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Sample records for two-round delphi study

  1. Cultural Adequecy of the Care Dependency Scale for Older Persons in Egypt : A Delphi Study

    NARCIS (Netherlands)

    Boggatz, Thomas; Farid, Tamer; Dijkstra, Ate; Lohrmann, Christa; Dassen, T.

    Purpose: The aim of this study is to determine the cultural adequateness of the Arabic version of the Care Dependency Scale (CDS), an internationally used instrument to measure care needs by either self-reports or external assessment. Method: A Delphi study in two rounds about the Arabic version was

  2. Cultural Adequecy of the Care Dependency Scale for Older Persons in Egypt : A Delphi Study

    NARCIS (Netherlands)

    Boggatz, Thomas; Farid, Tamer; Dijkstra, Ate; Lohrmann, Christa; Dassen, T.

    2009-01-01

    Purpose: The aim of this study is to determine the cultural adequateness of the Arabic version of the Care Dependency Scale (CDS), an internationally used instrument to measure care needs by either self-reports or external assessment. Method: A Delphi study in two rounds about the Arabic version was

  3. Nursing diagnoses (NANDA-I) in hematology-oncology: a Delphi-study

    NARCIS (Netherlands)

    Speksnijder, H.T.; Mank, A.P.; Achterberg, T. van

    2011-01-01

    PURPOSE: To identify NANDA-I diagnoses that are most relevant to hematology-oncology nursing in Europe. METHODS: In a two-round, electronic, quantitative Delphi study, 28 experts from nine European countries assessed the relevance of NANDA-I diagnoses and health problems. FINDINGS: This study identi

  4. Nursing diagnoses (NANDA-I) in hematology-oncology: a Delphi-study

    NARCIS (Netherlands)

    Speksnijder, H.T.; Mank, A.P.; Achterberg, T. van

    2011-01-01

    PURPOSE: To identify NANDA-I diagnoses that are most relevant to hematology-oncology nursing in Europe. METHODS: In a two-round, electronic, quantitative Delphi study, 28 experts from nine European countries assessed the relevance of NANDA-I diagnoses and health problems. FINDINGS: This study identi

  5. Assessment of critical thinking: a Delphi study.

    Science.gov (United States)

    Paul, Sheila A

    2014-11-01

    Nurse educators are responsible for preparing nurses who critically analyze patient information and provide meaningful interventions in today's complex health care system. By using the Delphi research method, this study, utilized the specialized and experiential knowledge of Certified Nurse Educators. This original Delphi research study asked Certified Nurse Educators how to assess the critical-thinking ability of nursing students in the clinical setting. The results showed that nurse educators need time, during the clinical experience, to accurately assess each individual nursing student. This study demonstrated the need for extended student clinical time, and a variety of clinical learning assessment tools.

  6. Core competencies for UK occupational health nurses: a Delphi study.

    Science.gov (United States)

    Lalloo, D; Demou, E; Kiran, S; Gaffney, M; Stevenson, M; Macdonald, E B

    2016-11-01

    Occupational health nurses (OHNs) play a pivotal role in the delivery of occupational health (OH) services. Specific competency guidance has been developed in a number of countries, including the UK. While it is acknowledged that UK OHN practice has evolved in recent years, there has been no formal research to capture these developments to ensure that training and curricula remain up-to-date and reflect current practice. To identify current priorities among UK OHNs of the competencies required for OH practice. A modified Delphi study undertaken among representative OHN networks in the UK. This formed part of a larger study including UK and international occupational physicians. The study was conducted in two rounds using a questionnaire based on available guidance on training competencies for OH practice, the published literature, expert panel reviews and conference discussions. Consensus among OHNs was high with 7 out of the 12 domains scoring 100% in rating. 'Good clinical care' was the principal domain ranked most important, followed by 'general principles of assessment & management of occupational hazards to health'. 'Research methods' and 'teaching & educational supervision' were considered least important. This study has established UK OHNs' current priorities on the competencies required for OH practice. The timing of this paper is opportune with the formal launch of the Faculty of Occupational Health Nursing planned in 2018 and should inform the development of competency requirements as part of the Faculty's goals for standard setting in OHN education and training.

  7. Core competencies for UK occupational health nurses: a Delphi study

    Science.gov (United States)

    Demou, E.; Kiran, S.; Gaffney, M.; Stevenson, M.; Macdonald, E. B.

    2016-01-01

    Background Occupational health nurses (OHNs) play a pivotal role in the delivery of occupational health (OH) services. Specific competency guidance has been developed in a number of countries, including the UK. While it is acknowledged that UK OHN practice has evolved in recent years, there has been no formal research to capture these developments to ensure that training and curricula remain up-to-date and reflect current practice. Aims To identify current priorities among UK OHNs of the competencies required for OH practice. Methods A modified Delphi study undertaken among representative OHN networks in the UK. This formed part of a larger study including UK and international occupational physicians. The study was conducted in two rounds using a questionnaire based on available guidance on training competencies for OH practice, the published literature, expert panel reviews and conference discussions. Results Consensus among OHNs was high with 7 out of the 12 domains scoring 100% in rating. ‘Good clinical care’ was the principal domain ranked most important, followed by ‘general principles of assessment & management of occupational hazards to health’. ‘Research methods’ and ‘teaching & educational supervision’ were considered least important. Conclusions This study has established UK OHNs’ current priorities on the competencies required for OH practice. The timing of this paper is opportune with the formal launch of the Faculty of Occupational Health Nursing planned in 2018 and should inform the development of competency requirements as part of the Faculty’s goals for standard setting in OHN education and training. PMID:27492470

  8. Reference Materials in LIS Instruction: A Delphi Study

    Science.gov (United States)

    Rabina, Debbie

    2013-01-01

    This paper presents the results of a Delphi study conducted over a two-month period in 2011. The purpose of the study was to identify reference sources that should be covered in basic reference courses taught in LIS programs in the United States. The Delphi method was selected for its appropriateness in soliciting expert opinions and assessing the…

  9. Career and Technical Education at a Crossroads: A Delphi Study

    Science.gov (United States)

    Cutright, Michael W.

    2011-01-01

    Career and technical education in the United States has reached a critical juncture. A three round Delphi method was used to determine a consensus on the future events of career and technical education to better inform educational decision makers. Forty-one individual experts in the field were invited to serve as panelists for the Delphi study and…

  10. Determination of problematic ICD-9-CM subcategories for further study of coding performance: Delphi method.

    Science.gov (United States)

    Zeng, Xiaoming; Bell, Paul D

    2011-01-01

    In this study, we report on a qualitative method known as the Delphi method, used in the first part of a research study for improving the accuracy and reliability of ICD-9-CM coding. A panel of independent coding experts interacted methodically to determine that the three criteria to identify a problematic ICD-9-CM subcategory for further study were cost, volume, and level of coding confusion caused. The Medicare Provider Analysis and Review (MEDPAR) 2007 fiscal year data set as well as suggestions from the experts were used to identify coding subcategories based on cost and volume data. Next, the panelists performed two rounds of independent ranking before identifying Excisional Debridement as the subcategory that causes the most confusion among coders. As a result, they recommended it for further study aimed at improving coding accuracy and variation. This framework can be adopted at different levels for similar studies in need of a schema for determining problematic subcategories of code sets.

  11. Specialty Training's Organizational Readiness for curriculum Change (STORC): development of a questionnaire in a Delphi study.

    Science.gov (United States)

    Bank, Lindsay; Jippes, Mariëlle; van Luijk, Scheltus; den Rooyen, Corry; Scherpbier, Albert; Scheele, Fedde

    2015-08-05

    In postgraduate medical education (PGME), programs have been restructured according to competency-based frameworks. The scale and implications of these adjustments justify a comprehensive implementation plan. Organizational Readiness for Change (ORC) is seen as a critical precursor for a successful implementation of change initiatives. Though, ORC in health care settings is mostly assessed in small scale settings and in relation to new policies and practices rather than educational change. Therefore our aim with this work was to develop an instrument to asses Specialty Training's Organizational Readiness for curriculum Change (STORC). A Delphi procedure was conducted to examine the applicability of a preliminary questionnaire in PGME, which was based on existing instruments designed for business and health care organizations. The 41 panellists (19 trainees and 22 supervisors from 6 specialties) from four different countries who were confronted with an apparent curriculum change, or would be in the near future, were asked to rate the relevance of a 89-item web-based questionnaire with regard to changes in specialty training on a 5-point Likert scale. Furthermore, they were invited to make qualitative comments on the items. In two rounds the 89-item preliminary questionnaire was reduced to 44 items. Items were either removed, kept, adapted or added based on individual item scores and qualitative comments. In the absence of a gold standard, this Delphi procedure was considered complete when the overall questionnaire rating exceeded 4.0 (scale 0-5). The overall item score reached 4.1 in the second round, meeting our criteria for completion of this Delphi procedure. This Delphi study describes the initial validating step in the development of an instrument to asses Specialty Training's Organisational Readiness for curriculum Change (STORC). Since ORC is measured on various subscales and presented as such, its strength lies in analysing these subscales. The latter makes

  12. Evaluation of Nine Consensus Indices in Delphi Foresight Research and Their Dependency on Delphi Survey Characteristics: A Simulation Study and Debate on Delphi Design and Interpretation

    Science.gov (United States)

    Birko, Stanislav; Dove, Edward S.; Özdemir, Vural

    2015-01-01

    The extent of consensus (or the lack thereof) among experts in emerging fields of innovation can serve as antecedents of scientific, societal, investor and stakeholder synergy or conflict. Naturally, how we measure consensus is of great importance to science and technology strategic foresight. The Delphi methodology is a widely used anonymous survey technique to evaluate consensus among a panel of experts. Surprisingly, there is little guidance on how indices of consensus can be influenced by parameters of the Delphi survey itself. We simulated a classic three-round Delphi survey building on the concept of clustered consensus/dissensus. We evaluated three study characteristics that are pertinent for design of Delphi foresight research: (1) the number of survey questions, (2) the sample size, and (3) the extent to which experts conform to group opinion (the Group Conformity Index) in a Delphi study. Their impacts on the following nine Delphi consensus indices were then examined in 1000 simulations: Clustered Mode, Clustered Pairwise Agreement, Conger’s Kappa, De Moivre index, Extremities Version of the Clustered Pairwise Agreement, Fleiss’ Kappa, Mode, the Interquartile Range and Pairwise Agreement. The dependency of a consensus index on the Delphi survey characteristics was expressed from 0.000 (no dependency) to 1.000 (full dependency). The number of questions (range: 6 to 40) in a survey did not have a notable impact whereby the dependency values remained below 0.030. The variation in sample size (range: 6 to 50) displayed the top three impacts for the Interquartile Range, the Clustered Mode and the Mode (dependency = 0.396, 0.130, 0.116, respectively). The Group Conformity Index, a construct akin to measuring stubbornness/flexibility of experts’ opinions, greatly impacted all nine Delphi consensus indices (dependency = 0.200 to 0.504), except the Extremity CPWA and the Interquartile Range that were impacted only beyond the first decimal point (dependency

  13. Evaluation of Nine Consensus Indices in Delphi Foresight Research and Their Dependency on Delphi Survey Characteristics: A Simulation Study and Debate on Delphi Design and Interpretation.

    Science.gov (United States)

    Birko, Stanislav; Dove, Edward S; Özdemir, Vural

    2015-01-01

    The extent of consensus (or the lack thereof) among experts in emerging fields of innovation can serve as antecedents of scientific, societal, investor and stakeholder synergy or conflict. Naturally, how we measure consensus is of great importance to science and technology strategic foresight. The Delphi methodology is a widely used anonymous survey technique to evaluate consensus among a panel of experts. Surprisingly, there is little guidance on how indices of consensus can be influenced by parameters of the Delphi survey itself. We simulated a classic three-round Delphi survey building on the concept of clustered consensus/dissensus. We evaluated three study characteristics that are pertinent for design of Delphi foresight research: (1) the number of survey questions, (2) the sample size, and (3) the extent to which experts conform to group opinion (the Group Conformity Index) in a Delphi study. Their impacts on the following nine Delphi consensus indices were then examined in 1000 simulations: Clustered Mode, Clustered Pairwise Agreement, Conger's Kappa, De Moivre index, Extremities Version of the Clustered Pairwise Agreement, Fleiss' Kappa, Mode, the Interquartile Range and Pairwise Agreement. The dependency of a consensus index on the Delphi survey characteristics was expressed from 0.000 (no dependency) to 1.000 (full dependency). The number of questions (range: 6 to 40) in a survey did not have a notable impact whereby the dependency values remained below 0.030. The variation in sample size (range: 6 to 50) displayed the top three impacts for the Interquartile Range, the Clustered Mode and the Mode (dependency = 0.396, 0.130, 0.116, respectively). The Group Conformity Index, a construct akin to measuring stubbornness/flexibility of experts' opinions, greatly impacted all nine Delphi consensus indices (dependency = 0.200 to 0.504), except the Extremity CPWA and the Interquartile Range that were impacted only beyond the first decimal point (dependency = 0

  14. Evaluation of Nine Consensus Indices in Delphi Foresight Research and Their Dependency on Delphi Survey Characteristics: A Simulation Study and Debate on Delphi Design and Interpretation.

    Directory of Open Access Journals (Sweden)

    Stanislav Birko

    Full Text Available The extent of consensus (or the lack thereof among experts in emerging fields of innovation can serve as antecedents of scientific, societal, investor and stakeholder synergy or conflict. Naturally, how we measure consensus is of great importance to science and technology strategic foresight. The Delphi methodology is a widely used anonymous survey technique to evaluate consensus among a panel of experts. Surprisingly, there is little guidance on how indices of consensus can be influenced by parameters of the Delphi survey itself. We simulated a classic three-round Delphi survey building on the concept of clustered consensus/dissensus. We evaluated three study characteristics that are pertinent for design of Delphi foresight research: (1 the number of survey questions, (2 the sample size, and (3 the extent to which experts conform to group opinion (the Group Conformity Index in a Delphi study. Their impacts on the following nine Delphi consensus indices were then examined in 1000 simulations: Clustered Mode, Clustered Pairwise Agreement, Conger's Kappa, De Moivre index, Extremities Version of the Clustered Pairwise Agreement, Fleiss' Kappa, Mode, the Interquartile Range and Pairwise Agreement. The dependency of a consensus index on the Delphi survey characteristics was expressed from 0.000 (no dependency to 1.000 (full dependency. The number of questions (range: 6 to 40 in a survey did not have a notable impact whereby the dependency values remained below 0.030. The variation in sample size (range: 6 to 50 displayed the top three impacts for the Interquartile Range, the Clustered Mode and the Mode (dependency = 0.396, 0.130, 0.116, respectively. The Group Conformity Index, a construct akin to measuring stubbornness/flexibility of experts' opinions, greatly impacted all nine Delphi consensus indices (dependency = 0.200 to 0.504, except the Extremity CPWA and the Interquartile Range that were impacted only beyond the first decimal point

  15. Research Areas in Distance Education: A Delphi Study

    Science.gov (United States)

    Zawacki-Richter, Olaf

    2009-01-01

    This study had three purposes: Firstly, to develop a categorization of research areas in distance education; secondly, to identify the most important research areas in distance education; and thirdly, to identify the most neglected research areas in distance education. Based on a literature review and a Delphi study, three broad levels or…

  16. Open Educational Resources: A Delphi Study of Instructional Design Quality

    Science.gov (United States)

    Emerson, Marnice K.

    2013-01-01

    The purpose of this modified Delphi research study was to investigate instructional designers' beliefs about the instructional strategies and activities to be included in a universal framework for designing quality, self-directed, multimedia, open educational resources (OERs). With the rapid growth of availability and use of OERs by a widely…

  17. Determinants of forward stage transitions : a Delphi study

    NARCIS (Netherlands)

    De Vet, E; Brug, J; De Nooijer, J; Dijkstra, A; De Vries, NK

    2005-01-01

    Insight into stage transition determinants is necessary to develop and evaluate stage-tailored health-promoting interventions. A three-round Delphi study among stages of change researchers was conducted to make an inventory of opinions and examine agreement on determinants of forward transitions bet

  18. Establishing a Research Agenda for Art Therapy: A Delphi Study

    Science.gov (United States)

    Kaiser, Donna; Deaver, Sarah

    2013-01-01

    Art therapy in the United States is a young profession that would benefit from an identified research agenda to marshal resources more effectively to address gaps in the knowledge base. This article describes a Delphi study of U.S. art therapy researchers who were surveyed on research priorities for the profession. The research panelists were…

  19. Identifying Threshold Concepts for Information Literacy: A Delphi Study

    Science.gov (United States)

    Townsend, Lori; Hofer, Amy R.; Hanick, Silvia Lin; Brunetti, Korey

    2016-01-01

    This study used the Delphi method to engage expert practitioners on the topic of threshold concepts--core ideas and processes in a discipline that students need to grasp in order to progress in their learning, but that are often unspoken or unrecognized by expert practitioners--for information literacy. A panel of experts considered two questions:…

  20. Establishing a Research Agenda for Art Therapy: A Delphi Study

    Science.gov (United States)

    Kaiser, Donna; Deaver, Sarah

    2013-01-01

    Art therapy in the United States is a young profession that would benefit from an identified research agenda to marshal resources more effectively to address gaps in the knowledge base. This article describes a Delphi study of U.S. art therapy researchers who were surveyed on research priorities for the profession. The research panelists were…

  1. A Delphi Study to Update CTE Teacher Competencies

    Science.gov (United States)

    Manley, R. Adam; Zinser, Richard

    2012-01-01

    Purpose: The purpose of this project was to create a contemporary taxonomy of Career and Technical Education (CTE) teacher competencies in order to evaluate and improve CTE teacher education. Design/methodology/approach: This study utilized a modified Delphi technique with a large sample of CTE experts--teachers, administrators, and…

  2. Helping Competencies of Student Affairs Professionals: A Delphi Study

    Science.gov (United States)

    Reynolds, Amy L.

    2011-01-01

    The purpose of this study was to gather student affairs professionals' perceptions of the knowledge and skills needed to effectively help students. Using the Delphi method, 159 entry-level and mid-level student affairs administrators from institutions across the United States were surveyed regarding their perceptions of the helping skills they use…

  3. A Delphi Study: The Characteristics of Democratic Schools

    Science.gov (United States)

    Korkmaz, H. Eylem; Erden, Münire

    2014-01-01

    The authors aim to identify characteristics of democratic schools. The Delphi technique used in this study is based on attaining a consensus among a group of experts over 3 rounds with 22 experts from 9 countries participating in the first round. By the end of the third round, 339 items referring to democratic school characteristics were…

  4. [Delphi study to identify the management skills of nursing executives].

    Science.gov (United States)

    Yañez, M R; Avila, J A; Bermudez, M I; De Miguel, I; Bellver, V; Guilabert, M; Mira, J J

    2016-01-01

    To determine and update the skills map for the position of Nurse Administrator in hospitals and Primary Care. An observational, descriptive, cross-sectional study based on a Delphi technique was conducted in hospital and Primary Care settings. Two nominal groups with 15 nurses each were used to define the contents of the questionnaire 0 in the Delphi technique. All nurses registered in the professional associations of Alicante, Castellón and Valencia were invited to participate. The results of the Delphi study was submitted to factor analysis to identify the set of skills and, subsequently, compare them with the offer of post-graduate course in colleges and universities during the 2014-15 academic year. Forty-five competences were extracted during the Nominal groups. In total, 705 nurses replied to the first wave in the Delphi Technique, and 394 in the second (response rate of 56%). Factorial analysis grouped the skills chosen into 10 factors: managing people, conflict management, independent learning, ethics, emotional balance, commitment, self-discipline, continuous improvement, critical-thinking, and innovation. Four skills groups identified in this study (emotional balancing, commitment, self-discipline and courage) were not usually included in the post-graduate courses The nurse administrator skills should be related to relational and ethical behaviour. The training offer of the post-graduate courses must be reoriented. Copyright © 2015 SECA. Published by Elsevier Espana. All rights reserved.

  5. The Delphi Method as a Useful Tool to Study Governance and Protected Areas?

    NARCIS (Netherlands)

    Mehnen, Nora; Mose, Ingo; Strijker, Dirk

    2013-01-01

    The Delphi method is a systematic, interactive, written method, which relies on a panel of experts. This paper seeks to discuss whether the Delphi method is an appropriate method for obtaining information about governance. In this study we used the Delphi method to assemble information from 10 profe

  6. Expert opinion on detecting and treating depression in palliative care: A Delphi study

    Directory of Open Access Journals (Sweden)

    Hotopf Matthew

    2011-05-01

    Full Text Available Abstract Background There is a dearth of data regarding the optimal method of detecting and treating depression in palliative care. This study applied the Delphi method to evaluate expert opinion on choice of screening tool, choice of antidepressant and choice of psychological therapy. The aim was to inform the development of best practice recommendations for the European Palliative Care Research Collaborative clinical practice guideline on managing depression in palliative care. Methods 18 members of an international, multi-professional expert group completed a structured questionnaire in two rounds, rating their agreement with proposed items on a scale from 0-10 and annotating with additional comments. The median and range were calculated to give a statistical average of the experts' ratings. Results There was contention regarding the benefits of screening, with 'routine informal asking' (median 8.5 (0-10 rated more highly than formal screening tools such as the Hospital Anxiety and Depression Scale (median 7.0 (1-10. Mirtazapine (median 9 (7-10 and citalopram (median 9 (5-10 were the considered the best choice of antidepressant and cognitive behavioural therapy (median 9.0 (3-10 the best choice of psychological therapy. Conclusions The range of expert ratings was broad, indicating discordance in the views of experts. Direct comparative data from randomised controlled trials are needed to strengthen the evidence-base and achieve clarity on how best to detect and treat depression in this setting.

  7. Barriers to using consumer science information in food technology innovations: An exploratory study using Delphi methodology

    Directory of Open Access Journals (Sweden)

    Marian E. Raley

    2016-04-01

    Full Text Available Food technology innovation has the potential to deliver many benefits to society, although some technologies have been problematic in terms of public acceptance. In promoting the commercial success of innovative technological processes and resultant products it will be important to incorporate information relating to consumer preferences and concerns during their development. The barriers to the utilisation of consumer information during technological development was explored using a two round Delphi study involving 75 experts with an interest in new food technology (food technologists and consumer scientists. There was overall agreement that consumer information should be used in technology implementation and product design, and that good communication between key actors at pivotal stages during the development of new food technologies and products was important. However disciplinary differences were perceived to be a barrier to communication, as were difficulties associated with producing consumer information usable by food technologists. A strategy to improve inter-disciplinary communication is proposed, involving the creation of multi-disciplinary teams working together throughout the development project’s duration, including those with interdisciplinary experience. Deficiencies in the specification of the information required from consumer scientists need to be overcome. Consumer science results need to be concrete and presented as salient to and usable by food technologists.

  8. Verification of a Quality Management Theory: Using a Delphi Study

    OpenAIRE

    Ali Mohammad Mosadeghrad

    2013-01-01

    BackgroundA model of quality management called Strategic Collaborative Quality Management (SCQM) model was developed based on the quality management literature review, the findings of a survey on quality management assessment in healthcare organisations, semi-structured interviews with healthcare stakeholders, and a Delphi study on healthcare quality management experts. The purpose of this study was to verify the SCQM model. MethodsThe proposed model was further developed using feedback from ...

  9. Air Base Wing and Air Mobility Wing Consolidating on AMC-LED Joint Bases: A Delphi Study

    Science.gov (United States)

    2014-06-13

    Delphi Method ....................................................................................................... 16 The Likert Scale...highlighting the results of this study and making recommendations for future research. 16 II. Literature Review The Delphi Method ...available to incorporate massive amounts of information to predict the future is the Delphi method . The Delphi method could be used to evaluate a

  10. Measuring organisational readiness for patient engagement (MORE): an international online Delphi consensus study.

    Science.gov (United States)

    Oostendorp, Linda J M; Durand, Marie-Anne; Lloyd, Amy; Elwyn, Glyn

    2015-02-14

    Widespread implementation of patient engagement by organisations and clinical teams is not a reality yet. The aim of this study is to develop a measure of organisational readiness for patient engagement designed to monitor and facilitate a healthcare organisation's willingness and ability to effectively implement patient engagement in healthcare. The development of the MORE (Measuring Organisational Readiness for patient Engagement) scale was guided by Weiner's theory of organisational readiness for change. Weiner postulates that an organisation's readiness is determined by both the willingness and ability to implement the change (i.e. in this context: patient engagement). A first version of the scale was developed based on a literature search and evaluation of pre-existing tools. We invited multi-disciplinary stakeholders to participate in a two-round online Delphi survey. Respondents were asked to rate the importance of each proposed item, and to comment on the proposed domains and items. Second round participants received feedback from the first round and were asked to re-rate the importance of the revised, new and unchanged items, and to provide comments. The first version of the scale contained 51 items divided into three domains: (1) Respondents' characteristics; (2) the organisation's willingness to implement patient engagement; and (3) the organisation's ability to implement patient engagement. 131 respondents from 16 countries (health care managers, policy makers, clinicians, patients and patient representatives, researchers, and other stakeholders) completed the first survey, and 72 of them also completed the second survey. During the Delphi process, 34 items were reworded, 8 new items were added, 5 items were removed, and 18 were combined. The scale's instructions were revised. The final version of MORE totalled 38 items; 5 on stakeholders, 13 on an organisation's willingness to implement, and 20 on an organisation's ability to implement patient

  11. [Study on commercial specification of atractylodes based on Delphi method].

    Science.gov (United States)

    Wang, Hao; Chen, Li-Xiao; Huang, Lu-Qi; Zhang, Tian-Tian; Li, Ying; Zheng, Yu-Guang

    2016-03-01

    This research adopts "Delphi method" to evaluate atractylodes traditional traits and rank correlation. By using methods of mathematical statistics the relationship of the traditional identification indicators and atractylodes goods rank correlation was analyzed, It is found that the main characteristics affectingatractylodes commodity specifications and grades of main characters wereoil points of transaction,color of transaction,color of surface,grain of transaction,texture of transaction andspoilage. The study points out that the original "seventy-six kinds of medicinal materials commodity specification standards of atractylodes differentiate commodity specification" is not in conformity with the actual market situation, we need to formulate corresponding atractylodes medicinal products specifications and grades.This study combined with experimental results "Delphi method" and the market actual situation, proposed the new draft atractylodes commodity specifications and grades, as the new atractylodes commodity specifications and grades standards. It provides a reference and theoretical basis. Copyright© by the Chinese Pharmaceutical Association.

  12. Defining an anaesthetic curriculum for medical undergraduates. A Delphi study.

    LENUS (Irish Health Repository)

    Rohan, Denise

    2009-01-01

    Anaesthesia is commonly taught to medical students. The duration and content of such teaching varies however and no consensus exists as to what constitutes an optimal curriculum. Anaesthetists possess the necessary knowledge and skills and operate in clinical settings suitable to provide training for medical undergraduates, especially in areas where deficiencies have been identified. This Delphi study was directed towards developing a consensus on an optimal anaesthesia, intensive care and pain medicine curriculum for medical undergraduates.

  13. Identifying Threshold Concepts for Information Literacy: A Delphi Study

    Directory of Open Access Journals (Sweden)

    Lori Townsend

    2016-06-01

    Full Text Available This study used the Delphi method to engage expert practitioners on the topic of threshold concepts for information literacy. A panel of experts considered two questions. First, is the threshold concept approach useful for information literacy instruction? The panel unanimously agreed that the threshold concept approach holds potential for information literacy instruction. Second, what are the threshold concepts for information literacy instruction? The panel proposed and discussed over fifty potential threshold concepts, finally settling on six information literacy threshold concepts.

  14. Consensus and controversies in the definition, assessment, treatment and monitoring of BTcP: results of a Delphi study.

    Science.gov (United States)

    Boceta, J; De la Torre, A; Samper, D; Farto, M; Sánchez-de la Rosa, R

    2016-11-01

    There is no unanimous consensus on the clinical features to define breakthrough cancer pain (BTcP). The current project aimed to investigate the opinion of a panel of experts on cancer pain on how to define, diagnose, assess, treat and monitor BTcP. A two-round Spanish multi-centre exploratory Delphi study was conducted with medical experts (n = 90) previously selected from Medical Oncology Services, Radiation Oncology, Palliative Care/Home Care Teams, and Pain Units. The study intended to seek experts' consensus and to define a set of recommendations for the management of BTcP. It was generally agreed that, definition of BTcP implies that baseline pain should be controlled (84 %), although not necessarily with opioids (only 30 %); there must be exacerbations (98.9 %); the duration of each episode should last <1 h (70 %); the intensity of pain ≥7 out of 10 (67.8 %); and the number of flares per day should not be less than four. All participants supported the use of the Davies algorithm for the diagnosis. The use of a 'Patient Diary' was highly recommended. The optimal treatment should have a rapid onset, a short-acting analgesic effect (1-2 h) and transmucosal nasal or oral administration. It was considered very important to develop protocols for the management of cancer pain. The present Delphi study identified a set of recommendations to define, assess and monitor BTcP.

  15. Identifying the features of an exercise addiction: A Delphi study.

    Science.gov (United States)

    Macfarlane, Lucy; Owens, Glynn; Cruz, Borja Del Pozo

    2016-09-01

    Objectives There remains limited consensus regarding the definition and conceptual basis of exercise addiction. An understanding of the factors motivating maintenance of addictive exercise behavior is important for appropriately targeting intervention. The aims of this study were twofold: first, to establish consensus on features of an exercise addiction using Delphi methodology and second, to identify whether these features are congruous with a conceptual model of exercise addiction adapted from the Work Craving Model. Methods A three-round Delphi process explored the views of participants regarding the features of an exercise addiction. The participants were selected from sport and exercise relevant domains, including physicians, physiotherapists, coaches, trainers, and athletes. Suggestions meeting consensus were considered with regard to the proposed conceptual model. Results and discussion Sixty-three items reached consensus. There was concordance of opinion that exercising excessively is an addiction, and therefore it was appropriate to consider the suggestions in light of the addiction-based conceptual model. Statements reaching consensus were consistent with all three components of the model: learned (negative perfectionism), behavioral (obsessive-compulsive drive), and hedonic (self-worth compensation and reduction of negative affect and withdrawal). Conclusions Delphi methodology allowed consensus to be reached regarding the features of an exercise addiction, and these features were consistent with our hypothesized conceptual model of exercise addiction. This study is the first to have applied Delphi methodology to the exercise addiction field, and therefore introduces a novel approach to exercise addiction research that can be used as a template to stimulate future examination using this technique.

  16. Study of gluon fragmentation and colour octet neutralization in DELPHI

    CERN Document Server

    Buschbeck, Brigitte

    2002-01-01

    Using the full statistics of the DELPHI experiment at $\\sqrt{s}=91 GeV$ 3-jet events are selected and gluon respectively quark jet enriched subsamples are defined. The leading systems of the two kinds of jets are determined using rapidity gaps. The sum of charges of the leading systems is studied. It is found that for gluon-jets there is a significant excess of leading systems with total charge zero when compared to Monte Carlo simulations with JETSET. The corresponding leading systems of quark-jets do not exhibit such an excess. The mass spectra of the leading systems with total charge zero are studied.

  17. Operationalising elaboration theory for simulation instruction design: a Delphi study.

    Science.gov (United States)

    Haji, Faizal A; Khan, Rabia; Regehr, Glenn; Ng, Gary; de Ribaupierre, Sandrine; Dubrowski, Adam

    2015-06-01

    The aim of this study was to assess the feasibility of incorporating the Delphi process within the simplifying conditions method (SCM) described in elaboration theory (ET) to identify conditions impacting the complexity of procedural skills for novice learners. We generated an initial list of conditions impacting the complexity of lumbar puncture (LP) from key informant interviews (n = 5) and a literature review. Eighteen clinician-educators from six different medical specialties were subsequently recruited as expert panellists. Over three Delphi rounds, these panellists rated: (i) their agreement with the inclusion of the simple version of the conditions in a representative ('epitome') training scenario, and (ii) how much the inverse (complex) version increases LP complexity for a novice. Cronbach's α-values were used to assess inter-rater agreement. All panellists completed Rounds 1 and 2 of the survey and 17 completed Round 3. In Round 1, Cronbach's α-values were 0.89 and 0.94 for conditions that simplify and increase LP complexity, respectively; both values increased to 0.98 in Rounds 2 and 3. With the exception of 'high CSF (cerebral spinal fluid) pressure', panellists agreed with the inclusion of all conditions in the simplest (epitome) training scenario. Panellists rated patient movement, spinal anatomy, patient cooperativeness, body habitus, and the presence or absence of an experienced assistant as having the greatest impact on the complexity of LP. This study demonstrated the feasibility of using expert consensus to establish conditions impacting the complexity of procedural skills, and the benefits of incorporating the Delphi method into the SCM. These data can be used to develop and sequence simulation scenarios in a progressively challenging manner. If the theorised learning gains associated with ET are realised, the methods described in this study may be applied to the design of simulation training for other procedural and non-procedural skills

  18. An international Delphi study examining health promotion and health education in nursing practice, education and policy.

    Science.gov (United States)

    Whitehead, Dean

    2008-04-01

    To arrive at an expert consensus in relation to health promotion and health education constructs as they apply to nursing practice, education and policy. Nursing has often been maligned and criticized, both inside and outside of the profession, for its ability to understand and conduct effective health promotion and health education-related activities. In the absence of an expert-based consensus, nurses may find it difficult to progress beyond the current situation. In the absence of any previously published nursing-related consensus research, this study seeks to fill that knowledge-gap. A two-round Delphi technique via email correspondence. A first-round qualitative questionnaire used open-ended questions for defining health promotion and health education. This was both in general terms and as participants believed these concepts related to the clinical, theoretical (academic/educational) and the policy (political) setting in nursing. Line-by-line qualitative content and thematic analysis of the first-round data generated 13 specific categories. These categories contained 134 statement items. The second-round questionnaire comprised the identified 134 statements. Using a five-point Likert scale (ranging from 1 = strongly disagree to 5 = strongly agree) participants scored and rated their level of agreement/disagreement against the listed items. Data from the second-round was descriptively analysed according to distribution and central tendency measures. An expert consensus was reached on 65 of the original 134 statements. While some minor contradiction was demonstrated, strong consensus emerged around the issues of defining health promotion and health education and the emergence of a wider health promotion and health education role for nursing. No consensus was reached on only one of the 13 identified topic categories - that of 'nurses working with other disciplines and agencies in a health education and health promotion role.' This study provides a hitherto

  19. Investigating Adaptive Grieving Styles: A Delphi Study

    Science.gov (United States)

    Doughty, Elizabeth A.

    2009-01-01

    There has been an evolution in the understanding of the nature of grief since S. Freud's initial work, Mourning and Melancholia (1917/1953). Mental health practitioners and researchers have established new models to aid in the conceptualization and treatment of grief issues. The purpose of this study was to examine the opinions of experts in the…

  20. Investigating Adaptive Grieving Styles: A Delphi Study

    Science.gov (United States)

    Doughty, Elizabeth A.

    2009-01-01

    There has been an evolution in the understanding of the nature of grief since S. Freud's initial work, Mourning and Melancholia (1917/1953). Mental health practitioners and researchers have established new models to aid in the conceptualization and treatment of grief issues. The purpose of this study was to examine the opinions of experts in the…

  1. Development of a questionnaire to assess the factors associated with clinical learning of nursing students: A Delphi study

    Directory of Open Access Journals (Sweden)

    M Emami Maybodi

    2015-03-01

    Full Text Available Introduction : Inhibiting factors in clinical learning of nursing students cause a huge gap between the optimum and the current situation in performance of the graduates . Due to the lack of a comprehensive and reliable tool for the identification of these factors in Iran , this study aimed to develop a scale to assess the related items to nursing students’ clinical learning.   Methods : This descriptive study used Delphi approach to assess factors associated with clinical learning of nursing students in nursing schools of Yazd province in 2013 . The expert panel includes all registrars in nursing faculties, nursing clinical tutors, nursing personnel involved in education and years three and four nursing students. In the first round of Delphi, data collection tool was a structured questionnaire with 82 item s and an open question for additional suggestions.   Sampling method in those with responsibility was purposive, due to their limited number, and in other groups was random. Sample size was 48 of whom 41 agreed to participate in the study. According to the Delphi process, scope and scale of items were studied by 41 members of the panel t o reach over than 75% consensus. The collected data were analyzed by SPSS V 17.0 software using various analytic tests .   Results : Consensus on the questionnaire items was obtained during the two- round Delphi, and in the final questionnaire, the percentage of agreement between expert panel reached 79.85 %. Panel members came to agreement on factors associated with clinical learning questionnaire consisted 89 items in seven domains of educational planning (79.94% , evaluation (76.21%, resources and regulation of clinical environment (81.17%, professional communications (81.25%, clinical instructor (82/62, clinical instructor teaching methods (81.25% and student learning (81.91% .   Conclusion : The clinical learning factors questionnaire for nursing students, with 79.85% consensus of the expert panel

  2. Core Competencies in Geriatric Dentistry Fellowship Programs: a Delphi Study.

    Science.gov (United States)

    Hogue, Christie M; Andrade, Allen D; Ruiz, Jorge G; Gibson, Gretchen

    2016-07-01

    The healthcare workforce is challenged with preparing for the increasing number of older persons and complexities of their healthcare needs. Fellowship trained geriatric dentists are charged with the task of addressing the dental needs of this vastly growing cohort.The purpose of this study is to formulate a set of competencies for Geriatric Dental Fellowship Training Programs. The Delphi technique-a series of three rounds of anonymous questionnaires to obtain the opinions of experts without bringing them together. In Round 1, we proposed 45 competencies based on findings in previous literature. In Round 2, there were 19 respondents whose edits narrowed our list to 39 competencies proposed by the participants. In Round 3, based on group consensus we formulated a final list of 42 competencies. Utilizing the Delphi process, a panel of geriatric dental experts identified a set of core competencies for curriculums in dental fellowship programs. Published 2016. This article is a U.S. Government work and is in the public domain in the USA.

  3. European neonatal intensive care nursing research priorities: An e-delphi study

    NARCIS (Netherlands)

    J.M. Wielenga (Joke); L.N. Tume (Lyvonne); J.M. Latour (Jos); A. van den Hoogen (Agnes)

    2015-01-01

    textabstractObjective This study aimed to identify and prioritise neonatal intensive care nursing research topics across Europe using an e-Delphi technique.Design An e-Delphi technique with three questionnaire rounds was performed. Qualitative responses of round one were analysed by content analysis

  4. A Delphi Study: Exploring Faculty Perceptions of the Best Practices Influencing Student Persistence in Blended Courses

    Science.gov (United States)

    Manning, Kim Elise

    2010-01-01

    This Delphi study explored the instructional practices of community college faculty who were teaching blended or Web-assisted courses and how these practices influenced student persistence. The Delphi method provided qualitative data in the form of expert advice through consensus building on the instructional practices most likely to influence…

  5. Exploration to Identify Professional Dispositions of School Librarians: A Delphi Study

    Science.gov (United States)

    Bush, Gail; Jones, Jami L.

    2010-01-01

    This article reports the findings of an exploratory study to identify professional dispositions of school librarians. The authors employed the Delphi method, a qualitative research method that emphasizes expert knowledge and consensus within a particular field. The Delphi panel consisted of members of the editorial boards of nationally recognized…

  6. Development of a decision aid for the treatment of benign prostatic hyperplasia : A four stage method using a Delphi consensus study

    NARCIS (Netherlands)

    Lamers, Romy E D; Cuypers, Maarten; Garvelink, Mirjam M.; Bosch, J. L H Ruud; Kil, Paul J M

    2016-01-01

    Objective: To develop a web-based decision aid (DA) for the treatment of lower urinary tract symptoms due to benign prostatic hyperplasia (LUTS/BPH). Methods: From February-September 2014 we performed a four-stage development method: 1: Two-round Delphi consensus method among urologists, 2: Identify

  7. Using the Delphi method to engage stakeholders: a comparison of two studies.

    Science.gov (United States)

    Geist, Monica R

    2010-05-01

    Involving stakeholders can greatly impact evaluation results. The Delphi method, a consensus-building tool, is a promising process to promote and encourage involvement from all stakeholders during the evaluation framing process. The Delphi method removes geographic challenges and time boundaries allowing all stakeholders to participate. The Delphi method uses a series of surveys interspersed with controlled feedback designed to gather information and build consensus without requiring face-to-face meetings. Two different formats of the Delphi method, a paper-and-pencil, postal-mail version and a web-based, real-time computer version are compared in this study. Both versions of the Delphi were administered to a non-profit community based organization as part of framing an evaluation. Participation rates were better with the paper-pencil version. The quantity and quality of data collected were comparable in both versions.

  8. Quality indicators for in-hospital management of exacerbation of chronic obstructive pulmonary disease: results of an international Delphi study.

    Science.gov (United States)

    Lodewijckx, Cathy; Sermeus, Walter; Panella, Massimiliano; Deneckere, Svin; Leigheb, Fabrizio; Troosters, Thierry; Boto, Paulo Alexandre; Mendes, Rita Veloso; Decramer, Marc; Vanhaecht, Kris

    2013-02-01

    To report a Delphi study that was conducted to select process and outcome indicators that are relevant to study quality of care and impact of care pathways for patients hospitalized with exacerbation of chronic obstructive pulmonary disease. Management of patients hospitalized with exacerbation of chronic obstructive pulmonary disease is suboptimal and outcomes are poor. To evaluate the impact of care pathways properly, relevant indicators need to be selected. Delphi study. The study was conducted over 4 months in 2008, with 35 experts out of 15 countries, including 19 medical doctors, 8 nurses and 8 physiotherapists. Participants were asked to rate, for 72 process and 21 outcome indicators, the relevance for follow-up in care pathways for in-hospital management of exacerbation of chronic obstructive pulmonary disease. Consensus (agreement by at least 75% of the participants) that an indicator is relevant for follow-up was sought in two rounds. Consensus was reached for 26 of 72 process indicators (36·1%) and 10 of 21 outcome indicators (47·6%). Highest consensus levels were found for the process indicators regarding oxygen therapy (100%), pulmonary rehabilitation (100%) and patient education (94·5-88·6%) and for the outcome indicators concerning understanding of therapy (91·4-85·7%) and self-management (88·6-88·2%). The selected indicators appear to be sensitive for improvement. Therefore, researchers and clinicians that want to study and improve the care for patients hospitalized with exacerbation of chronic obstructive pulmonary disease should primarily focus on these indicators. © 2012 Blackwell Publishing Ltd.

  9. Teacher Competencies in Health Education: Results of a Delphi Study.

    Directory of Open Access Journals (Sweden)

    Sharon Moynihan

    Full Text Available The aim of this research study was to identify the core competencies for health education teachers in supporting the development of health literacy among their students.A three round Delphi method was employed. Experts in health education were asked to identify core competencies for school health educators. Twenty six participants from the academic field were invited to participate in the study. Twenty participants completed the first round of the Delphi, while eighteen took part in round two and fifteen participated in the final round. Data were collected using an electronic questionnaire. The first round contained an open ended question in which participants were asked to name and define all the competencies they perceived were important. Thematic analysis was undertaken on these data. A list of 36 competencies was created from this round. This list was then returned to the same participants and they were asked to rate each competency on a 7 point semantic differential scale in terms of importance. The resulting data were then analysed. For the final round, participants were presented with a list of 33 competencies and were asked to rank them again, in order of importance.Twelve core competencies emerged from the analysis and these competencies comprised of a mixture of knowledge, attitude and skills. The authors suggest that how these competencies are achieved and operationalised in the school context can be quite complex and multi-faceted. While the authors do not seek to generalise from the study they suggest that these competencies are an important input for all stakeholders, in order to question national and international teacher guidelines. In addition the competencies identified may provide a useful starting point for others to undertake deeper analysis of what it means to be an effective health educator in schools.

  10. What Should Junior Doctors Know about the Drugs they Frequently Prescribe? A Delphi Study among Physicians in the Netherlands.

    Science.gov (United States)

    Brinkman, David; Disselhorst, Guus; Jansen, Bernard; Tichelaar, Jelle; van Agtmael, Michiel; de Vries, Theo; Richir, Milan

    2016-06-01

    The aim of this study was to identify the information about commonly prescribed drugs that junior doctors should know in order to prescribe rationally in daily practice, defined as essential drug knowledge (EDK). A two-round Internet Delphi study was carried out involving general practitioners from one practice cluster, and registrars and consultants from two Dutch academic and eight teaching hospitals. A preliminary list of 377 potential EDK items for three commonly prescribed drugs was assessed on a dichotomous scale; an item was considered EDK if at least 80% consensus was reached. The consensus list of EDK items was discussed by the research team to identify similarities between the three drugs, with a view to forming a list of general EDK items applicable to other commonly prescribed drugs. Sixty experts considered 93 of the 377 items (25%) as EDK. These items were then used to form a list of 10 general EDK items. The list of EDK items identified by primary and secondary care doctors could be used in medical curricula and training programmes and for assessing the prescribing competence of future junior doctors. Further research is needed to evaluate the generalizability of this list for other commonly prescribed drugs.

  11. Experts' opinions on ethical issues of genetic research into Alzheimer's disease: results of a Delphi study in the Netherlands.

    Science.gov (United States)

    van der Vorm, A; van der Laan, A L; Borm, G; Vernooij-Dassen, M; Olde Rikkert, M; van Leeuwen, E; Dekkers, W

    2010-04-01

    Most publications on the ethical aspects of genetic research into Alzheimer's Disease (AD) concentrate on the differences between the opinions of professionals and non-professionals. Differences in rating of morally relevant issues between groups of professionals have not yet been described. A modified Delphi study in two rounds was held to identify differences between groups of experts (i.e. clinicians, representatives of patient organisations, ethicists and persons with a commercial background). The strongest correlation was found between the opinions of ethicists and representatives of patient organisations (0.67) and between clinicians and ethicists (0.62). Moderate correlation (0.55) was found between the opinions of clinicians and representatives of patient organisations. Persons with a commercial background showed a weak correlation with clinicians (0.41), ethicists (0.35) and representatives of patient organisations (0.30). These differences in rating of morally relevant issues between various professional groups are relevant for clinical practice and dementia care, particularly the different rating of prenatal diagnosis found between clinicians and representatives of patient organisations. Interdisciplinary consultations between various professional groups -including at least researchers, clinicians and ethicists -are recommended to guarantee that all considerations will be incorporated into the debate on ethical issues of genetic research into AD.

  12. Recovery in psychosis: a Delphi study with experts by experience.

    Science.gov (United States)

    Law, Heather; Morrison, Anthony P

    2014-11-01

    This study aimed to establish consensus about the meaning of recovery among individuals with experience of psychosis. A Delphi approach was utilized to allow a large sample of service users to be anonymously consulted about their views on recovery. Service users were invited to take part in a 3-stage consultation process. A total of 381 participants gave their views on recovery in the main stage of this study, with 100 of these taking part in the final review stage. The final list of statements about recovery included 94 items, which were rated as essential or important by >80% of respondents. These statements covered items which define recovery, factors which help recovery, factors which hinder recovery, and factors which show that someone is recovering. As far as we are aware, it is the first study to identify areas of consensus in relation to definitions of recovery from a service user perspective, which are typically reported to be an idiosyncratic process. Implications and recommendations for clinical practice and future research are discussed. © The Author 2014. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  13. Usage of inhalation devices in asthma and chronic obstructive pulmonary disease: a Delphi consensus statement.

    OpenAIRE

    Ninane, Vincent; Brusselle, Guy G.; Louis, Renaud; Dupont, Lieven; Liistro, Giuseppe; De Backer,Wilfried; Schlesser, Marc; Vincken, Walter

    2014-01-01

    OBJECTIVES: The study aimed to assess usage of inhalation devices in asthma and chronic obstructive pulmonary disease (COPD). METHODS: In this two-round Delphi survey, 50 experts in asthma and COPD completed a 13-item, Internet-based, self-administered questionnaire about choice of inhalation device, training and monitoring of inhalation techniques, the interchangeability and the role of costs in the selection of inhalation devices. For each item, the median (central tendency) and interquarti...

  14. Competencies of specialised wound care nurses: a European Delphi study.

    Science.gov (United States)

    Eskes, Anne M; Maaskant, Jolanda M; Holloway, Samantha; van Dijk, Nynke; Alves, Paulo; Legemate, Dink A; Ubbink, Dirk T; Vermeulen, Hester

    2014-12-01

    Health care professionals responsible for patients with complex wounds need a particular level of expertise and education to ensure optimum wound care. However, uniform education for those working as wound care nurses is lacking. We aimed to reach consensus among experts from six European countries as to the competencies for specialised wound care nurses that meet international professional expectations and educational systems. Wound care experts including doctors, wound care nurses, lecturers, managers and head nurses were invited to contribute to an e-Delphi study. They completed online questionnaires based on the Canadian Medical Education Directives for Specialists framework. Suggested competencies were rated on a 9-point Likert scale. Consensus was defined as an agreement of at least 75% for each competence. Response rates ranged from 62% (round 1) to 86% (rounds 2 and 3). The experts reached consensus on 77 (80%) competences. Most competencies chosen belonged to the domain 'scholar' (n = 19), whereas few addressed those associated with being a 'health advocate' (n = 7). Competencies related to professional knowledge and expertise, ethical integrity and patient commitment were considered most important. This consensus on core competencies for specialised wound care nurses may help achieve a more uniform definition and education for specialised wound care nurses.

  15. A modified Delphi study of screening for fetal alcohol spectrum disorders in Australia

    Directory of Open Access Journals (Sweden)

    Watkins Rochelle E

    2013-01-01

    Full Text Available Abstract Background There is little reliable information on the prevalence of fetal alcohol spectrum disorders (FASD in Australia and no coordinated national approach to facilitate case detection. The aim of this study was to identify health professionals’ perceptions about screening for FASD in Australia. Method A modified Delphi process was used to assess perceptions of the need for, and the process of, screening for FASD in Australia. We recruited a panel of 130 Australian health professionals with experience or expertise in FASD screening or diagnosis. A systematic review of the literature was used to develop Likert statements on screening coverage, components and assessment methods which were administered using an online survey over two survey rounds. Results Of the panel members surveyed, 95 (73% responded to the questions on screening in the first survey round and, of these, 81 (85% responded to the second round. Following two rounds there was consensus agreement on the need for targeted screening at birth (76% and in childhood (84%. Participants did not reach consensus agreement on the need for universal screening at birth (55% or in childhood (40%. Support for targeted screening was linked to perceived constraints on service provision and the need to examine the performance, costs and benefits of screening. For targeted screening of high risk groups, we found highest agreement for siblings of known cases of FASD (96% and children of mothers attending alcohol treatment services (93%. Participants agreed that screening for FASD primarily requires assessment of prenatal alcohol exposure at birth (86% and in childhood (88%, and that a checklist is needed to identify the components of screening and criteria for referral at birth (84% and in childhood (90%. Conclusions There is an agreed need for targeted but not universal screening for FASD in Australia, and sufficient consensus among health professionals to warrant development and

  16. From potential forecast to foresight of Turkey's renewable energy with Delphi approach

    Energy Technology Data Exchange (ETDEWEB)

    Celiktas, Melih Soner [EBILTEM, Ege University Science and Technology Research Center, Izmir (Turkey); Kocar, Gunnur [Solar Energy Institute of Ege University, Izmir (Turkey)

    2010-05-15

    A Delphi Survey is a series of questionnaires that allow experts or people with specific knowledge to develop ideas about potential future developments around an issue. The Delphi questionnaires were developed throughout the foresight process in relation to the responses given by participants in bibliometric and SWOT analysis conducted prior to the Delphi survey. In this paper, Turkey's renewable energy future is evaluated using the Delphi method. A two-round Delphi research study was undertaken to determine and measure the expectations of the sector representatives regarding the foresight of renewable energies. First and second round of Delphi study were carried out by using online surveys. About 382 participants responded in the first round of the Delphi questionnaire yielding a respond rate of 20.1%, whereas 325 participants responded at the second round yielding a respond rate of 84.9%. About 50% of Turkey's energy demand was foresighted to be met by renewable energies around 2030. The results showed that all types of renewable energies would not only provide economic and environmental benefits but also improve living standards. (author)

  17. A Delphi Study and Initial Validation of Counselor Supervision Competencies

    Science.gov (United States)

    Neuer Colburn, Anita A.; Grothaus, Tim; Hays, Danica G.; Milliken, Tammi

    2016-01-01

    The authors addressed the lack of supervision training standards for doctoral counseling graduates by developing and validating an initial list of supervision competencies. They used content analysis, Delphi polling, and content validity methods to generate a list, vetted by 2 different panels of supervision experts, of 33 competencies grouped…

  18. Why Do Student Nurses Leave? Suggestions from a Delphi Study.

    Science.gov (United States)

    Last, Lynn; Fulbrook, Paul

    2003-01-01

    Focus groups and interviews gathered professional opinions about why students leave nursing; results were formulated into a questionnaire administered to 32 students in a three-round Delphi. Factors contributing to attrition included theory-practice gap, university-clinical site relationships, unmet expectations, stress, and not feeling valued.…

  19. Expert Consensus on Characteristics of Wisdom: A Delphi Method Study

    Science.gov (United States)

    Jeste, Dilip V.; Ardelt, Monika; Blazer, Dan; Kraemer, Helena C.; Vaillant, George; Meeks, Thomas W.

    2010-01-01

    Purpose: Wisdom has received increasing attention in empirical research in recent years, especially in gerontology and psychology, but consistent definitions of wisdom remain elusive. We sought to better characterize this concept via an expert consensus panel using a 2-phase Delphi method. Design and Methods: A survey questionnaire comprised 53…

  20. Business intelligence and service-oriented architecture: a Delphi study

    NARCIS (Netherlands)

    Mueller, Roland; Linders, Stefan; Ferreira Pires, Luis

    Although service-oriented architecture (SOA) is becoming increasingly popular in enterprise application rchitectures, little is known about how SOA could support and influence the use and implementation of business intelligence (BI). We applied the Delphi method in order to identify opportunities

  1. Nurse practitioner practice and deployment: electronic mail Delphi study.

    Science.gov (United States)

    Marsden, Janet; Dolan, Brian; Holt, Lynda

    2003-09-01

    The nature of modern government and needs of policy-makers demand accurate information that is delivered quickly. This study was part of a larger project for the Department of Health relating to nurse practitioner (NP) education and practice in UK. The aim of the study was to identify the principal factors that help or hinder the development of NP roles in the National Health Service. In order to facilitate a rapid response, a Delphi study was undertaken using electronic mail (e-mail) and was completed within 4 weeks. Key stakeholders in NP practice, education and research and (non-governmental) policy-making were invited to participate. Key themes relating to the deployment and practice of NPs were generated. These were refined and collated by the research team and then rated by the respondents. This approach generated valuable expert consensus data around NP deployment and practice. Nurse practitioners' practice is recognized as an integral part of health care that needs to be recognized by regulatory bodies to promote understanding of their potential at local levels. Nurse practitioners need freedom to innovate, adequate support and appropriate education to allow true autonomy. Limited prescribing and local restrictions on requesting investigations hinder practice. Although this was a small-scale study, the expert panel was wide-ranging and achieved substantial consensus. The organisational and cultural changes that are required to foster the development of practice and deployment of NPs have yet to be instigated, according to the comments of the key stakeholders in this study. There appears to be a clear message that the government needs to take a more interventionist role in supporting nursing developments, rather than leaving this to local arrangements.

  2. Prevention and control of bovine cysticercosis: a Delphi study

    Directory of Open Access Journals (Sweden)

    Elizandro Pruence Nickele

    2016-12-01

    Full Text Available Bovine cysticercosis is a zoonotic parasitic infection caused by the larval stage (Cysticercus bovis of Taenia saginata. This study aimed to identify prevention and control measures for bovine cysticercosis indicated by experts in the fields of public and animal health. The study was conducted through three rounds of the Delphi method and had the participation of 44 experts from 13 Brazilian states in 30 educational institutions, research institutions, and sanitary inspection services. The first round comprised an open question, the answers to which formed the basis for structuring the second and third questionnaire. To reach a consensus in the second and third rounds, experts were asked to express their agreement or disagreement of each proposition on the questionnaire using a five-point Likert scale. A descriptive statistical analysis was performed at the end of each round. Twenty-three specialists (52.27% participated in all three rounds. The first round resulted in 28 proposals categorized into six areas: health education, methods of diagnosis and treatment, sanitation measures, epidemiological studies, legislation and sanitary supervision, and intersectorality. In the second round, the experts reached a consensus on 16 propositions (57.14%. This percentage increased by 3.54% during the third round. At the end of the third round, the experts had reached a consensus on 17 of the 28 initial propositions (60.71%. The highest percentage of agreement (29.4% was observed in the category of health education. This study allowed us to identify 17 recommendations pertaining to the prevention and control of bovine cysticercosis. These measures are not mutually exclusive, and require an integrated approach to the establishment of intervention actions at various points in the life cycle of the parasite.

  3. Rethinking clinical governance: healthcare professionals’ views: a Delphi study

    Science.gov (United States)

    Veenstra, Gepke L; Ahaus, Kees; Welker, Gera A; Heineman, Erik; van der Laan, Maarten J; Muntinghe, Friso L H

    2017-01-01

    Objective Although the guiding principle of clinical governance states that healthcare professionals are the leading contributors to quality and safety in healthcare, little is known about what healthcare professionals perceive as important for clinical governance. The aim of this study is to clarify this by exploring healthcare professionals' views on clinical governance. Design Based on a literature search, a list of 99 elements related to clinical governance was constructed. This list was refined, extended and restricted during a three-round Delphi study. Setting and participants The panel of experts was formed of 24 healthcare professionals from an academic hospital that is seen as a leader in terms of its clinical governance expertise in the Netherlands. Main outcome measures Rated importance of each element on a four-point scale. Results The 50 elements that the panel perceived as most important related to adopting a bottom-up approach to clinical governance, ownership, teamwork, learning from mistakes and feedback. The panel did not reach a consensus concerning elements that referred to patient involvement. Elements that referred to a managerial approach to clinical governance and standardisation of work were rejected by the panel. Conclusions In the views of the panel of experts, clinical governance is a practice-based, value-driven approach that has the goal of delivering the highest possible quality care and ensuring the safety of patients. Bottom-up approaches and effective teamwork are seen as crucial for high quality and safe healthcare. Striving for high quality and safe healthcare is underpinned by continuous learning, shared responsibility and good relationships and collaboration between healthcare professionals, managers and patients. PMID:28082364

  4. Examining the Roles of Blended Learning Approaches in Computer-Supported Collaborative Learning (CSCL) Environments: A Delphi Study

    Science.gov (United States)

    So, Hyo-Jeong; Bonk, Curtis J.

    2010-01-01

    In this study, a Delphi method was used to identify and predict the roles of blended learning approaches in computer-supported collaborative learning (CSCL) environments. The Delphi panel consisted of experts in online learning from different geographic regions of the world. This study discusses findings related to (a) pros and cons of blended…

  5. A quality management model for integrated care : results of a Delphi and Concept Mapping study

    NARCIS (Netherlands)

    Minkman, Mirella; Ahaus, Kees; Fabbricotti, Isabelle; Nabitz, Udo; Huijsman, Robbert

    2009-01-01

    The objective of this study is to identify the elements and clusters of a quality management model for integrated care. In order to develop the model a combination of three methods were applied. A literature study was conducted to identify elements of integrated care. In a Delphi study experts comme

  6. Training Family Therapists to Work with Children and Families: A Modified Delphi Study

    Science.gov (United States)

    Sori, Catherine Ford; Sprenkle, Douglas H.

    2004-01-01

    This study examined child inclusion issues and training marriage and family therapists (MFTs) to treat children. This modified Delphi study utilized a panel of experts, and gathered data through questionnaires and qualitative interviews. Panelists believe children should participate in family therapy sessions for both child and adult problems,…

  7. A Delphi Study on Technology Enhanced Learning (TEL) Applied on Computer Science (CS) Skills

    Science.gov (United States)

    Porta, Marcela; Mas-Machuca, Marta; Martinez-Costa, Carme; Maillet, Katherine

    2012-01-01

    Technology Enhanced Learning (TEL) is a new pedagogical domain aiming to study the usage of information and communication technologies to support teaching and learning. The following study investigated how this domain is used to increase technical skills in Computer Science (CS). A Delphi method was applied, using three-rounds of online survey…

  8. Recommended Skill Requirements of Recent Management Information Systems Graduates for Employment: A Modified Delphi Study

    Science.gov (United States)

    Strnad, Michael A., Sr.

    2013-01-01

    The purpose of this Modified Delphi study was to achieve a consensus and forecast a prediction from expert IT hiring managers on what skills are required of MIS graduates for employment. In doing so, guidance could be provided to academic leaders who design curricula for MIS students on the required skills for employment. This study was conducted…

  9. A Classical Delphi Study to Identify the Barriers of Pursuing Green Information and Communication Technologies

    Science.gov (United States)

    Gotay, Jose Antonio

    2013-01-01

    This qualitative, classical Delphi study served to explore the apparent lack of corporate commitment to prioritized Green Information Communication Technologies (ICTs), which could delay the economic and social benefits for maximizing the use of natural energy resources in a weak economy. The purpose of this study was to examine the leadership…

  10. A Classical Delphi Study to Identify the Barriers of Pursuing Green Information and Communication Technologies

    Science.gov (United States)

    Gotay, Jose Antonio

    2013-01-01

    This qualitative, classical Delphi study served to explore the apparent lack of corporate commitment to prioritized Green Information Communication Technologies (ICTs), which could delay the economic and social benefits for maximizing the use of natural energy resources in a weak economy. The purpose of this study was to examine the leadership…

  11. Research Priorities for YouTube and Video-Sharing Technologies: A Delphi Study

    Science.gov (United States)

    Snelson, Chareen; Rice, Kerry; Wyzard, Constance

    2012-01-01

    Online video-sharing services, particularly YouTube, have gained an audience of billions of users including educators and scholars. While the academic literature provides some evidence that YouTube has been studied and written about, little is known about priorities for YouTube research. The study employed the Delphi method to obtain a consensus…

  12. Development of a School Nursing Research Agenda in Florida: A Delphi Study

    Science.gov (United States)

    Gordon, Shirley C.; Barry, Charlotte D.

    2006-01-01

    Research is important to the image, visibility, and viability of school nursing. Each state school nursing association should evaluate member commitment to school nursing research based on their unique set of financial, educational, and organizational resources. A 3-round Delphi study was conducted in which Florida school nurses identified…

  13. Assessment Leaders' Perspectives of Institutional Cultures of Assessment: A Delphi Study

    Science.gov (United States)

    Fuller, Matthew; Henderson, Susan; Bustamante, Rebecca

    2015-01-01

    Institutional cultures of assessment are praised as beneficial to student learning. Yet, extant studies have not explored the theoretical foundations and pragmatic approaches to shaping cultures of assessment. The researchers used the Delphi method to explore 10 higher education assessment leaders' attitudes and theoretical perspectives regarding…

  14. Delphi in Criminal Justice Policy: A Case Study on Judgmental Forecasting

    Science.gov (United States)

    Loyens, Kim; Maesschalck, Jeroen; Bouckaert, Geert

    2011-01-01

    This article provides an in-depth case study analysis of a pilot project organized by the section "Strategic Analysis" of the Belgian Federal Police. Using the Delphi method, which is a judgmental forecasting technique, a panel of experts was questioned about future developments of crime, based on their expertise in criminal or social…

  15. A Quality Scorecard for the Administration of Online Education Programs: A Delphi Study

    Science.gov (United States)

    Shelton, Kaye

    2010-01-01

    As the demands for public accountability increase for the higher education, institutions are seeking methods for continuous improvement in order to demonstrate quality within programs and processes, including those provided through online education. A six round Delphi study was undertaken with 43 seasoned administrators of online education…

  16. The Learner-Centered Instructional Design Model: A Modified Delphi Study

    Science.gov (United States)

    Melsom, Duane Allan

    2010-01-01

    The learner-centered instructional design model redefines the standard linear instructional design model to form a circular model where the learner's needs are the first item considered in the development of instruction. The purpose of this modified Delphi study was to have a panel of experts in the instructional design field review the…

  17. Trends that FCS Education Should Address: A Delphi Study Reveals Top 16

    Science.gov (United States)

    Alexander, Karen L.; Davis, Kimberlee

    2011-01-01

    This study used the Delphi method to identify trends of importance to family and consumer sciences (FCS) education. A panel of 21 FCS education experts identified 16 trends and evaluated them by importance, desirability, feasibility, and confidence in validity of the trend. Nutrition appeared as a top priority, followed by consumer economics. The…

  18. Delphi in Criminal Justice Policy: A Case Study on Judgmental Forecasting

    NARCIS (Netherlands)

    Loyens, Kim; Maesschalck, Jeroen; Bouckaert, Geert

    2011-01-01

    This article provides an in-depth case study analysis of a pilot project organized by the section “Strategic Analysis” of the Belgian Federal Police. Using the Delphi method, which is a judgmental forecasting technique, a panel of experts was questioned about future developments of crime, based on t

  19. Assessment Leaders' Perspectives of Institutional Cultures of Assessment: A Delphi Study

    Science.gov (United States)

    Fuller, Matthew; Henderson, Susan; Bustamante, Rebecca

    2015-01-01

    Institutional cultures of assessment are praised as beneficial to student learning. Yet, extant studies have not explored the theoretical foundations and pragmatic approaches to shaping cultures of assessment. The researchers used the Delphi method to explore 10 higher education assessment leaders' attitudes and theoretical perspectives regarding…

  20. Designing Graduate-Level Plant Breeding Curriculum: A Delphi Study of Private Sector Stakeholder Opinions

    Science.gov (United States)

    Miller, Jane K.; Repinski, Shelby L.; Hayes, Kathryn N.; Bliss, Frederick A.; Trexler, Cary J.

