectors was determined and verified experimentally. The simulated sensitivity ratios correlate well with the experimental ones. A major finding of the present work is that the sensitivity ratio between the CR-39 and LR 115 detectors depends only weakly on the ratio between the 238 U and 232 Th concentrations in the glass samples. This is crucial for the application of the (CR-LR) difference technique for retrospective radon exposure assessments, since measurements of the 238 U and 232 Th concentrations in the relatively small real-life glass samples will make the retrospective radon exposure assessments impractical

  3. A Retrospective Study of Success, Failure, and Time Needed to Perform Awake Intubation.

    Science.gov (United States)

    Joseph, Thomas T; Gal, Jonathan S; DeMaria, Samuel; Lin, Hung-Mo; Levine, Adam I; Hyman, Jaime B

    2016-07-01

    Awake intubation is the standard of care for management of the anticipated difficult airway. The performance of awake intubation may be perceived as complex and time-consuming, potentially leading clinicians to avoid this technique of airway management. This retrospective review of awake intubations at a large academic medical center was performed to determine the average time taken to perform awake intubation, its effects on hemodynamics, and the incidence and characteristics of complications and failure. Anesthetic records from 2007 to 2014 were queried for the performance of an awake intubation. Of the 1,085 awake intubations included for analysis, 1,055 involved the use of a flexible bronchoscope. Each awake intubation case was propensity matched with two controls (1:2 ratio), with similar comorbidities and intubations performed after the induction of anesthesia (n = 2,170). The time from entry into the operating room until intubation was compared between groups. The anesthetic records of all patients undergoing awake intubation were also reviewed for failure and complications. The median time to intubation for patients intubated post induction was 16.0 min (interquartile range: 13 to 22) from entrance into the operating room. The median time to intubation for awake patients was 24.0 min (interquartile range: 19 to 31). The complication rate was 1.6% (17 of 1,085 cases). The most frequent complications observed were mucous plug, endotracheal tube cuff leak, and inadvertent extubation. The failure rate for attempted awake intubation was 1% (n = 10). Awake intubations have a high rate of success and low rate of serious complications and failure. Awake intubations can be performed safely and rapidly.

  4. Potential for bias in epidemiologic studies that rely on glass-based retrospective assessment of radon

    International Nuclear Information System (INIS)

    Weinberg, C.R.

    1995-01-01

    Retrospective assessment of exposure to radon remains the greatest challenge in epidemiologic efforts to assess lung cancer risk associated with residential exposure. An innovative technique based on measurement of α-emitting, long-lived daughters embedded by recoil into household glass may one day provide improved radon dosimetry. Particulate air pollution is known, however, to retard the plate-out of radon daughters. This would be expected to result in a differential effect on dosimetry, where the calibration curve relating the actual historical radon exposure to the remaining α-activity in the glass would be different in historically smoky and nonsmoky environments. The resulting open-quotes measurement confoundingclose quotes can distort inferences about the effect of radon and can also produce spurious evidence for synergism between radon exposure and cigarette smoking. 18 refs., 4 figs

  5. Making Performance Assessments a Part of Accountability

    Science.gov (United States)

    Haun, Billy

    2018-01-01

    The purpose of this commentary is to describe recent efforts in Virginia to develop and use performance assessments, including the challenges that emerged during this process and key considerations for states that integrate performance assessment into their systems. Performance assessments can play an important role in preparing students for…

  6. Retrospectively assessed psychosocial working conditions as predictors of prospectively assessed sickness absence and disability pension among older workers.

    Science.gov (United States)

    Sundstrup, Emil; Hansen, Åse Marie; Mortensen, Erik Lykke; Poulsen, Otto Melchior; Clausen, Thomas; Rugulies, Reiner; Møller, Anne; Andersen, Lars L

    2018-01-17

    The aim was to explore the association between retrospectively assessed psychosocial working conditions during working life and prospectively assessed risk of sickness absence and disability pension among older workers. The prospective risk of register-based long-term sickness absence (LTSA) and disability pension was estimated from exposure to 12 different psychosocial work characteristics during working life among 5076 older workers from the CAMB cohort (Copenhagen Aging and Midlife Biobank). Analyses were censored for competing events and adjusted for age, gender, physical work environment, lifestyle, education, and prior LTSA. LTSA was predicted by high levels of cognitive demands (HR 1.31 (95% CI 1.10-1.56)), high levels of emotional demands (HR 1.26 (95% CI 1.07-1.48)), low levels of influence at work (HR 1.30 (95% CI 1.03-1.64)), and high levels of role conflicts (HR 1.34 (95% CI 1.09-1.65)). Disability pension was predicted by low levels of influence at work (HR 2.73 (95% CI 1.49-5.00)) and low levels of recognition from management (HR 2.04 (95% CI 1.14-3.67)). This exploratory study found that retrospectively assessed high cognitive demands, high and medium emotional demands, low influence at work, low recognition from management, medium role clarity, and high role conflicts predicted LTSA and/or disability pension.

  7. Hospital readmission performance and patterns of readmission: retrospective cohort study of Medicare admissions

    Science.gov (United States)

    Hsieh, Angela F; Lin, Zhenqiu; Bueno, Héctor; Ross, Joseph S; Horwitz, Leora I; Barreto-Filho, José Augusto; Kim, Nancy; Suter, Lisa G; Bernheim, Susannah M; Drye, Elizabeth E; Krumholz, Harlan M

    2013-01-01

    Objectives To determine whether high performing hospitals with low 30 day risk standardized readmission rates have a lower proportion of readmissions from specific diagnoses and time periods after admission or instead have a similar distribution of readmission diagnoses and timing to lower performing institutions. Design Retrospective cohort study. Setting Medicare beneficiaries in the United States. Participants Patients aged 65 and older who were readmitted within 30 days after hospital admission for heart failure, acute myocardial infarction, or pneumonia in 2007-09. Main outcome measures Readmission diagnoses were classified with a modified version of the Centers for Medicare and Medicaid Services’ condition categories, and readmission timing was classified by day (0-30) after hospital discharge. Hospital 30 day risk standardized readmission rates over the three years of study were calculated with public reporting methods of the US federal government, and hospitals were categorized with bootstrap analysis as having high, average, or low readmission performance for each index condition. High and low performing hospitals had ≥95% probability of having an interval estimate respectively less than or greater than the national 30 day readmission rate over the three year period of study. All remaining hospitals were considered average performers. Results For readmissions in the 30 days after the index admission, there were 320 003 after 1 291 211 admissions for heart failure (4041 hospitals), 102 536 after 517 827 admissions for acute myocardial infarction (2378 hospitals), and 208 438 after 1 135 932 admissions for pneumonia (4283 hospitals). The distribution of readmissions by diagnosis was similar across categories of hospital performance for all three conditions. High performing hospitals had fewer readmissions for all common diagnoses. Median time to readmission was similar by hospital performance for heart failure and acute myocardial

  8. Breast cancer mammographic diagnosis performance in a public health institution: a retrospective cohort study.

    Science.gov (United States)

    Mello, Juliana M R B; Bittelbrunn, Fernando P; Rockenbach, Marcio A B C; May, Guilherme G; Vedolin, Leonardo M; Kruger, Marilia S; Soldatelli, Matheus D; Zwetsch, Guilherme; de Miranda, Gabriel T F; Teixeira, Saone I P; Arruda, Bruna S

    2017-12-01

    To evaluate the quality assurance of mammography results at a reference institution for the diagnosis and treatment of breast cancer in southern Brazil, based on the BIRADS (Breast Imaging Reporting and Data System) 5th edition recommendations for auditing purposes. Retrospective cohort and cross-sectional study with 4502 patients (9668 mammographies)) who underwent at least one or both breast mammographies throughout 2013 at a regional public hospital, linked to a federal public university. The results were followed until 31 December 2014, including true positives (TPs), true negatives (TNs), false positives (FPs), false negatives (FNs), positive predictive values (PPVs), negative predictive value (NPV), sensitivity and specificity, with a confidence interval of 95%. The study showed high quality assurance, particularly regarding sensitivity (90.22%) and specificity (92.31%). The overall positive predictive value (PPV) was 65.35%, and the negative predictive value (NPV) was 98.32%. The abnormal interpretation rate (recall rate) was 12.26%. The results are appropriate when compared to the values proposed by the BIRADS 5th edition. Additionally, the study provided self-reflection considering our radiological practice, which is essential for improvements and collaboration regarding breast cancer detection. It may stimulate better radiological practice performance and continuing education, despite possible infrastructure and facility limitations. • Accurate quality performance rates are possible despite financial and governmental limitations. • Low-income institutions should develop standardised teamwork to improve radiological practice. • Regular mammography audits may help to increase the quality of public health systems.

  9. Factors Influencing Clinical Performance of Baccalaureate Nursing Majors: A Retrospective Audit.

    Science.gov (United States)

    Johnston, Sandra; Fox, Amanda; Coyer, Fiona Maree

    2018-06-01

    Transition of nursing student to new graduate depends on successful completion of clinical work placement during an undergraduate course. Supporting students during the clinical placement is imperative. This study examined associations between grade point average, domestic or international status, course entry qualification, and single or dual nursing degree to successful completion of clinical placement. A retrospective audit of 665 students in a baccalaureate nursing program was conducted to examine factors influencing clinical performance of baccalaureate nursing students. A significant association between entry qualification, lower grade point average, international status, and receipt of a constructive note was found: χ 2 = 8.678, df = 3, p = .034, t(3.862), df = 663, p ⩽ .001, and Fisher's exact test = 8.581, df = 1, p = .003, respectively. Understanding factors that affect clinical performance may help early identification of students at risk and allow for supportive intervention during placement and subsequent program completion. [J Nurs Educ. 2018;57(6):333-338.]. Copyright 2018, SLACK Incorporated.

  10. Family-centered rounds and medical student performance on the NBME pediatrics subject (shelf) examination: a retrospective cohort study.

    Science.gov (United States)

    Kimbrough, Tiffany N; Heh, Victor; Wijesooriya, N Romesh; Ryan, Michael S

    2016-01-01

    To determine the association between family-centered rounds (FCR) and medical student knowledge acquisition as assessed by the National Board of Medical Examiners (NBME) pediatric subject (shelf) exam. A retrospective cohort study was conducted of third-year medical students who graduated from Virginia Commonwealth University School of Medicine between 2009 and 2014. This timeframe represented the transition from 'traditional' rounds to FCR on the pediatric inpatient unit. Data collected included demographics, United States Medical Licensing Examination (USMLE) Step 1 and 2 scores, and NBME subject examinations in pediatrics (PSE), medicine (MSE), and surgery (SSE). Eight hundred and sixteen participants were included in the analysis. Student performance on the PSE could not be statistically differentiated from performance on the MSE for any year except 2011 (z-score=-0.17, p=0.02). Average scores on PSE for years 2009, 2010, 2013, and 2014 were significantly higher than for SSE, but not significantly different for all other years. The PSE was highly correlated with USMLE Step 1 and Step 2 examinations (correlation range 0.56-0.77) for all years. Our results showed no difference in PSE performance during a time in which our institution transitioned to FCR. These findings should be reassuring for students, attending physicians, and medical educators.

  11. A Retrospective Self-Assessment of the SURFO Summer Internship Program in Oceanography

    Science.gov (United States)

    Pockalny, R. A.; Donohue, K. A.; Fliegler, J.

    2009-12-01

    The Summer Undergraduate Research Fellowships in Oceanography (SURFO) program at the Graduate School of Oceanography/University of Rhode Island is an NSF-funded Research Experience for Undergraduates site program with a programmatic research niche focused on quantitative aspects of Oceanography. Each summer-cohort includes 9-12 participants (rising seniors) who are paired with a primary research advisor and often with a graduate student mentor. The primary components of the 10-week program include a 4-week introductory phase and a 6-week core research phase. A retrospective self-assessment instrument gauged the confidence, attitude and comfort level of participants with; 1) core math and science subjects, 2) oceanography-related subjects, 3) research skills, and 4) SURFO and GSO staff. SURFO participants evaluated themselves at the start of the program, after the introductory phase, and at the end of the program. Participants were also asked to reassess their initial evaluations and provide an updated score. The pre-assessment results indicate that the program recruits students from the target group (e.g., strong physics and math backgrounds, but with limited exposure to oceanography). The results also indicate that the students are initially comfortable with their advising team, but not so comfortable with their research topic and research skills. The post-introductory phase results indicate large increases in comfort level with the advising team and the local research community yet little or no change is indicated for research skills. The final assessments show large changes in oceanography-content knowledge, research topic, and research skills. The retrospective reassessment indicates an initial overconfidence in most categories. Overall, the largest changes occurred during the core research portion of the program. These results reinforce the importance/effectiveness of authentic, hands-on, inquiry-based research for higher learning and training the next

  12. Optically stimulated luminescence (OSL) of dental enamel for retrospective assessment of radiation exposure

    International Nuclear Information System (INIS)

    Yukihara, E.G.; Mittani, J.; McKeever, S.W.S.; Simon, S.L.

    2007-01-01

    This paper briefly reviews the optically stimulated luminescence (OSL) properties of dental enamel and discusses the potential and challenges of OSL for filling the technology gap in biodosimetry required for medical triage following a radiological/nuclear accident or terrorist event. The OSL technique uses light to stimulate a radiation-induced luminescence signal from materials previously exposed to ionizing radiation. This luminescence originates from radiation-induced defects in insulating crystals and is proportional to the absorbed dose of ionizing radiation. In our research conducted to date, we focused on fundamental investigations of the OSL properties of dental enamel using extracted teeth and tabletop OSL readers. The objective was to obtain information to support the development of the necessary instrumentation for retrospective dosimetry using dental enamel in laboratory, or for in situ and non-invasive accident dosimetry using dental enamel in emergency triage. An OSL signal from human dental enamel was detected using blue, green, or IR stimulation. Blue/green stimulation associated with UV emission detection seems to be the most appropriate combination in the sense that there is no signal from un-irradiated samples and the shape of the OSL decay is clear. Improvements in the minimum detection level were achieved by incorporating an ellipsoidal mirror in the OSL system to maximize light collection. Other possibilities to improve the sensitivity and research steps necessary to establish the feasibility of the technique for retrospective assessment of radiation exposure are also discussed

  13. Human performance assessment: methods and measures

    International Nuclear Information System (INIS)

    Andresen, Gisle; Droeivoldsmo, Asgeir

    2000-10-01

    The Human Error Analysis Project (HEAP) was initiated in 1994. The aim of the project was to acquire insights on how and why cognitive errors occur when operators are engaged in problem solving in advanced integrated control rooms. Since human error had not been studied in the HAlden Man-Machine LABoratory (HAMMLAB) before, it was also necessary to carry out research in methodology. In retrospect, it is clear that much of the methodological work is relevant to human-machine research in general, and not only to research on human error. The purpose of this report is, therefore, to give practitioners and researchers an overview of the methodological parts of HEAP. The scope of the report is limited to methods used throughout the data acquisition process, i.e., data-collection methods, data-refinement methods, and measurement methods. The data-collection methods include various types of verbal protocols, simulator logs, questionnaires, and interviews. Data-refinement methods involve different applications of the Eyecon system, a flexible data-refinement tool, and small computer programs used for rearranging, reformatting, and aggregating raw-data. Measurement methods involve assessment of diagnostic behaviour, erroneous actions, complexity, task/system performance, situation awareness, and workload. The report concludes that the data-collection methods are generally both reliable and efficient. The data-refinement methods, however, should be easier to use in order to facilitate explorative analyses. Although the series of experiments provided an opportunity for measurement validation, there are still uncertainties connected to several measures, due to their reliability still being unknown. (Author). 58 refs.,7 tabs

  14. Contractor Performance Assessment Reporting System

    Data.gov (United States)

    US Agency for International Development — CPARS is a web-based system used to input data on contractor performance. Reports from the system are used as an aid in awarding contracts to contractors that...

  15. Retrospective study evaluating the performance of a first-trimester combined screening for trisomy 21 in an Italian unselected population

    Science.gov (United States)

    Padula, Francesco; Cignini, Pietro; Giannarelli, Diana; Brizzi, Cristiana; Coco, Claudio; D’Emidio, Laura; Giorgio, Elsa; Giorlandino, Maurizio; Mangiafico, Lucia; Mastrandrea, Marialuisa; Milite, Vincenzo; Mobili, Luisa; Nanni, Cinzia; Raffio, Raffaella; Taramanni, Cinzia; Vigna, Roberto; Mesoraca, Alvaro; Bizzoco, Domenico; Gabrielli, Ivan; Di Giacomo, Gianluca; Barone, Maria Antonietta; Cima, Antonella; Giorlandino, Francesca Romana; Emili, Sabrina; Cupellaro, Marina; Giorlandino, Claudio

    2014-01-01

    Objectives to assess the performance of a combined first-trimester screening for trisomy 21 in an unselected Italian population referred to a specialized private center for prenatal medicine. Methods a retrospective validation of first-trimester screening algorithms [risk calculation based on maternal age and nuchal translucency (NT) alone, maternal age and serum parameters (free β-hCG and PAPP-A) alone and a combination of both] for fetal aneuploidies evaluated in an unselected Italian population at Artemisia Fetal-Maternal Medical Centre in Rome. All measurements were performed between 11+0 and 13+6 weeks of gestation, between April 2007 and December 2008. Results of 3,610 single fetuses included in the study, we had a complete follow-up on 2,984. Fourteen of 17 cases of trisomy 21 were detected when a cut-off of 1:300 was applied [detection rate (DR) 82.4%, 95% confidence interval (CI) 64.2–100; false-positive rate (FPR) 4.7%, 95% CI 3.9–5.4; false-negative rate (FNR) 17.6%, 95% CI 0–35.8%]. Conclusion in our study population the detection rate for trisomy 21, using the combined risk calculation based on maternal age, fetal NT, maternal PAPP-A and free β-hCG levels, was superior to the application of either parameter alone. The algorithm has been validated for first trimester screening in the Italian population. PMID:26266002

  16. Performance Assessment in Courts - The Swiss Case

    Directory of Open Access Journals (Sweden)

    Andreas Lienhard

    2014-12-01

    Full Text Available Abstract Performance assessments have become commonplace in management, even in the public sector. With the increasing pressure on courts to perform while making efficient use of resources, performance assessments in the justice system are also gaining in importance. However, the need for judicial independence poses special challenges for performance assessments in courts. Against this background, this article conducts a constitutional appraisal, and contrasts the need for judicial independence with the principles governing effectiveness and efficiency, self-government and supervision, and appointment and re-appointment. A duty to guarantee justice can be derived from this that does not in principle exclude the performance assessment of judges, but even renders it essential, subject to compliance with certain requirements. In these circumstances, it seems hardly surprising that numerous countries conduct performance assessments of judges and also that various international institutions have developed principles for this purpose, a summary of which is presented – in Switzerland’s case based on a recently conducted survey. In the field of conflict between the guaranteeing justice and protecting the judiciary, the following key questions arise in particular: What is the purpose of performance assessments and what are the consequences?What is subjected to a performance assessment and what are the assessment criteria?How is performance recorded as the basis for the performance assessment?Who is subjected to a performance assessment, and must a distinction be made between judges in higher and lower courts?Who carries out the performance assessment and what methods of protecting one’s rights are available?Who should receive the results of the performance assessment?The contribution sketches out possible answers to these key questions and aims to encourage academics and practitioners to give further consideration to this subject.

  17. Fall risk assessment: retrospective analysis of Morse Fall Scale scores in Portuguese hospitalized adult patients.

    Science.gov (United States)

    Sardo, Pedro Miguel Garcez; Simões, Cláudia Sofia Oliveira; Alvarelhão, José Joaquim Marques; Simões, João Filipe Fernandes Lindo; Melo, Elsa Maria de Oliveira Pinheiro de

    2016-08-01

    The Morse Fall Scale is used in several care settings for fall risk assessment and supports the implementation of preventive nursing interventions. Our work aims to analyze the Morse Fall Scale scores of Portuguese hospitalized adult patients in association with their characteristics, diagnoses and length of stay. Retrospective cohort analysis of Morse Fall Scale scores of 8356 patients hospitalized during 2012. Data were associated to age, gender, type of admission, specialty units, length of stay, patient discharge, and ICD-9 diagnosis. Elderly patients, female, with emergency service admission, at medical units and/or with longer length of stays were more frequently included in the risk group for falls. ICD-9 diagnosis may also be an important risk factor. More than a half of hospitalized patients had "medium" to "high" risk of falling during the length of stay, which determines the implementation and maintenance of protocoled preventive nursing interventions throughout hospitalization. There are several fall risk factors not assessed by Morse Fall Scale. There were no statistical differences in Morse Fall Scale score between the first and the last assessment. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. VISUAL ART TEACHERS AND PERFORMANCE ASSESSMENT ...

    African Journals Online (AJOL)

    Charles

    qualitative research design; an aspect of descriptive survey research aiming at ... the competence and use of assessment strategies is determined by the type of ... Visual Art Teachers and Performance Assessment Methods in Nigerian Senior ...

  19. Expert judgement in performance assessment

    International Nuclear Information System (INIS)

    Wilmot, R.D.; Galson, D.A.

    2000-01-01

    This report is a pilot study that systematically describes the various types of expert judgement that are made throughout the development of a PA, and summarizes existing tools and practices for dealing with expert judgements. The report also includes recommendations for further work in the area of expert judgement. Expert judgements can be classified in a number of ways, including classification according to why the judgements are made and according to how the judgements are made. In terms of why judgements are made, there is a broad distinction between: Judgements concerning data that are made because alternatives are not feasible; and Judgements about the conduct of a PA that are made because there are no alternative approaches for making the decision. In the case of how judgements are made, the report distinguishes between non-elicited judgements made by individuals, non-elicited judgements made by groups, and elicited judgements made by individuals or groups. These types of judgement can generally be distinguished by the extent of the associated documentation, and hence their traceability. Tools for assessing judgements vary depending on the type of judgements being examined. Key tools are peer review, an appropriate QA regime, documentation, and elicitation. Dialogue with stake holders is also identified as important in establishing whether judgements are justified in the context in which they are used. The PA process comprises a number of stages, from establishing the assessment context, through site selection and repository design, to scenario and model development and parametrisation. The report discusses how judgements are used in each of these stages, and identifies which of the tools and procedures for assessing judgements are most appropriate at each stage. Recommendations for further work include the conduct of a trial expert elicitation to gain experience in the advantages and disadvantages of this technique, the development of guidance for peer

  20. Expert judgement in performance assessment

    Energy Technology Data Exchange (ETDEWEB)

    Wilmot, R.D.; Galson, D.A. [Galson Sciences Ltd, Oakham (United Kingdom)

    2000-01-01

    This report is a pilot study that systematically describes the various types of expert judgement that are made throughout the development of a PA, and summarizes existing tools and practices for dealing with expert judgements. The report also includes recommendations for further work in the area of expert judgement. Expert judgements can be classified in a number of ways, including classification according to why the judgements are made and according to how the judgements are made. In terms of why judgements are made, there is a broad distinction between: Judgements concerning data that are made because alternatives are not feasible; and Judgements about the conduct of a PA that are made because there are no alternative approaches for making the decision. In the case of how judgements are made, the report distinguishes between non-elicited judgements made by individuals, non-elicited judgements made by groups, and elicited judgements made by individuals or groups. These types of judgement can generally be distinguished by the extent of the associated documentation, and hence their traceability. Tools for assessing judgements vary depending on the type of judgements being examined. Key tools are peer review, an appropriate QA regime, documentation, and elicitation. Dialogue with stake holders is also identified as important in establishing whether judgements are justified in the context in which they are used. The PA process comprises a number of stages, from establishing the assessment context, through site selection and repository design, to scenario and model development and parametrisation. The report discusses how judgements are used in each of these stages, and identifies which of the tools and procedures for assessing judgements are most appropriate at each stage. Recommendations for further work include the conduct of a trial expert elicitation to gain experience in the advantages and disadvantages of this technique, the development of guidance for peer

  1. Assessing school performance and motivation

    OpenAIRE

    Pavelková, Isabella; Kubíková, Katerina

    2016-01-01

    We verify the theoretical hypothesis that individual reference norm helps the development of positive achievement motivation and lowers the performance fear of pupils. The research was carried out with pupils aged 9 to 12 years. The article presents the results of the research in using reference norms with 61 teachers in connection with achievement motivation of their 1144 pupils. The research also mapped the real school situations for the teachers involved, based partly on observation during...

  2. Performance assessment in algebra learning process

    Science.gov (United States)

    Lestariani, Ida; Sujadi, Imam; Pramudya, Ikrar

    2017-12-01

    The purpose of research to describe the implementation of performance assessment on algebra learning process. The subject in this research is math educator of SMAN 1 Ngawi class X. This research includes descriptive qualitative research type. Techniques of data collecting are done by observation method, interview, and documentation. Data analysis technique is done by data reduction, data presentation, and conclusion. The results showed any indication that the steps taken by the educator in applying the performance assessment are 1) preparing individual worksheets and group worksheets, 2) preparing rubric assessments for independent worksheets and groups and 3) making performance assessments rubric to learners’ performance results with individual or groups task.

  3. Operational human performance reliability assessment (OHPRA)

    International Nuclear Information System (INIS)

    Haas, P.M.; Swanson, P.J.; Connelly, E.M.

    1993-01-01

    Operational Human Performance Reliability Assessment (OHPRA) is an approach for assessing human performance that is being developed in response to demands from modern process industries for practical and effective tools to assess and improve human performance, and therefore overall system performance and safety. The single most distinguishing feature of the approach is that is defines human performance in open-quotes operationalclose quotes terms. OHPRA is focused not on generation of human error probabilities, but on practical analysis of human performance to aid management in (1) identifying open-quotes fixableclose quotes problems and (2) providing input on the importance and nature of potential improvements. Development of the model in progress uses a unique approach for eliciting expert strategies for assessing performance. A PC-based model incorporating this expertise is planned. A preliminary version of the approach has already been used successfully to identify practical human performance problems in reactor and chemical process plant operations

  4. Performance assessment of a microsprinkler

    Directory of Open Access Journals (Sweden)

    Edivaldo Lopes Thomaz

    2014-04-01

    Full Text Available Surface hydrological processes are essential to the understanding and prediction of soil erosion. Several equipments are used to measure infiltration rate, runoff and soil loss. However, researchers build their own equipment due to the specific sites where the measurements are performed. This study evaluated the performance of a microsprinkler developed to measure the hydrological processes on unpaved rural roads. The microsprinkler is portable, lightweight, easy to operate, and also low cost. The measured parameters refer to different physical aspects of the rainfall produced as: intensity, drop size, kinetic energy and the simulation area. The microsprinkler was tested at different heights and pressures. The main results obtained: the intensity of simulated rainfall was 71.4 - 148.3 mmh-1, the drop size ranged from 0.3 to 1.2 mm (mean 0.7 mm, the kinetic energy of rainfall varied between 51 and 77% compared with a natural rainfall of similar intensity, and the simulation area had 0.28 - 0.56 m2 (mean 0.40 m2. The parameters obtained in this study are within the limit of others simulators reported in the literature.

  5. [A retrospective study on the assessment of dysphagia after partial laryngectomy].

    Science.gov (United States)

    Su, T T; Sun, Z F

    2017-11-07

    Objective: To retrospectively investigate the long-term swallowing function of patients with laryngeal carcinoma, who underwent partial laryngectomy, discuss the effectiveness and reliability of Kubota drinking test in the assessment of patients with dysphagia, who underwent partial laryngectomy, and analyze the influence of different ways of operation on swallowing function. Methods: Clinical data were retrospectively analyzed on 83 patients with laryngeal carcinoma, who underwent partial laryngectomy between September 2012 and August 2015. Questionnaire survey, Kubota drinking test and video fluoroscopic swallowing study (VFSS) were conducted for patients during a scheduled interview. Patients were grouped by two ways: the one was whether epiglottis was retained, and the other was whether either arytenoids or both were reserved. The influence of different surgical techniques on swallowing function was analyzed according to the results of Kubota drinking test. The agreement and reliability of Kubota drinking test were statistically analyzed with respect to VFSS treated as the gold standard. SPSS23.0 software was used to analyze the data. Results: Questionnaire results revealed that among 83 patients underwent partial laryngectomy 32.53% suffered from eating disorder, and 43.37% experienced painful swallowing. The incidence of dysphagia was 40.96% according to the results of Kubota drinking test. There was statistical difference between the group with epiglottis remained and that having epiglottis removed in terms of the absence of dysphagia and severity. The statistical values of normal, moderate and severe dysphagia were in the order of 18.160, 7.229, 12.344( P dysphagia as well as that of intermediate severity, and their statistical values were 4.790 and 9.110( P dysphagia post partial laryngectomy.

  6. Competency Assessment Using Key Performance Indicators

    OpenAIRE

    Elena Alexandra Toader; Laura Brad

    2015-01-01

    The paper proposes a method for computing the scores of the key performance indicators resulted in the competency assessment process. The key performance indicators are estimated considering four performance levels that an IT professional can obtain at the end of the assessment process. We suggest as the best approach for estimating the performance key indicators an online questionnaire filled by 60 employees that work in IT Romanian companies. The results provide evidence that the difference...

  7. Probabilistic assessments of fuel performance

    International Nuclear Information System (INIS)

    Kelppe, S.; Ranta-Puska, K.

    1998-01-01

    The probabilistic Monte Carlo Method, coupled with quasi-random sampling, is applied for the fuel performance analyses. By using known distributions of fabrication parameters and real power histories with their randomly selected combinations, and by making a large number of ENIGMA code calculations, one expects to find out the state of the whole reactor fuel. Good statistics requires thousands of runs. A sample case representing VVER-440 reactor fuel indicates relatively low fuel temperatures and mainly athermal fission gas release if any. The rod internal pressure remains typically below 2.5 MPa, which leaves a large margin to the system pressure of 12 MPa Gap conductance, an essential parameter in the accident evaluations, shows no decrease from its start-of-life value. (orig.)

  8. Characteristics of workers attending the pneumoconiosis clinic for silicosis assessment in Hong Kong: retrospective study.

    Science.gov (United States)

    Law, Y W; Leung, M C; Leung, C C; Yu, T S; Tam, C M

    2001-12-01

    To describe and analyse the baseline characteristics of workers attending the pneumoconiosis clinic for assessment of silicosis. Retrospective cross-sectional study. Outpatient clinic. One thousand and fifty-six patients with silica dust exposure attending the pneumoconiosis clinic for compensation assessment. Baseline demographic characteristics, lung function parameters, and radiographic findings. Six hundred and forty-eight patients were diagnosed with silicosis, of which 10 were female. Excluding the data on female patients, the mean duration of dust exposure was 24.2 years. The majority of patients were involved in caisson work and stone splitting. Most newly diagnosed patients had simple silicosis. Less than a quarter (24.8%) had progressive massive fibrosis. Lung function parameters at diagnosis were within the normal range. Pulmonary tuberculosis remained an important co-existing disease. The major cause of silicosis in Hong Kong is chronic silica dust exposure in the construction industry. Simple silicosis predominated at diagnosis, with normal lung function parameters seen in the majority of patients.

  9. The efficacy of dynamic MRI in assessing a cervical myelopathy; A retrospective study

    Energy Technology Data Exchange (ETDEWEB)

    Morimoto, Tetsuya; Yamada, Tomonori; Okumura, Yoshiya; Hashimoto, Hiroshi; Hiramatsu, Kenichiro; Tsunoda, Shigeru; Sakaki, Toshisuke; Iwasaki, Satoru (Nara Medical Univ., Kashihara (Japan))

    1994-01-01

    There are problems that are unresolved with regard to the treatment of cases presenting a post-taumatic cervical myelopathy, such as when the surgical indications are not clearly evidence and the proper timing of this surgery. In this regard, the authors have used dynamic MRI to retrospectively analyze the cervical spine of 24 previously treated dynamic MRI cases presenting a subacute myelopathy to determine the efficacy of dynamic MRI as a method of treatment. Dynamic MRI analysis protocol was as follows. For the MR imagings, each patient was placed supine with the neck in the neutral position, after which the neck was set in the extended position. Dynamic changes between the neutral position and extended position images were analyzed by focusing on the following two point: (1) the narrowing of the subarachnoid space in the T2-weighted images and (2) evidence of cord compression in the T1-weighted images. Twelve cases out of 24 were treated conservatively because of a gradual improvement in their myelopathic symptoms. The other 12 cases were treated surgically, because of no improvement in their residual myelopathic symptoms at the time when the dynamic MRI had been performed. In the majority of cases in the surgical group, the narrowing of the subarachnoid space and spinal cord compression were hightened on neck extension, whereas in the conservative group, such findings were minimal. Dynamic MRI also more clearly visualized multiple lesions and the direction of the cord compression. These findings thus provided more detailed information to plan the surgical approach and to estimate the amount of surgical decompression needed. Based on the results of this retrospective study, we thus concluded that surgical treatment appears to benefit subacute cases who show no improvement in their residual myelopathic symptoms and whose dynamic MRI results also demonstrate an increased narrowing of subarachnoid space and a heightened spinal cord compression. (author).

  10. Performance Assessment of Mergers and Acquisitions

    DEFF Research Database (Denmark)

    Wang, Daojuan; Moini, Hamid

    2012-01-01

    on the performance measures and benchmarks adopted in M&A research field and the relevant empirical results. We find that the definitions of performance varied in terms of accounting, financial, operational and perceptual metrics. And performance assessment is sensitive to the definition of performance, methodology......Corporate mergers and acquisitions (M&As) have been increasing popular during these decades. However, a majority of research show failure rate (40% - 80%) has not significantly changed. This “success paradox” triggers us to reflect on performance assessment of M&As: how the performance of M...

  11. Standardization for Ki-67 Assessment in Moderately Differentiated Breast Cancer. A Retrospective Analysis of the SAKK 28/12 Study

    Science.gov (United States)

    Varga, Zsuzsanna; Cassoly, Estelle; Li, Qiyu; Oehlschlegel, Christian; Tapia, Coya; Lehr, Hans Anton; Klingbiel, Dirk; Thürlimann, Beat; Ruhstaller, Thomas

    2015-01-01

    Background Proliferative activity (Ki-67 Labelling Index) in breast cancer increasingly serves as an additional tool in the decision for or against adjuvant chemotherapy in midrange hormone receptor positive breast cancer. Ki-67 Index has been previously shown to suffer from high inter-observer variability especially in midrange (G2) breast carcinomas. In this study we conducted a systematic approach using different Ki-67 assessments on large tissue sections in order to identify the method with the highest reliability and the lowest variability. Materials and Methods Five breast pathologists retrospectively analyzed proliferative activity of 50 G2 invasive breast carcinomas using large tissue sections by assessing Ki-67 immunohistochemistry. Ki-67-assessments were done on light microscopy and on digital images following these methods: 1) assessing five regions, 2) assessing only darkly stained nuclei and 3) considering only condensed proliferative areas (‘hotspots’). An individual review (the first described assessment from 2008) was also performed. The assessments on light microscopy were done by estimating. All measurements were performed three times. Inter-observer and intra-observer reliabilities were calculated using the approach proposed by Eliasziw et al. Clinical cutoffs (14% and 20%) were tested using Fleiss’ Kappa. Results There was a good intra-observer reliability in 5 of 7 methods (ICC: 0.76–0.89). The two highest inter-observer reliability was fair to moderate (ICC: 0.71 and 0.74) in 2 methods (region-analysis and individual-review) on light microscopy. Fleiss’-kappa-values (14% cut-off) were the highest (moderate) using the original recommendation on light-microscope (Kappa 0.58). Fleiss’ kappa values (20% cut-off) were the highest (Kappa 0.48 each) in analyzing hotspots on light-microscopy and digital-analysis. No methodologies using digital-analysis were superior to the methods on light microscope. Conclusion Our results show that all

  12. The Effects of Performance-Based Assessment Criteria on Student Performance and Self-Assessment Skills

    Science.gov (United States)

    Fastre, Greet Mia Jos; van der Klink, Marcel R.; van Merrienboer, Jeroen J. G.

    2010-01-01

    This study investigated the effect of performance-based versus competence-based assessment criteria on task performance and self-assessment skills among 39 novice secondary vocational education students in the domain of nursing and care. In a performance-based assessment group students are provided with a preset list of performance-based…

  13. Parental Retrospective Assessment of Development and Behavior in Asperger Syndrome during the First 2 Years of Life

    Science.gov (United States)

    Dewrang, Petra; Sandberg, Annika Dahlgren

    2010-01-01

    Development and behavior during the first 2 years of life was assessed retrospectively by the parents to 23 adolescents and young adults with Asperger syndrome and 13 typically developing adolescents and young adults. The groups were matched on chronological age and the participants were within the normal range of intelligence. The questionnaire,…

  14. Review of SR 97 performance assessment

    International Nuclear Information System (INIS)

    Glynn, P.D.

    2000-01-01

    This review has identified many technical problems in the SR 97 performance assessment. The general impression of this reviewer is that SKB has been disingenuous in its performance assessment effort. It has not cited important differences of opinion with its own views. Furthermore, there are many inconsistencies in the SR 97 report that all together leave the impression that there are many more uncertainties in the SR 97 performance assessment than SKB would perhaps care to admit. Additionally, despite SKB's statements to the contrary, many of the analyses conducted for the SR 97 performance assessment can be clearly shown not to have been based on 'conservative' assumptions. Finally, SKB has made little effort to consider possible coupling effects between their different scenarios in SR 97. This is a serious flaw in the SR 97 performance assessment. The comments in this review should not be taken to imply that the KBS-3 nuclear waste disposal method will not be able to meet the safety and radiation protection requirements which SKI and SSI have specified in recent years. Instead, my conclusion is simply that the SR 97 performance assessment of the KBS-3 method would have been more believable had it been based on a forthright and comprehensive discussion of facts, uncertainties and opinions, and on a more conservative choice of assumptions. As it stands, the SR 97 performance assessment is not very credible

  15. Realistic retrospective dose assessments to members of the public around Spanish nuclear facilities

    International Nuclear Information System (INIS)

    Jimenez, M.A.; Martin-Valdepenas, J.M.; Garcia-Talavera, M.; Martin-Matarranz, J.L.; Salas, M.R.; Serrano, J.I.; Ramos, L.M.

    2011-01-01

    In the frame of an epidemiological study carried out in the influence areas around the Spanish nuclear facilities (ISCIII-CSN, 2009. Epidemiological Study of The Possible Effect of Ionizing Radiations Deriving from The Operation of Spanish Nuclear Fuel Cycle Facilities on The Health of The Population Living in Their Vicinity. Final report December 2009. Ministerio de Ciencia e Innovacion, Instituto de Salud Carlos III, Consejo de Seguridad Nuclear. Madrid. Available from: (http://www.csn.es/images/stories/actualidad_datos/especiales/epidemiologico/epidemiological_study.pdf)), annual effective doses to public have been assessed by the Spanish Nuclear Safety Council (CSN) for over 45 years using a retrospective realistic-dose methodology. These values are compared with data from natural radiation exposure. For the affected population, natural radiation effective doses are in average 2300 times higher than effective doses due to the operation of nuclear installations (nuclear power stations and fuel cycle facilities). When considering the impact on the whole Spanish population, effective doses attributable to nuclear facilities represent in average 3.5 x 10 -5 mSv/y, in contrast to 1.6 mSv/y from natural radiation or 1.3 mSv/y from medical exposures. - Highlights: → Most comprehensive dose assessment to public by nuclear facilities ever done in Spain. → Dose to public is dominated by liquid effluent pathways for the power stations. → Dose to public is dominated by Rn inhalation for milling and mining facilities. → Average annual doses to public in influence areas are negligible (10 μSv/y or less). → Doses from facilities average 3.5 x 10 -2 μSv/y per person onto whole Spanish population.

  16. Realistic retrospective dose assessments to members of the public around Spanish nuclear facilities

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez, M.A., E-mail: majg@csn.es [Consejo de Seguridad Nuclear (CSN), Pedro Justo Dorado Dellmans 11, E-28040 Madrid (Spain); Martin-Valdepenas, J.M.; Garcia-Talavera, M.; Martin-Matarranz, J.L.; Salas, M.R.; Serrano, J.I.; Ramos, L.M. [Consejo de Seguridad Nuclear (CSN), Pedro Justo Dorado Dellmans 11, E-28040 Madrid (Spain)

    2011-11-15

    In the frame of an epidemiological study carried out in the influence areas around the Spanish nuclear facilities (ISCIII-CSN, 2009. Epidemiological Study of The Possible Effect of Ionizing Radiations Deriving from The Operation of Spanish Nuclear Fuel Cycle Facilities on The Health of The Population Living in Their Vicinity. Final report December 2009. Ministerio de Ciencia e Innovacion, Instituto de Salud Carlos III, Consejo de Seguridad Nuclear. Madrid. Available from: (http://www.csn.es/images/stories/actualidad{sub d}atos/especiales/epidemiologico/epidemiological{sub s}tudy.pdf)), annual effective doses to public have been assessed by the Spanish Nuclear Safety Council (CSN) for over 45 years using a retrospective realistic-dose methodology. These values are compared with data from natural radiation exposure. For the affected population, natural radiation effective doses are in average 2300 times higher than effective doses due to the operation of nuclear installations (nuclear power stations and fuel cycle facilities). When considering the impact on the whole Spanish population, effective doses attributable to nuclear facilities represent in average 3.5 x 10{sup -5} mSv/y, in contrast to 1.6 mSv/y from natural radiation or 1.3 mSv/y from medical exposures. - Highlights: > Most comprehensive dose assessment to public by nuclear facilities ever done in Spain. > Dose to public is dominated by liquid effluent pathways for the power stations. > Dose to public is dominated by Rn inhalation for milling and mining facilities. > Average annual doses to public in influence areas are negligible (10 {mu}Sv/y or less). > Doses from facilities average 3.5 x 10{sup -2} {mu}Sv/y per person onto whole Spanish population.

  17. Prevalence and risk factors of Clostridium difficile infection in patients hospitalized for flare of inflammatory bowel disease: a retrospective assessment.

    Science.gov (United States)

    Regnault, Helene; Bourrier, Anne; Lalande, Valerie; Nion-Larmurier, Isabelle; Sokol, Harry; Seksik, Philippe; Barbut, Frederic; Cosnes, Jacques; Beaugerie, Laurent

    2014-12-01

    Recent studies have identified a high frequency of Clostridium difficile infections in patients with active inflammatory bowel disease. To retrospectively assess the determinants and results of Clostridium difficile testing upon the admission of patients hospitalized with active inflammatory bowel disease in a tertiary care centre and to determine the predicting factors of Clostridium difficile infections. We reviewed all admissions from January 2008 and December 2010 for inflammatory bowel disease flare-ups. A toxigenic culture and a stool cytotoxicity assay were performed for all patients tested for Clostridium difficile. Out of 813 consecutive stays, Clostridium difficile diagnostic assays have been performed in 59% of inpatients. The independent predictive factors for the testing were IBD (ulcerative colitis: OR 2.0, 95% CI 1.5-2.9; pClostridium difficile infection was present in 7.0% of the inpatients who underwent testing. In a multivariate analysis, the only independent predictor was the intake of nonsteroidal anti-inflammatory drugs within the two months before admission (OR 3.8, 95% CI 1.2-12.3; p=0.02). Clostridium difficile infection is frequently associated with active inflammatory bowel disease. Our study suggests that a recent intake of nonsteroidal anti-inflammatory drugs is a risk factor for inflammatory bowel disease -associated Clostridium difficile infection. Copyright © 2014 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  18. Pitfalls of CT for deep neck abscess imaging assessment: a retrospective review of 162 cases.

    Science.gov (United States)

    Chuang, S Y; Lin, H T; Wen, Y S; Hsu, F J

    2013-01-01

    To investigate the diagnostic value of contrast-enhanced computed tomography (CT) for the prediction of deep neck abscesses in different deep neck spaces and to evaluate the false-positive results. We retrospectively analysed the clinical charts, CT examinations, surgical findings, bacteriology, pathological examinations and complications of hospitalised patients with a diagnosis of deep neck abscess from 2004 to 2010. The positive predictive values (PPV) for the prediction of abscesses by CT scan in different deep neck spaces were calculated individually on the basis of surgical findings. A total of 162 patients were included in this study. All patients received both intravenous antibiotics and surgical drainage. The parapharyngeal space was the most commonly involved space. The overall PPV for the prediction of deep neck abscess with contrast-enhanced CT was 79.6%. The PPV was 91.3% when more than one deep neck space was involved but only 50.0% in patients with isolated retropharyngeal abscesses. In the false-positive group, cellulitis was the most common final result, followed by cystic degeneration of cervical metastases. Five specimens taken intra-operatively revealed malignancy and four of these were not infected. There are some limitations affecting the differentiation of abscesses and cellulitis, particularly in the retropharyngeal space. A central necrotic cervical metastatic lymph node may sometimes also mimic a simple pyogenic deep neck abscess on both clinical pictures and CT images. Routine biopsy of the tissue must be performed during surgical drainage.

  19. Assessment of dental caries predictors in 6-year-old school children - results from 5-year retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Masood Mohd

    2012-11-01

    Full Text Available Abstract Background This was a retrospective cohort study undertaken to assess the rate and pattern of dental caries development in 6-year-old school children followed-up for a period of 5 years, and to identify baseline risk factors that were associated with 5 years caries experience in Malaysian children. Methods This 5-years retrospective cohort study comprised primary school children initially aged 6 years in 2004. Caries experience of each child was recorded annually using World Health Organization criteria. The rates of dental caries were recorded in prevalence and incidence density of carious lesions from baseline to final examination. Risk assessment was done to assess relative risk for caries after 5 years in children with baseline caries status. Simple and multiple logistic regression analysis were performed to identify significant independent risk factors for caries. Results The sample consisted of 1830 school children. All components of DMFT showed significant differences between baseline and final examination. Filled teeth (FT component of the DMFT showed the greatest increases. Results revealed the initial baseline caries level in permanent dentition was a strong predictor for future caries after 5 years (RR=3.78, 95% CI=3.48-4.10, P0.001. Logistic regression analysis showed significant association between caries occurrence and residence (urban/rural (OR=1.80, Pp observed from baseline and after 5 years was 5.80 persons/100 person-year of observation. The rate of new caries-affected tooth (IDt in the period from baseline and after 5-years was 0.76 teeth/100 teeth-year of observation. Conclusion The majority of 12-year-old school children (70% were caries-free and most of the caries were concentrated in only a small proportion (30% of them. We found that the presence of caries in permanent teeth at the age of 6 years was a strong predictor of future caries development in this population. The strong evidence of early permanent teeth

  20. A retrospective review of the Honduras AIN-C program guided by a community health worker performance logic model.

    Science.gov (United States)

    Rodríguez, Daniela C; Peterson, Lauren A

    2016-05-06

    Factors that influence performance of community health workers (CHWs) delivering health services are not well understood. A recent logic model proposed categories of support from both health sector and communities that influence CHW performance and program outcomes. This logic model has been used to review a growth monitoring program delivered by CHWs in Honduras, known as Atención Integral a la Niñez en la Comunidad (AIN-C). A retrospective review of AIN-C was conducted through a document desk review and supplemented with in-depth interviews. Documents were systematically coded using the categories from the logic model, and gaps were addressed through interviews. Authors reviewed coded data for each category to analyze program details and outcomes as well as identify potential issues and gaps in the logic model. Categories from the logic model were inconsistently represented, with more information available for health sector than community. Context and input activities were not well documented. Information on health sector systems-level activities was available for governance but limited for other categories, while not much was found for community systems-level activities. Most available information focused on program-level activities with substantial data on technical support. Output, outcome, and impact data were drawn from various resources and suggest mixed results of AIN-C on indicators of interest. Assessing CHW performance through a desk review left gaps that could not be addressed about the relationship of activities and performance. There were critical characteristics of program design that made it contextually appropriate; however, it was difficult to identify clear links between AIN-C and malnutrition indicators. Regarding the logic model, several categories were too broad (e.g., technical support, context) and some aspects of AIN-C did not fit neatly in logic model categories (e.g., political commitment, equity, flexibility in implementation). The

  1. VISUAL ART TEACHERS AND PERFORMANCE ASSESSMENT ...

    African Journals Online (AJOL)

    Charles

    Senior Secondary school visual art teachers constituted the sample of this ... and Performance Assessment Methods in Nigerian Senior Secondary Schools – Bello .... definition includes knowledge, skills, attitudes, metacognition and strategic ...

  2. Assessing recall in mothers' retrospective reports: concerns over children's speech and language development.

    Science.gov (United States)

    Russell, Ginny; Miller, Laura L; Ford, Tamsin; Golding, Jean

    2014-01-01

    Retrospective recall about children's symptoms is used to establish early developmental patterns in clinical practice and is also utilised in child psychopathology research. Some studies have indicated that the accuracy of retrospective recall is influenced by life events. Our hypothesis was that an intervention: speech and language therapy, would adversely affect the accuracy of parent recall of early concerns about their child's speech and language development. Mothers (n = 5,390) reported on their child's speech development (child male to female ratio = 50:50) when their children were aged 18 or 30 months, and also reported on these early concerns retrospectively, 10 years later, when their children were 13 years old. Overall reliability of retrospective recall was good, 86 % of respondents accurately recalling their earlier concerns. As hypothesised, however, the speech and language intervention was strongly associated with inaccurate retrospective recall about concerns in the early years (Relative Risk Ratio = 19.03; 95 % CI:14.78-24.48). Attendance at speech therapy was associated with increased recall of concerns that were not reported at the time. The study suggests caution is required when interpreting retrospective reports of abnormal child development as recall may be influenced by intervening events.

  3. Enabling performance skills: Assessment in engineering education

    Science.gov (United States)

    Ferrone, Jenny Kristina

    Current reform in engineering education is part of a national trend emphasizing student learning as well as accountability in instruction. Assessing student performance to demonstrate accountability has become a necessity in academia. In newly adopted criterion proposed by the Accreditation Board for Engineering and Technology (ABET), undergraduates are expected to demonstrate proficiency in outcomes considered essential for graduating engineers. The case study was designed as a formative evaluation of freshman engineering students to assess the perceived effectiveness of performance skills in a design laboratory environment. The mixed methodology used both quantitative and qualitative approaches to assess students' performance skills and congruency among the respondents, based on individual, team, and faculty perceptions of team effectiveness in three ABET areas: Communications Skills. Design Skills, and Teamwork. The findings of the research were used to address future use of the assessment tool and process. The results of the study found statistically significant differences in perceptions of Teamwork Skills (p performance skills, such as teamwork, among freshman engineering students; (2) incorporate feedback into the learning process; (3) strengthen the assessment process with a follow-up plan that specifically targets performance skill deficiencies, and (4) integrate the assessment instrument and practice with ongoing curriculum development. The findings generated by this study provides engineering departments engaged in assessment activity, opportunity to reflect, refine, and develop their programs as it continues. It also extends research on ABET competencies of engineering students in an under-investigated topic of factors correlated with team processes, behavior, and student learning.

  4. Personality, Assessment Methods and Academic Performance

    Science.gov (United States)

    Furnham, Adrian; Nuygards, Sarah; Chamorro-Premuzic, Tomas

    2013-01-01

    This study examines the relationship between personality and two different academic performance (AP) assessment methods, namely exams and coursework. It aimed to examine whether the relationship between traits and AP was consistent across self-reported versus documented exam results, two different assessment techniques and across different…

  5. Chronic nausea in advanced cancer patients: a retrospective assessment of a metoclopramide-based antiemetic regimen.

    Science.gov (United States)

    Bruera, E; Seifert, L; Watanabe, S; Babul, N; Darke, A; Harsanyi, Z; Suarez-Almazor, M

    1996-03-01

    The purpose of this retrospective study is to assess the frequency and intensity of chronic nausea in patients admitted to the Palliative Care Unit and the results of a metoclopramide-based treatment regimen. We reviewed the medical records of 100 consecutive patients admitted to the Palliative Care Unit at the Edmonton General Hospital until death during 1992-1993. All patients had terminal cancer and normal cognitive function. All patients completed the Functional Analogue Scale for appetite, nausea, pain, activity, shortness of breath, and sensation of well-being at 1000 and 1600 hours every day. Patients who complained of nausea initially received metoclopramide 10 mg every 4 hr orally or subcutaneously (Step 1). If nausea persisted, dexamethasone 10 mg twice daily was added (Step 2). Step 3 consisted of a continuous subcutaneous infusion of metoclopramide of 60-120 mg/day plus dexamethasone. If no response was observed, other antiemetics were administered (Step 4). Upon admission to the unit, 32 patients (32%) presented with nausea. During the average admission of 25 +/- 13 days, 98 patients (98%) developed nausea. Twenty-five patients (25%) required other antiemetics because of bowel obstruction (18), extrapyramidal side effects (3), or other reasons (4). Most patients without bowel obstruction achieved excellent control of nausea using the metoclopramide-based regimen. During the first 5 days and last 5 days of admission, nausea had significantly lower intensity than the rest of the symptoms that were monitored. Our results suggest that, although nausea is very frequent, it can be well controlled in the majority of patients using safe and simple antiemetic regimens.

  6. Assessing Vocal Performances Using Analytical Assessment: A Case Study

    Science.gov (United States)

    Gynnild, Vidar

    2016-01-01

    This study investigated ways to improve the appraisal of vocal performances within a national academy of music. Since a criterion-based assessment framework had already been adopted, the conceptual foundation of an assessment rubric was used as a guide in an action research project. The group of teachers involved wanted to explore thinking…

  7. Physician Performance Assessment: Prevention of Cardiovascular Disease

    Science.gov (United States)

    Lipner, Rebecca S.; Weng, Weifeng; Caverzagie, Kelly J.; Hess, Brian J.

    2013-01-01

    Given the rising burden of healthcare costs, both patients and healthcare purchasers are interested in discerning which physicians deliver quality care. We proposed a methodology to assess physician clinical performance in preventive cardiology care, and determined a benchmark for minimally acceptable performance. We used data on eight…

  8. Assessing irrigation performance by using remote sensing

    NARCIS (Netherlands)

    Bandara, K.M.P.S.

    2006-01-01

    Keywords: Performance indicators, performance assessment, diagnostic approach, SEBAL, target level, grain yield, water productivity, error estimation, spatio-temporal resolution.

    In

  9. Performing the lockout/tagout risk assessment.

    Science.gov (United States)

    Wallace, W Jon

    2007-03-01

    Lockout/tagout provides the greatest level routine, repetitive, and integral to the production process, a risk assessment should be performed. If the task performed poses an unacceptable risk, acceptable risk reduction methods should be implemented to reduce the risk to acceptable levels.

