An analysis of the air-bone gap closure obtained by a crimping and a non-crimping titanium stapes prosthesis in otosclerosis

NARCIS (Netherlands)

Tange, Rinze A.; Grolman, Wilko

2008-01-01

OBJECTIVE: To evaluate the hearing results of stapes surgery with two different titanium stapes prostheses. A crimping and a non-crimping prosthesis. METHODS: Retrospective analyses were carried out on the pre- and postoperative hearing results obtained after 126 primary stapedotomies with two

Bilateral Congenital Absence of the Stapes Superstructure in Two Siblings

Directory of Open Access Journals (Sweden)

Jose Ignacio Undabeitia

2014-01-01

Full Text Available Middle ear ossicle malformations are an uncommon event. Among them, the congenital absence of the stapes is a very rare condition that is seldom described in the literature. We report the cases of two women, aged 19 and 22 , who presented with a long history of conductive deafness. An exploratory tympanotomy was performed and the absence of the stapes superstructure and an abnormal position of the facial nerve could be observed. A bone anchored hearing aid (BAHA was implanted in both patients with good results. It is believed that stapes agenesis is related to an abnormal development of the facial nerve, which by the 5th to 6th week of gestation would interpose between the otic capsule and the stapes blastema, preventing these structures from contacting. A long history of nonprogressive hearing loss from birth or early childhood is the key to reach a diagnosis. Several treatment options have been described. The authors opted for a hearing aid due to the high risk of facial nerve lesion, with good functional results.

CT of the normal and pathologic stapes

International Nuclear Information System (INIS)

Veillon, F.; Meriot, P.; Bintner, M.; Baur, P.; Bourjat, P.

1991-01-01

This paper reports on CT in the pathologic stapes. The radiologic aspect of the stapes was analyzed in 287 patients with noncholesteatomatous chronic otitis media (n = 46), cholesteatoma (n = 162), malformations (n = 52), and otosclerosis (n = 27) by using axial and, occasionally, coronal sections. Two CT scanners (M1 and M2) that differ in spatial resolution were used. The radiologic and surgical results are presented. In chronic cholesteatomous otitis, we analyzed two populations, P1 and P2. In the P1 population, (n = 92), studied on the M1 unit, there was stapes destruction in 39% (n = 36), versus 38% (n = 27) in the P2 population (n = 70), studied on the M2 unit. In P1, the diagnostic sensitivity was 97% and specificity was 78%. In P2, the sensitivity was 100% and specificity was 95%. The specificity of P2 was greater than that of P1 because of the smaller number of false-positive diagnoses with the M2 unit. Equivalent results are obtained in the malformation (n = 29) and trauma (n = 16) cases. In stapedo-vestibular otosclerosis, studied only with M2, the sensitivity was 92% and specificity was 100%

Three dimensional CT of stapes. Stapedial imagings in dry temporal bone and clinical applications

Energy Technology Data Exchange (ETDEWEB)

Edamatsu, Hideo; Kubota, Osamu; Yamashita, Koichi [Kanazawa Medical Univ., Ishikawa (Japan)

1995-03-01

This study was performed to evaluate the usefulness and limitations of three dimensional (3-D) imagings of stapes in the middle ear by high speed helical CT. One dissected human temporal bone, ten normal and diseased ears were scanned with a slice of 1.0 mm and reconstructed in a thickness of 0.2-0.5 mm. Every specimen of 3-D can be observed in any plane and from any direction. Ossicular imagings of the temporal bone in 3-D were reconstructed as if the malleus, incus and stapes were observed under microscope. The whole structure of stapes was impossible to be represented by two dimensional CT heretofore in use, but 3-D in our study showed the head, crus and foot plate of the stapes in detail. Stapedial imagings of 3-D CT in normal ears showed the same findings as those recorded in temporal bone. Preoperative diagnostic findings of ossicles in the affected ears were very useful. Especially in ossicular anomalies, 3-D CT was positive in diagnosis and its accuracies were confirmed with operative observation. For the postoperative evaluation concerning the ossicular reconstruction, i.e. TORP and PORP, 3-D CT was also important method. It could present an anatomical relation between those prosthesis and the oval window. High speed helical CT can scan an object more quickly and clearly than formerly used CT, and its biological damage for human is less than that of the others. 3-D CT can be more clearly reconstructed with helical CT than former CT. (author).

Reassessment of the La Ferrassie 3 Neandertal ossicular chain.

Science.gov (United States)

Quam, Rolf; Martínez, Ignacio; Arsuaga, Juan Luis

2013-04-01

The ossicular chain in La Ferrassie 3 was briefly described in the monograph on the La Ferrassie Neandertal children, but to date has not been the subject of detailed study. We provide new data on these important fossils and re-examine some previous suggestions of derived Neandertal features in the middle ear ossicles based on more limited evidence. The malleus shows a curved lateral margin of the manubrium and a relatively large head. The incus shows a tall articular facet, a depressed area on the medial surface of the body, a straight anterior border of the long process and a more closed angle between the processes. The stapes shows an asymmetrical configuration of the crura, with an anteriorly skewed head, and generally small dimensions, including a smaller and relatively wider stapedial footplate. These same features can also be seen in the few other Neandertal ear ossicles known, suggesting that a consistent anatomical pattern characterizes the Neandertal ossicular chain. While the phylogenetic polarity of many of these features remains to be clarified, the asymmetrical stapes and anteriorly skewed stapedial head appear to be derived Neandertal features. In addition, while the larger malleus head and incus articular facet in La Ferrassie 3 might reflect larger body mass in Neandertals, the larger stapes footplates in Homo sapiens cannot be explained by changes in body mass. Indeed, H. sapiens seems to depart from the general mammalian pattern in combining an increase in stapes footplate size with a decrease in body mass. Although the malleus/incus lever ratio in La Ferrassie 3 is similar to that in H. sapiens, Neandertals appear to be characterized by a slightly different spatial relationship and articulation of the ossicular chain within the tympanic cavity. While only limited inferences can be drawn regarding hearing ability based on the ossicles, the few physiologically relevant dimensions in the La Ferrassie 3 ear bones are similar to H

Middle ear bones of a mid-gestation ruminant foetus extracted from x-ray computed tomography

Science.gov (United States)

Costeur, Loic; Mennecart, Bastien; Müller, Bert; Schulz, Georg

2016-10-01

The timing of ossification of middle ear ossicles has been extensively studied in humans. This is an exception since it is vastly unknown in the +5000 extant species of placentals. As a preliminary approach, a cow foetus (around 115 days of gestation) was visualized using X-ray microtomography (μCT) and the ossicles including stapes, incus, and malleus could be extracted from the data set. All three bones have already undergone substantial ossification, which allow comparison to adult middle ear bones. Their ossification at this stage parallels ossification in humans at a comparable stage of gestation. While full ossification is not yet achieved almost all the morphological characters of the ossicles are observed. Bone tissue is still very porous, the stapes does not have the characteristic plate-like footplate, the lenticular process of the incus is missing and the manubrium of the malleus is very thin and not yet complete. Despite all this, the ossicles are articulate with each other and perfectly with the bony labyrinth. The stapes footplate is positioned on the oval window but is smaller than the latter while it should perfectly fit to transmit sound vibrations to the cochlea. All ossicles, especially the stapes, have not yet reached adult size, while the bony labyrinth already has. This is the first detailed description of a set of middle ear bones in a placental at mid-gestation based on high-resolution μCT. Similarities in ossification timing with humans encourage more work to be done on foetuses to understand if a general rule for placental mammals exists.

A 1,470 nm diode laser in stapedotomy: Mechanical, thermal, and acoustic effects.

Science.gov (United States)

Koenraads, Simone P C; de Boorder, Tjeerd; Grolman, Wilko; Kamalski, Digna M A

2017-08-01

Multiple laser systems have been investigated for their use in stapes surgery in patients with otosclerosis. The diode 1,470 nm laser used in this study is an attractive laser system because it is easily transported and relatively inexpensive in use. This wavelength has relative high absorption in water. This study aimed to investigate the mechanical, thermal, and acoustic effects of the diode 1,470 nm laser on a stapes in an inner ear model. Experiments were performed in an inner ear model including fresh frozen human stapes. High-speed imaging with frame rates up to 2,000 frames per second (f/s) was used to visualize the effects in the vestibule during fenestration of the footplate. A special high-speed color Schlieren technique was used to study thermal effects. The sound produced by perforation was recorded by a hydrophone. Single pulse settings of the diode 1,470 nm laser were 100 ms, 3 W. Diode 1,470 nm laser fenestration showed mechanical effects with small vapor bubbles and pressure waves pushed into the vestibule. Thermal imaging visualized an increase temperature underneath the stapes footplate. Acoustic effects were limited, but larger sounds levels were reached when vaporization bubbles arise and explode in the vestibule. The diode 1,470 nm laser highly absorbs in perilymph and is capable of forming a clear fenestration in the stapes. An overlapping laser pulse will increase the risk of vapor bubbles, pressure waves, and heating the vestibule. As long as we do not know the possible damage of these effects to the inner ear function, it seems advisable to use the laser with less potential harm. Lasers Surg. Med. 49:619-624, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

New total ossicular replacement prostheses with a resilient joint: experimental data from human temporal bones.

Science.gov (United States)

Arechvo, Irina; Bornitz, Matthias; Lasurashvili, Nikoloz; Zahnert, Thomas; Beleites, Thomas

2012-01-01

New flexible total ossicular prostheses with an integrated microjoint can compensate for large static displacements in the reconstructed ossicular chain. When properly designed, they can mimic the function of the joints of the intact chain and ensure good vibration transfer in both straight and bent conditions. Prosthesis dislocations and extrusions are frequently observed after middle ear surgery. They are mainly related to the altered distance between the coupling points because of large static eardrum displacements. The new prostheses consist of 2 titanium shafts, which are incorporated into a silicone body. The sound transfer function and stapes footplate displacement at static loads were evaluated in human temporal bones after ossicular reconstruction using prostheses with 2 different silicones with different hardness values. The stiffness and bending characteristics of the prostheses were investigated with a quasi-static load. The sound transfer properties of the middle ears with the prostheses inserted under uncompressed conditions were comparable with those of ears with intact ossicular chains. The implant with the soft silicone had improved acoustic transfer characteristics over the implant with the hard silicone in a compressed state. In the quasi-static experiments, the minimum medial footplate displacement was found with the same implant. The bending characteristics depended on the silicone stiffness and correlated closely with the point and angle of the load incidence. The titanium prostheses with a resilient joint that were investigated in this study had good sound transfer characteristics under optimal conditions as well as in a compressed state. As a result of joint bending, the implants compensate for the small changes in length of the ossicular chain that occur under varying middle ear pressure. The implants require a stable support at the stapes footplate to function properly.

Ranking of CT in persistent vertigo after implantation of stapes prostheses

International Nuclear Information System (INIS)

Koesling, S.; Woldag, K.; Meister, E.F.; Reschke, I.; Schulz, H.G.

1995-01-01

10 of 150 patients had persistent vertigo after implanation of stapes prostheses. These patients were evaluated by high resolution CT in the axial and coronal plane. Scans showed in all cases findings which related to the symptoms. The CT findings were proved intraoperatively in 9 cases. A new indirect sign of a perilymphatic fistula is described in form of an air bulla at the end of the prosthesis. Retympanotomy could be planned better with the help of HR-CT. (orig.) [de

Laser-assisted fixation of a nitinol stapes prosthesis.

Science.gov (United States)

Schrötzlmair, Florian; Suchan, Fabian; Pongratz, Thomas; Krause, Eike; Müller, Joachim; Sroka, Ronald

2018-02-01

Otosclerosis is an inner ear bone disease characterized by fixation of the stapes and consequently progressive hearing loss. One treatment option is the surgical replacement of the stapes by a prosthesis. When so called "smart materials" like nitinol are used, prosthesis fixation can be performed using a laser without manual crimping on the incus. However, specific laser-prosthesis interactions have not been described yet. The aim of the present study was to elucidate the thermo-mechanical properties of the NiTiBOND® prosthesis as a basis for handling instructions for laser-assisted prosthesis fixation. Closure of the NiTiBOND® prosthesis was induced ex vivo by either a diode laser emitting at λ = 940 nm or a CO 2 laser (λ = 10,600 nm). Total energy for closure was determined. Suitable laser parameters (pulse duration, power per pulse, distance between tip of the laser fiber and prosthesis) were assessed. Specific laser-prosthesis interactions were recorded. Especially the diode laser was found to be an appropriate energy source. A total energy deposit of 60 mJ by pulses in near contact application was found to be sufficient for prosthesis closure ex vivo. Energy should be transmitted through a laser fiber equipollent to the prosthesis band diameter. Specific deformation characteristics due to the zonal prosthesis composition have to be taken into account. NiTiBOND® stapes prosthesis can be closed by very little energy when appropriate energy sources like diode lasers are used, suggesting a relatively safe application in vivo. Lasers Surg. Med. 50:153-157, 2018. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

Modeling microstructure of incudostapedial joint and the effect on cochlear input

Science.gov (United States)

Gan, Rong Z.; Wang, Xuelin

2015-12-01

The incudostapedial joint (ISJ) connects the incus to stapes in human ear and plays an important role for sound transmission from the tympanic membrane (TM) to cochlea. ISJ is a synovial joint composed of articular cartilage on the lenticular process and stapes head with the synovial fluid between them. However, there is no study on how the synovial ISJ affects the middle ear and cochlear functions. Recently, we have developed a 3-dimensinal finite element (FE) model of synovial ISJ and connected the model to our comprehensive FE model of the human ear. The motions of TM, stapes footplate, and basilar membrane and the pressures in scala vestibule and scala tympani were derived over frequencies and compared with experimental measurements. Results show that the synovial ISJ affects sound transmission into cochlea and the frequency-dependent viscoelastic behavior of ISJ provides protection for cochlea from high intensity sound.

Abnormal Congenital Location of Stapes’ Superstructure: Clinical and Embryological Implications

Directory of Open Access Journals (Sweden)

Vânia Henriques

2016-01-01

Full Text Available Congenital middle ear malformations are rare. Most part of them are usually associated with other malformations, such as aural atresia, microtia, and dysmorphic craniofacial features. A clinical case of a 24-year-old male with a right-sided conductive hearing loss since his childhood, without craniofacial malformation, is presented. He was proposed for exploratory tympanotomy under the suspicious diagnosis of otosclerosis. The surgery revealed an abnormal location of stapes’ superstructure, which was attached to the promontory and had an isolated and mobile osseous footplate in the oval window. A stapes prosthesis was inserted and resulted in closure of the air-bone gap by 25 dB. A review of the literature was also performed using MEDLINE. Two theories diverge on the embryologic origin of the stapes. Our findings seem to be in favour of the theory that defines two different embryologic origins to the stapes.

Stapedectomy in tympanosclerosis, hearing results

International Nuclear Information System (INIS)

Al-Qahtani, M.; Hagr, A.

2008-01-01

The aim of present study was to evaluate the results of using stapedectomy to treat tympanosclerosis fixation of footplate. It is a retrospective review of tympanosclerosis of the oval window with stapes fixation, after undergoing surgery. Eight patients underwent stapedectomy for tympanosclerotic stapes. Postoperative post-op air-bone gap ABG closure to within 10 dB was achieved in 25% of the cases. An ABG of less than 20 db was obtained in 87.5% of the cases. The mean preoperative pre-op ABGs were 31.09 dB. Significant post-op improvement of air conduction thresholds more than, or equal to 20dB was found in 62.5% of cases. No significant sensorineural hearing loss was seen in this series with a mean pre-op bone-conduction threshold BC of 23.43 dB and a mean post-op BC threshold of 16.25 dB. The mean follow-up period was 6.5 months. (author)

Short-Term Audiological Results of Diode Laser in Comparison with Manual Perforation in Stapes Surgery.

Science.gov (United States)

Hamerschmidt, Rogerio; Saab, Stephanie Sbizera; Carvalho, Bettina; Carmo, Carolina do

2018-04-01

Introduction  Diode laser is a new alternative in stapes surgery for otosclerosis. The present study is the first to compare the short-term results of the surgery performed using diode laser to those obtained through the conventional fenestration technique. Objective  To use audiometry to establish a comparative analysis between the functional results obtained through surgery for otosclerosis using diode laser and the conventional technique. Method  Audiometric evaluation of 12 patients submitted to stapes surgery for otosclerosis, using diode laser or conventional fenestration by needle and drills, between 2014 and 2015. Each group was composed of 6 patients. Pre and post-operative measures were compared for three months in both groups. The speech recognition threshold, the air and bone conduction threshold, as well as the gap between them at 500 Hz, 1 KHz, 2 KHz and 4 KHz were measured. Results  Significant difference in bone conduction and SRT was observed when compared post- and preoperative results in the diode group. However diode and conventional technique groups presented significant differences in air conduction and air-bone gap, suggesting that both can provide functional improvement. Conclusion  Laser stapedotomy is a safe technique with good results. Both laser surgery and the conventional technique have improved the hearing of patients with a discreet advantage for the diode laser. Further prospective and randomized clinical trials are required to disclose all possible benefits of the stapes surgery using diode laser.

Outcome measures in stapes surgery: postoperative results are independent from preoperative parameters.

Science.gov (United States)

Koopmann, Mario; Weiss, Daniel; Savvas, Eleftherios; Rudack, Claudia; Stenner, Markus

2015-09-01

The aim of this study was to compare audiometric results before and after stapes surgery and identify potential prognostic factors to appropriately select patients with otosclerosis who will most likely benefit from surgery. We enrolled 126 patients with otosclerosis (162 consecutive ears) in our study who underwent stapes surgery between 2007 and 2012 at our institution. Preoperative and postoperative data including pure-tone audiometry, speech audiometry, stapedial reflex audiometry and surgical data were analyzed. The average preoperative air-bone gap (ABG) was 28.9 ± 8.6 dB. Male patients and patients older than 45 years of age had greater preoperative ABGs in comparison to females and younger patients. Postoperative ABGs were 11.2 ± 7.4 dB. The average ABG gain was 17.7 ± 11.1 dB. Preoperative audiometric data, age, gender and type of surgery did not influence the postoperative results. Stapes surgery offers predictable results independent from disease progression or patient-related factors. While absolute values of hearing improvement are instrumental in reflecting audiometric results of a cohort, relative values better reflect individual's audiometric data resembling the patient's benefit.

An “Uncrimped” SMart Stapes Prosthesis: A Cause of Late Hearing Deterioration in Otosclerosis

Directory of Open Access Journals (Sweden)

Premjit S. Randhawa

2012-01-01

Full Text Available Statement of Problem. Stapedotomy is the treatment of choice for otosclerosis. Numerous techniques and prosthesis are available to perform this procedure. Success rates of surgery vary from 17% to 80%, and revision surgery carries an increased risk of complications as well as poorer hearing outcomes. Method of Study. Case report. Results. We report the first case of uncrimping of a SMart stapes prosthesis with no lateral displacement as a cause of late failure despite successful crimping and improvement in audiological outcomes after initial surgery. Conclusion. The SMart stapes prosthesis is widely used and has been shown to be safe and provide good hearing outcomes. Displacement of a stapes prosthesis is the commonest cause of failure. Our case shows that deterioration of hearing thresholds can occur from uncrimping of the prosthesis with no displacement. It is important to improve our understanding of stapedotomy failure as revision procedures are associated with poorer outcomes.

Autosomal dominant stapes fixation, syndactyly, and symphalangism in a family with NOG mutation

DEFF Research Database (Denmark)

Westergaard-Nielsen, Marie; Amstrup, Tine; Wanscher, Jens Højberg

2018-01-01

bilateral conductive hearing loss. Three patients were treated with stapedectomy, on one or both ears, due to fixation of stapes. All the affected members had syndactyly and symphalangism. A not previously reported mutation in the NOG gene (c.688_699del, p.Cys230_Cys232delins11) was found to segregate...... with the stapes fixation, syndactyly, and symphalangism. p.Cys230_Cysdelins11 was classified as likely pathogenic according to guidelines from the American College of Medical Genetics and Genomics. Conclusion: The clinical presentation of the reported mutation corresponds with previous case reports of families...

Computed tomography of the auditory ossicles

International Nuclear Information System (INIS)

Kurosaki, Yoshihisa; Hirai, Toshiko; Otsuji, Hideaki

1983-01-01

High resolution CT has become an important tool of radiographic assessment of the temporal bone. This study was undertaken to establish criteria for spatial relationship of the ossicles on axial projection. Normal CT of the fifty-seven temporal bones was reviewed. All parts of the malleus and incus were identified in all cases, while the head, the anterior crus and the posterior crus of the stapes were identified in 68.4 % (39/57), 5.3 % (3/57), 3.5 % (2/57), respectively. In none of the cases was the footplate of the stapes seen. The malleus manubrium and the incus long process aligned almost parallel to each other with being 28.0 0 (S.D. 6.5 0 ) and 26.9 0 (S.D. 5.7 0 ) to the coronal plane, respectively. The malleus head and the incus body and short process lied within the attic on the 28.0 0 (S.D. 3.9 0 ) angle to the sagittal plane. With the above-mentioned knowledge of the normal spatial alignment of the ossicles, one is able to detect subtle malalignment of the ossicular chain on axial CT alone. However, it should be kept in mind that coronal CT would usually be necessary to evaluate the incudostapedial joint as well as the stapes itself. Pathologic cases involving the ossicles were illustrated. (author)

Feasibility of Round Window Stimulation by a Novel Electromagnetic Microactuator

Directory of Open Access Journals (Sweden)

Wouter Johannes van Drunen

2017-01-01

Full Text Available Introduction. Most implantable hearing aids currently available were developed to compensate the sensorineural hearing loss by driving middle ear structures (e.g., the ossicles. These devices are successfully used in round window (RW stimulation clinically, although this was initially not the intended use. Here, a novel microactuator, specifically designed for RW stimulation, was tested in human temporal bones to determine actuator performance and applicability. Methods. Stapes footplate response to RW stimulation was determined experimentally in human temporal bones and the obtained sound pressure output level was estimated. Results. The actuator had a flat displacement response between 0.125 and 4 kHz, a resonance between 4 and 7 kHz, and a roll-off above. At increasing contact force, the stapes footplate displacement decreased by 5–10 dB re μm for forces ≥ 2 mN. The equivalent sound pressure level between 0.125 and 4 kHz amounted to 87–97 eq dB SPL and increased to 117 eq dB SPL for frequencies of 4–7 kHz. The total harmonic distortion (THD of the actuator ranged within 15–40% for static forces of 5 mN. Conclusion. The feasibility of an electromagnetic actuator that may be placed into the RW niche was demonstrated but requires further optimization in terms of THD and static force sensitivity.

Three dimensional CT imaging of ossicular chain: a preliminary study

International Nuclear Information System (INIS)

Hu Chunhong; Zhong Shenbin; Fu Yindi; Zhu Wei; Wang Xueyuan; Chen Jianhua; Ding Yi

2001-01-01

Objective: To analysis the features of normal and abnormal ossicular chain in three dimensional images and asses the best parameters and its usefulness in diagnosis and treatment of chronic otitis media (COM). Methods: All patients, including 43 patients with normal ears and 24 ears with COM, were examined using spiral CT with inner ear software, 1-mm slice width and 1 pitch. SSD method was used in three dimensional reconstruction and the threshold was 100-300 Hu. Results: In normal cases, Malleus, incus, stapes crura, incudomalleal joints and incudostapedial joints were displayed well, but stapes footplate unsatisfactorily. The disruption of the ossicular chain showed in three-dimensional images in cases of chronic otitis media was in accord with that seen in the operation. Conclusion: It is very important for imaging with high quality through selecting proper parameters, and three-dimensional image can provide valuable information for surgery

An internally validated prognostic model for success in revision stapes surgery for otosclerosis.

Science.gov (United States)

Wegner, Inge; Vincent, Robert; Derks, Laura S M; Rauh, Simone P; Heymans, Martijn W; Stegeman, Inge; Grolman, Wilko

2018-03-09

To develop a prediction model that can accurately predict the chance of success following revision stapes surgery in patients with recurrent or persistent otosclerosis at 2- to 6-months follow-up and to validate this model internally. A retrospective cohort study of prospectively gathered data in a tertiary referral center. The associations of 11 prognostic factors with treatment success were tested in 705 cases using multivariable logistic regression analysis with backward selection. Success was defined as a mean air-bone gap closure to 10 dB or less. The most relevant predictors were used to derive a clinical prediction rule to determine the probability of success. Internal validation by means of bootstrapping was performed. Model performance indices, including the Hosmer-Lemeshow test, the area under the receiver operating characteristics curve (AUC), and the explained variance were calculated. Success was achieved in 57.7% of cases at 2- to 6-months follow-up. Certain previous surgical techniques, primary causes of failure leading up to revision stapes surgery, and positions of the prosthesis placed during revision surgery were associated with higher success percentages. The clinical prediction rule performed moderately well in the original dataset (Hosmer-Lemeshow P = .78; AUC = 0.73; explained variance = 22%), which slightly decreased following internal validation by means of bootstrapping (AUC = 0.69; explained variance = 13%). Our study established the importance of previous surgical technique, primary cause of failure, and type of the prosthesis placed during the revision surgery in predicting the probability of success following stapes surgery at 2- to 6-months follow-up. 2b. Laryngoscope, 2018. © 2018 The American Laryngological, Rhinological and Otological Society, Inc.

Cartilage island on stapes: autologous PORP in the hypoventilated middle ear.

Science.gov (United States)

Hess-Erga, Jeanette; Engelen, Bart Lambertus Henricus Jozef; Vassbotn, Flemming Slinning

2017-04-01

The most common technique in sound restoration of the middle ear is prosthetic surgery. Hypoventilation of the middle ear may cause adhesive otitis or atelectasis resulting in a higher risk of prosthetic extrusion rate and recurrence of the underlying cholesteatoma. We report long-term results using an island of tragal cartilage as an autologous PORP in selected patients with poor middle ear ventilation. Retrospective chart reviews were performed for procedures involving 52 patients between year 2000 and 2009. All patients that underwent surgery using tragal cartilage interposed between the suprastructure of the stapes and the tympanic membrane were included in this study. Audiological parameters using four frequencies, 0.5, 1, 2 and 3 kHz, according to AAO-HNS guidelines, were assessed pre-and postoperatively. The hearing results on different PTA frequencies were also investigated. We report long-term follow-up of patients with hypoventilated middle ear with a success rate of 71% (ABG <20%). With regards to the ABG, the low frequency component (5 and 1 kHz) showed a significantly (p < 0.05) larger improvement of mean values after surgery as compared to the high-frequency component (2 and 3 kHz). Cartilage island PORP on stapes is a stable and efficient method for selected patients with chronic middle ear disease.

Cochlin-tomoprotein (CTP) detection test identified perilymph leakage preoperatively in revision stapes surgery.

Science.gov (United States)

Kataoka, Yuko; Ikezono, Tetsuo; Fukushima, Kunihiro; Yuen, Koji; Maeda, Yukihide; Sugaya, Akiko; Nishizaki, Kazunori

2013-08-01

Perilymphatic fistula (PLF) is defined as an abnormal leakage between perilymph from the labyrinth to the middle ear. Symptoms include hearing loss, tinnitus, and vertigo. The standard mode of PLF detection is intraoperative visualization of perilymph leakage and fistula, which ostensibly confirms the existence of PLF. Other possible methods of diagnosis include confirmation of pneumolabyrinth via diagnostic imaging. Recently, a cochlin-tomoprotein (CTP) detection test has been developed that allows definitive diagnosis of PLF-related hearing loss. We report the case of a 45-year-old man who presented with right-sided tinnitus, hearing loss, and dizziness 30 years after stapes surgery. Middle ear lavage was performed after myringotomy. A preoperative diagnosis of PLF was reached using the CTP detection test. Intraoperative observations included a necrotic long process of the incus, displaced wire piston, and fibrous tissue in the oval window. Perilymph leakage was not evident. The oval window was closed with fascia, and vertigo disappeared within 2 weeks postoperatively. When PLF is suspected after stapes surgery, the CTP detection test can be a useful, highly sensitive, and less invasive method for preoperative diagnosis. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Use of Intrathecal Fluorescein in Recurrent Meningitis after Cochlear Implantation-A Case Report

Directory of Open Access Journals (Sweden)

Swati Tandon

2016-05-01

Full Text Available Introduction: Congenital anomalies of the cochlea and labyrinth can be associated with meningitis and varying degrees of hearing loss or deafness. Despite antibiotics, meningitis remains a life threatening complication.   Case Report: We report a case of recurrent meningitis following episodes of otitis media in a cochlear implantee child with bilateral vestibulocochlear malformation, due to fistula in the stapes footplate. Intrathecal fluorescin was used to identify the leak site.   Conclusion:  Recurrent meningitis can indicate for possible immunological or anatomical abnormalities as well for chronic parameningeal infections. Intraoperative use of intrathecal fluorescin is an ideal investigative tool to demonstrate cerebrospinal fluid (CSF leak site in patients in whom other investigations fail to do so.

Use of CT in stapedial otosclerosis

International Nuclear Information System (INIS)

Mafee, M.F.; Henrikson, G.C.; Deitch, R.L.; Norouzi, P.; Kumar, A.; Kriz, R.; Valvassori, G.E.

1985-01-01

Otosclerosis (otospongiosis) is a primary focal disease of the labyrinthine capsule. The stapes footplate is fixed when the spongiotic focus expands and invades the oval window. Persons with stapedial otosclerosis experience a progressive conductive hearing loss. In many cases, cochlear degeneration is observed, in which a mixed hearing loss occurs. Using computed tomography (CT), the authors studied the ears of 45 selected patients with conductive or mixed hearing loss. CT proved valuable in determining otosclerotic changes of the oval window and otic capsule. Spongiotic changes of the otic capsule are better appreciated by CT than complex motion tomography. The usefulness of CT in diagnosing other causes of conductive or mixed hearing loss is also described

Congenital stapes malformation: Rare conductive hearing loss in a patient with Waardenburg syndrome.

Science.gov (United States)

Melzer, Jonathan M; Eliason, Michael; Conley, George S

2016-04-01

Waardenburg syndrome is a known autosomal dominant cause of congenital hearing loss. It is characterized by a distinctive phenotypic appearance and often involves sensorineural hearing loss. Temporal bone abnormalities and inner ear dysmorphisms have been described in association with the disease. However, middle ear abnormalities as causes of conductive hearing loss are not typically seen in Waardenburg syndrome. We discuss a case of an 8-year-old female who meets diagnostic criteria for Waardenburg syndrome type 3 and who presented with a bilateral conductive hearing loss associated with congenital stapes fixation. We discuss management strategy in this previously unreported phenotype. © 2015 The American Laryngological, Rhinological and Otological Society, Inc.

The Codacs™ direct acoustic cochlear implant actuator: exploring alternative stimulation sites and their stimulation efficiency.

Science.gov (United States)

Grossöhmichen, Martin; Salcher, Rolf; Kreipe, Hans-Heinrich; Lenarz, Thomas; Maier, Hannes

2015-01-01

This work assesses the efficiency of the Codacs system actuator (Cochlear Ltd., Sydney Australia) in different inner ear stimulation modalities. Originally the actuator was intended for direct perilymph stimulation after stapedotomy using a piston prosthesis. A possible alternative application is the stimulation of middle ear structures or the round window (RW). Here the perilymph stimulation with a K-piston through a stapes footplate (SFP) fenestration (N = 10) as well as stimulation of the stapes head (SH) with a Bell prosthesis (N = 9), SFP stimulation with an Omega/Aerial prosthesis (N = 8) and reverse RW stimulation (N = 10) were performed in cadaveric human temporal bones (TBs). Codacs actuator output is expressed as equivalent sound pressure level (eq. SPL) using RW and SFP displacement responses, measured by Laser Doppler velocimetry as reference. The axial actuator coupling force in stimulation of stapes and RW was adjusted to ~5 mN. The Bell prosthesis and Omega/Aerial prosthesis stimulation generated similar mean eq. SPLs (Bell: 127.5-141.8 eq. dB SPL; Omega/Aerial: 123.6-143.9 eq. dB SPL), being significantly more efficient than K-piston perilymph stimulation (108.6-131.6 eq. dB SPL) and RW stimulation (108.3-128.2 eq. dB SPL). Our results demonstrate that SH, SFP and RW are adequate alternative stimulation sites for the Codacs actuator using coupling prostheses and an axial coupling force of ~5 mN. Based on the eq. SPLs, all investigated methods were adequate for in vivo hearing aid applications, provided that experimental conditions including constant coupling force will be implemented.

The Codacs™ direct acoustic cochlear implant actuator: exploring alternative stimulation sites and their stimulation efficiency.

Directory of Open Access Journals (Sweden)

Martin Grossöhmichen

Full Text Available This work assesses the efficiency of the Codacs system actuator (Cochlear Ltd., Sydney Australia in different inner ear stimulation modalities. Originally the actuator was intended for direct perilymph stimulation after stapedotomy using a piston prosthesis. A possible alternative application is the stimulation of middle ear structures or the round window (RW. Here the perilymph stimulation with a K-piston through a stapes footplate (SFP fenestration (N = 10 as well as stimulation of the stapes head (SH with a Bell prosthesis (N = 9, SFP stimulation with an Omega/Aerial prosthesis (N = 8 and reverse RW stimulation (N = 10 were performed in cadaveric human temporal bones (TBs. Codacs actuator output is expressed as equivalent sound pressure level (eq. SPL using RW and SFP displacement responses, measured by Laser Doppler velocimetry as reference. The axial actuator coupling force in stimulation of stapes and RW was adjusted to ~5 mN. The Bell prosthesis and Omega/Aerial prosthesis stimulation generated similar mean eq. SPLs (Bell: 127.5-141.8 eq. dB SPL; Omega/Aerial: 123.6-143.9 eq. dB SPL, being significantly more efficient than K-piston perilymph stimulation (108.6-131.6 eq. dB SPL and RW stimulation (108.3-128.2 eq. dB SPL. Our results demonstrate that SH, SFP and RW are adequate alternative stimulation sites for the Codacs actuator using coupling prostheses and an axial coupling force of ~5 mN. Based on the eq. SPLs, all investigated methods were adequate for in vivo hearing aid applications, provided that experimental conditions including constant coupling force will be implemented.

Ranking of CT in persistent vertigo after implantation of stapes prostheses; Stellenwert der Computertomographie bei persistierenden Gleichgewichtsstoerungen nach dem Einsatz von Stapesplastiken

Energy Technology Data Exchange (ETDEWEB)

Koesling, S. [Leipzig Univ. (Germany). Klinik fuer Diagnostische Radiologie; Woldag, K. [Leipzig Univ. (Germany). Klinik und Poliklinik fuer Hals-Nasen-Ohren-Krankheiten; Meister, E.F. [Leipzig Univ. (Germany). Klinik und Poliklinik fuer Hals-Nasen-Ohren-Krankheiten; Reschke, I. [Leipzig Univ. (Germany). Klinik fuer Diagnostische Radiologie; Schulz, H.G. [Leipzig Univ. (Germany). Klinik fuer Diagnostische Radiologie

1995-01-01

10 of 150 patients had persistent vertigo after implanation of stapes prostheses. These patients were evaluated by high resolution CT in the axial and coronal plane. Scans showed in all cases findings which related to the symptoms. The CT findings were proved intraoperatively in 9 cases. A new indirect sign of a perilymphatic fistula is described in form of an air bulla at the end of the prosthesis. Retympanotomy could be planned better with the help of HR-CT. (orig.) [Deutsch] Von 150 Patienten zeigten 10 nach dem Einsatz einer Stapesprothese eine persistierende vestibulaere Symptomatik. Mittels der hochaufloesenden Felsenbein-CT in axialer und koronarer Schnittfuehrung konnten in allen Faellen in Symptomatik erklaerende Befunde erhoben werden. Eine operative Bestaetigung erfolgte in 9 Faellen. Als bisher in der Literatur in diesem Zusammenhang nicht beschriebenes, indirektes Zeichen einer Perilymphfistel wurde eine kleine Luftblase am Prothesenende nachgewiesen. Die HR-CT hat sich als wesentliche Erleichterung bei der Planung einer Retympanotomie erwiesen. (orig.)

[The technique of hearing reconstruction in the cases of conductive hearing loss with malformed tympanic segment of facial nerve].

Science.gov (United States)

Yang, Feng; Song, Rendong; Liu, Yang

2016-02-02

To explore the technique of hearing reconstruction in the cases of conductive hearing loss with malformed tympanic segment of facial nerve. Data of 10 cases from July 2010 to March 2015 were collected.The status of tympanic segment of facial nerve, malformed ossicles and the reconstructed methods of ossicular chain were analyzed and discussed based on the embryo anatomy and surgical technique. All facial nerves in 10 cases were exposed and drooping to stapes or cover the oval window.Three patients who had normal stapes, pushed by the exposed facial nerve, were reconstructed with partial ossicular replacement prostheses (PORP). Two patients who had footplate, with partial fixation, were reconstructed with total ossicular replacement prostheses (TORP). Three patients who had atresia of the oval window were implanted with Piston after being made hole in the atresia plate.Another two cases who had atresia of the oval window were implanted with TORP after promontory being drilled out.All cases had no injury of facial nerve and nervous hearing, and no tinnitus.Nine cases had conductive hearing improvement, except one with promontory drilled out. Patients who had conductive hearing loss with malformed tympanic segment of facial nerve can be treated by the technique of hearing reconstruction.The fenestration technique in the bottom of the scala tympani of the basal turn provides us a new method for treating patients whose oval window was fully covered by malformed facial nerve.

Numerical Model on Sound-Solid Coupling in Human Ear and Study on Sound Pressure of Tympanic Membrane

Directory of Open Access Journals (Sweden)

Yao Wen-juan

2011-01-01

Full Text Available Establishment of three-dimensional finite-element model of the whole auditory system includes external ear, middle ear, and inner ear. The sound-solid-liquid coupling frequency response analysis of the model was carried out. The correctness of the FE model was verified by comparing the vibration modes of tympanic membrane and stapes footplate with the experimental data. According to calculation results of the model, we make use of the least squares method to fit out the distribution of sound pressure of external auditory canal and obtain the sound pressure function on the tympanic membrane which varies with frequency. Using the sound pressure function, the pressure distribution on the tympanic membrane can be directly derived from the sound pressure at the external auditory canal opening. The sound pressure function can make the boundary conditions of the middle ear structure more accurate in the mechanical research and improve the previous boundary treatment which only applied uniform pressure acting to the tympanic membrane.

Cirurgia do estapédio na residência: experiência do Hospital de Clínicas/UFPR Stapes surgery in residency: the ufpr clinical hospital experience

Directory of Open Access Journals (Sweden)

Adriano Ulisses Caldart

2007-10-01

Full Text Available A cirurgia do estapédio permanece como tratamento consagrado para a otosclerose. Recentes publicações têm demonstrado que o sucesso cirúrgico nas cirurgias realizadas por médicos residentes tem diminuído e que os resultados audiológicos tem sido piores que os obtidos por cirurgiões experientes. OBJETIVOS: Avaliar a experiência do serviço de otorrinolaringologia do Hospital de Clínicas/UFPR na realização de cirurgias do estapédio no programa de residência médica. MATERIAL E MÉTODO: Estudo retrospectivo de 114 cirurgias do estapédio realizadas nos últimos 9 anos, em 96 pacientes. Os resultados audiométricos foram analisados conforme orientação do Committee on Hearing and Equilibrium e através do Amsterdam Hearing Evaluation Plots, considerando a melhora do gap pós-operatório e de limiares da via aérea. RESULTADOS: Foram incluídos 96 pacientes, na maioria adultos, do sexo feminino (67,7% e caucasianos (93,7%. Em 50,9% dos casos foi realizada estapedectomia, sendo a grande maioria sob anestesia local e sedação (96,5% e utilizando principalmente a prótese de Teflon (37,7%. A taxa de sucesso cirúrgico foi de 50,88%, com 11,4% de complicações. CONCLUSÃO: Os ganhos de audição pós-operatórios considerados como sucesso cirúrgico foram inferiores aos publicados na literatura por cirurgiões experientes.Surgery of the stapedius remains the established treatment for otosclerosis. Recent publications have showed that success in surgeries done by residents have decreased and hearing results are worse than those obtained by experienced otologic surgeons. AIM: To evaluate the experience of the otorhinolaryngology unit, Parana University, relative to stapes surgery done in the residency training program. MATERIAL AND METHOD: A retrospective study of 114 stapes surgeries done in the past 9 years in 96 patients. Audiometric results were analysed according to the Commitee on Hearing and Equilibrium guidelines and the Amsterdam

Sheep as a large animal ear model: Middle-ear ossicular velocities and intracochlear sound pressure.

Science.gov (United States)

Péus, Dominik; Dobrev, Ivo; Prochazka, Lukas; Thoele, Konrad; Dalbert, Adrian; Boss, Andreas; Newcomb, Nicolas; Probst, Rudolf; Röösli, Christof; Sim, Jae Hoon; Huber, Alexander; Pfiffner, Flurin

2017-08-01

Animals are frequently used for the development and testing of new hearing devices. Dimensions of the middle ear and cochlea differ significantly between humans and commonly used animals, such as rodents or cats. The sheep cochlea is anatomically more like the human cochlea in size and number of turns. This study investigated the middle-ear ossicular velocities and intracochlear sound pressure (ICSP) in sheep temporal bones, with the aim of characterizing the sheep as an experimental model for implantable hearing devices. Measurements were made on fresh sheep temporal bones. Velocity responses of the middle ear ossicles at the umbo, long process of the incus and stapes footplate were measured in the frequency range of 0.25-8 kHz using a laser Doppler vibrometer system. Results were normalized by the corresponding sound pressure level in the external ear canal (P EC ). Sequentially, ICSPs at the scala vestibuli and tympani were then recorded with custom MEMS-based hydrophones, while presenting identical acoustic stimuli. The sheep middle ear transmitted most effectively around 4.8 kHz, with a maximum stapes velocity of 0.2 mm/s/Pa. At the same frequency, the ICSP measurements in the scala vestibuli and tympani showed the maximum gain relative to the P EC (24 dB and 5 dB, respectively). The greatest pressure difference across the cochlear partition occurred between 4 and 6 kHz. A comparison between the results of this study and human reference data showed middle-ear resonance and best cochlear sensitivity at higher frequencies in sheep. In summary, sheep can be an appropriate large animal model for research and development of implantable hearing devices. Copyright © 2017 Elsevier B.V. All rights reserved.

Auditory ossicles from southwest Asian Mousterian sites.

Science.gov (United States)

Quam, Rolf; Rak, Yoel

2008-03-01

The present study describes and analyzes new Neandertal and early modern human auditory ossicles from the sites of Qafzeh and Amud in southwest Asia. Some methodological issues in the measurement of these bones are considered, and a set of standardized measurement protocols is proposed. Evidence of erosive pathological processes, most likely attributed to otitis media, is present on the ossicles of Qafzeh 12 and Amud 7 but none can be detected in the other Qafzeh specimens. Qafzeh 12 and 15 extend the known range of variation in the fossil H. sapiens sample in some metric variables, but morphologically, the new specimens do not differ in any meaningful way from living humans. In most metric dimensions, the Amud 7 incus falls within our modern human range of variation, but the more closed angle between the short and long processes stands out. Morphologically, all the Neandertal incudi described to date show a very straight long process. Several tentative hypotheses can be suggested regarding the evolution of the ear ossicles in the genus Homo. First, the degree of metric and morphological variation seems greater among the fossil H. sapiens sample than in Neandertals. Second, there is a real difference in the size of the malleus between Neandertals and fossil H. sapiens, with Neandertals showing larger values in most dimensions. Third, the wider malleus head implies a larger articular facet in the Neandertals, and this also appears to be reflected in the larger (taller) incus articular facet. Fourth, there is limited evidence for a potential temporal trend toward reduction of the long process within the Neandertal lineage. Fifth, a combination of features in the malleus, incus, and stapes may indicate a slightly different relative positioning of either the tip of the incus long process or stapes footplate within the tympanic cavity in the Neandertal lineage.

Direct Acoustic Stimulation at the Lateral Canal: An Alternative Route to the Inner Ear?

Directory of Open Access Journals (Sweden)

Nicolas Verhaert

Full Text Available Severe to profound mixed hearing loss is associated with hearing rehabilitation difficulties. Recently, promising results for speech understanding were obtained with a direct acoustic cochlear implant (DACI. The surgical implantation of a DACI with standard coupling through a stapedotomy can however be regarded as challenging. Therefore, in this experimental study, the feasibility of direct acoustic stimulation was investigated at an anatomically and surgically more accessible inner ear site. DACI stimulation of the intact, blue-lined and opened lateral semicircular canal (LC was investigated and compared with standard oval window (OW coupling. Additionally, stapes footplate fixation was induced. Round window (RW velocity, as a measure of the performance of the device and its coupling efficiency, was determined in fresh-frozen human cadaver heads. Using single point laser Doppler vibrometry, RW velocity could reliably be measured in low and middle frequency range, and equivalent sound pressure level (LE output was calculated. Results for the different conditions obtained in five heads were analyzed in subsequent frequency ranges. Comparing the difference in RW membrane velocity showed higher LE in the LC opened condition [mean: 103 equivalent dB SPL], than in LC intact or blue-lined conditions [63 and 74 equivalent dB SPL, respectively]. No difference was observed between the LC opened and the standard OW condition. Inducing stapes fixation, however, led to a difference in the low frequency range of LE compared to LC opened. In conclusion, this feasibility study showed promising results for direct acoustic stimulation at this specific anatomically and surgically more accessible inner ear site. Future studies are needed to address the impact of LC stimulation on cochlear micromechanics and on the vestibular system like dizziness and risks of hearing loss.

Into the dark: patterns of middle ear adaptations in subterranean eulipotyphlan mammals

Science.gov (United States)

Koyabu, Daisuke; Hosojima, Misato; Endo, Hideki

2017-09-01

Evolution of the middle ear ossicles was a key innovation for mammals, enhancing the transmission of airborne sound. Radiation into various habitats from a terrestrial environment resulted in diversification of the auditory mechanisms among mammals. However, due to the paucity of phylogenetically controlled investigations, how middle ear traits have diversified with functional specialization remains unclear. In order to identify the respective patterns for various lifestyles and to gain insights into fossil forms, we employed a high-resolution tomography technique and compared the middle ear morphology of eulipotyphlan species (moles, shrews and hedgehogs), a group that has radiated into various environments, such as terrestrial, aquatic and subterranean habitats. Three-dimensional geometric morphometric analysis was conducted within a phylogenetically controlled framework. Quantitative shapes were found to strongly reflect the degree of subterranean lifestyle and weakly involve phylogeny. Our analyses demonstrate that subterranean adaptation should include a relatively shorter anterior process of the malleus, an enlarged incus, an enlarged stapes footplate and a reduction of the orbicular apophysis. These traits arguably allow improving low-frequency sound transmission at low frequencies and inhibiting the low-frequency noise which disturbs the subterranean animals in hearing airborne sounds.

Quasi-static and dynamic motions of the columellar footplate in ostrich (Struthio camelus) measured ex vivo.

Science.gov (United States)

Muyshondt, Pieter G G; Claes, Raf; Aerts, Peter; Dirckx, Joris J J

2018-01-01

The nature of the movement of the columellar footplate (CFP) in birds is still a matter of ongoing debate. Some sources claim that rocking motion is dominant, while others propose a largely piston-like motion. In this study, motions of the CFP are experimentally investigated in the ostrich using a post-mortem approach. For quasi-static loads, micro-CT scans of ostrich heads were made under positive and negative middle-ear pressures of 1 kPa. For dynamic loads, laser Doppler vibrometry was used to measure the velocity on multiple locations of the CFP as a function of excitation frequency from 0.125 to 4 kHz, and digital stroboscopic holography was used to assess the 1D full-field out-of-plane displacement of the CFP at different excitation frequencies. To expose the CFP in the experiments, measurements were made from the medial side of the CFP after opening and draining the inner ear. To determine the influence of the inner-ear load on CFP motions, a finite element model was created of the intact ostrich middle ear with inner-ear load included. For quasi-static loads, the CFP performed largely piston-like motions under positive ME pressure, while under negative ME pressure the difference between piston and rocking motion was smaller. For dynamic loads, the CFP motion was almost completely piston-like for frequencies below 1 kHz. For higher frequencies, the motions became more complicated with an increase of the rocking components, although they never exceeded the piston component. When including the inner-ear load to the model, the rocking components started to increase relative to the piston component when compared to the result of the model with unloaded CFP, but only at high frequencies above 1 kHz. In this frequency range, the motion could no longer be identified as purely piston-like or rocking. As a conclusion, the current results suggest that CFP motion is predominantly piston-like below 1 kHz, while at higher frequencies the motion becomes too

Computed tomography measurements of the normal and the pathologic cochlea in children

International Nuclear Information System (INIS)

Teissier, Natacha; Abbeele, Thierry van den; Sebag, Guy; Elmaleh-Berges, Monique

2010-01-01

Radiological investigation is frequently undertaken to assess the aetiology of sensorineural hearing loss (SNHL). To establish the CT measurements of the normal cochlea in children and to determine radiological criteria correlated with SNHL. A retrospective study of temporal bone CT performed in 159 children, age range from 3 days to 16 years between February 1999 and July 2004. A control group (n = 88) comprised children without SNHL; the SNHL group comprised 71 children. The width of the second turn of the cochlea (CW), the cochlear height (CH), and the width of the bony canal for the cochlear nerve (WCN) were measured on a reference plane containing the modiolus, the posterior semicircular canal, the footplate, and the stapes arch. Width of the canal measurements ≤1.7 mm or ≥2.5 mm supported the diagnosis of SNHL with a specificity of 97% and 91%, respectively. Cochlear width was found to be significantly smaller in the SNHL group (5.61 ± 0.51 mm) than in the control group (5.75 ± 0.31 mm, P < 0.02), a size <5.4 mm being highly suggestive of SNHL with a specificity of 90%. No significant variations of all measurements were found with age. Appropriate measurements of WCN and CW are highly correlated with SNHL. (orig.)

Sound pressure gain produced by the human middle ear.

Science.gov (United States)

Kurokawa, H; Goode, R L

1995-10-01

The acoustic function of the middle ear is to match sound passing from the low impedance of air to the high impedance of cochlear fluid. Little information is available on the actual middle ear pressure gain in human beings. This article describes experiments on middle ear pressure gain in six fresh human temporal bones. Stapes footplate displacement and phase were measured with a laser Doppler vibrometer before and after removal of the tympanic membrane, malleus, and incus. Acoustic insulation of the round window with clay was performed. Umbo displacement was also measured before tympanic membrane removal to assess baseline tympanic membrane function. The middle ear has its major gain in the lower frequencies, with a peak near 0.9 kHz. The mean gain was 23.0 dB below 1.0 kHz, the resonant frequency of the middle ear; the mean peak gain was 26.6 dB. Above 1.0 kHz, the second pressure gain decreased at a rate of -8.6 dB/octave, with a mean gain of 6.5 dB at 4.0 kHz. Only a small amount of gain was present above 7.0 kHz. Significant individual differences in pressure gain were found between ears that appeared related to variations in tympanic membrane function and not to variations in cochlear impedance.

Medline Plus

Full Text Available ... incus and stapes. As the stapes moves, it pushes a structure called the oval window in and ... brain by sensory nerves. As the stapes rocks back and forth against the oval window, it transmits ...

Three dimensional volume rendering virtual endoscopy of the ossicles using a multi-row detector CT: applications and limitations

International Nuclear Information System (INIS)

Kim, Su Yeon; Choi, Sun Seob; Kang, Myung Jin; Shin, Tae Beom; Lee, Ki Nam; Kang, Myung Koo

2005-01-01

This study was conducted to know the applications and limitations of three dimensional volume rendering virtual endoscopy of the ossicles using a multi-row detector CT. This study examined 25 patients who underwent temporal bone CT using a 16-row detector CT as a result of hearing problems or trauma. The axial CT scan of the temporal bone was performed with a 0.6 mm collimation, and a reconstruction was carried out with a U70u sharp of kernel value, a 1 mm thickness and 0.5-1.0 mm increments. After observing the ossicles in the axial and coronal images, virtual endoscopy was performed using a three dimensional volume rendering technique with a threshold value of-500 HU. The intra-operative otoendoscopy was performed in 12 ears, and was compared with the virtual endoscopy findings. Virtual endoscopy of the 29 ears without hearing problems demonstrated hypoplastic or an incomplete depiction of the stapes superstructures in 25 ears and a normal depiction in 4 ears. Virtual endoscopy of 21 ears with hearing problems demonstrated no ossicles in 1 ears, no malleus in 3 ears, a malleoincudal subluxation in 6 ears, a dysplastic incus in 5 ears, an incudostapedial subluxation in 9 ears, dysplastic stapes in 2 ears, a hypoplastic or incomplete depiction of the stapes in 16 ears and no stapes in 1 ears. In contrast to the intra-operative otoendoscopy, 8 out of 12 ears showed a hypoplastic or deformed stapes in the virtual endoscopy. Volume rendering virtual endoscopy using a multi-row detector CT is an excellent method for evaluation the ossicles in three dimension, even thought the partial volume effect for the stapes superstructures needs to be considered

Advances tomographic in evaluation of middle ear

International Nuclear Information System (INIS)

Anjos, Mayara Alves Pinheiro dos; Ledo, Mirelle D'arc Frota; Ribeiro, Marcio Duarte

2011-01-01

Computed tomography has a key role in the study of hearing, since through it can be evaluated structures not seen by otoscope. In many clinical situations the diagnosis through this test proves limited, being fundamental examination of the associated image reconstructions: multiplanar reconstruction, maximum intensity projection, and volume-rendering technique. The ossicular chain is a complex formed by the ossicles malleus, incus and stapes, situated in the middle ear; it is difficult to view them in orthogonals planes. This review article intends to demonstrate the importance of post-processing the image of the ossicular chain for a better representation of the anatomy and possible diseases. Reformatting of images helps, significantly, to a better visualization of these structures as related congenital malformations, vascular abnormalities, inflammatory conditions, neoplasia and traumas. (author)

Time Average Holography Study of Human Tympanic Membrane with Altered Middle Ear Ossicular Chain

Science.gov (United States)

Cheng, Jeffrey T.; Ravicz, Michael E.; Rosowski, John J.; Hulli, Nesim; Hernandez-Montes, Maria S.; Furlong, Cosme

2009-02-01

Computer-assisted time average holographic interferometry was used to study the vibration of the human tympanic membrane (TM) in cadaveric temporal bones before and after alterations of the ossicular chain. Simultaneous laser Doppler vibrometer measurements of stapes velocity were performed to estimate the conductive hearing loss caused by ossicular alterations. The quantified TM motion described from holographic images was correlated with stapes velocity to define relations between TM motion and stapes velocity in various ossicular disorders. The results suggest that motions of the TM are relatively uncoupled from stapes motion at frequencies above 1000 Hz.