    2011-01-01

    A broad-based survey using the Delphi method was conducted to garner current information from private sector stakeholders and build consensus opinions supporting key ideas for enhancing plant breeder education and training. This study asked respondents to suggest and rate topics and content they deemed most important to plant breeding graduate…

  1. Identifying Core Mobile Learning Faculty Competencies Based Integrated Approach: A Delphi Study

    Science.gov (United States)

    Elbarbary, Rafik Said

    2015-01-01

    This study is based on the integrated approach as a concept framework to identify, categorize, and rank a key component of mobile learning core competencies for Egyptian faculty members in higher education. The field investigation framework used four rounds Delphi technique to determine the importance rate of each component of core competencies…

  2. A Delphi Study of Effective Practices for Developing Competency-Based Learning Models in Higher Education

    Science.gov (United States)

    McIntyre-Hite, Lisa

    2016-01-01

    Currently, there is an increase in competency-based education programs in higher education institutions in response to student and employer needs. However, research is lacking on effective practices for developing competencies, assessments, and learning resources for these programs. The purpose of this qualitative Delphi study was to gather expert…

  3. The Semiconductor Industry and Emerging Technologies: A Study Using a Modified Delphi Method

    Science.gov (United States)

    Jordan, Edgar A.

    2010-01-01

    The purpose of this qualitative descriptive study was to determine what leaders in the semiconductor industry thought the future of computing would look like and what emerging materials showed the most promise to overcome the current theoretical limit of 10 nanometers for silicon dioxide. The researcher used a modified Delphi technique in two…

  4. ERP SELECTION CRITERIA CLASSIFICATION: A DELPHI STUDY CLASSIFICAÇÃO DE CRITÉRIOS PARA SELEÇÃO DE ERP: UM ESTUDO UTILIZANDO A TÉCNICA DELPHI

    Directory of Open Access Journals (Sweden)

    Gilberto Perez

    2010-06-01

    Full Text Available The selection of an ERP (Enterprise Resource Planning must be carefull, considering the high costs involved in its purchase and implantation. Managers of areas such as Accounting, Finance and, specially, Information Systems (IS and Information Technology (IT need support and tools for ERP selection. This paper presents a study conducted to classify assessment criteria which can then be used in analysis involving a Decision Support System (DSS, which will allow the assessment of the impacts of the organization changes related to the implantation of the selected system. The classification was obtained using Delphi, applied to experts in the selection and implantation of ERP. Results were satisfactory after two rounds, which demonstrated its plausibility to determine the importance of the assessment criteria, among which the following were highlighted: functionality; cross modular integration; information (reference about supplier; ‘implementability’ and flexibility. A escolha de um Sistema Integrado de Gestão (ERP deve ser feita de forma criteriosa, em face dos altos custos envolvidos na aquisição deste tipo de sistemas. Gestores de áreas como contabilidade, financeiro e, principalmente, de sistemas de informação (SI e de tecnologia da informação (TI necessitam de apoio e ferramentas que os auxiliem na seleção de um ERP. Este artigo apresenta uma pesquisa realizada visando a classificar os principais critérios de avaliação que possam ser utilizados em análise por Sistema de Apoio à Decisão (SAD, o que possibilitará a avaliação das adequações e impactos nas mudanças da organização relacionadas com a escolha final do sistema. Essa classificação foi feita utilizando-se a Técnica Delphi, aplicada em especialistas em seleção e implantação de ERP. O resultado mostrou-se satisfatório em duas rodadas e demonstrou ser plausível a sua utilização para se definir a importância dos critérios. Dentre outros, destacaram

  5. Modified Policy-Delphi study for exploring obesity prevention priorities

    Science.gov (United States)

    Haynes, Emily; Palermo, Claire; Reidlinger, Dianne P

    2016-01-01

    Introduction Until now, industry and government stakeholders have dominated public discourse about policy options for obesity. While consumer involvement in health service delivery and research has been embraced, methods which engage consumers in health policy development are lacking. Conflicting priorities have generated ethical concern around obesity policy. The concept of ‘intrusiveness’ has been applied to policy decisions in the UK, whereby ethical implications are considered through level of intrusiveness to choice; however, the concept has also been used to avert government regulation to address obesity. The concept of intrusiveness has not been explored from a stakeholder's perspective. The aim is to investigate the relevance of intrusiveness and autonomy to health policy development, and to explore consensus on obesity policy priorities of under-represented stakeholders. Methods and analysis The Policy-Delphi technique will be modified using the James Lind Alliance approach to collaborative priority setting. A total of 60 participants will be recruited to represent three stakeholder groups in the Australian context: consumers, public health practitioners and policymakers. A three-round online Policy-Delphi survey will be undertaken. Participants will prioritise options informed by submissions to the 2009 Australian Government Inquiry into Obesity, and rate the intrusiveness of those proposed. An additional round will use qualitative methods in a face-to-face discussion group to explore stakeholder perceptions of the intrusiveness of options. The novelty of this methodology will redress the balance by bringing the consumer voice forward to identify ethically acceptable obesity policy options. Ethics and dissemination Ethical approval was granted by the Bond University Health Research Ethics Committee. The findings will inform development of a conceptual framework for analysing and prioritising obesity policy options, which will be relevant

  6. Defining a Bobath clinical framework - A modified e-Delphi study.

    Science.gov (United States)

    Vaughan-Graham, Julie; Cott, Cheryl

    2016-11-01

    To gain consensus within the expert International Bobath Instructors Training Association (IBITA) on a Bobath clinical framework on which future efficacy studies can be based. A three-round modified e-Delphi approach was used with 204 full members of the IBITA. Twenty-one initial statements were generated from the literature. Consensus was defined a priori as at least 80% of the respondents with a level of agreement on a Likert scale of 4 or 5. The Delphi questionnaire for each round was available online for two weeks. Summary reports and subsequent questionnaires were posted within four weeks. Ninety-four IBITA members responded, forming the Delphi panel, of which 68 and 66 responded to Rounds Two and Three, respectively. The 21 initial statements were revised to 17 statements and five new statements in Round Two in which eight statements were accepted and two statements were eliminated. Round Three presented 12 revised statements, all reaching consensus. The Delphi was successful in gaining consensus on a Bobath clinical framework in a geographically diverse expert association, identifying the unique components of Bobath clinical practice. Discussion throughout all three Rounds revolved primarily around the terminology of atypical and compensatory motor behavior and balance.

  7. Building a Privacy, Ethics, and Data Access Framework for Real World Computerised Medical Record System Data: A Delphi Study. Contribution of the Primary Health Care Informatics Working Group.

    Science.gov (United States)

    Liyanage, H; Liaw, S-T; Di Iorio, C T; Kuziemsky, C; Schreiber, R; Terry, A L; de Lusignan, S

    2016-11-10

    Privacy, ethics, and data access issues pose significant challenges to the timely delivery of health research. Whilst the fundamental drivers to ensure that data access is ethical and satisfies privacy requirements are similar, they are often dealt with in varying ways by different approval processes. To achieve a consensus across an international panel of health care and informatics professionals on an integrated set of privacy and ethics principles that could accelerate health data access in data-driven health research projects. A three-round consensus development process was used. In round one, we developed a baseline framework for privacy, ethics, and data access based on a review of existing literature in the health, informatics, and policy domains. This was further developed using a two-round Delphi consensus building process involving 20 experts who were members of the International Medical Informatics Association (IMIA) and European Federation of Medical Informatics (EFMI) Primary Health Care Informatics Working Groups. To achieve consensus we required an extended Delphi process. The first round involved feedback on and development of the baseline framework. This consisted of four components: (1) ethical principles, (2) ethical guidance questions, (3) privacy and data access principles, and (4) privacy and data access guidance questions. Round two developed consensus in key areas of the revised framework, allowing the building of a newly, more detailed and descriptive framework. In the final round panel experts expressed their opinions, either as agreements or disagreements, on the ethics and privacy statements of the framework finding some of the previous round disagreements to be surprising in view of established ethical principles. This study develops a framework for an integrated approach to ethics and privacy. Privacy breech risk should not be considered in isolation but instead balanced by potential ethical benefit.

  8. Identifying and prioritising systematic review topics with public health stakeholders: A protocol for a modified Delphi study in Switzerland to inform future research agendas.

    Science.gov (United States)

    Hoekstra, Dyon; Mütsch, Margot; Kien, Christina; Gerhardus, Ansgar; Lhachimi, Stefan K

    2017-08-04

    The Cochrane Collaboration aims to produce relevant and top priority evidence that responds to existing evidence gaps. Hence, research priority setting (RPS) is important to identify which potential research gaps are deemed most important. Moreover, RPS supports future health research to conform both health and health evidence needs. However, studies that are prioritising systematic review topics in public health are surprisingly rare. Therefore, to inform the research agenda of Cochrane Public Health Europe (CPHE), we introduce the protocol of a priority setting study on systematic review topics in several European countries, which is conceptualised as pilot. We will conduct a two-round modified Delphi study in Switzerland, incorporating an anonymous web-based questionnaire, to assess which topics should be prioritised for systematic reviews in public health. In the first Delphi round public health stakeholders will suggest relevant assessment criteria and potential priority topics. In the second Delphi round the participants indicate their (dis)agreement to the aggregated results of the first round and rate the potential review topics with the predetermined criteria on a four-point Likert scale. As we invite a wide variety of stakeholders we will compare the results between the different stakeholder groups. We have received ethical approval from the ethical board of the University of Bremen, Germany (principal investigation is conducted at the University of Bremen) and a certificate of non-objection from the Canton of Zurich, Switzerland (fieldwork will be conducted in Switzerland). The results of this study will be further disseminated through peer reviewed publication and will support systematic review author groups (i.a. CPHE) to improve the relevance of the groups´ future review work. Finally, the proposed priority setting study can be used as a framework by other systematic review groups when conducting a priority setting study in a different context.

  9. Medicine authentication technology as a counterfeit medicine-detection tool: a Delphi method study to establish expert opinion on manual medicine authentication technology in secondary care.

    Science.gov (United States)

    Naughton, Bernard; Roberts, Lindsey; Dopson, Sue; Brindley, David; Chapman, Stephen

    2017-05-06

    This study aims to establish expert opinion and potential improvements for the Falsified Medicines Directive mandated medicines authentication technology. A two-round Delphi method study using an online questionnaire. Large National Health Service (NHS) foundation trust teaching hospital. Secondary care pharmacists and accredited checking technicians. Seven-point rating scale answers which reached a consensus of 70-80% with a standard deviation (SD) of technology as quick and user friendly and suggested the inclusion of an audio signal to further support the detection of counterfeit medicines in secondary care (70% consensus, 0.9 SD); other important consensus with a SD of medicines. This paper informs key opinion leaders and decision makers as to the positives and negatives of medicines authentication technology from an operator's perspective and suggests the adjustments which may be required to improve operator compliance and the detection of counterfeit medicines in the secondary care sector. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  10. Factors influencing the adoption, implementation, and continuation of physical activity interventions in primary health care: A Delphi study

    NARCIS (Netherlands)

    Huijg, J.M.; Crone, M.R.; Verheijden, M.W.; Zouwe, N. van der; Middelkoop, B.J.; Gebhardt, W.A.

    2013-01-01

    Background: The introduction of efficacious physical activity interventions in primary health care is a complex process. Understanding factors influencing the process can enhance the development of effective introduction strategies. This Delphi study aimed to identify factors most relevant for the

  11. Modified Delphi study to determine optimal data elements for inclusion in an emergency management database system

    Directory of Open Access Journals (Sweden)

    A. Jabar

    2012-03-01

    Conclusion: The use of a modified Expert Delphi study achieved consensus in aspects of hospital institutional capacity that can be translated into practical recommendations for implementation by the local emergency management database system. Additionally, areas of non-consensus have been identified where further work is required. This purpose of this study is to contribute to and aid in the development of this new system.

  12. Online survey system for image-based clinical guideline studies using the Delphi method.

    Science.gov (United States)

    Harper, Todd M; Teng, Chia-Chi

    2011-01-01

    The increasing use of health information technology (HIT) is due to a rising interest in improving the quality of health care. HIT has the potential to reduce cost and transform services. Proper clinical support systems will contribute to the meaningful use of HIT systems by providing a wide array of data to clinicians for the diagnosis and treatments. Clinical guidelines, created by a consensus of experts, can be put in place to assist physicians in making clinical decisions. Delphi methods are commonly used to create consensus from surveys completed by a team of experts. Image based studies could create guidelines that standardize severity, deformity or other clinical classifications. As these studies were traditionally conducted using paper based media, the cost and time requirement often make the process impractical. Ware proposing a web based system to aid medical researchers in conducting image based Delphi studies for improved clinical guidelines and decision support.

  13. Policies and Practices for Recruiting, Training, and Evaluating High-Quality Substitute Teachers: a Delphi Study

    OpenAIRE

    2009-01-01

    Effective substitute teachers are needed in classrooms across the United States; however, little attention is given to the policies and practices that school districts use to recruit, train, and evaluate them. The challenge of finding quality substitute teachers, despite the absence of definitive policies and practices to guide them, continues to be a problem nationwide. The purpose of this study was to identify, using a three-round Delphi technique (Linstone & Turoff, 1975), policies and...

  14. Developing consensus-based policy solutions for medicines adherence for Europe: a delphi study

    Directory of Open Access Journals (Sweden)

    Clyne Wendy

    2012-11-01

    Full Text Available Abstract Background Non-adherence to prescribed medication is a pervasive problem that can incur serious effects on patients’ health outcomes and well-being, and the availability of resources in healthcare systems. This study aimed to develop practical consensus-based policy solutions to address medicines non-adherence for Europe. Methods A four-round Delphi study was conducted. The Delphi Expert Panel comprised 50 participants from 14 countries and was representative of: patient/carers organisations; healthcare providers and professionals; commissioners and policy makers; academics; and industry representatives. Participants engaged in the study remotely, anonymously and electronically. Participants were invited to respond to open questions about the causes, consequences and solutions to medicines non-adherence. Subsequent rounds refined responses, and sought ratings of the relative importance, and operational and political feasibility of each potential solution to medicines non-adherence. Feedback of individual and group responses was provided to participants after each round. Members of the Delphi Expert Panel and members of the research group participated in a consensus meeting upon completion of the Delphi study to discuss and further refine the proposed policy solutions. Results 43 separate policy solutions to medication non-adherence were agreed by the Panel. 25 policy solutions were prioritised based on composite scores for importance, and operational and political feasibility. Prioritised policy solutions focused on interventions for patients, training for healthcare professionals, and actions to support partnership between patients and healthcare professionals. Few solutions concerned actions by governments, healthcare commissioners, or interventions at the system level. Conclusions Consensus about practical actions necessary to address non-adherence to medicines has been developed for Europe. These actions are also applicable to

  15. Measuring elimination of podoconiosis, endemicity classifications, case definition and targets: an international Delphi exercise.

    Science.gov (United States)

    Deribe, Kebede; Wanji, Samuel; Shafi, Oumer; Muheki Tukahebwa, Edridah; Umulisa, Irenee; Davey, Gail

    2015-09-01

    Podoconiosis is one of the major causes of lymphoedema in the tropics. Nonetheless, currently there are no endemicity classifications or elimination targets to monitor the effects of interventions. This study aimed at establishing case definitions and indicators that can be used to assess endemicity, elimination and clinical outcomes of podoconiosis. This paper describes the result of a Delphi technique used among 28 experts. A questionnaire outlining possible case definitions, endemicity classifications, elimination targets and clinical outcomes was developed. The questionnaire was distributed to experts working on podoconiosis and other neglected tropical diseases in two rounds. The experts rated the importance of case definitions, endemic classifications, elimination targets and the clinical outcome measures. Median and mode were used to describe the central tendency of expert responses. The coefficient of variation was used to describe the dispersals of expert responses. Consensus on definitions and indicators for assessing endemicity, elimination and clinical outcomes of podoconiosis directed at policy makers and health workers was achieved following the two rounds of Delphi approach among the experts. Based on the two Delphi rounds we discuss potential indicators and endemicity classification of this disabling disease, and the ongoing challenges to its elimination in countries with the highest prevalence. Consensus will help to increase effectiveness of podoconiosis elimination efforts and ensure comparability of outcome data. © The Author 2015. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

  16. Combination treatment of neuropathic pain: Danish expert recommendations based on a Delphi process

    DEFF Research Database (Denmark)

    Holbech, Jakob Vormstrup; Jung, A.; Jonsson, T.

    2017-01-01

    , but combination therapy had not been included in guidelines until recently. Based on clinical empiricism and scientific evidence, a Delphi consensus process provided a consolidated guidance on pharmacological combination treatment of NeP. METHODS: A two-round virtual internet-based Delphi process with 6 Danish...

  17. [Delphi-based study on scientificity of organoleptic evaluation for rhubarb commercial specification].

    Science.gov (United States)

    Wang, Jiabo; Zhang, Xueru; Chu, Xiaohui; Huang, Mingjin; Jin, Cheng; Yan, Dan; Xiao, Xiaohe; Liu, Tasi

    2010-10-01

    In this study the reliability and scientificity of organoleptic evaluation for the commercial specification of Chinese medicinal materials (CMM) was investigated with Delphi method, using rhubarb as an example. The consensus panel of panelists being expert in organoleptic evaluation for CMM was cogitatively selected, with high average authority index of 0.81. The average individual repeatability of selected panelists was 85%, while the group repeatability was above 70%. It was found that the career time of the expert had significant influence on the evaluation result (P specification of rhubarb. In conclusion, we firstly demonstrated the organoleptic evaluation is an objective and repeatable approach to judge the commercial specification of CMM; and we recommend Delphi method to do validation and standardization for the conventional experiences of traditional Chinese medicine.

  18. Effective self-management strategies for bipolar disorder: A community-engaged Delphi Consensus Consultation study.

    Science.gov (United States)

    Michalak, Erin E; Suto, Melinda J; Barnes, Steven J; Hou, Sharon; Lapsley, Sara; Scott, Mike W; Murray, Greg; Austin, Jehannine; Elliott, Nusha Balram; Berk, Lesley; Crest Bd

    2016-12-01

    Self-management represents an important complement to psychosocial treatments for bipolar disorder (BD), but research is limited. Specifically, little is known about self-management approaches for elevated mood states; this study investigated self-management strategies for: (1) maintaining balance in mood, and (2) stopping progression into hypomania/mania. To identify the common components of BD self-management, Delphi Consensus Consultation methods were combined with a Community-Based Participatory Research (CBPR) approach across five study phases: (1) Qualitative dataset content analysis; (2) Academic/grey literature reviews; (3) Content analysis; (4) Two Delphi rounds (rating strategies on a 5-point Likert scale, Very Unhelpful-Very Helpful), and; (5) Quantitative analysis and interpretation. Participants were people with BD and healthcare providers. Phases 1 and 2 identified 262 and 3940 candidate strategies, respectively; 3709 were discarded as duplicates/unintelligible. The remaining 493 were assessed via Delphi methods in Phase 4: 101 people with BD and 52 healthcare providers participated in Round 1; 83 of the BD panel (82%) and 43 of the healthcare provider panel (83%) participated in Round 2-exploratory factor analysis (EFA) was conducted on Round 2 results. EFA was underpowered and sample was not ethnically diverse, limiting generalizability. High concordance was observed in ratings of strategy effectiveness between the two panels. Future research could usefully investigate the provisional discovery here of underlying factors which link individual strategies. For example, 'maintaining hope' underpinned strategies for maintaining balance, and 'decreasing use of stimulants' underpinned strategies to interrupt hypo/manic ascent. There is merit in combining CBPR and Delphi methods. Copyright © 2016 Elsevier B.V. All rights reserved.

  19. Insufficiently studied factors related to burnout in nursing: Results from an e-Delphi study

    Science.gov (United States)

    2017-01-01

    Objective This study aimed to identify potentially important factors in explaining burnout in nursing that have been insufficiently studied or ignored. Methods A three-round Delphi study via e-mail correspondence was conducted, with a group of 40 European experts. The e-Delphi questionnaire consisted of 52 factors identified from a literature review. Experts rated and scored the importance of factors in the occurrence of burnout and the degree of attention given by researchers to each of the variables listed, on a six-point Likert scale. We used the agreement percentage (>80%) to measure the level of consensus between experts. Furthermore, to confirm the level of consensus, we also calculated mean scores and modes. Regardless of the degree of consensus reached by the experts, we have calculated the mean of the stability of the answers for each expert (individual's qualitative stability) and the mean of the stability percentages of the experts (qualitative group stability). Results The response rate in the three rounds was 93.02% (n = 40). Eight new factors were suggested in the first round. After modified, the e-Delphi questionnaire in the second and third rounds had 60 factors. All the factors reached the third round with a consensus level above 80% in terms of the attention that researchers gave them in their studies. Moreover, the data show a total mean qualitative group stability of 96.21%. In the third round 9 factors were classified by experts as ‘studied very little’, 17 as ‘studied little’ and 34 as 'well studied' Conclusion Findings show that not all the factors that may influence nursing burnout have received the same attention from researchers. The panel of experts has identified factors that, although important in explaining burnout, have been poorly studied or even forgotten. Our results suggest that further study into factors such as a lack of recognition of part of the tasks that nurses perform, feminine stereotype or excessive bureaucracy is

  20. Experience of Delphi technique in the process of establishing consensus on core competencies.

    Science.gov (United States)

    Raghav, Pankaja Ravi; Kumar, Dewesh; Bhardwaj, Pankaj

    2016-01-01

    The Department of Community Medicine and Family Medicine (CMFM) has been started as a new model for imparting the components of family medicine and delivering health-care services at primary and secondary levels in all six newly established All India Institute of Medical Sciences (AIIMS), but there is no competency-based curriculum for it. The paper aims to share the experience of Delphi method in the process of developing consensus on core competencies of the new model of CMFM in AIIMS for undergraduate medical students in India. The study adopted different approaches and methods, but Delphi was the most critical method used in this research. In Delphi, the experts were contacted by e-mail and their feedback on the same was analyzed. Two rounds of Delphi were conducted in which 150 participants were contacted in Delphi-I but only 46 responded. In Delphi-II, 26 participants responded whose responses were finally considered for analysis. Three of the core competencies namely clinician, primary-care physician, and professionalism were agreed by all the participants, and the least agreement was observed in the competencies of epidemiologist and medical teacher. The experts having more experience were less consistent as responses were changed from agree to disagree in more than 15% of participants and 6% changed from disagree to agree. Within the given constraints, the final list of competencies and skills for the discipline of CMFM compiled after the Delphi process will provide a useful insight into the development of competency-based curriculum of the subject.

  1. The Delphi Method : methodological issues arising from a study examining factors influencing the publication or non-Publication of mental health nursing research

    OpenAIRE

    Ashmore, Russell; Flanagan, Tracy; McInnes, Doug; Banks, David

    2016-01-01

    Purpose – The paper describes how the classic Delphi method can be adapted and structured to ensure that specific research questions are clearly addressed. \\ud \\ud Design/methodology/approach – As part of a larger mixed method project, a modified Delphi study was undertaken to explore factors influencing publication and non-publication of mental health nursing research. \\ud \\ud Findings - This paper reports brief findings from the Delphi study. However, its main focus is the methodological is...

  2. A DELPHI STUDY OF RISK FACTORS FOR ACHILLES TENDINOPATHY- OPINIONS OF WORLD TENDON EXPERTS

    Science.gov (United States)

    Watson, Paul J.; Barry, Simon

    2016-01-01

    Background and Purpose Achilles tendinopathy can be a debilitating chronic condition for both active and inactive individuals. The identification of risk facors is important both in preventing but also treating tendinopathy, many factors have been proposed but there is a lack of primary epidemiological data. The purpose of this study was to develop a statement of expert consensus on risk factors for Achilles tendinopathy in active and sedentary patient populations to inform a primary epidemiological study. Study design Delphi study Methods and Measures An online Delphi study was completed inviting participation from world tendon experts. The consensus was developed using three rounds of the Delphi technique. The first round developed a complete list of potential risk factors, the second round refined this list but also separated the factors into two population groups – active/athletic and inactive/sedentary. The third round ranked this list in order of perceived importance. Results Forty-four experts were invited to participate, 16 participated in the first round (response rate 40%) and two dropped out in the second round (resulting in a response rate of 35%). A total of 27 intrinsic and eight extrinsic risk factors were identified during round one. During round two only 12 intrinsic and five extrinsic risk factors were identified as important in active/athletic tendinopathy while 14 intrinsic and three extrinsic factors were identified as important for inactive/sedentary tendinopathy. Conclusions Risk factors for Achilles tendinopathy were identified based on expert consensus, and these factors provide a basis for primary epidemiological studies. Plantarflexor strength was identified as the primary modifiable factor in the active/athletic group while systemic factors were identified as important in the inactive/sedentary group, many of the potential factors suggested for either group were non-modifiable. Non-modifiable factors include: previous tendinopathy

  3. ESPACOMP Medication Adherence Reporting Guidelines (EMERGE): a reactive-Delphi study protocol

    Science.gov (United States)

    Helmy, R; Zullig, L L; Dunbar-Jacob, J; Hughes, D A; Vrijens, B; Wilson, I B; De Geest, S

    2017-01-01

    Introduction Medication adherence is fundamental to achieving optimal patient outcomes. Reporting research on medication adherence suffers from some issues—including conceptualisation, measurement and data analysis—that thwart its advancement. Using the ABC taxonomy for medication adherence as the conceptual basis, a steering committee of members of the European Society for Patient Adherence, COMpliance, and Persistence (ESPACOMP) launched an initiative to develop ESPACOMP Medication Adherence Reporting Guidelines (EMERGE). This paper is a protocol for a Delphi study that aims to build consensus among a group of topic experts regarding an item list that will support developing EMERGE. Methods and analysis This study uses a reactive-Delphi design where a group of topic experts will be asked to rate the relevance and clarity of an initial list of items, in addition to suggesting further items and/or modifications of the initial items. The initial item list, generated by the EMERGE steering committee through a structured process, consists of 26 items distributed in 2 sections: 4 items representing the taxonomy-based minimum reporting criteria, and 22 items organised according to the common reporting sections. A purposive sample of experts will be selected from relevant disciplines and diverse geographical locations. Consensus will be achieved through predefined decision rules to keep, delete or modify the items. An iterative process of online survey rounds will be carried out until consensus is reached. Ethics and dissemination An ethics approval was not required for the study according to the Swiss federal act on research involving human beings. The participating experts will be asked to give an informed consent. The results of this Delphi study will feed into EMERGE, which will be disseminated through peer-reviewed publications and presentations at conferences. Additionally, the steering committee will encourage their endorsement by registering the guidelines at

  4. Determinants of Social Accountability in Iranian Nursing and Midwifery Schools: A Delphi Study

    Directory of Open Access Journals (Sweden)

    Amir Reza Salehmoghaddam

    2017-04-01

    Full Text Available Background: Revising the medical education programs to meet the needs of society has become both a necessity and an important priority due to the considerable increase of population, changing patterns of diseases, and new health priorities. While this necessity has been highlighted in Iran’s Fifth Development Plan as well as its National 2025 Vision Plan, the determinants of social accountability have not been explained yet. This study aimed to develop determinants of social accountability in the Iranian Nursing and Midwifery Schools. Methods: This classic Delphi study included thirty experts in Nursing and Midwifery Education, Research and Services selected based on purposive sampling and three rounds of Delphi technique and conducted in Nursing and Midwifery School of Mashhad University of Medical Sciences. The primary data were collected using an initial structured questionnaire prepared through extensive review of literature. SPSS 11.5 software was used to analyze the data. The interquartile deviation and percentage of agreement were also used to study the consensus of opinion by experts. Results: Finding obtained from the rounds of Delphi resulted in selecting 69 determinants out of the initial pool of 128 primary determinants of social accountability. The items were selected based on experts’ consensus and categorized under three main activities of Nursing and Midwifery School, namely education, research, and service. Conclusion: Social accountability determinants were explained by 69 items for Schools of Nursing and Midwifery in Iran. The proposed determinants can be used by managers and authorities of Nursing and Midwifery School, policy makers, and evaluating institutions associated with them to ensure realizing social accountability goals.

  5. Determinants of Social Accountability in Iranian Nursing and Midwifery Schools: A Delphi Study

    Science.gov (United States)

    Salehmoghaddam, Amir Reza; Mazloom, Seyed Reza; Sharafkhani, Mohammad; Gholami, Hassan; Emami Zeydi, Amir; Khorashadizadeh, Fatemeh; Emadzadeh, Ali

    2017-01-01

    ABSTRACT Background: Revising the medical education programs to meet the needs of society has become both a necessity and an important priority due to the considerable increase of population, changing patterns of diseases, and new health priorities. While this necessity has been highlighted in Iran’s Fifth Development Plan as well as its National 2025 Vision Plan, the determinants of social accountability have not been explained yet. This study aimed to develop determinants of social accountability in the Iranian Nursing and Midwifery Schools. Methods: This classic Delphi study included thirty experts in Nursing and Midwifery Education, Research and Services selected based on purposive sampling and three rounds of Delphi technique and conducted in Nursing and Midwifery School of Mashhad University of Medical Sciences. The primary data were collected using an initial structured questionnaire prepared through extensive review of literature. SPSS 11.5 software was used to analyze the data. The interquartile deviation and percentage of agreement were also used to study the consensus of opinion by experts. Results: Finding obtained from the rounds of Delphi resulted in selecting 69 determinants out of the initial pool of 128 primary determinants of social accountability. The items were selected based on experts’ consensus and categorized under three main activities of Nursing and Midwifery School, namely education, research, and service. Conclusion: Social accountability determinants were explained by 69 items for Schools of Nursing and Midwifery in Iran. The proposed determinants can be used by managers and authorities of Nursing and Midwifery School, policy makers, and evaluating institutions associated with them to ensure realizing social accountability goals.

  6. The perspective of European researchers of national occupational safety and health institutes for contributing to a European research agenda: a modified Delphi study.

    Science.gov (United States)

    Gagliardi, Diana; Rondinone, Bruna M; Mirabile, Marco; Buresti, Giuliana; Ellwood, Peter; Hery, Michel; Paszkiewicz, Peter; Valenti, Antonio; Iavicoli, Sergio

    2017-06-23

    This study, developed within the frame of the Partnership for European Research on Occupational Safety and Health joint research activities and based on the frame designed by the 2013 European Agency for Safety and Health at Work (EU-OSHA) study, is the first example of using the points of view of European occupational safety and health (OSH) researchers.The objective is to identify priorities for OSH research that may contribute to the achievement of present and future sustainable growth objectives set by the European strategies. The study was carried out using a modified Delphi method with a two-round survey. Each round involved a panel of about 110 researchers representing the network member institutes was selected according to specific criteria, including the ownership of research expertise in at least one of the four macroareas identified by the reference report developed by EU-OSHA in 2013. The study identified some innovative research topics (for example, 'Emerging technological devices' and 'OSH consequences of markets integration') and research priorities (ie, crowdsourcing, e-work, zero-hours contracts) that are not reflected in previous studies of this nature.The absence of any reference to violence and harassment at work among the researchers' proposals is a major difference from previous similar studies, while topics related to gender issues and electromagnetic fields show a lower importance. The innovative design of a research priorities identification process, which takes advantage of a large, representative and qualified panel of European researchers allowed the definition of a number of research priorities able to support the inclusion of innovative OSH research issues in the scope of the next European research agenda. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  7. Designing Excellence and Quality Model for Training Centers of Primary Health Care: A Delphi Method Study

    Directory of Open Access Journals (Sweden)

    Jafar-Sadegh TABRIZI

    2015-10-01

    Full Text Available Background: Excellence and quality models are comprehensive methods for improving the quality of healthcare. The aim of this study was to design excellence and quality model for training centers of primary health care using Delphi method. Methods: In this study, Delphi method was used. First, comprehensive information were collected using literature review. In extracted references, 39 models were identified from 34 countries and related sub-criteria and standards were extracted from 34 models (from primary 39 models. Then primary pattern including 8 criteria, 55 sub-criteria, and 236 standards was developed as a Delphi questionnaire and evaluated in four stages by 9 specialists of health care system in Tabriz and 50 specialists from all around the country.Results: Designed primary model (8 criteria, 55 sub-criteria, and 236 standards were concluded with 8 criteria, 45 sub-criteria, and 192 standards after 4 stages of evaluations by specialists. Major criteria of the model are leadership, strategic and operational planning, resource management, information analysis, human resources management, process management, costumer results, and functional results, where the top score was assigned as 1000 by specialists. Functional results had the maximum score of 195 whereas planning had the minimum score of 60. Furthermore the most and the least sub-criteria was for leadership with 10 sub-criteria and strategic planning with 3 sub-criteria, respectively. Conclusion: The model that introduced in this research has been designed following 34 reference models of the world. This model could provide a proper frame for managers of health system in improving quality. Keywords: Quality model, Excellence model, Training centers, Primary cares, Iran

  8. New CKM-related studies on b decays in the DELPHI experiment at LEP

    CERN Document Server

    Mitaroff, Winfried A

    2003-01-01

    The e-e+ collider LEP, running at sqrt{s} = m(Z0), has been a copious source of b-hadrons produced in decays Z0 -> b \\b. We present recent studies using up to 4*10^6 hadronic Z0 decays acquired by the DELPHI detector between 1992 and 2000. They rely on efficient particle identification, precise track and vertex reconstruction and sophisticated data analysis algorithms. Presented are: a new measurement of the CKM matrix element |V_cb| in the semileptonic exclusive decays B0_d -> D*+ l- \

  9. STEM integration in middle school career and technical education programs: A Delphi design study

    Science.gov (United States)

    Wu-Rorrer, Billy Ray

    The purpose of this qualitative method study with a Delphi research design sought to determine how STEM programs can be effectively integrated into middle school career and technical education programs by local, state, and national educators, administrators, directors, specialists, and curriculum writers. The significance of the study is to provide leaders in CTE with a greater awareness, insight, and strategies about how CTE programs can more effectively integrate academics into career and technical education programs through STEM-related programming. The findings will increase the limited amount of available literature providing best practice strategies for the integration of STEM curriculum into middle school CTE programs. One basic question has guided this research: How can STEM programs be effectively integrated into middle school career and technical education programs? A total of twelve strategies were identified. The strategies of real-world applications and administrative buy-in were the two predominant strategies consistently addressed throughout the review of literature and all three sub-questions in the research study. The Delphi design study consisted of pilot round and three rounds of data collection on barriers, strategies, and professional development for STEM integration in middle school career and technical education programs. Four panelists participated in the pilot round, and 16 panel members not involved in the pilot round participated in the three rounds of questioning and consensus building. In the future, more comprehensive studies can build upon this foundational investigation of middle school CTE programs.

  10. Research Priorities in Mobile Learning: An International Delphi Study

    Science.gov (United States)

    Hsu, Yu-Chang; Ching, Yu-Hui; Snelson, Chareen

    2014-01-01

    Along with advancing mobile technologies and proliferating mobile devices and applications, mobile learning research has gained great momentum in recent years. While there have been review articles summarizing past research, studies identifying mobile learning research priorities based on experts' latest insights have been lacking. This study…

  11. Rethinking clinical governance : Healthcare professionals' views: a Delphi study

    NARCIS (Netherlands)

    Veenstra, Gepke L.; Ahaus, Kees; Welker, Gera A.; Heineman, Erik; van der Laan, Maarten J.; Muntinghe, Friso L. H.

    OBJECTIVE: Although the guiding principle of clinical governance states that healthcare professionals are the leading contributors to quality and safety in healthcare, little is known about what healthcare professionals perceive as important for clinical governance. The aim of this study is to

  12. Feasibility of multi-sector policy measures that create activity-friendly environments for children: results of a Delphi study

    Directory of Open Access Journals (Sweden)

    Aarts Marie-Jeanne

    2011-12-01

    Full Text Available Abstract Background Although multi-sector policy is a promising strategy to create environments that stimulate physical activity among children, little is known about the feasibility of such a multi-sector policy approach. The aims of this study were: to identify a set of tangible (multi-sector policy measures at the local level that address environmental characteristics related to physical activity among children; and to assess the feasibility of these measures, as perceived by local policy makers. Methods In four Dutch municipalities, a Delphi study was conducted among local policy makers of different policy sectors (public health, sports, youth and education, spatial planning/public space, traffic and transportation, and safety. In the first Delphi round, respondents generated a list of possible policy measures addressing three environmental correlates of physical activity among children (social cohesion, accessibility of facilities, and traffic safety. In the second Delphi round, policy makers weighted different feasibility aspects (political feasibility, cultural/community acceptability, technical feasibility, cost feasibility, and legal feasibility and assessed the feasibility of the policy measures derived from the first round. The third Delphi round was aimed at reaching consensus by feedback of group results. Finally, one overall feasibility score was calculated for each policy measure. Results Cultural/community acceptability, political feasibility, and cost feasibility were considered most important feasibility aspects. The Delphi studies yielded 16 feasible policy measures aimed at physical and social environmental correlates of physical activity among children. Less drastic policy measures were considered more feasible, whereas environmental policy measures were considered less feasible. Conclusions This study showed that the Delphi technique can be a useful tool in reaching consensus about feasible multi-sector policy measures. The

  13. Feasibility of multi-sector policy measures that create activity-friendly environments for children: results of a Delphi study.

    Science.gov (United States)

    Aarts, Marie-Jeanne; Schuit, Albertine J; van de Goor, Ien Am; van Oers, Hans Am

    2011-12-15

    Although multi-sector policy is a promising strategy to create environments that stimulate physical activity among children, little is known about the feasibility of such a multi-sector policy approach. The aims of this study were: to identify a set of tangible (multi-sector) policy measures at the local level that address environmental characteristics related to physical activity among children; and to assess the feasibility of these measures, as perceived by local policy makers. In four Dutch municipalities, a Delphi study was conducted among local policy makers of different policy sectors (public health, sports, youth and education, spatial planning/public space, traffic and transportation, and safety). In the first Delphi round, respondents generated a list of possible policy measures addressing three environmental correlates of physical activity among children (social cohesion, accessibility of facilities, and traffic safety). In the second Delphi round, policy makers weighted different feasibility aspects (political feasibility, cultural/community acceptability, technical feasibility, cost feasibility, and legal feasibility) and assessed the feasibility of the policy measures derived from the first round. The third Delphi round was aimed at reaching consensus by feedback of group results. Finally, one overall feasibility score was calculated for each policy measure. Cultural/community acceptability, political feasibility, and cost feasibility were considered most important feasibility aspects. The Delphi studies yielded 16 feasible policy measures aimed at physical and social environmental correlates of physical activity among children. Less drastic policy measures were considered more feasible, whereas environmental policy measures were considered less feasible. This study showed that the Delphi technique can be a useful tool in reaching consensus about feasible multi-sector policy measures. The study yielded several feasible policy measures aimed at

  14. Paramedic clinical decision making during high acuity emergency calls: design and methodology of a Delphi study

    Directory of Open Access Journals (Sweden)

    Croskerry Pat

    2009-09-01

    Full Text Available Abstract Background The scope of practice of paramedics in Canada has steadily evolved to include increasingly complex interventions in the prehospital setting, which likely have repercussions on clinical outcome and patient safety. Clinical decision making has been evaluated in several health professions, but there is a paucity of work in this area on paramedics. This study will utilize the Delphi technique to establish consensus on the most important instances of paramedic clinical decision making during high acuity emergency calls, as they relate to clinical outcome and patient safety. Methods and design Participants in this multi-round survey study will be paramedic leaders and emergency medical services medical directors/physicians from across Canada. In the first round, participants will identify instances of clinical decision making they feel are important for patient outcome and safety. On the second round, the panel will rank each instance of clinical decision making in terms of its importance. On the third and potentially fourth round, participants will have the opportunity to revise the ranking they assigned to each instance of clinical decision making. Consensus will be considered achieved for the most important instances if 80% of the panel ranks it as important or extremely important. The most important instances of clinical decision making will be plotted on a process analysis map. Discussion The process analysis map that results from this Delphi study will enable the gaps in research, knowledge and practice to be identified.

  15. First aid guidelines for psychosis in Asian countries: A Delphi consensus study

    Directory of Open Access Journals (Sweden)

    Langlands Robyn L

    2008-02-01

    Full Text Available Abstract Background Guidelines for how a member of the public should give first aid to a person who is becoming psychotic have been developed for English-speaking countries. However, these guidelines may not be appropriate for use in other cultures. A study was therefore carried out to examine whether it was possible to achieve consensus on guidelines that could apply in a range of Asian countries. Methods A Delphi consensus study was carried out with a panel of 28 Asian mental health clinicians drawn from Cambodia, China, Hong Kong, Indonesia, Japan, Malaysia, Mongolia, South Korea, Sri Lanka, Taiwan, Thailand and Vietnam. The panel was given a 211 item questionnaire about possible first aid actions and asked to rate whether they thought these should be included in guidelines. Panel members were invited to propose additional items. Results After three Delphi rounds, there were 128 items that were rated as "essential" or "important" by 80% or more of the panel members. These items covered: recognition of psychosis, encouraging and assisting the person to seek help, how to interact with the person, responding to acute psychosis, responding to aggression, and what to do if the person refuses to get professional help. Conclusion Despite the diversity of the countries involved, there was consensus on a core set of first aid items that were considered as suitable for assisting a psychotic person. Future work is needed to develop guidelines for specific countries.

  16. Scenarios for future agriculture in Finland: a Delphi study among agri-food sector stakeholders

    Directory of Open Access Journals (Sweden)

    P. RIKKONEN

    2008-12-01

    Full Text Available This article presents alternative scenarios for future agriculture in Finland up to 2025. These scenarios are the results of a large Delphi study carried out among Finnish agri-food sector stakeholders. The Delphi panel members gave their future view on desirable and probable futures. From these two dimensions, three scenarios were elaborated through the future images – the subjective future path and the importance analysis. The scenarios represent a technology optimistic “day-dream agriculture”, a probable future as “industrialised agriculture” and an undesirable future path as “drifting agriculture”. Two mini-scenarios are also presented. They are based on a discontinuity event as an unexpected impact of climate change and an analogy event as an ecological breakdown due to the expansive animal disease epidemics. In both mini-scenarios, the directions of storylines are dramatically changed. The scenarios support strategic planning introducing not only one forecast but alternative outcomes as a basis for future strategy and decisions. In this study the scenarios were constructed to address the opportunities as a desired vision and also the threats as to an undesirable future in the agricultural sector. These results bring to the table a Finnish agri-food expert community view of the future directions of relevant key issues in the agricultural policy agenda.;

  17. Identifying management competencies for health care executives: review of a series of Delphi studies.

    Science.gov (United States)

    Hudak, R P; Brooke, P P; Finstuen, K

    2000-01-01

    This analysis reviews a selected body of research that identifies the essential areas of management expertise required of future health care executives. To ensure consistency, six studies are analyzed, utilizing the Delphi technique, to query a broad spectrum of experts in different fields and sites of health care management. The analysis identifies a number of management competencies, i.e., managerial capabilities, which current and aspiring health care executives, in various settings and with differing educational backgrounds, should possess to enhance the probability of their success in current and future positions of responsibility. In addition, this review identifies the skills (technical expertise), knowledge (facts and principles) and abilities (physical, mental or legal power) required to support achievement of these competencies. Leadership and resource management, including cost and finance dimensions, are the highest-rated requisite management competencies. The dominant skills, knowledge and abilities (SKAs) are related to interpersonal skills. The lowest-rated SKAs are related to job-specific, technical skills. Recommendations include the review of this research by formal and continuing education programs to determine the content of their courses and areas for future research. Similarly, current health care executives should assess this research to assist in identifying competency gaps. Lastly, this analysis recommends that the Delphi technique, as a valid and replicable methodology, be applied toward the study of non-executive health care managers, e.g., students, clinicians, mid-level managers and integrated systems administrators, to determine their requisite management competencies and SKAs.

  18. Identifying Ethical Issues in Mental Health Research with Minors Adolescents: Results of a Delphi Study

    Directory of Open Access Journals (Sweden)

    Elisabeta Ioana Hiriscau

    2016-05-01

    Full Text Available Research with minors, especially for preventive purposes, e.g., suicide prevention, investigating risk or self-destructive behaviors such as deviance, drug abuse, or suicidal behavior, is ethically sensitive. We present a Delphi study exploring the ethical implications of the needs formulated by researchers in an international pre-conference who would benefit from ethics support and guidance in conducting Mental Health Research with minors. The resulting List of Ethical Issues (LEI was submitted to a 2-rounds Delphi process via the Internet, including 34 multidisciplinary experts. In the first round, the experts reviewed the LEI and completed a questionnaire. Results from this round were analyzed and grouped in nine categories comprising 40 items. In the second round, the experts had to agree/disagree with the needs expressed in the LEI leading to a final list of 25 ethical issues considered relevant for Mental Health Research with minors such as: confidentiality of the sensitive data, competence for consenting alone and risk of harm and stigma related to the methodology used in research. It was shown that studies like SEYLE (Saving and Empowering Young Lives in Europe trigger among researchers wishes to obtain specific recommendations helping to comply with standards for good practice in conducting research with minors.

  19. Malaria chemoprophylaxis recommendations for immigrants to Europe, visiting relatives and friends - a Delphi method study

    Directory of Open Access Journals (Sweden)

    Bisoffi Zeno

    2011-05-01

    Full Text Available Abstract Background Numbers of travellers visiting friends and relatives (VFRs from Europe to malaria endemic countries are increasing and include long-term and second generation immigrants, who represent the major burden of malaria cases imported back into Europe. Most recommendations for malaria chemoprophylaxis lack a solid evidence base, and often fail to address the cultural, social and economic needs of VFRs. Methods European travel medicine experts, who are members of TropNetEurop, completed a sequential series of questionnaires according to the Delphi method. This technique aims at evaluating and developing a consensus through repeated iterations of questionnaires. The questionnaires in this study included questions about professional experience with VFRs, controversial issues in malaria prophylaxis, and 16 scenarios exploring indications for prescribing and choice of chemoprophylaxis. Results The experience of participants was rather diverse as was their selection of chemoprophylaxis regimen. A significant consensus was observed in only seven of 16 scenarios. The analysis revealed a wide variation in prescribing choices with preferences grouped by region of practice and increased prescribing seen in Northern Europe compared to Central Europe. Conclusions Improving the evidence base on efficacy, adherence to chemoprophylaxis and risk of malaria and encouraging discussion among experts, using techniques such as the Delphi method, may reduce the variability in prescription in European travel clinics.

  20. Electric and hybrid electric vehicles: A technology assessment based on a two-stage Delphi study

    Energy Technology Data Exchange (ETDEWEB)

    Vyas, A.D.; Ng, H.K.; Santini, D.J.; Anderson, J.L.

    1997-12-01

    To address the uncertainty regarding future costs and operating attributes of electric and hybrid electric vehicles, a two stage, worldwide Delphi study was conducted. Expert opinions on vehicle attributes, current state of the technology, possible advancements, costs, and market penetration potential were sought for the years 2000, 2010, and 2020. Opinions related to such critical components as batteries, electric drive systems, and hybrid vehicle engines, as well as their respective technical and economic viabilities, were also obtained. This report contains descriptions of the survey methodology, analytical approach, and results of the analysis of survey data, together with a summary of other factors that will influence the degree of market success of electric and hybrid electric vehicle technologies. Responses by industry participants, the largest fraction among all the participating groups, are compared with the overall responses. An evaluation of changes between the two Delphi stages is also summarized. An analysis of battery replacement costs for various types is summarized, and variable operating costs for electric and hybrid vehicles are compared with those of conventional vehicles. A market penetration analysis is summarized, in which projected market shares from the survey are compared with predictions of shares on the basis of two market share projection models that use the cost and physical attributes provided by the survey. Finally, projections of market shares beyond the year 2020 are developed by use of constrained logit models of market shares, statistically fitted to the survey data.

  1. Identifying and establishing consensus on the most important safety features of GP computer systems: e-Delphi study

    Directory of Open Access Journals (Sweden)

    Anthony Avery

    2005-03-01

    Full Text Available Our objective was to identify and establish consensus on the most important safety features of GP computer systems, with a particular emphasis on medicines management.Weused a two-round electronic Delphi survey, completed by a 21-member multidisciplinary expert panel, all from the UK. The main outcome measure was percentage agreement of the panel members on the importance of the presence of a number of different safety features (presented as clinical statements onGP computer systems.We found 90% or greater agreement on the importance of 32 (58% statements. These statements, indicating issues considered to be of considerable importance (rated as important or very important, related to: computerised alerts; the need to avoid spurious alerts; making it difficult to override critical alerts; having audit trails of such overrides; support for safe repeat prescribing; effective computer_user interface; importance of call and recall management; and the need to be able to run safety reports. The high level of agreement among the expert panel members indicates clear themes and priorities that need to be addressed in any further improvement of safety features in primary care computing systems.

  2. Delphi cookbook

    CERN Document Server

    Teti, Daniele

    2014-01-01

    Intended to refresh the basics of Delphi as well as advance your knowledge to the next level, it is assumed you will know RAD studio and the Object Pascal language. However, if you are not an experienced RAD studio programmer this accessible guide will still develop those initial crucial skills.

  3. Consensus on the Definition of Advanced Parkinson's Disease: A Neurologists-Based Delphi Study (CEPA Study)

    Science.gov (United States)

    Kulisevsky, Jaime; Tolosa, Eduardo S.

    2017-01-01

    To date, no consensus exists on the key factors for diagnosing advanced Parkinson disease (APD). To obtain consensus on the definition of APD, we performed a prospective, multicenter, Spanish nationwide, 3-round Delphi study (CEPA study). An ad hoc questionnaire was designed with 33 questions concerning the relevance of several clinical features for APD diagnosis. In the first-round, 240 neurologists of the Spanish Movement Disorders Group participated in the study. The results obtained were incorporated into the questionnaire and both, results and questionnaire, were sent out to and fulfilled by 26 experts in Movement Disorders. Review of results from the second-round led to a classification of symptoms as indicative of “definitive,” “probable,” and “possible” APD. This classification was confirmed by 149 previous participating neurologists in a third-round, where 92% completely or very much agreed with the classification. Definitive symptoms of APD included disability requiring help for the activities of daily living, presence of motor fluctuations with limitations to perform basic activities of daily living without help, severe dysphagia, recurrent falls, and dementia. These results will help neurologists to identify some key factors in APD diagnosis, thus allowing users to categorize the patients for a homogeneous recognition of this condition. PMID:28239501

  4. Identification of the Competencies Needed to Apply Social Marketing to Extension Programming: Results of a Delphi Study

    Science.gov (United States)

    Warner, Laura A.; Stubbs, Eric; Murphrey, Theresa Pesl; Huynh, Phuong

    2016-01-01

    The purpose of this study was to identify the specific competencies needed to apply social marketing, a promising approach to behavior change, to Extension programming. A modified Delphi study was used to achieve group consensus among a panel of experts on the skills, characteristics, and knowledge needed to successfully apply this behavior change…

  5. Identification of the Competencies Needed to Apply Social Marketing to Extension Programming: Results of a Delphi Study

    Science.gov (United States)

    Warner, Laura A.; Stubbs, Eric; Murphrey, Theresa Pesl; Huynh, Phuong

    2016-01-01

    The purpose of this study was to identify the specific competencies needed to apply social marketing, a promising approach to behavior change, to Extension programming. A modified Delphi study was used to achieve group consensus among a panel of experts on the skills, characteristics, and knowledge needed to successfully apply this behavior change…

  6. Methodological and Conceptual Issues Confronting a Cross-Country Delphi Study of Educational Program Evaluation

    Science.gov (United States)

    Hung, Hsin-Ling; Altschuld, James W.; Lee, Yi-Fang

    2008-01-01

    Although the Delphi is widely used, research on certain methodological issues is somewhat limited. After a brief introduction to the strengths, limitations, and methodological challenges of the technique, we share our experiences (as well as problems encountered) with an electronic Delphi of educational program evaluation (EPE) in the Asia-Pacific…

  7. A Delphi Study on Staff Bereavement Training in the Intellectual and Developmental Disabilities Field

    Science.gov (United States)

    Gray, Jennifer A.; Truesdale, Jesslyn

    2015-01-01

    The Delphi technique was used to obtain expert panel consensus to prioritize content areas and delivery methods for developing staff grief and bereavement curriculum training in the intellectual and developmental disabilities (IDD) field. The Delphi technique was conducted with a panel of 18 experts from formal and informal disability caregiving,…

  8. An Analysis of Factors that Inhibit Business Use of User-Centered Design Principles: A Delphi Study

    Science.gov (United States)

    Hilton, Tod M.

    2010-01-01

    The use of user-centered design (UCD) principles has a positive impact on the use of web-based interactive systems in customer-centric organizations. User-centered design methodologies are not widely adopted in organizations due to intraorganizational factors. A qualitative study using a modified Delphi technique was used to identify the factors…

  9. What Are We Aiming For?--A Delphi Study on the Development of Civic Scientific Literacy in Sweden

    Science.gov (United States)

    Chang Rundgren, Shu-Nu; Rundgren, Carl-Johan

    2017-01-01

    Based on the EU FP 7 project, PROFILES, this article presents our findings from a three-round Delphi study conducted in Sweden that aimed at establishing a consensus on how science education should be developed for citizens to enhance civic scientific literacy. A total of 100 stakeholders (9th graders, school teachers, scientists, and science…

  10. Identifying Areas of Tension in the Field of Technology-Enhanced Learning: Results of an International Delphi Study

    Science.gov (United States)

    Plesch, Christine; Kaendler, Celia; Rummel, Nikol; Wiedmann, Michael; Spada, Hans

    2013-01-01

    Despite steady progress in research in technology-enhanced learning (TEL), the translation of research findings and technology into educational practices falls short of expectations. We present five Areas of Tension which were identified and evaluated in an international Delphi study on TEL. These tensions might impede a more comprehensive…

  11. Practices and Challenges in Educational Program Evaluation in the Asia-Pacific Region: Results of a Delphi Study

    Science.gov (United States)

    Lee, Yi-Fang; Altschuld, James W.; Hung, Hsin-Ling

    2008-01-01

    While educational program evaluation has become more important in recent years because of increasing governmental demands for accountability, little is known about the development of and issues in regard to this topic in the Asia-Pacific region. The findings from a Delphi study conducted in a number of relevant countries are provided in this…

  12. Factors influencing the adoption, implementation, and continuation of physical activity interventions in primary health care: A Delphi study

    NARCIS (Netherlands)

    Huijg, J.M.; Crone, M.R.; Verheijden, M.W.; Zouwe, N. van der; Middelkoop, B.J.; Gebhardt, W.A.

    2013-01-01

    Background: The introduction of efficacious physical activity interventions in primary health care is a complex process. Understanding factors influencing the process can enhance the development of effective introduction strategies. This Delphi study aimed to identify factors most relevant for the a

  13. A Delphi Study Using Value-Focused Thinking for United States Air Force Mission Dependency Index Values

    Science.gov (United States)

    2015-03-26

    Keeney, R. L. (1992). Value-Focused Thinking : A Path to Creative Decisionmaking. Cambridge: Harvard University Press. Keeney, R. L. (1996). Value...the Role of Value-Focused Thinking in Idea Management. Creativity and Innovation Management, 196-206. Shoviak, M. J. (2001). Decision Analysis...A DELPHI STUDY USING VALUE-FOCUSED THINKING FOR UNITED STATES AIR FORCE MISSION DEPENDENCY INDEX

  14. [Key measures for developing palliative care from a public health perspective. Initial results from a three-round Delphi study].

    Science.gov (United States)

    Behmann, M; Jünger, S; Radbruch, L; Schneider, N

    2011-05-01

    Recently, six key targets for public health initiatives to improve palliative care in Germany were defined. This article reports the initial results of a follow-up study aiming at developing concrete measures to achieve these targets. We carried out a three-round Delphi study with stakeholders acting on the meso- and macro-levels of the German healthcare system (e.g., representatives of patient organizations, health insurance funds, politics, medical and nursing associations). In the first Delphi round, participants proposed measures to achieve the six key targets using free-text answers. The answers were analyzed with a qualitative-descriptive approach. In total, 107 stakeholders responded to the first Delphi round. After data reduction, 37 measures were extracted and grouped into six major categories: family carers, qualification, quality, public relations, services, and coordination. The range of measures on the different levels of policy, health care, and education presents a substantiated basis for the elaboration of targeted public health action plans to improve palliative care. Prioritization of measures in the second and third Delphi rounds will provide empirical support for decision making.

  15. Parenting to prevent body dissatisfaction and unhealthy eating patterns in preschool children: a Delphi consensus study.

    Science.gov (United States)

    Hart, Laura M; Damiano, Stephanie R; Chittleborough, Philip; Paxton, Susan J; Jorm, Anthony F

    2014-09-01

    Interventions to prevent body dissatisfaction and unhealthy eating patterns are needed in early childhood. Identifying effective parenting strategies would be useful for parents and prevention researchers. To develop expert consensus, an online Delphi study was conducted with experts (N=28, Mage=44.34) who rated statements describing potential parenting strategies gleaned from a systematic literature search. If 90-100% rated a statement as either Essential or Important, it was endorsed as a guideline. From a total of 335 statements 153 were endorsed. Despite some areas of disagreement, including whether parents should weigh their child or discourage weighing, experts were able to reach consensus on a wide range of issues, such as how to discuss healthy eating with children. The developed guidelines provide a novel and required resource for parents, and a framework for researchers developing interventions to prevent the onset of body dissatisfaction and unhealthy eating patterns in early childhood. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. International mobility technology research: a Delphi study to identify challenges and compensatory strategies.

    Science.gov (United States)

    Jefferds, Alexandra N; Pearlman, Jon L; Wee, Joy; Cooper, Rory A

    2011-01-01

    We sought to identify logistical and ethical challenges to performing wheelchair-related research in low- and middle-income countries and to generate a list of compensatory strategies to address these challenges. Thirteen individuals with experience in the field participated in an online Delphi study. The surveys asked participants to identify research challenges, suggest strategies to address the selected challenges, and critique each other's strategies. Participants identified challenges in the use of research techniques, compensation for participation that does not result coercion, oral and written translation materials, funding for research, collaboration with local professionals, and "respect for persons." Effective international mobility research requires time, cultural sensitivity, collaboration, and careful planning. An understanding of these requirements can allow researchers to anticipate and compensate for common pitfalls of their work, thus making the research more productive and beneficial to subjects. Future research is required to verify the general effectiveness of compensatory strategies.

  17. Needs assessment for training in interprofessional skills in Swiss primary care: a Delphi study.

    Science.gov (United States)

    Junod Perron, Noelle; Cerutti, Bernard; Picchiottino, Patricia; Empeyta, Sebastien; Cinter, Francoise; van Gessel, Elisabeth

    2014-05-01

    Despite the importance of appropriate interprofessional collaboration in health care, it is still insufficiently taught in health professions education. The aim of the study was to conduct a needs assessment among health professionals on the themes and skills to be taught during interprofessional education programs in the context of Swiss primary care. A three round Delphi electronic survey was carried out in order to identify priority themes and skills to be included in such a program. Participants comprised 12 categories of health professionals. Seventy-two participated in the first, 41 in the second and 43 in the third round. Patient communication, case management of chronic conditions, therapeutic patient education, health promotion and prevention, ethics and medication were the most important themes identified. The most important skill was regarded as "to define and then share tasks and responsibilities between professionals". Sub-analysis revealed that both priority themes and skills chosen differed between health professional categories.

  18. DELPHI Exhibition

    CERN Multimedia

    2000-01-01

    DELPHI (Detector for Lepton, Photon and Hadron Identification) is a detector for e+e- physics, with special emphasis on powerful particle identification, three-dimensional information, high granularity and precise vertex determination. It is installed at LEP (Large Electron and Positron collider) at CERN where it has operated since 1989. The present collaboration consists of about 550 physicists from 56 participating universities and institutes in 22 countries.

  19. Mental Health First Aid guidelines for helping a suicidal person: a Delphi consensus study in India

    Directory of Open Access Journals (Sweden)

    Jorm Anthony F

    2010-02-01

    Full Text Available Abstract Background This study aimed to develop guidelines for how a member of the Indian public should provide mental health first aid to a person who is suicidal. Methods The guidelines were produced by developing a questionnaire containing possible first aid actions and asking an expert panel of Indian mental health clinicians to rate whether each action should be included in the guidelines. The content of the questionnaire was based on a systematic search of the relevant evidence and claims made by authors of consumer and carer guides and websites. Experts were recruited by SC, EC and HM. The panel members were asked to complete the questionnaire by web survey. Three rounds of the rating were carried and, at the end of each round, items that reached the consensus criterion were selected for inclusion in the guidelines. During the first round, panel members were also asked to suggest any additional actions that were not covered in the original questionnaire (to include items that are relevant to local cultural circumstances, values, and social norms.. Responses to the open-ended questions were used to generate new items. Results The output from the Delphi process was a set of agreed upon action statements. The Delphi process started with 138 statements, 30 new items were written based on suggestions from panel members and, of these 168 items, 71 met the consensus criterion. These statements were used to develop the guidelines appended to this paper. Translated versions of the guidelines will be produced and used for training. Conclusions There are a number of actions that are considered to be useful for members of the public when they encounter someone who is experiencing suicidal thoughts or engaging in suicidal behaviour. Although the guidelines are designed for members of the public, they may also be helpful to non-mental health professionals working in health and welfare settings.

  20. Determinants of Financial Sustainability for Farm Credit Applications—A Delphi Study

    Directory of Open Access Journals (Sweden)

    Johannes I. F. Henning

    2016-01-01

    Full Text Available Farmers use credit from commercial credit providers to finance production activities. Commercial credit providers have to predict the financial sustainability of the enterprise to ensure that the borrower will have the ability to repay the loan. A Delphi study was conducted to explore what factors are used as indicators of loan-repayment ability of farmers. The objective was not only to identify factors that are currently considered, but also to identify other personal attributes that may improve the accuracy in predicting the repayment ability of potential borrowers. The Delphi was applied to a panel consisting of nine credit analysts and credit managers from a commercial credit provider in South Africa. The results indicate that the current and past financial performance, account standing, collateral, and credit record of the farm are very important in the assessment of applications in terms of financial performance. Experience and the success factors compared to competitors were found to be important, while age and education/qualification are regarded as less important in predicting repayment ability. The results also show that, although not currently objectively included in credit evaluations, credit analysis regards leadership and human relations; commitment and confidence; internal locus of control; self-efficacy; calculated risk taking; need for achievement; and opportunity seeking as important indicators of the ability of potential borrows to repay their loans. Thus, credit analysts and managers also regard management abilities and entrepreneurial characteristics of potential borrowers to be good indicators of repayment ability. Results from this research provide new indicator factors that can be used to extend existing credit evaluation instruments in order to more accurately predict repayment ability.

  1. A Delphi study to develop practical diagnostic guidelines for visual stress (pattern-related visual stress).

    Science.gov (United States)

    Evans, Bruce J W; Allen, Peter M; Wilkins, Arnold J

    Visual stress (VS) is characterised by symptoms of visual perceptual distortions and eyestrain when viewing text, symptoms that are alleviated by individually prescribed coloured filters. A recent review supports the existence of VS and its treatment, but noted that controversy remains, in part due to inconsistencies in the diagnosis of the condition. The present paper reviews the diagnostic criteria for VS in the literature and reports a Delphi analysis of the criteria currently used in clinical practice. Twenty-six eyecare practitioners were invited to participate in a Delphi study. They were selected because they were frequent prescribers of precision tinted lenses. In the first round they were sent a list of the indicators for which there is literature to suggest a relevance in the diagnosis of VS. The practitioners were invited to rank the indicators and add any additional criteria they use in diagnosis. In the second round a revised list was circulated, including items added from the responses in the first round. The respondents included optometrists, orthoptists and opticians. In the first round the response rate was 85%. Ninety-one percent of those who participated in the first round also responded in the second round. Strong indicators in the second round included the symptom of words moving when reading, voluntary use of an overlay for a prolonged period, improved performance of ≥15% with an overlay on the Wilkins Rate of Reading test, and an abnormally high score on the Pattern Glare Test. The strongest diagnostic criteria are combined in a diagnostic tool. This is proposed as a guide for clinical practice and further research. Copyright © 2016 Spanish General Council of Optometry. Published by Elsevier España, S.L.U. All rights reserved.

  2. Estudo Delphi: atores sociais e tendências do sistema de saúde brasileiro Delphi Study: social actors and trends in the Brazilian health care system

    Directory of Open Access Journals (Sweden)

    Sérgio Francisco Piola

    2002-01-01

    Full Text Available Este artigo sintetiza o Informe Final publicado pelo Instituto de Pesquisa Econômica Aplicada contendo os resultados do Estudo Delphi, realizado no ano 2000, com o objetivo de identificar as principais tendências da saúde no Brasil para a primeira década do século XXI, segundo o entendimento de formadores de opinião selecionados entre diversos segmentos sociais mais diretamente envolvidos nas questões setoriais. Foram ouvidos 138 painelistas, dos quais 105 (76,1% participaram das duas etapas do estudo (1º e 2º questionários. A primeira grande conclusão de ordem geral do estudo é a improbabilidade de qualquer cenário de ruptura com o modelo atual. A segunda se refere à presença do contraditório nas opiniões dos diferentes grupos em inúmeras questões. A salutar ausência do pensamento único é evidenciada mesmo quando todos os segmentos representados no painel apontam na mesma direção, já que o grau de otimismo (ou pessimismo difere em cada grupo.This article summarizes the Final Report published by the Instituto de Pesquisa Econômica Aplicada, containing the results of the Delphi Study conducted in 2000 with the objective of identifying the main health trends in Brazil in the first decade of the 21st century, according to opinion-makers selected from various social segments most directly involved in issues in their respective sectors. A total of 138 panelists were interviewed, of whom 105 (76.1% participated in both stages of the study (1st and 2nd questionnaires. The first major general conclusion is the improbability of any scenario involving a break with the current model. The second refers to the presence of contradictory opinions among the different groups on numerous issues. The healthy absence of a single line of thought is displayed even when all segments represented in the panel point in the same direction, since the degree of optimism (or pessimism differs from one group to another.

  3. Essential Concepts of Nanoscale Science and Technology for High School Students Based on a Delphi Study by the Expert Community

    Science.gov (United States)

    Sakhnini, Sohair; Blonder, Ron

    2015-07-01

    Nanoscale science and technology (NST) is an important new field in modern science. In the current study, we seek to answer the question: 'What are the essential concepts of NST that should be taught in high school'? A 3-round Delphi study methodology was applied based on 2 communities of experts in nanotechnology research and science education. Eight essential concepts in NST were identified. Each concept is accompanied by its explanation, definition, importance and includes subcategories that compose it. Three concepts emerged in the Delphi study, which were not identified before: functionality, classification of nanomaterials, and the making of nanotechnology. Differences between the concepts suggested by the 2 communities of experts were found. The results of this study serve as a tool to examine different nanotechnology programs that were reported thus far and to make recommendations for designing a NST program for high school students that includes the essential concepts.