  10. Prenatal Opioid Exposure and Intermittent Hypoxemia in Preterm Infants: A Retrospective Assessment

    Directory of Open Access Journals (Sweden)

    Elie G. Abu Jawdeh

    2017-12-01

    Full Text Available IntroductionIntermittent hypoxemia (IH is defined as episodic drops in oxygen saturation (SpO2. Preterm infants are at increased risk for IH due to their immature respiratory control/apnea of prematurity. The clinical relevance of IH is a relatively new observation with rising evidence linking IH to neonatal morbidities and long-term impairment. Hence, assessing factors that influence IH in preterm infants is imperative. Given the epidemic of opioid misuse in the USA, there is an urgent need to understand the impact of prenatal opioid exposure on neonatal outcomes. Hence, we wanted to assess the relationship between isolated prenatal opioid exposure and IH in preterm infants.MethodsIn order to accurately calculate IH, SpO2 data were prospectively collected using high-resolution pulse oximeters during the first 8 weeks of life in preterm infants less than 30 weeks gestational age. Data related to prenatal opioid misuse were retrospectively collected from medical charts. Infants with tobacco or poly-drug exposure were excluded. The primary outcome measure is percent time spent with SpO2 below 80% (%time-SpO2 < 80. The secondary outcome measure is the number of severe IH events/week with SpO2 less than 80% (IH-SpO2 < 80.ResultsA total of 82 infants with isolated opioid exposure (n = 14 or who were unexposed (n = 68 were included. There were no significant differences in baseline characteristics between opioid exposed and unexposed groups. There was a statistically significant increase of 0.23 (95% CI: 0.03, 0.43, p = 0.03 in mean of the square root of %time-SpO2 < 80. The number of IH-SpO2 < 80 events was higher in the opioid exposed group (mean difference = 2.95, 95% CI: −0.35, 6.25, p-value = 0.08, although statistical significance was not quite attained.ConclusionThis study shows that preterm infants prenatally exposed to opioids have increased IH measures compared to unexposed infants. Interestingly

  11. Prenatal Opioid Exposure and Intermittent Hypoxemia in Preterm Infants: A Retrospective Assessment.

    Science.gov (United States)

    Abu Jawdeh, Elie G; Westgate, Philip M; Pant, Amrita; Stacy, Audra L; Mamilla, Divya; Gabrani, Aayush; Patwardhan, Abhijit; Bada, Henrietta S; Giannone, Peter

    2017-01-01

    Intermittent hypoxemia (IH) is defined as episodic drops in oxygen saturation (SpO 2 ). Preterm infants are at increased risk for IH due to their immature respiratory control/apnea of prematurity. The clinical relevance of IH is a relatively new observation with rising evidence linking IH to neonatal morbidities and long-term impairment. Hence, assessing factors that influence IH in preterm infants is imperative. Given the epidemic of opioid misuse in the USA, there is an urgent need to understand the impact of prenatal opioid exposure on neonatal outcomes. Hence, we wanted to assess the relationship between isolated prenatal opioid exposure and IH in preterm infants. In order to accurately calculate IH, SpO 2 data were prospectively collected using high-resolution pulse oximeters during the first 8 weeks of life in preterm infants less than 30 weeks gestational age. Data related to prenatal opioid misuse were retrospectively collected from medical charts. Infants with tobacco or poly-drug exposure were excluded. The primary outcome measure is percent time spent with SpO 2 below 80% (%time-SpO 2  < 80). The secondary outcome measure is the number of severe IH events/week with SpO 2 less than 80% (IH-SpO 2  < 80). A total of 82 infants with isolated opioid exposure ( n  = 14) or who were unexposed ( n  = 68) were included. There were no significant differences in baseline characteristics between opioid exposed and unexposed groups. There was a statistically significant increase of 0.23 (95% CI: 0.03, 0.43, p  = 0.03) in mean of the square root of %time-SpO 2  < 80. The number of IH-SpO 2  < 80 events was higher in the opioid exposed group (mean difference = 2.95, 95% CI: -0.35, 6.25, p -value = 0.08), although statistical significance was not quite attained. This study shows that preterm infants prenatally exposed to opioids have increased IH measures compared to unexposed infants. Interestingly, the increased IH in the opioid

  12. Assessing early communication skills at 12 months: a retrospective study of Autism Spectrum Disorder.

    Science.gov (United States)

    Swain, Nathaniel Robert; Eadie, Patricia Ann; Prior, Margot Ruth; Reilly, Sheena

    2015-07-01

    Early identification of Autism Spectrum Disorder (ASD) is currently limited by the absence of reliable biological markers for the disorder, as well as the reliability of screening and assessment tools for children aged between 6 and 18 months. Ongoing research has demonstrated the importance of early social communication skills in differentiating children later diagnosed with ASD from their typically developing (TD) peers, but researchers have not yet investigated whether these differences can be detected using community-ascertained systematic observation data as early as 12 months. To investigate whether differences in early social communication skills can be detected at 12 months of age, comparing children later diagnosed with ASD, and TD peers; and to determine whether differences remain when groupings are based on age of subsequent ASD diagnosis. From a prospective community-ascertained sample, we collected data on children in early life, then conducted retrospective analyses for those children who were later diagnosed with ASD by the age of 7 years, compared with matched TD peers. We analysed standardized observational data of early communication skills, collected using the Communication and Symbolic Behavior Scales-Developmental Profile (CSBS-DP) Behavior Sample, when participants were 12 months of age. Children in the ASD group exhibited significantly lower social communication skills than the TD group, including on the Total score and Social and Symbolic Composite scores of the CSBS-DP Behavior Sample. Differences on the Total score and Social Composite were also detected for both early and late ASD diagnosis groups when compared with the TD group. These findings give further support for the importance of social communication in assessing children at risk of ASD as early as 12 months of age. Future research could evaluate the sensitivity and specificity of direct observation of these early communication skills as diagnostic indicators for ASD at 12 months

  13. Gamma camera performance: technical assessment protocol

    International Nuclear Information System (INIS)

    Bolster, A.A.; Waddington, W.A.

    1996-01-01

    This protocol addresses the performance assessment of single and dual headed gamma cameras. No attempt is made to assess the performance of any associated computing systems. Evaluations are usually performed on a gamma camera commercially available within the United Kingdom and recently installed at a clinical site. In consultation with the manufacturer, GCAT selects the site and liaises with local staff to arrange a mutually convenient time for assessment. The manufacturer is encouraged to have a representative present during the evaluation. Three to four days are typically required for the evaluation team to perform the necessary measurements. When access time is limited, the team will modify the protocol to test the camera as thoroughly as possible. Data are acquired on the camera's computer system and are subsequently transferred to the independent GCAT computer system for analysis. This transfer from site computer to the independent system is effected via a hardware interface and Interfile data transfer. (author)

  14. Gamma camera performance: technical assessment protocol

    Energy Technology Data Exchange (ETDEWEB)

    Bolster, A.A. [West Glasgow Hospitals NHS Trust, London (United Kingdom). Dept. of Clinical Physics; Waddington, W.A. [University College London Hospitals NHS Trust, London (United Kingdom). Inst. of Nuclear Medicine

    1996-12-31

    This protocol addresses the performance assessment of single and dual headed gamma cameras. No attempt is made to assess the performance of any associated computing systems. Evaluations are usually performed on a gamma camera commercially available within the United Kingdom and recently installed at a clinical site. In consultation with the manufacturer, GCAT selects the site and liaises with local staff to arrange a mutually convenient time for assessment. The manufacturer is encouraged to have a representative present during the evaluation. Three to four days are typically required for the evaluation team to perform the necessary measurements. When access time is limited, the team will modify the protocol to test the camera as thoroughly as possible. Data are acquired on the camera`s computer system and are subsequently transferred to the independent GCAT computer system for analysis. This transfer from site computer to the independent system is effected via a hardware interface and Interfile data transfer. (author).

  15. Safety assessment of an anti-obesity drug (sibutramine): a retrospective cohort study.

    Science.gov (United States)

    Tyczynski, Jerzy E; Oleske, Denise M; Klingman, David; Ferrufino, Cheryl P; Lee, Won Chan

    2012-08-01

    the UK [Germany: HR 0.47 (95% CI 0.17, 1.26), 0.43 (0.23, 0.81) and 0.44 (0.26, 0.75), respectively; UK: HR 0.44 (0.15, 1.31), 0.63 (0.25, 1.60) and 0.54 (0.27, 1.10), respectively]. Regardless of whether or not the model controlled for prior CV disease (CVD), the direction and statistical significance of the differences did not change. In the sensitivity analyses including only those without a history of CVD in the 365 days prior to the index date there was no increased risk of CV events in either Germany or the UK. This study offers a framework for the safety assessment of anti-obesity drugs using an observational epidemiological study design. Large electronic health databases were used to construct retrospective cohorts to examine the risk in a population using one specific anti-obesity drug. Use of sibutramine in general practice settings was not found to increase the risk of acute CV events.

  16. Assessment of Double Outlet Right Ventricle Associated with Multiple Malformations in Pediatric Patients Using Retrospective ECG-Gated Dual-Source Computed Tomography.

    Directory of Open Access Journals (Sweden)

    Ke Shi

    Full Text Available To evaluate the feasibility and diagnostic accuracy of retrospective electrocardiographically (ECG-gated dual-source computed tomography (DSCT for the assessment of double outlet right ventricle (DORV and associated multiple malformations in pediatric patients.Forty-seven patients <10 years of age with DORV underwent retrospective ECG-gated DSCT. The location of the ventricular septal defect (VSD, alignment of the two great arteries, and associated malformations were assessed. The feasibility of retrospective ECG-gated DSCT in pediatric patients was assessed, the image quality of DSCT and the agreement of the diagnosis of associated malformations between DSCT and transthoracic echocardiography (TTE were evaluated, the diagnostic accuracies of DSCT and TTE were referred to surgical results, and the effective doses were calculated.Apart from DORV, 109 associated malformations were confirmed postoperatively. There was excellent agreement (κ = 0.90 for the diagnosis of associated malformations between DSCT and TTE. However, DSCT was superior to TTE in demonstrating paracardiac anomalies (sensitivity, coronary artery anomalies: 100% vs. 80.00%, anomalies of great vessels: 100% vs. 88.57%, separate thoracic and abdominal anomalies: 100% vs. 76.92%, respectively. Combined with TTE, DSCT can achieve excellent diagnostic performance in intracardiac anomalies (sensitivity, 91.30% vs. 100%. The mean image quality score was 3.70 ± 0.46 (κ = 0.76. The estimated mean effective dose was < 1 mSv (0.88 ± 0.34 mSv.Retrospective ECG-gated DSCT is a better diagnostic tool than TTE for pediatric patients with complex congenital heart disease such as DORV. Combined with TTE, it may reduce or even obviate the use of invasive cardiac catheterization, and thus expose the patients to a much lower radiation dose.

  17. 5th Total System Performance Assessment Workshop

    International Nuclear Information System (INIS)

    Hwang, Yong Soo; Lee, Youn Myoung; Kang, Chul Hyung; Lee, Sung Ho

    2009-07-01

    Research items on safety assessment of high-level waste repository have been proposed by external invited experts outside KAERI and discussed extensively during the annual 5th performance assessment workshop prepared by safety assessment group in KAERI. This could be useful to set up R and D plans necessary for the next phase of mid- and long-term reaserch area regarding the safety assessment of high-level waste repository. Through the research and the presentation, HLW-related research and development area including such specific research items as current status of HLW safety assessment research, current requirement for the licensing of the repository system, priority on research area, data base building for the safety assessment, source-term modeling as well as safety case, among many others, have been discussed and summarized

  18. Value of 3D-Volume Rendering in the Assessment of Coronary Arteries with Retrospectively Ecg-Gated Multislice Spiral CT

    International Nuclear Information System (INIS)

    Mahnken, A.H.; Wildberger, J.E.; Dedden, K.; Schmitz-Rode, T.; Guenther, R.W.; Sinha, A.M.; Hoffmann, R.; Stanzel, S.

    2003-01-01

    Purpose: To assess the diagnostic value and measurement precision of 3D volume rendering technique (3D-VRT) from retrospectively ECG-gated multislice spiral CT (MSCT) data sets for imaging of the coronary arteries. Material and Methods: In 35 patients, retrospectively ECG-gated MSCT of the heart using a four detector row MSCT scanner with a standardized examination protocol was performed as well as quantitative X-ray coronary angiography (QCA). The MSCT data was assessed on segmental basis using 3D-VRT exclusively. The coronary artery diameters were measured at the origin of each main coronary branch and 1 cm, 3 cm and 5 cm distally. The minimum, maximum and mean diameters were determined from MSCT angiography and compared to QCA. Results: A total of 353 of 525 (67.2%) coronary artery segments were assessable by MSCT angiography. The proximal segments were more often assessable when compared to the distal segments. Stenoses were detected with a sensitivity of 82.6% and a specificity of 92.8%. According to the Bland-Altman method the mean differences between QCA and MSCT ranged from 0.55 to 1.07 mm with limits of agreement from 2.2 mm to 2.7 mm. Conclusion: When compared to QCA, the ability of 3D-VRT to quantitatively assess coronary artery diameters and coronary artery stenoses is insufficient for clinical purposes

  19. Retrospective beryllium exposure assessment at the Rocky Flats Environmental Technology site

    International Nuclear Information System (INIS)

    Barnard, A.E.; Torma-Krajewski, J.; Viet, S.M.

    1997-01-01

    Since the 1960's, beryllium machining was performed to make nuclear weapon components at the Department of Energy (DOE) Rocky Flats Plant. Beryllium exposure was assessed via fixed airhead (FAH) sampling in which the filter cassette was affixed to the machine, generally within a few feet of the worker's breathing zone. Approximately 500,000 FAH samples were collected for beryllium over three decades. From 1984 to 1987, personal breathing zone (PBZ) samples were also collected as part of the evaluation of a new high velocity/low volume local exhaust ventilation (HV/LV LEV) system. The purpose of this study was to determine how the two types of sampling data could be used for an exposure assessment in the beryllium shop

  20. Small animal PET: aspects of performance assessment

    International Nuclear Information System (INIS)

    Weber, Simone; Bauer, Andreas

    2004-01-01

    Dedicated small animal positron emission tomography (PET) systems are increasingly prevalent in industry (e.g. for preclinical drug development) and biological research. Such systems permit researchers to perform animal studies of a longitudinal design characterised by repeated measurements in single animals. With the advent of commercial systems, scanners have become readily available and increasingly popular. As a consequence, technical specifications are becoming more diverse, making scanner systems less broadly applicable. The investigator has, therefore, to make a decision regarding which type of scanner is most suitable for the intended experiments. This decision should be based on gantry characteristics and the physical performance. The first few steps have been taken towards standardisation of the assessment of performance characteristics of dedicated animal PET systems, though such assessment is not yet routinely implemented. In this review, we describe current methods of evaluation of physical performance parameters of small animal PET scanners. Effects of methodologically different approaches on the results are assessed. It is underscored that particular attention has to be paid to spatial resolution, sensitivity, scatter fraction and count rate performance. Differences in performance measurement methods are described with regard to commercially available systems, namely the Concorde MicroPET systems P4 and R4 and the quad-HIDAC. Lastly, consequences of differences in scanner performance parameters are rated with respect to applications of small animal PET. (orig.)

  1. Key performance indicators in intensive care medicine. A retrospective matched cohort study.

    Science.gov (United States)

    Kastrup, M; von Dossow, V; Seeling, M; Ahlborn, R; Tamarkin, A; Conroy, P; Boemke, W; Wernecke, K-D; Spies, Claudia

    2009-01-01

    Expert panel consensus was used to develop evidence-based process indicators that were independent risk factors for the main clinical outcome parameters of length of stay in the intensive care unit (ICU) and mortality. In a retrospective, matched data analysis of patients from five ICUs at a tertiary university hospital, agreed process indicators (sedation monitoring, pain monitoring, mean arterial pressure [MAP] >or= 60 mmHg, tidal volume [TV] or= 80 and or= 60 mmHg and BG >or= 80 mg/dl were relevant for survival. Linear regression of the 634 patients showed that analgesia monitoring, PIP or= 60 mmHg, BG >or= 80 mg/dl and indicating that adherence to evidence-based key process indicators may reduce mortality and length of ICU stay.

  2. Financial analysis of potential retrospective premium assessments under the Price-Anderson system

    International Nuclear Information System (INIS)

    Wood, R.S.

    1985-04-01

    Ten representative nuclear utilities have been analyzed over the period 1981 to 1983 to evaluate the effects of three levels of retrospective premiums on various financial indicators. This analysis continues and expands on earlier analyses prepared as background for deliberations by the US Congress for possible extension or modification of the Price-Anderson Act

  3. Retrospective estimation of patient dose-area product in thoracic spine tomosynthesis performed using VolumeRAD

    International Nuclear Information System (INIS)

    Baath, Magnus; Svalkvist, Angelica; Soederman, Christina

    2016-01-01

    The aim of this study was to evaluate the use of a recently developed method of retrospectively estimating the patient dose-area product (DAP) of a chest tomosynthesis examination, performed using VolumeRAD, in thoracic spine tomosynthesis and to determine the necessary field-size correction factor. Digital imaging and communications in medicine (DICOM) data for the projection radiographs acquired during a thoracic spine tomosynthesis examination were retrieved directly from the modality for 17 patients. Using the previously developed method, an estimated DAP for the tomosynthesis examination was determined from DICOM data in the scout image. By comparing the estimated DAP with the actual DAP registered for the projection radiographs, a field-size correction factor was determined. The field-size correction factor for thoracic spine tomosynthesis was determined to 0.92. Applying this factor to the DAP estimated retrospectively, the maximum difference between the estimated DAP and the actual DAP was <3 %. In conclusion, the previously developed method of retrospectively estimating the DAP in chest tomosynthesis can be applied to thoracic spine tomosynthesis. (authors)

  4. Performance success from self-assessments

    International Nuclear Information System (INIS)

    Hughes, G.

    1996-01-01

    This paper provides information on and successes of self-assessments completed at the Callaway plant. It stresses the vital needs and substantial benefits from these continual self-improvement efforts. The Callaway plant staff use a variety of methods and techniques to do self-assessments with the focus on performance outcomes. Self-assessments help Callaway focus on the priority issues and direct resources properly. Callaway's success has been due to this learning culture. The Callaway plant is a Westinghouse four-loop plant in the state of Missouri and has been operational since 1984

  5. Assessing the Performance of Natural Resource Systems

    Directory of Open Access Journals (Sweden)

    Bruce Campbell

    2002-01-01

    Full Text Available Assessing the performance of management is central to natural resource management, in terms of improving the efficiency of interventions in an adaptive-learning cycle. This is not simple, given that such systems generally have multiple scales of interaction and response; high frequency of nonlinearity, uncertainty, and time lags; multiple stakeholders with contrasting objectives; and a high degree of context specificity. The importance of bounding the problem and preparing a conceptual model of the system is highlighted. We suggest that the capital assets approach to livelihoods may be an appropriate organizing principle for the selection of indicators of system performance. In this approach, five capital assets are recognized: physical, financial, social, natural, and human. A number of principles can be derived for each capital asset; indicators for assessing system performance should cover all of the principles. To cater for multiple stakeholders, participatory selection of indicators is appropriate, although when cross-site comparability is required, some generic indicators are suitable. Because of the high degree of context specificity of natural resource management systems, a typology of landscapes or resource management domains may be useful to allow extrapolation to broader systems. The problems of nonlinearities, uncertainty, and time lags in natural resource management systems suggest that systems modeling is crucial for performance assessment, in terms of deriving "what would have happened anyway" scenarios for comparison to the measured trajectory of systems. Given that a number of indicators are necessary for assessing performance, the question becomes whether these can be combined to give an integrative assessment. We explore five possible approaches: (1 simple additive index, as used for the Human Development Index; (2 derived variables (e.g., principal components as the indices of performance; (3 two-dimensional plots of

  6. Dehydration: physiology, assessment, and performance effects.

    Science.gov (United States)

    Cheuvront, Samuel N; Kenefick, Robert W

    2014-01-01

    This article provides a comprehensive review of dehydration assessment and presents a unique evaluation of the dehydration and performance literature. The importance of osmolality and volume are emphasized when discussing the physiology, assessment, and performance effects of dehydration. The underappreciated physiologic distinction between a loss of hypo-osmotic body water (intracellular dehydration) and an iso-osmotic loss of body water (extracellular dehydration) is presented and argued as the single most essential aspect of dehydration assessment. The importance of diagnostic and biological variation analyses to dehydration assessment methods is reviewed and their use in gauging the true potential of any dehydration assessment method highlighted. The necessity for establishing proper baselines is discussed, as is the magnitude of dehydration required to elicit reliable and detectable osmotic or volume-mediated compensatory physiologic responses. The discussion of physiologic responses further helps inform and explain our analysis of the literature suggesting a ≥ 2% dehydration threshold for impaired endurance exercise performance mediated by volume loss. In contrast, no clear threshold or plausible mechanism(s) support the marginal, but potentially important, impairment in strength, and power observed with dehydration. Similarly, the potential for dehydration to impair cognition appears small and related primarily to distraction or discomfort. The impact of dehydration on any particular sport skill or task is therefore likely dependent upon the makeup of the task itself (e.g., endurance, strength, cognitive, and motor skill). © 2014 American Physiological Society.

  7. Performance assessment of gamma cameras. Part 1

    International Nuclear Information System (INIS)

    Elliot, A.T.; Short, M.D.; Potter, D.C.; Barnes, K.J.

    1980-11-01

    The Dept. of Health and Social Security and the Scottish Home and Health Dept. has sponsored a programme of measurements of the important performance characteristics of 15 leading types of gamma cameras providing a routine radionuclide imaging service in hospitals throughout the UK. Measurements have been made of intrinsic resolution, system resolution, non-uniformity, spatial distortion, count rate performance, sensitivity, energy resolution and shield leakage. The main aim of this performance assessment was to provide sound information to the NHS to ease the task of those responsible for the purchase of gamma cameras. (U.K.)

  8. Performance Assessment Position Paper: Time for Compliance

    International Nuclear Information System (INIS)

    Wilhite, E.L.

    2003-01-01

    This study lays out the historical development of the time frame for a low-level waste disposal facility to demonstrate compliance with the DOE performance objectives and requirements. The study recommends that 1,000 years should be used as the time for compliance for all of the performance objectives and requirements (i.e., for the all-pathways, air pathway, radon emanation, water resource protection and inadvertent intruder analyses) for all low-level waste disposal facility performance assessments at the Savannah River Site

  9. Assessing the Performance of Business Unit Managers

    NARCIS (Netherlands)

    Bouwens, J.F.M.G.; van Lent, L.A.G.M.

    2006-01-01

    Using a sample of 140 managers, we investigate the use of various performance metrics in determining the periodic assessment, bonus decisions, and career paths of business unit managers.We show that the weight on accounting return measures is associated with the authority of these managers, and we

  10. The Visible Hand of Research Performance Assessment

    Science.gov (United States)

    Hamann, Julian

    2016-01-01

    Far from allowing a governance of universities by the invisible hand of market forces, research performance assessments do not just measure differences in research quality, but yield themselves visible symptoms in terms of a stratification and standardization of disciplines. The article illustrates this with a case study of UK history departments…

  11. Performance assessment of indigenously developed FBG strain ...

    Indian Academy of Sciences (India)

    Use of FBG sensors for real time health monitoring of various civil engineering structures is well-established in western world since last decade, whereas in the Indian context this technology is still in a nascent stage. In this paper, performance assessment of indigenously developed FBG sensors for the application of health ...

  12. An overview of performance assessment methodology

    International Nuclear Information System (INIS)

    Hongnian Jow

    2010-01-01

    The definition of performance assessment (PA) within the context of a geologic repository program is a post-closure safety assessment; a system analysis of hazards associated with the facility and the ability of the site and the design of the facility to provide for the safety functions. For the last few decades, PA methodology bas been developed and applied to different waste disposal programs around the world. PA has been used in the safety analyses for waste disposal repositories for low-level waste, intermediate level waste, and high-level waste including spent nuclear fuels. This paper provides an overview of the performance assessment methodology and gives examples of its applications for the Yucca Mountain Project. (authors)

  13. Retrospectively assessed physical work environment during working life and risk of sickness absence and labour market exit among older workers

    DEFF Research Database (Denmark)

    Sundstrup, Emil; Hansen, Åse Marie; Mortensen, Erik Lykke

    2018-01-01

    OBJECTIVE: To determine the prospective association between retrospectively assessed physical work environment during working life and prospectively assessed sickness absence and labour market exit among older workers. METHODS: Using Cox regression analyses we estimated the 4-year to 6-year...... and exposure to several factors in the physical work environment, especially heavy lifting, were important for labour market exit and sickness absence. This study underscores the importance of reducing physical work exposures throughout the working life course for preventing sickness absence and premature exit...... from the labour market....

  14. Performance evaluation of phage-displayed synthetic human single-domain antibody libraries: A retrospective analysis.

    Science.gov (United States)

    Henry, Kevin A; Tanha, Jamshid

    2018-05-01

    Fully human synthetic single-domain antibodies (sdAbs) are desirable therapeutic molecules but their development is a considerable challenge. Here, using a retrospective analysis of in-house historical data, we examined the parameters that impact the outcome of screening phage-displayed synthetic human sdAb libraries to discover antigen-specific binders. We found no evidence for a differential effect of domain type (V H or V L ), library randomization strategy, incorporation of a stabilizing disulfide linkage or sdAb display format (monovalent vs. multivalent) on the probability of obtaining any antigen-binding human sdAbs, instead finding that the success of library screens was primarily related to properties of target antigens, especially molecular mass. The solubility and binding affinity of sdAbs isolated from successful screens depended both on properties of the sdAb libraries (primarily domain type) and the target antigens. Taking attrition of sdAbs with major manufacturability concerns (aggregation; low expression) and sdAbs that do not recognize native cell-surface antigens as independent probabilities, we calculate the overall likelihood of obtaining ≥1 antigen-binding human sdAb from a single library-target screen as ~24%. Successful library-target screens should be expected to yield ~1.3 human sdAbs on average, each with average binding affinity of ~2 μM. Copyright © 2018 Elsevier B.V. All rights reserved.

  15. Radioactive Waste Management Complex performance assessment: Draft

    Energy Technology Data Exchange (ETDEWEB)

    Case, M.J.; Maheras, S.J.; McKenzie-Carter, M.A.; Sussman, M.E.; Voilleque, P.

    1990-06-01

    A radiological performance assessment of the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory was conducted to demonstrate compliance with appropriate radiological criteria of the US Department of Energy and the US Environmental Protection Agency for protection of the general public. The calculations involved modeling the transport of radionuclides from buried waste, to surface soil and subsurface media, and eventually to members of the general public via air, ground water, and food chain pathways. Projections of doses were made for both offsite receptors and individuals intruding onto the site after closure. In addition, uncertainty analyses were performed. Results of calculations made using nominal data indicate that the radiological doses will be below appropriate radiological criteria throughout operations and after closure of the facility. Recommendations were made for future performance assessment calculations.

  16. Radioactive Waste Management Complex performance assessment: Draft

    International Nuclear Information System (INIS)

    Case, M.J.; Maheras, S.J.; McKenzie-Carter, M.A.; Sussman, M.E.; Voilleque, P.

    1990-06-01

    A radiological performance assessment of the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory was conducted to demonstrate compliance with appropriate radiological criteria of the US Department of Energy and the US Environmental Protection Agency for protection of the general public. The calculations involved modeling the transport of radionuclides from buried waste, to surface soil and subsurface media, and eventually to members of the general public via air, ground water, and food chain pathways. Projections of doses were made for both offsite receptors and individuals intruding onto the site after closure. In addition, uncertainty analyses were performed. Results of calculations made using nominal data indicate that the radiological doses will be below appropriate radiological criteria throughout operations and after closure of the facility. Recommendations were made for future performance assessment calculations

  17. Use of multiple-site performance-contingent SEMG reward programming in pediatric rehabilitation: a retrospective review.

    Science.gov (United States)

    Bolek, Jeffrey E

    2006-09-01

    We completed a retrospective review of the effectiveness of multi-site, performance-contingent reward programming on functional change in motor performance of 16 treatment resistant children. Patients were previously treated in physical or occupational therapy for head control, standing balance training, sitting and upper extremity use (brachial plexus injury). They then participated in a program that utilized multiple surface electromyography sites the use of which was rewarded with videos for performing the correct constellation of recruitment pattern (e.g., contracting some muscles while relaxing others). Onset of reward was calibrated for each patient and transfer of skill to outside the clinic was encouraged by linking a verbal cue to the correct motor plan. Fourteen of the 16 patients improved. The implications of the use of this technique in the treatment of motor dysfunction is discussed.

  18. The effects of performance-based assessment criteria on student performance and self-assessment skills

    NARCIS (Netherlands)

    Fastré, Greet; Van der Klink, Marcel; Van Merriënboer, Jeroen

    2010-01-01

    Fastré, G. M. J., Van der Klink, M. R., & Van Merriënboer, J. J. G. (2010). The effects of performance-based assessment criteria on student performance and self-assessment skills. Advances in Health Science Education, 15(4), 517-532.

  19. [Role of biometric analysis in the retrospective assessment of exposure to asbestos].

    Science.gov (United States)

    Pairon, J C; Dumortier, P

    1999-12-01

    Despite intrinsic limitations due to differences in the bio-persistence of the various asbestos types, in the definition of control populations and in analytical techniques used by the laboratories, mineralogical analysis of biological samples is useful in the assessment of past exposure to asbestos. It provides additional information to occupational and environmental questionnaires, particularly when exposure to asbestos is doubtful, unknown or forgotten by a subject. Results should be interpreted taking into account clinical information. A positive result does not mean existence of asbestos-related disease. A negative result does not exclude previous significant asbestos exposure, clearly identified by an occupational questionnaire (particularly for exposure to chrysotile). Threshold values indicative of a high probability of previous asbestos exposure have been established for bronchoalveolar lavage fluid (BALF) samples and lung tissue samples. Quantification of asbestos bodies by light microscopy is easy to perform. Sensitivity and specificity of this analysis towards the total pulmonary asbestos fiber burden is good. Therefore this analysis should be performed first. Mineralogical analysis in BALF or lung tissue should be considered only when sampling is supported by diagnostic or therapeutic implications.

  20. Performance curves of medical researchers during their career: analysis of scientific production from a retrospective cohort.

    Science.gov (United States)

    Duclos, Antoine; Herquelot, Eléonore; Polazzi, Stéphanie; Malbezin, Muriel; Claris, Olivier

    2017-02-24

    To establish the pattern of change in individual scientific production over the career of medical researchers. Retrospective cohort based on prospectively collected data in a hospital information system. Multicentre university hospital in France. Two distinct populations of 1835 researchers (full professors vs non-academic physicians) having produced 44 723 publications between 1995 and 2014. Annual number of publications referenced in Medline/PubMed with a sensitivity analysis based on publications as first/last author and in high impact journals. The individual volume of publications was modelled by age using generalised estimating equations adjusted for birth cohort, biomedical discipline and academic position of researchers. Averaged over the whole career, the annual number of publications was 5.28 (95% CI 4.90 to 5.69) among professors compared to 0.82 (95% CI 0.76 to 0.89) among non-academic physicians (pscientific production between 25 and 35 years (adjusted incidence rate ratio 102.20, 95% CI 60.99 to 171.30), a maturation phase with a slower increase from 35 to 50 years (2.10, 95% CI 1.75 to 2.51) until a stabilisation phase with constant production followed by a potential decline at the end of career (0.90, 95% CI 0.77 to 1.06). The non-academic physicians experienced a slower pace of learning curve at the beginning of their careers (42.38, 95% CI 25.37 to 70.81) followed by a smaller increase in the annual number of publications (1.29, 95% CI 1.11 to 1.51). Compared to full professors, non-academic physicians had a poor capacity to publish, indicating a low productivity when medical doctors have limited time or little interest in undertaking research. This finding highlights the potential for rethinking the missions of medical doctors towards an enlargement of scientific prerogatives in favour of progress in global knowledge. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go

  1. Putting HLW performance assessment results in perspective

    International Nuclear Information System (INIS)

    Neall, F.; Smith, P.; Sumerling, T.; Umeki, H.

    1995-01-01

    According to performance assessment results for the different disposal concepts investigated, the maximum radiation doses to the population lie well below the limit set in the official Swiss Protection Objective and below the level of present-day natural background radiation. A comparison of different performance assessments has shown that the following key factors determine radionuclide release from a repository: radionuclide inventory, canister material and failure mode, nuclide solubility limits, the permeability of the buffer material, retardation during transport through the near-field, the presence of an excavation disturbed zone in the rock, the distance to the nearest major water-bearing fracture zone, the conceptual model for transport in fractured rock and near-surface dilution and dose factors. (author) 2 figs., 2 tabs

  2. Assessing the performance of dynamical trajectory estimates

    Science.gov (United States)

    Bröcker, Jochen

    2014-06-01

    Estimating trajectories and parameters of dynamical systems from observations is a problem frequently encountered in various branches of science; geophysicists for example refer to this problem as data assimilation. Unlike as in estimation problems with exchangeable observations, in data assimilation the observations cannot easily be divided into separate sets for estimation and validation; this creates serious problems, since simply using the same observations for estimation and validation might result in overly optimistic performance assessments. To circumvent this problem, a result is presented which allows us to estimate this optimism, thus allowing for a more realistic performance assessment in data assimilation. The presented approach becomes particularly simple for data assimilation methods employing a linear error feedback (such as synchronization schemes, nudging, incremental 3DVAR and 4DVar, and various Kalman filter approaches). Numerical examples considering a high gain observer confirm the theory.

  3. ASSESSING STUDENT PERFORMANCE ON INTERPRETING THROUGH PEER-ASSESSMENT

    Directory of Open Access Journals (Sweden)

    Titik Ismailia

    2017-12-01

    Full Text Available As a part of translation interpreting is translating spoken discourse orally. It needs some requirements like ability to speak clearly, clarity, fluency, eye contact, and self-confidence. It also needs linguistic proficiency, analytical skill, listening and recall, interpersonal skills, ethical behaviour, speaking skills, cultural knowledge, and subject knowledge. Evaluating students performance on interpreting can be done through peer assessment. Peer- assessment is one of alternative assessment to grade the peers in group or individuals by commenting on and judging other students work. To do this process there is a join work between listening and speaking, and two students. The first student as a speaker and the second student as an interpreter. Both of them should do the same quality on speak clearly as a speaker and as an interpreter should able to listen and translating the spoken discourse orally. Evaluation can use analytical grade that allows teacher to set clear criteria for correction like fluency, grammar, terminology, general content, and mechanics. Students and teacher can give comment on every criteria based on their own competency. During the process on making criteria, students and teacher can discuss and give reasonable suggestion to make the assessment suitable to the students competency. At the end, a rubric of assessment with the score from 0 to 100 and criteria and also the comment included in the paper of assessment.

  4. Assessing the clinical effectiveness of an algorithmic approach for mucosal lichen planus (MLP): A retrospective review.

    Science.gov (United States)

    Ashack, Kurt A; Haley, Laura L; Luther, Chelsea A; Riemer, Christie A; Ashack, Richard J

    2016-06-01

    Mucosal lichen planus (MLP) is a therapeutic challenge in need of a new treatment approach because of its debilitating effect on patient's quality of life. We sought to evaluate a standardized treatment plan for patients with MLP. A second objective was to describe the effect of mycophenolate mofetil in this patient population. The study retrospectively analyzed 53 patients with MLP treated using a standardized algorithm. The number of MLP lesions, disease activity, and pain at the last visit were compared with baseline scores determined at the initial visit. Results were analyzed using the paired samples t test and confirmed with the Wilcoxon matched pairs signed rank test. The average number of lesions was reduced from 3.77 to 1.67 (P < .001). The average disease activity was reduced from 2.73 to 0.90 (P < .001). Average pain reported decreased from 2.03 to 1.03 (P < .001). This study was a retrospective analysis of a small patient population. There was no universal symptom severity scale used at the time of treatment for some patients. The standardized treatment plan reduced symptoms for patients with MLP. Mycophenolate mofetil appears to be a reasonable treatment option for these patients. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  5. A retrospective evaluation of the performance of liner systems used to rehabilitate municipal gravity sewers

    Science.gov (United States)

    This paper provides new results gathered as part of a 6-year project funded by the U.S. Environmental Protection Agency (USEPA) to document the in-service performance of trenchless pipe rehabilitation techniques. The results from a pilot study focusing on cured-in-place pipe (CI...

  6. Tailored model abstraction in performance assessments

    International Nuclear Information System (INIS)

    Kessler, J.H.

    1995-01-01

    Total System Performance Assessments (TSPAs) are likely to be one of the most significant parts of making safety cases for the continued development and licensing of geologic repositories for the disposal of spent fuel and HLW. Thus, it is critical that the TSPA model capture the 'essence' of the physical processes relevant to demonstrating the appropriate regulation is met. But how much detail about the physical processes must be modeled and understood before there is enough confidence that the appropriate essence has been captured? In this summary the level of model abstraction that is required is discussed. Approaches for subsystem and total system performance analyses are outlined, and the role of best estimate models is examined. It is concluded that a conservative approach for repository performance, based on limited amount of field and laboratory data, can provide sufficient confidence for a regulatory decision

  7. ASSESSING UNIVERSITY RESEARCH PERFORMANCE WITH MULTIPLE CONSTITUENCIES

    Directory of Open Access Journals (Sweden)

    Kuang-Liang Liu

    2012-12-01

    Full Text Available The research performance of the university is critical to the national competitiveness. Previous research has established that research performance is based on scholarly publishing. Several studies suggested that journal ranking is the important research quality indicator. However, unilateral measurement for the research performance will seriously corrode the development of university research work. Assessing university research performance with multiple constituencies is a better to enhance the university research. Although substantial studies have been performed on the critical factors that affect knowledge exploration in the university, those in knowledge exploitation are still lacking. With the multiple constituencies, a fully understanding of research performance can be gained. In the research model, knowledge exploration represents the academic research and knowledge exploitation represents the university–industry collaboration. Data collected from 124 university data in online database. The study shows that knowledge exploration and exploitation both are significant positive predictors of university competitiveness. University resources play important roles to affect both knowledge exploration and exploitation in the university. The study also shows that higher knowledge exploration will enhance knowledge exploitation. Implications for theory and practice and suggestions for future research are discussed.

  8. Methods for assessing the stability of slopes during earthquakes-A retrospective

    Science.gov (United States)

    Jibson, R.W.

    2011-01-01

    During the twentieth century, several methods to assess the stability of slopes during earthquakes were developed. Pseudostatic analysis was the earliest method; it involved simply adding a permanent body force representing the earthquake shaking to a static limit-equilibrium analysis. Stress-deformation analysis, a later development, involved much more complex modeling of slopes using a mesh in which the internal stresses and strains within elements are computed based on the applied external loads, including gravity and seismic loads. Stress-deformation analysis provided the most realistic model of slope behavior, but it is very complex and requires a high density of high-quality soil-property data as well as an accurate model of soil behavior. In 1965, Newmark developed a method that effectively bridges the gap between these two types of analysis. His sliding-block model is easy to apply and provides a useful index of co-seismic slope performance. Subsequent modifications to sliding-block analysis have made it applicable to a wider range of landslide types. Sliding-block analysis provides perhaps the greatest utility of all the types of analysis. It is far easier to apply than stress-deformation analysis, and it yields much more useful information than does pseudostatic analysis. ?? 2010.

  9. A retrospective tiered environmental assessment of the Mount Storm Wind Energy Facility, West Virginia,USA

    Energy Technology Data Exchange (ETDEWEB)

    Efroymson, Rebecca Ann [ORNL; Day, Robin [No Affiliation; Strickland, M. Dale [Western EcoSystems Technology

    2012-11-01

    Bird and bat fatalities from wind energy projects are an environmental and public concern, with post-construction fatalities sometimes differing from predictions. Siting facilities in this context can be a challenge. In March 2012 the U.S. Fish and Wildlife Service (USFWS) released Land-based Wind Energy Guidelines to assess collision fatalities and other potential impacts to species of concern and their habitats to aid in siting and management. The Guidelines recommend a tiered approach for assessing risk to wildlife, including a preliminary site evaluation that may evaluate alternative sites, a site characterization, field studies to document wildlife and habitat and to predict project impacts, post construction studies to estimate impacts, and other post construction studies. We applied the tiered assessment framework to a case study site, the Mount Storm Wind Energy Facility in Grant County, West Virginia, USA, to demonstrate the use of the USFWS assessment approach, to indicate how the use of a tiered assessment framework might have altered outputs of wildlife assessments previously undertaken for the case study site, and to assess benefits of a tiered ecological assessment framework for siting wind energy facilities. The conclusions of this tiered assessment for birds are similar to those of previous environmental assessments for Mount Storm. This assessment found risk to individual migratory tree-roosting bats that was not emphasized in previous preconstruction assessments. Differences compared to previous environmental assessments are more related to knowledge accrued in the past 10 years rather than to the tiered structure of the Guidelines. Benefits of the tiered assessment framework include good communication among stakeholders, clear decision points, a standard assessment trajectory, narrowing the list of species of concern, improving study protocols, promoting consideration of population-level effects, promoting adaptive management through post

  10. The American Board of Radiology Holman Research Pathway: 10-Year Retrospective Review of the Program and Participant Performance

    International Nuclear Information System (INIS)

    Wallner, Paul E.; Ang, K. Kian; Zietman, Anthony L.; Harris, Jay R.; Ibbott, Geoffrey S.; Mahoney, Mary C.; Mezwa, Duane G.; Wilson, Lynn D.; Becker, Gary J.

    2013-01-01

    Introduction: In 1999, the American Board of Radiology (ABR) implemented an innovative training program track in diagnostic radiology (DR) and radiation oncology (RO) designed to stimulate development of a cadre of future academic researchers and educators in the 2 disciplines. The program was designated the Holman Research Pathway (HRP). An in-depth retrospective review of initial certification examination performance, post-training career choices, and academic productivity has not been written. This report represents a 10-year retrospective review of post-training performance of a cohort of trainees who have had sufficient time to complete their training and initial certification process and to enter practice. Methods and Materials: All pertinent proceedings of the ABR and Accreditation Council for Graduate Medical Education (ACGME) Residency Review Committees for DR and RO between 1997 and May 2011 were reviewed. Thirty-four HRP candidates who fulfilled the established evaluation criteria were identified, and their ABR data files were analyzed regarding performance on the qualifying and certifying examinations. All candidates were contacted directly to obtain a current curriculum vitae. Results: Twenty candidates in RO and 14 candidates in DR were identifiable for review. All candidates attained initial certification. At the time of analysis, 23 of 33 (66.6%) candidates were employed in full-time academic practice (1 DR candidate remained in a fellowship and was not evaluated regarding employment status). Fifteen of 20 (75%) RO candidates were in faculty positions compared with 7 of 13 (53.8%) DR trainees. Additional academic productivity metrics are reported. Conclusions: A high percentage of HRP trainees remained in academic practice and demonstrated significant academic productivity as measured by manuscript authorship and research support. Additional time and observation will be needed to determine whether these findings will be sustained by past, current

  11. Diagnostic Performance and Utility of Quantitative EEG Analyses in Delirium: Confirmatory Results From a Large Retrospective Case-Control Study.

    Science.gov (United States)

    Fleischmann, Robert; Tränkner, Steffi; Bathe-Peters, Rouven; Rönnefarth, Maria; Schmidt, Sein; Schreiber, Stephan J; Brandt, Stephan A

    2018-03-01

    The lack of objective disease markers is a major cause of misdiagnosis and nonstandardized approaches in delirium. Recent studies conducted in well-selected patients and confined study environments suggest that quantitative electroencephalography (qEEG) can provide such markers. We hypothesize that qEEG helps remedy diagnostic uncertainty not only in well-defined study cohorts but also in a heterogeneous hospital population. In this retrospective case-control study, EEG power spectra of delirious patients and age-/gender-matched controls (n = 31 and n = 345, respectively) were fitted in a linear model to test their performance as binary classifiers. We subsequently evaluated the diagnostic performance of the best classifiers in control samples with normal EEGs (n = 534) and real-world samples including pathologic findings (n = 4294). Test reliability was estimated through split-half analyses. We found that the combination of spectral power at F3-P4 at 2 Hz (area under the curve [AUC] = .994) and C3-O1 at 19 Hz (AUC = .993) provided a sensitivity of 100% and a specificity of 99% to identify delirious patients among normal controls. These classifiers also yielded a false positive rate as low as 5% and increased the pretest probability of being delirious by 57% in an unselected real-world sample. Split-half reliabilities were .98 and .99, respectively. This retrospective study yielded preliminary evidence that qEEG provides excellent diagnostic performance to identify delirious patients even outside confined study environments. It furthermore revealed reduced beta power as a novel specific finding in delirium and that a normal EEG excludes delirium. Prospective studies including parameters of pretest probability and delirium severity are required to elaborate on these promising findings.

  12. A RETROSPECTIVE APPROACH REGARDING COMMERCIAL PERFORMANCES AND THE BALANCE SHEET INDICATORS OF MAIN ROMANIAN BANKS

    Directory of Open Access Journals (Sweden)

    Mihaela Nicolau

    2008-05-01

    Full Text Available In the context of the present financial crisis, a rigorously analysis of national and international bankingsystems during the crisis’ previous periods could lead to specific weaknesses that were not considered at theirreal importance at that time. The paper presents only a comparing analysis, during the period of three years(2004 – 2006, regarding the commercial performances and the main balance sheet indicators of two of the mostimportant and influence banks from Romanian banking system, respectively Romanian Commercial Bank(B.C.R and Development Romanian Bank – Group Société Générale (B.R.D. – SGThis analysis is included in an extensive study regarding the activity performances of the two Romanianbanks mentioned before.

  13. Statistical process control as a tool for controlling operating room performance: retrospective analysis and benchmarking.

    Science.gov (United States)

    Chen, Tsung-Tai; Chang, Yun-Jau; Ku, Shei-Ling; Chung, Kuo-Piao

    2010-10-01

    There is much research using statistical process control (SPC) to monitor surgical performance, including comparisons among groups to detect small process shifts, but few of these studies have included a stabilization process. This study aimed to analyse the performance of surgeons in operating room (OR) and set a benchmark by SPC after stabilized process. The OR profile of 499 patients who underwent laparoscopic cholecystectomy performed by 16 surgeons at a tertiary hospital in Taiwan during 2005 and 2006 were recorded. SPC was applied to analyse operative and non-operative times using the following five steps: first, the times were divided into two segments; second, they were normalized; third, they were evaluated as individual processes; fourth, the ARL(0) was calculated;, and fifth, the different groups (surgeons) were compared. Outliers were excluded to ensure stability for each group and to facilitate inter-group comparison. The results showed that in the stabilized process, only one surgeon exhibited a significantly shorter total process time (including operative time and non-operative time). In this study, we use five steps to demonstrate how to control surgical and non-surgical time in phase I. There are some measures that can be taken to prevent skew and instability in the process. Also, using SPC, one surgeon can be shown to be a real benchmark. © 2010 Blackwell Publishing Ltd.

  14. Guidance for performing preliminary assessments under CERCLA

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1991-09-01

    EPA headquarters and a national site assessment workgroup produced this guidance for Regional, State, and contractor staff who manage or perform preliminary assessments (PAs). EPA has focused this guidance on the types of sites and site conditions most commonly encountered. The PA approach described in this guidance is generally applicable to a wide variety of sites. However, because of the variability among sites, the amount of information available, and the level of investigative effort required, it is not possible to provide guidance that is equally applicable to all sites. PA investigators should recognize this and be aware that variation from this guidance may be necessary for some sites, particularly for PAs performed at Federal facilities, PAs conducted under EPA`s Environmental Priorities Initiative (EPI), and PAs at sites that have previously been extensively investigated by EPA or others. The purpose of this guidance is to provide instructions for conducting a PA and reporting results. This guidance discusses the information required to evaluate a site and how to obtain it, how to score a site, and reporting requirements. This document also provides guidelines and instruction on PA evaluation, scoring, and the use of standard PA scoresheets. The overall goal of this guidance is to assist PA investigators in conducting high-quality assessments that result in correct site screening or further action recommendations on a nationally consistent basis.

  15. Statistical analysis in MSW collection performance assessment.

    Science.gov (United States)

    Teixeira, Carlos Afonso; Avelino, Catarina; Ferreira, Fátima; Bentes, Isabel

    2014-09-01

    The increase of Municipal Solid Waste (MSW) generated over the last years forces waste managers pursuing more effective collection schemes, technically viable, environmentally effective and economically sustainable. The assessment of MSW services using performance indicators plays a crucial role for improving service quality. In this work, we focus on the relevance of regular system monitoring as a service assessment tool. In particular, we select and test a core-set of MSW collection performance indicators (effective collection distance, effective collection time and effective fuel consumption) that highlights collection system strengths and weaknesses and supports pro-active management decision-making and strategic planning. A statistical analysis was conducted with data collected in mixed collection system of Oporto Municipality, Portugal, during one year, a week per month. This analysis provides collection circuits' operational assessment and supports effective short-term municipality collection strategies at the level of, e.g., collection frequency and timetables, and type of containers. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. Tax Performance Assessment in Scandinavian Countries

    Directory of Open Access Journals (Sweden)

    Bunescu Liliana

    2015-04-01

    Full Text Available The aim of this paper is to evaluate fiscal policy performance level in Nordic countries of Europe by quantifying the gap between their performance and an optimum benchmark value. In this study it was selected Denmark, Finland, Sweden and Norway. These countries occupy the first places in the ranking of countries with the highest rate of tax burden in Europe. The first part of paper contains general aspects of fiscal performance in international research and an overview of the Nordic tax systems model. The second part of paper focuses on evaluation of tax policy performance in these countries by using OptimTax scoring analysis. The research is based on a multivariate analysis instrument that uses quantitative data on various aspects of tax policy. OptimTax achieves a score for assessing the degree of optimization of fiscal policy. The results reveal high levels of tax performance in Scandinavian countries and a trend that seems to be more constant than ascending, except Norway.

  17. Retrospective Analysis of Indication of Bone Scintigraphy Performed in Our Clinic

    Directory of Open Access Journals (Sweden)

    Fusun Aydogan

    2014-03-01

    Full Text Available Aim: Bone scintigraphy is one of the commonly used radionuclide imaging and it is successfully used in the diagnosis and follow-up of many diseases. The aim of this study is to determine the indications and filming protocols of bone scintigraphy which was performed in our clinic. Material and Method: Two hundred and fifty two patients (132 male, 120 female who was performed bone scintigprapy in our clinic between December 2011 and June 2013 included the study. Mean age was 50.1±20.2 years. Scintigraphic protocols were made in two ways as late static whole body imaging and three-phase bone scintigraphy according to the type of the diseases. Indications of scintigraphies and scintigraphic protocols were detected. Results: Bone scintigraphy was performed for diagnosis and monitoring of metastatic bone disease to 102 patients (40,5 %, for orthopedic applications to 57 patients (22,6 %, for diagnosis and monitoring of primary bone tumors to 29 patients (11,5 %, for diagnosis of osteomyelitis to 17 patients (6,7 %, for differential diagnosis of infection and loosening of the prosthesis to 12 patients (4,8 %, investigate the viability of the graft in 14 patients (4,6 %, for rheumatologic diseases to 9 patients (3,6 %, for investigate the pathological vertebral fractures and osteoporosis to 4 patients (1,6 %, for diagnosis the metabolic bone disease to 2 patients (0,8 %, for diagnosis of otitis externa to 5 patients (1,98 % and for for suspicion of malignancy to 1 patient (0,4 %. Late static whole body imaging protocol was applied to 136 patients (54 % and three-phase imaging protocol was applied to 116 patients (46 %. Discussion: The most common use of bone scintigraphy is the diagnosis and follow-up of metastatic bone disease. It is followed by reasons such as orthopedic applications, monitoring and diagnosis of primary bone tumors and diagnosis of osteomyelitis.

  18. A retrospective study of the performance of radiographers in interpreting screening mammograms

    International Nuclear Information System (INIS)

    Moran, S.; Warren-Forward, H.

    2011-01-01

    Purpose: This paper provides data on the continued success of radiographers in reviewing mammograms with similar accuracy to screen readers. Method: The participants consisted of 7 radiographers and 2 current official screen readers. Two hundred and fifty sets of mammograms from 2003 were used in this study. Each participant reviewed each set of mammograms as a Rescreen or Recall. Patient outcomes were assessed by following up the results of any histology or pathology tests in 2003 or the 2005/2006 screening results. Results: The screen reader's sensitivities ranged from 79% to 93% and the specificities ranged from 82% to 84%. The radiographer values ranged from 57% to 97% and 63% to 80% respectively. Conclusion: The sensitivity and specificity values attained by some radiographers were equivalent to those of both the screen readers. Accuracy rates of the radiographers suggest that screen reading by selected and appropriately trained radiographers should be achievable in Australia.

  19. Performance assessment modeling of pyrometallurgical process wasteforms

    International Nuclear Information System (INIS)

    Nutt, W.M.; Hill, R.N.; Bullen, D.B.

    1995-01-01

    Performance assessment analyses have been completed to estimate the behavior of high-level nuclear wasteforms generated from the pyrometallurgical processing of liquid metal reactor (LMR) and light water reactor (LWR) spent nuclear fuel. Waste emplaced in the proposed repository at Yucca Mountain is investigated as the basis for the study. The resulting cumulative actinide and fission product releases to the accessible environment within a 100,000 year period from the various pyrometallurgical process wasteforms are compared to those of directly disposed LWR spent fuel using the same total repository system model. The impact of differing radionuclide transport models on the overall release characteristics is investigated

  20. A simple method to retrospectively estimate patient dose-area product for chest tomosynthesis examinations performed using VolumeRAD.

    Science.gov (United States)

    Båth, Magnus; Söderman, Christina; Svalkvist, Angelica

    2014-10-01

    The purpose of the present work was to develop and validate a method of retrospectively estimating the dose-area product (DAP) of a chest tomosynthesis examination performed using the VolumeRAD system (GE Healthcare, Chalfont St. Giles, UK) from digital imaging and communications in medicine (DICOM) data available in the scout image. DICOM data were retrieved for 20 patients undergoing chest tomosynthesis using VolumeRAD. Using information about how the exposure parameters for the tomosynthesis examination are determined by the scout image, a correction factor for the adjustment in field size with projection angle was determined. The correction factor was used to estimate the DAP for 20 additional chest tomosynthesis examinations from DICOM data available in the scout images, which was compared with the actual DAP registered for the projection radiographs acquired during the tomosynthesis examination. A field size correction factor of 0.935 was determined. Applying the developed method using this factor, the average difference between the estimated DAP and the actual DAP was 0.2%, with a standard deviation of 0.8%. However, the difference was not normally distributed and the maximum error was only 1.0%. The validity and reliability of the presented method were thus very high. A method to estimate the DAP of a chest tomosynthesis examination performed using the VolumeRAD system from DICOM data in the scout image was developed and validated. As the scout image normally is the only image connected to the tomosynthesis examination stored in the picture archiving and communication system (PACS) containing dose data, the method may be of value for retrospectively estimating patient dose in clinical use of chest tomosynthesis.

  1. A simple method to retrospectively estimate patient dose-area product for chest tomosynthesis examinations performed using VolumeRAD

    Energy Technology Data Exchange (ETDEWEB)

    Båth, Magnus, E-mail: magnus.bath@vgregion.se; Svalkvist, Angelica [Department of Radiation Physics, Institute of Clinical Sciences, The Sahlgrenska Academy at University of Gothenburg, Gothenburg SE-413 45, Sweden and Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, Gothenburg SE-413 45 (Sweden); Söderman, Christina [Department of Radiation Physics, Institute of Clinical Sciences, The Sahlgrenska Academy at University of Gothenburg, Gothenburg SE-413 45 (Sweden)

    2014-10-15

    Purpose: The purpose of the present work was to develop and validate a method of retrospectively estimating the dose-area product (DAP) of a chest tomosynthesis examination performed using the VolumeRAD system (GE Healthcare, Chalfont St. Giles, UK) from digital imaging and communications in medicine (DICOM) data available in the scout image. Methods: DICOM data were retrieved for 20 patients undergoing chest tomosynthesis using VolumeRAD. Using information about how the exposure parameters for the tomosynthesis examination are determined by the scout image, a correction factor for the adjustment in field size with projection angle was determined. The correction factor was used to estimate the DAP for 20 additional chest tomosynthesis examinations from DICOM data available in the scout images, which was compared with the actual DAP registered for the projection radiographs acquired during the tomosynthesis examination. Results: A field size correction factor of 0.935 was determined. Applying the developed method using this factor, the average difference between the estimated DAP and the actual DAP was 0.2%, with a standard deviation of 0.8%. However, the difference was not normally distributed and the maximum error was only 1.0%. The validity and reliability of the presented method were thus very high. Conclusions: A method to estimate the DAP of a chest tomosynthesis examination performed using the VolumeRAD system from DICOM data in the scout image was developed and validated. As the scout image normally is the only image connected to the tomosynthesis examination stored in the picture archiving and communication system (PACS) containing dose data, the method may be of value for retrospectively estimating patient dose in clinical use of chest tomosynthesis.