Helical CT of congenital ossicular anomalies

International Nuclear Information System (INIS)

Osada, Hisato; Machida, Kikuo; Honda, Norinari

2001-01-01

Since January 1996 to December 2000, 26 cases of congenital ossicular anomaly could be diagnosed with helical CT. All cases were unilateral. In 8 patients with malformation of the external ear, CT showed malleoincudal fixation (n=5), malleoincudal fixation and deformed incuts long process (n=1), deformed incus long process (n=1), and partial fusion of malleus neck and incus long process (n=1). In 18 patients with normal external ear, CT showed defect of the incus long process (n=5), defect of both the incus long process and stapes superstructure (n=8, 2 patients with congenital cholesteatoma, 1 with hypoplastic oval window), defect of the stapes superstructure (n=2, 1 patient with oval window absence), defect of the malleus manubrium (n=1), ossification of the stampede's tendon (n=1), and monopod stapes (n=1). Helical CT can evaluate the auditory ossicular chain in detail and is useful for diagnosing congenital ossicular anomaly. (author)

Middle Ear Mechanics of Cartilage Tympanoplasty Evaluated by Laser Holography and Vibrometry

Science.gov (United States)

Aarnisalo, Antti A.; Cheng, Jeffrey T.; Ravicz, Michael E.; Hulli, Nesim; Harrington, Ellery J.; Hernandez-Montes, Maria S.; Furlong, Cosme; Merchant, Saumil N.; Rosowski, John J.

2010-01-01

Goals To assess the effects of thickness and position of cartilage used to reconstruct the tympanic membrane (TM) using a novel technique, time-averaged laser holography. Background Cartilage is commonly used in TM reconstruction to prevent formation of retraction pockets. The thickness, position, and shape of the cartilage graft may adversely affect TM motion and hearing. We sought to systematically investigate these parameters in an experimental setting. Methods Computer-assisted optoelectronic laser holography was used in 4 human cadaveric temporal bones to study sound-induced TM motion for 500 Hz to 8 kHz. Stapes velocity was measured with a laser Doppler vibrometer. Baseline (control) measurements were made with the TM intact. Measurements were repeated after a 0.5- or 1.0-mm-thick oval piece of conchal cartilage was placed on the medial TM surface in the posterior-superior quadrant. The cartilage was rotated so that it was either in contact with the bony tympanic rim and manubrium or not. Results At frequencies less than 4 kHz, the cartilage graft had only minor effects on the overall TM fringe patterns. The different conditions had no effects on stapes velocity. Greater than 4 kHz, TM motion was reduced over the grafted TM, both with 0.5- and 1.0-mm-thick grafts. No significant differences in stapes velocity were seen with the 2 different thicknesses of cartilage compared with control. Conclusion Computer-assisted optoelectronic laser holography is a promising technique to investigate middle ear mechanics after tympanoplasty. Such positioning may prevent postoperative TM retraction. These findings and conclusions apply to cartilage placed in the posterior-superior TM quadrant. PMID:19779389

The influence of prosthesis diameter in stapes surgery: a meta-analysis and systematic review of the literature.

Science.gov (United States)

Laske, Roman D; Röösli, Christof; Chatzimichalis, Michail Vasileios; Sim, Jae Hoon; Huber, Alexander M

2011-06-01

To analyze the influence of stapes prosthesis diameter on postoperative hearing results after stapedotomy without interposition in otosclerotic patients. PubMed search from 1970 to 2009 using the key words stapedotomy or stapedectomy or otosclerosis or stapesplasty. Inclusion criteria to select articles and patient groups for meta-analysis and statistical analyses were as follows: otosclerosis as diagnosis, clear description of technique and prosthesis size, calibrated stapedotomy, and complete report of functional results. Five controlled studies were found analyzing the influence of prosthesis diameter and reporting the results in a comparable way for meta-analysis (n = 590). Sixty-two studies not analyzing the influence of prosthesis diameter contained comparable subgroups with a total of 9,536 cases. These cases were pooled according to their diameter (0.3, 0.4, 0.5, 0.6,and 0.8 mm). The results of air conduction, bone conduction, air-bone gap (ABG), and success rate (closure of the ABG within 10 dB as percentage of the total cases) for all groups and frequency-specific ABG results were gathered. Furthermore, 12 clinical and experimental studies were reviewed that did not contribute to the statistical analysis. A meta-analysis performed for success rate of the 5 controlled studies showed favorable results for 0.6-mm over 0.4-mm prostheses (success rate, 67% versus 58%, p = 0.05). In the statistical analysis of the pooled data, the 0.6-mm prosthesis showed better results compared with 0.4 mm (p prosthesis in the high frequencies. There was no difference in postoperative change of bone conduction in the 0.6- and 0.4-mm groups. Statistically significant results could not be assessed for other prosthesis diameters because of the small number of cases reported. A 0.6-mm diameter piston prosthesis is associated with significantly better results than a 0.4-mm prosthesis and should be used if the surgical conditions allow it.

Electrocoagulation improving bone cement use in middle-ear surgery: short-term and middle-term results.

Science.gov (United States)

Galy-Bernadoy, C; Akkari, M; Mondain, M; Uziel, A; Venail, F

2016-12-01

Bone cement is used for ossicular chain repair and revision stapes surgery. Its efficient use requires cautious removal of mucosa from the ossicles. This paper reports a technique for easy, fast and safe removal of this mucosa prior to cement application. It consists of the application of monopolar electrocoagulation on the ossicles prior to bone cement application. The outcomes of six cases of revision stapes surgery and seven cases of partial ossiculoplasty, conducted between 2007 and 2012 using this new technique, were evaluated. Intra-operative reports and audiometric data were collected. During the last assessment, reconstruction using bone cement resulted in mean post-operative air-bone gaps of 4.1 ± 6.5 dB in revision stapes surgery cases and 5.7 ± 5.5 dB in partial ossiculoplasty cases, reflecting a significant hearing improvement (p = 0.03). No complications were observed. Electrocoagulation allows the removal of mucosa from the ossicles in an easy, fast and safe manner, enabling the use of bone cement for ossicular chain reconstruction.

A micropower miniature piezoelectric actuator for implantable middle ear hearing device.

Science.gov (United States)

Wang, Zhigang; Mills, Robert; Luo, Hongyan; Zheng, Xiaolin; Hou, Wensheng; Wang, Lijun; Brown, Stuart I; Cuschieri, Alfred

2011-02-01

This paper describes the design and development of a small actuator using a miniature piezoelectric stack and a flextensional mechanical amplification structure for an implantable middle ear hearing device (IMEHD). A finite-element method was used in the actuator design. Actuator vibration displacement was measured using a laser vibrometer. Preliminary evaluation of the actuator for an IMEHD was conducted using a temporal bone model. Initial results from one temporal bone study indicated that the actuator was small enough to be implanted within the middle ear cavity, and sufficient stapes displacement can be generated for patients with mild to moderate hearing losses, especially at higher frequency range, by the actuator suspended onto the stapes. There was an insignificant mass-loading effect on normal sound transmission (actuator was attached to the stapes and switched off. Improved vibration performance is predicted by more firm attachment. The actuator power consumption and its generated equivalent sound pressure level are also discussed. In conclusion, the actuator has advantages of small size, lightweight, and micropower consumption for potential use as IMHEDs.

Medline Plus

Full Text Available ... stapes. As the stapes moves, it pushes a structure called the oval window in and out. This ... cochlea, which is a fluid-filled snail-like structure that contains the receptor organ for hearing. The ...

Avaliação audiométrica após estapedotomia com prótese de titânio do tipo Fisch Audiometric evaluation after stapedotomy with Fisch titanium prosthesis

Directory of Open Access Journals (Sweden)

Andre Luiz de Ataide

2013-06-01

Full Text Available Otosclerose é uma doença que provoca fixação do estribo, levando à perda auditiva tipicamente condutiva, corrigida com aparelhos auditivos ou cirurgia de estapedotomia, substituindo o estribo doente por uma prótese. O material mais recentemente utilizado é o titânio e no Brasil há apenas duas próteses comercialmente disponíveis. A prótese de pistão tipo Fisch, da Storz, não possui resultados relatados na literatura. OBJETIVO: Estudo retrospectivo avaliando resultado auditivo após estapedotomia com uso desta prótese. MÉTODO: Usando critérios da Academia Americana de Otorrinolaringologia, comparou-se o gap nas audiometrias pré e pós-operatórias, avaliando-se melhora auditiva. RESULTADOS: O gap pós-operatório em baixas frequências teve média de 12,9 dB, em altas frequências de 5,2 dB (média 9,1 dB, mediana 8,8 dB, mínimo 1,3 dB e máximo 21,6 dB, desvio padrão 5,7 e p Otosclerosis causes the fixation of the stapes and conductive hearing loss, usually corrected with the use of hearing aids or through stapedotomy and the replacement of the involved stapes with a prosthesis. Titanium has been the most recently used material of choice in stapedotomy prostheses. Only two prostheses are commercially available in Brazil. There are no reports in the literature on the Fisch-type Storz titanium stapes piston prosthesis. OBJECTIVE: This retrospective study aims to look into the auditory outcomes of patients submitted to stapedotomy and titanium stapes piston prosthesis implantation. METHOD: The criteria described by the American Academy of Otolaryngology were used to compare pre and postoperative air-bone gaps seen in audiometry tests. RESULTS: The mean low-frequency postoperative air-bone gap was 12.9 dB; the mean high-frequency air-bone gap was 5.2 dB (mean 9.1 dB; median gap was 8.8 dB, with a minimum of 1.3 dB and a maximum of 21.6 dB; standard deviation was 5.7 dB, and p < 0.001. Twenty-five (75.8% patients had air-bone gaps

Manual accuracy in comparison with a miniature master slave device--preclinical evaluation for ear surgery.

Science.gov (United States)

Runge, A; Hofer, M; Dittrich, E; Neumuth, T; Haase, R; Strauss, M; Dietz, A; Lüth, T; Strauss, G

2011-01-01

Manual accuracy in microsurgery is reduced by tremor and limited access. A surgical approach through the middle ear also puts delicate structures at risk, while the surgeon is often working at an unergonomic position. At this point a micromanipulator could have a positive influence. A system was developed to measure "working accuracy", time and precision during manipulation in the middle ear. 10 ENT-surgeons simulated a perforation of the stapedial footplate on a modified 3D print of a human skull in a mock OR. Each trial was repeated more than 200 times aiming manually and using a micro-manipulator. Data of over 4000 measurements was tested and graphically processed. Work strain was evaluated with a questionnaire. Accuracy for manual and micromanipulator perforation revealed a small difference. Learning curves showed a stronger decrease both in deviation and time when the micromanipulator was used. Also a lower work strain was apparent. The micromanipulator has the potential as an aiding device in ear surgery.

Evaluation of high-resolution CT after tympanoplasty

International Nuclear Information System (INIS)

Torizuka, T.; Hayakawa, K.; Sato, Y.; Tanaka, F.; Okuno, Y.

1991-01-01

This paper reports on the condition of the middle ear cavity following tympanoplasty which is always of great interest to radiologists and otosurgeons. This study consisted of 21 patients who had various types of tympanoplasty (types I-IV) for chronic otitis media and cholesteatoma by using high-resolution CT (HRCT). HRCT following tympanoplasty was a valuable method for assessing the middle ear aeration and the state of ossicular reconstruction, including stapes prosthesis, although in some cases of soft-tissue mass in the middle ear it was necessary to correlate with clinical findings in order to differentiate between granulation and recurrence

Gait rehabilitation machines based on programmable footplates.

Science.gov (United States)

Schmidt, Henning; Werner, Cordula; Bernhardt, Rolf; Hesse, Stefan; Krüger, Jörg

2007-02-09

Gait restoration is an integral part of rehabilitation of brain lesioned patients. Modern concepts favour a task-specific repetitive approach, i.e. who wants to regain walking has to walk, while tone-inhibiting and gait preparatory manoeuvres had dominated therapy before. Following the first mobilization out of the bed, the wheelchair-bound patient should have the possibility to practise complex gait cycles as soon as possible. Steps in this direction were treadmill training with partial body weight support and most recently gait machines enabling the repetitive training of even surface gait and even of stair climbing. With treadmill training harness-secured and partially relieved wheelchair-mobilised patients could practise up to 1000 steps per session for the first time. Controlled trials in stroke and SCI patients, however, failed to show a superior result when compared to walking exercise on the floor. Most likely explanation was the effort for the therapists, e.g. manually setting the paretic limbs during the swing phase resulting in a too little gait intensity. The next steps were gait machines, either consisting of a powered exoskeleton and a treadmill (Lokomat, AutoAmbulator) or an electromechanical solution with the harness secured patient placed on movable foot plates (Gait Trainer GT I). For the latter, a large multi-centre trial with 155 non-ambulatory stroke patients (DEGAS) revealed a superior gait ability and competence in basic activities of living in the experimental group. The HapticWalker continued the end effector concept of movable foot plates, now fully programmable and equipped with 6 DOF force sensors. This device for the first time enables training of arbitrary walking situations, hence not only the simulation of floor walking but also for example of stair climbing and perturbations. Locomotor therapy is a fascinating new tool in rehabilitation, which is in line with modern principles of motor relearning promoting a task-specific repetitive approach. Sophisticated technical developments and positive randomized controlled trials form the basis of a growing acceptance worldwide to the benefits or our patients.

Gait rehabilitation machines based on programmable footplates

Directory of Open Access Journals (Sweden)

Bernhardt Rolf

2007-02-01

Full Text Available Abstract Background Gait restoration is an integral part of rehabilitation of brain lesioned patients. Modern concepts favour a task-specific repetitive approach, i.e. who wants to regain walking has to walk, while tone-inhibiting and gait preparatory manoeuvres had dominated therapy before. Following the first mobilization out of the bed, the wheelchair-bound patient should have the possibility to practise complex gait cycles as soon as possible. Steps in this direction were treadmill training with partial body weight support and most recently gait machines enabling the repetitive training of even surface gait and even of stair climbing. Results With treadmill training harness-secured and partially relieved wheelchair-mobilised patients could practise up to 1000 steps per session for the first time. Controlled trials in stroke and SCI patients, however, failed to show a superior result when compared to walking exercise on the floor. Most likely explanation was the effort for the therapists, e.g. manually setting the paretic limbs during the swing phase resulting in a too little gait intensity. The next steps were gait machines, either consisting of a powered exoskeleton and a treadmill (Lokomat, AutoAmbulator or an electromechanical solution with the harness secured patient placed on movable foot plates (Gait Trainer GT I. For the latter, a large multi-centre trial with 155 non-ambulatory stroke patients (DEGAS revealed a superior gait ability and competence in basic activities of living in the experimental group. The HapticWalker continued the end effector concept of movable foot plates, now fully programmable and equipped with 6 DOF force sensors. This device for the first time enables training of arbitrary walking situations, hence not only the simulation of floor walking but also for example of stair climbing and perturbations. Conclusion Locomotor therapy is a fascinating new tool in rehabilitation, which is in line with modern principles of motor relearning promoting a task-specific repetitive approach. Sophisticated technical developments and positive randomized controlled trials form the basis of a growing acceptance worldwide to the benefits or our patients.

Resultados da cirurgia para otospongiose com dois tipos de prótese em procedimentos realizados por residentes Results of stapes surgery for otosclerosis with two kinds of prothesis in residency training

Directory of Open Access Journals (Sweden)

Celso Dall'Igna

2008-12-01

Full Text Available A cirurgia do estapédio é um dos tratamentos indicados para a melhora da surdez condutiva secundária à otospongiose. O procedimento requer habilidade e experiência do cirurgião e faz parte do treinamento durante a residência médica. OBJETIVOS: Avaliar qual tipo de prótese (teflon ou mista de metal e aço apresenta melhores os resultados auditivos em cirurgias realizadas por residentes e a incidência de complicações. MATERIAL E MÉTODOS: Foram avaliadas retrospectivamente 189 intervenções cirúrgicas que tiveram participação ativa de residentes, comparando-se os dois tipos de prótese utilizados. Os resultados audiométricos foram analisados conforme orientação do Committee on Hearing and Equilibrium e segundo o Amsterdam Hearing Evaluation Plots. RESULTADOS: O gap aéreo-ósseo diminuiu em média 21,90 dB (pStapes surgery is one of the approaches indicated to treat conductive hearing loss secondary to otosclerosis. The procedures requires skill and experience from the surgeon and is part of medical residency training. AIMS: To assess which type of prosthesis (Teflon or metal/steel presents the best results in surgeries performed by residents and the incidence of complications. MATERIALS AND METHODS: we retrospectively assessed 189 interventions that counted on the active participation of resident physicians, and we compared the two types of prosthesis used. Audiometric results were analyzed following the guidelines from the Committee on Hearing and Equilibrium and also according to the Amsterdam Hearing Evaluation Plots. RESULTS: Bone-air gap reduced in an average value of 21.90 dB (p<0.05 after the surgery in the group that received the Teflon prosthesis and 21.37 dB (p<0.05 in the group that received the mixed prosthesis, and gain in SRI was of 22.33 and 26.10 dB (p<0.05, and the air-bone gap was below 20 dB in 80.6% and 85.04%, respectively. CONCLUSIONS: We did not see differences in the audiometry and in the incidence of

KTP laser stapedotomy with a self-crimping, thermal shape memory Nitinol piston: follow-up study reporting intermediate-term hearing.

Science.gov (United States)

Gerlinger, Imre; Bakó, Péter; Piski, Zalán; Révész, Péter; Ráth, Gábor; Karosi, Tamás; Lujber, László

2014-12-01

The aim of this study was an evaluation of the mid-term hearing results after the implantation of a self-crimping heat memory Nitinol piston in stapes surgery. The 12-month postoperative results were compared with those at a minimum of 3 years (maximum 6.7, average 4.4 years). The medical records of all 44 patients who underwent surgery with a Nitinol piston for stapes fixation between November 2005 and January 2007 were evaluated retrospectively. The prostheses used in all cases measured either 4.5 or 4.75 × 0.6 mm. We hypothesized that the 12-month postoperative hearing results would be permanent after an average follow-up of 4.4 years. Thirty-two of the 44 consecutive patients were females and 12 were males. Their mean age was 40.4 years (range 27-69). All underwent a 12-month postoperative audiometric evaluation. 38 (30 females, 8 males, average age 45, range 28-77 years) of the 44 were available for mid-term 4.4-year (minimum 3 years, maximum 6.7 years) postoperative audiometric evaluation. The mean air-bone gap (ABG) for the frequencies 0.5, 1, 2 and 3 kHz at the 12-month postoperative follow-up was 11 dB (SD 4.1) and that after an average 4.4-year postoperative evaluation was 6.4 dB (SD 3.6). The mean decrease in ABG after 12 months was 19.5 dB, and that after the average 4.4 years was 21.3 dB. ABG closure within 10 dB was achieved in 77.2 % after 12 months and in 89.5 % after the average 4.4 years. No patient with an ABG > 20 dB was recorded after the average 4.4 years. The mean air conduction threshold at 4 kHz was examined pre and postoperatively so as to indicate any possible inner ear damage. At the 12-month follow-up, the difference between the pre and postoperative values was -2.5 dB, whereas after the average 4.4 years the difference was surprisingly +13 dB. The individual AC improvements were also demonstrated with the use of Amsterdam Hearing Evaluation Plots (AHEPs). The Nitinol prosthesis allowed excellent intraoperative handling and no

Is there a role for virtual otoscopy in the preoperative assessment of the ossicular chain in chronic suppurative otitis media? Comparison of HRCT and virtual otoscopy with surgical findings

Energy Technology Data Exchange (ETDEWEB)

Pandey, A.K. [University of British Columbia, Department of Radiology, St. Paul Hospital, Vancouver, BC (Canada); Bapuraj, J.R. [University of Michigan, Division of Neuroradiology, Department of Radiology, University Hospital, Ann Arbor, MI (United States); Gupta, A.K. [Post Graduate Institute of Medical Education and Research, Department of Otolaryngology, Chandigarh (India); Khandelwal, N. [Post Graduate Institute of Medical Education and Research, Department of Radiodiagnosis, Chandigarh (India)

2009-06-15

The aim of this study was to assess the role of virtual otoscopy and 3D ossicular reconstruction in the preoperative assessment of the ossicles in chronic suppurative otitis media. Thirty three patients of chronic suppurative otitis media with conductive deafness (air-bone gap > 35 dB) were included in this prospective study. All patients underwent axial multidetector CT. The axial CT data set was utilized for multiplanar 2D reformations as well as virtual otoscopy (VO) and 3D reconstructions. The imaging findings on these two techniques were read independently by two radiologists with respect to different parts of the ossicular chain by using a three-point scoring system and were compared with surgical findings. Both imaging techniques had comparable accuracy for evaluation of larger ossicular parts. However, for evaluation of stapes superstructure, VO/3D images were more accurate (85.29%) than 2D images (76.97%). Assessment of the lenticular process and incudostapedial joint by HRCT and 2D reformatted images was not reliable (P > 0.1); however, significant correlation (P < 0.001) was present between VO/3D and the operative findings. Virtual otoscopy improves evaluation of the ossicular chain particularly that of smaller structures such as the lenticular process, incudostapedial joint and stapes superstructure which may influence decisions regarding planning of ossiculoplasty. (orig.)

Is there a role for virtual otoscopy in the preoperative assessment of the ossicular chain in chronic suppurative otitis media? Comparison of HRCT and virtual otoscopy with surgical findings

International Nuclear Information System (INIS)

Pandey, A.K.; Bapuraj, J.R.; Gupta, A.K.; Khandelwal, N.

2009-01-01

The aim of this study was to assess the role of virtual otoscopy and 3D ossicular reconstruction in the preoperative assessment of the ossicles in chronic suppurative otitis media. Thirty three patients of chronic suppurative otitis media with conductive deafness (air-bone gap > 35 dB) were included in this prospective study. All patients underwent axial multidetector CT. The axial CT data set was utilized for multiplanar 2D reformations as well as virtual otoscopy (VO) and 3D reconstructions. The imaging findings on these two techniques were read independently by two radiologists with respect to different parts of the ossicular chain by using a three-point scoring system and were compared with surgical findings. Both imaging techniques had comparable accuracy for evaluation of larger ossicular parts. However, for evaluation of stapes superstructure, VO/3D images were more accurate (85.29%) than 2D images (76.97%). Assessment of the lenticular process and incudostapedial joint by HRCT and 2D reformatted images was not reliable (P > 0.1); however, significant correlation (P < 0.001) was present between VO/3D and the operative findings. Virtual otoscopy improves evaluation of the ossicular chain particularly that of smaller structures such as the lenticular process, incudostapedial joint and stapes superstructure which may influence decisions regarding planning of ossiculoplasty. (orig.)

Muscle coordination in healthy subjects during floor walking and stair climbing in robot assisted gait training.

Science.gov (United States)

Hussein, S; Schmidt, H; Volkmar, M; Werner, C; Helmich, I; Piorko, F; Krüger, J; Hesse, S

2008-01-01

The aim of gait rehabilitation is a restoration of an independent gait and improvement of daily life walking functions. Therefore the specific patterns, that are to be relearned, must be practiced to stimulate the learning process of the central nervous system (CNS). The Walking Simulator HapticWalker allows for the training of arbitrary gait trajectories of daily life. To evaluate the quality of the training a total of 9 subjects were investigated during free floor walking and stair climbing and during the same tasks in two different training modes on the HapticWalker: 1) with and 2) without vertical center of mass (CoM) motion. Electromyograms (EMG) of 8 gait relevant muscles were measured and muscle activation was compared for the various training modes. Besides the muscle activation as an indicator for the quality of rehabilitation training the study investigates if a cancellation of the vertical CoM movement by adaption of the footplate trajectory is feasible i.e. the muscle activation patterns for the two training modes on the HapticWalker agree. Results show no significant differences in activation timing between the training modes. This indicates the feasibility of using a passive patient suspension and emulate the vertical CoM motion by trajectory adaption of the footplates. The muscle activation timing during HapticWalker training shows important characteristics observed in physiological free walking though a few differences can still remain.

Estapedotomia totalmente endoscópica: técnica e resultados preliminares Fully endoscopic stapes surgery (stapedotomy: technique and preliminary results

Directory of Open Access Journals (Sweden)

João Flávio Nogueira Júnior

2011-12-01

visualization of important structures. b To show initial results, discuss possible advantages and disadvantages of this instrument. METHODS: 15 patients with otosclerosis were selected to undergo stapedotomies in 2010. The data and surgery videos were analyzed retrospectively (study case series. The anatomical conditions of the oval window niche and surgical steps were described and used to assess possible benefits of such procedures. RESULTS: The surgeries were performed with endoscopes only and all relevant anatomical structures were visualized without difficulty. No complications were observed and 14 of the 15 patients reported improvement of their hearing, confirmed by postoperative audiological tests. CONCLUSION: Totally endoscopic stapes surgeries are technically feasible, safe and promising. In this small series, the main advantages were: virtually no trauma to the chorda tympani nerve and excellent vision. The disadvantages were the lack of stereoscopic vision, having to work with one hand only and the learning curve.

Effects of an Off-Axis Pivoting Elliptical Training Program on Gait Function in Persons With Spastic Cerebral Palsy: A Preliminary Study.

Science.gov (United States)

Tsai, Liang-Ching; Ren, Yupeng; Gaebler-Spira, Deborah J; Revivo, Gadi A; Zhang, Li-Qun

2017-07-01

This preliminary study examined the effects of off-axis elliptical training on reducing transverse-plane gait deviations and improving gait function in 8 individuals with cerebral palsy (CP) (15.5 ± 4.1 years) who completed an training program using a custom-made elliptical trainer that allows transverse-plane pivoting of the footplates during exercise. Lower-extremity off-axis control during elliptical exercise was evaluated by quantifying the root-mean-square and maximal angular displacement of the footplate pivoting angle. Lower-extremity pivoting strength was assessed. Gait function and balance were evaluated using 10-m walk test, 6-minute-walk test, and Pediatric Balance Scale. Toe-in angles during gait were quantified. Participants with CP demonstrated a significant decrease in the pivoting angle (root mean square and maximal angular displacement; effect size, 1.00-2.00) and increase in the lower-extremity pivoting strength (effect size = 0.91-1.09) after training. Reduced 10-m walk test time (11.9 ± 3.7 seconds vs. 10.8 ± 3.0 seconds; P = 0.004; effect size = 1.46), increased Pediatric Balance Scale score (43.6 ± 12.9 vs. 45.6 ± 10.8; P = 0.042; effect size = 0.79), and decreased toe-in angle (3.7 ± 10.5 degrees vs. 0.7 ± 11.7 degrees; P = 0.011; effect size = 1.22) were observed after training. We present an intervention to challenge lower-extremity off-axis control during a weight-bearing and functional activity for individuals with CP. Our preliminary findings suggest that this intervention was effective in enhancing off-axis control, gait function, and balance and reducing in-toeing gait in persons with CP.

Evaluations of Audiovestibular Manifestations in Patients with Psoriasis

Directory of Open Access Journals (Sweden)

İsmail Cem Temel

2017-12-01

Full Text Available Objective: Sensorineural hearing loss can occur as a complication of autoimmune and inflammatory diseases. Although psoriasis is also a chronic inflammatory skin disease characterized by T-cell mediated hyper proliferation of the keratinocytes, the information about the relationship between audiological disorders is limited in the literature and the relationship with vestibular disorders has not been investigated before. In this study, we aimed to investigate the presence of audiovestibular disorders and their relationship with disease parameters. Methods: Sixty-one patients with psoriasis and 61 healthy individuals were included in this prospective cross-sectional study. Those with possible etiologic factors that may lead to hearing and balance disorders were not included in the study. All participants were first performed a full ear, nose and throat examination. Subsequently, full audiological examination (pure audiometry, autoacoustic emission, stapes reflex, detection threshold of speech and discrimination and electronystagmography tests were performed in the audiology laboratory where sound isolation was provided. Psoriasis severity was assessed by psoriasis area and severity index, body surface area and general evaluation of researcher. Results: There were significant differences between patients and controls in terms of audiovestibular symptoms. According to audiograms, predominant bilateral sensorineural hearing loss was detected in high frequency in psoriasis patients. The vestibular abnormalities in patients with psoriasis were found to be more frequent than those in controls, only saccadic test values were observed as statistically significant. Conclusion: Our study demonstrates that audiovestibular abnormalities are significantly associated with psoriasis. Therefore, patients with psoriasis should be evaluated for the co-occurrence of hearing loss or vestibular problems which might affect patients’ quality of life.

Three-dimensional multislice CT imaging of otitis media

International Nuclear Information System (INIS)

Suzuki, Miyako; Yoshikawa, Hiroshi; Hosokawa, Akira; Furukawa, Tomoyasu; Ichikawa, Ginichiro; Wada, Akihiro; Ando, Ichiro

2002-01-01

In recent years, the multislice CT system has come into practical use that enables table movement of half mm, resulting in a significant improvement in resolution. The use of this CT system enables to depict the entire auditory ossicles, including the stapes. 3D reconstruction was performed using helical CT data in 5 patients with chronic otitis media and 5 patients with cholesteatoma. An Aquilion Multi (Toshiba) multislice helical CT scanner and a Xtension (Toshiba) image workstation were used in this study. We demonstrated the 3D display with axial, coronal and sagittal images. Compared with the normal ears, it was necessary to set a higher threshold for the affected ears. It is important to select suitable threshold for demonstration of 3D images optimally. Bone destruction of the stapes was confirmed at surgery in 2 ears. The stapes was observed at 3D-CT imaging in other 18 ears. It was found that the 3D images of the ossicular destruction in ears with cholesteatoma were consistent with surgical findings. It is therefore concluded that 3D imaging of the middle ear using a multislice CT scanner is clinically useful. (author)

Three-dimensional multislice CT imaging of otitis media

Energy Technology Data Exchange (ETDEWEB)

Suzuki, Miyako [Yanagibasi Hospital, Tokyo (Japan); Yoshikawa, Hiroshi; Hosokawa, Akira; Furukawa, Tomoyasu; Ichikawa, Ginichiro [Juntendo Univ., Tokyo (Japan). School of Medicine; Wada, Akihiro; Ando, Ichiro [Juntendo Univ., Chiba (Japan). Urayasu Hospital

2002-07-01

In recent years, the multislice CT system has come into practical use that enables table movement of half mm, resulting in a significant improvement in resolution. The use of this CT system enables to depict the entire auditory ossicles, including the stapes. 3D reconstruction was performed using helical CT data in 5 patients with chronic otitis media and 5 patients with cholesteatoma. An Aquilion Multi (Toshiba) multislice helical CT scanner and a Xtension (Toshiba) image workstation were used in this study. We demonstrated the 3D display with axial, coronal and sagittal images. Compared with the normal ears, it was necessary to set a higher threshold for the affected ears. It is important to select suitable threshold for demonstration of 3D images optimally. Bone destruction of the stapes was confirmed at surgery in 2 ears. The stapes was observed at 3D-CT imaging in other 18 ears. It was found that the 3D images of the ossicular destruction in ears with cholesteatoma were consistent with surgical findings. It is therefore concluded that 3D imaging of the middle ear using a multislice CT scanner is clinically useful. (author)

Synthetic ossicular replacements: Normal and abnormal CT appearance

International Nuclear Information System (INIS)

Swartz, J.D.; Zwillenberg, S.; Berger, A.S.; Granoff, D.W.; Popky, G.L.

1986-01-01

Numerous synthetic ossicular replacements are currently in use. The TORP conducts sound from the newly formed tympanic membrane to the oval window; the PORP is used when the stapes superstructure is maintained, being interposed between the tympanic membrane and the stapes capitulum. In 12 patients the surgical results of ossicular replacement procedures were good, which gave the author the opportunity to study the normal CT appearance. In an additional 10 patients CT was performed before surgical revision. Using CT, they have been able to diagnose subluxation and fibrous tissue fixation. In two patients the CT appearance was unremarkable, but at surgery lateralization of the graft was found, with a nonfunctioning interface

Does stapes surgery improve tinnitus in patients with otosclerosis?

Science.gov (United States)

Ismi, Onur; Erdogan, Osman; Yesilova, Mesut; Ozcan, Cengiz; Ovla, Didem; Gorur, Kemal

Otosclerosis (OS) is the primary disease of the human temporal bone characterized by conductive hearing loss and tinnitus. The exact pathogenesis of tinnitus in otosclerosis patients is not known and factors affecting the tinnitus outcome in otosclerosis patients are still controversial. To find the effect of stapedotomy on tinnitus for otosclerosis patients. Fifty-six otosclerosis patients with preoperative tinnitus were enrolled to the study. Pure tone average Air-Bone Gap values, preoperative tinnitus pitch, Air-Bone Gap closure at tinnitus frequencies were evaluated for their effect on the postoperative outcome. Low pitch tinnitus had more favorable outcome compared to high pitch tinnitus (p=0.002). Postoperative average pure tone thresholds Air-Bone Gap values were not related to the postoperative tinnitus (p=0.213). There was no statistically significant difference between postoperative Air-Bone Gap closure at tinnitus frequency and improvement of high pitch tinnitus (p=0.427). There was a statistically significant difference between Air-Bone Gap improvement in tinnitus frequency and low pitch tinnitus recovery (p=0.026). Low pitch tinnitus is more likely to be resolved after stapedotomy for patients with otosclerosis. High pitch tinnitus may not resolve even after closure of the Air-Bone Gap at tinnitus frequencies. Copyright © 2016 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

Pre-operative computed tomography evaluation of congenital aural atresia in children; Bilan tomodensitometrique pre-operatoire des aplasies majeures de l`oreille chez l`enfant

Energy Technology Data Exchange (ETDEWEB)

Lumbroso, C.; Sebag, G.; Argyropoulou, M.; Manach, Y.; Lallemand, D. [Hopital Necker-Enfants-Malades, 75 - Paris (France)

1995-04-01

To describe computed tomography (CT) findings in congenital aural atresia (CAA) and to illustrate the impact of these findings in the preoperative evaluation. A narrow bony external auditory canal (EAC) was present in 24% of the cases. In one of these cases, the EAC contained a cholesteatoma and was consequently a clear indication of surgery. An hyperpneumatized mastoid (22%), a posterior position of the temporo mandibular joint (16%), and a bulging medial temporal fossa (12%) made the operation much more difficult. The tympanic cavity was small in 68% of the cases, normal in 28% and absent in 4% of the cases without any detectable ossicular chain. Ossicular chain anomalies were present in 91% of the cases. This consisted most frequently of a fusion of the malleus and the incus (76%) with or without fusion of the tympanic wall (33%). Lateral and anterior displacement of the descending portion of the facial nerve was present in 62%. Oval and round windows were normal in 86% of the cases. A soft tissue opacity (33%) in the tympanic cavity made it difficult to evaluate the stapes, the incudo stapedial articulation, and the facial nerve. Simultaneous abnormalities of inner ear were exceptional. (authors). 9 refs., 8 figs.

A New Method for Rating Hazard from Intense Sounds: Implications for Hearing Protection, Speech Intelligibility, and Situation Awareness

National Research Council Canada - National Science Library

Price, G. R

2005-01-01

.... The AHAAH model operates in a PC-level computer and analyzes hazard in the time domain. In addition to reproducing the conductive path from air to the cochlea accurately, it includes a nonlinear stapes...

Comparison of Knee and Ankle Dynamometry between NASA's X1 Exoskeleton and Biodex System 4

Science.gov (United States)

English, K. L.; Newby, N. J.; Hackney, K. J.; DeWitt, J. K.; Beck, C. E.; Rovekamp, R. N.; Rea, R. L.; Ploutz-Snyder, L. L.

2014-01-01

Pre- and post-flight dynamometry is performed on International Space Station crewmembers to characterize microgravity-induced strength changes. Strength is not assessed in flight due to hardware limitations and there is poor understanding of the time course of in-flight changes. PURPOSE: To assess the reliability of a prototype dynamometer, the X1 Exoskeleton (EXO) and its agreement with a Biodex System 4 (BIO). METHODS: Eight subjects (4 M/4 F) completed 2 counterbalanced testing sessions of knee extension/flexion (KE/KF), 1 with BIO and 1 with EXO, with repeated measures within each session in normal gravity. Test-retest reliability (test 1 and 2) and device agreement (BIO vs. EXO) were evaluated. Later, to assess device agreement for ankle plantarflexion (PF), 10 subjects (4 M/6 F) completed 3 test conditions (BIO, EXO, and BIOEXO); BIOEXO was a hybrid condition comprised of the Biodex dynamometer motor and the X1 footplate and ankle frame. Ankle comparisons were: BIO vs. BIOEXO (footplate differences), BIOEXO vs. EXO (motor differences), and BIO vs. EXO (all differences). Reliability for KE/KF was determined by intraclass correlation (ICC). Device agreement was assessed with: 1) repeated measures ANOVA, 2) a measure of concordance (rho), and 3) average difference. RESULTS: ICCs for KE/KF were 0.99 for BIO and 0.96 to 0.99 for EXO. Agreement was high for KE (concordance: 0.86 to 0.95; average differences: -7 to +9 Nm) and low to moderate for KF (concordance: 0.64 to 0.78; average differences: -4 to -29 Nm, Pexoskeleton to perform portable dynamometry for large muscle groups of the lower body.

Ex vivo evaluation of ferromagnetism for metallic ocular and middle-ear prostheses exposed to a 1.5-T MR imager

International Nuclear Information System (INIS)

Shellock, F.G.; Schatz, C.; Shelton, C.; Brown, B.

1990-01-01

This paper determines ferromagnetism by measuring deflection angles for nine different metallic ocular and middle-ear biomedical implants exposed to a 1.5-T MR imager. Deflection angles were determined at the bore of a 1.5-t MR imager for two ocular (Fatio eyelid wire 0.008, Fatio eyelid wire 0.01) and seven middle-ear (House tantalum single loop, House tantalum double loop, IRP, Schuknecht tef-wire piston, Austin tytan piston, McGee piston, Robinson stapes prosthesis) biomedical implants. A previously described, standardized methodology was used to measure deflection angles. Deflection angles for the biomedical implants were 90 degrees for the first ocular implant, over 90 degrees for the second, and 0 degrees (no deflection measured) for the seven middle-ear implants

Medline Plus

Full Text Available ... moves, it pushes a structure called the oval window in and out. This action is passed onto ... stapes rocks back and forth against the oval window, it transmits pressure waves of sound through the ...

[Applied anatomy of scala tympani inlet related to cochlear implantation].

Science.gov (United States)

Zou, Tuanming; Guo, Menghe; Zhang, Hongzheng; Shu, Fan; Xie, Nanping

2012-06-01

To investigate the related parameters of the temporal bone structure for determining the position of implanting electrode into the scala tympani in cochlear implantation surgery through the facial recess and epitympanum approach. In a surgical simulation experiment, 20 human temporal bones were studied and measured to determine the related parameters of the temporal bone structure. The distance 5.91∓0.29 mm between the short process of the incus and the round window niche, 2.11∓0.18 mm between the stapes and the round window niche, 6.70∓0.19 mm between the facial nerve in the perpendicular paragraph and the round window niche, 2.22∓0.21 mm from the pyramidal eminence to the round window, and 2.16∓0.14 mm between the stapes and the round window. The minimal distance between the implanting electrode and the vestibular window was 2.12∓0.19 mm. The distance between the cochleariform process and the round window niche was 3.79∓0.17 mm. The position of the cochlear electrode array insertion into the second cochlear turn was 2.25∓0.13 mm under the stapes. The location of the cochlear electrode array insertion into the second cochlear turn was 2.28∓0.20 mm inferior to the pyramidal eminence. These parameters provide a reference value to determine the different positions of cochlear electrode array insertion into the scale tympani in different patients.

Evaluation of CT-scanning of the temporal bone in the diagnosis of ear diseases

International Nuclear Information System (INIS)

Murata, Kiyotaka; Isono, Michio; Nishimae, Tadahide; Tamaki, Katsuhiko; Hosoi, Hiroshi; Ohta, Fumihiko

1983-01-01

CT-scanning of 96 temporal bones was carried out to reveal the extension of cholesteatoma, periossicular drainage, fracture lines, enlarged internal acoustic meatus and anomalies of labyrinthine capsules and ossicles. The clinical aspects of CT-scanning of the temporal bone (CTTB) were as follows: 1) Inner ear anomalies were observed in 17 temporal bones of unilateral deafness, high tone loss from unknown origin and fluctuant hearing loss. CTTB may explain the pathology of deafness from unknown origin. 2) Inner ear anomalies may be classified into more detailed groups than before. 3) The extension of cholesteatoma, localization and size of labyrinthine fistula can be estimated prior to surgery. 4) Cholesteatoma in a mastoidectomy cavity may be detected. 5) The malleus and incus may be visualized, although the stapes can hardly be found. 6) Fracture lines of a temporal bone, destruction of the internal acoustic meatus may be clearly detected. (author)

Computational Prediction of Muscle Moments During ARED Squat Exercise on the International Space Station.

Science.gov (United States)

Fregly, Benjamin J; Fregly, Christopher D; Kim, Brandon T

2015-12-01

Prevention of muscle atrophy caused by reduced mechanical loading in microgravity conditions remains a challenge for long-duration spaceflight. To combat leg muscle atrophy, astronauts on the International Space Station (ISS) often perform squat exercise using the Advanced Resistive Exercise Device (ARED). While the ARED is effective at building muscle strength and volume on Earth, NASA researchers do not know how closely ARED squat exercise on the ISS replicates Earth-level squat muscle moments, or how small variations in exercise form affect muscle loading. This study used dynamic simulations of ARED squat exercise on the ISS to address these two questions. A multibody dynamic model of the complete astronaut-ARED system was constructed in OpenSim. With the ARED base locked to ground and gravity set to 9.81 m/s², we validated the model by reproducing muscle moments, ground reaction forces, and foot center of pressure (CoP) positions for ARED squat exercise on Earth. With the ARED base free to move relative to the ISS and gravity set to zero, we then used the validated model to simulate ARED squat exercise on the ISS for a reference squat motion and eight altered squat motions involving changes in anterior-posterior (AP) foot or CoP position on the ARED footplate. The reference squat motion closely reproduced Earth-level muscle moments for all joints except the ankle. For the altered squat motions, changing the foot position was more effective at altering muscle moments than was changing the CoP position. All CoP adjustments introduced an undesirable shear foot reaction force that could cause the feet to slip on the ARED footplate, while some foot and CoP adjustments introduced an undesirable sagittal plane foot reaction moment that would cause the astronaut to rotate off the ARED footplate without the use of some type of foot fixation. Our results provide potentially useful information for achieving desired increases or decreases in specific muscle moments

Intraoperative cone-beam computed tomography and multi-slice computed tomography in temporal bone imaging for surgical treatment.

Science.gov (United States)

Erovic, Boban M; Chan, Harley H L; Daly, Michael J; Pothier, David D; Yu, Eugene; Coulson, Chris; Lai, Philip; Irish, Jonathan C

2014-01-01

Conventional computed tomography (CT) imaging is the standard imaging technique for temporal bone diseases, whereas cone-beam CT (CBCT) imaging is a very fast imaging tool with a significant less radiation dose compared with conventional CT. We hypothesize that a system for intraoperative cone-beam CT provides comparable image quality to diagnostic CT for identifying temporal bone anatomical landmarks in cadaveric specimens. Cross-sectional study. University tertiary care facility. Twenty cadaveric temporal bones were affixed into a head phantom and scanned with both a prototype cone-beam CT C-arm and multislice helical CT. Imaging performance was evaluated by 3 otologic surgeons and 1 head and neck radiologist. Participants were presented images in a randomized order and completed landmark identification questionnaires covering 21 structures. CBCT and multislice CT have comparable performance in identifying temporal structures. Three otologic surgeons indicated that CBCT provided statistically equivalent performance for 19 of 21 landmarks, with CBCT superior to CT for the chorda tympani and inferior for the crura of the stapes. Subgroup analysis showed that CBCT performed superiorly for temporal bone structures compared with CT. The radiologist rated CBCT and CT as statistically equivalent for 18 of 21 landmarks, with CT superior to CBCT for the crura of stapes, chorda tympani, and sigmoid sinus. CBCT provides comparable image quality to conventional CT for temporal bone anatomical sites in cadaveric specimens. Clinical applications of low-dose CBCT imaging in surgical planning, intraoperative guidance, and postoperative assessment are promising but require further investigation.

A 1,470 nm diode laser in stapedotomy : Mechanical, thermal, and acoustic effects

NARCIS (Netherlands)

Koenraads, Simone P.C.; de Boorder, Tjeerd; Grolman, Wilko; Kamalski, Digna M.A.

2017-01-01

Background and Objectives: Multiple laser systems have been investigated for their use in stapes surgery in patients with otosclerosis. The diode 1,470 nm laser used in this study is an attractive laser system because it is easily transported and relatively inexpensive in use. This wavelength has

Another cause for conductive hearing loss with present acoustic reflexes.

Science.gov (United States)

Ebert, Charles S; Zanation, Adam M; Buchman, Craig A

2008-11-01

There are numerous potential causes of conductive hearing loss (HL). It is important to obtain a thorough history and perform a complete examination, including audiometric testing and radiographic evaluation when necessary. In this report, we present a patient with an intact tympanic membrane, no history of ear disease or trauma who as an adult developed progressive, conductive HL because of an anomalous course of a dehiscent facial nerve. In the patient with a conductive HL and at least partially intact reflexes, superior semicircular canal dehiscence, fracture of the stapes superstructure proximal to the tendon, other third window phenomena, and now dehiscence of the facial nerve resulting in decreased mobility of the ossicular chain must be considered.

A Hybrid Neuromechanical Ambulatory Assist System

Science.gov (United States)

2014-06-01

meant to connect to whatever footplate or ankle foot orthoses (AFO) are desired. In the spirit of flexibility, the choice of foot attachment and...locking pressure criteria would not be of any use. The test setup is shown in Figure B2 . An aluminum arm was fabricated to attach to the axle of...Figure B2 . Experimental setup to test locking torque. 32 digital pressure gauges were attached to both chambers, allowing for pressure

Morphometrical Study of the Temporal Bone and Auditory Ossicles in Guinea Pig

Directory of Open Access Journals (Sweden)

Ahmadali Mohammadpour

2011-03-01

Full Text Available In this research, anatomical descriptions of the structure of the temporal bone and auditory ossicles have been performed based on dissection of ten guinea pigs. The results showed that, in guinea pig temporal bone was similar to other animals and had three parts; squamous, tympanic and petrous .The tympanic part was much better developed and consisted of oval shaped tympanic bulla with many recesses in tympanic cavity. The auditory ossicles of guinea pig concluded of three small bones; malleus, incus and stapes but the head of the malleus and the body of incus were fused and forming a malleoincudal complex. The average of morphometric parameters showed that the malleus was 3.53 ± 0.22 mm in total length. In addition to head and handle, the malleus had two distinct process; lateral and muscular. The incus had a total length 1.23 ± 0.02mm. It had long and short crus although the long crus was developed better than short crus. The lenticular bone was a round bone that articulated with the long crus of incus. The stapes had a total length 1.38 ± 0.04mm. The anterior crus(0.86 ± 0.08mm was larger than posterior crus (0.76 ± 0.08mm. It is concluded that, in the guinea pig, the malleus and the incus are fused, forming a junction called incus-malleus, while in the other animals these are separate bones. The stapes is larger and has a triangular shape and the anterior and posterior crus are thicker than other rodents. Therefore, for otological studies, the guinea pig is a good lab animal.

Influence of Ossicular Chain Damage on Hearing After Chronic Otitis Media and Cholesteatoma Surgery: A Systematic Review and Meta-analysis.

Science.gov (United States)

Blom, Erik F; Gunning, Marlise N; Kleinrensink, Nienke J; Lokin, Alexander S H J; Bruijnzeel, Hanneke; Smit, Adriana L; Grolman, Wilko

2015-11-01

Physicians should ideally be able to provide patients with chronic otitis media and/or cholesteatoma specific information about postoperative hearing outcome, based on their level of preoperative ossicular chain damage (OCD). To identify the influence of preoperative OCD on hearing outcomes in patients after chronic otitis media and/or cholesteatoma surgery. PubMed, EMBASE, and the Cochrane Library databases were systematically searched for available evidence, without any constraints, on December 13, 2014, for articles published between January 1, 1975, and December 13, 2014. We reviewed the literature for articles assessing the prognostic value of OCD on postoperative hearing outcome (air-bone gap [ABG] in decibels), using Austin-Kartush criteria or independent OCD classification systems. We assessed relevance and validity using a self-designed critical appraisal tool based on the Cochrane Collaboration's risk of bias tool. Characteristics of study populations and postoperative ABGs in decibels were extracted from all included studies by 4 authors (E.F.B., M.N.G., N.J.K., A.S.H.J.L.). The tested hypothesis was formulated before data collection. Primary study outcome was defined as postoperative adult hearing outcomes after COM and/or cholesteatoma surgery defined as mean postoperative ABG. Our search yielded 5661 articles. Nine articles with high relevance were included. Pooled results of studies using the Austin-Kartush criteria showed a significant (P influence of stapes structure (intact stapes suprastructure, 13.5 [95% CI, 10.3-16.7], 15.1 [95% CI, 11.8-18.3], and 21.9 [95% CI, 15.0-28.8] dB vs absent stapes structure, 12.8 [95% CI, 9.5-16.1], 19.5 [95% CI, 14.9-24.1], and 30.2 [95% CI, 24.7-35.8] dB) on postoperative ABG. One study reported a significant (P = .04) difference in mean ABG between patients with present (18.9 [95% CI, 15.7-22.1] dB) and absent (24.4 [95% CI, 20.2-28.6] dB) malleus. Pooled results of Austin-Kartush studies showed that in

Measurements of angles of the normal auditory ossicles relative to the reference plane and image reconstruction technique for obtaining optimal sections of the ossicles in high-resolution multiplanar reconstruction using a multislice CT scanner

International Nuclear Information System (INIS)

Fujii, Naoko; Katada, Kazuhiro; Yoshioka, Satoshi; Takeuchi, Kenji; Takasu, Akihiko; Naito, Kensei

2005-01-01

Using high-resolution isotropic volume data obtained by 0.5 mm, 4-row multislice CT, cross-sectional observation of the auditory ossicles is possible from any desired direction without difficulty in high-resolution multiplanar reconstruction (HR-MPR) images, also distortion-free three-dimensional images of the ossicles are generated in three-dimensional CT (3D-CT) images. We measured angles of fifty normal ossicles relative to the reference plane, which has been defined as a plane through the bilateral infraorbital margins to the middle portion of the external auditory canal. Based on the results of angle measurement, four optimal sections of the ossicles for efficient viewing to the ossicular chain were identified. To understand the position of the angle measurement and the four sections, the ossicles and the reference plane were reconstructed in the 3D-CT images. As the result of observation of the ossicles and the reference plane, the malleus was parallel to the incudal long process and perpendicular to the reference plane. As the results of angle measurement, the mean angle of the tympanic portion of the facial nerve relative to the reference plane in the sagittal plane was found to be 17 deg, and the mean angle of the stapedial crura relative to the reference plane in the sagittal plane was found to be 6 deg. The mean angle of the stapes relative to the reference plane in the coronal plane was 44 deg, and the mean angle of the incudal long process relative to the stapes in the coronal plane was 89 deg. In 80% of ears, the stapes extended straight from the incudal long process. Image reconstruction technique for viewing four sections of the ossicles was investigated. Firstly, the image of the malleal head and the incudal short process was identified in the axial plane. Secondly, an image of the malleus along the malleal manubrium was reconstructed in the coronal plane. Thirdly, the image of the incudal long process was seen immediately behind the malletis image

Incudomalleal joint formation: the roles of apoptosis, migration and downregulation

Directory of Open Access Journals (Sweden)

Matalova Eva

2007-12-01

Full Text Available Abstract Background The middle ear of mammals is composed of three endochondrial ossicles, the stapes, incus and malleus. Joints link the malleus to the incus and the incus to the stapes. In the mouse the first arch derived malleus and incus are formed from a single Sox9 and Type II collagen expressing condensation that later subdivides to give rise to two separate ossicles. In contrast the stapes forms from a separate condensation derived from the second branchial arch. Fusion of the malleus and incus is observed in a number of human syndromes and results in conductive hearing loss. Understanding how this joint forms during normal development is thus an important step in furthering our understanding of such defects. Results We show that the developing incudomalleal joint is characterised by a lack of proliferation and discrete areas of apoptosis. Apoptosis has been suggested to aid in the removal of pre-cartilaginous cells from the joint region, allowing for the physical separation of the cartilaginous elements, however, we show that joint initiation is unaffected by blocking apoptosis. There is also no evidence of cell migration out of the presumptive joint region, as observed by labelling of joint and ossicle cells in culture. Using Type II collagen lacZ reporter mice, however, it is evident that cells in the presumptive joint region remain in place and downregulate cartilage markers. Conclusion The malleus and incus first appear as a single united condensation expressing early cartilage markers. The incudomalleal joint region forms by cells in the presumptive joint region switching off cartilage markers and turning on joint markers. Failure in this process may result in fusion of this joint, as observed in human syndromes such as Branchio-Oto-Renal Syndrome or Treacher Collins Syndrome.

Hearing loss and potential hazards of metallic middle-ear implants in NMR-magnetic fields

International Nuclear Information System (INIS)

Huettenbrink, K.B.

1987-01-01

Concurrent with the expanding clinical applications of nuclear magnetic resonance (NMR) imaging, patients with metallic middle-ear implants will certainly be exposed to this strong magnetic field in the future. To determine potential hazards, associated with movements of steel- or Platinium stapes-prostheses, several tests were performed in a 0.5 tesla NMR unit and the induced forces were calculated. Although the commonly used paramagnetic steel-wire or platinium-alloys will not dislodge in vivo, ferromagnetic prostheses may present a hazardous risk. Prior to exposure to the magnetic field, information about the implanted material should therefore be obtained. A side-effect of the induced current flow is the attenuation of the sound-vibrations of the stapes prosthesis. This, 5-10 dB impairment of transmission develops only at a certain position of the patient's head, when the prosthesis vibrates perpendicularly to the magnetic field's Z-axis. Patients with a metallic prosthesis should be informed about this purely physical, harmless phenomenon prior to entering the NMR-cylinder. (orig.) [de

Sequential motion of the ossicular chain measured by laser Doppler vibrometry.

Science.gov (United States)

Kunimoto, Yasuomi; Hasegawa, Kensaku; Arii, Shiro; Kataoka, Hideyuki; Yazama, Hiroaki; Kuya, Junko; Fujiwara, Kazunori; Takeuchi, Hiromi

2017-12-01

In order to help a surgeon make the best decision, a more objective method of measuring ossicular motion is required. A laser Doppler vibrometer was mounted on a surgical microscope. To measure ossicular chain vibrations, eight patients with cochlear implants were investigated. To assess the motions of the ossicular chain, velocities at five points were measured with tonal stimuli of 1 and 3 kHz, which yielded reproducible results. The sequential amplitude change at each point was calculated with phase shifting from the tonal stimulus. Motion of the ossicular chain was visualized from the averaged results using the graphics application. The head of the malleus and the body of the incus showed synchronized movement as one unit. In contrast, the stapes (incudostapedial joint and posterior crus) moved synchronously in opposite phase to the malleus and incus. The amplitudes at 1 kHz were almost twice those at 3 kHz. Our results show that the malleus and incus unit and the stapes move with a phase difference.