  4. Development of a questionnaire to assess the factors associated with clinical learning of nursing students: A Delphi study

    OpenAIRE

    M Emami Maybodi; M. Mirzaei; T Farajkhoda; Soltani-Arabshahi, K

    2015-01-01

    Introduction : Inhibiting factors in clinical learning of nursing students cause a huge gap between the optimum and the current situation in performance of the graduates . Due to the lack of a comprehensive and reliable tool for the identification of these factors in Iran , this study aimed to develop a scale to assess the related items to nursing students’ clinical learning.   Methods : This descriptive study used Delphi approach to assess factors associated with clinical learning of nursing...

  5. On speaking terms: a Delphi study on shared decision-making in maternity care.

    Science.gov (United States)

    Nieuwenhuijze, Marianne J; Korstjens, Irene; de Jonge, Ank; de Vries, Raymond; Lagro-Janssen, Antoine

    2014-07-09

    For most women, participation in decision-making during maternity care has a positive impact on their childbirth experiences. Shared decision-making (SDM) is widely advocated as a way to support people in their healthcare choices. The aim of this study was to identify quality criteria and professional competencies for applying shared decision-making in maternity care. We focused on decision-making in everyday maternity care practice for healthy women. An international three-round web-based Delphi study was conducted. The Delphi panel included international experts in SDM and in maternity care: mostly midwives, and additionally obstetricians, educators, researchers, policy makers and representatives of care users. Round 1 contained open-ended questions to explore relevant ingredients for SDM in maternity care and to identify the competencies needed for this. In rounds 2 and 3, experts rated statements on quality criteria and competencies on a 1 to 7 Likert-scale. A priori, positive consensus was defined as 70% or more of the experts scoring ≥6 (70% panel agreement). Consensus was reached on 45 quality criteria statements and 4 competency statements. SDM in maternity care is a dynamic process that starts in antenatal care and ends after birth. Experts agreed that the regular visits during pregnancy offer opportunities to build a relationship, anticipate situations and revisit complex decisions. Professionals need to prepare women antenatally for unexpected, urgent decisions in birth and revisit these decisions postnatally. Open and respectful communication between women and care professionals is essential; information needs to be accurate, evidence-based and understandable to women. Experts were divided about the contribution of professional advice in shared decision-making and about the partner's role. SDM in maternity care is a dynamic process that takes into consideration women's individual needs and the context of the pregnancy or birth. The identified

  6. Development of suicide postvention guidelines for secondary schools: a Delphi study.

    Science.gov (United States)

    Cox, Georgina R; Bailey, Eleanor; Jorm, Anthony F; Reavley, Nicola J; Templer, Kate; Parker, Alex; Rickwood, Debra; Bhar, Sunil; Robinson, Jo

    2016-02-24

    Suicide of school-aged adolescents is a significant problem, with serious implications for students and staff alike. To date, there is a lack of evidence regarding the most effective way for a secondary school to respond to the suicide of a student, termed postvention [(Crisis 33:208-214, 2012), (Crisis 34:164-182, 2013)]. The aim of this study was to employ the expert consensus (Delphi) methodology to the development of a set of guidelines, to assist English-speaking secondary schools to develop a plan to respond to a student suicide, or to respond to a suicide in the absence of a predetermined plan. The Delphi methodology was employed, which involved a two-stage process. Firstly, medical and research databases, existing postvention guidelines developed for schools, and lay literature were searched in order to identify potential actions that school staff could carry out following the suicide of a student. Based on this search, an online questionnaire was produced. Secondly, 40 experts in the area of suicide postvention from English-speaking countries were recruited and asked to rate each action contained within this questionnaire, in terms of how important they felt it was to be included in the postvention guidelines. A set of guidelines was developed based on these responses. In total, panel members considered 965 actions across three consensus rounds. Five hundred fourty-eight actions were endorsed for inclusion into the postvention guidelines based on an 80% consensus agreement threshold. These actions were groups according to common themes, which are presented in the following sections: 1. Developing an Emergency Response Plan; 2. Forming an Emergency Response Team; 3. Activating the Emergency Response Team; 4. Managing a suspected suicide that occurs on school grounds; 5. Liaising with the deceased student's family; 6. Informing staff of the suicide; 7. Informing students of the suicide; 8. Informing parents of the suicide; 9. Informing the wider community of

  7. A decision-making framework for total ownership cost management of complex systems: A Delphi study

    Science.gov (United States)

    King, Russel J.

    This qualitative study, using a modified Delphi method, was conducted to develop a decision-making framework for the total ownership cost management of complex systems in the aerospace industry. The primary focus of total ownership cost is to look beyond the purchase price when evaluating complex system life cycle alternatives. A thorough literature review and the opinions of a group of qualified experts resulted in a compilation of total ownership cost best practices, cost drivers, key performance factors, applicable assessment methods, practitioner credentials and potential barriers to effective implementation. The expert panel provided responses to the study questions using a 5-point Likert-type scale. Data were analyzed and provided to the panel members for review and discussion with the intent to achieve group consensus. As a result of the study, the experts agreed that a total ownership cost analysis should (a) be as simple as possible using historical data; (b) establish cost targets, metrics, and penalties early in the program; (c) monitor the targets throughout the product lifecycle and revise them as applicable historical data becomes available; and (d) directly link total ownership cost elements with other success factors during program development. The resultant study framework provides the business leader with incentives and methods to develop and implement strategies for controlling and reducing total ownership cost over the entire product life cycle when balancing cost, schedule, and performance decisions.

  8. What does professionalism look like? Attitudes and behaviours derived from a Delphi study.

    Science.gov (United States)

    Morgan, Judith; Hopkins, Wendy; Acreman, Susan; Jewell, Karen; Garwood, Lynne; Candy, Elizabeth

    2014-10-30

    In 2010, the chief nursing officer and nurse director for Wales commissioned a study to identify attitudes and behaviours associated with professionalism for nurses and midwives in Wales. The study was part of an exploration project of professionalism in nursing and midwifery. A Delphi study design was used to generate a consensus on the question 'What does "professionalism" mean in terms of attitudes and behaviours for nurses and midwives in Wales?' The question was put to an expert panel, comprising 27 members of the Consultant Nurse, Midwives and Health Professionals Forum and eight directors of nursing, using electronic questionnaires. The descriptors generated were subsumed into categories that were ranked, statistically tested and attributed a Likert-type score before consensus was achieved. The resultant categories and themes defined acceptable and unacceptable attitudes and behaviours, and enabled the development of an overarching short definition of professionalism. This carves a unique niche in the evidence base on professionalism and provides a tool for replicating the study in other countries and for other professional groups such as healthcare support workers, nursing and midwifery students and allied health professionals.

  9. Environmental and occupational health research and training needs in Colombia: A Delphi study

    Science.gov (United States)

    Rodríguez-Villamizar, Laura A.; González, Beatriz Elena; Vera, Lina María; Patz, Jonathan; Bautista, Leonelo E.

    2015-01-01

    Introduction Environmental factors contribute with 16% of the burden of disease in Colombia. A main obstacle in implementing national and regional environmental and occupational health policies is the limited knowledge on the local ability to study and control the impact of harmful exposures on health. Objective To identify needs for research and training in environmental and occupational health in Colombia. Materials and methods We conducted a three-round hybrid Delphi study. A group of environmental and occupational health Colombian experts (n=16) from government agencies, universities, and research centers was recruited to participate in the study. Expert’s opinions on research and training needs were gathered through online questionnaires, followed by an in-person meeting. The percentage of agreement and the coefficient of variation were used to measure consensus. Results Air pollution and chemical products were considered the most important environmental and occupational exposures, due to their significant impact on chronic non-communicable diseases, such as respiratory diseases, cardiovascular diseases, and cancer. Research on the effects of outdoor air pollution on cardiovascular and respiratory diseases was considered of the greatest importance. Priority training areas included environmental and occupational health risk assessment, exposure modeling, advanced statistical methods, urban planning, occupational safety and hygiene, and epidemiology and toxicology. Conclusions These findings provide a valuable input for the definition and implementation of national environmental and occupational health policies and for the development of a regional hub aimed at strengthening the capacity for research and training in Colombia. PMID:26535742

  10. Defining sustainable practice in community-based health promotion: a Delphi study of practitioner perspectives.

    Science.gov (United States)

    Harris, Neil; Sandor, Maria

    2013-04-01

    Sustainability of practice must be a central imperative in the practice of community-based health promotion to achieve population health and attract a greater share of public health spending. Although there has been some consideration of sustainability at the project or program levels, often understood as intervention longevity, very limited attention has been given to understanding sustainable practice. The present study develops a definition and features of sustainable practice in community-based health promotion through a Delphi method with health promotion practitioners in Queensland, Australia. The study presents a consensus definition and features of sustainable practice. The definition highlights the importance of collaboration, health determinants and aspirations, processes and outcomes. The four features of sustainable practice identified in the study are: (1) effective relationships and partnerships; (2) evidence-based decision making and practice; (3) emphasis on building community capacity; and (4) supportive context for practice. The definition and features are, to a large extent, consistent with the limited literature around sustainability at the project and program levels of health promotion. Together, they provide insight into a form of community-based health promotion that will be both viable and productive. So what? This consensus understanding of sustainable practice articulates the foundations of working effectively with local communities in achieving improved population health within global limits.

  11. Environmental and occupational health research and training needs in Colombia: A Delphi study.

    Science.gov (United States)

    Rodríguez-Villamizar, Laura A; González, Beatriz Elena; Vera, Lina María; Patz, Jonathan; Bautista, Leonelo E

    2015-08-01

    Environmental factors contribute with 16% of the burden of disease in Colombia. A main obstacle in implementing national and regional environmental and occupational health policies is the limited knowledge on the local ability to study and control the impact of harmful exposures on health. To identify needs for research and training in environmental and occupational health in Colombia. We conducted a three-round hybrid Delphi study. A group of environmental and occupational health Colombian experts (n=16) from government agencies, universities, and research centers was recruited to participate in the study. Expert´s opinions on research and training needs were gathered through online questionnaires, followed by an in-person meeting. The percentage of agreement and the coefficient of variation were used to measure consensus. Air pollution and chemical products were considered the most important environmental and occupational exposures, due to their significant impact on chronic non-communicable diseases, such as respiratory diseases, cardiovascular diseases, and cancer. Research on the effects of outdoor air pollution on cardiovascular and respiratory diseases was considered of the greatest importance. Priority training areas included environmental and occupational health risk assessment, exposure modeling, advanced statistical methods, urban planning, occupational safety and hygiene, and epidemiology and toxicology. These findings provide a valuable input for the definition and implementation of national environmental and occupational health policies and for the development of a regional hub aimed at strengthening the capacity for research and training in Colombia.

  12. Study of multi-muon bundles in cosmic ray showers detected with the DELPHI detector at LEP

    CERN Document Server

    Abdallah, J; Adam, W; Adzic, P

    2007-01-01

    The DELPHI detector at LEP has been used to measure multi-muon bundles originating from cosmic ray interactions with air. The cosmic events were recorded in ``parasitic mode'' between individual e+e- interactions and the total live time of this data taking is equivalent to 1.6x10^6 seconds. The DELPHI apparatus is located about 100 metres underground and the 84 metres rock overburden imposes a cut-off of about 52 GeV/c on muon momenta. The data from the large volume Hadron Calorimeter allowed the muon multiplicity of 54201 events to be reconstructed. The resulting muon multiplicity distribution is compared with the prediction of the Monte Carlo simulation based on CORSIKA/QGSJET01. The model fails to describe the abundance of high multiplicity events. The impact of QGSJET internal parameters on the results is also studied.

  13. Prioritization of future genetics education for general practitioners: a Delphi study

    Science.gov (United States)

    Houwink, Elisa J.F.; Henneman, Lidewij; Westerneng, Myrte; van Luijk, Scheltus J.; Cornel, Martina C.; Dinant, Jan Geert; Vleuten, Cees van der

    2012-01-01

    Purpose: General practitioners (GPs) are increasingly expected to deliver genetics services in daily patient care. Education in primary care genetics is considered suboptimal and in urgent need of revision and innovation. The aim of this study was to prioritize topics for genetics education for general practice. Methods: A Delphi consensus procedure consisting of three rounds was conducted. A purposively selected heterogeneous panel (n = 18) of experts, comprising six practicing GPs who were also engaged in research, five GP trainers, four clinical genetics professionals, and three representatives of patient organizations, participated. Educational needs regarding genetics in general practice in terms of knowledge, skills, and attitudes were rated and ranked in a top-10 list. Results: The entire panel completed all three rounds. Kendall's coefficient of concordance indicated significant agreement regarding the top 10 genetic education needs (P < 0.001). “Recognizing signals that are potentially indicative of a hereditary component of a disease” was rated highest, followed by “Evaluating indications for referral to a clinical genetics centre” and “Knowledge of the possibilities and limitations of genetic tests.” Conclusions: The priorities resulting from this study can inform the development of educational modules, including input for case-based education, to improve GP performance in genetic patient care. PMID:22241093

  14. The desired competence of the Swedish ambulance nurse according to the professionals - a Delphi study.

    Science.gov (United States)

    Wihlborg, Jonas; Edgren, Gudrun; Johansson, Anders; Sivberg, Bengt

    2014-07-01

    Nursing is evolving into new fields of health care including ambulance care, where a branch of specialist nursing is growing. Various views exist on the desired competence for the ambulance nurse and valid guidelines are lacking in Sweden. To increase knowledge of the field, professionals were asked to describe what competences an ambulance nurse should possess. The aim of this study was therefore to elucidate the desired professional competence of the specialist ambulance nurse, according to the professionals. A modified Delphi technique was used, where a panel of professional experts expressed their views on the desired competence of the ambulance nurse. This study reports, at a high level of agreement among the panel experts, that the desired competence of the specialist ambulance nurse consist of forty-four separate competences creating ten areas of competences: execute leadership, generic abilities, interpersonal communication, institutional collaboration, pedagogic skills, possession of relevant knowledge, professional judgement, professional skills, research activities, and technical skills. The high level of agreement among the professionals as well as the large number of competences reflects the high demands placed on the ambulance nurse by the professionals themselves. Copyright © 2013 Elsevier Ltd. All rights reserved.

  15. Community actions against alcohol drinking in Slovenia--a Delphi study.

    Science.gov (United States)

    Susic, Tonka Poplas; Svab, Igor; Kolsek, Marko

    2006-07-27

    To define the national strategy and public actions to reduce alcohol related harm, based on societal consensus. Alcohol abuse is an avoidable behaviour that can threaten health. In Slovenia, only a few public campaigns against drinking alcohol are under way. It is important to establish which community measures are acceptable to society in Slovenia in order to reduce alcohol-related risks. A Delphi study with 45 professionals from different disciplines was conducted. Participants offered many suggestions to improve the current situation. After three rounds of questionnaires, 86 participant statements were accepted as a consensus. Actions such as: state monopolies, alcohol taxation, legislative restrictions on availability and purchase of alcohol, age-related restriction on sales, drink-driving laws, school-based alcohol education and media information campaigns are most likely to be achieved by consensus. The main target populations for implementation of alcohol-related educational programs are children, young people and employees. As a result of the study, a number of community actions against drinking alcohol that could be acceptable for society can now be suggested. They vary across different target populations, change agents (individuals, organizations and institutions) and methods of implementation.

  16. Study of b-quark mass effects in multijet topologies with the DELPHI detector at LEP

    CERN Document Server

    Abdallah, J; Adam, W; Adzic, P; Albrecht, T; Alemany-Fernandez, R; Allmendinger, T; Allport, P P; Amaldi, Ugo; Amapane, N; Amato, S; Anashkin, E; Andreazza, A; Andringa, S; Anjos, N; Antilogus, P; Apel, W D; Arnoud, Y; Ask, S; Åsman, B; Augustin, J E; Augustinus, A; Baillon, P; Ballestrero, A; Bambade, P; Barbier, R; Bardin, D; Barker, G J; Baroncelli, A; Battaglia, M; Baubillier, M; Becks, K H; Begalli, M; Behrmann, A; Ben-Haim, E; Benekos, N; Benvenuti, A; Bérat, C; Berggren, M; Bertrand, D; Besançon, M; Besson, N; Bloch, D; Blom, M; Bluj, M; Bonesini, M; Boonekamp, M; Booth, P S L; Borisov, G; Botner, O; Bouquet, B; Bowcock, T J V; Boyko, I; Bracko, M; Brenner, R; Brodet, E; Brückman, P; Brunet, J M; Buschbeck, B; Buschmann, P; Calvi, M; Camporesi, T; Canale, V; Carena, F; Castro, N; Cavallo, F; Chapkin, M; Charpentier, P; Checchia, P; Chierici, R; Chliapnikov, P V; Chudoba, J; Chung, S U; Cieslik, K; Collins, P; Contri, R; Cosme, G; Cossutti, F; Costa, M J; Crennell, D J; Cuevas-Maestro, J; D'Hondt, J; Da Silva, T; Da Silva, W; Della Ricca, G; De Angelis, A; de Boer, Wim; De Clercq, C; De Lotto, B; De Maria, N; De Min, A; De Paula, L; Di Ciaccio, L; Di Simone, A; Doroba, K; Drees, J; Eigen, G; Ekelöf, T J C; Ellert, M; Elsing, M; Espirito-Santo, M C; Fanourakis, G K; Fassouliotis, D; Feindt, M; Fernández, J; Ferrer, A; Ferro, F; Flagmeyer, U; Föth, H; Fokitis, E; Fulda-Quenzer, F; Fuster, J; Gandelman, M; García, C; Gavillet, P; Gazis, E; Gokieli, R; Golob, B; Gómez-Ceballos, G; Gonçalves, P; Graziani, E; Grosdidier, G; Grzelak, K; Guy, J; Haag, C; Hallgren, A; Hamacher, K; Hamilton, K; Haug, S; Hauler, F; Hedberg, V; Hennecke, M; Herr, H; Hoffman, J; Holmgren, S O; Holt, P J; Houlden, M A; Jackson, J N; Jarlskog, G; Jarry, P; Jeans, D; Johansson, E K; Jonsson, P; Joram, C; Jungermann, L; Kapusta, F; Katsanevas, S; Kokkinias, P; Leinonen, L; Katsoufis, E; Kernel, G; Kersevan, B P; Krumshtein, Z; Lesiak, T; Kerzel, U; Liebig, W; King, B T; Lamsa, J; Liko, D; Kjaer, N J; Leder, G; Kluit, P; Kourkoumelis, C; Leitner, R; Kuznetsov, O; Kucharczyk, M; Ledroit, F; Lopes, J H; Lemonne, J; Lepeltier, V; Lipniacka, A; López, J M; Loukas, D; Lutz, P; Lyons, L; MacNaughton, J; Malek, A; Maltezos, S; Mandl, F; Marco, J; Marco, R; Maréchal, B; Margoni, M; Marin, J C; Mariotti, C; Markou, A; Martínez-Rivero, C; Masik, J; Mastroyiannopoulos, N; Matorras, F; Matteuzzi, C; Mazzucato, F; Mazzucato, M; McNulty, R; Meroni, C; Migliore, E; Mitaroff, W A; Mjörnmark, U; Moa, T; Moch, M; Mönig, K; Monge, R; Montenegro, J; Moraes, D; Moreno, S; Morettini, P; Müller, U; Münich, K; Mulders, M; Mundim, L; Murray, W; Muryn, B; Myatt, G; Myklebust, T; Paganoni, M; Nassiakou, M; Paiano, S; Navarria, F; Nawrocki, K; Nicolaidou, R; Nikolenko, M; Ouraou, A; Parkes, C; Oblakowska-Mucha, A; Oyanguren, A; Obraztsov, V F; Olshevski, A; Palacios, J P; Onofre, A; Palka, H; Orava, R; Österberg, K; Pape, L; Papadopoulou, T D; Parodi, F; Parzefall, U; Passeri, A; Passon, O; Peralta, L; Perepelitsa, V; Perrotta, A; Petrolini, A; Piedra, J; Pieri, L; Pierre, F; Pimenta, M; Piotto, E; Podobnik, T; Poireau, V; Pol, M E; Polok, G; Pozdnyakov, V; Pukhaeva, N; Pullia, A; Rames, J; Read, A; Rebecchi, P; Rehn, J; Reid, D; Reinhardt, R; Renton, P B; Richard, F; Rídky, J; Rivero, M; Rodríguez, D; Romero, A; Ronchese, P; Roudeau, P; Rovelli, T; Ruhlmann-Kleider, V; Ryabtchikov, D; Sadovskii, A; Salmi, L; Salt, J; Sander, C; Savoy-Navarro, A; Schwickerath, U; Sekulin, R; Siebel, M; Sisakian, A; Smadja, G; Smirnova, O; Sokolov, A; Sopczak, A; Sosnowski, R; Spassoff, Tz; Stanitzki, M; Stocchi, A; Strauss, J; Stugu, B; Szczekowski, M; Szeptycka, M; Szumlak, T; Tabarelli de Fatis, T; Tegenfeldt, F; Timmermans, J; Tkatchev, L; Tobin, M; Todorovova, S; Tomé, B; Tonazzo, A; Tortosa, P; Travnicek, P; Treille, D; Tristram, G; Trochimczuk, M; Troncon, C; Turluer, M L; Tyapkin, I A; Tyapkin, P; Tzamarias, S; Uvarov, V; Valenti, G; van Dam, P; Van Eldik, J; Van Remortel, N; Van Vulpen, I; Vegni, G; Veloso, F; Venus, W; Verdier, P; Verzi, V; Vilanova, D; Vitale, L; Vrba, V; Wahlen, H; Washbrook, A J; Weiser, C; Wicke, D; Wickens, J; Wilkinson, G; Winter, M; Witek, M; Yushchenko, O; Zalewska-Bak, A; Zalewski, P; Zavrtanik, D; Zhuravlov, V; Zimin, N I; Zintchenko, A; Zupan, M

    2008-01-01

    The effect of the heavy b-quark mass on the two, three and four-jet rates is studied using LEP data collected by the DELPHI experiment at the Z peak in 1994 and 1995. The rates of b-quark jets and light quark jets (l = uds) in events with n = 2, 3, and 4 jets, together with the ratio of two and four-jet rates of b-quarks with respect to light-quarks, R_n^bl, have been measured with a double-tag technique using the CAMBRIDGE jet-clustering algorithm. A comparison between experimental results and theory (matrix element or Monte Carlo event generators such as PYTHIA, HERWIG and ARIADNE) is done after the hadronisation phase. Using the four-jet observable R_4^bl, a measurement of the b-quark mass using massive leading-order calculations gives: m_b(M_Z) = 3.76 +/- 0.32 (stat) +/- 0.17 (syst) +/- 0.22 (had) +/- 0.90 (theo) GeV/c^2 . This result is compatible with previous three-jet determinations at the M_Z energy scale and with low energy mass measurements evolved to the M_Z scale using QCD Renormalisation Group E...

  17. The competencies of Registered Nurses working in care homes: a modified Delphi study.

    Science.gov (United States)

    Stanyon, Miriam Ruth; Goldberg, Sarah Elizabeth; Astle, Anita; Griffiths, Amanda; Gordon, Adam Lee

    2017-07-01

    registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes. a two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members. twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further 10 competencies did not reach consensus. the output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group.

  18. A Delphi study to curriculum modifying through the application of the course objective and competencies.

    Science.gov (United States)

    Taymoori, Parvaneh; Moshki, Mahdi

    2014-01-01

    In order to incorporate new knowledge, skills and emerging concepts from dynamic fields of public health into ongoing courses reform of curriculums sounds necessary. Accordingly, this study was performed to modify health education curriculum of public health undergraduate level. Using Delphi technique, 18 health education lecturers from Tehran, Tabriz, Yazd, Shiraz, Gonabad, Ghazvin, Avhvaz and Kurdistan Universities Medical of Sciences based on their expertize in health education with PhD degree as scientific members, also 5 heads of departments according to working at health deputy for at least more than 5 years were asked during three rounds through panel experts to suggest and rate topics they deemed most important to graduate public health experts and curricula related to the areas of knowledge and skills in health education course. The experts suggested that health enhancing behaviors and reduce health risks, advocate health, behavior change theories and developing a framework are key objects in the curriculum. Much more new topical outlines were related to previous course. Skills rated as important included need assessment and health communication. The most evaluators suggested that adding a practicum unit to two theory units will be helpful. The results from our survey suggested that changes in the course definition including new course objectives, topical outlines, and required skills were deemed important by the lecturers and were appropriately integrated into the health education course curriculum. The new curriculum should be evaluated constantly to seek and provide experiences that will best prepare students to meet challenges as a health educator.

  19. Quality issues concerning genetic counselling for presymptomatic testing: a European Delphi study.

    Science.gov (United States)

    Paneque, Milena; Sequeiros, Jorge; Skirton, Heather

    2015-11-01

    Genetic counselling for presymptomatic testing is complex, bringing both ethical and practical questions. There are protocols for counselling but a scarcity of literature regarding quality assessment of such counselling practice. Generic quality assessment tools for genetic services are not specific to presymptomatic testing (PST). Therefore, the aim of this study was to identify aspects of effective counselling practice in PST for late-onset neurological disorders. We used the Delphi method to ascertain the views of relevant European experts in genetic counselling practice, ascertained via published literature and nomination by practitioners. Ethical approval was obtained. Questionnaires were sent electronically to a list of 45 experts, (Medical Doctors, Geneticists, Genetic Counsellors and Genetic Nurses), who each contributed to one to three rounds. In the first round, we provided a list of relevant indicators of quality of practice from a literature review. Experts were requested to evaluate topics in four domains: (a) professional standards; (b) service standards; (c) the consultant's perspective; and (d) protocol standards. We then removed items receiving less than 65% approval and added new issues suggested by experts. The second round was performed for the refinement of issues and the last round was aimed at achieving final consensus on high-standard indicators of quality, for inclusion in the assessment tool. The most relevant indicators were related to (1) consultant-centred practice and (2) advanced counselling and interpersonal skills of professionals. Defined high-standard indicators can be used for the development of a new tool for quality assessment of PST counselling practice.

  20. The Role Descriptions of Triage Nurse in Emergency Department: A Delphi Study

    Directory of Open Access Journals (Sweden)

    Mohsen Ebrahimi

    2016-01-01

    Full Text Available Background. Triage nurses play a pivotal role in the emergency department. However some researchers have attempted to expand triage nurse’s role; remarkable discrepancies exist among scholarly communities. The aim was to develop a role description of triage nurse relying on the experts. Methods. A modified Delphi study consisting of 3 rounds was performed from March to October 2014. In the first round, an extensive review of the literature was conducted. Expert selection was conducted through a purposeful sample of 38 emergency medicine experts. Results. Response rates for the second and third rounds were 37% and 58%. Average age of panelists was (38.42±5.94 years. Thirty-nine out of 54 items reached to the final round. Prioritizing had the higher agreement rate and least agreement on triage related interventions. Conclusion. Triage nursing as a relatively new role for nurses needs significant development to be practiced. Comprehensive educational programs and developmental research are required to support diagnostic and therapeutic interventions in triage practice by nurses.

  1. Priorities for the professional development of registered nurses in nursing homes: a Delphi study.

    Science.gov (United States)

    Cooper, Emily; Spilsbury, Karen; McCaughan, Dorothy; Thompson, Carl; Butterworth, Tony; Hanratty, Barbara

    2017-01-08

    To establish a consensus on the care and professional development needs of registered nurses (RNs) employed by UK care homes. Two-stage, online modified Delphi study. A panel (n = 352) of individuals with experience, expertise or interest in care home nursing: (i) care home nurses and managers; (ii) community healthcare professionals (including general practitioners, geriatricians, specialist and district nurses); and (iii) nurse educators in higher education. RNs employed by nursing homes require particular skills, knowledge, competence and experience to provide high-quality care for older residents. The most important responsibilities for the nursing home nurse were: promoting dignity, personhood and wellbeing, ensuring resident safety and enhancing quality of life. Continuing professional development priorities included personal care, dementia care and managing long-term conditions. The main barrier to professional development was staff shortages. Nursing degree programmes were perceived as inadequately preparing nurses for a nursing home role. Nursing homes could improve by providing supportive learning opportunities for students and fostering challenging and rewarding careers for newly RNs. If nurses employed by nursing homes are not fit for purpose, the consequences for the wider health and social-care system are significant. Nursing homes, the NHS, educational and local authorities need to work together to provide challenging and rewarding career paths for RNs and evaluate them. Without well-trained, motivated staff, a high-quality care sector will remain merely an aspiration.

  2. Exploring health literacy competencies towards patient education programme for Chinese-speaking healthcare professionals: a Delphi study

    Science.gov (United States)

    Chang, Li-Chun; Chen, Yu-Chi; Wu, Fei Ling; Liao, Li-Ling

    2017-01-01

    Objectives To achieve consensus on a set of competencies in health literacy practice based on a literature review and expert consultation. Setting Hospitals and community health centres in Taiwan. Method A 2-stage modified Delphi study involving a literature review was conducted, followed by qualitative interviews and 3 rounds of email-based data collection over a 3-month period in 2011. Participants 15 Chinese healthcare practitioners with more than 6 months’ experience in patient education were interviewed to collect data on health literacy practice. 24 experts (12 academic scholars in health literacy and 12 professionals with training related to health literacy practice) were invited to participate in the Delphi process. Results Qualitative data from the interviews were analysed and summarised to form 99 competency items for health literacy practice, which were categorised into 5 domains of health literacy practice including those pertaining to knowledge and skills. Consensus was reached on 92 of 99 competencies, using a modified Delphi technique. Conclusions The 92 competencies in health literacy practice embraced core components of patient education in the Chinese healthcare profession. PMID:28093428

  3. 神经症优化治疗方案的特尔菲法研究%Optimization for the treatment of neurosis: A Delphi consensus study

    Institute of Scientific and Technical Information of China (English)

    罗晓敏; 黄悦勤; 王向群; 刘肇瑞; 唐妮

    2011-01-01

    Objective: To explore the optimal therapies of different types of neurosis. Methods: Literature method was used for screening all the effective medical and psychological treatment for neurosis, then the Delphi method was used and 20 psychiatric specialists from 20 third-level psychiatric hospitals were selected to take part in the two rounds of expert consultation, at last the optimal therapies of different types of neurosis were selected. Results: The optimal treatment of neurosis were as follows: obsessive-compulsive disorder was paroxetine plus cognitive behavior therapy, social anxiety disorder was paroxetine plus comprehensive psychological therapy and paroxetine plus cognitive behavior therapy, panic disorder was for the SSRI ( selective serotonin reuptake inhibitors) and benzodiazepine plus cognitive behavioral therapy and paroxetine plus cognitive behavior therapy, generalized anxiety disorder was paroxetine plus cognitive behavior therapy and paroxetine plus cognitive behavior therapy. Conclusion: The optimal therapies of four types of neurosis, including obsessive-compulsive disorder, social anxiety disorder, panic disorder, and generalized anxiety disorder, are successfully selected by using the Delphi study.%目的:探讨不同类型神经症治疗的最优治疗方案.方法:采用文献法初步筛选出神经症已有明确疗效的全部药物和心理治疗方案,在此基础上采用专家咨询法(Delphi法),选择来自我国20家精神专科三级医院的20名精神科临床专家,进行两轮专家咨询,最终筛选出公认的神经症最优治疗方案.结果:神经症的最优治疗方案分别是强迫症为帕罗西汀联合认知行为治疗,社交焦虑障碍为帕罗西汀联合综合性心理治疗和帕罗西汀联合认知行为治疗,惊恐障碍为选择性5-羟色胺再摄取抑制剂(Selective Seroto-nin Reuptake Inhibitors,SSRI)类合并苯二氮类联合认知行为治疗和帕罗西汀联合认知行为治疗,广泛性焦

  4. Effective identification and management of emerging food risks: Results of an international Delphi survey

    NARCIS (Netherlands)

    Wentholt, M.T.A.; Fischer, A.R.H.; Rowe, G.; Marvin, H.J.P.; Frewer, L.J.

    2010-01-01

    Early identification of emerging food risks will protect human and animal health, the environment and economy. A two-round Delphi survey identified international experts’ views regarding knowledge gaps associated with the identification and mitigation of emerging food risks, and barriers to emerging

  5. A Pilot Study To Define Chemical Coping in Cancer Patients Using the Delphi Method

    OpenAIRE

    Kwon, Jung Hye; Hui, David; Bruera, Eduardo

    2015-01-01

    Background: “Chemical coping” is a commonly used term in the pain and palliative care literature, but is heterogeneously defined. We conducted a Delphi survey among palliative care and pain specialists internationally to identify a consensus definition for “chemical coping with opioids” and warning signs for chemical coping.

  6. Incorporating Nonparametric Statistics into Delphi Studies in Library and Information Science

    Science.gov (United States)

    Ju, Boryung; Jin, Tao

    2013-01-01

    Introduction: The Delphi technique is widely used in library and information science research. However, many researchers in the field fail to employ standard statistical tests when using this technique. This makes the technique vulnerable to criticisms of its reliability and validity. The general goal of this article is to explore how…

  7. Workplace Issues in Extension--A Delphi Study of Extension Educators

    Science.gov (United States)

    Kroth, Michael; Peutz, Joey

    2011-01-01

    Using the Delphi technique, expert Extension educators identified and prioritized those workplace issues they believe will be the most important to attract, motivate, and retain Extension educators/agents over the next 5 to 7 years. Obtaining and then utilizing a talented, highly motivated workforce during a period when many will be retiring will…

  8. Competencies for Leaders of Volunteers During the Next Decade: A National Delphi Study.

    Science.gov (United States)

    Boyd, Barry L.

    Using the Delphi technique, a nationwide panel of experts identified 33 competencies that volunteer administrators (VAs) will need during the next decade and categorized them into these five constructs: organizational leadership; systems leadership; organizational culture; personal skills; and management skills. Twelve barriers to acquiring the…

  9. International perspective on common core competencies for occupational physicians: a modified Delphi study.

    Science.gov (United States)

    Lalloo, Drushca; Demou, Evangelia; Kiran, Sibel; Cloeren, Marianne; Mendes, René; Macdonald, Ewan B

    2016-07-01

    The competencies required of occupational physicians (OPs) have been the subject of peer-reviewed research in Europe and individual countries around the world. In the European Union (EU), there has been development of guidance on training and common competencies, but little research has extended beyond this. The aim of this study was to obtain consensus on and identify the common core competencies required of OPs around the world. A modified Delphi study was carried out among representative organisations and networks of OPs in a range of countries around the world. It was conducted in 2 rounds using a questionnaire based on the specialist training syllabus of a number of countries, expert panel reviews and conference discussions. Responses were received from 51 countries around the world, with the majority from Europe (60%; 59%) and North and South America (24%; 32%) in rounds 1 and 2, respectively. General principles of assessment and management of occupational hazards to health and good clinical care were jointly considered most important in ranking when compared with the other topic areas. Assessment of disability and fitness for work, communication skills and legal and ethical issues completed the top five. In both rounds, research methods and teaching and educational supervision were considered least important. This study has established the current priorities among OPs across 51 countries of the common competencies required for occupational health (OH) practice. These findings can serve as a platform for the development of common core competencies/qualifications within specific geographical regions or internationally. This is particularly pertinent with globalisation of commerce and free movement within the EU. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  10. International perspective on common core competencies for occupational physicians: a modified Delphi study

    Science.gov (United States)

    Lalloo, Drushca; Demou, Evangelia; Kiran, Sibel; Cloeren, Marianne; Mendes, René; Macdonald, Ewan B

    2016-01-01

    Objectives The competencies required of occupational physicians (OPs) have been the subject of peer-reviewed research in Europe and individual countries around the world. In the European Union (EU), there has been development of guidance on training and common competencies, but little research has extended beyond this. The aim of this study was to obtain consensus on and identify the common core competencies required of OPs around the world. Methods A modified Delphi study was carried out among representative organisations and networks of OPs in a range of countries around the world. It was conducted in 2 rounds using a questionnaire based on the specialist training syllabus of a number of countries, expert panel reviews and conference discussions. Results Responses were received from 51 countries around the world, with the majority from Europe (60%; 59%) and North and South America (24%; 32%) in rounds 1 and 2, respectively. General principles of assessment and management of occupational hazards to health and good clinical care were jointly considered most important in ranking when compared with the other topic areas. Assessment of disability and fitness for work, communication skills and legal and ethical issues completed the top five. In both rounds, research methods and teaching and educational supervision were considered least important. Conclusions This study has established the current priorities among OPs across 51 countries of the common competencies required for occupational health (OH) practice. These findings can serve as a platform for the development of common core competencies/qualifications within specific geographical regions or internationally. This is particularly pertinent with globalisation of commerce and free movement within the EU. PMID:27076063

  11. Identifying prevention strategies for adolescents to reduce their risk of depression: A Delphi consensus study.

    Science.gov (United States)

    Cairns, Kathryn E; Yap, Marie B H; Reavley, Nicola J; Jorm, Anthony F

    2015-09-01

    Adolescence is a peak time for the onset of depression, but little is known about what adolescents can do to reduce their own level of risk. This study employed the Delphi methodology to establish expert consensus on self-help prevention strategies for adolescent depression. A literature search identified 194 recommendations for adolescents. These were presented over three questionnaire rounds to panels of 32 international research and practice experts and 49 consumer advocates, who rated the preventive importance of each recommendation and the feasibility of their implementation by adolescents. 145 strategies were endorsed as likely to be helpful in reducing adolescents׳ risk of developing depression by ≥80% of both panels. Endorsed strategies included messages on mental fitness, personal identity, life skills, healthy relationships, healthy lifestyles, and recreation and leisure. 127 strategies were endorsed as likely to be helpful in reducing risks for depression for both junior and senior adolescents. One strategy was rated as likely to be helpful during the period of junior adolescence only, and 17 strategies were endorsed for the senior adolescent period only. Ratings of the ease of implementing the strategies during the adolescent period accorded by panellists were typically moderate. This study used experts from developed, English-speaking countries; hence the strategies identified may not be for relevant or minority cultures within these countries or for other countries. This study produced a set of self-help preventive strategies for depression that are supported by research evidence and/or international experts, which can now be promoted in developed English-speaking communities to help adolescents reduce their risk of depression. Copyright © 2015 Elsevier B.V. All rights reserved.

  12. What clinical activities do advanced-practice registered dietitian nutritionists perform? Results of a Delphi study.

    Science.gov (United States)

    Brody, Rebecca A; Byham-Gray, Laura; Touger-Decker, Riva; Passannante, Marian R; Rothpletz Puglia, Pamela; O'Sullivan Maillet, Julie

    2014-05-01

    Activities performed by advanced-practice registered dietitian nutritionists (RDNs) have yet to be clearly elucidated. The study aimed to gain consensus on the practice activities of advanced-practice RDNs who provide direct clinical nutrition care. A three-round Delphi study was conducted. Purposive sampling identified 117 RDN experts working as clinicians and/or managers in direct care settings that met inclusion criteria for advanced-level practice. In Round 1, 85 experts provided open-ended advanced-level practice activities linked to the Nutrition Care Process sections. Using content analysis, the responses were coded into activity statements. In Round 2, experts rated the essentiality of these activities. In Round 3, experts re-rated statements not reaching consensus while viewing their previous rating, the group median, and comments. Median ratings of 1.0 to 3.0 were defined as essential, 4.0 were neither essential nor nonessential, and 5.0 to 7.0 were nonessential. Consensus was reached when the interquartile range of responses to each question was <2.0. Seventy-six (89.4%) experts completed all rounds. From 770 comments, 129 activity statements were generated. All statements reached consensus: 97.7% as essential; 0.8% as nonessential; and 1.5% as neither. Of essential activities, 67.5% were highly essential with limited variability (median=1.0; interquartile range≤2.0). Advanced-practice RDNs' tasks are patient-centered and reflect complex care; involve a comprehensive and discriminating approach; are grounded in advanced knowledge and expertise in clinical nutrition; include use of advanced interviewing, education, and counseling strategies; and require communication with patient, families, and the health care team. The high-level of consensus from experts suggest advanced-level clinical nutrition practice exists and can be defined.

  13. Development of key indicators of hospital resilience: a modified Delphi study.

    Science.gov (United States)

    Zhong, Shuang; Clark, Michele; Hou, Xiang-Yu; Zang, Yuli; FitzGerald, Gerard

    2015-04-01

    Hospital resilience is an emerging concept, which can be defined as 'a hospital's ability to resist, absorb, and respond to the shock of disasters while maintaining its critical health care functions, and then recover to its original state or adapt to a new one'. Our aim was to develop a comprehensive framework of key indicators of hospital resilience. A panel of 33 Chinese experts was invited to participate in a three-round, modified Delphi study to develop a set of potential measures previously derived from a literature review. In the first round, these potential measures were modified to cover the comprehensive domains of hospital resilience. The importance of proposed measures was scored by experts on a five-point Likert scale. Subsequently, the experts reconsidered their voting in light of the previous aggregated results. Agreement on measures was defined as at least 70% of the responders agreeing or strongly agreeing to the inclusion of a measure. A large proportion of preliminary measures (89.5%) were identified as having good potential for assessing hospital resilience. These measures were categorized into eight domains, 17 subdomains, and 43 indicators. The highest rated indicators (mean score) were: equipment for on-site rescue (4.7), plan initiation (4.6), equipment for referral of patients with complex care needs (4.5), the plan execution (4.4), medication management strategies (4.4), emergency medical treatment conditions (4.4), disaster committee (4.4), stock types and quantities for essential medications (4.4), surge capacity of emergency beds (4.4), and mass-casualty triage protocols (4.4). This framework identifies a comprehensive set of indicators of hospital resilience. It can be used for hospital assessment, as well as informing priority practices to address future disasters better. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  14. Identified obstacles and prerequisites in telenurses' work environment - a modified Delphi study.

    Science.gov (United States)

    Bjorkman, Annica; Engstrom, Maria; Olsson, Annakarin; Wahlberg, Anna Carin

    2017-05-18

    Telenursing is an expanding part of healthcare, staffed with registered nurses whose work environment is typical of a call centre. Work-related stress has been shown to be a major problem in nurses' work environments and of importance to the outcome of care, patient safety, nurse job satisfaction and burnout. Today, however, we have a limited understanding of and knowledge about the work environment for telenurses. The aim of the present study is to explore and reach consensus on perceived important obstacles and prerequisites in telenurses' work environment. A modified Delphi design, using qualitative as well as quantitative data sequentially through three phases, was taken. Data were initially collected via semi-structured interviews (Phase I) and later using a web survey (Phase II-III) between March 2015 and March 2016. The findings present a consensus view of telenurses' experiences of important obstacles and prerequisites in their work environment. Central to the findings are the aspects of telenurses having a demanding work, cognitive fatigue and having no opportunity for recovery during the work shift was ranked as important obstacles. Highly ranked prerequisites for managing were being able to focus on one caller at a time, working in a calm and pleasant environment and having technical support 24/7. Managers need to enable telenurses to experience control in their work, provided with possibilities to control their work and to recover during work; shortening work time could improve their work environment. Limited possibilities to perform work might contribute to feelings of stress and inability to perform work.

  15. Determining an Imaging Literacy Curriculum for Radiation Oncologists: An International Delphi Study

    Energy Technology Data Exchange (ETDEWEB)

    Giuliani, Meredith E., E-mail: Meredith.Giuliani@rmp.uhn.on.ca [Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario (Canada); Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Gillan, Caitlin [Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario (Canada); Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Milne, Robin A. [Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario (Canada); Uchino, Minako; Millar, Barbara-Ann; Catton, Pamela [Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario (Canada); Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada)

    2014-03-15

    Purpose: Rapid evolution of imaging technologies and their integration into radiation therapy practice demands that radiation oncology (RO) training curricula be updated. The purpose of this study was to develop an entry-to-practice image literacy competency profile. Methods and Materials: A list of 263 potential imaging competency items were assembled from international objectives of training. Expert panel eliminated redundant or irrelevant items to create a list of 97 unique potential competency items. An international 2-round Delphi process was conducted with experts in RO. In round 1, all experts scored, on a 9-point Likert scale, the degree to which they agreed an item should be included in the competency profile. Items with a mean score ≥7 were included, those 4 to 6 were reviewed in round 2, and items scored <4 were excluded. In round 2, items were discussed and subsequently ranked for inclusion or exclusion in the competency profile. Items with >75% voting for inclusion were included in the final competency profile. Results: Forty-nine radiation oncologists were invited to participate in round 1, and 32 (65%) did so. Participants represented 24 centers in 6 countries. Of the 97 items ranked in round 1, 80 had a mean score ≥7, 1 item had a score <4, and 16 items with a mean score of 4 to 6 were reviewed and rescored in round 2. In round 2, 4 items had >75% of participants voting for inclusion and were included; the remaining 12 were excluded. The final list of 84 items formed the final competency profile. The 84 enabling competency items were aggregated into the following 4 thematic groups of key competencies: (1) imaging fundamentals (42 items); (2) clinical application (27 items); (3) clinical management (5 items); and (4) professional practice (10 items). Conclusions: We present an imaging literacy competency profile which could constitute the minimum training standards in radiation oncology residency programs.

  16. Providing mental health first aid in the workplace: a Delphi consensus study.

    Science.gov (United States)

    Bovopoulos, Nataly; Jorm, Anthony F; Bond, Kathy S; LaMontagne, Anthony D; Reavley, Nicola J; Kelly, Claire M; Kitchener, Betty A; Martin, Angela

    2016-08-02

    Mental health problems are common in the workplace, but workers affected by such problems are not always well supported by managers and co-workers. Guidelines exist for the public on how to provide mental health first aid, but not specifically on how to tailor one's approach if the person of concern is a co-worker or employee. A Delphi consensus study was carried out to develop guidelines on additional considerations required when offering mental health first aid in a workplace context. A systematic search of websites, books and journal articles was conducted to develop a questionnaire with 246 items containing actions that someone may use to offer mental health first aid to a co-worker or employee. Three panels of experts from English-speaking countries were recruited (23 consumers, 26 managers and 38 workplace mental health professionals), who independently rated the items over three rounds for inclusion in the guidelines. The retention rate of the expert panellists across the three rounds was 61.7 %. Of the 246 items, 201 items were agreed to be important or very important by at least 80 % of panellists. These 201 endorsed items included actions on how to approach and offer support to a co-worker, and additional considerations where the person assisting is a supervisor or manager, or is assisting in crisis situations such as acute distress. The guidelines outline strategies for a worker to use when they are concerned about the mental health of a co-worker or employee. They will be used to inform future tailoring of Mental Health First Aid training when it is delivered in workplace settings and could influence organisational policies and procedures.

  17. Research Priorities in the Field of Patient Safety in Iran: Results of a Delphi Study.

    Science.gov (United States)

    Ravaghi, Hamid; Sajadi, Haniye Sadat

    2015-06-12

    There is inadequate evidence to direct and support patient safety practice. Therefore, identifying research priorities in this field is relevant for many stakeholders. This study, which was built on the World Health Organization work, aimed to identify and prioritize research topics for patient safety in Iran. A 3-round Modified Delphi process was used. We purposefully recruited a panel of 45 policy makers, planners, health care managers and staff, and academic members with experience or expertise in patient safety research. A review of the literature was used to develop the first questionnaire, including 24 research topics. Respondents were asked to rate their agreement with each research topic and propose new topics. Based on the results of round 1, the second questionnaire was developed and the respondents were requested to rate 45 research topics and also put similar research topics in the same groups. Given the responses of round 2, the third questionnaire including a list of 45 research priorities categorized in 4 groups was developed. Respondents were asked to reflect their opinions. Content analysis was used to analyze round 1 data and descriptive statistics for round 2 and round 3 data. Forty-five identified research topics in round 1 prioritized and grouped in subsequent rounds. Among 4 research groups, the extent and epidemiology threatening patient safety group received the highest priority; and among research topics, adverse drug events and its epidemiology were the top-ranked research priorities. In addition to the priorities identified in previous work, more research priorities that reflect important and needed issue related to patient safety, especially in Iran, were recognized. This priority research list, which most stakeholders agree with it, can serve as a blueprint for patient safety research.

  18. The prospects for hybrid electric vehicles, 2005-2020 : results of a Delphi Study.

    Energy Technology Data Exchange (ETDEWEB)

    Ng, H. K.; Santini, D. J.; Vyas, A. D.

    1999-07-22

    The introduction of Toyota's hybrid electric vehicle (HEV), the Prius, in Japan has generated considerable interest in HEV technology among US automotive experts. In a follow-up survey to Argonne National Laboratory's two-stage Delphi Study on electric and hybrid electric vehicles (EVs and HEVs) during 1994-1996, Argonne researchers gathered the latest opinions of automotive experts on the future ''top-selling'' HEV attributes and costs. The experts predicted that HEVs would have a spark-ignition gasoline engine as a power plant in 2005 and a fuel cell power plant by 2020. The projected 2020 fuel shares were about equal for gasoline and hydrogen, with methanol a distant third. In 2020, HEVs are predicted to have series-drive, moderate battery-alone range and cost significantly more than conventional vehicles (CVs). The HEV is projected to cost 66% more than a $20,000 CV initially and 33% more by 2020. Survey respondents view batteries as the component that contributes the most to the HEV cost increment. The mean projection for battery-alone range is 49 km in 2005, 70 km in 2010, and 92 km in 2020. Responding to a question relating to their personal vision of the most desirable HEV and its likely characteristics when introduced in the US market in the next decade, the experts predicted their ''vision'' HEV to have attributes very similar to those of the ''top-selling'' HEV. However, the ''vision'' HEV would cost significantly less. The experts projected attributes of three leading batteries for HEVs and projected acceleration times on battery power alone. The resulting battery packs are evaluated, and their initial and replacement costs are analyzed. These and several other opinions are summarized.

  19. Key priority areas for patient safety improvement strategy in Libya: a protocol for a modified Delphi study.

    Science.gov (United States)

    Elmontsri, Mustafa; Banarsee, Ricky; Majeed, Azeem

    2017-07-02

    Patient safety is a global public health problem. Estimates and size of the problem of patient safety in low-income and developing countries are scarce. A systems approach is needed for ensuring that patients are protected from harm while receiving care. The primary objective of this study will be to use a consensus-based approach to identify the key priority areas for patient safety improvement in Libya as a developing country. A modified Delphi study. A three-phase modified Delphi study will be conducted using an anonymous web-based questionnaires. 15 international experts in the field of patient safety will be recruited to prioritise areas of patient safety that are vital to developing countries such as Libya. The participants will be given the opportunity to rank a list of elements on five criteria. The participants will also be asked to list five barriers that they believe hinder the implementation of patient safety systems. Descriptive statistics will be used to evaluate consensus agreement, including percentage agreement and coefficient of variation. Kendall's coefficient of concordance will be used to evaluate consensus across all participants. Ethical approval has been granted from Imperial College Research Ethics Committee (ICREC: 16IC3598). The findings of the study will be published in a PhD thesis. A manuscript will also be prepared for publication in a high-impact peer-reviewed journal describing the Delphi process and the findings of the study. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  20. Future directions in clinical child and adolescent psychology: a Delphi survey.

    Science.gov (United States)

    James, Rochelle L; Roberts, Michael C

    2009-10-01

    This study sought to identify the future directions in three domains: clinical practice, research, and training of clinical child and adolescent psychologists in the upcoming decade. Doctoral-level active members in the field were surveyed via a two-round Delphi survey (45 in round 1; 35 in round 2). Evidence-based practice received the greatest consensus by the participants and highest rank in each of the three domains. Other highly ranked clinical practice directions included prevention and early diagnosis and treatment, and clinical services for specific psychological problems. Research directions focused on biological and social factors interactions in the etiology and treatment and specific child and adolescent disorders. In the training domain, major directions included the pursuit of specialty training in child and adolescent psychology and training emphasizing the biological basis of behavior. Implications of these future directions are discussed.

  1. Rating scale for the assessment of competence in ultrasound-guided peripheral vascular access - a Delphi Consensus Study

    DEFF Research Database (Denmark)

    Primdahl, Stine C; Todsen, Tobias; Clemmesen, Louise;

    2016-01-01

    INTRODUCTION: Peripheral vascular access is vital for treatment and diagnostics of hospitalized patients. Ultrasound-guided vascular access (UGVA) is superior to the landmark technique. To ensure competence-based education, an assessment tool of UGVA competence is needed. We aimed to develop...... a global rating scale (RS) for assessment of UGVA competence based on opinions on the content from ultrasound experts in a modified Delphi consensus study. METHODS: We included experts from anesthesiology, emergency medicine and radiology across university hospitals in Denmark. Nine elements were drafted...

  2. The development of an internet-based outpatient cardiac rehabilitation intervention: a Delphi study

    Directory of Open Access Journals (Sweden)

    Hanley Christine

    2010-06-01

    Full Text Available Abstract Background Face-to-face outpatient cardiac rehabilitation (OCR programs are an important and effective component in the management of cardiovascular disease. However, these programs have low participation rates, especially among patients who live rural or remote. Hence, there is a need to develop OCR programs that provide an alternative to face-to-face contact such as by using the Internet. Only a very limited number of Internet-based OCR programs have been developed and evaluated. Therefore, the purpose of this study was to identify issues that are relevant to the development of an Internet-based OCR intervention. Methods A three-round Delphi study among cardiac rehabilitation experts was conducted. In the first round, 43 experts outlined opinions they had on the development of an online ORC platform into an open-ended electronic questionnaire. In the second round, 42 experts completed a structured (five-point scale electronic questionnaire based on first round results, in which they scored items on their relevance. In the third round, the same experts were asked to re-rate the same items after feedback was given about the group median relevance score to establish a level of consensus. Results After the third round, high consensus was reached in 120 of 162 (74% questionnaire items, of which 93 (57% of 162 items also had high relevance according to the experts. The results indicate that experts strongly agreed on desired website content, data obtained from the patient, and level of interaction with patients that should be part of an Internet-based OCR intervention. Conclusion The high rates of consensus and relevance observed among cardiac rehabilitation experts are an indication that they perceived the development and implementation of an Internet-based ORC intervention as feasible, and as a valuable alternative to face-to-face programs. In many ways the experts indicated that an Internet-based ORC program should mimic a traditional

  3. Developing Canadian oncology education goals and objectives for medical students: a national modified Delphi study

    Science.gov (United States)

    Tam, Vincent C.; Ingledew, Paris-Ann; Berry, Scott; Verma, Sunil; Giuliani, Meredith E.

    2016-01-01

    Background: Studies have shown that there is a deficiency in focused oncology teaching during medical school in Canada. This study aimed to develop oncology education goals and objectives for medical students through consensus of oncology educators from across Canada. Methods: In 2014 we created a comprehensive list of oncology education objectives using existing resources. Experts in oncology education and undergraduate medical education from all 17 Canadian medical schools were invited to participate in a 3-round modified Delphi process. In round 1, the participants scored the objectives on a 9-point Likert scale according to the degree to which they agreed an objective should be taught to medical students. Objectives with a mean score of 7.0 or greater were retained, those with a mean score of 1.0-3.9 were excluded, and those with a mean score of 4.0-6.9 were discussed at a round 2 Web meeting. In round 3, the participants voted on inclusion and exclusion of the round 2 objectives. Results: Thirty-four (92%) of the 37 invited oncology educators, representing 14 medical schools, participated in the study. They included oncologists, family physicians, members of undergraduate medical education curriculum committees and a psychologist. Of the 214 objectives reviewed in round 1, 146 received a mean score of 7.0 or greater, and 68 were scored 4.0-6.9; no objective received a mean score below 4.0. Nine new objectives were suggested. The main themes of participants' comments were to minimize the number of objectives and to aim objectives at the knowledge level required for family physicians. In round 2, the participants were able to combine 28 of the objectives with other existing objectives. In round 3, 7 of the 49 objectives received consensus of at least 75% for inclusion. The final Canadian Oncology Goals and Objectives for Medical Students contained 10 goals and 153 objectives. Interpretation: Through a systematic process, we created a comprehensive, consensus

  4. Key IT management issues in hospitals: Results of a Delphi study in Canada.

    Science.gov (United States)

    Jaana, Mirou; Tamim, Haitham; Paré, Guy; Teitelbaum, Mari

    2011-12-01

    To develop an authoritative list of IT management issues faced by CIOs and IT directors in public hospitals. The ranking-type Delphi method, which elicits the opinion of a panel of experts through iterative controlled feedback, was used in this study. Data collection involved three main steps during which three panels of experts in Ontario (n=13 in rural hospitals; n=9 in community hospitals; n=8 in academic hospitals) provided their input about the key IT management issues in hospitals and their relative importance. Attrition rate was minimal; 28 out of the 30 experts who participated in the study completed all three phases of the survey. During the brainstorming phase, the responses from the three panels were consolidated resulting in a list of 36 IT management issues; eleven were overlapping between the three panels. In the narrowing down phase, 18 issues were retained in the rural panel; 20 issues in the community panel; and 17 issues in the academic panel. The top issues retained in this phase included: managing demand and expectations for IT services (76% of participants); having sufficient funds (69% of participants); recognizing IT as a key stakeholder in major hospital decisions (65% of participants); and implementation of an EMR (62% of participants). In the ranking phase, a moderate level of consensus was obtained for all three panels: W=0.41 (rural panel); W=0.54 (community panel); and W=0.43 (academic panel). Despite the differences in the preoccupations between the three groups, there were similarities on certain IT management issues. Besides having sufficient funds, three of the top IT management issues relate to the strategic positioning of IT within the hospital: managing demands and expectations for IT services; IT competing with other clinical priorities for scarce resources; and recognizing IT as a key stakeholder in major hospital decisions. This study is the first to systematically and rigorously identify and prioritize critical IT management

  5. A study on the overall economic risks of a hypothetical severe accident in nuclear power plant using the delphi method

    Energy Technology Data Exchange (ETDEWEB)

    Jang, Han Ki; Kim, Joo Yeon; Lee, Jai Ki [Hanyang University, Seoul (Korea, Republic of)

    2008-12-15

    Potential economic impact of a hypothetical severe accident at a nuclear power plant(Uljin units 3/4) was estimated by applying the delphi method, which is based on the expert judgements and opinions, in the process of quantifying uncertain factor. For the purpose of this study, it is assumed that the radioactive plume directs the inland direction. Since the economic risk can be divided into direct costs and indirect effects and more uncertainties are involved in the latter, the direct costs were estimated first and the indirect effects were then estimated by applying a weighting factor to the direct cost. The delphi method however subjects to risk of distortion or discrimination of variables because of the human behavior pattern. A mathematical approach based on the Bayesian inferences was employed for data processing to improve the delphi results. For this task, a model for data processing was developed. One-dimensional Monte Carlo analysis was applied to get a distribution of values of the weighting factor. The mean and median values of the weighting factor for the indirect effects appeared to be 2.59 and 2.08, respectively. These values are higher than the value suggested by OECD/NEA, 1.25. Some factors such as small territory and public attitude sensitive to radiation could affect the judgement of panel. Then the parameters of the model for estimating the direct costs were classified as U- and V-types, and two-dimensional Monte Carlo analysis was applied to quantify the overall economic risk. The resulting median of the overall economic risk was about 3.9% of the Gross Domestic Products (GDP) of Korea in 2006. When the cost of electricity loss, the highest direct cost, was not taken into account, the overall economic risk was reduced to 2.2% of GDP. This assessment can be used as a reference for justifying the radiological emergency planning and preparedness.

  6. The future of practical skills in undergraduate medical education - an explorative Delphi-Study.

    Science.gov (United States)

    Dannenberg, Katja Anne; Stroben, Fabian; Schröder, Therese; Thomas, Anke; Hautz, Wolf E

    2016-01-01

    Hintergrund: 64% der Berufsanfänger in Deutschland fühlen sich nicht ausreichend auf die praktischen Anforderungen des Arztberufes vorbereitet. Ziel „ergebnisorientierter Ausbildung“ ist es, medizinische Curricula von den am Ende des Studiums notwendigen Kompetenzen ausgehend zu strukturieren und so die Lücke zwischen nötigen und erworbenen Fähigkeiten der Absolventen zu reduzieren. Dazu dienen insbesondere Lernzielkataloge (outcome frameworks OF). Als Vorarbeit zur Entwicklung des Nationalen Kompetenzbasierten Lernzielkatalogs Medizin (NKLM) – des deutschen OF - wurde 2011 das „Konsensusstatement Praktische Fertigkeiten im Medizinstudium“ publiziert, welches Lehre und Erwerb praktischer Fertigkeiten in Deutschland strukturiert und größtenteils in das Kapitel „Klinisch-Praktische Fertigkeiten“ des NKLM einfloss. Von der Definition über die Implementation eines OF bis zum Abschluss der Studierenden vergeht oftmals jedoch wenigstens ein Jahrzehnt, was die Lücke zwischen nötigen und erworbenen Kompetenzen wieder vergrößern kann. Ziel dieser Arbeit ist es daher, Thesen zur zukünftigen Entwicklung des Gesundheitswesens zu generieren und auf ein bestehendes OF anzuwenden. Methodik: Mittels halbstrukturierter Experteninterviews wurden Thesen zur allgemeinen, zukünftigen Entwicklung im Gesundheitswesen generiert. Diese Thesen wurden durch ärztliche Experten auf die Wahrscheinlichkeit ihres Eintretens bis zum Jahr 2025 hin bewertet. Die 288 Lernziele des Konsensusstatements, wurden von derselben Expertenkohorte in einer 2-stufigen, explorativen Delphi-Befragung auf ihre mittelfristige Relevanz für die ärztliche Ausbildung hin bewertet. Ergebnisse: Es wurden 11 Thesen zur Entwicklung der Medizin generiert und von 738 Experten bewertet und diskutiert. Die Thesen umfassen die Zunahme altersassoziierter Erkrankungen, die zunehmende Bedeutung von interprofessioneller Zusammenarbeit sowie eine steigende Verbreitung von telemedizinischen Anwendungen

  7. Identifying components of advanced-level clinical nutrition practice: a Delphi study.

    Science.gov (United States)

    Brody, Rebecca A; Byham-Gray, Laura; Touger-Decker, Riva; Passannante, Marian R; O'Sullivan Maillet, Julie

    2012-06-01

    The dietetics profession lacks a comprehensive definition of advanced-level practice. Using a three-round Delphi study with mailed surveys, expert consensus on four dimensions of advanced-level practice that define advanced practice registered dietitians (RDs) in clinical nutrition was explored. Purposive sampling identified 117 RDs who met advanced-level practice criteria. In round 1, experts rated the essentiality of statements on a 7-point ordinal scale and generated open-ended practice activity statements regarding the following four dimensions of advanced-level practice: professional knowledge, abilities and skills, approaches to practice, roles and relationships, and practice behaviors. Median ratings of 1.0 to 3.0 were defined as essential, 4.0 was neutral, and 5.0 to 7.0 were nonessential. In rounds 2 and 3, experts re-rated statements not reaching consensus by evaluating their previous responses, group median rating, and comments. Consensus was reached when the interquartile range of responses to a statement was ≤2.0. Eighty-five experts enrolled (72.6%); 76 (89.4%) completed all rounds. In total, 233 statements were rated, with 100% achieving consensus; 211 (90.6%) were essential to advanced practice RD clinical practice. Having a master's degree; completing an advanced practice residency; research coursework; and advanced continuing education were essential, as were having 8 years of experience; clinical nutrition knowledge/expertise; specialization; participation in research activities; and skills in technology and communication. Highly essential approaches to practice were systematic yet adaptable and used critical thinking and intuition and highly essential values encompassed professional growth and service to patients. Roles emphasized patient care and leadership. Essential practice activities within the nutrition care process included provision of complex patient-centered nutrition care using application of advanced knowledge/expertise and

  8. IMPLEMENTATION OF THE DELPHI TECHNIQUE IN FINANCE

    Directory of Open Access Journals (Sweden)

    Marcin Kozak

    2015-05-01

    Full Text Available In the rapidly developing world, forecasting is very important for numerous aspects of our lives,the finance realm not being an exception. Various qualitative and quantitative methods are used to predict what is ahead. One of them is the Delphi method, an anonymous, structured discussion among experts on the forecasted topic. Developed over 60 years ago, it is one of the most effective qualitative forecasting and decision-making techniques. That said, literature review suggests Delphi’s advantages have not been sufficiently utilized in financial research. This paper is an introduction to Delphi with a focus on the method’s application possibilities in finance and related disciplines. For this purpose, we performed a literature review and presented a step-by-step guide for implementing the Delphi technique, describing a structure of the Delphi process, major principles of Delphi, experts’ selection, Delphi types, ways of establishing consensus, validity of the method among others. Finally, we focused on implementing Delphi in finance and offered example topics that could be studied with Delphi.

  9. Development of a core outcome set for clinical trials in facial aging: study protocol for a systematic review of the literature and identification of a core outcome set using a Delphi survey.