  2. A simple method to retrospectively estimate patient dose-area product for chest tomosynthesis examinations performed using VolumeRAD

    International Nuclear Information System (INIS)

    Båth, Magnus; Svalkvist, Angelica; Söderman, Christina

    2014-01-01

    Purpose: The purpose of the present work was to develop and validate a method of retrospectively estimating the dose-area product (DAP) of a chest tomosynthesis examination performed using the VolumeRAD system (GE Healthcare, Chalfont St. Giles, UK) from digital imaging and communications in medicine (DICOM) data available in the scout image. Methods: DICOM data were retrieved for 20 patients undergoing chest tomosynthesis using VolumeRAD. Using information about how the exposure parameters for the tomosynthesis examination are determined by the scout image, a correction factor for the adjustment in field size with projection angle was determined. The correction factor was used to estimate the DAP for 20 additional chest tomosynthesis examinations from DICOM data available in the scout images, which was compared with the actual DAP registered for the projection radiographs acquired during the tomosynthesis examination. Results: A field size correction factor of 0.935 was determined. Applying the developed method using this factor, the average difference between the estimated DAP and the actual DAP was 0.2%, with a standard deviation of 0.8%. However, the difference was not normally distributed and the maximum error was only 1.0%. The validity and reliability of the presented method were thus very high. Conclusions: A method to estimate the DAP of a chest tomosynthesis examination performed using the VolumeRAD system from DICOM data in the scout image was developed and validated. As the scout image normally is the only image connected to the tomosynthesis examination stored in the picture archiving and communication system (PACS) containing dose data, the method may be of value for retrospectively estimating patient dose in clinical use of chest tomosynthesis

  3. Building Confidence in LLW Performance Assessments - 13386

    Energy Technology Data Exchange (ETDEWEB)

    Rustick, Joseph H.; Kosson, David S.; Krahn, Steven L.; Clarke, James H. [Vanderbilt University, Department of Civil and Environmental Engineering and Consortium for Risk Evaluation with Stakeholder Participation, Nashville, Tennessee, 37235 (United States)

    2013-07-01

    The performance assessment process and incorporated input assumptions for four active and one planned DOE disposal sites were analyzed using a systems approach. The sites selected were the Savannah River E-Area Slit and Engineered Trenches, Hanford Integrated Disposal Facility, Idaho Radioactive Waste Management Complex, Oak Ridge Environmental Management Waste Management Facility, and Nevada National Security Site Area 5. Each disposal facility evaluation incorporated three overall system components (1) site characteristics (climate, geology, geochemistry, etc.), (2) waste properties (waste form and package), and (3) engineered barrier designs (cover system, liner system). Site conceptual models were also analyzed to identity the main risk drivers and risk insights controlling performance for each disposal facility. (authors)

  4. Building Confidence in LLW Performance Assessments - 13386

    International Nuclear Information System (INIS)

    Rustick, Joseph H.; Kosson, David S.; Krahn, Steven L.; Clarke, James H.

    2013-01-01

    The performance assessment process and incorporated input assumptions for four active and one planned DOE disposal sites were analyzed using a systems approach. The sites selected were the Savannah River E-Area Slit and Engineered Trenches, Hanford Integrated Disposal Facility, Idaho Radioactive Waste Management Complex, Oak Ridge Environmental Management Waste Management Facility, and Nevada National Security Site Area 5. Each disposal facility evaluation incorporated three overall system components (1) site characteristics (climate, geology, geochemistry, etc.), (2) waste properties (waste form and package), and (3) engineered barrier designs (cover system, liner system). Site conceptual models were also analyzed to identity the main risk drivers and risk insights controlling performance for each disposal facility. (authors)

  5. Performance assessment of nuclear waste isolation systems

    International Nuclear Information System (INIS)

    Lee, W.L.

    1984-01-01

    A number of concepts have been proposed for the isolation of highly radioactive wastes, and it will be necessary to demonstrate the safety of such systems. In many countries including the U.S., the waste isolation system of choice is deep mined geologic repositories. Because of the complex nature of the multiple isolation barriers afforded by mined geologic disposal systems, and the long isolation periods involved, this demonstration can only be indirect. In recent years this indirect demonstration, mostly through mathematical modeling, is called performance assessment. Performance Assessment can be defined to mean the development, testing, and application of a series of mathematical models and computer codes which traces the movement of radionuclides from a waste isolation system to the biosphere and any resultant dose to man. In modeling such a repository system, it is often convenient to divide it into a number of subsystems, there may be several different processes that need to be modeled, individually and interactively. For instance, this waste package will probably consist of a waste form such as borosilicate glass containing the radioisotopes, a canister, an overpack material such as steel or copper, and a buffer material such as bentonite. The processes to be modeled at the waste package scale include radioisotope inventory and decay, thermal radiation, radiolysis effects, corrosion, leading and fluid flow. In tracing radionuclide transport through rock, the processes of importance are probably groundwater flow, and sorption and retardation of radionuclide movement

  6. Modelling saline intrusion for repository performance assessment

    International Nuclear Information System (INIS)

    Jackson, C.P.

    1989-04-01

    UK Nirex Ltd are currently considering the possibility of disposal of radioactive waste by burial in deep underground repositories. The natural pathway for radionuclides from such a repository to return to Man's immediate environment (the biosphere) is via groundwater. Thus analyses of the groundwater flow in the neighbourhood of a possible repository, and consequent radionuclide transport form an important part of a performance assessment for a repository. Some of the areas in the UK that might be considered as possible locations for a repository are near the coast. If a repository is located in a coastal region seawater may intrude into the groundwater flow system. As seawater is denser than fresh water buoyancy forces acting on the intruding saline water may have significant effects on the groundwater flow system, and consequently on the time for radionuclides to return to the biosphere. Further, the chemistry of the repository near-field may be strongly influenced by the salinity of the groundwater. It is therefore important for Nirex to have a capability for reliably modelling saline intrusion to an appropriate degree of accuracy in order to make performance assessments for a repository in a coastal region. This report describes work undertaken in the Nirex Research programme to provide such a capability. (author)

  7. Performance assessment task team progress report

    International Nuclear Information System (INIS)

    Wood, D.E.; Curl, R.U.; Armstrong, D.R.; Cook, J.R.; Dolenc, M.R.; Kocher, D.C.; Owens, K.W.; Regnier, E.P.; Roles, G.W.; Seitz, R.R.

    1994-05-01

    The U.S. Department of Energy (DOE) Headquarters EM-35, established a Performance Assessment Task Team (referred to as the Team) to integrate the activities of the sites that are preparing performance assessments (PAs) for disposal of new low-level waste, as required by Chapter III of DOE Order 5820.2A, open-quotes Low-Level Waste Managementclose quotes. The intent of the Team is to achieve a degree of consistency among these PAs as the analyses proceed at the disposal sites. The Team's purpose is to recommend policy and guidance to the DOE on issues that impact the PAs, including release scenarios and parameters, so that the approaches are as consistent as possible across the DOE complex. The Team has identified issues requiring attention and developed discussion papers for those issues. Some issues have been completed, and the recommendations are provided in this document. Other issues are still being discussed, and the status summaries are provided in this document. A major initiative was to establish a subteam to develop a set of test scenarios and parameters for benchmarking codes in use at the various sites. The activities of the Team are reported here through December 1993

  8. Consideration of environmental change in performance assessments

    International Nuclear Information System (INIS)

    Pinedo, P.; Thorne, M.; Egan, M.; Calvez, M.; Kautsky, U.

    2005-01-01

    Depending on the particular circumstances in which a post-closure performance assessment of a radioactive waste repository is made, it may be appropriate to follow simple or more complex approaches in characterising the biosphere. Several different Example Reference Biospheres were explored in BIOMASS Theme 1 to address a range of issues that arise. Here, consideration is given to Example Reference Biospheres relevant to representing the implications of changes that may occur within the biosphere system during the period over which releases of radionuclides from a disposal facility might take place. Mechanisms of change considered include those extrinsic and intrinsic to the system of interest. An overall methodology for incorporating environmental change into assessments is proposed. This includes screening of primary mechanisms of change; identification of possible time sequences of change; development of a coherent description of the regional landscape response for each time sequence; integration of source term and geosphere-biosphere interface information; identification and description of one or more time series of assessment biospheres; and evaluation of the advantages and disadvantages of simulating the effects of sequences of biosphere systems and the transitions between them, or of defining a set of biosphere systems to be represented individually in a non-sequential analysis. The usefulness of the methodology is explored in two site-specific examples and one generic example

  9. DISEASE MODIFYING THERAPY AND OUTCOME OF RHEUMATOID ARTHRITIS: RETROSPECTIVE ASSESSMENT OF LONG-TERM RESULTS

    Directory of Open Access Journals (Sweden)

    D. E. Karateyev

    2000-01-01

    Full Text Available Aim of study: To investigate the relation between patterns of basic treatment and the outcome of disease in patients with rheumatoid arthritis (RA. Material and methods: We studied retrospectively two groups of patients with RA (1987 ACR criteria: 1 main group - died (72 patients, mean duration of disease from the onset to death 12.8±0.9 years; 2 control group - alive to 1999 with duration of disease at least 15 years (90 patients, mean follow-up period 19.4±0.47 years. Results: Some patterns of basic treatment were observed: 1 "passive ” strategy - only hydroxychloroquine or sulphasalazine during many years; 2 "inteirupted " treatment - early treatment gold or cytotoxics, but when improvement occurred, therapy with DMARD was interrupted for 1-2 years or more, after that re-started etc.; 3 “emergency” strategy’ - 7-10years of "passive" treatment, after that se\\>ere destruction and/or amyloidosis appeared, and cytotoxics started; 4 typical "pyramid " strategy; 5 "active " strategy - early start of treatment with active DMARD (melotrexate, gold with consecutive change of DMARDs without interruption of basic treatment (very close to "sawtooth ” strategy. The most of died patients were treated with "passive ” and "interrupted" strategies, but the most of patients in control group were treated with "pyramid” and "active" strategies. Conclusion: active strategy of basic treatment has a positive influence on the survival ofpatients with R.A.

  10. Health, Climate Change and Energy Vulnerability: A Retrospective Assessment of Strategic Health Authority Policy and Practice in England

    Directory of Open Access Journals (Sweden)

    J. Richardson B.Sc., Ph.D., RN., DipDN., CPsychol., PGCE.

    2008-01-01

    Full Text Available Background A number of policy documents suggest that health services should be taking climate change and sustainability seriously and recommendations have been made to mitigate and adapt to the challenges health care providers will face. Actions include, for example, moving towards locally sourced food supplies, reducing waste, energy consumption and travel, and including sustainability in policies and strategies. A Strategic Health Authority (SHA is part of the National Health Service (NHS in England. They are responsible for developing strategies for the local health services and ensuring high-quality performance. They manage the NHS locally and are a key link between the U.K. Department of Health and the NHS. They also ensure that national priorities are integrated into local plans. Thus they are in a key position to influence policies and practices to mitigate and adapt to the impact of climate change and promote sustainability. Aim The aim of this study was to review publicly available documents produced by Strategic Health Authorities (SHA to assess the extent to which current activity and planning locally takes into consideration climate change and energy vulnerability. Methods A retrospective thematic content analysis of publicly available materials was undertaken by two researchers over a six month period in 2008. These materials were obtained from the websites of the 10 SHAs in England. Materials included annual reports, plans, policies and strategy documents. Results Of the 10 SHAs searched, 4 were found to have an absence of content related to climate change and sustainability. Of the remaining 6 SHAs that did include content related to climate change and energy vulnerability on their websites consistent themes were seen to emerge. These included commitment to a regional sustainability framework in collaboration with other agencies in the pursuit and promotion of sustainable development. Results indicate that many SHAs in England

  11. Development and evaluation of a tool for retrospective exposure assessment of selected endocrine disrupting chemicals and EMF in the car manufacturing industry.

    Science.gov (United States)

    Mester, Birte; Schmeisser, Nils; Lünzmann, Hauke; Pohlabeln, Hermann; Langner, Ingo; Behrens, Thomas; Ahrens, Wolfgang

    2011-08-01

    A system for retrospective occupational exposure assessment combining the efficiency of a job exposure matrix (JEM) and the precision of a subsequent individual expert exposure assessment (IEEA) was developed. All steps of the exposure assessment were performed by an interdisciplinary expert panel in the context of a case-control study on male germ cell cancer nested in the car manufacturing industries. An industry-specific JEM was developed and automatic exposure estimation was performed based on this JEM. A subsample of exposure ratings was done by IEEA to identify determinants of disagreement between the JEM and the individual review. Possible determinants were analyzed by calculating odds ratios (ORs) of disagreement between ratings with regard to different dimensions (e.g. high versus low intensity of exposure). Disagreement in ≥20% of the sampled exposure ratings with a statistically significant OR was chosen as a threshold for inclusion of the exposure ratings into a final IEEA. The most important determinants of disagreement between JEM and individual review were working outside of the production line (disagreement 80%), low probability of exposure (disagreement 25%), and exposure depending on specific activities like usage of specific lacquers (disagreement 32%) for jobs within the production line. These determinants were the selection criteria of exposure ratings for the subsequent final IEEA. Combining a JEM and a subsequent final IEEA for a selected subset of exposure ratings is a feasible and labor-saving approach for exposure assessment in large occupational epidemiological studies.

  12. Analysis of Gauntlet Test Performance and Injury Risk in Intercollegiate Division I Female Soccer (Football) Players: A Retrospective Study.

    Science.gov (United States)

    Ness, Brandon M; Zimney, Kory; Schweinle, William E

    2017-11-01

    Injury risk factors and relevant assessments have been identified in women's soccer athletes. Other tests assess fitness (eg, the Gauntlet Test [GT]). However, little empirical support exists for the utility of the GT to predict time loss injury. To examine the GT as a predictor of injury in intercollegiate Division I female soccer athletes. Retrospective, nonexperimental descriptive cohort study. College athletic facilities. 71 female Division I soccer athletes (age 19.6 ± 1.24 y, BMI 23.0 ± 2.19). GT, demographic, and injury data were collected over 3 consecutive seasons. GT trials were administered by coaching staff each preseason. Participation in team-based activities (practices, matches) was restricted until a successful GT trial. Soccer-related injuries that resulted in time loss from participation were recorded. 71 subjects met the inclusion criteria, with 12 lower body time loss injuries sustained. Logistic regression models indicated that with each unsuccessful GT attempt, the odds of sustaining an injury increased by a factor of 3.5 (P soccer athletes in this cohort. Further investigation into the appropriate application of the GT for injury prediction is warranted given the scope of this study.

  13. Cognitive performance of patients with chronic heart failure on sacubitril/valsartan : A retrospective cohort study.

    Science.gov (United States)

    De Vecchis, R; Ariano, C; Di Biase, G; Noutsias, M

    2018-02-15

    Sacubitril, a neprilysin inhibitor in the combination molecule sacubitril/valsartan, slows down degradation of endogenous natriuretic peptides, thereby enhancing their beneficial cardiovascular effects. However, sacubitril might also promote neuronal dysfunction and cognitive impairment in patients with chronic heart failure (CHF) treated with sacubitril/valsartan, due to possible neprilysin inhibition at the level of Central Nervous System. A retrospective cohort study was undertaken to detect the effects exerted by sacubitril/valsartan on cognitive function in CHF patients. The patients' clinical data were examined for information provided in the Mini-Mental State Examination (MMSE), which was routinely administered during clinical visits at two centers from 15 March to 31 October 2017. Patients in the sacubitril/valsartan group had a clinical history of at least 3 months of continuous sacubitril/valsartan administration. The control group comprised CHF patients on conventional therapy not taking sacubitril/valsartan. In the between-group comparison, patients were matched for mean age, educational level, sex, NYHA class, and comorbidities. In the present retrospective study only patients in NYHA class II-III were enrolled. The mean MMSE score was 22.72 ± 2.68 (mean ± standard deviation [SD]) in the sacubitril/valsartan group (n = 51 patients) vs. 21.96 ± 2.73 (mean ± SD) in the control group (n = 51; p = 0.1572, independent samples t-test). Thus, a similar mild-to-moderate impairment in cognitive performance was found in the comparison between the two groups. In our study, we did not find any evidence of the alleged harmful influence of sacubitril/valsartan on cognitive function. Patients taking sacubitril/valsartan for at least 3 months had similar mean MMSE scores to control subjects.

  14. Rapid clinical assessment to facilitate the triage of adults with falciparum malaria, a retrospective analysis.

    Directory of Open Access Journals (Sweden)

    Josh Hanson

    Full Text Available Most adults dying from falciparum malaria will die within 48 hours of their hospitalisation. An essential component of early supportive care is the rapid identification of patients at greatest risk. In resource-poor settings, where most patients with falciparum malaria are managed, decisions regarding patient care must frequently be made using clinical evaluation alone.We retrospectively analysed 4 studies of 1801 adults with severe falciparum malaria to determine whether the presence of simple clinical findings might assist patient triage.If present on admission, shock, oligo-anuria, hypo- or hyperglycaemia, an increased respiratory rate, a decreased Glasgow Coma Score and an absence of fever were independently predictive of death. The variables were used to construct a simple clinical algorithm. When applied to the 1801 patients, this algorithm's positive predictive value for survival to 48 hours was 99.4 (95% confidence interval (CI 97.8-99.9 and for survival to discharge 96.9% (95% CI 94.3-98.5. In the 712 patients receiving artesunate, the algorithm's positive predictive value for survival to 48 hours was 100% (95% CI 97.3-100 and to discharge was 98.5% (95% CI 94.8-99.8.Simple clinical findings are closely linked to the pathophysiology of severe falciparum malaria in adults. A basic algorithm employing these indices can facilitate the triage of patients in settings where intensive care services are limited. Patients classified as low-risk by this algorithm can be safely managed initially on a general ward whilst awaiting senior clinical review and laboratory data.

  15. Troponin rise in hospitalized patients with nonacute coronary syndrome: retrospective assessment of outcomes and predictors.

    Science.gov (United States)

    Dhesi, Sumandeep; Shanks, Miriam; Tymchak, Wayne J

    2015-03-01

    Cardiac troponin is elevated in several clinical settings apart from thrombotic acute coronary syndrome (ACS) and is associated with increased adverse events. It is not clear whether troponin elevation in type II myocardial infarction (MI) is associated with increased cardiovascular events. Our objectives were to identify the cause of mortality in type II MI and to attempt to establish the threshold range of cardiac troponin-I (cTnI) elevation as well as clinical factors associated with adverse outcomes in type II MI. This retrospective cohort study included 245 patients presenting with a noncardiac primary diagnosis associated with cTnI elevation at a single centre from January 2003 to December 2011. Primary outcome was a composite of cardiovascular and noncardiovascular mortality. Secondary outcomes included subsequent stroke, ACS, and heart failure (HF). At 1 year, ACS occurred in 13 patients (5.3%), stroke was seen in 10 (4.1%) patients, and HF occurred in 19 (7.8%) patients. Overall 1-year mortality included 102 events (41.6%), with 10 cardiovascular deaths (9.8%), 65 noncardiovascular deaths (63.7%), and 27 (26.5%) deaths from unknown causes. In multivariable analysis, factors independently associated with increased overall 1-year mortality included cTnI elevation ≥ 4.63 μg/L (odds ratio [OR], 3.37; 95% confidence interval [CI], 1.55-7.34; P = 0.002), age ≥ 70 years (OR, 2.44; 95% CI, 1.40-4.29; P = 0.002), and estimated glomerular filtration rate high after type II MI, the majority of mortality is caused by noncardiovascular events. Copyright © 2015 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

  16. Scientific performance assessments through a gender lens

    DEFF Research Database (Denmark)

    Nielsen, Mathias Wullum

    2018-01-01

    The focus on excellence and quality assurance in the academy has spawned a signifi cant increase in the use of bibliometric measures in performance assessments of individual researchers. This article investigates the organizational consequences of this development through a gender lens. Based...... scholars, evaluators using bibliometrics risk disadvantaging candidates diverging from the norm with implications for gender stratifi cation. Despite these potential biases, bibliometric measures come to function as technologies supporting a managerial narrative of the gender-blind organization....... They adhere to the prevailing ethos of the academic meritocracy by standardizing the criteria for organizational advancement and ensuring transparency and accountability in the selection process. While bibliometric tools in this sense may lead to the recruitment of scientists with a strong CV and track record...

  17. Performing Probabilistic Risk Assessment Through RAVEN

    Energy Technology Data Exchange (ETDEWEB)

    A. Alfonsi; C. Rabiti; D. Mandelli; J. Cogliati; R. Kinoshita

    2013-06-01

    The Reactor Analysis and Virtual control ENviroment (RAVEN) code is a software tool that acts as the control logic driver and post-processing engine for the newly developed Thermal-Hydraulic code RELAP-7. RAVEN is now a multi-purpose Probabilistic Risk Assessment (PRA) software framework that allows dispatching different functionalities: Derive and actuate the control logic required to simulate the plant control system and operator actions (guided procedures), allowing on-line monitoring/controlling in the Phase Space Perform both Monte-Carlo sampling of random distributed events and Dynamic Event Tree based analysis Facilitate the input/output handling through a Graphical User Interface (GUI) and a post-processing data mining module

  18. Assessment of Platelet Function in Traumatic Brain Injury-A Retrospective Observational Study in the Neuro-Critical Care Setting.

    Science.gov (United States)

    Lindblad, Caroline; Thelin, Eric Peter; Nekludov, Michael; Frostell, Arvid; Nelson, David W; Svensson, Mikael; Bellander, Bo-Michael

    2018-01-01

    Despite seemingly functional coagulation, hemorrhagic lesion progression is a common and devastating condition following traumatic brain injury (TBI), stressing the need for new diagnostic techniques. Multiple electrode aggregometry (MEA) measures platelet function and could aid in coagulopathy assessment following TBI. The aims of this study were to evaluate MEA temporal dynamics, influence of concomitant therapy, and its capabilities to predict lesion progression and clinical outcome in a TBI cohort. Adult TBI patients in a neurointensive care unit that underwent MEA sampling were retrospectively included. MEA was sampled if the patient was treated with antiplatelet therapy, bled heavily during surgery, or had abnormal baseline coagulation values. We assessed platelet activation pathways involving the arachidonic acid receptor (ASPI), P2Y 12 receptor, and thrombin receptor (TRAP). ASPI was the primary focus of analysis. If several samples were obtained, they were included. Retrospective data were extracted from hospital charts. Outcome variables were radiologic hemorrhagic progression and Glasgow Outcome Scale assessed prospectively at 12 months posttrauma. MEA levels were compared between patients on antiplatelet therapy. Linear mixed effect models and uni-/multivariable regression models were used to study longitudinal dynamics, hemorrhagic progression and outcome, respectively. In total, 178 patients were included (48% unfavorable outcome). ASPI levels increased from initially low values in a time-dependent fashion ( p  trend of MEA is identified in this TBI cohort, even in patients without known antiplatelet therapies. Values appear also affected by platelet inhibitory treatment and by platelet transfusions. While significant in univariate models to predict outcome, MEA values did not independently correlate to outcome or lesion progression in multivariable analyses. Further prospective studies to monitor coagulation in TBI patients are warranted, in

  19. The selection of the parameters of high pressure syringe in performing interventional angiography: a retrospective analysis of 692 cases

    International Nuclear Information System (INIS)

    Shi Dehai; Luo Laishu; Yang Zhihong; Liu Yong

    2011-01-01

    Objective: To explore the optimal parameters of high pressure injector in performing interventional angiography and therapy of different parts of body in order to improve the image quality. Methods: During the period from July 2009 to September 2010 interventional angiography or therapy of different parts of body with the help of high pressure injector was performed in 692 patients, including 538 males and 154 females with a mean age of (53.6±2.5) years. The clinical data were retrospectively analyzed. The angiographic regions included vessels (n=341), cerebral vessels (n=71), thoracic larger vessels (n=19) and the vessels of the arms and legs (n=203). The technical parameters and the image qualities were evaluated and analyzed. Results: Based on the contrast filling degree, the presence or absence of contrast reflux, the imaging resolution and the satisfactory degree in meeting the diagnostic requirements, the angiographic images were evaluated. The image quality was up to standard in 615 cases (88.7%). Unsatisfactory contrast filling with no contrast reflux was seen in 62 cases (9.0%), and poor vascular opacification with contrast reflux was found in 9 cases (1.3%). Vagueness of the images caused by the body movement during exposure was seen in 6 cases (0.8%). No accidental events occurred in all procedures. Conclusion: The use of appropriate catheter, equipment and reasonable injecting parameters, which can match the characteristics of the target lesions, is the key to provide physicians with reliable angiography images. (authors)

  20. Lifetime history of indoor tanning in young people: a retrospective assessment of initiation, persistence, and correlates

    Directory of Open Access Journals (Sweden)

    Lostritto Karen

    2012-02-01

    Full Text Available Abstract Background Despite educational and public health campaigns to convey the risks of indoor tanning, many individuals around the world continue to engage in this behavior. Few descriptive studies of indoor tanning have collected information pertaining to the lifetime history of indoor tanning, thereby limiting our ability to understand indoor tanning patterns and potentially target interventions for individuals who not only initiate, but continue to persistently engage in indoor tanning. Methods In-person interviews elicited detailed retrospective information on lifetime history of indoor tanning among white individuals (n = 401 under age 40 seen by a dermatologist for a minor benign skin condition. These individuals were controls in a case-control study of early-onset basal cell carcinoma. Outcomes of interest included ever indoor tanning in both males and females, as well as persistent indoor tanning in females - defined as females over age 31 who tanned indoors at least once in the last three or all four of four specified age periods (ages 11-15, 16-20, 21-30 and 31 or older. Multivariate logistic regression was used to identify sociodemographic and lifestyle correlates of ever and persistent indoor tanning in females. Results Approximately three-quarters (73.3% of females and 38.3% of males ever tanned indoors, with a median age of initiation of 17.0 and 21.5, respectively. Among indoor tanners, 39.3% of females and 21.7% of males reported being burned while indoor tanning. Female ever indoor tanners were younger, had darker color eyes, and sunbathed more frequently than females who never tanned indoors. Using unique lifetime exposure data, 24.7% of female indoor tanners 31 and older persistently tanned indoors starting as teenagers. Female persistent indoor tanners drank significantly more alcohol, were less educated, had skin that tanned with prolonged sun exposure, and sunbathed outdoors more frequently than non-persistent tanners

  1. High frame rate retrospectively triggered Cine MRI for assessment of murine diastolic function

    NARCIS (Netherlands)

    Coolen, Bram F.; Abdurrachim, Desiree; Motaal, Abdallah G.; Nicolay, Klaas; Prompers, Jeanine J.; Strijkers, Gustav J.

    2013-01-01

    To assess left ventricular (LV) diastolic function in mice with Cine MRI, a high frame rate (>60 frames per cardiac cycle) is required. For conventional electrocardiography-triggered Cine MRI, the frame rate is inversely proportional to the pulse repetition time (TR). However, TR cannot be lowered

  2. Assessing Early Communication Skills at 12 Months: A Retrospective Study of Autism Spectrum Disorder

    Science.gov (United States)

    Swain, Nathaniel Robert; Eadie, Patricia Ann; Prior, Margot Ruth; Reilly, Sheena

    2015-01-01

    Background: Early identification of Autism Spectrum Disorder (ASD) is currently limited by the absence of reliable biological markers for the disorder, as well as the reliability of screening and assessment tools for children aged between 6 and 18 months. Ongoing research has demonstrated the importance of early social communication skills in…

  3. A retrospective chart study: The pathway to a diagnosis for adults referred for ASD assessment

    NARCIS (Netherlands)

    Geurts, H.M.; Jansen, M.D.

    2012-01-01

    Charts of 125 adults (18 to 82 years), referred to an autism expert team for Autism Spectrum Disorder (ASD) assessment, were reviewed to explore the pathway to an adulthood ASD diagnosis. The participants first contacted the mental health care clinic at a median age of 19 years (range 2 to 78

  4. Probabilistic Radiological Performance Assessment Modeling and Uncertainty

    Science.gov (United States)

    Tauxe, J.

    2004-12-01

    A generic probabilistic radiological Performance Assessment (PA) model is presented. The model, built using the GoldSim systems simulation software platform, concerns contaminant transport and dose estimation in support of decision making with uncertainty. Both the U.S. Nuclear Regulatory Commission (NRC) and the U.S. Department of Energy (DOE) require assessments of potential future risk to human receptors of disposal of LLW. Commercially operated LLW disposal facilities are licensed by the NRC (or agreement states), and the DOE operates such facilities for disposal of DOE-generated LLW. The type of PA model presented is probabilistic in nature, and hence reflects the current state of knowledge about the site by using probability distributions to capture what is expected (central tendency or average) and the uncertainty (e.g., standard deviation) associated with input parameters, and propagating through the model to arrive at output distributions that reflect expected performance and the overall uncertainty in the system. Estimates of contaminant release rates, concentrations in environmental media, and resulting doses to human receptors well into the future are made by running the model in Monte Carlo fashion, with each realization representing a possible combination of input parameter values. Statistical summaries of the results can be compared to regulatory performance objectives, and decision makers are better informed of the inherently uncertain aspects of the model which supports their decision-making. While this information may make some regulators uncomfortable, they must realize that uncertainties which were hidden in a deterministic analysis are revealed in a probabilistic analysis, and the chance of making a correct decision is now known rather than hoped for. The model includes many typical features and processes that would be part of a PA, but is entirely fictitious. This does not represent any particular site and is meant to be a generic example. A

  5. Noninvasive assessment of coronary artery disease by multislice spiral computed tomography using a new retrospectively ECG-gated image reconstruction technique. Comparison with angiographic results

    Energy Technology Data Exchange (ETDEWEB)

    Sato, Yuichi; Matsumoto, Naoya; Kato, Masahiko [Nihon Univ., Tokyo (Japan). Surugadai Hospital] [and others

    2003-04-01

    The present study was designed to investigate the accuracy of multislice spiral computed tomography (MSCT) in detecting coronary artery disease, compared with coronary angiography (CAG), using a new retrospectively ECG-gated reconstruction method that reduced cardiac motion artifact. The study group comprised 54 consecutive patients undergoing MSCT and CAG. MSCT was performed using a SOMATOM Volume Zoom (4-detector-row, Siemens, Germany) with slice thickness 1.0 mm, pitch 1.5 (table feed: 1.5 mm per rotation) and gantry rotation time 500 ms. Metoprolol (20-60 mg) was administered orally prior to MSCT imaging. ECG-gated image reconstruction was performed with the reconstruction window (250 ms) positioned immediately before atrial contraction in order to reduce the cardiac motion artifact caused by the abrupt diastolic ventricular movement occurring during the rapid filling and atrial contraction periods. Following inspection of the volume rendering images, multiplanar reconstruction images and axial images of the left main coronary artery (LMCA), left anterior descending artery (LAD), left circumflex artery (LCx) and right coronary artery (RCA) were obtained and evaluated for luminal narrowing. The results were compared with those obtained by CAG. Of 216 coronary arteries, 206 (95.4%) were assessable; 10 arteries were excluded from the analysis because of severe calcification (n=4), stents (n=3) or insufficient contrast enhancement (n=3). The sensitivity to detect coronary stenoses {>=}50% was 93.5% and the specificity to define luminal narrowing <50% was 97.2%. The positive predictive value and the negative predictive value were 93.5% and 97.2%, respectively. The sensitivity was still satisfactory (80.6%) even when non-assessable arteries were included in the analysis. The new retrospectively ECG-gated reconstruction method for MSCT has excellent diagnostic accuracy in detecting significant coronary artery stenoses. (author)

  6. Retrospective observational assessment of statin adherence among subjects patronizing different types of community pharmacies in Canada.

    Science.gov (United States)

    Evans, Charity D; Eurich, Dean T; Lamb, Darcy A; Taylor, Jeffrey G; Jorgenson, Derek J; Semchuk, William M; Mansell, Kerry D; Blackburn, David F

    2009-01-01

    Community pharmacies vary widely in terms of ownership structures, location, and dispensing policies. It is unknown if an association exists between the type of community pharmacy and the degree of medication adherence exhibited by patrons-patients. To describe adherence to statin therapy among subjects patronizing different types of community pharmacy categories (department- mass merchandise, chain-franchise, and independent-banner) in Saskatchewan, Canada, between 2000 and 2005. Study data were obtained from the Saskatchewan Drug Plan and Extended Benefits database, which is maintained by the government of Saskatchewan, Canada. The study included all subjects who (a) filled a statin prescription within selected community pharmacies between January 1, 2000, and December 31, 2005; (b) had no record of statin prescriptions during the year prior to the first statin prescription, according to the records of the Saskatchewan Drug Plan and Extended Benefits; and (c) demonstrated active utilization in the drug plan database for at least 1 year after the first statin prescription. The proxy criterion for activity was any dispensing record for statin or nonstatin medications at least 1 year following the index claim. Statin adherence level was estimated as tablets per day, defined as the total number of tablets dispensed divided by the total number of days of observation. Each subject's observation period began on the index date and ended on the earlier of (a) 30 days after the last recorded fill for any type of prescription medication (statin or nonstatin), or (b) December 31, 2005. The primary end point was the proportion of subjects within each pharmacy category who maintained an adherence level of 80% or greater during their individual observation period. Additional adherence calculations were performed for each of 3 time periods, beginning on the index date and ending on days 365, 729, and 1094 (i.e., 1, 2, and 3 years). Patients were included in the analysis for each

  7. E-Area Performance Assessment Interim Measures Assessment FY2005

    Energy Technology Data Exchange (ETDEWEB)

    Stallings, M

    2006-01-31

    After major changes to the limits for various disposal units of the E-Area Low Level Waste Facility (ELLWF) last year, no major changes have been made during FY2005. A Special Analysis was completed which removes the air pathway {sup 14}C limit from the Intermediate Level Vault (ILV). This analysis will allow the disposal of reactor moderator deionizers which previously had no pathway to disposal. Several studies have also been completed providing groundwater transport input for future special analyses. During the past year, since Slit Trenches No.1 and No.2 were nearing volumetric capacity, they were operationally closed under a preliminary closure analysis. This analysis was performed using as-disposed conditions and data and showed that concrete rubble from the demolition of 232-F was acceptable for disposal in the STs even though the latest special analysis for the STs had reduced the tritium limits so that the inventory in the rubble exceeded limits. A number of special studies are planned during the next years; perhaps the largest of these will be revision of the Performance Assessment (PA) for the ELLWF. The revision will be accomplished by incorporating special analyses performed since the last PA revision as well as revising analyses to include new data. Projected impacts on disposal limits of more recent studies have been estimated. No interim measures will be applied during this year. However, it is being recommended that tritium disposals to the Components-in-Grout (CIG) Trenches be suspended until a limited Special Analysis (SA) currently in progress is completed. This SA will give recommendations for optimum placement of tritiated D-Area tower waste. Further recommendations for tritiated waste placement in the CIG Trenches will be given in the upcoming PA revision.

  8. How can a phone survey help in a retrospective assessment of the medical exposure of the population?

    International Nuclear Information System (INIS)

    Rommens, C.; Brenot, J.; Maccia, C.; Pages, P.

    2000-01-01

    A retrospective assessment of the medical exposure to ionising radiation of a given population requires the completion of several steps: knowledge of the past x-ray examination frequencies, appraisal of the individual dose for each examination type and estimation of the influence of the improvements of the imaging technique during the span of time considered. Within such a context, a pilot study was carried out in France in 1999 to prepare a retrospective evaluation of the collective medical exposure of a local population in the Nord-Cotentin region over the past 40 years. The aim of the evaluation is to provide a working group [Groupe Radioecologie Nord-Cotentin 1998] in charge of the evaluation of all exposure levels (natural and artificial) of this population with a realistic average value for diagnostic exposure. As far as the examination frequencies are concerned, the methodological approach chosen was a phone-based survey which dealt with the individual personal medical history of a representative sample of the population over the considered period of time (40 years). Two complementary samples were included in the pilot study: One hundred adults who answered their own medical history; Twenty mothers who answered one of their children's medical history thus providing a more reliable information on medical examinations underwent by such a population. The main difficulties in the preparation of the questionnaires were the tuning of questions towards the best possible recollection of individual past events having led to a medical exposure, the acceptability of questioning about personal health problems. Frequencies of the different examination types were deduced according to the individual answers provided by the questionnaires while doses attributable to each examination type were assessed using different mathematical phantoms simulating adult and paediatric patients. The response rate obtained during the phone survey shows that the methodology used to carry out

  9. Relationship between quality of care and choice of clinical computing system: retrospective analysis of family practice performance under the UK's quality and outcomes framework.

    Science.gov (United States)

    Kontopantelis, Evangelos; Buchan, Iain; Reeves, David; Checkland, Kath; Doran, Tim

    2013-08-02

    To investigate the relationship between performance on the UK Quality and Outcomes Framework pay-for-performance scheme and choice of clinical computer system. Retrospective longitudinal study. Data for 2007-2008 to 2010-2011, extracted from the clinical computer systems of general practices in England. All English practices participating in the pay-for-performance scheme: average 8257 each year, covering over 99% of the English population registered with a general practice. Levels of achievement on 62 quality-of-care indicators, measured as: reported achievement (levels of care after excluding inappropriate patients); population achievement (levels of care for all patients with the relevant condition) and percentage of available quality points attained. Multilevel mixed effects multiple linear regression models were used to identify population, practice and clinical computing system predictors of achievement. Seven clinical computer systems were consistently active in the study period, collectively holding approximately 99% of the market share. Of all population and practice characteristics assessed, choice of clinical computing system was the strongest predictor of performance across all three outcome measures. Differences between systems were greatest for intermediate outcomes indicators (eg, control of cholesterol levels). Under the UK's pay-for-performance scheme, differences in practice performance were associated with the choice of clinical computing system. This raises the question of whether particular system characteristics facilitate higher quality of care, better data recording or both. Inconsistencies across systems need to be understood and addressed, and researchers need to be cautious when generalising findings from samples of providers using a single computing system.

  10. Epilepsy surgery in a pediatric population: a retrospective study of 129 children from a tertiary care hospital in a developing country along with assessment of quality of life.

    Science.gov (United States)

    Dagar, Amit; Chandra, P Sarat; Chaudhary, Kapil; Avnish, Chauhan; Bal, C S; Gaikwad, Shailesh; Garg, Ajay; Sarkar, Chitra; Srivastava, A; Padma, M V; Rekha, Diwedi; Gulati, Sheffali; Paul, Vinod; Prasad, K; Singh, M B; Tripathi, Manjari

    2011-01-01

    To assess the outcome of a pediatric population operated for drug-resistant epilepsy from a large tertiary care center in India. Retrospectively: quality of life (QOL); prospectively: preoperative assessment included interictal EEG, MRI (as per epilepsy protocol), video-EEG. Ictal SPECT (with subtraction) and PET were performed when required. QOL scores were assessed using the HASS or SSQ for seizure severity, Quality of Life in Childhood Epilepsy (QOLCE) for QOL, and Child Behavior Check List (CBCL) for behavior. 142 were operated from January 2000 to June 2011 by the senior author. 118 patients with at least 1 year of follow-up were included in the study. Mean age at surgery was 9.8 ± 4.3 years. In addition, 40 patients underwent QOL assessment prospectively both before and after surgery. Mean duration of epilepsy was 5.3 ± 3.3 years. A class I outcome (Engel's) was seen in 79.5% patients, class II in 8.6%, class III in 10.7%, and class IV in 1 patient. As per surgical procedures, class I outcome in patients who underwent temporal resection, hemispherotomy and extratemporal resection was 76, 87 and 72%, respectively. QOL scores correlated with duration of seizures, epileptic encephalopathy and outcome of surgery, but not with side of surgery, age and sex. This study, the largest reported from India, has demonstrated satisfactory results for epilepsy surgery in children. Copyright © 2011 S. Karger AG, Basel.

  11. Improvements in radon retrospective assessments based on analysis of 210Po embedded in glasses

    International Nuclear Information System (INIS)

    Trotti, F.; Lanciai, M.; Mozz, P.; Panepinto, V.; Poli, S.; Predicatori, F.; Righetti, F.; Tacconi, A.; Tanferi, A.

    1998-01-01

    In epidemiological studies into the connection between lung cancer and indoor radon, an important uncertainty factor comes from the assessment of radon exposure. Past radon concentrations can be estimated from measurements of 210 Po embedded in surfaces in the dwellings. In the paper the technique is highlighted based on 210 Po detection using CR-39 detectors applied to glass surfaces and on subsequent spectroscopic analysis with an image analyzer. Actual application of the technique is described and examples of the results are presented. (A.K.)

  12. Influence of clinical mastitis and its treatment outcome on reproductive performance in crossbred cows: A retrospective study.

    Science.gov (United States)

    Kumar, Narender; Manimaran, A; Sivaram, M; Kumaresan, A; Jeyakumar, S; Sreela, L; Mooventhan, P; Rajendran, D

    2017-05-01

    Evaluation of the effect of clinical mastitis (CM) and its treatment outcome on the reproductive performance in crossbred cows retrospectively. Datasets of 835 lactating cows affected with CM during a period of 12 years (2001-2012) were considered for this study. Mastitis treatment related data and reproductive parameters such as days to first detected heat (DTFDH), days to first insemination (DTFI), days open (DO), and number of services per conception (SC) were collected from mastitis treatment and artificial insemination registers, respectively. Data were analyzed by ANOVA using SPSS 20 software. The means were compared with the Duncan's multiple comparison post-hoc test. CM affected cows had significantly (p<0.05) higher DTFDH, DTFI, DO and SC compared to clinically healthy cows. Cows diagnosed with a single episode of CM had significantly (p<0.05) delayed DTFDH while, DO and SC were significantly higher (p<0.05) in cows diagnosed by multiple episodes of CM. SC was significantly (p<0.05) higher in cows diagnosed with both relapse and recurrence. Severe CM affected cows had significantly (p<0.05) altered reproductive parameters. The reproductive parameters were altered to high extent when CM occurred during the breeding period. CM-affected cows had higher DTFDH, DTFI, DO and SC compared to clinically healthy cows. The negative effects of CM on reproduction parameters were higher when CM occurred during the breeding period.

  13. Influence of clinical mastitis and its treatment outcome on reproductive performance in crossbred cows: A retrospective study

    Directory of Open Access Journals (Sweden)

    Narender Kumar

    2017-05-01

    Full Text Available Aim: Evaluation of the effect of clinical mastitis (CM and its treatment outcome on the reproductive performance in crossbred cows retrospectively. Materials and Methods: Datasets of 835 lactating cows affected with CM during a period of 12 years (2001-2012 were considered for this study. Mastitis treatment related data and reproductive parameters such as days to first detected heat (DTFDH, days to first insemination (DTFI, days open (DO, and number of services per conception (SC were collected from mastitis treatment and artificial insemination registers, respectively. Data were analyzed by ANOVA using SPSS 20 software. The means were compared with the Duncan's multiple comparison post-hoc test. Results: CM affected cows had significantly (p<0.05 higher DTFDH, DTFI, DO and SC compared to clinically healthy cows. Cows diagnosed with a single episode of CM had significantly (p<0.05 delayed DTFDH while, DO and SC were significantly higher (p<0.05 in cows diagnosed by multiple episodes of CM. SC was significantly (p<0.05 higher in cows diagnosed with both relapse and recurrence. Severe CM affected cows had significantly (p<0.05 altered reproductive parameters. The reproductive parameters were altered to high extent when CM occurred during the breeding period. Conclusion: CM-affected cows had higher DTFDH, DTFI, DO and SC compared to clinically healthy cows. The negative effects of CM on reproduction parameters were higher when CM occurred during the breeding period.

  14. An audit of risk assessments for suicide and attempted suicide in ED: a retrospective review of quality.

    Science.gov (United States)

    de Beer, Wayne; DeWitt, Bernard; Schofield, Jules; Clark, Helen; Gibbons, Veronique

    2018-02-23

    The primary aim of this audit was to determine the quality of psychiatric risk assessments conducted by Mental Health & Addiction Services clinicians for patients presenting to the emergency department, Waikato Hospital, Hamilton, New Zealand following an attempted suicide. A retrospective, randomised audit of 376 files of patients who had presented to the ED over a 12-month period from 1 July 2015 to 30 June 2016 was conducted, following the standards outlined in the present New Zealand Ministry of Health Clinical Practice Guideline for Deliberate Self Harm (DSH). It was found that clinicians routinely focused on the historical features of the suicide attempt presentation while failing to record judgements about future suicidal behaviours. Interactions with family members were recorded in less than half of the cases. The guideline most poorly adhered to was checking whether Māori patients wanted culturally appropriate services during the assessment and treatment planning, with this recorded in less than 10% of the clinical records. To improve the quality of the suicide risk assessments, and to better align with Clinical Practice Guidelines, the authors propose redevelopment of clinician training, including focus on cultural competence, and training in confidentiality and privacy relating to an attempted suicide episode.

  15. Comparative Assessment of Health Workers Performance and The ...

    African Journals Online (AJOL)

    Comparative Assessment of Health Workers Performance and The Performance ... had very high significant effect on performance of health workers which was independent of ... Keywords: Health Worker Performance Factors Hospitals Nigeria ...

  16. Assessing Ecosystem Model Performance in Semiarid Systems

    Science.gov (United States)

    Thomas, A.; Dietze, M.; Scott, R. L.; Biederman, J. A.

    2017-12-01

    In ecosystem process modelling, comparing outputs to benchmark datasets observed in the field is an important way to validate models, allowing the modelling community to track model performance over time and compare models at specific sites. Multi-model comparison projects as well as models themselves have largely been focused on temperate forests and similar biomes. Semiarid regions, on the other hand, are underrepresented in land surface and ecosystem modelling efforts, and yet will be disproportionately impacted by disturbances such as climate change due to their sensitivity to changes in the water balance. Benchmarking models at semiarid sites is an important step in assessing and improving models' suitability for predicting the impact of disturbance on semiarid ecosystems. In this study, several ecosystem models were compared at a semiarid grassland in southwestern Arizona using PEcAn, or the Predictive Ecosystem Analyzer, an open-source eco-informatics toolbox ideal for creating the repeatable model workflows necessary for benchmarking. Models included SIPNET, DALEC, JULES, ED2, GDAY, LPJ-GUESS, MAESPA, CLM, CABLE, and FATES. Comparison between model output and benchmarks such as net ecosystem exchange (NEE) tended to produce high root mean square error and low correlation coefficients, reflecting poor simulation of seasonality and the tendency for models to create much higher carbon sources than observed. These results indicate that ecosystem models do not currently adequately represent semiarid ecosystem processes.

  17. Thermodynamics, data estimation and performance assessment

    International Nuclear Information System (INIS)

    Grenthe, I.

    2002-01-01

    Performance assessment provides a narrative of a system and its development. One may use a literary metaphor; the procedure is like writing a novel where the 'chapters' are the various sub-systems and where both the 'plot' and the 'grammar' are based on scientific and other information, some hard facts and other more or less reliable guesses. I will begin with some general remarks on models, which may provide a useful starting point for what follows. - Models never provide complete descriptions of real systems; they are used to highlight certain aspects of them and to answer 'what-if' questions; - Modelling is an iterative process that provides guidance as to what are important phenomena and what is less relevant for the description of the system and its function; - It is necessary to distinguish between model uncertainties and parameter uncertainties; - It is often better to estimate a quantity for which no data are available than to exclude the particular process where it is needed. Thermodynamics provide not only numerical values for different chemical processes, but more important a theory framework that can be used for the estimation of data. I will not discuss activity coefficient corrections of thermodynamic data, an important area that has already been addressed by Professor Fanghaenel. In the following overview I will be using examples of estimations of different kinds to illustrate what can be accomplished using thermodynamics in combination with chemical theories. (author)

  18. Historical Exposures to Chemicals at the Rocky Flats Nuclear Weapons Plant: A Pilot Retrospective Exposure Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Robertson, Janeen Denise [Univ. of New Mexico, Albuquerque, NM (United States)

    1999-02-01

    In a mortality study of white males who had worked at the Rocky Flats Nuclear Weapons Plant between 1952 and 1979, an increased number of deaths from benign and unspecified intracranial neoplasms was found. A case-control study nested within this cohort investigated the hypothesis that an association existed between brain tumor death and exposure to either internally deposited plutonium or external ionizing radiation. There was no statistically significant association found between estimated radiation exposure from internally deposited plutonium and the development of brain tumors. Exposure by job or work area showed no significant difference between the cohort and the control groups. An update of the study found elevated risk estimates for (1) all lymphopoietic neoplasms, and (2) all causes of death in employees with body burdens greater than or equal to two nanocuries of plutonium. There was an excess of brain tumors for the entire cohort. Similar cohort studies conducted on worker populations from other plutonium handling facilities have not yet shown any elevated risks for brain tumors. Historically, the Rocky Flats Nuclear Weapons Plant used large quantities of chemicals in their production operations. The use of solvents, particularly carbon tetrachloride, was unique to Rocky Flats. No investigation of the possible confounding effects of chemical exposures was done in the initial studies. The objectives of the present study are to (1) investigate the history of chemical use at the Rocky Flats facility; (2) locate and analyze chemical monitoring information in order to assess employee exposure to the chemicals that were used in the highest volume; and (3) determine the feasibility of establishing a chemical exposure assessment model that could be used in future epidemiology studies.

  19. Dupuytren's contracture: a retrospective database analysis to assess clinical management and costs in England.

    Science.gov (United States)

    Gerber, Robert A; Perry, Richard; Thompson, Robin; Bainbridge, Christopher

    2011-04-12

    Dupuytren's disease is a fibro-proliferative disorder affecting ~3-5% of the UK population. Current surgical treatments for Dupuytren's contracture (DC) include fasciectomy and fasciotomy. We assessed the clinical management of DC in England over a 5-year period; associated NHS costs were assessed for a 1-year period. Hospital Episode Statistics were extracted from April 2003 to March 2008 for patients with Palmar Fascial Fibromatosis (ICD10=M720) and DC-related procedures. Variables included demographics, OPCS, patient status and physician specialty. To estimate 2010-2011 costs, HRG4 codes and the National Schedule of Tariff 2010-11-NHS Trusts were applied to the 2007-2008 period. Over 5 years, 75,157 DC admissions were recorded; 64,506 were analyzed. Mean admissions per year were 12,901 and stable. Day cases increased from 42% (2003-2004) to 62% (2007-2008). The percent of patients having two or more admissions per year increased from 5.5% in 2003-2004 to 26.1% in 2007-2008. Between 2003 and 2007, 91% of procedures were Fasciectomy. Revision of Fasciectomy and Fasciotomy each accounted for ~4%; Amputation for 1%. In 2007, classification was extended to identify Digital Fasciectomy, its Revision and Dermofasciectomy. In 2007-2008, admissions were: 70% Palmar Fasciectomy, 16% Digital Fasciectomy, 1.3% Other Fasciectomy, 4.4% Revision of Palmar Fasciectomy, 1.3% Revision of Digital Fasciectomy, 3.8% Division of Palmar Fascia, 2.6% Dermofasciectomy and 1.1% Amputation. 79% of cases were overseen by trauma and orthopaedic surgeons, 19% by plastic surgeons. Mean (±SD) inpatient hospital length of stay was 1.5 (±1.4) days in 2003-2004 and 1.0 (±1.3) days in 2007-2008. Total estimated costs for 1 year (2010-2011) were £41,576,141. Per-patient costs were £2,885 (day case) and £3,534 (inpatient). Costs ranged from £2,736 (day-case Fasciectomy) to £9,210 (day-case Revision Digital). Between 2003 and 2008, fasciectomy was the most common surgical procedure for DC in

  20. Assessment of Various Risk Factors for Success of Delayed and Immediate Loaded Dental Implants: A Retrospective Analysis.

    Science.gov (United States)

    Prasant, M C; Thukral, Rishi; Kumar, Sachin; Sadrani, Sannishth M; Baxi, Harsh; Shah, Aditi

    2016-10-01

    Ever since its introduction in 1977, a minimum of few months of period is required for osseointegration to take place after dental implant surgery. With the passage of time and advancements in the fields of dental implant, this healing period is getting smaller and smaller. Immediate loading of dental implants is becoming a very popular procedure in the recent time. Hence, we retrospectively analyzed the various risk factors for the failure of delayed and immediate loaded dental implants. In the present study, retrospective analysis of all the patients was done who underwent dental implant surgeries either by immediate loading procedure or by delayed loading procedures. All the patients were divided broadly into two groups with one group containing patients in which delayed loaded dental implants were placed while other consisted of patients in whom immediate loaded dental implants were placed. All the patients in whom follow-up records were missing and who had past medical history of any systemic diseases were excluded from the present study. Evaluation of associated possible risk factors was done by classifying the predictable factors as primary and secondary factors. All the results were analyzed by Statistical Package for the Social Sciences (SPSS) software. Kaplan-Meier survival analyses and chi-square test were used for assessment of level of significance. In delayed and immediate group of dental implants, mean age of the patients was 54.2 and 54.8 years respectively. Statistically significant results were obtained while comparing the clinical parameters of the dental implants in both the groups while demographic parameters showed nonsignificant correlation. Significant higher risk of dental implant failure is associated with immediate loaded dental implants. Tobacco smoking, shorter implant size, and other risk factors play a significant role in predicting the success and failure of dental implants. Delayed loaded dental implant placement should be preferred

  1. The China Patient-centered Evaluative Assessment of Cardiac Events (China PEACE) retrospective heart failure study design.

    Science.gov (United States)

    Yu, Yuan; Zhang, Hongzhao; Li, Xi; Lu, Yuan; Masoudi, Frederick A; Krumholz, Harlan M; Li, Jing

    2018-05-10

    Heart failure (HF) is a leading cause of hospitalisation in China, which is experiencing a rapid increase in cardiovascular disease prevalence. Yet, little is known about current burden of disease, quality of care and treatment outcomes of HF in China. The objective of this paper is to describe the study methodology, data collection and abstraction, and progress to date of the China Patient-centered Evaluative Assessment of Cardiac Events 5 Retrospective Heart Failure Study (China PEACE 5r-HF). The China PEACE 5r-HF Study will examine a nationally representative sample of more than 10 000 patient records hospitalised for HF in 2015 in China. The study is a retrospective cohort study. Patients have been selected using a two-stage sampling design stratified by economic-geographical regions. We will collect patient characteristics, diagnostic testing, treatments and in-hospital outcomes, including death and complications, and charges of hospitalisation. Data quality will be monitored by a central coordinating centre and will address case ascertainment, data abstraction and data management. As of October 2017, we have sampled 15 538 medical records from 189 hospitals, and have received 15 057 (96.9%) of these for data collection, and completed data abstraction and quality control on 7971. The Central Ethics Committee at the Chinese National Center for Cardiovascular Diseases approved the study. All collaborating hospitals accepted central ethics committee approval with the exception of 15 hospitals, which obtained local approval by internal ethics committees. Findings will be disseminated in future peer-reviewed papers and will serve as a foundation for improving the care for HF in China. NCT02877914. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  2. A retrospective quality assessment of pre-hospital emergency medical documentation in motor vehicle accidents in south-eastern Norway

    Directory of Open Access Journals (Sweden)

    Staff Trine

    2011-03-01

    Full Text Available Abstract Background Few studies have evaluated pre-hospital documentation quality. We retrospectively assessed emergency medical service (EMS documentation of key logistic, physiologic, and mechanistic variables in motor vehicle accidents (MVAs. Methods Records from police, Emergency Medical Communication Centers (EMCC, ground and air ambulances were retrospectively collected for 189 MVAs involving 392 patients. Documentation of Glasgow Coma Scale (GCS, respiratory rate (RR, and systolic blood pressure (SBP was classified as exact values, RTS categories, clinical descriptions enabling post-hoc inference of RTS categories, or missing. The distribution of values of exact versus inferred RTS categories were compared (Chi-square test for trend. Results 25% of ground and 11% of air ambulance records were unretrieveable. Patient name, birth date, and transport destination was documented in >96% of ambulance records and 81% of EMCC reports. Only 54% of patient encounter times were transmitted to the EMCC, but 77% were documented in ground and 96% in air ambulance records. Ground ambulance records documented exact values of GCS in 48% and SBP in 53% of cases, exact RR in 10%, and RR RTS categories in 54%. Clinical descriptions made post-hoc inference of RTS categories possible in another 49% of cases for GCS, 26% for RR, and 20% for SBP. Air ambulance records documented exact values of GCS in 89% and SBP in 84% of cases, exact RR in 7% and RR RTS categories in 80%. Overall, for lower RTS categories of GCS, RR and SBP the proportion of actual documented values to inferred values increased (All: p Conclusion EMS documentation of logistic and mechanistic variables was adequate. Patient physiology was frequently documented only as descriptive text. Our finding indicates a need for improved procedures, training, and tools for EMS documentation. Documentation is in itself a quality criterion for appropriate care and is crucial to trauma research.

  3. Policy and Validity Prospects for Performance-Based Assessment.

    Science.gov (United States)

    Baker, Eva L.; And Others

    1994-01-01

    This article describes performance-based assessment as expounded by its proponents, comments on these conceptions, reviews evidence regarding the technical quality of performance-based assessment, and considers its validity under various policy options. (JDD)

  4. Retrospective assessment of personnel neutron dosimetry for workers at the Hanford Site

    International Nuclear Information System (INIS)

    Fix, J.J.; Wilson, R.H.; Baumgartner, W.B.