Experimental measurement and modeling analysis on mechanical properties of incudostapedial joint.

Science.gov (United States)

Zhang, Xiangming; Gan, Rong Z

2011-10-01

The incudostapedial (IS) joint between the incus and stapes is a synovial joint consisting of joint capsule, cartilage, and synovial fluid. The mechanical properties of the IS joint directly affect the middle ear transfer function for sound transmission. However, due to the complexity and small size of the joint, the mechanical properties of the IS joint have not been reported in the literature. In this paper, we report our current study on mechanical properties of human IS joint using both experimental measurement and finite element (FE) modeling analysis. Eight IS joint samples with the incus and stapes attached were harvested from human cadaver temporal bones. Tension, compression, stress relaxation and failure tests were performed on those samples in a micro-material testing system. An analytical approach with the hyperelastic Ogden model and a 3D FE model of the IS joint including the cartilage, joint capsule, and synovial fluid were employed to derive mechanical parameters of the IS joint. The comparison of measurements and modeling results reveals the relationship between the mechanical properties and structure of the IS joint.

MRI Evaluation of Spinal Length and Vertebral Body Angle During Loading with a Spinal Compression Harness

Science.gov (United States)

Campbell, James A.; Hargens, Alan R.; Murthy, G.; Ballard, R. E.; Watenpaugh, D. E.; Hargens, Alan, R.; Sanchez, E.; Yang, C.; Mitsui, I.; Schwandt, D.;

Report of Freshwater Mollusks Workshop 19-20 May 1981.

Science.gov (United States)

1982-05-01

RELOCATION OF LAMPSILIS HIGGINSI IN THE UPPER MISSISSIPPI RIVER ....... ....................... 104 David Nelson HIGGINS ’ EYE MUSSEL RECOVERY PLAN...0830 The Higgins ’ Eye Mussel Recovery Team - Dr. Edward Stern, University of Wisconsin Dealing with Endangered Mollusks at Corps of Engineers District...typically dark yellowish-brown to brown in color. Quadrula stapes appears to be most closely related to Q. intermedia which is endemic to the Tennessee

Computed Tomography Findings of a Patient With Severe Dysplasia of the Inner Ear and Recurrent Meningitis: A Case Report of Gusher Ear in a Five-Year Old Boy

International Nuclear Information System (INIS)

Alizadeh, Houman; Nasri, Fatemeh; Mehdizadeh, Mehrzad; Jamsa, Shahin

2014-01-01

Communication between subarachnoid and perlymphatic spaces can be due to a deficiency of lamina cribrosa (stapes gusher). Recognition of the condition may alter the course of treatment that can avoid perilymph gushing. A five-year-old boy presented with a history of congenital hearing loss and recurrent meningitis. The computed tomography (CT) of the temporal bone showed severe bilateral dysplasia in the inner ears in favor of gusher disease

The human otitis media with effusion: a numerical-based study.

Science.gov (United States)

Areias, B; Parente, M P L; Santos, C; Gentil, F; Natal Jorge, R M

2017-07-01

Otitis media is a group of inflammatory diseases of the middle ear. Acute otitis media and otitis media with effusion (OME) are its two main types of manifestation. Otitis media is common in children and can result in structural alterations in the middle ear which will lead to hearing losses. This work studies the effects of an OME on the sound transmission from the external auditory meatus to the inner ear. The finite element method was applied on the present biomechanical study. The numerical model used in this work was built based on the geometrical information obtained from The visible ear project. The present work explains the mechanisms by which the presence of fluid in the middle ear affects hearing by calculating the magnitude, phase and reduction of the normalized umbo velocity and also the magnitude and phase of the normalized stapes velocity. A sound pressure level of 90 dB SPL was applied at the tympanic membrane. The harmonic analysis was performed with the auditory frequency varying from 100 Hz to 10 kHz. A decrease in the response of the normalized umbo and stapes velocity as the tympanic cavity was filled with fluid was obtained. The decrease was more accentuated at the umbo.

Journal of Special Operations Medicine. Volume 9, Edition 3, Summer 2009

Science.gov (United States)

2009-01-01

aids in stability of forefoot adduction and aids in stability of inversion (Figure 68 and 69). Figure 65: Proximal and distal anchoring strips...reach the middle ear where they strike the eardrum and cause it to vibrate. The vibrations set the middle-ear bones (malleus, incus, stapes) in...exposure to an intense sound. It occurs when excessive sound energy strikes the inner ear. Exposure to noise from firearm use during military service

The comparative analysis of clinical symptomatology before and after the operation of otosclerosis

OpenAIRE

Terzić Negra; Živić Ljubica

2009-01-01

Introduction Otosclerosis is a progressive osteodystrophic disease of the osseous capsule of the labyrinth which leads to the fixation of the stapes and partial deafness. The progressive hearing loss followed by ear tingling - tinitus and vertigo is of great importance for this disease. The aim of the work was to determine the changes of clinical symptomatology before and after the operative treatment of otosceloris. Material and methods The study included 32 subjects between 25 and 60 years ...

Otosclerosis: Temporal Bone Pathology.

Science.gov (United States)

Quesnel, Alicia M; Ishai, Reuven; McKenna, Michael J

2018-04-01

Otosclerosis is pathologically characterized by abnormal bony remodeling, which includes bone resorption, new bone deposition, and vascular proliferation in the temporal bone. Sensorineural hearing loss in otosclerosis is associated with extension of otosclerosis to the cochlear endosteum and deposition of collagen throughout the spiral ligament. Persistent or recurrent conductive hearing loss after stapedectomy has been associated with incomplete footplate fenestration, poor incus-prosthesis connection, and incus resorption in temporal bone specimens. Human temporal bone pathology has helped to define the role of computed tomography imaging for otosclerosis, confirming that computed tomography is highly sensitive for diagnosis, yet limited in assessing cochlear endosteal involvement. Copyright © 2017 Elsevier Inc. All rights reserved.

The group delay and suppression pattern of the cochlear microphonic potential recorded at the round window.

Directory of Open Access Journals (Sweden)

Wenxuan He

Full Text Available BACKGROUND: It is commonly assumed that the cochlear microphonic potential (CM recorded from the round window (RW is generated at the cochlear base. Based on this assumption, the low-frequency RW CM has been measured for evaluating the integrity of mechanoelectrical transduction of outer hair cells at the cochlear base and for studying sound propagation inside the cochlea. However, the group delay and the origin of the low-frequency RW CM have not been demonstrated experimentally. METHODOLOGY/PRINCIPAL FINDINGS: This study quantified the intra-cochlear group delay of the RW CM by measuring RW CM and vibrations at the stapes and basilar membrane in gerbils. At low sound levels, the RW CM showed a significant group delay and a nonlinear growth at frequencies below 2 kHz. However, at high sound levels or at frequencies above 2 kHz, the RW CM magnitude increased proportionally with sound pressure, and the CM phase in respect to the stapes showed no significant group delay. After the local application of tetrodotoxin the RW CM below 2 kHz became linear and showed a negligible group delay. In contrast to RW CM phase, the BM vibration measured at location ∼2.5 mm from the base showed high sensitivity, sharp tuning, and nonlinearity with a frequency-dependent group delay. At low or intermediate sound levels, low-frequency RW CMs were suppressed by an additional tone near the probe-tone frequency while, at high sound levels, they were partially suppressed only at high frequencies. CONCLUSIONS/SIGNIFICANCE: We conclude that the group delay of the RW CM provides no temporal information on the wave propagation inside the cochlea, and that significant group delay of low-frequency CMs results from the auditory nerve neurophonic potential. Suppression data demonstrate that the generation site of the low-frequency RW CM shifts from apex to base as the probe-tone level increases.

Functional results of Vibrant Soundbridge middle ear implants in conductive and mixed hearing losses.

Science.gov (United States)

Bernardeschi, Daniele; Hoffman, Caroline; Benchaa, Tarek; Labassi, Samia; Beliaeff, Michel; Sterkers, Olivier; Grayeli, Alexis Bozorg

2011-01-01

Our purpose was to evaluate the results of Vibrant Soundbridge (VSB) in conductive or mixed hearing loss. Twenty-five adult patients (29 ears) with a mixed or conductive hearing loss and various etiologies were included in this retrospective study. The preoperative ipsilateral pure tone average was 71 ± 3.0 dB, and the average bone conduction threshold was 42 ± 2.8 dB (n = 29). The transducer was placed on the long apophysis of the incus (n = 16), in the round window (n = 10) or on the stapes (n = 3). No complications were noted. The bone conduction threshold remained unchanged. VSB was activated in all cases. The postoperative pure tone average without VSB was 63 ± 3.9 dB (n = 24) and with VSB in free-field condition 24 ± 2.1 dB (n = 22). VSB is safe and efficacious for auditory rehabilitation in conductive and mixed hearing losses. Copyright © 2011 S. Karger AG, Basel.

A comparison of high resolution CT scan of temporal bone and operative findings in middle ear cholesteatoma

Energy Technology Data Exchange (ETDEWEB)

Kweon, Tae Beom; Seong, Hun; Cheon, Mal Soon; Kim, Hack Jin; Jang, Keung Jae; Chun, Byung Hee [Dae Dong General Hospital, Busan (Korea, Republic of)

1993-09-15

To evaluate the value of HRCT imaging in middle ear cholesteatoma, we prospectively analysed the CT images in 28 surgically proven cases with cholesteatomas regarding main site of lesion, ossicular change, facial nerve exposure and fistula formation. The most common main site of lesion was the epitympanum (92.8%). The results of sensitivity, positive predictability, and accuracy by CT imagings were as follows: for ossicular involvement, 94.1%, 88.8%, and 86.2% in malleus, 96.0%, 88.8%, and 85.7% in incus, 81.2%, 81.2%, and 78.5% in stapes; for facial nerve exposure, 66.6%, 57.1%, and 81.2%: for fistula formation, 100%, 75.0%, and 96.4%, respectively. In conclusion, the temoral bone HRCT imaging is an accurate preoperative method in detecting main lesion site, ossicular involvement, fistula formation. Because of the low sensitivity and positive predictability in detecting facial nerve exposure, it is necessary to correlate the HRCT images with the clinical status.

Thoracic lateral extracavitary corpectomy for anterior column reconstruction with expandable and static titanium cages: clinical outcomes and surgical considerations in a consecutive case series.

Science.gov (United States)

Holland, Christopher M; Bass, David I; Gary, Matthew F; Howard, Brian M; Refai, Daniel

2015-02-01

Many surgical interventions have emerged as effective means of restoring mechanical stability of the anterior column of the spine. The lateral extracavitary approach (LECA) allows for broad visualization and circumferential reconstruction of the spinal column. However, early reports demonstrated significant complication rates, protracted operative times, and prolonged hospitalizations. More recent reports have highlighted concerns for subsidence, particularly with expandable cages. Our work seeks to describe a single-surgeon consecutive series of patients undergoing LECA for thoracic corpectomy. Specifically, the objective was to explore the surgical considerations, clinical and radiographic outcomes, and complication profile of this approach. A retrospective study examined data from 17 consecutive patients in whom single or multi-level corpectomy was performed via a LECA by a single surgeon. Vertebral body replacement was achieved with either a static or expandable titanium cage. The Karnofsky Performance Scale (KPS) was utilized to assess patient functional status before and after surgery. Radiographic outcomes, particularly footplate-to-body ratio and subsidence, were assessed on CT imaging at 6 weeks after surgery and at follow-up of at least 6 months. The majority of patients had post-operative KPS scores consistent with functional independence (≥70, 12/17 patients, 71%). Fourteen patients had improved or maintained function by last follow-up. In both groups, all patients had a favorable footplate-to-body ratio, and rates of subsidence were similar at both time points. Notably, the overall complication rate (24%) was significantly lower than that published in the literature, and no patient suffered a pneumothorax that required placement of a thoracostomy tube. The LECA approach for anterior column reconstruction with static or expandable cages is an important surgical consideration with favorable surgical parameters and complication rates. Further, use of

Mondini defect in association with multiple congenital anomalies.

Science.gov (United States)

Sekhar, H K; Sachs, M

1976-01-01

A case of bilaterally symmetrical genetic aplasia conforming to Mondini type of congenital deformity in a 12-day-old child is presented with the help of temporal bone sections. Cochlear changes include a stunted modiolus, deficient interscalar septum between the middle and upper coils forming a scala communis cochleae, a degenerated organ of Corti and reduced spiral ganglion cells and dendrites. The vestibule is malformed, with membranous labyrinth being deficient. The utricle and semicircular canals are absent. There is no oval window or stapedial footplate, and the facial nerve is hypoplastic. An interesting feature is the unusual association of bilateral bony choanal atresia, atrial septal defect, cleft lip, absence of olfactory bulbs in the brain, and congenital ophthalmic anomalies.

The Glasgow Benefit Inventory: a systematic review of the use and value of an otorhinolaryngological generic patient-recorded outcome measure

Science.gov (United States)

Hendry, J.; Chin, A.; Swan, I.R.C.; Akeroyd, M.A.; Browning, G.G.

2018-01-01

Background The Glasgow Benefit Inventory (GBI) is a validated, generic patient-recorded outcome measure widely used in otolaryngology to report change in quality of life post-intervention. Objectives of review To date, no systematic review has made (i) a quality assessment of reporting of Glasgow Benefit Inventory outcomes; (ii) a comparison between Glasgow Benefit Inventory outcomes for different interventions and objectives; (iii) an evaluation of subscales in describing the area of benefit; (iv) commented on its value in clinical practice and research. Type of review Systematic review. Search strategy ‘Glasgow Benefit Inventory’ and ‘GBI’ were used as keywords to search for published, unpublished and ongoing trials in PubMed, EMBASE, CINAHL and Google in addition to an ISI citation search for the original validating Glasgow Benefit Inventory paper between 1996 and January 2015. Evaluation method Papers were assessed for study type and quality graded by a predesigned scale, by two authors independently. Papers with sufficient quality Glasgow Benefit Inventory data were identified for statistical comparisons. Papers with 50% and gave sufficient Glasgow Benefit Inventory total and subscales for meta-analysis. For five of the 11 operation categories (vestibular schwannoma, tonsillectomy, cochlear implant, middle ear implant and stapes surgery) that were most likely to have a single clear clinical objective, score data had low-to-moderate heterogeneity. The value in the Glasgow Benefit Inventory having both positive and negative scores was shown by an overall negative score for the management of vestibular schwannoma. The other six operations gave considerable heterogeneity with rhinoplasty and septoplasty giving the greatest percentages (98% and 99%) most likely because of the considerable variations in patient selection. The data from these operations should not be used for comparative purposes. Five papers also reported the number of patients that had no

Comparison of ear-canal reflectance and umbo velocity in patients with conductive hearing loss: a preliminary study.

Science.gov (United States)

Nakajima, Hideko H; Pisano, Dominic V; Roosli, Christof; Hamade, Mohamad A; Merchant, Gabrielle R; Mahfoud, Lorice; Halpin, Christopher F; Rosowski, John J; Merchant, Saumil N

2012-01-01

The goal of the present study was to investigate the clinical utility of measurements of ear-canal reflectance (ECR) in a population of patients with conductive hearing loss in the presence of an intact, healthy tympanic membrane and an aerated middle ear. We also sought to compare the diagnostic accuracy of umbo velocity (VU) measurements and measurements of ECR in the same group of patients. This prospective study comprised 31 adult patients with conductive hearing loss, of which 14 had surgically confirmed stapes fixation due to otosclerosis, 6 had surgically confirmed ossicular discontinuity, and 11 had computed tomography and vestibular evoked myogenic potential confirmed superior semicircular canal dehiscence (SCD). Measurements on all 31 ears included pure-tone audiometry for 0.25 to 8 kHz, ECR for 0.2 to 6 kHz using the Mimosa Acoustics HearID system, and VU for 0.3 to 6 kHz using the HLV-1000 laser Doppler vibrometer (Polytec Inc, Waldbronn, Germany). We analyzed power reflectance |ECR| as well as the absorbance level = 10 × log10(1 - |ECR|). All measurements were made before any surgical intervention. The VU and ECR data were plotted against normative data obtained in a companion study of 58 strictly defined normal ears (). Small increases in |ECR| at low-to-mid frequencies (400-1000 Hz) were observed in cases with stapes fixation, while narrowband decreases were seen for both SCD and ossicular discontinuity. The SCD and ossicular discontinuity differed in that the SCD had smaller decreases at mid-frequency (∼1000 Hz), whereas ossicular discontinuity had larger decreases at lower frequencies (500-800 Hz). SCD tended to have less air-bone gap at high frequencies (1-4 kHz) compared with stapes fixation and ossicular discontinuity. The |ECR| measurements, in conjunction with audiometry, could successfully separate 28 of the 31 cases into the three pathologies. By comparison, VU measurements, in conjunction with audiometry, could successfully separate

Differential Intracochlear Sound Pressure Measurements in Normal Human Temporal Bones

Science.gov (United States)

Nakajima, Hideko Heidi; Dong, Wei; Olson, Elizabeth S.; Merchant, Saumil N.; Ravicz, Michael E.; Rosowski, John J.

2009-02-01

We present the first simultaneous sound pressure measurements in scala vestibuli and scala tympani of the cochlea in human cadaveric temporal bones. Micro-scale fiberoptic pressure sensors enabled the study of differential sound pressure at the cochlear base. This differential pressure is the input to the cochlear partition, driving cochlear waves and auditory transduction. Results showed that: pressure of scala vestibuli was much greater than scala tympani except at low and high frequencies where scala tympani pressure affects the input to the cochlea; the differential pressure proved to be an excellent measure of normal ossicular transduction of sound (shown to decrease 30-50 dB with ossicular disarticulation, whereas the individual scala pressures were significantly affected by non-ossicular conduction of sound at high frequencies); the middle-ear gain and differential pressure were generally bandpass in frequency dependence; and the middle-ear delay in the human was over twice that of the gerbil. Concurrent stapes velocity measurements allowed determination of the differential impedance across the partition and round-window impedance. The differential impedance was generally resistive, while the round-window impedance was consistent with a compliance in conjunction with distributed inertia and damping. Our techniques can be used to study inner-ear conductive pathologies (e.g., semicircular dehiscence), as well as non-ossicular cochlear stimulation (e.g., round-window stimulation) - situations that cannot be completely quantified by measurements of stapes velocity or scala-vestibuli pressure by themselves.

Systematic Review of Ossicular Chain Anatomy: Strategic Planning for Development of Novel Middle Ear Prostheses.

Science.gov (United States)

Kamrava, Brandon; Roehm, Pamela C

2017-08-01

Objective To systematically review the anatomy of the ossicular chain. Data Sources Google Scholar, PubMed, and otologic textbooks. Review Methods A systematic literature search was performed on January 26, 2015. Search terms used to discover articles consisted of combinations of 2 keywords. One keyword from both groups was used: [ ossicular, ossicle, malleus, incus, stapes] and [ morphology, morphometric, anatomy, variation, physiology], yielding more than 50,000 hits. Articles were then screened by title and abstract if they did not contain information relevant to human ossicular chain anatomy. In addition to this search, references of selected articles were studied as well as suggested relevant articles from publication databases. Standard otologic textbooks were screened using the search criteria. Results Thirty-three sources were selected for use in this review. From these studies, data on the composition, physiology, morphology, and morphometrics were acquired. In addition, any correlations or lack of correlations between features of the ossicular chain and other features of the ossicular chain or patient were noted, with bilateral symmetry between ossicles being the only important correlation reported. Conclusion There was significant variation in all dimensions of each ossicle between individuals, given that degree of variation, custom fitting, or custom manufacturing of prostheses for each patient could optimize prosthesis fit. From published data, an accurate 3-dimensional model of the malleus, incus, and stapes can be created, which can then be further modified for each patient's individual anatomy.

[Computerized study of perioperative difficulties of stapedectomy].

Science.gov (United States)

Cadavid Zink, R; Ballivian, H; Gamboa, F J; Olaizola, F

1993-01-01

A retrospective study of 1035 stapedectomies was performed to assess the incidence of intraoperative complications between 1972-1990. We found 45.89% of complications. We divided this alterations in 6 groups: 1) hemorrhage (20.67%), 2) stapes, foot plate, oval window (8.40%), 3) alterations in the middle ear (6.85%), 4) alterations in the incus (3.76%), 5) alterations in the external ear canal (3.57%) and 6) problems with protesis or graf (2.60%). We have analyzed these complications. We propose to carry out the solutions.

[Destruction of microsurgical devices by sterilisation].

Science.gov (United States)

Berto, Raphaela; Strutz, Jürgen

2017-11-01

Hospital facilities issue numerous risk announcements on corrosion, deformation or premature wearout of medical devices every year. As there is yet little data on the impact of reprocessing on the quality and durability of microsurgical instruments, this paper aims at evaluating the effects of the reprocessing on microsurgical instruments. Material and Methods 22 brand new microsurgical instruments for stapes surgery were being reprocessed 30 times without being used for surgery or other purposes in the interim time. After each reprocessing the instruments were examined macroscopicly and microscopicly. The results were portrayed in a photo documentation and analysed on that basis. Results Almost all devices showed mechanical damage caused by the reprocessing procedure. The increasing deterioration was often associated with missing protective caps. Furthermore contaminations and stains were apparent in several cases. Conclusions The findings illustrate that careful handling of delicate surgical devices during reprocessing is vital. They also highlight problems of protective caps. As an alternative going forward it should be considered to store microsurgical instruments statically in special racks. Georg Thieme Verlag KG Stuttgart · New York.

Ear Structures of the Naked Mole-Rat, Heterocephalus glaber, and Its Relatives (Rodentia: Bathyergidae.

Directory of Open Access Journals (Sweden)

Matthew J Mason

Full Text Available Although increasingly popular as a laboratory species, very little is known about the peripheral auditory system of the naked mole-rat, Heterocephalus glaber. In this study, middle and inner ears of naked mole-rats of a range of ages were examined using micro-computed tomography and dissection. The ears of five other bathyergid species (Bathyergus suillus, Cryptomys hottentotus, Fukomys micklemi, Georychus capensis and Heliophobius argenteocinereus were examined for comparative purposes. The middle ears of bathyergids show features commonly found in other members of the Ctenohystrica rodent clade, including a fused malleus and incus, a synovial stapedio-vestibular articulation and the loss of the stapedius muscle. Heterocephalus deviates morphologically from the other bathyergids examined in that it has a more complex mastoid cavity structure, poorly-ossified processes of the malleus and incus, a 'columelliform' stapes and fewer cochlear turns. Bathyergids have semicircular canals with unusually wide diameters relative to their radii of curvature. How the lateral semicircular canal reaches the vestibule differs between species. Heterocephalus has much more limited high-frequency hearing than would be predicted from its small ear structures. The spongy bone forming its ossicular processes, the weak incudo-stapedial articulation, the columelliform stapes and (compared to other bathyergids reduced cochlear coiling are all potentially degenerate features which might reflect a lack of selective pressure on its peripheral auditory system. Substantial intraspecific differences were found in certain middle and inner ear structures, which might also result from relaxed selective pressures. However, such interpretations must be treated with caution in the absence of experimental evidence.

Ear Structures of the Naked Mole-Rat, Heterocephalus glaber, and Its Relatives (Rodentia: Bathyergidae).

Science.gov (United States)

Mason, Matthew J; Cornwall, Hannah L; Smith, Ewan St J

2016-01-01

Although increasingly popular as a laboratory species, very little is known about the peripheral auditory system of the naked mole-rat, Heterocephalus glaber. In this study, middle and inner ears of naked mole-rats of a range of ages were examined using micro-computed tomography and dissection. The ears of five other bathyergid species (Bathyergus suillus, Cryptomys hottentotus, Fukomys micklemi, Georychus capensis and Heliophobius argenteocinereus) were examined for comparative purposes. The middle ears of bathyergids show features commonly found in other members of the Ctenohystrica rodent clade, including a fused malleus and incus, a synovial stapedio-vestibular articulation and the loss of the stapedius muscle. Heterocephalus deviates morphologically from the other bathyergids examined in that it has a more complex mastoid cavity structure, poorly-ossified processes of the malleus and incus, a 'columelliform' stapes and fewer cochlear turns. Bathyergids have semicircular canals with unusually wide diameters relative to their radii of curvature. How the lateral semicircular canal reaches the vestibule differs between species. Heterocephalus has much more limited high-frequency hearing than would be predicted from its small ear structures. The spongy bone forming its ossicular processes, the weak incudo-stapedial articulation, the columelliform stapes and (compared to other bathyergids) reduced cochlear coiling are all potentially degenerate features which might reflect a lack of selective pressure on its peripheral auditory system. Substantial intraspecific differences were found in certain middle and inner ear structures, which might also result from relaxed selective pressures. However, such interpretations must be treated with caution in the absence of experimental evidence.

CT virtual endoscopy of the auditory ossicular chain and its preliminary clinical application

International Nuclear Information System (INIS)

Wang Dong; Zhang Wanshi; Xiong Minghui; Xu Jiaxing; Yu Min; Xu Changyu

2000-01-01

Objective: To evaluate the ability of CT virtual endoscopy (CTVE) in visualization of auditory ossicular chain and its clinical application. Methods: CTVE of auditory ossicular chain was performed on GE HiSpeed CT/i with 1.0 mm slice thickness at pitch 1.0, bone algorithm, 9.6 cm FOV, and 0.1 mm reconstruction interval in 10 normal subjects and 21 patients with middle ear diseases, 14 of them were proved by operation. The threshold values for normal and abnormal auditory ossicular chain were -600--200 HU and 50-300 HU respectively. Results: CTVE could clearly demonstrate the shape, size, and relation of the normal auditory ossicular chain. A visualization rate of malleus, incus, and incudomalleal articulation was 100%, and was 32% for the stapedial foot plate. However, in only 21% could the anterior and posterior crura of stapes be distinguished. Cholesteatoma was found in 12 cases with chronic otitis media, in which CTVE demonstrated varying degrees of destruction of the auditory ossicle. In 1 case with congenital anomaly, ossicle dysplasia was seen. Conclusion: CTVE being a new, non-invasive method for demonstrating the three-dimensional image of auditory ossicular chain is useful in evaluating diseases of the ear, especially the auditory ossicles

Découverte et restauration de peintures murales gothiques du XIIIe siècle à la Cathédrale de Chartres

Directory of Open Access Journals (Sweden)

Geneviève Reille-Taillefert

2011-12-01

Full Text Available En octobre 2010, à l'occasion des travaux de nettoyage des premières travées de la nef de la cathédrale de Chartres, des peintures murales ont été découvertes dans les baies hautes. L'article décrit des opérations de nettoyage et consolidation qui ont converti les contraintes du chantier en atouts, et offre un aperçu des résultats.In October 2010, gothics wall paintings have been discovered in the high windows of the Chartres’s cathedral. This article describes the stapes of this archeological restoration

Comparison of stapes prostheses: a retrospective analysis of individual audiometric results obtained after stapedotomy by implantation of a gold and a teflon piston

NARCIS (Netherlands)

de Bruijn, A. J.; Tange, R. A.; Dreschler, W. A.

1999-01-01

PURPOSE: Evaluation of hearing results after implantation of a Teflon piston (type Causse; Xomed Surgical Products, Jacksonville, FL) and of a pure gold piston (K-piston; Heinz Kurz GmbH Medizintechnik, Dusslingen, Germany), both with a shaft diameter of 0.4 mm in cases of otosclerosis requiring

Surgical manipulation of mammalian embryos in vitro.

Science.gov (United States)

Naruse, I; Keino, H; Taniguchi, M

1997-04-01

Whole-embryo culture systems are useful in the fields of not only embryology but also teratology, toxicology, pharmacology, and physiology. Of the many advantages of whole-embryo culture, we focus here on the surgical manipulation of mammalian embryos. Whole-embryo culture allows us to manipulate mammalian embryos, similarly to fish, amphibian and avian embryos. Many surgical experiments have been performed in mammalian embryos in vitro. Such surgical manipulation alters the destiny of morphogenesis of the embryos and can answer many questions concerning developmental issues. As an example of surgical manipulation using whole-embryo culture systems, one of our experiments is described. Microsurgical electrocauterization of the deep preaxial mesodermal programmed cell death zone (fpp) in the footplate prevented the manifestation of polydactyly in genetic polydactyly mouse embryos (Pdn/Pdn), in which fpp was abolished.

Anatomy, Physiology and Function of the Auditory System

Science.gov (United States)

Kollmeier, Birger

The human ear consists of the outer ear (pinna or concha, outer ear canal, tympanic membrane), the middle ear (middle ear cavity with the three ossicles malleus, incus and stapes) and the inner ear (cochlea which is connected to the three semicircular canals by the vestibule, which provides the sense of balance). The cochlea is connected to the brain stem via the eighth brain nerve, i.e. the vestibular cochlear nerve or nervus statoacusticus. Subsequently, the acoustical information is processed by the brain at various levels of the auditory system. An overview about the anatomy of the auditory system is provided by Figure 1.

Efficacy of evaluation of audiometric results after stapes surgery in otosclerosis. I. The effects of using different audiologic parameters and criteria on success rates

NARCIS (Netherlands)

de Bruijn, A. J.; Tange, R. A.; Dreschler, W. A.

2001-01-01

The Committee on Hearing and Equilibrium of the American Academy of Otolaryngology-Head and Neck Surgery proposed guidelines to provide more uniformity in reporting hearing results after middle ear surgery. One of the proposals was to include the hearing thresholds at 0.5, 1, 2, and 3 kHz in a

X-linked deafness, stapes gushers and a distinctive defect of the inner ear

Energy Technology Data Exchange (ETDEWEB)

Phelps, P.D. (Royal National Throat, Nose and Ear Hospital, London (United Kingdom)); Reardon, W.; Pembrey, M. (Institute of Child Health, London (United Kingdom)); Bellman, S. (Hospital for Sick Children, London (United Kingdom)); Luxom, L. (National Hospital for Neurology and Neurosurgery, London (United Kingdom))

1991-08-01

We have made genetic linkage studies in 7 pedigrees in whom deafness was inherited in an X-linked manner. All patients had a full range of audiometric and vestibular function tests. Thin section high resolution CT in two planes was used to assess the state of the middle and inner ears. We found a distinctive inner ear deformity in some of the deaf males. Moreover, some of the obligate feamle carriers seem to have a milder form of the same anomaly associated with slight hearing loss. Genetic studies on some of the deaf males with apparently normal inner ear anatomy suggest a different locus on the X chromosome and hence a different pathogenesis for the deafness. (orig./GDG).

X-linked deafness, stapes gushers and a distinctive defect of the inner ear

International Nuclear Information System (INIS)

Phelps, P.D.; Reardon, W.; Pembrey, M.; Bellman, S.; Luxom, L.

1991-01-01

We have made genetic linkage studies in 7 pedigrees in whom deafness was inherited in an X-linked manner. All patients had a full range of audiometric and vestibular function tests. Thin section high resolution CT in two planes was used to assess the state of the middle and inner ears. We found a distinctive inner ear deformity in some of the deaf males. Moreover, some of the obligate feamle carriers seem to have a milder form of the same anomaly associated with slight hearing loss. Genetic studies on some of the deaf males with apparently normal inner ear anatomy suggest a different locus on the X chromosome and hence a different pathogenesis for the deafness. (orig./GDG)

The unionid (Bivalvia) fauna of the Sipsey River in northwestern Alabama, an aquatic hotspot

Science.gov (United States)

McCullagh, W. Henry; Williams, James D.; McGregor, Stuart W.; Pierson, J. Malcom; Lydeard, Charles

2002-01-01

Recent surveys for unionid bivalves were conducted in the mainstem of the Sipsey River and headwater tributaries (Tombigbee River drainage) during the summer and autumn of 1996-1999. A total of 35 species and 22 genera were found. Museum records from the upper Sipsey, based largely on the efforts of H. H. Smith during 1910-11, raised the total number of recorded unionids in the Sipsey to 42. Smith documented 25 species in the river; however, most of his collections were made in the mid- to upper-Sipsey, which has lower diversity. The three most common recently observed species in descending order of abundance were Quadrula asperata (I. Lea, 1861), Pleurobema decisum (I. Lea, 1831), and Tritogonia verrucosa (Rafinesque, 1820). Federally listed species observed recently include Lampsilis perovalis (Conrad, 1834) (threatened), Medionidus acutissimus (I. Lea, 1831) (threatened), P. decisum (endangered), P. perovatum (Conrad, 1834) (endangered), and Potamilus inflatus (I. Lea, 1831) (threatened). Species not observed recently but recorded in prior surveys include Anodontoides radiatus (Conrad, 1834), Arcidens confragosus (Say, 1829), Plectomerus dombeyanus (Valenciennes, 1827), Q. metanevra (Rafinesque, 1820), Q. stapes (I. Lea, 1831) (federally endangered), P. taitianum (I. Lea, 1834) (federally endangered), and Toxolasma parvus (Barnes, 1823). Many, species are known recently or historically by only five or fewer recorded specimens including: A. radiatus, Elliptio arctata (Conrad, 1834), Ligumia recta (Lamarck, 1819), P. taitianum, P. inflatus, Q. aspera (Lea, 1831), Q. metanevra, Q. stapes, T. parvus, Truncilla donaciformis (I. Lea, 1828), Uniomerus tetralasmus (Say, 1831), Utterbackia imbecillis (Say, 1829), A. confragosus, and P. dombeyanus. Unlike the mussel fauna of most Alabama streams, that of the Sipsey River is still relatively intact in terms of species richness despite impacts from mining, silvicultural, and agricultural activities. A concerted effort

Diagnostic value of axial CT scan

International Nuclear Information System (INIS)

Kiuchi, Sousuke

1983-01-01

Axial CT scan was used to investigate the radiological details of the temporal bone of 33 patients with chronic otitis media, secondary cholesteatoma, sensorineural hearing loss, Meniere disease, vertigo, facial spasm, and neoplasma. The axial scans showed anatomic details of the temporal bone, and at the same time clearly demonstrated the extent of the soft-tissue masses in the middle ears, as well as the destructions of the ossicles. Bone changes of the anterior walls of the epitympanum and external auditory meatus were more clearly demonstrated than by coronary CT scan. However, the axial scan had the disadvantages in demonstrating the stapes, crista transversa, and the mastoid portion of the facial canal. (author)

Does robotic gait training improve balance in Parkinson's disease? A randomized controlled trial.

Science.gov (United States)

Picelli, Alessandro; Melotti, Camilla; Origano, Francesca; Waldner, Andreas; Gimigliano, Raffaele; Smania, Nicola

2012-09-01

Treadmill training (with or without robotic assistance) has been reported to improve balance skills in patients with Parkinson's disease (PD). However, its effectiveness on postural instability has been evaluated mainly in patients with mild to moderate PD (Hoehn & Yahr stage ≤3). Patients with more severe disease may benefit from robot-assisted gait training performed by the Gait-Trainer GT1, as a harness supports them with their feet placed on motor-driven footplates. The aim of this study was to determine whether robot-assisted gait training could have a positive influence on postural stability in patients with PD at Hoehn & Yahr stage 3-4. Thirty-four patients with PD at Hoehn & Yahr stage 3-4 were randomly assigned into two groups. All patients received twelve, 40-min treatment sessions, three days/week, for four consecutive weeks. The Robotic Training group (n = 17) underwent robot-assisted gait training, while the Physical Therapy group (n = 17) underwent a training program not specifically aimed at improving postural stability. Patients were evaluated before, immediately after and 1-month post-treatment. Primary outcomes were: Berg Balance scale; Nutt's rating. A significant improvement was found after treatment on the Berg Balance Scale and the Nutt's rating in favor of the Robotic Training group (Berg: 43.44 ± 2.73; Nutt: 1.38 ± 0.50) compared to the Physical Therapy group (Berg: 37.27 ± 5.68; Nutt: 2.07 ± 0.59). All improvements were maintained at the 1-month follow-up evaluation. Robot-assisted gait training may improve postural instability in patients with PD at Hoehn & Yahr stage 3-4. Copyright © 2012 Elsevier Ltd. All rights reserved.

Creating an Optimal 3D Printed Model for Temporal Bone Dissection Training.

Science.gov (United States)

Takahashi, Kuniyuki; Morita, Yuka; Ohshima, Shinsuke; Izumi, Shuji; Kubota, Yamato; Yamamoto, Yutaka; Takahashi, Sugata; Horii, Arata

2017-07-01

Making a 3-dimensional (3D) temporal bone model is simple using a plaster powder bed and an inkjet printer. However, it is difficult to reproduce air-containing spaces and precise middle ear structures. The objective of this study was to overcome these problems and create a temporal bone model that would be useful both as a training tool and for preoperative simulation. Drainage holes were made to remove excess materials from air-containing spaces, ossicle ligaments were manually changed to bony structures, and small and/or soft tissue structures were colored differently while designing the 3D models. The outcomes were evaluated by 3 procedures: macroscopic and endoscopic inspection of the model, comparison of computed tomography (CT) images of the model to the original CT, and assessment of tactile sensation and reproducibility by 20 surgeons performing surgery on the model. Macroscopic and endoscopic inspection, CT images, and assessment by surgeons were in agreement in terms of reproducibility of model structures. Most structures could be reproduced, but the stapes, tympanic sinus, and mastoid air cells were unsatisfactory. Perioperative tactile sensation of the model was excellent. Although this model still does not embody perfect reproducibility, it proved sufficiently practical for use in surgical training.

Further delineation of facioaudiosymphalangism syndrome

DEFF Research Database (Denmark)

Bayat, Allan; Fijalkowski, Igor; Nygaard, Tobias

2016-01-01

Mutations in the NOG gene give rise to a wide range of clinical phenotypes. Noggin, the protein encoded by this gene is a secreted modulator of multiple pathways involved in both bone and joint development. Proximal symphalangism is commonly observed in patients bearing mutations in this gene, ho...... by affected individuals but no hearing loss, further adding to the phenotypic variability of the syndrome. With these findings we broaden the understanding of NOG-related-symphalangism spectrum disorder. © 2016 Wiley Periodicals, Inc......., however secondary symptomes are often found including typical facies with hemicylindrical nose with bulbous tip, hyperopia, reduced mobility of multiple joints, hearing loss due to stapes fixation, and recurrent pain from affected joints. With large variation of the phenotype both within and between...

Intrinsic ankle stiffness during standing increases with ankle torque and passive stretch of the Achilles tendon

Science.gov (United States)

Gill, Jaspret

2018-01-01

Individuals may stand with a range of ankle angles. Furthermore, shoes or floor surfaces may elevate or depress their heels. Here we ask how these situations impact ankle stiffness and balance. We performed two studies (each with 10 participants) in which the triceps surae, Achilles tendon and aponeurosis were stretched either passively, by rotating the support surface, or actively by leaning forward. Participants stood freely on footplates which could rotate around the ankle joint axis. Brief, small stiffness-measuring perturbations (torque or passive stretch. Sway was minimally affected by stretch or lean, suggesting that this did not underlie the alterations in stiffness. In quiet stance, maximum ankle stiffness is limited by the tendon. As tendon strain increases, it becomes stiffer, causing an increase in overall ankle stiffness, which would explain the effects of leaning. However, stiffness also increased considerably with passive stretch, despite a modest torque increase. We discuss possible explanations for this increase. PMID:29558469

Hearing results using the SMart piston prosthesis.

Science.gov (United States)

Fayad, Jose N; Semaan, Maroun T; Meier, Josh C; House, John W

2009-12-01

SMart, a newly introduced piston prosthesis for stapedotomy, is a nitinol-based, heat-activated, self-crimping prosthesis. We review our hearing results and postoperative complications using this self-crimped piston prosthesis and compare them with those obtained using stainless steel or platinum piston prostheses. Audiometric results using the SMart piston are identical to those obtained using a conventional piston prosthesis. Retrospective chart review. Private neurotologic tertiary referral center. The 416 ears reviewed included 306 with a SMart prosthesis and 110 conventional prostheses. 61% were women. Mean follow-up time was 5.6 (standard deviation [SD], 6.3 mo) and 6.9 months (SD, 7.0 mo) for the 2 groups, respectively. Stapedotomy using the SMart or a conventional (non-SMart) prosthesis. Audiometric hearing results, including pure-tone average (PTA) and air-bone gap (ABG), and prevalence of postoperative complications. Mean postoperative PTA was 32.6 (SD, 16.8) dB for the SMart group and 29.4 (SD, 13.5) dB for the non-SMart group, with ABGs of 7.6 (SD, 8.9) and 6.0 (SD, 5.2) dB, respectively. Mean change (decrease) in ABG was 18.7 (SD, 13.1) dB for the SMart group and 19.9 (SD, 10.3) dB for the non-SMart group. High-frequency bone PTAs showed overclosure of 2.0 (SD, 7.9) dB for the SMart group and 3.6 (SD, 8.6) dB for the non-SMart group. Postoperative vertigo and tinnitus were infrequent. No significant differences in these audiometric outcomes or complication rates were noted between groups. There was no significant difference in rate of gap closure to within 10 dB (78.3 versus 84.2%, SMart and non-SMart, respectively) or 20 dB (94.2 and 98.0%). Compared with conventional stapes prostheses, the nitinol-based SMart is a safe and reliable stapes prosthesis that eliminates manual crimping without significantly altering the audiometric outcome. Complications are rare, but longer follow-up is needed before establishing long-term stability.

Vibroplasty in mixed and conductive hearing loss: comparison of different coupling methods.

Science.gov (United States)

Vyskocil, Erich; Riss, Dominik; Honeder, Clemens; Arnoldner, Christoph; Hamzavi, Jafar-Sasan; Baumgartner, Wolf-Dieter; Flak, Stefan; Gstoettner, Wolfgang

2014-06-01

To evaluate modified coupling techniques of the Vibrant Soundbridge system in patients with mixed and conductive hearing loss and to compare it with conventional vibroplasty. Retrospective study. Two different groups were evaluated: 1) nine cases of conventional incus vibroplasty in comparison with 2) nine patients with modified coupling of the floating mass transducer. In the modified coupling approach, the vibrant floating mass transducer was attached to 1) the stapes/oval window, 2) the round window, or 3) the drilled promontory bone (promontory fenestration window). In three patients, an additional ossiculoplasty was performed. Preoperative and postoperative aided and unaided pure-tone and free-field audiometry and Freiburg monosyllabic word test were used to assess hearing outcome. Functional hearing gain obtained in patients with mixed and conductive hearing loss who underwent modified coupling was 39 dB. Patients with pure sensorineural hearing loss who received conventional incus coupling showed a functional hearing gain of 25 dB. Average functional gain was 41 dB in the oval window group, 45 dB in the round window group, and 30 dB in the promontory fenestration window group. Word recognition test revealed an average improvement of 51% and 21% in the modified and in the conventional approach, respectively. Modified vibroplasty is a safe and effective treatment for patients with conductive and mixed hearing loss. Coupling the floating mass transducer to the promontory bone (promontory fenestration window) is a viable option in chronically disabled ears if oval and round window coupling is not possible. 4. © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

Creation of a 3D printed temporal bone model from clinical CT data.

Science.gov (United States)

Cohen, Joss; Reyes, Samuel A

2015-01-01

Generate and describe the process of creating a 3D printed, rapid prototype temporal bone model from clinical quality CT images. We describe a technique to create an accurate, alterable, and reproducible rapid prototype temporal bone model using freely available software to segment clinical CT data and generate three different 3D models composed of ABS plastic. Each model was evaluated based on the appearance and size of anatomical structures and response to surgical drilling. Mastoid air cells had retained scaffolding material in the initial versions. This required modifying the model to allow drainage of the scaffolding material. External auditory canal dimensions were similar to those measured from the clinical data. Malleus, incus, oval window, round window, promontory, horizontal semicircular canal, and mastoid segment of the facial nerve canal were identified in all models. The stapes was only partially formed in two models and absent in the third. Qualitative feel of the ABS plastic was softer than bone. The pate produced by drilling was similar to bone dust when appropriate irrigation was used. We present a rapid prototype temporal bone model made based on clinical CT data using 3D printing technology. The model can be made quickly and inexpensively enough to have potential applications for educational training. Copyright © 2015 Elsevier Inc. All rights reserved.

Comparison of disposable sutureless silicone ring and traditional metal ring in 23-gauge vitrectomy combined with cataract surgery.

Science.gov (United States)

Wu, Jian-Guo; Wei, Rui-Hua; Liu, Ai-Hua; Zhou, Xiao-Xu; Sun, Guo-Ling; Li, Xiao-Rong

2011-01-01

The purpose of this prospective, interventional, comparative case series was to evaluate the efficiency and feasibility of a disposable sutureless silicone lens ring for corneal contact lens stabilization during combined 23-gauge vitrectomy and cataract surgery. We developed a ring consisting of a single silicone component with three footplates along the ring margin to fit cannulae for holding conventional contact lenses. Thirty eyes from 30 patients with cataract and vitreoretinal disease were included, and divided into two matched groups according to disease type and ring used. In Group A, we used a 23-gauge transconjunctival vitrectomy system and a disposable sutureless silicone lens ring (n = 15). In Group B, we used a 23-gauge transconjunctival vitrectomy system and a conventional metal lens ring (n = 15). The main outcome measures were: time required for vitrectomy preparation, rate of intraoperative corneal limbus bleeding, and limbus scar rate at the final follow-up visit. Thirty cases were successfully completed. The average vitrectomy preparation time was less in Group A than in Group B (P < 0.01), and the average preparation time saved was 3.94 minutes. None of the Group A patients had intraoperative bleeding or postoperative scarring, whereas all 15 Group B cases had bleeding and five had scarring. There was a statistically significant difference between Group A and Group B for these complications (P ≤ 0.05). This report demonstrates the advantages of using a sutureless silicone ring during combined 23-gauge vitrectomy and cataract surgery. Using this method could allow extra time for the surgeon to pay more attention to complex vitreoretinal procedures.

Differentiation between non-neural and neural contributors to ankle joint stiffness in cerebral palsy.

Science.gov (United States)

de Gooijer-van de Groep, Karin L; de Vlugt, Erwin; de Groot, Jurriaan H; van der Heijden-Maessen, Hélène C M; Wielheesen, Dennis H M; van Wijlen-Hempel, Rietje M S; Arendzen, J Hans; Meskers, Carel G M

2013-07-23

Spastic paresis in cerebral palsy (CP) is characterized by increased joint stiffness that may be of neural origin, i.e. improper muscle activation caused by e.g. hyperreflexia or non-neural origin, i.e. altered tissue viscoelastic properties (clinically: "spasticity" vs. "contracture"). Differentiation between these components is hard to achieve by common manual tests. We applied an assessment instrument to obtain quantitative measures of neural and non-neural contributions to ankle joint stiffness in CP. Twenty-three adolescents with CP and eleven healthy subjects were seated with their foot fixated to an electrically powered single axis footplate. Passive ramp-and-hold rotations were applied over full ankle range of motion (RoM) at low and high velocities. Subject specific tissue stiffness, viscosity and reflexive torque were estimated from ankle angle, torque and triceps surae EMG activity using a neuromuscular model. In CP, triceps surae reflexive torque was on average 5.7 times larger (p = .002) and tissue stiffness 2.1 times larger (p = .018) compared to controls. High tissue stiffness was associated with reduced RoM (p therapy.

Tratamento cirúrgico da otosclerose na residência médica Surgical treatment of otosclerosis in medical residency training

Directory of Open Access Journals (Sweden)

Vinicius Antunes Freitas

2006-12-01

Full Text Available A proporção de pacientes com otosclerose estapediana em relação ao número de otorrinolaringologistas tem diminuído nos últimos anos. Questiona-se se a cirurgia de tratamento da otosclerose deve ou não continuar sendo ensinada para residentes. OBJETIVO: Avaliar os resultados e complicações das estapedotomias realizadas por residentes no período de janeiro de 1997 a janeiro de 2000; verificar a inclusão da estapedotomia no programa de residência médica. FORMA DE ESTUDO: Estudo de coorte histórica longitudinal. MATERIAIS E MÉTODOS: Avaliados 50 prontuários de pacientes submetidos a um total de 51 estapedotomias quanto às complicações e resultados audiológicos. RESULTADOS: Fechamento do gap aéreo-ósseo para menor ou igual a 10dB NA em 70,5% das orelhas e menor ou igual a 20 dB NA em 86,3% das orelhas. Ocorreu 1 caso de surdez total. Complicações: subluxação da bigorna (7,8%, perfuração da membrana timpânica (5,8%, vertigem incapacitante que se resolveu dentro de 3 semanas (5,8%, otorréia (3,9%, platina flutuante (1,95 e fístula perilinfática (1,9%. CONCLUSÃO: A análise da literatura e os resultados e complicações obtidos neste estudo permitem concluir que a estapedotomia pode ser incluída no programa de residência médica, desde que haja disponibilidade de casos cirúrgicos para o treinamento dos residentes.The number of patients with stapes otosclerosis compared to the number of otorhinolaryngologists has declined over the past several years. As a result a controversy has arisen in the literature, whether or not stapes surgery should be included in residency programs. AIM: the objective of the present study is to evaluate the results and complications of estapedotomies performed by residents between January, 1997 and January, 2000, and consequently study the feasibility of including estapedotomies in residency programs. STUD DESIGN: retrospective review of prospectively collected audiometric data. MATERIALS

CT and MR imaging after middle ear surgery

International Nuclear Information System (INIS)

Koesling, Sabrina; Bootz, F.

2001-01-01

This article describes the current value of imaging in patients after stapes surgery and surgery after chronic otitis media including cholesteatoma. Possibilities and limits of computed tomography (CT) and MRI are described and most important investigation parameters are mentioned. After otosclerosis surgery, CT is the method of first choice in detection of reasons for vertigo and/or recurrent hearing loss in the later postoperative phase. CT may show the position and condition of prosthesis, scarring around the prosthesis and otospongiotic foci. Sometimes, it gives indirect hints for perilymphatic fistulas and incus necrosis. MRI is able to document inner ear complications. CT has a high negative predictive value in cases with a free cavity after mastoidectomy. Localized opacities or total occlusion are difficult to distinguish by CT alone. MRI provides important additional information in the differentiation of cholesterol granuloma, cholesteatoma, effusion, granulation and scar tissue

High resolution computed tomography of auditory ossicles

International Nuclear Information System (INIS)

Isono, M.; Murata, K.; Ohta, F.; Yoshida, A.; Ishida, O.; Kinki Univ., Osaka

1990-01-01

Auditory ossicular sections were scanned at section thicknesses (mm)/section interspaces (mm) of 1.5/1.5 (61 patients), 1.0/1.0 (13 patients) or 1.5/1.0 (33 patients). At any type of section thickness/interspace, the malleal and incudal structures were observed with almost equal frequency. The region of the incudostapedial joint and each component part of the stapes were shown more frequently at a section interspace of 1.0 mm than at 1.5 mm. The visualization frequency of each auditory ossicular component on two or more serial sections was investigated. At a section thickness/section interspace of 1.5/1.5, the visualization rates were low except for large components such as the head of the malleus and the body of the incus, but at a slice interspace of 1.0 mm, they were high for most components of the auditory ossicles. (orig.)

CT and MR imaging after middle ear surgery

Energy Technology Data Exchange (ETDEWEB)

Koesling, Sabrina E-mail: sabrina.koesling@medizin.uni-halle.de; Bootz, F

2001-11-01

This article describes the current value of imaging in patients after stapes surgery and surgery after chronic otitis media including cholesteatoma. Possibilities and limits of computed tomography (CT) and MRI are described and most important investigation parameters are mentioned. After otosclerosis surgery, CT is the method of first choice in detection of reasons for vertigo and/or recurrent hearing loss in the later postoperative phase. CT may show the position and condition of prosthesis, scarring around the prosthesis and otospongiotic foci. Sometimes, it gives indirect hints for perilymphatic fistulas and incus necrosis. MRI is able to document inner ear complications. CT has a high negative predictive value in cases with a free cavity after mastoidectomy. Localized opacities or total occlusion are difficult to distinguish by CT alone. MRI provides important additional information in the differentiation of cholesterol granuloma, cholesteatoma, effusion, granulation and scar tissue.

Argon laser irradiation of the otolithic organ

Energy Technology Data Exchange (ETDEWEB)

Okuno, T.; Nomura, Y.; Young, Y.H.; Hara, M. (Univ. of Tokyo (Japan))

1990-12-01

An argon laser was used to irradiate the otolithic organs of guinea pigs and cynomolgus monkeys. After stapedectomy, the argon laser (1.5 W x 0.5 sec/shot) irradiated the utricle or saccule without touching the sensory organs. The stapes was replaced over the oval window after irradiation. The animals used for acute observation were killed immediately for morphologic studies; those used for long-term observation were kept alive for 2, 4, or 10 weeks. Acute observation revealed that sensory and supporting cells were elevated from the basement membrane only in the irradiated area. No rupture of the membranous labyrinth was observed. Long-term observation revealed that the otolith of the macula utriculi had disappeared in 2-week specimens. The entire macula utricili had disappeared in 10-week specimens. No morphologic changes were observed in cochlea, semicircular canals, or membranous labyrinth. The saccule showed similar changes.

Endoscopic versus transcranial procurement of allograft tympano-ossicular systems: a prospective double-blind randomized controlled audit.

Science.gov (United States)

Caremans, Jeroen; Hamans, Evert; Muylle, Ludo; Van de Heyning, Paul; Van Rompaey, Vincent

2016-06-01

Allograft tympano-ossicular systems (ATOS) have proven their use over many decades in tympanoplasty and reconstruction after resection of cholesteatoma. The transcranial bone plug technique has been used in the past 50 years to procure en bloc ATOS (tympanic membrane with malleus, incus and stapes attached). Recently, our group reported the feasibility of the endoscopic procurement technique. The aim of this study was to assess whether clinical outcome is equivalent in ATOS acquired by using the endoscopic procurement technique compared to ATOS acquired by using the transcranial technique. A double-blind randomized controlled audit was performed in a tertiary referral center in patients that underwent allograft tympanoplasty because of chronic otitis media with and without cholesteatoma. Allograft epithelialisation was evaluated at the short-term postoperative visit by microscopic examination. Failures were reported if reperforation was observed. Fifty patients underwent allograft tympanoplasty: 34 received endoscopically procured ATOS and 16 received transcranially procured ATOS. One failed case was observed, in the endoscopic procurement group. We did not observe a statistically significant difference between the two groups in failure rate. This study demonstrates equivalence of the clinical outcome of allograft tympanoplasty using either endoscopic or transcranial procured ATOS and therefore indicates that the endoscopic technique can be considered the new standard procurement technique. Especially because the endoscopic procurement technique has several advantages compared to the former transcranial procurement technique: it avoids risk of prion transmission and it is faster while lacking any noticeable incision.