    Science.gov (United States)

    Schlessinger, Daniel I; Iyengar, Sanjana; Yanes, Arianna F; Henley, Jill K; Ashchyan, Hovik J; Kurta, Anastasia O; Patel, Payal M; Sheikh, Umar A; Franklin, Matthew J; Hanna, Courtney C; Chen, Brian R; Chiren, Sarah G; Schmitt, Jochen; Deckert, Stefanie; Furlan, Karina C; Poon, Emily; Maher, Ian A; Cartee, Todd V; Sobanko, Joseph F; Alam, Murad

    2017-08-01

    Facial aging is a concern for many patients. Wrinkles, loss of volume, and discoloration are common physical manifestations of aging skin. Genetic heritage, prior ultraviolet light exposure, and Fitzpatrick skin type may be associated with the rate and type of facial aging. Although many clinical trials assess the correlates of skin aging, there is heterogeneity in the outcomes assessed, which limits the quality of evaluation and comparison of treatment modalities. To address the inconsistency in outcomes, in this project we will develop a core set of outcomes that are to be evaluated in all clinical trials relevant to facial aging. A long list of measureable outcomes will be created from four sources: (1) systematic medical literature review, (2) patient interviews, (3) other published sources, and (4) stakeholder involvement. Two rounds of Delphi processes with homogeneous groups of physicians and patients will be performed to prioritize and condense the list. At a consensus meeting attended by physicians, patients, and stakeholders, outcomes will be further condensed on the basis of participant scores. By the end of the meeting, members will vote and decide on a final recommended set of core outcomes. Subsequent to this, specific measures will be selected or created to assess these outcomes. The aim of this study is to develop a core outcome set and relevant measures for clinical trials relevant to facial aging. We hope to improve the reliability and consistency of outcome reporting of skin aging, thereby enabling improved evaluation of treatment efficacy and patient satisfaction. Core Outcome Measures in Effectiveness Trials (COMET) Initiative, accessible at http://www.comet-initiative.org/studies/details/737 . Core Outcomes Set Initiative, (CSG-COUSIN) accessible at https://www.uniklinikum-dresden.de/de/das-klinikum/universitaetscentren/zegv/cousin/meet-the-teams/project-groups/core-outcome-set-for-the-appearance-of-facial-aging . Protocol version date is 28

  10. Delphi report 1995 on developments in science and technology. Mini Delphi; Delphi-Bericht 1995 zur Entwicklung von Wissenschaft und Technik. Mini-Delphi

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    In August 1993 the first German `Delphi Report on Developments in Science and Technology` was published. It was elaborated by the Fraunhofer Institute for System Engineering and Innovation Research (FhG-ISI) in cooperation with the Japanese National Institute of Science and Technology Policy (NISTEP). The `MINI-DELPHI` now completed by FhG-ISI, again in cooperation with NISTEP, is a further development of the Delphi approach in that it is more differentiated in its questions and assessment criteria than its predecessors. `MINI-DELPHI` is not intended as a comprehensive forecast on technology in general but rather focusses on key topics. Its emphasis is on technology demand and the relevance of technologies to social issues. Although the Mini-Delphi study was primarily aimed at further refining the methodology employed, it nevertheless contains a wealth of information and details on circumscript questions. The requisite database is provided by tables on the results of two inquiry rounds among Japanese and German experts. (orig./RHM) [Deutsch] Im August 1993 wurde der erste deutsche `Delphi-Bericht zur Entwicklung von Wissenschaft und Technik` veroeffentlicht. Er war vom Fraunhofer-Institut fuer Systemtechnik und Innovationsforschung (FhG-ISI) in Zusammenarbeit mit dem japanischen National Institute of Science and Technology Policy (NISTEP) erarbeitet worden. Mit dem jetzt vorliegenden `MINI-DELPHI` hat das FhG-ISI - wieder in Zusammenarbeit mit dem NISTEP - den Delphi-Ansatz fortentwickelt und sowohl hinsichtlich der Fragen als auch der Beurteilungskriterien weiter ausdifferenziert. `MINI-DELPHI` bezweckt keine umfassende Technologievorausschau, sondern konzentriert sich auf Schluesselthemen. Im Vordergrund steht der Gedanke des Technikbedarfs und die Relevanz fuer gesellschaftliche Fragestellungen. Obwohl die Mini-Delphi-Studie vorrangig der Weiterentwicklung der Methodik dient, enthaelt sich eine Fuelle von Informationen und Details zu Einzelfragen. Die im Bericht

  11. Delphi type methodology to develop consensus on the future design of EMS systems in the United Kingdom

    OpenAIRE

    Hassan, T.; Barnett, D.

    2002-01-01

    Design: A Delphi questionnaire design with two rounds to gain a consensus of opinion. Investigation of four aspects of EMS design is reported—type of response to a priority based dispatch category, transportation options, enhancement of paramedic skills, and structure of a first responder system.

  12. Development of a practice guideline for optimal symptom relief for patients with pneumonia and dementia in nursing homes using a Delphi study

    NARCIS (Netherlands)

    van der Maaden, Tessa; van der Steen, Jenny T.; de Vet, Henrica C. W.; Achterberg, Wilco P.; Boersma, Froukje; Schols, Jos M. G. A.; van Berkel, Jos F. J. M.; Mehr, David R.; Arcand, Marcel; Hoepelman, Andy I. M.; Koopmans, Raymond T. C. M.; Hertogh, Cees M. P. M.

    2015-01-01

    ObjectiveThis study aimed to develop a practice guideline for a structured and consensus-based approach to relieve symptoms of pneumonia in patients with dementia in nursing homes. MethodsA five-round Delphi study involving a panel consisting of 24 experts was conducted. An initial version of the pr

  13. Development of a practice guideline for optimal symptom relief for patients with pneumonia and dementia in nursing homes using a Delphi study

    NARCIS (Netherlands)

    Maaden, T. van der; Steen, J.T. van der; Vet, H.C. de; Achterberg, W.P.; Boersma, F.; Schols, J.M.; Berkel, J.F. van; Mehr, D.R.; Arcand, M.; Hoepelman, A.I.; Koopmans, R.T.C.M.; Hertogh, C.M.

    2015-01-01

    OBJECTIVE: This study aimed to develop a practice guideline for a structured and consensus-based approach to relieve symptoms of pneumonia in patients with dementia in nursing homes. METHODS: A five-round Delphi study involving a panel consisting of 24 experts was conducted. An initial version of th

  14. Utilizing and Adapting the Delphi Method for Use in Qualitative Research

    OpenAIRE

    Shane R. Brady

    2015-01-01

    The Delphi method is a pragmatic research method created in the 1950s by researchers at the RAND Corporation for use in policy making, organizational decision making, and to inform direct practices. While the Delphi method has been regularly utilized in mixed methods studies, far fewer studies have been completed using the Delphi method for qualitative research. Despite the utility of the Delphi method in social science research, little guidance is provided for using the Delphi in the context...

  15. Delphi Accounts Receivable Module -

    Data.gov (United States)

    Department of Transportation — Delphi accounts receivable module contains the following data elements, but are not limited to customer information, cash receipts, line of accounting details, bill...

  16. A Delphi Study to Understand Relational Bonds in Supervision and Their Effect on Rehabilitation Counselor Disclosure in the Public Rehabilitation Program

    Science.gov (United States)

    Magnuson, Lori Anne

    2012-01-01

    The scholarly literature surrounding counselor supervision suggests that relational bonds built on liking, trusting, and caring between supervisors and counselors positively impact counselor willingness to disclose practice errors and ethical issues in supervision. This Delphi study explored the opinions of expert public rehabilitation supervisors…

  17. An Exploratory Study of E-Business Success Factors

    Institute of Scientific and Technical Information of China (English)

    LI Jingting; HUANG Jinghua

    2004-01-01

    E-business success factors are important for traditional enterprises to implement e-business. This topic is attracting more and more researchers to study. This paper makes an exploratory study on the factors influencing e-business success. Firstly, based on the literature review, 52 factors are suggested. Secondly, two rounds of survey with Delphi method are conducted. Qualitative and quantitative analysis are used to identify 57factors. This is the foundation of empirical study.

  18. The development of the Suicidal Patient Observation Chart (SPOC): Delphi study.

    Science.gov (United States)

    Björkdahl, A; Nyberg, U; Runeson, B; Omérov, P

    2011-08-01

    Constant observation is a method used to insure the safety of suicidal inpatients. It involves structure and control as well as flexibility and the development of a relationship between the observer and the patient. It has been found that important observations may go unnoticed by the observer or fail to be communicated to the multidisciplinary team because of a lack of sufficient training and systematic documentation. We therefore conducted a Delphi survey to collect opinions on what would be important to observe during constant observation of suicidal patients. A panel of experienced clinicians, service users and researchers reached consensus on 37 of 40 observation items (92%). Of these, 28 were rated as the most important. As a result, we developed a form for systematic observer documentation in clinical practice, the Suicidal Patient Observation Chart. The Suicidal Patient Observation Chart includes the 28 items and covers 24 separate observation periods.

  19. Recommendations for the coordinated management of psoriatic arthritis by rheumatologists and dermatologists: a Delphi study.

    Science.gov (United States)

    Cañete, J D; Daudén, E; Queiro, R; Aguilar, M D; Sánchez-Carazo, J L; Carrascosa, J M; Carretero, G; García-Vivar, M L; Lázaro, P; López-Estebaranz, J L; Montilla, C; Ramírez, J; Rodríguez-Moreno, J; Puig, L

    2014-04-01

    Psoriatic arthritis, a chronic inflammatory musculoskeletal disease that is associated with psoriasis, causes joint erosions, accompanied by loss of function and quality-of-life. The clinical presentation is variable, with extreme phenotypes that can mimic rheumatoid arthritis or ankylosing spondylitis. Because psoriasis usually presents before psoriatic arthritis, the dermatologist plays a key role in early detection of the latter. As many treatments used in psoriasis are also used in psoriatic arthritis, treatment recommendations should take into consideration the type and severity of both conditions. This consensus paper presents guidelines for the coordinated management of psoriatic arthritis by rheumatologists and dermatologists. The paper was drafted by a multidisciplinary group (6rheumatologists, 6dermatologists, and 2epidemiologists) using the Delphi method and contains recommendations, tables, and algorithms for the diagnosis, referral, and treatment of patients with psoriatic arthritis. Copyright © 2013 Elsevier España, S.L. and AEDV. All rights reserved.

  20. A primary study on applying Delphi method to screen items of empowerment psychological care scale for critically ill patients%Delphi法筛选危重症患者赋能心理护理量表条目的初步研究

    Institute of Scientific and Technical Information of China (English)

    刘亚楠; 李红

    2012-01-01

    Objective To screen empowerment psychological care scale items for critically ill patients through Delphi method.Methods Totally 27 experts were invited to conduct two rounds consultation by using Delphi method,and the results were summarized.Results The effective response rate of the experts' questionnaire for the first round and the second round was 90% and 100%.The specialist authority coefficient was 0.895.The coordination coefficients for 2 rounds were 0.432 and 0.448 respectively.After two-round consultation,empowerment psychological care scale items for critically ill patients was finally formulated,containing 4 dimensions and 24 evaluation items.Conclusions The selected experts were highly representative,and they were enthusiastically involved in the consultation.And the scale has remarkable authority and coordination;it can reflect the theme of the study,provide instructive function for clinical medical personnel in implementation and evaluation of empowerment psychological care.%目的 应用Delphi法筛选危重症患者赋能心理护理量表条目.方法 采用Delphi专家咨询法对27名专家进行2轮咨询,并对结果进行归纳.结果 2轮咨询问卷回收率分别为90%和100%;专家权威系数为0.895;2轮咨询的专家意见的协调系数分别为0.432和0.448,差异明显;经过2轮咨询,最终确定由4个维度、24个条目构成的危重症患者赋能心理护理量表.结论 此研究专家代表性强,积极性高,权威程度和协调程度好,形成的危重症患者赋能心理护理量表能够较好地反映所研究的主题,对实施和评价危重症患者的赋能心理护理具有指导作用.

  1. The impact of new and emerging technologies in the commercial aviation maintenance, repair, and overhaul industry a Delphi study

    Science.gov (United States)

    Gray, Janet

    Purpose. The purpose of this study was to identify new or emerging technological trends and events that are likely to occur between now and 2017 that will have an impact on the commercial aviation maintenance, repair, and overhaul (MRO) industry. Further, it was the purpose of this study to examine those technological trends and events believed to provide the greatest impact and, given the experts' analysis, identify the feasibility of implementation. Methodology. This descriptive study utilized the Delphi method with a panel of twenty-four experts comprised of practitioners, theorists, and futurists. A priority matrix was utilized to determine the impact and feasibility of trend and events. Findings. The experts identified fifty-three trends and events that will impact the commercial aviation maintenance, repair, and overhaul (MRO) industry. Analysis of the priority matrix revealed eighteen trends and events were of high priority and high feasibility. Conclusions. The responses from the expert panel were examined and the findings analyzed. The following are the conclusions constructed from the data provided by the Delphi panel of experts: (1) the need to respond to the demands of the maintenance, repair, and overhaul (MRO) industry such as down time, efficiency, cost, and environmental concerns by implementing new technology, (2) the demand to integrate and implement new technology as indicative of the priority matrix scoring high importance/high feasibility, (3) to proactively address the inadequate professional development in new technologies, and (4) the consensus reached by the panel of experts of importance and feasibility of implementation of new technologies encompass eighteen trends and events. Implications and recommendations for action. The implementation of new and emerging technological advances in the commercial aviation maintenance, repair, and overhaul (MRO) industry between now and 2017 will be dependent on the technologies' capacity to reduce

  2. DELPHI time projection chamber

    CERN Multimedia

    1989-01-01

    The time projection chamber is inserted inside the central detector of the DELPHI experiment. Gas is ionised in the chamber as a charged particle passes through, producing an electric signal from which the path of the particle can be found. DELPHI, which ran from 1989 to 2000 on the LEP accelerator, was primarily concerned with particle identification.

  3. DELPHI on the move

    CERN Multimedia

    Maximilien Brice

    2002-01-01

    DELPHI (DEtector for Lepton, Photon and Hadron Identification) was one of four experiments at CERN's Large Electron-Positron collider (LEP). Following LEP's decommissioning, the DELPHI detector has been moved within the cavern at Point 8, and now awaits permanent display.

  4. Ethical Delphi Manual

    NARCIS (Netherlands)

    Millar, K.; Tomkins, S.; Thorstensen, E.; Mepham, B.; Kaiser, M.

    2006-01-01

    An ethical Delphi is an iterative participatory process between experts for exchanging views and arguments on ethical issues. The method is structured around the notion of a virtual committee where the exchange of ideas is conducted remotely through a series of opinion exchanges. The ethical Delphi

  5. Ethical Delphi Manual

    NARCIS (Netherlands)

    Millar, K.; Tomkins, S.; Thorstensen, E.; Mepham, B.; Kaiser, M.

    2006-01-01

    An ethical Delphi is an iterative participatory process between experts for exchanging views and arguments on ethical issues. The method is structured around the notion of a virtual committee where the exchange of ideas is conducted remotely through a series of opinion exchanges. The ethical Delphi

  6. Using a web-based survey tool to undertake a Delphi study: application for nurse education research.

    Science.gov (United States)

    Gill, Fenella J; Leslie, Gavin D; Grech, Carol; Latour, Jos M

    2013-11-01

    The Internet is increasingly being used as a data collection medium to access research participants. This paper reports on the experience and value of using web-survey software to conduct an eDelphi study to develop Australian critical care course graduate practice standards. The eDelphi technique used involved the iterative process of administering three rounds of surveys to a national expert panel. The survey was developed online using SurveyMonkey. Panel members responded to statements using one rating scale for round one and two scales for rounds two and three. Text boxes for panel comments were provided. For each round, the SurveyMonkey's email tool was used to distribute an individualized email invitation containing the survey web link. The distribution of panel responses, individual responses and a summary of comments were emailed to panel members. Stacked bar charts representing the distribution of responses were generated using the SurveyMonkey software. Panel response rates remained greater than 85% over all rounds. An online survey provided numerous advantages over traditional survey approaches including high quality data collection, ease and speed of survey administration, direct communication with the panel and rapid collation of feedback allowing data collection to be undertaken in 12 weeks. Only minor challenges were experienced using the technology. Ethical issues, specific to using the Internet to conduct research and external hosting of web-based software, lacked formal guidance. High response rates and an increased level of data quality were achieved in this study using web-survey software and the process was efficient and user-friendly. However, when considering online survey software, it is important to match the research design with the computer capabilities of participants and recognize that ethical review guidelines and processes have not yet kept pace with online research practices. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. Development of a tool to assess the completeness of drug information sources for health care professionals: A Delphi study.

    Science.gov (United States)

    Arguello, Blanca; Salgado, Teresa M; Laekeman, Gert; Fernandez-Llimos, Fernando

    2017-08-26

    The aim of this study was to create a standard set of essential drug information items as a tool to assess the completeness of any type of drug information source, regardless of its length, using a Delphi consensus panel of European health care professionals. A compilation of drug-related information items was performed by searching several resources for health care professionals and a final list of 162 items was obtained. Fifty-seven experts in drug information from 23 different European countries were invited to participate in a three-round Delphi technique to obtain consensus on items considered essential and non-essential content of information. Consensus for the first, second, and third rounds was defined as ≥90%, ≥80%, and ≥75% agreement, respectively. Of the 57 experts invited, 32 completed the first round, 27 the second, and 29 the third. Consensus was achieved for 28.3% of the items in the first round, 49.3% in the second, and 58.3% in the third. The final cumulative consensus was 67.7% (n = 126) for items considered essential and 16.1% (n = 30) for items considered non-essential. The final tool obtained to assess the completeness of drug information sources was composed by 126 essential items grouped into 11 sections. This tool allows for the comparison of different information sources for the same medicine and the information content for different medicines in the same source. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Quality care, public perception and quick-fix service management: a Delphi study on stressors of hospital doctors in Ireland

    Science.gov (United States)

    Hayes, Blanaid; Fitzgerald, Deirdre; Doherty, Sally; Walsh, Gillian

    2015-01-01

    Objectives To identify and rank the most significant workplace stressors to which consultants and trainees are exposed within the publicly funded health sector in Ireland. Design Following a preliminary semistructured telephone interview, a Delphi technique with 3 rounds of reiterative questionnaires was used to obtain consensus. Conducted in Spring 2014, doctors were purposively selected by their college faculty or specialty training body. Setting Consultants and higher specialist trainees who were engaged at a collegiate level with their faculty or professional training body. All were employed in the Irish publicly funded health sector by the Health Services Executive. Participants 49 doctors: 30 consultants (13 male, 17 female) and 19 trainees (7 male, 12 female). Consultants and trainees were from a wide range of hospital specialties including anaesthetics, radiology and psychiatry. Results Consultants are most concerned with the quality of healthcare management and its impact on service. They are also concerned about the quality of care they provide. They feel undervalued within the negative sociocultural environment that they work. Trainees also feel undervalued with an uncertain future and they also perceive their sociocultural environment as negative. They echo concerns regarding the quality of care they provide. They struggle with the interface between career demands and personal life. Conclusions This Delphi study sought to explore the working life of doctors in Irish hospitals at a time when resources are scarce. It identified both common and distinct concerns regarding sources of stress for 2 groups of doctors. Its identification of key stressors should guide managers and clinicians towards solutions for improving the quality of patient care and the health of care providers. PMID:26700286

  9. Mental Health First Aid guidelines for helping a suicidal person: a Delphi consensus study in the Philippines

    Directory of Open Access Journals (Sweden)

    Jorm Anthony F

    2010-12-01

    Full Text Available Abstract Background This study aimed to develop guidelines for how a member of the Filipino public should provide mental health first aid to a person who is suicidal. Methods The guidelines were produced by developing a questionnaire containing possible first aid actions and asking an expert panel of 34 Filipino mental health clinicians to rate whether each action should be included in the guidelines. The content of the questionnaire was based on a systematic search of the relevant evidence and claims made by authors of consumer and carer guides and websites. The panel members were asked to complete the questionnaire by web survey. Three rounds of the rating were carried and, at the end of each round, items that reached the consensus criterion were selected for inclusion in the guidelines. During the first round, panel members were also asked to suggest any additional actions that were not covered in the original questionnaire (to include items that are relevant to local cultural circumstances, values, and social norms. Responses to these open-ended questions were used to generate new items. Results The output from the Delphi process was a set of agreed upon action statements. The Delphi process started with 138 statements, 48 new items were written based on suggestions from panel members and, of these 186 items, 102 met the consensus criterion. These statements were used to develop the guidelines appended to this paper. The guidelines are currently being translated into local languages. Conclusions There are a number of actions that are considered to be useful for members of the public when they encounter someone who is experiencing suicidal thoughts or engaging in suicidal behaviour. Although the guidelines are designed for members of the public, they may also be helpful to non-mental health professionals working in health and welfare settings.

  10. Modeling DNA affinity landscape through two-round support vector regression with weighted degree kernels

    KAUST Repository

    Wang, Xiaolei

    2014-12-12

    Background: A quantitative understanding of interactions between transcription factors (TFs) and their DNA binding sites is key to the rational design of gene regulatory networks. Recent advances in high-throughput technologies have enabled high-resolution measurements of protein-DNA binding affinity. Importantly, such experiments revealed the complex nature of TF-DNA interactions, whereby the effects of nucleotide changes on the binding affinity were observed to be context dependent. A systematic method to give high-quality estimates of such complex affinity landscapes is, thus, essential to the control of gene expression and the advance of synthetic biology. Results: Here, we propose a two-round prediction method that is based on support vector regression (SVR) with weighted degree (WD) kernels. In the first round, a WD kernel with shifts and mismatches is used with SVR to detect the importance of subsequences with different lengths at different positions. The subsequences identified as important in the first round are then fed into a second WD kernel to fit the experimentally measured affinities. To our knowledge, this is the first attempt to increase the accuracy of the affinity prediction by applying two rounds of string kernels and by identifying a small number of crucial k-mers. The proposed method was tested by predicting the binding affinity landscape of Gcn4p in Saccharomyces cerevisiae using datasets from HiTS-FLIP. Our method explicitly identified important subsequences and showed significant performance improvements when compared with other state-of-the-art methods. Based on the identified important subsequences, we discovered two surprisingly stable 10-mers and one sensitive 10-mer which were not reported before. Further test on four other TFs in S. cerevisiae demonstrated the generality of our method. Conclusion: We proposed in this paper a two-round method to quantitatively model the DNA binding affinity landscape. Since the ability to modify

  11. Development of a mild traumatic brain injury-specific vision screening protocol: A Delphi study

    Directory of Open Access Journals (Sweden)

    Gregory L. Goodrich, PhD

    2013-08-01

    Full Text Available Although traumatic brain injury (TBI can happen to anyone at any time, the wars in Iraq and Afghanistan have brought it renewed attention. Fortunately, most cases of TBI from the recent conflicts are mild TBI (mTBI. Still, many physical, psychological, and social problems are associated with mTBI. Among the difficulties encountered are oculomotor and vision problems, many of which can impede daily activities such as reading. Therefore, correct diagnosis and treatment of these mTBI-related vision problems is an important part of patient recovery. Numerous eye care providers in the Department of Veterans Affairs, in military settings, and in civilian practices specialize and are proficient in examining patients who have a history of TBI. However, many do not have this level of experience working with and treating patients with mTBI. Recognizing this, we used a modified Delphi method to derive expert opinions from a panel of 16 optometrists concerning visual examination of the patient with mTBI. This process resulted in a clinical tool containing 17 history questions and 7 examination procedures. This tool provides a set of clinical guidelines that can be used as desired by any eye care provider either as a screening tool or adjunct to a full eye examination when seeing a patient with a history of mTBI. The goal of this process was to provide optimal and uniform vision care for the patient with mTBI.

  12. Two-Round Password-Only Authenticated Key Exchange in the Three-Party Setting

    Directory of Open Access Journals (Sweden)

    Junghyun Nam

    2015-01-01

    Full Text Available We present the first provably-secure three-party password-only authenticated key exchange (PAKE protocol that can run in only two communication rounds. Our protocol is generic in the sense that it can be constructed from any two-party PAKE protocol. The protocol is proven secure in a variant of the widely-accepted model of Bellare, Pointcheval and Rogaway (2000 without any idealized assumptions on the cryptographic primitives used. We also investigate the security of the two-round, three-party PAKE protocol of Wang, Hu and Li (2010 and demonstrate that this protocol cannot achieve implicit key authentication in the presence of an active adversary.

  13. Internet-Based Delphi Research: Case Based Discussion

    Science.gov (United States)

    Cole, Zachary Douglas; Donohoe, Holly M.; Stellefson, Michael L.

    2013-03-01

    The interactive capacity of the Internet offers benefits that are intimately linked with contemporary research innovation in the natural resource and environmental studies domains. However, e-research methodologies, such as the e-Delphi technique, have yet to undergo critical review. This study advances methodological discourse on the e-Delphi technique by critically assessing an e-Delphi case study. The analysis suggests that the benefits of using e-Delphi are noteworthy but the authors acknowledge that researchers are likely to face challenges that could potentially compromise research validity and reliability. To ensure that these issues are sufficiently considered when planning and designing an e-Delphi, important facets of the technique are discussed and recommendations are offered to help the environmental researcher avoid potential pitfalls associated with coordinating e-Delphi research.

  14. Identifying Markers of Dignity-Conserving Care in Long-Term Care: A Modified Delphi Study.

    Directory of Open Access Journals (Sweden)

    Genevieve N Thompson

    Full Text Available Ensuring that people living in nursing homes (NHs are afforded with dignity in their daily lives is an essential and humane concern. Promoting dignity-conserving care is fundamentally important. By nature, however, this care is all-encompassing and holistic, and from current knowledge it is challenging to create explicit strategies for measuring dignity-conserving care. In practice the majority of current NH indicators of quality care are derived from information that is routinely collected on NH residents using the RAI-Minimum Data Set (MDS. In this regard, issues that are more tangible to resident dignity such as being treated with respect, compassion, and having opportunities to engage with others are not adequately captured in current NH quality of care indicators. An initial set of markers was created by conducting an integrative literature review of existing markers and indicators of dignity in the NH setting. A modified Delphi process was used to prioritize essential dignity-conserving care markers for use by NH providers, based on factors such as the importance to fostering a culture of dignity, the impact it may have on the residents, and how achievable it is in practice. Through this consensus building technique, we were able to develop a comprehensive set of markers that capture the range and diversity of important dignity-conserving care strategies for use in NHs. The final 10 markers were judged as having high face validity by experts in the field and have explicit implications for enhancing the provision of daily dignified care to NH residents. These markers make an important addition to the traditional quality indicators used in the NH setting and as such, bridge an important gap in addressing the psychosocial and the less easily quantified needs of NH residents.

  15. A Delphi study on research priorities in radiation therapy: The Australian perspective

    Energy Technology Data Exchange (ETDEWEB)

    Cox, Jennifer [Faculty of Health Sciences, University of Sydney, P.O. Box 170, Lidcombe, NSW 1825 (Australia)], E-mail: jenny.cox@usyd.edu.au; Halkett, Georgia [Western Australia Centre for Cancer and Palliative Care, Curtin University of Technology, Health Research Campus, GPO Box U1987, Perth, WA 6845 (Australia)], E-mail: g.halkett@curtin.edu.au; Anderson, Claudia [Faculty of Health Sciences, University of Sydney, P.O. Box 170, Lidcombe, NSW 1825 (Australia)], E-mail: claudia.anderson@usyd.edu.au; Heard, Robert [Faculty of Health Sciences, University of Sydney, P.O. Box 170, Lidcombe, NSW 1825 (Australia)], E-mail: r.heard@staff.usyd.edu.au

    2010-02-15

    Radiation therapists (RTs) need to engage more in research to establish an evidence base for their daily practice. However, RTs world-wide conduct little research themselves, although positive moves have been made in some countries. This project is the second stage of a Delphi process aimed at prioritising RT areas of research interest. A questionnaire was constructed using responses to a previous questionnaire which identified the research interests of Australian RTs. Fifty-three Research Areas were identified from these responses and grouped into 12 categories such as 'imaging in radiation therapy', 'symptom management', 'accuracy of patient positioning' and 'techniques/equipment'. The survey was sent to all Australian departments of radiation oncology, and RTs were asked to form interest groups to discuss and prioritise the Research Areas. There was a 50% response rate (18 of 36 departments surveyed). The highest ranked research Category was 'imaging in radiation therapy'. Six of the top 10 ranked Research Areas were within Central RT practice ('imaging in radiation therapy'; 'symptom management'; 'accuracy of patient positioning' and 'techniques/equipment') and the other four were within broader RT practice ('diversification, recognition and other professional issues'; and 'management and staff issues'). Patient Care was also considered to be an area requiring more research. This prioritization of Research Areas and categories provides a useful list of future research for RTs, which will enable them to decide whether their research ideas are a high priority, and spend less time deciding on a relevant research topic that needs investigation in their own workplaces.

  16. Development of mental health first aid guidelines for panic attacks: a Delphi study

    Directory of Open Access Journals (Sweden)

    Jorm Anthony F

    2009-08-01

    Full Text Available Abstract Background Panic attacks are common, and while they are not life-threatening events, they can lead to the development of panic disorder and agoraphobia. Appropriate help at the time that a panic attack occurs may decrease the fear associated with the attack and reduce the risk of developing an anxiety disorder. However, few people have the knowledge and skills required to assist. Simple first aid guidelines may help members of the public to offer help to people who experience panic attacks. Methods The Delphi method was used to reach consensus in a panel of experts. Experts included 50 professionals and 6 people who had experience of panic attacks and were active in mental health advocacy. Statements about how to assist someone who is having a panic attack were sourced through a systematic search of both professional and lay literature. These statements were rated for importance as first aid guidelines by the expert and consumer panels and guidelines were written using the items most consistently endorsed. Results Of 144 statements presented to the panels, 27 were accepted. These statements were used to develop the guidelines appended to this paper. Conclusion There are a number of actions which are considered to be useful for members of the public to do if they encounter someone who is having a panic attack. These guidelines will be useful in revision of curricula of mental health first aid programs. They can also be used by members of the public who want immediate information about how to assist someone who is experiencing panic attacks.

  17. Prioritization of future research topics for children's hospice care by its key stakeholders: a Delphi study.

    Science.gov (United States)

    Malcolm, C; Knighting, K; Forbat, L; Kearney, N

    2009-07-01

    The Delphi process, widely used in health research to seek consensus on key issues amongst large stakeholder groups, was adopted to allow families, hospice staff/volunteers and linked professionals to identify and prioritize future research priorities for children's hospice care. In the qualitative Round 1, interviews with families (n = 5), linked professionals (n = 18) and focus groups with hospice staff and volunteers (n = 44) led to the generation of 56 research topics categorised within 14 broad themes. To give a larger number of stakeholders (n = 621) (including families n = 293; hospice staff/volunteers n = 216 and professionals n = 112) the opportunity to rate the importance of each research topic and seek group consensus on the future research priorities for children's hospice care, subsequent Rounds 2 and 3 involved the use of postal questionnaires. Response rates to questionnaires were 44% in Round 2 (274/621) and 83% in Round 3 (204/247). Participants prioritized research topics relating to 1) hospice and respite care needs of young people (aged 16 +), 2) pain and symptom management and 3) bereavement and end-of-life care. There was wide acknowledgement by those took part in the process of the difficulty in rating the topics, and emphasis on the fact that all of the topics raised during the project are of high importance and merit further research. The current salient issues perceived by key stakeholders as being the research priorities for children's hospice care were identified. Addressing these priority topics for research would further contribute to the development of a much needed evidence base in children's hospice and palliative care research and optimise the delivery of children's hospice services that are underpinned by valid and robust research.

  18. Development of a Quality and Safety Competency Curriculum for Radiation Oncology Residency: An International Delphi Study.

    Science.gov (United States)

    Adleman, Jenna; Gillan, Caitlin; Caissie, Amanda; Davis, Carol-Anne; Liszewski, Brian; McNiven, Andrea; Giuliani, Meredith

    2017-06-01

    To develop an entry-to-practice quality and safety competency profile for radiation oncology residency. A comprehensive list of potential quality and safety competency items was generated from public and professional resources and interprofessional focus groups. Redundant or out-of-scope items were eliminated through investigator consensus. Remaining items were subjected to an international 2-round modified Delphi process involving experts in radiation oncology, radiation therapy, and medical physics. During Round 1, each item was scored independently on a 9-point Likert scale indicating appropriateness for inclusion in the competency profile. Items indistinctly ranked for inclusion or exclusion were re-evaluated through web conference discussion and reranked in Round 2. An initial 1211 items were compiled from 32 international sources and distilled to 105 unique potential quality and safety competency items. Fifteen of the 50 invited experts participated in round 1: 10 radiation oncologists, 4 radiation therapists, and 1 medical physicist from 13 centers in 5 countries. Round 1 rankings resulted in 80 items included, 1 item excluded, and 24 items indeterminate. Two areas emerged more prominently within the latter group: change management and human factors. Web conference with 5 participants resulted in 9 of these 24 items edited for content or clarity. In Round 2, 12 participants rescored all indeterminate items resulting in 10 items ranked for inclusion. The final 90 enabling competency items were organized into thematic groups consisting of 18 key competencies under headings adapted from Deming's System of Profound Knowledge. This quality and safety competency profile may inform minimum training standards for radiation oncology residency programs. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Parenting strategies for reducing adolescent alcohol use: a Delphi consensus study

    Directory of Open Access Journals (Sweden)

    Morgan Amy J

    2011-01-01

    Full Text Available Abstract Background International concern regarding the increase in preventable harms attributed to adolescent alcohol consumption has led to growing political and medical consensus that adolescents should avoid drinking for as long as possible. For this recommendation to be adopted, parents and guardians of adolescents require information about strategies that they can employ to prevent or reduce their adolescent's alcohol use that are supported by evidence. Methods The Delphi method was used to obtain expert consensus on parenting strategies effective in preventing and reducing adolescent alcohol consumption. A literature search identified 457 recommendations for parents to reduce their adolescent child's alcohol use. These recommendations were presented to a panel of 38 Australian experts who were asked to rate their importance over three survey rounds. Results There were 289 parenting strategies that were endorsed as important or essential in reducing adolescent alcohol use by ≥90% of the panel. These strategies were categorised into 11 sub-headings: things parents should know about adolescent alcohol use, delaying adolescent's introduction to alcohol, modelling responsible drinking and attitudes towards alcohol, talking to adolescents about alcohol, establishing family rules, monitoring adolescents when unsupervised, preparing adolescents for peer pressure, unsupervised adolescent drinking, what to do when an adolescent has been drinking without parental permission, hosting adolescent parties, and establishing and maintaining a good parent-child relationship. The endorsed strategies were written into a document suitable for parents. Conclusions A comprehensive set of parenting strategies for preventing or reducing adolescent alcohol consumption were identified. These strategies can be promoted to parents to help them implement national recommendations for use of alcohol by young people.

  20. Development of mental health first aid guidelines for suicidal ideation and behaviour: A Delphi study

    Directory of Open Access Journals (Sweden)

    Kitchener Betty A

    2008-03-01

    Full Text Available Abstract Background Suicide is a statistically rare event, but devastating to those left behind and one of the worst possible outcomes associated with mental illness. Although a friend, family member or co-worker may be the first person to notice that a person is highly distressed, few have the knowledge and skills required to assist. Simple guidelines may help such a person to encourage a suicidal individual to seek professional help or decide against suicide. Methods This research was conducted using the Delphi methodology, a method of reaching consensus in a panel of experts. Experts recruited to the panels included 22 professionals, 10 people who had been suicidal in the past and 6 carers of people who had been suicidal in the past. Statements about how to assist someone who is thinking about suicide were sourced through a systematic search of both professional and lay literature. The guidelines were written using the items most consistently endorsed by all three panels. Results Of 114 statements presented to the panels, 30 were accepted. These statements were used to develop the guidelines appended to this paper. Conclusion There are a number of actions which are considered to be useful for members of the public when they encounter someone who is experiencing suicidal thoughts or engaging in suicidal behaviour. These guidelines will be useful in revision of curricula of mental health first aid and suicide intervention training programs. They can also be used by members of the public who want immediate information about how to assist a suicidal person.

  1. The performance of the Barrel Muon Trigger system of the DELPHI experiment and a study of heavy flavour physics through the semileptonic decay to muons in $e^{+}e^{-}$ collisions at the $Z^{o}$ resonance

    CERN Document Server

    Bates, Martin Joseph

    1992-01-01

    The performance of the Barrel Muon Trigger system of the DELPHI experiment and a study of heavy flavour physics through the semileptonic decay to muons in $e^{+}e^{-}$ collisions at the $Z^{o}$ resonance

  2. Delphi General Ledger -

    Data.gov (United States)

    Department of Transportation — Delphi general ledger contains the following data elements, but is not limited to the United States Standard General Ledger (USSGL) chart of accounts, stores actual,...

  3. Identificación de problemas y propuestas para mejorar la atención de las urgencias extrahospitalarias en Navarra: un estudio Delphi Identification of problems and proposals for improving outpatient emergency care in Navarre: a Delphi study

    Directory of Open Access Journals (Sweden)

    I. Pérez-Ciordia

    2011-12-01

    Full Text Available Fundamento. Las urgencias extrahospitalarias de Navarra sufrieron modificaciones en la organización hace dos años, destacando la creación del servicio de urgencias rural (SUR que coexiste geográficamente con el servicio normal de urgencias. El objetivo del estudio es conocer la opinión de expertos sobre los problemas y las recomendaciones de mejora que afectan a las urgencias extrahospitalarias. Metodología. Se realizó un estudio Delphi con la participación de 37 expertos (médicos y enfermeras. Por medio del correo electrónico se realizan 3 rondas de cuestionarios sucesivos. El último cuestionario identifica el grado de acuerdo con las ideas del grupo y se identifican los 15 problemas y recomendaciones más relevantes, seleccionando aquellas ideas que alcancen, al menos, el 50 % de acuerdo y una prioridad superior al percentil 25. Agrupamos las ideas mediante análisis de clúster jerárquico. Resultados. Se identifican 4 clúster de problemas, destacando entre ellos que «la población utiliza las urgencias para patología banal, como una consulta más» con una puntuación de 297 puntos. De las recomendaciones, con 3 clúster identificados, destaca la «necesidad de diseñar un plan estratégico de atención a las urgencias con unos recursos acorde a las necesidades» (310 puntos de prioridad y «enviar mensajes claros a la población sobre uso correcto de urgencias» (192 puntos de prioridad. Conclusión. El método Delphi identifica problemas y áreas de mejora a través del consenso.Background. Two years ago there were alterations to outpatient A and E departments in Navarre; in particular, a rural A and E service (Servicio de Urgencias Rural, SUR was set up, which coexists geographically with the normal A and E service. The aim of this study is to determine the opinion of experts on problems and recommendations for improvements that affect outpatient A and E services. Methodology. A Delphi study was carried out with the

  4. A Delphi study among internal medicine clinicians to determine which therapeutic information is essential to record in a medical record.

    Science.gov (United States)

    van Unen, Robert J; Tichelaar, Jelle; Nanayakkara, Prabath W B; van Agtmael, Michiel A; Richir, Milan C; de Vries, Theo P G M

    2015-12-01

    Several studies have demonstrated that using a template for recording general and diagnostic information in the medical record (MR) improves the completeness of MR documentation, communication between doctors, and performance of doctors. However, little is known about how therapeutic information should be structured in the MR. The aim of this study was to investigate which specific therapeutic information registrars and consultants in internal medicine consider essential to record in the MR. Therefore, we carried out a 2-round Internet Delphi study. Fifty-nine items were assessed on a 5-point scale; an item was considered important if ≥ 80% of the respondents awarded it a score of 4 or 5. In total, 26 registrars and 30 consultants in internal medicine completed both rounds of the study. Overall, they considered it essential to include information about 11 items in the MR. Subgroup analyses revealed that the registrars considered 8 additional items essential, whereas the consultants considered 1 additional item essential to record. Study findings can be used as a starting point to develop a structured section of the MR for therapeutic information for both paper and electronic MRs. This section should contain at least 11 items considered essential by registrars and clinical consultants in internal medicine.

  5. A Delphi study to develop the Association for Palliative Medicine consensus syllabus for undergraduate palliative medicine in Great Britain and Ireland.

    Science.gov (United States)

    Paes, P; Wee, B

    2008-06-01

    The Association for Palliative Medicine (APM) produced a previous undergraduate palliative medicine syllabus in 1992. This study describes the process of developing the new APM consensus syllabus against the background of changes in medical education and palliative medicine since 1992. The syllabus was derived by means of a Delphi study carried out amongst experts in palliative medicine across Britain and Ireland. Forty-three participants agreed to take part. Three rounds of the Delphi study took place. Consensus (75% agreement) was achieved in over 90% of the outcomes. The new syllabus is broken down into the following sections: basic principles, physical care, psychosocial care, culture, language, religious and spiritual issues, ethics and legal frameworks. Learning outcomes are categorised as essential or desirable. Using a Delphi study, we have developed a consensus syllabus for undergraduate palliative medicine. This is sufficiently flexible to allow all medical schools to ensure that their students achieve the essential learning outcomes by the time they graduate, whereas those with more generous curricular space will additionally be able to deliver selected desirable learning outcomes.

  6. A Delphi Technology Foresight Study: Mapping Social Construction of Scientific Evidence on Metagenomics Tests for Water Safety.

    Science.gov (United States)

    Birko, Stanislav; Dove, Edward S; Özdemir, Vural

    2015-01-01

    Access to clean water is a grand challenge in the 21st century. Water safety testing for pathogens currently depends on surrogate measures such as fecal indicator bacteria (e.g., E. coli). Metagenomics concerns high-throughput, culture-independent, unbiased shotgun sequencing of DNA from environmental samples that might transform water safety by detecting waterborne pathogens directly instead of their surrogates. Yet emerging innovations such as metagenomics are often fiercely contested. Innovations are subject to shaping/construction not only by technology but also social systems/values in which they are embedded, such as experts' attitudes towards new scientific evidence. We conducted a classic three-round Delphi survey, comprised of 107 questions. A multidisciplinary expert panel (n = 24) representing the continuum of discovery scientists and policymakers evaluated the emergence of metagenomics tests. To the best of our knowledge, we report here the first Delphi foresight study of experts' attitudes on (1) the top 10 priority evidentiary criteria for adoption of metagenomics tests for water safety, (2) the specific issues critical to governance of metagenomics innovation trajectory where there is consensus or dissensus among experts, (3) the anticipated time lapse from discovery to practice of metagenomics tests, and (4) the role and timing of public engagement in development of metagenomics tests. The ability of a test to distinguish between harmful and benign waterborne organisms, analytical/clinical sensitivity, and reproducibility were the top three evidentiary criteria for adoption of metagenomics. Experts agree that metagenomic testing will provide novel information but there is dissensus on whether metagenomics will replace the current water safety testing methods or impact the public health end points (e.g., reduction in boil water advisories). Interestingly, experts view the publics relevant in a "downstream capacity" for adoption of metagenomics rather

  7. A Delphi Technology Foresight Study: Mapping Social Construction of Scientific Evidence on Metagenomics Tests for Water Safety.

    Directory of Open Access Journals (Sweden)

    Stanislav Birko

    Full Text Available Access to clean water is a grand challenge in the 21st century. Water safety testing for pathogens currently depends on surrogate measures such as fecal indicator bacteria (e.g., E. coli. Metagenomics concerns high-throughput, culture-independent, unbiased shotgun sequencing of DNA from environmental samples that might transform water safety by detecting waterborne pathogens directly instead of their surrogates. Yet emerging innovations such as metagenomics are often fiercely contested. Innovations are subject to shaping/construction not only by technology but also social systems/values in which they are embedded, such as experts' attitudes towards new scientific evidence. We conducted a classic three-round Delphi survey, comprised of 107 questions. A multidisciplinary expert panel (n = 24 representing the continuum of discovery scientists and policymakers evaluated the emergence of metagenomics tests. To the best of our knowledge, we report here the first Delphi foresight study of experts' attitudes on (1 the top 10 priority evidentiary criteria for adoption of metagenomics tests for water safety, (2 the specific issues critical to governance of metagenomics innovation trajectory where there is consensus or dissensus among experts, (3 the anticipated time lapse from discovery to practice of metagenomics tests, and (4 the role and timing of public engagement in development of metagenomics tests. The ability of a test to distinguish between harmful and benign waterborne organisms, analytical/clinical sensitivity, and reproducibility were the top three evidentiary criteria for adoption of metagenomics. Experts agree that metagenomic testing will provide novel information but there is dissensus on whether metagenomics will replace the current water safety testing methods or impact the public health end points (e.g., reduction in boil water advisories. Interestingly, experts view the publics relevant in a "downstream capacity" for adoption of

  8. Principles and indicators of successful consumer involvement in NHS research: results of a Delphi study and subgroup analysis.

    Science.gov (United States)

    Boote, Jonathan; Barber, Rosemary; Cooper, Cindy

    2006-02-01

    Consumer involvement in NHS research is Department of Health policy within the UK. Despite the existence of policy directives and guidance, until recently there has been no consensus among consumers and researchers about what it means to involve consumers successfully in NHS research. This paper discusses the value of consensus research in this policy area, and presents the detailed findings of a Delphi study carried out to reach consensus on principles and indicators of successful consumer involvement in NHS research. Study participants, comprising consumers, researchers and consumer-researchers, were identified using a purposive sampling strategy. Consensus was reached on eight clear and valid principles of successful consumer involvement in NHS research, with each principle having at least one clear and valid indicator. Subgroup analysis revealed few significant differences in how consumers, researchers and consumer-researchers rated the principles and indicators. The implications and limitations of the study are discussed. Further research is needed to assess: (1) the usefulness of the principles and indicators for differing models of consumer involvement, health research methodologies, and subject areas within health research; and (2) the impact of 'successful' consumer involvement on health research processes and outcomes.

  9. Optimal clinical assessment strategies for chemotherapy-induced peripheral neuropathy (CIPN): a systematic review and Delphi survey.

    Science.gov (United States)

    McCrary, J Matt; Goldstein, David; Boyle, Frances; Cox, Keith; Grimison, Peter; Kiernan, Matthew C; Krishnan, Arun V; Lewis, Craig R; Webber, Kate; Baron-Hay, Sally; Horvath, Lisa; Park, Susanna B

    2017-06-07

    Chemotherapy-induced peripheral neuropathy (CIPN) is a prominent side effect of the treatment of cancer. Despite this frequent complication, there has been no comprehensive review and quality appraisal of CIPN assessments. The purpose of this study is to provide a definitive quality appraisal of CIPN assessment strategies for clinical use. Relevant studies were identified through database searches of Medline, Embase, CINAHL, and Cochrane. CIPN assessment strategies from included articles were extracted and initially rated by an oncologist and neurophysiologist according to criteria related to assessment depth, comprehensiveness, appropriateness, and reliability. The six highest scoring assessment strategies were the focus of a two-round Delphi survey of a working party of 32 physicians, nurses, and consumers to achieve consensus on the highest rated assessments for each criterion. The database search yielded 117 distinct CIPN assessments that were extracted from 2373 articles. Three patient-reported outcome surveys and three clinician-based assessments were included in the Delphi survey. No consensus was generated regarding the best overall CIPN assessment, although good (≥70%) consensus was achieved regarding the best assessment within each criterion. The Participant Neurotoxicity Questionnaire (PNQ) was rated the highest overall and patient-reported outcome (PRO) assessment, while the Total Neuropathy Score clinical version (TNSc) was the highest rated clinician-based assessment. A diverse range of CIPN assessments currently exists. While several assessments assess CIPN symptoms with adequate comprehensiveness, depth, language, and feasibility, the consensus 'gold standard' clinical assessment remains to be established.

  10. The capabilities and scope-of-practice requirements of advanced life support practitioners undertaking critical care transfers: A Delphi study

    Directory of Open Access Journals (Sweden)

    Monique Venter

    2016-11-01

    Full Text Available Background. Critical care transfers (CCT refer to the high level of care given during transport (via ambulance, helicopter or fixed-wing aircraft of patients who are of high acuity. In South Africa (SA, advanced life support (ALS paramedics undertake CCTs. The scope of ALS in SA has no extended protocol regarding procedures or medications in terms of dealing with these CCTs. Aim. The aim of this study was to obtain the opinions of several experts in fields pertaining to critical care and transport and to gain consensus on the skills and scope-of-practice requirements of paramedics undertaking CCTs in the SA setting. Methods. A modified Delphi study consisting of three rounds was undertaken using an online survey platform. A heterogeneous sample (n=7, consisting of specialists in the fields of anaesthesiology, emergency medicine, internal medicine, critical care, critical care transport and paediatrics, was asked to indicate whether, in their opinion, selected procedures and medications were needed within the scope of practice of paramedics undertaking CCTs. Results. After three rounds, consensus was obtained in 70% (57/81 of procedures and medications. Many of these items are not currently within the scope of paramedics’ training. The panel felt that paramedics undertaking these transfers should have additional postgraduate training that is specific to critical care. Conclusion. Major discrepancies exist between the current scope of paramedic practice and the suggested required scope of practice for CCTs. An extended scope of practice and additional training should be considered for these practitioners.

  11. Development of a Cultural Awareness Scale for Occupational Therapy Students in Latin America: A Qualitative Delphi Study.

    Science.gov (United States)

    Castro, Daniela; Dahlin-Ivanoff, Synneve; Mårtensson, Lena

    2016-06-01

    Cultural awareness is a key issue in healthcare worldwide. Valid and reliable assessments are needed to assess cultural awareness for occupational therapy students. The purpose of this study was to develop a scale to assess cultural awareness for Latin American occupational therapy students. A Delphi design was implemented considering four rounds with experts from four countries. A 30-item scale in Spanish was developed to assess three categories of items: personal, therapeutic strategies and persons' cultures. The experts highlighted local features for professional practice as a key aspect of the scale. Local differences in practice were considered with the profession's traditions and prevailing knowledge across the scale. A participatory strategy and an international group of experts enriched the cultural relevance. A subsequent study of statistical reliability is required (the scale is not presented in an extended version here). Further research should consider the application of the scale and strategies to improve cultural awareness across the curricula. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  12. Perceived skills and abilities required by athletic trainers in hospital and clinical management positions: a Delphi study.

    Science.gov (United States)

    Hazelbaker, Chadron B

    2013-01-01

    Athletic training has expanded from traditional sport-team settings to varied settings involving active populations. Athletic trainers also use their education and abilities in administration to take on roles of management in hospitals and health care clinics. To begin to explore the knowledge, skills, and abilities needed in the emerging practice setting of health care management. Delphi study. Directed surveys. Eight athletic trainers working as hospital and health care clinic managers in varied geographic settings. Three rounds of directed surveys were used and included (1) a series of demographic questions and 1 focused, open-ended question, (2) 32 statements scored on a 6-point Likert-type scale with no neutral statement, and (3) 10 statements ranked in order of importance for the athletic trainer working as a health care manager. I grouped the results into 2 categories: leadership skills and management tools. According to participants, effective health care managers need a strong understanding of business and management tools along with more interpersonal skills in communication and leadership. The results are consistent with the literature and may be applied in athletic training education programs and by athletic trainers seeking health care management positions.

  13. Validation of the tool assessment of clinical education (AssCE): A study using Delphi method and clinical experts.

    Science.gov (United States)

    Löfmark, Anna; Mårtensson, Gunilla

    2017-03-01

    The aim of the present study was to establish the validity of the tool Assessment of Clinical Education (AssCE). The tool is widely used in Sweden and some Nordic countries for assessing nursing students' performance in clinical education. It is important that the tools in use be subjected to regular audit and critical reviews. The validation process, performed in two stages, was concluded with a high level of congruence. In the first stage, Delphi technique was used to elaborate the AssCE tool using a group of 35 clinical nurse lecturers. After three rounds, we reached consensus. In the second stage, a group of 46 clinical nurse lecturers representing 12 universities in Sweden and Norway audited the revised version of the AssCE in relation to learning outcomes from the last clinical course at their respective institutions. Validation of the revised AssCE was established with high congruence between the factors in the AssCE and examined learning outcomes. The revised AssCE tool seems to meet its objective to be a validated assessment tool for use in clinical nursing education.

  14. A Study of J/psi Production at the LEP $e^{+} e{-}$ Collider; and the Implementation of the DELPHI Slow Controls System

    CERN Document Server

    Adye, T J

    1998-01-01

    This thesis describes two separate areas of work conducted for the DELPHI detector at LEP. The first concerns the Slow Controls of the DELPHI detector, which enable a single operator to oversee the proper functioning of the apparatus and to diagnose faults as they occur. The hardware and software of this system, as well as their interface to the experiment and the operator, are described. Some conclusions are drawn from seven years' design work and the initial six years' operation of DELPHI. Secondly, a study is made of the production, at e+e- collision centre of mass energies close to the Z0 resonance, of J/psi mesons, decaying to mu+ mu-. J/psi mesons produced via a B-hadron are used to measure the mean B lifetime, tau_B = (1.53 +- 0.11 (stat.) +- 0.06 (syst.)) ps A measurement is also made of the fraction of J/psis produced promptly at the e+e- collision point, N(Z0 -> prompt J/psi X) / N(Z0 -> J/psi X) = (9.6 +- 3.2 (stat.) +- 1.2 (syst.))%. This method is largely model-independent.

  15. Evolutionary history of two divergent Dmrt1 genes reveals two rounds of polyploidy origins in gibel carp.

    Science.gov (United States)

    Li, Xi-Yin; Zhang, Xiao-Juan; Li, Zhi; Hong, Wei; Liu, Wei; Zhang, Jun; Gui, Jian-Fang

    2014-09-01

    Polyploidy lineages, despite very rare in vertebrates, have been proposed to play significant role in speciation and evolutionary success, but the occurrence history and consequences are still largely unknown. In this study, we used the conserved Dmrt1 to analyze polyploidy occurrence and evolutionary process in polyploid gibel carp. We identified two divergent Dmrt1 genes and respectively localized the two genes on three homologous chromosomes. Subsequently, the corresponding full-length cDNAs and genomic sequences of Dmrt1 genes were also characterized from the closely related species including Carassius auratus auratus and Cyprinus carpio, and their two Dmrt1 genes were respectively localized on two homologous chromosomes. Significantly, the evolutionary relationship analyses among cDNA and genomic DNA sequences of these Dmrt1 genes revealed two rounds of polyploidy origins in the gibel carp: an early polyploidy might result in an common tetraploid ancestor of Carassius auratus gibelio, Carassius auratus auratus and Cyprinus carpio before 18.49 million years ago (Mya), and an late polyploidy might occur from evolutionary branch of Carassius auratus at around 0.51 Mya, which lead to the occurrence of the hexaploid gibel carp. Therefore, this study provides clear genetic evidence for understanding occurrence time and historical process of polyploidy in polyploid vertebrates.

  16. American College of Chest Physicians consensus statement on the respiratory health effects of asbestos. Results of a Delphi study.

    Science.gov (United States)

    Banks, Daniel E; Shi, Runhua; McLarty, Jerry; Cowl, Clayton T; Smith, Dorsett; Tarlo, Susan M; Daroowalla, Feroza; Balmes, John; Baumann, Michael

    2009-06-01

    The diagnosis of and criteria for the evaluation of asbestos-related disease impairment remains controversial after decades of research. Assessing agreement among experts who study pneumoconiosis, and diagnose and treat patients with asbestos-related respiratory conditions may be the first step in clarifying clinical and forensic/administrative issues associated with asbestos-related pulmonary conditions. We conducted a Delphi study, an iterative method of obtaining consensus among a group of experts. An expert panel was identified using an objective, nonbiased algorithm, based on the number of asbestos-related disease publications authored during the preceding 10-year period. Identified experts were invited to participate by accessing an Internet site. Each expert was presented statements developed by the authors regarding the diagnosis or treatment of asbestos-related disease; experts then ranked their degree of agreement or disagreement utilizing an 11-level modified Likert scale for each statement. Each expert was asked to justify their selection and to suggest references in support of their opinion. The Wilcoxon signed rank test and the interquartile range were used to define "consensus." The results of the collective Likert rankings, deidentified comments, and suggested references as well as the initial consensus results were then provided to the participating experts. Each panel member then ranked their extent of agreement with a modified statement for which consensus was not achieved. The process was repeated three times. Consensus was achieved on all but 9 of 32 statements. Consensus was not achieved for nine statements. These statements may be topics for future research.

  17. An international eDelphi study identifying the research and education priorities in wound management and tissue repair.

    LENUS (Irish Health Repository)

    2012-02-01

    Aim. To incorporate an international and multidisciplinary consensus in the determination of the research and education priorities for wound healing and tissue repair. Background. A compelling reason for the study is the lack of an agreed list of priorities for wound care research and education. Furthermore, there is a growth in the prevalence of chronic wounds, a growth in wound care products and marketing, and an increase in clinician attendance at conferences and education programmes. Design. The study used a survey method. Methods. A four-round eDelphi technique was used to collect responses from an international population of health professionals across 24 countries. Results. Responses were obtained from 360 professionals representing many health care settings. The top education priorities related to the standardisation of all foundation education programmes in wound care, the inclusion of wound care in all professional undergraduate and postgraduate education programmes, selecting dressings and the prevention of pressure ulcers. The top research priorities related to the dressing selection, pressure ulcer prevention and wound infection. Conclusion. Professionals from different backgrounds and countries who are engaged in wound management share a common set of priorities for research and education. Most notably, the priorities identified relate to long-established clinical challenges in wound care and underpin the principles of good patient care practices. The priorities are closely allied to an ageing population and identify many challenges ahead for practitioners engaged in wound management services. Relevance to clinical practice. The provision of wound care is a major investment of health service resources and remains a clinical challenge today. Research is essential to building evidence-based practice and fundamental to development of quality in standards of practice; education is central to achieving competence to deliver effective care. The

  18. The assessment and treatment of unhealthy exercise in adolescents with anorexia nervosa: A Delphi study to synthesize clinical knowledge.

    Science.gov (United States)

    Noetel, Melissa; Dawson, Lisa; Hay, Phillipa; Touyz, Stephen

    2017-04-01

    This study aimed to explore and synthesize expert clinical knowledge on defining and managing unhealthy exercise in adolescents with AN. The Delphi methodology was used. Clinicians (n = 25) considered experts in the treatment of AN in adolescents were recruited internationally to form the panel. The first round of the questionnaires was comprised of five open-ended questions regarding defining, assessing, and treating unhealthy exercise in adolescents with AN. Statements were derived from this data using content analysis, and included as Likert-based items in two subsequent rounds, in which panellists were required to rate their level of agreement for each item. All 25 respondents completed the three rounds of questionnaires. Consensus was achieved for 59.0% of the items included in the second and third round of questionnaires. Although consensus was not achieved, compulsive exercise was the preferred term for the panel when referring to unhealthy exercise in adolescents with AN. The panel clearly delineated features of unhealthy and healthy exercise, and endorsed a number of items considered important to assess for when evaluating exercise in this clinical population. A variety of treatment approaches and strategies reached consensus. Notably, for those who are medically stable and progressing toward recovery, the panel recommended initial exercise restriction practices and reintroducing healthy exercise behaviors, rather than exercise cessation practices. The current findings can serve as preliminary treatment guidelines. A unified approach to labeling and defining unhealthy exercise in the eating disorder literature and clinical settings is required to achieve further progress. © 2017 Wiley Periodicals, Inc.

  19. What ideas-about-science should be taught in school science? A Delphi study of the expert community

    Science.gov (United States)

    Osborne, Jonathan; Collins, Sue; Ratcliffe, Mary; Millar, Robin; Duschl, Rick

    2003-09-01

    Recent arguments in science education have proposed that school science should pay more attention to teaching the nature of science and its social practices. However, unlike the content of science, for which there is well-established consensus, there would appear to be much less unanimity within the academic community about which ideas-about-science are essential elements that should be included in the contemporary school science curriculum. Hence, this study sought to determine empirically the extent of any consensus using a three stage Delphi questionnaire with 23 participants drawn from the communities of leading and acknowledged international experts of science educators; scientists; historians, philosophers, and sociologists of science; experts engaged in work to improve the public understanding of science; and expert science teachers. The outcome of the research was a set of nine themes encapsulating key ideas about the nature of science for which there was consensus and which were considered to be an essential component of school science curriculum. Together with extensive comments provided by the participants, these data give some measure of the existing level of agreement in the community engaged in science education and science communication about the salient features of a vulgarized account of the nature of science. Although some of the themes are already a feature of existing school science curricula, many others are not. The findings of this research, therefore, challenge (a) whether the picture of science represented in the school science curriculum is sufficiently comprehensive, and (b) whether there balance in the curriculum between teaching about the content of science and the nature of science is appropriate.

  20. Characteristics of student preparedness for clinical learning: clinical educator perspectives using the Delphi approach

    Directory of Open Access Journals (Sweden)

    Chipchase Lucinda S

    2012-11-01

    Full Text Available Abstract Background During clinical placements, clinical educators facilitate student learning. Previous research has defined the skills, attitudes and practices that pertain to an ideal clinical educator. However, less attention has been paid to the role of student readiness in terms of foundational knowledge and attitudes at the commencement of practice education. Therefore, the aim of this study was to ascertain clinical educators’ views on the characteristics that they perceive demonstrate that a student is well prepared for clinical learning. Methods A two round on-line Delphi study was conducted. The first questionnaire was emailed to a total of 636 expert clinical educators from the disciplines of occupational therapy, physiotherapy and speech pathology. Expert clinical educators were asked to describe the key characteristics that indicate a student is prepared for a clinical placement and ready to learn. Open-ended responses received from the first round were subject to a thematic analysis and resulted in six themes with 62 characteristics. In the second round, participants were asked to rate each characteristic on a 7 point Likert Scale. Results A total of 258 (40.56% responded to the first round of the Delphi survey while 161 clinical educators completed the second (62.40% retention rate. Consensus was reached on 57 characteristics (six themes using a cut off of greater than 70% positive respondents and an interquartile deviation IQD of equal or less than 1. Conclusions This study identified 57 characteristics (six themes perceived by clinical educators as indicators of a student who is prepared and ready for clinical learning. A list of characteristics relating to behaviours has been compiled and could be provided to students to aid their preparation for clinical learning and to universities to incorporate within curricula. In addition, the list provides a platform for discussions by professional bodies about the role of placement

  1. Barriers to successful treatment of alcohol addiction as perceived by healthcare professionals in Thailand – a Delphi study about obstacles and improvement suggestions

    Directory of Open Access Journals (Sweden)

    Kulnaree Hanpatchaiyakul

    2016-08-01

    Full Text Available Background: Many Thai people experiencing alcohol addiction do not seek help, and those who do often have inadequate access to treatment. There are few research studies focusing on alcohol addiction treatment in Thailand. Objective: The purpose of the current study was to identify barriers to the treatment of alcohol addiction and to collect experts’ suggestions for improving treatment in Thailand. The Delphi technique was used to achieve consensual agreement among an expert panel within the field of alcohol addiction and treatment. Design: Three rounds of a Delphi survey were completed by a panel of experts in alcohol addiction, including physicians, nurses, social workers, psychologists, healthcare officers, and an Alcoholics Anonymous member. The open-ended answers provided by 34 experts in the first round resulted in 60 statements, which were later grouped into three themes. After three rounds of questionnaires, 51 statements were accepted as consensus. Results: Thirty-two experts participated in all three Delphi rounds. Over 80% of participants were particularly concerned about five obstacles to alcohol addiction treatment. The majority of suggestions from the expert panel were related to patients’ right to treatment and the national policy for reducing the negative effects of alcohol. According to the results of the present study, the experts suggested that the treatment of alcohol addiction should be continuous from primary care to tertiary care, and convenient pathways should be established in healthcare services. The experts would also like to increase the number of healthcare providers and improve their knowledge and skills in working with people experiencing alcohol addiction. Conclusions: Equal rights to health and treatment for people experiencing alcohol addiction in Thailand require policy improvements, as well as acceptance and awareness of alcohol addiction from both the public and policymakers.

  2. Mental health first aid for Indigenous Australians: using Delphi consensus studies to develop guidelines for culturally appropriate responses to mental health problems

    Directory of Open Access Journals (Sweden)

    Kelly Claire M

    2009-08-01

    Full Text Available Abstract Background Ethnic minority groups are under-represented in mental health care services because of barriers such as poor mental health literacy. In 2007, the Mental Health First Aid (MHFA program implemented a cultural adaptation of its first aid course to improve the capacity of Indigenous Australians to recognise and respond to mental health issues within their own communities. It became apparent that the content of this training would be improved by the development of best practice guidelines. This research aimed to develop culturally appropriate guidelines for providing first aid to an Australian Aboriginal or Torres Strait Islander person who is experiencing a mental health crisis or developing a mental illness. Methods A panel of Australian Aboriginal people who are experts in Aboriginal mental health, participated in six independent Delphi studies investigating depression, psychosis, suicidal thoughts and behaviours, deliberate self-injury, trauma and loss, and cultural considerations. The panel varied in size across the studies, from 20-24 participants. Panellists were presented with statements about possible first aid actions via online questionnaires and were encouraged to suggest additional actions not covered by the survey content. Statements were accepted for inclusion in a guideline if they were endorsed by ≥ 90% of panellists as essential or important. Each study developed one guideline from the outcomes of three Delphi questionnaire rounds. At the end of the six Delphi studies, participants were asked to give feedback on the value of the project and their participation experience. Results From a total of 1,016 statements shown to the panel of experts, 536 statements were endorsed (94 for depression, 151 for psychosis, 52 for suicidal thoughts and behaviours, 53 for deliberate self-injury, 155 for trauma and loss, and 31 for cultural considerations. The methodology and the guidelines themselves were found to be useful

  3. Nurse Educators' Consensus Opinion on Using an Academic Electronic Health Record: A Delphi Study

    Science.gov (United States)

    Hanson, Darlene S.

    2013-01-01

    The purpose of this study was to determine the opinions of nurse educators in the state of North Dakota (ND) who were using the academic Electronic Health Record (EHR) known as SimChart. In this dissertation research study, factors that either hindered or facilitated the introduction of SimChart in nursing programs in ND were examined.…

  4. Leading Schools as Living Systems: A Model of Organizational Survival--A Delphi Study

    Science.gov (United States)

    Romero, Ricardo

    2012-01-01

    Purpose: The purpose of this study was to determine the most necessary and the most feasibly practicable future leadership behaviors of the educational leader of a California Schools to Watch-Taking Center Stage middle school necessary to lead a school organization toward continued survival. Methodology: The participants in the present study were…

  5. Operationalizing quality of life for people with profound multiple disabilities : a Delphi study

    NARCIS (Netherlands)

    Petry, K.; Maes, B.; Vlaskamp, C.