    1996-09-01

    This report was prepared to examine the specific issue of the potential for unrecorded neutron dose for Hanford workers, particularly in comparison with the recorded whole body (neutron plus photon) dose. During the past several years, historical personnel dosimetry practices at Hanford have been documented in several technical reports. This documentation provides a detailed history of the technology, radiation fields, and administrative practices used to measure and record dose for Hanford workers. Importantly, documentation has been prepared by personnel whose collective experience spans nearly the entire history of Hanford operations beginning in the mid-1940s. Evaluations of selected Hanford radiation dose records have been conducted along with statistical profiles of the recorded dose data. The history of Hanford personnel dosimetry is complex, spanning substantial evolution in radiation protection technology, concepts, and standards. Epidemiologic assessments of Hanford worker mortality and radiation dose data were initiated in the early 1960s. In recent years, Hanford data have been included in combined analyses of worker cohorts from several Department of Energy (DOE) sites and from several countries through the International Agency for Research on Cancer (IARC). Hanford data have also been included in the DOE Comprehensive Epidemiologic Data Resource (CEDR). In the analysis of Hanford, and other site data, the question of comparability of recorded dose through time and across the respective sites has arisen. DOE formed a dosimetry working group composed of dosimetrists and epidemiologists to evaluate data and documentation requirements of CEDR. This working group included in its recommendations the high priority for documentation of site-specific radiation dosimetry practices used to measure and record worker dose by the respective DOE sites

  5. Assessment of Platelet Function in Traumatic Brain Injury—A Retrospective Observational Study in the Neuro-Critical Care Setting

    Directory of Open Access Journals (Sweden)

    Caroline Lindblad

    2018-01-01

    Full Text Available BackgroundDespite seemingly functional coagulation, hemorrhagic lesion progression is a common and devastating condition following traumatic brain injury (TBI, stressing the need for new diagnostic techniques. Multiple electrode aggregometry (MEA measures platelet function and could aid in coagulopathy assessment following TBI. The aims of this study were to evaluate MEA temporal dynamics, influence of concomitant therapy, and its capabilities to predict lesion progression and clinical outcome in a TBI cohort.Material and methodsAdult TBI patients in a neurointensive care unit that underwent MEA sampling were retrospectively included. MEA was sampled if the patient was treated with antiplatelet therapy, bled heavily during surgery, or had abnormal baseline coagulation values. We assessed platelet activation pathways involving the arachidonic acid receptor (ASPI, P2Y12 receptor, and thrombin receptor (TRAP. ASPI was the primary focus of analysis. If several samples were obtained, they were included. Retrospective data were extracted from hospital charts. Outcome variables were radiologic hemorrhagic progression and Glasgow Outcome Scale assessed prospectively at 12 months posttrauma. MEA levels were compared between patients on antiplatelet therapy. Linear mixed effect models and uni-/multivariable regression models were used to study longitudinal dynamics, hemorrhagic progression and outcome, respectively.ResultsIn total, 178 patients were included (48% unfavorable outcome. ASPI levels increased from initially low values in a time-dependent fashion (p < 0.001. Patients on cyclooxygenase inhibitors demonstrated low ASPI levels (p < 0.001, while platelet transfusion increased them (p < 0.001. The first ASPI (p = 0.039 and TRAP (p = 0.009 were significant predictors of outcome, but not lesion progression, in univariate analyses. In multivariable analysis, MEA values were not independently correlated with outcome

  6. Assessment of Worldwide Acute Kidney injury Epidemiology in Neonates (AWAKEN: Design of a Retrospective Cohort Study

    Directory of Open Access Journals (Sweden)

    Jennifer Garcia Jetton

    2016-07-01

    Full Text Available INTRODUCTION: Acute kidney injury (AKI affects ~30% of hospitalized neonates. Critical to advancing our understanding of neonatal AKI is collaborative research among neonatologists and nephrologists. The Neonatal Kidney Collaborative (NKC is an international, multidisciplinary group dedicated to investigating neonatal AKI. The AWAKEN study (Assessment of Worldwide Acute Kidney injury Epidemiology in Neonates was designed to describe the epidemiology of neonatal AKI, validate the definition of neonatal AKI, identify primary risk factors for neonatal AKI, and investigate the contribution of fluid management to AKI events and short term outcomes. METHODS and ANALYSIS: The NKC was established with at least one pediatric nephrologist and neonatologist from 24 institutions from 4 countries (USA, Canada, Australia, India. A Steering Committee and four subcommittees were created. The database subcommittee oversaw the development of the web-based database (MediData Rave™ that captured all NICU admissions from 1/1/14-3/31/14. Inclusion and exclusion criteria were applied to eliminate babies with a low likelihood of AKI. Data collection includes: 1 baseline demographic information; 2 daily physiologic parameters and care received during the first week of life; 3 weekly snapshots; 4 discharge information including growth parameters, final diagnoses, discharge medications and need for renal replacement therapy; and 5 all serum creatinine values. ETHICS and DISSEMINATION: AWAKEN was proposed as human subjects research. The study design allowed for a waiver of informed consent/parental permission. NKC investigators will disseminate data through peer-reviewed publications and educational conferences. DISCUSSION: The purpose of this publication is to describe the formation of the NKC, the establishment of the AWAKEN cohort and database, future directions and a few lessons learned. The AWAKEN database includes ~325 unique variables and >4 million discrete data

  7. Application of brown bear (Ursus arctos) records for retrospective assessment of mercury.

    Science.gov (United States)

    Solgi, Eisa; Ghasempouri, Seyed Mahmoud

    2015-01-01

    Because mercury (Hg) is released into the atmosphere, wildlife living in habitats located far from point sources of metal may still be at risk. Mercury accumulation, previously considered a risk for aquatic ecosystems, is also found in many wildlife terrestrial species. The aim of the present study was to examine total Hg concentrations in the brown bear (Ursus arctos) by measurement of metal in hair from museum collections in Iran. Another objective of this investigation was to characterize the risk of Hg exposure in bears in several parts of Iran. Brown bear (Ursus arctos) hair samples (n = 35) were collected from 14 provinces in Iran for analysis of Hg contamination, performed using an advanced mercury analyzer (model Leco 254 AMA, USA) according to ASTM standard D-6722. Total Hg levels in Iranian bears from all areas ranged from 115.81 to 505.82 μg/kg, with a mean of 193.39 ng/g. Mercury concentrations in brown bear hair from different provinces in Iran were as follows in descending order: Khorasan Razavi > Esfahan > Khozestan > Yazd > Lorestan > Charmahalva Bakhtiari > Bushehr > Mazandaran > Markazi > Tehran > Ardebil > Gilan > East Azerbaijan. The highest content of Hg was found in the south (206.62 ± 31.95 ng/g), whereas the lowest levels were detected in the west (167.71 ± 32.97 ng/g). Overall total Hg content in bear hair was below harmful levels for this species. A decreasing trend was noted in the period 1986-2006, which may be mainly due to reduction of global Hg emissions. Data suggest that food habits and habitat are two important factors that influence Hg accumulation in bears.

  8. Retrospective assessment of occupational asbestos exposure among 220 patients with respiratory cancer hospitalized at Vilnius University Institute of Oncology

    International Nuclear Information System (INIS)

    Petrauskaite Everatt, R.; Jankauskas, R.; Tossavainen, A.; Cicenas, S.; Smolianskiene, G.

    2005-01-01

    No cases of lung cancer or mesothelioma have ever been diagnosed or compensated as asbestos-related in Lithuania. This paper attempts to estimate the proportion of those occupationally exposed to asbestos among respiratory cancer patients. Occupational exposure to asbestos was assessed retrospectively for 218 lung cancer and 2 mesothelioma patients admitted to Institute of Oncology, Vilnius University. The evaluation was based on personal interview data using an internationally established questionnaire. Cumulative exposure to asbestos at work was evaluated in fibre-years. A cumulative asbestos exposure of ≥25 fibre-years was found for 7 patients (3.2%), in further 135 (61.2%) a cumulative exposure from 0.01 to 24.99 fibre-years was assessed. The most common occupations among heavily (≥25 fibre-years) exposed patients were smith, welder or insulator in foundries, construction, shipyard as well as asbestos cement and glass industry. Preliminary findings indicate that a fraction (3.2%) of the respiratory cancer cases could be attributed to occupational exposure to asbestos. Since 1560 or more cases of lung cancer are registered every year in Lithuania, about 50 cases per year could be predicted to be asbestos-related. (author)

  9. Retrospectively assessed physical work environment during working life and risk of sickness absence and labour market exit among older workers

    Science.gov (United States)

    Sundstrup, Emil; Hansen, Åse Marie; Mortensen, Erik Lykke; Poulsen, Otto Melchior; Clausen, Thomas; Rugulies, Reiner; Møller, Anne; Andersen, Lars L

    2018-01-01

    Objective To determine the prospective association between retrospectively assessed physical work environment during working life and prospectively assessed sickness absence and labour market exit among older workers. Methods Using Cox regression analyses we estimated the 4-year to 6-year prospective risk of register-based long-term sickness absence (LTSA), disability pension, early retirement and unemployment from exposure to different physical work environmental factors during working life among 5076 older workers (age 49–63 at baseline) from the Copenhagen Aging and Midlife Biobank cohort. Results Very hard physical work throughout working life was a risk factor for LTSA (HR 1.66,95% CI 1.32 to 2.07), disability pension (HR 2.21,95% CI 1.04 to 4.72) and early retirement (HR 1.57,95% CI 1.13 to 2.17). Both short-term (work during working life and exposure to several factors in the physical work environment, especially heavy lifting, were important for labour market exit and sickness absence. This study underscores the importance of reducing physical work exposures throughout the working life course for preventing sickness absence and premature exit from the labour market. PMID:28819019

  10. Retrospectively assessed physical work environment during working life and risk of sickness absence and labour market exit among older workers.

    Science.gov (United States)

    Sundstrup, Emil; Hansen, Åse Marie; Mortensen, Erik Lykke; Poulsen, Otto Melchior; Clausen, Thomas; Rugulies, Reiner; Møller, Anne; Andersen, Lars L

    2018-02-01

    To determine the prospective association between retrospectively assessed physical work environment during working life and prospectively assessed sickness absence and labour market exit among older workers. Using Cox regression analyses we estimated the 4-year to 6-year prospective risk of register-based long-term sickness absence (LTSA), disability pension, early retirement and unemployment from exposure to different physical work environmental factors during working life among 5076 older workers (age 49-63 at baseline) from the Copenhagen Aging and Midlife Biobank cohort. Very hard physical work throughout working life was a risk factor for LTSA (HR 1.66,95% CI 1.32 to 2.07), disability pension (HR 2.21,95% CI 1.04 to 4.72) and early retirement (HR 1.57,95% CI 1.13 to 2.17). Both short-term (factors in the physical work environment, especially heavy lifting, were important for labour market exit and sickness absence. This study underscores the importance of reducing physical work exposures throughout the working life course for preventing sickness absence and premature exit from the labour market. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  11. Retrospective evaluation of unexpected events during collection of blood donations performed with and without sedation in cats (2010-2013).

    Science.gov (United States)

    Doolin, Kerry S; Chan, Daniel L; Adamantos, Sophie; Humm, Karen

    2017-09-01

    Describe unexpected events (UEs) that occurred during blood donation in cats with and without sedation. Retrospective observational study (2010-2013). University teaching hospital. Client-owned healthy cats enrolled in a blood donation program. None. Blood collection for transfusion was performed 115 times from 32 cats. Seventy donation events were in unsedated cats and 45 in sedated cats. For each collection, the anticipated blood volume to be collected, actual blood volume collected, sedation protocol, and any UE in the peridonation period were recorded. There were 6 categories of UEs: movement during donation, donor anxiety, inadequate collected blood volume, jugular vessel related UEs, additional sedation requirement, and cardiorespiratory distress. Fisher's exact test was used to compare the frequency of UEs between sedated and unsedated cats. UEs were recorded in 54 of 115 collections. In the donor population, movement was reported as an UE in 0 cats that donated under sedation and 24/70 (34.3%) cats that donated without sedation (P donated under sedation and 14/70 (20.0%) cats that donated unsedated (P = 0.014). Unsedated donation did not increase the likelihood of inadequate donation volume, jugular vessel related UEs, or cardiorespiratory distress. Eight of 45 (17.8%) sedated donations required additional sedation. Movement during donation and signs of donor anxiety were more frequent in unsedated cats. These were considered minor issues, expected in unsedated cats being gently restrained. Blood collection from unsedated feline donors is a viable alternative to sedated donation. © Veterinary Emergency and Critical Care Society 2017.

  12. Teachers' Views on Performance-Based Assessments.

    Science.gov (United States)

    King, Bruce

    1991-01-01

    Provides personal perspectives from teachers about the prospects and problems illuminated by Stanford University's Teacher Assessment Project. Teacher remarks address the portfolio development process, assessment centers, implications for national board certification for teachers, personal thoughts and perspectives on teaching, and the future of…

  13. Energy performance assessment in urban planning competitions

    International Nuclear Information System (INIS)

    Eicker, Ursula; Monien, Dirk; Duminil, Éric; Nouvel, Romain

    2015-01-01

    Highlights: • Quantification of energy efficiency in urban planning. • Analysis based on 3D (city) model. • Impact evaluation of urban form on energy demand, supply and building costs. • Primary energy balance with and without inclusion of shadowing effects. - Abstract: Many cities today are committed to increase the energy efficiency of buildings and the fraction of renewables especially in new urban developments. However, quantitative data on building energy performance as a function of urban density, building compactness and orientation, building use and supply options are rarely available during the design of new cities or early scenario analysis for existing city quarters, making it difficult for cities to effectively evaluate which concepts work today and in the future. The paper proposes a methodology to assess the energy demand and supply options as a function of the availability of geometry, building standard and use data. An automated procedure was implemented to identify each building’s geometry and volume and transfer the information to a simulation tool, which then calculates heating demand and solar energy generation on roofs and facades. The simulation includes shading calculations for each segment of the façades and roofs and thus allows a very detailed quantification of the building energy demand. By applying the methodology to a case study city quarter designed in an urban competition in Munich, it could be shown how the urban design influences the energy demand of the quarter and which fractions of renewable energy can be integrated into the roofs. While the building insulation standard and use are the is most important criteria for building energy efficiency (with an impact of more than a factor 2), the exact geometrical form, compactness and urban shading effects influences the energy demand by 10–20%. On the other hand, the detailed roof geometry and orientation influences the possible solar coverage of electricity or thermal

  14. Use of electron paramagnetic resonance dosimetry with tooth enamel for retrospective dose assessment. Report of a co-ordinated research project

    CERN Document Server

    2002-01-01

    Electron paramagnetic resonance (EPR) dosimetry is a physical method for the assessment of absorbed dose from ionising radiation. It is based on the measurement of stable radiation induced radicals in human calcified tissues (primarily in tooth enamel). EPR dosimetry with teeth is now firmly established in retrospective dosimetry. It is a powerful method for providing information on exposure to ionising radiation many years after the event, since the 'signal' is 'stored' in the tooth or the bone. This technique is of particular relevance to relatively low dose exposures or when the results of conventional dosimetry are not available (e.g. in accidental circumstances). The use of EPR dosimetry, as an essential tool for retrospective assessment of radiation exposure is an important part of radioepidemiological studies and also provides data to select appropriate countermeasures based on retrospective evaluation of individual doses. Despite well established regulations and protocols for maintaining radiation pro...

  15. Diagnostic accuracy of non-contrast abdominal CT scans performed as follow-up for patients with an established cancer diagnosis: a retrospective study.

    Science.gov (United States)

    Semaan, Hassan; Bazerbashi, Mohamad F; Siesel, Geoffrey; Aldinger, Paul; Obri, Tawfik

    2018-03-01

    To determine the accuracy and non-detection rate of cancer related findings (CRFs) on follow-up non-contrast-enhanced CT (NECT) versus contrast-enhanced CT (CECT) images of the abdomen in patients with a known cancer diagnosis. A retrospective review of 352 consecutive CTs of the abdomen performed with and without IV contrast between March 2010 and October 2014 for follow-up of cancer was included. Two radiologists independently assessed the NECT portions of the studies. The reader was provided the primary cancer diagnosis and access to the most recent prior NECT study. The accuracy and non-detection rates were determined by comparing our results to the archived reports as a gold standard. A total of 383 CRFs were found in the archived reports of the 352 abdominal CTs. The average non-detection rate for the NECTs compared to the CECTs was 3.0% (11.5/383) with an accuracy of 97.0% (371.5/383) in identifying CRFs. The most common findings missed were vascular thrombosis with a non-detection rate of 100%. The accuracy for non-vascular CRFs was 99.1%. Follow-up NECT abdomen studies are highly accurate in the detection of CRFs in patients with an established cancer diagnosis, except in cases where vascular involvement is suspected.

  16. Performance Assessment Strategy Plan for the Geologic Repository Program

    International Nuclear Information System (INIS)

    1990-01-01

    Performance assessment is a major constituent of the program being conducted by the US Department of Energy (DOE) to develop a geologic repository. Performance assessment is the set of activities needed for quantitative evaluations to assess compliance with the performance requirements in the regulations for a geologic repository and to support the development of the repository. The strategy for these evaluations has been documented in the Performance Assessment Strategy Plan (DOE, 1989). The implementation of the performance assessment strategy is defined in this document. This paper discusses the scope and objectives of the implementation plan, the relationship of the plan to other program plans, summarizes the performance assessment areas and the integrated strategy of the performance assessment program. 1 fig., 3 tabs

  17. Investigating skin-to-skin care patterns with extremely preterm infants in the NICU and their effect on early cognitive and communication performance: a retrospective cohort study.

    Science.gov (United States)

    Gonya, Jenn; Ray, William C; Rumpf, R Wolfgang; Brock, Guy

    2017-03-20

    The primary objective of the study was to investigate how patterns of skin-to-skin care might impact infant early cognitive and communication performance. This was a retrospective cohort study. This study took place in a level-IV all-referral neonatal intensive care unit in the Midwest USA specialising in the care of extremely preterm infants. Data were collected from the electronic medical records of all extremely preterm infants (gestational age communication subscales of the Bayley Scales of Infant Development, Third Edition (Bayley-III); and skin-to-skin patterns including: total hours of maternal and paternal participation throughout hospitalisation, total duration in weeks and frequency (hours per week). Extracted data were analysed through a multistep process of logistic regressions, t-tests, χ 2 tests and Fisher's exact tests followed with exploratory network analysis using novel visual analytic software. Infants who received above the sample median in total hours, weekly frequency and total hours from mothers and fathers of skin-to-skin care were more likely to score ≥80 on the cognitive and communication scales of the Bayley-III. However, the results were not statistically significant (p>0.05). Mothers provided the majority of skin-to-skin care with a sharp decline at 30 weeks corrected age, regardless of when extremely preterm infants were admitted. Additional exploratory network analysis suggests that medical and skin-to-skin factors play a parallel, non-synergistic role in contributing to early cognitive and communication performance as assessed through the Bayley-III. This study suggests an association between early and frequent skin-to-skin care with extremely preterm infants and early cognitive and communication performance. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  18. Assessment of calcium scoring performance in cardiac computed tomography

    International Nuclear Information System (INIS)

    Ulzheimer, Stefan; Kalender, Willi A.

    2003-01-01

    Electron beam tomography (EBT) has been used for cardiac diagnosis and the quantitative assessment of coronary calcium since the late 1980s. The introduction of mechanical multi-slice spiral CT (MSCT) scanners with shorter rotation times opened new possibilities of cardiac imaging with conventional CT scanners. The purpose of this work was to qualitatively and quantitatively evaluate the performance for EBT and MSCT for the task of coronary artery calcium imaging as a function of acquisition protocol, heart rate, spiral reconstruction algorithm (where applicable) and calcium scoring method. A cardiac CT semi-anthropomorphic phantom was designed and manufactured for the investigation of all relevant image quality parameters in cardiac CT. This phantom includes various test objects, some of which can be moved within the anthropomorphic phantom in a manner that mimics realistic heart motion. These tools were used to qualitatively and quantitatively demonstrate the accuracy of coronary calcium imaging using typical protocols for an electron beam (Evolution C-150XP, Imatron, South San Francisco, Calif.) and a 0.5-s four-slice spiral CT scanner (Sensation 4, Siemens, Erlangen, Germany). A special focus was put on the method of quantifying coronary calcium, and three scoring systems were evaluated (Agatston, volume, and mass scoring). Good reproducibility in coronary calcium scoring is always the result of a combination of high temporal and spatial resolution; consequently, thin-slice protocols in combination with retrospective gating on MSCT scanners yielded the best results. The Agatston score was found to be the least reproducible scoring method. The hydroxyapatite mass, being better reproducible and comparable on different scanners and being a physical quantitative measure, appears to be the method of choice for future clinical studies. The hydroxyapatite mass is highly correlated to the Agatston score. The introduced phantoms can be used to quantitatively assess the

  19. Retrospective assessment of the most common mitochondrial DNA mutations in a large Hungarian cohort of suspect mitochondrial cases.

    Science.gov (United States)

    Remenyi, Viktoria; Inczedy-Farkas, Gabriella; Komlosi, Katalin; Horvath, Rita; Maasz, Anita; Janicsek, Ingrid; Pentelenyi, Klara; Gal, Aniko; Karcagi, Veronika; Melegh, Bela; Molnar, Maria Judit

    2015-08-01

    Prevalence estimations for mitochondrial disorders still vary widely and only few epidemiologic studies have been carried out so far. With the present work we aim to give a comprehensive overview about frequencies of the most common mitochondrial mutations in Hungarian patients. A total of 1328 patients were tested between 1999 and 2012. Among them, 882 were screened for the m.3243A > G, m.8344A > G, m.8993T > C/G mutations and deletions, 446 for LHON primary mutations. The mutation frequency in our cohort was 2.61% for the m.3243A > G, 1.47% for the m.8344A > G, 17.94% for Leber's Hereditary Optic Neuropathy (m.3460G > A, m.11778G > A, m.14484T > C) and 0.45% for the m.8993T > C/G substitutions. Single mtDNA deletions were detected in 14.97%, while multiple deletions in 6.01% of the cases. The mutation frequency in Hungarian patients suggestive of mitochondrial disease was similar to other Caucasian populations. Further retrospective studies of different populations are needed in order to accurately assess the importance of mitochondrial diseases and manage these patients.

  20. Assessment of the Public Health Risks and Impact of a Tornado in Funing, China, 23 June 2016: A Retrospective Analysis.

    Science.gov (United States)

    Wang, Kaiwen; Zhong, Shuang; Wang, Xiaoye; Wang, Zhe; Yang, Lianping; Wang, Qiong; Wang, Suhan; Sheng, Rongrong; Ma, Rui; Lin, Shao; Liu, Wenyu; Zu, Rongqiang; Huang, Cunrui

    2017-10-10

    (1) Background: Tornadoes are one of the deadliest disasters but their health impacts in China are poorly investigated. This study aimed to assess the public health risks and impact of an EF-4 tornado outbreak in Funing, China; (2) Methods: A retrospective analysis on the characteristics of tornado-related deaths and injuries was conducted based on the database from the Funing's Center for Disease Control and Prevention (CDC) and Funing People's Hospital. A change-point time-series analysis of weekly incidence for the period January 2010 to September 2016 was used to identify sensitive infectious diseases to the tornado; (3) Results: The 75 to 84 years old group was at the highest risk of both death (RR = 82.16; 95% CIs = 19.66, 343.33) and injury (RR = 31.80; 95% CI = 17.26, 58.61), and females were at 53% higher risk of death than males (RR = 1.53; 95% CIs = 1.02, 2.29). Of the 337 injuries, 274 injuries (81%) were minor. Most deaths occurred indoors (87%) and the head (74%) was the most frequent site of trauma during the tornado. Five diseases showed downward change-points; (4) Conclusions: The experience of the Funing tornado underscores the relative danger of being indoors during a tornado and is successful in avoiding epidemics post-tornado. Current international safety guidelines need modification when generalized to China.

  1. Assessment of the Public Health Risks and Impact of a Tornado in Funing, China, 23 June 2016: A Retrospective Analysis

    Directory of Open Access Journals (Sweden)

    Kaiwen Wang

    2017-10-01

    Full Text Available (1 Background: Tornadoes are one of the deadliest disasters but their health impacts in China are poorly investigated. This study aimed to assess the public health risks and impact of an EF-4 tornado outbreak in Funing, China; (2 Methods: A retrospective analysis on the characteristics of tornado-related deaths and injuries was conducted based on the database from the Funing’s Center for Disease Control and Prevention (CDC and Funing People’s Hospital. A change-point time-series analysis of weekly incidence for the period January 2010 to September 2016 was used to identify sensitive infectious diseases to the tornado; (3 Results: The 75 to 84 years old group was at the highest risk of both death (RR = 82.16; 95% CIs = 19.66, 343.33 and injury (RR = 31.80; 95% CI = 17.26, 58.61, and females were at 53% higher risk of death than males (RR = 1.53; 95% CIs = 1.02, 2.29. Of the 337 injuries, 274 injuries (81% were minor. Most deaths occurred indoors (87% and the head (74% was the most frequent site of trauma during the tornado. Five diseases showed downward change-points; (4 Conclusions: The experience of the Funing tornado underscores the relative danger of being indoors during a tornado and is successful in avoiding epidemics post-tornado. Current international safety guidelines need modification when generalized to China.

  2. Low-grade Glioma Surgery in Intraoperative Magnetic Resonance Imaging: Results of a Multicenter Retrospective Assessment of the German Study Group for Intraoperative Magnetic Resonance Imaging.

    Science.gov (United States)

    Coburger, Jan; Merkel, Andreas; Scherer, Moritz; Schwartz, Felix; Gessler, Florian; Roder, Constantin; Pala, Andrej; König, Ralph; Bullinger, Lars; Nagel, Gabriele; Jungk, Christine; Bisdas, Sotirios; Nabavi, Arya; Ganslandt, Oliver; Seifert, Volker; Tatagiba, Marcos; Senft, Christian; Mehdorn, Maximilian; Unterberg, Andreas W; Rössler, Karl; Wirtz, Christian Rainer

    2016-06-01

    The ideal treatment strategy for low-grade gliomas (LGGs) is a controversial topic. Additionally, only smaller single-center series dealing with the concept of intraoperative magnetic resonance imaging (iMRI) have been published. To investigate determinants for patient outcome and progression-free-survival (PFS) after iMRI-guided surgery for LGGs in a multicenter retrospective study initiated by the German Study Group for Intraoperative Magnetic Resonance Imaging. A retrospective consecutive assessment of patients treated for LGGs (World Health Organization grade II) with iMRI-guided resection at 6 neurosurgical centers was performed. Eloquent location, extent of resection, first-line adjuvant treatment, neurophysiological monitoring, awake brain surgery, intraoperative ultrasound, and field-strength of iMRI were analyzed, as well as progression-free survival (PFS), new permanent neurological deficits, and complications. Multivariate binary logistic and Cox regression models were calculated to evaluate determinants of PFS, gross total resection (GTR), and adjuvant treatment. A total of 288 patients met the inclusion criteria. On multivariate analysis, GTR significantly increased PFS (hazard ratio, 0.44; P surgery. Patients with accidentally left tumor remnants showed a similar prognosis compared with patients harboring only partially resectable tumors. Use of high-field iMRI was significantly associated with GTR. However, the field strength of iMRI did not affect PFS. EoR, extent of resectionFLAIR, fluid-attenuated inversion recoveryGTR, gross total resectionIDH1, isocitrate dehydrogenase 1iMRI, intraoperative magnetic resonance imagingLGG, low-grade gliomaMGMT, methylguanine-deoxyribonucleic acid methyltransferasenPND, new permanent neurological deficitOS, overall survivalPFS, progression-free survivalSTR, subtotal resectionWHO, World Health Organization.

  3. Structure, conduct and performance paradigm in assessing travel agency performances

    Directory of Open Access Journals (Sweden)

    Stănciulescu Gabriela Cecilia

    2017-07-01

    Full Text Available The purpose of this paper is to present and exemplify traditional and neoclassical approaches to market structure and tourism firm performance analysis. The paper tackles some of the industrial economic thinking trends which were meant to fill the gaps left by the traditional approaches. Two approaches stand out from among the industrial economic trends: SCP paradigm and game theory. The results show that the strategy tourism operators prefer is to practise high prices; however there is no certainty that the competitors would adhere to such an idea at the beginning or during the season.

  4. The impact of the Fukushima nuclear accident on marine biota: Retrospective assessment of the first year and perspectives

    NARCIS (Netherlands)

    Vives i Battle, Jordi; Aono, Tatsuo; Brown, Justin E.; Hosseini, Ali; Garnier-Laplace, Jacqueline; Sazykina, Tatiana; Steenhuisen, Frits; Strand, Per

    2014-01-01

    An international study under the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) was performed to assess radiological impact of the nuclear accident at the Fukushima-Daiichi Nuclear Power Station (FDNPS) on the marine environment. This work constitutes the first

  5. Postoperative recurrence and fertility after endometrioma ablation using plasma energy: retrospective assessment of a 3-year experience.

    Science.gov (United States)

    Roman, Horace; Auber, Mathieu; Bourdel, Nicolas; Martin, Cécile; Marpeau, Loïc; Puscasiu, Lucian

    2013-01-01

    To assess recurrence and pregnancy rates in women with ovarian endometrioma treated via ablation using plasma energy. Retrospective non-comparative pilot study including 55 patients treated during 28 months, with prospective recording of data (Canadian Task Force classification II-2). Tertiary referral center. Fifty-five consecutive women with pelvic endometriosis in whom ovarian endometriomas were managed solely via ablation using plasma energy. The minimum follow-up was 1 year. Endometrioma ablation using plasma energy. Information was obtained from the database of the North-West Inter Regional Female Cohort for Patients with Endometriosis, based on self-questionnaires completed before surgery, surgical and histologic data, and systematic recording of recurrences, pregnancy, and symptoms. Recurrences were assessed using pelvic ultrasound examination. Mean (SD) follow-up was 20.6 (7.2) months (range, 12-39 months). In 75% of patients, deep infiltrating endometriosis was treated, and 40% had colorectal involvement. Preoperative infertility was recorded in 42% of patients. The rate of postoperative recurrence was 10.9% for the entire series. Of 33 women who wished to conceive, 67% became pregnant, spontaneously in 59%. Time from surgery to the first pregnancy was 7.6 (4.3) months. After discontinuation of postoperative hormone therapy, the probability of not conceiving at 12 months was 0.36 (95% confidence interval, 0.19-0.53), and at 24 months was 0.27 (95% confidence interval, 0.12-0.44). Recurrence and pregnancy rates are encouraging in that they seem comparable to the best reported results after endometrioma cystectomy. Plasma energy may have an important role in the management of ovarian endometrioma in women seeking to conceive. Patients most in need of surgical procedures that can spare ovarian parenchyma, such as those with bilateral endometriomas or a history of ovarian surgery, may particularly benefit from ablation using plasma energy. Copyright © 2013

  6. The 'Maltreatment and Abuse Chronology of Exposure' (MACE scale for the retrospective assessment of abuse and neglect during development.

    Directory of Open Access Journals (Sweden)

    Martin H Teicher

    Full Text Available There is increasing interest in childhood maltreatment as a potent stimulus that may alter trajectories of brain development, induce epigenetic modifications and enhance risk for medical and psychiatric disorders. Although a number of useful scales exist for retrospective assessment of abuse and neglect they have significant limitations. Moreover, they fail to provide detailed information on timing of exposure, which is critical for delineation of sensitive periods. The Maltreatment and Abuse Chronology of Exposure (MACE scale was developed in a sample of 1051 participants using item response theory to gauge severity of exposure to ten types of maltreatment (emotional neglect, non-verbal emotional abuse, parental physical maltreatment, parental verbal abuse, peer emotional abuse, peer physical bullying, physical neglect, sexual abuse, witnessing interparental violence and witnessing violence to siblings during each year of childhood. Items included in the subscales had acceptable psychometric properties based on infit and outfit mean square statistics, and each subscale passed Andersen's Likelihood ratio test. The MACE provides an overall severity score and multiplicity score (number of types of maltreatment experienced with excellent test-retest reliability. Each type of maltreatment showed good reliability as did severity of exposure across each year of childhood. MACE Severity correlated 0.738 with Childhood Trauma Questionnaire (CTQ score and MACE Multiplicity correlated 0.698 with the Adverse Childhood Experiences scale (ACE. However, MACE accounted for 2.00- and 2.07-fold more of the variance, on average, in psychiatric symptom ratings than CTQ or ACE, respectively, based on variance decomposition. Different types of maltreatment had distinct and often unique developmental patterns. The 52-item MACE, a simpler Maltreatment Abuse and Exposure Scale (MAES that only assesses overall exposure and the original test instrument (MACE-X with

  7. Performance assessment strategy for low-level waste disposal sites

    International Nuclear Information System (INIS)

    Starmer, R.J.; Deering, L.G.; Weber, M.F.

    1988-01-01

    This paper describes US Nuclear Regulatory Commission (NRC) staff views on predicting the performance of low-level radioactive waste disposal facilities. Under the Atomic Energy Act, as amended, and the Low Level Radioactive Waste Policy Act, as amended, the NRC and Agreement States license land disposal of low-level radioactive waste (LLW) using the requirements in 10 CFR Part 61 or comparable state requirements. The purpose of this paper is to briefly describe regulatory requirements for performance assessment in low-level waste licensing, a strategy for performance assessments to support license applications, and NRC staff licensing evaluation of performance assessments. NRC's current activities in developing a performance assessment methodology will provide an overall systems modeling approach for assessing the performance of LLW disposal facilities. NRC staff will use the methodology to evaluate performance assessments conducted by applicants for LLW disposal facilities. The methodology will be made available to states and other interested parties

  8. Hyperglycaemia Among Nigerian Infants Weighing Less Than 1,500 Grammes at Birth: A Retrospective Assessment of the Clinical Data

    Directory of Open Access Journals (Sweden)

    Onyiriuka Alphonsus N.

    2014-06-01

    Full Text Available Background and Aims: In very low birthweight (VLBW infants, birthweight < 1,500g, hyperglycaemia is associated with increased rates of mortality and morbidity. Our study aimed at determining the prevalence of hyperglycaemia among VLBW infants and describing their clinical characteristics. Methods: A retrospective chart review of all inborn VLBW infants was performed. Information obtained included birthweight, gestational age (best obstetric record, gender, and history of chorioamnionitis/maternal medical disorders, type and rates of intravenous fluid administration. Blood glucose level ≥ 7 mmol/L on at least two occasions defined hyperglycaemia. Results: Of the 279 blood glucose values, obtained from 93 infants, 91 (32.6%; 95% CI = 27.1% -38.1% were in the hyperglycaemic range, with the majority (61.5% occurring in the first 48 hours of life. The frequency of hyperglycaemia was significantly associated with a rate of infusion greater than 0.4g/kg/hour (Odds Ratio, OR = 3.76; 95% CI=1.58-8.94 and a positive history of maternal chorioamnionitis (OR = 3.04; 95%CI= 1.15-8.01. Conclusion: In the first 48 hours of life, hyperglycaemia co-existing with or complicating primary illnesses was common in VLBW infants who had dextrose infusion and a positive history of maternal chorioamnionitis

  9. Technical Basis for Assessing Uranium Bioremediation Performance

    International Nuclear Information System (INIS)

    PE Long; SB Yabusaki; PD Meyer; CJ Murray; AL N'Guessan

    2008-01-01

    In situ bioremediation of uranium holds significant promise for effective stabilization of U(VI) from groundwater at reduced cost compared to conventional pump and treat. This promise is unlikely to be realized unless researchers and practitioners successfully predict and demonstrate the long-term effectiveness of uranium bioremediation protocols. Field research to date has focused on both proof of principle and a mechanistic level of understanding. Current practice typically involves an engineering approach using proprietary amendments that focuses mainly on monitoring U(VI) concentration for a limited time period. Given the complexity of uranium biogeochemistry and uranium secondary minerals, and the lack of documented case studies, a systematic monitoring approach using multiple performance indicators is needed. This document provides an overview of uranium bioremediation, summarizes design considerations, and identifies and prioritizes field performance indicators for the application of uranium bioremediation. The performance indicators provided as part of this document are based on current biogeochemical understanding of uranium and will enable practitioners to monitor the performance of their system and make a strong case to clients, regulators, and the public that the future performance of the system can be assured and changes in performance addressed as needed. The performance indicators established by this document and the information gained by using these indicators do add to the cost of uranium bioremediation. However, they are vital to the long-term success of the application of uranium bioremediation and provide a significant assurance that regulatory goals will be met. The document also emphasizes the need for systematic development of key information from bench scale tests and pilot scales tests prior to full-scale implementation

  10. Technical Basis for Assessing Uranium Bioremediation Performance

    Energy Technology Data Exchange (ETDEWEB)

    PE Long; SB Yabusaki; PD Meyer; CJ Murray; AL N’Guessan

    2008-04-01

    In situ bioremediation of uranium holds significant promise for effective stabilization of U(VI) from groundwater at reduced cost compared to conventional pump and treat. This promise is unlikely to be realized unless researchers and practitioners successfully predict and demonstrate the long-term effectiveness of uranium bioremediation protocols. Field research to date has focused on both proof of principle and a mechanistic level of understanding. Current practice typically involves an engineering approach using proprietary amendments that focuses mainly on monitoring U(VI) concentration for a limited time period. Given the complexity of uranium biogeochemistry and uranium secondary minerals, and the lack of documented case studies, a systematic monitoring approach using multiple performance indicators is needed. This document provides an overview of uranium bioremediation, summarizes design considerations, and identifies and prioritizes field performance indicators for the application of uranium bioremediation. The performance indicators provided as part of this document are based on current biogeochemical understanding of uranium and will enable practitioners to monitor the performance of their system and make a strong case to clients, regulators, and the public that the future performance of the system can be assured and changes in performance addressed as needed. The performance indicators established by this document and the information gained by using these indicators do add to the cost of uranium bioremediation. However, they are vital to the long-term success of the application of uranium bioremediation and provide a significant assurance that regulatory goals will be met. The document also emphasizes the need for systematic development of key information from bench scale tests and pilot scales tests prior to full-scale implementation.

  11. Performance assessment of Point Lepreau Generating Station

    Energy Technology Data Exchange (ETDEWEB)

    Alikhan, S [Point Lepreau Generating Station, Lepreau, NB (Canada)

    1991-04-01

    The Point Lepreau Generating Station, a 680 MWe CANDU unit, is located about 40 km southwest of the city of Saint John, New Brunswick, Canada. It was declared in-service on 1 February, 1983 and, since then, has demonstrated an average cross capacity factor of over 93% up to the end of 1990. This paper compared the performance of the station with other sister CANDU units and the Light Water Reactors world-wide using the following ten performance indicators, as applicable: - gross capacity factor; - fuel burn-up; - heavy water upkeep; - unplanned reactor trips while critical; - forced outage rate; - fuel handling performance; - derived emission of radioactive effluents to environment; - personnel radiation dose; - industrial safety; - low-level solid radioactive wastes. The paper examines various areas of station activities including management and organization, operations and maintenance, technical support, fuel handling and health physics in order to highlight some of the 'good practices' which are believed to have made a significant contribution towards achieving the demonstrated performance of Point Lepreau G.S. In addition, several areas of potential improvement are discussed in order to maintain and enhance, where practicable, the safety, reliability and economic performance of the station. In this context, a careful review of the operating experiences, both in-house and at other stations, and a judicious application of lessons learned plays a significant role. (author)

  12. Performance assessment of Point Lepreau Generating Station

    International Nuclear Information System (INIS)

    Alikhan, S.

    1991-01-01

    The Point Lepreau Generating Station, a 680 MWe CANDU unit, is located about 40 km southwest of the city of Saint John, New Brunswick, Canada. It was declared in-service on 1 February, 1983 and, since then, has demonstrated an average cross capacity factor of over 93% up to the end of 1990. This paper compared the performance of the station with other sister CANDU units and the Light Water Reactors world-wide using the following ten performance indicators, as applicable: - gross capacity factor; - fuel burn-up; - heavy water upkeep; - unplanned reactor trips while critical; - forced outage rate; - fuel handling performance; - derived emission of radioactive effluents to environment; - personnel radiation dose; - industrial safety; - low-level solid radioactive wastes. The paper examines various areas of station activities including management and organization, operations and maintenance, technical support, fuel handling and health physics in order to highlight some of the 'good practices' which are believed to have made a significant contribution towards achieving the demonstrated performance of Point Lepreau G.S. In addition, several areas of potential improvement are discussed in order to maintain and enhance, where practicable, the safety, reliability and economic performance of the station. In this context, a careful review of the operating experiences, both in-house and at other stations, and a judicious application of lessons learned plays a significant role. (author)

  13. PERFORMANCE ASSESSMENT IN OPERATING DRY PORTS

    Directory of Open Access Journals (Sweden)

    Ciortescu Cezar-Gabriel

    2010-12-01

    Full Text Available In this paper, an approach for recognizing and defining correct and operable performance will be presented with the purpose of evaluating the effectiveness and efficiency of processes in dry ports (inland intermodal hubs. The challenge in evaluating the possible improvements of the underlying processes lies in the special nature and the complex structure of dry ports. It is important to consider that all the processes are highly interconnected and that changes in parameters in one process also have an impact on parameters in other processes. Furthermore, the performance of dry ports, seen as the backbone of the system, has a significant impact on the overall performance of the whole transportation network.

  14. What information is provided in transcripts and Medical Student Performance Records from Canadian Medical Schools? A retrospective cohort study.

    Science.gov (United States)

    Robins, Jason A; McInnes, Matthew D F; Esmail, Kaisra

    2014-01-01

    Resident selection committees must rely on information provided by medical schools in order to evaluate candidates. However, this information varies between institutions, limiting its value in comparing individuals and fairly assessing their quality. This study investigates what is included in candidates' documentation, the heterogeneity therein, as well as its objective data. Samples of recent transcripts and Medical Student Performance Records were anonymised prior to evaluation. Data were then extracted by two independent reviewers blinded to the submitting university, assessing for the presence of pre-selected criteria; disagreement was resolved through consensus. The data were subsequently analysed in multiple subgroups. Inter-rater agreement equalled 92%. Inclusion of important criteria varied by school, ranging from 22.2% inclusion to 70.4%; the mean equalled 47.4%. The frequency of specific criteria was highly variable as well. Only 17.7% of schools provided any basis for comparison of academic performance; the majority detailed only status regarding pass or fail, without any further qualification. Considerable heterogeneity exists in the information provided in official medical school documentation, as well as markedly little objective data. Standardization may be necessary in order to facilitate fair comparison of graduates from different institutions. Implementation of objective data may allow more effective intra- and inter-scholastic comparison.

  15. What information is provided in transcripts and Medical Student Performance Records from Canadian Medical Schools? A retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Jason A. Robins

    2014-09-01

    Full Text Available Background: Resident selection committees must rely on information provided by medical schools in order to evaluate candidates. However, this information varies between institutions, limiting its value in comparing individuals and fairly assessing their quality. This study investigates what is included in candidates’ documentation, the heterogeneity therein, as well as its objective data. Methods: Samples of recent transcripts and Medical Student Performance Records were anonymised prior to evaluation. Data were then extracted by two independent reviewers blinded to the submitting university, assessing for the presence of pre-selected criteria; disagreement was resolved through consensus. The data were subsequently analysed in multiple subgroups. Results: Inter-rater agreement equalled 92%. Inclusion of important criteria varied by school, ranging from 22.2% inclusion to 70.4%; the mean equalled 47.4%. The frequency of specific criteria was highly variable as well. Only 17.7% of schools provided any basis for comparison of academic performance; the majority detailed only status regarding pass or fail, without any further qualification. Conclusions: Considerable heterogeneity exists in the information provided in official medical school documentation, as well as markedly little objective data. Standardization may be necessary in order to facilitate fair comparison of graduates from different institutions. Implementation of objective data may allow more effective intra- and inter-scholastic comparison.

  16. Five-year Retrospective Review of Physician and Non-physician Performed Ultrasound in a Canadian Critical Care Helicopter Emergency Medical Service.

    Science.gov (United States)

    O'Dochartaigh, Domhnall; Douma, Matthew; MacKenzie, Mark

    2017-01-01

    To describe the use of prehospital ultrasonography (PHUS) to support interventions, when used by physician and non-physician air medical crew (AMC), in a Canadian helicopter emergency medical service (HEMS). A retrospective review was conducted of consecutive patients who underwent ultrasound examination during HEMS care from January 1, 2009 through March 10, 2014. An a priori created data form was used to record patient demographics, type of ultrasound scan performed, ultrasound findings, location of scan, type of interventions supported by PHUS, factors that affected PHUS completion, and quality indicator(s). Data analysis was performed through descriptive statistics, Student's t-test for continuous variables, Z-test for proportions, and Mann-Whitney U Test for nonparametric data. Outcomes included interventions supported by PHUS, factors associated with incomplete scans, and quality indicators associated with PHUS use. Differences between physician and AMC groups were also assessed. PHUS was used in 455 missions, 318 by AMC and 137 by physicians. In combined trauma and medical patients, in the AMC group interventions were supported by PHUS in 26% of cases (95% CI 18-34). For transport physicians the percentage support was found to be significantly greater at 45% of cases (95% CI 34-56) p = reasons included patient obesity, lack of time, patient access, and clinical reasons. Quality indicators associated with PHUS were rarely identified. The use of PHUS by both physicians and non-physicians was found to support interventions in select trauma and medical patients. Key words: emergency medical services; aircraft; helicopter; air ambulance; ultrasonography; emergency care, prehospital; prehospital emergency care.

  17. Irrigation performance assessment in Crimea, Ukraine

    NARCIS (Netherlands)

    Pavlov, S.S.; Roerink, G.J.; Hellegers, P.J.G.J.; Popovych, V.F.

    2006-01-01

    After the collapse of the Soviet Union the performance of irrigated agriculture decreased drastically in Ukraine, due to problems related to the transition from a centrally planned economy to a market economy. Before formulating recommendations on required actions to modify this problematic

  18. Using urbanization profiles to assess screening performance

    NARCIS (Netherlands)

    Boon, ME; Kok, LP

    The large Dutch data sets acquired as a result of population-based cervical smear screening programs can be further exploited to obtain an urbanization-weighted score to gain insight into the quality of the performance of the individual cytology laboratories. Based on the first four digits of the

  19. Assessing heat exchanger performance data using temperature ...

    African Journals Online (AJOL)

    In addition, any calculated performance acceptance criteria must also consider uncertainty and error in the experimental measurements of temperature and flow. However, most statistical methods are complex and not easily applied to heat exchangers such as those that serve the power plant industry where data are difficult ...

  20. Tajikistan - Public Expenditure and Financial Accountability Assessment : Performance Report

    OpenAIRE

    World Bank

    2007-01-01

    This assessment is based on work undertaken between October 2006 and May 2007. The summary assessment covers the following three areas: an integrated assessment of PFM performance based on the 28+3 PEFA indicators, an assessment of the impact of PFM weaknesses, and the prospects for reform planning and implementation. The main report consists of four sections: an introduction, the country ...

  1. WIPP performance assessment: impacts of human intrusion

    International Nuclear Information System (INIS)

    Anderson, D.R.; Hunter, R.L.; Bertram-Howery, S.G.; Lappin, A.R.

    1989-01-01

    The Waste Isolation Pilot Plant (WIPP) in southeastern New Mexico is a research and development facility that may become the USA's first and only mined geologic repository for transuranic waste. Human intrusion into the WIPP repository after closure has been shown by preliminary sensitivity analyses and calculations of consequences to be an important, and perhaps the most important, factor in long-term repository performance

  2. Cost performance assessment of in situ vitrification

    International Nuclear Information System (INIS)

    Showalter, W.E.; Letellier, B.C.; Booth, S.R.; Barnes-Smith, P.

    1992-01-01

    In situ vitrification (ISV) is a thermal treatment technology with promise for the destruction or immobilization of hazardous materials in contaminated soils. It has developed over the past decade to a level of maturity where meaningful cost effectiveness studies may be performed. The ISV process melts 4 to 25 m 2 of undisturbed soil to a maximum depth of 6 m into an obsidian-like glass waste form by applying electric current (3750 kill) between symmetrically spaced electrodes. Temperatures of approximately 2000 degree C drive off and destroy complex organics which are captured in an off-gas treatment system, while radio-nuclides are incorporated into the homogeneous glass monolith. A comparative life-cycle cost evaluation between mobile rotary kiln incineration and ISV was performed to quantitatively identify appropriate performance regimes and components of cost which are sensitive to the implementation of each technology. Predictions of melt times and power consumption were obtained from an ISV performance model over ranges of several parameters including electrode spacing, soil moisture, melt depth, electrical resistivity, and soil density. These data were coupled with manpower requirements, capitalization costs, and a melt placement optimization routine to allow interpolation over a wide variety of site characteristics. For the purpose of this study, a single site scenario representative of a mixed waste evaporation pond was constructed. Preliminary comparisons between ISV and incineration show that while operating costs are comparable, ISV avoids secondary treatment and monitored storage of radioactive waste that would be required following conventional incineration. It is the long term storage of incinerated material that is the most expensive component

  3. Some viewpoints on reference biospheres in Finnish performance assessments

    International Nuclear Information System (INIS)

    Rasilainen, K.; Kattilakoski, E.; Suolanen, V.; Vieno, T.; Vuori, S.

    2002-01-01

    Viewpoints are presented concerning biosphere studies in performance assessments of nuclear waste disposal. The points are based on experiences from several Finnish performance assessments. The latest performance assessment for spent fuel disposal, TILA-99, was considered in the Decision in Principle process for the site selection of the repository. The points given are also based on experiences from participation in international projects dealing with biosphere modelling, for instance BIOMOVS and BIOMASS. (author)

  4. Performance objectives for the Hanford Immobilized Low-Activity Waste (ILAW) performance assessment

    International Nuclear Information System (INIS)

    MANN, F.M.

    1999-01-01

    Performance objectives for the disposal of low activity waste from Hanford Waste Tanks have been developed. These objectives have been based on DOE requirements, programmatic requirements, and public involvement. The DOE requirements include regulations that direct the performance assessment and are cited within the Radioactive Waste Management Order (DOE Order 435.1). Performance objectives for other DOE complex performance assessments have been included

  5. The role of performance assessment in radioactive waste disposal

    International Nuclear Information System (INIS)

    Stenhouse, M.J.

    1998-01-01

    Performance assessment has many applications in the field of radioactive waste management, none more important than demonstrating the suitability of a particular repository system for waste disposal. The role of performance assessment in radioactive waste disposal is discussed with reference to assessments performed in civilian waste management programmes. The process is, however, relevant, and may be applied directly to the disposal of defence-related wastes. When used in an open and transparent manner, performance assessment is a powerful methodology not only for convincing the authorities of the safety of a disposal concept, but also for gaining the wider acceptance of the general public for repository siting. 26 refs

  6. Retrofit Weight-Loss Outcomes at 6, 12, and 24 Months and Characteristics of 12-Month High Performers: A Retrospective Analysis.

    Science.gov (United States)

    Painter, Stefanie; Ditsch, Gary; Ahmed, Rezwan; Hanson, Nicholas Buck; Kachin, Kevin; Berger, Jan

    2016-08-22

    Obesity is the leading cause of preventable death costing the health care system billions of dollars. Combining self-monitoring technology with personalized behavior change strategies results in clinically significant weight loss. However, there is a lack of real-world outcomes in commercial weight-loss program research. Retrofit is a personalized weight management and disease-prevention solution. This study aimed to report Retrofit's weight-loss outcomes at 6, 12, and 24 months and characterize behaviors, age, and sex of high-performing participants who achieved weight loss of 10% or greater at 12 months. A retrospective analysis was performed from 2011 to 2014 using 2720 participants enrolled in a Retrofit weight-loss program. Participants had a starting body mass index (BMI) of >25 kg/m² and were at least 18 years of age. Weight measurements were assessed at 6, 12, and 24 months in the program to evaluate change in body weight, BMI, and percentage of participants who achieved 5% or greater weight loss. A secondary analysis characterized high-performing participants who lost ≥10% of their starting weight (n=238). Characterized behaviors were evaluated, including self-monitoring through weigh-ins, number of days wearing an activity tracker, daily step count average, and engagement through coaching conversations via Web-based messages, and number of coaching sessions attended. Average weight loss at 6 months was -5.55% for male and -4.86% for female participants. Male and female participants had an average weight loss of -6.28% and -5.37% at 12 months, respectively. Average weight loss at 24 months was -5.03% and -3.15% for males and females, respectively. Behaviors of high-performing participants were assessed at 12 months. Number of weigh-ins were greater in high-performing male (197.3 times vs 165.4 times, P=.001) and female participants (222 times vs 167 times, Pactivity tracker days and average steps per day were greater in high-performing females (304.7 vs

  7. Retrospective Cohort Study to Assess the Risk of Rabies in Biting Dogs, 2013–2015, Republic of Haiti

    Directory of Open Access Journals (Sweden)

    Alexandra M. Medley

    2017-06-01

    Full Text Available Background: In canine rabies endemic countries the World Health Organization recommends post-exposure prophylaxis (PEP be initiated immediately after exposure to an animal suspected to have rabies. Limited capacity in low and middle income countries to assess biting animals for rabies may result in the over prescription of rabies biologics. Few guidelines exist to determine the risk of whether a dog that has bitten someone is rabid. Given PEP cost and access limitations in many countries, accurate and timely assessment of dogs that have bitten people may reduce unwarranted PEP use and improve healthcare seeking behaviors. Methods: Haiti’s animal rabies surveillance program utilizes veterinary professionals to conduct rabies assessments on reported biting dogs and records characteristics of the dog, health outcomes, and laboratory results in a national database. Characteristics of rabid dogs were assessed through a retrospective cohort study of biting dogs investigated during the period from January 2013–December 2015. 1409 biting dogs were analyzed; 1361 dogs that were determined to not have rabies were compared to 48 laboratory-confirmed rabid dogs. Rate ratios, sensitivity, specificity, positive predictive values, negative predictive values, likelihood ratios, quarantine survival of biting dogs, and a risk matrix were developed. Findings: The assessor’s determination that the animal likely had rabies was the most significant predictive factor for a rabid dog (RR = 413.4, 95% CI 57.33–2985, Sn = 79.17, Sp = 91.92. Clinical factors significantly associated with rabid dogs included hypersalivation, paralysis, and lethargy (RR = 31.2, 19.7, 15.4, respectively. Rabid dogs were 23.2 times more likely to be found dead at the time of the investigation compared to case negative dogs (95% CI 14.0–38.6. Rabid dogs were also significantly more likely to lack a history of rabies vaccination or be unowned (RR = 10.3 95% CI 2.5–42.3 and RR = 4

  8. Tools for Performance Assessment of OLSR Protocol

    Directory of Open Access Journals (Sweden)

    Makoto Ikeda

    2009-01-01

    Full Text Available In this paper, we evaluate the performance of Optimized Link State Routing (OLSR protocol by experimental and simulation results. The experiments are carried out by using our implemented testbed and the simulations by using ns-2 simulator. We also designed and implemented a new interface for the ad-hoc network testbed in order to make more easier the experiments. The comparison between experimental and simulation results shows that for the same parameters set, in the simulation we did not notice any packet loss. On the other hand, in the experiments we experienced packet loss because of the environment effects and traffic interference.