Evaluation models and evaluation use

Science.gov (United States)

Contandriopoulos, Damien; Brousselle, Astrid

2012-01-01

The use of evaluation results is at the core of evaluation theory and practice. Major debates in the field have emphasized the importance of both the evaluator’s role and the evaluation process itself in fostering evaluation use. A recent systematic review of interventions aimed at influencing policy-making or organizational behavior through knowledge exchange offers a new perspective on evaluation use. We propose here a framework for better understanding the embedded relations between evaluation context, choice of an evaluation model and use of results. The article argues that the evaluation context presents conditions that affect both the appropriateness of the evaluation model implemented and the use of results. PMID:23526460

Evaluation Use in Evaluation Systems

DEFF Research Database (Denmark)

Højlund, Steven

2014-01-01

This article investigates the European Union’s evaluation system and its conduciveness to evaluation use. Taking the European Commission’s LIFE programme as its case, the article makes an empirical contribution to an emerging focus in the literature on the importance of organization...... and institutions when analyzing evaluation use. By focusing on the European Union’s evaluation system the article finds that evaluation use mainly takes place in the European Commission and less so in the European Parliament and the European Council. The main explanatory factors enabling evaluation use relate...... to the system’s formalization of evaluation implementation and use; these factors ensure evaluation quality, timeliness and capacity in the Commission. At the same time, however, the system’s formalization also impedes evaluation use, reducing the direct influence of evaluations on policy-making and effectively...

Computational model to investigate the relative contributions of different neuromuscular properties of tibialis anterior on force generated during ankle dorsiflexion.

Science.gov (United States)

Siddiqi, Ariba; Poosapadi Arjunan, Sridhar; Kumar, Dinesh Kant

2018-01-16

This study describes a new model of the force generated by tibialis anterior muscle with three new features: single-fiber action potential, twitch force, and pennation angle. This model was used to investigate the relative effects and interaction of ten age-associated neuromuscular parameters. Regression analysis (significance level of 0.05) between the neuromuscular properties and corresponding simulated force produced at the footplate was performed. Standardized slope coefficients were computed to rank the effect of the parameters. The results show that reduction in the average firing rate is the reason for the sharp decline in the force and other factors, such as number of muscle fibers, specific force, pennation angle, and innervation ratio. The fast fiber ratio affects the simulated force through two significant interactions. This study has ranked the individual contributions of the neuromuscular factors to muscle strength decline of the TA and identified firing rate decline as the biggest cause followed by decrease in muscle fiber number and specific force. The strategy for strength preservation for the elderly should focus on improving firing rate. Graphical abstract Neuromuscular properties of Tibialis Anterior on force generated during ankle dorsiflexion.

Hearing Loss in Osteogenesis Imperfecta: Characteristics and Treatment Considerations

Science.gov (United States)

Pillion, Joseph P.; Vernick, David; Shapiro, Jay

2011-01-01

Osteogenesis imperfecta (OI) is the most common heritable disorder of connective tissue. It is associated with fractures following relatively minor injury, blue sclerae, dentinogenesis imperfecta, increased joint mobility, short stature, and hearing loss. Structures in the otic capsule and inner ear share in the histologic features common to other skeletal tissues. OI is due to mutations involving several genes, the most commonly involved are the COL1A1 or COL1A2 genes which are responsible for the synthesis of the proalpha-1 and proalpha-2 polypeptide chains that form the type I collagen triple helix. A genotype/phenotype relationship to hearing loss has not been established in OI. Hearing loss is commonly found in OI with prevalence rates ranging from 50 to 92% in some studies. Hearing loss in OI may be conductive, mixed, or sensorineural and is more common by the second or third decade. Treatment options such as hearing aids, stapes surgery, and cochlear implants are discussed. PMID:22567374

Shortened stapedius tendon: a rare cause of conductive hearing loss.

Science.gov (United States)

Zawawi, F; Varshney, R; Schloss, M D

2014-01-01

Anomalies of the stapedius tendon have been reported to cause conductive hearing loss; in theory, such anomalies limit the movement of the stapes. To demonstrate a rare cause of conductive hearing loss resulting from anomaly of the stapedius tendon and to compare the clinical findings of this patient to other stapedius tendon anomalies reported in the literature. Case report of a single case of shortened stapedius tendon and a review of the English literature on stapedius tendon anomalies. This is a case report of a 15-year-old boy with shortened stapedius tendon causing unilateral hearing loss, accompanied by a review of the literature. Contrary to other reported cases, this patient did not have an ossified tendon, but rather an extremely short tendon. The boy regained normal hearing following excision of the stapedius tendon. A shortened stapedius tendon is a very rare diagnosis, yet it should be considered as a possible cause of conductive hearing loss.

A comparison of CO2 laser versus traditional stapedectomy outcomes.

LENUS (Irish Health Repository)

Ryan, S

2012-02-01

The aim of this study was to audit the introduction of the use of the CO2 laser into our department and to compare hearing outcomes and complication rates in patients who underwent either laser or mechanical stapedectomy. We found that the use of laser is at least as safe as the traditional approach with regards the rate of post-operative complications. One patient in the laser group suffered prolonged post-operative tinnitus, whilst one patient in the traditional group suffered prolonged post-operative vertigo. There was no evidence, however, of improved Air-Bone Gap closure compared to the traditional approach (Pre- and Post-Op Air Bone Gaps of 34 +\\/- 3 and 9 +\\/- 2 for laser stapedectomy versus 35 +\\/- 4 and 13 +\\/- 2 for traditional stapedectomy (mean +\\/- SEM)). In summary, therefore, CO2 laser surgery for otosclerosis is a safe surgical procedure resulting in similar hearing outcomes to that obtained following mechanical stapes surgery.

EVALUATION OF COURSE EVALUATIONS

DEFF Research Database (Denmark)

Friis-Hansen, Peter; Houbak, Niels; Klit, Peder

2005-01-01

and we have seen excellent lectures obtaining poor evaluations due to circumstances out of their control. On the other hand, with the analysis at hand, it is much easier to focus on specific needs for improvements. The effect of ‘chasing the bad performance’ over the past few years will be shown....... have for more than 10 years been evaluating the courses they attend. During the last 5 years, this evaluation has been electronic as an integral part of our CampusNet computing and course admini¬stra¬tion system. At the MEK department we have a committee in charge of our educational activities. One...... obligation is – two times a year – to go through in detail the evaluations for each of our 100+ courses and for each of the 50+ teachers. A rather tedious job, where the outcome seldom justifies the resources spent. The electronic version has opened up for further analysis of the evaluation data...

Comparison of disposable sutureless silicone ring and traditional metal ring in 23-gauge vitrectomy combined with cataract surgery

Directory of Open Access Journals (Sweden)

Li X-R

2011-06-01

Full Text Available Jian-Guo Wu, Rui-Hua Wei, Ai-Hua Liu, Xiao-Xu Zhou, Guo-Ling Sun, Xiao-Rong LiTianjin Medical University Eye Center, Tianjin, ChinaBackground: The purpose of this prospective, interventional, comparative case series was to evaluate the efficiency and feasibility of a disposable sutureless silicone lens ring for corneal contact lens stabilization during combined 23-gauge vitrectomy and cataract surgery.Methods: We developed a ring consisting of a single silicone component with three footplates along the ring margin to fit cannulae for holding conventional contact lenses. Thirty eyes from 30 patients with cataract and vitreoretinal disease were included, and divided into two matched groups according to disease type and ring used. In Group A, we used a 23-gauge transconjunctival vitrectomy system and a disposable sutureless silicone lens ring (n = 15. In Group B, we used a 23-gauge transconjunctival vitrectomy system and a conventional metal lens ring (n = 15. The main outcome measures were: time required for vitrectomy preparation, rate of intraoperative corneal limbus bleeding, and limbus scar rate at the final follow-up visit.Results: Thirty cases were successfully completed. The average vitrectomy preparation time was less in Group A than in Group B (P < 0.01, and the average preparation time saved was 3.94 minutes. None of the Group A patients had intraoperative bleeding or postoperative scarring, whereas all 15 Group B cases had bleeding and five had scarring. There was a statistically significant difference between Group A and Group B for these complications (P ≤ 0.05.Conclusion: This report demonstrates the advantages of using a sutureless silicone ring during combined 23-gauge vitrectomy and cataract surgery. Using this method could allow extra time for the surgeon to pay more attention to complex vitreoretinal procedures.Keywords: pars plana vitrectomy, contact lens, silicone ring, cataract surgery

Visualization of subtle temporal bone structures. Comparison of cone beam CT and MDCT

International Nuclear Information System (INIS)

Pein, M.K.; Plontke, S.K.; Brandt, S.; Koesling, S.

2014-01-01

The purpose of this study was to compare the visualization of subtle, non-pathological temporal bone structures on cone beam computed tomography (CBCT) and multi-detector computed tomography (MDCT) in vivo. Temporal bone studies of images from 38 patients archived in the picture archiving and communication system (PACS) were analyzed (slice thickness MDCT 0.6 mm and CBCT 0.125 mm) of which 23 were imaged by MDCT and 15 by CBCT using optimized standard protocols. Inclusion criteria were normal radiological findings, absence of previous surgery and anatomical variants. Images were evaluated blind by three trained observers. Using a five-point scale the visualization of ten subtle structures of the temporal bone was analyzed. Subtle middle ear structures showed a tendency to be more easily distinguishable by CBCT with significantly better visualization of the tendon of the stapedius muscle and the crura of the stapes on CBCT (p = 0.003 and p = 0.033, respectively). In contrast, inner ear components, such as the osseus spiral lamina and the modiolus tended to be better detectable on MDCT, showing significant differences for the osseous spiral lamina (p = 0.001). The interrater reliability was 0.73 (Cohen's kappa coefficient) and intraobserver reliability was 0.89. The use of CBCT and MDCT allows equivalent and excellent imaging results if optimized protocols are chosen. With both imaging techniques subtle temporal bone structures could be visualized with a similar degree of definition. In vivo differences do not seem to be as large as suggested in several previous studies. (orig.) [de

Three-dimensional reconstruction and modeling of middle ear biomechanics by high-resolution computed tomography and finite element analysis.

Science.gov (United States)

Lee, Chia-Fone; Chen, Peir-Rong; Lee, Wen-Jeng; Chen, Jyh-Horng; Liu, Tien-Chen

2006-05-01

To present a systematic and practical approach that uses high-resolution computed tomography to derive models of the middle ear for finite element analysis. This prospective study included 31 subjects with normal hearing and no previous otologic disorders. Temporal bone images obtained from 15 right ears and 16 left ears were used for evaluation and reconstruction. High-resolution computed tomography of temporal bone was performed using simultaneous acquisition of 16 sections with a collimated slice thickness of 0.625 mm. All images were transferred to an Amira visualization system for three-dimensional reconstruction. The created three-dimensional model was translated into two commercial modeling packages, Patran and ANSYS, for finite element analysis. The characteristic dimensions of the model were measured and compared with previously published histologic section data. This result confirms that the geometric model created by the proposed method is accurate except that the tympanic membrane is thicker than when measured by the histologic section method. No obvious difference in the geometrical dimension between right and left ossicles was found (P > .05). The three-dimensional model created by finite element method and predicted umbo and stapes displacements are close to the bounds of the experimental curves of Nishihara's, Huber's, Gan's, and Sun's data across the frequency range of 100 to 8000 Hz. The model includes a description of the geometry of the middle ear components and dynamic equations of vibration. The proposed method is quick, practical, low-cost, and, most importantly, noninvasive as compared with histologic section methods.

American Evaluation Association Guiding Principles for Evaluators

Energy Technology Data Exchange (ETDEWEB)

None

2009-01-18

Five principles developed by American Evaluation Associ intended to guide professional practice of evaluators & to inform evaluation clients and the general public about principles they can expect to be upheld by professional evaluators.

Radiotherapy results of uterine cervix cancer stape IIB : overall survival, prognostic facters, patterns of failure and late complications

Energy Technology Data Exchange (ETDEWEB)

Kim, Eun Seog; Choi, Doo Ho [Soonchunhyang Univ. College of Medicine, Asan (Korea, Republic of); Huh, Seung Jae [Samsung Medical Center, Sungkyunkwan Univ. College of Medicine, Seoul (Korea, Republic of)

1998-03-01

Treatment of choice for uterine cervix cancer stage IIB is radiotherapy. We analyzed survivals, prognostic factors, patterns of failure and complications. This is a retrospective analysis of 167 patients with stage IIB carcinoma of uterine cervix treated with curative external pelvic and high dose rate intracavitary radiotherapy at the Department of Therapeutic Radiology, Soonchunhyang University Hospital from August 1985 to August 1994. All the patients followed up from 3 to 141 months(mean 60 months) and age of patients ranged from 31 to 78 years at presentation(mean : 55 years). Overall complete response rate was 84%. The response rate for squamous cell carcimoma and adenocarcinoma were 86% and 60%, respectively. Overall 5-years survival rate and disease free survival rate was 62 and 59%, respectively. Mass size and treatment response were significant prognostic factors for survival. Pathologic type and parametrial involvement were marginally significants prognostic factors. Local failure was 43 cases, distant metastasis was 14 cases and local failure plus distant metastasis was 3 cases, and most of local failures occurred within 24 months, distant metastasis within 12 months after treatment. Twenty eight(16.8%) patients developed late rectal and urinary complications There were tendency to increasing severity and frequency according to increased fractional dose and total(rectal and bladder) dose. Survival rate was significantly related to tumor size and radiotherapy response. Tumor size should be considered in the clinical staging. To increased survival and local control, clinical trials such as decreasing duration of radiotherapy or addition of chemotherapy is needed. To detect early recurrence, regular follow up after RT is important. Because total rectal and bladder dose affected late complications, meticulous vaginal packing is needed to optimize dose of normal tissues and to decrease late complications.

Evaluating how we evaluate.

Science.gov (United States)

Vale, Ronald D

2012-09-01

Evaluation of scientific work underlies the process of career advancement in academic science, with publications being a fundamental metric. Many aspects of the evaluation process for grants and promotions are deeply ingrained in institutions and funding agencies and have been altered very little in the past several decades, despite substantial changes that have taken place in the scientific work force, the funding landscape, and the way that science is being conducted. This article examines how scientific productivity is being evaluated, what it is rewarding, where it falls short, and why richer information than a standard curriculum vitae/biosketch might provide a more accurate picture of scientific and educational contributions. The article also explores how the evaluation process exerts a profound influence on many aspects of the scientific enterprise, including the training of new scientists, the way in which grant resources are distributed, the manner in which new knowledge is published, and the culture of science itself.

Nuclear data evaluation method and evaluation system

International Nuclear Information System (INIS)

Liu Tingjin

1995-01-01

The evaluation methods and Nuclear Data Evaluation System have been developed in China. A new version of the system has been established on Micro-VAX2 computer, which is supported by IAEA under the technology assistance program. The flow chart of Chinese Nuclear Data Evaluation System is shown out. For last ten years, the main efforts have been put on the double differential cross section, covariance data and evaluated data library validation. The developed evaluation method and Chinese Nuclear Data Evaluation System have been widely used at CNDC and in Chinese Nuclear Data Network for CENDL. (1 tab., 15 figs.)

Sound attenuation in the ear of domestic chickens (Gallus gallus domesticus) as a result of beak opening

Science.gov (United States)

Claes, Raf; Dirckx, Joris J. J.

2017-01-01

Because the quadrate and the eardrum are connected, the hypothesis was tested that birds attenuate the transmission of sound through their ears by opening the bill, which potentially serves as an additional protective mechanism for self-generated vocalizations. In domestic chickens, it was examined if a difference exists between hens and roosters, given the difference in vocalization capacity between the sexes. To test the hypothesis, vibrations of the columellar footplate were measured ex vivo with laser Doppler vibrometry (LDV) for closed and maximally opened beak conditions, with sounds introduced at the ear canal. The average attenuation was 3.5 dB in roosters and only 0.5 dB in hens. To demonstrate the importance of a putative protective mechanism, audio recordings were performed of a crowing rooster. Sound pressures levels of 133.5 dB were recorded near the ears. The frequency content of the vocalizations was in accordance with the range of highest hearing sensitivity in chickens. The results indicate a small but significant difference in sound attenuation between hens and roosters. However, the amount of attenuation as measured in the experiments on both hens and roosters is small and will provide little effective protection in addition to other mechanisms such as stapedius muscle activity. PMID:29291112

The Effect of Superior Semicircular Canal Dehiscence on Intracochlear Sound Pressures

Science.gov (United States)

Nakajima, Hideko Heidi; Pisano, Dominic V.; Merchant, Saumil N.; Rosowski, John J.

2011-11-01

Semicircular canal dehiscence (SCD) is a pathological opening in the bony wall of the inner ear that can result in conductive hearing loss. The hearing loss is variable across patients, and the precise mechanism and source of variability is not fully understood. We use intracochlear sound pressure measurements in cadaveric preparations to study the effects of SCD size. Simultaneous measurement of basal intracochlear sound pressures in scala vestibuli (SV) and scala tympani (ST) quantifies the complex differential pressure across the cochlear partition, the stimulus that excites the partition. Sound-induced pressures in SV and ST, as well as stapes velocity and ear-canal pressure are measured simultaneously for various sizes of SCD followed by SCD patching. At low frequencies (<600 Hz) our results show that SCD decreases the pressure in both SV and ST, as well as differential pressure, and these effects become more pronounced as dehiscence size is increased. For frequencies above 1 kHz, the smallest pinpoint dehiscence can have the larger effect on the differential pressure in some ears. These effects due to SCD are reversible by patching the dehiscence.

Valorization of glass and shell powders in the synthesis of Belitic clinker

Directory of Open Access Journals (Sweden)

Bouregba* A.

2018-01-01

Full Text Available In recent years, waste recycling has become a key issue in construction materials science for achieve the goal of sources of raw materials. The aim of this study is to use waste glass as source of SiO2 oxide and mussel shells consisting essentially of calcium carbonate as starting materials to synthesize belite rich cement. The elaborated clinker is chemically and structurally related to β-Ca2SiO4, by heat solid state activation. After grinding, the raw materials are mixed and heated up to 1050°C. The samples are characterized by X-ray diffraction (XRD and Fourier Transformed Infrared spectroscopy (FT-IR. The mechanical strength of some sample was measured for 28 and 72 days. The results show the different mineralogical stapes of formation of clinker, the state reaction method allows the elaboration of a cementitious material by a simple heat treatment at relatively low temperature and low release of CO2. The hydration products are also identified by XR diffraction at 2, 7, 28 and 72 days.

Segmentation and reconstruction of the 3D geometry of the middle and inner ear

Directory of Open Access Journals (Sweden)

Lu Yanfei

2017-01-01

Full Text Available The anatomical model of the ear is of great importance in the design of ossicular prosthesis, cochlear implant electrodes, as well as for the preoperative planning and navigation of surgery. By means of micro-computed tomography (micro-CT and technology of 3D reconstruction, an anatomical model of the middle and inner ear was built. Region of interest includes the ossicular chain (malleus, incus, and stapes, cochlea (scala vestibule-ST, scala tympani-ST, basilar membrane-BM, spiral ligament-SL and osseous spiral lamina-OSL, tympanic membrane-TM, oval window membrane-OWM, round window membrane-OWM and stapedial annular ligament-SAL. The micro-CT images of a cadaver’s temporal bone were acquired by “SkyScan 1076” (Kontich, Belgium, www.skyscan.be and then reconstructed to cross-section images by SkyScan NRecon™ (v1.6.10.4. The image processing and 3D geometry reconstruction of temporal bone were performed by software Mimics® (v14.0, Materialise NV, Leuven, Belgium. The obtained structures are measured and validated against literature data and the results are in good agreement.

[The application of vibrant sound bridge in microtia whose reconstructive external auditory canal occurred atresia].

Science.gov (United States)

Zhao, Shouqin; Gong, Shusheng; Han, Demin; Chen, Shubin; Li, Yi; Ma, Xiaobo; Liu, Haihong

2012-05-01

To investigate the effect of vibrant sound bridge implantation in microtia whose reconstructive external auditory canal occurred atresia. Three cases (2 males and 1 female) of microtia had underwent hearing reconstruction operation (Include the external ear canal reconstructive surgery and tympanoplasty). The age ranged from 15 to 18 years and the average age was 17 years. All the 3 cases suffered from conductive hearing loss with the air-bone gap ranging from 51.6 to 65.0 dB HL and the average value being 56. 3 dB HL. All the 3 cases underwent vibrant sound bridge implantation, including the floating mass transducer implanted in the head of stapes in 2 cases and in the niche of round window in 1 case. The postoperative hearing level improved from 21.6 to 52.5 dB HL with an average of 32.2 dB HL. There were no complications such as vertigo, tinnitus and facial paralysis. Through vibrant sound bridge implantation, the hearing level of microtia whose reconstructive external auditory canal occurred atresia was improved effectively.

The demonstration of the auditory ossicles by high resolution CT

International Nuclear Information System (INIS)

Lloyd, G.A.S.; Boulay, G.H. du; Phelps, P.D.; Pullicino, P.

1979-01-01

The high resolution CT scanning system introduced by EMI in 1978 has added a new dimension to computerised tomography in otology. The apparatus used for this study was an EMI CT 5005 body scanner adapted for head and neck scanning and incorporating a high resolution facility. The latter has proved most advantageous in areas of relatively high differential absorption, so that its application to the demonstration of abnormalities in the petrous temporal bone, and in particular middle ear disease, has been very rewarding. Traumatic ossicular disruptions may now be demonstrated and the high contrast of CT often shows them better than conventional hypocycloidal tomography. The stapes is also better visualised and congenital abnormalities of its superstructure have been recorded. These studies have been achieved with a very acceptable level of radiation to the eye, lens and cornea and the technique is clearly a rival to conventional pluridirectional tomography in the assessment of the petrous temporal bone. With further design improvements high resolution CT could completely replace existing techniques. (orig.) [de

The "boomerang" malleus-incus complex in congenital aural atresia.

Science.gov (United States)

Mukherjee, S; Kesser, B W; Raghavan, P

2014-01-01

"Boomerang" malleus-incus fusion deformity is identified on axial high-resolution CT in a subset of patients with congenital aural atresia, and it is associated with an absent incudostapedial joint and stapes capitulum and attachment of the incus to the tympanic segment of the facial nerve canal. Twelve patients with this deformity were identified on a retrospective review of imaging from a cohort of 673 patients with congenital aural atresia, with surgical confirmation in 9 of these patients. Eight of 9 patients underwent partial ossicular replacement prosthesis reconstruction with improvement in hearing outcome. We hypothesize that the boomerang anomaly represents a more severe ossicular anomaly than is normally seen in congenital aural atresia, arising from an arrest earlier in the embryonic development of the first and second branchial arch. This has potentially important implications for surgical planning because hearing outcomes with placement of prosthesis may not be as good as with conventional atresia surgery, in which reconstruction is performed with the patient's native ossicular chain. © 2014 by American Journal of Neuroradiology.

Empowerment Evaluation: A Form of Self-Evaluation.

Science.gov (United States)

Fetterman, David M.

Empowerment evaluation is an innovative approach that uses evaluation concepts and techniques to foster improvement and self-determination. Empowerment evaluation employs qualitative and quantitative methodologies. Although it can be applied to individuals and organizations, the usual focus is on programs. The value orientation of empowerment…

American Evaluation Association: Guiding Principles for Evaluators

Science.gov (United States)

American Journal of Evaluation, 2009

2009-01-01

The American Evaluation Association (AEA) strives to promote ethical practice in the evaluation of programs, products, personnel, and policy. This article presents the list of principles which AEA developed to guide evaluators in their professional practice. These principles are: (1) Systematic Inquiry; (2) Competence; (3) Integrity/Honesty; (4)…

Modifying Formative Evaluation Techniques For Distance Education Class Evaluation

Directory of Open Access Journals (Sweden)

Scott L. WALKER

2005-10-01

Full Text Available Modifying Formative Evaluation Techniques For Distance Education Class Evaluation Assistant Professor Scott L. WALKERDepartment of GeographyTexas State UniversitySan Marcos, USA ABSTRACTPost-secondary classes are usually followed by mandatory summative evaluations, yet changes in teaching and course structure cannot be made with summative evaluations. Formative evaluations in online education can result in candid responses from students if a third-party facilitator is involved in the process. This paper presents a method for conducting formative evaluation in an online class by utilizing the assistance of a colleague. Results of one such evaluation are presented, as are its advantages and disadvantages.

[The comparative analysis of clinical symptomatology before and after the operation of otosclerosis].

Science.gov (United States)

Terzić, Negra; Zivić, Ljubica

2009-01-01

Otosclerosis is a progressive osteodystrophic disease of the osseous capsule of the labyrinth which leads to the fixation of the stapes and partial deafness. The progressive hearing loss followed by ear tingling--tinitus and vertigo is of great importance for this disease. The aim of the work was to determine the changes of clinical symptomatology before and after the operative treatment of otoscleoris. The study included 32 subjects between 25 and 60 years of age affected by otosclerosis who had undergone surgical treatment at the VMA (Military Medical Academy) Clinic, Department of Otolaryngology in Belgrade. Besides the clinical examination and detailed case history, audiometry and tympanometry examinations were performed. During the postoperative period the clinical symptomatology was evaluated and audiometry examinations were performed in order to determine the effect of the surgical intervention. Of the total number of 32 subjects, partial deafness was present in all of them before the operation, whereas tinitus, vertiginous disturbances and otalgia were found in a certain number of the subjects. During the postoperative period a partial recovery was found in a larger number of the subjects in relation to the total hearing recovery. During the postoperative period tinitus of lower intensity was found in a greater number of the subjects, whereas the number of those without tinitus was smaller. The problem of vertiginous disturbances as well as otalgia were not found during the postoperative period. By following the changes of the clinical symptomatology we came to the conclusion that surgical treatment of otosclerosis results in the reduction and disappearance of subjective disturbances, tinitus, vertigo and otalgia and leads to the partial or complete hearing recovery.

Evaluation Strategy

DEFF Research Database (Denmark)

Coto Chotto, Mayela; Wentzer, Helle; Dirckinck-Holmfeld, Lone

2009-01-01

The paper presents an evaluation strategy based on deliberate ideals and principles of dialogue design. The evaluation strategy is based on experiential phenomenology taking the point of departure for design and evaluation processes in the experienced practitioners themselves. The article present...... the evaluation strategy and methodology of a research project Making Online Path to Enter new Markets, MOPEM. It is an EU-research project with partners from different Educational Institutions of Technology and Business in five European Countries.......The paper presents an evaluation strategy based on deliberate ideals and principles of dialogue design. The evaluation strategy is based on experiential phenomenology taking the point of departure for design and evaluation processes in the experienced practitioners themselves. The article presents...

Collaborative Evaluation within a Framework of Stakeholder-Oriented Evaluation Approaches

Science.gov (United States)

O'Sullivan, Rita G.

2012-01-01

Collaborative Evaluation systematically invites and engages stakeholders in program evaluation planning and implementation. Unlike "distanced" evaluation approaches, which reject stakeholder participation as evaluation team members, Collaborative Evaluation assumes that active, on-going engagement between evaluators and program staff,…

Energy-efficient buildings program evaluations. Volume 2: Evaluation summaries

Energy Technology Data Exchange (ETDEWEB)

Lee, A.D.; Mayi, D.; Edgemon, S.D.

1997-04-01

This document presents summaries of code and utility building program evaluations reviewed as the basis for the information presented in Energy-Efficient Buildings Program Evaluations, Volume 1: Findings and Recommendations, DOE/EE/OBT-11569, Vol. 1. The main purpose of this volume is to summarize information from prior evaluations of similar programs that may be useful background for designing and conducting an evaluation of the BSGP. Another purpose is to summarize an extensive set of relevant evaluations and provide a resource for program designers, mangers, and evaluators.

Aging evaluation of active components by using performance evaluation

International Nuclear Information System (INIS)

Jung, S. K.; Jin, T. E.; Kim, J. S.; Jung, I. S.; Kim, T. R.

2003-01-01

Risk analysis and performance evaluation methodology were applied to the aging evaluation of active components in the periodic safety review of Wolsung unit 1. We conclude that evaluation of performance is more effective to discriminate the aging degradation of active component than the evaluation of aging mechanism. It is essential to analyze the common cause failures of low performance components to evaluate the properness of present maintenance system. Past 10 years failure history is used for establishing the performance criteria. Past 2 years failure history is used for the evaluating the recent performance condition. We analyze the failure mode of the components to improve the maintenance system. Performance evaluation methodology is useful for the quantitative evaluation of aging degradation of active components. Analysis on the repeated failures can be useful for the feedback to maintenance plan and interval

Differential diagnosis between chronic otitis media with and without cholesteatoma by temporal bone CT: focus on bone change and mass effect

International Nuclear Information System (INIS)

Jung, Cheol Kyu; Park, Dong Woo; Seong, Jin Yong; Lee, Kak Soo; Park Choong Ki; Lee, Seung Ro; Hahm, Chang Kok

2000-01-01

In order to determine specific differences, we compared the temporal bone CT findings of chronic otitis media (COM) with and without cholesteatoma, focusing on bone change. Between 1997 and 1998, 82 patients (84 cases) underwent temporal bone CT and were shown to have COM, with or without cholesteatoma after mastoidectomy and tympanoplasty. There were 36 cases of COM with cholesteatoma (26 patients, M:F =3D 11:15; age range, 16-61 (mean, 36,2) years), and 58 cases without chlesteatoma (56 patients, M:F =3D 25:31, age range, 15-61 (mean, 36.2) years). The findings of temporal bone CT were analysed at the point of bony changes including erosion and medial displacement of ossicles (malleus, incus, and stapes), erosion or destruction of the scutum, tegmen, facial canal, and lateral semicircular canal, and ballooning of the tympanic cavity and mastoid antrum. In addition, the soft tissue changes seen on temporal bone CT were analyzed at the site of lateral bulging of soft tissue in Prussak's space, perforation of the pars flaccida, tympanic membrane retraction, and tympanosclerosis. We retrospectively compared the findings of temporal bone CT with the surgical findings, and to assess statistical significance, the Chi-square test was used. Bone erosion or destruction was seen in 36.2% of COM cases without cholesteatoma, and in 96.2% of cases with cholesteatoma. Comparing COM with and without cholesteatoma, the erosion of ossicles including the malleus (81%, 24%), incus (88%, 14%), stapes (58%, 10%), scutum (88%, 10%), facial canal (8%, 0%), and lateral semicircular canal (8%, 0%), was more common in COM with cholesteatoma (p-value less than 0.05), with the exception of erosion of the tegmen (8%, 3%). Other bony changes including medial displacement of ossicles (27%, 3%), ballooning of tympanic cavity and mastoid antrum (96%, 16%), and the soft tissue changes including lateral bulging of soft tissue in Prussak's space (58%, 14%) and perforation of the pars flaccida (35

Differential diagnosis between chronic otitis media with and without cholesteatoma by temporal bone CT: focus on bone change and mass effect

Energy Technology Data Exchange (ETDEWEB)

Jung, Cheol Kyu; Park, Dong Woo; Seong, Jin Yong; Lee, Kak Soo; Park Choong Ki; Lee, Seung Ro; Hahm, Chang Kok [College of Medicine, Hanyang University, Seoul (Korea, Republic of)

2000-01-01

In order to determine specific differences, we compared the temporal bone CT findings of chronic otitis media (COM) with and without cholesteatoma, focusing on bone change. Between 1997 and 1998, 82 patients (84 cases) underwent temporal bone CT and were shown to have COM, with or without cholesteatoma after mastoidectomy and tympanoplasty. There were 36 cases of COM with cholesteatoma (26 patients, M:F =3D 11:15; age range, 16-61 (mean, 36,2) years), and 58 cases without chlesteatoma (56 patients, M:F =3D 25:31, age range, 15-61 (mean, 36.2) years). The findings of temporal bone CT were analysed at the point of bony changes including erosion and medial displacement of ossicles (malleus, incus, and stapes), erosion or destruction of the scutum, tegmen, facial canal, and lateral semicircular canal, and ballooning of the tympanic cavity and mastoid antrum. In addition, the soft tissue changes seen on temporal bone CT were analyzed at the site of lateral bulging of soft tissue in Prussak's space, perforation of the pars flaccida, tympanic membrane retraction, and tympanosclerosis. We retrospectively compared the findings of temporal bone CT with the surgical findings, and to assess statistical significance, the Chi-square test was used. Bone erosion or destruction was seen in 36.2% of COM cases without cholesteatoma, and in 96.2% of cases with cholesteatoma. Comparing COM with and without cholesteatoma, the erosion of ossicles including the malleus (81%, 24%), incus (88%, 14%), stapes (58%, 10%), scutum (88%, 10%), facial canal (8%, 0%), and lateral semicircular canal (8%, 0%), was more common in COM with cholesteatoma (p-value less than 0.05), with the exception of erosion of the tegmen (8%, 3%). Other bony changes including medial displacement of ossicles (27%, 3%), ballooning of tympanic cavity and mastoid antrum (96%, 16%), and the soft tissue changes including lateral bulging of soft tissue in Prussak's space (58%, 14%) and perforation of the pars

Evolution of the auditory ossicles in extant hominids: metric variation in African apes and humans

Science.gov (United States)

Quam, Rolf M; Coleman, Mark N; Martínez, Ignacio

2014-01-01

The auditory ossicles in primates have proven to be a reliable source of phylogenetic information. Nevertheless, to date, very little data have been published on the metric dimensions of the ear ossicles in African apes and humans. The present study relies on the largest samples of African ape ear ossicles studied to date to address questions of taxonomic differences and the evolutionary transformation of the ossicles in gorillas, chimpanzees and humans. Both African ape taxa show a malleus that is characterized by a long and slender manubrium and relatively short corpus, whereas humans show the opposite constellation of a short and thick manubrium and relatively long corpus. These changes in the manubrium are plausibly linked with changes in the size of the tympanic membrane. The main difference between the incus in African apes and humans seems to be related to changes in the functional length. Compared with chimpanzees, human incudes are larger in nearly all dimensions, except articular facet height, and show a more open angle between the axes. The gorilla incus resembles humans more closely in its metric dimensions, including functional length, perhaps as a result of the dramatically larger body size compared with chimpanzees. The differences between the stapedes of humans and African apes are primarily size-related, with humans being larger in nearly all dimensions. Nevertheless, some distinctions between the African apes were found in the obturator foramen and head height. Although correlations between metric variables in different ossicles were generally lower than those between variables in the same bone, variables of the malleus/incus complex appear to be more strongly correlated than those of the incus/stapes complex, perhaps reflecting the different embryological and evolutionary origins of the ossicles. The middle ear lever ratio for the African apes is similar to other haplorhines, but humans show the lowest lever ratio within primates. Very low levels

Congenital external auditory canal atresia and stenosis: temporal bone CT findings

Energy Technology Data Exchange (ETDEWEB)

Lee, Dong Hoon; Kim, Bum Soo; Jung, So Lyung; Kim, Young Joo; Chun, Ho Jong; Choi, Kyu Ho; Park, Shi Nae [College of Medicine, Catholic Univ. of Korea, Seoul (Korea, Republic of)

2002-04-01

To determine the computed tomographic (CT) findings of atresia and stenosis of the external auditory canal (EAC), and to describe associated abnormalities in surrounding structures. We retrospectively reviewed the axial and coronal CT images of the temporal bone in 15 patients (M:F=8:7;mean age, 15.8 years) with 16 cases of EAC atresia (unilateral n=11, bilateral n=1) and EAC stenosis (unilateral n=3). Associated abnormalities of the EAC, tympanic cavity, ossicles, mastoid air cells, eustachian tube, facial nerve course, mandibular condyle and condylar fossa, sigmoid sinus and jugular bulb, and the base of the middle cranial fossa were evaluated. Thirteen cases of bony EAC atresia (one bilateral), with an atretic bony plate, were noted, and one case of unilateral membranous atresia, in which a soft tissue the EAC. A unilateral lesion occurred more frequently on the right temporal bone (n=8, 73%). Associated abnormalities included a small tympanic cavity (n=8, 62%), decreased mastoid pneumatization (n=8, 62%), displacement of the mandibular condyle and the posterior wall of the condylar fossa (n=7, 54%), dilatation of the Eustachian tube (n=7, 54%), and inferior displacement of the temporal fossa base (n=8, 62%). Abnormalities of ossicles were noted in the malleolus (n=12, 92%), incus (n=10, 77%) and stapes (n=6, 46%). The course of the facial nerve was abnormal in four cases, and abnormality of the auditory canal was noted in one. Among three cases of EAC stenosis, ossicular aplasia was observed in one, and in another the location of the mandibular condyle and condylar fossa was abnormal. In the remaining case there was no associated abnormality. Atresia of the EAC is frequently accompanied by abnormalities of the middle ear cavity, ossicles, and adjacent structures other than the inner ear. For patients with atresia and stenosis of this canal, CT of the temporal bone is essentially helpful in evaluating these associated abnormalities.

Secondary Evaluations.

Science.gov (United States)

Cook, Thomas D.

Secondary evaluations, in which an investigator takes a body of evaluation data collected by a primary evaluation researcher and examines the data to see if the original conclusions about the program correspond with his own, are discussed. The different kinds of secondary evaluations and the advantages and disadvantages of each are pointed out,…

Evaluate to Improve: Useful Approaches to Student Evaluation

Science.gov (United States)

Golding, Clinton; Adam, Lee

2016-01-01

Many teachers in higher education use feedback from students to evaluate their teaching, but only some use these evaluations to improve their teaching. One important factor that makes the difference is the teacher's approach to their evaluations. In this article, we identify some useful approaches for improving teaching. We conducted focus groups…

Evaluating evaluation as a communication process. What role for formative evaluation in ICT-based knowledge acquisition?

Directory of Open Access Journals (Sweden)

USEILLE Philippe

2005-10-01

Full Text Available This article examines how formative evaluation as a communication process contributes to knowledge acquisition in using ICT (Information and Communication Technologies. Previous studies, especially in the field of education and training, have shown that formative evaluation plays a crucial part in the learning process because it contributes to learning to learn. Through formative evaluation, the learner becomes aware of errors and can adjust learning strategies to the situation. In addition, formative evaluation provides the teaching side with significant and useful information. Consequently, ICT researches have developed a wide range of solutions for this specific purpose. It is however difficult to check the efficiency of these tools by considering the effects of ICT in the knowledge acquisition process. I suggest that formative evaluation includes also a communication system that has an effect on the learning process. This study tackles the issue by proposing an alternative approach to formative evaluation that considers it as both a learning and a communication process. The study is based on SADT (Structure Analysis and Design Technique that provides a suitable description for the whole complex communication process. It allows a rigorous understanding and identification of the variables of evaluation as a communication process in order to take care of an ICT frame. Finally, this article outlines a multidisciplinary method to evaluate formative evaluation by focusing on the validity facets of the communication process. Keywords: formative evaluation, communication process, validity criteria, ICT training context.

Evaluating Evaluation Systems: Policy Levers and Strategies for Studying Implementation of Educator Evaluation. Policy Snapshot

Science.gov (United States)

Matlach, Lauren

2015-01-01

Evaluation studies can provide feedback on implementation, support continuous improvement, and increase understanding of evaluation systems' impact on teaching and learning. Despite the importance of educator evaluation studies, states often need support to prioritize and fund them. Successful studies require expertise, time, and a shared…

Uranium resource evaluation project quality assurance evaluation

International Nuclear Information System (INIS)

Grimes, J.G.

1981-01-01

This evaluation was conducted over an eight-month period from February 4 through October 1, 1980. During this time, field sampling was suspended for an indefinite time period while the National Uranium Resource Evaluation (NURE) Program underwent restructuring. In addition, the Uranium Resource Evaluation (URE) Project archives are being restructured. Since it is difficult to evaluate quality assurance needs of a program that is undergoing drastic change and because sections of the evaluation were well along before these changes were announced, this evaluation reflects the situation as it was during February 1980. The following quality assurance related programs are continuing to date: (1) periodic checks of field sampling procedures by the Supervising Field Geologist and the Director of Field Operations; (2) verification of field form information and laboratory analytical data verification for all geochemical surveys; (3) URE Project laboratory quality control program (all elements routinely analyzed); and (4) Ames interlaboratory quality control program (uranium only). UCC-ND was given the responsibility of conducting a Hydrogeochemical and Stream Sediment Reconnaissance (HSSR) survey in the Central United States (Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Nebraska, North Dakota, Oklahoma, Texas, South Dakota, and Wisconsin). During 1979 and 1980, 13 detailed surveys were conducted by the URE Project in the Central and Western United States to characterize the hydrogeochemistry, stream sediment geochemistry, and/or radiometric patterns of known or potential uranium occurrences. Beginning in 1980, the HSSR surveys were modified to the Regional Hydrogeochemical and Stream Sediment (RHSS) surveys

Safeguards Evaluation Method for evaluating vulnerability to insider threats

International Nuclear Information System (INIS)

Al-Ayat, R.A.; Judd, B.R.; Renis, T.A.

1986-01-01

As protection of DOE facilities against outsiders increases to acceptable levels, attention is shifting toward achieving comparable protection against insiders. Since threats and protection measures for insiders are substantially different from those for outsiders, new perspectives and approaches are needed. One such approach is the Safeguards Evaluation Method. This method helps in assessing safeguards vulnerabilities to theft or diversion of special nuclear meterial (SNM) by insiders. The Safeguards Evaluation Method-Insider Threat is a simple model that can be used by safeguards and security planners to evaluate safeguards and proposed upgrades at their own facilities. The method is used to evaluate the effectiveness of safeguards in both timely detection (in time to prevent theft) and late detection (after-the-fact). The method considers the various types of potential insider adversaries working alone or in collusion with other insiders. The approach can be used for a wide variety of facilities with various quantities and forms of SNM. An Evaluation Workbook provides documentation of the baseline assessment; this simplifies subsequent on-site appraisals. Quantitative evaluation is facilitated by an accompanying computer program. The method significantly increases an evaluation team's on-site analytical capabilities, thereby producing a more thorough and accurate safeguards evaluation

Evaluation and Evaluating the Community Initiative "URBAN"

DEFF Research Database (Denmark)

Alves, Sonia

2013-01-01

focus on a more open and democratic process of evaluation. This paper presents and compares different conceptual and methodological frameworks created for the assessment of the European initiative Urban II, including the one that was used by the author in the context of an academic evaluation...... in the city of Porto. The comparative analysis of the results leads us to the recommendation for more democratic processes of evaluation and intervention, in order to improve their quality and accountability and promote the important goal of learning with this type of experimental initiatives....

Evaluation electric bicycles; Evaluation velos electriques

Energy Technology Data Exchange (ETDEWEB)

NONE

2002-10-01

Leovelo service is the first measure in favor of the bicycle to control the air pollution and to conserve energy. It provides in the city of Clermont-Ferrand (France) a service of bicycle hiring. This document evaluates the project after two years of operating. It provides a technical evaluation (maintenance, equipment, financing) and also the socio-economic impacts. (A.L.B.)

Reframing Evaluation: Defining an Indigenous Evaluation Framework

Science.gov (United States)

LaFrance, Joan; Nichols, Richard

2008-01-01

The American Indian Higher Education Consortium (AIHEC), comprising 34 American Indian tribally controlled colleges and universities, has undertaken a comprehensive effort to develop an "Indigenous Framework for Evaluation" that synthesizes Indigenous ways of knowing and Western evaluation practice. To ground the framework, AIHEC engaged…

Comprehensive Psychiatric Evaluation

Science.gov (United States)

... Facts for Families Guide Facts for Families - Vietnamese Comprehensive Psychiatric Evaluation No. 52; Updated October 2017 Evaluation ... with serious emotional and behavioral problems need a comprehensive psychiatric evaluation. Comprehensive psychiatric evaluations usually require a ...

Evaluation Strategies in Financial Education: Evaluation with Imperfect Instruments

Science.gov (United States)

Robinson, Lauren; Dudensing, Rebekka; Granovsky, Nancy L.

2016-01-01

Program evaluation often suffers due to time constraints, imperfect instruments, incomplete data, and the need to report standardized metrics. This article about the evaluation process for the Wi$eUp financial education program showcases the difficulties inherent in evaluation and suggests best practices for assessing program effectiveness. We…

Neoliberalization by Evaluation: Explaining the Making of Neoliberal Evaluative State

Directory of Open Access Journals (Sweden)

Diego Giannone

2016-09-01

Full Text Available Starting from the late seventies neoliberalism has emerged as the new global hegemonic par-adigm. Several studies demonstrated that different factors facilitated the global spread of neoliberalism, but little attention has been paid to the role played by evaluation both in legitimizing the neoliberalization of the state and in explaining the resilience of neoliberalism. The article argues that evaluation is a strategy of action which is able to emphasize the adaptive capacity of neoliberalism to different socio-political con-texts and the neoliberal purpose to depoliticize public action. The contribution aims to illustrate how eval-uation works on a twofold level. On the one hand, evaluation is a tool of global governance that acts nor-matively to homogenize states’ action consistently with some neoliberal values, such as competitiveness and economic efficiency. On the other hand, to conform to such values, variegated forms of evaluation are implemented by each state in order to introduce market rationality in non-economic domains, such as ed-ucation and health system. Referring to some empirical cases, these two overlapping processes are termed as the "evaluated state" and "evaluative state". As a result, neoliberalization by evaluation is a process in-volving the elevation of market-based principles and techniques of evaluation to the level of state-endorsed norms

EVALUE : a computer program for evaluating investments in forest products industries

Science.gov (United States)

Peter J. Ince; Philip H. Steele

1980-01-01

EVALUE, a FORTRAN program, was developed to provide a framework for cash flow analysis of investment opportunities. EVALUE was designed to assist researchers in evaluating investment feasibility of new technology or new manufacturing processes. This report serves as user documentation for the EVALUE program. EVALUE is briefly described and notes on preparation of a...

Unbundling Evaluation Use.

Science.gov (United States)

Alkin, Marvin; Taut, Sandy

2003-01-01

Provides a conceptual framework for considering the distinction between evaluation use and evaluation influence and the relationship between evaluation use and knowledge use. Clarifies and expands some of the established definitions of concepts related to evaluation use. (SLD)

Empowerment evaluation: An approach that has literally altered the landscape of evaluation.

Science.gov (United States)

Donaldson, Stewart I

2017-08-01

The quest for credible and actionable evidence to improve decision making, foster improvement, enhance self-determination, and promote social betterment is now a global phenomenon. Evaluation theorists and practitioners alike have responded to and overcome the challenges that limited the effectiveness and usefulness of traditional evaluation approaches primarily focused on seeking rigorous scientific knowledge about social programs and policies. No modern evaluation approach has received a more robust welcome from stakeholders across the globe than empowerment evaluation. Empowerment evaluation has been a leader in the development of stakeholder involvement approaches to evaluation, setting a high bar. In addition, empowerment evaluation's respect for community knowledge and commitment to the people's right to build their own evaluation capacity has influenced the evaluation mainstream, particularly concerning evaluation capacity building. Empowerment evaluation's most significant contributions to the field have been to improving evaluation use and knowledge utilization. Copyright © 2016. Published by Elsevier Ltd.

Investigation of reconstruction conditions in sagittal-plane multiplanar reconstruction of the temporal bone

International Nuclear Information System (INIS)

Suzuki, Miyako; Yoshikawa, Hiroshi; Hosokawa, Akira; Ichikawa, Ginichiro; Kobayashi, Kenichi; Ando, Ichiro

2002-01-01

In recent years, it has become possible to quickly obtain a large amount of 3D data with high continuity by helical CT scanning, in which the body is scanned continuously in a helical fashion. MPR (multiplanar reconstruction) can be performed using this data to generate images in arbitrary sectional planes, making it possible to obtain sagittal-plane images of the highest quality, which is useful for surgical planning. However, the procedures involved are rather complicated. Therefore, this study was conducted to investigate conditions for standardization of sagittal-plane MPR examinations performed using Xvigor CT scanners and Xtension. The results showed that a slice interval of 1 mm, no imaging filter, a zooming factor of 1.5, a window level of 350, and a window width of 3500 are the optimal imaging conditions. The stapes can be visualized in 70% of cases with sagittal-plane MPR based on axial images, and can be recognized at surgery in 75% or more of cases. Images of consistent quality can be obtained by standardizing the conditions for sagittal-plane MPR, which should prove advantageous in the clinical setting. (author)

Inner hair cell stereocilia movements captured in-situ by a high-speed camera with subpixel image processing

Science.gov (United States)

Wang, Yanli; Puria, Sunil; Steele, Charles R.; Ricci, Anthony J.

2018-05-01

Mechanical stimulation of the stereocilia hair bundles of the inner and outer hair cells (IHCs and OHCs, respectively) drives IHC synaptic release and OHC electromotility. The modes of hair-bundle motion can have a dramatic influence on the electrophysiological responses of the hair cells. The in vivo modes of motion are, however, unknown for both IHC and OHC bundles. In this work, we are developing technology to investigate the in situ hair-bundle motion in excised mouse cochleae, for which the hair bundles of the OHCs are embedded in the tectorial membrane but those of the IHCs are not. Motion is generated by pushing onto the stapes at 1 kHz with a glass probe coupled to a piezo stack, and recorded using a high-speed camera at 10,000 frames per second. The motions of individual IHC stereocilia and the cell boundary are analyzed using 2D and 1D Gaussian fitting algorithms, respectively. Preliminary results show that the IHC bundle moves mainly in the radial direction and exhibits a small degree of splay, and that the stereocilia in the second row move less than those in the first row, even in the same focal plane.

Affective Evaluations of Exercising: The Role of Automatic-Reflective Evaluation Discrepancy.

Science.gov (United States)

Brand, Ralf; Antoniewicz, Franziska

2016-12-01

Sometimes our automatic evaluations do not correspond well with those we can reflect on and articulate. We present a novel approach to the assessment of automatic and reflective affective evaluations of exercising. Based on the assumptions of the associative-propositional processes in evaluation model, we measured participants' automatic evaluations of exercise and then shared this information with them, asked them to reflect on it and rate eventual discrepancy between their reflective evaluation and the assessment of their automatic evaluation. We found that mismatch between self-reported ideal exercise frequency and actual exercise frequency over the previous 14 weeks could be regressed on the discrepancy between a relatively negative automatic and a more positive reflective evaluation. This study illustrates the potential of a dual-process approach to the measurement of evaluative responses and suggests that mistrusting one's negative spontaneous reaction to exercise and asserting a very positive reflective evaluation instead leads to the adoption of inflated exercise goals.

Report of the evaluation by the Ad Hoc Review Committee on advance science research. Result evaluation, interim evaluation, in-advance evaluation in fiscal year 2003

International Nuclear Information System (INIS)

2003-11-01

The Research Evaluation Committee, which consisted of 13 members from outside of the Japan Atomic Energy Research Institute (JAERI), set up an Ad Hoc Review Committee on Advanced Science Research in accordance with the Fundamental Guideline for the Evaluation of Research and Development (R and D) at JAERI' and its subsidiary regulations in order to evaluate the accomplishments of the research completed in Fiscal Year 2002, the accomplishments of the research started in Fiscal Year 2001, and the adequacy of the programs of the research to be started in Fiscal Year 2004 at Advanced Science Research Center of JAERI. The Ad Hoc Review Committee consisted of nine specialists from outside of JAERI. The Ad Hoc Review Committee conducted its activities from May to July 2003. The evaluation was performed on the basis of the materials submitted in advance and of the oral presentations made at the Ad Hoc Review Committee meeting which was held on June 24, 2003, in line with the items, viewpoints, and criteria for the evaluation specified by the Research Evaluation Committee. The result of the evaluation by the Ad Hoc Review Committee was submitted to the Research Evaluation Committee, and was judged to be appropriate at its meeting held on August 4, 2003. This report describes the result of the evaluation by the Ad Hoc Review Committee on Advanced Science Research. (author)

Report of the evaluation by the Ad Hoc Review Committee on Advance Science Research. Result evaluation, interim evaluation, in-advance evaluation in fiscal year 2002

Energy Technology Data Exchange (ETDEWEB)

NONE

2002-11-01

The Research Evaluation Committee, which consisted of 13 members from outside of the Japan Atomic Energy Research Institute (JAERI), set up an Ad Hoc Review Committee on Advanced Science Research in accordance with the Fundamental Guideline for the Evaluation of Research and Development (R and D) at JAERI' and its subsidiary regulations in order to evaluate the accomplishments of the research completed in Fiscal Year 2001, the accomplishments of the research started in Fiscal Year 2000, and the adequacy of the programs of the research to be started in Fiscal Year 2003 at Advanced Science Research Center of JAERI. The Ad Hoc Review Committee consisted of eight specialists from outside of JAERI. The Ad Hoc Review Committee conducted its activities from May to July 2002. The evaluation was performed on the basis of the materials submitted in advance and of the oral presentations made at the Ad Hoc Review Committee meeting which was held on June 4, 2002, in line with the items, viewpoints, and criteria for the evaluation specified by the Research Evaluation Committee. The result of the evaluation by the Ad Hoc Review Committee was submitted to the Research Evaluation Committee, and was judged to be appropriate at its meeting held on August 5, 2002. This report describes the result of the evaluation by the Ad Hoc Review Committee on Advanced Science Research. (author)

Evaluating psychodiagnostic decisions.

Science.gov (United States)

Witteman, Cilia L M; Harries, Clare; Bekker, Hilary L; Van Aarle, Edward J M

2007-02-01

Several frameworks can be used to evaluate decision making. These may relate to different aspects of the decision-making process, or concern the decision outcome. Evaluations of psychodiagnostic decisions have shown diagnosticians to be poor decision makers. In this essay we argue that this finding results from the evaluation of only one part of the diagnostic process. We put forward that evaluations are typically carried out by comparing clinicians' behaviour to one of several normative models, for example hypothetico-deductive reasoning. These models make strong assumptions about human reasoning capabilities, which make it almost impossible for people to measure up to them. The subsequent two parts of the psychodiagnostic process (causal explanation and treatment decisions), are typically not included in these evaluation studies. Treatment decisions are evaluated in effectiveness studies; that is, they are evaluated in terms of their outcomes, not in terms of the diagnosticians' decision processes. Psychodiagnosticians' causal explanation has hardly ever been the subject of evaluation. We argue that in order to achieve clinical excellence, this part of the psychodiagnostic process should also be well understood. In this essay we first describe evaluation of psychodiagnostic decision making. We then propose a framework to describe causal explanation, that is, a situation assessment in terms of a causal schema or a story or script. We identify and discuss the tools available for evaluating this part of the psychodiagnostic process.

Evaluate Yourself. Evaluation: Research-Based Decision Making Series, Number 9304.

Science.gov (United States)

Fetterman, David M.

This document considers both self-examination and external evaluation of gifted and talented education programs. Principles of the self-examination process are offered, noting similarities to external evaluation models. Principles of self-evaluation efforts include the importance of maintaining a nonjudgmental orientation, soliciting views from…

Combining Internal and External Evaluation: A Case for School-Based Evaluation.

Science.gov (United States)

Nevo, David

1994-01-01

School-based evaluation, the focus of this article, is conceived of as neither a synonym for internal evaluation nor an antonym for external evaluation, but as a combination that is examined through a review of recent research. A school-based evaluation in Israel illustrates combining these approaches in a complementary way. (SLD)

Measure Evaluation Dataverse

Data.gov (United States)

US Agency for International Development — The MEASURE Evaluation Dataverse is a collection of innovative evaluation data sets assembled in order to increase the evidence-base on program impact and evaluate...

Evaluation Program initiative

International Nuclear Information System (INIS)

Rich, B.L.