    2007-01-01

    Background: In a recent study, we constructed an item pool that contains items on the quality of life (QOL) and related aspects of support of people with profound multiple disabilities (PMD). In the present study, a panel of experts assessed the content and the structure of this item pool in order t

  6. Identification of Industry Needs with Hospitality Management Curriculum Development: A Delphi Study

    Science.gov (United States)

    Mayburry, Thomas

    2010-01-01

    The purpose of this research was to identify a well-defined, comprehensive portrait of knowledge, skills, and abilities (KSAs) expected of students graduating from baccalaureate institutions conferring four-year degrees in hospitality management and further, to utilize those KSAs as foundations for curriculum development. This study provided a…

  7. Core characteristics of the competent general practice trainer, a Delphi study

    NARCIS (Netherlands)

    Boendermaker, P.M.; Schuling, J.; Meyboom-de Jong, B.; Zwierstra, R.P.; Metz, J.C.; Conradi, Mark

    2003-01-01

    Introduction: The specific skills, attitude, knowledge, and personality characteristics, which should define the competent GP-trainer have been subject of research for many years. What are the most important of these characteristics have yet to be delineated. Aim: The aim of this study is to identif

  8. Which dimensions of fatigue should be measured in patients with rheumatoid arthritis? A Delphi study

    NARCIS (Netherlands)

    Nikolaus, Stephanie; Bode, Christina; Taal, Erik; van de Laar, Mart A F J

    2012-01-01

    Objective: Rheumatoid arthritis (RA) patients experience fatigue as a multidimensional symptom. The aim of the present study was to use health professionals and patients alike to identify which dimensions of fatigue should be measured in RA. Methods: Twelve fatigue dimensions were constructed, based

  9. Conditions for the Successful Implementation of Teacher Educator Design Teams for ICT Integration: A Delphi Study

    Science.gov (United States)

    Becuwe, Heleen; Roblin, Natalie Pareja; Tondeur, Jo; Thys, Jeroen; Castelein, Els; Voogt, Joke

    2017-01-01

    Teacher educators often struggle to model effective integration of technology. Several studies suggest that the involvement of teacher educators in collaborative design is effective in developing the competences necessary for integrating information and communication technology (ICT) in teaching. In a teacher educator design team (TeDT), two or…

  10. Identification of Industry Needs with Hospitality Management Curriculum Development: A Delphi Study

    Science.gov (United States)

    Mayburry, Thomas

    2010-01-01

    The purpose of this research was to identify a well-defined, comprehensive portrait of knowledge, skills, and abilities (KSAs) expected of students graduating from baccalaureate institutions conferring four-year degrees in hospitality management and further, to utilize those KSAs as foundations for curriculum development. This study provided a…

  11. Measuring organisational readiness for patient engagement (MORE): an international online Delphi consensus study

    NARCIS (Netherlands)

    Oostendorp, L.J.; Durand, M.A.; Lloyd, A.; Elwyn, G.

    2015-01-01

    BACKGROUND: Widespread implementation of patient engagement by organisations and clinical teams is not a reality yet. The aim of this study is to develop a measure of organisational readiness for patient engagement designed to monitor and facilitate a healthcare organisation's willingness and

  12. A Delphi Method Study on Triggering Transactional Distance to Improve Students' Learning: The Instructor's Rubric

    Science.gov (United States)

    Maston, Heidi L.

    2011-01-01

    The 21st century ushered in change with the increased use of technology in educational delivery methods and opened doors for a new generation of students. While the debate over pedagogy, content design and overall effectiveness of this delivery format continues, scholars have not attended to the lessons of earlier theorists. This study examined a…

  13. Core characteristics of the competent general practice trainer, a Delphi study

    NARCIS (Netherlands)

    Boendermaker, P.M.; Schuling, J.; Meyboom-de Jong, B.; Zwierstra, R.P.; Metz, J.C.; Conradi, Mark

    2003-01-01

    Introduction: The specific skills, attitude, knowledge, and personality characteristics, which should define the competent GP-trainer have been subject of research for many years. What are the most important of these characteristics have yet to be delineated. Aim: The aim of this study is to

  14. Development of a portfolio of learning for postgraduate family medicine training in South Africa: a Delphi study

    Directory of Open Access Journals (Sweden)

    Jenkins Louis

    2012-03-01

    Full Text Available Abstract Background Within the 52 health districts in South Africa, the family physician is seen as the clinical leader within a multi-professional district health team. Family physicians must be competent to meet 90% of the health needs of the communities in their districts. The eight university departments of Family Medicine have identified five unit standards, broken down into 85 training outcomes, for postgraduate training. The family medicine registrar must prove at the end of training that all the required training outcomes have been attained. District health managers must be assured that the family physician is competent to deliver the expected service. The Colleges of Medicine of South Africa (CMSA require a portfolio to be submitted as part of the uniform assessment of all registrars applying to write the national fellowship examinations. This study aimed to achieve a consensus on the contents and principles of the first national portfolio for use in family medicine training in South Africa. Methods A workshop held at the WONCA Africa Regional Conference in 2009 explored the purpose and broad contents of the portfolio. The 85 training outcomes, ideas from the WONCA workshop, the literature, and existing portfolios in the various universities were used to develop a questionnaire that was tested for content validity by a panel of 31 experts in family medicine in South Africa, via the Delphi technique in four rounds. Eighty five content items (national learning outcomes and 27 principles were tested. Consensus was defined as 70% agreement. For those items that the panel thought should be included, they were also asked how to provide evidence for the specific item in the portfolio, and how to assess that evidence. Results Consensus was reached on 61 of the 85 national learning outcomes. The panel recommended that 50 be assessed by the portfolio and 11 should not be. No consensus could be reached on the remaining 24 outcomes and these were

  15. The DELPHI silicon tracker

    CERN Document Server

    Pernegger, H

    1997-01-01

    The DELPHI collaboration has upgraded the Silicon Vertex Detector in order to cope with the physics requirements for LEP200. The new detector consists of a barrel section with three layers of microstrip detectors and a forward extension made of hybrid pixel and large pitch strip detectors. The layout of the detector and the techniques used for the different parts of the new silicon detector shall be described.

  16. DELPHI: First W particles

    CERN Multimedia

    1996-01-01

    This track is an example of real data collected from the DELPHI detector on the Large Electron-Positron (LEP) collider at CERN, which ran between 1989 and 2000. These are the first pair of W particles produced at LEP2, the high energy upgrade of LEP that took place in 1996. Both Ws decay into a quark-antiquark pair, which are each seen as one of the four jets of hadrons in the detector.

  17. DELPHI: Higgs candidate

    CERN Multimedia

    2001-01-01

    This track is an example of real data collected from the DELPHI detector on the Large Electron-Positron (LEP) collider at CERN, which ran between 1989 and 2000. Its topology is compatible with what is expected from the associated production of a Z boson and Higgs boson of mass 113 GeV that each decay into two jets. A different pairing of the jets could lead to an interpretation compatible with the production of two Z bosons.

  18. Valoración del programa social de atención a personas con trastorno mental grave: un estudio Delphi Evaluation of the social care program for persons with severe mental disorders: a Delphi study

    Directory of Open Access Journals (Sweden)

    A. Brugos

    2007-04-01

    the evaluation of positive aspects and aspects that can be improved. To make recommendations on the basis of their opinions. Methods: A Delphi study was designed with 34 experts in health or social care of mentally ill persons. By means of repeated questionnaires, ideas that achieved a consensus of Ž90% were identified and a level of priority was assigned. The percentages of agreement and descriptive statistics of priority were presented, and the recommendations of analysis of the areas of consensus were drawn up. Results: Out of the 34 participating experts, 25 (71.4% completed the study: 1 sociologist, 5 social workers, 3 psychiatrists, 5 psychologists, one representative of the families, 3 occupational therapists, 1 technician in social integration and 6 family doctors. Sixty-four percent evaluated the Plan positively, and 72% were of the opinion that it was drawn up without sufficient professional participation. All thought that it could be improved by widening the participation of experts. Conclusions: The principal ideas on which there was consensus were: socio-health care must be guaranteed by the public administration; good systems of information and evaluation must be established; the Plan must have its own budget; professional follow-up of the patient by the different mechanisms must be guaranteed; a lot of the decision making must be decentralised; access to social benefits for these patients must be universalised.

  19. The future of practical skills in undergraduate medical education – an explorative Delphi-Study

    Science.gov (United States)

    Dannenberg, Katja Anne; Stroben, Fabian; Schröder, Therese; Thomas, Anke; Hautz, Wolf E.

    2016-01-01

    statement, 231 of the goals were assessed as relevant, and 57 were deemed irrelevant for the short-term future. Discussion: The theses on the future of healthcare, which were generated in this study and which were validated by numerous experts, provide indications of future developments of overall requirements for medical school graduates. For example, when applied to the content of the “Clinical-Practical Skills” NKLM chapter, they largely validate the future relevance of developing practical skills while also providing indications for their further development as applied to the consensus statement. PMID:27579362

  20. The Delphi Technique: Making Sense of Consensus

    Directory of Open Access Journals (Sweden)

    Chia-Chien Hsu

    2007-08-01

    Full Text Available The Delphi technique is a widely used and accepted method for gathering data from respondents within their domain of expertise. The technique is designed as a group communication process which aims to achieve a convergence of opinion on a specific real-world issue. The Delphi process has been used in various fields of study such as program planning, needs assessment, policy determination, and resource utilization to develop a full range of alternatives, explore or expose underlying assumptions, as well as correlate judgments on a topic spanning a wide range of disciplines. The Delphi technique is well suited as a method for consensus-building by using a series of questionnaires delivered using multiple iterations to collect data from a panel of selected subjects. Subject selection, time frames for conducting and completing a study, the possibility of low response rates, and unintentionally guiding feedback from the respondent group are areas which should be considered when designing and implementing a Delphi study.

  1. Developing clinical practice guidelines for caries prevention and management for pre-school children through the ADAPTE process and Delphi consensus.

    Science.gov (United States)

    Lee, Gillian H M; McGrath, Colman; Yiu, Cynthia K Y

    2016-06-14

    This study aims to develop consensus evidence-based clinical guidelines for caries prevention and management by caries risk assessment for pre-school children in Hong Kong. Employing the ADAPTE process, guidelines for caries prevention and management by caries risk assessment for pre-school children with a preliminary list of 91 recommendations was complied. External review of the guidelines was conducted by a panel of 41 reviewers from the Hong Kong Society of Paediatric Dentistry using a two-round web-based Delphi process. The reviewers were invited to contribute any comments on the draft-adapted guidelines and rated their agreement with each recommendation using a 9-point Likert scale. During the second round, 36 participants received anonymous feedback from the first round and assessed a narrowed list of 28 recommendations. Recommendations were retained and classified according to the median score and rating percentages by the reviewers. A total of 70 out of 91 recommendations were retained (five reached high consensus, 65 reached consensus), and 21 recommendations were discarded. Recommendations and guidelines were outlined. Caries prevention and management guidelines for pre-school children were developed for use in Hong Kong using the ADAPTE process and Delphi consensus to develop evidence-based recommendations. This can facilitate the translation of guidelines into dental practice.

  2. Planning the content of a brief educational course in maxillofacial emergencies for staff in accident and emergency departments: a modified Delphi study.

    Science.gov (United States)

    Elledge, Ross O C; McAleer, Sean

    2015-02-01

    It is well known that staff in accident and emergency (A&E) departments lack the knowledge and confidence needed to deal with maxillofacial emergencies, and that it is related to limited education at undergraduate and postgraduate levels. We therefore aimed to design a syllabus for a short course to educate staff about the most common emergencies. To find out which learning outcomes should be included and to reach a consensus, we did a 3-stage modified Delphi study of the opinions of members of the British Association of Oral and Maxillofacial Surgeons (BAOMS). Of a possible 890 members, 188 responded (21%) in the second round and 105 in the third (12%). Eighteen (37%) of the 49 proposed learning outcomes were rated very important and all of them were retained in the syllabus after the third round. Thirty (61%) items were retained with a consensus of 51% or above in the final round. The Delphi technique is a useful addition to the armamentarium of those involved in education, and has been used effectively in syllabus design. We achieved good consensus on the items to be included and the syllabus will be piloted locally.

  3. [Clinical perspectives on the management of bleeding in patients on oral anticoagulants: the DECOVER Study (DElphi Consensus on oral COagulation and therapy action reVERsal)].

    Science.gov (United States)

    Vicente, Vicente; Martín, Alfonso; Lecumberri, Ramón; Coll-Vinent, Blanca; Suero, Coral; González-Porras, José Ramón; Marco, Pascual; Mateo, José; Roldán, Vanesa; Soulard, Stéphane; Crespo, Carlos; Camats, Míriam

    2017-02-01

    To evaluate the level of agreement between hematologists and emergency medicine physicians regarding the best clinical practices for managing bleeding and anticoagulant reversal. Nationwide Spanish multicenter Delphi method study with a panel of experts on anticoagulation and the management of bleeding. Two survey rounds were carried out between April and September 2015. Consensus was reached when more than 75% of the panelists scored items in the same tertile. Fifteen hematologists and 17 emergency medicine specialists from 14 Spanish autonomous communities participated. Consensus was reached on the use of both hemodialysis and an activated prothrombin complex concentrate (PCC) to antagonize significant/major bleeding in patients taking dabigatran. Use of an activated PCC was considered sufficient for patients on rivaroxaban or apixaban. The panel did not consider any PCC to be both effective and safe. Tests for activated partial thromboplastin, thrombin, diluted thrombin, and ecarin clotting times were considered useful in patients treated with dabigatran. A specific anti-Xa activity assay was suggested for patients who developed bleeds while treated with rivaroxaban or apixaban. Specific antidotes for direct-acting oral anticoagulants would be useful when severe bleeding occurs according to 97% of the panelists. Such antidotes would substantially change current treatment algorithms. The points of consensus were generally in line with clinical practice guidelines, but the Delphi process revealed that there are aspects of the clinical management of bleeding that require unified criteria. The need for specific antidotes for direct-acting oral anticoagulants was emphasized.

  4. A study of the b-quark fragmentation function with the DELPHI detector at LEP I and an averaged distribution obtained at the Z Pole

    CERN Document Server

    Abdallah, J; Adam, W; Adzic, P; Albrecht, T; Alemany-Fernandez, R; Allmendinger, T; Allport, P P; Amaldi, U; Amapane, N; Amato, S; Anashkin, E; Andreazza, A; Andringa, S; Anjos, N; Antilogus, P; Apel, W-D; Arnoud, Y; Ask, S; Asman, B; Augustin, J E; Augustinus, A; Baillon, P; Ballestrero, A; Bambade, P; Barbier, R; Bardin, D; Barker, G J; Baroncelli, A; Battaglia, M; Baubillier, M; Becks, K-H; Begalli, M; Behrmann, A; Ben-Haim, E; Benekos, N; Benvenuti, A; Berat, C; Berggren, M; Bertrand, D; Besancon, M; Besson, N; Bloch, D; Blom, M; Bluj, M; Bonesini, M; Boonekamp, M; Booth, P S L; Borisov, G; Botner, O; Bouquet, B; Bowcock, T J V; Boyko, I; Bracko, M; Brenner, R; Brodet, E; Bruckman, P; Brunet, J M; Buschbeck, B; Buschmann, P; Calvi, M; Camporesi, T; Canale, V; Carena, F; Castro, N; Cavallo, F; Chapkin, M; Charpentier, Ph; Checchia, P; Chierici, R; Chliapnikov, P; Chudoba, J; Chung, S U; Cieslik, K; Collins, P; Contri, R; Cosme, G; Cossutti, F; Costa, M J; Crennell, D; Cuevas, J; D’Hondt, J; da Silva, T; Da Silva, W; Della Ricca, G; De Angelis, A; De Boer, W; De Clercq, C; De Lotto, B; De Maria, N; De Min, A; de Paula, L; Di Ciaccio, L; Di Simone, A; Doroba, K; Drees, J; Eigen, G; Ekelof, T; Ellert, M; Elsing, M; Espirito Santo, M C; Fanourakis, G; Fassouliotis, D; Feindt, M; Fernandez, J; Ferrer, A; Ferro, F; Flagmeyer, U; Foeth, H; Fokitis, E; Fulda-Quenzer, F; Fuster, J; Gandelman, M; Garcia, C; Gavillet, Ph; Gazis, E; Gokieli, R; Golob, B; Gomez-Ceballos, G; Goncalves, P; Graziani, E; Grosdidier, G; Grzelak, K; Guy, J; Haag, C; Hallgren, A; Hamacher, K; Hamilton, K; Haug, S; Hauler, F; Hedberg, V; Hennecke, M; Hoffman, J; Holmgren, S-O; Holt, P J; Houlden, M A; Jackson, J N; Jarlskog, G; Jarry, P; Jeans, D; Johansson, E K; Jonsson, P; Joram, C; Jungermann, L; Kapusta, F; Katsanevas, S; Katsoufis, E; Kernel, G; Kersevan, B P; Kerzel, U; King, B T; Kjaer, N J; Kluit, P; Kokkinias, P; Kourkoumelis, C; Kouznetsov, O; Krumstein, Z; Kucharczyk, M; Lamsa, J; Leder, G; Ledroit, F; Leinonen, L; Leitner, R; Lemonne, J; Lepeltier, V; Lesiak, T; Liebig, W; Liko, D; Lipniacka, A; H Lopes, J; Lopez, J M; Loukas, D; Lutz, P; Lyons, L; MacNaughton, J; Malek, A; Maltezos, S; Mandl, F; Marco, J; Marco, R; Marechal, B; Margoni, M; Marin, J-C; Mariotti, C; Markou, A; Martinez-Rivero, C; Masik, J; Mastroyiannopoulos, N; Matorras, F; Matteuzzi, C; Mazzucato, F; Mazzucato, M; McNulty, R; Meroni, C; Migliore, E; Mitaroff, W; Mjoernmark, U; Moa, T; Moch, M; Moenig, K; Monge, R; Montenegro, J; Moraes, D; Moreno, S; Morettini, P; Mueller, U; Muenich, K; Mulders, M; Mundim, L; Murray, W; Muryn, B; Myatt, G; Myklebust, T; Nassiakou, M; Navarria, F; Nawrocki, K; Nemecek, S; Nicolaidou, R; Nikolenko, M; Oblakowska-Mucha, A; Obraztsov, V; Olshevski, A; Onofre, A; Orava, R; Osterberg, K; Ouraou, A; Oyanguren, A; Paganoni, M; Paiano, S; Palacios, J P; Palka, H; Papadopoulou, Th D; Pape, L; Parkes, C; Parodi, F; Parzefall, U; Passeri, A; Passon, O; Peralta, L; Perepelitsa, V; Perrotta, A; Petrolini, A; Piedra, J; Pieri, L; Pierre, F; Pimenta, M; Piotto, E; Podobnik, T; Poireau, V; Pol, M E; Polok, G; Pozdniakov, V; Pukhaeva, N; Pullia, A; Radojicic, D; Rebecchi, P; Rehn, J; Reid, D; Reinhardt, R; Renton, P; Richard, F; Ridky, J; Rivero, M; Rodriguez, D; Romero, A; Ronchese, P; Roudeau, P; Rovelli, T; Ruhlmann-Kleider, V; Ryabtchikov, D; Sadovsky, A; Salmi, L; Salt, J; Sander, C; Savoy-Navarro, A; Schwickerath, U; Sekulin, R; Siebel, M; Sisakian, A; Smadja, G; Smirnova, O; Sokolov, A; Sopczak, A; Sosnowski, R; Spassov, T; Stanitzki, M; Stocchi, A; Strauss, J; Stugu, B; Szczekowski, M; Szeptycka, M; Szumlak, T; Tabarelli, T; Tegenfeldt, F; Timmermans, J; Tkatchev, L; Tobin, M; Todorovova, S; Tome, B; Tonazzo, A; Tortosa, P; Travnicek, P; Treille, D; Tristram, G; Trochimczuk, M; Troncon, C; Turluer, M-L; Tyapkin, I A; Tyapkin, P; Tzamarias, S; Uvarov, V; Valenti, G; Van Dam, P; Van Eldik, J; van Remortel, N; Van Vulpen, I; Vegni, G; Veloso, F; Venus, W; Verdier, P; Verzi, V; Vilanova, D; Vitale, L; Vrba, V; Wahlen, H; Washbrook, A J; Weiser, C; Wicke, D; Wickens, J; Wilkinson, G; Winter, M; Witek, M; Yushchenko, O; Zalewska, A; Zalewski, P; Zavrtanik, D; Zhuravlov, V; Zimin, N I; Zintchenko, A; Zupan, M

    2011-01-01

    The nature of b-quark jet hadronisation has been investigated using data taken at the Z peak by the DELPHI detector at LEP. Two complementary methods are used to reconstruct the energy of weakly decaying b-hadrons, E^weak_B. The average value of x^weak_B = E^weak_B/E_beam is measured to be 0.699 +/- 0.011. The resulting x^weak_B distribution is then analysed in the framework of two choices for the perturbative contribution (parton shower and Next to Leading Log QCD calculation) in order to extract measurements of the non-perturbative contribution to be used in studies of b-hadron production in other experimental environments than LEP. In the parton shower framework, data favour the Lund model ansatz and corresponding values of its parameters have been determined within PYTHIA~6.156 from DELPHI data: a= 1.84^{+0.23}_{-0.21} and b=0.642^{+0.073}_{-0.063} GeV^-2, with a correlation factor rho = 92.2%. Combining the data on the b-quark fragmentation distributions with those obtained at the Z peak by ALEPH, OPAL a...

  5. A Delphi Study to Detect Deficiencies and Propose Actions in Real Life Treatment of Neovascular Age-Related Macular Degeneration

    Directory of Open Access Journals (Sweden)

    Alfredo García-Layana

    2014-01-01

    Full Text Available Purpose. Spanish retina specialists were surveyed in order to propose actions to decrease deficiencies in real-life neovascular age macular degeneration treatment (nv-AMD. Methods. One hundred experts, members of the Spanish Vitreoretinal Society (SERV, were invited to complete an online survey of 52 statements about nv-AMD management with a modified Delphi methodology. Four rounds were performed using a 5-point Linkert scale. Recommendations were developed after analyzing the differences between the results and the SERV guidelines recommendations. Results. Eighty-seven specialists completed all the Delphi rounds. Once major potential deficiencies in real-life nv-AMD treatment were identified, 15 recommendations were developed with a high level of agreement. Consensus statements to reduce the burden of the disease included the use of treat and extend regimen and to reduce the amount of diagnostic tests during the loading phase and training technical staff to perform these tests and reduce the time between relapse detection and reinjection, as well as establishing patient referral protocols to outside general ophthalmology clinics. Conclusion. The level of agreement with the final recommendations for nv-AMD treatment among Spanish retinal specialist was high indicating that some actions could be applied in order to reduce the deficiencies in real-life nv-AMD treatment.

  6. Prevalence of Joint Gait Patterns Defined by a Delphi Consensus Study Is Related to Gross Motor Function, Topographical Classification, Weakness, and Spasticity, in Children with Cerebral Palsy.

    Science.gov (United States)

    Nieuwenhuys, Angela; Papageorgiou, Eirini; Schless, Simon-Henri; De Laet, Tinne; Molenaers, Guy; Desloovere, Kaat

    2017-01-01

    During a Delphi consensus study, a new joint gait classification system was developed for children with cerebral palsy (CP). This system, whose reliability and content validity have previously been established, identified 49 distinct joint patterns. The present study aims to provide a first insight toward the construct validity and clinical relevance of this classification system. The retrospective sample of convenience consisted of 286 patients with spastic CP (3-18 years old, GMFCS levels I-III, 166 with bilateral CP). Kinematic and kinetic trials from three-dimensional gait analysis were classified according to the definitions of the Delphi study, and one classified trial was randomly selected for each included limb (n = 446). Muscle weakness and spasticity were assessed for different muscle groups acting around the hip, knee, and ankle. Subsequently, Pearson Chi square tests, Cramer's V, and adjusted standardized residuals were calculated to explore the strength and direction of the associations between the joint patterns, and the different patient-specific characteristics (i.e., age, GMFCS level, and topographical classification) or clinical symptoms (muscle weakness and spasticity). Patient-specific characteristics showed several significant associations with the patterns of different joints, but the strength of most identified associations was weak. Apart from the knee during stance phase and the pelvis in the sagittal plane, the results systematically showed that the patterns with "minor gait deviations" were the most frequently observed. These minor deviations were found significantly more often in limbs with a lower level of spasticity and good muscle strength. Several other pathological joint patterns were moderately associated with weakness or spasticity, including but not limited to "outtoeing" for weakness and "intoeing" for spasticity. For the joints in the sagittal plane, significantly stronger associations were found with muscle weakness and

  7. Demonstration of sufficient control for two rounds of quantum error correction in a solid state ensemble quantum information processor

    CERN Document Server

    Moussa, Osama; Ryan, Colm A; Laflamme, Raymond

    2011-01-01

    We report the implementation of a 3-qubit quantum error correction code (QECC) on a quantum information processor realized by the magnetic resonance of Carbon nuclei in a single crystal of Malonic Acid. The code corrects for phase errors induced on the qubits due to imperfect decoupling of the magnetic environment represented by nearby spins, as well as unwanted evolution under the internal Hamiltonian. We also experimentally demonstrate sufficiently high fidelity control to implement two rounds of quantum error correction. This is a demonstration of state-of-the-art control in solid state nuclear magnetic resonance, a leading test-bed for the implementation of quantum algorithms.

  8. Demonstration of sufficient control for two rounds of quantum error correction in a solid state ensemble quantum information processor.

    Science.gov (United States)

    Moussa, Osama; Baugh, Jonathan; Ryan, Colm A; Laflamme, Raymond

    2011-10-14

    We report the implementation of a 3-qubit quantum error-correction code on a quantum information processor realized by the magnetic resonance of carbon nuclei in a single crystal of malonic acid. The code corrects for phase errors induced on the qubits due to imperfect decoupling of the magnetic environment represented by nearby spins, as well as unwanted evolution under the internal Hamiltonian. We also experimentally demonstrate sufficiently high-fidelity control to implement two rounds of quantum error correction. This is a demonstration of state-of-the-art control in solid state nuclear magnetic resonance, a leading test bed for the implementation of quantum algorithms.

  9. The Delphi Technique in Educational Research

    OpenAIRE

    Green, Ravonne A.

    2014-01-01

    The Delphi Technique has been useful in educational settings in forming guidelines, standards, and in predicting trends. Judd lists these major uses of the Delphi Technique in higher education: (a) cost-effectiveness, (b) cost–benefit analysis, (c) curriculum and campus planning, and (d) university-wide educational goals and objectives. The thorough Delphi researcher seeks to reconcile the Delphi consensus with current...

  10. Search for technicolor with DELPHI

    CERN Document Server

    Abdallah, J.; Adam, W.; Adzic, P.; Albrecht, Z.; Alderweireld, T.; Alemany-Fernandez, R.; Allport, P.P.; Almehed, S.; Almendinger, T.; Amaldi, U.; Amapane, N.; Amato, S.; Anashkin, E.; Andreazza, A.; Andringa, S.; Anjos, N.; Antilogus, P.; Apel, W.D.; Arnoud, Y.; Ask, S.; Asman, B.; Augustin, J.E.; Augustinus, A.; Baillon, P.; Ballestrero, A.; Bambade, P.; Barbier, R.; Bardin, D.; Barker, G.J.; Baroncelli, A.; Baubillier, M.; Becks, K.H.; Begalli, M.; Behrmann, A.; Bellunato, T.; Benekos, N.; Benvenuti, A.; Berat, C.; Berntzon, L.; Bertrand, D.; Besancon, M.; Besson, N.; Bloch, D.; Blom, M.; Boyko, I.; Bonesini, M.; Boonekamp, M.; Booth, P.S.L.; Borisov, G.; Botner, O.; Bouquet, B.; Bowcock, T.J.V.; Bracko, M.; Brenner, R.; Brodet, E.; Brodzicka, J.; Bruckman, P.; Brunet, J.M.; Bugge, L.; Buschmann, P.; Calvi, M.; Camporesi, T.; Canale, V.; Carena, F.; Carimalo, C.; Castro, Nuno Filipe; Cavallo, F.; Chapkin, M.; Charpentier, P.; Checchia, P.; Chierici, R.; Shlyapnikov, P.; Chung, S.U.; Cieslik, K.; Collins, P.; Contri, R.; Cosme, G.; Cossutti, F.; Costa, M.J.; Crawley, H.B.; Crennell, D.; Cuevas, J.; D'Hondt, J.; Dalmau, J.; da Silva, T.; Da Silva, W.; Della Ricca, G.; De Angelis, A.; De Boer, W.; De Clercq, C.; De Lotto, B.; De Maria, N.; De Min, A.; De Paula, L.; Di Ciaccio, L.; Di Simone, A.; Doroba, K.; Drees, J.; Dris, M.; Eigen, G.; Ekelof, T.; Ellert, M.; Elsing, M.; Espirito Santo, M.C.; Fanourakis, G.; Fassouliotis, D.; Feindt, M.; Fernandez, J.; Ferrer, A.; Ferro, F.; Flagmeyer, U.; Foeth, H.; Fokitis, E.; Fulda-Quenzer, F.; Fuster, J.; Gandelman, M.; Garcia, C.; Gavillet, P.; Gazis, Evangelos; Gele, D.; Geralis, T.; Gokieli, R.; Golob, B.; Gomez-Ceballos, G.; Goncalves, P.; Gonzalez Caballero, I.; Graziani, E.; Grosdidier, G.; Grzelak, K.; Guy, J.; Haag, C.; Hahn, F.; Hahn, S.; Hallgren, A.; Hamacher, K.; Hamilton, K.; Hansen, J.; Haug, S.; Hauler, F.; Hedberg, V.; Hennecke, M.; Herr, H.; Holmgren, S.O.; Holt, P.J.; Houlden, M.A.; Hultqvist, K.; Yushchenko, O.; Jackson, John Neil; Jalocha, P.; Jarlskog, C.; Jarlskog, G.; Jarry, P.; Jeans, D.; Johansson, Erik Karl; Johansson, P.D.; Jonsson, P.; Joram, C.; Jungermann, L.; Kapusta, Frederic; Katsanevas, S.; Katsoufis, E.; Keranen, R.; Kernel, G.; Kersevan, B.P.; Kiiskinen, A.; King, B.T.; Kjaer, N.J.; Kluit, P.; Kokkinias, P.; Kourkoumelis, C.; Kuznetsov, O.; Krumshtein, Z.; Kucharczyk, M.; Kurowska, J.; Lamsa, J.; Leder, G.; Ledroit, Fabienne; Leinonen, L.; Leitner, R.; Lemonne, J.; Lenzen, G.; Lepeltier, V.; Lesiak, T.; Liebig, W.; Liko, D.; Lipniacka, A.; Lopes, J.H.; Lopez, J.M.; Lopez-Fernandez, R.; Loukas, D.; Lutz, P.; Lyons, L.; MacNaughton, J.; Malek, A.; Maltezos, S.; Mandl, F.; Marco, J.; Marco, R.; Marechal, B.; Margoni, M.; Marin, J.C.; Mariotti, C.; Markou, A.; Martinez-Rivero, C.; Masik, J.; Mastroyiannopoulos, N.; Matorras, F.; Matteuzzi, C.; Mazzucato, F.; Mazzucato, M.; McNulty, R.; Meroni, C.; Meyer, T.; Migliore, E.; Mitaroff, W.; Mjornmark, U.; Moa, T.; Moch, M.; Monig, Klaus; Monge, R.; Montenegro, J.; Moraes, D.; Moreno, S.; Morettini, P.; Muller, U.; Munich, K.; Mulders, M.; Mundim, L.; Murray, W.; Muryn, B.; Myatt, G.; Myklebust, T.; Nassiakou, M.; Navarria, F.; Nawrocki, K.; Nemecek, S.; Nicolaidou, R.; Niezurawski, P.; Nikolenko, M.; Nygren, A.; Oblakowska-Mucha, A.; Obraztsov, V.; Olshevsky, A.; Onofre, A.; Orava, R.; Osterberg, K.; Ouraou, A.; Oyanguren, A.; Paganoni, M.; Paiano, S.; Palacios, J.P.; Palka, H.; Papadopoulou, T.D.; Pape, L.; Parkes, C.; Parodi, F.; Parzefall, U.; Passeri, A.; Passon, O.; Peralta, L.; Perepelitsa, V.; Perrotta, A.; Petrolini, A.; Piedra, J.; Pieri, L.; Pierre, F.; Pimenta, M.; Piotto, E.; Podobnik, T.; Pol, M.E.; Polok, G.; Poropat, P.; Pozdnyakov, V.; Privitera, P.; Pukhaeva, N.; Pullia, A.; Rames, J.; Ramler, L.; Read, Alexander L.; Rebecchi, P.; Rehn, J.; Reid, D.; Reinhardt, R.; Renton, P.; Ryabchikov, D.; Richard, F.; Ridky, J.; Ripp-Baudot, Isabelle; Romero, A.; Ronchese, P.; Rosenberg, E.; Roudeau, P.; Rovelli, T.; Ruhlmann-Kleider, V.; Sadovsky, A.; Salmi, L.; Salt, J.; Savoy-Navarro, A.; Schwanda, C.; Schwering, B.; Schwickerath, U.; Segar, A.; Sekulin, R.; Siebel, M.; Sisakian, A.; Smadja, G.; Smirnova, O.; Sokolov, A.; Sopczak, A.; Sosnowski, R.; Spassoff, T.; Stanitzki, M.; Stocchi, A.; Strauss, J.; Stugu, B.; Szczekowski, M.; Szeptycka, M.; Szumlak, T.; Tabarelli, T.; Taffard, A.C.; Tegenfeldt, F.; Terranova, F.; Timmermans, Jan; Tinti, N.; Tkachev, L.; Tobin, M.; Todorova, S.; Tome, B.; Tonazzo, A.; Tortosa, P.; Travnicek, P.; Treille, D.; Tristram, G.; Trochimczuk, M.; Troncon, C.; Tyapkin, I.A.; Tyapkin, P.; Tzamarias, S.; Ullaland, O.; Uvarov, V.; Valenti, G.; Van Dam, Piet; Van Eldik, J.; Van Lysebetten, A.; Van Remortel, N.; Van Vulpen, I.; Vegni, G.; Veloso, F.; Venus, W.; Verbeure, F.; Verdier, P.; Verzi, V.; Vilanova, D.; Vitale, L.; Vrba, V.; Wahlen, H.; Washbrook, A.J.; Weiser, C.; Wicke, D.; Wickens, J.; Wilkinson, G.; Winter, M.; Witek, M.; Zalewska, A.; Zalewski, P.; Zavrtanik, D.; Zimine, N.I.; Zinchenko, A.; Zoller, P.; Zupan, M.

    2001-01-01

    Technicolor represents a viable alternative to the Higgs mechanism for generating gauge boson masses. Searches for technicolor particles $\\rho_T$ and $\\pi_T$ have been performed in the data collected by the DELPHI experiment at LEP at centre-of-mass energies between 192 and 208 GeV corresponding to an integrated luminosity of 452 pb$^{-1}$. Good agreement is observed with the SM expectation in all channels studied. This is translated into an excluded region in the $(M_{\\pi_T},M_{\\rho_T})$ plane. The $\\rho_T$ production is excluded for all $90 < M_{\\rho_T}<206.7$ GeV/c$^2$. Assuming a point-like interaction of the $\\pi_T$ with gauge bosons, an absolute lower limit on the charged $\\pi_T$ mass at 95\\% CL is set aLCERN EDS0

  11. Development of clinical practice guidelines for supportive care in childhood cancer--prioritization of topics using a Delphi approach.

    Science.gov (United States)

    Loeffen, E A H; Mulder, R L; Kremer, L C M; Michiels, E M C; Abbink, F C H; Ball, L M; Segers, H; Mavinkurve-Groothuis, A M C; Smit, F J; Vonk, I J M; Vd Wetering, M D; Tissing, W J E

    2015-07-01

    Currently, very few guidelines for supportive care for children with cancer exist. In the Netherlands, nationwide guidelines are over 10 years old and mostly based on expert opinion. Consequently, there is growing support and need for clinical practice guidelines (CPGs), which ought to be developed with a well-defined methodology and include a systematic search of literature, evidence summaries, and a transparent description of the decision process for the final recommendations. Development of CPGs is time consuming; therefore, it is important to prioritize topics for which there is the greatest clinical demand. This study aims to prioritize childhood cancer supportive care topics for development of CPGs. A Delphi survey consisting of two rounds was conducted to prioritize relevant childhood cancer supportive care topics for the development of CPGs. A group of experts comprising 15 pediatric oncologists, 15 pediatric oncology nurses, and 15 general pediatricians involved in care for childhood cancer patients were invited to participate. All relevant supportive care topics in childhood cancer were rated. In both rounds, 36 panellists (82%) responded. Agreement between panellists was very good, with an intraclass correlation coefficient of 0.918 (95% confidence interval (CI) = 0.849-0.966, p topics with the highest score in the final round were infection, sepsis, febrile neutropenia, pain, nausea/vomiting, restrictions in daily life and activities, palliative care, procedural sedation, terminal care, and oral mucositis. We successfully used a Delphi survey to prioritize childhood cancer supportive care topics for the development of CPGs. This is a first step towards uniform and evidence-based Dutch guidelines in supportive care in childhood cancer. Even though performed nationally, we believe that this study can also be regarded as an example starting point for international development of CPGs in the field of supportive care in cancer or any other field for

  12. Introdução ao Método Delphi

    OpenAIRE

    Joelma de Souza Passos de, Oliveira; Maira Murrieta, Costa; Marina Ferreira de Castro, Wille; Patricia Zeni, Marchiori

    2008-01-01

    Delphi is a future scenario prospecting method effective used when there are no historic data about the issue to be searched, in other words, when there are no quantitative data about the study object. This book presents and discusses Delphi Method, its concepts and applications. It also shows advantages and critics in the method using. Furthermore, it considers the method in Information Science and the method evolution gather with information technology.

  13. DELPHI TECHNIQUE: ENHANCING RESEARCH IN TECHNICAL AND VOCATIONAL EDUCATION

    Directory of Open Access Journals (Sweden)

    Irdayanti Mat Nashir

    2015-12-01

    Full Text Available Empirical studies conducted within the Technical and Vocational Education (TVE discipline in Malaysia tends to give greater emphasis to quantitative data collection techniques. Aware of the potential usefulness of combination of techniques, this paper discusses the application of the Delphi technique where qualitative and quantitative data collection techniques are used to reach useful results. The Delphi technique provides the opportunity for researchers to gather input from participants without requiring them to work face-to-face. Often, the process is used to find consensus among experts who have differing views and perspectives. The Delphi technique enables group problem-solving using an iterative process of problem definition, discussion, feedback, and revisions.This paper discusses the basics of the Delphi techniques, its application potential, the selection of expert panels and the means on how consensus can be reached among the participants using examples from our past research using the technique.

  14. What are the important components of the clinical assessment of hand problems in older adults in primary care? Results of a Delphi study

    Directory of Open Access Journals (Sweden)

    Dziedzic Krysia

    2010-08-01

    Full Text Available Abstract Background To identify clinical questions and assessments regarded by health care practitioners as important when assessing undifferentiated hand pain or problems in adults aged 50 years and over presenting to primary care. Methods A purposively selected panel of 26 UK-based Health Care Practitioners comprising occupational therapists, physiotherapists, rheumatologists and general practitioners, were invited to take part in a consensus study involving three postal rounds of a Delphi questionnaire with accompanying case scenarios. Participants were asked to generate questions and assessments (round 1, rate their importance (round 2, and vote on which items were most important (round 3. Results Sixteen Health Care Practitioners agreed to participate with 11 completing all three rounds. The first round of the Delphi study generated 156 questions and 143 assessments. After three rounds agreement was reached on the importance of 25 questions and 19 assessments. Questions were weighted towards current symptoms, but also included the history of previous hand problems, self-reported hand function, co-morbidity and general health. Observation and palpation of features predominated in the choice of assessment, but specific tests, grip strength, evaluation of sensation and hand function were also included. Conclusions A pool of clinical questions and assessments were generated by Health Care Practitioners, and those considered most important for assessing older adults presenting with undifferentiated hand pain and hand problems in primary care were identified. Further evaluation is required to establish the reliability and feasibility of using these questions and assessments in primary care. In particular, the relative contribution of these questions and assessments in evaluating the nature and severity of hand problems, assisting diagnosis, indicating appropriate management, and predicting future course requires further investigation.

  15. The U. S. transportation sector in the year 2030: results of a two-part Delphi survey.

    Energy Technology Data Exchange (ETDEWEB)

    Morrison, G.; Stephens, T.S. (Energy Systems); (Univ. of California at Davis); (ES)

    2011-10-11

    A two-part Delphi Survey was given to transportation experts attending the Asilomar Conference on Transportation and Energy in August, 2011. The survey asked respondents about trends in the US transportation sector in 2030. Topics included: alternative vehicles, high speed rail construction, rail freight transportation, average vehicle miles traveled, truck versus passenger car shares, vehicle fuel economy, and biofuels in different modes. The survey consisted of two rounds -- both asked the same set of seven questions. In the first round, respondents were given a short introductory paragraph about the topic and asked to use their own judgment in their responses. In the second round, the respondents were asked the same questions, but were also given results from the first round as guidance. The survey was sponsored by Argonne National Lab (ANL), the National Renewable Energy Lab (NREL), and implemented by University of California at Davis, Institute of Transportation Studies. The survey was part of the larger Transportation Energy Futures (TEF) project run by the Department of Energy, Office of Energy Efficiency and Renewable Energy. Of the 206 invitation letters sent, 94 answered all questions in the first round (105 answered at least one question), and 23 of those answered all questions in the second round. 10 of the 23 second round responses were at a discussion section at Asilomar, while the remaining were online. Means and standard deviations of responses from Round One and Two are given in Table 1 below. One main purpose of Delphi surveys is to reduce the variance in opinions through successive rounds of questioning. As shown in Table 1, the standard deviations of 25 of the 30 individual sub-questions decreased between Round One and Round Two, but the decrease was slight in most cases.

  16. A study of the b-quark fragmentation function with the DELPHI detector at LEP I and an averaged distribution obtained at the Z pole

    Energy Technology Data Exchange (ETDEWEB)

    Abdallah, J.; Antilogus, P.; Augustin, J.E.; Battaglia, M.; Behrmann, A.; Berat, C.; Silva, T. da; Jungermann, L.; Sander, C. [Univ. Pierre et Marie Curie, Univ. Paris Diderot, CNRS/IN2P3, LPNHE, Paris Cedex 05 (France); Abreu, P.; Andringa, S.; Anjos, N.; Carena, F.; Elsing, M.; Gomez-Ceballos, G.; Moraes, D.; Olshevski, A.; Passon, O.; Pierre, F.; Todorovova, S.; Vegni, G. [FCUL, LIP, IST, Lisboa Codex (Portugal); Adam, W.; Brunet, J.M.; Lamsa, J.; Liebig, W.; Lyons, L.; Maltezos, S.; Migliore, E.; Stocchi, A. [Oesterr. Akad. d. Wissensch., Institut fuer Hochenergiephysik, Vienna (Austria); Adzic, P.; Espirito Santo, M.C.; Kluit, P.; Lopez, J.M.; Mariotti, C.; Masik, J.; Myklebust, T.; Tyapkin, P.; Zintchenko, A. [N.C.S.R. Demokritos, Institute of Nuclear Physics, P.O. Box 60228, Athens (Greece); Albrecht, T.; Allmendinger, T.; Apel, W.D.; Angelis, A. de; Fassouliotis, D.; Guy, J.; Haug, S.; Hedberg, V.; Joram, C.; Kersevan, B.P.; Moa, T.; Rebecchi, P.; Salt, J.; Spassov, T.; Washbrook, A.J. [Universitaet Karlsruhe, Inst. fuer Experimentelle Kernphysik, Postfach 6980, Karlsruhe (Germany); Alemany-Fernandez, R.; Ask, S.; Augustinus, A.; Baillon, P.; Baroncelli, A.; Calvi, M.; Canale, V.; Chapkin, M.; Checchia, P.; Chliapnikov, P.; Chudoba, J.; Cieslik, K.; Ellert, M.; Flagmeyer, U.; Garcia, C.; Holmgren, S.O.; Jonsson, P.; King, B.T.; Margoni, M.; Marin, J.C.; Moch, M.; Papadopoulou, T.D.; Parodi, F.; Pimenta, M.; Podobnik, T.; Radojicic, D.; Savoy-Navarro, A.; Sosnowski, R.; Travnicek, P.; Dam, P. van; Remortel, N. van; Weiser, C. [CERN, Geneva 23 (Switzerland); Allport, P.P.; Boonekamp, M.; Bouquet, B.; Holt, P.J.; Houlden, M.A.; Kerzel, U.; Mazzucato, M.; Paiano, S.; Tkatchev, L.; Wahlen, H. [Univ. of Liverpool, Dept. of Physics, Liverpool (United Kingdom); Amaldi, U.; Bluj, M.; Buschmann, P.; Matorras, F.; Oyanguren, A.; Pukhaeva, N.; Szumlak, T.; Tome, B. [Univ. di Milano-Bicocca (Italy); INFN-MILANO, Dipt. di Fisica, Milan (Italy)] [and others

    2011-02-15

    The nature of b-quark jet hadronisation has been investigated using data taken at the Z peak by the DELPHI detector at LEP. Two complementary methods are used to reconstruct the energy of weakly decaying b-hadrons, E{sub B}{sup weak}. The average value of x{sub B}{sup weak}=E{sub B}{sup weak}/E{sub beam} is measured to be 0.699{+-}0.011. The resulting x{sub B}{sup weak} distribution is then analysed in the framework of two choices for the perturbative contribution (parton shower and Next to Leading Log QCD calculation) in order to extract measurements of the non-perturbative contribution to be used in studies of b-hadron production in other experimental environments than LEP. In the parton shower framework, data favour the Lund model ansatz and corresponding values of its parameters have been determined within PYTHIA 6.156 from DELPHI data: a= 1.84{sup +0.23}{sub -0.21} and b=0.642{sup +0.073}{sub -0.063}{proportional_to} GeV{sup -2}, with a correlation factor {rho}=92.2%. Combining the data on the b-quark fragmentation distributions with those obtained at the Z peak by ALEPH, OPAL and SLD, the average value of x{sub B}{sup weak} is found to be 0.7092{+-}0.0025 and the non-perturbative fragmentation component is extracted. Using the combined distribution, a better determination of the Lund parameters is also obtained: a= 1.48{sup +0.11}{sub -0.10} and b=0.509{sup +0.024}{sub -0.023}{proportional_to} GeV{sup -2}, with a correlation factor {rho}=92.6%. (orig.)

  17. Delphi FND Application Object Library -

    Data.gov (United States)

    Department of Transportation — Delphi FND Application Object Library contains the following data elements, but are not limited to temporary data tables for the logged in session, information about...

  18. A study of the energy evolution of event shape distributions and their means with the DELPHI detector at LEP

    CERN Document Server

    Abdallah, J; Adam, W; Adzic, P; Albrecht, T; Alderweireld, T; Alemany-Fernandez, R; Allmendinger, T; Allport, P P; Amaldi, Ugo; Amapane, N; Amato, S; Anashkin, E; Andreazza, A; Andringa, S; Anjos, N; Antilogus, P; Apel, W D; Arnoud, Y; Ask, S; Åsman, B; Augustin, J E; Augustinus, A; Baillon, Paul; Ballestrero, A; Bambade, P; Barbier, R; Bardin, Dimitri Yuri; Barker, G; Baroncelli, A; Battaglia, Marco; Baubillier, M; Becks, K H; Begalli, M; Behrmann, A; Ben-Haim, E; Benekos, N C; Benvenuti, Alberto C; Bérat, C; Berggren, M; Berntzon, L; Bertrand, D; Besançon, M; Besson, N; Bloch, D; Blom, M; Bluj, M; Bonesini, M; Boonekamp, M; Booth, P S L; Borisov, G; Botner, O; Bouquet, B; Bowcock, T J V; Boyko, I; Bracko, M; Brenner, R; Brodet, E; Brückman, P; Brunet, J M; Bugge, L; Buschmann, P; Calvi, M; Camporesi, T; Canale, V; Carena, F; Castro, N; Cavallo, F R; Chapkin, M M; Charpentier, P; Checchia, P; Chierici, R; Shlyapnikov, P; Chudoba, J; Chung, S U; Cieslik, K; Collins, P; Contri, R; Cosme, G; Cossutti, F; Costa, M J; Crawley, B; Crennell, D J; Cuevas-Maestro, J; D'Hondt, J; Dalmau, J; Da Silva, T; Da Silva, W; Della Ricca, G; De Angelis, A; de Boer, Wim; De Clercq, C; De Lotto, B; De Maria, N; De Min, A; De Paula, L S; Di Ciaccio, Lucia; Di Simone, A; Doroba, K; Drees, J; Dris, M; Eigen, G; Ekelöf, T J C; Ellert, M; Elsing, M; Espirito-Santo, M C; Fanourakis, G K; Fassouliotis, D; Feindt, M; Fernández, J; Ferrer, A; Ferro, F; Flagmeyer, U; Föth, H; Fokitis, E; Fulda-Quenzer, F; Fuster, J A; Gandelman, M; García, C; Gavillet, P; Gazis, E N; Geralis, T; Gokieli, R; Golob, B; Gómez-Ceballos, G; Gonçalves, P; Graziani, E; Grosdidier, G; Grzelak, K; Guy, J; Haag, C; Hallgren, A; Hamacher, K; Hamilton, K; Hansen, J; Haug, S; Hauler, F; Hedberg, V; Hennecke, M; Herr, H; Hoffman, J; Holmgren, S O; Holt, P J; Houlden, M A; Hultqvist, K; Jackson, J N; Jarlskog, G; Jarry, P; Jeans, D; Johansson, E K; Johansson, P D; Jonsson, P; Joram, C; Jungermann, L; Kapusta, F; Katsanevas, S; Katsoufis, E C; Kernel, G; Kersevan, Borut P; Kiiskinen, A P; King, B T; Kjaer, N J; Kluit, P; Kokkinias, P; Kourkoumelis, C; Kuznetsov, O; Krumshtein, Z; Kucharczyk, M; Lamsa, J; Leder, G; Ledroit, F; Leinonen, L; Leitner, R; Lemonne, J; Lepeltier, V; Lesiak, T; Liebig, W; Liko, D; Lipniacka, A; Lopes, J H; López, J M; Loukas, D; Lutz, P; Lyons, L; MacNaughton, J; Malek, A; Maltezos, S; Mandl, F; Marco, J; Marco, R; Maréchal, B; Margoni, M; Marin, J C; Mariotti, C; Markou, A; Martínez-Rivero, C; Masik, J; Mastroyiannopoulos, N; Matorras, F; Matteuzzi, C; Mazzucato, F; Mazzucato, M; McNulty, R; Meroni, C; Meyer, W T; Migliore, E; Mitaroff, W A; Mjörnmark, U; Moa, T; Moch, M; Mönig, K; Monge, R; Montenegro, J; Moraes, D; Moreno, S; Morettini, P; Müller, U; Münich, K; Mulders, M; Mundim, L M; Murray, W; Muryn, B; Myatt, Gerald; Myklebust, T; Nassiakou, M; Navarria, Francesco Luigi; Nawrocki, K; Nicolaidou, R; Nikolenko, M; Oblakowska-Mucha, A; Obraztsov, V F; Olshevskii, A G; Onofre, A; Orava, Risto; Österberg, K; Ouraou, A; Oyanguren, A; Paganoni, M; Paiano, S; Palacios, J P; Palka, H; Papadopoulou, T D; Pape, L; Parkes, C; Parodi, F; Parzefall, U; Passeri, A; Passon, O; Peralta, L; Perepelitsa, V F; Perrotta, A; Petrolini, A; Piedra, J; Pieri, L; Pierre, F; Pimenta, M; Piotto, E; Podobnik, T; Poireau, V; Pol, M E; Polok, G; Poropat, P; Pozdnyakov, V; Pukhaeva, N; Pullia, Antonio; Rames, J; Ramler, L; Read, A; Rebecchi, P; Rehn, J; Reid, D; Reinhardt, R; Renton, P B; Richard, F; Rídky, J; Rivero, M; Rodríguez, D; Romero, A; Ronchese, P; Rosenberg, E I; Roudeau, Patrick; Rovelli, T; Ruhlmann-Kleider, V; Ryabtchikov, D; Sadovskii, A; Salmi, L; Salt, J; Savoy-Navarro, A; Schwickerath, U; Segar, A; Sekulin, R L; Siebel, M; Sissakian, A N; Smadja, G; Smirnova, O G; Sokolov, A; Sopczak, A; Sosnowski, R; Spassoff, Tz; Stanitzki, M; Stocchi, A; Strauss, J; Stugu, B; Szczekowski, M; Szeptycka, M; Szumlak, T; Tabarelli de Fatis, T; Taffard, A C; Tegenfeldt, F; Timmermans, J; Tkatchev, L G; Tobin, M; Todorovova, S; Tomaradze, A G; Tomé, B; Tonazzo, A; Tortosa, P; Travnicek, P; Treille, D; Tristram, G; Trochimczuk, M; Troncon, C; Turluer, M L; Tyapkin, I A; Tyapkin, P; Tzamarias, S; Uvarov, V; Valenti, G; van Dam, P; Van Eldik, J; Van Lysebetten, A; Van Remortel, N; Van Vulpen, I B; Vegni, G; Veloso, F; Venus, W A; Verbeure, F; Verdier, P; Verzi, V; Vilanova, D; Vitale, L; Vrba, V; Wahlen, H; Washbrook, A J; Weiser, C; Wicke, D; Wickens, J H; Wilkinson, G; Winter, M; Witek, M; Yushchenko, O P; Zalewska-Bak, A; Zalewski, P; Zavrtanik, D; Zimin, N I; Zinchenko, A I; Zupan, M

    2003-01-01

    Infrared and collinear safe event shape distributions and their mean values are determined in e+e− collisions at centre-of-mass energies between 45 and 202 GeV. A phenomenological analysis based on power correction models including hadron mass e ects for both differential distributions and mean values is presented. Using power corrections, s is extracted from the mean values and shapes. In an alternative approach, renormalisation group invariance (RGI) is used as an explicit constraint, leading to a consistent description of mean values without the need for sizeable power corrections. The QCD beta-function is precisely measured using this approach. From the DELPHI data on Thrust, including data from low energy experiments, one finds beta0 = 7:86 +- 0:32 for the one loop coefficient of the beta-function or, assuming QCD, nf = 4:75 +- 0:44 for the number of active flavours. These values agree well with the QCD expectation of beta0 = 7:67 and nf = 5. A direct measurement of the full logarithmic energy ...

  19. Two Rounds of Whole Genome Duplication in the AncestralVertebrate

    Energy Technology Data Exchange (ETDEWEB)

    Dehal, Paramvir; Boore, Jeffrey L.

    2005-04-12

    The hypothesis that the relatively large and complex vertebrate genome was created by two ancient, whole genome duplications has been hotly debated, but remains unresolved. We reconstructed the evolutionary relationships of all gene families from the complete gene sets of a tunicate, fish, mouse, and human, then determined when each gene duplicated relative to the evolutionary tree of the organisms. We confirmed the results of earlier studies that there remains little signal of these events in numbers of duplicated genes, gene tree topology, or the number of genes per multigene family. However, when we plotted the genomic map positions of only the subset of paralogous genes that were duplicated prior to the fish-tetrapod split, their global physical organization provides unmistakable evidence of two distinct genome duplication events early in vertebrate evolution indicated by clear patterns of 4-way paralogous regions covering a large part of the human genome. Our results highlight the potential for these large-scale genomic events to have driven the evolutionary success of the vertebrate lineage.

  20. Converting an OPC UA software development kit from Java to Delphi.

    OpenAIRE

    Uimonen, Teppo

    2016-01-01

    OPC UA provides a secure and interoperable standard for communication between devices and information systems, but to use it efectively in a software system, an OPC UA SDK written in the implementation language is needed. To develop one for Delphi programming language, this thesis studies how Prosys OPC UA Java SDK can be converted to Delphi. Three issues are identifed in the conversion. First, Java code should be translated to Delphi. Second, an interface is needed to use a C language OP...

  1. A Delphi forecast of technology in education

    Science.gov (United States)

    Robinson, B. E.

    1973-01-01

    The results are reported of a Delphi forecast of the utilization and social impacts of large-scale educational telecommunications technology. The focus is on both forecasting methodology and educational technology. The various methods of forecasting used by futurists are analyzed from the perspective of the most appropriate method for a prognosticator of educational technology, and review and critical analysis are presented of previous forecasts and studies. Graphic responses, summarized comments, and a scenario of education in 1990 are presented.

  2. Developments on jet reconstruction by DELPHI

    CERN Document Server

    Kiskinen, A

    2002-01-01

    The most relevant techniques used by DELPHI to identify jets in multihadronic final states are reviewed. The performance of jet reconstruction algorithms is analysed together with the additional use of energy and momentum conservation in order to allow for a precise reconstruction of the event kinematics. Also jet flavour tagging methods are summarised. Applications in some analyses like searches for new particles such as Higgs bosons, W mass physics and QCD studies are presented. (9 refs).

  3. Study on the core nursing skills system for nursing undergraduates by Delphi method%运用Delphi法构建护理本科生核心护理技能体系的研究

    Institute of Scientific and Technical Information of China (English)

    梁小芹; 绳宇

    2011-01-01

    Objective To explore the core nursing skills system for nursing undergraduates. Methods A total of 29 experts were chosen to participate Delphi consultation. Results After two - round consultation,the three dimensions of core nursing skills,which were the fundamental nursing skills,critical and emergency nursing skills and specialized nursing skills, were constructed. The fundamental nursing skills included 14 aspects (59 items) , the critical and emergency nursing skills included 2 aspects (6 items) ,and the specialized nursing skills included 4 aspects ( 19 items). Conclusion The core nursing skills system constructed by Delphi method includes the core nursing skills which nursing students at this stage should have,aed it can guide the nursing education.%目的 探讨护理专业本科毕业生应该具备的核心护理技能.方法 采用Delphi专家萌询法对29名专家进行函询.结果 经过两轮函询,最终确定护理本科毕业生应该具备基础护理技能、重症急救护理技能、专科护理技能3方面的核心护理技能.其中,基础护理技能领域包括14方面共59个具体的核心护理技能条目;重症急救护理技能领域包括2方面共6个具体的核心护理技能条目;专科护理技能领域包含有4方面共19个具体的核心护理技能条目.结论 运用Delphi法构建的护理本科生核心护理技能体系,是现阶段护理本科生应具备的核心护理技能,对护理教学具有指导作用.

  4. A two round debate

    Directory of Open Access Journals (Sweden)

    Donatella Persico

    1993-01-01

    Full Text Available Intervento “a piu’ voci” sulla definizione del concetto delle Tecnologie Didattiche. Contribuiscono Chris Bell (Inghilterra, Vittorio Midoro (Italia, Alistair Thomson (Scozia, Lydia Tornatore (Italia.

  5. Delphi survey to identify topics to be addressed at the initial follow-up consultation after oesophageal cancer surgery.

    Science.gov (United States)

    Jacobs, M; Henselmans, I; Macefield, R C; Blencowe, N S; Smets, E M A; de Haes, J C J M; Sprangers, M A G; Blazeby, J M; van Berge Henegouwen, M I

    2014-12-01

    There is no consensus among patients and healthcare professionals (HCPs) on the topics that need to be addressed after oesophageal cancer surgery. The aim of this study was to identify these topics, using a two-round Delphi survey. In round 1, patients and HCPs (surgeons, dieticians, nurses) were invited to rate the importance of 49 topics. The proportion of panellists that considered a topic to be of low, moderate or high importance was then calculated for each of these two groups. Based on these proportions and the i.q.r., topics were categorized as: 'consensus to be included', 'consensus to be excluded' and 'no consensus'. Only topics in the first category were included in the second round. In round 2, panellists were provided with individual and group feedback. To be included in the final list, topics had to meet criteria for consensus and stability. There were 108 patients and 77 HCPs in the round 2 analyses. In general, patients and HCPs considered the same topics important. The final list included 23 topics and revealed that it was most important to address: cancer removed/lymph nodes, the new oesophagus, eating and drinking, surgery, alarming new complaints and the recovery period. The study provides surgeons with a list of topics selected by patients and HCPs that may be addressed systematically at the initial follow-up consultation after oesophageal cancer surgery. © 2014 BJS Society Ltd. Published by John Wiley & Sons Ltd.

  6. Development of mental health first aid guidelines for deliberate non-suicidal self-injury: A Delphi study

    Directory of Open Access Journals (Sweden)

    Kitchener Betty A

    2008-07-01

    Full Text Available Abstract Background It is estimated that around 4% of the population engages, or has engaged, in deliberate non-suicidal self-injury. In clinical samples, the figures rise as high as 21%. There is also evidence to suggest that these figures may be increasing. A family member or friend may suspect that a person is injuring themselves, but very few people know how to respond if this is the case. Simple first aid guidelines may help members of the public assist people to seek and receive the professional help they require to overcome self-injury. Methods This research was conducted using the Delphi methodology, a method of reaching consensus in a panel of experts. Experts recruited to the panels included 26 professionals, 16 people who had engaged in self-injurious behaviour in the past and 3 carers of people who had engaged in self-injurious behaviour in the past. Statements about providing first aid to a person engaged in self-injurious behaviour were sought from the medical and lay literature, but little was found. Panel members were asked to respond to general questions about first aid for NSSI in a variety of domains and statements were extracted from their responses. The guidelines were written using the items most consistently endorsed by the consumer and professional panels. Results Of 79 statements rated by the panels, 18 were accepted. These statements were used to develop the guidelines appended to this paper. Conclusion There are a number of actions which are considered to be useful for members of the public when they encounter someone who is engaging in deliberate, non-suicidal self-injury. These guidelines will be useful in revising curricula for mental health first aid and NSSI first aid training programs. They can also be used by members of the public who want immediate information about how to assist a person who is engaging in such behaviour.

  7. Application of Delphi method in the design research of clinical communication skills evaluation scale%德尔菲法在临床沟通能力评价表设计研究中的应用

    Institute of Scientific and Technical Information of China (English)

    胡笑甜; 姚小康; 刘英; 倪俊学; 徐卫琼

    2015-01-01

    To evaluate clinical communication skills of medical students, and perfect the index system of clinical communication ability evaluation. This study investigated 30 experts in two rounds by Delphi method, collected their opinions about the index system. The writer modified the index system on the basis of their opinions. So the last “medical students clinical communication skills evaluation scale” was formed.%为准确评价医学生临床沟通能力,完善临床沟通能力评价的指标体系,对30名专家采用德尔菲(Delphi)法开展了两轮咨询调查,收集他们对指标体系的意见,并根据专家们的意见,对指标体系进行修改,最终形成《医学生临床沟通能力评价量表》。

  8. Life- and person-centred help in Mecklenburg-Western Pomerania, Germany (DelpHi: study protocol for a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Thyrian Jochen

    2012-05-01

    Full Text Available Abstract Background The provision of appropriate medical and nursing care for people with dementia is a major challenge for the healthcare system in Germany. New models of healthcare provision need to be developed, tested and implemented on the population level. Trials in which collaborative care for dementia in the primary care setting were studied have demonstrated its effectiveness. These studies have been conducted in different healthcare systems, however, so it is unclear whether these results extend to the specific context of the German healthcare system. The objective of this population-based intervention trial in the primary care setting is to test the efficacy and efficiency of implementing a subsidiary support system on a population level for persons with dementia who live at home. Methods and study design The study was designed to assemble a general physician-based epidemiological cohort of people above the age of 70 who live at home (DelpHi cohort. These people are screened for eligibility to participate in a trial of dementia care management (DelpHi trial. The trial is a cluster-randomised, controlled intervention trial with two arms (intervention and control designed to test the efficacy and efficiency of implementing a subsidiary support system for persons with dementia who live at home. This subsidiary support system is initiated and coordinated by a dementia care manager: a nurse with dementia-specific qualifications who delivers the intervention according to a systematic, detailed protocol. The primary outcome is quality of life and healthcare for patients with dementia and their caregivers. This is a multidimensional outcome with a focus on four dimensions: (1 quality of life, (2 caregiver burden, (3 behavioural and psychological symptoms of dementia and (4 pharmacotherapy with an antidementia drug and prevention or suspension of potentially inappropriate medication. Secondary outcomes include the assessment of dementia

  9. Web-based interventions to decrease alcohol use in adolescents: a Delphi study about increasing effectiveness and reducing drop-out.

    Science.gov (United States)

    Jander, Astrid; Crutzen, Rik; Mercken, Liesbeth; De Vries, Hein

    2015-04-09

    Web-based computer-tailored (CT) interventions have a high potential to reach a large number of people and effectively change health risk behaviors and their determinants. However, effect studies show small and variable effect sizes, and these interventions also suffer from high drop-out. In this study we explored how Web-based CT interventions can be used effectively to reduce binge drinking in 16- to 18-year-old adolescents. A three-round Delphi study was conducted. We invited experts to identify strategies to be used in Web-based CT interventions that can effectively decrease binge drinking in adolescents and to rate these strategies by importance. We asked to discriminate between interventions targeted for adolescents and those targeted for parents. Furthermore, we asked experts to suggest strategies for reducing drop-out and to indicate their importance. Important strategies mentioned by the experts were: encouraging parents to set appropriate rules, encouraging consistent communication, and training refusal skills among adolescents. Concerning the reduction of drop-out from Web-based CT interventions experts came up with suggestions involving the content of the intervention (e.g., relevant material, use of language, tailored messages) but also involving the use of reminders and incentives. The results of this explorative study provide useful strategies to increase effectiveness and decrease drop-out in future interventions.

  10. Strategies to Overcome Barriers to Implementation of Alcohol Screening and Brief Intervention in General Practice: a Delphi Study Among Healthcare Professionals and Addiction Prevention Experts.

    Science.gov (United States)

    Abidi, L; Oenema, A; Nilsen, P; Anderson, P; van de Mheen, D

    2016-08-01

    Despite the evidence base, alcohol screening and brief intervention (ASBI) have rarely been integrated into routine clinical practice. The aim of this study is to identify strategies that could tackle barriers to ASBI implementation in general practice by involving primary healthcare professionals and addiction prevention experts. A three-round online Delphi study was carried out in the Netherlands. The first-round questionnaire consisted of open-ended questions to generate ideas about strategies to overcome barriers. In the second round, participants were asked to indicate how applicable they found each strategy. Items without consensus were systematically fed back with group median ratings and interquartile range (IQR) scores in the third-round questionnaire. In total, 39 out of 69 (57 %) invited participants enrolled in the first round, 214 participants completed the second round, and 144 of these (67 %) completed the third-round questionnaire. Results show that participants reached consensus on 59 of 81 strategies, such as the following: (1) use of E-learning technology, (2) symptom-specific screening by general practitioners (GPs) and/or universal screening by practice nurses, (3) reimbursement incentives, (4) supportive materials, (5) clear guidelines, (6) service provision of addiction care centers, and (7) more publicity in the media. This exploratory study identified a broad set of strategies that could potentially be used for overcoming barriers to ASBI implementation in general practice and paves the way for future research to experimentally test the identified implementation strategies using multifaceted approaches.