  9. Thorium fuel performance assessment in HTRs

    Energy Technology Data Exchange (ETDEWEB)

    Allelein, H.-J. [Forschungszentrum Jülich, D-52425 Jülich (Germany); RWTH Aachen, D-52072 Aachen (Germany); Kania, M.J.; Nabielek, H. [Forschungszentrum Jülich, D-52425 Jülich (Germany); Verfondern, K., E-mail: k.verfondern@fz-juelich.de [Forschungszentrum Jülich, D-52425 Jülich (Germany)

    2014-05-01

    Thorium as a nuclear fuel is receiving renewed interest, because of its widespread availability and the good irradiation performance of Th and mixed (Th,U) oxide compounds as fuels in nuclear power systems. Early HTR development employed thorium together with high-enriched uranium. After 1980, most HTR fuel systems switched to low-enriched uranium. After completing fuel development for AVR and THTR with BISO coated particles, the German program expanded efforts on a new program utilizing thorium and high-enriched uranium TRISO coated particles for advanced HTR concepts for process heat applications (PNP) and direct-cycle electricity production (HHT). The combination of LTI inner and outer pyrocarbon layers surrounding a strong, stable SiC layer greatly improved manufacturing conditions and the subsequent contamination and defective particle fractions in production fuel elements. In addition, this combination provided improved mechanical strength and a higher degree of solid fission product retention, not known previously with HTI-BISO coatings. The improved performance of the HEU (Th,U)O{sub 2} TRISO fuel system was successfully demonstrated in three primary areas of development: manufacturing, irradiation testing under normal operating conditions, and accident simulation testing. In terms of demonstrating performance for advanced HTR applications, the experimental failure statistic from manufacture and irradiation testing are significantly below the coated particle requirements specified for PNP and HHT designs at the time. Covering a range to 1300 °C in normal operations and 1600 °C in accidents, with burnups up to 13% FIMA and fast fluences to 8 × 10{sup 25} m{sup −2} (E > 16 fJ), the results exceed the design limits on manufacturing and operational requirements for the German HTR Modul concept, which were: <6.5 × 10{sup −5} for manufacturing; <2 × 10{sup −4} for normal operating conditions; and <5 × 10{sup −4} for accident conditions. These

  10. Performance Assessment as a Diagnostic Tool for Science Teachers

    Science.gov (United States)

    Kruit, Patricia; Oostdam, Ron; van den Berg, Ed; Schuitema, Jaap

    2018-04-01

    Information on students' development of science skills is essential for teachers to evaluate and improve their own education, as well as to provide adequate support and feedback to the learning process of individual students. The present study explores and discusses the use of performance assessments as a diagnostic tool for formative assessment to inform teachers and guide instruction of science skills in primary education. Three performance assessments were administered to more than 400 students in grades 5 and 6 of primary education. Students performed small experiments using real materials while following the different steps of the empirical cycle. The mutual relationship between the three performance assessments is examined to provide evidence for the value of performance assessments as useful tools for formative evaluation. Differences in response patterns are discussed, and the diagnostic value of performance assessments is illustrated with examples of individual student performances. Findings show that the performance assessments were difficult for grades 5 and 6 students but that much individual variation exists regarding the different steps of the empirical cycle. Evaluation of scores as well as a more substantive analysis of students' responses provided insight into typical errors that students make. It is concluded that performance assessments can be used as a diagnostic tool for monitoring students' skill performance as well as to support teachers in evaluating and improving their science lessons.

  11. Performance Assessment of Intelligence, Surveillance, and Reconnaissance (ISR) Enterprise Workflows

    National Research Council Canada - National Science Library

    Hurley, M. B; Jones, P. B

    2007-01-01

    ... on how to assess the performance of these systems. The framework delineates how measurements from laboratory tests, operational experiments, and field deployments can be analyzed to produce accurate, quantitative descriptions of system performance...

  12. Practical session assessments in human anatomy: Weightings and performance.

    Science.gov (United States)

    McDonald, Aaron C; Chan, Siew-Pang; Schuijers, Johannes A

    2016-07-08

    Assessment weighting within a given module can be a motivating factor for students when deciding on their commitment level and time given to study a specific topic. In this study, an analysis of assessment performances of second year anatomy students was performed over four years to determine if (1) students performed better when a higher weighting was given to a set of practical session assessments and (2) whether an improved performance in the practical session assessments had a carry-over effect on other assessment tasks within that anatomy module and/or other anatomy modules that follow. Results showed that increasing the weighting of practical session assessments improved the average mark in that assessment and also improved the percentage of students passing that assessment. Further, it significantly improved performance in the written end-semester examination within the same module and had a carry-over effect on the anatomy module taught in the next teaching period, as students performed better in subsequent practical session assessments as well as subsequent end-semester examinations. It was concluded that the weighting of assessments had significant influences on a student's performance in that, and subsequent, assessments. It is postulated that practical session assessments, designed to develop deep learning skills in anatomy, improved efficacy in student performance in assessments undertaken in that and subsequent anatomy modules when the weighting of these assessments was greater. These deep learning skills were also transferable to other methods of assessing anatomy. Anat Sci Educ 9: 330-336. © 2015 American Association of Anatomists. © 2015 American Association of Anatomists.

  13. Assessing The Performance of Hydrological Models

    Science.gov (United States)

    van der Knijff, Johan

    The performance of hydrological models is often characterized using the coefficient of efficiency, E. The sensitivity of E to extreme streamflow values, and the difficulty of deciding what value of E should be used as a threshold to identify 'good' models or model parameterizations, have proven to be serious shortcomings of this index. This paper reviews some alternative performance indices that have appeared in the litera- ture. Legates and McCabe (1999) suggested a more generalized form of E, E'(j,B). Here, j is a parameter that controls how much emphasis is put on extreme streamflow values, and B defines a benchmark or 'null hypothesis' against which the results of the model are tested. E'(j,B) was used to evaluate a large number of parameterizations of a conceptual rainfall-runoff model, using 6 different combinations of j and B. First, the effect of j and B is explained. Second, it is demonstrated how the index can be used to explicitly test hypotheses about the model and the data. This approach appears to be particularly attractive if the index is used as a likelihood measure within a GLUE-type analysis.

  14. The Australian Medical Schools Assessment Collaboration: benchmarking the preclinical performance of medical students.

    Science.gov (United States)

    O'Mara, Deborah A; Canny, Ben J; Rothnie, Imogene P; Wilson, Ian G; Barnard, John; Davies, Llewelyn

    2015-02-02

    To report the level of participation of medical schools in the Australian Medical Schools Assessment Collaboration (AMSAC); and to measure differences in student performance related to medical school characteristics and implementation methods. Retrospective analysis of data using the Rasch statistical model to correct for missing data and variability in item difficulty. Linear model analysis of variance was used to assess differences in student performance. 6401 preclinical students from 13 medical schools that participated in AMSAC from 2011 to 2013. Rasch estimates of preclinical basic and clinical science knowledge. Representation of Australian medical schools and students in AMSAC more than doubled between 2009 and 2013. In 2013 it included 12 of 19 medical schools and 68% of medical students. Graduate-entry students scored higher than students entering straight from school. Students at large schools scored higher than students at small schools. Although the significance level was high (P performance. The effect on performance of multiple assessments compared with the test items as part of a single end-of-year examination was negligible. The variables investigated explain only 12% of the total variation in student performance. An increasing number of medical schools are participating in AMSAC to monitor student performance in preclinical sciences against an external benchmark. Medical school characteristics account for only a small part of overall variation in student performance. Student performance was not affected by the different methods of administering test items.

  15. Assessing Bus Performance Rating in Kajang, Selangor

    Science.gov (United States)

    Norhisham, S.; Ismail, A.; Sidek, L. M.; Borhan, M. N.; Zaini, N.; Yen, A. T. G.

    2018-04-01

    The Transit Capacity and Quality of Service Manual (TCQSM) was chosen based on the review with four manuals and guidelines for the method will be applied. Six (6) attributes, namely Hours of Service, Passenger Load, Transit Auto Travel Time, Service Frequency, Punctuality Performance and Service Coverage were chosen for evaluation.[6][7][8]. A total of three (3) operators with seven (7) routes were identified in Kajang. Based on the final results, the Quality of Service (QOS) findings was rated as D, which was regarded as minimum or satisfactory. Most stakeholders’ recommendations were: for the operators to provide information on bus scheduling and have accurate information for the passengers. It was suggested that in future this study can be extended to all routes and could be repeated after the opening of the Mass Rapid Transit (MRT) stations in Kajang, so as to provide a comparison and better evaluation of the public buses in Kajang.

  16. Synchronous and Cogged Fan Belt Performance Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Cutler, Dylan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Dean, Jesse [National Renewable Energy Lab. (NREL), Golden, CO (United States); Acosta, Jason [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2014-02-01

    The GSA Regional GPG Team commissioned the National Renewable Energy Laboratory (NREL) to perform monitoring of cogged V-belts and synchronous belts on both a constant volume and a variable air volume fan at the Byron G. Rodgers Federal Building and U.S. Courthouse in Denver, Colorado. These motor/fan combinations were tested with their original, standard V-belts (appropriately tensioned by an operation and maintenance professional) to obtain a baseline for standard operation. They were then switched to the cogged V-belts, and finally to synchronous belts. The power consumption by the motor was normalized for both fan speed and air density changes. This was necessary to ensure that the power readings were not influenced by a change in rotational fan speed or by the power required to push denser air. Finally, energy savings and operation and maintenance savings were compiled into an economic life-cycle cost analysis of the different belt options.

  17. Assessing ventilation system performance in isolation rooms

    Energy Technology Data Exchange (ETDEWEB)

    Balocco, Carla [Department of Energy Engineering ' ' Sergio Stecco' ' , via S. Marta 3, Firenze (Italy); Lio, Pietro [Computer Laboratory, University of Cambridge, 15 JJ Thompson Avenue, CB03FD Cambridge (United Kingdom)

    2011-01-15

    In this paper numerical transient simulations were used to investigate the air flow patterns, distribution and velocity, and the particulate dispersion inside an existing typical hospitalization room equipped with an advanced Heating Ventilation Air Conditioning (HVAC), with Variable Air Volume (VAV) primary air system designed for immune-suppressed patients never modelled before. The three-dimensional models of the room consider different, most typical, positions of the patients. Results indicate the best conditions for the high induction air inlet diffuser and the scheme of pressures imposed in the room to provide the effective means of controlling flows containing virus droplets. We believe that our work exemplifies the usefulness of numerical investigations of HVAC performances in real situations and provides important recommendations towards disease control and careful design and optimization of ventilation in hospital settings. (author)

  18. An Empirical Study of a Solo Performance Assessment Model

    Science.gov (United States)

    Russell, Brian E.

    2015-01-01

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

  19. Peer mentoring in doctor performance assessment: strategies, obstacles and benefits.

    NARCIS (Netherlands)

    Overeem, K.; Driessen, E.W.; Arah, O.A.; Lombarts, K.M.; Wollersheim, H.C.H.; Grol, R.P.T.M.

    2010-01-01

    CONTEXT: Mentors are increasingly involved in doctor performance assessments. Mentoring seems to be a key determinant in achieving the ultimate goal of those assessments, namely, improving doctor performance. Little is known, however, about how mentors perceive and fulfil this role. OBJECTIVE: The

  20. Peer mentoring in doctor performance assessment: strategies, obstacles and benefits

    NARCIS (Netherlands)

    Overeem, Karlijn; Driessen, Erik W.; Arah, Onyebuchi A.; Lombarts, Kiki M. J. M. H.; Wollersheim, Hub C.; Grol, Richard P. T. M.

    2010-01-01

    CONTEXT: Mentors are increasingly involved in doctor performance assessments. Mentoring seems to be a key determinant in achieving the ultimate goal of those assessments, namely, improving doctor performance. Little is known, however, about how mentors perceive and fulfil this role. OBJECTIVE: The

  1. Information on new drugs at market entry: retrospective analysis of health technology assessment reports versus regulatory reports, journal publications, and registry reports.

    Science.gov (United States)

    Köhler, Michael; Haag, Susanne; Biester, Katharina; Brockhaus, Anne Catharina; McGauran, Natalie; Grouven, Ulrich; Kölsch, Heike; Seay, Ulrike; Hörn, Helmut; Moritz, Gregor; Staeck, Kerstin; Wieseler, Beate

    2015-02-26

    When a new drug becomes available, patients and doctors require information on its benefits and harms. In 2011, Germany introduced the early benefit assessment of new drugs through the act on the reform of the market for medicinal products (AMNOG). At market entry, the pharmaceutical company responsible must submit a standardised dossier containing all available evidence of the drug's added benefit over an appropriate comparator treatment. The added benefit is mainly determined using patient relevant outcomes. The "dossier assessment" is generally performed by the Institute for Quality and Efficiency in Health Care (IQWiG) and then published online. It contains all relevant study information, including data from unpublished clinical study reports contained in the dossiers. The dossier assessment refers to the patient population for which the new drug is approved according to the summary of product characteristics. This patient population may comprise either the total populations investigated in the studies submitted to regulatory authorities in the drug approval process, or the specific subpopulations defined in the summary of product characteristics ("approved subpopulations"). To determine the information gain from AMNOG documents compared with non-AMNOG documents for methods and results of studies available at market entry of new drugs. AMNOG documents comprise dossier assessments done by IQWiG and publicly available modules of company dossiers; non-AMNOG documents comprise conventional, publicly available sources-that is, European public assessment reports, journal publications, and registry reports. The analysis focused on the approved patient populations. Retrospective analysis. All dossier assessments conducted by IQWiG between 1 January 2011 and 28 February 2013 in which the dossiers contained suitable studies allowing for a full early benefit assessment. We also considered all European public assessment reports, journal publications, and registry reports

  2. Performance Assessment Framework for Private Finance Initiative Projects in Malaysia

    Directory of Open Access Journals (Sweden)

    Lop Nor Suzila

    2016-01-01

    Full Text Available Private Finance Initiative (PFI is viewed as restructuring the previous privatisation concept in delivering value for money for the Malaysian public infrastructure. Among the restructuring efforts in the privatisation is specifying the standard assessment of private concessionaires’ performance through the execution of key performance indicators (KPIs where the private concessionaires’ performance is benchmarked against the government’s standard. KPIs have served as useful tools in assessing performance of PFI projects. However, there is still lacking on determination methods performed to define and measure this KPIs and the absence of guidelines or a framework is also an issue in the implementation of the PFI procurement in Malaysia. Therefore, the objectives of this paper is to investigate the notion of performance assessment model approaches globally (i.e. UK, China, Australia, Serbia and Malaysia and to identify direction for PFI performance assessment tools (KPIs to be practiced in Malaysia. Based on the consideration of these models, this research paper propose an initial framework of performance assessment for PFI projects in Malaysia. The framework is deliberate to cover the performance of PFI at the operation and maintenance phase. The outcomes of this paper can serve as a theoretical base for the development of comprehensive and effective performance assessment for PFI projects in Malaysia.

  3. Determination of Safety Performance Grade of NPP Using Integrated Safety Performance Assessment (ISPA) Program

    International Nuclear Information System (INIS)

    Chung, Dae Wook

    2011-01-01

    Since the beginning of 2000, the safety regulation of nuclear power plant (NPP) has been challenged to be conducted more reasonable, effective and efficient way using risk and performance information. In the United States, USNRC established Reactor Oversight Process (ROP) in 2000 for improving the effectiveness of safety regulation of operating NPPs. The main idea of ROP is to classify the NPPs into 5 categories based on the results of safety performance assessment and to conduct graded regulatory programs according to categorization, which might be interpreted as 'Graded Regulation'. However, the classification of safety performance categories is highly comprehensive and sensitive process so that safety performance assessment program should be prepared in integrated, objective and quantitative manner. Furthermore, the results of assessment should characterize and categorize the actual level of safety performance of specific NPP, integrating all the substantial elements for assessing the safety performance. In consideration of particular regulatory environment in Korea, the integrated safety performance assessment (ISPA) program is being under development for the use in the determination of safety performance grade (SPG) of a NPP. The ISPA program consists of 6 individual assessment programs (4 quantitative and 2 qualitative) which cover the overall safety performance of NPP. Some of the assessment programs which are already implemented are used directly or modified for incorporating risk aspects. The others which are not existing regulatory programs are newly developed. Eventually, all the assessment results from individual assessment programs are produced and integrated to determine the safety performance grade of a specific NPP

  4. Performance Assessment of Communication Enhancement Devices TEA HI Threat Headset

    Science.gov (United States)

    2015-08-01

    AFRL-RH-WP-TR-2015-0076 Performance Assessment of Communication Enhancement Devices: TEA HI Threat Headset Hilary L. Gallagher...of Communication Enhancement Devices: TEA HI Threat Headset 5a. CONTRACT NUMBER FA8650-14-D-6501 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER...technology in military applications. Objective performance data provided an assessment of the performance of these devices. The TEA HI Threat headset

  5. The Empirical Testing of a Musical Performance Assessment Paradigm

    Science.gov (United States)

    Russell, Brian E.

    2010-01-01

    The purpose of this study was to test a hypothesized model of aurally perceived performer-controlled musical factors that influence assessments of performance quality. Previous research studies on musical performance constructs, musical achievement, musical expression, and scale construction were examined to identify the factors that influence…

  6. The link between performance assessment and quality of data

    International Nuclear Information System (INIS)

    Csullog, G.W.

    1990-11-01

    Performance assessments, using both individual and cumulative inventories, produce estimates of the risk or dose consequences for repository concepts. Unacceptable risk or dose for a given contaminant identify it as a problem contaminant. While risk or dose consequences are common outputs of safety assessments, results can also be reported as estimates of the safe inventory limit for each contaminant in a repository scenario. Once problem contaminants are identified, it may be useful to: validate the data used in the performance assessment; restrict contaminant inventories in the repository; or, improve the containment capability of the repository (including improved packaging). A key point is that performance assessments define the quality of data to be collected. If a contaminant's inventory will be far below its estimated safe inventory limit for a repository, then it is reasonable to accept inventory estimates that have high variances and low confidence. For contaminants that have a significant impact upon performance assessments, efforts must be made to provide the best inventory (source term) estimates practicable. One important goal of characterization programs should be to establish the adequacy of data used in performance assessments. There is little value in striving to improve confidence in data for some waste streams if they are assessed to have a minor impact upon repository performance. Streams that have a major impact upon performance deserve the time, attention and money to be characterized adequately. Waste acceptance must be linked to the quality of characterization data provided by generators. This link sets compliance monitoring requirements

  7. How Do States Integrate Performance Assessment in Their Systems of Assessment?

    Science.gov (United States)

    Stosich, Elizabeth Leisy; Snyder, Jon; Wilczak, Katie

    2018-01-01

    This paper reviews state strategies for incorporating performance assessment in policy and practice. Specifically, the paper reviews the use of performance assessment in 12 states in the Innovation Lab Network, a group committed to developing systems of assessment that provide meaningful measures of college and career readiness. This review…

  8. Performance assessment for low-level radioactive waste disposal

    International Nuclear Information System (INIS)

    Cook, J.R.; Hsu, R.H.; Wilhite, E.L.; Yu, A.D.

    1996-01-01

    In October 1994 the Savannah River Site became the first US DOE complex to use concrete vaults to dispose of low-level radioactive solid waste and better prevent soil and groundwater contamination. This article describes the design and gives a performance assessment of the vaults. Topics include the following: Performance objectives; scope; the performance assessment process-assemble a multidisciplinary working group; collect available data; define credible pathways/scenarios; develop conceptual models; conduct screening and detailed model calculations; assess sensitivity/uncertainty; integrate and interpret results; report. 9 figs., 3 tabs

  9. Cumulative Retrospective Exposure Assessment (REA) as a predictor of amphibole asbestos lung burden: validation procedures and results for industrial hygiene and pathology estimates.

    Science.gov (United States)

    Rasmuson, James O; Roggli, Victor L; Boelter, Fred W; Rasmuson, Eric J; Redinger, Charles F

    2014-01-01

    A detailed evaluation of the correlation and linearity of industrial hygiene retrospective exposure assessment (REA) for cumulative asbestos exposure with asbestos lung burden analysis (LBA) has not been previously performed, but both methods are utilized for case-control and cohort studies and other applications such as setting occupational exposure limits. (a) To correlate REA with asbestos LBA for a large number of cases from varied industries and exposure scenarios; (b) to evaluate the linearity, precision, and applicability of both industrial hygiene exposure reconstruction and LBA; and (c) to demonstrate validation methods for REA. A panel of four experienced industrial hygiene raters independently estimated the cumulative asbestos exposure for 363 cases with limited exposure details in which asbestos LBA had been independently determined. LBA for asbestos bodies was performed by a pathologist by both light microscopy and scanning electron microscopy (SEM) and free asbestos fibers by SEM. Precision, reliability, correlation and linearity were evaluated via intraclass correlation, regression analysis and analysis of covariance. Plaintiff's answers to interrogatories, work history sheets, work summaries or plaintiff's discovery depositions that were obtained in court cases involving asbestos were utilized by the pathologist to provide a summarized brief asbestos exposure and work history for each of the 363 cases. Linear relationships between REA and LBA were found when adjustment was made for asbestos fiber-type exposure differences. Significant correlation between REA and LBA was found with amphibole asbestos lung burden and mixed fiber-types, but not with chrysotile. The intraclass correlation coefficients (ICC) for the precision of the industrial hygiene rater cumulative asbestos exposure estimates and the precision of repeated laboratory analysis were found to be in the excellent range. The ICC estimates were performed independent of specific asbestos

  10. Performance assessment review for DOE LLW disposal facilities

    International Nuclear Information System (INIS)

    Wilhite, Elmer L.

    1992-01-01

    The United States Department of Energy (US DOE) disposes of low-level radioactive waste in near-surface disposal facilities. Safety of the disposal operations is evaluated for operational safety as well as long-term safety. Operational safety is evaluated based on the perceived level of hazard of the operation and may vary from a simple safety assessment to a safety analysis report. Long-term safety of all low-level waste disposal systems is evaluated through the conduct of a radiological performance assessment. The US DOE has established radiological performance objectives for disposal of low-level waste. They are to protect a member of the general public from receiving over 25 mrem/y, and an inadvertent intruder into the waste from receiving over 100 mrem/y continuous exposure or 500 mrem from a single exposure. For a disposal system to be acceptable, a performance assessment must be prepared which must be technically accurate and provide reasonable assurance that these performance objectives are met. Technical quality of the performance assessments is reviewed by a panel of experts. The panel of experts is used in two ways to assure the technical quality of performance assessment. A preliminary (generally 2 day) review by the panel is employed in the late stages of development to provide guidance on finalizing the performance assessment. The comments from this review are communicated to the personnel responsible for the performance assessment for consideration and incorporation. After finalizing the performance assessment, it is submitted for a formal review. The formal review is accomplished by a much more thorough analysis of the performance assessment over a multi-week time period. The panel then formally reports their recommendations to the US DOE waste management senior staff who make the final determination on acceptability of the performance assessment. A number of lessons have been learned from conducting several preliminary reviews of performance

  11. Assessment Training Effects on Student Assessment Skills and Task Performance in a Technology-Facilitated Peer Assessment

    Science.gov (United States)

    Liu, Xiongyi; Li, Lan

    2014-01-01

    This study examines the impact of an assessment training module on student assessment skills and task performance in a technology-facilitated peer assessment. Seventy-eight undergraduate students participated in the study. The participants completed an assessment training exercise, prior to engaging in peer-assessment activities. During the…

  12. Use of electron paramagnetic resonance dosimetry with tooth enamel for retrospective dose assessment. Report of a co-ordinated research project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-12-01

    Electron paramagnetic resonance (EPR) dosimetry is a physical method for the assessment of absorbed dose from ionising radiation. It is based on the measurement of stable radiation induced radicals in human calcified tissues (primarily in tooth enamel). EPR dosimetry with teeth is now firmly established in retrospective dosimetry. It is a powerful method for providing information on exposure to ionising radiation many years after the event, since the 'signal' is 'stored' in the tooth or the bone. This technique is of particular relevance to relatively low dose exposures or when the results of conventional dosimetry are not available (e.g. in accidental circumstances). The use of EPR dosimetry, as an essential tool for retrospective assessment of radiation exposure is an important part of radioepidemiological studies and also provides data to select appropriate countermeasures based on retrospective evaluation of individual doses. Despite well established regulations and protocols for maintaining radiation protection dose limits, the assurance that these limits will not be exceeded cannot be guaranteed, thus providing new challenges for development of accurate methods of individual dose assessment. To meet some of these challenges, in 1998 the IAEA initiated a co-ordinated research project (CRP) with the objective to review the available methods, current research and development in EPR biodosimetry technology, which may be of practical use. The major goal of this CRP was to investigate the use of EPR biodosimetry for reconstruction of absorbed dose in tooth enamel with the aim of providing Member States with up-to-date, and generally agreed upon advice regarding the most suitable procedures and the best focus for their research. The co-ordinated research project was conducted over four years and this publication presents the results and findings by a group of investigators from different countries. The available cytogenetic methods for radiation dose assessment were

  13. Use of electron paramagnetic resonance dosimetry with tooth enamel for retrospective dose assessment. Report of a co-ordinated research project

    International Nuclear Information System (INIS)

    2002-12-01

    Electron paramagnetic resonance (EPR) dosimetry is a physical method for the assessment of absorbed dose from ionising radiation. It is based on the measurement of stable radiation induced radicals in human calcified tissues (primarily in tooth enamel). EPR dosimetry with teeth is now firmly established in retrospective dosimetry. It is a powerful method for providing information on exposure to ionising radiation many years after the event, since the 'signal' is 'stored' in the tooth or the bone. This technique is of particular relevance to relatively low dose exposures or when the results of conventional dosimetry are not available (e.g. in accidental circumstances). The use of EPR dosimetry, as an essential tool for retrospective assessment of radiation exposure is an important part of radioepidemiological studies and also provides data to select appropriate countermeasures based on retrospective evaluation of individual doses. Despite well established regulations and protocols for maintaining radiation protection dose limits, the assurance that these limits will not be exceeded cannot be guaranteed, thus providing new challenges for development of accurate methods of individual dose assessment. To meet some of these challenges, in 1998 the IAEA initiated a co-ordinated research project (CRP) with the objective to review the available methods, current research and development in EPR biodosimetry technology, which may be of practical use. The major goal of this CRP was to investigate the use of EPR biodosimetry for reconstruction of absorbed dose in tooth enamel with the aim of providing Member States with up-to-date, and generally agreed upon advice regarding the most suitable procedures and the best focus for their research. The co-ordinated research project was conducted over four years and this publication presents the results and findings by a group of investigators from different countries. The available cytogenetic methods for radiation dose assessment were

  14. [Teaching performance assessment in Public Health employing three different strategies].

    Science.gov (United States)

    Martínez-González, Adrián; Moreno-Altamirano, Laura; Ponce-Rosas, Efrén Raúl; Martínez-Franco, Adrián Israel; Urrutia-Aguilar, María Esther

    2011-01-01

    The educational system depends upon the quality and performance of their faculty and should therefore be process of continuous improvement. To assess the teaching performance of the Public Health professors, at the Faculty of Medicine, UNAM through three strategies. Justification study. The evaluation was conducted under a mediational model through three strategies: students' opinion assessment, self-assessment and students' academic achievement. We applied descriptive statistics, Student t test, ANOVA and Pearson correlation. Twenty professors were evaluated from the Public Health department, representing 57% of all them who teach the subject. The professor's performance was highly valued self-assessment compared with assessment of student opinion, was confirmed by statistical analysis the difference was significant. The difference amongst the three evaluation strategies became more evident between self-assessment and the scores obtained by students in their academic achievement. The integration of these three strategies offers a more complete view of the teacher's performance quality. Academic achievement appears to be a more objective strategy for teaching performance assessment than students' opinion and self-assessment.

  15. The use of SSNTDs in the retrospective assessment of radon exposure in high radon rural communities in Yugoslavia

    CERN Document Server

    Zunic, Z S; Walsh, C; Benderac, R

    1999-01-01

    A description is given of the field application of a technique using CR-39 and LR 115 detectors to determine alpha recoil implanted sup 2 sup 1 sup 0 Po surface activity on domestic glass artefacts in dwellings. These investigations took place in two small stable rural communities in uraniferous areas of Yugoslavia where between 32% and 74% of contemporary indoor radon levels were found to be above the commonly used Action Level of 200 Bq m sup - sup 3 and individual levels as high as 8700 Bq m sup - sup 3 were measured. The sup 2 sup 1 sup 0 Po data is used to retrospectively estimate radon exposures in these communities. Comparisons between the retrospectively estimated radon exposures and those being received at present are made.

  16. Hanford low-level tank waste interim performance assessment

    International Nuclear Information System (INIS)

    Mann, F.M.

    1997-01-01

    The Hanford Low-Level Tank Waste Interim Performance Assessment examines the long-term environmental and human health effects associated with the disposal of the low-level fraction of the Hanford single and double-shell tank waste in the Hanford Site 200 East Area. This report was prepared as a good management practice to provide needed information about the relationship between the disposal system design and performance early in the disposal system project cycle. The calculations in this performance assessment show that the disposal of the low-level fraction can meet environmental and health performance objectives

  17. Assessment of the accuracy of ABC/2 variations in traumatic epidural hematoma volume estimation: a retrospective study

    Directory of Open Access Journals (Sweden)

    Pengfei Yan

    2016-04-01

    Full Text Available Background. The traumatic epidural hematoma (tEDH volume is often used to assist in tEDH treatment planning and outcome prediction. ABC/2 is a well-accepted volume estimation method that can be used for tEDH volume estimation. Previous studies have proposed different variations of ABC/2; however, it is unclear which variation will provide a higher accuracy. Given the promising clinical contribution of accurate tEDH volume estimations, we sought to assess the accuracy of several ABC/2 variations in tEDH volume estimation. Methods. The study group comprised 53 patients with tEDH who had undergone non-contrast head computed tomography scans. For each patient, the tEDH volume was automatically estimated by eight ABC/2 variations (four traditional and four newly derived with an in-house program, and results were compared to those from manual planimetry. Linear regression, the closest value, percentage deviation, and Bland-Altman plot were adopted to comprehensively assess accuracy. Results. Among all ABC/2 variations assessed, the traditional variations y = 0.5 × A1B1C1 (or A2B2C1 and the newly derived variations y = 0.65 × A1B1C1 (or A2B2C1 achieved higher accuracy than the other variations. No significant differences were observed between the estimated volume values generated by these variations and those of planimetry (p > 0.05. Comparatively, the former performed better than the latter in general, with smaller mean percentage deviations (7.28 ± 5.90% and 6.42 ± 5.74% versus 19.12 ± 6.33% and 21.28 ± 6.80%, respectively and more values closest to planimetry (18/53 and 18/53 versus 2/53 and 0/53, respectively. Besides, deviations of most cases in the former fell within the range of 20% (90.57% and 96.23, respectively. Discussion. In the current study, we adopted an automatic approach to assess the accuracy of several ABC/2 variations for tEDH volume estimation. Our initial results showed that the variations y = 0.5 × A1B1C1 (or A2B2C1

  18. Development of Integrated Assessment Technology of Risk and Performance

    International Nuclear Information System (INIS)

    Yang, Jun Eon; Kang, Dae Il; Kang, Hyun Gook

    2010-04-01

    The main idea and contents are summarized as below 1) Development of new risk/performance assessment system innovating old labor-intensive risk assessment structure - New consolidated risk assessment technology from various hazard(flood, fire, seismic in NPP) - BOP model development for performance monitoring - Consolidated risk/performance management system for consistency and efficiency of NPP 2) Resolution technology for pending issues in PSA - Base technology for PSA of digital I and C system - Base technology for seismic PSA reflecting domestic seismic characteristics and aging effect - Uncertainty reduction technology for level 2 PSA and best estimation of containment failure frequency 3) Next generation risk/performance assessment technology - Human-induced error reduction technology for efficient operation of a NPP

  19. performance assessment of substation site earthing using fluke ...

    African Journals Online (AJOL)

    2013-03-01

    Mar 1, 2013 ... Earthing is the fundamental requirement for protection in all electrical ... for the performance assessment of this instrument as compare to the conventional system. ... tem and the reference earth at a given operating fre- quency ...

  20. Organic migration forms of radionuclides and performance assessment

    International Nuclear Information System (INIS)

    Xu Gouqing

    2010-01-01

    Much attention is paid to inorganic migration forms of radionuclides in groundwater during performance assessment before and organic migration forms, are seldom noted. Therefore some question may come into confidence level in performance assessment. This paper mainly discusses the distribution of organic substances in groundwater and their potential effect on performance assessment. The results obtained in recent years show that clay rocks are generally impermeable to water, but in some cases the interstitial water may be observed in them and the concentration of DOC, HA and FA is rather higher than that in granitic groundwater. The concentration of DOC is relatively low in granitic groundwater, but up to now the effect of organic migration forms of radionuclides in granitic groundwater on performance assessment is not finally determined, it is necessary to make further investigations. (authors)

  1. economic assessment of the performance of private sector ...

    African Journals Online (AJOL)

    Admin

    Economic and Extension, Delta State University, Asaba Campus, Nigeria ... This paper critically attempts to assess the performance of the private sector ... economy would depend to a large extent on the quantity ..... New York, USA: McGraw.

  2. An assessment of organisational values, culture and performance in ...

    African Journals Online (AJOL)

    An assessment of organisational values, culture and performance in Cape Town's ... confusion, control, manipulation, blame, power, results orientation, hierarchy, ... Conclusion: The organisational culture of the Metro District Health Services is ...

  3. The impact of the Fukushima nuclear accident on marine biota: Retrospective assessment of the first year and perspectives

    Energy Technology Data Exchange (ETDEWEB)

    Vives i Batlle, Jordi, E-mail: jordi.vives.i.batlle@sckcen.be [Biosphere Impact Studies Unit, Belgian Nuclear Research Centre SCK-CEN, Boeretang 200, 2400 Mol (Belgium); Aono, Tatsuo [National Institute of Radiological Sciences, 4-9-1 Anagawa, Inage-ku, Chiba 263-8555 (Japan); Brown, Justin E.; Hosseini, Ali [Norwegian Radiation Protection Authority, Grini næringspark 13, 1332 Østerås (Norway); CERAD Centre of Excellence, Grini næringspark 13, 1332 Østerås (Norway); Garnier-Laplace, Jacqueline [Institute for Radioprotection and Nuclear Safety, Department for research and expertise in environmental risks, PRP-ENV/SERIS, Cadarache, Building 159, 13115 Saint-Paul-Lez-Durance Cedex (France); Sazykina, Tatiana [State Institution Research and Production Association Typhoon, 4 Pobedy Str., Obninsk, Kaluga Region 249038 (Russian Federation); Steenhuisen, Frits [Arctic Centre, University of Groningen, Groningen (Netherlands); Strand, Per [Norwegian Radiation Protection Authority, Grini næringspark 13, 1332 Østerås (Norway); CERAD Centre of Excellence, Grini næringspark 13, 1332 Østerås (Norway)

    2014-07-01

    An international study under the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) was performed to assess radiological impact of the nuclear accident at the Fukushima-Daiichi Nuclear Power Station (FDNPS) on the marine environment. This work constitutes the first international assessment of this type, drawing upon methodologies that incorporate the most up-to-date radioecological models and knowledge. To quantify the radiological impact on marine wildlife, a suite of state-of-the-art approaches to assess exposures to Fukushima derived radionuclides of marine biota, including predictive dynamic transfer modelling, was applied to a comprehensive dataset consisting of over 500 sediment, 6000 seawater and 5000 biota data points representative of the geographically relevant area during the first year after the accident. The dataset covers the period from May 2011 to August 2012. The method used to evaluate the ecological impact consists of comparing dose (rates) to which living species of interest are exposed during a defined period to critical effects values arising from the literature. The assessed doses follow a highly variable pattern and generally do not seem to indicate the potential for effects. A possible exception of a transient nature is the relatively contaminated area in the vicinity of the discharge point, where effects on sensitive endpoints in individual plants and animals might have occurred in the weeks directly following the accident. However, impacts on population integrity would have been unlikely due to the short duration and the limited space area of the initially high exposures. Our understanding of the biological impact of radiation on chronically exposed plants and animals continues to evolve, and still needs to be improved through future studies in the FDNPS marine environment. - Highlights: • UNSCEAR assessment of the Fukushima accident impact on the marine environment. • The study covers the period from

  4. The impact of the Fukushima nuclear accident on marine biota: Retrospective assessment of the first year and perspectives

    International Nuclear Information System (INIS)

    Vives i Batlle, Jordi; Aono, Tatsuo; Brown, Justin E.; Hosseini, Ali; Garnier-Laplace, Jacqueline; Sazykina, Tatiana; Steenhuisen, Frits; Strand, Per

    2014-01-01

    An international study under the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) was performed to assess radiological impact of the nuclear accident at the Fukushima-Daiichi Nuclear Power Station (FDNPS) on the marine environment. This work constitutes the first international assessment of this type, drawing upon methodologies that incorporate the most up-to-date radioecological models and knowledge. To quantify the radiological impact on marine wildlife, a suite of state-of-the-art approaches to assess exposures to Fukushima derived radionuclides of marine biota, including predictive dynamic transfer modelling, was applied to a comprehensive dataset consisting of over 500 sediment, 6000 seawater and 5000 biota data points representative of the geographically relevant area during the first year after the accident. The dataset covers the period from May 2011 to August 2012. The method used to evaluate the ecological impact consists of comparing dose (rates) to which living species of interest are exposed during a defined period to critical effects values arising from the literature. The assessed doses follow a highly variable pattern and generally do not seem to indicate the potential for effects. A possible exception of a transient nature is the relatively contaminated area in the vicinity of the discharge point, where effects on sensitive endpoints in individual plants and animals might have occurred in the weeks directly following the accident. However, impacts on population integrity would have been unlikely due to the short duration and the limited space area of the initially high exposures. Our understanding of the biological impact of radiation on chronically exposed plants and animals continues to evolve, and still needs to be improved through future studies in the FDNPS marine environment. - Highlights: • UNSCEAR assessment of the Fukushima accident impact on the marine environment. • The study covers the period from

  5. ASSESSING INDIVIDUAL PERFORMANCE ON INFORMATION TECHNOLOGY ADOPTION: A NEW MODEL

    OpenAIRE

    Diah Hari Suryaningrum

    2012-01-01

    This paper aims to propose a new model in assessing individual performance on information technology adoption. The new model to assess individual performance was derived from two different theories: decomposed theory of planned behavior and task-technology fit theory. Although many researchers have tried to expand these theories, some of their efforts might lack of theoretical assumptions. To overcome this problem and enhance the coherence of the integration, I used a theory from social scien...

  6. Performance assessment for underground radioactive waste disposal systems

    International Nuclear Information System (INIS)

    1985-01-01

    A waste disposal system comprises a number of subsystems and components. The performance of most systems can be demonstrated only indirectly because of the long period that would be required to test them. This report gives special attention to performance assessment of subsystems within the total waste disposal system, and is an extension of an IAEA report on Safety Assessment for the Underground Disposal of Radioactive Wastes

  7. Conceptual framework for performance assessment: competency, competence and performance in the context of assessments in healthcare--deciphering the terminology.

    Science.gov (United States)

    Khan, Kamran; Ramachandran, Sankaranarayanan

    2012-01-01

    The definitions of performance, competence and competency are not very clear in the literature. The assessment of performance and the selection of tools for this purpose depend upon a deep understanding of each of the above terms and the factors influencing performance. In this article, we distinguish between competence and competency and explain the relationship of competence and performance in the light of the Dreyfus model of skills acquisition. We briefly critique the application of the principles described by Miller to the modern assessment tools and distinguish between assessment of actual performance in workplace settings and the observed performance, demonstrated by the candidates in the workplace or simulated settings. We describe a modification of the Dreyfus model applicable to assessments in healthcare and propose a new model for the assessment of performance and performance rating scale (PRS) based on this model. We propose that the use of adapted versions of this PRS will result in benchmarking of performance and allowing the candidates to track their progression of skills in various areas of clinical practice.

  8. Performance and Cognitive Assessment in 3-D Modeling

    Science.gov (United States)

    Fahrer, Nolan E.; Ernst, Jeremy V.; Branoff, Theodore J.; Clark, Aaron C.

    2011-01-01

    The purpose of this study was to investigate identifiable differences between performance and cognitive assessment scores in a 3-D modeling unit of an engineering drafting course curriculum. The study aimed to provide further investigation of the need of skill-based assessments in engineering/technical graphics courses to potentially increase…

  9. Visual art teachers and performance assessment methods in ...

    African Journals Online (AJOL)

    This paper examines the competencies of visual arts teachers in using performance assessment methods, and to ascertain the extent to which the knowledge, skills and experiences of teachers affect their competence in using assessment strategies in their classroom. The study employs a qualitative research design; ...

  10. Data on Student Performance Under Different Forms of Assessment

    Science.gov (United States)

    King, Russell

    1976-01-01

    Recognition of various abilities and skills in university degree work, and the development of an appropriate range of assessment modes to test these abilities, presupposes that students will perform differently under the various forms of assessment. The limited data available to test this supposition are reviewed and analysis of one geography…

  11. Performance Assessment of the Masses in 30 Seconds or Less

    Science.gov (United States)

    Dunbar, Laura

    2012-01-01

    Performance assessment does not have to be a time-consuming ordeal; it is a great way to assess our students' skills. It is essential to create a rubric that is simple, quick, and objective. This article discusses the process of creating a rubric as well as showing a rubric used by the author in her general music classroom for several years.…

  12. Clinical importance of cine-MRI assessment of small bowel motility in patients with chronic intestinal pseudo-obstruction: a retrospective study of 33 patients.

    Science.gov (United States)

    Fuyuki, Akiko; Ohkubo, Hidenori; Higurashi, Takuma; Iida, Hiroshi; Inoh, Yumi; Inamori, Masahiko; Nakajima, Atsushi

    2017-05-01

    Although chronic intestinal pseudo-obstruction (CIPO) is a rare and extremely severe functional digestive disorder, its clinical course and severity show various patterns. We assessed small bowel peristalsis in CIPO patients using cine-MRI (video-motion MRI) and their clinical characteristics to evaluate the clinical importance of performing cine-MRI in patients with this intractable disease. The medical records of 131 patients referred to our institution with a suspected diagnosis of CIPO between 2010 and 2015 were retrospectively evaluated. Thirty-three patients (22 female/11 male; age range 16-79 years) who met the criteria for CIPO and underwent cine-MRI were enrolled. Mean luminal diameter (MLD), contraction ratio (CR), and contraction cycle (CC) were determined and compared with these parameters in healthy volunteers. Clinical outcomes in patients with CIPO were also evaluated. The median follow-up time was 25.2 months (range, 1-65 months). Of the 33 patients with CIPO, 23 (70 %) showed apparently disturbed small intestinal peristalsis, whereas 10 (30 %) did not. The percentage of patients requiring intravenous alimentation was significantly higher (p = 0.03), and the mean serum albumin level was significantly lower (p = 0.04), in patients with than without impaired small intestinal peristalsis. Although both cine-MRI and CT findings in the latter ten cases were within the normal range, MLD and CR differed significantly from healthy volunteers. Cine-MRI is useful in predicting severe clinical features in patients with CIPO, and in detecting slightly impaired small contractility that cannot be detected on CT.

  13. Self- and peer-assessments of ambulance drivers' driving performance

    Directory of Open Access Journals (Sweden)

    Anna Sundström

    2012-07-01

    Full Text Available The aim of the present study was to develop and examine the quality of the Ambulance Driver Self-assessment Questionnaire (ADSQ and the Ambulance Driver Peer-assessment Questionnaire (ADPQ measuring aspects of, driving performance, driving style and driving competence. In addition the ADSQ measures self-reflection and safety-attitudes. The aim of the study was also to examine ambulance drivers' self- and peer-assessments as well as to examine the accuracy of self-assessments by comparing self-assessed and peer-assessed driving performance, driving style and competence. 76 ambulance drivers employed at two ambulance stations in northern Sweden completed ADSQ and ADPQ. Item analyses were conducted to examine the psychometric properties of the items, and based on the results some revisions were made to improve the questionnaires. The revised questionnaires were functioning rather well, although some subscale demonstrated low internal consistency. Subscale inter-correlations provided support for construct validity. Self- and peer-assessments indicated safe driving performance and good driver competence, which is positive from a traffic safety perspective. A comparison of mean self- and peer-assessment ratings, controlling for age, gender and driving experience showed no significant differences, except for the subscale overtaking. This indicates that ambulance drivers' self-assessments are realistic in most areas.

  14. Performance Objective for Tank Farm Closure Risk Assessments

    International Nuclear Information System (INIS)

    MANN, F.M.; KNEPP, A.J.; BADDEN, J.

    2003-01-01

    To be meaningful, results from a numeric risk assessment of the consequences of an action must be compared against the standards for such an action. That is, before one disposes of waste or closes a facility with waste, one must show that the disposal or closure action protects the public health and safety and the environment. These standards are called performance objectives. Regulations requiring performing performance assessments, (whether federal ones like the Department of Energy [DOE] Order 435.1, Radioactive Waste Management and its implementing guides or Washington State ones like the regulations implementing the Washington Administrative Code [WAC] 173-340 ''Model Toxics Control Act - Cleanup''), usually require that the determination of performance objectives be one of the first steps performed. These performance objectives not only set comparison level for the numeric results, but also define the media, pathways, exposure scenarios (receptors), spatial locations, and times that the performance assessment must consider. Thus, a performance objective consists of a compliance level, place(s) of compliance, and time(s) of compliance. Performance objectives are not the levels that a regulatory agency will enforce in a permit or authorization. Those levels, often called enforcement levels, will be set in the permit or authorization. Rather, performance objectives are those levels against which the results of the numeric simulation will be compared to judge the success of the proposed cleanup or disposal actions. Additional comparison levels may be requested for information purposes, but are not officially part of the decision on the adequacy of the proposed action. To emphasize that the performance objectives discussed in this document are not regulatory performance objectives, the three components of the performance objective will be renamed in this document as assessment standard, point(s) of assessment, and time(s) of assessment. However, whenever

  15. Subjective and objective performance assessment : Performance pay at Trelleborg Forsheda AB

    OpenAIRE

    Luotonen, David; Hasselström, Markus

    2009-01-01

      The purpose of this thesis is to understand the opinions and potential effects of objective and subjective assessments of performance as a basis for performance pay for blue-collar workers. The study takes a qualitative approach to find out how and why four companies - Trelleborg Forsheda, Finnveden Powertrain, Isaberg Rapid and Parker Hannifin- work with salaries, incentive system and performance assessment the way they do. The concept of individual salary is central in this thesis, and in...

  16. Students’ performance in the different clinical skills assessed in OSCE: what does it reveal?

    Directory of Open Access Journals (Sweden)

    Joong Hiong Sim

    2015-02-01

    Full Text Available Introduction: The purpose of this study was to compare students’ performance in the different clinical skills (CSs assessed in the objective structured clinical examination. Methods: Data for this study were obtained from final year medical students’ exit examination (n=185. Retrospective analysis of data was conducted using SPSS. Means for the six CSs assessed across the 16 stations were computed and compared. Results: Means for history taking, physical examination, communication skills, clinical reasoning skills (CRSs, procedural skills (PSs, and professionalism were 6.25±1.29, 6.39±1.36, 6.34±0.98, 5.86±0.99, 6.59±1.08, and 6.28±1.02, respectively. Repeated measures ANOVA showed there was a significant difference in the means of the six CSs assessed [F(2.980, 548.332=20.253, p<0.001]. Pairwise multiple comparisons revealed significant differences between the means of the eight pairs of CSs assessed, at p<0.05. Conclusions: CRSs appeared to be the weakest while PSs were the strongest, among the six CSs assessed. Students’ unsatisfactory performance in CRS needs to be addressed as CRS is one of the core competencies in medical education and a critical skill to be acquired by medical students before entering the workplace. Despite its challenges, students must learn the skills of clinical reasoning, while clinical teachers should facilitate the clinical reasoning process and guide students’ clinical reasoning development.

  17. 10 CFR 63.114 - Requirements for performance assessment.

    Science.gov (United States)

    2010-01-01

    ... processes of engineered barriers in the performance assessment, including those processes that would adversely affect the performance of natural barriers. Degradation, deterioration, or alteration processes of... surrounding region to the extent necessary, and information on the design of the engineered barrier system...

  18. The Concept of Performance Levels in Criterion-Referenced Assessment.

    Science.gov (United States)

    Hewitson, Mal

    The concept of performance levels in criterion-referenced assessment is explored by applying the idea to different types of tests commonly used in schools, mastery tests (including diagnostic tests) and achievement tests. In mastery tests, a threshold performance standard must be established for each criterion. Attainment of this threshold…

  19. Exploring the use of internal and externalcontrols for assessing microarray technical performance

    Directory of Open Access Journals (Sweden)

    Game Laurence

    2010-12-01

    Full Text Available Abstract Background The maturing of gene expression microarray technology and interest in the use of microarray-based applications for clinical and diagnostic applications calls for quantitative measures of quality. This manuscript presents a retrospective study characterizing several approaches to assess technical performance of microarray data measured on the Affymetrix GeneChip platform, including whole-array metrics and information from a standard mixture of external spike-in and endogenous internal controls. Spike-in controls were found to carry the same information about technical performance as whole-array metrics and endogenous "housekeeping" genes. These results support the use of spike-in controls as general tools for performance assessment across time, experimenters and array batches, suggesting that they have potential for comparison of microarray data generated across species using different technologies. Results A layered PCA modeling methodology that uses data from a number of classes of controls (spike-in hybridization, spike-in polyA+, internal RNA degradation, endogenous or "housekeeping genes" was used for the assessment of microarray data quality. The controls provide information on multiple stages of the experimental protocol (e.g., hybridization, RNA amplification. External spike-in, hybridization and RNA labeling controls provide information related to both assay and hybridization performance whereas internal endogenous controls provide quality information on the biological sample. We find that the variance of the data generated from the external and internal controls carries critical information about technical performance; the PCA dissection of this variance is consistent with whole-array quality assessment based on a number of quality assurance/quality control (QA/QC metrics. Conclusions These results provide support for the use of both external and internal RNA control data to assess the technical quality of microarray

  20. The assessment and treatment of performance anxiety in musicians.

    Science.gov (United States)

    Clark, D B; Agras, W S

    1991-05-01

    Performance anxiety in musicians may be severe enough to require intervention but has been the subject of relatively little clinical research. The authors' objectives were to describe the results of a comprehensive clinical and laboratory assessment and to perform a double-blind, placebo-controlled study comparing buspirone, cognitive-behavior therapy, and the combination of these treatments for performance anxiety. Ninety-four subjects were recruited by mass media announcements and were seen in a university-based outpatient psychiatric clinic. Assessments were 1) questionnaires for all 94 subjects, 2) diagnostic interview of 50 subjects, and 3) laboratory performance of 34 subjects. Treatment conditions were 1) 6 weeks of buspirone, 2) 6 weeks of placebo, 3) a five-session, group cognitive-behavior therapy program with buspirone, or 4) the cognitive-behavior therapy program with placebo. Treatment outcome measures included subjective anxiety ratings and heart rate measures during a laboratory performance, a questionnaire measure of performance confidence, and a blind rating of musical performance quality. All subjects fulfilled criteria for DSM-III-R social phobia. Of the 15 full-time professional musicians, ten had tried propranolol and three had stopped performing. Most of the subjects had substantial anxiety and heart rate increases during laboratory speech and musical performances. Cognitive-behavior therapy resulted in statistically significant reductions in subjective anxiety, improved quality of musical performance, and improved performance confidence. Buspirone was not an effective treatment. Cognitive-behavior therapy is a viable treatment approach for performance anxiety in musicians.

  1. ANALYSING PERFORMANCE ASSESSMENT IN PUBLIC SERVICES: HOW USEFUL IS THE CONCEPT OF A PERFORMANCE REGIME?

    Science.gov (United States)

    Martin, Steve; Nutley, Sandra; Downe, James; Grace, Clive

    2016-03-01

    Approaches to performance assessment have been described as 'performance regimes', but there has been little analysis of what is meant by this concept and whether it has any real value. We draw on four perspectives on regimes - 'institutions and instruments', 'risk regulation regimes', 'internal logics and effects' and 'analytics of government' - to explore how the concept of a multi-dimensional regime can be applied to performance assessment in public services. We conclude that the concept is valuable. It helps to frame comparative and longitudinal analyses of approaches to performance assessment and draws attention to the ways in which public service performance regimes operate at different levels, how they change over time and what drives their development. Areas for future research include analysis of the impacts of performance regimes and interactions between their visible features (such as inspections, performance indicators and star ratings) and the veiled rationalities which underpin them.

  2. Performance assessment techniques for groundwater recovery and treatment systems

    Energy Technology Data Exchange (ETDEWEB)

    Kirkpatrick, G.L. [Environmental Resources Management, Inc., Exton, PA (United States)

    1993-03-01

    Groundwater recovery and treatment (pump and treat systems) continue to be the most commonly selected remedial technology for groundwater restoration and protection programs at hazardous waste sites and RCRA facilities nationwide. Implementing a typical groundwater recovery and treatment system includes the initial assessment of groundwater quality, characterizing aquifer hydrodynamics, recovery system design, system installation, testing, permitting, and operation and maintenance. This paper focuses on methods used to assess the long-term efficiency of a pump and treat system. Regulatory agencies and industry alike are sensitive to the need for accurate assessment of the performance and success of groundwater recovery systems for contaminant plume abatement and aquifer restoration. Several assessment methods are available to measure the long-term performance of a groundwater recovery system. This paper presents six assessment techniques: degree of compliance with regulatory agency agreement (Consent Order of Record of Decision), hydraulic demonstration of system performance, contaminant mass recovery calculation, system design and performance comparison, statistical evaluation of groundwater quality and preferably, integration of the assessment methods. Applying specific recovery system assessment methods depends upon the type, amount, and quality of data available. Use of an integrated approach is encouraged to evaluate the success of a groundwater recovery and treatment system. The methods presented in this paper are for engineers and corporate management to use when discussing the effectiveness of groundwater remediation systems with their environmental consultant. In addition, an independent (third party) system evaluation is recommended to be sure that a recovery system operates efficiently and with minimum expense.

  3. Machine performance assessment and enhancement for a hexapod machine

    Energy Technology Data Exchange (ETDEWEB)

    Mou, J.I. [Arizona State Univ., Tempe, AZ (United States); King, C. [Sandia National Labs., Livermore, CA (United States). Integrated Manufacturing Systems Center

    1998-03-19

    The focus of this study is to develop a sensor fused process modeling and control methodology to model, assess, and then enhance the performance of a hexapod machine for precision product realization. Deterministic modeling technique was used to derive models for machine performance assessment and enhancement. Sensor fusion methodology was adopted to identify the parameters of the derived models. Empirical models and computational algorithms were also derived and implemented to model, assess, and then enhance the machine performance. The developed sensor fusion algorithms can be implemented on a PC-based open architecture controller to receive information from various sensors, assess the status of the process, determine the proper action, and deliver the command to actuators for task execution. This will enhance a hexapod machine`s capability to produce workpieces within the imposed dimensional tolerances.

  4. Resective surgical approach shows a high performance in the management of advanced cases of bisphosphonate-related osteonecrosis of the jaws: a retrospective survey of 347 cases.

    Science.gov (United States)

    Graziani, Filippo; Vescovi, Paolo; Campisi, Giuseppina; Favia, Gianfranco; Gabriele, Mario; Gaeta, Giovanni Maria; Gennai, Stefano; Goia, Franco; Miccoli, Mario; Peluso, Franco; Scoletta, Matteo; Solazzo, Luigi; Colella, Giuseppe

    2012-11-01

    The aim of this study was to evaluate the results of the surgical treatment of bisphosphonate-related osteonecrosis of the jaw (BRONJ) in a large cohort. A retrospective cohort multicenter study was designed. Patients were enrolled if they were diagnosed with BRONJ and received operative treatment. Data on demographic, health status, perioperative, and surgical factors were collected retrospectively. The primary outcome variable was a change in BRONJ staging (improvement, worsening, or no change). Interventions were grouped by local debridement and resective surgery. Data were collected for other variables as cofactors. Univariate analysis and logistic regressions were then performed. Of the 347 BRONJ-affected subjects, 59% showed improvement, 30% showed no change, and 11% showed worsening. Improvement was observed in 49% of cases treated with local debridement and 68% of cases treated with resective surgery. Multivariate analysis indicated that maxillary location, resective surgery, and no additional corticosteroid treatment were associated with a positive outcome. Surgical treatment of BRONJ appeared to be more effective when resective procedures were performed. Nonetheless, other factors, such as the absence of symptoms and the types of drug administration, should be taken into account before clinical decisions are made. Copyright © 2012 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  5. Retrospective radiation-hygienic assessment of cesium-137 intake with feeding in the organisms of the Altai Territory habitants

    International Nuclear Information System (INIS)

    Meshkov, N.A.; Val'tseva, E.A.

    2016-01-01

    Radioactive precipitations as the result of atmospheric nuclear tests on the Semipalatinsk test site turned to local soil contamination by cesium-137 on the territory of the Altai Territory and Gorny Altai. The distribution of long-lived radioisotopes, cesium-137 in particular, in the main food staffs for local population is investigated. The retrospective analysis of cesium-137 specific activity in food products produced on these territories is carried out. It is ascertained that cesium-137 in meat has the general contribution to intake with food into organisms of adult population [ru

  6. Incorrect Weighting of Absolute Performance in Self-Assessment

    Science.gov (United States)

    Jeffrey, Scott A.; Cozzarin, Brian

    Students spend much of their life in an attempt to assess their aptitude for numerous tasks. For example, they expend a great deal of effort to determine their academic standing given a distribution of grades. This research finds that students use their absolute performance, or percentage correct as a yardstick for their self-assessment, even when relative standing is much more informative. An experiment shows that this reliance on absolute performance for self-evaluation causes a misallocation of time and financial resources. Reasons for this inappropriate responsiveness to absolute performance are explored.