1987-01-01

The purpose of this paper is to provide the Department of Energy's (DOE) safeguards and security community with some insights on an important management initiative by the Office of Security Evaluations (OSE). The paper will present the ''what, where, who, when, and why'' of a new Evaluation Program. The Evaluation Program will be comprised of a continuing series of regular and special evaluations of DOE safeguards and security programs and policies. The evaluations will be integrative and ''crosscutting,'' i.e. will extend across DOE organizational lines. Evaluations will be offered as positive advisories to DOE managers with safeguards and security responsibilities and will not be rated. They will complement the ongoing OSE Inspection Program of inspections conducted by OSE's Inspection Division. The purpose for the evaluations is to establish an accurate and current assessment of the effectiveness and status of safeguards and security programs and policies and to provide DOE managers with required information on program and policy effectiveness

Critical evaluation of international health programs: Reframing global health and evaluation.

Science.gov (United States)

Chi, Chunhuei; Tuepker, Anaïs; Schoon, Rebecca; Núñez Mondaca, Alicia

2018-01-05

Striking changes in the funding and implementation of international health programs in recent decades have stimulated debate about the role of communities in deciding which health programs to implement. An important yet neglected piece of that discussion is the need to change norms in program evaluation so that analysis of community ownership, beyond various degrees of "participation," is seen as central to strong evaluation practices. This article challenges mainstream evaluation practices and proposes a framework of Critical Evaluation with 3 levels: upstream evaluation assessing the "who" and "how" of programming decisions; midstream evaluation focusing on the "who" and "how" of selecting program objectives; and downstream evaluation, the focus of current mainstream evaluation, which assesses whether the program achieved its stated objectives. A vital tenet of our framework is that a community possesses the right to determine the path of its health development. A prerequisite of success, regardless of technical outcomes, is that programs must address communities' high priority concerns. Current participatory methods still seldom practice community ownership of program selection because they are vulnerable to funding agencies' predetermined priorities. In addition to critiquing evaluation practices and proposing an alternative framework, we acknowledge likely challenges and propose directions for future research. Copyright © 2018 John Wiley & Sons, Ltd.

Evaluation of the quality of CR mammography images in Chugoku Rosai Hospital. Visual evaluation and digital evaluation

International Nuclear Information System (INIS)

Makihata, Hiroshi; Fukuda, Tomoya; Aomori, Masaji; Hara, Shinji

2005-01-01

New mammography system (50-micrometer system) composed of Fuji computed tomography (FCR) both sides IP, 5000MA and dry imager was introduced in the Department of Physical Checkup of Chugoku Rosai Hospital in 2003. We performed visual evaluation and digital evaluation using 50-micrometer system in accordance with (the quality control guidance of) Non-Profit Organization the Central Committee on Quality Control of Mammographic Screening. In visual evaluation using RMI156 phantom the system cleared the quality control guidance about a fiber, calcification, and masses. On step phantom, it passed about 10 steps, masses, and calcifications. Since a success standard was not announced officially, the performance in digital evaluation cannot be judged and only the result is presented. In digital evaluation, signal-to-noise ratio (SNR) is 14.9, root of mean squares (RMS) is 32.9, SNRC is 16.4, SNRT is 3.65. This system image has high sharpness and is considered from the result in visual evaluation to have the ability of offering images with a high degree of information. (author)

Evaluating the "Evaluative State": Implications for Research in Higher Education.

Science.gov (United States)

Dill, David D.

1998-01-01

Examines the "evaluative state" that is, public management-based evaluation systems--in the context of experiences in the United Kingdom and New Zealand, and suggests that further research is needed to examine problems in the evaluative state itself, in how market competition impacts upon it, and how academic oligarchies influence the…

Descriptive sensory evaluations

DEFF Research Database (Denmark)

Dehlholm, Christian

A recent trend in descriptive sensory evaluation methodology has been the application of rapid evaluation techniques. The ease in use makes the techniques extremely easy to implement by industry and university environments. Thus, one might not consider validity in the choice of method. The overall...... aim of this thesis is to compare and evaluate selected rapid evaluation techniques for sensory profiling. Method variations have been suggested for evaluations in product development and quality control, and method insight is provided. The thesis includes three original studies, designed...... as a consequence of the current practices and needs faced in the industry. Study I compared applicability and validity of rapid methods across several panels of trained assessors. Two rapid approaches were introduced for the evaluation of foods. The first method, ‘Free Multiple Sorting’, allows subjects to perform...

Support for system connectivity –Learning from evaluating an evaluation

DEFF Research Database (Denmark)

Christensen, Jesper Lindgaard

been sparse on investigat-ing effects of these as well as on the broader criteria to evaluate the innovation networks and functioning of the system. This paper discusses what are such criteria for evaluating innovation policies that rely on enhanc-ing system connectivity and repair system failures......Innovation is said to be dependent upon collaboration and networks. The innovation system thinking empha-sizes networks but also their supporting informal institutions, learning processes, and the relations between actors in the system. Despite the importance of networks, evaluation studies have......? By way of illustration, and as a mean to be specific on these criteria, the paper discusses the possible rationale for governments to support business angel networks (BAN) and what criteria to apply when evaluating such networks. It is found that applying traditional evaluation criteria for assessing...

Mini-clinical evaluation exercise til evaluering af kommunikation og samarbejde i ambulatoriet

DEFF Research Database (Denmark)

Eriksen, Jesper Grau; Simonsen, Dorit; Bastholt, Lars

2009-01-01

INTRODUCTION: In the revised Danish medical specialist training increased focus has been placed on competences which are hard to evaluate such as communication skills. Mini-CEX seems promising as an evaluation tool. Our aim was to test: 1) whether mini-CEX was useable in the evaluation of communi......INTRODUCTION: In the revised Danish medical specialist training increased focus has been placed on competences which are hard to evaluate such as communication skills. Mini-CEX seems promising as an evaluation tool. Our aim was to test: 1) whether mini-CEX was useable in the evaluation...

Broadening the Educational Evaluation Lens with Communicative Evaluation

Science.gov (United States)

Brooks-LaRaviere, Margaret; Ryan, Katherine; Miron, Luis; Samuels, Maurice

2009-01-01

Outcomes-based accountability in the form of test scores and performance indicators are a primary lever for improving student achievement in the current educational landscape. The article presents communicative evaluation as a complementary evaluation approach that may be used along with the primary methods of school accountability to provide a…

Evaluation and Policy Learning

DEFF Research Database (Denmark)

Borrás, Susana; Højlund, Steven

2015-01-01

This article examines how evaluation induces policy learning – a question largely neglected by the scholarly literature on evaluation and policy learning. Following a learner's perspective, the article attempts to ascertain who the learners are, and what, and how, learners actually learn from...... evaluations. In so doing, it focuses on what different types of learners actually learn within the context of the evaluation framework (the set of administrative structures defining the evaluation goals and process). Taking the empirical case of three EU programme evaluations, the patterns of policy learning...... emanating from them are examined. The findings are that only two types of actors involved in the evaluation are actually learning (programme units and external evaluators), that learners learn different things (programme overview, small-scale programme adjustments, policy change and evaluation methods...

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

Science.gov (United States)

Gaskamp, Carol D; Kintner, Eileen

2014-01-01

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

Evaluating impact of clinical guidelines using a realist evaluation framework.

Science.gov (United States)

Reddy, Sandeep; Wakerman, John; Westhorp, Gill; Herring, Sally

2015-12-01

The Remote Primary Health Care Manuals (RPHCM) project team manages the development and publication of clinical protocols and procedures for primary care clinicians practicing in remote Australia. The Central Australian Rural Practitioners Association Standard Treatment Manual, the flagship manual of the RPHCM suite, has been evaluated for accessibility and acceptability in remote clinics three times in its 20-year history. These evaluations did not consider a theory-based framework or a programme theory, resulting in some limitations with the evaluation findings. With the RPHCM having an aim of enabling evidence-based practice in remote clinics and anecdotally reported to do so, testing this empirically for the full suite is vital for both stakeholders and future editions of the RPHCM. The project team utilized a realist evaluation framework to assess how, why and for what the RPHCM were being used by remote practitioners. A theory regarding the circumstances in which the manuals have and have not enabled evidence-based practice in the remote clinical context was tested. The project assessed this theory for all the manuals in the RPHCM suite, across government and aboriginal community-controlled clinics, in three regions of Australia. Implementing a realist evaluation framework to generate robust findings in this context has required innovation in the evaluation design and adaptation by researchers. This article captures the RPHCM team's experience in designing this evaluation. © 2015 John Wiley & Sons, Ltd.

Evaluation Influence: The Evaluation Event and Capital Flow in International Development.

Science.gov (United States)

Bell, David A

2017-12-01

Assessing program effectiveness in human development is central to informing foreign aid policy-making and organizational learning. Foreign aid effectiveness discussions have increasingly given attention to the devaluing effects of aid flow volatility. This study reveals that the external evaluation event influences actor behavior, serving as a volatility-constraining tool. A case study of a multidonor aid development mechanism served examining the influence of an evaluation event when considering anticipatory effects. The qualitative component used text and focus group data combined with individual interview data (organizations n = 10, including 26 individuals). Quantitative data included financial information on all 75 capital investments. The integrated theory of influence and model of alternative mechanisms used these components to identify the linkage between the evaluation event and capital flow volatility. Aid approved in the year of the midterm evaluation was disbursed by the mechanism with low capital volatility. Anticipating the evaluation event influenced behavior resulting in an empirical record that program outcomes were enhanced and the mechanism was an improved organization. Formative evaluations in a development program can trigger activity as an interim process. That activity provides for a more robust assessment of ultimate consequence of interest. Anticipating an evaluation can stimulate donor reality testing. The findings inform and strengthen future research on the influence of anticipating an evaluation. Closely examining activities before, during, and shortly after the evaluation event can aid development of other systematic methods to improve understanding this phenomenon, as well as improve donor effectiveness strategies.

Prototype of evaluation guidance system in Integrated Nuclear Data Evaluation System

International Nuclear Information System (INIS)

Fukahori, T.; Nakagawa, T.

1992-01-01

Integrated Nuclear Data Evaluation System (INDES) is being developed to keep experiences of nuclear data evaluation for JENDL-3 and to support new evaluations. One of the INDES functions is to set up input data of theoretical calculation codes automatically. In order to use INDES effectively, a prototype of nuclear data evaluation guidance system (E.T.; Evaluation Tutor) was made to help users in selecting a set of suitable theoretical calculation codes by applying knowledge engineering technology. E.T. consists of an inference engine, frames, a rule-base, two example-bases and calculating modules of certainty factors. The inference engine and the calculating modules are written in FORTRAN77. (author)

Constructionism, postmodernism and evaluation theory. The strategic function of evaluation

Directory of Open Access Journals (Sweden)

Baltasar Fernández-Ramírez

2009-05-01

Full Text Available "Testing"  and "evaluating" are money-making activities that offer a rewarding professional career; perhaps it is no surprise that the field includes numbers of self-styled "evaluators" who provide services without the required training. Evaluation means the systematic application of given criteria for judging the merit or value of a variety of 'assessables' - capacities, powers and services, including social policy interventions. The conventional perspective is rationalist (in diagnosis, planning, intervention and impact analysis, even though rationalism have lost their pre-eminence in the social sciences, in favour of political, symbolic or chaotic alternatives, as the history of organizational thought reveals. Alternatively, from a constructionist perspective, we see the power of evaluation criteria to reify what they ostensibly assess. Evaluations suggest or impose what is right; criteria of value define, give meaning and prioritize just one way of understanding social relations, program goals or individual and organizational behaviour. The suggestion in this article is to make a positive virtue of this inevitable pragmatic consequence of evaluation: to openly embrace it as an agent of change, emphasizing a strategical function beyond the traditional purposes of enhancement and accountability. 

Evaluation der ärztlichen Ausbildung [Evaluation of medical education

Directory of Open Access Journals (Sweden)

van den Bussche, Hendrik

2006-05-01

Full Text Available [english] Background: The importance of evaluation is increasing, not only in medical education. Apart from giving feedback to the teachers the results of evaluations can be used for allocation of educational funds. At the medical faculty of the University of Hamburg the evaluation of medical education has been performed since ten years. Results: An analysis of the Hamburg experience in the standardized evaluation of medical education shows a series of problems. 1. The cumulative evaluation of curriculum parts tends to turn out different than the detailed evaluation of its consisting parts. 2. Theoretical courses tend to be assessed worse than clinical courses - irrespective of their real quality. The reason for this "handicap" of theoretical courses is that students tend to rate their benefit for clinical practice lower. 3. There are differences between prompt and delayed assessments of the same courses. 4. Students' assessment also depends on the stage of their training and on the didactic type of the evaluated course. Conclusion: Ranking of courses should be performed with caution. To improve reliability and validity of results the following suggestions are made: 1. Results of cumulative evaluation of curriculum parts should be interpreted with care. 2. Unequal opportunities of theoretical and clinical courses to gain good results should be considered. 3. Repeated assessments and longitudinal comparisons are essential. 4. Comparisons should be made only between similar didactical types of courses. 5. Results should be analysed with respect to their possible causes, preferably by mixed evaluation commissions. 6. It is recommended to evaluate aspects of process quality rather than of result quality. [german] Hintergrund: Die Evaluation von Lehrveranstaltungen und curricularen Abschnitten durch Studierende nimmt nicht nur in der ärztlichen Ausbildung zu. Neben der Rückmeldung an die Dozenten können die Ergebnisse eine wichtige Basis f

Information Retrieval Evaluation

CERN Document Server

Harman, Donna

2011-01-01

Evaluation has always played a major role in information retrieval, with the early pioneers such as Cyril Cleverdon and Gerard Salton laying the foundations for most of the evaluation methodologies in use today. The retrieval community has been extremely fortunate to have such a well-grounded evaluation paradigm during a period when most of the human language technologies were just developing. This lecture has the goal of explaining where these evaluation methodologies came from and how they have continued to adapt to the vastly changed environment in the search engine world today. The lecture

The Practice of Evaluation Research and the Use of Evaluation Results.

Science.gov (United States)

Van den Berg, G.; Hoeben, W. Th. J. G.

1984-01-01

Lack of use of educational evaluation results in the Netherlands was investigated by analyzing 14 curriculum evaluation studies. Results indicated that rational decision making with a technical (empirical) evaluation approach makes utilization of results most likely. Incremental decision making and a conformative approach make utilization least…

Evaluating human resource interventions

Directory of Open Access Journals (Sweden)

Joha Louw-Potgieter

2012-07-01

Research purpose: The purpose of this special edition is to introduce readers to the evaluation of human resource (HR programmes. Motivation for the study: There are few comprehensive evaluations of HR programmes despite many publications on functional efficiency measures of HR (i.e. measures of cost, time, quantity, error and quality. Research design, approach and method: This article provides a value chain for HR activities and introduces the reader to programme theory-driven evaluation. Main findings: In summarising all of the contributions in this edition, one of the main findings was the lack of programme evaluation experience within HR functions and the difficulty this posed for the evaluators. Practical/managerial implications: This introductory article presents answers to two simple questions: What does HR do? and, What is programme evaluation? These answers will enable practitioners to understand what programme evaluators mean when we say that programme evaluation seeks to determine the merit of a programme. Contribution/value-add: The main contribution of this introductory article is to set the scene for the HR evaluations that follow. It alerts the reader to the rich theory contribution in HR literature and how to apply this in a theory-driven evaluation.

Politics in evaluation: Politically responsive evaluation in high stakes environments.

Science.gov (United States)

Azzam, Tarek; Levine, Bret

2015-12-01

The role of politics has often been discussed in evaluation theory and practice. The political influence of the situation can have major effects on the evaluation design, approach and methods. Politics also has the potential to influence the decisions made from the evaluation findings. The current study focuses on the influence of the political context on stakeholder decision making. Utilizing a simulation scenario, this study compares stakeholder decision making in high and low stakes evaluation contexts. Findings suggest that high stakes political environments are more likely than low stakes environments to lead to reduced reliance on technically appropriate measures and increased dependence on measures better reflect the broader political environment. Copyright © 2015 Elsevier Ltd. All rights reserved.

Data modeling and evaluation

International Nuclear Information System (INIS)

Bauge, E.; Hilaire, S.

2006-01-01

This lecture is devoted to the nuclear data evaluation process, during which the current knowledge (experimental or theoretical) of nuclear reactions is condensed and synthesised into a computer file (the evaluated data file) that application codes can process and use for simulation calculations. After an overview of the content of evaluated nuclear data files, we describe the different methods used for evaluating nuclear data. We specifically focus on the model based approach which we use to evaluate data in the continuum region. A few examples, coming from the day to day practice of data evaluation will illustrate this lecture. Finally, we will discuss the most likely perspectives for improvement of the evaluation process in the next decade. (author)

Evaluated Nuclear Data

Energy Technology Data Exchange (ETDEWEB)

Oblozinsky, P.; Oblozinsky,P.; Herman,M.; Mughabghab,S.F.

2010-10-01

This chapter describes the current status of evaluated nuclear data for nuclear technology applications. We start with evaluation procedures for neutron-induced reactions focusing on incident energies from the thermal energy up to 20 MeV, though higher energies are also mentioned. This is followed by examining the status of evaluated neutron data for actinides that play dominant role in most of the applications, followed by coolants/moderators, structural materials and fission products. We then discuss neutron covariance data that characterize uncertainties and correlations. We explain how modern nuclear evaluated data libraries are validated against an extensive set of integral benchmark experiments. Afterwards, we briefly examine other data of importance for nuclear technology, including fission yields, thermal neutron scattering and decay data. A description of three major evaluated nuclear data libraries is provided, including the latest version of the US library ENDF/B-VII.0, European JEFF-3.1 and Japanese JENDL-3.3. A brief introduction is made to current web retrieval systems that allow easy access to a vast amount of up-to-date evaluated nuclear data for nuclear technology applications.

The City Intelligence Quotient (City IQ Evaluation System: Conception and Evaluation

Directory of Open Access Journals (Sweden)

Zhiqiang Wu

2016-06-01

Full Text Available After a systematic review of 38 current intelligent city evaluation systems (ICESs from around the world, this research analyzes the secondary and tertiary indicators of these 38 ICESs from the perspectives of scale structuring, approaches and indicator selection, and determines their common base. From this base, the fundamentals of the City Intelligence Quotient (City IQ Evaluation System are developed and five dimensions are selected after a clustering analysis. The basic version, City IQ Evaluation System 1.0, involves 275 experts from 14 high-end research institutions, which include the Chinese Academy of Engineering, the National Academy of Science and Engineering (Germany, the Royal Swedish Academy of Engineering Sciences, the Planning Management Center of the Ministry of Housing and Urban-Rural Development of China, and the Development Research Center of the State Council of China. City IQ Evaluation System 2.0 is further developed, with improvements in its universality, openness, and dynamic adjustment capability. After employing deviation evaluation methods in the IQ assessment, City IQ Evaluation System 3.0 was conceived. The research team has conducted a repeated assessment of 41 intelligent cities around the world using City IQ Evaluation System 3.0. The results have proved that the City IQ Evaluation System, developed on the basis of intelligent life, features more rational indicators selected from data sources that can offer better universality, openness, and dynamics, and is more sensitive and precise.

The EMEFS model evaluation

International Nuclear Information System (INIS)

Barchet, W.R.; Dennis, R.L.; Seilkop, S.K.; Banic, C.M.; Davies, D.; Hoff, R.M.; Macdonald, A.M.; Mickle, R.E.; Padro, J.; Puckett, K.; Byun, D.; McHenry, J.N.; Karamchandani, P.; Venkatram, A.; Fung, C.; Misra, P.K.; Hansen, D.A.; Chang, J.S.

1991-12-01

The binational Eulerian Model Evaluation Field Study (EMEFS) consisted of several coordinated data gathering and model evaluation activities. In the EMEFS, data were collected by five air and precipitation monitoring networks between June 1988 and June 1990. Model evaluation is continuing. This interim report summarizes the progress made in the evaluation of the Regional Acid Deposition Model (RADM) and the Acid Deposition and Oxidant Model (ADOM) through the December 1990 completion of a State of Science and Technology report on model evaluation for the National Acid Precipitation Assessment Program (NAPAP). Because various assessment applications of RADM had to be evaluated for NAPAP, the report emphasizes the RADM component of the evaluation. A protocol for the evaluation was developed by the model evaluation team and defined the observed and predicted values to be used and the methods by which the observed and predicted values were to be compared. Scatter plots and time series of predicted and observed values were used to present the comparisons graphically. Difference statistics and correlations were used to quantify model performance. 64 refs., 34 figs., 6 tabs

The EMEFS model evaluation

Energy Technology Data Exchange (ETDEWEB)

Barchet, W.R. (Pacific Northwest Lab., Richland, WA (United States)); Dennis, R.L. (Environmental Protection Agency, Research Triangle Park, NC (United States)); Seilkop, S.K. (Analytical Sciences, Inc., Durham, NC (United States)); Banic, C.M.; Davies, D.; Hoff, R.M.; Macdonald, A.M.; Mickle, R.E.; Padro, J.; Puckett, K. (Atmospheric Environment Service, Downsview, ON (Canada)); Byun, D.; McHenry, J.N.

1991-12-01

The binational Eulerian Model Evaluation Field Study (EMEFS) consisted of several coordinated data gathering and model evaluation activities. In the EMEFS, data were collected by five air and precipitation monitoring networks between June 1988 and June 1990. Model evaluation is continuing. This interim report summarizes the progress made in the evaluation of the Regional Acid Deposition Model (RADM) and the Acid Deposition and Oxidant Model (ADOM) through the December 1990 completion of a State of Science and Technology report on model evaluation for the National Acid Precipitation Assessment Program (NAPAP). Because various assessment applications of RADM had to be evaluated for NAPAP, the report emphasizes the RADM component of the evaluation. A protocol for the evaluation was developed by the model evaluation team and defined the observed and predicted values to be used and the methods by which the observed and predicted values were to be compared. Scatter plots and time series of predicted and observed values were used to present the comparisons graphically. Difference statistics and correlations were used to quantify model performance. 64 refs., 34 figs., 6 tabs.

Program evaluation

Energy Technology Data Exchange (ETDEWEB)

1988-01-01

This book contains the proceedings from the panel on program evaluation. Some of the papers included are the following: Seattle City Light's Industrial Retrofit Demonstration Project Uses Quasi-Experimental Research Design and Metering to Measure Savings, Evaluation for PUCs, and The Takeback Effect Low-income Weatherizations Fact or Fiction

Reading Evaluation

Science.gov (United States)

Fagan, W. T.

1978-01-01

The Canadian Institute for Research in Behavioral and Social Sciences of Calgary was awarded a contract by the Provincial Government of Alberta to assess student skills and knowledge in reading and written composition. Here evaluation is defined and the use of standardized and criterion referenced tests for evaluating reading performance are…

Evaluation, Language, and Untranslatables

DEFF Research Database (Denmark)

Dahler-Larsen, Peter; Dahler-Larsen, Peter

2017-01-01

The issue of translatability is pressing in international evaluation, in global transfer of evaluative instruments, in comparative performance management, and in culturally responsive evaluation. Terms that are never fully understood, digested, or accepted may continue to influence issues, problems......, and social interactions in and around and after evaluations. Their meanings can be imposed or reinvented. Untranslatable terms are not just “lost in translation” but may produce overflows that do not go away. The purpose of this article is to increase attention to the issue of translatability in evaluation...... of relevance that appear to be “foreign”; increase the language skills of evaluators; and make research on frictions in translation an articulate part of the agenda for research on evaluation....

Presidential Address: Empowerment Evaluation.

Science.gov (United States)

Fetterman, David

1994-01-01

Empowerment evaluation is the use of evaluation concepts and techniques to foster self-determination, focusing on helping people help themselves. This collaborative evaluation approach requires both qualitative and quantitative methodologies. It is a multifaceted approach that can be applied to evaluation in any area. (SLD)

Scientific evaluation at the CEA; Evaluation scientifique au CEA

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-11-01

This report presents a statement of the scientific and technical activity of the French atomic energy commission (CEA) for the year 1998. This evaluation is made by external and independent experts and requires some specific dispositions for the nuclear protection and safety institute (IPSN) and for the direction of military applications (DAM). The report is divided into 5 parts dealing successively with: part 1 - the CEA, a public research organization (civil nuclear research, technology research and transfers, defence activities); the scientific and technical evaluation at the CEA (general framework, evaluation of the IPSN and DAM); part 2 - the scientific and technical councils (directions of fuel cycle, of nuclear reactors, and of advanced technologies); part 3 - the scientific councils (directions of matter and of life sciences); the nuclear protection and safety institute; the direction of military applications; part 4 - the corresponding members of the evaluation; part 5 - the list of scientific and technical councils and members. (J.S.)

The Formation and Extinction of Fear Memory in Tree Shrews

Directory of Open Access Journals (Sweden)

Shujiang eShang

2015-07-01

Full Text Available Fear is an emotion that is well studied due to its importance for animal survival. Experimental animals, such as rats and mice, have been widely used to model fear. However, higher animals such as nonhuman primates have rarely been used to study fear due to ethical issues and high costs. Tree shrews are small mammals that are closely related to primates; they have been used to model human-related psychosocial conditions such as stress and alcohol tolerance. Here, we describe an experimental paradigm to study the formation and extinction of fear memory in tree shrews. We designed an experimental apparatus of a light/dark box with a voltage foot shock. We found that tree shrews preferred staying in the dark box in the daytime without stimulation and showed avoidance to voltage shocks applied to the footplate in a voltage-dependent manner. Foot shocks applied to the dark box for 5 days (10 minutes per day effectively reversed the light–dark preference of the tree shrews, and this memory lasted for more than 50 days without any sign of memory decay (extinction in the absence of further stimulation. However, this fear memory was reversed with 4 days of reverse training by applying the same stimulus to the light box. When reducing the stimulus intensity during the training period, a memory extinction and subsequently reinstatement effects were observed. Thus, our results describe an efficient method of monitoring fear memory formation and extinction in tree shrews.

What variables influence the ability of an AFO to improve function and when are they indicated?

Science.gov (United States)

Malas, Bryan S

2011-05-01

Children with spina bifida often present with functional deficits of the lower limb associated with neurosegmental lesion levels and require orthotic management. The most used orthosis for children with spina bifida is the ankle-foot orthosis (AFO). The AFO improves ambulation and reduces energy cost while walking. Despite the apparent benefits of using an AFO, limited evidence documents the influence of factors predicting the ability of an AFO to improve function and when they are indicated. These variables include AFO design, footwear, AFO-footwear combination, and data acquisition. When these variables are not adequately considered in clinical decision-making, there is a risk the AFO will be abandoned prematurely or the patient's stability, function, and safety compromised. The purposes of this study are to (1) describe the functional deficits based on lesion levels; (2) identify and describe variables that influence the ability of an AFO to control deformities; and (3) describe what variables are indicated for the AFO to control knee flexion during stance, hyperpronation, and valgus stress at the knee. A selective literature review was undertaken searching MEDLINE and Cochrane databases using terms related to "orthosis" and "spina bifida." Based on previous studies and gait analysis data, suggestions can be made regarding material selection/geometric configuration, sagittal alignment, footplate length, and trim lines of an AFO for reducing knee flexion, hyperpronation, and valgus stress at the knee. Further research is required to determine what variables allow an AFO to improve function.

Peer Evaluation of Teaching or "Fear" Evaluation: In Search of Compatibility

Science.gov (United States)

Salih, Abdel Rahman Abdalla

2013-01-01

Peer evaluation or review of teaching is one of the factors of quality assurance system at the present time. However, peer evaluation is sometimes approached with trepidation and with the feeling that it may not be fair and free of bias. This paper examines teachers' perceptions of peer evaluation as an enhancement for quality teaching. A…

Organizational use of evaluations

DEFF Research Database (Denmark)

Hansson, Finn

2004-01-01

Organizations perform evaluations in order to demonstrate their trustworthiness to theoutside world and to produce knowledge for use by the management of the organization.In the planning and application of specific evaluations in the organization, differentparticipants or stakeholders very often...... as part of the evaluation process and the long-term impact of this new systematicallyorganised set of data on organizational activities are normally not taken seriously intoconsideration when the use of evaluations in organizations are discussed. Saiddifferently, evaluations have become a major factor...... of organizational sociology, that people tend to adapt to external behaviouraldemands especially when related to power relations in the organization.keywords: research evaluation, governance, social control, publication counts....

Plaidoyer pour l'auto-evaluation (Avocating Student Self-Evaluation).

Science.gov (United States)

Holec, Henri

1981-01-01

Advocates student self-evaluation as a practice that can impart new vigor to language courses and benefit both student and teacher as well as their relationship. Cautions, however, that self-evaluation procedures must be learned and that students must acquire a clear perception of the relevant criteria and objectives. (MES)

Adaptation, Evaluation and Inclusion

Science.gov (United States)

Basson, R.

2011-01-01

In this article I reflect on a recent development currently shaping programme evaluation as field, which makes the case for evaluators facilitating evaluation training evaluees to self-evaluate and improve the programmes they teach. Fetterman argues persuasively that the practice was incipient in the field and required formalization and acceptance…

Health services research evaluation principles. Broadening a general framework for evaluating health information technology.

Science.gov (United States)

Sockolow, P S; Crawford, P R; Lehmann, H P

2012-01-01

Our forthcoming national experiment in increased health information technology (HIT) adoption funded by the American Recovery and Reinvestment Act of 2009 will require a comprehensive approach to evaluating HIT. The quality of evaluation studies of HIT to date reveals a need for broader evaluation frameworks that limits the generalizability of findings and the depth of lessons learned. Develop an informatics evaluation framework for health information technology (HIT) integrating components of health services research (HSR) evaluation and informatics evaluation to address identified shortcomings in available HIT evaluation frameworks. A systematic literature review updated and expanded the exhaustive review by Ammenwerth and deKeizer (AdK). From retained studies, criteria were elicited and organized into classes within a framework. The resulting Health Information Technology Research-based Evaluation Framework (HITREF) was used to guide clinician satisfaction survey construction, multi-dimensional analysis of data, and interpretation of findings in an evaluation of a vanguard community health care EHR. The updated review identified 128 electronic health record (EHR) evaluation studies and seven evaluation criteria not in AdK: EHR Selection/Development/Training; Patient Privacy Concerns; Unintended Consequences/ Benefits; Functionality; Patient Satisfaction with EHR; Barriers/Facilitators to Adoption; and Patient Satisfaction with Care. HITREF was used productively and was a complete evaluation framework which included all themes that emerged. We can recommend to future EHR evaluators that they consider adding a complete, research-based HIT evaluation framework, such as HITREF, to their evaluation tools suite to monitor HIT challenges as the federal government strives to increase HIT adoption.

Technical Evaluation Report 30: Vendor-Assisted Evaluation of a Learning Management System

Directory of Open Access Journals (Sweden)

Adrienne De Schutter

2004-04-01

Full Text Available A product evaluation was conducted of Desire2Learn, an online learning management system gaining popularity in educational institutions. Since an online trial version of the software was not available for evaluation, an inspection meeting with the vendor was arranged. This provided the evaluation team with an opportunity to examine the precautions necessary for ensuring the objectivity of a product evaluation based on vendor-supplied information. The report outlines the team’s use of evaluator-driven enquiry and a triangulated approach to information checking. The Desire2Learn product is assessed as a flexible and useful addition to the range of learning management system options.

Evaluation of health promotion in schools: a realistic evaluation approach using mixed methods

Science.gov (United States)

2010-01-01

Background Schools are key settings for health promotion (HP) but the development of suitable approaches for evaluating HP in schools is still a major topic of discussion. This article presents a research protocol of a program developed to evaluate HP. After reviewing HP evaluation issues, the various possible approaches are analyzed and the importance of a realistic evaluation framework and a mixed methods (MM) design are demonstrated. Methods/Design The design is based on a systemic approach to evaluation, taking into account the mechanisms, context and outcomes, as defined in realistic evaluation, adjusted to our own French context using an MM approach. The characteristics of the design are illustrated through the evaluation of a nationwide HP program in French primary schools designed to enhance children's social, emotional and physical health by improving teachers' HP practices and promoting a healthy school environment. An embedded MM design is used in which a qualitative data set plays a supportive, secondary role in a study based primarily on a different quantitative data set. The way the qualitative and quantitative approaches are combined through the entire evaluation framework is detailed. Discussion This study is a contribution towards the development of suitable approaches for evaluating HP programs in schools. The systemic approach of the evaluation carried out in this research is appropriate since it takes account of the limitations of traditional evaluation approaches and considers suggestions made by the HP research community. PMID:20109202

MINERGY CORPORATION GLASS FURNACE TECHNOLOGY EVALUATION: INNOVATION TECHNOLOGY EVALUATION REPORT

Science.gov (United States)

This report presents performance and economic data for a U.S. Environmental Protection Agency (EPA) Superfund Innovative Technology Evaluation (SITE) Program demonstration of the Minergy Corporation (Minergy) Glass Furnace Technology (GFT). The demonstration evaluated the techno...

Evaluation in Context

DEFF Research Database (Denmark)

Jaap, Kamps; Lalmas, Mounia; Larsen, Birger

All search happens in a particular context - such as the particular collection of a digital library, its associated search tasks, and its associated users. Information retrieval researchers usually agree on the importance of context, but they rarely address the issue. In particular, evaluation in......, e.g. those that suit a particular task scenario, and zoom in on the relative performance for such a group of topics.......All search happens in a particular context - such as the particular collection of a digital library, its associated search tasks, and its associated users. Information retrieval researchers usually agree on the importance of context, but they rarely address the issue. In particular, evaluation....../assessors - by designing targeted questionnaires. The questionnaire data becomes part of the evaluation test-suite as valuable data on the context of the search requests.We have experimented with this questionnaire approach during the evaluation campaign of the INitiative for the Evaluation of XML Retrieval (INEX...

Radiological evaluation of tumor response in oncological studies (tumor response evaluation)

International Nuclear Information System (INIS)

Gebauer, B.; Riess, H.

2011-01-01

Purpose: Radiological-morphological response evaluation plays a major role in oncological therapy and studies for approval. Specific criteria have been developed for some tumor entities and chemotherapeutics. Application, limitations and definitions of the most frequently used criteria for tumor response evaluation will be presented. Materials and Methods: Review based on a selective literature research. Results: In clinical oncological therapy studies, WHO and RECIST are the most frequently used criteria to evaluate morphological therapy response. RECIST criteria have been modified recently, especially with respect to the evaluation of lymph nodes, and were published as RECIST 1.1 in 2009. All criteria were originally developed and defined to review clinical multicenter trials for approval. Using these criteria in a clinical situation, certain limitations have to be considered. To evaluate response, a baseline scan before therapy start is mandatory. Special tumor response criteria have been defined for some certain tumor entities. Oncologists and radiologists should define in advance which criteria are used before starting therapy. Conclusion: The use of defined criteria is very important in oncology response evaluation. In-depth knowledge of the criteria and their limits is required for correct usage. (orig.)

Practice-centred evaluation and the privileging of care in health information technology evaluation.

Science.gov (United States)

Darking, Mary; Anson, Rachel; Bravo, Ferdinand; Davis, Julie; Flowers, Steve; Gillingham, Emma; Goldberg, Lawrence; Helliwell, Paul; Henwood, Flis; Hudson, Claire; Latimer, Simon; Lowes, Paul; Stirling, Ian

2014-06-05

Our contribution, drawn from our experience of the case study provided, is a protocol for practice-centred, participative evaluation of technology in the clinical setting that privileges care. In this context 'practice-centred' evaluation acts as a scalable, coordinating framework for evaluation that recognises health information technology supported care as an achievement that is contingent and ongoing. We argue that if complex programmes of technology-enabled service innovation are understood in terms of their contribution to patient care and supported by participative, capability-building evaluation methodologies, conditions are created for practitioners and patients to realise the potential of technologies and make substantive contributions to the evidence base underpinning health innovation programmes. Electronic Patient Records (EPRs) and telemedicine are positioned by policymakers as health information technologies that are integral to achieving improved clinical outcomes and efficiency savings. However, evaluating the extent to which these aims are met poses distinct evaluation challenges, particularly where clinical and cost outcomes form the sole focus of evaluation design. We propose that a practice-centred approach to evaluation - in which those whose day-to-day care practice is altered (or not) by the introduction of new technologies are placed at the centre of evaluation efforts - can complement and in some instances offer advantages over, outcome-centric evaluation models. We carried out a regional programme of innovation in renal services where a participative approach was taken to the introduction of new technologies, including: a regional EPR system and a system to support video clinics. An 'action learning' approach was taken to procurement, pre-implementation planning, implementation, ongoing development and evaluation. Participants included clinicians, technology specialists, patients and external academic researchers. Whilst undergoing these

Evaluation Use: Results from a Survey of U.S. American Evaluation Association Members

Science.gov (United States)

Fleischer, Dreolin N.; Christie, Christina A.

2009-01-01

This paper presents the results of a cross-sectional survey on evaluation use completed by 1,140 U.S. American Evaluation Association members. This study had three foci: evaluators' current attitudes, perceptions, and experiences related to evaluation use theory and practice, how these data are similar to those reported in a previous study…

Evaluating the future of HCI: challenges for the evaluation of emerging applications

NARCIS (Netherlands)

Poppe, Ronald Walter; Rienks, R.J.

2007-01-01

Current evaluation methods are inappropriate for emerging HCI applications. In this paper, we give three examples of these applications and show that traditional evaluation methods fail. We identify trends in HCI development and discuss the issues that arise with evaluation. We aim at achieving

Evaluating the Future of HCI : Challenges for the Evaluation of Emerging Applications

NARCIS (Netherlands)

Poppe, Ronald Walter; Rienks, R.J.; van Dijk, Elisabeth M.A.G.; Huang, T.S; Nijholt, Antinus; Pantic, Maja; Pentland, A.

2007-01-01

Current evaluation methods are inappropriate for emerging HCI applications. In this paper, we give three examples of these applications and show that traditional evaluation methods fail. We identify trends in HCI development and discuss the issues that arise with evaluation. We aim at achieving

ADMS Evaluation Platform

Energy Technology Data Exchange (ETDEWEB)

2018-01-23

Deploying an ADMS or looking to optimize its value? NREL offers a low-cost, low-risk evaluation platform for assessing ADMS performance. The National Renewable Energy Laboratory (NREL) has developed a vendor-neutral advanced distribution management system (ADMS) evaluation platform and is expanding its capabilities. The platform uses actual grid-scale hardware, large-scale distribution system models, and advanced visualization to simulate realworld conditions for the most accurate ADMS evaluation and experimentation.

Where Local and National Evaluators Meet: Unintended Threats to Ethical Evaluation Practice

Science.gov (United States)

Rodi, Michael S.; Paget, Kathleen D.

2007-01-01

The ethical work of program evaluators is based on a covenant of honesty and transparency among stakeholders. Yet even under the most favorable evaluation conditions, threats to ethical standards exist and muddle that covenant. Unfortunately, ethical issues associated with different evaluation structures and contracting arrangements have received…

Airborne Evaluation Facility

Data.gov (United States)

Federal Laboratory Consortium — AFRL's Airborne Evaluation Facility (AEF) utilizes Air Force Aero Club resources to conduct test and evaluation of a variety of equipment and concepts. Twin engine...

Fission product yield evaluation for the USA evaluated nuclear data files

International Nuclear Information System (INIS)

Rider, B.F.; England, T.R.

1994-01-01

An evaluated set of fission product yields for use in calculation of decay heat curves with improved accuracy has been prepared. These evaluated yields are based on all known experimental data through 1992. Unmeasured fission product yields are calculated from charge distribution, pairing effects, and isomeric state models developed at Los Alamos National Laboratory. The current evaluation has been distributed as the ENDF/B-VI fission product yield data set

Evaluation as institution: a contractarian argument for needs-based economic evaluation.

Science.gov (United States)

Rogowski, Wolf H

2018-06-13

There is a gap between health economic evaluation methods and the value judgments of coverage decision makers, at least in Germany. Measuring preference satisfaction has been claimed to be inappropriate for allocating health care resources, e.g. because it disregards medical need. The existing methods oriented at medical need have been claimed to disregard non-consequentialist fairness concerns. The aim of this article is to propose a new, contractarian argument for justifying needs-based economic evaluation. It is based on consent rather than maximization of some impersonal unit of value to accommodate the fairness concerns. This conceptual paper draws upon contractarian ethics and constitution economics to show how economic evaluation can be viewed as an institution to overcome societal conflicts in the allocation of scarce health care resources. For this, the problem of allocating scarce health care resources in a society is reconstructed as a social dilemma. Both disadvantaged patients and affluent healthy individuals can be argued to share interests in a societal contract to provide technologies which ameliorate medical need, based on progressive funding. The use of needs-based economic evaluation methods for coverage determination can be interpreted as institutions for conflict resolution as far as they use consented criteria to ensure the social contract's sustainability and avoid implicit rationing or unaffordable contribution rates. This justifies the use of needs-based evaluation methods by Pareto-superiority and consent (rather than by some needs-based value function per se). The view of economic evaluation presented here may help account for fairness concerns in the further development of evaluation methods. This is because it directs the attention away from determining some unit of value to be maximized towards determining those persons who are most likely not to consent and meeting their concerns. Following this direction in methods development is

Systematic evaluation program. Status report and initial evaluation

International Nuclear Information System (INIS)

1983-06-01

The MHB Ongoing Systematic Evaluation Program (SEP) Assessment Study was initiated by the Swedish Nuclear Power Inspectorate (SKI) in 1980. This MHB report is a status report and initial evaluation of SEP. The methodology and results of SEP are disscused with particular emphasis on the first two SEP plant reviews - the Palisades and R.E. Ginna nuclear power plants. The comments of cognizant persons in the NRC and the ACRS, as well as private consultants, are included herein. MHBs major findings are as follows: The SEP plant review methodology was acceptable to the NRC Commissioners, the ACRS, and the NRC Staffs consultants who evaluated the first two SEP plant reviews. A concern raised by all who commented on SEP was the absence of Three Mile Island Action Plan Items and Unresolved Safety Issues from current SEP reviews. The SEP reviews of the Palisades and R.E. Ginna plants concluded that the two plant designs were adequate with respect to a majority of safety topics. Several topics remain unresolved in both the Palisades and R.E. Ginna SEP reviews. In the case of the Ginna plant, several related topics have been grouped together in a major structural reevaluation study. In general, due to the number of unresolved and excluded topics, SEP has not at this time produced a plant safety evaluation which can be considered complete and integrated. (author)

Navigating Theory and Practice through Evaluation Fieldwork: Experiences of Novice Evaluation Practitioners

Science.gov (United States)

Chouinard, Jill Anne; Boyce, Ayesha S.; Hicks, Juanita; Jones, Jennie; Long, Justin; Pitts, Robyn; Stockdale, Myrah

2017-01-01

To explore the relationship between theory and practice in evaluation, we focus on the perspectives and experiences of student evaluators, as they move from the classroom to an engagement with the social, political, and cultural dynamics of evaluation in the field. Through reflective journals, postcourse interviews, and facilitated group…

Is evaluating complementary and alternative medicine equivalent to evaluating the absurd?

Science.gov (United States)

Greasley, Pete

2010-06-01

Complementary and alternative therapies such as reflexology and acupuncture have been the subject of numerous evaluations, clinical trials, and systematic reviews, yet the empirical evidence in support of their efficacy remains equivocal. The empirical evaluation of a therapy would normally assume a plausible rationale regarding the mechanism of action. However, examination of the historical background and underlying principles for reflexology, iridology, acupuncture, auricular acupuncture, and some herbal medicines, reveals a rationale founded on the principle of analogical correspondences, which is a common basis for magical thinking and pseudoscientific beliefs such as astrology and chiromancy. Where this is the case, it is suggested that subjecting these therapies to empirical evaluation may be tantamount to evaluating the absurd.

Evaluation matters: lessons learned on the evaluation of surgical teaching.

Science.gov (United States)

Woods, Nicole N

2011-01-01

The traditional system of academic promotion and tenure can make it difficult to reward those who excel at surgical teaching. A successful faculty evaluation process can provide the objective measures of teaching performance needed for performance appraisals and promotion decisions. Over the course of two decades, an extensive faculty evaluation process has been developed in the Department of Surgery at the University of Toronto. This paper presents some of the non-psychometric characteristics of that system. Faculty awareness of the evaluation process, the consistency of its application, trainee anonymity and the materiality of the results are described key factors of a faculty evaluation system that meets the assessment needs of individual teachers and raises the profile of teaching in surgical departments. Copyright © 2010 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

Dissection of the Auditory Bulla in Postnatal Mice: Isolation of the Middle Ear Bones and Histological Analysis.

Science.gov (United States)

Sakamoto, Ayako; Kuroda, Yukiko; Kanzaki, Sho; Matsuo, Koichi

2017-01-04

In most mammals, auditory ossicles in the middle ear, including the malleus, incus and stapes, are the smallest bones. In mice, a bony structure called the auditory bulla houses the ossicles, whereas the auditory capsule encloses the inner ear, namely the cochlea and semicircular canals. Murine ossicles are essential for hearing and thus of great interest to researchers in the field of otolaryngology, but their metabolism, development, and evolution are highly relevant to other fields. Altered bone metabolism can affect hearing function in adult mice, and various gene-deficient mice show changes in morphogenesis of auditory ossicles in utero. Although murine auditory ossicles are tiny, their manipulation is feasible if one understands their anatomical orientation and 3D structure. Here, we describe how to dissect the auditory bulla and capsule of postnatal mice and then isolate individual ossicles by removing part of the bulla. We also discuss how to embed the bulla and capsule in different orientations to generate paraffin or frozen sections suitable for preparation of longitudinal, horizontal, or frontal sections of the malleus. Finally, we enumerate anatomical differences between mouse and human auditory ossicles. These methods would be useful in analyzing pathological, developmental and evolutionary aspects of auditory ossicles and the middle ear in mice.

Cranial Morphology of the Carboniferous-Permian Tetrapod Brachydectes newberryi (Lepospondyli, Lysorophia): New Data from µCT

Science.gov (United States)

Pardo, Jason D.; Anderson, Jason S.

2016-01-01

Lysorophians are a group of early tetrapods with extremely elongate trunks, reduced limbs, and highly reduced skulls. Since the first discovery of this group, general similarities in outward appearance between lysorophians and some modern lissamphibian orders (specifically Urodela and Gymnophiona) have been recognized, and sometimes been the basis for hypotheses of lissamphibian origins. We studied the morphology of the skull, with particular emphasis on the neurocranium, of a partial growth series of the lysorophian Brachydectes newberryi using x-ray micro-computed tomography (μCT). Our study reveals similarities between the braincase of Brachydectes and brachystelechid recumbirostrans, corroborating prior work suggesting a close relationship between these taxa. We also describe the morphology of the epipterygoid, stapes, and quadrate in this taxon for the first time. Contra the proposals of some workers, we find no evidence of expected lissamphibian synapomorphies in the skull morphology in Brachydectes newberryi, and instead recognize a number of derived amniote characteristics within the braincase and suspensorium. Morphology previously considered indicative of taxonomic diversity within Lysorophia may reflect ontogenetic rather than taxonomic variation. The highly divergent morphology of lysorophians represents a refinement of morphological and functional trends within recumbirostrans, and is analogous to morphology observed in many modern fossorial reptiles. PMID:27563722

Response of the human tympanic membrane to transient acoustic and mechanical stimuli: Preliminary results

Science.gov (United States)

Razavi, Payam; Ravicz, Michael E.; Dobrev, Ivo; Cheng, Jeffrey Tao; Furlong, Cosme; Rosowski, John J.

2016-01-01

The response of the tympanic membrane (TM) to transient environmental sounds and the contributions of different parts of the TM to middle-ear sound transmission were investigated by measuring the TM response to global transients (acoustic clicks) and to local transients (mechanical impulses) applied to the umbo and various locations on the TM. A lightly-fixed human temporal bone was prepared by removing the ear canal, inner ear, and stapes, leaving the incus, malleus, and TM intact. Motion of nearly the entire TM was measured by a digital holography system with a high speed camera at a rate of 42 000 frames per second, giving a temporal resolution of <24 μs for the duration of the TM response. The entire TM responded nearly instantaneously to acoustic transient stimuli, though the peak displacement and decay time constant varied with location. With local mechanical transients, the TM responded first locally at the site of stimulation, and the response spread approximately symmetrically and circumferentially around the umbo and manubrium. Acoustic and mechanical transients provide distinct and complementary stimuli for the study of TM response. Spatial variations in decay and rate of spread of response imply local variations in TM stiffness, mass, and damping. PMID:26880098

Differential Intracochlear Sound Pressure Measurements in Human Temporal Bones with an Off-the-Shelf Sensor

Directory of Open Access Journals (Sweden)

Martin Grossöhmichen

2016-01-01

Full Text Available The standard method to determine the output level of acoustic and mechanical stimulation to the inner ear is measurement of vibration response of the stapes in human cadaveric temporal bones (TBs by laser Doppler vibrometry. However, this method is reliable only if the intact ossicular chain is stimulated. For other stimulation modes an alternative method is needed. The differential intracochlear sound pressure between scala vestibuli (SV and scala tympani (ST is assumed to correlate with excitation. Using a custom-made pressure sensor it has been successfully measured and used to determine the output level of acoustic and mechanical stimulation. To make this method generally accessible, an off-the-shelf pressure sensor (Samba Preclin 420 LP, Samba Sensors was tested here for intracochlear sound pressure measurements. During acoustic stimulation, intracochlear sound pressures were simultaneously measurable in SV and ST between 0.1 and 8 kHz with sufficient signal-to-noise ratios with this sensor. The pressure differences were comparable to results obtained with custom-made sensors. Our results demonstrated that the pressure sensor Samba Preclin 420 LP is usable for measurements of intracochlear sound pressures in SV and ST and for the determination of differential intracochlear sound pressures.

Study on team evaluation. Team process model for team evaluation

International Nuclear Information System (INIS)

Sasou Kunihide; Ebisu, Mitsuhiro; Hirose, Ayako

2004-01-01

Several studies have been done to evaluate or improve team performance in nuclear and aviation industries. Crew resource management is the typical example. In addition, team evaluation recently gathers interests in other teams of lawyers, medical staff, accountants, psychiatrics, executive, etc. However, the most evaluation methods focus on the results of team behavior that can be observed through training or actual business situations. What is expected team is not only resolving problems but also training younger members being destined to lead the next generation. Therefore, the authors set the final goal of this study establishing a series of methods to evaluate and improve teams inclusively such as decision making, motivation, staffing, etc. As the first step, this study develops team process model describing viewpoints for the evaluation. The team process is defined as some kinds of power that activate or inactivate competency of individuals that is the components of team's competency. To find the team process, the authors discussed the merits of team behavior with the experienced training instructors and shift supervisors of nuclear/thermal power plants. The discussion finds four team merits and many components to realize those team merits. Classifying those components into eight groups of team processes such as 'Orientation', 'Decision Making', 'Power and Responsibility', 'Workload Management', 'Professional Trust', 'Motivation', 'Training' and 'staffing', the authors propose Team Process Model with two to four sub processes in each team process. In the future, the authors will develop methods to evaluate some of the team processes for nuclear/thermal power plant operation teams. (author)

STRUCTURED CLINICAL EVALUATION

Directory of Open Access Journals (Sweden)

Arabela Maria Barbosa Sampaio

2014-05-01

Full Text Available In a world experiencing profound technological and socio-political changes in areas of knowledge and capacity, healthcare can not remain static. A new kind of professional is required, whose practice is based on ethics, scientific standards, integrity, citizenship, and health promotion, who develops skills beyond healthcare, such as decision making, communication,leadership, management, and continuing education. No single method can assess all of these elements (knowledge, skills, and attitudes, and only a combination of methods is able to produce a valid evaluation. An alternative method exists: structured clinical assessments based on observation of "to do, or how to do" that aim to complete this evaluation by focusing attention on the performance of specific skills. In order to broaden the scope of evaluation methods that have been used in health education, this article, a literature review, intends to offer readers an overview of the diverse types of structured clinical evaluation, emphasizing Objective Structured Clinical Examination, the most widely used in Brazil, with a goal of advancing opportunities for health professionals to make use of this evaluative tool.

Evaluating a federated medical search engine: tailoring the methodology and reporting the evaluation outcomes.

Science.gov (United States)

Saparova, D; Belden, J; Williams, J; Richardson, B; Schuster, K

2014-01-01

Federated medical search engines are health information systems that provide a single access point to different types of information. Their efficiency as clinical decision support tools has been demonstrated through numerous evaluations. Despite their rigor, very few of these studies report holistic evaluations of medical search engines and even fewer base their evaluations on existing evaluation frameworks. To evaluate a federated medical search engine, MedSocket, for its potential net benefits in an established clinical setting. This study applied the Human, Organization, and Technology (HOT-fit) evaluation framework in order to evaluate MedSocket. The hierarchical structure of the HOT-factors allowed for identification of a combination of efficiency metrics. Human fit was evaluated through user satisfaction and patterns of system use; technology fit was evaluated through the measurements of time-on-task and the accuracy of the found answers; and organization fit was evaluated from the perspective of system fit to the existing organizational structure. Evaluations produced mixed results and suggested several opportunities for system improvement. On average, participants were satisfied with MedSocket searches and confident in the accuracy of retrieved answers. However, MedSocket did not meet participants' expectations in terms of download speed, access to information, and relevance of the search results. These mixed results made it necessary to conclude that in the case of MedSocket, technology fit had a significant influence on the human and organization fit. Hence, improving technological capabilities of the system is critical before its net benefits can become noticeable. The HOT-fit evaluation framework was instrumental in tailoring the methodology for conducting a comprehensive evaluation of the search engine. Such multidimensional evaluation of the search engine resulted in recommendations for system improvement.

Smartphone-based evaluations of clinical placements—a useful complement to web-based evaluation tools

Directory of Open Access Journals (Sweden)

Jesper Hessius

2015-11-01

Full Text Available Purpose: Web-based questionnaires are currently the standard method for course evaluations. The high rate of smartphone adoption in Sweden makes possible a range of new uses, including course evaluation. This study examines the potential advantages and disadvantages of using a smartphone app as a complement to web-based course evaluationsystems. Methods: An iPhone app for course evaluations was developed and interfaced to an existing web-based tool. Evaluations submitted using the app were compared with those submitted using the web between August 2012 and June 2013, at the Faculty of Medicine at Uppsala University, Sweden. Results: At the time of the study, 49% of the students were judged to own iPhones. Over the course of the study, 3,340 evaluations were submitted, of which 22.8% were submitted using the app. The median of mean scores in the submitted evaluations was 4.50 for the app (with an interquartile range of 3.70-5.20 and 4.60 (3.70-5.20 for the web (P=0.24. The proportion of evaluations that included a free-text comment was 50.5% for the app and 49.9% for the web (P=0.80. Conclusion: An app introduced as a complement to a web-based course evaluation system met with rapid adoption. We found no difference in the frequency of free-text comments or in the evaluation scores. Apps appear to be promising tools for course evaluations. web-based course evaluation system met with rapid adoption. We found no difference in the frequency of free-text comments or in the evaluation scores. Apps appear to be promising tools for course evaluations.