  11. Which Dimensions of Patient-Centeredness Matter? - Results of a Web-Based Expert Delphi Survey.

    Directory of Open Access Journals (Sweden)

    Jördis M Zill

    Full Text Available Present models and definitions of patient-centeredness revealed a lack of conceptual clarity. Based on a prior systematic literature review, we developed an integrative model with 15 dimensions of patient-centeredness. The aims of this study were to 1 validate, and 2 prioritize these dimensions.A two-round web-based Delphi study was conducted. 297 international experts were invited to participate. In round one they were asked to 1 give an individual rating on a nine-point-scale on relevance and clarity of the dimensions, 2 add missing dimensions, and 3 prioritize the dimensions. In round two, experts received feedback about the results of round one and were asked to reflect and re-rate their own results. The cut-off for the validation of a dimension was a median < 7 on one of the criteria.105 experts participated in round one and 71 in round two. In round one, one new dimension was suggested and included for discussion in round two. In round two, this dimension did not reach sufficient ratings to be included in the model. Eleven dimensions reached a median ≥ 7 on both criteria (relevance and clarity. Four dimensions had a median < 7 on one or both criteria. The five dimensions rated as most important were: patient as a unique person, patient involvement in care, patient information, clinician-patient communication and patient empowerment.11 out of the 15 dimensions have been validated through experts' ratings. Further research on the four dimensions that received insufficient ratings is recommended. The priority order of the dimensions can help researchers and clinicians to focus on the most important dimensions of patient-centeredness. Overall, the model provides a useful framework that can be used in the development of measures, interventions, and medical education curricula, as well as the adoption of a new perspective in health policy.

  12. Protocol of the DENIM study: a Delphi-procedure on the identification of trauma patients in need of care by physician-staffed Mobile Medical Teams in the Netherlands.

    Science.gov (United States)

    Harmsen, Annelieke Maria Karien; Geeraedts, Leo Maria George; Giannakopoulos, Georgios Fredericus; Terra, Maartje; Christiaans, Herman Martinus Timotheus; Mokkink, Lidwine Brigitta; Bloemers, Frank Willem

    2015-02-08

    In The Netherlands, standard prehospital trauma care is provided by emergency medical services and can be supplemented with advanced trauma care by Mobile Medical Teams. Due to observed over and undertriage in the dispatch of the Mobile Medical Team for major trauma patients, the accuracy of the dispatch criteria has been disputed. In order to obtain recommendations to invigorate the dispatch criteria, this study aimed at reaching consensus in expert opinion on the question; which acute trauma patient is in need of care by a Mobile Medical Team? In this paper we describe the protocol of the DENIM study (a Delphi-procedure on the identification of prehospital trauma patients in need of care by Mobile Medical Teams). A national three round digital Delphi study will be conducted to reach consensus. Literature was explored for relevant topics. After agreement on the themes of interest, the steering committee will construct questions for the first round. In total, 120 panellists with the following backgrounds; Mobile Medical Team physicians and nurses, trauma surgeons, ambulance nurses, emergency medical operators will be invited to participate. Group opinion will be fed back between each round that follows, allowing the panellists to revise their previous opinions and so, converge towards group consensus. Successful prehospital treatment of trauma patients greatly depends on the autonomous decisions made by the different professionals along the chain of prehospital trauma care. Trauma patients in need of care by the Mobile Medical Team need to be identified by those professionals in order to invigorate deployment criteria and improve trauma care. The Delphi technique is used because it allows for group consensus to be reached in a systematic and anonymous fashion amongst experts in the field of trauma care. The anonymous nature of the Delphi allows all experts to state their opinion whilst eliminating the bias of dominant and/or hierarchical individuals on group

  13. Expert consensus on facilitators and barriers to return-to-work following surgery for non-traumatic upper extremity conditions: a Delphi study.

    Science.gov (United States)

    Peters, S E; Johnston, V; Ross, M; Coppieters, M W

    2017-02-01

    This Delphi study aimed to reach consensus on important facilitators and barriers for return-to-work following surgery for non-traumatic upper extremity conditions. In Round 1, experts ( n = 42) listed 134 factors, which were appraised in Rounds 2 and 3. Consensus (⩾85% agreement) was achieved for 13 facilitators (high motivation to return-to-work; high self-efficacy for return-to-work and recovery; availability of modified/alternative duties; flexible return-to-work arrangements; positive coping skills; limited heavy work exertion; supportive return-to-work policies; supportive supervisor/management; no catastrophic thinking; no fear avoidance to return-to-work; no fear avoidance to pain/activity; return to meaningful work duties; high job satisfaction) and six barriers (mood disorder diagnosis; pain/symptoms at more than one musculoskeletal site; heavy upper extremity exertions at work; lack of flexible return-to-work arrangements; lack of support from supervisor/management; high level of pain catastrophizing). Future prognostic studies are required to validate these biopsychosocial factors to further improve return-to-work outcomes.

  14. The acquisition of Clostridium tyrobutyricum mutants with improved bioproduction under acidic conditions after two rounds of heavy-ion beam irradiation.

    Science.gov (United States)

    Zhou, Xiang; Yang, Zhen; Jiang, Ting-Ting; Wang, Shu-Yang; Liang, Jian-Ping; Lu, Xi-Hong; Wang, Liang

    2016-07-18

    End-product inhibition is a key factor limiting the production of organic acid during fermentation. Two rounds of heavy-ion beam irradiation may be an inexpensive, indispensable and reliable approach to increase the production of butyric acid during industrial fermentation processes. However, studies of the application of heavy ion radiation for butyric acid fermentation engineering are lacking. In this study, a second (12)C(6+) heavy-ion irradiation-response curve is used to describe the effect of exposure to a given dose of heavy ions on mutant strains of Clostridium tyrobutyricum. Versatile statistical elements are introduced to characterize the mechanism and factors contributing to improved butyric acid production and enhanced acid tolerance in adapted mutant strains harvested from the fermentations. We characterized the physiological properties of the strains over a large pH value gradient, which revealed that the mutant strains obtained after a second round of radiation exposure were most resistant to harsh external pH values and were better able to tolerate external pH values between 4.5 and 5.0. A customized second round of heavy-ion beam irradiation may be invaluable in process engineering.

  15. Reform in medical and health sciences educational system: a Delphi study of faculty members' views at Shiraz University of Medical Sciences.

    Science.gov (United States)

    Salehi, A; Harris, N; Lotfi, F; Hashemi, N; Kojouri, J; Amini, M

    2014-04-03

    Despite the strengths in the Iranian medical and health sciences educational system, areas in need of improvement have been noted. The purpose of this study was to understand the views of faculty members at Shiraz University of Medical Sciences about current and future needs for medical and health sciences education, with the goal of improving the quality of the educational system. The data were collected using a Delphi consensus method. Analysis of the findings identified the following key themes among the factors likely to contribute to medical and health sciences education and training: adding and/or increasing student numbers in higher degrees in preference to associate degrees; providing more interactive, student-centred teaching methods; improving the educational content with more practical and research-based courses tailored to society's needs; and an emphasis on outcome-based student evaluation techniques. These changes aim to respond to health trends in society and enhance the close relationship between medical education and the needs of the Iranian society.

  16. Local duplication of gonadotropin-releasing hormone (GnRH receptor before two rounds of whole genome duplication and origin of the mammalian GnRH receptor.

    Directory of Open Access Journals (Sweden)

    Fatemeh Ameri Sefideh

    Full Text Available Gonadotropin-releasing hormone (GnRH and the GnRH receptor (GnRHR play an important role in vertebrate reproduction. Although many GnRHR genes have been identified in a large variety of vertebrate species, the evolutionary history of GnRHR in vertebrates is unclear. To trace the evolutionary origin of GnRHR we examined the conserved synteny of chromosomes harboring GnRHR genes and matched the genes to linkage groups of reconstructed vertebrate ancestor chromosomes. Consistent with the phylogenetic tree, three pairs of GnRHR subtypes were identified in three paralogous linkage groups, indicating that an ancestral pair emerged through local duplication before two rounds of whole genome duplication (2R. The 2R then led to the generation of six subtypes of GnRHR. Some subtypes were lost during vertebrate evolution after the divergence of teleosts and tetrapods. One subtype includes mammalian GnRHR and a coelacanth GnRHR that showed the greatest response to GnRH1 among the three types of GnRH. This study provides new insight into the evolutionary relationship of vertebrate GnRHRs.

  17. The Delphi process: a solution for reviewing novel grant applications

    Directory of Open Access Journals (Sweden)

    Cath Holliday

    2010-08-01

    Full Text Available Cath Holliday1, Monica Robotin1,21Cancer Council New South Wales, Sydney; 2University of Sydney, School of Public Health, Sydney, New South Wales, AustraliaIntroduction: Traditional scientific review processes are not well suited for evaluating the merits of research in situations where the available scientific evidence is limited and if review panels have widely divergent opinions. This study tested whether a Delphi process is useful in grant selection.Materials and method: A Delphi process prioritized novel research proposals in pancreatic cancer. Five reviewers holding similar grants overseas ranked research applications by scientific merit, innovativeness, and level of risk.Result: Three rounds of voting evaluated the best 10 applications received. In the first round of the Delphi process, scores ranged from 5.0 to 8.3. After the second round, the cumulative scores of the eight remaining applications ranged from 10 to 12.6. At the end of the third round, the final cumulative scores of the remaining six applications ranged from 13.6 to 18.2. The four highest ranking applications were recommended for funding, with agreement from reviewers.Conclusion: A modified Delphi process proved to be an efficient, transparent, and equitable method of reviewing novel grant applications in a specialized field of research, where no local expertise was available. This process may also be useful for other peer review processes, particularly where there is limited access to local experts.Keywords: delphi process, research grant selection, consensus

  18. DELPHI's Ring Imaging Cherenkov Chamber

    CERN Multimedia

    1989-01-01

    The hundreds of mirrors around this Ring Imaging Cherenkov Chamber reflect cones of light created by fast moving particles to a detector. The velocity of a particle can be measured by the size of the ring produced on the detector. DELPHI, which ran from 1989 to 2000 on the LEP accelerator, was primarily concerned with particle identification.

  19. Neuropathic pain phenotyping by international consensus (NeuroPPIC) for genetic studies: a NeuPSIG systematic review, Delphi survey, and expert panel recommendations.

    Science.gov (United States)

    van Hecke, Oliver; Kamerman, Peter R; Attal, Nadine; Baron, Ralf; Bjornsdottir, Gyda; Bennett, David L H; Bennett, Michael I; Bouhassira, Didier; Diatchenko, Luda; Freeman, Roy; Freynhagen, Rainer; Haanpää, Maija; Jensen, Troels S; Raja, Srinivasa N; Rice, Andrew S C; Seltzer, Zeʼev; Thorgeirsson, Thorgeir E; Yarnitsky, David; Smith, Blair H

    2015-11-01

    For genetic research to contribute more fully to furthering our knowledge of neuropathic pain, we require an agreed, valid, and feasible approach to phenotyping, to allow collaboration and replication in samples of sufficient size. Results from genetic studies on neuropathic pain have been inconsistent and have met with replication difficulties, in part because of differences in phenotypes used for case ascertainment. Because there is no consensus on the nature of these phenotypes, nor on the methods of collecting them, this study aimed to provide guidelines on collecting and reporting phenotypes in cases and controls for genetic studies. Consensus was achieved through a staged approach: (1) systematic literature review to identify all neuropathic pain phenotypes used in previous genetic studies; (2) Delphi survey to identify the most useful neuropathic pain phenotypes and their validity and feasibility; and (3) meeting of experts to reach consensus on the optimal phenotype(s) to be collected from patients with neuropathic pain for genetic studies. A basic "entry level" set of phenotypes was identified for any genetic study of neuropathic pain. This set identifies cases of "possible" neuropathic pain, and controls, and includes: (1) a validated symptom-based questionnaire to determine whether any pain is likely to be neuropathic; (2) body chart or checklist to identify whether the area of pain distribution is neuroanatomically logical; and (3) details of pain history (intensity, duration, any formal diagnosis). This NeuroPPIC "entry level" set of phenotypes can be expanded by more extensive and specific measures, as determined by scientific requirements and resource availability.

  20. Neuropathic pain phenotyping by international consensus (NeuroPPIC) for genetic studies: a NeuPSIG systematic review, Delphi survey, and expert panel recommendations

    Science.gov (United States)

    van Hecke, Oliver; Kamerman, Peter R.; Attal, Nadine; Baron, Ralf; Bjornsdottir, Gyda; Bennett, David L.H.; Bennett, Michael I.; Bouhassira, Didier; Diatchenko, Luda; Freeman, Roy; Freynhagen, Rainer; Haanpää, Maija; Jensen, Troels S.; Raja, Srinivasa N.; Rice, Andrew S.C.; Seltzer, Ze'ev; Thorgeirsson, Thorgeir E.; Yarnitsky, David; Smith, Blair H.

    2015-01-01

    Abstract For genetic research to contribute more fully to furthering our knowledge of neuropathic pain, we require an agreed, valid, and feasible approach to phenotyping, to allow collaboration and replication in samples of sufficient size. Results from genetic studies on neuropathic pain have been inconsistent and have met with replication difficulties, in part because of differences in phenotypes used for case ascertainment. Because there is no consensus on the nature of these phenotypes, nor on the methods of collecting them, this study aimed to provide guidelines on collecting and reporting phenotypes in cases and controls for genetic studies. Consensus was achieved through a staged approach: (1) systematic literature review to identify all neuropathic pain phenotypes used in previous genetic studies; (2) Delphi survey to identify the most useful neuropathic pain phenotypes and their validity and feasibility; and (3) meeting of experts to reach consensus on the optimal phenotype(s) to be collected from patients with neuropathic pain for genetic studies. A basic “entry level” set of phenotypes was identified for any genetic study of neuropathic pain. This set identifies cases of “possible” neuropathic pain, and controls, and includes: (1) a validated symptom-based questionnaire to determine whether any pain is likely to be neuropathic; (2) body chart or checklist to identify whether the area of pain distribution is neuroanatomically logical; and (3) details of pain history (intensity, duration, any formal diagnosis). This NeuroPPIC “entry level” set of phenotypes can be expanded by more extensive and specific measures, as determined by scientific requirements and resource availability. PMID:26469320

  1. Using the Delphi Method for Selecting Effective Rehabilitation Practices for Case Study Research: Methods, Challenges, and Solutions and Implications for Future Research

    Science.gov (United States)

    Fleming, Allison R.; Boeltzig-Brown, Heike; Foley, Susan M.

    2015-01-01

    Purpose: We describe a modified Delphi method used to select effective state vocational rehabilitation agency practices to prioritize rehabilitation services for individuals with most significant disabilities within the context of Order of Selection, an area where there is little known and published. Specifically, we describe how we applied the…

  2. Hetero-enzyme-based two-round signal amplification strategy for trace detection of aflatoxin B1 using an electrochemical aptasensor.

    Science.gov (United States)

    Zheng, Wanli; Teng, Jun; Cheng, Lin; Ye, Yingwang; Pan, Daodong; Wu, Jingjing; Xue, Feng; Liu, Guodong; Chen, Wei

    2016-06-15

    An electrochemical aptasensor for trace detection of aflatoxin B1 (AFB1) was developed by using an aptamer as the recognition unit while adopting the telomerase and EXO III based two-round signal amplification strategy as the signal enhancement units. The telomerase amplification was used to elongate the ssDNA probes on the surface of gold nanoparticles, by which the signal response range of the signal-off model electrochemical aptasensor could be correspondingly enlarged. Then, the EXO III amplification was used to hydrolyze the 3'-end of the dsDNA after the recognition of target AFB1, which caused the release of bounded AFB1 into the sensing system, where it participated in the next recognition-sensing cycle. With this two-round signal amplified electrochemical aptasensor, target AFB1 was successfully measured at trace concentrations with excellent detection limit of 0.6*10(-4)ppt and satisfied specificity due to the excellent affinity of the aptamer against AFB1. Based on this designed two-round signal amplification strategy, both the sensing range and detection limit were greatly improved. This proposed ultrasensitive electrochemical aptasensor method was also validated by comparison with the classic instrumental methods. Importantly, this hetero-enzyme based two-round signal amplified electrochemical aptasensor offers a great promising protocol for ultrasensitive detection of AFB1 and other mycotoxins by replacing the core recognition sequence of the aptamer.

  3. Development of a scale for the evaluation of patients' rights prerequisites at educational hospitals in Iran: a study using the Delphi technique.

    Science.gov (United States)

    Aazami, Sanaz; Mozafari, Mosayeb

    2015-01-01

    The patients' rights status is one of the essential elements in defining norms related to the concept of clinical governance system. In addition, the patients' rights status is an important index for quality of care offered in the health care system. However, the lack of a coherent instrument makes it difficult to evaluate patients' rights status in hospitals and clinics. The aim of this study was to develop an instrument for the evaluation of patients' rights prerequisites at educational hospitals in Iran. This study was conducted using the modified Delphi technique. In this study, 36 experts in the fields of law, medicine, and professional ethics were participated. The panel of experts participated in 3 rounds. First, experts were asked to judge some pre-identified items, and then, excluded items were judged again in the second round. At the end of the third round, all of the agreed items were included in the final list to form an evaluative scale on practice of patients' rights. Experts were asked to judge a total 171 items in 3 rounds. Around 31% (n = 53) of items obtained the panel's approval to be included in the final version of the scale. The experts' opinions were collected using face-to-face interviews and electronic email during a 6-month period of data collection from October 2013 to February 2014. This study developed a 53-item scale for evaluation of patients' rights prerequisites in educational hospitals in Iran. This scale was developed in 7 areas of commitments including university education, research, supervision, process management, physical structure, organizational policy, and human resources management. This study developed an evaluative scale to assess the practice of patients' rights in educational hospitals. The items in the final version of this scale were obtained from a consensus of experts and the instrument can be used to evaluate the context and prerequisites for practice of patients' rights in Iranian educational hospitals.

  4. Online Collaborative Learning Enhancement Through the Delphi Method

    Directory of Open Access Journals (Sweden)

    Zheng LI

    2006-04-01

    Full Text Available A variety of field trials have been conducted at NJIT in the past few years to demonstrate the utility of a Delphi-like approach to promoting asynchronous class wide collaboration. These utilized the Social Decision Support System (SDSS originally developed as a Computer Mediated Communication (CMC system for large group decision support. This paper provides an overview of these studies and then focuses on a recent case study in the fall of 2003 that demonstrated the ability of a computer mediated asynchronous Delphi process as a tool to scaffold collaborative idea generation and evaluation in both face to face and distance courses.

  5. Identification of Response Options to Artisanal and Small-Scale Gold Mining (ASGM) in Ghana via the Delphi Process

    Science.gov (United States)

    Basu, Avik; Phipps, Sean; Long, Rachel; Essegbey, George; Basu, Niladri

    2015-01-01

    The Delphi technique is a means of facilitating discussion among experts in order to develop consensus, and can be used for policy formulation. This article describes a modified Delphi approach in which 27 multi-disciplinary academics and 22 stakeholders from Ghana and North America were polled about ways to address negative effects of small-scale gold mining (ASGM) in Ghana. In early 2014, the academics, working in disciplinary groups, synthesized 17 response options based on data aggregated during an Integrated Assessment of ASGM in Ghana. The researchers participated in two rounds of Delphi polling in March and April 2014, during which 17 options were condensed into 12. Response options were rated via a 4-point Likert scale in terms of benefit (economic, environmental, and benefit to people) and feasibility (economic, social/cultural, political, and implementation). The six highest-scoring options populated a third Delphi poll, which 22 stakeholders from diverse sectors completed in April 2015. The academics and stakeholders also prioritized the response options using ranking exercises. The technique successfully gauged expert opinion on ASGM, and helped identify potential responses, policies and solutions for the sector. This is timely given that improvement to the ASGM sector is an important component within the UN Minamata Convention. PMID:26378557

  6. Identification of Response Options to Artisanal and Small-Scale Gold Mining (ASGM in Ghana via the Delphi Process

    Directory of Open Access Journals (Sweden)

    Avik Basu

    2015-09-01

    Full Text Available The Delphi technique is a means of facilitating discussion among experts in order to develop consensus, and can be used for policy formulation. This article describes a modified Delphi approach in which 27 multi-disciplinary academics and 22 stakeholders from Ghana and North America were polled about ways to address negative effects of small-scale gold mining (ASGM in Ghana. In early 2014, the academics, working in disciplinary groups, synthesized 17 response options based on data aggregated during an Integrated Assessment of ASGM in Ghana. The researchers participated in two rounds of Delphi polling in March and April 2014, during which 17 options were condensed into 12. Response options were rated via a 4-point Likert scale in terms of benefit (economic, environmental, and benefit to people and feasibility (economic, social/cultural, political, and implementation. The six highest-scoring options populated a third Delphi poll, which 22 stakeholders from diverse sectors completed in April 2015. The academics and stakeholders also prioritized the response options using ranking exercises. The technique successfully gauged expert opinion on ASGM, and helped identify potential responses, policies and solutions for the sector. This is timely given that improvement to the ASGM sector is an important component within the UN Minamata Convention.

  7. An international delphi study of the causes of death and the criteria used to assign cause of death in bovine perinatal mortality.

    Science.gov (United States)

    Mee, J F; Sanchez-Miguel, C; Doherty, M

    2013-08-01

    The objective of the present study was to elicit opinion from two groups of veterinarians [subject matter experts and non-subject matter experts] about the causes of bovine perinatal mortality and the criteria used to assign such causes. The subject matter experts were selected on the basis of their scientific publications or experience of working in a veterinary diagnostic or research laboratory in the area of bovine perinatal mortality. The non-subject matter experts were self-selected as cattle veterinarians without particular expertise in bovine perinatology. A total of 74 veterinarians (46 subject matter experts and 28 non-subject matter experts) from 23 countries responded. The study was conducted using Delphi methodology over seven rounds. Respondents were asked to agree the causes of bovine perinatal mortality and for each cause to agree the supporting diagnostic criteria. There was a close agreement between groups on 16 causes of death apart from intra-uterine growth retardation (IUGR) and micronutrient imbalances which were accepted by fewer subject matter experts. There was inter-group consensus on the criteria to diagnose accidents, congenital defects, dystocia, hyperthermia, infections, premature placental separation, prematurity and prolonged calving. There was inter-group consensus on the criteria to diagnose anoxia, apart from gingival cyanosis; on haemorrhage, apart from haemorrhagic anaemia; on IUGR, apart from organ weights; and on iodine imbalance, apart from goitre and thyroid iodine content. The results from this study highlighted the current lack of standardization of the criteria used to define the cause of death for bovine perinatal mortality and the need for such standardization.

  8. Study on cultivation objectives and curriculum system of nursing postgraduate constructed by Delphi method%Delphi法构建护理学研究生培养目标及课程体系的研究

    Institute of Scientific and Technical Information of China (English)

    蒋小平; 颜莉; 郑显兰; 刘贤; 魏晓琼

    2015-01-01

    Objective:To construct the specific ,detailed and operable cultivation objectives of nursing master postgraduates and curriculum system in favor of the cultivation of core competency of nursing professional mas‐ter ,so as to provide the references for the training program of medical colleges and higher nursing education management .Methods:By investigating the related literatures of training scheme of nursing academic type mas‐ter postgraduates in Chinese and English database various colleges and universities public web sites in nearly 5 years in 31 domestic and foreign universities ,and combining with Taylor’s education target model of theory frame ,Delphi specialist letter questionnaire was drafted ,a total of 2 rounds of inquiry were carried out .Statisti‐cal analysis was performed for the positive coefficient ,authoritative coefficient of expert ,expert opinion coordi‐nation degree and the mean value of indexes at all levels ,and coefficient of variation ,and to analyze the practica‐bility and significance of all indexes .Results:A total of 26 experts participated in inquiry ,value of their authority degree was 0 .88 ,and Kendall coordinated coefficient was 0 .531 ,χ2 test showed P<0 .01 ;the cultivation objec‐tives formed through two rounds of expert consultation had 9 concrete items ,including knowledge ,skills and humanistic accomplishment ;the formed curriculum system included 30 subjects totally ,in which there were 4 public obligatory courses ,6 professional basic courses ,20 professional expand option courses .Conclusion:The construction of nursing postgraduate cultivation objectives and curriculum system formed in this study were more specific and operable ,can provide references for development of postgraduate cultivation scheme of nursing profession .%[目的]构建具体、细化及可操作的护理学硕士研究生培养目标和有利于护理专业硕士生核心能力培养的课程体系,为各医学院校和高等护理教

  9. Delphi consensus on the diagnosis and management of dyslipidaemia in chronic kidney disease patients: A post hoc analysis of the DIANA study.

    Science.gov (United States)

    Cases Amenós, Aleix; Pedro-Botet Montoya, Juan; Pascual Fuster, Vicente; Barrios Alonso, Vivencio; Pintó Sala, Xavier; Ascaso Gimilio, Juan F; Millán Nuñez-Cortés, Jesús; Serrano Cumplido, Adalberto

    This post hoc study analysed the perception of the relevance of chronic kidney disease (CKD) in dyslipidaemia screening and the choice of statin among primary care physicians (PCPs) and other specialists through a Delphi questionnaire. The questionnaire included 4blocks of questions concerning dyslipidaemic patients with impaired carbohydrate metabolism. This study presents the results of the impact of CKD on screening and the choice of statin. Of the 497 experts included, 58% were PCPs and 42% were specialists (35, 7% were nephrologists). There was consensus by both PCPs and specialists, with no difference between PCPs and specialists, that CKD patients should undergo a dyslipidaemia screening and that the screening should be part of routine clinical practice. However, there was no consensus in considering the estimated glomerular filtration rate (eGFR) (although there was consensus among PCPs and nephrologists), or considering albuminuria when selecting a statin, or in determining albuminuria during follow-up after having initiated treatment with statins (although there was consensus among the nephrologists). The consensus to analyse the lipid profile in CKD patients suggests acknowledgment of the high cardiovascular risk of this condition. However, the lack of consensus in considering renal function or albuminuria, both when selecting a statin and during follow-up, suggests a limited knowledge of the differences between statins in relation to CKD. Thus, it would be advisable to develop a guideline/consensus document on the use of statins in CKD. Copyright © 2016 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.

  10. Self-help strategies for sub-threshold anxiety: A Delphi consensus study to find messages suitable for population-wide promotion.

    Science.gov (United States)

    Morgan, Amy J; Chittleborough, Philip; Jorm, Anthony F

    2016-12-01

    Many self-help strategies have been recommended for anxiety, but it is not clear which strategies are most effective and could be encouraged as part of an early intervention approach. This study used the Delphi expert consensus method to identify which strategies for mild (sub-threshold) anxiety are thought to be helpful and feasible to implement for individuals without professional assistance. Participants were an international sample of 51 clinicians/researchers and 32 consumer advocates with expertise in anxiety. The scientific and lay literature was systematically searched for strategies claimed to be effective for anxiety. Participants rated the likely helpfulness of each strategy in reducing sub-threshold anxiety (related to generalised anxiety, social anxiety, or non-specific anxiety symptoms) and the feasibility of implementation in an iterative process across three questionnaire rounds. 66 out of 324 candidate strategies were endorsed by at least 80% of both consumers and clinicians/researchers as likely to be helpful, and 18 were judged as feasible to carry out. Endorsed strategies were most frequently related to cognitive strategies and other psychological methods, interpersonal strategies, reducing physical tension, and lifestyle strategies. Few strategies were endorsed that were related to diet, supplements, or complementary medicine. Findings may not apply to other forms of mild anxiety related to panic attacks or specific phobias. This study contributes to the evidence-base on strategies that individuals can use to improve mild anxiety symptoms. Research is now required to evaluate whether promoting the strategies can help reduce the overall community burden from anxiety disorders. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

  11. Improving care standards for patients with spinal trauma combining a modified e-Delphi process and stakeholder interviews: a study protocol

    Science.gov (United States)

    Stanford, Ralph; Middleton, James W; Burns, Brian; Joseph, Anthony; Flower, Oliver; Rigby, Oran; Ball, Jonathon; Dhaliwal, Shelly

    2017-01-01

    Introduction Around 300 people sustain a new traumatic spinal cord injury (TSCI) in Australia each year; a relatively low incidence injury with extremely high long-term associated costs. Care standards are inconsistent nationally, lacking in consensus across important components of care such as prehospital spinal immobilisation, timing of surgery and timeliness of transfer to specialist services. This study aims to develop ‘expertly defined’ and agreed standards of care across the majority of disciplines involved for these patients. Methods and analysis A modified e-Delphi process will be used to gain consensus for best practice across specific clinical early care areas for the patient with TSCI; invited participants will include clinicians across Australia with relevant and significant expertise. A rapid literature review will identify available evidence, including any current guidelines from 2005 to 2015. Level and strength of evidence identified, including areas of contention, will be used to formulate the first round survey questions and statements. Participants will undertake 2–3 online survey rounds, responding anonymously to questionnaires regarding care practices and indicating their agreement or otherwise with practice standard statements. Relevant key stakeholders, including patients, will also be interviewed face to face. Ethics and dissemination Ethics approval for this study was obtained by the NSW Population & Health Services Research Ethics Committee on 14 January 2016 (HREC/12/CIPHS/74). Seeking comprehensive understanding of how the variation in early care pathways and treatment can be addressed to achieve optimal patient outcomes and economic costs; the overall aim is the agreement to a consistent approach to the triage, treatment, transport and definitive care of acute TSCI victims. The agreed practice standards of care will inform the development of a Clinical Pathway with practice change strategies for implementation. These standards will

  12. Identifying Quality Indicators of SAE and FFA: A Delphi Approach

    Science.gov (United States)

    Jenkins, Charles Cordell, III; Kitchel, Tracy

    2009-01-01

    The purpose of this study was to determine quality indicators for SAE and FFA according to 36 experts across the United States. This is a part of a larger study looking at all components of the traditional three-circle model. The study utilized the Delphi technique to garner expert opinion about quality indicators in Agricultural Education. For…

  13. Inhaled treatment of COPD: a Delphi consensus statement

    Science.gov (United States)

    Ninane, Vincent; Corhay, Jean-Louis; Germonpré, Paul; Janssens, Wim; Joos, Guy F; Liistro, Giuseppe; Vincken, Walter; Gurdain, Sandra; Vanvlasselaer, Evelyne; Lehouck, An

    2017-01-01

    Background Global Initiative for Chronic Obstructive Lung Disease (GOLD) global strategy (2015) provides guidance for the treatment of chronic obstructive pulmonary disease (COPD) with different first-choice options per GOLD category without specification. Objectives To evaluate the level of medical experts’ consensus on their preferred first-choice treatment within different COPD categories. Methods A two-round Delphi Panel consisting of 15 questions was completed by Belgian pulmonologists (n=31) and European (n=10) COPD experts. Results Good consensus was reached by both expert groups for long-acting bronchodilators instead of short-acting bronchodilators as first-choice treatment in GOLD A. Single bronchodilation with long-acting muscarinic antagonist (LAMA) was preferred over long-acting β2-agonist (LABA) and LABA/LAMA as first-choice treatment in GOLD B and GOLD C. For GOLD D patients based on the forced expiratory volume in 1 second (FEV1)ICS) as first choice in the Belgian group. According to the European experts, both LABA/LAMA and LABA/LAMA/ICS could be the first choice for these patients. Conclusion Belgian and European experts recommend long-acting bronchodilators as first-choice treatment. Treatment containing ICS was found only appropriate in patients with FEV1<50% and ≥2 moderate exacerbations or 1 severe exacerbation/year. PMID:28293106

  14. Development of guidelines for tertiary education institutions to assist them in supporting students with a mental illness: a Delphi consensus study with Australian professionals and consumers.

    Science.gov (United States)

    Reavley, Nicola J; Ross, Anna M; Killackey, Eoin; Jorm, Anthony F

    2013-01-01

    Background. The age at which most young people are in tertiary education is also the age of peak onset for mental illness. Because mental health problems can have adverse effects on students' academic performance and welfare, institutions require guidance how they can best provide support. However, the scientific evidence for how best to do this is relatively limited. Therefore a Delphi expert consensus study was carried out with professional and consumer experts. Methods. A systematic review of websites, books and journal articles was conducted to develop a 172 item survey containing strategies that institutions might use to support students with a mental illness. Two panels of Australian experts (74 professionals and 35 consumers) were recruited and independently rated the items over three rounds, with strategies reaching consensus on importance written into the guidelines. Results. The overall response rate across three rounds was 83% (80% consumers, 85% professionals). 155 strategies were endorsed as essential or important by at least 80% of panel members. The endorsed strategies provided information on policy, measures to promote support services, service provision, accessibility of support services, relationships between services, other types of support and issues associated with reasonable adjustments. They also provided guidance on the procedures the institutions should have for making staff aware of issues associated with mental illness, mental illness training, support for staff and communicating with a student with a mental illness. They also covered student rights and responsibilities, the procedures the institutions should have for making students aware of issues associated with mental illness, dealing with mental health crises, funding and research and evaluation. Conclusions. The guidelines provide guidance for tertiary institutions to assist them in supporting students with a mental illness. It is hoped that they may be used to inform policy and

  15. Development of guidelines for tertiary education institutions to assist them in supporting students with a mental illness: a Delphi consensus study with Australian professionals and consumers

    Directory of Open Access Journals (Sweden)

    Nicola J. Reavley

    2013-02-01

    Full Text Available Background. The age at which most young people are in tertiary education is also the age of peak onset for mental illness. Because mental health problems can have adverse effects on students’ academic performance and welfare, institutions require guidance how they can best provide support. However, the scientific evidence for how best to do this is relatively limited. Therefore a Delphi expert consensus study was carried out with professional and consumer experts.Methods. A systematic review of websites, books and journal articles was conducted to develop a 172 item survey containing strategies that institutions might use to support students with a mental illness. Two panels of Australian experts (74 professionals and 35 consumers were recruited and independently rated the items over three rounds, with strategies reaching consensus on importance written into the guidelines.Results. The overall response rate across three rounds was 83% (80% consumers, 85% professionals. 155 strategies were endorsed as essential or important by at least 80% of panel members. The endorsed strategies provided information on policy, measures to promote support services, service provision, accessibility of support services, relationships between services, other types of support and issues associated with reasonable adjustments. They also provided guidance on the procedures the institutions should have for making staff aware of issues associated with mental illness, mental illness training, support for staff and communicating with a student with a mental illness. They also covered student rights and responsibilities, the procedures the institutions should have for making students aware of issues associated with mental illness, dealing with mental health crises, funding and research and evaluation.Conclusions. The guidelines provide guidance for tertiary institutions to assist them in supporting students with a mental illness. It is hoped that they may be used to

  16. Assessment of Competence in EVAR Procedures: A Novel Rating Scale Developed by the Delphi Technique.

    Science.gov (United States)

    Strøm, M; Lönn, L; Bech, B; Schroeder, T V; Konge, L

    2017-07-01

    To develop a procedure specific global rating scale for assessment of operator competence in endovascular aortic repair (EVAR). A Delphi approach was used to achieve expert consensus. A panel of 32 international experts (median 300 EVAR procedures, range 200-3000) from vascular surgery (n = 21) and radiology (n = 11) was established. The first Delphi round was based on a review of endovascular skills assessment papers, stent graft instructions for use, and structured interviews. It led to a primary pool of 83 items that were formulated as global rating scale items with tentative anchors. Iterative Delphi rounds were executed. The panellists rated the importance of each item on a 5 point Likert scale. Consensus was defined as 80% of the panel rating an item 4 or 5 in the primary round and 90% in subsequent rounds. Consensus on the final assessment tool was defined as Cronbach's alpha > .8 after a minimum of three rounds. Thirty-two of 35 invited experts participated. Three rounds of surveys were completed with a completion rate of 100% in the first two rounds and 91% in round three. The 83 primary assessment items were supplemented with five items suggested by the panel and reduced to seven pivotal assessment items that reached consensus, Cronbach's alpha = 0.82. The seven item rating scale covers key elements of competence in EVAR stent placement and deployment. Each item has well defined grades with explicit anchors at unacceptable, acceptable, and superior performance on a 5 point Likert scale. The Delphi methodology allowed for international consensus on a new procedure specific global rating scale for assessment of competence in EVAR. The resulting scale, EndoVascular Aortic Repair Assessment of Technical Expertise (EVARATE), represents key elements in the procedure. EVARATE constitutes an assessment tool for providing structured feedback to endovascular operators in training. Copyright © 2017 European Society for Vascular Surgery. Published by Elsevier

  17. Measurement of the {Lambda}{sub c} charmed baryon production and the study of the {Lambda}{sub c} baryon semi-leptonic decays by the DELPHI experiment at LEP; Mesure de la production du baryon charme {Lambda}{sub c} et etude des desintegrations semi-leptoniques de baryon {Lambda}{sub c} par l`experience DELPHI au LEP

    Energy Technology Data Exchange (ETDEWEB)

    Bertini, D. [Lyon-1 Univ., 69 (France)

    1997-04-24

    By using the data accumulated in the DELPHI experiment from 1992 to 1994 we present the results of the production rate measurement of {Lambda}{sub c} charmed baryons generated in the bb-bar and cc-bar events. For these measurements we reconstructed entirely the {Lambda}{sub c} baryons decaying in pK{pi}. Then we select a set of bottom baryons {Lambda}{sub b}{sup 0} by means of its semi-leptonic decays in {Lambda}{sub c}{sup +}l{sup -}{nu}{sub l}-bar. The study of distribution of these events as a function of the transfer momentum allowed estimating for the first time the slope of the {Lambda}{sub b}{sup 0} form factor. (author) 93 refs.

  18. Identification of Skills Standards for Entry Level Legal Office Support Staff in Urban Oklahoma: A Delphi Study

    Science.gov (United States)

    Reese Ward, Tonya Maria

    2010-01-01

    Scope and Method of Study: The purpose of this study was to use industry experts to identify critical skills or competencies perceived by the legal profession to be required by competent team members in the legal office environment. Specifically, this study focused on fulfilling this purpose in the context of urban Oklahoma, where a large number…

  19. Gadamerian philosophical hermeneutics as a useful methodological framework for the Delphi technique.

    Science.gov (United States)

    Guzys, Diana; Dickson-Swift, Virginia; Kenny, Amanda; Threlkeld, Guinever

    2015-01-01

    In this article we aim to demonstrate how Gadamerian philosophical hermeneutics may provide a sound methodological framework for researchers using the Delphi Technique (Delphi) in studies exploring health and well-being. Reporting of the use of Delphi in health and well-being research is increasing, but less attention has been given to covering its methodological underpinnings. In Delphi, a structured anonymous conversation between participants is facilitated, via an iterative survey process. Participants are specifically selected for their knowledge and experience with the topic of interest. The purpose of structuring conversation in this manner is to cultivate collective opinion and highlight areas of disagreement, using a process that minimizes the influence of group dynamics. The underlying premise is that the opinion of a collective is more useful than that of an individual. In designing our study into health literacy, Delphi aligned well with our research focus and would enable us to capture collective views. However, we were interested in the methodology that would inform our study. As researchers, we believe that methodology provides the framework and principles for a study and is integral to research integrity. In assessing the suitability of Delphi for our research purpose, we found little information about underpinning methodology. The absence of a universally recognized or consistent methodology associated with Delphi was highlighted through a scoping review we undertook to assist us in our methodological thinking. This led us to consider alternative methodologies, which might be congruent with the key principles of Delphi. We identified Gadamerian philosophical hermeneutics as a methodology that could provide a supportive framework and principles. We suggest that this methodology may be useful in health and well-being studies utilizing the Delphi method.

  20. Integrating Academics into Agriculture Programs: A Delphi Study to Determine Perceptions of the National Agriscience Teacher Ambassador Academy Participants

    Science.gov (United States)

    Myers, Brian E.; Thompson, Gregory W.

    2009-01-01

    This study investigated the perceptions of participants in the National Agriscience Teacher Ambassador Academy as to the next steps the agricultural education profession should take to move forward in the area of integrating academic subject matter into agricultural education courses. All members of the 2007 Academy participated in the study.…

  1. Action Researchers' Perspectives about the Distinguishing Characteristics of Action Research: A Delphi and Learning Circles Mixed-Methods Study

    Science.gov (United States)

    Rowell, Lonnie L.; Polush, Elena Yu; Riel, Margaret; Bruewer, Aaron

    2015-01-01

    The purpose of this study was to identify distinguishing characteristics of action research within the Action Research Special Interest Group of the American Educational Research Association. The authors sought to delineate the foundational framework endorsed by this community. The study was conducted during January-April 2012 and employed an…

  2. DelPhi: a comprehensive suite for DelPhi software and associated resources

    Directory of Open Access Journals (Sweden)

    Li Lin

    2012-05-01

    Full Text Available Abstract Background Accurate modeling of electrostatic potential and corresponding energies becomes increasingly important for understanding properties of biological macromolecules and their complexes. However, this is not an easy task due to the irregular shape of biological entities and the presence of water and mobile ions. Results Here we report a comprehensive suite for the well-known Poisson-Boltzmann solver, DelPhi, enriched with additional features to facilitate DelPhi usage. The suite allows for easy download of both DelPhi executable files and source code along with a makefile for local installations. The users can obtain the DelPhi manual and parameter files required for the corresponding investigation. Non-experienced researchers can download examples containing all necessary data to carry out DelPhi runs on a set of selected examples illustrating various DelPhi features and demonstrating DelPhi’s accuracy against analytical solutions. Conclusions DelPhi suite offers not only the DelPhi executable and sources files, examples and parameter files, but also provides links to third party developed resources either utilizing DelPhi or providing plugins for DelPhi. In addition, the users and developers are offered a forum to share ideas, resolve issues, report bugs and seek help with respect to the DelPhi package. The resource is available free of charge for academic users from URL: http://compbio.clemson.edu/DelPhi.php.

  3. Intravenous thrombolysis in acute ischaemic stroke: from trial exclusion criteria to clinical contraindications. An international Delphi study

    NARCIS (Netherlands)

    M. Dirks (Maaike); L.W. Niessen (Louis Wilhelmus); C.L. Franke (Cees); R.J. van Oostenbrugge (Robert Jan); D.W.J. Dippel (Diederik); P.J. Koudstaal (Peter Jan)

    2007-01-01

    textabstractOBJECTIVE: Several studies indicate that only a small proportion of patients with acute ischaemic stroke are treated with intravenous thrombolysis. Indications and contraindications for this treatment are usually based on the inclusion and exclusion criteria of randomised clinical trials

  4. Developing process guidelines for trauma care in the Netherlands for severely injured patients: Results from a Delphi study

    NARCIS (Netherlands)

    E.M. Hoogervorst (Esther); E.F. van Beeck (Ed); J.C. Goslings (Carel); P.D. Bezemer (Pieter Dirk); J.J.L.M. Bierens (Joost Jan Laurens Marie)

    2013-01-01

    textabstractBackground: In organised trauma systems the process of care is the key to quality. Nevertheless, the optimal process of trauma care remains unclear due to lack of or inconclusive evidence. Because monitoring and improving the performance of a trauma system is complex, this study aimed to

  5. Which Lifelong Activities Are Held in Highest Regard by Physical Education Stakeholders in Michigan: Can Stakeholders Agree? A Delphi Study

    Science.gov (United States)

    Allen, Ray; Mackey, Marcia J.; Rollenhagen, Benjamin R.

    2016-01-01

    The purpose of this study was to identify what lifelong activities stakeholders agree upon as most important to include in physical education programs. Little research has been conducted regarding which lifelong activities are most important to include in the curriculum and if there is consensus in priorities across program stakeholders. Consensus…

  6. Developing process guidelines for trauma care in the Netherlands for severely injured patients : results from a Delphi study

    NARCIS (Netherlands)

    Hoogervorst, Elisabeth Maria; van Beeck, Eduard Ferdinand; Goslings, Johan Carel; Bezemer, Pieter Dirk; Bierens, Joost Jan Laurens Marie

    2013-01-01

    Background: In organised trauma systems the process of care is the key to quality. Nevertheless, the optimal process of trauma care remains unclear due to lack of or inconclusive evidence. Because monitoring and improving the performance of a trauma system is complex, this study aimed to develop con

  7. Promising Behavior Change Techniques in a Multicomponent Intervention to Reduce Concerns about Falls in Old Age: A Delphi Study

    Science.gov (United States)

    Vestjens, Lotte; Kempen, Gertrudis I. J. M.; Crutzen, Rik; Kok, Gerjo; Zijlstra, G. A. Rixt

    2015-01-01

    Complex behavior change interventions need evidence regarding the effectiveness of individual components to understand how these interventions work. The objective of this study was to identify the least and most promising behavior change techniques (BCTs) within the Dutch intervention "A Matter of Balance" (AMB-NL) aimed at concerns…

  8. Evaluation of a Delphi technique based expert judgement method for LCA valuation - DELPHI II

    Energy Technology Data Exchange (ETDEWEB)

    Virtanen, Y.; Torkkeli, S. [VTT Chemical Technology, Espoo (Finland). Environmental Technology; Wilson, B. [Landbank Environmental Research and Consulting, London (United Kingdom)

    1999-07-01

    Because of the complexity and trade-offs between different points of the life cycles of the analysed systems, a method which measures the environmental damage caused by each intervention is needed in order to make a choice between the products. However, there is no commonly agreed methodology for this particular purpose. In most of the methods the valuation is implicitly or explicitly based on economic criteria. For various reasons, however, economically obtained criteria do not necessarily reflect ecological arguments correctly. Thus, there is a need for new, ecologically based valuation methods. One such approach is the expert judgement method, based on the Delphi technique, which rejects the economic basis in favour of the judgements of a group of environmental experts. However, it is not self evident that the expert judgement based environmental rating of interventions will be essentially more correct and certain than other methods. In this study the method was evaluated at different points of the procedure in order to obtain a picture of the quality of the indexes produced. The evaluation was based on an actual Delphi study made in 1995-1996 in Finland, Sweden and Norway. The main questions addressed were the significance of the results and the operational quality of the Delphi procedure. The results obtained by applying the expert method indexes were also compared with the results obtained with other valuation methods for the background life cycle inventory of the case study. Additional material included feedback data from panellists of the case study, collected with a questionnaire. The questionnaire data was analysed to identify major dimensions in the criteria for evaluating interventions and correlation of the final indexes of the Delphi I study with these dimensions. The rest of the questionnaire material was used to document panellists' opinions and experiences of the Delphi process, familiarity with the environmental impacts of various

  9. DELPHI Barrel Ring Imaging Cherenkov Detector

    CERN Multimedia

    DELPHI was one of the four experiments installed at the LEP particle accelerator from 1989 - 2000. This is a piece of the Barrel Ring Imaging Cherenkov detector which was used to identify particles in DELPHI.It measured the Cherenkov light emitted when particles travelled faster than the speed of light through the material of the detector. The photo shows the complete Cherenkov detector.

  10. Terminating Sequential Delphi Survey Data Collection

    Science.gov (United States)

    Kalaian, Sema A.; Kasim, Rafa M.

    2012-01-01

    The Delphi survey technique is an iterative mail or electronic (e-mail or web-based) survey method used to obtain agreement or consensus among a group of experts in a specific field on a particular issue through a well-designed and systematic multiple sequential rounds of survey administrations. Each of the multiple rounds of the Delphi survey…

  11. The Delphi Method And Decision Making

    OpenAIRE

    Villagrasa, Raimundo

    2015-01-01

    Se describe, analisa y critica el método Delphi, desarrollado para encontrar una opinión grupal para tomar decisiones de manera eficiente en una empresa. The article describes, analyzes and criticizes the Delphi method, developed to find a group opinion to make decisions in an efficient way in a firm.

  12. The Delphi Method for Graduate Research

    Science.gov (United States)

    Skulmoski, Gregory J.; Hartman, Francis T.; Krahn, Jennifer

    2007-01-01

    The Delphi method is an attractive method for graduate students completing masters and PhD level research. It is a flexible research technique that has been successfully used in our program at the University of Calgary to explore new concepts within and outside of the information systems body of knowledge. The Delphi method is an iterative process…

  13. Study of Inclusive $J/\\psi$ Production in Two-Photon Collisions at LEP II with the DELPHI Detector

    CERN Document Server

    Abdallah, J; Adam, W; Adzic, P; Albrecht, T; Alderweireld, T; Alemany-Fernandez, R; Allmendinger, T; Allport, P P; Almehed, S; Amaldi, Ugo; Amapane, N; Amato, S; Anashkin, E; Andreazza, A; Andringa, S; Anjos, N; Antilogus, P; Apel, W D; Arnoud, Y; Ask, S; Åsman, B; Augustin, J E; Augustinus, A; Baillon, Paul; Ballestrero, A; Bambade, P; Barbier, R; Bardin, Dimitri Yuri; Barker, G; Baroncelli, A; Battaglia, Marco; Baubillier, M; Becks, K H; Begalli, M; Behrmann, A; Bellunato, T F; Benekos, N C; Benvenuti, Alberto C; Bérat, C; Berggren, M; Berntzon, L; Bertrand, D; Besançon, M; Besson, N; Bloch, D; Blom, M; Bonesini, M; Boonekamp, M; Booth, P S L; Borisov, G; Botner, O; Bouquet, B; Bowcock, T J V; Boyko, I; Bracko, M; Brenner, R; Brodet, E; Brückman, P; Brunet, J M; Bugge, L; Buschmann, P; Calvi, M; Camporesi, T; Canale, V; Carena, F; Carimalo, C; Castro, N; Cavallo, F R; Chapkin, M M; Charpentier, P; Checchia, P; Chierici, R; Shlyapnikov, P; Chung, S U; Cieslik, K; Collins, P; Contri, R; Cosme, G; Cossutti, F; Costa, M J; Crawley, B; Crennell, D J; Cuevas-Maestro, J; D'Hondt, J; Dalmau, J; Da Silva, T; Da Silva, W; Della Ricca, G; De Angelis, A; de Boer, Wim; De Clercq, C; De Lotto, B; De Maria, N; De Min, A; De Paula, L S; Di Ciaccio, Lucia; Di Simone, A; Doroba, K; Drees, J; Dris, M; Eigen, G; Ekelöf, T J C; Ellert, M; Elsing, M; Espirito-Santo, M C; Fanourakis, G K; Fassouliotis, D; Feindt, M; Fernández, J; Ferrer, A; Ferro, F; Flagmeyer, U; Föth, H; Fokitis, E; Fulda-Quenzer, F; Fuster, J A; Gandelman, M; García, C; Gavillet, P; Gazis, E N; Gelé, D; Geralis, T; Gokieli, R; Golob, B; Gómez-Ceballos, G; Gonçalves, P; Graziani, E; Grosdidier, G; Grzelak, K; Guy, J; Haag, C; Hahn, F; Hahn, S; Hallgren, A; Hamacher, K; Hamilton, K; Hansen, J; Haug, S; Hauler, F; Hedberg, V; Hennecke, M; Herr, H; Holmgren, S O; Holt, P J; Houlden, M A; Hultqvist, K; Jackson, J N; Jarlskog, C; Jarlskog, G; Jarry, P; Jeans, D; Johansson, E K; Johansson, P D; Jonsson, P; Joram, C; Jungermann, L; Kapusta, F; Katsanevas, S; Katsoufis, E C; Keränen, R; Kernel, G; Kersevan, Borut P; Kiiskinen, A P; King, B T; Kjaer, N J; Kluit, P; Kokkinias, P; Kourkoumelis, C; Kuznetsov, O; Krumshtein, Z; Kucharczyk, M; Kurowska, J; Laforge, B; Lamsa, J; Leder, G; Ledroit, F; Leinonen, L; Leitner, R; Lemonne, J; Lenzen, G; Lepeltier, V; Lesiak, T; Liebig, W; Liko, D; Lipniacka, A; Lopes, J H; López, J M; Loukas, D; Lutz, P; Lyons, L; MacNaughton, J; Malek, A; Maltezos, S; Mandl, F; Marco, J; Marco, R; Maréchal, B; Margoni, M; Marin, J C; Mariotti, C; Markou, A; Martínez-Rivero, C; Masik, J; Mastroyiannopoulos, N; Matorras, F; Matteuzzi, C; Mazzucato, F; Mazzucato, M; McNulty, R; Meroni, C; Meyer, W T; Migliore, E; Mitaroff, W A; Mjörnmark, U; Moa, T; Moch, M; Mönig, K; Monge, R; Montenegro, J; Moraes, D; Moreno, S; Morettini, P; Müller, U; Münich, K; Mulders, M; Mundim, L M; Murray, W; Muryn, B; Myatt, Gerald; Myklebust, T; Nassiakou, M; Navarria, Francesco Luigi; Nawrocki, K; Némécek, S; Nicolaidou, R; Niezurawski, P; Nikolenko, M; Nygren, A; Oblakowska-Mucha, A; Obraztsov, V F; Olshevskii, A G; Onofre, A; Orava, Risto; Österberg, K; Ouraou, A; Oyanguren, A; Paganoni, M; Paiano, S; Palacios, J P; Palka, H; Papadopoulou, T D; Pape, L; Parkes, C; Parodi, F; Parzefall, U; Passeri, A; Passon, O; Peralta, L; Perepelitsa, V F; Perrotta, A; Petrolini, A; Piedra, J; Pieri, L; Pierre, F; Pimenta, M; Piotto, E; Podobnik, T; Poireau, V; Pol, M E; Polok, G; Poropat, P; Pozdnyakov, V; Privitera, P; Pukhaeva, N; Pullia, Antonio; Rames, J; Ramler, L; Read, A; Rebecchi, P; Rehn, J; Reid, D; Reinhardt, R; Renton, P B; Richard, F; Rídky, J; Ripp-Baudot, I; Rodríguez, D; Romero, A; Ronchese, P; Rosenberg, E I; Roudeau, Patrick; Rovelli, T; Ruhlmann-Kleider, V; Ryabtchikov, D; Sadovskii, A; Salmi, L; Salt, J; Savoy-Navarro, A; Schwanda, C; Schwering, B; Schwickerath, U; Segar, A; Sekulin, R L; Siebel, M; Sissakian, A N; Smadja, G; Smirnova, O G; Sokolov, A; Sopczak, A; Sosnowski, R; Spassoff, Tz; Stanitzki, M; Stocchi, A; Strauss, J; Stugu, B; Szczekowski, M; Szeptycka, M; Szumlak, T; Tabarelli de Fatis, T; Taffard, A C; Tegenfeldt, F; Terranova, F; Timmermans, J; Tinti, N; Tkatchev, L G; Tobin, M; Todorovova, S; Tomé, B; Tonazzo, A; Tortosa, P; Travnicek, P; Treille, D; Tristram, G; Trochimczuk, M; Troncon, C; Tyapkin, I A; Tyapkin, P; Tzamarias, S; Ullaland, O; Uvarov, V; Valenti, G; van Dam, P; Van Eldik, J; Van Lysebetten, A; Van Remortel, N; Van Vulpen, I B; Vegni, G; Veloso, F; Venus, W A; Verbeure, F; Verdier, P; Verzi, V; Vilanova, D; Vitale, L; Vrba, V; Wahlen, H; Washbrook, A J; Weiser, C; Wicke, D; Wickens, J H; Wilkinson, G; Winter, M; Witek, M; Yushchenko, O P; Zalewska-Bak, A; Zalewski, Piotr; Zavrtanik, D; Zimin, N I; Zinchenko, A I; Zoller, P; Zupan, M

    2003-01-01

    Inclusive J/psi production in photon-photon collisions has been observed at LEP II beam energies. A clear signal from the reactions gammagamma → J/psi + X is seen. The number of observed N(J/psi → mu^+mu^-) events is 36 +- 7 for an integrated luminosity of 617 pb^-1, yielding a cross-section of sigma(J/psi + X) = 45 +- 9(stat) +- 17(syst) pb. Based on a study of the event shapes of different types of gammagamma processes in the PYTHIA program, we conclude that (74 +- 22)% of the observed J/psi events are due to "resolved" photons, the dominant contribution of which is most probably due to the gluon content of the photon.

  14. DELPHI Barrel Muon Chamber Module

    CERN Multimedia

    1989-01-01

    The module was used as part of the muon identification system on the barrel of the DELPHI detector at LEP, and was in active use from 1989 to 2000. The module consists of 7 individual muons chambers arranged in 2 layers. Chambers in the upper layer are staggered by half a chamber width with respect to the lower layer. Each individual chamber is a drift chamber consisting of an anode wire, 47 microns in diameter, and a wrapped copper delay line. Each chamber provided 3 signal for each muon passing through the chamber, from which a 3D space-point could be reconstructed.

  15. Identifying the key elements of an education package to up-skill multidisciplinary adult specialist palliative care teams caring for young adults with life-limiting conditions: an online Delphi study

    Science.gov (United States)

    Sivell, Stephanie; Lidstone, Victoria; Taubert, Mark; Thompson, Catherine; Nelson, Annmarie

    2015-01-01

    Objectives To collect the views of experts to inform the development of an education package for multidisciplinary adult specialist palliative care (SPC) teams caring for young people with life-limiting conditions. Methods A modified online Delphi process collated expert opinion on format, delivery and content of an education package to up-skill adult SPC teams. Round 1 participants (n=44) answered free-text questions, generating items for Round 2. In Round 2, 68 participants rated the extent to which they agreed/disagreed with the items on 5-point Likert-type scales. Median and mean scores assessed the importance of each item. IQR scores assessed level of consensus for each item; items lacking consensus were rerated by 35 participants in Round 3. Results In the Delphi, consensus was reached on a range of suggested formats, on who should deliver the training, and on several clinical, psychosocial and practical topics. Conclusions Development of a continuous/rolling programme of education, tailored for content and mode of delivery and incorporated into working practice is recommended. As a direct outcome of the results of this study, a series of six linked study days has been established, focusing specifically on the issues around caring for young adults with life-limiting conditions and palliative care needs. PMID:24670554

  16. Health care for immigrants in Europe: is there still consensus among country experts about principles of good practice? A Delphi study

    DEFF Research Database (Denmark)

    Devillé, Walter; Greacen, Tim; Bogic, Marija;

    2011-01-01

    and values of professionals working in different health care contexts and in different European countries as to what constitutes good practice in health care for immigrants. Methods: A total of 134 experts in 16 EU Member States participated in a three-round Delphi process. The experts represented four...... to 16 factors being identified as the most important for each participating country. All 186 factors were aggregated into 9 themes: (1) easy and equal access to health care, (2) empowerment of migrants, (3) culturally sensitive health care services, (4) quality of care, (5) patient/health care provider...

  17. Defining European preparedness and research needs regarding emerging infectious animal diseases: results from a Delphi expert consultation.

    Science.gov (United States)

    Wentholt, M T A; Cardoen, S; Imberechts, H; Van Huffel, X; Ooms, B W; Frewer, L J

    2012-02-01

    Emerging and major infectious animal diseases can have significant international impact on social, economic and environmental level, and are being driven by various factors. Prevention and control measures should be prepared at both national and international level to mitigate these disease risks. Research to support such policy development is mostly carried out at national level and dedicated transnational research programmes are still in its infancy. This research reports on part of a process to develop a common strategic research agenda on emerging and major infectious diseases of livestock in Europe, covering a 5-15-year time span. A two round online Delphi study was conducted to explore the views of experts on issues relating to research needs on emerging infectious diseases of livestock in Europe. Drivers that may influence the incidence of emerging infectious animal diseases in both the short (next 5 years) and medium term (10-15 years) were identified. Drivers related to regulatory measures and biological science developments were thought to decrease the incidence, and socio-economic factors to increase the incidence of emerging infectious animal diseases. From the first round a list of threats to animal health was compiled and participants combined these threats with relevant drivers in the second round. Next to identifying threats to animal health, also possible mitigatory actions to reduce the negative impact of these threats were identified. Participants emphasised that interdisciplinary research is needed to understand drivers of emerging infectious animal diseases, as well as to develop prevention and control measures which are both socio-economic and technical. From this it can be concluded that interdisciplinary research combining both natural and social research themes is required. Some of the European member states research budget needs to be allocated so that effective prevention and mitigation strategies can be developed. Copyright © 2011

  18. How to use the nominal group and Delphi techniques.

    Science.gov (United States)

    McMillan, Sara S; King, Michelle; Tully, Mary P

    2016-06-01

    Introduction The Nominal Group Technique (NGT) and Delphi Technique are consensus methods used in research that is directed at problem-solving, idea-generation, or determining priorities. While consensus methods are commonly used in health services literature, few studies in pharmacy practice use these methods. This paper provides an overview of the NGT and Delphi technique, including the steps involved and the types of research questions best suited to each method, with examples from the pharmacy literature. Methodology The NGT entails face-to-face discussion in small groups, and provides a prompt result for researchers. The classic NGT involves four key stages: silent generation, round robin, clarification and voting (ranking). Variations have occurred in relation to generating ideas, and how 'consensus' is obtained from participants. The Delphi technique uses a multistage self-completed questionnaire with individual feedback, to determine consensus from a larger group of 'experts.' Questionnaires have been mailed, or more recently, e-mailed to participants. When to use The NGT has been used to explore consumer and stakeholder views, while the Delphi technique is commonly used to develop guidelines with health professionals. Method choice is influenced by various factors, including the research question, the perception of consensus required, and associated practicalities such as time and geography. Limitations The NGT requires participants to personally attend a meeting. This may prove difficult to organise and geography may limit attendance. The Delphi technique can take weeks or months to conclude, especially if multiple rounds are required, and may be complex for lay people to complete.

  19. Outcomes and cost evaluation of the first two rounds of a colorectal cancer screening program based on immunochemical fecal occult blood test in northern Italy.

    Science.gov (United States)

    Parente, F; Boemo, C; Ardizzoia, A; Costa, M; Carzaniga, P; Ilardo, A; Moretti, R; Cremaschini, M; Parente, E M; Pirola, M E

    2013-01-01

    Colorectal cancer (CRC) screening aims to reduce mortality by detecting cancers at an early stage and removing adenomatous polyps at an acceptable cost. The aim of the current study were to assess the outcomes and costs of the first two biennial rounds of a population-based CRC screening program using the immunochemical fecal occult blood test (i-FOBT) in a northern Italian province. All residents aged 50 - 69 years were invited to take part in a biennial screening program using a 1-day i-FOBT, followed by colonoscopy in positive individuals. The i-FOBT uptake, compliance to colonoscopy, detection rate for cancer or advanced adenomas according to age and sex, and direct cost analysis were carried out separately for the 1st and 2nd rounds of screening. In 78 083 (1st round) and 81 619 (2nd round) individuals who were invited to screening, the participation rates were 49.7 % and 54.4 % and i-FOBT positivity rates were 6.2 % and 5.8 %, respectively. Detection rates for cancer and advanced adenomas were lower in the 2nd screening compared with the 1st one (1.6‰ vs. 2.5‰ for cancers and 15.8‰ vs. 17.9‰ for advanced adenomas, respectively), whereas positive predictive values for cancer and advanced adenoma were similar in both rounds. In 165 adenocarcinomas detected, 52 % were Dukes' stage A and 21 % were stage B. All cost indicators were slightly higher in the 1st round of screening compared with the 2nd. The direct cost per cancer or advanced adenoma detection was similar in the two rounds (€ 1252 and € 1260, respectively). Compliance and diagnostic yield of i-FOBT screening were satisfactory. Most detected cancers were at a very early stage. Program costs were reasonable and did not increase with repeat screening. Screening could contribute to decreasing the cost of CRC care by improving the stage at diagnosis. © Georg Thieme Verlag KG Stuttgart · New York.

  20. Using and reporting the Delphi method for selecting healthcare quality indicators: a systematic review.

    Directory of Open Access Journals (Sweden)

    Rym Boulkedid

    Full Text Available OBJECTIVE: Delphi technique is a structured process commonly used to developed healthcare quality indicators, but there is a little recommendation for researchers who wish to use it. This study aimed 1 to describe reporting of the Delphi method to develop quality indicators, 2 to discuss specific methodological skills for quality indicators selection 3 to give guidance about this practice. METHODOLOGY AND MAIN FINDING: Three electronic data bases were searched over a 30 years period (1978-2009. All articles that used the Delphi method to select quality indicators were identified. A standardized data extraction form was developed. Four domains (questionnaire preparation, expert panel, progress of the survey and Delphi results were assessed. Of 80 included studies, quality of reporting varied significantly between items (9% for year's number of experience of the experts to 98% for the type of Delphi used. Reporting of methodological aspects needed to evaluate the reliability of the survey was insufficient: only 39% (31/80 of studies reported response rates for all rounds, 60% (48/80 that feedback was given between rounds, 77% (62/80 the method used to achieve consensus and 57% (48/80 listed quality indicators selected at the end of the survey. A modified Delphi procedure was used in 49/78 (63% with a physical meeting of the panel members, usually between Delphi rounds. Median number of panel members was 17(Q1:11; Q3:31. In 40/70 (57% studies, the panel included multiple stakeholders, who were healthcare professionals in 95% (38/40 of cases. Among 75 studies describing criteria to select quality indicators, 28 (37% used validity and 17(23% feasibility. CONCLUSION: The use and reporting of the Delphi method for quality indicators selection need to be improved. We provide some guidance to the investigators to improve the using and reporting of the method in future surveys.

  1. EL CAPITAL RELACIONAL DE LAS COOPERATIVAS DE CRÉDITO EN ESPAÑA: UN ESTUDIO CUALITATIVO DE SUS INTANGIBLES SOCIALES MEDIANTE EL ANÁLISIS DELPHI / THE RELATIONAL CAPITAL OF THE CREDIT COOPERATIVES IN SPAIN: A QUALITATIVE STUDY OF THEIR SOCIAL INTANGIBLE USING THE DELPHI ANALYSIS

    Directory of Open Access Journals (Sweden)

    Ricardo J SERVER IZQUIERDO

    2010-01-01

    Full Text Available Especialmente en el caso de las cajas de ahorro, el capital social ha sido recurrentemente utilizado para explicar la aportación que ciertas entidades bancarias realizan al desarrollo económico y social de sus territorios de actuación. Las cooperativas de crédito, como organizaciones singulares en nuestro sistema financiero, poseen unos intangibles de características particulares. Así, la reputación corporativa, las relaciones sociales, con la administración o con los medios de comunicación y el ejercicio de la responsabilidad social les confieren unas características específicas y unos rasgos concretos que merecen ser estudiados. Mediante el análisis Delphi, este trabajo trata de identificar las singularidades del capital social de estas entidades, donde destacan –como fortalezas- una gran proximidad y la participación del socio y -como debilidad- la reputación de estas entidades. Los intangibles sociales cuentan con una importante valoración en las cooperativas de crédito, especialmente el ejercicio de la responsabilidad social (un claro síntoma del compromiso de estas entidades. La potenciación del capital social de las cooperativas pasa por amplificar la política de comunicación, especialmente por lo que se refiere al uso del Fondo de Educación y Promoción Cooperativa (FEPC. En este sentido, el camino emprendido por las cajas de ahorro, resulta un ejemplo a seguir. / Social Capital has constantly been used to explain the beneficial impact that some banking companies have on the economic and social development, especially for saving banks. Credit cooperatives, which are singular in our financial system, posses certain assets with their own features. Thus, corporate reputation, social relationships, interaction with public administration and media, and performance in social responsibility shape credit unions in such a way that it is worth to be studied. By means of Delphi analysis this work identifies the singularities

  2. An exploration of factors related to dissemination of and exposure to internet-delivered behavior change interventions aimed at adults: a Delphi study approach.