  7. Treatment of uncertainty in low-level waste performance assessment

    International Nuclear Information System (INIS)

    Kozak, M.W.; Olague, N.E.; Gallegos, D.P.; Rao, R.R.

    1991-01-01

    Uncertainties arise from a number of different sources in low-level waste performance assessment. In this paper the types of uncertainty are reviewed, and existing methods for quantifying and reducing each type of uncertainty are discussed. These approaches are examined in the context of the current low-level radioactive waste regulatory performance objectives, which are deterministic. The types of uncertainty discussed in this paper are model uncertainty, uncertainty about future conditions, and parameter uncertainty. The advantages and disadvantages of available methods for addressing uncertainty in low-level waste performance assessment are presented. 25 refs

  8. Performance Assessment for Pump-and-Treat Closure or Transition

    Energy Technology Data Exchange (ETDEWEB)

    Truex, Michael J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Johnson, Christian D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Becker, Dave J. [U.S. Army Corps of Engineers Environmental and Munitions Center of Expertise, Huntsville, AL (United States); Lee, Michelle H. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Nimmons, Michael J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2015-09-29

    A structured performance assessment approach is useful to evaluate pump-and-treat (P&T) groundwater remediation, which has been applied at numerous sites. Consistent with the U.S. Environmental Protection Agency’s Groundwater Road Map, performance assessment during remedy implementation may be needed, and should consider remedy optimization, transition to alternative remedies, or remedy closure. In addition, a recent National Research Council study examined groundwater remediation at complex contaminated sites and concluded that it may be beneficial to evaluate remedy performance and the potential need for transition to alternative approaches at these sites. The intent of this document is to provide a structured approach for assessing P&T performance to support a decision to optimize, transition, or close a P&T remedy. The process presented in this document for gathering information and performing evaluations to support P&T remedy decisions includes use of decision elements to distinguish between potential outcomes of a remedy decision. Case studies are used to augment descriptions of decision elements and to illustrate each type of outcome identified in the performance assessment approach. The document provides references to resources for tools and other guidance relevant to conducting the P&T assessment.

  9. Performance Analysis of the Capability Assessment Tool for Sustainable Manufacturing

    Directory of Open Access Journals (Sweden)

    Enda Crossin

    2013-08-01

    Full Text Available This paper explores the performance of a novel capability assessment tool, developed to identify capability gaps and associated training and development requirements across the supply chain for environmentally-sustainable manufacturing. The tool was developed to assess 170 capabilities that have been clustered with respect to key areas of concern such as managing energy, water, material resources, carbon emissions and waste as well as environmental management practices for sustainability. Two independent expert teams used the tool to assess a sample group of five first and second tier sports apparel and footwear suppliers within the supply chain of a global sporting goods manufacturer in Asia. The paper addresses the reliability and robustness of the developed assessment method by formulating the expected links between the assessment results. The management practices of the participating suppliers were shown to be closely connected to their performance in managing their resources and emissions. The companies’ initiatives in implementing energy efficiency measures were found to be generally related to their performance in carbon emissions management. The suppliers were also asked to undertake a self-assessment by using a short questionnaire. The large gap between the comprehensive assessment and these in-house self-assessments revealed the suppliers’ misconceptions about their capabilities.

  10. Assessing performance and validating finite element simulations using probabilistic knowledge

    Energy Technology Data Exchange (ETDEWEB)

    Dolin, Ronald M.; Rodriguez, E. A. (Edward A.)

    2002-01-01

    Two probabilistic approaches for assessing performance are presented. The first approach assesses probability of failure by simultaneously modeling all likely events. The probability each event causes failure along with the event's likelihood of occurrence contribute to the overall probability of failure. The second assessment method is based on stochastic sampling using an influence diagram. Latin-hypercube sampling is used to stochastically assess events. The overall probability of failure is taken as the maximum probability of failure of all the events. The Likelihood of Occurrence simulation suggests failure does not occur while the Stochastic Sampling approach predicts failure. The Likelihood of Occurrence results are used to validate finite element predictions.

  11. Self-assessed performance improves statistical fusion of image labels

    International Nuclear Information System (INIS)

    Bryan, Frederick W.; Xu, Zhoubing; Asman, Andrew J.; Allen, Wade M.; Reich, Daniel S.; Landman, Bennett A.

    2014-01-01

    Purpose: Expert manual labeling is the gold standard for image segmentation, but this process is difficult, time-consuming, and prone to inter-individual differences. While fully automated methods have successfully targeted many anatomies, automated methods have not yet been developed for numerous essential structures (e.g., the internal structure of the spinal cord as seen on magnetic resonance imaging). Collaborative labeling is a new paradigm that offers a robust alternative that may realize both the throughput of automation and the guidance of experts. Yet, distributing manual labeling expertise across individuals and sites introduces potential human factors concerns (e.g., training, software usability) and statistical considerations (e.g., fusion of information, assessment of confidence, bias) that must be further explored. During the labeling process, it is simple to ask raters to self-assess the confidence of their labels, but this is rarely done and has not been previously quantitatively studied. Herein, the authors explore the utility of self-assessment in relation to automated assessment of rater performance in the context of statistical fusion. Methods: The authors conducted a study of 66 volumes manually labeled by 75 minimally trained human raters recruited from the university undergraduate population. Raters were given 15 min of training during which they were shown examples of correct segmentation, and the online segmentation tool was demonstrated. The volumes were labeled 2D slice-wise, and the slices were unordered. A self-assessed quality metric was produced by raters for each slice by marking a confidence bar superimposed on the slice. Volumes produced by both voting and statistical fusion algorithms were compared against a set of expert segmentations of the same volumes. Results: Labels for 8825 distinct slices were obtained. Simple majority voting resulted in statistically poorer performance than voting weighted by self-assessed performance

  12. Self-assessed performance improves statistical fusion of image labels

    Energy Technology Data Exchange (ETDEWEB)

    Bryan, Frederick W., E-mail: frederick.w.bryan@vanderbilt.edu; Xu, Zhoubing; Asman, Andrew J.; Allen, Wade M. [Electrical Engineering, Vanderbilt University, Nashville, Tennessee 37235 (United States); Reich, Daniel S. [Translational Neuroradiology Unit, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland 20892 (United States); Landman, Bennett A. [Electrical Engineering, Vanderbilt University, Nashville, Tennessee 37235 (United States); Biomedical Engineering, Vanderbilt University, Nashville, Tennessee 37235 (United States); and Radiology and Radiological Sciences, Vanderbilt University, Nashville, Tennessee 37235 (United States)

    2014-03-15

    Purpose: Expert manual labeling is the gold standard for image segmentation, but this process is difficult, time-consuming, and prone to inter-individual differences. While fully automated methods have successfully targeted many anatomies, automated methods have not yet been developed for numerous essential structures (e.g., the internal structure of the spinal cord as seen on magnetic resonance imaging). Collaborative labeling is a new paradigm that offers a robust alternative that may realize both the throughput of automation and the guidance of experts. Yet, distributing manual labeling expertise across individuals and sites introduces potential human factors concerns (e.g., training, software usability) and statistical considerations (e.g., fusion of information, assessment of confidence, bias) that must be further explored. During the labeling process, it is simple to ask raters to self-assess the confidence of their labels, but this is rarely done and has not been previously quantitatively studied. Herein, the authors explore the utility of self-assessment in relation to automated assessment of rater performance in the context of statistical fusion. Methods: The authors conducted a study of 66 volumes manually labeled by 75 minimally trained human raters recruited from the university undergraduate population. Raters were given 15 min of training during which they were shown examples of correct segmentation, and the online segmentation tool was demonstrated. The volumes were labeled 2D slice-wise, and the slices were unordered. A self-assessed quality metric was produced by raters for each slice by marking a confidence bar superimposed on the slice. Volumes produced by both voting and statistical fusion algorithms were compared against a set of expert segmentations of the same volumes. Results: Labels for 8825 distinct slices were obtained. Simple majority voting resulted in statistically poorer performance than voting weighted by self-assessed performance

  13. Assessment of Student Music Performances Using Deep Neural Networks

    Directory of Open Access Journals (Sweden)

    Kumar Ashis Pati

    2018-03-01

    Full Text Available Music performance assessment is a highly subjective task often relying on experts to gauge both the technical and aesthetic aspects of the performance from the audio signal. This article explores the task of building computational models for music performance assessment, i.e., analyzing an audio recording of a performance and rating it along several criteria such as musicality, note accuracy, etc. Much of the earlier work in this area has been centered around using hand-crafted features intended to capture relevant aspects of a performance. However, such features are based on our limited understanding of music perception and may not be optimal. In this article, we propose using Deep Neural Networks (DNNs for the task and compare their performance against a baseline model using standard and hand-crafted features. We show that, using input representations at different levels of abstraction, DNNs can outperform the baseline models across all assessment criteria. In addition, we use model analysis techniques to further explain the model predictions in an attempt to gain useful insights into the assessment process. The results demonstrate the potential of using supervised feature learning techniques to better characterize music performances.

  14. Gaps in Addressing Cardiovascular Risk in Rheumatoid Arthritis: Assessing Performance Using Cardiovascular Quality Indicators.

    Science.gov (United States)

    Barber, Claire E H; Esdaile, John M; Martin, Liam O; Faris, Peter; Barnabe, Cheryl; Guo, Selynne; Lopatina, Elena; Marshall, Deborah A

    2016-11-01

    Cardiovascular disease (CVD) is a major comorbidity for patients with rheumatoid arthritis (RA). This study sought to determine the performance of 11 recently developed CVD quality indicators (QI) for RA in clinical practice. Medical charts for patients with RA (early disease or biologic-treated) followed at 1 center were retrospectively reviewed. A systematic assessment of adherence to 11 QI over a 2-year period was completed. Performance on the QI was reported as a percentage pass rate. There were 170 charts reviewed (107 early disease and 63 biologic-treated). The most frequent CVD risk factors present at diagnosis (early disease) and biologic start (biologic-treated) included hypertension (26%), obesity (25%), smoking (21%), and dyslipidemia (15%). Performance on the CVD QI was highly variable. Areas of low performance (risk assessment, communication to the primary care physician (PCP) that patients with RA were at increased risk of CVD, body mass index documentation and counseling if overweight, communication to a PCP about an elevated blood pressure, and discussion of risks and benefits of antiinflammatories in patients at CVD risk. Rates of diabetes screening and lipid screening were 67% and 69%, respectively. The area of highest performance was observed for documentation of intent to taper corticosteroids (98%-100% for yrs 1 and 2, respectively). Gaps in CVD risk management were found and highlight the need for quality improvements. Key targets for improvement include coordination of CVD care between rheumatology and primary care, and communication of increased CVD risk in RA.

  15. Performance Standards': Utility for Different Uses of Assessments

    Directory of Open Access Journals (Sweden)

    Robert L. Linn

    2003-09-01

    Full Text Available Performance standards are arguably one of the most controversial topics in educational measurement. There are uses of assessments such as licensure and certification where performance standards are essential. There are many other uses, however, where performance standards have been mandated or become the preferred method of reporting assessment results where the standards are not essential to the use. Distinctions between essential and nonessential uses of performance standards are discussed. It is argued that the insistence on reporting in terms of performance standards in situations where they are not essential has been more harmful than helpful. Variability in the definitions of proficient academic achievement by states for purposes of the No Child Left Behind Act of 2001 is discussed and it is argued that the variability is so great that characterizing achievement is meaningless. Illustrations of the great uncertainty in standards are provided.

  16. Quantitative digital subtraction radiography in the assessment of external apical root resorption induced by orthodontic therapy: a retrospective study.

    Science.gov (United States)

    Sunku, Raghavendra; Roopesh, R; Kancherla, Pavan; Perumalla, Kiran Kumar; Yudhistar, Palla Venkata; Reddy, V Sridhar

    2011-11-01

    The objective of this study was to evaluate density changes around the apices of teeth during orthodontic treatment by using digital subtraction radiography to measure the densities around six teeth (maxilla central incisors, lateral incisors, and canines) before and after orthodontic treatment in 36 patients and also assess treatment variables and their coorelation with root resorption. A total of 36 consecutive patient files were selected initially. The selected patients presented with a class I or II relationship and were treated with or without premolar extractions and fixed appliances. Some class II patients were treated additionally with extraoral forces or functional appliances. External apical root resorption (EARR) per tooth in millimeters was calculated and was also expressed as a percentage of the original root length. Image reconstruction and subtraction were performed using the software Regeemy Image Registration and Mosaicing (version 0.2.43-RCB, DPI-INPE, Sao Jose dos Campos, Sao Paulo, Brazil) by a single operator. A region of interest (ROI) was defined in the apical third of the root and density calibration was made in Image J® using enamel (gray value = 255) as reference in the same image. The mean gray values in the ROIs were reflective of the change in the density values between the two images. The root resorption of the tooth and the factors of malocclusion were analyzed with a one-way ANOVA. An independent t-test was performed to compare the mean amount of resorption between male and female, between extraction and nonextraction cases. The density changes after orthodontic treatment were analyzed using the Wilcoxon signedrank test. In addition, the density changes in different teeth were analyzed using the Kruskal-Wallis test. The cut-off for statistical significance was a p-value of 0.05. All the statistical analyses were carried out using SPSS (version 13.0 for Windows, Chicago, IL, USA). Gender, the age at which treatment was started and

  17. Workplace-based assessment: raters' performance theories and constructs.

    Science.gov (United States)

    Govaerts, M J B; Van de Wiel, M W J; Schuwirth, L W T; Van der Vleuten, C P M; Muijtjens, A M M

    2013-08-01

    Weaknesses in the nature of rater judgments are generally considered to compromise the utility of workplace-based assessment (WBA). In order to gain insight into the underpinnings of rater behaviours, we investigated how raters form impressions of and make judgments on trainee performance. Using theoretical frameworks of social cognition and person perception, we explored raters' implicit performance theories, use of task-specific performance schemas and the formation of person schemas during WBA. We used think-aloud procedures and verbal protocol analysis to investigate schema-based processing by experienced (N = 18) and inexperienced (N = 16) raters (supervisor-raters in general practice residency training). Qualitative data analysis was used to explore schema content and usage. We quantitatively assessed rater idiosyncrasy in the use of performance schemas and we investigated effects of rater expertise on the use of (task-specific) performance schemas. Raters used different schemas in judging trainee performance. We developed a normative performance theory comprising seventeen inter-related performance dimensions. Levels of rater idiosyncrasy were substantial and unrelated to rater expertise. Experienced raters made significantly more use of task-specific performance schemas compared to inexperienced raters, suggesting more differentiated performance schemas in experienced raters. Most raters started to develop person schemas the moment they began to observe trainee performance. The findings further our understanding of processes underpinning judgment and decision making in WBA. Raters make and justify judgments based on personal theories and performance constructs. Raters' information processing seems to be affected by differences in rater expertise. The results of this study can help to improve rater training, the design of assessment instruments and decision making in WBA.

  18. White paper updating conclusions of 1998 ILAW performance assessment

    International Nuclear Information System (INIS)

    MANN, F.M.

    2000-01-01

    The purpose of this document is to provide a comparison of the estimated immobilized low-activity waste (LAW) disposal system performance against established performance objectives using the beat estimates for parameters and models to describe the system. The principal advances in knowledge since the last performance assessment (known as the 1998 ILAW PA [Mann 1998a]) have been in site specific information and data on the waste form performance for BNFL, Inc. relevant glass formulations. The white paper also estimates the maximum release rates for technetium and other key radionuclides and chemicals from the waste form. Finally, this white paper provides limited information on the impact of changes in waste form loading

  19. Effect of Engaging Trainees by Assessing Peer Performance

    DEFF Research Database (Denmark)

    Loumann Krogh, Charlotte; Ringsted, Charlotte; Kromann, Charles B

    2014-01-01

    during training. Outcome measures were in-training performance and performance, both of which were measured two weeks after the course. Trainees' performances were videotaped and assessed by two expert raters using a checklist that included a global rating. Trainees' satisfaction with the training...... was also evaluated. RESULTS: The intervention group obtained a significantly higher overall in-training performance score than the control group: mean checklist score 20.87 (SD 2.51) versus 19.14 (SD 2.65) P = 0.003 and mean global rating 3.25 SD (0.99) versus 2.95 (SD 1.09) P = 0.014. Postcourse...

  20. White paper updating conclusions of 1998 ILAW performance assessment

    Energy Technology Data Exchange (ETDEWEB)

    MANN, F.M.

    2000-05-11

    The purpose of this document is to provide a comparison of the estimated immobilized low-activity waste (LAW) disposal system performance against established performance objectives using the beat estimates for parameters and models to describe the system. The principal advances in knowledge since the last performance assessment (known as the 1998 ILAW PA [Mann 1998a]) have been in site specific information and data on the waste form performance for BNFL, Inc. relevant glass formulations. The white paper also estimates the maximum release rates for technetium and other key radionuclides and chemicals from the waste form. Finally, this white paper provides limited information on the impact of changes in waste form loading.

  1. Current perspectives on performance assessment at the NRC

    International Nuclear Information System (INIS)

    Coplan, S.M.; Eisenberg, N.A.; Federline, M.V.; Randall, J.D.

    1992-01-01

    The Nuclear Regulatory Commission (NRC) staff is engaging in a number of activities involving performance assessment in order to support NRC's program in high-level waste management. Broad areas of activity include: (1) reactive work responding to products and activities of the Department of Energy (DOE), (2) proactive work, including development of an independent performance assessment capability, development of guidance for DOE, support for technical and programmatic integration, (3) a program of regulatory research, and (4) participation in a number of international activities. As the U.S. high-level waste program continues to mature, performance assessment is seen as playing a more prominent role in evaluating safety and focussing technical activities

  2. Assessment of Work Performance (AWP)--development of an instrument.

    Science.gov (United States)

    Sandqvist, Jan L; Törnquist, Kristina B; Henriksson, Chris M

    2006-01-01

    Adequate work assessments are a matter of importance both for individuals and society [5,29,31,38,40,46,52]. However, there is a lack of adequate and reliable instruments for use in work rehabilitation [14,15,20,21,31,44]. The purpose of this study was to develop and evaluate an observation instrument for assessing work performance, the AWP (Assessment of Work Performance). The purpose of the 14-item instrument is to assess the individual's observable working skills in three different areas: motor skills, process skills, and communication and interaction skills. This article describes the development and results of preliminary testing of the AWP. The testing indicates a satisfactory face validity and utility for the AWP and supports further research and testing of the instrument.

  3. SKI SITE-94. Deep Repository Performance Assessment Project. Summary

    International Nuclear Information System (INIS)

    1997-02-01

    The function of SITE-94 is to provide the Swedish Nuclear Power Inspectorate (SKI) with the capacity and supporting knowledge needed for reviewing the Swedish nuclear industry's R and D programs and for reviewing license applications, as stipulated in Swedish legislation. The report is structured as a Performance Assessment exercise needed for input to decisions regarding repository safety, but the SITE-94 is neither a safety assessment nor a model for future assessments to be undertaken by the prospective licensee. The specific project objectives of SITE-94 comprise site evaluation, performance assessment methodology, canister integrity and radionuclide release and transport calculations. The main report (SKI-R--96-36) gives a detailed description of the many inter-related studies undertaken as part of the research project, while the present report presents a condensed summary of the main report. 46 refs

  4. User's guide for remote access of the Performance Assessment Center

    International Nuclear Information System (INIS)

    Peterson, C.R.; Kostelnik, K.M.

    1991-03-01

    The Performance Assessment Center (PAC) was established by the Department of Energy's National Low-Level Waste Management Program to provide technical assistance to support the development of low-level radioactive waste disposal facilities. This user's manual provides guidance to remote users of the PAC. Information is presented on how remote users may most effectively access and use the systems available at the Performance Assessment Center in Idaho Falls, Idaho. Access requirements and operating procedures are presented to assist the first-time PAC user. This manual also provides brief descriptions of each code available on the system

  5. Input data required for specific performance assessment codes

    International Nuclear Information System (INIS)

    Seitz, R.R.; Garcia, R.S.; Starmer, R.J.; Dicke, C.A.; Leonard, P.R.; Maheras, S.J.; Rood, A.S.; Smith, R.W.

    1992-02-01

    The Department of Energy's National Low-Level Waste Management Program at the Idaho National Engineering Laboratory generated this report on input data requirements for computer codes to assist States and compacts in their performance assessments. This report gives generators, developers, operators, and users some guidelines on what input data is required to satisfy 22 common performance assessment codes. Each of the codes is summarized and a matrix table is provided to allow comparison of the various input required by the codes. This report does not determine or recommend which codes are preferable

  6. Building quality into performance and safety assessment software

    International Nuclear Information System (INIS)

    Wojciechowski, L.C.

    2011-01-01

    Quality assurance is integrated throughout the development lifecycle for performance and safety assessment software. The software used in the performance and safety assessment of a Canadian deep geological repository (DGR) follows the CSA quality assurance standard CSA-N286.7 [1], Quality Assurance of Analytical, Scientific and Design Computer Programs for Nuclear Power Plants. Quality assurance activities in this standard include tasks such as verification and inspection; however, much more is involved in producing a quality software computer program. The types of errors found with different verification methods are described. The integrated quality process ensures that defects are found and corrected as early as possible. (author)

  7. Iodine-129 Dose in LLW Disposal Facility Performance Assessments

    International Nuclear Information System (INIS)

    Wilhite, E.L.

    1999-01-01

    Iodine-129 has the lowest Performance Assessment derived inventory limit in SRS disposal facilities. Because iodine is concentrated in the body to one organ, the thyroid, it has been thought that dilution with stable iodine would reduce the dose effects of 129I.Examination of the dose model used to establish the Dose conversion factor for 129I shows that, at the levels considered in performance assessments of low-level waste disposal facilities, the calculated 129I dose already accounts for ingestion of stable iodine. At higher than normal iodine ingestion rates, the uptake of iodine by the thyroid itself decrease, which effectively cancels out the isotopic dilution effect

  8. Retrospective benzene exposure assessment for a multi-center case-cohort study of benzene-exposed workers in China.

    Science.gov (United States)

    Portengen, Lützen; Linet, Martha S; Li, Gui-Lan; Lan, Qing; Dores, Graça M; Ji, Bu-Tian; Hayes, Richard B; Yin, Song-Nian; Rothman, Nathaniel; Vermeulen, Roel

    2016-01-01

    Quality of exposure assessment has been shown to be related to the ability to detect risk of lymphohematopoietic disorders in epidemiological investigations of benzene, especially at low levels of exposure. We set out to build a statistical model for reconstructing exposure levels for 2898 subjects from 501 factories that were part of a nested case-cohort study within the NCI-CAPM cohort of more than 110,000 workers. We used a hierarchical model to allow for clustering of measurements by factory, workshop, job, and date. To calibrate the model we used historical routine monitoring data. Measurements below the limit of detection were accommodated by constructing a censored data likelihood. Potential non-linear and industry-specific time-trends and predictor effects were incorporated using regression splines and random effects. A partial validation of predicted exposures in 2004/2005 was performed through comparison with full-shift measurements from an exposure survey in facilities that were still open. Median cumulative exposure to benzene at age 50 for subjects that ever held an exposed job (n=1175) was 509 mg/m(3) years. Direct comparison of model estimates with measured full-shift personal exposure in the 2004/2005 survey showed moderate correlation and a potential downward bias at low (<1 mg/m(3)) exposure estimates. The modeling framework enabled us to deal with the data complexities generally found in studies using historical exposure data in a comprehensive way and we therefore expect to be able to investigate effects at relatively low exposure levels.

  9. THE NEED AND OPPORTUNITIES FOR PERFORMANCE ASSESSMENT IN HIGHER EDUCATION

    Directory of Open Access Journals (Sweden)

    Gabriella KECZER

    2007-01-01

    Full Text Available Motivating employees is one of the highly important areas of human resources management (HRM. As people are best motivated by their intention to satisfy their own needs, the task of HRM is to satisfy the employees’ need for remuneration in a fair and just manner. This can be achieved if an organization operates a formal and professional system of performance assessment. The importance of having such a system in place is further confirmed by the fact that six out of the seven large Hungarian corporations reviewed operate a global system of performance assessment. In areas where intellectual activity plays a dominant role, as is the case with higher education, omitting an evaluation of the performance of „white collar workers” is, of course, out of the question. Satisfying the employees’ need for fair remuneration in the public sphere, including higher education (HE, is essentially hindered by a lack of evaluating individual performance and, hence, performance-dependent wages and financial benefits derived from extra performance. Given the centrally determined and uniform wage schedule, there is almost no opportunity to differentiate between the performance of one person in a given wage category and another. This entails, at least for a large part of public employees and public servants, a lack of drive to perform better than average. These people could be forced to make greater efforts only by way of measuring their performance on an individual basis and applying a wage system that would rely on individual output and represent a system of wages that would be both differentiated and motivating. In the first part of my paper, I will present the performance assessment methods applied by the large Hungarian enterprises included in the investigation. The second part will deal with the issue of how all of this can be actually implemented in HE.

  10. Assessing the impact of blended learning on student performance

    OpenAIRE

    Do Won Kwak; Flavio Menezes; Carl Sherwood

    2013-01-01

    This paper assesses quantitatively the impact on student performance of a blended learning experiment within a large undergraduate first year course in statistics for business and economics students. We employ a differences- in-difference econometric approach, which controls for differences in student characteristics and course delivery method, to evaluate the impact of blended learning on student performance. Although students in the course manifest a preference for live lectures over online...

  11. Guidance on the Technology Performance Level (TPL) Assessment Methodology

    Energy Technology Data Exchange (ETDEWEB)

    Weber, Jochem [National Renewable Energy Lab. (NREL), Golden, CO (United States); Roberts, Jesse D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Babarit, Aurelien [Ecole Centrale de Nantes (France). Lab. of Research in Hydrodynamics, Energetics and Atmospheric Environment (LHEEA); Costello, Ronan [Wave Venture, Penstraze (United Kingdom); Bull, Diana L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Neilson, Kim [Ramboll, Copenhagen (Denmark); Bittencourt, Claudio [DNV GL, London (United Kingdom); Kennedy, Ben [Wave Venture, Penstraze (United Kingdom); Malins, Robert Joseph [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Dykes, Katherine [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-09-01

    This document presents the revised Technology Performance Level (TPL) assessment methodology. There are three parts to this revised methodology 1) the Stakeholder Needs and Assessment Guidance (this document), 2) the Technical Submission form, 3) the TPL scoring spreadsheet. The TPL assessment is designed to give a technology neutral or agnostic assessment of any wave energy converter technology. The focus of the TPL is on the performance of the technology in meeting the customer’s needs. The original TPL is described in [1, 2] and those references also detail the critical differences in the nature of the TPL when compared to the more widely used technology readiness level (TRL). (Wave energy TRL is described in [3]). The revised TPL is particularly intended to be useful to investors and also to assist technology developers to conduct comprehensive assessments in a way that is meaningful and attractive to investors. The revised TPL assessment methodology has been derived through a structured Systems Engineering approach. This was a formal process which involved analyzing customer and stakeholder needs through the discipline of Systems Engineering. The results of the process confirmed the high level of completeness of the original methodology presented in [1] (as used in the Wave Energy Prize judging) and now add a significantly increased level of detail in the assessment and an improved more investment focused structure. The revised TPL also incorporates the feedback of the Wave Energy Prize judges.

  12. The balanced scorecard: sustainable performance assessment for forensic laboratories.

    Science.gov (United States)

    Houck, Max; Speaker, Paul J; Fleming, Arron Scott; Riley, Richard A

    2012-12-01

    The purpose of this article is to introduce the concept of the balanced scorecard into the laboratory management environment. The balanced scorecard is a performance measurement matrix designed to capture financial and non-financial metrics that provide insight into the critical success factors for an organization, effectively aligning organization strategy to key performance objectives. The scorecard helps organizational leaders by providing balance from two perspectives. First, it ensures an appropriate mix of performance metrics from across the organization to achieve operational excellence; thereby the balanced scorecard ensures that no single or limited group of metrics dominates the assessment process, possibly leading to long-term inferior performance. Second, the balanced scorecard helps leaders offset short term performance pressures by giving recognition and weight to long-term laboratory needs that, if not properly addressed, might jeopardize future laboratory performance. Copyright © 2012 Forensic Science Society. Published by Elsevier Ireland Ltd. All rights reserved.

  13. Assessment of Residents Readiness to Perform Lumbar Puncture

    DEFF Research Database (Denmark)

    Henriksen, Mikael Johannes Vuokko; Wienecke, Troels; Thagesen, Helle

    2017-01-01

    and 18 novices performing the procedure in a simulated, ward-like setting with a standardized patient. Procedural performance was assessed by three content experts. We used generalizability theory to explore reliability. The discriminative ability of the tool was explored by comparing performance scores......Background: Lumbar puncture is a common procedure in many specialties. The procedure serves to diagnose life-threatening conditions, often requiring rapid performance. However, junior doctors possess uncertainties regarding performing the procedure and frequently perform below expectations. Hence...... between the two groups. The contrasting groups method was used to set a pass/fail standard and the consequences of this was explored. Key results: The interviews identified that in addition to the technical aspects of the procedure, non-technical elements involving planning and conducting the procedure...

  14. Peer assessment of aviation performance: inconsistent for good reasons.

    Science.gov (United States)

    Roth, Wolff-Michael; Mavin, Timothy J

    2015-03-01

    Research into expertise is relatively common in cognitive science concerning expertise existing across many domains. However, much less research has examined how experts within the same domain assess the performance of their peer experts. We report the results of a modified think-aloud study conducted with 18 pilots (6 first officers, 6 captains, and 6 flight examiners). Pairs of same-ranked pilots were asked to rate the performance of a captain flying in a critical pre-recorded simulator scenario. Findings reveal (a) considerable variance within performance categories, (b) differences in the process used as evidence in support of a performance rating, (c) different numbers and types of facts (cues) identified, and (d) differences in how specific performance events affect choice of performance category and gravity of performance assessment. Such variance is consistent with low inter-rater reliability. Because raters exhibited good, albeit imprecise, reasons and facts, a fuzzy mathematical model of performance rating was developed. The model provides good agreement with observed variations. Copyright © 2014 Cognitive Science Society, Inc.

  15. Assessing vocal performance in complex birdsong: a novel approach.

    Science.gov (United States)

    Geberzahn, Nicole; Aubin, Thierry

    2014-08-06

    Vocal performance refers to the ability to produce vocal signals close to physical limits. Such motor skills can be used by conspecifics to assess a signaller's competitive potential. For example it is difficult for birds to produce repeated syllables both rapidly and with a broad frequency bandwidth. Deviation from an upper-bound regression of frequency bandwidth on trill rate has been widely used to assess vocal performance. This approach is, however, only applicable to simple trilled songs, and even then may be affected by differences in syllable complexity. Using skylarks (Alauda arvensis) as a birdsong model with a very complex song structure, we detected another performance trade-off: minimum gap duration between syllables was longer when the frequency ratio between the end of one syllable and the start of the next syllable (inter-syllable frequency shift) was large. This allowed us to apply a novel measure of vocal performance ¿ vocal gap deviation: the deviation from a lower-bound regression of gap duration on inter-syllable frequency shift. We show that skylarks increase vocal performance in an aggressive context suggesting that this trait might serve as a signal for competitive potential. We suggest using vocal gap deviation in future studies to assess vocal performance in songbird species with complex structure.

  16. Assessing Performance and Learning in Interprofessional Health Care Teams.

    Science.gov (United States)

    Ekmekci, Ozgur; Sheingold, Brenda; Plack, Margaret; LeLacheur, Susan; Halvaksz, Jennifer; Lewis, Karen; Schlumpf, Karen; Greenberg, Larrie

    2015-01-01

    Teamwork has become an integral part of health care delivery. Such emphasis on teamwork has generated the need to systematically measure and improve the learning and performance of health care teams. The purpose of this study was to develop a comprehensive assessment instrument, the Interprofessional Education and Practice Inventory (IPEPI), to evaluate learning and performance in interprofessional health care teams. The 12-month study commenced in three 4-month phases: (1) a panel of 25 national and international experts participated in the Delphi process to identify factors influencing team learning and team performance; (2) the research team analyzed the findings from the two Delphi rounds to develop the IPEPI; and (3) a cohort of 27 students at the university engaged in clinical simulations to test and refine the IPEPI. Findings suggest key factors that significantly influence team learning and performance include whether the group is able to foster a climate of mutual respect, adopt effective communication strategies, develop a sense of trust, and invite contributions from others. Additionally, in assessing organizational factors, participants indicated those factors that significantly influence team learning and performance include whether the organization is patient-centered, creates a culture of safety (not blame), and supports individual and team learning. These findings highlight the critical role assessment plays in enhancing not just interprofessional education or interprofessional practice, but in essence advancing interprofessional education and practice--which requires an integrated examination of how health care professionals learn and perform in teams.

  17. Technology-Supported Performance Assessments for Middle School Geoscience

    Science.gov (United States)

    Zalles, D. R.; Quellmalz, E.; Rosenquist, A.; Kreikemeier, P.

    2002-12-01

    Under funding from the World Bank, the U.S. Department of Education, the National Science Foundation, and the Federal Government's Global Learning and Observations to Benefit the Environment Program (GLOBE), SRI International has developed and piloted web-accessible performance assessments that measure K-12 students' abilities to use learning technologies to reason with scientific information and communicate evidence-based conclusions to scientific problems. This presentation will describe the assessments that pertain to geoscience at the middle school level. They are the GLOBE Assessments and EPA Phoenix, an instantiation of SRI's model of assessment design known as Integrative Performance Assessments in Technology (IPAT). All are publicly-available on the web. GLOBE engages students in scientific data collection and observation about the environment. SRI's classroom assessments for GLOBE provide sample student assessment tools and frameworks that allow teachers and students to assess how well students can use the data in scientific inquiry projects. Teachers can use classroom assessment tools on the site to develop integrated investigations for assessing GLOBE within their particular science curricula. Rubrics are provided for measuring students' GLOBE-related skills, and alignments are made to state, national, and international science standards. Sample investigations are provided about atmosphere, hydrology, landcover, soils, earth systems, and visualizations. The IPAT assessments present students with engaging problems rooted in science or social science content, plus sets of tasks and questions that require them to gather relevant information on the web, use reasoning strategies to analyze and interpret the information, use spreadsheets, word processors, and other productivity tools, and communicate evidence-based findings and recommendations. In the process of gathering information and drawing conclusions, students are assessed on how well they can operate

  18. Associations between Retrospective versus Ecological Momentary Assessment Measures of Emotion and Eating Disorder Symptoms in Anorexia Nervosa

    OpenAIRE

    Lavender, Jason M.; De Young, Kyle P.; Anestis, Michael D.; Wonderlich, Stephen A.; Crosby, Ross D.; Engel, Scott G.; Mitchell, James E.; Crow, Scott J.; Peterson, Carol B.; Le Grange, Daniel

    2013-01-01

    This study examined the unique associations between eating disorder symptoms and two emotion-related constructs (affective lability and anxiousness) assessed via distinct methodologies in anorexia nervosa (AN). Women (N=116) with full or subthreshold AN completed baseline emotion and eating disorder assessments, followed by two weeks of ecological momentary assessment (EMA). Hierarchical regressions were used to examine unique contributions of baseline and EMA measures of af...

  19. Assessment of Innovation and Performance in the Fruit Chain; The Innovation-Performance Matrix

    NARCIS (Netherlands)

    Trienekens, J.H.; Uffelen, van R.L.M.; Debaire, J.; Omta, S.W.F.

    2008-01-01

    Purpose - This paper aims to bridge the concepts of innovation and performance and to develop a framework to assess innovation and performance in food chains. Design/methodology/approach - Based on an extensive literature search the paper identifies critical success factors (CSFs) and related

  20. Effectiveness of maximal safe resection for glioblastoma including elderly and low karnofsky performance status patients. Retrospective review at a single institute

    International Nuclear Information System (INIS)

    Uzuka, Takeo; Takahashi, Hideaki; Aoki, Hiroshi; Natsumeda, Manabu; Fujii, Yukihiko

    2012-01-01

    Elderly and low Karnofsky performance status (KPS) patients have been excluded from most prospective trials. This retrospective study investigated glioblastoma treatment outcomes, including those of elderly and low KPS patients, and analyzed the prognostic factors using the medical records of 107 consecutive patients, 59 men and 48 women aged from 21 to 85 years (median 65 years), with newly diagnosed glioblastoma treated at our institute. There were 71 high-risk patients with age >70 years and/or KPS 6 -methylguanine-deoxyribonucleic acid methyltransferase-negative (p=0.027), and more than subtotal removal (p=0.003) were significant prognostic factors. The median postoperative KPS score tended to be better than the preoperative score, even in the high-risk group. We recommend maximal safe resection for glioblastoma patients, even those with advanced age and/or with low KPS scores. (author)

  1. Organizational Performance Assessment: Overview of Publications in National Journals

    Directory of Open Access Journals (Sweden)

    Sandra Mara Iesbik Valmorbida

    2012-12-01

    Full Text Available In the literature there are several tools that aim to assess organizational performance, such as Balanced Scorecard (BSC, National Quality Award (PNQ, Multicriteria Methodology for Decision Aiding (MCDA, Data envelopment analysis (DEA, Analytic Hierarchy Process (AHP, among others. However, it is perceived in practice doubts as to choose the most appropriate for each organizational context. In this sense, it is argued that to measure the performance of the organization it is necessary that this measure is based on an instrument that allows transparency in the evaluation form, and insert those interested in the evaluation process. The credibility of an evaluation therefore depends on the ability to produce consistent information for all subjects involved in the intervention. The search for tools to improve the way to evaluate organizational performance it is increasingly necessary. The objective of this study is to identify the main tools of organizational performance assessment published in national journals in the area of Administration, Accounting and Tourism, classified by CAPES Qualis A1 to B5. The study is characterized as descriptive and qualitative documentation. We analyzed 489 articles, which resulted in the following results:(i identified the main theme of the authors and regular assessment of organizational performance, (ii from the year 2000 publications on the subject grew substantially, (iii Data Envelopment Analysis (DEA, Balanced Scorecard (BSC and Multicriteria for decision aiding methodology(MCDA-C are the most commonly used tools for evaluating performance, (iv most of the tools found in the literature are multiple criteria, (v described the process used by the tools to assess organizational performance.

  2. Methodology for assessing performance of waste management systems

    International Nuclear Information System (INIS)

    Meshkov, N.K.; Herzenberg, C.L.; Camasta, S.F.

    1988-01-01

    The newly revised draft DOE Order 5820.2, Chapter 3, requires that DOE low-level waste shall be managed on a systematic basis using the most appropriate combination of waste generation reduction, segregation, treatment, and disposal practices so that the radioactive components are contained and the overall cost effectiveness is minimized. This order expects each site to prepare and maintain an overall waste management systems performance assessment supporting the combination of waste management practices used in generation reduction segregation, treatment, packaging, storage, and disposal. A document prepared by EG and G Idaho, Inc. for the Department of Energy called Guidance for Conduct of Waste Management Systems Performance Assessment is specifically intended to provide the approach necessary to meet the systems performance assessment requirement of DOE Order 5820.2, Chapter 3, and other applicable state regulations dealing with LLW (low-level radioactive wastes). Methods and procedures are needed for assessing the performance of a waste management system. This report addresses this need. The purpose of the methodology provided in this report is to select the optimal way to manage particular sets of waste streams from generation to disposal in a safe and cost-effective manner, and thereby assist the DOE LLW mangers in complying with the DOE Order 5820.2, Chapter 3, and the associated guidance document

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

    Science.gov (United States)

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

    2014-01-01

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

  4. Workplace-based assessment: raters' performance theories and constructs

    NARCIS (Netherlands)

    Govaerts, M.J.; Wiel, M.W.J. van de; Schuwirth, L.W.; Vleuten, C.P.M. van der; Muijtjens, A.M.M.

    2013-01-01

    Weaknesses in the nature of rater judgments are generally considered to compromise the utility of workplace-based assessment (WBA). In order to gain insight into the underpinnings of rater behaviours, we investigated how raters form impressions of and make judgments on trainee performance. Using

  5. Data farming in support of HLA performance assessment

    NARCIS (Netherlands)

    Cramp, A.J.; Berg, T.W. van den; Huiskamp, W.

    2014-01-01

    Performance assessment is a key factor in designing distributed simulation environments that are fit-forpurpose and cost-effective. Simulations used for training applications should provide the required level of responsiveness and interactivity. Simulations used for analysis or decision support

  6. Personnel Performance Assessment in Information Systems Outsourcing Environments

    Science.gov (United States)

    Casado-Lumbreras, Cristina; Soto-Acosta, Pedro; Colomo-Palacios, Ricardo; de Pablos, Patricia Ordonez

    2011-01-01

    Purpose: The aim of this paper is to present a tool which uses semantic technologies for personnel performance and workplace learning assessment in outsourced information technology environments. Design/methodology/approach: The paper presents the tool from a technical perspective and introduces a use case that depicts the main features related to…

  7. Annual Performance Reports: 2002-2003 State Assessment Data

    Science.gov (United States)

    Thurlow, Martha L.; Moen, Ross E.; Wiley, Hilda I.

    2005-01-01

    States and other educational entities receiving Part B funding under the Individuals with Disabilities Education Act (IDEA) submitted their Annual Performance Reports to the U.S. Secretary of Education on or before March 31, 2004. These reports contained information on a variety of indicators, including assessment participation and performance…

  8. Performance assessment development for a LILW repository in Slovenia

    International Nuclear Information System (INIS)

    Zeleznik, N.; Mele, I.

    2001-01-01

    Simultaneously with the site selection process for a low and intermediate level radioactive waste (LILW) repository, the preliminary assessment of the influence of the specific disposal concept on the environment and on the population was developed. The performance assessment team, organized in 1997 by ARAO, prepared several basic studies in order to clarify the objectives of the performance and safety assessment (PA/SA) procedure. In 1999 also the first performance assessment of two safety cases (surface and underground) for generic site for a LILW repository was realized. In the year 2000 activities on PA/SA analyses continued. A systematic, generic list was prepared of all possible features, events and processes (FEP list) predictable for surface or underground LILW disposal in Slovenia. Recommended and selected were the most reliable scenarios with conceptual models for LILW disposal in normal and altered evolution conditions. New verification of the obtained results was done with more powerful and accurate models for the surface repository over an aquifer of lower water permeability and an underground repository in a plastic rock. The results for both generic cases under normal evolution scenarios showed that there is a negligible dose influence on members of the critical population due to the migration of radionuclides from the foreseen LILW repository. The results of the already performed work as well as plans for the future activities are presented in the paper.(author)

  9. Optimal Designs for Performance Assessments: The Subject Factor.

    Science.gov (United States)

    Parkes, Jay

    Much speculation abounds concerning how expensive performance assessments are or are going to be. Recent projections indicate that, in order to achieve an acceptably high generalizability coefficient, many additional tasks may need to be added, which will enlarge costs. Such projections are, to some degree, correct, and to some degree simplistic.…

  10. Measuring the Impact of Rater Negotiation in Writing Performance Assessment

    Science.gov (United States)

    Trace, Jonathan; Janssen, Gerriet; Meier, Valerie

    2017-01-01

    Previous research in second language writing has shown that when scoring performance assessments even trained raters can exhibit significant differences in severity. When raters disagree, using discussion to try to reach a consensus is one popular form of score resolution, particularly in contexts with limited resources, as it does not require…

  11. Reliable and Valid Assessment of Clinical Bronchoscopy Performance

    DEFF Research Database (Denmark)

    Konge, Lars; Larsen, Klaus Richter; Clementsen, Paul

    2012-01-01

    : The interrater reliability was high, with Cronbach's a = 0.86. Assessment of 3 bronchoscopies by a single rater had a generalizability coefficient of 0.84. The correlation between experience and performance was good (Pearson correlation = 0.76). There were significant differences between the groups for all...

  12. Performance Assessment of a Class of Industrial Fans With ...

    African Journals Online (AJOL)

    This paper presents a statistical quality control study for on-condition monitoring of draught fans in a steelmaking process. The study proposes a procedure for obtaining consistent estimates of peak vibration levels for performance assessment the machines based on independent measurements of the variable assuming the ...

  13. Radionuclide release rates from spent fuel for performance assessment modeling

    International Nuclear Information System (INIS)

    Curtis, D.B.

    1994-01-01

    In a scenario of aqueous transport from a high-level radioactive waste repository, the concentration of radionuclides in water in contact with the waste constitutes the source term for transport models, and as such represents a fundamental component of all performance assessment models. Many laboratory experiments have been done to characterize release rates and understand processes influencing radionuclide release rates from irradiated nuclear fuel. Natural analogues of these waste forms have been studied to obtain information regarding the long-term stability of potential waste forms in complex natural systems. This information from diverse sources must be brought together to develop and defend methods used to define source terms for performance assessment models. In this manuscript examples of measures of radionuclide release rates from spent nuclear fuel or analogues of nuclear fuel are presented. Each example represents a very different approach to obtaining a numerical measure and each has its limitations. There is no way to obtain an unambiguous measure of this or any parameter used in performance assessment codes for evaluating the effects of processes operative over many millennia. The examples are intended to suggest by example that in the absence of the ability to evaluate accuracy and precision, consistency of a broadly based set of data can be used as circumstantial evidence to defend the choice of parameters used in performance assessments

  14. An importance-performance assessment of delegates' satisfaction ...

    African Journals Online (AJOL)

    An importance-performance assessment of delegates' satisfaction with the catering component of courses offered by continuing education at the University of ... of its catering component, a company would be able to make appropriate and necessary managerial decisions in order to retain and expand its customer base.

  15. Assessment of the Outreach Performance of Special Programme on ...

    African Journals Online (AJOL)

    Assessment of the Outreach Performance of Special Programme on Food Security in Abia State, Nigeria. ... Four variables namely level of education, skill acquisition in off farm activities, farm size, and loan transaction costs produced significant influence on the amount of loan demanded. R2 value of 0.529 indicates that the ...

  16. The Neglected Situation: Assessment Performance and Interaction in Context

    Science.gov (United States)

    Maddox, Bryan

    2015-01-01

    Informed by Goffman's influential essay on "The neglected situation" this paper examines the contextual and interactive dimensions of performance in large-scale educational assessments. The paper applies Goffman's participation framework and associated theory in linguistic anthropology to examine how testing situations are framed and…

  17. Teacher Performance Assessment in Teacher Education: An Example in Malaysia

    Science.gov (United States)

    Gallant, Andrea; Mayer, Diane

    2012-01-01

    As part of a cross-cultural collaboration, a teacher performance assessment (TPA) was implemented during 2009 in three Malaysian institutes of teacher education. This paper reports on the TPA for graduating primary teachers in Malaysia. The investigation focused on the pre-service teachers' perceptions about whether the TPA provided them with an…

  18. Self-Assessment in Mathematics as Correlate of Performance of ...

    African Journals Online (AJOL)

    This study was conducted to investigate the relationship between students self assessment in Mathematics and academic performance in Senior Secondary School Physics. The research is descriptive and of the survey type as there was no treatment and manipulation of subjects. Instead it involves the use of questionnaire ...

  19. Operational risk assessments by supply chain professionals : process and performance

    NARCIS (Netherlands)

    Tazelaar, F.; Snijders, C.C.P.

    2013-01-01

    We consider the "process-performance paradox" in the assessment of operational risks by professionals in the field of operations and supply chain management (OSCM). The paradox states that although professionals with more expertise tend to decide in different ways, they often do not make better

  20. Deep geologic disposal. Lessons learnt from recent performance assessment studies

    International Nuclear Information System (INIS)

    Pescatore, C.; Andersson, J.

    1998-01-01

    Performance assessment (PA) studies are part of the decision basis for the siting, operation, and closure of deep repositories of long-lived nuclear wastes. In 1995 the NEA set up the Working Group on Integrated Performance Assessments of Deep Repositories (IPAG) with the goals to analyse existing PA studies, learn about what has been produced to date, and shed light on what could be done in future studies. Ten organisations submitted their most recent PA study for analysis and discussion, including written answers to over 70 questions. Waste management programmes, disposal concepts, geologies, and different types and amounts of waste offered a unique opportunity for exchanging information, assessing progress in PA since 1990, and identifying recent trends. A report was completed whose main lessons are overviewed. (author)

  1. Survey and review of near-field performance assessment

    International Nuclear Information System (INIS)

    Apted, M.J.

    1993-01-01

    The aim of this chapter is to describe the performance assessment (PA) context in which near-field models have been developed and applied. An overview is given of a number of PA studies. Although the focus is on near-field models, the overview covers the full context in which the PAs have been performed, including the purpose of the studies and regulatory context. Special emphasis has been given to the scenarios analyzed in the assessments; the scenarios set the framework for model development and application. Another aspect to consider in a study of near-field modeling from the perspective of total PA is the linking between near-field and far-field assessment. (R.P.) 6 tabs

  2. A retrospective chart review to assess the safety of nonablative fractional laser resurfacing in Fitzpatrick skin types IV to VI.

    Science.gov (United States)

    Clark, Charlotte M; Silverberg, Jonathan I; Alexis, Andrew F

    2013-04-01

    Laser resurfacing in patients with Fitzpatrick skin phototypes (SPT) IV to VI is associated with a higher risk of pigmentary alteration. There is a paucity of studies evaluating optimum treatment parameters for fractional lasers in darkly pigmented skin types. This is a retrospective review of medical records for patients with SPT IV to VI who were treated with a 1,550 nm erbium-doped fractional nonablative laser (Fraxel Re:Store SR 1550; Solta Medical, Hayword, CA). Data were collected from patient charts and the clinic laser logbook from January 2008 to January 2012. The frequency of treatment-associated postinflammatory hyperpigmentation (PIH) and treatment settings used were evaluated. A total of 115 total laser sessions (45 patients) were included in our analysis. Five of the sessions (4%) were accompanied by PIH, 2 of which occurred in a single patient. Only 1 episode of PIH lasted longer than 1 month (2 months). Two of the 5 cases had only transient PIH (≤7 days), one of which was reported by the patient and not clinically evident on examination. The 1,550 nm erbium-doped fractional laser is well tolerated in SPT IV to VI. Fractional laser resurfacing, with the settings used and pretreatment and posttreatment hydroquinone 4% cream, was associated with a low risk of PIH in darker skin types.

  3. Assessment of the Survival of Dental Implants in Irradiated Jaws Following Treatment of Oral Cancer: A Retrospective Study

    Science.gov (United States)

    Rana, Meenakshi Chauhan; Solanki, Swati; Pujari, Sudarshan C; Shaw, Eisha; Sharma, Swati; Anand, Abhishek; Singh, Harkanwal Preet

    2016-01-01

    Background: In patients undergoing head and neck surgery for various pathologic conditions, implants are one of the best restorative options and are increasing widely used. Therefore, we evaluated the success of dental implants in the irradiated jaws of patients following treatment of oral cancer oral cancer treated patients. Materials and Methods: Data of oral cancer treated patients was collected retrospectively from 2002 to 2008. We took 46 oral cancer treated patients in which implants were placed in irradiated jaws for rehabilitation. Results: It was found that out of 162 dental implants placed, 52 failed. Furthermore, there was no variation in the implant survival rate in between both the jaws. Radiation dose of <50 Gy units also showed significantly increased amount of implant survival rate. Conclusions: Implant survival is multifactorial and depends upon a number of factors like level of radiation exposure in that area, time gap between last radiation doses etc., Further research is required in this field to improve the esthetics and quality of life of cancer treated patients. PMID:27843270

  4. Assessment of the survival of dental implants in irradiated jaws following treatment of oral cancer: A retrospective study

    Directory of Open Access Journals (Sweden)

    Meenakshi Chauhan Rana

    2016-01-01

    Full Text Available Background: In patients undergoing head and neck surgery for various pathologic conditions, implants are one of the best restorative options and are increasing widely used. Therefore, we evaluated the success of dental implants in the irradiated jaws of patients following treatment of oral cancer oral cancer treated patients. Materials and Methods: Data of oral cancer treated patients was collected retrospectively from 2002 to 2008. We took 46 oral cancer treated patients in which implants were placed in irradiated jaws for rehabilitation. Results: It was found that out of 162 dental implants placed, 52 failed. Furthermore, there was no variation in the implant survival rate in between both the jaws. Radiation dose of <50 Gy units also showed significantly increased amount of implant survival rate. Conclusions: Implant survival is multifactorial and depends upon a number of factors like level of radiation exposure in that area, time gap between last radiation doses etc., Further research is required in this field to improve the esthetics and quality of life of cancer treated patients.

  5. Assessment of Myocardial Bridge and Mural Coronary Artery Using ECG-Gated 256-Slice CT Angiography: A Retrospective Study

    Directory of Open Access Journals (Sweden)

    En-sen Ma

    2013-01-01

    Full Text Available Recent clinical reports have indicated that myocardial bridge and mural coronary artery complex (MB-MCA might cause major adverse cardiac events. 256-slice CT angiography (256-slice CTA is a newly developed CT system with faster scanning and lower radiation dose compared with other CT systems. The objective of this study is to evaluate the morphological features of MB-MCA and determine its changes from diastole to systole phase using 256-slice CTA. The imaging data of 2462 patients were collected retrospectively. Two independent radiologists reviewed the collected images and the diagnosis of MB-MCA was confirmed when consistency was obtained. The length, diameter, and thickness of MB-MCA in diastole and systole phases were recorded, and changes of MB-MCA were calculated. Our results showed that among the 2462 patients examined, 336 have one or multiple MB-MCA (13.6%. Out of 389 MB-MCA segments, 235 sites were located in LAD2 (60.41%. The average diameter change of MCA in LAD2 from systole phase to diastole phase was  mm, and 34.9% of MCA have more than 50% diameter stenosis in systole phase. This study suggested that 256-slice CTA multiple-phase reconstruction technique is a reliable method to determine the changes of MB-MCA from diastole to systole phase.

  6. Environmental performance assessment of a company of aluminum surface treatment

    Directory of Open Access Journals (Sweden)

    Susan Catieri Ramalho

    2013-08-01

    Full Text Available The purpose of this article was to evaluate the environmental performance of a medium-sized company that provides services for surface treatment of aluminum. The treatment is known as anodizing. The research method was qualitative numerical modeling. The environmental performance of the company was organized into five constructs: atmosphere, wastewater, energy and natural resources, solid waste, and legislation and management. Nineteen indicators were chosen to explain the five constructs. Ten employees of the company prioritized the constructs and evaluated the situation of the indicators by means of a scale of assessment. By means of a mathematical model, the general performance of the environmental operation was calculated at 74.5% of the maximum possible. The indicators that most contributed to the performance not to reach 100% were consumption of electricity and water consumption. The construct of worse performance was natural and energy resources. These are the priorities for future environmental improvement actions that the company may promote.

  7. Oral Surgical Procedures Performed Safely in Patients With Head and Neck Arteriovenous Malformations: A Retrospective Case Series of 12 Patients.

    Science.gov (United States)

    Karim, Abdul Basit; Lindsey, Sean; Bovino, Brian; Berenstein, Alejandro

    2016-02-01

    This case series describes patients with head and neck arteriovenous malformations who underwent oral and maxillofacial surgical procedures combined with interventional radiology techniques to minimize blood loss. Twelve patients underwent femoral cerebral angiography to visualize the extent of vascular malformation. Before the surgical procedures, surgical sites were devascularized by direct injection of hemostatic or embolic agents. Direct puncture sclerotherapy at the base of surgical sites was performed using Surgiflo or n-butylcyanoacrylate glue. Surgical procedures were carried out in routine fashion. A hemostatic packing of FloSeal, Gelfoam, and Avitene was adapted to the surgical sites. Direct puncture sclerotherapy with Surgiflo or n-butylcyanoacrylate glue resulted in minimal blood loss intraoperatively. Local application of the FloSeal, Gelfoam, and Avitene packing sustained hemostasis and produced excellent healing postoperatively. Patients with arteriovenous malformations can safely undergo routine oral and maxillofacial surgical procedures with minimal blood loss when appropriate endovascular techniques and local hemostatic measures are used by the interventional radiologist and oral and maxillofacial surgeon. Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  8. [Retrospective evaluation of 500 endoscopic cholangiopancreatographies performed at the Instituto Nacional de la Nutrición "Salvador Zubiran"].