Smartphone-based evaluations of clinical placements-a useful complement to web-based evaluation tools.

Science.gov (United States)

Hessius, Jesper; Johansson, Jakob

2015-01-01

Web-based questionnaires are currently the standard method for course evaluations. The high rate of smartphone adoption in Sweden makes possible a range of new uses, including course evaluation. This study examines the potential advantages and disadvantages of using a smartphone app as a complement to web-based course evaluationsystems. An iPhone app for course evaluations was developed and interfaced to an existing web-based tool. Evaluations submitted using the app were compared with those submitted using the web between August 2012 and June 2013, at the Faculty of Medicine at Uppsala University, Sweden. At the time of the study, 49% of the students were judged to own iPhones. Over the course of the study, 3,340 evaluations were submitted, of which 22.8% were submitted using the app. The median of mean scores in the submitted evaluations was 4.50 for the app (with an interquartile range of 3.70-5.20) and 4.60 (3.70-5.20) for the web (P=0.24). The proportion of evaluations that included a free-text comment was 50.5% for the app and 49.9% for the web (P=0.80). An app introduced as a complement to a web-based course evaluation system met with rapid adoption. We found no difference in the frequency of free-text comments or in the evaluation scores. Apps appear to be promising tools for course evaluations. web-based course evaluation system met with rapid adoption. We found no difference in the frequency of free-text comments or in the evaluation scores. Apps appear to be promising tools for course evaluations.

Covariance evaluation system

International Nuclear Information System (INIS)

Kawano, Toshihiko; Shibata, Keiichi.

1997-09-01

A covariance evaluation system for the evaluated nuclear data library was established. The parameter estimation method and the least squares method with a spline function are used to generate the covariance data. Uncertainties of nuclear reaction model parameters are estimated from experimental data uncertainties, then the covariance of the evaluated cross sections is calculated by means of error propagation. Computer programs ELIESE-3, EGNASH4, ECIS, and CASTHY are used. Covariances of 238 U reaction cross sections were calculated with this system. (author)

The DLESE Evaluation Toolkit Project

Science.gov (United States)

Buhr, S. M.; Barker, L. J.; Marlino, M.

2002-12-01

The Evaluation Toolkit and Community project is a new Digital Library for Earth System Education (DLESE) collection designed to raise awareness of project evaluation within the geoscience education community, and to enable principal investigators, teachers, and evaluators to implement project evaluation more readily. This new resource is grounded in the needs of geoscience educators, and will provide a virtual home for a geoscience education evaluation community. The goals of the project are to 1) provide a robust collection of evaluation resources useful for Earth systems educators, 2) establish a forum and community for evaluation dialogue within DLESE, and 3) disseminate the resources through the DLESE infrastructure and through professional society workshops and proceedings. Collaboration and expertise in education, geoscience and evaluation are necessary if we are to conduct the best possible geoscience education. The Toolkit allows users to engage in evaluation at whichever level best suits their needs, get more evaluation professional development if desired, and access the expertise of other segments of the community. To date, a test web site has been built and populated, initial community feedback from the DLESE and broader community is being garnered, and we have begun to heighten awareness of geoscience education evaluation within our community. The web site contains features that allow users to access professional development about evaluation, search and find evaluation resources, submit resources, find or offer evaluation services, sign up for upcoming workshops, take the user survey, and submit calendar items. The evaluation resource matrix currently contains resources that have met our initial review. The resources are currently organized by type; they will become searchable on multiple dimensions of project type, audience, objectives and evaluation resource type as efforts to develop a collection-specific search engine mature. The peer review

Which Way Is Better for Teacher Evaluation? The Discourse on Teacher Evaluation in Taiwan

Science.gov (United States)

Wang, Juei-Hsin; Chen, Yen-Ting

2016-01-01

There are no summative evaluations for compulsory and basic education in Taiwan. This research discusses and analyzes present teacher evaluation implementation. The implementation of policy nowadays means "Teacher evaluation for professional development". Teacher evaluation for professional development is a voluntary growing project of…

Evaluation Guide for the Evaluated Spent Nuclear Fuel Assay Database (SFCOMPO)

International Nuclear Information System (INIS)

Ortego, P.; Boulanger, D.; Gauld, I.; Gysemans, M.; Hennebach, M.; Mennerdahl, D.; Neuber, J.C.; Tore, C.; Tittelbach, S.; Van Winckel, S.; Zwicky, H.-U.

2016-01-01

The Expert Group on Assay Data for Spent Nuclear Fuel (EGADSNF) of the Working Party on Nuclear Criticality Safety (WPNCS) under the auspices of the NEA Nuclear Science Committee was set up in 2007 with the objective of compiling and evaluating experimental data on the nuclide compositions of irradiated nuclear fuel. Experimental data refer not only to the measured nuclide inventories and uncertainties as determined mainly by destructive radiochemical assay of spent fuel samples, but also the fuel assembly design data, reactor design information, and operating data necessary to develop benchmark models. These data provide an important basis for validating calculation methods (computer codes and nuclear data) used in fuel burn-up analyses applied to spent fuel criticality safety analyses using burnup credit, thermal analysis, radiation shielding, accident dose consequence analysis, fuel cycle safety, reprocessing, and deep geological repository safety studies. The quality and usefulness of the experimental data for methods validation can be improved by developing complete descriptions of the experiments, providing benchmark specifications, and by performing independent evaluations of the experimental and benchmark data. Evaluations of the experimental data have been identified as an important task to verify the quality of the information in the spent fuel composition (SFCOMPO) database maintained by the Nuclear Energy Agency (NEA) Data Bank. This guide defines the evaluation document format and data review procedures for evaluators tasked with reviewing the experimental data. Guidance is developed to provide recommended procedures and criteria developed by experts in the field on how to perform standardised reviews, how to identify potential problems in the measurement data and gaps in the experimental description, and provide guidance on how to resolve these issues, when possible, using a consistent technical basis. Procedures for deriving benchmark data and models

Age Differences in Voice Evaluation: From Auditory-Perceptual Evaluation to Social Interactions

Science.gov (United States)

Lortie, Catherine L.; Deschamps, Isabelle; Guitton, Matthieu J.; Tremblay, Pascale

2018-01-01

Purpose: The factors that influence the evaluation of voice in adulthood, as well as the consequences of such evaluation on social interactions, are not well understood. Here, we examined the effect of listeners' age and the effect of talker age, sex, and smoking status on the auditory-perceptual evaluation of voice, voice-related psychosocial…

Definitions of Evaluation Use and Misuse, Evaluation Influence, and Factors Affecting Use

Science.gov (United States)

Alkin, Marvin C.; King, Jean A.

2017-01-01

The second article in this series on the history of evaluation use has three sections. The first and longest develops a functional definition of the term "use," noting that a thorough definition of evaluation use includes the initial stimulus (i.e., evaluation findings or process), the user, the way people use the information, the aspect…

Type-Directed Partial Evaluation

DEFF Research Database (Denmark)

Danvy, Olivier

1998-01-01

Type-directed partial evaluation uses a normalization function to achieve partial evaluation. These lecture notes review its background, foundations, practice, and applications. Of specific interest is the modular technique of offline and online type-directed partial evaluation in Standard ML...

Type-Directed Partial Evaluation

DEFF Research Database (Denmark)

Danvy, Olivier

1998-01-01

Type-directed partial evaluation uses a normalization function to achieve partial evaluation. These lecture notes review its background, foundations, practice, and applications. Of specific interest is the modular technique of offline and online type-directed partial evaluation in Standard ML of ...

40 CFR 57.502 - Evaluation.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 5 2010-07-01 2010-07-01 false Evaluation. 57.502 Section 57.502... NONFERROUS SMELTER ORDERS Fugitive Emission Evaluation and Control § 57.502 Evaluation. (a) Evaluation at the... their effects upon ambient air quality. (b) Evaluation during the first 6 months of the NSO. The design...

Mini-clinical evaluation exercise til evaluering af kommunikation og samarbejde i ambulatoriet

DEFF Research Database (Denmark)

Eriksen, Jesper Grau; Simonsen, Dorit; Bastholt, Lars

2009-01-01

INTRODUCTION: In the revised Danish medical specialist training increased focus has been placed on competences which are hard to evaluate such as communication skills. Mini-CEX seems promising as an evaluation tool. Our aim was to test: 1) whether mini-CEX was useable in the evaluation...... of communicative and cooperative skills and 2) whether mini-CEX would provide reproducible data. MATERIAL AND METHODS: Twenty-one residents were evaluated by mini-CEX by trained observers. Seventeen residents had at least two observations within a short period of time and these data were used to estimate the mini...

40 CFR 63.2354 - What performance tests, design evaluations, and performance evaluations must I conduct?

Science.gov (United States)

2010-07-01

... evaluations, and performance evaluations must I conduct? 63.2354 Section 63.2354 Protection of Environment... tests, design evaluations, and performance evaluations must I conduct? (a)(1) For each performance test... procedures specified in subpart SS of this part. (3) For each performance evaluation of a continuous emission...

Implications of Continuous Quality Improvement for Program Evaluation and Evaluators.

Science.gov (United States)

Mark, Melvin M.; Pines, Edward

1995-01-01

Explores the implications that continuous quality improvement (CQI) programs are likely to have for evaluation. CQI, often known as total quality management, offers a structured approach to the analysis of an organization's processes and improvement that should provide advantages to evaluators once they have gained experience with the approach.…

Language of Evaluation: How PLA Evaluators Write about Student Learning

Science.gov (United States)

Travers, Nan L.; Smith, Bernard; Ellis, Leslie; Brady, Tom; Feldman, Liza; Hakim, Kameyla; Onta, Bhuwan; Panayotou, Maria; Seamans, Laurie; Treadwell, Amanda

2011-01-01

Very few studies (e.g., Arnold, 1998; Joosten-ten Brinke, et al., 2009) have examined the ways in which evaluators assess students' prior learning. This investigation explored the ways that evaluators described students' prior learning in final assessment reports at a single, multiple-location institution. Results found four themes; audience,…

Disposal systems evaluations and tool development : Engineered Barrier System (EBS) evaluation.

Energy Technology Data Exchange (ETDEWEB)

Rutqvist, Jonny (LBNL); Liu, Hui-Hai (LBNL); Steefel, Carl I. (LBNL); Serrano de Caro, M. A. (LLNL); Caporuscio, Florie Andre (LANL); Birkholzer, Jens T. (LBNL); Blink, James A. (LLNL); Sutton, Mark A. (LLNL); Xu, Hongwu (LANL); Buscheck, Thomas A. (LLNL); Levy, Schon S. (LANL); Tsang, Chin-Fu (LBNL); Sonnenthal, Eric (LBNL); Halsey, William G. (LLNL); Jove-Colon, Carlos F.; Wolery, Thomas J. (LLNL)

2011-01-01

Key components of the nuclear fuel cycle are short-term storage and long-term disposal of nuclear waste. The latter encompasses the immobilization of used nuclear fuel (UNF) and radioactive waste streams generated by various phases of the nuclear fuel cycle, and the safe and permanent disposition of these waste forms in geological repository environments. The engineered barrier system (EBS) plays a very important role in the long-term isolation of nuclear waste in geological repository environments. EBS concepts and their interactions with the natural barrier are inherently important to the long-term performance assessment of the safety case where nuclear waste disposition needs to be evaluated for time periods of up to one million years. Making the safety case needed in the decision-making process for the recommendation and the eventual embracement of a disposal system concept requires a multi-faceted integration of knowledge and evidence-gathering to demonstrate the required confidence level in a deep geological disposal site and to evaluate long-term repository performance. The focus of this report is the following: (1) Evaluation of EBS in long-term disposal systems in deep geologic environments with emphasis on the multi-barrier concept; (2) Evaluation of key parameters in the characterization of EBS performance; (3) Identification of key knowledge gaps and uncertainties; and (4) Evaluation of tools and modeling approaches for EBS processes and performance. The above topics will be evaluated through the analysis of the following: (1) Overview of EBS concepts for various NW disposal systems; (2) Natural and man-made analogs, room chemistry, hydrochemistry of deep subsurface environments, and EBS material stability in near-field environments; (3) Reactive Transport and Coupled Thermal-Hydrological-Mechanical-Chemical (THMC) processes in EBS; and (4) Thermal analysis toolkit, metallic barrier degradation mode survey, and development of a Disposal Systems

Disposal systems evaluations and tool development: Engineered Barrier System (EBS) evaluation

International Nuclear Information System (INIS)

Rutqvist, Jonny; Liu, Hui-Hai; Steefel, Carl I.; Serrano de Caro, M.A.; Caporuscio, Florie Andre; Birkholzer, Jens T.; Blink, James A.; Sutton, Mark A.; Xu, Hongwu; Buscheck, Thomas A.; Levy, Schon S.; Tsang, Chin-Fu; Sonnenthal, Eric; Halsey, William G.; Jove-Colon, Carlos F.; Wolery, Thomas J.

2011-01-01

Key components of the nuclear fuel cycle are short-term storage and long-term disposal of nuclear waste. The latter encompasses the immobilization of used nuclear fuel (UNF) and radioactive waste streams generated by various phases of the nuclear fuel cycle, and the safe and permanent disposition of these waste forms in geological repository environments. The engineered barrier system (EBS) plays a very important role in the long-term isolation of nuclear waste in geological repository environments. EBS concepts and their interactions with the natural barrier are inherently important to the long-term performance assessment of the safety case where nuclear waste disposition needs to be evaluated for time periods of up to one million years. Making the safety case needed in the decision-making process for the recommendation and the eventual embracement of a disposal system concept requires a multi-faceted integration of knowledge and evidence-gathering to demonstrate the required confidence level in a deep geological disposal site and to evaluate long-term repository performance. The focus of this report is the following: (1) Evaluation of EBS in long-term disposal systems in deep geologic environments with emphasis on the multi-barrier concept; (2) Evaluation of key parameters in the characterization of EBS performance; (3) Identification of key knowledge gaps and uncertainties; and (4) Evaluation of tools and modeling approaches for EBS processes and performance. The above topics will be evaluated through the analysis of the following: (1) Overview of EBS concepts for various NW disposal systems; (2) Natural and man-made analogs, room chemistry, hydrochemistry of deep subsurface environments, and EBS material stability in near-field environments; (3) Reactive Transport and Coupled Thermal-Hydrological-Mechanical-Chemical (THMC) processes in EBS; and (4) Thermal analysis toolkit, metallic barrier degradation mode survey, and development of a Disposal Systems

Distributed usability evaluation

DEFF Research Database (Denmark)

Christensen, Lars; Frøkjær, Erik

2010-01-01

We present DUE (Distributed Usability Evaluation), a technique for collecting and evaluating usability data. The DUE infrastructure involves a client-server network. A client-based tool resides on the workstation of each user, providing a screen video recording, microphone input of voice commentary......, and a window for a severity rating. The idea is for the user to work naturalistically, clicking a button when a usability problem or point of uncertainty is encountered, to describe it verbally along with illustrating it on screen, and to rate its severity. These incidents are accumulated on a server......, providing access to an evaluator (usability expert) and to product developers or managers who want to review the incidents and analyse them. DUE supports evaluation in the development stages from running prototypes and onwards. A case study of the use of DUE in a corporate environment is presented...

A Guidebook for Evaluating Organizations in the Nuclear Industry - an example of safety culture evaluation

International Nuclear Information System (INIS)

Oedewald, Pia; Pietikaeinen, Elina; Reiman, Teemu

2011-06-01

Organizations in the nuclear industry need to maintain an overview on their vulnerabilities and strengths with respect to safety. Systematic periodical self assessments are necessary to achieve this overview. This guidebook provides suggestions and examples to assist power companies but also external evaluators and regulators in carrying out organizational evaluations. Organizational evaluation process is divided into five main steps. These are: 1) planning the evaluation framework and the practicalities of the evaluation process, 2) selecting data collection methods and conducting the data acquisition, 3) structuring and analysing the data, 4) interpreting the findings and 5) reporting the evaluation results with possible recommendations. The guidebook emphasises the importance of a solid background framework when dealing with multifaceted phenomena like organisational activities and system safety. The validity and credibility of the evaluation stem largely from the evaluation team's ability to crystallize what they mean by organization and safety when they conduct organisational safety evaluations - and thus, what are the criteria for the evaluation. Another important and often under-considered phase in organizational evaluation is interpretation of the findings. In this guidebook a safety culture evaluation in a Nordic nuclear power plant is presented as an example of organizational evaluation. With the help of the example, challenges of each step in the organizational evaluation process are described. Suggestions for dealing with them are presented. In the case example, the DISC (Design for Integrated Safety culture) model is used as the evaluation framework. The DISC model describes the criteria for a good safety culture and the organizational functions necessary to develop a good safety culture in the organization

Evaluating music emotion recognition

DEFF Research Database (Denmark)

Sturm, Bob L.

2013-01-01

A fundamental problem with nearly all work in music genre recognition (MGR)is that evaluation lacks validity with respect to the principal goals of MGR. This problem also occurs in the evaluation of music emotion recognition (MER). Standard approaches to evaluation, though easy to implement, do...... not reliably differentiate between recognizing genre or emotion from music, or by virtue of confounding factors in signals (e.g., equalization). We demonstrate such problems for evaluating an MER system, and conclude with recommendations....

The IIR evaluation model

DEFF Research Database (Denmark)

Borlund, Pia

2003-01-01

An alternative approach to evaluation of interactive information retrieval (IIR) systems, referred to as the IIR evaluation model, is proposed. The model provides a framework for the collection and analysis of IR interaction data. The aim of the model is two-fold: 1) to facilitate the evaluation ...

Evaluating meeting support tools

NARCIS (Netherlands)

Post, W.M.; Huis in't Veld, M.A.A.; Boogaard, S.A.A. van den

2008-01-01

Many attempts are underway for developing meeting support tools, but less attention is paid to the evaluation of meetingware. This article describes the development and testing of an instrument for evaluating meeting tools. First, we specified the object of evaluation - meetings - by means of a set

Evaluating meeting support tools

NARCIS (Netherlands)

Post, W.M.; Huis in 't Veld, M. M.A.; Boogaard, S.A.A. van den

2007-01-01

Many attempts are underway for developing meeting support tools, but less attention is paid to the evaluation of meetingware. This article describes the development and testing of an instrument for evaluating meeting tools. First, we specified the object of evaluation -meetings- by means of a set of

Evaluation, Language, and Untranslatables

Science.gov (United States)

Dahler-Larsen, Peter; Abma, Tineke; Bustelo, María; Irimia, Roxana; Kosunen, Sonja; Kravchuk, Iryna; Minina, Elena; Segerholm, Christina; Shiroma, Eneida; Stame, Nicoletta; Tshali, Charlie Kabanga

2017-01-01

The issue of translatability is pressing in international evaluation, in global transfer of evaluative instruments, in comparative performance management, and in culturally responsive evaluation. Terms that are never fully understood, digested, or accepted may continue to influence issues, problems, and social interactions in and around and after…

Learning while evaluating: the use of an electronic evaluation portfolio in a geriatric medicine clerkship

Science.gov (United States)

Duque, Gustavo; Finkelstein, Adam; Roberts, Ayanna; Tabatabai, Diana; Gold, Susan L; Winer, Laura R

2006-01-01

Background Electronic evaluation portfolios may play a role in learning and evaluation in clinical settings and may complement other traditional evaluation methods (bedside evaluations, written exams and tutor-led evaluations). Methods 133 third-year medical students used the McGill Electronic Evaluation Portfolio (MEEP) during their one-month clerkship rotation in Geriatric Medicine between September 2002 and September 2003. Students were divided into two groups, one who received an introductory hands-on session about the electronic evaluation portfolio and one who did not. Students' marks in their portfolios were compared between both groups. Additionally, students self-evaluated their performance and received feedback using the electronic portfolio during their mandatory clerkship rotation. Students were surveyed immediately after the rotation and at the end of the clerkship year. Tutors' opinions about this method were surveyed once. Finally, the number of evaluations/month was quantified. In all surveys, Likert scales were used and were analyzed using Chi-square tests and t-tests to assess significant differences in the responses from surveyed subjects. Results The introductory session had a significant effect on students' portfolio marks as well as on their comfort using the system. Both tutors and students reported positive notions about the method. Remarkably, an average (± SD) of 520 (± 70) evaluations/month was recorded with 30 (± 5) evaluations per student/month. Conclusion The MEEP showed a significant and positive effect on both students' self-evaluations and tutors' evaluations involving an important amount of self-reflection and feedback which may complement the more traditional evaluation methods. PMID:16409640

An Evaluation Framework and Instrument for Evaluating e-Assessment Tools

Science.gov (United States)

Singh, Upasana Gitanjali; de Villiers, Mary Ruth

2017-01-01

e-Assessment, in the form of tools and systems that deliver and administer multiple choice questions (MCQs), is used increasingly, raising the need for evaluation and validation of such systems. This research uses literature and a series of six empirical action research studies to develop an evaluation framework of categories and criteria called…

Evaluation report no.1; Rapport d`evaluation no.1

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-06-01

This document, which is the first evaluation report from the French National Evaluation Commission about research on radioactive waste management, was sent to the French Government on June 30, 1995. The Commission was created in January 1994 and started its investigations on April 1994. The evaluation concerns the three axes of the 91-1381 law from December 30, 1991 (1 - separation-transmutation and minimization of wastes, 2 - underground disposal, 3 - choices for conditioning, storage and disposal). The document has been written after hearing of the principal French research organisms. The report focusses on the necessity for a scientific and technical coordination between all the organisms concerned, for a consistent and open analysis of all research topics. This implies a compatibility between schedules and specifications, and with the 15 years allowed by the law. (J.S.). 15 figs., 14 tabs., 4 annexes., 1 glossary.

Self-Evaluation

DEFF Research Database (Denmark)

Simonsen, Jesper

This self-evaluation report, requested by the Pro-rector of Roskilde University, has been written by Jesper Simonsen. The report is presented in a dedicated template and describes and evaluates the strategic research initiative Designing Human Technologies (DHT). DHT was formally approved...... by the Rectorship in February 2013. DHT was funded by Roskilde University with a 3,000,000 DKK grant for the period of 2013– 2015. In 2015 this was extended to June 2016....

Textbooks evaluation

OpenAIRE

Tauchmannová, Iva

2009-01-01

This thesis deals with an evaluation of textbooks and their operation at school. The theoretical part clarifies the purport of the term a textbook, functions and a structure of textbooks, and describes a text of textbooks, parameters of its evaluation, and the extratextual components of textbooks. It presents methods of work with a textbook and research into textbooks. The empirical part describes a research that was aimed to learn whether textbooks fit to modern parameters of textbooks. Furt...

Empowerment evaluation: a collaborative approach to evaluating and transforming a medical school curriculum.

Science.gov (United States)

Fetterman, David M; Deitz, Jennifer; Gesundheit, Neil

2010-05-01

Medical schools continually evolve their curricula to keep students abreast of advances in basic, translational, and clinical sciences. To provide feedback to educators, critical evaluation of the effectiveness of these curricular changes is necessary. This article describes a method of curriculum evaluation, called "empowerment evaluation," that is new to medical education. It mirrors the increasingly collaborative culture of medical education and offers tools to enhance the faculty's teaching experience and students' learning environments. Empowerment evaluation provides a method for gathering, analyzing, and sharing data about a program and its outcomes and encourages faculty, students, and support personnel to actively participate in system changes. It assumes that the more closely stakeholders are involved in reflecting on evaluation findings, the more likely they are to take ownership of the results and to guide curricular decision making and reform. The steps of empowerment evaluation include collecting evaluation data, designating a "critical friend" to communicate areas of potential improvement, establishing a culture of evidence, encouraging a cycle of reflection and action, cultivating a community of learners, and developing reflective educational practitioners. This article illustrates how stakeholders used the principles of empowerment evaluation to facilitate yearly cycles of improvement at the Stanford University School of Medicine, which implemented a major curriculum reform in 2003-2004. The use of empowerment evaluation concepts and tools fostered greater institutional self-reflection, led to an evidence-based model of decision making, and expanded opportunities for students, faculty, and support staff to work collaboratively to improve and refine the medical school's curriculum.

Validity in Qualitative Evaluation

Directory of Open Access Journals (Sweden)

Vasco Lub

2015-12-01

Full Text Available This article provides a discussion on the question of validity in qualitative evaluation. Although validity in qualitative inquiry has been widely reflected upon in the methodological literature (and is still often subject of debate, the link with evaluation research is underexplored. Elaborating on epistemological and theoretical conceptualizations by Guba and Lincoln and Creswell and Miller, the article explores aspects of validity of qualitative research with the explicit objective of connecting them with aspects of evaluation in social policy. It argues that different purposes of qualitative evaluations can be linked with different scientific paradigms and perspectives, thus transcending unproductive paradigmatic divisions as well as providing a flexible yet rigorous validity framework for researchers and reviewers of qualitative evaluations.

Usage of performance measurement and evaluation systems : the impact of evaluator characteristics

OpenAIRE

Gelderman, Maarten

1998-01-01

This paper discusses the relation between characteristics of the evaluating manager and the way performance measurement and evaluation information is used. First a discussion is provided about the dependent variable. It is recognized that categorization into archetypes (e.g., evaluative styles) is unsatisfactory. Instead the information content/emphasis dimensions financial-non- financial, quantitative-qualitative, process-outcome, past-future and external-internal, along with the dimension f...

Evaluating professional development

CERN Document Server

Guskey, Thomas R

2000-01-01

This is a practical guide to evaluating professional development programs at five increasing levels of sophistication: participants' reaction to professional development; how much participants learned; evaluating organizational support and change; how participants use their new knowledge and skills; and improvements in student learning.

"System evaluates system": method for evaluating the efficiency of IS

Directory of Open Access Journals (Sweden)

Dita Blazkova

2016-10-01

Full Text Available In paper I deal with the possible solution of evaluating the efficiency of information systems in companies. The large number of existing methods used to address the efficiency of information systems is dependent on the subjective responses of the user that may distort output evaluation. Therefore, I propose a method that eliminates the subjective opinion of a user as the primary data source. Applications, which I suggests as part of the method, collects relevant data. In this paper I describe the application in detail. This is a follow-on program on any system that runs parallel with it. The program automatically collects data for evaluation. Data include mainly time data, positions the mouse cursor, printScreens, i-grams of previous, etc. I propose a method of evaluation of the data, which identifies the degree of the friendliness of the information system to the user. Thus, the output of the method is the conclusion whether users, who work with the information system, can handle effectively work with it.

Empowerment Evaluation: Yesterday, Today, and Tomorrow

Science.gov (United States)

Fetterman, David; Wandersman, Abraham

2007-01-01

Empowerment evaluation continues to crystallize central issues for evaluators and the field of evaluation. A highly attended American Evaluation Association conference panel, titled "Empowerment Evaluation and Traditional Evaluation: 10 Years Later," provided an opportunity to reflect on the evolution of empowerment evaluation. Several…

CAPTURED India Country Evaluation

NARCIS (Netherlands)

O'Donoghue, R.; Brouwers, J.H.A.M.

2012-01-01

This report provides the findings of the India Country Evaluation and is produced as part of the overall CAPTURED End Evaluation. After five years of support by the CAPTURED project the End Evaluation has assessed that results are commendable. I-AIM was able to design an approach in which health

A Fuzzy Comprehensive Evaluation Model for Sustainability Risk Evaluation of PPP Projects

Directory of Open Access Journals (Sweden)

Libiao Bai

2017-10-01

Full Text Available Evaluating the sustainability risk level of public–private partnership (PPP projects can reduce project risk incidents and achieve the sustainable development of the organization. However, the existing studies about PPP projects risk management mainly focus on exploring the impact of financial and revenue risks but ignore the sustainability risks, causing the concept of “sustainability” to be missing while evaluating the risk level of PPP projects. To evaluate the sustainability risk level and achieve the most important objective of providing a reference for the public and private sectors when making decisions on PPP project management, this paper constructs a factor system of sustainability risk of PPP projects based on an extensive literature review and develops a mathematical model based on the methods of fuzzy comprehensive evaluation model (FCEM and failure mode, effects and criticality analysis (FMECA for evaluating the sustainability risk level of PPP projects. In addition, this paper conducts computational experiment based on a questionnaire survey to verify the effectiveness and feasibility of this proposed model. The results suggest that this model is reasonable for evaluating the sustainability risk level of PPP projects. To our knowledge, this paper is the first study to evaluate the sustainability risk of PPP projects, which would not only enrich the theories of project risk management, but also serve as a reference for the public and private sectors for the sustainable planning and development. Keywords: sustainability risk eva

Proactively evaluating training effectiveness

International Nuclear Information System (INIS)

Fetterman, Harry E.

2003-01-01

A common model of the five phase Systematic Approach to Training (SAT) displays the fifth phase, evaluation, feeding back into the previous four phases: analysis, design, development, and implementation. Evaluating training effectiveness in PP and L's Nuclear Department is not simply the fifth phase of the SAT. PP and L has demonstrated a more effective methodology is realized when evaluation is built into each of the other four phases. At PP and L, evaluation is conducted formatively throughout the first four phases of the SAT process and summatively after implementation. (author)

Evaluated nuclear data library

International Nuclear Information System (INIS)

Howerton, R.J.; Dye, R.E.; Perkins, S.T.

1981-01-01

The Lawrence Livermore National Laboratory (LLNL) collection of evaluated data for neutron-, photon-, and charged-particle-induced reactions is maintained in a computer-oriented system. In this report we recount the history of Evaluated Nuclear Data Library, describe the methods of evaluation, and give examples of input and output representation of the data

Transport Project Evaluation

DEFF Research Database (Denmark)

Leleur, Steen

1996-01-01

Two main project evaluation approaches exist: cost-benefit analysis (CBA) and multi-criteria analysis (MCA). Related to a European road evaluation method (EURET 1.1) and the MCA-method, WARP, the paper proposes a set of so-called segregated investment return rates (SIRR) to integrate advantages...

Evaluating energy saving system of data centers based on AHP and fuzzy comprehensive evaluation model

Science.gov (United States)

Jiang, Yingni

2018-03-01

Due to the high energy consumption of communication, energy saving of data centers must be enforced. But the lack of evaluation mechanisms has restrained the process on energy saving construction of data centers. In this paper, energy saving evaluation index system of data centers was constructed on the basis of clarifying the influence factors. Based on the evaluation index system, analytical hierarchy process was used to determine the weights of the evaluation indexes. Subsequently, a three-grade fuzzy comprehensive evaluation model was constructed to evaluate the energy saving system of data centers.

Applied evaluative informetrics

CERN Document Server

Moed, Henk F

2017-01-01

This book focuses on applied evaluative informetric artifacts or topics. It explains the base notions and assumptions of evaluative informetrics by discussing a series of important applications. The structure of the book is therefore not organized by methodological characteristics, but is centered around popular, often discussed or used informetric artifacts - indicators, methodologies, products, databases - or so called hot topics in which informetric indicators play an important role. Most of the artifacts and topics emerged during the past decade. The principal aim of the book is to present a state of the art in applied evaluative informetrics, and to inform the readers about the pros and cons, potentialities and limitations of the use of informetric/bibliometric indicators in research assessment. The book is a continuation of the book Citation Analysis in Research Evaluation (Springer, 2005). It is of interest to non-specialists, especially research students at advanced master level and higher, all thos...

First Grade Baseline Evaluation

Science.gov (United States)

Center for Innovation in Assessment (NJ1), 2013

2013-01-01

The First Grade Baseline Evaluation is an optional tool that can be used at the beginning of the school year to help teachers get to know the reading and language skills of each student. The evaluation is composed of seven screenings. Teachers may use the entire evaluation or choose to use those individual screenings that they find most beneficial…

Internal Evaluation, Historically Speaking

Science.gov (United States)

Mathison, Sandra

2011-01-01

The author analyzes the growth and nature of internal evaluation from the 1960s to the present and suggests that internal evaluation has been on the increase because of its perceived importance. Although the 1960s were characterized by a rich intellectual development of evaluation theory and practice, the fiscal conservatism of the 1980s ushered…

Inventory differences: An evaluation methodology

International Nuclear Information System (INIS)

Heinberg, C.L.; Roberts, N.J.

1987-01-01

This paper discusses an evaluation methodology which is used for inventory differences at the Los Alamos National Laboratory. It is recognized that there are various methods which can be, and are being, used to evaluate process inventory differences at DOE facilities. The purpose of this paper is to share our thoughts on the subject and our techniques with those who are responsible for the evaluation of inventory differences at their facility. One of the most dangerous aspects of any evaluation technique, especially one as complex as most inventory difference evaluations tend to be, is to fail to look at the tools being used as indicators. There is a tendency to look at the results of an evaluation by one technique as an absolute. At the Los Alamos National Laboratory, several tools are used and the final evaluation is based on a combination of the observed results of a many-faceted evaluation. The tools used and some examples are presented

Measurement evaluation

CERN Document Server

Boros, A

1990-01-01

The information obtained about a measured object is called ``crude'' measurement information and must be related to the conditions under which the measurement took place. Using ``crude'' measurement information as a starting point, evaluation produces physically correctly interpreted data with their estimated (or corrected) error. Although a number of works deal with the evaluation of measurements, they either appeared a long time ago or serve essentially different aims. This book gives a comprehensive and current overview on the basic principles, aids, devices, and methods in the eval

Objective and automated protocols for the evaluation of biomedical search engines using No Title Evaluation protocols.

Science.gov (United States)

Campagne, Fabien

2008-02-29

The evaluation of information retrieval techniques has traditionally relied on human judges to determine which documents are relevant to a query and which are not. This protocol is used in the Text Retrieval Evaluation Conference (TREC), organized annually for the past 15 years, to support the unbiased evaluation of novel information retrieval approaches. The TREC Genomics Track has recently been introduced to measure the performance of information retrieval for biomedical applications. We describe two protocols for evaluating biomedical information retrieval techniques without human relevance judgments. We call these protocols No Title Evaluation (NT Evaluation). The first protocol measures performance for focused searches, where only one relevant document exists for each query. The second protocol measures performance for queries expected to have potentially many relevant documents per query (high-recall searches). Both protocols take advantage of the clear separation of titles and abstracts found in Medline. We compare the performance obtained with these evaluation protocols to results obtained by reusing the relevance judgments produced in the 2004 and 2005 TREC Genomics Track and observe significant correlations between performance rankings generated by our approach and TREC. Spearman's correlation coefficients in the range of 0.79-0.92 are observed comparing bpref measured with NT Evaluation or with TREC evaluations. For comparison, coefficients in the range 0.86-0.94 can be observed when evaluating the same set of methods with data from two independent TREC Genomics Track evaluations. We discuss the advantages of NT Evaluation over the TRels and the data fusion evaluation protocols introduced recently. Our results suggest that the NT Evaluation protocols described here could be used to optimize some search engine parameters before human evaluation. Further research is needed to determine if NT Evaluation or variants of these protocols can fully substitute

Evaluation Survivor: How to Outwit, Outplay, and Outlast as an Internal Government Evaluator

Science.gov (United States)

Kniker, Ted

2011-01-01

This chapter describes the author's experience and insights as the chief of evaluation for public diplomacy at the U.S. Department of State, and as a consultant assisting federal agencies in a multitude of evaluation activities relating what helps and hinders internal evaluation functions. The article discusses the challenges faced by the internal…

Evaluation methods for hospital facilities

DEFF Research Database (Denmark)

Fronczek-Munter, Aneta

2013-01-01

according to focus areas and proposes which evaluation methods to use in different building phases of healthcare facilities. Hospital evaluations with experts and users are also considered; their subjective view on space, function, technology, usability and aesthetics. Results & solutions: This paper...... presents the different methods for evaluating buildings in use in a new model, the Evaluation Focus Flower, and proposes which evaluation methods are suitable for various aims and building phases, i.e. which is giving best input for the initial briefing process of new hospital facilities with ambition...... of creating buildings with enhanced usability. Additionally various evaluation methods used in hospital cases in Denmark and Norway are presented. Involvement of users is proposed, not just in defining requirements but also in co-creation/design and evaluation of solutions. The theories and preliminary...

Problem Prioritization in Usability Evaluation:

DEFF Research Database (Denmark)

Hertzum, Morten

2006-01-01

Severity assessments enable prioritization of problems encountered during usability evaluations and thereby provide a device for guiding the utilization of design resources. However, designers' response to usability evaluations is also influenced by other factors, which may overshadow severity....... With the purpose of enhancing the impact of severity assessments, this study combines a field study of factors that influence the impact of evaluations with an experimental study of severity assessments made during usability inspections. The results show that even in a project receptive to input from evaluations...... their impact was highly dependent on conducting evaluations early. This accorded with an informal method that blended elements of usability evaluation and participatory design and could be extended with user-made severity assessments. The major cost associated with the evaluations was not finding but fixing...

Authentic And Concurrent Evaluation-refining

DEFF Research Database (Denmark)

Eriksson, Carina Ihlström; Åkesson, Maria; Kautz, Karlheinz

2011-01-01

This paper addresses the need for more detailed accounts for evaluation in design science research literature. By revisiting a design project regarding the future e-newspaper we give detailed descriptions of its authentic and concurrent evaluation approach by illustrating the what, why and how...... of all evaluation activities throughout the whole project. The project produced seven different design artifacts that were evaluated. The utility and theoretical outcomes of the evaluation activities clearly influenced design decisions regarding newspaper design, user value and business model design...... as well as decisions on strategic levels. We emphasize a holistic and concurrent approach to evaluation compared to the general design science research thinking and argue that reflecting on how to seek authenticity is important. By authenticity we refer to the notion of how closely an evaluation captures...

Individual performance evaluation of the Brazilian Nuclear Energy Commission (CNEN): a meta-evaluative study

International Nuclear Information System (INIS)

Bezerra, Leonardo Ferreira

2017-01-01

The present study is a summative meta-evaluation that had as objective to evaluate the quality of the process of evaluation of individual performance of the servers of the National Commission of Nuclear Energy, being guided by the scientific curiosity to know to what extent the evaluation of performance the National Commission for Nuclear Energy meets the quality standards disseminated by the Joint Committee on Standards for Educational Evaluation. The methodology chosen to be used was based on the management approach and had as a guiding principle of the study the elaboration of a framework of criteria considering the aforementioned standards. The criteria established in the criteria framework guided the preparation of the items of the questionnaire sent to the National Commission of Nuclear Energy servers. In addition to the questionnaire, the observation of this author was considered in the context where the phenomenon occurred, which allowed a better reflective analysis of the data collected by the questionnaire. Regarding the results, it can be inferred that the performance evaluation developed at the National Commission of Nuclear Energy can be considered of quality, highlighting the servers' trust for the data, the communication process of the program stages, the credibility of the evaluators, the process of negotiation of goals and adaptability of the instrument over the course of the cycle. However, there are some opportunities for improvement, considering the relevance of evaluation as a tool to improve the performance of the autarchy's servers. Among the points that need to be improved is that there is currently a lack of knowledge about the legal basis and justification of the process of evaluation process by the servers and the lack of clarity regarding the content of the final evaluation report. Among the recommendations of this study, one can consider as the most relevant the need to: disseminate the results of this meta-evaluation to the

48 CFR 17.206 - Evaluation.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Evaluation. 17.206 Section... CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 17.206 Evaluation. (a) In awarding the basic contract... officer need not evaluate offers for any option quantities when it is determined that evaluation would not...

28 CFR 90.65 - Evaluation.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Evaluation. 90.65 Section 90.65 Judicial... Cases § 90.65 Evaluation. (a) The National Institute of Justice will conduct evaluations and studies of... with such federally-sponsored research and evaluation studies of their projects. In addition, grant...

The Future of Principal Evaluation

Science.gov (United States)

Clifford, Matthew; Ross, Steven

2012-01-01

The need to improve the quality of principal evaluation systems is long overdue. Although states and districts generally require principal evaluations, research and experience tell that many state and district evaluations do not reflect current standards and practices for principals, and that evaluation is not systematically administered. When…

Evaluation of Science.

Science.gov (United States)

Usmani, Adnan Mahmmood; Meo, Sultan Ayoub

2011-01-01

Scientific achievement by publishing a scientific manuscript in a peer reviewed biomedical journal is an important ingredient of research along with a career-enhancing advantages and significant amount of personal satisfaction. The road to evaluate science (research, scientific publications) among scientists often seems complicated. Scientist's career is generally summarized by the number of publications / citations, teaching the undergraduate, graduate and post-doctoral students, writing or reviewing grants and papers, preparing for and organizing meetings, participating in collaborations and conferences, advising colleagues, and serving on editorial boards of scientific journals. Scientists have been sizing up their colleagues since science began. Scientometricians have invented a wide variety of algorithms called science metrics to evaluate science. Many of the science metrics are even unknown to the everyday scientist. Unfortunately, there is no all-in-one metric. Each of them has its own strength, limitation and scope. Some of them are mistakenly applied to evaluate individuals, and each is surrounded by a cloud of variants designed to help them apply across different scientific fields or different career stages [1]. A suitable indicator should be chosen by considering the purpose of the evaluation, and how the results will be used. Scientific Evaluation assists us in: computing the research performance, comparison with peers, forecasting the growth, identifying the excellence in research, citation ranking, finding the influence of research, measuring the productivity, making policy decisions, securing funds for research and spotting trends. Key concepts in science metrics are output and impact. Evaluation of science is traditionally expressed in terms of citation counts. Although most of the science metrics are based on citation counts but two most commonly used are impact factor [2] and h-index [3].

21 CFR 900.23 - Evaluation.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Evaluation. 900.23 Section 900.23 Food and Drugs... STANDARDS ACT MAMMOGRAPHY States as Certifiers § 900.23 Evaluation. FDA shall evaluate annually the performance of each certification agency. The evaluation shall include the use of performance indicators that...

Flaw evaluation charts

International Nuclear Information System (INIS)

Korosec, D.; Vojvodic Tuma, J.

1999-01-01

The structural integrity of the primary components in pressurized water reactor nuclear power plant is very important in the respect of safe and efficient operation. These components have to be subjected to periodic controls. In the light of fracture mechanics concept, the acceptance criteria for defects (flaws) are developed. Flaw evaluation procedure is necessary, to evaluate the defects regarding their acceptability for further operation. The objective of the flaw evaluation charts is to provide a series of simple graphs as decision maps. that immediate decision may be taken regarding the acceptability of a detected defects, on the basis of ASME Code XI criteria.(author)

Conceptualizing Programme Evaluation

Science.gov (United States)

Hassan, Salochana

2013-01-01

The main thrust of this paper deals with the conceptualization of theory-driven evaluation pertaining to a tutor training programme. Conceptualization of evaluation, in this case, is an integration between a conceptualization model as well as a theoretical framework in the form of activity theory. Existing examples of frameworks of programme…

Evaluation and Communication: Using a Communication Audit to Evaluate Organizational Communication

Science.gov (United States)

Hogard, Elaine; Ellis, Roger

2006-01-01

This article identifies a surprising dearth of studies that explicitly link communication and evaluation at substantive, theoretical, and methodological levels. A three-fold typology of evaluation studies referring to communication is proposed and examples given. The importance of organizational communication in program delivery is stressed and…

Organizational Capacity to Do and Use Evaluation: Results of a Pan-Canadian Survey of Evaluators

Science.gov (United States)

Cousins, J. Bradley; Elliott, Catherine; Amo, Courtney; Bourgeois, Isabelle; Chouinard, Jill; Goh, Swee C.; Lahey, Robert

2008-01-01

Despite increasing interest in the integration of evaluative inquiry into organizational functions and culture, the availability of empirical research addressing organizational capacity building to do and use evaluation is limited. This exploratory descriptive survey of internal evaluators in Canada asked about evaluation capacity building in the…

21 CFR 900.5 - Evaluation.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Evaluation. 900.5 Section 900.5 Food and Drugs... STANDARDS ACT MAMMOGRAPHY Accreditation § 900.5 Evaluation. FDA shall evaluate annually the performance of each accreditation body. Such evaluation shall include an assessment of the reports of FDA or State...

Evaluating Web Usability

Science.gov (United States)

Snider, Jean; Martin, Florence

2012-01-01

Web usability focuses on design elements and processes that make web pages easy to use. A website for college students was evaluated for underutilization. One-on-one testing, focus groups, web analytics, peer university review and marketing focus group and demographic data were utilized to conduct usability evaluation. The results indicated that…

Report of the evaluation by the project evaluation committee on research and development of FBR structural materials. Result intermediate evaluation in fiscal year 2002

International Nuclear Information System (INIS)

2003-03-01

The project evaluation committee of FBR (Fast Breeder Reactor) and fuel cycle evaluated the problem under the evaluation method defined by the committee on the basis of material and supplementary data produced by JNC (Japan Nuclear Cycle Development Institute) and discussion. This report consists of summary, construction of the committee, investigation process, evaluation method, opinion of object, plan, research system, results, relation to practical use, public offering of results, development and others and total evaluation. Each opinion of the committee member are reported. Development of structural material is important problem of R and D of FBR. The estimation techniques of materials, high temperature structural and earthquake-resistant design techniques are evaluated to obtain the fruitful results. The remarkable results are development of materials of 316FR, using plate to reactor, estimation method of thermal striping, improvement of earthquake-resistant analysis technology, contribution to evaluation analysis of Monju second liner and basic information to develop quantity technique of material damage. (S.Y.)

Programme Evaluation Toolbox: Effective Evaluation Principles and Considerations in Career Practice

Science.gov (United States)

Nassar-McMillan, Sylvia; Conley, Abigail Holland

2011-01-01

In our ever-present age of accountability, career development professionals are increasingly called upon to document evidence-based outcomes and other metrics of programme effectiveness. In this article, we will review the key components of effective programme evaluation, including purposes and types of evaluation. Our review will span empirical…

Are You Being Evaluated? Need for New Approaches in Evaluation Practices

DEFF Research Database (Denmark)

Bar-Ilan, Judit; Hartmann, Frank; Havemann, Frank

2014-01-01

the evaluators to reach decision based on richer evidence. To make our model more concrete, we will present evaluation scenarios and personas at different stages of their career. The scenarios and personas will motivate the audience to become involved, and a significant part of the event will be dedicated...

Evaluation Systems, Ethics, and Development Evaluation

Science.gov (United States)

Thomas, Vinod

2010-01-01

After some 65 years of international development assistance, it is still difficult to show the effectiveness of aid in ways that are fully convincing. In part, this reflects inadequacies in the evaluation systems of the bilateral, multilateral, and global organizations that provide official development aid. Underlying these weaknesses often are a…

Precision Clock Evaluation Facility

Data.gov (United States)

Federal Laboratory Consortium — FUNCTION: Tests and evaluates high-precision atomic clocks for spacecraft, ground, and mobile applications. Supports performance evaluation, environmental testing,...

Noninvasive Urodynamic Evaluation

Directory of Open Access Journals (Sweden)

Carlos Arturo Levi D'Ancona

2012-09-01

Full Text Available The longevity of the world's population is increasing, and among male patients, complaints of lower urinary tract symptoms (LUTS are growing. Testing to diagnose LUTS and to differentiate between the various causes should be quick, easy, cheap, specific, not too bothersome for the patient, and noninvasive or minimally so. Urodynamic evaluation is the gold standard for diagnosing bladder outlet obstruction (BOO but presents some inconveniences such as embarrassment, pain, and dysuria; furthermore, 19% of cases experience urinary retention, macroscopic hematuria, or urinary tract infection. A greater number of resources in the diagnostic armamentarium could increase the opportunity for selecting less invasive tests. A number of groups have risen to this challenge and have formulated and developed ideas and technologies to improve noninvasive methods to diagnosis BOO. These techniques start with flowmetry, an increase in the interest of ultrasound, and finally the performance of urodynamic evaluation without a urethral catheter. Flowmetry is not sufficient for confirming a diagnosis of BOO. Ultrasound of the prostate and the bladder can help to assess BOO noninvasively in all men and can be useful for evaluating the value of BOO at assessment and during treatment of benign prostatic hyperplasia patients in the future. The great advantages of noninvasive urodynamics are as follows: minimal discomfort, minimal risk of urinary tract infection, and low cost. This method can be repeated many times, permitting the evaluation of obstruction during clinical treatment. A urethral connector should be used to diagnose BOO, in evaluation for surgery, and in screening for treatment. In the future, noninvasive urodynamics can be used to identify patients with BOO to initiate early medical treatment and evaluate the results. This approach permits the possibility of performing surgery before detrusor damage occurs.

Systematic, Cooperative Evaluation.

Science.gov (United States)

Nassif, Paula M.

Evaluation procedures based on a systematic evaluation methodology, decision-maker validity, new measurement and design techniques, low cost, and a high level of cooperation on the part of the school staff were used in the assessment of a public school mathematics program for grades 3-8. The mathematics curriculum was organized into Spirals which…

Evaluating Teachers' Professional Development Initiatives: Towards an Extended Evaluative Framework

Science.gov (United States)

Merchie, Emmelien; Tuytens, Melissa; Devos, Geert; Vanderlinde, Ruben

2018-01-01

Evaluating teachers' professional development initiatives (PDI) is one of the main challenges for the teacher professionalisation field. Although different studies have focused on the effectiveness of PDI, the obtained effects and evaluative methods have been found to be widely divergent. By means of a narrative review, this study provides an…

Casing Out Evaluation: Expanding Student Interest in Program Evaluation through Case Competitions.

Science.gov (United States)

Obrecht, Michael; Porteous, Nancy; Haddock, Blair

1998-01-01

Describes the authors' experiences in organizing bilingual evaluation case competitions for the National Capital Chapter of the Canadian Evaluation Society for three years. Competition structure, eligibility, judging, contestant recruiting, and preparing cases are outlined. (SLD)

Health Economic Evaluation of Telehealthcare

DEFF Research Database (Denmark)

Udsen, Flemming Witt

for decision making meant to inform adaptation of the health economic evaluation approach. Based on developments in realist evaluation and experiences with conducting the evaluation of TeleCare North, four principles for health economic evaluation of complex telehealthcare interventions is outlined in order....... The results from the TeleCare North trial were used directly in a national decision to implement the telehealthcare solution to patients with severe COPD in Denmark and lead to considerable debate nationally. This debate could be viewed as an actual account of the usefulness of health economic evaluation...

1999 scientific evaluation at the CEA; L'evaluation scientifique 1999 au CEA

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-07-01

This report presents a statement of the scientific and technical activity of the French atomic energy commission (CEA) for the year 1999. This evaluation is made by external and independent experts and requires some specific dispositions for the nuclear protection and safety institute (IPSN) and for the direction of military applications (DAM). The report is divided into 4 parts dealing successively with: 1)the CEA, a public research organization (strategy, research programs, new organization of the CEA activities, civil nuclear research, technology research and transfer, defence activities, transfer of knowledge) 2)the scientific evaluation at the CEA (evaluations of the civil applications of the CEA, IPSN, DAM, INSTN (national institute for nuclear sciences and techniques) 3)synthesis of the 1999 scientific and technical evaluation for each operational directions of the CEA (directions of fuel cycle, of nuclear reactors, of advanced technologies, of materials sciences, of life sciences, of military applications, of the nuclear protection and safety institute and of the national institute for nuclear sciences and techniques) 4)the corresponding members of the evaluation and the list of scientific and technical councils and members.

UN Women’s experience with strengthening evaluation systems in Africa: Enhancing quantity, quality and use of evaluations

Directory of Open Access Journals (Sweden)

Caspar Merkle

2016-12-01

Full Text Available Background: Following the adoption of the Women Evaluation Policy in 2012, a series of systems and mechanisms were introduced in the organisation to strengthen the evaluation function at both central and decentralised levels. They were based on a systemic approach and a Theory of Change for building an enabling environment for evaluation in UN Women. Objectives: The purpose of this article was to analyse progress made and challenges with respect to establishing evaluation systems and institutionalising an evaluation culture in the UN Women Africa region. Method: The article draws on UN Women evaluation performance data collected over the past five years, discussions and practical experience by the author of working on evaluation with UN Women since 2009. It also analyses UN Women documents and the broader literature on the topic. Results: The findings illustrate that the different mechanisms to strengthen the evaluation function in UN Women show progress in the Africa region on four out of the five selected evaluation performance indicators. The Theory of Change to strengthen the UN Women evaluation function is largely validated by the wider literature on evaluation use. External assessments confirm that the UN Women evaluation function is sound overall. Conclusion: The article concludes that evaluation performance indicators only provide a partial snapshot of the many different factors that help or undermine evaluative thinking and a learning culture within an organisation. Institutional systems and mechanisms are necessary but not sufficient for nurturing an evaluation culture and ensuring utilisation of evaluation for better development effectiveness.

Cortical and spinal excitability during and after lengthening contractions of the human plantar flexor muscles performed with maximal voluntary effort.

Directory of Open Access Journals (Sweden)

Daniel Hahn

Full Text Available This study was designed to investigate the sites of potential specific modulations in the neural control of lengthening and subsequent isometric maximal voluntary contractions (MVCs versus purely isometric MVCs of the plantar flexor muscles, when there is enhanced torque during and following stretch. Ankle joint torque during maximum voluntary plantar flexion was measured by a dynamometer when subjects (n = 10 lay prone on a bench with the right ankle tightly strapped to a foot-plate. Neural control was analysed by comparing soleus motor responses to electrical nerve stimulation (M-wave, V-wave, electrical stimulation of the cervicomedullary junction (CMEP and transcranial magnetic stimulation of the motor cortex (MEP. Enhanced torque of 17 ± 8% and 9 ± 8% was found during and 2.5-3 s after lengthening MVCs, respectively. Cortical and spinal responsiveness was similar to that in isometric conditions during the lengthening MVCs, as shown by unchanged MEPs, CMEPs and V-waves, suggesting that the major voluntary motor pathways are not subject to substantial inhibition. Following the lengthening MVCs, enhanced torque was accompanied by larger MEPs (p ≤ 0.05 and a trend to greater V-waves (p ≤ 0.1. In combination with stable CMEPs, increased MEPs suggest an increase in cortical excitability, and enlarged V-waves indicate greater motoneuronal output or increased stretch reflex excitability. The new results illustrate that neuromotor pathways are altered after lengthening MVCs suggesting that the underlying mechanisms of the enhanced torque are not purely mechanical in nature.

Evaluating Domestic Violence Initiatives

OpenAIRE

Parmar, Alpa; Sampson, Alice

2006-01-01

This paper critiques the approach of identifying ‘best practice’ projects and discusses the problem with simply transferring projects into different contexts. The argument is illustrated by explaining the evaluation process of three domestic violence projects which all had the same aim, which was to reduce domestic violence. The evaluated projects all delivered advocacy programmes and were located in disadvantaged areas in the United Kingdom. A more suitable evaluation approach is proposed wh...

Three-agent Peer Evaluation

OpenAIRE

Vicki Knoblauch

2008-01-01

I show that every rule for dividing a dollar among three agents impartially (so that each agent's share depends only on her evaluation by her associates) underpays some agent by at least one-third of a dollar for some consistent profile of evaluations. I then produce an impartial division rule that never underpays or overpays any agent by more than one-third of a dollar, and for most consistent evaluation profiles does much better.