    Science.gov (United States)

    Brouwer, Wendy; Oenema, Anke; Crutzen, Rik; de Nooijer, Jascha; de Vries, Nanne K; Brug, Johannes

    2008-04-16

    The Internet is an attractive medium for delivering individualized, computer-tailored behavior change interventions to large numbers of people. However, the actual numbers of people reached seem to fall behind the high expectations. Insight into factors that determine use of and exposure to these Internet interventions is important to be able to increase the reach and improve exposure. The aim was to identify potentially important factors that determine whether adults visit an Internet-delivered behavior change intervention, extend their visit, and revisit the intervention. A systematic, three-round Delphi study was conducted among national and international experts from Internet intervention research and practice, e-marketing/e-commerce, Web design, and technical website development. In the first round, 30 experts completed a structured, open-ended online questionnaire assessing factors that were, in their opinion, important for a first visit, an extended visit, a revisit and for effective promotion strategies. Based on the responses in this first questionnaire, a closed-ended online questionnaire was developed for use in the second round. A total of 233 experts were invited to complete this questionnaire. Median and interquartile deviation (IQD) scores were computed to calculate agreement and consensus on the importance of the factors. The factors for which no consensus was obtained (IQD > 1) were included in the third-round questionnaire. Factors with a median score of six or higher and with an IQD important. Of the 62 experts invited for the first round, 30 completed the questionnaire (48% response rate); 93/233 experts completed the second-round questionnaire (40% response rate), and 59/88 completed the third round (67% response rate). Being motivated to visit an Internet intervention and perceiving the intervention as personally relevant appeared to be important factors related to a first visit. The provision of tailored feedback, relevant and reliable

  3. Um modelo de organização e partilha de informação de enfermagem entre hospital e centro de saúde: estudo delphi Un modelo de organización e intercambio de información de enfermeria entre un hospital y un centro de salud: estudio delphi A model of organization and nursing exchange information: a delphi study

    Directory of Open Access Journals (Sweden)

    Paulino Artur Ferreira de Sousa

    2005-12-01

    enfermeros de diferentes áreas de actuación. RESULTADOS: Los consensos obtenidos permitieron la jerarquizacíon de los aspectos principales de lo problema en estudio. Son presentados los consensos relativamente a los presupuestos que deben guiar el desarrollo del Sistema de Comparto de Información de Enfermería y la información que deberá efectivamente ser compartida entre hospital y centro de salud, con indicación de los niveles de prioridad de acceso. CONCLUSIÓN: La articulación entre los diferentes medios de salud debe ser asegurada por un modelo que garantiza lo comparto recíproco y confidencial de la información de enfermería, en tiempo real, con recurso a las tecnologías de la información y comunicación.BACKGROUND: An adequate exchange of nursing information between health care facilities should be taken as a fundamental strategy to promote continuity of nursing care. The actual system used to exchange nursing information between nursing staff from health care services in Matosinhos, Portugal, appears to be unsatisfactory. OBJECTIVE: This paper reports the development and use o a model of organization and nursing information exchange. METHODS: The study used the Delphi technique whose focus was to reach a consensus from a panel of expert nurses from different areas of practice. RESULTS: The consensus of the panel allowed reaching hierarchical aspects of the problem in exchanging nursing information. It was possible to define the presupposed information that should guide the Nursing Exchange Information System development, and to identify the information that effectively should be exchanged between health care facilities at different levels of access. CONCLUSION: The exchange of information among different health care facilities should be guided by a model that guarantees the reciprocal and confidential nursing information, in real time, using appropriate information and communication technologies.

  4. Improving TMD classification using the Delphi technique.

    Science.gov (United States)

    John, M T

    2010-10-01

    The classification of temporomandibular disorders (TMD) is still controversial. Consensus methods such as the Delphi technique, a method that polls experts' anonymous opinion in an iterative process with controlled feedback and statistical aggregation of group response, could be valuable to improve this challenging topic. The article illustrates the application of the Delphi technique for deciding whether the terms myalgia or myofascial pain should be used in a TMD classification system and discusses the technique's potential for TMD classification in general. In three Delphi rounds, 14 TMD experts from the Division of TMD and Orofacial Pain of the University of Minnesota reached a consensus about which TMD diagnoses should be included in a TMD classification system. They preferred the term myofascial pain over myalgia. The Delphi technique has the potential to provide answers to complex questions in TMD classification, e.g., TMD nomenclature and range as well as scope of conditions included in a future TMD classification system.

  5. $\\tau$ hadronic branching ratios at DELPHI

    CERN Document Server

    Humble, Stephen

    1999-01-01

    Using data collected in the DELPHI detector at LEP1, we have measured the exclusive branching ratios in modes with several hadrons. Both classical cuts and neural network methods have been performed to make the best use of the DELPHI neutral particle identification capability. In addition, a measurement of inclusive branching ratios for tau decays containing one or three charged particles has been performed. (4 refs).

  6. IMPLEMENTATION OF THE DELPHI TECHNIQUE IN FINANCE

    OpenAIRE

    Marcin Kozak; Olesia Iefremova

    2014-01-01

    In the rapidly developing world, forecasting is very important for numerous aspects of our lives, the finance realm not being an exception. Various qualitative and quantitative methods are used to predict what is ahead. One of them is the Delphi method, an anonymous, structured discussion among experts on the forecasted topic. Developed over 60 years ago, it is one of the most effective qualitative forecasting and decision-making techniques. That said, literature review suggests Delphi's adva...

  7. Development of a core outcome set for clinical trials in squamous cell carcinoma: study protocol for a systematic review of the literature and identification of a core outcome set using a Delphi survey.

    Science.gov (United States)

    Schlessinger, Daniel I; Iyengar, Sanjana; Yanes, Arianna F; Chiren, Sarah G; Godinez-Puig, Victoria; Chen, Brian R; Kurta, Anastasia O; Schmitt, Jochen; Deckert, Stefanie; Furlan, Karina C; Poon, Emily; Cartee, Todd V; Maher, Ian A; Alam, Murad; Sobanko, Joseph F

    2017-07-12

    Squamous cell carcinoma (SCC) is a common skin cancer that poses a risk of metastasis. Clinical investigations into SCC treatment are common, but the outcomes reported are highly variable, omitted, or clinically irrelevant. The outcome heterogeneity and reporting bias of these studies leave clinicians unable to accurately compare studies. Core outcome sets (COSs) are an agreed minimum set of outcomes recommended to be measured and reported in all clinical trials of a given condition or disease. Although COSs are under development for several dermatologic conditions, work has yet to be done to identify core outcomes specific for SCC. Outcome extraction for COS generation will occur via four methods: (1) systematic literature review; (2) patient interviews; (3) other published sources; and (4) input from stakeholders in medicine, pharmacy, and other relevant industries. The list of outcomes will be revaluated by the Measuring PRiority Outcome Variables via Excellence in Dermatologic surgery (IMPROVED) Steering Committee. Delphi processes will be performed separately by expert clinicians and patients to condense the list of outcomes generated. A consensus meeting with relevant stakeholders will be conducted after the Delphi exercise to further select outcomes, taking into account participant scores. At the end of the meeting, members will vote and decide on a final recommended set of core outcomes. The Core Outcome Measures in Effectiveness Trials (COMET) organization and the Cochrane Skin Group - Core Outcome Set Initiative (CSG-COUSIN) will serve as advisers throughout the COS generation process. Comparison of clinical trials via systematic reviews and meta-analyses is facilitated when investigators study outcomes that are relevant and similar. The aim of this project is to develop a COS to guide use for future clinical trials.

  8. 基于Delphi-SWOT混合分析方法的资源型城市可持续发展战略研究--以新疆克拉玛依市为例%Sustainable Development Strategies Research of Resource-based Cities Based on Delphi-SWOT Analysis Method--A Case Study of Karamay

    Institute of Scientific and Technical Information of China (English)

    张春玉; 曹肖

    2014-01-01

    Traditional SWOT analysis method lists more items but not fully synthesizes. This paper proposed hybrid Delphi-SWOT analysis method. By means of the Delphi,the factors of Karamay sustainable development were identified and confirmed. According to factors on the basis of Delphi,a quantitative processing of sustainable development was given. Finally,following the order of the factors’importance,the sustainable development strategies were made.%提出Delphi-SWOT混合分析方法,借助于德尔菲专家咨询,辨识确认新疆克拉玛依市可持续发展的考量因素;在根据德尔菲基础上的因素考量,给出了可持续发展影响因素取舍的定量处理依据,并遵循重要性次序原则制定了可持续发展策略。

  9. Road traffic injury among young people in Vietnam: evidence from two rounds of national adolescent health surveys, 2004–2009

    Directory of Open Access Journals (Sweden)

    Linh Cu Le

    2013-01-01

    Full Text Available Background: Based on previous data, road traffic injury (RTI was a leading cause of non-fatal injury in all-age groups in Vietnam, and among the top causes of injury in children and adolescents. Specific analysis on RTIs in young people, however, has yet to be fully investigated. Using the results of two surveys in 2004 and 2009, the present study aims to describe the current situation of non-fatal, unintentional RTIs among Vietnamese youths. In addition, it explores RTI-related risk and protective factors. Methods: This study utilized the nationally representative Survey Assessment of Vietnamese Youth 2009 (SAVY2 of 10,044 youths aged 14 to 25 from all 63 provinces in Vietnam. The indicators were compared with data from SAVY1 in 2004 of 7,584 youths. Bivariate and multivariable statistical techniques were applied. Results: Overall, 75% of youths used a motorcycle in SAVY2 compared with 54.2% in SAVY1. Of the SAVY2 sample, the proportion that had experienced an RTI was 10.6% vs. 14.1% in SAVY1. While the proportion of RTIs for both sexes decreased, the decline was greater for males (11.9% vs. 17.8% in SAVY1 than in females (9.2% vs. 10.4%. The proportion of rural youths aged 22–25 who experienced an RTI increased slightly in the 5 years between the two study intervals. The percentage of youths reporting frequent helmet use increased significantly from 26.2% in SAVY1 to 73.6% in SAVY2. Factors related to the likelihood of ever having experienced an RTI included: older age, male, ever being drunk, and ever riding motorcycles after drinking. Conclusion: While improvements in RTIs appear to have occurred between 2004 and 2009, more attention should be paid, particularly, in maintenance and supervision of law enforcement to helmet use and drunk driving.

  10. A new two-round dynamic authenticated contributory group key agreement protocol using elliptic curve Diffie–Hellman with privacy preserving public key infrastructure

    Indian Academy of Sciences (India)

    Vankamamidi S Naresh; Nistala V E S Murthy

    2015-10-01

    In this paper a new two-round authenticated contributory group key agreement based on Elliptic Curve Diffie–Hellman protocol with Privacy Preserving Public Key Infrastructure (PP-PKI) is introduced and is extended to a dynamic authenticated contributory group key agreement with join and leave protocols for dynamic groups. The proposed protocol provides such security attributes as forward secrecy, backward secrecy, and defense against man in the middle (MITM) and Unknown keyshare security attacks and also authentication along with privacy preserving attributes like anonymity, traceability and unlinkability. In the end, they are compared with other popular Diffie–Hellman and Elliptic Curve Diffie–Hellman based group key agreement protocols and the results are found to be satisfactory.

  11. Using Delphi technique in a consensual curriculum for periodontics.

    Science.gov (United States)

    Fried, Hana; Leao, Anna Thereza

    2007-11-01

    Periodontics has experienced several important conceptual changes in the last few decades. As such, it is important to have a periodontics curriculum built upon the expertise of specialists in that discipline and reflecting those changes. The main goal of this study was to attain a consensus, through the use of the Delphi technique, on the topics that should be included in a periodontics curriculum for undergraduate dental students. A sample of periodontics lecturers from nine dental schools in two Brazilian cities was used, and a Delphi technique approach was followed to investigate sample member perceptions on the subject. Participants received four postal mail questionnaires asking them to rate and rerate eighty-nine topics for possible inclusion in the curriculum. A descriptive analysis was conducted, and topic frequencies were calculated. Topics rated as highly important for inclusion were the following: health, ailment, prevention, etiology, epidemiology, diagnosis, and treatment. The Delphi technique approach proved successful in involving periodontics lecturers in the design of a periodontics curriculum for undergraduate dental students.

  12. A review of Delphi surveys conducted to establish research priorities by specialty nursing organizations from 1985 to 1995.

    Science.gov (United States)

    Rudy, S F

    1996-01-01

    Many nursing specialty organizations have completed Delphi surveys to establish their research priorities. The Society of Otorhinolaryngology-Head and Neck Nurses (SOHN) is currently conducting its own Delphi survey to the same end. This paper reviews the various Delphi methods employed by specialty nursing organizations on their members between 1985 and 1995. The studies reviewed are carefully limited to those commissioned by specialty nursing organizations and exclusive of those conducted by independent researchers who may have utilized specialty organization members. It presents an introduction to and definition of the Delphi methodology, as well as delving into methodologic and practical aspects of implementing a Delphi survey. It adds to the literature some information previously lacking on cost and time lines for studies, and will serve as a useful guide for future specialty nursing organizations who undertake a Delphi study as a novice effort. It intentionally does not recount the research priorities identified because it does not want to influence, in any way, responses of SOHN members involved in the ongoing Round I Delphi.

  13. The Oracle of Delphi Encore!

    CERN Document Server

    2000-01-01

    After the great success of the performance last winter the company Mimescope and CERN stage again The Oracle of Delphi! A performance with acrobatics, mime and music played in the heart of CERN laboratory. Kept in suspense between dream and reality inside the fertile imagination of the brilliant English physicist Paul Dirac, the audience dives into the fascinating world of antimatter. The performance will be staged in the PS Soutn Hall, close to LEAR, where the first atoms of antihydrogen were produced. After each performance there will be a short tour around the hall. From 11 January 2001 to 04 February 2001 every Thursday (EXCEPT 1st February!), Friday and Saturday at 20.00 h, and Sundays at 18.00 h. Purchase of tickets from Forum Meyrin, open Monday to Saturday from 14.00h to 18.00h, tel: 022/989.34.34, or through the Billetel system tel: 0901.553.901 (1.50 CHF per minute). On the days of the event last minute tickets can still be purchased at the Reception desk of bldg 33 on CERN site. Please arrive ...

  14. The Oracle of Delphi Encore!

    CERN Multimedia

    2001-01-01

    After the great success of the performance last winter the company Mimescope and CERN stage again The Oracle of Delphi! A performance with acrobatics, mime and music played in the heart of CERN laboratory. Kept in suspense between dream and reality inside the fertile imagination of the brilliant English physicist Paul Dirac, the audience dives into the fascinating world of antimatter. The performance will be staged in the PS Soutn Hall, close to LEAR, where the first atoms of antihydrogen were produced. After each performance there will be a short tour around the hall. - From 11 January 2001 to 04 February 2001 every Thursday (EXCEPT 1st February!), Friday and Saturday at 20.00 h, and Sundays at 18.00 h. - Purchase of tickets from Forum Meyrin, open Monday to Saturday from 14.00h to 18.00h, tel: 022/989.34.34, or through the Billetel system tel: 0901.553.901 (1.50 CHF per minute). On the days of the event last minute tickets can still be purchased at the Reception desk of bldg 33 on CERN site. Please arrive ...

  15. 基于德尔菲法的儿童鞋安全性评价指标体系%Safety assessment index system for kids' shoes by Delphi method

    Institute of Scientific and Technical Information of China (English)

    孟凯宁; 冯雨果; 徐波; 周晋

    2016-01-01

    15 experts were recruited and they were consulted for two rounds with the Delphi method.The positive coefficient, expert coordination degree and extent of authority were calculated for the reliability analysis of the index.Safety assessment index was constructed by the boundary-value method.Results show that sensitivities factors such as active coefficient, coordination coefficient and authoritative coefficient are recorded to be high.A set of gradated children's safety shoes evaluation index is constructed including 3 first-level indexes, 7 second-level indexes and 15 third-level indexes.According to this study, a safety assessment index for kids' shoes is built.It indicates that Delphi method is a feasible approach for the index building;and our safety assessment index for kids' shoes will provide a reference for the implementation and evaluation of children's safety shoes.%首先采用Delphi(德尔菲)法对15名专家进行2轮问卷调查,然后对专家积极系数、意见协调程度以及权威程度进行分析,最后在充分考虑专家建议基础上,运用界值法筛选评价指标,构建一套包括3项一级指标,7项二级指标和15项三级指标的儿童鞋安全性评价指标体系.研究结果显示,专家积极系数和权威系数较高,专家意见协调程度较好.由此得出结论,德尔菲法应用于儿童鞋安全性指标体系的研究是可行的,该方法丰富了儿童鞋安全性评价指标,为相关研究提供借鉴和参考.

  16. Devising a consensus definition and framework for non-technical skills in healthcare to support educational design: A modified Delphi study.

    Science.gov (United States)

    Gordon, Morris; Baker, Paul; Catchpole, Ken; Darbyshire, Daniel; Schocken, Dawn

    2015-01-01

    Non-technical skills are a subset of human factors that focus on the individual and promote safety through teamwork and awareness. There is no widely adopted competency- or outcome-based framework for non-technical skills training in healthcare. The authors set out to devise such a framework using a modified Delphi approach. An exhaustive list of published and team suggested items was presented to the expert panel for ranking and to propose a definition. In the second round, a focused list was presented, as well as the proposed definition elements. The finalised framework was sent to the panel for review. Sixteen experts participated. The final framework consists of 16 competencies for all and eight specific competencies for team leaders. The consensus definition describes non-technical skills as "a set of social (communication and team work) and cognitive (analytical and personal behaviour) skills that support high quality, safe, effective and efficient inter-professional care within the complex healthcare system". The authors have produced a new competency framework, through the works of an International expert panel, which is not discipline specific that can be used by curriculum developers, educational innovators and clinical teachers to support developments in the field.

  17. Using a Delphi consensus process to develop an acupuncture treatment protocol by consensus for women undergoing Assisted Reproductive Technology (ART treatment

    Directory of Open Access Journals (Sweden)

    Smith Caroline A

    2012-07-01

    Full Text Available Abstract Background Assisted reproductive technologies (ART are increasingly utilised for resolving difficulties conceiving. These technologies are expensive to both the public purse and the individual consumers. Acupuncture is widely used as an adjunct to ART with indications that it may assist reducing the time to conception and increasing live birth rates. Heterogeneity is high between treatment protocols. The aim of this study was to examine what fertility acupuncturists consider key components of best practice acupuncture during an ART cycle, and to establish an acupuncture protocol by consensus. Methods Fifteen international acupuncturists with extensive experience treating women during ART interventions participated in 3 rounds of Delphi questionnaires. The first round focused on identifying the parameters of acupuncture treatment as adjunct to ART, the second round evaluated statements derived from the earlier round, and the third evaluated specific parameters for a proposed trial protocol. Consensus was defined as greater than 80% agreement. Results Significant agreement was achieved on the parameters of best practice acupuncture, including an acupuncture protocol suitable for future research. Study participants confirmed the importance of needling aspects relating to the dose of acupuncture, the therapeutic relationship, tailoring treatment to the individual, and the role of co-interventions. From two rounds of the Delphi a consensus was achieved on seven treatment parameters for the design of the acupuncture treatment to be used in a clinical trial of acupuncture as an adjunct to ART. The treatment protocol includes the use of the traditional Chinese medicine acupuncture, use of manual acupuncture, a first treatment administered between day 6–8 of the stimulated ART cycle which is individualised to the participant, two treatments will be administered on the day of embryo transfer, and will include points SP8, SP10, LR3, ST29, CV4

  18. The Delphi Method Online: Medical Expert Consensus Via the Internet

    OpenAIRE

    Cam, Kenneth M.; McKnight, Patrick E.; Doctor, Jason N.

    2002-01-01

    Delphi is an expert consensus method. The theory behind the Delphi method is that the interaction of experts may lead to a reduction in individual bias. We have developed software that carries out all aspects of the Delphi method via the Internet. The Delphi method online consists of three components: 1) authorship, 2) interactive polling, and 3) reporting/results. We hope that researchers use this tool in future medical expert systems.

  19. DELirium Prediction Based on Hospital Information (Delphi) in General Surgery Patients.

    Science.gov (United States)

    Kim, Min Young; Park, Ui Jun; Kim, Hyoung Tae; Cho, Won Hyun

    2016-03-01

    To develop a simple and accurate delirium prediction score that would allow identification of individuals with a high probability of postoperative delirium on the basis of preoperative and immediate postoperative data.Postoperative delirium, although transient, is associated with adverse outcomes after surgery. However, there has been no appropriate tool to predict postoperative delirium.This was a prospective observational single-center study, which consisted of the development of the DELirium Prediction based on Hospital Information (Delphi) score (n = 561) and its validation (n = 533). We collected potential risk factors for postoperative delirium, which were identified by conducting a comprehensive review of the literatures.Age, low physical activity, hearing impairment, heavy alcoholism, history of prior delirium, intensive care unit (ICU) admission, emergency surgery, open surgery, and increased preoperative C-reactive protein were identified as independent predictors of postoperative delirium. The Delphi score was generated using logistic regression coefficients. The maximum Delphi score was 15 and the optimal cut-off point identified with the Youden index was 6.5. Generated area under the (AUC) of the receiver operating characteristic (ROC) curve was 0.911 (95% CI: 0.88-0.94). In the validation study, the calculated AUC of the ROC curve based on the Delphi score was 0.938 (95% Cl: 0.91-0.97). We divided the validation cohort into the low-risk group (Delphi score 0-6) and high-risk group (7-15). Sensitivity of Delphi score was 80.8% and specificity 92.5%.Our proposed Delphi score could help health-care provider to predict the development of delirium and make possible targeted intervention to prevent delirium in high-risk surgery patients.

  20. How to evaluate the quality of fracture reduction and fixation of the wrist and ankle in clinical practice: a Delphi consensus

    NARCIS (Netherlands)

    Beerekamp, M.S.; Haverlag, R.; Ubbink, D.T.; Luitse, J.S.; Ponsen, K.J.; Goslings, J.C.

    2011-01-01

    METHOD: A Delphi study was conducted to obtain consensus on the most important criteria for the radiological evaluation of the reduction and fixation of the wrist and ankle. The Delphi study consisted of a bipartite online questionnaire, focusing on the interpretation of radiographs and CT scans of

  1. Consensus principles for wound care research obtained using a Delphi process.

    Science.gov (United States)

    Serena, Thomas; Bates-Jensen, Barbara; Carter, Marissa J; Cordrey, Renee; Driver, Vickie; Fife, Caroline E; Haser, Paul B; Krasner, Diane; Nusgart, Marcia; Smith, Adrianne P S; Snyder, Robert J

    2012-01-01

    Too many wound care research studies are poorly designed, badly executed, and missing crucial data. The objective of this study is to create a series of principles for all stakeholders involved in clinical or comparative effectiveness research in wound healing. The Delphi approach was used to reach consensus, using a web-based survey for survey participants and face-to-face conferences for expert panel members. Expert panel (11 members) and 115 wound care researchers (respondents) drawn from 15 different organizations. Principles were rated for validity using 5-point Likert scales and comments. A 66% response rate was achieved in the first Delphi round from the 173 invited survey participants. The response rate for the second Delphi round was 46%. The most common wound care researcher profile was age 46-55 years, a wound care clinic setting, and >10 years' wound care research and clinical experience. Of the initial 17 principles created by the panel, only four principles were not endorsed in Delphi round 1 with another four not requiring revision. Of the 14 principles assessed by respondents in the second Delphi round, only one principle was not endorsed and it was revised; four other principles also needed revision based on the use of specific words or contextual use. Of the 19 final principles, three included detailed numbered lists. With the wide variation in design, conduct, and reporting of wound care research studies, it is hoped that these principles will improve the standard and practice of care in this field.

  2. The Delphi Technique in nursing research - Part 3: Data Analysis and Reporting

    Directory of Open Access Journals (Sweden)

    Dimitrios Kosmidis

    2013-07-01

    Full Text Available The Delphi technique is a research method with a multitude of literature regarding its application, yet there is limited guidance on methods of analysis and the presentation of results. Aim: To describe and critically analyze the main methods of the qualitative and quantitative data analysis in studies using the Delphi Technique. Materials and methods: The literature search included research and review articles of nursing interest within the following databases: IATROTEK, Medline, Cinahl and Scopus, from 2001 to 2011. Key-words were used Delphi technique, nursing and research methodology, in English and Greek language. Results: The literature search revealed 285 articles of nursing interest (266 reserch articles and 19 reviews. Data analysis in formal methodology surveys using the Delphi technique initially involves a qualitative analysis of the experts' views which are gathered during the first round. Subsequently, various statistical analyses methods are employed in order to estimate the final level of consensus on the coming rounds (iterations. Prescribing the desired degree of consensus is usually based on subjective assumptions, while the final identification is done with mainly via descriptive and inductive statistical measures. In the presentation of results, simple tables are mainly used which are based on descriptive data, statistical criteria or scatter charts in order to illustrate the experts' opinions. Conclusions: The Delphi Technique has infiltrated nursing research with great variability in data analysis methodology and presentation of results depending on each study's aims and characteristics.

  3. Scientific framework for research on disaster and mass casualty incident in Korea: building consensus using Delphi method.

    Science.gov (United States)

    Kim, Chu Hyun; Park, Ju Ok; Park, Chang Bae; Kim, Seong Chun; Kim, Soo Jin; Hong, Ki Jeong

    2014-01-01

    We aimed to determine the scientific framework for research on disaster and mass casualty incident (MCI) in Korea, especially Korean terminology, feasible definition, and epidemiologic indices. The two staged policy Delphi method was performed by instructors of National Disaster Life Support (NDLS®) with the constructed questionnaire containing items based on the literature review. The first-stage survey was conducted by 11 experts through two rounds of survey for making issue and option. The second-stage survey was conducted by 35 experts for making a generalized group based consensus. Experts were selected among instructors of National Disaster Life Support Course. Through two staged Delphi survey experts made consensus: 1) the Korean terminology "jaenan" with "disaster" and "dajung-sonsang-sago" with "MCI"; 2) the feasible definition of "disaster" as the events that have an effect on one or more municipal local government area (city-county-district) or results in ≥ 10 of death or ≥ 50 injured victims; 3) the feasible definition of MCI as the events that result in ≥ 6 casualties including death; 4) essential 31 epidemiologic indices. Experts could determine the scientific framework in Korea for research on disaster medicine, considering the distinct characteristics of Korea and current research trends.

  4. Inhaled treatment of COPD: a Delphi consensus statement

    Directory of Open Access Journals (Sweden)

    Ninane V

    2017-03-01

    Full Text Available Vincent Ninane,1 Jean-Louis Corhay,2 Paul Germonpré,3 Wim Janssens,4 Guy F Joos,5 Giuseppe Liistro,6 Walter Vincken,7 Sandra Gurdain,8 Evelyne Vanvlasselaer,8 An Lehouck8 1Department of Respiratory Medicine, Saint-Pierre Hospital, Université Libre de Bruxelles, Brussels, 2Department of Respiratory Medicine, CHU, Liege, 3Department of Respiratory Medicine, AZ Maria Middelares, Ghent, 4Department of Respiratory Medicine, Katholieke Universiteit, Leuven, 5Department of Respiratory Medicine, Ghent University Hospital, Ghent, 6Department of Respiratory Medicine, University Hospitals Saint-Luc, Brussels, 7Department of Respiratory Medicine, University Hospital Brussels, Brussels, 8Medical Department, Novartis Pharma, Vilvoorde, Belgium Background: Global Initiative for Chronic Obstructive Lung Disease (GOLD global strategy (2015 provides guidance for the treatment of chronic obstructive pulmonary disease (COPD with different first-choice options per GOLD category without specification. Objectives: To evaluate the level of medical experts’ consensus on their preferred first-choice treatment within different COPD categories. Methods: A two-round Delphi Panel consisting of 15 questions was completed by Belgian pulmonologists (n=31 and European (n=10 COPD experts. Results: Good consensus was reached by both expert groups for long-acting bronchodilators instead of short-acting bronchodilators as first-choice treatment in GOLD A. Single bronchodilation with long-acting muscarinic antagonist (LAMA was preferred over long-acting ß2-agonist (LABA and LABA/LAMA as first-choice treatment in GOLD B and GOLD C. For GOLD D patients based on the forced expiratory volume in 1 second (FEV1<50%, a very good consensus was reached for LAMA/LABA as first-choice treatment. For GOLD D patients based on frequent or severe exacerbations, there was a good consensus for LABA/LAMA/inhaled corticosteroids (ICS as first choice in the Belgian group. According to the European

  5. Study of the inclusive production of {phi}{sup 0} mesons and measurement of the branching ratio of the Z{sup 0} bosons into strange quarks pairs with the DELPHI detector at LEP; Etude de la production inclusive de mesons {phi}{sup 0} et mesure du rapport d`embranchement du boson Z{sup 0} en paires de quarks etranges aupres de l`experience DELPHI au LEP

    Energy Technology Data Exchange (ETDEWEB)

    Pages, P.

    1996-05-07

    The thesis work is relative to an analysis of data collected by the DELPHI detector at LET in 1992 and 1993, in order to study the inclusive production production of {phi}{sup 0} mesons, reconstructed according to the decay mode {phi}{sup 0} {yields} K{sup +}K{sup -}. The kaon identification, indispensable to do this reconstruction, was made by the Barrel RICH detector of DELPHI. This study was first done to test the {phi}{sup 0} production in the Lund string model, which is one of the models used to describe the production of hadrons in the e{sup +}e{sup -}processes. The experimental distribution of the differential cross section of the inclusive {phi}{sup 0} production was compared to the one predicted by the model and indicates that the model well reproduces the experimental data. The mean number of produced {phi}{sup 0} per hadronic event was found to be: 0.091 {+-} 0.013, in good agreement with the expected value: 0.091. Next, high momentum {phi}{sup 0} mesons were used for a measurement of the branching ratio of the Z{sup 0} bosons into strange quark pairs: {Gamma}{sub ss}-bar/{Gamma}{sub had}. Three {phi}{sup 0} mesons samples were selected, for which the purity in Z{sup 0}{yields} ss-bar events was greater than 60, 70 and 80 %. For each of these 3 samples, the obtained experimental values are respectively: 0.16 {+-} 0.04, 0.13{+-}0.04 et 0.12{+-}0.05. These values show relatively large uncertainties and indicate an agreement of at the most 2.6 standard deviations to the expected value: 0.22. (author). 63 refs.

  6. The DELPHI detector at CERN's LEP collider

    CERN Multimedia

    1998-01-01

    DELPHI (DEtector with Lepton, Photon and Hadron Identification), is a detector for e+e- physics, with special emphasis on powerful particle identification , three-dimensional information, high granularity and precise vertex determination. It is installed at LEP (Large Electron and Positron collider) at CERN where it has operated since 1989.

  7. The Delphi Method in Rehabilitation Counseling Research

    Science.gov (United States)

    Vazquez-Ramos, Robinson; Leahy, Michael; Estrada Hernandez, Noel

    2007-01-01

    Rehabilitation researchers have found in the application of the Delphi method a more sophisticated way of obtaining consensus from experts in the field on certain matters. The application of this research methodology has affected and certainly advanced the body of knowledge of the rehabilitation counseling practice. However, the rehabilitation…

  8. End-view of the DELPHI detector

    CERN Multimedia

    1996-01-01

    End-view of the 10-m diameter DELPHI detector at CERN's LEP electron-positron collider from 1989 to 2000. Its concentric modules, including a pioneer large-scale application of the Ring Imaging Cherenkov technique to differentiate between all the various secondary particles, ensure high precision and 'granularity'.

  9. Ranking green electronic supplier in auto industry using fuzzy Delphi

    Directory of Open Access Journals (Sweden)

    Soheil Sarmad Saeidi

    2014-11-01

    Full Text Available This paper presents a study to rank different green supplier involved in supplement of electronic parts in auto industry using fuzzy Delphi. The proposed study uses the fuzzy analytic hierarchy process for weighing criteria and VIKOR method to rank the suppliers. The results show that measures of corporate social responsibility, environmental management system, green procurement and green production are the most important criteria for green supplier selection. In addition, product quality, online tracking of orders, delivery time and quality of online information are the most important criteria for choosing a green electronic supplier.

  10. Defining the Bobath concept using the Delphi technique.

    Science.gov (United States)

    Raine, Sue

    2006-03-01

    The Bobath concept, based on the work of Berta and Karel Bobath, offers therapists working in the field of neurological rehabilitation a framework for their clinical interventions. It is the most commonly used approach in the UK. Although they recognize that over the last half-century the concept has undergone considerable developments, proponents of the Bobath concept have been criticized for not publishing these changes. The aim of the present study was to use the Delphi technique to enable experts in the field to define the current Bobath concept. A four-round Delphi study design was used. The sample included all members of the British Bobath Tutor's Association, who are considered experts in the field. Initial statements were identified from the literature, with respondents generating additional statements during the study. The level of agreement was determined using a five-point Likert scale. The respondents were then provided with feedback on group opinions and given an opportunity to re-rate each statement. The level of group consensus was set at 80%. Fifteen experts took part. The response rate was 85% in the first round, and 93% in each subsequent round. Ten statements from the literature were rated with a further 12 generated by the experts. Thirteen statements achieved consensus for agreement and seven for disagreement. The Delphi study was an effective research tool, maintaining anonymity of responses and exploring expert opinions on the Bobath concept. The experts stated that Bobath's work has been misunderstood if it is considered as the inhibition of spasticity and the facilitation of normal movement, as described in some literature. They agreed that the Bobath concept was developed by the Bobaths as a living concept, understanding that as therapists' knowledge base grows their view of treatment broadens.

  11. Developing the specifications of an Open Angle Glaucoma screening intervention in the United Kingdom: a Delphi approach

    Directory of Open Access Journals (Sweden)

    Campbell Susan E

    2012-12-01

    Full Text Available Abstract Background Glaucoma is a leading cause of blindness. Early detection is advocated but there is insufficient evidence from randomized controlled trials (RCTs to inform health policy on population screening. Primarily, there is no agreed screening intervention. For a screening programme, agreement is required on the screening tests to be used, either individually or in combination, the person to deliver the test and the location where testing should take place. This study aimed to use ophthalmologists (who were experienced glaucoma subspecialists, optometrists, ophthalmic nurses and patients to develop a reduced set of potential screening tests and testing arrangements that could then be explored in depth in a further study of their feasibility for evaluation in a glaucoma screening RCT. Methods A two-round Delphi survey involving 38 participants was conducted. Materials were developed from a prior evidence synthesis. For round one, after some initial priming questions in four domains, specialists were asked to nominate three screening interventions, the intervention being a combination of the four domains; target population, (age and higher risk groups, site, screening test and test operator (provider. More than 250 screening interventions were identified. For round two, responses were condensed into 72 interventions and each was rated by participants on a 0-10 scale in terms of feasibility. Results Using a cut-off of a median rating of feasibility of ≥5.5 as evidence of agreement of intervention feasibility, six interventions were identified from round 2. These were initiating screening at age 50, with a combination of two or three screening tests (varying combinations of tonometry/measures of visual function/optic nerve damage organized in a community setting with an ophthalmic trained technical assistant delivering the tests. An alternative intervention was a ‘glaucoma risk score’ ascertained by questionnaire. The advisory panel

  12. Core Competencies of the Certified Pediatric Doctor of Chiropractic: Results of a Delphi Consensus Process.

    Science.gov (United States)

    Hewitt, Elise; Hestbaek, Lise; Pohlman, Katherine A

    2016-04-01

    An outline of the minimum core competencies expected from a certified pediatric doctor of chiropractic was developed using a Delphi consensus process. The initial set of seed statements and substatements was modeled on competency documents used by organizations that oversee chiropractic and medical education. These statements were distributed to the Delphi panel, reaching consensus when 80% of the panelists approved each segment. The panel consisted of 23 specialists in chiropractic pediatrics (14 females) from across the broad spectrum of the chiropractic profession. Sixty-one percent of panelists had postgraduate pediatric certifications or degrees, 39% had additional graduate degrees, and 74% were faculty at a chiropractic institution and/or in a postgraduate pediatrics program. The panel were initially given 10 statements with related substatements formulated by the study's steering committee. On all 3 rounds of the Delphi process the panelists reached consensus; however, multiple rounds occurred to incorporate the valuable qualitative feedback received.

  13. Modelling consensus building in Delphi practices for participated transport planning

    CERN Document Server

    Pira, Michela Le; Ignaccolo, Matteo; Pluchino, Alessandro

    2015-01-01

    In this study a consensus building process based on a combination of Analytic Hierarchy Process (AHP) and Delphi method is presented and applied to the decision-making process about alternative policy measures to promote cycling mobility. An agent-based model is here used to reproduce the same process of convergence of opinions, with the aim to understand the role of network topology, stakeholder influence and other sensitive variables on the emergence of consensus. It can be a useful tool for decision-makers to guide them in planning effective participation processes.

  14. Necesidades de información de los usuarios de Atención Primaria desde la perspectiva de los profesionales sanitarios: Un estudio Delphi Information needs of patients in primary care from the perspective of health professionals: A Delphi study

    OpenAIRE

    José Ángel Maderuelo-Fernández; Ignacio Hernández-García; Miguel González-Hierro; Isabel Velázquez-San Francisco

    2009-01-01

    Objetivos: Conocer las necesidades de información de los usuarios en relación a la oferta de servicios de Atención Primaria desde la perspectiva de los profesionales sanitarios. Métodos: Se ha utilizado la técnica Delphi como método de consenso. Se solicitó la participación de 70 expertos: 35 médicos de familia, 32 enfermeras y tres pediatras de centros de salud urbanos y rurales del Área de Salud de Salamanca, entre mayo y diciembre de 2006. Los cuestionarios estaban estructurados en seis ap...

  15. Development of guidelines to assist organisations to support employees returning to work after an episode of anxiety, depression or a related disorder: a Delphi consensus study with Australian professionals and consumers.

    Science.gov (United States)

    Reavley, Nicola J; Ross, Anna; Killackey, Eoin J; Jorm, Anthony F

    2012-09-03

    Mental disorders are a significant cause of disability and loss of workplace productivity. The scientific evidence for how organisations should best support those returning to work after common mental disorders is relatively limited. Therefore a Delphi expert consensus study was carried out with professional and consumer experts. A systematic review of websites, books and journal articles was conducted to develop a 387 item survey containing strategies that organisations might use to support those returning to work after common mental disorders. Three panels of Australian experts (66 health professionals, 30 employers and 80 consumers) were recruited and independently rated the items over three rounds, with strategies reaching consensus on importance written into the guidelines. The participation rate across all three rounds was 60.2% (57.6% health professionals, 76.7% employers, 56.3% consumers). 308 strategies were endorsed as essential or important by at least 80% of all three panels. The endorsed strategies provided information on policy and procedures, the roles of supervisors, employees and colleagues in managing absence and return to work, and provision of mental health information and training. The guidelines outline strategies for organisations supporting those returning to work after common mental disorders. It is hoped that they may be used to inform policy and practice in a variety of workplaces.

  16. What do patients consider to be the most important outcomes for effectiveness studies on migraine treatment? Results of a Delphi study

    NARCIS (Netherlands)

    Smelt, A.F.H.; Louter, M.A.; Kies, D.A.; Blom, J.W.; Terwindt, G.M.; van der Heijden, G.J.M.G.; de Gucht, V.; Ferrari, M.D.; Assendelft, W.J.J.

    2014-01-01

    Background The outcome measures most frequently used in studies on the effectiveness of migraine treatment are whether the patient is free of pain, nausea, and free of photophobia/phonophobia within two hours. However, no patient-centred outcome measures are available. Therefore, we performed an onl

  17. What do patients consider to be the most important outcomes for effectiveness studies on migraine treatment? Results of a delphi study

    NARCIS (Netherlands)

    Smelt, A.F.; Louter, M.A.; Kies, D.A.; Blom, J.W.; Terwindt, G.M.; Heijden, G.J. van der; Gucht, V. De; Ferrari, M.D.; Assendelft, W.J.J.

    2014-01-01

    BACKGROUND: The outcome measures most frequently used in studies on the effectiveness of migraine treatment are whether the patient is free of pain, nausea, and free of photophobia/phonophobia within two hours. However, no patient-centred outcome measures are available. Therefore, we performed an on

  18. Guidelines for the Experts' Elicitation Using the Delphi Method: for GQA

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Mee Jeong; Yang, Joon Eon; Kim, Kil Yoo

    2005-01-15

    This report describes a method and process assigning a value for system functions to categorize the safety-significant SSCs(Structures, Systems, Components) in graded quality assurance(GQA). In this study, we used the Delphi process for elicitation of the expert opinions. In Delphi Process, it is required to use a guideline for consistency. Therefore, we developed the guideline for SSCs categorization. This guideline was written to assign a value for system functions to screen out the safety-significant SSCs. This guideline provides with the requirement for an ideal expert panel composition, questionnaire, the description for issues and the guide assigning values.

  19. Increasing Activeness and Learning Outcomes by Developing Borland Delphi 7.0 Application as Instructional Media

    Science.gov (United States)

    Setyorini, Dyna; Churiyah, Madziatul

    2016-01-01

    This study aims to produce instructional media of petty cash fund with Borland Delphi 7.0 application in the Finance Administration subject, Managing Petty Cash Fund material in class XII APK in Vocational High School (SMK) Negeri 1 Pasuruan, East Java, Indonesia. This study used "Research and Development" (R&D) design procedures…

  20. A Delphi Investigation into Future Trends in E-Learning in Israel

    Science.gov (United States)

    Aharony, Noa; Bronstein, Jenny

    2014-01-01

    The purpose of this study is to investigate the views and opinions of e-learning experts regarding future trends in the e-learning arena. The Delphi technique was chosen as a method of study. This technique is an efficient and effective group communication process designed to systematically elicit judgments from experts in their selected area of…

  1. Development of Preliminary Remission Criteria for Gout Using Delphi and 1000Minds® Consensus Exercises

    DEFF Research Database (Denmark)

    de Lautour, Hugh; Taylor, William J; Adebajo, Ade

    2016-01-01

    OBJECTIVES: The aim of this study was to establish consensus for potential remission criteria for use in clinical trials of gout. METHODS: Experts (n=88) in gout from multiple countries were invited to participate in a web-based questionnaire study. Three rounds of Delphi consensus exercises were...

  2. [Application of Delphi method in traditional Chinese medicine clinical research].

    Science.gov (United States)

    Bi, Ying-fei; Mao, Jing-yuan

    2012-03-01

    In recent years, Delphi method has been widely applied in traditional Chinese medicine (TCM) clinical research. This article analyzed the present application situation of Delphi method in TCM clinical research, and discussed some problems presented in the choice of evaluation method, classification of observation indexes and selection of survey items. On the basis of present application of Delphi method, the author analyzed the method on questionnaire making, selection of experts, evaluation of observation indexes and selection of survey items. Furthermore, the author summarized the steps of application of Delphi method in TCM clinical research.

  3. The Silicon Ministrip Detector of the DELPHI Very Forward Tracker

    CERN Document Server

    AUTHOR|(CDS)2067985

    1996-01-01

    The subject of this work is the design, test and construction of a new silicon tracking detector for the extreme forward region of the DELPHI experiment at LEP. I joined the Very Forward Tracker (VFT) Ministrip group in 1993, at a time when the upgrade of the DELPHI tracking system was proposed. My first task was to participate in the design of the ministrip detector for the VFT. This included the optimisation of the detector layout in simulations and the study of prototype detectors in the testbeam. In 1994 I became responsible for the tests and assembly' of the VFT ministrip detector at CERN. The main focus of my work was the study of the performance of a large variety of detectors in beam tests. This included the preparation of the test setup, the tests of different detectors and the analysis of the measurements. With these measurements it is possible to compare the advantages and disadvantages of various new layouts for large pitch silicon strip detectors. In particular the signal response and spatial res...

  4. Identification of Core Competencies for an Undergraduate Food Safety Curriculum Using a Modified Delphi Approach

    Science.gov (United States)

    Johnston, Lynette M.; Wiedmann, Martin; Orta-Ramirez, Alicia; Oliver, Haley F.; Nightingale, Kendra K.; Moore, Christina M.; Stevenson, Clinton D.; Jaykus, Lee-Ann

    2014-01-01

    Identification of core competencies for undergraduates in food safety is critical to assure courses and curricula are appropriate in maintaining a well-qualified food safety workforce. The purpose of this study was to identify and refine core competencies relevant to postsecondary food safety education using a modified Delphi method. Twenty-nine…

  5. Determining e-Portfolio Elements in Learning Process Using Fuzzy Delphi Analysis

    Science.gov (United States)

    Mohamad, Syamsul Nor Azlan; Embi, Mohamad Amin; Nordin, Norazah

    2015-01-01

    The present article introduces the Fuzzy Delphi method results obtained in the study on determining e-Portfolio elements in learning process for art and design context. This method bases on qualified experts that assure the validity of the collected information. In particular, the confirmation of elements is based on experts' opinion and…

  6. Identifying the Professional Development Needs of Adjunct Faculty Using an Online Delphi

    Science.gov (United States)

    Cuddie, Stephani B.

    2016-01-01

    The purpose of this online Delphi was to explore the professional development needs and preferences of adjunct faculty, specifically those who teach online. The study involved adjunct faculty who were categorized by their self-selected type of adjunct faculty member: specialist, aspiring academic, professional/freelancer, and career-ender. Through…

  7. Using Delphi Methodology to Design Assessments of Teachers' Pedagogical Content Knowledge

    Science.gov (United States)

    Manizade, Agida Gabil; Mason, Marguerite M.

    2011-01-01

    Descriptions of methodologies that can be used to create items for assessing teachers' "professionally situated" knowledge are lacking in mathematics education research literature. In this study, researchers described and used the Delphi method to design an instrument to measure teachers' pedagogical content knowledge. The instrument focused on a…

  8. Identification of Core Competencies for an Undergraduate Food Safety Curriculum Using a Modified Delphi Approach

    Science.gov (United States)

    Johnston, Lynette M.; Wiedmann, Martin; Orta-Ramirez, Alicia; Oliver, Haley F.; Nightingale, Kendra K.; Moore, Christina M.; Stevenson, Clinton D.; Jaykus, Lee-Ann

    2014-01-01

    Identification of core competencies for undergraduates in food safety is critical to assure courses and curricula are appropriate in maintaining a well-qualified food safety workforce. The purpose of this study was to identify and refine core competencies relevant to postsecondary food safety education using a modified Delphi method. Twenty-nine…

  9. Current Developments in Education in Mexico and Trends for the 1980s: A Modified Delphi Project.

    Science.gov (United States)

    Sanders, Stanley G.

    Twenty-nine professional educators at the Universidad Autonoma de Guadalajara and post-graduate students of educational administration participated in a study to identify trends in education based on change in the society and the environment. Researchers used a modification of Delphi Technique, an intuitive method for organizing and sharing the…

  10. Identifying the Professional Development Needs of Adjunct Faculty Using an Online Delphi

    Science.gov (United States)

    Cuddie, Stephani B.

    2016-01-01

    The purpose of this online Delphi was to explore the professional development needs and preferences of adjunct faculty, specifically those who teach online. The study involved adjunct faculty who were categorized by their self-selected type of adjunct faculty member: specialist, aspiring academic, professional/freelancer, and career-ender. Through…

  11. Application of Delphi method in site selection of desalination plants

    Directory of Open Access Journals (Sweden)

    M. Sepehr

    2017-12-01

    Full Text Available Given the reduced freshwater supplies across the world, seawater desalination is one of the appropriate methods available for producing freshwater. Selecting an optimal location is crucial in the installation of these plants owing to the environmental problems they cause. The present study was conducted to identify optimal locations for installing desalination Plants in the coastal areas of southern Iran (Hormozgan Province with application of Delphi method. To implement this technique and identify, screen and prioritize effective criteria and sub-criteria, ten experts were surveyed through questionnaires and eight criteria and 18 sub-criteria were identified. All these sub-criteria were evaluated and classified in ArcGIS into five classes as input layers. The maps were then integrated based on the modulation importance coefficient and the identified priorities using a linear Delphi model and the final map was reclassified into five categories. Environmentally sensitive areas and seawater quality were respectively the criterion and sub-criterion that received the highest importance. After combining the layers and obtaining the final map, 63 locations were identified for installing desalination plants in the coastal areas on the Persian Gulf and Oman Sea in Hormozgan Province.  At the end, 27 locations were high important and had optimal environmental conditions for establishing desalination plants. Of the 27 locations, six were located in the coastal area of the Oman Sea, one in the coastal area of the Strait of Hormuz and 20 others in the coastal area of the Persian Gulf.

  12. Research priorities in mobile learning: An international Delphi study / Les priorités de recherche en matière d'apprentissage mobile: Une étude de Delphes internationale

    Directory of Open Access Journals (Sweden)

    Yu-Chang Hsu

    2014-05-01

    Full Text Available Along with advancing mobile technologies and proliferating mobile devices and applications, mobile learning research has gained great momentum in recent years. While there have been review articles summarizing past research, studies identifying mobile learning research priorities based on experts’ latest insights have been lacking. This study employed the Delphi method to obtain a consensus from experts about areas that are most in need of research in mobile learning. An international expert panel participated in a three-round Delphi process involving two cycles of online questionnaires and feedback reports. Participants responded to the question, “What should be the research priorities for the field of mobile learning over the next 5 years?” Ten research categories were identified and ranked in order of priority: 1 teaching and learning strategies; 2 affordances; 3 theory; 4 settings of learning; 5 evaluation/assessment; 6 learners; 7 mobile technologies and interface design; 8 context awareness and augmented reality; 9 infrastructure and management; and 10 country and digital divide. This study also reported expert-generated research statements for each research category and the importance of these research statements rated by the experts. Selected research papers were summarized to help contextualize the discussions of research categories and statements. Avec l'avancement des technologies mobiles et la prolifération des appareils mobiles et des applications, la recherche consacrée à l'apprentissage mobile a récemment pris de l’ampleur. Si des articles ont résumé les recherches antérieures, les études s’appuyant sur les dernières connaissances d'experts pour identifier les priorités de recherche sur l'apprentissage mobile font défaut. La présente étude a utilisé la méthode de Delphes pour obtenir un consensus des experts sur les domaines nécessitant le plus des recherches sur l'apprentissage mobile. Un groupe

  13. Guidelines for reporting case studies on extracorporeal treatments in poisonings

    DEFF Research Database (Denmark)

    Lavergne, Valéry; Ouellet, Georges; Bouchard, Josée

    2014-01-01

    A literature review performed by the EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup highlighted deficiencies in the existing literature, especially the reporting of case studies. Although general reporting guidelines exist for case studies, there are none in the specific field of extra......A literature review performed by the EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup highlighted deficiencies in the existing literature, especially the reporting of case studies. Although general reporting guidelines exist for case studies, there are none in the specific field...... of extracorporeal treatments in toxicology. Our goal was to construct and propose a checklist that systematically outlines the minimum essential items to be reported in a case study of poisoned patients undergoing extracorporeal treatments. Through a modified two-round Delphi technique, panelists (mostly chosen...... reports containing data on extracorporeal treatments in poisoning published in Medline in 2011 were reviewed during the external validation rounds. Twenty-one panelists (20 from the EXTRIP workgroup and an invited expert on pharmacology reporting guidelines) participated in the modified Delphi technique...

  14. Using the Delphi Technique to Support Curriculum Development

    Science.gov (United States)

    Sitlington, Helen Barbara; Coetzer, Alan John

    2015-01-01

    Purpose: The purpose of this paper is to present an analysis of the use of the Delphi technique to support curriculum development with a view to enhancing existing literature on use of the technique for renewal of business course curricula. Design/methodology/approach: The authors outline the Delphi process for obtaining consensus amongst a…

  15. Personal Learning Environments and University Teacher Roles Explored Using Delphi

    Science.gov (United States)

    Shaikh, Zaffar Ahmed; Khoja, Shakeel Ahmed

    2014-01-01

    This paper presents the results of research using an online Delphi method, which aimed to explore university teacher roles and readiness for learner-centred pedagogy, driven by personal learning environments (PLEs). Using a modified Policy Delphi technique, a group of researchers worked with 34 international experts who are university teachers by…

  16. [What is the Delphi method? Strengths and shortcomings].

    Science.gov (United States)

    Ciałkowska, Magdalena; Adamowski, Tomasz; Piotrowski, Patryk; Kiejna, Andrzej

    2008-01-01

    This article provides a condensed discussion and explanation of the Delphi method. This technique is used for problem solving and decision making. The Delphi Method was originally developed during the cold war by the U.S. Intelligence think tank, the RAND Corporation, Santa Monica, California in the 1950's and 1960's. It was designed for use on complex or ambiguous problems that exceed the capabilities of a single person. Most researchers make distinctions between the conventional Delphi and the policy Delphi. The last decades have seen increasing interest in the use of Delphi in a wide range of health-care applications. The Delphi method has been applied in a wide range of European Commission funded research projects, e.g. in EUNOMIA and DEMoB.inc projects. The Delphi method is characterized by the following features: anonymity of responses from panel experts, asynchronicity, controlled feedback and statistical description of responses. The objective of most Delphi applications is the reliable and creative exploration of problems or the production of suitable information for decision making.

  17. Personal Learning Environments and University Teacher Roles Explored Using Delphi

    Science.gov (United States)

    Shaikh, Zaffar Ahmed; Khoja, Shakeel Ahmed

    2014-01-01

    This paper presents the results of research using an online Delphi method, which aimed to explore university teacher roles and readiness for learner-centred pedagogy, driven by personal learning environments (PLEs). Using a modified Policy Delphi technique, a group of researchers worked with 34 international experts who are university teachers by…

  18. Consensus definition of fetal growth restriction : a Delphi procedure

    NARCIS (Netherlands)

    Gordijn, S. J.; Beune, I. M.; Thilaganathan, B.; Papageorghiou, A.; Baschat, A. A.; Baker, P. N.; Silver, R. M.; Wynia, K.; Ganzevoort, W.

    2016-01-01

    Objective To determine, by expert consensus, a definition for early and late fetal growth restriction (FGR) through a Delphi procedure. Method A Delphi survey was conducted among an international panel of experts on FGR. Panel members were provided with 18 literature-based parameters for defining FG

  19. Using the Delphi Technique to Support Curriculum Development

    Science.gov (United States)

    Sitlington, Helen Barbara; Coetzer, Alan John

    2015-01-01

    Purpose: The purpose of this paper is to present an analysis of the use of the Delphi technique to support curriculum development with a view to enhancing existing literature on use of the technique for renewal of business course curricula. Design/methodology/approach: The authors outline the Delphi process for obtaining consensus amongst a…

  20. Medication dispensing errors in Palestinian community pharmacy practice: a formal consensus using the Delphi technique.

    Science.gov (United States)

    Shawahna, Ramzi; Haddad, Aseel; Khawaja, Baraa; Raie, Rand; Zaneen, Sireen; Edais, Tasneem

    2016-10-01

    Background Medication dispensing errors (MDEs) are frequent in community pharmacy practice. A definition of MDEs and scenarios representing MDE situations in Palestinian community pharmacy practice were not previously approached using formal consensus techniques. Objective This study was conducted to achieve consensus on a definition of MDEs and a wide range of scenarios that should or should not be considered as MDEs in Palestinian community pharmacy practice by a panel of community pharmacists. Setting Community pharmacy practice in Palestine. Method This was a descriptive study using the Delphi technique. A panel of fifty community pharmacists was recruited from different geographical locations of the West Bank of Palestine. A three round Delphi technique was followed to achieve consensus on a proposed definition of MDEs and 83 different scenarios representing potential MDEs using a nine-point scale. Main outcome measure Agreement or disagreement of a panel of community pharmacists on a proposed definition of MDEs and a series of scenarios representing potential MDEs. Results In the first Delphi round, views of key contact community pharmacists on MDEs were explored and situations representing potential MDEs were collected. In the second Delphi round, consensus was achieved to accept the proposed definition and to include 49 (59 %) of the 83 proposed scenarios as MDEs. In the third Delphi round, consensus was achieved to include further 13 (15.7 %) scenarios as MDEs, exclude 9 (10.8 %) scenarios and the rest of 12 (14.5 %) scenarios were considered equivocal based on the opinions of the panelists. Conclusion Consensus on a definition of MDEs and scenarios representing MDE situations in Palestinian community pharmacy practice was achieved using a formal consensus technique. The use of consensual definitions and scenarios representing MDE situations in community pharmacy practice might minimize methodological variations and their significant effects on the

  1. Cosmic multimuon bundles detected by DELPHI

    CERN Document Server

    Rídky, J

    2004-01-01

    The DELPHI detector located at LEP accelerator has been used also to measure multimuon bundles originated from cosmic ray interactions. Two subdetectors-hadron calorimeter and time projection chamber, are used for this purpose. The 1999 and 2000 data are analyzed over wide range of multiplicities. The multiplicity distribution is compared with prediction of Monte Carlo simulation based on CORSIKA/QGSJET. The Monte-Carlo does not describe the large multiplicity part of data. Even the extreme assumption on the cosmic ray composition (pure iron nuclei) hardly predicts comparable number of high-multiplicity events.

  2. b-tagging in DELPHI at LEP

    CERN Document Server

    Abdallah, J; Adam, W; Adye, T; Adzic, P; Albrecht, T; Alderweireld, T; Alemany-Fernandez, R; Allmendinger, T; Allport, P P; Almehed, S; Amaldi, Ugo; Amapane, N; Amato, S; Anashkin, E; Andreazza, A; Andringa, S; Anjos, N; Antilogus, P; Apel, W D; Arnoud, Y; Ask, S; Åsman, B; Augustin, J E; Augustinus, A; Baillon, Paul; Ballestrero, A; Bambade, P; Barbier, R; Bardin, Dimitri Yuri; Barker, G; Baroncelli, A; Bates, M; Battaglia, Marco; Baubillier, M; Becks, K H; Begalli, M; Behrmann, A; Benekos, N C; Benvenuti, Alberto C; Bérat, C; Berggren, M; Berntzon, L; Bertrand, D; Besançon, M; Besson, N; Bibby, J; Biffi, P; Bloch, D; Blom, M; Bonesini, M; Boonekamp, M; Booth, P S L; Borisov, G; Botner, O; Bouquet, B; Bowcock, T J V; Boyko, I; Bracko, M; Branchini, P; Brenner, R; Brodet, E; Brückman, P; Brunet, J M; Bugge, L; Buschmann, P; Caccia, M; Calvi, M; Camporesi, T; Canale, V; Carena, F; Castro, N; Cavallo, F R; Chabaud, V; Chapkin, M M; Charpentier, P; Checchia, P; Chierici, R; Shlyapnikov, P; Chudoba, J; Chung, S U; Cieslik, K; Collins, P; Contri, R; Cosme, G; Cossutti, F; Costa, M J; Couchot, F; Crawley, B; Crennell, D J; Cuevas-Maestro, J; D'Almagne, B; D'Hondt, J; Dalmau, J; Da Silva, T; Da Silva, W; Della Ricca, G; De Angelis, A; de Boer, Wim; De Clercq, C; De Lotto, B; De Maria, N; De Min, A; De Paula, L S; Di Ciaccio, Lucia; Dijkstra, H; Di Simone, A; Doroba, K; Drees, J; Dris, M; Eigen, G; Ekelöf, T J C; Ellert, M; Elsing, M; Espirito-Santo, M C; Fanourakis, G K; Fassouliotis, D; Feindt, M; Fernández, J; Ferrer, A; Ferro, F; Flagmeyer, U; Föth, H; Fokitis, E; Fulda-Quenzer, F; Fuster, J A; Gandelman, M; García, C; Gavillet, P; Gazis, E N; Geralis, T; Gokieli, R; Golob, B; Gómez-Cadenas, J J; Gómez-Ceballos, G; Gonçalves, P; Graziani, E; Grosdidier, G; Grzelak, K; Guy, J; Haag, C; Hallgren, A; Hamacher, K; Hamilton, K; Hansen, J; Haug, S; Hauler, F; Hedberg, V; Hennecke, M; Hernando, J A; Herr, H; Heuser, J M; Holmgren, S O; Holt, P J; Houlden, M A; Hultqvist, K; Jackson, J N; Jalocha, P; Jarlskog, C; Jarlskog, G; Jarry, P; Jeans, D; Johansson, E K; Johansson, P D; Jonsson, P; Joram, C; Jungermann, L; Kapusta, F; Karlsson, M; Katsanevas, S; Katsoufis, E C; Keränen, R; Kernel, G; Kersevan, Borut P; Kiiskinen, A P; King, B T; Kjaer, N J; Kluit, P; Kokkinias, P; Kourkoumelis, C; Kuznetsov, O; Krumshtein, Z; Kucharczyk, M; Kucewicz, W; Kurowska, J; Lamsa, J; Leder, G; Ledroit, F; Leinonen, L; Leitner, R; Lemonne, J; Lepeltier, V; Lesiak, T; Liebig, W; Liko, D; Lipniacka, A; Lopes, J H; López, J M; Loukas, D; Lutz, P; Lyons, L; MacNaughton, J; Malek, A; Maltezos, S; Mandl, F; Marco, J; Marco, R; Maréchal, B; Margoni, M; Marin, J C; Mariotti, C; Markou, A; Martínez-Rivero, C; Martínez-Vidal, F; Masik, J; Mastroyiannopoulos, N; Matorras, F; Matteuzzi, C; Mazzucato, F; Mazzucato, M; McNulty, R; Meroni, C; Meyer, W T; Migliore, E; Mitaroff, W A; Mjörnmark, U; Moa, T; Moch, M; Mönig, K; Monge, R; Montenegro, J; Moraes, D; Moreno, S; Morettini, P; Müller, U; Münich, K; Mulders, M; Mundim, L; Murray, W; Muryn, B; Myatt, Gerald; Myklebust, T; Nassiakou, M; Navarria, Francesco Luigi; Nawrocki, K; Nicolaidou, R; Niezurawski, P; Nikolenko, M; Nomerotski, A; Norman, A; Nygren, A; Oblakowska-Mucha, A; Obraztsov, V F; Olshevskii, A G; Onofre, A; Orava, Risto; Österberg, K; Ouraou, A; Oyanguren, A; Paganoni, M; Paiano, S; Palacios, J P; Palka, H; Papadopoulou, T D; Pape, L; Parkes, C; Parodi, F; Parzefall, U; Passeri, A; Passon, O; Peralta, L; Perepelitsa, V F; Perrotta, A; Petrolini, A; Piedra, J; Pieri, L; Pierre, F; Pimenta, M; Piotto, E; Podobnik, T; Poireau, V; Pol, M E; Polok, G; Poropat, P; Pozdnyakov, V; Pukhaeva, N; Pullia, Antonio; Rames, J; Ramler, L; Read, A; Rebecchi, P; Rehn, J; Reid, D; Reinhardt, R; Renton, P B; Richard, F; Rídky, J; Rivero, M; Rodríguez, D; Romero, A; Ronchese, P; Rosenberg, E I; Roudeau, Patrick; Rovelli, T; Ruhlmann-Kleider, V; Ryabtchikov, D; Sadovskii, A; Salmi, L; Salt, J; Savoy-Navarro, A; Schwickerath, U; Segar, A; Sekulin, R L; Siebel, M; Sissakian, A N; Smadja, G; Smirnova, O G; Sokolov, A; Sopczak, A; Sosnowski, R; Spassoff, Tz; Stanitzki, M; Stavitski, I; Stocchi, A; Strauss, J; Stugu, B; Szczekowski, M; Szeptycka, M; Szumlak, T; Tabarelli de Fatis, T; Taffard, A C; Tegenfeldt, F; Timmermans, J; Tinti, N; Tkatchev, L G; Tobin, M; Todorovova, S; Tomaradze, A G; Tomé, B; Tonazzo, A; Tortosa, P; Travnicek, P; Treille, D; Trischuk, W; Tristram, G; Trochimczuk, M; Troncon, C; Turluer, M L; Tyapkin, I A; Tyapkin, P; Tyndel, M; Tzamarias, S; Uvarov, V; Valenti, G; van Dam, P; Van Eldik, J; Van Lysebetten, A; Van Remortel, N; Van Vulpen, I B; Vegni, G; Veloso, F; Venus, W A; Verbeure, F; Verdier, P; Verzi, V; Vilanova, D; Vitale, L; Vrba, V; Wahlen, H; Washbrook, A J; Weilhammer, Peter; Weiser, C; Wicke, D; Wickens, J H; Wilkinson, G; Winter, M; Witek, M; Yushchenko, O P; Zalewska-Bak, A; Zalewski, Piotr; Zavrtanik, D; Zimin, N I; Zinchenko, A I; Zupan, M

    2004-01-01

    The standard method used for tagging b-hadrons in the DELPHI experiment at the CERN LEP Collider is discussed in detail. The main ingredient of b-tagging is the impact parameters of tracks, which relies mostly on the vertex detector. Additional information, such as the mass of particles associated to a secondary vertex, significantly improves the selection efficiency and the background suppression. The paper describes various discriminating variables used for the tagging and the procedure of their combination. In addition, applications of b-tagging to some physics analyses, which depend crucially on the performance and reliability of b-tagging, are described briefly.

  3. Core Outcome Domains for early phase clinical trials of sound-, psychology-, and pharmacology-based interventions to manage chronic subjective tinnitus in adults: the COMIT'ID study protocol for using a Delphi process and face-to-face meetings to establish consensus.