    Science.gov (United States)

    Elizondo, J; Gallo, S; Valdovinos, M A; Paez, R

    1989-01-01

    We evaluated 500 endoscopic retrograde cholangiopancreatographies (ERCP) performed on 422 patients during a 5-year period in the Gastrointestinal Endoscopy Department, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F. ERCP combines endoscopic and radiologic techniques in order to obtain high quality opacification of pancreatic and biliary ducts. The rate of success for cannulation was 90%; desired duct opacification was possible in 89%. The most frequent indication for ERCP was to establish the differential diagnosis for jaundice; biliary stones in the common bile duct was the most frequent diagnosis, followed by normal biliary ducts. Pancreatography was normal in 74% of patients. ERCP complications were detected in 5.6%; fever and transient pain was the most common complaint in 1.6%. Mortality attributable to the procedure was 0.8%. From histological corroboration of cases by surgery or postmortem studies, diagnostic sensitivity was 92%, specificity 76%, positive predictive value 96% and a prevalence of 89%. We conclude that ERCP is highly sensitive and specific in diagnosing bilio-pancreatic-duodenal disease. Our results are comparable to other's experiences published throughout the world.

  9. Performance assessment experience at Oak Ridge National Laboratory

    International Nuclear Information System (INIS)

    Lee, D.W.

    1994-01-01

    The development of a performance assessment (PA) for low-level radioactive waste disposal operations at Oak Ridge National Laboratory (ORNL) was initiated in 1989 and is continuing. A draft PA was prepared in September 1990 and submitted to the DOE Peer Review Panel for review and comment. Recommendations were received that formed the basis for a revised PA that was completed in December 1993. The review of the revised PA is continuing. This paper reviews the experience gained in the preparation of the PA including the technical difficulties associated with performance assessment in Oak Ridge and an overview of the methods used in the PA. Changes in waste operations that resulted from the findings in the PA include improved waste acceptance criteria, waste certification, and waste management practices. The discussion includes issues that relate to the application of current performance objectives to older disposal facilities, which are being addressed as part of the CERCLA process

  10. Total-System Performance Assessment for the Yucca Mountain Site

    International Nuclear Information System (INIS)

    Wilson, M.L.

    2001-01-01

    Yucca Mountain, Nevada, is under consideration as a potential site for a repository for high-level radioactive waste. Total-system performance-assessment simulations are performed to evaluate the safety of the site. Features, events, and processes have been systematically evaluated to determine which ones are significant to the safety assessment. Computer models of the disposal system have been developed within a probabilistic framework, including both engineered and natural components. Selected results are presented for three different total-system simulations, and the behavior of the disposal system is discussed. The results show that risk is dominated by igneous activity at early times, because the robust waste-package design prevents significant nominal (non-disruptive) releases for tens of thousands of years or longer. The uncertainty in the nominal performance is dominated by uncertainties related to waste-package corrosion at early times and by uncertainties in the natural system, most significantly infiltration, at late times

  11. How Should Blood Glucose Meter System Analytical Performance Be Assessed?

    Science.gov (United States)

    Simmons, David A

    2015-08-31

    Blood glucose meter system analytical performance is assessed by comparing pairs of meter system and reference instrument blood glucose measurements measured over time and across a broad array of glucose values. Consequently, no single, complete, and ideal parameter can fully describe the difference between meter system and reference results. Instead, a number of assessment tools, both graphical (eg, regression plots, modified Bland-Altman plots, and error grid analysis) and tabular (eg, International Organization for Standardization guidelines, mean absolute difference, and mean absolute relative difference) have been developed to evaluate meter system performance. The strengths and weaknesses of these methods of presenting meter system performance data, including a new method known as Radar Plots, are described here. © 2015 Diabetes Technology Society.

  12. Hardware performance assessment recommendations and tools for baropodometric sensor systems

    Directory of Open Access Journals (Sweden)

    Claudia Giacomozzi

    2010-06-01

    Full Text Available Accurate plantar pressure measurements are mandatory in both clinical and research contexts. Differences in accuracy, precision, reliability of pressure measurement devices (PMDs prevented so far the onset of standardization processes and of reliable reference datasets. The Italian National Institute of Health (ISS approved and conducted a scientific project aimed to design, validate and implement dedicated testing methods for both in-factory and on-the-field PMD assessment. A general-purpose experimental set-up was built, complete and suitable for the assessment of PMDs based on different sensor technology, electronic conditioning and mechanical solutions. Preliminary assessments have been conducted on 5 commercial PMDs. The study lead to the definition of: i an appropriate set of instruments and procedures for PMD technical assessment; ii a minimum set of significant parameters for the technical characterization of the PMD performance; iii some recommendations to both manufacturers and end users for an appropriate use in clinics and in research context

  13. Measuring the performance of vaccination programs using cross-sectional surveys: a likelihood framework and retrospective analysis.

    Directory of Open Access Journals (Sweden)

    Justin Lessler

    2011-10-01

    Full Text Available The performance of routine and supplemental immunization activities is usually measured by the administrative method: dividing the number of doses distributed by the size of the target population. This method leads to coverage estimates that are sometimes impossible (e.g., vaccination of 102% of the target population, and are generally inconsistent with the proportion found to be vaccinated in Demographic and Health Surveys (DHS. We describe a method that estimates the fraction of the population accessible to vaccination activities, as well as within-campaign inefficiencies, thus providing a consistent estimate of vaccination coverage.We developed a likelihood framework for estimating the effective coverage of vaccination programs using cross-sectional surveys of vaccine coverage combined with administrative data. We applied our method to measles vaccination in three African countries: Ghana, Madagascar, and Sierra Leone, using data from each country's most recent DHS survey and administrative coverage data reported to the World Health Organization. We estimate that 93% (95% CI: 91, 94 of the population in Ghana was ever covered by any measles vaccination activity, 77% (95% CI: 78, 81 in Madagascar, and 69% (95% CI: 67, 70 in Sierra Leone. "Within-activity" inefficiencies were estimated to be low in Ghana, and higher in Sierra Leone and Madagascar. Our model successfully fits age-specific vaccination coverage levels seen in DHS data, which differ markedly from those predicted by naïve extrapolation from country-reported and World Health Organization-adjusted vaccination coverage.Combining administrative data with survey data substantially improves estimates of vaccination coverage. Estimates of the inefficiency of past vaccination activities and the proportion not covered by any activity allow us to more accurately predict the results of future activities and provide insight into the ways in which vaccination programs are failing to meet their

  14. Consideration of liners and covers in performance assessments

    Energy Technology Data Exchange (ETDEWEB)

    Phifer, Mark A. [Savannah River National Laboratory, Aiken, SC (United States); Seitz, Robert R. [Savannah River National Laboratory, Aiken, SC (United States); Suttora, Linda C. [USDOE Enviromental Management, Washington, DC (United States)

    2014-09-18

    On-site disposal cells are in use and being considered at several United States Department of Energy (USDOE) sites as the final disposition for large amounts of waste associated with cleanup of contaminated areas and facilities. These disposal cells are typically regulated by States and/or the U.S. Environmental Protection Agency under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) in addition to having to comply with requirements in DOE Order 435.1, Radioactive Waste Management due to the radioactive waste. The USDOE-Environmental Management Office of Site Restoration formed a working group to foster improved communication and sharing of information for personnel associated with these CERCLA disposal cells and work towards more consistent assumptions, as appropriate, for technical and policy considerations related to CERCLA risk assessments and DOE Order 435.1 performance assessments in support of a Record of Decision and Disposal Authorization Statement, respectively. One of the issues considered by the working group, which is addressed in this report, was how to appropriately consider the performance of covers and liners/leachate collections systems in the context of a DOE Order 435.1 performance assessment (PA). This same information may be appropriate for consideration within CERCLA risk assessments for these facilities. These OSDCs are generally developed to meet hazardous waste (HW) disposal design standards under the Resource Conservation and Recovery Act (RCRA) as well as the DOE Order 435.1 performance based standards for disposal of radioactive waste. To meet the standards for HW, the facilities typically include engineered covers and liner/leachate collection systems. Thus, when considering such facilities in the context of a DOE Order 435.1 PA, there is a need to address the evolution of performance of covers and liner/leachate collection systems in the context of meeting a performance standard considering time

  15. Associations between Retrospective versus Ecological Momentary Assessment Measures of Emotion and Eating Disorder Symptoms in Anorexia Nervosa

    Science.gov (United States)

    Lavender, Jason M.; De Young, Kyle P.; Anestis, Michael D.; Wonderlich, Stephen A.; Crosby, Ross D.; Engel, Scott G.; Mitchell, James E.; Crow, Scott J.; Peterson, Carol B.; Le Grange, Daniel

    2013-01-01

    This study examined the unique associations between eating disorder symptoms and two emotion-related constructs (affective lability and anxiousness) assessed via distinct methodologies in anorexia nervosa (AN). Women (N=116) with full or subthreshold AN completed baseline emotion and eating disorder assessments, followed by two weeks of ecological momentary assessment (EMA). Hierarchical regressions were used to examine unique contributions of baseline and EMA measures of affective lability and anxiousness in accounting for variance in baseline eating disorder symptoms and EMA dietary restriction, controlling for age, body mass index, depression, and AN diagnostic subtype. Only EMA affective lability was uniquely associated with baseline eating disorder symptoms and EMA dietary restriction. Anxiousness was uniquely associated with baseline eating disorder symptoms regardless of assessment method; neither of the anxiousness measures was uniquely associated with EMA dietary restriction. Affective lability and anxiousness account for variance in global eating disorder symptomatology; AN treatments targeting these emotion-related constructs may prove useful. PMID:23880601

  16. Performance Assessment and Geometric Calibration of RESOURCESAT-2

    Science.gov (United States)

    Radhadevi, P. V.; Solanki, S. S.; Akilan, A.; Jyothi, M. V.; Nagasubramanian, V.

    2016-06-01

    Resourcesat-2 (RS-2) has successfully completed five years of operations in its orbit. This satellite has multi-resolution and multi-spectral capabilities in a single platform. A continuous and autonomous co-registration, geo-location and radiometric calibration of image data from different sensors with widely varying view angles and resolution was one of the challenges of RS-2 data processing. On-orbit geometric performance of RS-2 sensors has been widely assessed and calibrated during the initial phase operations. Since then, as an ongoing activity, various geometric performance data are being generated periodically. This is performed with sites of dense ground control points (GCPs). These parameters are correlated to the direct geo-location accuracy of the RS-2 sensors and are monitored and validated to maintain the performance. This paper brings out the geometric accuracy assessment, calibration and validation done for about 500 datasets of RS-2. The objectives of this study are to ensure the best absolute and relative location accuracy of different cameras, location performance with payload steering and co-registration of multiple bands. This is done using a viewing geometry model, given ephemeris and attitude data, precise camera geometry and datum transformation. In the model, the forward and reverse transformations between the coordinate systems associated with the focal plane, payload, body, orbit and ground are rigorously and explicitly defined. System level tests using comparisons to ground check points have validated the operational geo-location accuracy performance and the stability of the calibration parameters.

  17. Circadian rhythms in cognitive performance: implications for neuropsychological assessment

    Directory of Open Access Journals (Sweden)

    Valdez P

    2012-12-01

    Full Text Available Pablo Valdez, Candelaria Ramírez, Aída GarcíaLaboratory of Psychophysiology, School of Psychology, University of Nuevo León, Monterrey, Nuevo León, MéxicoAbstract: Circadian variations have been found in human performance, including the efficiency to execute many tasks, such as sensory, motor, reaction time, time estimation, memory, verbal, arithmetic calculations, and simulated driving tasks. Performance increases during the day and decreases during the night. Circadian rhythms have been found in three basic neuropsychological processes (attention, working memory, and executive functions, which may explain oscillations in the performance of many tasks. The time course of circadian rhythms in cognitive performance may be modified significantly in patients with brain disorders, due to chronotype, age, alterations of the circadian rhythm, sleep deprivation, type of disorder, and medication. This review analyzes the recent results on circadian rhythms in cognitive performance, as well as the implications of these rhythms for the neuropsychological assessment of patients with brain disorders such as traumatic head injury, stroke, dementia, developmental disorders, and psychiatric disorders.Keywords: human circadian rhythms, cognitive performance, neuropsychological assessment, attention, working memory, executive functions

  18. Drawing students' attention to relevant assessment criteria: effects on self-assessment skills and performance

    NARCIS (Netherlands)

    Fastré, Greet; Van der Klink, Marcel; Sluijsmans, Dominique; Van Merriënboer, Jeroen

    2012-01-01

    Fastré, G. M. J., Van der Klink, M. R., Sluijsmans, D., & Van Merriënboer, J. J. G. (2012). Drawing students’ attention to relevant assessment criteria: effects on self-assessment skills and performance. Journal of Vocational Education & Training, 64(2), 185-198. doi:10.1080/13636820.2011.630537

  19. Performance assessment plans and methods for the Salt Repository Project

    International Nuclear Information System (INIS)

    1984-08-01

    This document presents the preliminary plans and anticipated methods of the Salt Repository Project (SRP) for assessing the postclosure and radiological aspects of preclosure performance of a nuclear waste repository in salt. This plan is intended to be revised on an annual basis. The emphasis in this preliminary effort is on the method of conceptually dividing the system into three subsystems (the very near field, the near field, and the far field) and applying models to analyze the behavior of each subsystem and its individual components. The next revision will contain more detailed plans being developed as part of Site Characterization Plan (SCP) activities. After a brief system description, this plan presents the performance targets which have been established for nuclear waste repositories by regulatory agencies (Chapter 3). The SRP approach to modeling, including sensitivity and uncertainty techniques is then presented (Chapter 4). This is followed by a discussion of scenario analysis (Chapter 5), a presentation of preliminary data needs as anticipated by the SRP (Chapter 6), and a presentation of the SRP approach to postclosure assessment of the very near field, the near field, and the far field (Chapters 7, 8, and 9, respectively). Preclosure radiological assessment is discussed in Chapter 10. Chapter 11 presents the SRP approach to code verification and validation. Finally, the Appendix lists all computer codes anticipated for use in performance assessments. The list of codes will be updated as plans are revised

  20. Assessment of inpatient psychiatric readmission risk among patients discharged on an antipsychotic polypharmacy regimen: A retrospective cohort study.

    Science.gov (United States)

    Boskailo, Esad; Malkoc, Aldin; McCurry, Dustin B; Venter, Jacob; Drachman, David; Ramos, Gilbert M

    2017-11-01

    Patients are frequently prescribed multiple antipsychotic medications, leading to higher healthcare costs and increased risk for side effects. The efficacy of multiple versus single antipsychotics to prevent acute relapse, measured by incidence of inpatient readmission, is investigated in Arizona, USA. A retrospective chart review compared socio-demographic and clinical data from 1,010 patients discharged on a single and 377 discharged on multiple antipsychotic medications. Case management records were reviewed for readmission within one year of discharge. Younger age, diagnosis of Schizophrenia or Schizoaffective Disorder, prescription of mood stabilizer, shorter length of stay, and discharge to residential treatment or crisis recovery unit were associated with multiple antipsychotics at discharge. Readmission rates of the single (13.7%) versus multiple (15.9%) antipsychotic groups were not statistically different (p=0.286). Logistic regression analysis established that only age (younger) and the prescription of a mood stabilizer at discharge were significant predictors for increased risk for readmission (p=0.010 and p=0.049, respectively). A Cox survival analysis supported these findings. Concomitant antipsychotic polypharmacy at discharge did not reduce readmission risk over a one-year period. Given the increased risk of side effects and financial costs of polypharmacy, this study did not provide evidence to support this practice. Strikingly, only two variables predicted readmission risk, younger age and prescription of mood stabilizer. Although practitioners should follow practice guidelines more closely to prevent unnecessary exposure to potentially lethal side effects of antipsychotic polypharmacy, further studies are needed to better identify patients at high risk for readmission. Copyright © 2017 by Academy of Sciences and Arts of Bosnia and Herzegovina.

  1. The Waste Isolation Pilot Plant Performance Assessment Program

    International Nuclear Information System (INIS)

    Myers, J.; Coons, W.E.; Eastmond, R.; Morse, J.; Chakrabarti, S.; Zurkoff, J.; Colton, I.D.; Banz, I.

    1986-01-01

    The Waste Isolation Pilot Plant (WIPP) Performance Assessment Program involves a comprehensive analysis of the WIPP project with respect to the recently finalized Environmental Protection Agency regulations regarding the long-term geologic isolation of radioactive wastes. The performance assessment brings together the results of site characterization, underground experimental, and environmental studies into a rigorous determination of the performance of WIPP as a disposal system for transuranic radioactive waste. The Program consists of scenario development, geochemical, hydrologic, and thermomechanical support analyses and will address the specific containment and individual protection requirements specified in 40 CFR 191 sub-part B. Calculated releases from these interrelated analyses will be reported as an overall probability distribution of cumulative release resulting from all processes and events occurring over the 10,000 year post-closure period. In addition, results will include any doses to the public resulting from natural processes occurring over the 1,000 year post-closure period. The overall plan for the WIPP Performance Assessment Program is presented along with approaches to issues specific to the WIPP project

  2. Self-assessment of human performance errors in nuclear operations

    International Nuclear Information System (INIS)

    Chambliss, K.V.

    1996-01-01

    One of the most important approaches to improving nuclear safety is to have an effective self-assessment process in place, whose cornerstone is the identification and improvement of human performance errors. Experience has shown that significant events usually have had precursors of human performance errors. If these precursors are left uncorrected or not understood, the symptoms recur and result in unanticipated events of greater safety significance. The Institute of Nuclear Power Operations (INPO) has been championing the cause of promoting excellence in human performance in the nuclear industry. INPO's report, open-quotes Excellence in Human Performance,close quotes emphasizes the importance of several factors that play a role in human performance. They include individual, supervisory, and organizational behaviors; real-time feedback that results in specific behavior to produce safe and reliable performance; and proactive measures that remove obstacles from excellent human performance. Zack Pate, chief executive officer and president of INPO, in his report, open-quotes The Control Room,close quotes provides an excellent discussion of serious events in the nuclear industry since 1994 and compares them with the results from a recent study by the National Transportation Safety Board of airline accidents in the 12-yr period from 1978 to 1990 to draw some common themes that relate to human performance issues in the control room

  3. Assessing the performance of the Nagra HLW disposal concept

    International Nuclear Information System (INIS)

    Smith, P.; Zuidema, P.; McKinley, I.G.

    1995-01-01

    This article outlines the procedures used in safety assessment and illustrates their application in evaluating the performance of a high-level waste repository. Nagra's general safety assessment methodology has five main components: formulating the aims of the analysis, defining the safety concept, scenario development, consequence analysis and interpretation of results. A safety analysis based on conservative assumptions shows that the engineered barriers of the high-level waste repository are very effective in preventing release of radionuclides; this alone is sufficient to ensure that regulatory requirements can be met. The function of the host rock is to provide a favourable environment for the engineered barrier system. (author) 8 figs

  4. Historical data summary of the systematic assessment of licensee performance

    International Nuclear Information System (INIS)

    Allenspach, F.

    1992-08-01

    The Historical Data Summary of the Systematic Assessment of Licensee Performance (SALP) is produced periodically by the US Nuclear Regulatory Commission. This summary provides the results of the assessment for each facility by NRC region and is further divided into the following-sections: Section I presents the most recent SALE report ratings for facilities in operation and under construction. Section 2 presents a chronological listing of all SALE report ratings for each operating facility. Section 3 presents a chronological listing of all SALP report ratings for each facility under construction. For historical purposes, past construction ratings for facilities that recently have been licensed also are listed in Section 3

  5. Historical data summary of the systematic assessment of licensee performance

    International Nuclear Information System (INIS)

    Allenspach, F.

    1991-08-01

    The Historical Data Summary of the Systematic Assessment of Licensee Performance (SALP) is produced periodically by the US Nuclear Regulatory Commission. This summary provides the results of the assessment for each facility by NRC region and is further divided into the following sections: Section 1 presents the most recent SALP report ratings for facilities in operation and under construction. Section 2 presents a chronological listing of all SALP report ratings for each operating facility. Section 3 presents a chronological listing of all SALP report ratings for each facility under construction. For historical purposes, past construction ratings for facilities that recently have been licensed also are listed in Section 3

  6. Historical data summary of the systematic assessment of licensee performance

    International Nuclear Information System (INIS)

    Allenspach, F.

    1993-02-01

    The Historical Data Summary of the Systematic Assessment of Licensee Performance (SALP) is produced periodically by the US Nuclear Regulatory Commission. This summary provides the results of the assessment for each facility by NRC region and is further divided into the following-sections: Section 1 presents the most recent SALP report ratings for facilities in operation and under construction. Section 2 presents a chronological listing of all SALP report ratings for each operating facility. Section 3 for each facility under construction. For historical purposes, past construction ratings for facilities that recently have been licensed also are listed in Section 3

  7. Historical data summary of the systematic assessment of licensee performance

    International Nuclear Information System (INIS)

    Allenspach, F.; Wharton, R.

    1990-08-01

    The Historical Data Summary of the Systematic Assessment of Licensee Performance (SALP) is produced periodically by the US Nuclear Regulatory Commission. This summary provides the results of the assessment for each facility by NRC region and is further divided into the following sections: Section 1 presents the most recent SALP report ratings for facilities in operation and under construction. Section 2 presents a chronological listing of all SALP report ratings for each operating facility. Section 3 presents a chronological listing of all SALP report ratings for each facility under construction. For historical purposes, past construction ratings for facilities that recently have been licensed also are listed in Section 3

  8. Historical data summary of the Systematic Assessment of Licensee Performance

    International Nuclear Information System (INIS)

    Allenspach, F.

    1993-08-01

    The Historical Data Summary of the Systematic Assessment of Licensee Performance (SALP) is produced periodically by the US Nuclear Regulatory Commission. This summary provides the results of the assessment for each facility by NRC region and is further divided into the following sections: Section 1 presents the most recent SALP report ratings for facilities in operation and under construction. Section 2 presents a chronological listing of all SALP report ratings for each operating facility. Section 3 presents a chronological listing of all SALP report ratings for each facility under construction. For historical purposes, past construction ratings for facilities that recently have been licensed also are listed in Section 3

  9. Historical data summary of the systematic assessment of licensee performance

    International Nuclear Information System (INIS)

    Allenspach, F.

    1992-02-01

    The Historical Data Summary of the Systematic Assessment of Licensee Performance (SALP) is produced periodically by the US Nuclear Regulatory Commission. This summary provides the results of the assessment for each facility by NRC region and is further divided into the following sections: Section 1 presents the most recent SALP report ratings for facilities in operation and under construction. Section 2 presents a chronological listing of all SALP report ratings for each operating facility. Section 3 presents a chronological listing of all SALP report ratings for each facility under construction. For historical purposes, past construction ratings for facilities that recently have been licensed also are listed in Section 3

  10. Historical data summary of the systematic assessment of licensee performance

    International Nuclear Information System (INIS)

    1988-05-01

    The Historical Data Summary of the Systematic Assessment of Licensee Performance (SALP) is produced periodically by the US Nuclear Regulatory Commission. This summary provides the results of the assessment for each facility by NRC region and is further divided into the following three sections: Section 1 presents the most recent SALP report ratings for facilities under construction and in operation. Section 2 presents a chronological listing of all SALP report ratings for each operating facility. Section 3 presents a chronological listing of all SALP report ratings for each facility under construction. For historical purposes, past construction SALP ratings for facilities that recently have been licensed also are listed in Section 3

  11. Historical data summary of the Systematic Assessment of Licensee Performance

    International Nuclear Information System (INIS)

    Allenspach, F.; Nease, R.

    1990-02-01

    The Historical Data Summary of the Systematic Assessment of Licensee Performance (SALP) is produced periodically by the US Nuclear Regulatory Commission. This summary provides the results of the assessment for each facility by NRC region and is further divided into the following sections: Section 1 presents the most recent SALP report ratings for facilities in operation and under construction. Section 2 presents a chronological listing of all SALP report ratings for each operating facility. Section 3 presents a chronological listing of all SALP report ratings for each facility under construction. For historical purposes, past construction ratings for facilities that recently have been licensed also are listed in Section 3

  12. Historical data summary of the Systematic Assessment of Licensee Performance

    International Nuclear Information System (INIS)

    Ramey-Smith, A.M.

    1987-10-01

    The Historical Data Summary of the Systematic Assessment of Licensee Performance (SALP) is produced periodically by the US Nuclear Regulatory Commission. This summary provides the results of the assessment for each facility by NRC region and is further divided into the following three sections: the most recent SALP report ratings for facilities under construction and in operation, a chronological listing of all SALP report ratings for each operating facility, a chronological listing of all SALP report ratings for each facility under construction. For historical purposes, past construction SALP ratings for facilities that recently have been licensed also are listed

  13. Historical data summary of the systematic assessment of licensee performance

    International Nuclear Information System (INIS)

    Allenspach, F.

    1991-02-01

    The Historical Data Summary of the Systematic Assessment of Licensee Performance (SALP) is produced periodically by the US Nuclear Regulatory Commission. This summary provides the results of the assessment for each facility by NRC region and is further divided into the following sections: Section 1 presents the most recent SALP report ratings for facilities in operation and under construction. Section 2 presents a chronological listing of all SALP report ratings for each operating facility. Section 3 presents a chronological listing of all SALP report ratings for each facility under construction. For historical purposes, past construction ratings for facilities that recently have been licensed also are listed in Section 3

  14. Family assessment conversations as a tool to support families affected by parental mental illness: a retrospective review of electronic patient journals.

    Science.gov (United States)

    Lauritzen, Camilla; Kolmannskog, Anne Berit; Iversen, Anette Christine

    2018-01-01

    Previous research has shown a link between parental mental illness and adverse development in their offspring. In Norway, it is mandatory for health professionals to identify if patients in adult mental health services have children, and subsequently to provide support for the children. An important tool to detect if families are affected by parental mental illness and to assess if there is a need for further intervention is the Family Assessment Conversation. Family Assessment Conversations is potentially a powerful tool for communication with families affected by parental mental illness because it facilitates early identification of children at risk of various adversities due to the family situation. Additionally the tool may initiate processes that enable children and parents to cope with the situation when a parent becomes seriously ill. Little is however known about how the mental health practitioners use the family assessment form in conversations, and to what extent they record relevant information in the electronic patient journals. The main aim of the study was to provide information about the existing practice within mental health services for adults in terms of parental mental illness and family assessment conversations. The project is a retrospective journal review. The data base consists of relevant journal data from 734 patients aged 20-60 years admitted. In total, 159 recordings of family assessment conversations were discovered. The main result in this study was that many of the questions in the family assessment form lacked documented responses and assessments from the healthcare professionals. Only 17% of the participants had been assessed with the total family assessment form. Additionally, there was a lack of documentation about whether or not the children had been informed in a large proportion of the assessment forms (31%). A total of 55% say that the child has not been informed. This implies that there is still a long way to go in order to

  15. Probabilistic performance assessments for evaluations of the Yucca Mountain site

    International Nuclear Information System (INIS)

    Rickertsen, L.D.; Noronha, C.J.

    1992-01-01

    Site suitability evaluations are conducted to determine if a repository system at a particular site will be able to meet the performance objectives for that system. Early evaluations to determine if the Yucca Mountain site is suitable for repository development have been made in the face of large uncertainties in site features and conditions. Because of these large uncertainties, the evaluations of the site have been qualitative in nature, focusing on the presence or absence of particular features or conditions thought to be important to performance, rather than on results of quantitative performance assessments. Such a qualitative approach was used in the recently completed evaluation of the Yucca Mountain site, the Early Site-Suitability Evaluation (ESSE). In spite of the qualitative approach, the ESSE was able to conclude that no disqualifying conditions are likely to be present at the site and that all of the geologic conditions that would qualify the site are likely to be met. At the same time, because of the qualitative nature of the approach used in the ESSE, the precise importance of the identified issues relative to performance could not be determined. Likewise, the importance of the issues relative to one another could not be evaluated, and, other than broad recommendations, specific priorities for future testing could not be set. The authors have conducted quantitative performance assessments for the Yucca Mountain site to address these issues

  16. Quantitative assessment of finger motor performance: Normative data.

    Directory of Open Access Journals (Sweden)

    Alessio Signori

    Full Text Available Finger opposition movements are the basis of many daily living activities and are essential in general for manipulating objects; an engineered glove quantitatively assessing motor performance during sequences of finger opposition movements has been shown to be useful to provide reliable measures of finger motor impairment, even subtle, in subjects affected by neurological diseases. However, the obtained behavioral parameters lack published reference values.To determine mean values for different motor behavioral parameters describing the strategy adopted by healthy people in performing repeated sequences of finger opposition movements, examining associations with gender and age.Normative values for finger motor performance parameters were obtained on a sample of 255 healthy volunteers executing sequences of finger-to-thumb opposition movements, stratified by gender and over a wide range of ages. Touch duration, inter-tapping interval, movement rate, correct sequences (%, movements in advance compared with a metronome (% and inter-hand interval were assessed.Increasing age resulted in decreased movement speed, advance movements with respect to a cue, correctness of sequences, and bimanual coordination. No significant performance differences were found between male and female subjects except for the duration of the finger touch, the interval between two successive touches and their ratio.We report age- and gender-specific normal mean values and ranges for different parameters objectively describing the performance of finger opposition movement sequences, which may serve as useful references for clinicians to identify possible deficits in subjects affected by diseases altering fine hand motor skills.

  17. Thermodynamic performance assessment of wind energy systems: An application

    International Nuclear Information System (INIS)

    Redha, Adel Mohammed; Dincer, Ibrahim; Gadalla, Mohamed

    2011-01-01

    In this paper, the performance of wind energy system is assessed thermodynamically, from resource and technology perspectives. The thermodynamic characteristics of wind through energy and exergy analyses are considered and both energetic and exergetic efficiencies are studied. Wind speed is affected by air temperature and pressure and has a subsequent effect on wind turbine performance based on wind reference temperature and Bernoulli's equation. VESTAS V52 wind turbine is selected for (Sharjah/UAE). Energy and exergy efficiency equations for wind energy systems are further developed for practical applications. The results show that there are noticeable differences between energy and exergy efficiencies and that exergetic efficiency reflects the right/actual performance. Finally, exergy analysis has been proven to be the right tool used in design, simulation, and performance evaluation of all renewable energy systems. -- Highlights: → In this research the performance of wind energy system is assessed thermodynamically, from resource and technology perspectives. → Energy and exergy equations for wind energy systems are further developed for practical applications. → Thermodynamic characteristics of wind turbine systems through energetic and exergetic efficiencies are evaluated from January till March 2010. → Exergy efficiency describes the system irreversibility and the minimum irreversibility exists when the wind speed reaches 11 m/s. → The power production during March was about 17% higher than the month of February and 66% higher than January.

  18. Performance of GPS-devices for environmental exposure assessment.

    Science.gov (United States)

    Beekhuizen, Johan; Kromhout, Hans; Huss, Anke; Vermeulen, Roel

    2013-01-01

    Integration of individual time-location patterns with spatially resolved exposure maps enables a more accurate estimation of personal exposures to environmental pollutants than using estimates at fixed locations. Current global positioning system (GPS) devices can be used to track an individual's location. However, information on GPS-performance in environmental exposure assessment is largely missing. We therefore performed two studies. First, a commute-study, where the commute of 12 individuals was tracked twice, testing GPS-performance for five transport modes and two wearing modes. Second, an urban-tracking study, where one individual was tracked repeatedly through different areas, focused on the effect of building obstruction on GPS-performance. The median error from the true path for walking was 3.7 m, biking 2.9 m, train 4.8 m, bus 4.9 m, and car 3.3 m. Errors were larger in a high-rise commercial area (median error=7.1 m) compared with a low-rise residential area (median error=2.2 m). Thus, GPS-performance largely depends on the transport mode and urban built-up. Although ~85% of all errors were 50 m. Modern GPS-devices are useful tools for environmental exposure assessment, but large GPS-errors might affect estimates of exposures with high spatial variability.

  19. A method for performance assessment of medical radioisotope equipment

    International Nuclear Information System (INIS)

    Kerin, T.; Slavtchev, Ath.; Nedeltchev, M.; Kjurktchiev, T.

    1984-01-01

    A variety of tests and procedures exist for the performance assessment of radioisotope diagnostic equipment. The complex performance index which has been introduced to date is based on an heuristic approach. The present work tries to interconnect algorithmically the most important factors as the influence of the measurement geometry, the statistic peculiarities for lower activities and the information loss at high count rates. All this is reflected in a criterion which integrates the spatial resolution, the effective detector's field of vision, the radionuclide's sensitivity, the background count rate and the effective dead-time of the system under investigation. (Auth.)

  20. Assessing performance of flaw characterization methods through uncertainty propagation

    Science.gov (United States)

    Miorelli, R.; Le Bourdais, F.; Artusi, X.

    2018-04-01

    In this work, we assess the inversion performance in terms of crack characterization and localization based on synthetic signals associated to ultrasonic and eddy current physics. More precisely, two different standard iterative inversion algorithms are used to minimize the discrepancy between measurements (i.e., the tested data) and simulations. Furthermore, in order to speed up the computational time and get rid of the computational burden often associated to iterative inversion algorithms, we replace the standard forward solver by a suitable metamodel fit on a database built offline. In a second step, we assess the inversion performance by adding uncertainties on a subset of the database parameters and then, through the metamodel, we propagate these uncertainties within the inversion procedure. The fast propagation of uncertainties enables efficiently evaluating the impact due to the lack of knowledge on some parameters employed to describe the inspection scenarios, which is a situation commonly encountered in the industrial NDE context.

  1. Total System Performance Assessment-License Application Methods and Approach

    Energy Technology Data Exchange (ETDEWEB)

    J. McNeish

    2002-09-13

    ''Total System Performance Assessment-License Application (TSPA-LA) Methods and Approach'' provides the top-level method and approach for conducting the TSPA-LA model development and analyses. The method and approach is responsive to the criteria set forth in Total System Performance Assessment Integration (TSPAI) Key Technical Issue (KTI) agreements, the ''Yucca Mountain Review Plan'' (CNWRA 2002 [158449]), and 10 CFR Part 63. This introductory section provides an overview of the TSPA-LA, the projected TSPA-LA documentation structure, and the goals of the document. It also provides a brief discussion of the regulatory framework, the approach to risk management of the development and analysis of the model, and the overall organization of the document. The section closes with some important conventions that are utilized in this document.

  2. Total System Performance Assessment - License Application Methods and Approach

    International Nuclear Information System (INIS)

    McNeish, J.

    2003-01-01

    ''Total System Performance Assessment-License Application (TSPA-LA) Methods and Approach'' provides the top-level method and approach for conducting the TSPA-LA model development and analyses. The method and approach is responsive to the criteria set forth in Total System Performance Assessment Integration (TSPAI) Key Technical Issues (KTIs) identified in agreements with the U.S. Nuclear Regulatory Commission, the ''Yucca Mountain Review Plan'' (YMRP), ''Final Report'' (NRC 2003 [163274]), and the NRC final rule 10 CFR Part 63 (NRC 2002 [156605]). This introductory section provides an overview of the TSPA-LA, the projected TSPA-LA documentation structure, and the goals of the document. It also provides a brief discussion of the regulatory framework, the approach to risk management of the development and analysis of the model, and the overall organization of the document. The section closes with some important conventions that are used in this document

  3. Influence choreographic readiness to gymnasts final assessment of performance skills

    Directory of Open Access Journals (Sweden)

    O.A. Omelichyk-Ziurkalova

    2014-10-01

    Full Text Available Purpose : to provide a quantitative assessment and expert choreographic preparedness gymnasts. Material : the study involved eight gymnasts competition finalists in the floor exercise - female members of the Ukrainian national team in gymnastics. Results : the quantitative indicators of acrobatic and dance elements to determine the baseline assessment. Defined methods complications composition on the floor exercise by reducing the number of acrobatic lines and diagonals and increase the number of gymnastic elements. The theoretical performance of the composite sequence is improved structure and increases the difficulty of the exercise. Conclusions : in the process of composition complications need to pay more attention to the technique of performing gymnastic elements. In improving exercise choreography element replace (in some cases acrobatic element. Based on the results is planned future direction of research in order to improve the training process in gymnastics.

  4. SKI SITE-94, deep repository performance assessment project, summary

    International Nuclear Information System (INIS)

    1999-01-01

    SITE-94 is a comprehensive performance assessment exercise for a hypothetical repository for spent nuclear fuel at a real site in Sweden. SITE-94 was carried out to develop the capability and tools to enable Swedish Nuclear Power Inspectorate (SKI) to review fully the proposals for a deep repository which are expected to be made by the Swedish Nuclear Fuel and Waste Management Company, SKB (the implementor). Sweden is one of the leading countries in the research and development of geological disposal of radioactive waste. The developed methodology for performance assessment has attracted interests from other countries. The Summary of the main report of the SITE-94 project is translated here into Japanese to allow to make the information on the methodology and the related issues available among Japanese concerned. (author)

  5. Sensitivity and uncertainty analyses for performance assessment modeling

    International Nuclear Information System (INIS)

    Doctor, P.G.

    1988-08-01

    Sensitivity and uncertainty analyses methods for computer models are being applied in performance assessment modeling in the geologic high level radioactive waste repository program. The models used in performance assessment tend to be complex physical/chemical models with large numbers of input variables. There are two basic approaches to sensitivity and uncertainty analyses: deterministic and statistical. The deterministic approach to sensitivity analysis involves numerical calculation or employs the adjoint form of a partial differential equation to compute partial derivatives; the uncertainty analysis is based on Taylor series expansions of the input variables propagated through the model to compute means and variances of the output variable. The statistical approach to sensitivity analysis involves a response surface approximation to the model with the sensitivity coefficients calculated from the response surface parameters; the uncertainty analysis is based on simulation. The methods each have strengths and weaknesses. 44 refs

  6. Empirical Assessment on Financial Regulations and Banking Sector Performance

    Directory of Open Access Journals (Sweden)

    Igbinosa S.

    2017-09-01

    Full Text Available This study examines financial regulation and banking sector performance in Nigeria. Specifically, the study determines the impact of reforms on banking sector performance and also assesses the nexus between capital adequacy and banking sector performance. Time series data for the period 1993 to 2014 was used. As an analytical tool, the study uses unit root test to determine the stationary state of the variables. We also employed the Johansson co-integration and error correction model (ECM statistical techniques to establish both short-run and long-run dynamic relationships between the endogenous and exogenous variables. The empirical findings indicate that financial regulation significantly impacts the banking sector performance while financial regulation has both short-run and long-run dynamic relationships with the banking sector performance in Nigeria. It was found that the four-period lag of capital adequacy negatively affects banking sector performance and is not statistically significant. The paper suggests that the Central Bank of Nigeria (CBN should continually make public the impacts that the various financial regulations and reforms have on the performance of Nigerian banks. Majority of the policies on financial regulation by the apex bank (CBN need to be long-run which can enable confidence of stakeholders, shareholders and the general public in the Nigerian banking industry when critically evaluated.

  7. SCHRAADLO: Assessment of SCHRAADLO-T performance for S scenario

    International Nuclear Information System (INIS)

    Horyna, J.

    1996-01-01

    The model SCHRAADLO has been developed to assess the environmental impact of nuclear facilities. It is a dynamic compartmental model. The model is driven by daily air concentration and daily precipitation rate. The output are time dependent concentrations in soil, different types of meat and plants, milk and whole body. There are not included aquatic and seminatural food chains. Calculations of contamination of fungi have been performed separately. 8 figs, 2 tabs

  8. Historical data summary of the Systematic Assessment of Licensee Performance

    International Nuclear Information System (INIS)

    Johnson, M.R.; Waterman, D.K.

    1987-04-01

    This report presents a history of Systematic Assessment of Licensee Performance (SALP) ratings for nuclear power plant facilities in operation and under construction. The SALP results are listed by NRC region in three sections: the most recent report, operating facilities, and facilities under construction. The historical data summary report has been prepared by the NRC Office of Inspection and Enforcement (IE). Information contained in this report has been updated to include those published SALP reports received before March 13, 1987

  9. Historical data summary of the systematic assessment of licensee performance

    International Nuclear Information System (INIS)

    1986-10-01

    This report presents a history of Systematic Assessment of Licensee Performance (SALP) ratings for nuclear power plant facilities in operation and under construction. The SALP results are listed by NRC region in three sections: the most recent report, operating facilities, and facilities under construction. The historical data summary report has been prepared by the NRC Office of Inspection and Enforcement (IE). Information contained in this report has been updated to include those published SALP reports received before September 16, 1986

  10. Using Performance in Multiple Simulated Scenarios to Assess Bronchoscopy Skills

    DEFF Research Database (Denmark)

    Konge, Lars; Arendrup, Henrik; Buchwald, Christian von

    2011-01-01

    using a standardized scoring form. Methods: The test was administered on a virtual reality bronchoscopy simulator to a total of 42 test subjects (14 senior consultants, 14 trainees and 14 medical students). The inter-rater reliability of the test procedure was explored according to examination of test......Background: International guidelines suggest that trainees should perform at least 100 flexible bronchoscopies in a supervised setting, but this number is not evidence based. An objective assessment method could provide educational feedback to trainees and help supervisors decide when basic...... competency is established. No former assessment instrument has been able to distinguish between trainees and experts. Objectives: The aim of this study was to explore the validity and reliability of a new assessment procedure relating to testing operators across multiple tasks with increasing difficulty...

  11. Assessing reservoir performance risk in CO2 storage projects

    International Nuclear Information System (INIS)

    Bowden, A.R.; Rigg, A.

    2005-01-01

    One of the main issues for researchers involved with geological storage of carbon dioxide (CO 2 ) has been the development of a proper methodology to assess and compare alternative CO 2 injection projects on the basis of risk. Consideration needs to be given to technical aspects, such as the risk of leakage and the effectiveness of the intended reservoir, as well as less tangible aspects such as the value and safety of geological storage of CO 2 , and potential impacts on the community and environment. The Geological Disposal of Carbon Dioxide (GEODISC), was a research program of the Australian Petroleum Cooperative Research Centre which identified 56 potential environmentally sustainable sites for CO 2 injection (ESSCIs) within Australia. Several studies were carried out, involving detailed evaluation of the suitability of 4 selected sites, including Dongara, Petrel, Gippsland and Carnarvon. The GEODISC program included a risk assessment research module which required a complete and quantified risk assessment of CO 2 injection as a storage option. Primary goals were to assess the risk of leakage, to assess the effectiveness of the intended reservoir, and to assess negative consequences to facilitate comparison of alternative sites. This paper discussed the background and risk assessment model. Key performance indicators (KPIs) were also developed to address the purpose of risk assessment. It was concluded that the RISQUE method is an appropriate approach and that potential injection projects can be measured against six KPIs including containment; effectiveness; self-funding potential; wider community benefits; community safety and community amenity. 6 refs., 3 tabs., 3 figs

  12. Likelihood and predictors of detention in patients with personality disorder compared with other mental disorders: A retrospective, quantitative study of Mental Health Act assessments.

    Science.gov (United States)

    Olajide, Kike; Tyrer, Peter; Singh, Swaran P; Burns, Tom; Rugkåsa, Jorun; Thana, Lavanya; Paul, Moli; Islam, Zoebia; Crawford, Mike J

    2016-08-01

    The UK guidelines on the treatment of personality disorder recommend avoiding compulsory treatment except in extreme situations. Little is known about how often patients with personality disorder are detained or how this compares with the treatment of other mental disorders. Our aim is to test the hypothesis that people with personality disorder are infrequently detained under the Mental Health Act (MHA) and that risk factors associated with detention are the same as those for people with other mental disorders. We used a retrospective, quantitative study of MHA assessments. Of the 2 087 assessments undertaken, 204 (9.8%) patients had a diagnosis of personality disorder; 40.7% of assessments in the personality disorder group resulted in detention, as did 69.7% of patients with other mental disorders. A higher proportion of people with personality disorder received no intervention following assessment compared with those with other mental disorders (20.6% vs. 4.7%, p mental disorders. Detention rates in patients with personality disorder are lower than those for other disorders but are still substantial. Risk factors for detention in patients with personality disorder differ from those with other mental disorders. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  13. Characterisation of radionuclide migration and plant uptake for performance assessment

    International Nuclear Information System (INIS)

    Mathias, S. A.; Ireson, A. M.; Butler, A. P.; Jackson, B. M.; Wheater, H. S.

    2008-01-01

    Unsaturated vegetated soils are an important component in performance assessment models used to quantify risks associated with deep engineered repositories for underground radioactive waste disposal. Therefore, experimental studies, funded by Nirex over nearly 20 years, have been undertaken at Imperial College to study the transfer of radionuclides (Cl-36, I-129, Tc-99) from contaminated groundwater into crops. In parallel to this has been a modelling programme to aid interpretation of the experimental data, obtain parameter values characterising transport in soil and plant uptake and provide new representations of near-surface processes for performance assessment. A particular challenge in achieving these objectives is that the scale of the experimental work (typically ≤1 m) is much smaller than that required in performance assessment. In this paper, a new methodology is developed for up-scaling model results obtained at the experimental scale for use in catchment scale models. The method is based on characterising soil heterogeneity using soil texture. This has the advantage of allowing hydrological and radionuclide transport parameters to be correlated in a consistent manner. An initial investigation into the calculation of effective (i.e. up-scaled) hydrological and transport parameters has been undertaken and shows the results to be potentially highly (and non-linearly) sensitive to soil properties. Consequently, they have important implications for future site characterisation programmes supporting a proposed underground waste repository. (authors)

  14. Risk-adjusted payment and performance assessment for primary care.

    Science.gov (United States)

    Ash, Arlene S; Ellis, Randall P

    2012-08-01

    Many wish to change incentives for primary care practices through bundled population-based payments and substantial performance feedback and bonus payments. Recognizing patient differences in costs and outcomes is crucial, but customized risk adjustment for such purposes is underdeveloped. Using MarketScan's claims-based data on 17.4 million commercially insured lives, we modeled bundled payment to support expected primary care activity levels (PCAL) and 9 patient outcomes for performance assessment. We evaluated models using 457,000 people assigned to 436 primary care physician panels, and among 13,000 people in a distinct multipayer medical home implementation with commercially insured, Medicare, and Medicaid patients. Each outcome is separately predicted from age, sex, and diagnoses. We define the PCAL outcome as a subset of all costs that proxies the bundled payment needed for comprehensive primary care. Other expected outcomes are used to establish targets against which actual performance can be fairly judged. We evaluate model performance using R(2)'s at patient and practice levels, and within policy-relevant subgroups. The PCAL model explains 67% of variation in its outcome, performing well across diverse patient ages, payers, plan types, and provider specialties; it explains 72% of practice-level variation. In 9 performance measures, the outcome-specific models explain 17%-86% of variation at the practice level, often substantially outperforming a generic score like the one used for full capitation payments in Medicare: for example, with grouped R(2)'s of 47% versus 5% for predicting "prescriptions for antibiotics of concern." Existing data can support the risk-adjusted bundled payment calculations and performance assessments needed to encourage desired transformations in primary care.

  15. Renal volume assessed by magnetic resonance imaging volumetry correlates with renal function in living kidney donors pre- and postdonation: a retrospective cohort study.

    Science.gov (United States)

    Lange, Daniel; Helck, Andreas; Rominger, Axel; Crispin, Alexander; Meiser, Bruno; Werner, Jens; Fischereder, Michael; Stangl, Manfred; Habicht, Antje

    2018-07-01

    Renal function of potential living kidney donors is routinely assessed with scintigraphy. Kidney anatomy is evaluated by imaging techniques such as magnetic resonance imaging (MRI). We evaluated if a MRI-based renal volumetry is a good predictor of kidney function pre- and postdonation. We retrospectively analyzed the renal volume (RV) in a MRI of 100 living kidney donors. RV was correlated with the tubular excretion rate (TER) of MAG3-scintigraphy, a measured creatinine clearance (CrCl), and the estimated glomerular filtration rate (eGFR) by Cockcroft-Gault (CG), CKD-EPI, and modification of diet in renal disease (MDRD) formula pre- and postdonation during a follow-up of 3 years. RV correlated significantly with the TER (total: r = 0.6735, P volumetry might be an alternative technique for the evaluation of split renal function and prediction of renal function postdonation in living kidney donors. © 2018 Steunstichting ESOT.

  16. Retrospective dosimetry of Chernobyl liquidators

    International Nuclear Information System (INIS)

    Chumak, V.V.; Bakhanova, E.V.; Sholom, S.V.; Pasalskaya, L.F.; Bouville, A.; Krjuchkov, V.P.

    2000-01-01

    The numerous cohort of Chernobyl liquidators is a very attractive subject for epidemiological follow up due to high levels of exposure, age-gender distribution and availability of patients for medical examination. However, dosimetric information related to this population is incomplete, in many cases the quality of available dose records is doubtful and uncertainties of all dose values are not determined. Naive attempts to evaluate average doses on the basis of such factors as 'distance from the reactor' obviously fail due to large variation of tasks and workplace contamination. Therefore, prior to any sensible consideration of liquidators as a subject of epidemiological study, their doses should be evaluated (reevaluated) using the methods of retrospective dosimetry. Retrospective dosimetry in general got significant development over the last decade. However, most of the retrospective dosimetry techniques are time consuming, expensive and possess sensitivity threshold. Therefore, application of retrospective dosimetry for the needs of epidemiological follow up studies requires development of certain strategy. This strategy depends, of coarse, on the epidemiological design of the study, availability of resources and dosimetric information related to the time of clean up. One of the strategies of application of retrospective dosimetry may be demonstrated on the example of a cohort study with occasional nested case control consideration. In this case, the tools are needed for validation of existing dose records (of not always known quality), screening of the study cohort with express dosimetric method called to determine possible dose ranges, and 'state-of-the-art' assessment of individual doses for selected subjects (cases and controls). Verification of dose records involves analysis of the statistical regularities of dose distributions and detection of possible extraneous admixtures (presumably falsified dose records). This work is performed on impersonified data

  17. Students' performance in the different clinical skills assessed in OSCE: what does it reveal?

    Science.gov (United States)

    Sim, Joong Hiong; Abdul Aziz, Yang Faridah; Mansor, Azura; Vijayananthan, Anushya; Foong, Chan Choong; Vadivelu, Jamuna

    2015-01-01

    The purpose of this study was to compare students' performance in the different clinical skills (CSs) assessed in the objective structured clinical examination. Data for this study were obtained from final year medical students' exit examination (n=185). Retrospective analysis of data was conducted using SPSS. Means for the six CSs assessed across the 16 stations were computed and compared. Means for history taking, physical examination, communication skills, clinical reasoning skills (CRSs), procedural skills (PSs), and professionalism were 6.25±1.29, 6.39±1.36, 6.34±0.98, 5.86±0.99, 6.59±1.08, and 6.28±1.02, respectively. Repeated measures ANOVA showed there was a significant difference in the means of the six CSs assessed [F(2.980, 548.332)=20.253, pskill to be acquired by medical students before entering the workplace. Despite its challenges, students must learn the skills of clinical reasoning, while clinical teachers should facilitate the clinical reasoning process and guide students' clinical reasoning development.

  18. Some considerations for validation of repository performance assessment models

    International Nuclear Information System (INIS)

    Eisenberg, N.

    1991-01-01

    Validation is an important aspect of the regulatory uses of performance assessment. A substantial body of literature exists indicating the manner in which validation of models is usually pursued. Because performance models for a nuclear waste repository cannot be tested over the long time periods for which the model must make predictions, the usual avenue for model validation is precluded. Further impediments to model validation include a lack of fundamental scientific theory to describe important aspects of repository performance and an inability to easily deduce the complex, intricate structures characteristic of a natural system. A successful strategy for validation must attempt to resolve these difficulties in a direct fashion. Although some procedural aspects will be important, the main reliance of validation should be on scientific substance and logical rigor. The level of validation needed will be mandated, in part, by the uses to which these models are put, rather than by the ideal of validation of a scientific theory. Because of the importance of the validation of performance assessment models, the NRC staff has engaged in a program of research and international cooperation to seek progress in this important area. 2 figs., 16 refs

  19. A retrospective approach to assess human health risks associated with growing air pollution in urbanized area of Thar Desert, western Rajasthan, India.

    Science.gov (United States)

    Rumana, Harcharan Singh; Sharma, Ramesh Chandra; Beniwal, Vikas; Sharma, Anil Kumar

    2014-01-09

    : Air pollution has been a matter of great concern globally because of the associated health risks to individuals. The situation is getting worse in developing countries with more urbanization, industrialization and more importantly the rapidly growing population posing a threat to human life in the form of pulmonary, cardiovascular, carcinogenic or asthmatic diseases by accumulating toxic pollutants, harmful gases, metals, hydrocarbons etc. The present study was undertaken to assess the magnitude of ambient air pollutants and their human health risks like respiratory ailments, infectious diseases, cardiovascular diseases and cancer using a Retrospective Approach of Bart Ostra. The parameters PM2.5, PM10, NOx, SO2, NH3 and O3 were monitored at all selected study sites monitored through a high volume sampler (APM 451 Envirotech, Envirotech Instruments Pvt. Ltd., New Delhi, India). Retrospective Approach was used for assessment of risk factors and disease burden of respiratory and cardiopulmonary health problems. Environmental burden of disease showed that the problem of health related to air pollution is a main concern particularly in the growing cities of India. High to critical level of air pollution including PM10, PM2.5, NOx, SO2, NH3 and O3 was observed in all seasons at traffic intersections and commercial sites. The respiratory infections (25% incidence in population exposed to indoor smoke problems) and a prevalence of asthma/COPD (4.4%) in households exposed to high vehicular pollution along with signs of coronary artery/heart disease and/or hypertension and cancers (37.9-52.2%), were reported requiring preventive measures. The study reflects a great concern for the mankind with the need of having streamline ways to limit air pollution and emphasize upon efficiently determining the risk of illness upon exposure to air pollution.

  20. Geotechnical Issues in Total System Performance Assessments of Yucca Mountain

    International Nuclear Information System (INIS)

    HO, CLIFFORD K.; HOUSEWORTH, JIM; WILSON, MICHAEL L.

    1999-01-01

    A Total System Performance Assessment (TSPA) of Yucca Mountain consists of integrated sub-models and analyses of natural and engineered systems. Examples of subsystem models include unsaturated-zone flow and transport, seepage into drifts, coupled thermal hydrologic processes, transport through the engineered barrier system, and saturated-zone flow and transport. The TSPA evaluates the interaction of important processes among these subsystems, and it determines the impact of these processes on the overall performance measures (e.g., dose rate to humans). This paper summarizes the evaluation, abstraction, and combination of these subsystem models in a TSPA calculation, and it provides background on the individual TSPA subsystem components that are most directly impacted by geotechnical issues. The potential impact that geologic features, events, and processes have on the overall performance is presented, and an evaluation of the sensitivity of TSPA calculations to these issues is also provided

  1. Individual Performance: From Common Source Bias to Institutionalized Assessment

    DEFF Research Database (Denmark)

    Andersen, Lotte Bøgh; Heinesen, Eskil; Pedersen, Lene Holm

    2016-01-01

    theory and the sociology of professions. Empirically, we ask whether different measures of individual performance produce different results. The investigated performance measures vary with regard to risk of common data source bias, standardization of assessment criteria, and external verification...... dimension for the same teachers: the teachers' self-reported contributions to students' academic skills, the students' marks for the year's work given by the teacher, marks in oral exams with one external examiner and the teacher, and marks in written exams with at least one external examiner....... The associations are systematically stronger when the performance measure comes from the same data source as the explanatory variables, but when separate data sources are used and the measurement scale is institutionalized, the level of external verification does not matter much. Based on institutional theory...

  2. Survey and review of near-field performance assessment

    International Nuclear Information System (INIS)

    Apted, M.J.

    1993-01-01

    Chemical reactions control the performance, stability, and rate of degradation of natural and engineered barriers to waste repositories of the near field. Chemical processes are overviewed in this context. Temperature, and associated temperature gradients, are also important parameters in near-field performance assessment. The mechanical conditions of the near-field rock will be perturbed by construction of the underground repository. Mechanical analysis in the near field is further complicated by the introduction of HLW canisters and associated engineered barrier materials. Hydrological processes important to near-field performance include those associated with fluid transport. Considerable discussions and studies have been conducted on the issue of coupling among chemical-thermal-mechanical-hydrological processes; they are overviewed. (R.P.) 2 figs., 2 tabs

  3. Examining the Extremes: High and Low Performance on a Teaching Performance Assessment for Licensure

    Science.gov (United States)

    Sandholtz, Judith Haymore; Shea, Lauren M.