Hawaii-Okinawa Building Evaluations

Energy Technology Data Exchange (ETDEWEB)

Metzger, I.; Salasovich, J.

2013-05-01

NREL conducted energy evaluations at the Itoman City Hall building in Itoman, Okinawa Prefecture, Japan, and the Hawaii State Capitol building in Honolulu, Hawaii. This report summarizes the findings from the evaluations, including the best practices identified at each site and opportunities for improving energy efficiency and renewable energy. The findings from this evaluation are intended to inform energy efficient building design, energy efficiency technology, and management protocols for buildings in subtropical climates.

The Practice of Health Program Evaluation.

Science.gov (United States)

Lewis, Sarah R

2017-11-01

The Practice of Health Program Evaluation provides an overview of the evaluation process for public health programs while diving deeper to address select advanced concepts and techniques. The book unfolds evaluation as a three-phased process consisting of identification of evaluation questions, data collection and analysis, and dissemination of results and recommendations. The text covers research design, sampling methods, as well as quantitative and qualitative approaches. Types of evaluation are also discussed, including economic assessment and systems research as relative newcomers. Aspects critical to conducting a successful evaluation regardless of type or research design are emphasized, such as stakeholder engagement, validity and reliability, and adoption of sound recommendations. The book encourages evaluators to document their approach by developing an evaluation plan, a data analysis plan, and a dissemination plan, in order to help build consensus throughout the process. The evaluative text offers a good bird's-eye view of the evaluation process, while offering guidance for evaluation experts on how to navigate political waters and advocate for their findings to help affect change.

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

Science.gov (United States)

Azzam, Tarek; Robinson, David

2013-01-01

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

Case study of evaluations that go beyond clinical outcomes to assess quality improvement diabetes programmes using the Diabetes Evaluation Framework for Innovative National Evaluations (DEFINE).

Science.gov (United States)

Paquette-Warren, Jann; Harris, Stewart B; Naqshbandi Hayward, Mariam; Tompkins, Jordan W

2016-10-01

Investments in efforts to reduce the burden of diabetes on patients and health care are critical; however, more evaluation is needed to provide evidence that informs and supports future policies and programmes. The newly developed Diabetes Evaluation Framework for Innovative National Evaluations (DEFINE) incorporates the theoretical concepts needed to facilitate the capture of critical information to guide investments, policy and programmatic decision making. The aim of the study is to assess the applicability and value of DEFINE in comprehensive real-world evaluation. Using a critical and positivist approach, this intrinsic and collective case study retrospectively examines two naturalistic evaluations to demonstrate how DEFINE could be used when conducting real-world comprehensive evaluations in health care settings. The variability between the cases and the evaluation designs are described and aligned to the DEFINE goals, steps and sub-steps. The majority of the theoretical steps of DEFINE were exemplified in both cases, although limited for knowledge translation efforts. Application of DEFINE to evaluate diverse programmes that target various chronic diseases is needed to further test the inclusivity and built-in flexibility of DEFINE and its role in encouraging more comprehensive knowledge translation. This case study shows how DEFINE could be used to structure or guide comprehensive evaluations of programmes and initiatives implemented in health care settings and support scale-up of successful innovations. Future use of the framework will continue to strengthen its value in guiding programme evaluation and informing health policy to reduce the burden of diabetes and other chronic diseases. © 2016 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons, Ltd.

Fear of negative evaluation modulates electrocortical and behavioral responses when anticipating social evaluative feedback

Directory of Open Access Journals (Sweden)

Melle J.W. Van Der Molen

2014-01-01

Full Text Available Cognitive models posit that the fear of negative evaluation (FNE is a hallmark feature of social anxiety. As such, individuals with high FNE may show biased information processing when faced with social evaluation. The aim of the current study was to examine the neural underpinnings of anticipating and processing of social-evaluative feedback, and its correlates with FNE. We used a social judgment paradigm in which female participants (N=31 were asked to indicate whether they believed to be socially accepted or rejected by their peers. Anticipatory attention was indexed by the stimulus preceding negativity (SPN, while the feedback-related negativity and P3 were used to index the processing of social-evaluative feedback. Results provided evidence of an optimism bias in social peer evaluation, as participants more often predicted to be socially accepted than rejected. Participants with high levels of FNE needed more time to provide their judgments about the social-evaluative outcome. While anticipating social-evaluative feedback, SPN amplitudes were larger for anticipated social acceptance than for social rejection feedback. Interestingly, the SPN during anticipated social acceptance was larger in participants with high levels of FNE. None of the feedback-related brain potentials correlated with the FNE. Together, the results provide evidence of biased information processing in individuals with high levels of FNE when anticipating (rather than processing social-evaluative feedback. The delayed response times in high FNE individuals were interpreted to reflect augmented vigilance imposed by the upcoming social evaluative threat. Allegedly, the SPN constitutes a neural marker of this vigilance in females with higher FNE levels, particularly when anticipating social acceptance feedback.

Fear of negative evaluation modulates electrocortical and behavioral responses when anticipating social evaluative feedback

Science.gov (United States)

Van der Molen, Melle J. W.; Poppelaars, Eefje S.; Van Hartingsveldt, Caroline T. A.; Harrewijn, Anita; Gunther Moor, Bregtje; Westenberg, P. Michiel

2014-01-01

Cognitive models posit that the fear of negative evaluation (FNE) is a hallmark feature of social anxiety. As such, individuals with high FNE may show biased information processing when faced with social evaluation. The aim of the current study was to examine the neural underpinnings of anticipating and processing social-evaluative feedback, and its correlates with FNE. We used a social judgment paradigm in which female participants (N = 31) were asked to indicate whether they believed to be socially accepted or rejected by their peers. Anticipatory attention was indexed by the stimulus preceding negativity (SPN), while the feedback-related negativity and P3 were used to index the processing of social-evaluative feedback. Results provided evidence of an optimism bias in social peer evaluation, as participants more often predicted to be socially accepted than rejected. Participants with high levels of FNE needed more time to provide their judgments about the social-evaluative outcome. While anticipating social-evaluative feedback, SPN amplitudes were larger for anticipated social acceptance than for social rejection feedback. Interestingly, the SPN during anticipated social acceptance was larger in participants with high levels of FNE. None of the feedback-related brain potentials correlated with the FNE. Together, the results provided evidence of biased information processing in individuals with high levels of FNE when anticipating (rather than processing) social-evaluative feedback. The delayed response times in high FNE individuals were interpreted to reflect augmented vigilance imposed by the upcoming social-evaluative threat. Possibly, the SPN constitutes a neural marker of this vigilance in females with higher FNE levels, particularly when anticipating social acceptance feedback. PMID:24478667

Geoscientific evaluation factors and criteria for siting and site evaluation. Progress report

International Nuclear Information System (INIS)

Stroem, A.; Ericsson, Lars O.; Svemar, C.; Almen, K.E.; Andersson, Johan

1999-03-01

The purposes of the present report are to: present the work that has been done to identify the parameters that need to be determined in a geoscientific site investigation and that serve as the basis for the work with geoscientific evaluation factors; give a progress report from the project that was initiated in 1997 named Siting Factors and Criteria for Site Evaluation, with an emphasis on definitions, outline and structure for the execution of the work; present geoscientific requirements on function both general and in detail in the form of an example for the discipline rock mechanics; present geoscientific evaluation factors associated with different stages in the siting work in the form of an example for the discipline hydrogeochemical composition; present plans for further work as regards criteria for site evaluation in different siting stages. The project is under way, and this is to be regarded as a progress report since e.g. criteria for site evaluation will be presented at a later date. The long-term performance and safety of the deep repository must always be evaluated by means of an integrated safety assessment. The work with factors and criteria can never take the place of such an assessment, but can provide guidance regarding its outcome. Requirements and preferences regarding the function of the rock in the deep repository have been clarified in this progress report. What is new here is the structuring that has been carried out, with a classification into different geoscientific disciplines, and the formalism that has been given to the terms requirement, preference and function. Based on fundamental safety and construction functions, requirements on function have been specified for the disciplines geology, thermal properties, hydro-geology, rock mechanics, chemistry and transport properties. Furthermore, function analyses have been identified by means of which it is possible to concretize requirements on function and which geoscientific parameters are

Geoscientific evaluation factors and criteria for siting and site evaluation. Progress report

Energy Technology Data Exchange (ETDEWEB)

Stroem, A.; Ericsson, Lars O.; Svemar, C. [Swedish Nuclear Fuel and Waste Management Co., Stockholm (Sweden); Almen, K.E. [KEA GEO-konsult AB (Sweden); Andersson, Johan [Golder Grundteknik KB (Sweden)

1999-03-01

The purposes of the present report are to: present the work that has been done to identify the parameters that need to be determined in a geoscientific site investigation and that serve as the basis for the work with geoscientific evaluation factors; give a progress report from the project that was initiated in 1997 named Siting Factors and Criteria for Site Evaluation, with an emphasis on definitions, outline and structure for the execution of the work; present geoscientific requirements on function both general and in detail in the form of an example for the discipline rock mechanics; present geoscientific evaluation factors associated with different stages in the siting work in the form of an example for the discipline hydrogeochemical composition; present plans for further work as regards criteria for site evaluation in different siting stages. The project is under way, and this is to be regarded as a progress report since e.g. criteria for site evaluation will be presented at a later date. The long-term performance and safety of the deep repository must always be evaluated by means of an integrated safety assessment. The work with factors and criteria can never take the place of such an assessment, but can provide guidance regarding its outcome. Requirements and preferences regarding the function of the rock in the deep repository have been clarified in this progress report. What is new here is the structuring that has been carried out, with a classification into different geoscientific disciplines, and the formalism that has been given to the terms requirement, preference and function. Based on fundamental safety and construction functions, requirements on function have been specified for the disciplines geology, thermal properties, hydro-geology, rock mechanics, chemistry and transport properties. Furthermore, function analyses have been identified by means of which it is possible to concretize requirements on function and which geoscientific parameters are

The Spiral-Interactive Program Evaluation Model.

Science.gov (United States)

Khaleel, Ibrahim Adamu

1988-01-01

Describes the spiral interactive program evaluation model, which is designed to evaluate vocational-technical education programs in secondary schools in Nigeria. Program evaluation is defined; utility oriented and process oriented models for evaluation are described; and internal and external evaluative factors and variables that define each…

Evaluating the Evaluators: Comparative Study of High School Newspaper Critique Services.

Science.gov (United States)

Davis, Nancy

High school publication staffs depend on national critique services as a major means of evaluation and recognition, but most have no measure of how one critique service compares to the others, because they can afford the entry fee for only one evaluation. Thus, a study was conducted to test the validity of three major national critique…

Tutorial on Online Partial Evaluation

Directory of Open Access Journals (Sweden)

William R. Cook

2011-09-01

Full Text Available This paper is a short tutorial introduction to online partial evaluation. We show how to write a simple online partial evaluator for a simple, pure, first-order, functional programming language. In particular, we show that the partial evaluator can be derived as a variation on a compositionally defined interpreter. We demonstrate the use of the resulting partial evaluator for program optimization in the context of model-driven development.

Evaluating programs that address ideological issues: ethical and practical considerations for practitioners and evaluators.

Science.gov (United States)

Lieberman, Lisa D; Fagen, Michael C; Neiger, Brad L

2014-03-01

There are important practical and ethical considerations for organizations in conducting their own, or commissioning external, evaluations and for both practitioners and evaluators, when assessing programs built on strongly held ideological or philosophical approaches. Assessing whether programs "work" has strong political, financial, and/or moral implications, particularly when expending public dollars, and may challenge objectivity about a particular program or approach. Using a case study of the evaluation of a school-based abstinence-until-marriage program, this article discusses the challenges, lessons learned, and ethical responsibilities regarding decisions about evaluation, specifically associated with ideologically driven programs. Organizations should consider various stakeholders and views associated with their program to help identify potential pitfalls in evaluation. Once identified, the program or agency needs to carefully consider its answers to two key questions: Do they want the answer and are they willing to modify the program? Having decided to evaluate, the choice of evaluator is critical to assuring that ethical principles are maintained and potential skepticism or criticism of findings can be addressed appropriately. The relationship between program and evaluator, including agreements about ownership and eventual publication and/or promotion of data, should be addressed at the outset. Programs and organizations should consider, at the outset, their ethical responsibility when findings are not expected or desired. Ultimately, agencies, organizations, and programs have an ethical responsibility to use their data to provide health promotion programs, whether ideologically founded or not, that appropriately and effectively address the problems they seek to solve.

Evaluation and Learning Policy

International Development Research Centre (IDRC) Digital Library (Canada)

Amy Etherington

decisions. More broadly, evaluation generates knowledge about research and development. ... toward common goals; evaluations are part of our commitment to document and assess our joint .... of both qualitative and quantitative measures.

[Patient evaluation and outcome measures].

Science.gov (United States)

Nieto Pol, Enrique

2014-01-01

Both the initial evaluation and follow-up of patients with osteoarthritis require systematic evaluation of the indicators that provide information on the degree of involvement of the disease and allow its quantification. Reliable measures of disease progression help decision-making by clinicians and provide valid information on treatment response and the effectiveness of the distinct therapeutic interventions. The instruments recommended in research, as outcome measures in osteoarthritis, are pain evaluation, assessment of physical function, and self-reported global evaluation. In studies lasting more than 1 year, structural changes are evaluated through simple X-ray. Self-reported quality of life assessment and physician global assessment are also recommended as options. These indicators should be incorporated into routine clinical practice for adequate evaluation and correct follow-up of patients with osteoarthritis. The recommended pain evaluation method for use in clinical practice is the visual analog scale (VAS). The best instrument to evaluate physical function in patients with hip or knee osteoarthritis is the WOMAC scale (Western Ontario and McMaster Universities Osteoarthritis Index). For patient-reported global assessment in routine practice, the recommended scales are VAS or the SF-12 (12-item short-form health survey). Copyright © 2014 Elsevier España, S.L. All rights reserved.

How to Teach Health IT Evaluation: Recommendations for Health IT Evaluation Courses

NARCIS (Netherlands)

Ammenwerth, Elske; de Keizer, Nicolet; Brender McNair, Jytte; Craven, Catherine K.; Eisenstein, Eric; Georgiou, Andrew; Khairat, Saif; Magrabi, Farah; Nykänen, Pirkko; Otero, Paula; Rigby, Michael; Scott, Philip; Weir, Charlene

2017-01-01

Systematic health IT evaluation studies are needed to ensure system quality and safety and to provide the basis for evidence-based health informatics. Well-trained health informatics specialists are required to guarantee that health IT evaluation studies are conducted in accordance with robust

Test, measurement and evaluation with the mine boot test and evaluation system

CSIR Research Space (South Africa)

Ramaloko, PM

2014-09-01

Full Text Available Protective footwear that mitigates the shock transferred to the victim’s leg during an antipersonnel landmine blast need to be evaluated to verify their protection levels. The Mine Boot Test and Evaluation System which include a surrogate lower leg...

Evaluation of subsidy for electricity savings in households; Evaluering av tilskuddsordning for elektrisitetssparing i husholdninger

Energy Technology Data Exchange (ETDEWEB)

2010-04-15

Ramboll Management Consulting (Ramboll) has on behalf of Enova SF (Enova) conducted an evaluation of the 'Grant Scheme for electricity savings in households'. The evaluation is conducted in the period January to March 2009, Ramboll is solely responsible for all the analysis, conclusions and recommendations in the report. The evaluation conducted on the basis of a review of the grant assessed on the basis of six evaluation themes. The evaluation will form the basis for further work on the grant by Enova and in their reporting to the Ministry of Petroleum and Energy (OED). (AG)

Evaluating Methods for Evaluating Instruction: The Case of Higher Education

OpenAIRE

Bruce A. Weinberg; Belton M. Fleisher; Masanori Hashimoto

2007-01-01

This paper develops an original measure of learning in higher education, based on grades in subsequent courses. Using this measure of learning, this paper shows that student evaluations are positively related to current grades but unrelated to learning once current grades are controlled. It offers evidence that the weak relationship between learning and student evaluations arises, in part, because students are unaware of how much they have learned in a course. The paper concludes with a discu...

Institutional Tendencies of Legitimate Evaluation: A Comparison of Finnish and English Higher Education Evaluations

Science.gov (United States)

Vartiainen, Pirkko

2005-01-01

This article analyses institutional evaluations of higher education in England and Finland through the concept of legitimacy. The focus of the article is on the institutional tendencies of legitimacy. This author's hypothesis is that evaluation is legitimate when the evaluation process is of a good quality and accepted both morally and in practice…

Using Evaluability Assessment to Improve Program Evaluation for the Blue-Throated Macaw Environmental Education Project in Bolivia

Science.gov (United States)

Salvatierra da Silva, Daniela; Jacobson, Susan K.; Monroe, Martha C.; Israel, Glenn D.

2016-01-01

An evaluability assessment of a program to save a critically endangered bird helped prepare the Blue-throated Macaw Environmental Education Project for evaluation and program improvement. The evaluability assessment facilitated agreement among key stakeholders on evaluation criteria and intended uses of evaluation information in order to maximize…

Relational responsibilities in responsive evaluation

NARCIS (Netherlands)

Visse, M.A.; Abma, T.A.; Widdershoven, G.A.M.

2012-01-01

This article explores how we can enhance our understanding of the moral responsibilities in daily, plural practices of responsive evaluation. It introduces an interpretive framework for understanding the moral aspects of evaluation practice. The framework supports responsive evaluators to better

Dimensions of Creative Evaluation

DEFF Research Database (Denmark)

Christensen, Bo; Ball, Linden J.

2016-01-01

We examined evaluative reasoning taking place during expert ‘design critiques’. We focused on key dimensions of creative evaluation (originality, functionality and aesthetics) and ways in which these dimensions impact reasoning strategies and suggestions offered by experts for how the student could...... continue. Each dimension was associated with a specific underpinning ‘logic’ determining how these dimensions were evaluated in practice. Our analysis clarified how these dimensions triggered reasoning strategies such as running mental simulations or making design suggestions, ranging from ‘go...

Critical self-evaluation for excellence

International Nuclear Information System (INIS)

Mullee, G.R.

1988-01-01

This paper discusses the use of critical self-evaluation of performance as a stimulus for excellence. Self-evaluation inherently provides acceptance and ownership of a problem, thereby motivating change. Some of the key elements of self-evaluation are discussed such as unbiased observations and appropriate performance standards. As circumstances change, an ongoing self-appraisal approach provides continuing feedback to maintain and further excellence. Two examples of critical self-evaluation in use at the Tennessee Valley Authority (TVA) are discussed

Unintended outcomes evaluation approach: A plausible way to evaluate unintended outcomes of social development programmes.

Science.gov (United States)

Jabeen, Sumera

2018-06-01

Social development programmes are deliberate attempts to bring about change and unintended outcomes can be considered as inherent to any such intervention. There is now a solid consensus among the international evaluation community regarding the need to consider unintended outcomes as a key aspect in any evaluative study. However, this concern often equates to nothing more than false piety. Exiting evaluation theory suffers from overlap of terminology, inadequate categorisation of unintended outcomes and lack of guidance on how to study them. To advance the knowledge of evaluation theory, methods and practice, the author has developed an evaluation approach to study unintended effects using a theory building, testing and refinement process. A comprehensive classification of unintended outcomes on the basis of knowability, value, distribution and temporality helped specify various type of unintended outcomes for programme evaluation. Corresponding to this classification, a three-step evaluation process was proposed including a) outlining programme intentions b) forecasting likely unintended effects c) mapping the anticipated and understanding unanticipated unintended outcomes. This unintended outcomes evaluation approach (UOEA) was then trialled by undertaking a multi-site and multi-method case study of a poverty alleviation programme in Pakistan and refinements were made to the approach.The case study revealed that this programme was producing a number of unintended effects, mostly negative, affecting those already disadvantaged such as the poorest, women and children. The trialling process demonstrated the effectiveness of the UOEA and suggests that this can serve as a useful guide for future evaluation practice. It also provides the discipline of evaluation with an empirically-based reference point for further theoretical developments in the study of unintended outcomes. Copyright © 2017 Elsevier Ltd. All rights reserved.

Evaluation in School Districts; Organizational Perspectives. CSE Monograph Series in Evaluation, 10.

Science.gov (United States)

Bank, Adrianne, Ed.; Williams, Richard C., Ed.

This monograph focuses on educational evaluation and how it occurs within a specific setting--school districts' central administrative offices--examining the relationships between evaluation activities and district organizational features that impinge upon such activities. The various chapter authors worked with the Center for the Study of…

Participatory Training Evaluation Method (PATEM) as a Collaborative Evaluation Capacity Building Strategy

Science.gov (United States)

Kuzmin, Alexey

2012-01-01

This article describes Participatory Training Evaluation Method (PATEM) of measuring participants' reaction to the training. PATEM provides rich information; allows to document evaluation findings; becomes organic part of the training that helps participants process their experience individually and as a group; makes sense to participants; is an…

A structured expert evaluation method for the evaluation of children's computer games

NARCIS (Netherlands)

Baauw, E.; Bekker, M.M.; Barendregt, W.; Costabile, M.F.; Paternò, F.

2005-01-01

Inspection-based evaluation methods predicting usability problems can be applied for evaluating products without involving users. A new method (named SEEM), inspired by Norman’s theory-of-action model [18] and Malone’s concepts of fun [15], is described for predicting usability and fun problems in

Evaluative conditioning of food technologies

DEFF Research Database (Denmark)

Loebnitz, Natascha; Grunert, Klaus G

2015-01-01

Consumer attitudes play an important role in the acceptance of new technologies. The success of food innovations depends on understanding how consumers form and change attitudes toward food technologies. Earlier post hoc explanations suggest that evaluative conditioning can change consumer...... attitudes toward food technologies. The present study tests how evaluative conditioning can affect consumer acceptance of new food technologies. Furthermore, authors investigate whether evaluative conditioning is resistant to extinction after a two-month period and whether the evaluative conditioning effect...... prevails in a product-related context. Within an evaluative conditioning paradigm including between-subjects control groups in addition to standard within-subjects control conditions, participants were presented with three food technologies (conventional, enzyme, and genetic technology) paired...

Systematization of simplified J-integral evaluation method for flaw evaluation at high temperature

International Nuclear Information System (INIS)

Miura, Naoki; Takahashi, Yukio; Nakayama, Yasunari; Shimakawa, Takashi

2000-01-01

J-integral is an effective inelastic fracture parameter for the flaw evaluation of cracked components at high temperature. The evaluation of J-integral for an arbitrary crack configuration and an arbitrary loading condition can be generally accomplished by detailed numerical analysis such as finite element analysis, however, it is time-consuming and requires a high degree of expertise for its implementation. Therefore, it is important to develop simplified J-integral estimation techniques from the viewpoint of industrial requirements. In this study, a simplified J-integral evaluation method is proposed to estimate two types of J-integral parameters. One is the fatigue J-integral range to describe fatigue crack propagation behavior, and the other is the creep J-integral to describe creep crack propagation behavior. This paper presents the systematization of the simplified J-integral evaluation method incorporated with the reference stress method and the concept of elastic follow-up, and proposes a comprehensive evaluation procedure. The verification of the proposed method is presented in Part II of this paper. (author)

Are anonymous evaluations a better assessment of faculty teaching performance? A comparative analysis of open and anonymous evaluation processes.

Science.gov (United States)

Afonso, Nelia M; Cardozo, Lavoisier J; Mascarenhas, Oswald A J; Aranha, Anil N F; Shah, Chirag

2005-01-01

We compared teaching performance of medical school faculty using anonymous evaluations and open evaluations (in which the evaluator was not anonymous) and examined barriers to open evaluation. Residents and medical students evaluated faculty using an open evaluation instrument in which their identity was indicated in the evaluation. Following this, they completed anonymous evaluation on the same faculty members. Aggregate outcomes using the two evaluation systems were compared. Outcomes by group of evaluators (residents and students) were analyzed. Trainees were also asked to rate the barriers to the open evaluation process. A statistically significant difference between the open and anonymous evaluations was noted across all items, with faculty receiving lower scores on the anonymous evaluations. The mean score for all the items on the open evaluations was 4.45 +/- 0.65, compared to mean score of 4.07 +/- 0.80 on the anonymous evaluations. There was also a statistically significant difference between open and anonymous evaluations in five clinical teaching domains that were evaluated individually. Residents perceived that the three most common barriers to optimal evaluation were an apprehension of possible encounters with the same attending physician in the future, destruction of working relationships with the attending, and a feeling of frustration with the evaluation system. The evaluation of faculty teaching performance is complex. Most academic medical centers use the open evaluation format. This study supports the case for the use of the anonymous evaluation method as a more accurate reflection of teaching performance.

Students' Evaluations about Climate Change

Science.gov (United States)

Lombardi, Doug; Brandt, Carol B.; Bickel, Elliot S.; Burg, Colin

2016-01-01

Scientists regularly evaluate alternative explanations of phenomena and solutions to problems. Students should similarly engage in critical evaluation when learning about scientific and engineering topics. However, students do not often demonstrate sophisticated evaluation skills in the classroom. The purpose of the present study was to…

Exploring Enterprise Architecture Evaluation Practices

DEFF Research Database (Denmark)

Andersen, Peter; Carugati, Andrea; Grue Sørensen, Morten

2015-01-01

EA evaluation has received very little attention in academic publications on EA. While EA evaluation to some extent has been described in the literature, the different ways of evaluating architecture have mainly used a top-down approach deriving measures from theory rather than a bottom-up approa...

11 CFR 6.110 - Evaluation.

Science.gov (United States)

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Evaluation. 6.110 Section 6.110 Federal... OR ACTIVITIES CONDUCTED BY THE FEDERAL ELECTION COMMISSION § 6.110 Evaluation. (a) Within one year of... persons, including handicapped persons and organizations representing handicapped persons, and evaluation...

28 CFR 90.58 - Evaluation.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Evaluation. 90.58 Section 90.58 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN Indian Tribal Governments Discretionary Program § 90.58 Evaluation. The National Institute of Justice will conduct an evaluation of these programs. ...

Evaluating a Federated Medical Search Engine

Science.gov (United States)

Belden, J.; Williams, J.; Richardson, B.; Schuster, K.

2014-01-01

Summary Background Federated medical search engines are health information systems that provide a single access point to different types of information. Their efficiency as clinical decision support tools has been demonstrated through numerous evaluations. Despite their rigor, very few of these studies report holistic evaluations of medical search engines and even fewer base their evaluations on existing evaluation frameworks. Objectives To evaluate a federated medical search engine, MedSocket, for its potential net benefits in an established clinical setting. Methods This study applied the Human, Organization, and Technology (HOT-fit) evaluation framework in order to evaluate MedSocket. The hierarchical structure of the HOT-factors allowed for identification of a combination of efficiency metrics. Human fit was evaluated through user satisfaction and patterns of system use; technology fit was evaluated through the measurements of time-on-task and the accuracy of the found answers; and organization fit was evaluated from the perspective of system fit to the existing organizational structure. Results Evaluations produced mixed results and suggested several opportunities for system improvement. On average, participants were satisfied with MedSocket searches and confident in the accuracy of retrieved answers. However, MedSocket did not meet participants’ expectations in terms of download speed, access to information, and relevance of the search results. These mixed results made it necessary to conclude that in the case of MedSocket, technology fit had a significant influence on the human and organization fit. Hence, improving technological capabilities of the system is critical before its net benefits can become noticeable. Conclusions The HOT-fit evaluation framework was instrumental in tailoring the methodology for conducting a comprehensive evaluation of the search engine. Such multidimensional evaluation of the search engine resulted in recommendations for

MODULAR CONSTRUCTION SYSTEM EVALUATION

International Nuclear Information System (INIS)

Gillespie, S.

2002-01-01

The purpose of this study is to respond to U.S. Department of Energy (DOE) Technical Direction Letter (TDL) 02-003 (Waisley 2001), which directs Bechtel SAIC Company, LLC (BSC) to complete a design study to recommend repository design options to support receipt and/or emplacement of any or all of the following: commercial spent nuclear fuel (CSNF), high-level radioactive waste (HLW), DOE-managed spent nuclear fuel (DSNF) (including naval spent nuclear fuel [SNF]), and immobilized plutonium (if available), as soon as practicable, but no later than 2010. From the possible design options, a recommended approach will be determined for further evaluation to support the preliminary design of the repository. This study integrates the results of the repository Design Evolution Study (Rowe 2002) with supporting studies concerning national transportation options (BSC 2002b) and Nevada transportation options (Gehner 2002). The repository Design Evolution Study documents the processes used to reevaluate the design, construction, operation, and cost of the repository in response to TDL 02-003 (Waisley 2001), and to determine possible repository conceptual design options. The transportation studies evaluate the national and Nevada transportation options that support the repository conceptual design options. An evaluation methodology was established, based on Program-level requirements developed for the study in reference BSC 2001a, to allow the repository and system design options to be evaluated on a consistent basis. The transportation options and the design components were integrated into system design implementation options, which were evaluated using receipt and emplacement scenarios. The scenarios tested the ability of the design concept to adapt to changes in funding, waste receipt rate, and Nevada rail transportation availability. The results of the evaluation (in terms of system throughput, cost, and schedule) were then compared to the Program-level requirements, and

Strengthening safeguards information evaluation

International Nuclear Information System (INIS)

Harry, J.; Hudson, P.

2001-01-01

The strengthening of safeguards should not be limited to the verification of explicit declarations made by the States. Additional information should guide the IAEA to set priorities for further investigations. Not only all aspects of the State's nuclear programme, including the application of safe, secure and transparent nuclear management, but also the level of compliance with other verifiable treaties, political motivation, economic capabilities, international relations and ties, co-operative attitude to safeguards, and general openness and transparency should be included. The evaluation of the diverse forms of information from different sources requires new reliable processes that will result in a high credibility and detection probability. The IAEA uses the physical model for the evaluation of the technical information, and proposed also Fuzzy Logic, or Calculation with Words, to handle the information. But for the evaluation it is questioned whether fuzziness could lead to a crisp judgement. In this paper an objective method of information evaluation is proposed, which allows to integrate different kinds of information and to include calibration and tests in the establishment of the evaluation process. This method, Delta, uses elicitation of a syndicate of experienced inspectors to integrate obvious indicators together with apparently innocent indicators, into a database that forms the core of the evaluation process. Nominal or ordinal scales could be applied to come to an objective and quantifiable result. Experience with this method can in the course of time result in predictive conclusions. 9 refs

Software for Evaluation of Conceptual Design

DEFF Research Database (Denmark)

Hartvig, Susanne C

1998-01-01

by the prototype, it addresses the requirements that the methods imply, and it explains the actual implementation of the prototype. Finally it discusses what have been learned from developing and testing the prototype. In this paper it is suggested, that a software tool which supports evaluation of design can...... be developed with a limited effort, and that such tools could support a structured evaluation process as opposed to no evaluation. Compared to manual evaluation, the introduced software based evaluation tool offers automation of tasks, such as performing assessments, when they are based on prior evaluations...

Evaluation of Enova's heating programs; Evaluering av Enovas varmeprogrammer

Energy Technology Data Exchange (ETDEWEB)

Rasmussen, Ingeborg; Grorud, Christian; Heldal, Nicolai; Trong, Maj Dang

2006-07-01

An evaluation of Enova's heating program is presented. The central point was to evaluate to which degree Enova's heating program had resulted in increased supply of renewable energy for heating purposes to the Norwegian energy system. Main results are presented in part 1, chapter 1 to 5, while the facts and analyses behind the evaluation are presented in part 2, chapter I to VII. The main conclusion is that the program seen as one has had triggering effect on the market. The program has thus provided results in the form of increased supply of heating energy. Because of the project limitations and the lack of systematically documented baselines in the procedures, there are insecurities connected to the exact data registered. This makes quantification of the results difficult (ml)

An Evaluation Framework for CALL

Science.gov (United States)

McMurry, Benjamin L.; Williams, David Dwayne; Rich, Peter J.; Hartshorn, K. James

2016-01-01

Searching prestigious Computer-assisted Language Learning (CALL) journals for references to key publications and authors in the field of evaluation yields a short list. The "American Journal of Evaluation"--the flagship journal of the American Evaluation Association--is only cited once in both the "CALICO Journal and Language…

Evaluating Technology Transfer and Diffusion.

Science.gov (United States)

Bozeman, Barry; And Others

1988-01-01

Four articles discuss the evaluation of technology transfer and diffusion: (1) "Technology Transfer at the U.S. National Laboratories: A Framework for Evaluation"; (2) "Application of Social Psychological and Evaluation Research: Lessons from Energy Information Programs"; (3) "Technology and Knowledge Transfer in Energy R and D Laboratories: An…

End User Evaluations

Science.gov (United States)

Jay, Caroline; Lunn, Darren; Michailidou, Eleni

As new technologies emerge, and Web sites become increasingly sophisticated, ensuring they remain accessible to disabled and small-screen users is a major challenge. While guidelines and automated evaluation tools are useful for informing some aspects of Web site design, numerous studies have demonstrated that they provide no guarantee that the site is genuinely accessible. The only reliable way to evaluate the accessibility of a site is to study the intended users interacting with it. This chapter outlines the processes that can be used throughout the design life cycle to ensure Web accessibility, describing their strengths and weaknesses, and discussing the practical and ethical considerations that they entail. The chapter also considers an important emerging trend in user evaluations: combining data from studies of “standard” Web use with data describing existing accessibility issues, to drive accessibility solutions forward.

Four Approaches to Project Evaluation

DEFF Research Database (Denmark)

Laursen, Markus; Svejvig, Per; Rode, Anna Le Gerstrøm

. Each of the framework’s four approaches provides a distinct evaluation that sheds light on some issues while leaving others unattended. Following these lines, the paper calls for more multi-faceted project evaluations. Introducing a framework that can help analyze existing evaluations and structure......There are many theoretical and practical reasons for evaluating projects – including explorative arguments focusing on expanding descriptive knowledge on project work as well as normative arguments focusing on improving prescriptive models of project performance. Despite the need for project...... management methodologies that work and combat project failure, and research methods that can assess effective project management and methodologies, as well as empirical research on the actuality of projects as practice, evaluation research on projects including project management and methodologies is scarce...

Performance Evaluations in Audit Firms

DEFF Research Database (Denmark)

Riise Johansen, Thomas; Christoffersen, Jeppe

2017-01-01

Previous research has only minimally examined the association between the behaviour and performance evaluations of individual auditors beyond the use of efficiency-focused evaluations. We examine the association between dysfunctional auditor behaviour and three evaluation foci: an efficiency focus......, a client focus and a quality focus. Our results, which are based on questionnaire responses from 196 auditors, demonstrate that an efficiency focus is not associated with dysfunctional behaviour. A client focus is found to be associated with dysfunctional behaviour. Finally, and perhaps most importantly......, our results show that it seems possible to limit dysfunctional behaviours through a quality focus in performance evaluations. Our results provide insights of use to practitioners and regulators on how performance evaluations may not only induce but also reduce dysfunctional auditor behaviours....

Introducing Program Evaluation Models

Directory of Open Access Journals (Sweden)

Raluca GÂRBOAN

2008-02-01

Full Text Available Programs and project evaluation models can be extremely useful in project planning and management. The aim is to set the right questions as soon as possible in order to see in time and deal with the unwanted program effects, as well as to encourage the positive elements of the project impact. In short, different evaluation models are used in order to minimize losses and maximize the benefits of the interventions upon small or large social groups. This article introduces some of the most recently used evaluation models.

Training effectiveness evaluation model

International Nuclear Information System (INIS)

Penrose, J.B.

1993-01-01

NAESCO's Training Effectiveness Evaluation Model (TEEM) integrates existing evaluation procedures with new procedures. The new procedures are designed to measure training impact on organizational productivity. TEEM seeks to enhance organizational productivity through proactive training focused on operation results. These results can be identified and measured by establishing and tracking performance indicators. Relating training to organizational productivity is not easy. TEEM is a team process. It offers strategies to assess more effectively organizational costs and benefits of training. TEEM is one organization's attempt to refine, manage and extend its training evaluation program

Evaluation of learning materials

DEFF Research Database (Denmark)

Bundsgaard, Jeppe; Hansen, Thomas Illum

2011-01-01

This paper presents a holistic framework for evaluating learning materials and designs for learning. A holistic evaluation comprises investigations of the potential learning potential, the actualized learning potential, and the actual learning. Each aspect is explained and exemplified through...

Comparison of two heuristic evaluation methods for evaluating the usability of health information systems.

Science.gov (United States)

Khajouei, Reza; Hajesmaeel Gohari, Sadrieh; Mirzaee, Moghaddameh

2018-04-01

In addition to following the usual Heuristic Evaluation (HE) method, the usability of health information systems can also be evaluated using a checklist. The objective of this study is to compare the performance of these two methods in identifying usability problems of health information systems. Eight evaluators independently evaluated different parts of a Medical Records Information System using two methods of HE (usual and with a checklist). The two methods were compared in terms of the number of problems identified, problem type, and the severity of identified problems. In all, 192 usability problems were identified by two methods in the Medical Records Information System. This was significantly higher than the number of usability problems identified by the checklist and usual method (148 and 92, respectively) (p information systems. The results demonstrated that the checklist method had significantly better performance in terms of the number of identified usability problems; however, the performance of the usual method for identifying problems of higher severity was significantly better. Although the checklist method can be more efficient for less experienced evaluators, wherever usability is critical, the checklist should be used with caution in usability evaluations. Copyright © 2018 Elsevier Inc. All rights reserved.

WP5 Evaluation: D54-D55 Evaluation Results V2 (V3)

NARCIS (Netherlands)

Van Rosmalen, Peter

2011-01-01

Van Rosmalen, P. (2010, 19 May). WP5 Evaluation: D54-D55 Evaluation Results V2 (V3). Presentation at idSpace Final Review, Heerlen, The Netherlands: Open University of the Netherlands. idSpace-project.

48 CFR 436.604 - Performance evaluation.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Performance evaluation... Performance evaluation. Preparation of performance evaluation reports. (a) In addition to the requirements of FAR 36.604, performance evaluation reports shall be prepared for indefinite-delivery type contracts...

48 CFR 2936.604 - Performance evaluation.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Performance evaluation... Performance evaluation. (a) The HCA must establish procedures to evaluate architect-engineer contractor... reports must be made using Standard Form 1421, Performance Evaluation (Architect-Engineer) as prescribed...

76 FR 30696 - Technology Evaluation Process

Science.gov (United States)

2011-05-26

...-NOA-0039] Technology Evaluation Process AGENCY: Office of Energy Efficiency and Renewable Energy... (DOE) seeks comments and information related to a commercial buildings technology evaluation process... evaluation efforts. The goal of creating this standard process is to evaluate energy-saving technologies in a...

The Evaluator Effect in Usability Tests

DEFF Research Database (Denmark)

Jacobsen, Niels Ebbe; Hertzum, Morten; John, Bonnie E.

1998-01-01

Usability tests are applied in industry to evaluate systems and in research as a yardstick for other usability evaluation methods. However, one potential threat to the reliability of usability tests has been left unaddressed: the evaluator effect. In this study, four evaluators analyzed four vide...

The Evaluation of Teaching and Learning.

Science.gov (United States)

Potocki-Malicet, Danielle; Holmesland, Icara; Estrela, Maria-Teresa; Veiga-Simao, Ana-Margarida

1999-01-01

Three different approaches to the evaluation of higher education in European and Scandinavian countries are examined: evaluation of a single discipline across institutions (Finland, Norway, Portugal, Spain, United Kingdom, northern Germany); evaluation of several disciplines within certain institutions (France, Germany); and internal evaluation of…

48 CFR 25.504 - Evaluation Examples.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Evaluation Examples. 25... PROGRAMS FOREIGN ACQUISITION Evaluating Foreign Offers-Supply Contracts 25.504 Evaluation Examples. The following examples illustrate the application of the evaluation procedures in 25.502 and 25.503. The...

Fear of negative evaluation biases social evaluation inference: evidence from a probabilistic learning task.

Science.gov (United States)

Button, Katherine S; Kounali, Daphne; Stapinski, Lexine; Rapee, Ronald M; Lewis, Glyn; Munafò, Marcus R

2015-01-01

Fear of negative evaluation (FNE) defines social anxiety yet the process of inferring social evaluation, and its potential role in maintaining social anxiety, is poorly understood. We developed an instrumental learning task to model social evaluation learning, predicting that FNE would specifically bias learning about the self but not others. During six test blocks (3 self-referential, 3 other-referential), participants (n = 100) met six personas and selected a word from a positive/negative pair to finish their social evaluation sentences "I think [you are / George is]…". Feedback contingencies corresponded to 3 rules, liked, neutral and disliked, with P[positive word correct] = 0.8, 0.5 and 0.2, respectively. As FNE increased participants selected fewer positive words (β = -0.4, 95% CI -0.7, -0.2, p = 0.001), which was strongest in the self-referential condition (FNE × condition 0.28, 95% CI 0.01, 0.54, p = 0.04), and the neutral and dislike rules (FNE × condition × rule, p = 0.07). At low FNE the proportion of positive words selected for self-neutral and self-disliked greatly exceeded the feedback contingency, indicating poor learning, which improved as FNE increased. FNE is associated with differences in processing social-evaluative information specifically about the self. At low FNE this manifests as insensitivity to learning negative self-referential evaluation. High FNE individuals are equally sensitive to learning positive or negative evaluation, which although objectively more accurate, may have detrimental effects on mental health.

Cyber-Evaluation: Evaluating a Distance Learning Program.

Science.gov (United States)

Henderson, Denise L.

This paper examines how the process of soliciting evaluation feedback from nonresident students in the Army Management Staff College (Virginia) program on leadership and management for civilian employees of the Army has evolved since 1995. Course design is briefly described, including the use of video-teleconferences, chat rooms, an electronic…

Evaluation of Two ESP Textbooks

Science.gov (United States)

Al Fraidan, Abdullah

2012-01-01

This paper evaluated two ESP textbooks using the evaluation of McDonough and Shaw (2003) based on external and internal evaluation. The first textbook is "Business Objectives" (1996) by Vicki Hollett, and the second textbook is "Business Studies, Second Edition" (2002) by Alain Anderton. To avoid repetition, I will use BO and…

28 CFR 90.21 - Evaluation.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Evaluation. 90.21 Section 90.21 Judicial...¢ Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.21 Evaluation. (a) The National Institute of Justice will conduct an evaluation of these programs. A portion of the overall funds authorized...

Lessons learned from completed evaluation reviews (1983 to mid-1993). Special evaluation review

International Nuclear Information System (INIS)

1993-01-01

With this in mind, the Agency in 1983 set up in the Department of Technical Co-operation an Evaluation Unit (upgraded to Section rank in 1986), to assist already existing self-evaluation efforts through a more systematic and independent approach and thus provide senior management with the information required for more efficient and effective programme planning and implementation. A first analysis of the lessons learned through technical co-operation evaluation was carried out after five years, in mid-1988. It included both lessons learned with regard to the procedures and components of the programme, in general, as well as the findings specific to individual projects or groups of projects, and reported on the resulting administrative changes introduced by the Agency with a view to improving the programme. The current review, covering the second five-year period, from mid-1988 to mid-1993, continued along the same lines, while also illustrating the changing pattern in the work of the Evaluation Section itself. In order to present a full picture of the activities and results of ten years of TC evaluation, this report combines the results of both reviews

1999 scientific evaluation at the CEA; L'evaluation scientifique 1999 au CEA

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-07-01

This report presents a statement of the scientific and technical activity of the French atomic energy commission (CEA) for the year 1999. This evaluation is made by external and independent experts and requires some specific dispositions for the nuclear protection and safety institute (IPSN) and for the direction of military applications (DAM). The report is divided into 4 parts dealing successively with: 1)the CEA, a public research organization (strategy, research programs, new organization of the CEA activities, civil nuclear research, technology research and transfer, defence activities, transfer of knowledge) 2)the scientific evaluation at the CEA (evaluations of the civil applications of the CEA, IPSN, DAM, INSTN (national institute for nuclear sciences and techniques) 3)synthesis of the 1999 scientific and technical evaluation for each operational directions of the CEA (directions of fuel cycle, of nuclear reactors, of advanced technologies, of materials sciences, of life sciences, of military applications, of the nuclear protection and safety institute and of the national institute for nuclear sciences and techniques) 4)the corresponding members of the evaluation and the list of scientific and technical councils and members.

Software product family evaluation

NARCIS (Netherlands)

van der Linden, F; Bosch, J; Kamsties, E; Kansala, K; Krzanik, L; Obbink, H; VanDerLinden, F

2004-01-01

This paper proposes a 4-dimensional software product family engineering evaluation model. The 4 dimensions relate to the software engineering concerns of business, architecture, organisation and process. The evaluation model is meant to be used within organisations to determine the status of their

Reflections on Empowerment Evaluation: Learning from Experience.

Science.gov (United States)

Fetterman, David M.

1999-01-01

Reflects on empowerment evaluation, the use of evaluation to foster improvement and self-determination. Empowerment evaluation uses quantitative and qualitative methods, and usually focuses on program evaluation. Discusses the growth in empowerment evaluation as a result of interest in participatory evaluation. (SLD)

13 CFR 304.4 - Performance evaluations.

Science.gov (United States)

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Performance evaluations. 304.4... ECONOMIC DEVELOPMENT DISTRICTS § 304.4 Performance evaluations. (a) EDA shall evaluate the management... of at least one (1) other District Organization in the performance evaluation on a cost-reimbursement...

48 CFR 3015.606-2 - Evaluation.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Evaluation. 3015.606-2... Unsolicited Proposals 3015.606-2 Evaluation. (a) Comprehensive evaluations should be completed within sixty... contact point shall advise the offeror accordingly and provide a new evaluation completion date. The...

17 CFR 200.610 - Self-evaluation.

Science.gov (United States)

2010-04-01

... 17 Commodity and Securities Exchanges 2 2010-04-01 2010-04-01 false Self-evaluation. 200.610...-evaluation. (a) The agency shall, by September 6, 1989, evaluate its current policies and practices, and the... handicaps or organizations representing individuals with handicaps, to participate in the self-evaluation...

Evaluation of Probabilistic Disease Forecasts.

Science.gov (United States)

Hughes, Gareth; Burnett, Fiona J

2017-10-01

The statistical evaluation of probabilistic disease forecasts often involves calculation of metrics defined conditionally on disease status, such as sensitivity and specificity. However, for the purpose of disease management decision making, metrics defined conditionally on the result of the forecast-predictive values-are also important, although less frequently reported. In this context, the application of scoring rules in the evaluation of probabilistic disease forecasts is discussed. An index of separation with application in the evaluation of probabilistic disease forecasts, described in the clinical literature, is also considered and its relation to scoring rules illustrated. Scoring rules provide a principled basis for the evaluation of probabilistic forecasts used in plant disease management. In particular, the decomposition of scoring rules into interpretable components is an advantageous feature of their application in the evaluation of disease forecasts.

Nuclear models relevant to evaluation

International Nuclear Information System (INIS)

Arthur, E.D.; Chadwick, M.B.; Hale, G.M.; Young, P.G.

1991-01-01

The widespread use of nuclear models continues in the creation of data evaluations. The reasons include extension of data evaluations to higher energies, creation of data libraries for isotopic components of natural materials, and production of evaluations for radiative target species. In these cases, experimental data are often sparse or nonexistent. As this trend continues, the nuclear models employed in evaluation work move towards more microscopically-based theoretical methods, prompted in part by the availability of increasingly powerful computational resources. Advances in nuclear models applicable to evaluation will be reviewed. These include advances in optical model theory, microscopic and phenomenological state and level density theory, unified models that consistently describe both equilibrium and nonequilibrium reaction mechanism, and improved methodologies for calculation of prompt radiation from fission. 84 refs., 8 figs

Constructive eHealth evaluation

DEFF Research Database (Denmark)

Høstgaard, Anna Marie Balling; Bertelsen, Pernille Scholdan; Nøhr, Christian

2017-01-01

Abstract Background: Information and communication sources in the healthcare sector are replaced with new eHealth technologies. This has led to problems arising from the lack of awareness of the importance of end-user involvement in eHealth development and of the difficulties caused by using...... traditional summative evaluation methods. The Constructive eHealth evaluation method (CeHEM) provides a solution to these problems by offering an evaluation framework for supporting and facilitating end-user involvement during all phases of eHealth development. The aim of this paper is to support this process...... by sharing experiences of the eHealth evaluation method used in the introduction of electronic health records (EHR) in the North Denmark Region of Denmark. It is the first time the fully developed method and the experiences on using the CeHEM in all five phases of a full lifecycle framework is presented...

Process evaluation distributed system

Science.gov (United States)

Moffatt, Christopher L. (Inventor)

2006-01-01

The distributed system includes a database server, an administration module, a process evaluation module, and a data display module. The administration module is in communication with the database server for providing observation criteria information to the database server. The process evaluation module is in communication with the database server for obtaining the observation criteria information from the database server and collecting process data based on the observation criteria information. The process evaluation module utilizes a personal digital assistant (PDA). A data display module in communication with the database server, including a website for viewing collected process data in a desired metrics form, the data display module also for providing desired editing and modification of the collected process data. The connectivity established by the database server to the administration module, the process evaluation module, and the data display module, minimizes the requirement for manual input of the collected process data.

How to Evaluate Smart Cities’ Construction? A Comparison of Chinese Smart City Evaluation Methods Based on PSF

Directory of Open Access Journals (Sweden)

Hongbo Shi

2017-12-01

Full Text Available With the rapid development of smart cities in the world, research relating to smart city evaluation has become a new research hotspot in academia. However, there are general problems of cognitive deprivation, lack of planning experience, and low level of coordination in smart cities construction. It is necessary for us to develop a set of scientific, reasonable, and effective evaluation index systems and evaluation models to analyze the development degree of urban wisdom. Based on the theory of the urban system, we established a comprehensive evaluation index system for urban intelligent development based on the people-oriented, city-system, and resources-flow (PSF evaluation model. According to the characteristics of the comprehensive evaluation index system of urban intelligent development, the analytic hierarchy process (AHP combined with the experts’ opinions determine the index weight of this system. We adopted the neural network model to construct the corresponding comprehensive evaluation model to characterize the non-linear characteristics of the comprehensive evaluation indexes system, thus to quantitatively quantify the comprehensive evaluation indexes of urban intelligent development. Finally, we used the AHP, AHP-BP (Back Propagation, and AHP-ELM (Extreme Learning Machine models to evaluate the intelligent development level of 151 cities in China, and compared them from the perspective of model accuracy and time cost. The final simulation results show that the AHP-ELM model is the best evaluation model.

Use Case Evaluation (UCE): A Method for Early Usability Evaluation in Software Development

DEFF Research Database (Denmark)

Stage, Jan; Høegh, Rune Thaarup; Hornbæk, K.

2007-01-01

t is often argued that usability problems should be identified as early as possible during software development, but many usability evaluation methods do not fit well in early development activities. We propose a method for usability evaluation of use cases, a widely used representation of design...... ideas produced early in software development processes. The method proceeds by systematic inspection of use cases with reference to a set of guidelines for usable design. To validate the method, four evaluators inspected a set of use cases for a health care application....

CT of petrou bone. Utility to cholesteatoma location. Study of 28 cases

International Nuclear Information System (INIS)

Ferrer, M.D.; Espinos, M.A.; Molina, A.; Martinez-Rodrigo, J.; Galant, J.

1993-01-01

Twenty-eight patients with cholesteatoma were studied preoperatively by means of CT petrous bone to determine the localization and extension of their lesion. All the patients underwent survey and the intraoperative findings were compared with those resulting from CT. The reading was carried out with no knowledge of the intraoperative data. The following results were obtained: localization of cholesteatoma in attic, antrum and posterior tympanic cavity had a sensitivity of 0.91 and a specificity of 0.57, with a Fisher's p value less than 0.0005. When the erosion produced by the cholesteatoma was studied in the different structures, the accuracy was greatest with the stape, the septum and prussak's space; the highest number of false negatives corresponded to the tympanic membrane. The false positives were produced in the assessment of the facial canal, tegmen tympani and the labyrinthine fistula. The reliability of CT was very high for the diagnosis of ossicular destruction and displacement of the small bones, as well as for the state of the mastoid cells and congenital variations. In conclusion, we point out the importance of performing a CT study prior to surgery for cholesteatoma due to its elevated sensitivity in locating the lesion, and we stress the value of the knowledge of the erosion of the different structures since it constitutes a guide for intraoperative exploration and assessment. (Author)

The evolution of tetrapod ears and the fossil record.

Science.gov (United States)

Clack, J A

1997-01-01

In the earliest tetrapods, the fenestra vestibuli was a large hole in the braincase wall bounded by bones of different embryological origins: the otic capsule and occipital arch components, and also, in all except the Devonian Acanthostega, the dermal parasphenoid. This means that the hole lay along the line of the embryonic metotic fissure. Early tetrapod braincases were poorly ossified internally, and no specialized opening for a perilymphatic duct is evident. It is arguable that the earliest tetrapods had neither a perilympllatic duct crossing the otic capsule nor a specialized auditory receptor in a separate lagenar pouch. The primitive tetrapod condition is found in the earliest amniotes, and the separate development of (1) a fenestra vestibuli confined to the limits of the otic capsule, (2) a specialized pressure relief window also derived from components on the line of the metolic fissure, (3) a nonstructural, vibratory stapes and (4) increased internal ossification of the internal walls of the otic capsule, can be traced separately in synapsids, lepidosauromorph diapsids, archosauromorph diapsids, probably turtles, and amphibians. This suggests separate development of true tympanic ears in each of these groups. Developments indicating the existence of a true tympanic ear in amniotes are first found in animals from the Triassic period, and a correlation with the evolution of insect sound production is suggested.

Dynamic properties of human incudostapedial joint-Experimental measurement and finite element modeling.

Science.gov (United States)

Jiang, Shangyuan; Gan, Rong Z

2018-04-01

The incudostapedial joint (ISJ) is a synovial joint connecting the incus and stapes in the middle ear. Mechanical properties of the ISJ directly affect sound transmission from the tympanic membrane to the cochlea. However, how ISJ properties change with frequency has not been investigated. In this paper, we report the dynamic properties of the human ISJ measured in eight samples using a dynamic mechanical analyzer (DMA) for frequencies from 1 to 80 Hz at three temperatures of 5, 25 and 37 °C. The frequency-temperature superposition (FTS) principle was used to extrapolate the results to 8 kHz. The complex modulus of ISJ was measured with a mean storage modulus of 1.14 MPa at 1 Hz that increased to 3.01 MPa at 8 kHz, and a loss modulus that increased from 0.07 to 0.47 MPa. A 3-dimensional finite element (FE) model consisting of the articular cartilage, joint capsule and synovial fluid was then constructed to derive mechanical properties of ISJ components by matching the model results to experimental data. Modeling results showed that mechanical properties of the joint capsule and synovial fluid affected the dynamic behavior of the joint. This study contributes to a better understanding of the structure-function relationship of the ISJ for sound transmission. Copyright © 2018. Published by Elsevier Ltd.

Evaluation of components and systems of RSG-GAS and developing of maintenance evaluation software

International Nuclear Information System (INIS)

Pane, Jupiter-Sitorus; Kadarusmanto

2003-01-01

In order to enhance the evaluation of components and systems, inventarization of failure and repair data has been performed. The evaluation was done by calculating distribution function of failure, failure rate, MTTF, MTTR, and unavailability. The evaluation was comprehend in a code program of SYSCOM-RSG-GAS, that are able to performed statistical analysis, reliability parameters, and Fault Tree Analysis. This paper will describe some results of the program

Evaluation of English Websites on Dental Caries by Using Consumer Evaluation Tools.

Science.gov (United States)

Blizniuk, Anastasiya; Furukawa, Sayaka; Ueno, Masayuki; Kawaguchi, Yoko

2016-01-01

To evaluate the quality of patient-oriented online information about dental caries using existing consumer evaluation tools and to judge the efficacy of these tools in quality assessment. The websites for the evaluation were pooled by using two general search engines (Google and Yahoo!). The search terms were: 'dental caries', 'tooth decay' and 'tooth cavity'. Three assessment tools (LIDA, DISCERN and FRES) were used to evaluate the quality of the information in the areas of accessibility, usability, reliability and readability. In total, 77 websites were analysed. The median scores of LIDA accessibility and usability were 45.0 and 8.0, respectively, which corresponded to a medium level of quality. The median reliability scores for LIDA (12.0) and DISCERN (20.0) both corresponded to low level of quality. The readability was high with the median FRES score 59.7. The websites on caries had good accessibility, usability and readability, while reliability of the information was poor. The LIDA instrument was found to be more convenient than DISCERN and can be recommended to lay people for quick quality assessment.

15 CFR 286.7 - Evaluation process.

Science.gov (United States)

2010-01-01

... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Evaluation process. 286.7 Section 286... VOLUNTARY CONFORMITY ASSESSMENT SYSTEM EVALUATION (NVCASE) PROGRAM § 286.7 Evaluation process. (a) Each applicant requesting to be evaluated under NVCASE is expected to initiate the process and assume designated...

25 CFR 720.110 - Self-evaluation.

Science.gov (United States)

2010-04-01

... 25 Indians 2 2010-04-01 2010-04-01 false Self-evaluation. 720.110 Section 720.110 Indians THE...-evaluation. (a) The agency shall, by August 24, 1987, evaluate its current policies and practices, and the... or organizations representing handicapped persons, to participate in the self-evaluation process by...

Alternative Aviation Jet Fuel Sustainability Evaluation Report Task 1 : Report Evaluating Existing Sustainability Evaluation Programs

Science.gov (United States)

2011-10-25

This report describes how existing biofuel sustainability evaluation programs meet requirements that are under consideration or are in early phases of adoption and implementation in various US and international contexts. Biofuel sustainability evalua...

SHDAS Production Seismometer Evaluation.

Energy Technology Data Exchange (ETDEWEB)

Slad, George William [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Merchant, Bion J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2017-11-01

The Seismo - Hydroacoustic Data Acquisition System (SHDAS) is undergoing evaluation in preparation for its engineering, development, and deployment by the U.S Navy as an ocean bottom seismic monitoring system. At the current stage of development, the production seismometers are being evaluated to confirm their performance prior to packaging and assembly for deployment. The testing of the seismometers is being conducted at the Pinon Flats Observatory (PFO) , supervised by Sandia National Laboratories, U.S Navy, and RP Kromer Consulting. SNL will conduct evaluation of the collected seismometer data and comment on the performance of the seismometers.

37 CFR 150.4 - Evaluation.

Science.gov (United States)

2010-07-01

... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Evaluation. 150.4 Section 150...(a)(2) § 150.4 Evaluation. (a) Upon submission of a request by a foreign government for the issuance... Director to initiate independently an evaluation pursuant to § 150.2(a) of this part, a notice will be...

Preliminary evaluation of alternative waste form solidification processes. Volume II. Evaluation of the processes

International Nuclear Information System (INIS)

1980-08-01

This Volume II presents engineering feasibility evaluations of the eleven processes for solidification of nuclear high-level liquid wastes (HHLW) described in Volume I of this report. Each evaluation was based in a systematic assessment of the process in respect to six principal evaluation criteria: complexity of process; state of development; safety; process requirements; development work required; and facility requirements. The principal criteria were further subdivided into a total of 22 subcriteria, each of which was assigned a weight. Each process was then assigned a figure of merit, on a scale of 1 to 10, for each of the subcriteria. A total rating was obtained for each process by summing the products of the subcriteria ratings and the subcriteria weights. The evaluations were based on the process descriptions presented in Volume I of this report, supplemented by information obtained from the literature, including publications by the originators of the various processes. Waste form properties were, in general, not evaluated. This document describes the approach which was taken, the developent and application of the rating criteria and subcriteria, and the evaluation results. A series of appendices set forth summary descriptions of the processes and the ratings, together with the complete numerical ratings assigned; two appendices present further technical details on the rating process

48 CFR 570.306 - Evaluating offers.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Evaluating offers. 570.306... Real Property 570.306 Evaluating offers. (a) You must evaluate offers solely in accordance with the... solicitation. The file must include the basis for evaluation, an analysis of each offer, and a summary of...

49 CFR 807.110 - Self-evaluation.

Science.gov (United States)

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Self-evaluation. 807.110 Section 807.110... TRANSPORTATION SAFETY BOARD § 807.110 Self-evaluation. (a) The agency shall, by April 9, 1987, evaluate its... participate in the self-evaluation process by submitting comments (both oral and written). (c) The agency...

Evaluability Assessment of a National Driver Retraining Program: Are We Evaluating in the Right Lane?

Science.gov (United States)

Joanisse, Melanie; Stinchcombe, Arne; Yamin, Stephanie

2010-01-01

An evaluability assessment (EA) of the 55 Alive program, a national older driver refresher course aimed at improving driving skills, was conducted. This EA adds to the evaluation literature as previous outcome evaluations neglected to explore whether this program was prepared for such assessments. A mixed-method protocol was executed across three…

Bid specifications and bid evaluations

International Nuclear Information System (INIS)

Zijl, N.A. van

1977-01-01

Bid specifications are in view of the size of these projects important and comprehensive documents. The basic content and set up of the specifications are discussed such as: 1) Bid invitation letter, 2) instruction to bidders, 3) draft contract (terms and conditions), 4) technical specifications, 5) side data and information. - The evaluations of bids for nuclear power stations is due to the complexity of such bids a difficult undertaking. Evaluation methods and approaches which can be applied for such bid evaluations are discussed as well as the preparations which are required for carrying out such evaluations. (orig.) [de

CEA SMAD 2016 Digitizer Evaluation.

Energy Technology Data Exchange (ETDEWEB)

Merchant, Bion J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2017-08-01

Sandia National Laboratories has tested and evaluated an updated SMAD digitizer, developed by the French Alternative Energies and Atomic Energy Commission (CEA). The SMAD digitizers are intended to record sensor output for seismic and infrasound monitoring applications. The purpose of this digitizer evaluation is to measure the performance characteristics in such areas as power consumption, input impedance, sensitivity, full scale, self-noise, dynamic range, system noise, response, passband, and timing. The SMAD digitizers have been updated since their last evaluation by Sandia to improve their performance when recording at a sample rate of 20 Hz for infrasound applications and 100 Hz for hydro-acoustic seismic stations. This evaluation focuses primarily on the 20 Hz and 100 Hz sample rates. The SMAD digitizers are being evaluated for potential use in the International Monitoring System (IMS) of the Comprehensive Nuclear Test- Ban-Treaty Organization (CTBTO).

MVP and Faculty Evaluation

Science.gov (United States)

Theall, Michael

2017-01-01

This chapter considers faculty evaluation and motivational and volitional issues. The focus is on the ways in which faculty evaluation influences not only faculty attitudes and beliefs but also willingness to engage in professional development and instructional improvement programs. Recommendations for effective practice that enhances motivation…

Evaluating Distributed Timing Constraints

DEFF Research Database (Denmark)

Kristensen, C.H.; Drejer, N.

1994-01-01

In this paper we describe a solution to the problem of implementing time-optimal evaluation of timing constraints in distributed real-time systems.......In this paper we describe a solution to the problem of implementing time-optimal evaluation of timing constraints in distributed real-time systems....

22 CFR 711.110 - Self-evaluation.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Self-evaluation. 711.110 Section 711.110 Foreign... CORPORATION § 711.110 Self-evaluation. (a) The agency shall, by September 6, 1989, evaluate its current... participate in the self-evaluation process by submitting comments (both oral and written). (c) The agency...

20 CFR 365.110 - Self-evaluation.

Science.gov (United States)

2010-04-01

... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Self-evaluation. 365.110 Section 365.110... § 365.110 Self-evaluation. (a) The agency shall, by December 27, 1989, evaluate its current policies and... self-evaluation process by submitting comments (both oral and written). (c) The agency shall, until at...

29 CFR 100.510 - Self-evaluation.

Science.gov (United States)

2010-07-01

... 29 Labor 2 2010-07-01 2010-07-01 false Self-evaluation. 100.510 Section 100.510 Labor Regulations... § 100.510 Self-evaluation. (a) The agency shall, by September 6, 1989, evaluate its current policies and... participate in the self-evaluation process by submitting comments (both oral and written). (c) The agency...

19 CFR 201.110 - Self-evaluation.

Science.gov (United States)

2010-04-01

... 19 Customs Duties 3 2010-04-01 2010-04-01 false Self-evaluation. 201.110 Section 201.110 Customs... Commission § 201.110 Self-evaluation. (a) The agency shall, by April 9, 1987, evaluate its current policies... in the self-evaluation process by submitting comments (both oral and written). (c) The agency shall...

Fear of Negative Evaluation Biases Social Evaluation Inference: Evidence from a Probabilistic Learning Task

Science.gov (United States)

Button, Katherine S.; Kounali, Daphne; Stapinski, Lexine; Rapee, Ronald M.; Lewis, Glyn; Munafò, Marcus R.

2015-01-01

Background Fear of negative evaluation (FNE) defines social anxiety yet the process of inferring social evaluation, and its potential role in maintaining social anxiety, is poorly understood. We developed an instrumental learning task to model social evaluation learning, predicting that FNE would specifically bias learning about the self but not others. Methods During six test blocks (3 self-referential, 3 other-referential), participants (n = 100) met six personas and selected a word from a positive/negative pair to finish their social evaluation sentences “I think [you are / George is]…”. Feedback contingencies corresponded to 3 rules, liked, neutral and disliked, with P[positive word correct] = 0.8, 0.5 and 0.2, respectively. Results As FNE increased participants selected fewer positive words (β = −0.4, 95% CI −0.7, −0.2, p = 0.001), which was strongest in the self-referential condition (FNE × condition 0.28, 95% CI 0.01, 0.54, p = 0.04), and the neutral and dislike rules (FNE × condition × rule, p = 0.07). At low FNE the proportion of positive words selected for self-neutral and self-disliked greatly exceeded the feedback contingency, indicating poor learning, which improved as FNE increased. Conclusions FNE is associated with differences in processing social-evaluative information specifically about the self. At low FNE this manifests as insensitivity to learning negative self-referential evaluation. High FNE individuals are equally sensitive to learning positive or negative evaluation, which although objectively more accurate, may have detrimental effects on mental health. PMID:25853835

University Teacher’s Evaluation in Spain

Directory of Open Access Journals (Sweden)

Francisco Javier Tejedor Tejedor

2008-08-01

Full Text Available This article intends to make a brief overview about the performance evaluation for university teachers in democratic Spain. It contents: a considerations about teaching evaluation, in order to delimit the authors’ position in this matter, due to the fact that this position obviously conditions any revision; b a brief summary of the history of university teachers evaluation in Spain during the last years, since the Spanish Constitution of 1978 approval; c a typology of the evaluation plans, in order to define a map of the planning lines for evaluations applied in Spain; d the technical guidelines for teachers´ evaluation and presentation of the current model, exampled by its application in the university of Salamanca; and e as a conclusion, some considerations about the consequences of evaluation and its entailment with the professionalization of university teachers.

Enhanced sludge washing evaluation plan

Energy Technology Data Exchange (ETDEWEB)

Jensen, R.D.

1994-09-01

The Tank Waste Remediation System (TWRS) Program mission is to store, treat, and immobilize highly radioactive Hanford Site waste (current and future tank waste and the strontium/cesium capsules) in an environmentally sound, safe, and cost-effective manner. The scope of the TWRS Waste Pretreatment Program is to treat tank waste and separate that waste into HLW and LLW fractions and provide additional treatment as required to feed LLW and HLW immobilization facilities. Enhanced sludge washing was chosen as the baseline process for separating Hanford tank waste sludge. Section 1.0 briefly discusses the purpose of the evaluation plan and provides the background that led to the choice of enhanced sludge washing as the baseline process. Section 2.0 provides a brief summary of the evaluation plan details. Section 3.0 discusses, in some detail, the technical work planned to support the evaluation of enhanced sludge washing. Section 4.0 briefly discusses the potential important of policy issues to the evaluation. Section 5.0 discusses the methodology to be used in the evaluation process. Section 6.0 summarizes the milestones that have been defined to complete the enhanced sludge washing evaluation and provides a summary schedule to evaluate the performance of enhanced sludge washing. References are identified in Section 7.0, and additional schedule and milestone information is provided in the appendices.

Environmental indicators for evaluating properties

Directory of Open Access Journals (Sweden)

Mario Grosso

2015-06-01

Full Text Available Property evaluation for tax purposes has traditionally relied on urban and building criteria, mostly resulting from concepts driven by the commercial attractiveness of the property under evaluation, its building and the site itself. Due to the world climate and ecological crisis, awareness has risen about the need for other indicators, which can evaluate the quality of a property, even referring to its potential environmental impact. Technical standards for the evaluation of buildings’ environmental sustainability, which have been developed since the first years of this century, both nationally and internationally, take into account the impact of the building and its relevance for the life-cycle of materials and elements, with reference to the three sectors of sustainability: environmental, economic and social. The social sector includes indicators referring to the user’s health and comfort, which also interact with the morphological and spatial characteristics of the building. However, there is a lack of methodological tools for the evaluation of said indicators and existing ones are mainly of a qualitative type. This paper suggests a methodological approach for the quantitative evaluation of sustainability indicators, relying on the accessibility of a site’s climate resources by the property, as a criterion to evaluate the potential for the reduction of negative environmental impact, as well as a criterion to improve users’ life quality.

Enhanced sludge washing evaluation plan

International Nuclear Information System (INIS)

Jensen, R.D.

1994-09-01

The Tank Waste Remediation System (TWRS) Program mission is to store, treat, and immobilize highly radioactive Hanford Site waste (current and future tank waste and the strontium/cesium capsules) in an environmentally sound, safe, and cost-effective manner. The scope of the TWRS Waste Pretreatment Program is to treat tank waste and separate that waste into HLW and LLW fractions and provide additional treatment as required to feed LLW and HLW immobilization facilities. Enhanced sludge washing was chosen as the baseline process for separating Hanford tank waste sludge. Section 1.0 briefly discusses the purpose of the evaluation plan and provides the background that led to the choice of enhanced sludge washing as the baseline process. Section 2.0 provides a brief summary of the evaluation plan details. Section 3.0 discusses, in some detail, the technical work planned to support the evaluation of enhanced sludge washing. Section 4.0 briefly discusses the potential important of policy issues to the evaluation. Section 5.0 discusses the methodology to be used in the evaluation process. Section 6.0 summarizes the milestones that have been defined to complete the enhanced sludge washing evaluation and provides a summary schedule to evaluate the performance of enhanced sludge washing. References are identified in Section 7.0, and additional schedule and milestone information is provided in the appendices

Integrated Assessment Model Evaluation

Science.gov (United States)

Smith, S. J.; Clarke, L.; Edmonds, J. A.; Weyant, J. P.

2012-12-01

Integrated assessment models of climate change (IAMs) are widely used to provide insights into the dynamics of the coupled human and socio-economic system, including emission mitigation analysis and the generation of future emission scenarios. Similar to the climate modeling community, the integrated assessment community has a two decade history of model inter-comparison, which has served as one of the primary venues for model evaluation and confirmation. While analysis of historical trends in the socio-economic system has long played a key role in diagnostics of future scenarios from IAMs, formal hindcast experiments are just now being contemplated as evaluation exercises. Some initial thoughts on setting up such IAM evaluation experiments are discussed. Socio-economic systems do not follow strict physical laws, which means that evaluation needs to take place in a context, unlike that of physical system models, in which there are few fixed, unchanging relationships. Of course strict validation of even earth system models is not possible (Oreskes etal 2004), a fact borne out by the inability of models to constrain the climate sensitivity. Energy-system models have also been grappling with some of the same questions over the last quarter century. For example, one of "the many questions in the energy field that are waiting for answers in the next 20 years" identified by Hans Landsberg in 1985 was "Will the price of oil resume its upward movement?" Of course we are still asking this question today. While, arguably, even fewer constraints apply to socio-economic systems, numerous historical trends and patterns have been identified, although often only in broad terms, that are used to guide the development of model components, parameter ranges, and scenario assumptions. IAM evaluation exercises are expected to provide useful information for interpreting model results and improving model behavior. A key step is the recognition of model boundaries, that is, what is inside

Creating Robust Evaluation of ATE Projects

Science.gov (United States)

Eddy, Pamela L.

2017-01-01

Funded grant projects all involve some form of evaluation, and Advanced Technological Education (ATE) grants are no exception. Program evaluation serves as a critical component not only for evaluating if a project has met its intended and desired outcomes, but the evaluation process is also a central feature of the grant application itself.…

Using Social Scientific Criteria to Evaluate Cultural Theories: Encoding/Decoding Evaluated

OpenAIRE

Evan L. Kropp

2015-01-01

This article transcends the issue of conflicting theoretical schools of thought to formulate a method of social scientific style theory evaluation for cultural studies. It is suggested that positivist social scientific models of theory critique can be used to assess cultural models of communication to determine if they should be classified as theories. A set of evaluation criteria is formulated as a guide and applied to Stuart Hall’s Encoding/Decoding to determine if it is a theory. Conclusio...

Measuring Evaluation Fears in Adolescence: Psychometric Validation of the Portuguese Versions of the Fear of Positive Evaluation Scale and the Specific Fear of Negative Evaluation Scale

Science.gov (United States)

Vagos, Paula; Salvador, Maria do Céu; Rijo, Daniel; Santos, Isabel M.; Weeks, Justin W.; Heimberg, Richard G.

2016-01-01

Modified measures of Fear of Negative Evaluation and Fear of Positive Evaluation were examined among Portuguese adolescents. These measures demonstrated replicable factor structure, internal consistency, and positive relationships with social anxiety and avoidance. Gender differences were found. Implications for evaluation and intervention are…

Impact of Digital Tooth Preparation Evaluation Technology on Preclinical Dental Students' Technical and Self-Evaluation Skills.

Science.gov (United States)

Gratton, David G; Kwon, So Ran; Blanchette, Derek; Aquilino, Steven A

2016-01-01

The aim of this study was to evaluate the effect of digital tooth preparation imaging and evaluation technology on dental students' technical abilities, self-evaluation skills, and the assessment of their simulated clinical work. A total of 80 second-year students at one U.S. dental school were assigned to one of three groups: control (n=40), E4D Compare (n=20), and Sirona prepCheck (n=20). Students in the control group were taught by traditional teaching methodologies, and the technology-assisted groups received both traditional training and supplementary feedback from the corresponding digital system. Three outcomes were measured: faculty technical score, self-evaluation score, and E4D Compare scores at 0.30 mm tolerance. Correlations were determined between the groups' scores from visual assessment and self-evaluation and between the visual assessment and digital scores. The results showed that the visual assessment and self-evaluation scores did not differ among groups (p>0.05). Overall, correlations between visual and digital assessment scores were modest though statistically significant (5% level of significance). These results suggest that the use of digital tooth preparation evaluation technology did not impact the students' prosthodontic technical and self-evaluation skills. Visual scores given by faculty and digital assessment scores correlated moderately in only two instances.

Evaluation Use in the Organizational Context

DEFF Research Database (Denmark)

Højlund, Steven

2014-01-01

betterment. The article explains why the paradox exists and suggests applying organizational institutional theory to explain evaluation use. The key argument is that in order to explain all types of evaluation uses, including non-use and justificatory uses, the focus needs to be on the evaluating...... organization and its conditioning factors, rather than the evaluation itself....

Empirically evaluating decision-analytic models.

Science.gov (United States)

Goldhaber-Fiebert, Jeremy D; Stout, Natasha K; Goldie, Sue J

2010-08-01

Model-based cost-effectiveness analyses support decision-making. To augment model credibility, evaluation via comparison to independent, empirical studies is recommended. We developed a structured reporting format for model evaluation and conducted a structured literature review to characterize current model evaluation recommendations and practices. As an illustration, we applied the reporting format to evaluate a microsimulation of human papillomavirus and cervical cancer. The model's outputs and uncertainty ranges were compared with multiple outcomes from a study of long-term progression from high-grade precancer (cervical intraepithelial neoplasia [CIN]) to cancer. Outcomes included 5 to 30-year cumulative cancer risk among women with and without appropriate CIN treatment. Consistency was measured by model ranges overlapping study confidence intervals. The structured reporting format included: matching baseline characteristics and follow-up, reporting model and study uncertainty, and stating metrics of consistency for model and study results. Structured searches yielded 2963 articles with 67 meeting inclusion criteria and found variation in how current model evaluations are reported. Evaluation of the cervical cancer microsimulation, reported using the proposed format, showed a modeled cumulative risk of invasive cancer for inadequately treated women of 39.6% (30.9-49.7) at 30 years, compared with the study: 37.5% (28.4-48.3). For appropriately treated women, modeled risks were 1.0% (0.7-1.3) at 30 years, study: 1.5% (0.4-3.3). To support external and projective validity, cost-effectiveness models should be iteratively evaluated as new studies become available, with reporting standardized to facilitate assessment. Such evaluations are particularly relevant for models used to conduct comparative effectiveness analyses.

Using organisational memory in evaluations

Directory of Open Access Journals (Sweden)

Madri S. Jansen van Rensburg

2014-12-01

Full Text Available This article uses the case of a regional intermediary organisation to investigate organisational memory (OM and its contribution to knowledge management and activities in evaluations. Understanding of, and accessing OM is critical for participatory evaluations. The aim of the article is to reflect on the OM of a non-governmental organisation (NGO and what implicationsthe structural changes in OM over the organisation’s life cycle have for evaluators. It further aims to advocate an awareness of OM and explains how evaluators can access and utilise it more effectively. Evaluators need to have an understanding of OM, and to take more responsibility for disseminating results to enhance it. This case study reflects on a retrospective case example of a regional NGO. The report reflects the development and structure of the life cycle of the organisation. The data collection included in-depth interviews with staff members and other key stakeholders, engagement with beneficiary organisations and donors, and analyses of documents, electronic files and audio-visual material. Since OM survives after the demise of an organisation, and is accessible through directories, it is important for the evaluator to include historical information. Specific implications for evaluators include the ability to access OM through directories and networks of the organisation. As evaluators hold OM of all the organisations they have engaged with, they also have a responsibility to share knowledge. The key findings of this study illustrate the importance of accessing the memory and historical information of the organisation. Understanding OM enhances the in-depth comprehension of the activity, project or programme under investigation, and the collective knowledge generated as a result of it.

What and How Are We Evaluating? Meta-Evaluation Study of the NASA Innovations in Climate Education (NICE) Portfolio

Science.gov (United States)

Martin, A. M.; Barnes, M. H.; Chambers, L. H.; Pippin, M. R.

2013-12-01

As part of NASA's Minority University Research and Education Program (MUREP), the NASA Innovations in Climate Education (NICE) project at Langley Research Center has funded 71 climate education initiatives since 2008. The funded initiatives span across the nation and contribute to the development of a climate-literate public and the preparation of a climate-related STEM workforce through research experiences, professional development opportunities, development of data access and modeling tools, and educational opportunities in both K-12 and higher education. Each of the funded projects proposes and carries out its own evaluation plan, in collaboration with external or internal evaluation experts. Using this portfolio as an exemplar case, NICE has undertaken a systematic meta-evaluation of these plans, focused primarily on evaluation questions, approaches, and methods. This meta-evaluation study seeks to understand the range of evaluations represented in the NICE portfolio, including descriptive information (what evaluations, questions, designs, approaches, and methods are applied?) and questions of value (do these evaluations meet the needs of projects and their staff, and of NASA/NICE?). In the current climate, as federal funders of climate change and STEM education projects seek to better understand and incorporate evaluation into their decisions, evaluators and project leaders are also seeking to build robust understanding of program effectiveness. Meta-evaluations like this provide some baseline understanding of the current status quo and the kinds of evaluations carried out within such funding portfolios. These explorations are needed to understand the common ground between evaluative best practices, limited resources, and agencies' desires, capacity, and requirements. When NASA asks for evaluation of funded projects, what happens? Which questions are asked and answered, using which tools? To what extent do the evaluations meet the needs of projects and

Stream Evaluation

Data.gov (United States)

Kansas Data Access and Support Center — Digital representation of the map accompanying the "Kansas stream and river fishery resource evaluation" (R.E. Moss and K. Brunson, 1981.U.S. Fish and Wildlife...

Thermal environment evaluation. Evaluation de l'ambiance thermique

Energy Technology Data Exchange (ETDEWEB)

Tilley, B

1988-01-01

This document describes interior thermal environment analysis and the techniques involved at three applicable stages of evaluation. They range from the study of plans and archives to physical measurement with sophisticated instrumentation. Environmental factors that influence the thermal state of the building occupant are measured. The occupant's perception of the thermal environment may also be investigated. One of the most important building functions is to isolate the occupants from adverse exterior thermal conditions and provide a productive and healthy interior environment. The thermal environment is determined by clothing level, activity level, air velocity, ambient air temperature, mean radiant temperature and moisture level. Since an optimal thermal environment may not be optimal in terms of the building's energy efficiency, the evaluation process will have to draw upon expertise in energy use and other disciplines at the stage where solutions are recommended. 16 refs., 4 figs., 2 tabs.

Data-Intensive Evaluation: The Concept, Methods, and Prospects of Higher Education Monitoring Evaluation

Science.gov (United States)

Wang, Zhanjun; Qiao, Weifeng; Li, Jiangbo

2016-01-01

Higher education monitoring evaluation is a process that uses modern information technology to continually collect and deeply analyze relevant data, visually present the state of higher education, and provide an objective basis for value judgments and scientific decision making by diverse bodies Higher education monitoring evaluation is…

Evaluated data collections from ENSDF

International Nuclear Information System (INIS)

Ewbank, W.B.

1979-01-01

For several years the Nuclear Data Project has been maintaining an Evaluated Nuclear Structure Data File (ENSDF), which is designed to include critically evaluated values for most nuclear spectroscopic quantities. The information in ENSDF is the same as in the Nuclear Data Sheets, which illustrates two particular output formats (drawings and tables). Spectroscopic information for nuclei with A < 45 is put into ENSDF from the evaluations of Aizenberg-Selove and of Endt and van der Leun. An international network was organized to provide regular revisions of the data file. Computer facilities were developed to retrieve collections of evaluated data for special calculations or detailed examination

Evaluation of IP Portfolios

DEFF Research Database (Denmark)

Søberg, Peder Veng

2009-01-01

As a result of an inquiry concerning how to evaluate IP (intellectual property) portfolios in order to enable the best possible use of IP resources within organizations, an IP evaluation approach primarily applicable for patents and utility models is developed. The developed approach is useful...... of the organization owning the IP....

Evaluating New Technology.

Science.gov (United States)

Carniol, Paul J; Heffelfinger, Ryan N; Grunebaum, Lisa D

2018-05-01

There are multiple complex issues to consider when evaluating any new technology. First evaluate the efficacy of the device. Then considering your patient population decide whether this technology brings an added benefit to your patients. If it meets these 2 criteria, then proceed to the financial analysis of acquiring this technology. The complete financial analysis has several important components that include but are not limited to cost, value, alternatives, return on investment, and associated marketing expense. Copyright © 2018 Elsevier Inc. All rights reserved.

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

Science.gov (United States)

Balthasar, Andreas

2009-06-01

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

A human-machine interface evaluation method: A difficulty evaluation method in information searching (DEMIS)

International Nuclear Information System (INIS)

Ha, Jun Su; Seong, Poong Hyun

2009-01-01

A human-machine interface (HMI) evaluation method, which is named 'difficulty evaluation method in information searching (DEMIS)', is proposed and demonstrated with an experimental study. The DEMIS is based on a human performance model and two measures of attentional-resource effectiveness in monitoring and detection tasks in nuclear power plants (NPPs). Operator competence and HMI design are modeled to be most significant factors to human performance. One of the two effectiveness measures is fixation-to-importance ratio (FIR) which represents attentional resource (eye fixations) spent on an information source compared to importance of the information source. The other measure is selective attention effectiveness (SAE) which incorporates FIRs for all information sources. The underlying principle of the measures is that the information source should be selectively attended to according to its informational importance. In this study, poor performance in information searching tasks is modeled to be coupled with difficulties caused by poor mental models of operators or/and poor HMI design. Human performance in information searching tasks is evaluated by analyzing the FIR and the SAE. Operator mental models are evaluated by a questionnaire-based method. Then difficulties caused by a poor HMI design are evaluated by a focused interview based on the FIR evaluation and then root causes leading to poor performance are identified in a systematic way.

Interfacing theories of program with theories of evaluation for advancing evaluation practice: Reductionism, systems thinking, and pragmatic synthesis.

Science.gov (United States)

Chen, Huey T

2016-12-01

Theories of program and theories of evaluation form the foundation of program evaluation theories. Theories of program reflect assumptions on how to conceptualize an intervention program for evaluation purposes, while theories of evaluation reflect assumptions on how to design useful evaluation. These two types of theories are related, but often discussed separately. This paper attempts to use three theoretical perspectives (reductionism, systems thinking, and pragmatic synthesis) to interface them and discuss the implications for evaluation practice. Reductionism proposes that an intervention program can be broken into crucial components for rigorous analyses; systems thinking view an intervention program as dynamic and complex, requiring a holistic examination. In spite of their contributions, reductionism and systems thinking represent the extreme ends of a theoretical spectrum; many real-world programs, however, may fall in the middle. Pragmatic synthesis is being developed to serve these moderate- complexity programs. These three theoretical perspectives have their own strengths and challenges. Knowledge on these three perspectives and their evaluation implications can provide a better guide for designing fruitful evaluations, improving the quality of evaluation practice, informing potential areas for developing cutting-edge evaluation approaches, and contributing to advancing program evaluation toward a mature applied science. Copyright © 2016 Elsevier Ltd. All rights reserved.

Evaluation of high-performance computing software

Energy Technology Data Exchange (ETDEWEB)

Browne, S.; Dongarra, J. [Univ. of Tennessee, Knoxville, TN (United States); Rowan, T. [Oak Ridge National Lab., TN (United States)

1996-12-31

The absence of unbiased and up to date comparative evaluations of high-performance computing software complicates a user`s search for the appropriate software package. The National HPCC Software Exchange (NHSE) is attacking this problem using an approach that includes independent evaluations of software, incorporation of author and user feedback into the evaluations, and Web access to the evaluations. We are applying this approach to the Parallel Tools Library (PTLIB), a new software repository for parallel systems software and tools, and HPC-Netlib, a high performance branch of the Netlib mathematical software repository. Updating the evaluations with feed-back and making it available via the Web helps ensure accuracy and timeliness, and using independent reviewers produces unbiased comparative evaluations difficult to find elsewhere.

Evaluating Usability

DEFF Research Database (Denmark)

Nørgaard, Mie; Høegh, Rune T.

2008-01-01

Usability evaluation is widely accepted as a valuable activity in software development. However, how results effectively are fed back to developers is still a relatively unexplored area. We argue that usability feedback can be understood as an argument for a series of usability problems......, and that basic concepts from argumentation theory can help us understand how to create persuasive feedback. We revisit two field studies on usability feedback to study if concepts from Toulmin's model for argumentation and Aristotle's modes of persuasion can explain why some feedback formats outperform others....... We recommend that evaluators specifically back up the warrants behind their usability claims, that their arguments use several modes of persuasion, and that they present feedback in browsable amounts not to overwhelm developers with information. For complex and controversial problems, we advise...

Can complex health interventions be evaluated using routine clinical and administrative data? - a realist evaluation approach.

Science.gov (United States)

Riippa, Iiris; Kahilakoski, Olli-Pekka; Linna, Miika; Hietala, Minni

2014-12-01

Interventions aimed at improving chronic care typically consist of multiple interconnected parts, all of which are essential to the effect of the intervention. Limited attention has been paid to the use of routine clinical and administrative data in the evolution of these complex interventions. The purpose of this study is to examine the feasibility of routinely collected data when evaluating complex interventions and to demonstrate how a theory-based, realist approach to evaluation may increase the feasibility of routine data. We present a case study of evaluating a complex intervention, namely, the chronic care model (CCM), in Finnish primary health care. Issues typically faced when evaluating the effects of a complex intervention on health outcomes and resource use are identified by using routine data in a natural setting, and we apply context-mechanism-outcome (CMO) approach from the realist evaluation paradigm to improve the feasibility of using routine data in evaluating complex interventions. From an experimentalist approach that dominates the medical literature, routine data collected from a single centre offered a poor starting point for evaluating complex interventions. However, the CMO approach offered tools for identifying indicators needed to evaluate complex interventions. Applying the CMO approach can aid in a typical evaluation setting encountered by primary care managers: one in which the intervention is complex, the primary data source is routinely collected clinical and administrative data from a single centre, and in which randomization of patients into two research arms is too resource consuming to arrange. © 2014 John Wiley & Sons, Ltd.

Solar energy program evaluation: an introduction

Energy Technology Data Exchange (ETDEWEB)

deLeon, P.

1979-09-01

The Program Evaluation Methodology provides an overview of the practice and methodology of program evaluation and defines more precisely the evaluation techniques and methodologies that would be most appropriate to government organizations which are actively involved in the research, development, and commercialization of solar energy systems. Formal evaluation cannot be treated as a single methodological approach for assessing a program. There are four basic types of evaluation designs - the pre-experimental design; the quasi-experimental design based on time series; the quasi-experimental design based on comparison groups; and the true experimental design. This report is organized to first introduce the role and issues of evaluation. This is to provide a set of issues to organize the subsequent sections detailing the national solar energy programs. Then, these two themes are integrated by examining the evaluation strategies and methodologies tailored to fit the particular needs of the various individual solar energy programs. (MCW)

Evaluation guide for the international reactor physics experiments evaluation project (IRPhEP)

International Nuclear Information System (INIS)

Yamaji, Akifumi

2013-01-01

At present, there is an urgent need to preserve integral reactor physics experimental data including separate or special effects data for nuclear energy and technology applications and the knowledge and competence contained therein. The International Reactor Physics Evaluation Project (IRPhEP) was initiated as a pilot activity in 1999 by the Organization of Economic Cooperation and Development (OECD) Nuclear Energy Agency (NEA) Nuclear Science Committee (NSC). The project was endorsed as an official activity of the NSC in June of 2003. While coordination and administration of the IRPhEP takes place at an international level, each participating country is responsible for the administration, technical direction, and priorities of the project within their respective countries. This document outlines the general presentation guidelines that evaluators should follow for the description of the experiments and all relevant experimental data in order to ensure the consistency between the evaluations published in the final Handbook. Publication templates will be used to ensure this consistency and will follow the general scheme below: 1 - Experiment identification number; 2- Date; 3 - Name of experiment (Purpose of experiment, Phenomena measured and scope); 4 - Name or designation of experimental programme; 5 - Description of facility; 6 - Description of test or experiment (Experimental configuration, Core life cycle, Experimental limitations or shortcomings); 7 - Phenomena measured (Description of results and analysis, Special features and characteristics of experiment, Measurement systems/methods and uncertainties); 8 - Duplicate or complementary experiments / other related experiments; 9 - Status of completion of the evaluation; 10 - References (pointer to evaluation, archive if available, otherwise generic bibliographic reference); 11 - Authors/ organisers 12 - Material available

Theory-Based Stakeholder Evaluation

Science.gov (United States)

Hansen, Morten Balle; Vedung, Evert

2010-01-01

This article introduces a new approach to program theory evaluation called theory-based stakeholder evaluation or the TSE model for short. Most theory-based approaches are program theory driven and some are stakeholder oriented as well. Practically, all of the latter fuse the program perceptions of the various stakeholder groups into one unitary…

Evaluation of the Neutron Data Standards

Science.gov (United States)

Carlson, A. D.; Pronyaev, V. G.; Capote, R.; Hale, G. M.; Chen, Z.-P.; Duran, I.; Hambsch, F.-J.; Kunieda, S.; Mannhart, W.; Marcinkevicius, B.; Nelson, R. O.; Neudecker, D.; Noguere, G.; Paris, M.; Simakov, S. P.; Schillebeeckx, P.; Smith, D. L.; Tao, X.; Trkov, A.; Wallner, A.; Wang, W.

2018-02-01

With the need for improving existing nuclear data evaluations, (e.g., ENDF/B-VIII.0 and JEFF-3.3 releases) the first step was to evaluate the standards for use in such a library. This new standards evaluation made use of improved experimental data and some developments in the methodology of analysis and evaluation. In addition to the work on the traditional standards, this work produced the extension of some energy ranges and includes new reactions that are called reference cross sections. Since the effort extends beyond the traditional standards, it is called the neutron data standards evaluation. This international effort has produced new evaluations of the following cross section standards: the H(n,n), 6Li(n,t), 10B(n,α), 10B(n,α1 γ), natC(n,n), Au(n,γ), 235U(n,f) and 238U(n,f). Also in the evaluation process the 238U(n,γ) and 239Pu(n,f) cross sections that are not standards were evaluated. Evaluations were also obtained for data that are not traditional standards: the Maxwellian spectrum averaged cross section for the Au(n,γ) cross section at 30 keV; reference cross sections for prompt γ-ray production in fast neutron-induced reactions; reference cross sections for very high energy fission cross sections; the 252Cf spontaneous fission neutron spectrum and the 235U prompt fission neutron spectrum induced by thermal incident neutrons; and the thermal neutron constants. The data and covariance matrices of the uncertainties were obtained directly from the evaluation procedure.

Updating the FORECAST formative evaluation approach and some implications for ameliorating theory failure, implementation failure, and evaluation failure

Science.gov (United States)

Katz, Jason; Wandersman, Abraham; Goodman, Robert M.; Griffin, Sarah; Wilson, Dawn K.; Schillaci, Michael

2013-01-01

Historically, there has been considerable variability in how formative evaluation has been conceptualized and practiced. FORmative Evaluation Consultation And Systems Technique (FORECAST) is a formative evaluation approach that develops a set of models and processes that can be used across settings and times, while allowing for local adaptations and innovations. FORECAST integrates specific models and tools to improve limitations in program theory, implementation, and evaluation. In the period since its initial use in a federally funded community prevention project in the early 1990s, evaluators have incorporated important formative evaluation innovations into FORECAST, including the integration of feedback loops and proximal outcome evaluation. In addition, FORECAST has been applied in a randomized community research trial. In this article, we describe updates to FORECAST and the implications of FORECAST for ameliorating failures in program theory, implementation, and evaluation. PMID:23624204

Research status and evaluation system of heat source evaluation method for central heating

Science.gov (United States)

Sun, Yutong; Qi, Junfeng; Cao, Yi

2018-02-01

The central heating boiler room is a regional heat source heating center. It is also a kind of the urban environment pollution, it is an important section of building energy efficiency. This article through to the evaluation method of central heating boiler room and overviews of the researches during domestic and overseas, summarized the main influence factors affecting energy consumption of industrial boiler under the condition of stable operation. According to the principle of establishing evaluation index system. We can find that is great significance in energy saving and environmental protection for the content of the evaluation index system of the centralized heating system.

Economic bid evaluation

International Nuclear Information System (INIS)

Bode, T.

1975-01-01

When it is intended to install a new nuclear power station, the usual procedure is to invite for tenders. In due course, bids will be received from various manufacturers, out of which the most favourable one is then to be selected. Appraisal is concluded in the Economic Bid Evaluation, the purpose of which is to define the economically most favourable bid by comparing overall costs and benefits of the various alternatives. Thus, Economic Bid Evaluation is a most important instrument for deciding on award of contract. (orig.) [de

Advancing Physics evaluated

Science.gov (United States)

Ogborn, Jon

2003-07-01

The first phase of an evaluation of the new AS/A-level course Advancing Physics, sponsored by the Institute of Physics, is now complete. It shows that the course has achieved very high satisfaction ratings from teachers of the course, and that a majority of these teachers see it as achieving its main aims. The first phase of the evaluation was designed to pinpoint aspects of Advancing Physics that offer scope for improvement. Two such aspects have been identified: course planning and use of the CD-ROM material, and arrangements for coursework in the examination.

Evaluation and processing of nuclear data

International Nuclear Information System (INIS)

Pearlstein, S.

1980-01-01

The role a nuclear data evaluator plays in obtaining evaluated nuclear data, needed for applications, from measured nuclear data is surveyed. Specific evaluation objectives, problems, and procedures are discussed. The use of nuclear systematics to complement nuclear experiment and theory is described. With the Evaluated Nuclear Data File (ENDF) as an example, the formatting, checking, and processing of nuclear data are discussed as well as the testing of evaluated nuclear data in the calculation of integral benchmark experiments. Other important topics such as the Probability Table Method and interrelation between differential and integral data are also discussed. 25 figures

Evaluation and processing of nuclear data

International Nuclear Information System (INIS)

Pearlstein, S.

1981-01-01

The role a nuclear data evaluator plays in obtaining evaluated nuclear data, needed for applications, from measured nuclear data is surveyed. Specific evaluation objectives, problems, and procedures are discussed. The use of nuclear systematics to complement nuclear experiment and theory is described. Using the Evaluated Nuclear Data File (ENDF) as an example the formatting, checking, and processing of nuclear data is discussed as well as the testing of evaluated nuclear data in the calculation of integral benchmark experiments. Other important topics such as the Probability Table Method and interrelation between differential and integral data are also discussed. (author)

US evaluation of anterior urethra

International Nuclear Information System (INIS)

Perini, L.; Cavallo, A.; Perin, B.; Natale, F.

1989-01-01

A simple method of sonographic (US) evaluation of penile and bulbous urethra is reported. Twenty-three dysuric patients were examined. They were divided into 2 groups according to their pathology. The US patterns of normal urethra were evaluated in 10 patients (first group) with no obstructive lesions. Urethral and periurethral structure were examined in 13 patients (second group) with urethral obstructive pathology. All patients underwent conventional cystourethrography. The diagnostic parameters considered were urethral gauge and thickness, echogenicity of the urethral wall, and Cowper's glands. US evaluation of obstructive lesions provided the same findings as conventional radiological techniques. Moreover, US allowed the evaluation of both thickness and echogenicity of the urethral wall and of normal/injured Cowper's glands

Public health interventions: evaluating the economic evaluations

Directory of Open Access Journals (Sweden)

Martin Forster

2013-10-01

Full Text Available Recent years have witnessed much progress in the incorporation of economic considerations into the evaluation of public health interventions. In England, the Centre for Public Health Excellence within the National Institute for Health and Care Excellence works to develop guidance for preventing illness and assessing which public health interventions are most effective and provide best value for money...

The Urban Intensive Land-use Evaluation in Xi’an, Based on Fuzzy Comprehensive Evaluation

Science.gov (United States)

Shi, Ru; Kang, Zhiyuan

2018-01-01

The intensive land-use is the basis of urban “stock optimization”, and scientific and reasonable evaluation is the important content of the land-intensive utilization. In this paper, through the survey of Xi’an urban land-use condition, we construct the suitable evaluation index system of Xi’an’ intensive land-use, by using Analytic Hierarchy Process (AHP) and Fuzzy Comprehensive Evaluation (FCE) of combination. And through the analysis of the influencing factors of land-intensive utilization, we provide a reference for the future development direction.

Evaluation of accountability measurements

International Nuclear Information System (INIS)

Cacic, C.G.

1988-01-01

The New Brunswick Laboratory (NBL) is programmatically responsible to the U.S. Department of Energy (DOE) Office of Safeguards and Security (OSS) for providing independent review and evaluation of accountability measurement technology in DOE nuclear facilities. This function is addressed in part through the NBL Safegaurds Measurement Evaluation (SME) Program. The SME Program utilizes both on-site review of measurement methods along with material-specific measurement evaluation studies to provide information concerning the adequacy of subject accountability measurements. This paper reviews SME Program activities for the 1986-87 time period, with emphasis on noted improvements in measurement capabilities. Continued evolution of the SME Program to respond to changing safeguards concerns is discussed

Evaluation of gamma-ray intensities

International Nuclear Information System (INIS)

Yoshizawa, Yasukazu; Inoue, Hikaru; Hoshi, Masaharu; Shizuma, Kiyoshi; Iwata, Yosei.

1978-03-01

Results of literature survey and evaluation of relative intensities and intensities per decay of gamma rays are presented. Evaluations were made for 22 Na, 24 Na, 46 Sc, 48 Sc, 48 V, 54 Mn, 57 Co, 60 Co, 85 Sr, 88 Y, 95 Nb, 95 Zr, sup(108m)Ag, 134 Cs, 137 Cs, 144 Ce, 144 Pr, 203 Hg, and 207 Bi. For eight of the nuclides, the half-lives were also evaluated. (auth.)

Analytical evaluation of actinide sensitivities

International Nuclear Information System (INIS)

Sola, A.

1977-01-01

The analytical evaluation of the sensitivities of actinides to various parameters such as cross sections, decay constants, flux and time is presented. The formulae are applied to isotopes of the Uranium, Neptunium, Plutonium and Americium series. The agreement between analytically obtained and computer evaluated sensitivities being always good, it is throught that the formulation includes all the important parameters entering in the evaluation of sensitivities. A study of the published data is made

The case for applying an early-lifecycle technology evaluation methodology to comparative evaluation of requirements engineering research

Science.gov (United States)

Feather, Martin S.

2003-01-01

The premise of this paper is taht there is a useful analogy between evaluation of proposed problem solutions and evaluation of requirements engineering research itself. Both of these application areas face the challenges of evaluation early in the lifecycle, of the need to consider a wide variety of factors, and of the need to combine inputs from multiple stakeholders in making thse evaluation and subsequent decisions.

Effect of evaluation threat on procrastination behavior.

Science.gov (United States)

Bui, Ngoc H

2007-06-01

The author evaluated the effects of evaluation apprehension and trait procrastination on behaviors. The author examined private university students from southern California (N = 72) on two independent variables: evaluation threat (manipulated) and trait procrastination (nonmanipulated). The author found a significant interaction effect between type of evaluation threat and level of trait procrastination on the number of days to complete an assigned essay. Post hoc analyses showed high trait procrastinators in the high evaluation threat group significantly delayed returning essays compared with those in the low evaluation threat group. Also, in the low evaluation threat group, low trait procrastinators delayed more than did high trait procrastinators. These results suggest that educators can reduce behavioral delays by increasing evaluation threat, depending on a student's level of trait procrastination.

Improving evaluation at two medical schools.

Science.gov (United States)

Schiekirka-Schwake, Sarah; Dreiling, Katharina; Pyka, Katharina; Anders, Sven; von Steinbüchel, Nicole; Raupach, Tobias

2017-08-03

Student evaluations of teaching can provide useful feedback for teachers and programme coordinators alike. We have designed a novel evaluation tool assessing teacher performance and student learning outcome. This tool was implemented at two German medical schools. In this article, we report student and teacher perceptions of the novel tool, and the implementation process. Focus group discussions as well as one-to-one interviews involving 22 teachers and 31 undergraduate medical students were conducted. Following adjustments to the feedback reports (e.g. the colour coding of results) at one medical school, 42 teachers were asked about their perceptions of the revised report and the personal benefit of the evaluation tool. Teachers appreciated the individual feedback provided by the evaluation tool and stated that they wanted to improve their teaching, based on the results; however, they missed most of the preparative communication. Students were unsure about the additional benefit of the instrument compared with traditional evaluation tools. A majority was unwilling to complete evaluation forms in their spare time, and some felt that the new questionnaire was too long and that the evaluations occurred too often. They were particularly interested in feedback on how their comments have helped to further improve teaching. Student evaluations of teaching can provide useful feedback CONCLUSION: Despite evidence of the utility of the tool for individual teachers, implementation of changes to the process of evaluation appears to have been suboptimal, mainly owing to a perceived lack of communication. In order to motivate students to provide evaluation data, feedback loops including aims and consequences should be established. © 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Psychobiological responses to critically evaluated multitasking.

Science.gov (United States)

Wetherell, Mark A; Craw, Olivia; Smith, Kenny; Smith, Michael A

2017-12-01

In order to understand psychobiological responses to stress it is necessary to observe how people react to controlled stressors. A range of stressors exist for this purpose; however, laboratory stressors that are representative of real life situations provide more ecologically valid opportunities for assessing stress responding. The current study assessed psychobiological responses to an ecologically valid laboratory stressor involving multitasking and critical evaluation. The stressor elicited significant increases in psychological and cardiovascular stress reactivity; however, no cortisol reactivity was observed. Other socially evaluative laboratory stressors that lead to cortisol reactivity typically require a participant to perform tasks that involve verbal responses, whilst standing in front of evaluative others. The current protocol contained critical evaluation of cognitive performance; however, this was delivered from behind a seated participant. The salience of social evaluation may therefore be related to the response format of the task and the method of evaluation. That is, the current protocol did not involve the additional vulnerability associated with in person, face-to-face contact, and verbal delivery. Critical evaluation of multitasking provides an ecologically valid technique for inducing laboratory stress and provides an alternative tool for assessing psychological and cardiovascular reactivity. Future studies could additionally use this paradigm to investigate those components of social evaluation necessary for eliciting a cortisol response.

Veterinary and human vaccine evaluation methods

Science.gov (United States)

Knight-Jones, T. J. D.; Edmond, K.; Gubbins, S.; Paton, D. J.

2014-01-01

Despite the universal importance of vaccines, approaches to human and veterinary vaccine evaluation differ markedly. For human vaccines, vaccine efficacy is the proportion of vaccinated individuals protected by the vaccine against a defined outcome under ideal conditions, whereas for veterinary vaccines the term is used for a range of measures of vaccine protection. The evaluation of vaccine effectiveness, vaccine protection assessed under routine programme conditions, is largely limited to human vaccines. Challenge studies under controlled conditions and sero-conversion studies are widely used when evaluating veterinary vaccines, whereas human vaccines are generally evaluated in terms of protection against natural challenge assessed in trials or post-marketing observational studies. Although challenge studies provide a standardized platform on which to compare different vaccines, they do not capture the variation that occurs under field conditions. Field studies of vaccine effectiveness are needed to assess the performance of a vaccination programme. However, if vaccination is performed without central co-ordination, as is often the case for veterinary vaccines, evaluation will be limited. This paper reviews approaches to veterinary vaccine evaluation in comparison to evaluation methods used for human vaccines. Foot-and-mouth disease has been used to illustrate the veterinary approach. Recommendations are made for standardization of terminology and for rigorous evaluation of veterinary vaccines. PMID:24741009

The Evaluation Methodology of Information Support

Directory of Open Access Journals (Sweden)

Lubos Necesal

2016-01-01

Full Text Available Knowledge, information and people are the motive force in today's organizations. Successful organizations need to find the right employees and provide them with the right and highquality information. This is a complex problem. In the world where information plays more and more important role, employees have to be skilled at information activities (searching, processing, saving, etc. of information and information system/-s (IS they work with. Organizations have to cover both these areas. Therefore, we need an effective instrument, which could be used to evaluate new employees within admission or as regular evaluating of current employees, to evaluate information system, whether it is an appropriate tool for fulfilling the employee’s tasks within the organization, and to evaluate how the organization covers the foregoing areas. Such instrument is the “Evaluation methodology of information support in organization”. This paper defines the term “information support“ and its role in organization. The body of the paper proposes the “Evaluation methodology of information support in organization”. The conclusion discusses contributions of information support evaluation

Solar Thermal System Evaluation in China

Directory of Open Access Journals (Sweden)

Xinyu Zhang

2015-01-01

Full Text Available More than 581 solar thermal systems (STSs, 98 counties, and 47 renewable application demonstration cites in China need to be inspected by the end of 2015. In this study, the baseline for performance and economic evaluation of STSs are presented based on the site test data and related references. An index used to evaluate STSs was selected, and methods to acquire the parameters used to calculate the related index were set. The requirements for sensors for testing were specified. The evaluation method was applied to three systems and the result shows that the evaluation method is suitable for the evaluation of STSs in China.

Evaluating financial education initiatives in South Africa: The importance of multiple evaluation approaches

Directory of Open Access Journals (Sweden)

Emily Massey

2016-06-01

Objectives: This study aims to show that, particularly in a South African context, where investment in financial education interventions is mandated by the Financial Sector Codes, impact should not be the only criterion assessed when evaluating financial education projects. Research method and design: This study was informed by a literature review, a synthesis of team experience on a range of financial education projects in South Africa and the development of case studies. Results: Describing the success or failure of a project needs to go beyond impact and explore factors such as project relevance, design and quality. In order to verify these other factors, different types of evaluations are necessary at the various stages of the project’s life-cycle. Conclusion: Expanding the learning objective beyond the exclusive identification of whether financial behaviour was achieved is particularly important where financial education projects, and the monitoring and evaluation thereof, is mandated. In the African context, where resources are scarce, money for monitoring and evaluation should be selectively channelled into determining project relevance, effectiveness, efficiency and then only impact.

Functional Capacity Evaluation Research : Report from the Third International Functional Capacity Evaluation Research Meeting

NARCIS (Netherlands)

James, C. L.; Reneman, M. F.; Gross, D. P.

Introduction Functional capacity evaluations are an important component of many occupational rehabilitation programs and can play a role in facilitating reintegration to work thus improving health and disability outcomes. The field of functional capacity evaluation (FCE) research has continued to

Meta–Evaluation in the Higher Education Agenda

Directory of Open Access Journals (Sweden)

Susana Marcipar Katz

2017-11-01

Full Text Available Based on the impact of learning assessment on educational processes, the idea of assessing learning evaluations to turn evaluation into a tool for change in education becomes relevant (Ravela,2009. This article intends to communicate the methodological design to apply a meta–evaluation on two subjects, English for Special Purposes and Basic Mathematics, which belong to the Accounting studies at Universidad Nacional del Litoral. The investigative objective is to evaluate the learning evaluations, i.e. meta–evaluation, in the above mentioned subjects to reach two goals. On the one hand, identify the reinforcement or changes necessary to improve the quality of the evaluation processes so that they become evaluation as learning, evaluation for learning and evaluation of learning. On the other hand, determine the epistemological, didactic, cultural and technological conditions adequate to promote the improvement of teaching and learning in those subjects. The complete methodological design has the characteristics of an illuminative evaluation (Parlett and Hamilton, 1972, which assumes a research line oriented to discovery and application (Arnal et ál., 1992. The meta–evaluation design presented here can become an institutional strategy for academic decision–making that envisages the continuous construction of a culture of self–reflection on learning quality.

Computer-implemented security evaluation methods, security evaluation systems, and articles of manufacture