    2015-01-01

    In assessing the teaching practice of preservice teacher candidates, observers, particularly trained observers, will readily identify those who are exceptionally effective or ineffective. The anticipation is that university supervisors and mentor teachers will agree on who demonstrates extraordinary performance for a preservice candidate and who…

  4. Proposed evaluation framework for assessing operator performance with multisensor displays

    Science.gov (United States)

    Foyle, David C.

    1992-01-01

    Despite aggressive work on the development of sensor fusion algorithms and techniques, no formal evaluation procedures have been proposed. Based on existing integration models in the literature, an evaluation framework is developed to assess an operator's ability to use multisensor, or sensor fusion, displays. The proposed evaluation framework for evaluating the operator's ability to use such systems is a normative approach: The operator's performance with the sensor fusion display can be compared to the models' predictions based on the operator's performance when viewing the original sensor displays prior to fusion. This allows for the determination as to when a sensor fusion system leads to: 1) poorer performance than one of the original sensor displays (clearly an undesirable system in which the fused sensor system causes some distortion or interference); 2) better performance than with either single sensor system alone, but at a sub-optimal (compared to the model predictions) level; 3) optimal performance (compared to model predictions); or, 4) super-optimal performance, which may occur if the operator were able to use some highly diagnostic 'emergent features' in the sensor fusion display, which were unavailable in the original sensor displays. An experiment demonstrating the usefulness of the proposed evaluation framework is discussed.

  5. Twelve tips for assessing surgical performance and use of technical assessment scales

    DEFF Research Database (Denmark)

    Strandbygaard, Jeanett; Scheele, Fedde; Sørensen, Jette Led

    2017-01-01

    Using validated assessment scales for technical competence can help structure and standardize assessment and feedback for both the trainee and the supervisor and thereby avoid bias and drive learning. Correct assessment of operative skills can establish learning curves and allow adequate monitoring....... However, the assessment of surgical performance is not an easy task, since it includes many proxy parameters, which are hard to measure. Although numerous technical assessment scales exist, both within laparoscopic and open surgery, the validity evidence is often sparse, and this can raise doubts about...... reliability and educational outcome. Furthermore, the implementation of technical assessment scales varies due to several obstacles and doubts about accurate use. In this 12-tips article, we aim to give the readers a critical and useful appraisal of some of the common questions and misunderstandings regarding...

  6. Beginning science teachers' performances: Assessment in times of reform

    Science.gov (United States)

    Budzinsky, Fie K.

    2000-10-01

    The current reform in science education and the research on effective teaching and student learning have reinforced the importance of teacher competency. To better measure performances in the teaching of science, performance assessment has been added to Connecticut's licensure process for beginning science teachers. Teaching portfolios are used to document teaching and learning over time. Portfolios, however, are not without problems. One of the major concerns with the portfolio assessment process is its subjectivity. Assessors may not have opportunities to ask clarifying or follow-up questions to enhance the interpretation of a teacher's performance. In addition, portfolios often contain components based on self-documentation, which are subjective. Furthermore, the use of portfolios raises test equity issues. These concerns present challenges for persons in charge of establishing the validity of a portfolio-based licensure process. In high-stakes decision processes, such as teaching licensure, the validity of the assessment instruments must be studied. The primary purpose of this study was to explore the criterion-related validity of the Connecticut State Department of Education's Beginning Science Teaching Portfolio by comparing the interpretations of performances from science teaching portfolios to those derived from another assessment method, the Expert Science Teaching Educational and Evaluation Model, (ESTEEM). The analysis of correlations between the Beginning Science Teaching Portfolio and ESTEEM instrument scores was the primary method for establishing support for validity. The results indicated moderate correlations between all Beginning Science Teaching Portfolio and ESTEEM category and total variables. Multiple regression was used to examine whether differences existed in beginning science teachers' performances based on gender, poverty group, school level, and science discipline taught. None of these variables significantly contributed to the

  7. Hanford immobilized low-activity tank waste performance assessment

    International Nuclear Information System (INIS)

    Mann, F.M.

    1998-01-01

    The Hanford Immobilized Low-Activity Tank Waste Performance Assessment examines the long-term environmental and human health effects associated with the planned disposal of the vitrified low-level fraction of waste presently contained in Hanford Site tanks. The tank waste is the by-product of separating special nuclear materials from irradiated nuclear fuels over the past 50 years. This waste has been stored in underground single and double-shell tanks. The tank waste is to be retrieved, separated into low and high-activity fractions, and then immobilized by private vendors. The US Department of Energy (DOE) will receive the vitrified waste from private vendors and plans to dispose of the low-activity fraction in the Hanford Site 200 East Area. The high-level fraction will be stored at Hanford until a national repository is approved. This report provides the site-specific long-term environmental information needed by the DOE to issue a Disposal Authorization Statement that would allow the modification of the four existing concrete disposal vaults to provide better access for emplacement of the immobilized low-activity waste (ILAW) containers; filling of the modified vaults with the approximately 5,000 ILAW containers and filler material with the intent to dispose of the containers; construction of the first set of next-generation disposal facilities. The performance assessment activity will continue beyond this assessment. The activity will collect additional data on the geotechnical features of the disposal sites, the disposal facility design and construction, and the long-term performance of the waste. Better estimates of long-term performance will be produced and reviewed on a regular basis. Performance assessments supporting closure of filled facilities will be issued seeking approval of those actions necessary to conclude active disposal facility operations. This report also analyzes the long-term performance of the currently planned disposal system as a basis

  8. Hanford immobilized low-activity tank waste performance assessment

    Energy Technology Data Exchange (ETDEWEB)

    Mann, F.M.

    1998-03-26

    The Hanford Immobilized Low-Activity Tank Waste Performance Assessment examines the long-term environmental and human health effects associated with the planned disposal of the vitrified low-level fraction of waste presently contained in Hanford Site tanks. The tank waste is the by-product of separating special nuclear materials from irradiated nuclear fuels over the past 50 years. This waste has been stored in underground single and double-shell tanks. The tank waste is to be retrieved, separated into low and high-activity fractions, and then immobilized by private vendors. The US Department of Energy (DOE) will receive the vitrified waste from private vendors and plans to dispose of the low-activity fraction in the Hanford Site 200 East Area. The high-level fraction will be stored at Hanford until a national repository is approved. This report provides the site-specific long-term environmental information needed by the DOE to issue a Disposal Authorization Statement that would allow the modification of the four existing concrete disposal vaults to provide better access for emplacement of the immobilized low-activity waste (ILAW) containers; filling of the modified vaults with the approximately 5,000 ILAW containers and filler material with the intent to dispose of the containers; construction of the first set of next-generation disposal facilities. The performance assessment activity will continue beyond this assessment. The activity will collect additional data on the geotechnical features of the disposal sites, the disposal facility design and construction, and the long-term performance of the waste. Better estimates of long-term performance will be produced and reviewed on a regular basis. Performance assessments supporting closure of filled facilities will be issued seeking approval of those actions necessary to conclude active disposal facility operations. This report also analyzes the long-term performance of the currently planned disposal system as a basis

  9. PERFORMANCE ASSESSMENT AND GEOMETRIC CALIBRATION OF RESOURCESAT-2

    Directory of Open Access Journals (Sweden)

    P. V. Radhadevi

    2016-06-01

    Full Text Available Resourcesat-2 (RS-2 has successfully completed five years of operations in its orbit. This satellite has multi-resolution and multi-spectral capabilities in a single platform. A continuous and autonomous co-registration, geo-location and radiometric calibration of image data from different sensors with widely varying view angles and resolution was one of the challenges of RS-2 data processing. On-orbit geometric performance of RS-2 sensors has been widely assessed and calibrated during the initial phase operations. Since then, as an ongoing activity, various geometric performance data are being generated periodically. This is performed with sites of dense ground control points (GCPs. These parameters are correlated to the direct geo-location accuracy of the RS-2 sensors and are monitored and validated to maintain the performance. This paper brings out the geometric accuracy assessment, calibration and validation done for about 500 datasets of RS-2. The objectives of this study are to ensure the best absolute and relative location accuracy of different cameras, location performance with payload steering and co-registration of multiple bands. This is done using a viewing geometry model, given ephemeris and attitude data, precise camera geometry and datum transformation. In the model, the forward and reverse transformations between the coordinate systems associated with the focal plane, payload, body, orbit and ground are rigorously and explicitly defined. System level tests using comparisons to ground check points have validated the operational geo-location accuracy performance and the stability of the calibration parameters.

  10. Post-closure performance assessment treatment of the biosphere

    Energy Technology Data Exchange (ETDEWEB)

    Broderick, M A [UK Nirex Ltd., Harwell, Oxfordshire (United Kingdom); Egan, M J [AEA Technology, Risley, Cheshire (United Kingdom); Thorne, M C [Electrowatt, Horsham, Sussex (United Kingdom); Williams, J A [AEA Technology, Risley, Cheshire (United Kingdom)

    1996-07-01

    The Nirex strategy for radioactive waste disposal is based on a system of engineered and natural barriers, providing long-term isolation of the waste from those parts of the environment that are in contact with or readily available for use by humans (i.e. the biosphere). Even so, there remains the possibility that, on a timescale of thousands to tens of thousands of years, small quantities of poorly-sorbed, long-lived radionuclides may be released from the engineered disposal system, ultimately to emerge into the biosphere. Biosphere models are used in post-closure performance assessments to quantify the competing effects of dilution and accumulation processes on radionuclide concentrations in the accessible environment. Understanding biosphere processes and their time dependence is necessary not only to determine the radiological impact of possible future releases, but also to characterise the dynamics of transport in groundwater and the location, duration and extent of any such releases. Nirex is developing a new biosphere model for use in post-closure radiological assessments for the proposed Sellafield repository. A compartment modelling approach has been adopted, as in studies performed previously, but the system will be dynamic, allowing changes with time in both the properties of compartments and the transfers between compartments. The transport model considers both mass transport within the biosphere and the migration of radionuclides, thereby ensuring that a self-consistent description of the biosphere, in a spatially-extensive domain is maintained. The above approach is designed to link the assessment models used by the Nirex assessment team more closely into the Nirex biosphere research programme than has hitherto been possible with time-invariant assessment models. (author)

  11. Post-closure performance assessment treatment of the biosphere

    International Nuclear Information System (INIS)

    Broderick, M.A.; Egan, M.J.; Thorne, M.C.; Williams, J.A.

    1996-01-01

    The Nirex strategy for radioactive waste disposal is based on a system of engineered and natural barriers, providing long-term isolation of the waste from those parts of the environment that are in contact with or readily available for use by humans (i.e. the biosphere). Even so, there remains the possibility that, on a timescale of thousands to tens of thousands of years, small quantities of poorly-sorbed, long-lived radionuclides may be released from the engineered disposal system, ultimately to emerge into the biosphere. Biosphere models are used in post-closure performance assessments to quantify the competing effects of dilution and accumulation processes on radionuclide concentrations in the accessible environment. Understanding biosphere processes and their time dependence is necessary not only to determine the radiological impact of possible future releases, but also to characterise the dynamics of transport in groundwater and the location, duration and extent of any such releases. Nirex is developing a new biosphere model for use in post-closure radiological assessments for the proposed Sellafield repository. A compartment modelling approach has been adopted, as in studies performed previously, but the system will be dynamic, allowing changes with time in both the properties of compartments and the transfers between compartments. The transport model considers both mass transport within the biosphere and the migration of radionuclides, thereby ensuring that a self-consistent description of the biosphere, in a spatially-extensive domain is maintained. The above approach is designed to link the assessment models used by the Nirex assessment team more closely into the Nirex biosphere research programme than has hitherto been possible with time-invariant assessment models. (author)

  12. Topical photodynamic therapy with porphyrin precursors--assessment of treatment-associated pain in a retrospective study.

    Science.gov (United States)

    Steinbauer, Julia Maria; Schreml, Stephan; Babilas, Philipp; Zeman, Florian; Karrer, Sigrid; Landthaler, Michael; Szeimies, Rolf-Markus

    2009-08-01

    Photodynamic therapy (PDT) with aminolevulinic acid (ALA) or methyl aminolevulinate (MAL) is an approved modality for the non-invasive treatment of actinic keratoses (AK) and basal cell carcinoma (BCC) offering excellent cosmetic outcome. However, pain during and after illumination is the most frequent and limiting side effect. The aim of this study was to precisely assess how reported pain during PDT is influenced by sex, age, treatment site, disease (AK/BCC) as well as the photosensitizer used. 467 lesions consisting of AK (primary treatments: n=158; follow-up: n=47) or BCC (primary treatments: n=138; follow-up: 124) were treated by ALA- or MAL-PDT using metal halide lamps (580-750 nm). Pain was assessed during illumination using a continuous visual analogue scale (VAS). Factors predictive for higher pain levels during PDT are treatment of the head, treating AK and using ALA. The observed results may improve patient management and predict which level of pain to expect, and what kind of pain relief to prepare.

  13. Comments on SKB's SFL 3-5 preliminary performance assessment

    International Nuclear Information System (INIS)

    Wilmot, R.D.; Crawford, M.B.

    2000-01-01

    Recently introduced regulations in Sweden have established an individual risk criterion ( -6 per year) for the long-term performance of repositories for the disposal of radioactive wastes. SKB has not focused its assessment of SFL 3-5 on demonstrating compliance with this regulation. Instead, SKB has calculated individual dose and provided a comparison with an annual individual dose of 14 iSv (derived from the risk criteria using the ICRP's dose-risk conversion factor of 0.073 per Sv). The justification of this approach is that probabilities do not need to be determined if doses are less than the dose equivalent to the risk criterion. However, there is insufficient information regarding uncertainty provided in the documentation of the SFL 3-5 assessment to determine whether this approach is reasonable. SKB's parallel assessment of a repository for spent fuel using the KBS-3 concept (SR 97) accounts for uncertainty by specifying a 'reasonable' and a 'pessimistic' value for uncertain parameters in the assessment calculations. Although there are problems with the way probabilities have been assigned to these values, this approach does indicate where there are significant uncertainties. The SFL 3-5 PA does not include a structured approach to defining uncertainty, although a number of assumptions and parameter values are stated to be conservative. As a preliminary assessment, there is insufficient information to identify key uncertainties or sensitivities, or to determine where further work should be focused. Any assessment requires the use of expert judgement to determine how the assessment is conducted, what modelling approach to use, what features, events and processes (FEPs) could potentially affect the disposal system, which FEPs should be included in the conceptual models, and which scenarios should be assessed. Judgements are also required in determining how to parameterize the models, and this may extend to formal expert elicitation for particular parameter

  14. Diagnostic Performance of Self-Assessment for Constipation in Patients With Long-Term Opioid Treatment.

    Science.gov (United States)

    Tafelski, Sascha; Bellin, Felicitas; Denke, Claudia; Beutlhauser, Torsten; Fritzsche, Thomas; West, Christina; Schäfer, Michael

    2015-12-01

    Constipation is a prevalent comorbidity affecting ∼50% of patients with long-term opioid therapy. In clinical routine different diagnostic instruments are in use to identify patients under risk. The aim of this study was to assess the diagnostic performance of an 11-item Likert scale for constipation used as a self-assessment in opioid-treated patients. This trial was conducted as a retrospective cohort study in Berlin, Germany. Patients with long-term opioid therapy treated in 2 university-affiliated outpatient pain facilities at the Charité hospital were included from January 2013 to August 2013. Constipation was rated in a self-assessment using a numeric rating scale from 0 to 10 (Con-NRS) and compared with results from a structured assessment based on ROME-III criteria. Altogether, 171 patients were included. Incidence of constipation was 49% of patients. The receiver-operating characteristic of Con-NRS achieved an area under the curve of 0.814 (AUC 95% confidence interval 0.748-0.880, P < 0.001). Con-NRS ≥ 1 achieved sensitivity and specificity of 79.7% and 77.2%, respectively. The positive predictive value and the negative predictive value were 70.3% and 81.6%, respectively. Overall diagnostic performance of a concise 11-item Likert scale for constipation was moderate. Although patients with long-term opioid therapy are familiar with numeric rating scales, a significant number of patients with constipation were not identified. The instrument may be additionally useful to facilitate individualized therapeutic decision making and to control therapeutic success when measured repetitively.

  15. A Thermographic Measurement Approach to Assess Supercapacitor Electrical Performances

    Directory of Open Access Journals (Sweden)

    Stanislaw Galla

    2017-12-01

    Full Text Available This paper describes a proposal for the qualitative assessment of condition of supercapacitors based on the conducted thermographic measurements. The presented measurement stand was accompanied by the concept of methodology of performing tests. Necessary conditions, which were needed to minimize the influence of disturbing factors on the performance of thermal imaging measurements, were also indicated. Mentioned factors resulted from both: the hardware limitations and from the necessity to prepare samples. The algorithm that was used to determine the basic parameters for assessment has been presented. The article suggests to use additional factors that may facilitate the analysis of obtained results. Measuring the usefulness of the proposed methodology was tested on commercial samples of supercapacitors. All of the tests were taken in conjunction with the classical methods based on capacitance (C and equivalent series resistance (ESR measurements, which were also presented in the paper. Selected results presenting the observed changes occurring in both: basic parameters of supercapacitors and accompanying fluctuations of thermal fields, along with analysis, were shown. The observed limitations of the proposed assessment method and the suggestions for its development were also described.

  16. A multimodal assessment of driving performance in HIV infection.

    Science.gov (United States)

    Marcotte, T D; Wolfson, T; Rosenthal, T J; Heaton, R K; Gonzalez, R; Ellis, R J; Grant, I

    2004-10-26

    To examine if HIV-seropositive (HIV+) individuals are at risk for impaired driving. Sixty licensed drivers (40 HIV+, 20 HIV-) completed a neuropsychological (NP) test battery and driving assessments. Eleven HIV+ subjects were NP-impaired. Driving-related skills were assessed using 1) two driving simulations (examining accident avoidance and navigational abilities), 2) the Useful Field of View (UFOV) test, and 3) an on-road evaluation. HIV+ NP-impaired subjects had greater difficulty than cognitively intact subjects on all driving measures, whereas the HIV- and HIV+ NP-normal groups performed similarly. On the UFOV, the HIV+ NP-impaired group had worse performance on Visual Processing and Divided Attention tasks but not in overall risk classification. They also had a higher number of simulator accidents (1.3 vs 2.0; p = 0.03), were less efficient at completing the navigation task (3.2 vs 9.2 blocks; p = 0.001), and were more likely to fail the on-road evaluation (6 vs 36%; p = 0.02). Impairment in Executive Functioning was the strongest NP predictor of failing the on-road drive test. NP performance and both simulations independently contributed to a model predicting 48% of the variance in on-road performance. HIV+ NP-impaired individuals are at increased risk for on-road driving impairments, whereas HIV+ individuals with normal cognition are not at a significantly higher risk than HIV- subjects. Executive Functioning is most strongly associated with impaired on-road performance. Cognitive and simulator testing may each provide data in identifying driving-impaired individuals.

  17. Predicting work Performance through selection interview ratings and Psychological assessment

    Directory of Open Access Journals (Sweden)

    Liziwe Nzama

    2008-11-01

    Full Text Available The aim of the study was to establish whether selection interviews used in conjunction with psychological assessments of personality traits and cognitive functioning contribute to predicting work performance. The sample consisted of 102 managers who were appointed recently in a retail organisation. The independent variables were selection interview ratings obtained on the basis of structured competency-based interview schedules by interviewing panels, fve broad dimensions of personality defned by the Five Factor Model as measured by the 15 Factor Questionnaire (15FQ+, and cognitive processing variables (current level of work, potential level of work, and 12 processing competencies measured by the Cognitive Process Profle (CPP. Work performance was measured through annual performance ratings that focused on measurable outputs of performance objectives. Only two predictor variables correlated statistically signifcantly with the criterion variable, namely interview ratings (r = 0.31 and CPP Verbal Abstraction (r = 0.34. Following multiple regression, only these variables contributed signifcantly to predicting work performance, but only 17.8% of the variance of the criterion was accounted for.

  18. Performance assessment of simple and modified cycle turboshaft gas turbines

    Directory of Open Access Journals (Sweden)

    Barinyima Nkoi

    2013-06-01

    Full Text Available This paper focuses on investigations encompassing comparative assessment of gas turbine cycle options. More specifically, investigation was carried out of technical performance of turboshaft engine cycles based on existing simple cycle (SC and its projected modified cycles for civil helicopter application. Technically, thermal efficiency, specific fuel consumption, and power output are of paramount importance to the overall performance of gas turbine engines. In course of carrying out this research, turbomatch software established at Cranfield University based on gas turbine theory was applied to conduct simulation of a simple cycle (baseline two-spool helicopter turboshaft engine model with free power turbine. Similarly, some modified gas turbine cycle configurations incorporating unconventional components, such as engine cycle with low pressure compressor (LPC zero-staged, recuperated engine cycle, and intercooled/recuperated (ICR engine cycle, were also simulated. In doing so, design point (DP and off-design point (OD performances of the engine models were established. The percentage changes in performance parameters of the modified cycle engines over the simple cycle were evaluated and it was found that to a large extent, the modified engine cycles with unconventional components exhibit better performances in terms of thermal efficiency and specific fuel consumption than the traditional simple cycle engine. This research made use of public domain open source references.

  19. Making robust assessments of specialist trainees' workplace performance.

    Science.gov (United States)

    Weller, J M; Castanelli, D J; Chen, Y; Jolly, B

    2017-02-01

    Workplace-based assessments should provide a reliable measure of trainee performance, but have met with mixed success. We proposed that using an entrustability scale, where supervisors scored trainees on the level of supervision required for the case would improve the utility of compulsory mini-clinical evaluation exercise (CEX) assessments in a large anaesthesia training program. We analysed mini-CEX scores from all Australian and New Zealand College of Anaesthetists trainees submitted to an online database over a 12-month period. Supervisors' scores were adjusted for the expected supervision requirement for the case for trainees at different stages of training. We used generalisability theory to determine score reliability. 7808 assessments were available for analysis. Supervision requirements decreased significantly (P  0.7) with a feasible number of assessments. Adjusting scores against the expected supervision requirement considerably improved reliability, with G > 0.8 achieved with only nine assessments. Three per cent of trainees generated average mini-CEX scores below the expected standard. Using an entrustment scoring system, where supervisors score trainees on the level of supervision required, mini-CEX scores demonstrated moderate reliability within a feasible number of assessments, and evidence of validity. When scores were adjusted against an expected standard, underperforming trainees could be identified, and reliability much improved. Taken together with other evidence on trainee ability, the mini-CEX is of sufficient reliability for inclusion in high stakes decisions on trainee progression towards independent specialist practice. © The Author 2017. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  20. Performance assessment of the proposed Monitored Retrievable Storage Facility

    International Nuclear Information System (INIS)

    Chockie, A.D.; Hostick, C.J.; Winter, C.

    1986-02-01

    Pacific Northwest laboratory (PNL) has completed a performance evaluation of the proposed monitored retrievable storage (MRS) facility. This study was undertaken as part of the Department of Energy MRS Program at PNL. The objective of the performance evaluation was to determine whether the conceptual MRS facility would be able to process spent fuel at the specified design rate of 3600 metric tons of uranium (MTU) per year. The performance of the proposed facility was assessed using the computer model COMPACT (Computer Optimization of Processing and Cask Transport) to simulate facility operations. The COMPACT model consisted of three application models each of which addressed a different aspect of the facility's operation: MRS/waste transportation interface; cask handling capability; and disassembly/consolidation (hot cell) operations. Our conclusions, based on the assessment of design criteria for the proposed facility, are as follows: Facilities and equipment throughout the facility have capability beyond the 3600 MTU/y design requirement. This added capability provides a reserve to compensate for unexpected perturbations in shipping or handling of the spent fuel. Calculations indicate that the facility's maximum maintainable processing capability is approximately 4800 MTU/y

  1. Total System Performance Assessment: Enhanced Design Alternative V

    International Nuclear Information System (INIS)

    N. Erb; S. Miller; V. Vallikat

    1999-01-01

    This calculation documents the total system performance assessment modeling of Enhanced Design Analysis (EDA) V. EDA V is based on the TSPA-VA base design which has been modified with higher thermal loading, a quartz sand invert, and line loading with 21 PWR waste packages that have 2-cm thick titanium grade 7 corrosion resistance material (CRM) drip shields placed over dual-layer waste packages composed of 'inside out' VA reference material (CRWMS M and O 1999a). This document details the changes and assumptions made to the VA reference Performance Assessment Model (CRWMS M and O 1998a) to incorporate the design changes detailed for EDA V. The performance measure for this evaluation is expected value dose-rate history. Time histories of dose rate are presented for EDA V and a Defense in Depth (DID) analysis base on EDA V. Additional details concerning the Enhanced Design Alternative II are provided in the 'LADS 3-12 Requests' interoffice correspondence (CRWMS M and O 1999a)

  2. Performance objectives for the Hanford immobilized low-activity waste (ILAW) performance assessment

    International Nuclear Information System (INIS)

    MANN, F.M.

    1999-01-01

    Before low-level waste may be disposed of, a performance assessment must be written and then approved by the DOE (DOE 1988a, DOE 1999a). The performance assessment is to determine whether ''reasonable assurance'' exists that the performance objectives of the disposal facility will be met. The DOE requirements for waste disposal (DOE 1988a, DOE 1999a) require (see Appendix B): The protection of public health and safety; and The protection of the environment. Although quantitative limits are sometimes stated (for example, the all-pathways exposure limit is 25 mredyear), usually the requirements are stated in a general nature. Quantitative limits were established by: investigating all potentially applicable regulations as well as interpretations of the review panels which DOE has established to review performance assessments; interacting with program management to establish the additional requirements of the program; and interacting with the public (i.e., the Hanford Advisory Board members; as well as affected Tribal Governments) to understand the values of residents in the Pacific Northwest. Because of space considerations, not all radionuclides and dangerous chemicals are listed in this document. The radionuclides listed here are those which were explicitly treated in the ILAW PA (Mann 1998). The dangerous chemicals listed here are those most often detected in Hanford tank waste as documented in the Regulatory Data Quality Objectives Supporting Tank Waste Remediation System Privatization Project (Wiemers 1998)

  3. Low-level radioactive waste performance assessments: Source term modeling

    International Nuclear Information System (INIS)

    Icenhour, A.S.; Godbee, H.W.; Miller, L.F.

    1995-01-01

    Low-level radioactive wastes (LLW) generated by government and commercial operations need to be isolated from the environment for at least 300 to 500 yr. Most existing sites for the storage or disposal of LLW employ the shallow-land burial approach. However, the U.S. Department of Energy currently emphasizes the use of engineered systems (e.g., packaging, concrete and metal barriers, and water collection systems). Future commercial LLW disposal sites may include such systems to mitigate radionuclide transport through the biosphere. Performance assessments must be conducted for LUW disposal facilities. These studies include comprehensive evaluations of radionuclide migration from the waste package, through the vadose zone, and within the water table. Atmospheric transport mechanisms are also studied. Figure I illustrates the performance assessment process. Estimates of the release of radionuclides from the waste packages (i.e., source terms) are used for subsequent hydrogeologic calculations required by a performance assessment. Computer models are typically used to describe the complex interactions of water with LLW and to determine the transport of radionuclides. Several commonly used computer programs for evaluating source terms include GWSCREEN, BLT (Breach-Leach-Transport), DUST (Disposal Unit Source Term), BARRIER (Ref. 5), as well as SOURCE1 and SOURCE2 (which are used in this study). The SOURCE1 and SOURCE2 codes were prepared by Rogers and Associates Engineering Corporation for the Oak Ridge National Laboratory (ORNL). SOURCE1 is designed for tumulus-type facilities, and SOURCE2 is tailored for silo, well-in-silo, and trench-type disposal facilities. This paper focuses on the source term for ORNL disposal facilities, and it describes improved computational methods for determining radionuclide transport from waste packages

  4. Assigning probability distributions to input parameters of performance assessment models

    Energy Technology Data Exchange (ETDEWEB)

    Mishra, Srikanta [INTERA Inc., Austin, TX (United States)

    2002-02-01

    This study presents an overview of various approaches for assigning probability distributions to input parameters and/or future states of performance assessment models. Specifically,three broad approaches are discussed for developing input distributions: (a) fitting continuous distributions to data, (b) subjective assessment of probabilities, and (c) Bayesian updating of prior knowledge based on new information. The report begins with a summary of the nature of data and distributions, followed by a discussion of several common theoretical parametric models for characterizing distributions. Next, various techniques are presented for fitting continuous distributions to data. These include probability plotting, method of moments, maximum likelihood estimation and nonlinear least squares analysis. The techniques are demonstrated using data from a recent performance assessment study for the Yucca Mountain project. Goodness of fit techniques are also discussed, followed by an overview of how distribution fitting is accomplished in commercial software packages. The issue of subjective assessment of probabilities is dealt with in terms of the maximum entropy distribution selection approach, as well as some common rules for codifying informal expert judgment. Formal expert elicitation protocols are discussed next, and are based primarily on the guidance provided by the US NRC. The Bayesian framework for updating prior distributions (beliefs) when new information becomes available is discussed. A simple numerical approach is presented for facilitating practical applications of the Bayes theorem. Finally, a systematic framework for assigning distributions is presented: (a) for the situation where enough data are available to define an empirical CDF or fit a parametric model to the data, and (b) to deal with the situation where only a limited amount of information is available.

  5. Assigning probability distributions to input parameters of performance assessment models

    International Nuclear Information System (INIS)

    Mishra, Srikanta

    2002-02-01

    This study presents an overview of various approaches for assigning probability distributions to input parameters and/or future states of performance assessment models. Specifically,three broad approaches are discussed for developing input distributions: (a) fitting continuous distributions to data, (b) subjective assessment of probabilities, and (c) Bayesian updating of prior knowledge based on new information. The report begins with a summary of the nature of data and distributions, followed by a discussion of several common theoretical parametric models for characterizing distributions. Next, various techniques are presented for fitting continuous distributions to data. These include probability plotting, method of moments, maximum likelihood estimation and nonlinear least squares analysis. The techniques are demonstrated using data from a recent performance assessment study for the Yucca Mountain project. Goodness of fit techniques are also discussed, followed by an overview of how distribution fitting is accomplished in commercial software packages. The issue of subjective assessment of probabilities is dealt with in terms of the maximum entropy distribution selection approach, as well as some common rules for codifying informal expert judgment. Formal expert elicitation protocols are discussed next, and are based primarily on the guidance provided by the US NRC. The Bayesian framework for updating prior distributions (beliefs) when new information becomes available is discussed. A simple numerical approach is presented for facilitating practical applications of the Bayes theorem. Finally, a systematic framework for assigning distributions is presented: (a) for the situation where enough data are available to define an empirical CDF or fit a parametric model to the data, and (b) to deal with the situation where only a limited amount of information is available

  6. Total System Performance Assessment for the Site Recommendation

    Energy Technology Data Exchange (ETDEWEB)

    None

    2000-10-02

    As mandated in the Nuclear Waste Policy Act of 1982, the U.S. Department of Energy (DOE) has been investigating a candidate site at Yucca Mountain, Nevada, to determine whether it is suitable for development of the nation's first repository for permanent geologic disposal of spent nuclear fuel (SNF) and high-level radioactive waste (HLW). The Nuclear Waste Policy Amendments Act of 1987 directed that only Yucca Mountain be characterized to evaluate the site's suitability. Three main components of the DOE site characterization program are testing, design, and performance assessment. These program components consist of: Investigation of natural features and processes by analyzing data collected from field tests conducted above and below ground and from laboratory tests of rock, gas, and water samples Design of a repository and waste packages tailored to the site features, supported by laboratory testing of candidate materials for waste packages and design related testing in the underground tunnels where waste would be emplaced Quantitative estimates of the performance of the total repository system, over a range of possible conditions and for different repository configurations, by means of computer modeling techniques that are based on site and materials testing data and accepted principles of physics and chemistry. To date, DOE has completed and documented four major iterations of total system performance assessment (TSPA) for the Yucca Mountain site: TSPA-91 (Barnard et al. 1992), TSPA-93 (Wilson et al. 1994; CRWMS M and O 1994), TSPA-95 (CRWMS M and O 1995), and the Total System Performance Assessment-Viability Assessment (TSPA-VA) (DOE 1998a, Volume 3). Each successive TSPA iteration has advanced the technical understanding of the performance attributes of the natural features and processes and enhanced engineering designs. The next major iteration of TSPA is to be conducted in support of the next major programmatic milestone for the DOE, namely the

  7. Historical relationship between performance assessment for radioactive waste disposal and other types of risk assessment

    International Nuclear Information System (INIS)

    Rechard, R.P.

    1999-01-01

    This article describes the evolution of the process for assessing the hazards of a geologic disposal system for radioactive waste and, similarly, nuclear power reactors, and the relationship of this process with other assessments of risk, particularly assessments of hazards from manufactured carcinogenic chemicals during use and disposal. This perspective reviews the common history of scientific concepts for risk assessment developed until the 1950s. Computational tools and techniques developed in the late 1950s and early 1960s to analyze the reliability of nuclear weapon delivery systems were adopted in the early 1970s for probabilistic risk assessment of nuclear power reactors, a technology for which behavior was unknown. In turn, these analyses became an important foundation for performance assessment of nuclear waste disposal in the late 1970s. The evaluation of risk to human health and the environment from chemical hazards is built on methods for assessing the dose response of radionuclides in the 1950s. Despite a shared background, however, societal events, often in the form of legislation, have affected the development path for risk assessment for human health, producing dissimilarities between these risk assessments and those for nuclear facilities. An important difference is the regulator's interest in accounting for uncertainty

  8. Discriminant analysis in Polish manufacturing sector performance assessment

    Directory of Open Access Journals (Sweden)

    Józef Dziechciarz

    2004-01-01

    Full Text Available This is a presentation of the preliminary results of a larger project on the determination of the attractiveness of manufacturing branches. Results of the performance assessment of Polish manufacturing branches in 2000 (section D „Manufacturing” – based on NACE – Nomenclatures des Activites de Communite Europeene are shown. In the research, the classical (Fisher’s linear discriminant analysis technique was used for the analysis of the profit generation ability by the firms belonging to a certain production branch. For estimation, the data describing group level was used – for cross-validation, the classes data.

  9. Designing a database for performance assessment: Lessons learned from WIPP

    International Nuclear Information System (INIS)

    Martell, M.A.; Schenker, A.

    1997-01-01

    The Waste Isolation Pilot Plant (WIPP) Compliance Certification Application (CCA) Performance Assessment (PA) used a relational database that was originally designed only to supply the input parameters required for implementation of the PA codes. Reviewers used the database as a point of entry to audit quality assurance measures for control, traceability, and retrievability of input information used for analysis, and output/work products. During these audits it became apparent that modifications to the architecture and scope of the database would benefit the EPA regulator and other stakeholders when reviewing the recertification application. This paper contains a discussion of the WPP PA CCA database and lessons learned for designing a database

  10. Performance assessment of advanced engineering workstations for fuel management applications

    International Nuclear Information System (INIS)

    Turinsky, P.J.

    1989-07-01

    The purpose of this project was to assess the performance of an advanced engineering workstation [AEW] with regard to applications to incore fuel management for LWRs. The attributes of most interest to us that define an AEW are parallel computational hardware and graphics capabilities. The AEWs employed were super microcomputers manufactured by MASSCOMP, Inc. These computers utilize a 32-bit architecture, graphics co-processor, multi-CPUs [up to six] attached to common memory and multi-vector accelerators. 7 refs., 33 figs., 4 tabs

  11. Environmental performance assessment of Napier grass for bioenergy production

    DEFF Research Database (Denmark)

    Nimmanterdwong, Prathana; Chalermsinsuwan, Benjapon; Østergård, Hanne

    2017-01-01

    equivalence. This idea provides the quantitative indicators involving the resource use and the percent renewability of the systems. For the proposed biorefinery model, Napier grass (Pennisetum purpureum) grown in Thailand was used as lignocellulosic feedstock. An emergy assessment was performed in two parts...... cultivation and biorefinery stages. For Napier grass cultivation, most of the emergy support came from local resources in term of evapotranspiration of Napier grass (33%) and the diesel consumption during the cultivation process (21%). The emergy sustainability indicator of the cultivation was 0...

  12. Sorption, Diffusion and Solubility Databases for Performance Assessment

    International Nuclear Information System (INIS)

    Garcia Gutierrez, M.

    2000-01-01

    This report presents a deterministic and probabilistic databases for application in Performance Assessment of a high-level radioactive waste disposal. This work includes a theoretical description of sorption, diffusion and solubility phenomena of radionuclides in geological media. The report presents and compares the databases of different nuclear wastes management agencies, describes the materials in the Spanish reference system, and the results of sorption diffusion and solubility in this system, with both the deterministic and probabilistic approximation. The probabilistic approximation is presented in the form of probability density functions (pdf). (Author) 52 refs

  13. Review of SFL 3-5 performance assessment

    International Nuclear Information System (INIS)

    Glynn, P.D.

    2000-01-01

    This 'performance assessment' report has 1) several logical flaws and 2) is not scientifically objective. There is a lot of good work done by individual SKB consultants. The problem is that the report does not consider all the available research that has been conducted, both by SKB consultants and by other scientists. The report only seems to select evidence/research pieces that fit preconceived notions supporting SKB's ultimate objectives. This is done rather poorly, which is why one can easily pick out inconsistencies and logical flaws

  14. Comfort Indicators for the Assessment of Indoor Environmental Building Performance

    DEFF Research Database (Denmark)

    Brohus, Henrik; Bendtsen, A.; Sørensen, M.

    2006-01-01

    Indoor environmental building performance assessment requires efficient indicators of the indoor comfort. In order to be effective and useful the comfort indicators must be able to include the temporal variation of indoor comfort as well as the degree of discomfort perceived by the occupants....... This paper discusses and presents a number of comfort indicators that includes both the temporal variation and the degree of discomfort in the calculations. A test case comprising a ventilated office building is used to show the application of the various comfort indices. It is found that the new comfort...

  15. Performance Assessment of a Post-Closure Pyrophoric Event

    International Nuclear Information System (INIS)

    Duguid, J.O.; Senger, R.K.; Leem, J.

    2002-01-01

    This paper describes analyses of a potential post-closure pyrophoric event in a waste package containing uranium metal spent fuel. The analyses include temperature at adjacent waste packages caused by the event and the dose to humans due to the event. The thermal analyses show that the event would not be expected to damage the adjacent waste packages. The dose analyses show that the doses due to the event are small. These analyses provide support to screening arguments used to demonstrate that the pyrophoric event should not be considered in the total system performance assessment model

  16. Annual Summary of the Integrated Disposal Facility Performance Assessment 2012

    Energy Technology Data Exchange (ETDEWEB)

    Khaleel, R. [INTERA, Austin, TX (United States); Nichols, W. E. [CH2M HILL Plateau Remediation Company, Richland, WA (United States)

    2012-12-27

    An annual summary of the adequacy of the Hanford Immobilized Low-Activity Waste (ILAW) Performance Assessment (PA) is required each year (DOE O 435.1 Chg 1,1 DOE M 435.1-1 Chg 1;2 and DOE/ORP-2000-013). The most recently approved PA is DOE/ORP-2000-24.4 The ILAW PA evaluated the adequacy of the ILAW disposal facility, now referred to as the Integrated Disposal Facility (IDF), for the safe disposal of vitrified Hanford Site tank waste.

  17. Predicting Performance on MOOC Assessments using Multi-Regression Models

    OpenAIRE

    Ren, Zhiyun; Rangwala, Huzefa; Johri, Aditya

    2016-01-01

    The past few years has seen the rapid growth of data min- ing approaches for the analysis of data obtained from Mas- sive Open Online Courses (MOOCs). The objectives of this study are to develop approaches to predict the scores a stu- dent may achieve on a given grade-related assessment based on information, considered as prior performance or prior ac- tivity in the course. We develop a personalized linear mul- tiple regression (PLMR) model to predict the grade for a student, prior to attempt...

  18. Employment of kernel methods on wind turbine power performance assessment

    DEFF Research Database (Denmark)

    Skrimpas, Georgios Alexandros; Sweeney, Christian Walsted; Marhadi, Kun S.

    2015-01-01

    A power performance assessment technique is developed for the detection of power production discrepancies in wind turbines. The method employs a widely used nonparametric pattern recognition technique, the kernel methods. The evaluation is based on the trending of an extracted feature from...... the kernel matrix, called similarity index, which is introduced by the authors for the first time. The operation of the turbine and consequently the computation of the similarity indexes is classified into five power bins offering better resolution and thus more consistent root cause analysis. The accurate...

  19. A Fuzzy Knowledge Representation Model for Student Performance Assessment

    DEFF Research Database (Denmark)

    Badie, Farshad

    Knowledge representation models based on Fuzzy Description Logics (DLs) can provide a foundation for reasoning in intelligent learning environments. While basic DLs are suitable for expressing crisp concepts and binary relationships, Fuzzy DLs are capable of processing degrees of truth/completene......Knowledge representation models based on Fuzzy Description Logics (DLs) can provide a foundation for reasoning in intelligent learning environments. While basic DLs are suitable for expressing crisp concepts and binary relationships, Fuzzy DLs are capable of processing degrees of truth....../completeness about vague or imprecise information. This paper tackles the issue of representing fuzzy classes using OWL2 in a dataset describing Performance Assessment Results of Students (PARS)....

  20. Control Performance Management in Industrial Automation Assessment, Diagnosis and Improvement of Control Loop Performance

    CERN Document Server

    Jelali, Mohieddine

    2013-01-01

    Control Performance Management in Industrial Automation provides a coherent and self-contained treatment of a group of methods and applications of burgeoning importance to the detection and solution of problems with control loops that are vital in maintaining product quality, operational safety, and efficiency of material and energy consumption in the process industries. The monograph deals with all aspects of control performance management (CPM), from controller assessment (minimum-variance-control-based and advanced methods), to detection and diagnosis of control loop problems (process non-linearities, oscillations, actuator faults), to the improvement of control performance (maintenance, re-design of loop components, automatic controller re-tuning). It provides a contribution towards the development and application of completely self-contained and automatic methodologies in the field. Moreover, within this work, many CPM tools have been developed that goes far beyond available CPM packages. Control Perform...

  1. Performance Assessment Method for a Forged Fingerprint Detection Algorithm

    Science.gov (United States)

    Shin, Yong Nyuo; Jun, In-Kyung; Kim, Hyun; Shin, Woochang

    The threat of invasion of privacy and of the illegal appropriation of information both increase with the expansion of the biometrics service environment to open systems. However, while certificates or smart cards can easily be cancelled and reissued if found to be missing, there is no way to recover the unique biometric information of an individual following a security breach. With the recognition that this threat factor may disrupt the large-scale civil service operations approaching implementation, such as electronic ID cards and e-Government systems, many agencies and vendors around the world continue to develop forged fingerprint detection technology, but no objective performance assessment method has, to date, been reported. Therefore, in this paper, we propose a methodology designed to evaluate the objective performance of the forged fingerprint detection technology that is currently attracting a great deal of attention.

  2. Lysimeter data as input to performance assessment source term codes

    International Nuclear Information System (INIS)

    McConnell, J.W. Jr.; Rogers, R.D.; Sullivan, T.

    1992-01-01

    The Field Lysimeter Investigation: Low-Level Waste Data Base Development Program is obtaining information on the performance of radioactive waste in a disposal environment. Waste forms fabricated using ion-exchange resins from EPICOR-II c prefilters employed in the cleanup of the Three Mile Island (TMI) Nuclear Power Station are being tested to develop a low-level waste data base and to obtain information on survivability of waste forms in a disposal environment. In this paper, radionuclide releases from waste forms in the first seven years of sampling are presented and discussed. Application of lysimeter data to be used in performance assessment source term models is presented. Initial results from use of data in two models are discussed

  3. Lysimeter data as input to performance assessment models

    International Nuclear Information System (INIS)

    McConnell, J.W. Jr.

    1998-01-01

    The Field Lysimeter Investigations: Low-Level Waste Data Base Development Program is obtaining information on the performance of radioactive waste forms in a disposal environment. Waste forms fabricated using ion-exchange resins from EPICOR-117 prefilters employed in the cleanup of the Three Mile Island (TMI) Nuclear Power Station are being tested to develop a low-level waste data base and to obtain information on survivability of waste forms in a disposal environment. The program includes reviewing radionuclide releases from those waste forms in the first 7 years of sampling and examining the relationship between code input parameters and lysimeter data. Also, lysimeter data are applied to performance assessment source term models, and initial results from use of data in two models are presented

  4. Experimental Methods for UAV Aerodynamic and Propulsion Performance Assessment

    Directory of Open Access Journals (Sweden)

    Stefan ANTON

    2015-06-01

    Full Text Available This paper presents an experimental method for assessing the performances and the propulsion power of a UAV in several points based on telemetry. The points in which we make the estimations are chosen based on several criteria and the fallowing parameters are measured: airspeed, time-to-climb, altitude and the horizontal distance. With the estimated propulsion power and knowing the shaft motor power, the propeller efficiency is determined at several speed values. The shaft motor power was measured in the lab using the propeller as a break. Many flights, using the same UAV configuration, were performed before extracting flight data, in order to reduce the instrumental or statistic errors. This paper highlights both the methodology of processing the data and the validation of theoretical results.

  5. Performance Assessment of a Post-Closure Pyrophoric Event

    International Nuclear Information System (INIS)

    Duguid, James; Senger, R.; Leem, J.

    2001-01-01

    The U.S. Department of Energy (DOE) spent nuclear fuel (DSNF) is categorized into eleven different spent fuel groups. Group 7, is predominantly uranium metal spent fuel from N Reactor that could oxidize rapidly in the presence of air when a waste package is breached. Such rapid oxidation constitutes a pyrophoric event. The consequences of a post closure pyrophoric event were evaluated in terms of its potential to damage adjacent waste packages and consequences of it in terms of long-term dose to humans. This work was conducted as part of the total system performance assessment (TSPA) of DOE spent fuel for the National Spent Nuclear Fuel Program. These analyses were performed in support of the site recommendation for a repository at Yucca Mountain, Nevada

  6. WIPP [Waste Isolation Pilot Plant] test phase plan: Performance assessment

    International Nuclear Information System (INIS)

    1990-04-01

    The U.S. Department of Energy (DOE) is responsible for managing the disposition of transuranic (TRU) wastes resulting from nuclear weapons production activities of the United States. These wastes are currently stored nationwide at several of the DOE's waste generating/storage sites. The goal is to eliminate interim waste storage and achieve environmentally and institutionally acceptable permanent disposal of these TRU wastes. The Waste Isolation Pilot Plant (WIPP) in southeastern New Mexico is being considered as a disposal facility for these TRU wastes. This document describes the first of the following two major programs planned for the Test Phase of WIPP: Performance Assessment -- determination of the long-term performance of the WIPP disposal system in accordance with the requirements of the EPA Standard; and Operations Demonstration -- evaluation of the safety and effectiveness of the DOE TRU waste management system's ability to emplace design throughput quantities of TRU waste in the WIPP underground facility. 120 refs., 19 figs., 8 tabs

  7. Personality Profiles of Effective Leadership Performance in Assessment Centers.

    Science.gov (United States)

    Parr, Alissa D; Lanza, Stephanie T; Bernthal, Paul

    2016-01-01

    Most research examining the relationship between effective leadership and personality has focused on individual personality traits. However, profiles of personality traits more fully describe individuals, and these profiles may be important as they relate to leadership. This study used latent class analysis to examine how personality traits combine and interact to form subpopulations of leaders, and how these subpopulations relate to performance criteria. Using a sample of 2,461 executive-level leaders, six personality profiles were identified: Unpredictable Leaders with Low Diligence (7.3%); Conscientious, Backend Leaders (3.6%); Unpredictable Leaders (8.6%); Creative Communicators (20.8%); Power Players (32.4%); and Protocol Followers (27.1%). One profile performed well on all criteria in an assessment center; remaining profiles exhibited strengths and weaknesses across criteria. Implications and future directions for research are highlighted.

  8. Video Quality Assessment and Machine Learning: Performance and Interpretability

    DEFF Research Database (Denmark)

    Søgaard, Jacob; Forchhammer, Søren; Korhonen, Jari

    2015-01-01

    In this work we compare a simple and a complex Machine Learning (ML) method used for the purpose of Video Quality Assessment (VQA). The simple ML method chosen is the Elastic Net (EN), which is a regularized linear regression model and easier to interpret. The more complex method chosen is Support...... Vector Regression (SVR), which has gained popularity in VQA research. Additionally, we present an ML-based feature selection method. Also, it is investigated how well the methods perform when tested on videos from other datasets. Our results show that content-independent cross-validation performance...... on a single dataset can be misleading and that in the case of very limited training and test data, especially in regards to different content as is the case for many video datasets, a simple ML approach is the better choice....

  9. Waste package performance assessment for the Yucca Mountain project

    International Nuclear Information System (INIS)

    O'Connell, W.J.; Lappa, D.A.; Thatcher, R.M.

    1989-01-01

    The authors completed a first cycle of model development from a specification to a computer program, PANDORA-1, for long-term performance assessment of waste packages. The model for one waste package at a time incorporates processes specific to the unsaturated environment at the proposed Yucca Mountain, NV, site. PANDORA-1 models the most likely processes and several modes of waste alteration and release. The development identified information needs for future models; many processes, local details, and combinations will have to be examined. Integration of ensemble performance and quantification of uncertainties are modeling steps at higher aggregation. Methodologies for these steps include sampling, which is well studied; we have focused on several open questions. The authors can now calculate the amount of variance reduction available from Latin hypercube sampling; it is a limited reduction. A new method, uncertainty analysis test-bed program compares the new with old sampling methods

  10. PORFLOW Modeling Supporting The H-Tank Farm Performance Assessment

    International Nuclear Information System (INIS)

    Jordan, J. M.; Flach, G. P.; Westbrook, M. L.

    2012-01-01

    Numerical simulations of groundwater flow and contaminant transport in the vadose and saturated zones have been conducted using the PORFLOW code in support of an overall Performance Assessment (PA) of the H-Tank Farm. This report provides technical detail on selected aspects of PORFLOW model development and describes the structure of the associated electronic files. The PORFLOW models for the H-Tank Farm PA, Rev. 1 were updated with grout, solubility, and inventory changes. The aquifer model was refined. In addition, a set of flow sensitivity runs were performed to allow flow to be varied in the related probabilistic GoldSim models. The final PORFLOW concentration values are used as input into a GoldSim dose calculator

  11. PORFLOW Modeling Supporting The H-Tank Farm Performance Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Jordan, J. M.; Flach, G. P.; Westbrook, M. L.

    2012-08-31

    Numerical simulations of groundwater flow and contaminant transport in the vadose and saturated zones have been conducted using the PORFLOW code in support of an overall Performance Assessment (PA) of the H-Tank Farm. This report provides technical detail on selected aspects of PORFLOW model development and describes the structure of the associated electronic files. The PORFLOW models for the H-Tank Farm PA, Rev. 1 were updated with grout, solubility, and inventory changes. The aquifer model was refined. In addition, a set of flow sensitivity runs were performed to allow flow to be varied in the related probabilistic GoldSim models. The final PORFLOW concentration values are used as input into a GoldSim dose calculator.

  12. Performance Shaping Factors Assessments and Application to PHWR Outages

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Seung Woo

    2007-02-15

    Human reliability analysis is definitely related to the quality of PSA because human errors have been identified as major contributors to PSA. According to NRC's 'Office of analysis and evaluation of operational data (AEOD)',82% of the reactor trips and accident during outage is caused by the events related to human errors. There is, however, no one HRA method universally accepted. Furthermore, HRA during PHWR outages has not been performed around the world yet. HRA during PHWR outages is especially important since manual management of operator is more required during PHWR. In this study, accident scenarios which HYU developed are used to perform a quantification of human error probability. In this study, overall procedures of standard HRA methodology are introduced and follows the quantification of 10 possible selected human actions during PHWR outages based on standard HRA methodology. To see the verification, quantified values were compared with the values from 'Generic CANDU Probabilistic Safety Assessment' and the values estimated by ASEP.Core Damage Frequency was estimated 3.35 x 10{sup -4} more higher than CDF estimated by AECL data. It was considered that the differences between the HEPs for OPAFW and OPECC3 make CDF higher. Therefore, complementary study of reestimating HEP for OPAFW and OPECC3 in detail is required for increasing the qualities of HRA and PSA. Moreover, one of the difficulties in performing human reliability analysis is to evaluate performance shaping factors which represent the characteristics and circumstances. For assessing a specific human action more exactly, it is necessary to consider all of the PSFs at the same time which makes an effect on the human action. Also, it requires the effect comparison among PSFs to minimize the uncertainties which are usually caused by the subjective judgements of HRA analysts. To see the sensitivity, performance shaping factors of each decision rule are changed which resulted

  13. Performance Shaping Factors Assessments and Application to PHWR Outages

    International Nuclear Information System (INIS)

    Lee, Seung Woo

    2007-02-01

    Human reliability analysis is definitely related to the quality of PSA because human errors have been identified as major contributors to PSA. According to NRC's 'Office of analysis and evaluation of operational data (AEOD)',82% of the reactor trips and accident during outage is caused by the events related to human errors. There is, however, no one HRA method universally accepted. Furthermore, HRA during PHWR outages has not been performed around the world yet. HRA during PHWR outages is especially important since manual management of operator is more required during PHWR. In this study, accident scenarios which HYU developed are used to perform a quantification of human error probability. In this study, overall procedures of standard HRA methodology are introduced and follows the quantification of 10 possible selected human actions during PHWR outages based on standard HRA methodology. To see the verification, quantified values were compared with the values from 'Generic CANDU Probabilistic Safety Assessment' and the values estimated by ASEP.Core Damage Frequency was estimated 3.35 x 10 -4 more higher than CDF estimated by AECL data. It was considered that the differences between the HEPs for OPAFW and OPECC3 make CDF higher. Therefore, complementary study of reestimating HEP for OPAFW and OPECC3 in detail is required for increasing the qualities of HRA and PSA. Moreover, one of the difficulties in performing human reliability analysis is to evaluate performance shaping factors which represent the characteristics and circumstances. For assessing a specific human action more exactly, it is necessary to consider all of the PSFs at the same time which makes an effect on the human action. Also, it requires the effect comparison among PSFs to minimize the uncertainties which are usually caused by the subjective judgements of HRA analysts. To see the sensitivity, performance shaping factors of each decision rule are changed which resulted in changes of core damage

  14. [Software for performing a global phenotypic and genotypic nutritional assessment].

    Science.gov (United States)

    García de Diego, L; Cuervo, M; Martínez, J A

    2013-01-01

    The nutritional assessment of a patient needs the simultaneous managing a extensive information and a great number of databases, as both aspects of the process of nutrition and the clinical situation of the patient are analyzed. The introduction of computers in the nutritional area constitutes an extraordinary advance in the administration of nutrition information, providing a complete assessment of nutritional aspects in a quick and easy way. To develop a computer program that can be used as a tool for assessing the nutritional status of the patient, the education of clinical staff, for epidemiological studies and for educational purposes. Based on a computer program which assists the health specialist to perform a full nutritional evaluation of the patient, through the registration and assessment of the phenotypic and genotypic features. The application provides nutritional prognosis based on anthropometric and biochemical parameters, images of states of malnutrition, questionnaires to characterize diseases, diagnostic criteria, identification of alleles associated with the development of specific metabolic illnesses and questionnaires of quality of life, for a custom actuation. The program includes, as part of the nutritional assessment of the patient, food intake analysis, design of diets and promotion of physical activity, introducing food frequency questionnaires, dietary recalls, healthy eating indexes, model diets, fitness tests, and recommendations, recalls and questionnaires of physical activity. A computer program performed under Java Swing, using SQLite database and some external libraries such as JfreeChart for plotting graphs. This brand new designed software is composed of five blocks categorized into ten modules named: Patients, Anthropometry, Clinical History, Biochemistry, Dietary History, Diagnostic (with genetic make up), Quality of life, Physical activity, Energy expenditure and Diets. Each module has a specific function which evaluates a

  15. Penile fracture: Retrospective analysis of our case history with long-term assessment of the erectile and sexological outcome

    Directory of Open Access Journals (Sweden)

    Nicola Pavan

    2014-12-01

    Full Text Available Objectives: To review the cases of patients with suspected penile fracture and asses erectile and sexological outcomes. Materials and methods: from 1987 to 2013 presented to the Urology Clinic of Trieste and at the AIED of Pordenone a total of 41 cases that were divided into two groups according to the timing of treatment: 18 patients with anamnestic diagnosis of penile fracture treated nonimmediately and 23 patients treated immediately after the trauma. For all patients we evaluated the type of treatment