    Science.gov (United States)

    Fackrell, Kathryn; Smith, Harriet; Colley, Veronica; Thacker, Brian; Horobin, Adele; Haider, Haúla F; Londero, Alain; Mazurek, Birgit; Hall, Deborah A

    2017-08-23

    The reporting of outcomes in clinical trials of subjective tinnitus indicates that many different tinnitus-related complaints are of interest to investigators, from perceptual attributes of the sound (e.g. loudness) to psychosocial impacts (e.g. quality of life). Even when considering one type of intervention strategy for subjective tinnitus, there is no agreement about what is critically important for deciding whether a treatment is effective. The main purpose of this observational study is, therefore to, develop Core Outcome Domain Sets for the three different intervention strategies (sound, psychological, and pharmacological) for adults with chronic subjective tinnitus that should be measured and reported in every clinical trial of these interventions. Secondary objectives are to identify the strengths and limitations of our study design for recruiting and reducing attrition of participants, and to explore uptake of the core outcomes. The 'Core Outcome Measures in Tinnitus: International Delphi' (COMIT'ID) study will use a mixed-methods approach that incorporates input from health care users at the pre-Delphi stage, a modified three-round Delphi survey and final consensus meetings (one for each intervention). The meetings will generate recommendations by stakeholder representatives on agreed Core Outcome Domain Sets specific to each intervention. A subsequent step will establish a common cross-cutting Core Outcome Domain Set by identifying the common outcome domains included in all three intervention-specific Core Outcome Domain Sets. To address the secondary objectives, we will gather feedback from participants about their experience of taking part in the Delphi process. We aspire to conduct an observational cohort study to evaluate uptake of the core outcomes in published studies at 7 years following Core Outcome Set publication. The COMIT'ID study aims to develop a Core Outcome Domain Set that is agreed as critically important for deciding whether a

  4. Identifying indicators through modified Delphi technique in polytechnics system

    Science.gov (United States)

    Nashir, Irdayanti Mat; Mustapha, Ramlee; Yusoff, Abdullah

    2015-02-01

    This study aims to examine how the panel has been selected as experts in assessing indicators of innovative instructional leadership (IIL) administrator in polytechnics based on 222 items were obtained through previous studies. A total of eleven people were selected as the expert panels in a study where expert selection criteria based on their background in the leadership. Experts were interviewed separately. Interviews were carried out for a half hour in their offices. The data obtained were analyzed using Atlas Ti. Overall findings indicate experts agree that a total of 188 items and 14 indicators should be maintained in this innovative instructional leadership instruments and next by using Modified Delphi Technique. The instrument will then be analyzed to obtain findings on the perception of lecturers on every administrator innovative instructional leadership in their respective polytechnics.

  5. The use of qualitative methods to inform Delphi surveys in core outcome set development.

    Science.gov (United States)

    Keeley, T; Williamson, P; Callery, P; Jones, L L; Mathers, J; Jones, J; Young, B; Calvert, M

    2016-05-04

    Core outcome sets (COS) help to minimise bias in trials and facilitate evidence synthesis. Delphi surveys are increasingly being used as part of a wider process to reach consensus about what outcomes should be included in a COS. Qualitative research can be used to inform the development of Delphi surveys. This is an advance in the field of COS development and one which is potentially valuable; however, little guidance exists for COS developers on how best to use qualitative methods and what the challenges are. This paper aims to provide early guidance on the potential role and contribution of qualitative research in this area. We hope the ideas we present will be challenged, critiqued and built upon by others exploring the role of qualitative research in COS development. This paper draws upon the experiences of using qualitative methods in the pre-Delphi stage of the development of three different COS. Using these studies as examples, we identify some of the ways that qualitative research might contribute to COS development, the challenges in using such methods and areas where future research is required. Qualitative research can help to identify what outcomes are important to stakeholders; facilitate understanding of why some outcomes may be more important than others, determine the scope of outcomes; identify appropriate language for use in the Delphi survey and inform comparisons between stakeholder data and other sources, such as systematic reviews. Developers need to consider a number of methodological points when using qualitative research: specifically, which stakeholders to involve, how to sample participants, which data collection methods are most appropriate, how to consider outcomes with stakeholders and how to analyse these data. A number of areas for future research are identified. Qualitative research has the potential to increase the research community's confidence in COS, although this will be dependent upon using rigorous and appropriate

  6. A water sustainability index for West Java - Part 2: refining the conceptual framework using Delphi technique.

    Science.gov (United States)

    Juwana, I; Perera, B J C; Muttil, N

    2010-01-01

    In the first paper of this two-part series on the development of a water sustainability index for West Java, a conceptual framework of West Java Water Sustainability Index (WJWSI) was developed. It consists of three main parts: components, indicators/sub-indicators and threshold values. This second paper of the series presents the application of the Delphi technique, followed by in-depth interviews with selected key experts, to refine the conceptual WJWSI framework. The Delphi application includes the design of the questionnaires, the selection of respondents, the distribution and collection of the completed questionnaires and the analysis of data. After Round One of the Delphi application, the respondents reached consensus for all proposed components in the conceptual framework. However, some modifications to the components were also suggested by few respondents. Regarding the indicators/sub-indicators, consensus for 9 of the proposed 12 indicators was reached, and 5 new indicators were suggested. For the threshold values, consensus was reached for threshold values of 5 indicators. In Round Two of the Delphi application, respondents were asked questions related to results from Round One, which include the modification on the components, indicators/sub-indicators which have not been agreed, and newly suggested indicators/sub-indicators and threshold values. Results of Round Two show that modifications on the components were agreed, and consensus was reached for 8 out of the proposed 9 indicators/sub-indicators. In terms of its components and indicators, the framework was then finalised in the in-depth interview with four key experts, selected from different respondent categories. For the threshold values not yet finalised, further study will be carried out, as there was not much input from the respondents in the Delphi application and the in-depth interview.

  7. Developing a Consensus-Driven, Core Competency Model to Shape Future Audio Engineering Technology Curriculum: A Web-Based Modified Delphi Study

    Science.gov (United States)

    Tough, David T.

    2009-01-01

    The purpose of this online study was to create a ranking of essential core competencies and technologies required by AET (audio engineering technology) programs 10 years in the future. The study was designed to facilitate curriculum development and improvement in the rapidly expanding number of small to medium sized audio engineering technology…

  8. A Delphi survey of traits of effective physiatric leaders.

    Science.gov (United States)

    Braddom, C L; Braddom, R L

    1986-11-01

    A Delphi study of 14 physiatric leaders, 10 men and 4 women, ages 30 to 65, to determine their most important leadership characteristics, asked them to list the characteristics they considered most important for effective leadership. Responses were collated and any trait mentioned by at least three was put into a second survey, in which they were asked to rank the traits. A third survey gave them the results of the second, and asked for a final ranking. Fourteen traits made the final survey, in which the ten most important (in descending order of importance) were Organizational Skill, Commitment, Vision/Purpose, Communication Ability, Ability to Delegate, Sense of Ethics, Decisiveness, Knowledgeable, Flexibility/Adaptability and Analytical/Problem Solving Skill.

  9. The small angle tile calorimeter in the DELPHI experiment

    CERN Document Server

    Alvsvaag, S J; Barreira, G; Benvenuti, Alberto C; Bigi, M; Bonesini, M; Bozzo, M; Camporesi, T; Carling, H; Cassio, V; Castellani, L; Cereseto, R; Chignoli, F; Della Ricca, G; Dharmasiri, D R; Espirito-Santo, M C; Falk, E; Fenyuk, A; Ferrari, P; Gamba, D; Giordano, V; Guz, Yu; Guerzoni, M; Gumenyuk, S A; Hedberg, V; Jarlskog, G; Karyukhin, A N; Klovning, A; Konoplyannikov, A K; Kronkvist, I J; Lanceri, L; Leoni, R; Maeland, O A; Maio, A; Mazza, R; Migliore, E; Navarria, Francesco Luigi; Negri, P; Nossum, B; Obraztsov, V F; Onofre, A; Paganoni, M; Pegoraro, M; Peralta, L; Petrovykh, L P; Pimenta, M; Poropat, P; Prest, M; Read, A L; Romero, A; Shalanda, N A; Simonetti, L; Skaali, T B; Stugu, B; Terranova, F; Tomé, B; Torassa, E; Trapani, P P; Verardi, M G; Vallazza, E; Vlasov, E; Zaitsev, A

    1999-01-01

    The {\\bf S}mall angle {\\bf TI}le {\\bf C}alorimeter ({\\bf STIC}) provides calorimetric coverage in the very forward region of the DELPHI experiment at the CERN LEP collider. The structure of the calorimeters, built with a so-called ``shashlik'' technique, gives a perfectly hermetic calorimeter and still allows for the insertion of tracking detectors within the sampling structure to measure the direction of the showering particle. A charged-particle veto system, composed of two scintillator layers, makes it possible to trigger on single photon events and provides e-$\\gamma$ separat ion. Results are presented from the extensive studies of these detectors in the CERN testbeams prior to installation and of the detector performance at LEP.

  10. Animal Science Experts' Opinions on the Non-Technical Skills Secondary Agricultural Education Graduates Need for Employment in the Animal Science Industry: A Delphi Study

    Science.gov (United States)

    Slusher, Wendy L.; Robinson, J. Shane; Edwards, M. Craig

    2010-01-01

    Non-technical, employability skills are in high demand for entry-level job-seekers. As such, this study sought to describe the perceptions of Oklahoma's animal science industry leaders as it related to the employability skills needed for entry-level employment of high school graduates who had completed coursework in Oklahoma's Agricultural, Food…

  11. A quasi-Delphi study on technological barriers to the uptake of hydrogen as a fuel for transport applications : production, storage and fuel cell drivetrain considerations

    OpenAIRE

    Hart, David; Anghel, Alexandra T.; Huijsmans, Joep; Vuille, François

    2009-01-01

    The introduction of hydrogen in transport, particularly using fuel cell vehicles, faces a number of technical and non-technical hurdles. However, their relative importance is unclear, as are the levels of concern accorded them within the expert community conducting research and development within this area. To understand what issues are considered by experts working in the field to have significant potential to slow down or prevent the introduction of hydrogen technology in transport, a study...

  12. Physicians’ opinion on the use of perazine in the treatment of mental disorders – results of the Delphi consensus study [Opinie lekarzy dotyczące perazyny w leczeniu zaburzeń psychicznych – wyniki badania metodą delficką

    Directory of Open Access Journals (Sweden)

    Adamowski, Tomasz

    2012-12-01

    Full Text Available Aim. Currently, the use of first generation antipsychotics (FGA is strongly limited. On the other hand, treatment with second generation antipsychotics (SGA can not be applied in every patient. Therefore, there is an urgent necessity to obtain information about the knowledge and experience of clinicians with regard to safety and efficacy of pernazine, which represents the most widely used FGA in Poland. Due to a striking scarcity of studies on pernazine, authors designed and performed the study, which should provide physicians knowledge arising from daily practice of clinicians included in this study. Methods. Analysis was performed basing on 142 opinions of 26 physicians who were experienced in the treatment with pernazine. The Delphi method, which relies on concluding from expert opinions was adopted in this study. A three-round Delphi was used in order to yield final conclusions. Results. According to clinicians, pernazine is one of the most cost-effective and well-tolerated FGA. Furthermore, its different profiles of action (anxiolytic and sedative enable to use pernazine in various indications, as well as in polypharmacotherapy. Referring to a long-term experience, clinicians emphasised the efficacy of pernazine and a high compliance with medication. Conclusions. Psychiatric treatment should be individualised taking into account not only clinical indices but also patient’s preferences and expectations. According to clinicians pernazine is a safe and versatile medication for schizophrenia or other mental disorders and serves as the alternative for SGA.

  13. The DELPHI Silicon Tracker in the global pattern recognition

    CERN Document Server

    Elsing, M

    2000-01-01

    ALEPH and DELPHI were the first experiments operating a silicon vertex detector at LEP. During the past 10 years of data taking the DELPHI Silicon Tracker was upgraded three times to follow the different tracking requirements for LEP 1 and LEP 2 as well as to improve the tracking performance. Several steps in the development of the pattern recognition software were done in order to understand and fully exploit the silicon tracker information. This article gives an overview of the final algorithms and concepts of the track reconstruction using the Silicon Tracker in DELPHI.

  14. A quasi-Delphi study on technological barriers to the uptake of hydrogen as a fuel for transport applications-Production, storage and fuel cell drivetrain considerations

    Science.gov (United States)

    Hart, David; Anghel, Alexandra T.; Huijsmans, Joep; Vuille, François

    The introduction of hydrogen in transport, particularly using fuel cell vehicles, faces a number of technical and non-technical hurdles. However, their relative importance is unclear, as are the levels of concern accorded them within the expert community conducting research and development within this area. To understand what issues are considered by experts working in the field to have significant potential to slow down or prevent the introduction of hydrogen technology in transport, a study was undertaken, primarily during 2007. Three key technology areas within hydrogen transport were selected - hydrogen storage, fuel cell drivetrains, and small-scale hydrogen production - and interviews with selected experts conducted. Forty-nine experts from 34 organisations within the fuel cell, automotive, industrial gas and other related industries participated, in addition to some key academic and government figures. The survey was conducted in China, Japan, North America and Europe, and analysed using conventional mathematical techniques to provide weighted and averaged rankings of issues viewed as important by the experts. It became clear both from the interviews and the subsequent analysis that while a primary concern in China was fundamental technical performance, in the other regions cost and policy were rated more highly. Although a few individual experts identified possible technical showstoppers, the overall message was that pre-commercial hydrogen fuel cell vehicles could realistically be on the road in tens of thousands within 5 years, and that full commercialisation could take place within 10-15 years, without the need for radical technical breakthroughs. Perhaps surprisingly, the performance of hydrogen storage technologies was not viewed as a showstopper, though cost was seen as a significant challenge. Overall, however, coherent policy development was more frequently identified as a major issue to address.

  15. Model Pembelajaran Praktik Pengayaan Motor Listrik Arus Searah Berbantuan Program Delphi

    Directory of Open Access Journals (Sweden)

    Istanto Wahyu Djatmiko

    2016-01-01

    Full Text Available This study aims to determine the quality of the direct current electric motor enrichment practice learning media utilizing the Delphi program, the effectiveness of the media, and the enrichment practice learning model utilizing the Delphi program. This study was categorized as a research and development. The subjects of the study were 15 students of the Electrical Engineering department in Engineering Faculty of Yogyakarta State University. The data was analysed descriptively and described in frequency distribution categories. The results of the study were: (1 the quality of the developed materials and the quality of the developed media were categorized as very good and good respectively (2 the effectiveness of the materials was categorized as good (3 the applicable procedure of the developed learning media for the students

  16. Necesidades de información de los usuarios de Atención Primaria desde la perspectiva de los profesionales sanitarios: Un estudio Delphi Information needs of patients in primary care from the perspective of health professionals: A Delphi study

    Directory of Open Access Journals (Sweden)

    José Ángel Maderuelo-Fernández

    2009-10-01

    Full Text Available Objetivos: Conocer las necesidades de información de los usuarios en relación a la oferta de servicios de Atención Primaria desde la perspectiva de los profesionales sanitarios. Métodos: Se ha utilizado la técnica Delphi como método de consenso. Se solicitó la participación de 70 expertos: 35 médicos de familia, 32 enfermeras y tres pediatras de centros de salud urbanos y rurales del Área de Salud de Salamanca, entre mayo y diciembre de 2006. Los cuestionarios estaban estructurados en seis apartados: conocimientos sobre su salud, oferta de su centro de salud, aspectos administrativos, medios de difusión, expectativas sobre información y barreras en la comunicación. Las respuestas priorizadas en el tercer cuestionario se puntuaron según una escala que otorga cinco puntos a la sentencia más importante y un punto a la seleccionada en quinto lugar. Resultados: Contestaron los tres cuestionarios 44 (62,8% expertos. Las necesidades de información más puntuadas fueron la información sobre su enfermedad (4,0 puntos, los aspectos relacionados con la responsabilidad sobre su salud (3,8 y los consejos preventivos (3,6, seguidos de aspectos relativos a la accesibilidad (4,2, urgencias (3,4, oferta de servicios de médico/a y enfermera/o (3,6 y sitios donde dirigirse para obtener información (4,0. La falta de coordinación entre niveles (4,1 y la burocratización (3,5 se consideraron barreras en la comunicación y la información. Conclusiones: Los factores identificados se centran en contenidos que permitan a los pacientes implicarse en su propio proceso y participar en la toma de decisiones que les incumben. También destacaron la información sobre los servicios y el acceso a éstos.Objective: To determine the information needed by patients in relation to the supply of primary care services from the perspective of health professionals. Methods: The Delphi technique was used as a consensus method. Seventy experts were asked to

  17. AMD and TACC Consolidation: A Delphi Study

    Science.gov (United States)

    2013-06-01

    single or several AMDs. Figure 1: US Probability of Fault Zones ( Fogler , 2010) Regardless of whether consolidation is pursued or not, a...and Information Technology (7 th ed.). New York, NY: McGraw-Hill/Irwin, 2011. Fogler , Peter. “Earthquakes: Risk, Detection, Warning, and Research

  18. The Pilot Staffing Conundrum: A Delphi Study

    Science.gov (United States)

    2009-06-01

    Project, AFIT/ GMO /LAL/98J-2. School of Logistics and Acquisition Management, Air Force Institute of Technology (AU), Wright Patterson AFB, OH, June...Kafer, John H. Relationship of Airline Pilot Demand and Air Force Pilot Retention. Graduate Research Project, AFIT/ GMO /LAL/98J-11. School of Logistics

  19. Developing Policy for Integrating Biomedicine and Traditional Chinese Medical Practice Using Focus Groups and the Delphi Technique

    Directory of Open Access Journals (Sweden)

    Vincent C. H. Chung

    2012-01-01

    Full Text Available In Hong Kong, statutory regulation for traditional Chinese medicine (TCM practitioners has been implemented in the past decade. Increasing use of TCM on top of biomedicine (BM services by the population has been followed; but corresponding policy development to integrate their practices has not yet been discussed. Using focus group methodology, we explore policy ideas for integration by collating views from frontline BM (n=50 and TCM clinicians (n=50. Qualitative data were analyzed under the guidance of structuration model of collaboration, a theoretical model for understanding interprofessional collaboration. From focus group findings we generated 28 possible approaches, and subsequently their acceptability was assessed by a two round Delphi survey amongst BM and TCM policy stakeholders (n=12. Consensus was reached only on 13 statements. Stakeholders agreed that clinicians from both paradigms should share common goals of providing patient-centered care, promoting the development of protocols for shared care and information exchange, as well as strengthening interprofessional connectivity and leadership for integration. On the other hand, attitudes amongst policy stakeholders were split on the possibility of fostering trust and mutual learning, as well as on enhancing innovation and governmental support. Future policy initiatives should focus on these controversial areas.

  20. Stability of response characteristics of a Delphi panel: application of bootstrap data expansion

    Directory of Open Access Journals (Sweden)

    Cole Bryan R

    2005-12-01

    Full Text Available Abstract Background Delphi surveys with panels of experts in a particular area of interest have been widely utilized in the fields of clinical medicine, nursing practice, medical education and healthcare services. Despite this wide applicability of the Delphi methodology, there is no clear identification of what constitutes a sufficient number of Delphi survey participants to ensure stability of results. Methods The study analyzed the response characteristics from the first round of a Delphi survey conducted with 23 experts in healthcare quality and patient safety. The panel members had similar training and subject matter understanding of the Malcolm Baldrige Criteria for Performance Excellence in Healthcare. The raw data from the first round sampling, which usually contains the largest diversity of responses, were augmented via bootstrap sampling to obtain computer-generated results for two larger samples obtained by sampling with replacement. Response characteristics (mean, trimmed mean, standard deviation and 95% confidence intervals for 54 survey items were compared for the responses of the 23 actual study participants and two computer-generated samples of 1000 and 2000 resampling iterations. Results The results from this study indicate that the response characteristics of a small expert panel in a well-defined knowledge area are stable in light of augmented sampling. Conclusion Panels of similarly trained experts (who possess a general understanding in the field of interest provide effective and reliable utilization of a small sample from a limited number of experts in a field of study to develop reliable criteria that inform judgment and support effective decision-making.

  1. Proposed recommended procedure for the use of OAEs in hearing conservation: A Delphi exercise: Presentation

    CSIR Research Space (South Africa)

    Edwards, A

    2013-10-01

    Full Text Available are to prevent NIHL need early identification The audiogram = subjective method that relies on co-operation from the worker Alternative or adjunct approach is an objective testing method - OAEs Metropolitan Police exemption from using HPDs Slide... 5 © CSIR 2010 Slide 5 Delphi technique Methodology • a widely used and accepted method • has been used in various fields of study such as program planning, needs assessment, policy determination, and resource utilization...

  2. Development of the Assessment Items of Debris Flow Using the Delphi Method

    Science.gov (United States)

    Byun, Yosep; Seong, Joohyun; Kim, Mingi; Park, Kyunghan; Yoon, Hyungkoo

    2016-04-01

    In recent years in Korea, Typhoon and the localized extreme rainfall caused by the abnormal climate has increased. Accordingly, debris flow is becoming one of the most dangerous natural disaster. This study aimed to develop the assessment items which can be used for conducting damage investigation of debris flow. Delphi method was applied to classify the realms of assessment items. As a result, 29 assessment items which can be classified into 6 groups were determined.

  3. AQUILA: assessment of quality in lower limb arthroplasty. An expert Delphi consensus for total knee and total hip arthroplasty

    NARCIS (Netherlands)

    Pijls, B.G.; Dekkers, O.M.; Middeldorp, S.; Valstar, E.R.; Van der Heide, H.J.L.; Van der Linden-Van der Zwaag, H.M.J.; Nelissen, R.G.H.H.

    2011-01-01

    Background: In the light of both the importance and large numbers of case series and cohort studies (observational studies) in orthopaedic literature, it is remarkable that there is currently no validated measurement tool to appraise their quality. A Delphi approach was used to develop a checklist f

  4. 利用 Delphi -PCA 方法筛选煤炭企业关键人因风险因子研究%Study on the Screening of Key Human Risk Factors in Coal Enterprises by Delphi-PCA Method

    Institute of Scientific and Technical Information of China (English)

    揣小明; 申霞; 桑志彪; 贺山峰; 彭锟; 钱洪伟

    2015-01-01

    Taking one Coal Industry Group Co .,Ltd .in Henan province as the case ,the current human risk situations are deeply analyzed by the combination of documents retrieval ,questionnaire survey ,interview method and STOP behavior ob-servation method ,and key human risk factors are screened by Delphi method and Principal Component Analysis .The main results are as follows:(1) different extents of problems are founded in safety management process ,individual factors con-trol ,team factors control and entrepreneurial team factors control in the Coal Industry Group Co .,Ltd .;(2 ) human risk factors in the Coal Industry Group Co .,Ltd .are concluded into five aspects ,including 30 concrete indicators;(3 ) ten key human risk factors influencing the occurrence of accidents in coal enterprises are screened ,and then their representativeness is confirmed by the causes analysis for 69 accidents ,151 near miss and 210 unsafe behaviors;(4) current status of the hu-man risk in the Coal Industry Group Co .,Ltd .is evaluated by the key human risk factors .%以河南某煤业集团为研究对象,采用文献检索法、问卷调查法、访谈法和STOP行为观测法等方法对其人因风险现状进行深入剖析,并通过德尔菲法与主成分分析相结合的研究方法筛选出关键人因风险因子。得出的结果为该煤业集团在安全管理流程、个人因素控制、班组因素控制和团队因素控制方面存在不同程度的问题;该煤业集团的人因风险因素归纳为5大方面,下设30个具体指标;筛选出影响该煤业集团的10个关键人因风险因子,并通过69起事故、151起未遂事故和210种不安全行为的致因分析验证其典型性;利用关键人因风险因子对该煤业集团试点矿人因风险现状进行评估。

  5. 78 FR 48467 - Delphi Automotive Systems, LLC, Products and Service Solutions Division, Including On-Site Leased...

    Science.gov (United States)

    2013-08-08

    ... Employment and Training Administration Delphi Automotive Systems, LLC, Products and Service Solutions... workers of Delphi Automotive Systems, LLC, Product and Service Solutions Division, Original Equipment... of ] Delphi Automotive Systems, LLC, Product and Service Solutions Division, including on-site...

  6. B/S system design based on Delphi/ASP%基于Delphi/ASP的B/S系统设计

    Institute of Scientific and Technical Information of China (English)

    陈振庆

    2006-01-01

    ASP技术是以internet/intranet为平台的web技术, VB/ASP、VC++/ASP开发B/S系统技术比较成熟,而系统介绍Delphi/ASP设计B/S系统的资料非常缺乏,文章介绍了Delphi与ASP间的通信技术以及Delphi/ASP环境下设计B/S系统的方法与技术.

  7. Study on establishing the evaluation index of clinical competence of nursing undergraduate interns through Delphi method%基于Delphi法的“本科护生临床能力评价指标”的构建分析

    Institute of Scientific and Technical Information of China (English)

    胡晓林; 李继平; 王世平; 李小麟; 李晓玲

    2012-01-01

    Objective The study aimed at establishing an evaluation index system of clinical competence of nursing undergraduate interns,which is more scientific,clearly guidable,comparative and convenient in order to provide the theoretical foundations to enhance the standardization,objectivity and fairness of the evaluation of clinical competence of nursing undergraduate interns.Methods Based on the Delphi method,the items of evaluation system was selected,the standards with 4 different levels for each item were set.Results The evaluation index system of clinical competence of nursing undergraduate interns was constructed,which was composed of 23 items from 5 domains including professional value,clinical nursing competence,communication and collaboration competence,teaching and management competence and professional development competence.Four different levels of evaluation standards were set for each item to differentiate different levels of clinical competence.The enthusiasm coefficient of experts was 96.2%(>60%),the average authority coefficient of experts was 0.9128 (>0.70).The harmonization coefficient of the 5 domains in the first grade index was 0.9262 and those of 23 items in the second grade index was 0.9127.Conclusions The index system of clinical competence of nursing undergraduate interns established evaluation standard of each level.The enthusiasm coefficient,authority coefficient and harmonization coefficient of expert consultation showed that it has high representativeness and reliability.%目的 建立一套较为科学、导向明确、量化可比的护理本科实习生临床能力评价指标体系,以期为提高护理本科实习生临床能力评价的规范性、客观性和公正性提供理论依据.方法 以Delphi专家咨询法为基础,筛选出护理本科实习生临床能力各评价指标,确立了各指标分级评价标准.结果 构建了覆盖职业价值观、临床护理能力、沟通协作能力、教学与管

  8. Determining the most important factors for sustainable energy technology selection in Africa: application of the Delphi technique

    CSIR Research Space (South Africa)

    Barry, M-L

    2008-04-01

    Full Text Available into account when identifying the most sustainable technological systems in the African context. The study utilised the Delphi technique. The questionnaire of the first round was based on factors identified during a focus group exercise with energy experts...

  9. A Delphi-Based Approach for Detecting Key E-Learning Trends in Postgraduate Education: The Spanish Case

    Science.gov (United States)

    Lopez-Catalan, Blanca; Bañuls, Victor A.

    2017-01-01

    Purpose: The purpose of this paper is to present the results of national level Delphi study carried out in Spain aimed at providing inputs for higher education administrators and decision makers about key e-learning trends for supporting postgraduate courses. Design/methodology/approach: The ranking of the e-learning trends is based on a…

  10. Using the Delphi Method for Qualitative, Participatory Action Research in Health Leadership

    Directory of Open Access Journals (Sweden)

    Amber J. Fletcher PhD

    2014-02-01

    Full Text Available Current pressures on public health systems have led to increased emphasis on restructuring, which is seen as a potential solution to crises of accessibility, quality, and funding. Leadership is an important factor in the success or failure of these initiatives. Despite its importance, health leadership evades easy articulation, and its study requires a thoughtful methodological approach. We used a modified Delphi method in a Participatory Action Research (PAR project on health leadership in Canada. Little has been written about the combination of Delphi method with PAR. We offer a rationale for the combination and describe its usefulness in researching the role of leadership in a restructuring initiative in “real time” with the participation of health system decision makers. Recommendations are provided to researchers wishing to use the Delphi method qualitatively (i.e., without statistical consensus in a PAR framework while protecting the confidentiality of participants who work at different levels of authority. We propose a modification of Kaiser's (2009 post-interview confidentiality form to address power differentials between participants and to enhance confidentiality in the PAR process.

  11. Defining the activities of publicness for Korea's public community hospitals using the Delphi method.

    Science.gov (United States)

    Lee, Kunsei; Kim, Hyun Joo; You, Myoungsoon; Lee, Jin-Seok; Eun, Sang Jun; Jeong, Hyoseon; Ahn, Hye Mi; Lee, Jin Yong

    2017-03-01

    This study aims to identify which activities of a public community hospital (PHC) should be included in their definition of publicness and tries to achieve a consensus among experts using the Delphi method. We conduct 2 rounds of the Delphi process with 17 panel members using a developed draft of tentative activities for publicness including 5 main categories covering 27 items. The questions remain the same in both rounds and the applicability of each of the 27 items to publicness is measured on a 9-point scale. If the participants believe government funding is needed, we ask how much they think the government should support each item on a 0% to 100% scale. After conducting 2 rounds of the Delphi process, 22 out of the 27 items reached a consensus as activities defining the publicness of the PHCs. Among the 5 major categories, in category C, activities preventing market failure, all 10 items were considered activities of publicness. Nine of these were evaluated as items that should be compensated at 100% of total financial loss by the Korean government. Throughout results, we were able to define the activities of the PCH that encompassed its publicness and confirm that there are "good deficits" in the context of the PCHs. Thus, some PCH deficits are unavoidable and not wasted as these monies support a necessary role and function in providing public health. The Korean government should therefore consider taking actions such as exempting such "good deficits" or providing additional financial aid to reimburse the PHCs for "good deficits."

  12. SOLID STATE ENERGY CONVERSION ALLIANCE DELPHI SOFC

    Energy Technology Data Exchange (ETDEWEB)

    Steven Shaffer; Sean Kelly; Subhasish Mukerjee; David Schumann; H. Skip Mieney

    2003-06-09

    The objective of Phase I under this project is to develop a 5 kW Solid Oxide Fuel Cell power system for a range of fuels and applications. During Phase I, the following will be accomplished: Develop and demonstrate technology transfer efforts on a 5 kW stationary distributed power generation system that incorporates steam reforming of natural gas with piped-in water (Demonstration System A); and Initiate development of a 5 kW system for later mass-market automotive auxiliary power unit application, which will incorporate Catalytic Partial Oxidation (CPO) reforming of gasoline, with anode exhaust gas injected into an ultra-lean burn internal combustion engine. This technical progress report covers work performed by Delphi from July through December 2002 under Department of Energy Cooperative Agreement DE-FC-02NT41246 for the 5 kW mass-market automotive (gasoline) auxiliary power unit. This report highlights technical results of the work performed under the following tasks for the automotive 5 kW system: Task 1--System Design and Integration; Task 2--Solid Oxide Fuel Cell Stack Developments; Task 3--Reformer Developments; Task 4--Development of Balance of Plant (BOP) Components; Task 5--Manufacturing Development (Privately Funded); Task 6--System Fabrication; and Task 7--System Testing.

  13. Solid State Energy Conversion Alliance Delphi SOFC

    Energy Technology Data Exchange (ETDEWEB)

    Steven Shaffer; Sean Kelly; Larry Chick; Subhasish Mukerjee; David Schumann

    2003-05-20

    The objective of Phase I under this project is to develop a 5 kW SOFC power system for a range of fuels and applications. During Phase I, the following will be accomplished: 1. Develop and demonstrate technology transfer efforts on a 5 kW stationary distributed power generation system that incorporates steam reforming of natural gas with piped-in water (Demonstration System A). 2. Initiate development of a 5 kW system for later mass-market automotive auxiliary power unit application, which will incorporate catalytic partial oxidation (CPO) reforming of gasoline, with anode exhaust gas injected into an ultra-lean burn internal combustion engine. This topical report covers work performed by Delphi Automotive Systems from January through June 2002 under DOE Cooperative Agreement DE-FC-02NT41246 for the 5 kW mass-market automotive (gasoline) auxiliary power unit. This report highlights technical results of the work performed under the following tasks for the automotive 5 kW system: 1. System Design and Integration 2. SOFC Stack Development 3. Reformer Development The next anticipated Technical Progress Report will be submitted January 30, 2003 and will include tasks contained within the cooperative agreement including development work on the Demonstration System A, if available.

  14. Reconstruction of B hadron decays at DELPHI

    CERN Document Server

    Salmi, Laura Tiina Maria

    2006-01-01

    This thesis describes three analyses related to heavy quarks. The analysis with the largest impact is the extraction of parameters of heavy quark decays using the lepton energy spectrum and the hadronic mass spectrum in semileptonic B decays. The extraction of the parameters allows to test the framework used to theoretically describe the decay of heavy mesons, and more accurate knowledge of the parameter values results in greater accuracy in the determination of the element |Vcb| of the Cabibbo-Kobayashi-Maskawa (CKM) quark mixing matrix. The determination described in this thesis is important, since it is so far the only one where the full lepton energy spectrum has been used. The other determinations are based on using only a part of the spectrum. The first extraction of the parameters in the kinetic mass scheme was based on the statistical moments of the lepton energy spectrum and hadronic mass spectrum measured using the data collected at delphi. In the second analysis, the angular distribution of fragmen...

  15. Data base and slow controls system of the DELPHI VSAT and two-photon physics using DELPHI at LEP

    Energy Technology Data Exchange (ETDEWEB)

    Kronkvist, I.

    1996-09-01

    This thesis is based on work done at the DELPHI-detector at LEP 1991-1996. The first part describes the Very Small Angle Tagger (VSAT) and Small angle TIle Calorimeter (STIC), which are sub-detectors of DELPHI. The second part describes the structure of the DELPHI database, and how this was implemented for the VSAT detector. An automatic on-line calibration database updating procedure that was set up in 1991 in order to prepare for off-line analysis and luminosity calculations. The third part gives an introduction to the DELPHI slow controls system. This is a very complex system as a whole, and the implementation for VSAT showed a need for detector-specific software adapted to the custom-built hardware. As an example of how the system can be used in tracing problems and their origins, there is a section on the radiation damage sustained to two of the VSAT modules in September 1995. There is also a description on how the Small Angle Tagger (SAT) slow controls system was adapted to the STIC detector in early 1994 when the STIC was installed, replacing the SAT as the main DELPHI luminosity monitor. The forth and final part is about two-photon physics at DELPHI, with emphasis on a VSAT double-tagged event analysis. It shows the feasibility of looking for double-tagged events where the scattered particles are tagged in very small angles. The cross sections for such events are very small, but the data is consistent with Monte Carlo predictions using a combination of VDM, QPM, QCD + RPC models, and demonstrates the feasibility of making such investigations with future DELPHI data-recordings. 46 refs, 21 figs.

  16. Autotööstuse Delphi juht ravib firmat pankrotiga / Mikk Salu

    Index Scriptorium Estoniae

    Salu, Mikk, 1975-

    2005-01-01

    Maailma suurima autoosade valmistaja Delphi tegevjuht Steve Miller, kes on kuulsaks saanud United Airlines'i ja Bethlehem Steel'i pankrotiga, kuulutas välja Delphi pankroti ning seadis ametiühingud valiku ette: kas kärbitakse palku või lõpetatakse pensionide maksmine. Lisa: Pensionikoorem. Diagramm: Delphi kuulutas välja pankroti

  17. 78 FR 48468 - Delphi Corporation, Electronics and Safety Division, Including On-Site Leased Workers From...

    Science.gov (United States)

    2013-08-08

    ... Employment and Training Administration Delphi Corporation, Electronics and Safety Division, Including On-Site... to workers of Delphi Corporation, Electronics and Safety Division, including on-site leased workers... Delphi Corporation, Electronics and Safety Division. The Department has determined that these...

  18. Delphi, Dice and Dominos: Techniques to Understand and Mitigate Technical Risk

    Science.gov (United States)

    2015-12-01

    tourism , educa- tion and marketing. Program managers can use Delphi in situa- tions of complexity, uncertainty and where no hard facts exist. Delphi...more than 1,000. The Delphi process does not call for the panel size to be representative samples for statistical purposes. However, 30 panel

  19. Developing the E-Delphi System: A Web-Based Forecasting Tool for Educational Research.

    Science.gov (United States)

    Chou, Chien

    2002-01-01

    Discusses use of the Delphi technique and describes the development of an electronic version, called e-Delphi, in which questionnaire construction and communication with panel members was accomplished using the Web. Explains system function and interface and discusses evaluation of the e-Delphi system. (Author/LRW)

  20. Defining Multimorbidity: From English to Portuguese Using a Delphi Technique.

    Science.gov (United States)

    Prazeres, Filipe; Santiago, Luiz Miguel; Simões, José Augusto

    2015-01-01

    To translate the European General Practice Research Network multimorbidity definition according to Portuguese cultural and linguistic features. Similar to the process completed in several other European countries, a forward and backward translation of the English multimorbidity definition using the Delphi technique was performed in Portugal. Twenty-three general practitioners (GPs)-14 males and 9 females-agreed to form the Portuguese expert panel for the Delphi process (59% acceptance rate). The Portuguese definition of multimorbidity was achieved after two Delphi rounds with a mean (SD) consensus score for final round of 8.43/9 (0.73). With this paper the definition of multimorbidity is now available in a new language-Portuguese. Its availability in the local language will raise Portuguese GPs' awareness about multimorbidity and allow future national and international research. The operationalization of the definition will allow an easier identification of patients with multimorbidity.

  1. The DELPHI Detector (DEtector with Lepton Photon and Hadron Identification)

    CERN Multimedia

    Crawley, B; Munich, K; Mckay, R; Matorras, F; Joram, C; Malychev, V; Behrmann, A; Van dam, P; Drees, J K; Stocchi, A; Adam, W; Booth, P; Bilenki, M; Rosenberg, E I; Morton, G; Rames, J; Hahn, S; Cosme, G; Ventura, L; Marco, J; Tortosa martinez, P; Monge silvestri, R; Moreno, S; Phillips, H; Alekseev, G; Boudinov, E; Martinez rivero, C; Gitarskiy, L; Davenport, M; De clercq, C; Firestone, A; Myagkov, A; Belous, K; Haider, S; Hamilton, K M; Lamsa, J; Rahmani, M H; Malek, A; Hughes, G J; Peralta, L; Carroll, L; Fuster verdu, J A; Cossutti, F; Gorn, L; Yi, J I; Bertrand, D; Myatt, G; Richard, F; Shapkin, M; Hahn, F; Ferrer soria, A; Reinhardt, R; Renton, P; Sekulin, R; Timmermans, J; Baillon, P

    2002-01-01

    % DELPHI The DELPHI Detector (Detector with Lepton Photon and Hadron Identification) \\\\ \\\\DELPHI is a general purpose detector for physics at LEP on and above the Z$^0$, offering three-dimensional information on curvature and energy deposition with fine spatial granularity as well as identification of leptons and hadrons over most of the solid angle. A superconducting coil provides a 1.2~T solenoidal field of high uniformity. Tracking relies on the silicon vertex detector, the inner detector, the Time Projection Chamber (TPC), the outer detector and forward drift chambers. Electromagnetic showers are measured in the barrel with high granularity by the High Density Projection Chamber (HPC) and in the endcaps by $ 1 ^0 $~x~$ 1 ^0 $ projective towers composed of lead glass as active material and phototriode read-out. Hadron identification is provided mainly by liquid and gas Ring Imaging Counters (RICH). The instrumented magnet yoke serves for hadron calorimetry and as filter for muons, which are identified in t...

  2. Operation, optimisation, and performance of the DELPHI RICH detectors

    CERN Document Server

    Albrecht, E; Augustinus, A; Baillon, Paul; Battaglia, Marco; Bloch, D; Boudinov, E; Brunet, J M; Carrié, P; Cavalli, P; Christophel, E; Davenport, M; Dracos, M; Eklund, L; Erzen, B; Fischer, P A; Fokitis, E; Fontanelli, F; Gracco, Valerio; Hallgren, A; Joram, C; Juillot, P; Kjaer, N J; Kluit, P M; Lenzen, G; Liko, D; Mahon, J R; Maltezos, S; Markou, A; Neufeld, N; Nielsen, B S; Petrolini, A; Podobnik, T; Polok, G; Sajot, G; Sannino, M; Schyns, E; Strub, R; Tegenfeldt, F; Thadome, J; Tristram, G; Ullaland, O; Vulpen, I V

    1999-01-01

    The Ring Imaging Cherenkov detectors of DELPHI represent a large-scale particle identification system which covers almost the full angular acceptance of DELPHI. The combination of liquid and gas radiators (C sub 4 F sub 1 sub 0 , C sub 5 F sub 1 sub 2 , and C sub 6 F sub 1 sub 4) provides particle identification over the whole secondary particle momentum spectrum at LEP I and LEP II. Continuing optimisation on the hardware as well as on the online and offline software level have resulted in a stable operation of the complete detector system for more than five years at full physics performance.

  3. Measurement of the tau lifetime with the DELPHI detector

    CERN Document Server

    Andreazza, Attilio

    2005-01-01

    The tau lepton lifetime has been measured with the $e^{+}e^{-}$ to tau /sup +/ tau /sup -/ events collected by the DELPHI detector at LEP in the years 1991-1995. Three different methods have been exploited, using both one-prong and three-prong tau decay channels. These are combined with previously published DELPHI results to provide a tau lifetime measurement of tau /sub tau /=290.9+or-1.4/sub stat/+or-1.0/sub sys/ fs, using the full LEP1 data sample.

  4. Set Reconciliation in Two Rounds of Communication

    Science.gov (United States)

    2014-06-01

    Communications,%and%Information%Networks% Alternate%Topic%2:% Modeling %and%Simulation% Name%of%Author(s):%Ryan%Gabrys%and%Ayodeji%Coker% POC%Name:%Ryan...STACS, 1990. [12] Y. Minsky and A. Trachtenberg, “Practical set reconciliation,” Tech. Rep., Department of Electrical and Computer Engineering...Boston Uni- versity, 2002. [13] Y. Minsky , A. Trachtenberg, R. Zippel, “Set reconciliation with nearly optimal communication complexity,” IEEE Trans

  5. Perfectly secure message transmission in two rounds

    NARCIS (Netherlands)

    G. Spini (Gabriele); Zémor, G (Gilles); M. Hirt; A. Smith

    2016-01-01

    textabstractIn the model that has become known as "Perfectly Secure Message Transmission"(PSMT), a sender Alice is connected to a receiver Bob through n parallel two-way channels. A computationally unbounded adversary Eve controls t of these channels, meaning she can acquire and alter any data that

  6. Delphi应用程序菜单格式的改进%An Improvement of Delphi Applied Program's Menu Style

    Institute of Scientific and Technical Information of China (English)

    孙冀侠; 周立志; 何丽宏

    2001-01-01

    In this paper,a technique which gives a main menu style of Windows system and Delphi system is described under the development enviroment of Delphi4.0.%介绍一种在Delphi4.0环境中开发类Windows系统及Delphi4.0主菜单风格的菜单技术.

  7. The Delphi Method and Its Applications: A Bibliography

    Science.gov (United States)

    1976-06-01

    Futures Group, 1973. Gerstenfeld, Arthur. "Technological Forecasting." The Journal 1 of Business, 44, No. 1, January 1971. , Gibb , J.R., "The Effects of...Approach to Crosn-Impact Analysis," Vol. 3, No. 3 (197:!), TFSC. Turoff, Murray, "Delphi Conferencing: Computer- Fased Conferencing with Anonymity," Vol.3, No

  8. The DELPHI Trigger System at LEP2 energies

    Science.gov (United States)

    Augustinus, A.; Canale, V.; Charpentier, P.; de Wulf, J.-P.; Fontanelli, F.; Formenti, F.; Gaspar, C.; Gavillet, P.; Goorens, R.; Laugier, J. P.; Musico, P.; Paganoni, M.; Sannino, M.; Valenti, G.; Delphi Trigger Group

    2003-12-01

    In this paper we describe the modifications carried out on the DELPHI trigger complex since the beginning of the high-energy runs of LEP. The descriptions of the trigger configurations and performances for the 2000 data taking period are also presented.

  9. A cut-away diagram of the DELPHI experiment

    CERN Multimedia

    1996-01-01

    A diagram of the DELPHI end-cap and barrel. Detectors are used in layers to detect different particles produced by the collisions in the beam pipe at the vertex detector. Each detector makes many different measurements, which are read off to a system of computers for analysis.

  10. DELPHI $\\tau$ lifetime results using all LEP-1 data

    CERN Document Server

    McNulty, R

    2001-01-01

    Using events collected by the DELPHI detector at LEP in the years 1991-1995, the tau lepton lifetime has been measured to be (290.7+-1.5+-1.0) fs. Three different methods have been exploited utilising decays of the tau into final states containing one or three charged tracks. (6 refs).

  11. The DELPHI Trigger System at LEP2 Energies

    CERN Document Server

    Augustinus, A; Charpentier, P; De Wulf, J P; Fontanelli, F; Formenti, F; Gaspar, C; Gavillet, P; Goorens, R; Laugier, J P; Musico, P; Paganoni, M; Sannino, M; Valenti, G

    2003-01-01

    In this paper we describe the modifications carried out on the DELPHI trigger complex since the beginning of the high energy runs of LEP. The descriptions of the trigger configurations and performances for the 2000 data taking period are also presented.

  12. Electronic-Imen-Delphi (EID): An Online Conferencing Procedure.

    Science.gov (United States)

    Passig, David; Sharbat, Aviva

    2000-01-01

    Examines the efficiency of the Imen-Delphi (ID) technique as an electronic procedure for conferencing that helps participants clarify their opinions and expectations regarding preferable and possible futures. Describes an electronic version of the original ID procedure and tested its efficiency among a group of experts on virtual reality and…

  13. Future Directions in Deinstitutionalization and Education: A Delphi Investigation.

    Science.gov (United States)

    Putnam, Joanne W.; Bruininks, Robert H.

    1986-01-01

    A total of 33 special education leaders presented forecasts, through a Delphi survey procedure, for the deinstitutionalization of and the residential and education services for the handicapped. It was predicted that the deinstitutionalization movement will not lose its momentum and that community based residential services will become increasingly…

  14. Phenomenology and research for squarks at LEP200 with the DELPHI detector; Phenomenologie et recherche de squarks a LEP200 avec le detecteur delphi

    Energy Technology Data Exchange (ETDEWEB)

    Gris, Ph. [CEA Saclay, 91 - Gif-sur-Yvette (France). Dept. d`Astrophysique, de la Physique des Particules, de la Physique Nucleaire et de l`Instrumentation Associee]|[Paris-6 Univ., 75 (France)

    1998-05-01

    This thesis is devoted to the study of some supersymmetric quarks such as s-top and s-bottom. This investigation field is all the more interesting since the weak mass of these squarks could be explained by the strong Yukawa coupling between top and bottom quarks. The theoretical framework is defined and the insufficiency of the standard model is highlighted. Different models such as MSSM, supergravity models in which supersymmetry is a global symmetry are described. Squark phenomenology at LEP200 is exposed and the most likely disintegration channels for stop and s-bottom quarks are investigated in various models (MSSM, mSUGRA, supergravity models with light gravitino). The experimental tool used in this work, DELPHI detector is presented, the main elements involved in the search for squarks are precisely described. The last part of this thesis is dedicated to the effective search for squarks, the analysis deals with the energies: {radical}s=161, 172 and 183 GeV for which the luminosity values collected by DELPHI are respectively 9.7, 10 and 54 pb{sup -1}. The results are interpreted within the frameworks of different supersymmetric theories 184 refs.

  15. Selection of hadronic W-decays in DELPHI with feed forward neural networks - An update

    CERN Document Server

    Becks, K H; Müller, U; Wahlen, H

    2003-01-01

    Since 1998 feed forward neural networks have been successfully applied to select candidates of hadronic W-decays measured at different center of mass-energies by the DELPHI collaboration at the Large Electron Positron collider at CERN. To prepare the final publication, the neural network was adapted to all center of mass- energies. Detailed studies were performed concerning the level of preselection, the choice of network parameters and especially of the network architecture. The number of hidden nodes was optimized by testing different pruning methods. All studies and results will be discussed.

  16. 二十世纪五十年代江苏红十字会的两次组织整顿%Two Rounds of Organizational Consolidation of the Red Cross in Jiangsu Province in the 1950s

    Institute of Scientific and Technical Information of China (English)

    徐国普

    2012-01-01

    20世纪50年代江苏红十字会经历两次组织整顿。50年代初期的分会改组,重在机构改选、思想整顿和社团登记;50年代中后期的组织调整,则重在各级组织创建和管理体制建构。两次整顿促成了红十字会自身性质、组织结构和管理体制的演变,这表明红十字会的组织发展,总体上与社会运行呈正相关关系。不过,在高度集中的计划体制下,红十字会等社会组织严重依附政府,其独立发展的空间极为狭小,这是历史留下的深刻教训。%The Red Cross in Jiangsu underwent two rounds of organizational consolidation in the 1950s. The reor- ganization of the Jiangsu Branch of China Red Cross in early 1950s was focused on olganizational re-election, ide- ological rectification and registration while the organizational adjustments in the middle and late 1950s on the crea- tion of various levels of organizations and the construction of administrative system. The two rounds of consolida- tion brought about changes of the Red Cross in its own nature, organizational structure and administrative system, suggesting that in general the organizational development of the Red Cross positively correlated with the social de- velopment in China. However, under the highly centralized planning system, the social organizations like the Red Cross were heavily dependent on the government in their operation and had very limited space for their indepen- dent development-this is a profound lesson for us to remember.

  17. Authority Delegation in Boyerahmad Health Centers through Model to Combine Suggestions System and Delphi Method 2012

    Directory of Open Access Journals (Sweden)

    M Momeninezhad

    2013-11-01

    Full Text Available Background & aim: Authority delegation means to transmit part of organization`s manager and leader`s special authorities and executive duties, regardless its root to subordinates and heads of units and related offices to speed up implementing affairs and organizational purposes quickly and on time. The purpose of this study was to inspect authority delegation in health centers of Boyerahmad district through using model to combine suggestions (to identify process and Delphi method (expert`s opinions . Methods: This cross-sectional study was implemented in two stages at first stage, research community was authorities of Boyerahmad health centers (58 persons, their suggestions about requested processes to delegate were gathered by total count through open questionnaires and in second stage, which was Delphi, suggestions gathered from previous stage judged by 30 experts. Data of both stages analyzed by help of Chi-square, correlation coefficient tests. Results: Findings showed that 73.85% of suggestions were able to be delegated, based on expert`s opinion. 40% of suggestions were in domain of official, 36.92% financial and 23.08% hygienic. 88% less than 6 years management background. 20.69% had no academic studies and only 27% were general physicians. Conclusion: By participation of environmental management levels, several processes may be specified and identify cases which are possible to delegate them executively using Delphi (expert`s opinion and this model can be used as a trust worthy method to delegate authority for decentralization. Key words: Participation Management, Health centers, Authority delegation

  18. DISEÑO DE UN CUESTIONARIO SOBRE HÁBITOS DE ACTIVIDAD FÍSICA Y ESTILO DE VIDA A PARTIR DEL MÉTODO DELPHI Designing a questionnaire on physical activity habits and lifestyle from the Delphi method

    Directory of Open Access Journals (Sweden)

    Estefanía Castillo Viera

    2012-02-01

    Full Text Available En la actualidad existen numerosos cuestionarios que estudian los hábitos de actividad física, estilo de vida y salud (IPAQ, SF-36, EQ-5D. El problema surge cuando se pretende diseñar una herramienta nueva para utilizarla en una población concreta que tiene unas características específicas y de la que se pretende conocer aspectos relacionados con el ámbito en el que se desarrolla. El objetivo principal de este trabajo fue diseñar un cuestionario sobre actividad física y estilo de vida de la población universitaria. Para su elaboración se utilizó el método Delphi, un procedimiento basado en la consulta a expertos a través de un grupo coordinador y un grupo de expertos que emiten sus opiniones de manera cíclica acerca del tema a tratar hasta que llegan a un consenso. En nuestro caso, se elaboró un cuestionario con siete dimensiones y 55 ítems. Los resultados nos llevan a realizar una valoración positiva de la utilización del método Delphi para el diseño del cuestionario ya que garantiza una mayor validez.

    Palabras clave: Hábitos actividad física, estilo de vida, método Delphi.

    Nowadays there are numerous questionnaires studying physical activity habits, lifestyle and health (IPAQ, SF-36, EQ-5D. The problem arises when trying to design a new tool for use in a specific population that has specific characteristics and which seeks to explore aspects related to the area in which it develops. The main objective of this study was to design a questionnaire on physical activity and lifestyle of the university population. To prepare this Delphi method was used, a procedure based on expert consultation through a steering group and a group of experts to cast their opinions on a cyclical basis of the topic until they reach a consensus. In our case, a questionnaire was developed with seven dimensions and 55 items. The results lead us to make a positive assessment of the use of the Delphi method to design the

  19. Developing a model osteoarthritis consultation: a Delphi consensus exercise

    Directory of Open Access Journals (Sweden)

    Porcheret Mark

    2013-01-01

    Full Text Available Abstract Background Osteoarthritis (OA is a common condition managed in general practice, but often not in line with published guidance. The ideal consultation for a patient presenting with possible OA is not known. The aim of the study was to develop the content of a model OA consultation for the assessment and treatment of older adults presenting in general practice with peripheral joint problems. Methods A postal Delphi consensus exercise was undertaken with two expert groups: i general practitioners (GPs with expertise in OA management and ii patients with experience of living with OA. An advisory group generated 61 possible consultation tasks for consideration in the consensus exercise. Expert groups were asked to consider which tasks should be included in the model OA consultation. The exercise was completed by 15 GPs and 14 patients. The level of agreement for inclusion in the model was set at 90%. Results The model OA consultation included 25 tasks to be undertaken during the initial consultation between a GP and a patient presenting with peripheral joint pain. The 25 tasks provide detailed advice on how the following elements of the consultation should be addressed: i assessment of chronic joint pain, ii patient’s ideas and concerns, iii exclusion of red flags, iv examination, v provision of the diagnosis and written information, vi promotion of exercise and weight loss, vii initial pain management and viii arranging a follow-up appointment. Both groups prioritised a bio-medical approach to the consultation, rather than a bio-psycho-social one, suggesting a discordance between current thinking and research evidence. Conclusions This study has enabled the priorities of GPs and patients to be identified for a model OA consultation. The results of this consensus study will inform the development of best practice for the management of OA in primary care and the implementation of evidence-based guidelines for OA in primary care.

  20. Developing a model osteoarthritis consultation: a Delphi consensus exercise.

    Science.gov (United States)

    Porcheret, Mark; Grime, Janet; Main, Chris; Dziedzic, Krysia

    2013-01-16

    Osteoarthritis (OA) is a common condition managed in general practice, but often not in line with published guidance. The ideal consultation for a patient presenting with possible OA is not known. The aim of the study was to develop the content of a model OA consultation for the assessment and treatment of older adults presenting in general practice with peripheral joint problems. A postal Delphi consensus exercise was undertaken with two expert groups: i) general practitioners (GPs) with expertise in OA management and ii) patients with experience of living with OA. An advisory group generated 61 possible consultation tasks for consideration in the consensus exercise. Expert groups were asked to consider which tasks should be included in the model OA consultation. The exercise was completed by 15 GPs and 14 patients. The level of agreement for inclusion in the model was set at 90%. The model OA consultation included 25 tasks to be undertaken during the initial consultation between a GP and a patient presenting with peripheral joint pain. The 25 tasks provide detailed advice on how the following elements of the consultation should be addressed: i) assessment of chronic joint pain, ii) patient's ideas and concerns, iii) exclusion of red flags, iv) examination, v) provision of the diagnosis and written information, vi) promotion of exercise and weight loss, vii) initial pain management and viii) arranging a follow-up appointment. Both groups prioritised a bio-medical approach to the consultation, rather than a bio-psycho-social one, suggesting a discordance between current thinking and research evidence. This study has enabled the priorities of GPs and patients to be identified for a model OA consultation. The results of this consensus study will inform the development of best practice for the management of OA in primary care and the implementation of evidence-based guidelines for OA in primary care.

  1. Designing a questionnaire on physical activity habits and lifestyle from the Delphi method DISEÑO DE UN CUESTIONARIO SOBRE HÁBITOS DE ACTIVIDAD FÍSICA Y ESTILO DE VIDA A PARTIR DEL MÉTODO DELPHI

    OpenAIRE

    José Robles Rodríguez; Manuel Tomás Abad Robles; Francisco Javier Giménez Fuentes-Guerra; Estefanía Castillo Viera

    2012-01-01

    Nowadays there are numerous questionnaires studying physical activity habits, lifestyle and health (IPAQ, SF-36, EQ-5D). The problem arises when trying to design a new tool for use in a specific population that has specific characteristics and which seeks to explore aspects related to the area in which it develops. The main objective of this study was to design a questionnaire on physical activity and lifestyle of the university population. To prepare this Delphi method was used, a procedure ...

  2. Pulmonary angiomatosis and hemangioma in common dolphins (Delphinus delphis) stranded in Canary Islands.

    Science.gov (United States)

    Díaz-Delgado, Josué; Arbelo, Manuel; Sacchini, Simona; Quesada-Canales, Óscar; Andrada, Marisa; Rivero, Miguel; Fernández, Antonio

    2012-08-01

    Vascular tumors and disorders, like angiomatosis, are rarely described in cetacean species. A retrospective histological study was carried out on lung samples from 35 common dolphins (Delphinus delphis) stranded in the Canary Islands coasts looking for morphological vascular changes and likely related causes. Twenty-five out of thirty-five (71%) common dolphins showed focal or multifocal angiomatosis-like lesions. A high association between this type of vascular proliferation and parasitic infestation was observed. In addition, a single pulmonary cavernous hemangioma not previously reported in common dolphins is presented.

  3. Application of Fuzzy Delphi in the Selection of COPD Risk Factors among Steel Industry Workers.

    Science.gov (United States)

    Dapari, Rahmat; Ismail, Halim; Ismail, Rosnah; Ismail, Noor Hassim

    2017-01-01

    The Delphi method has been widely applied in many study areas to systematically gather experts' input on particular topic. Recently, it has become increasingly well known in health related research. This paper applied the Fuzzy Delphi method to enhance the validation of a questionnaire pertaining chronic obstructive pulmonary disease (COPD) risk factors among metal industry workers. A detailed, predefined list of possible risk factors for COPD among metal industry workers was created through a comprehensive and exhaustive review of literature from 1995 to 2015. The COPD questionnaire were distributed among people identified as occupational, environmental, and hygiene experts. Linguistic variable using Likert scale was used by the expert to indicate their expert judgment of each item. Subsequently, the linguistic variable was converted into a triangular fuzzy number. The average score of the fuzzy number will be used to determine whether the item will be removed or retained. Ten experts were involved in evaluating 26 items. The experts were in agreement with most of the items, with an average fuzzy number range between 0.429 and 0.800. Two items were removed and three items were added, leaving a total 26 items selected for the COPD risk factors questionnaire. The experts were in disagreement with each other for items F10 and F11 where most of the experts claimed that the question is too subjective and based on self-perception only. The fuzzy Delphi method enhanced the accuracy of the questionnaire pertaining to COPD risk factors, and decreased the length of the established tools.

  4. Developing a guideline for clinical trial protocol content: Delphi consensus survey

    Directory of Open Access Journals (Sweden)

    Tetzlaff Jennifer

    2012-09-01

    Full Text Available Abstract Background Recent evidence has highlighted deficiencies in clinical trial protocols, having implications for many groups. Existing guidelines for randomized clinical trial (RCT protocol content vary substantially and most do not describe systematic methodology for their development. As one of three prespecified steps for the systematic development of a guideline for trial protocol content, the objective of this study was to conduct a three-round Delphi consensus survey to develop and refine minimum content for RCT protocols. Methods Panellists were identified using a multistep iterative approach, met prespecified minimum criteria and represented key stakeholders who develop or use clinical trial protocols. They were asked to rate concepts for importance in a minimum set of items for RCT protocols. The main outcome measures were degree of importance (scale of 1 to 10; higher scores indicating higher importance and level of consensus for items. Results were presented as medians, interquartile ranges, counts and percentages. Results Ninety-six expert panellists participated in the Delphi consensus survey including trial investigators, methodologists, research ethics board members, funders, industry, regulators and journal editors. Response rates were between 88 and 93% per round. Overall, panellists rated 63 of 88 concepts of high importance (of which 50 had a 25th percentile rating of 8 or greater, 13 of moderate importance (median 6 or 7 and 12 of low importance (median less than or equal to 5 for minimum trial protocol content. General and item-specific comments and subgroup results provided valuable insight for further discussions. Conclusions This Delphi process achieved consensus from a large panel of experts from diverse stakeholder groups on essential content for RCT protocols. It also highlights areas of divergence. These results, complemented by other empirical research and consensus meetings, are helping guide the development of

  5. Development of a core-stability model: a delphi approach.

    Science.gov (United States)

    Majewski-Schrage, Tricia; Evans, Todd A; Ragan, Brian

    2014-05-01

    Despite widespread acceptance, there is currently no consensus on the definition, components, and the specific techniques most appropriate to measure and quantify core stability. To develop a comprehensive core-stability model addressing its definition, components, and assessment techniques. Delphi technique. University laboratory. 15 content experts from United States and Canada, representing a variety of disciplines. The authors distributed an open-ended questionnaire pertaining to a core-stability definition, components, and assessment techniques specific to each expert. They collected data over 2 rounds of telephone interviews. They concluded data collection once a consensus was achieved that equated with 51% agreement among respondents. The authors developed a working definition of core stability as the ability to achieve and sustain control of the trunk region at rest and during precise movement. Eighty-three percent of the experts considered the definition satisfactory. Therefore, the definition was accepted. Furthermore, the experts agreed that muscles (14/15 = 93.3%) and neuromuscular control (8/12 = 66.7%) were components of core stability. Assessment techniques were identified and inconsistencies were highlighted; however, no consensus was established. A consensus core-stability definition was created and 2 components were identified. However, of the initial definitions provided by the experts, no 2 were identical, which revealed the inconsistencies among experts and the importance of this study. Nonetheless, the goal of obtaining a consensus definition was obtained. Although a consensus for the assessment techniques of core stability could not be reached, it was a beneficial starting point to identify the inconsistencies that were discovered among the content experts.

  6. Management of congenital quantitative fibrinogen disorders: a Delphi consensus.

    Science.gov (United States)

    Casini, A; de Moerloose, P

    2016-11-01

    No evidence-based guidelines for the management of patients suffering from afibrinogenaemia and hypofibrinogenaemia are available. The aim of this study was to harmonize patient's care among invited haemophilia experts from Belgium, France and Switzerland. A Delphi-like methodology was used to reach a consensus on: prophylaxis, bleeding, surgery, pregnancy and thrombosis management. The main final statements are as follows: (i) a secondary fibrinogen prophylaxis should be started after a first life-threatening bleeding in patients with afibrinogenaemia; (ii) during prophylaxis the target trough fibrinogen level should be 0.5 g L(-1) ; (iii) if an adaptation of dosage is required, the frequency of infusions rather than the fibrinogen amount should be modified; (iv) afibrinogenaemic patients undergoing a surgery at high bleeding risk should receive fibrinogen concentrates regardless of the personal or family history of bleeding; (v) moderate hypofibrinogenaemic patients (i.e. ≥0.5 g L(-1) ) without previous bleeding (despite haemostatic challenges) undergoing a surgery at low bleeding risk may not receive fibrinogen concentrates as prophylaxis; (vi) monitoring the trough fibrinogen levels should be performed at least once a month throughout the pregnancy and a foetal growth and placenta development close monitoring by ultrasound is recommended; (vii) fibrinogen replacement should be started concomitantly to the introduction of anticoagulation in afibrinogenaemic patients suffering from a venous thromboembolic event; and (viii) low-molecular-weight heparin is the anticoagulant of choice in case of venous thromboembolism. The results of this initiative should help clinicians in the difficult management of patients with congenital fibrinogen disorders. © 2016 John Wiley & Sons Ltd.

  7. Inclusive single-particle production in two-photon collisions at LEP II with the DELPHI detector

    CERN Document Server

    Abdallah, J; Adam, W; Adzic, P; Albrecht, T; Alemany-Fernandez, R; Allmendinger, T; Allport, P P; Amaldi, U; Amapane, N; Amato, S; Anashkin, E; Andreazza, A; Andringa, S; Anjos, N; Antilogus, P; Apel, W D; Arnoud, Y; Ask, S; Åsman, B; Augustin, J E; Augustinus, A; Baillon, P; Ballestrero, A; Bambade, P; Barbier, R; Bardin, D; Barker, G J; Baroncelli, A; Battaglia, M; Baubillier, M; Becks, K H; Begalli, M; Behrmann, A; Ben-Haim, E; Benekos, N; Benvenuti, A; Bérat, C; Berggren, M; Bertrand, D; Besançon, M; Besson, N; Bloch, D; Blom, M; Bluj, M; Bonesini, M; Boonekamp, M; Booth, P S L; Borisov, G; Botner, O; Bouquet, B; Bowcock, T J V; Boyko, I; Bracko, M; Brenner, R; Brodet, E; Brückman, P; Brunet, J M; Buschbeck, B; Buschmann, P; Calvi, M; Camporesi, T; Canale, V; Carena, F; Castro, N; Cavallo, F; Chapkin, M; Charpentier, P; Checchia, P; Chierici, R; Shlyapnikov, P; Chudoba, J; Chung, S U; Cieslik, K; Collins, P; Contri, R; Cosme, G; Cossutti, F; Costa, M J; Crennell, D J; Cuevas-Maestro, J; D'Hondt, J; Da Silva, T; Da Silva, W; Della Ricca, G; De Angelis, A; de Boer, Wim; De Clercq, C; De Lotto, B; De Maria, N; De Min, A; De Paula, L; Di Ciaccio, L; Di Simone, A; Doroba, K; Drees, J; Eigen, G; Ekelöf, T J C; Ellert, M; Elsing, M; Espirito-Santo, M C; Fanourakis, G K; Fassouliotis, D; Feindt, M; Fernández, J; Ferrer, A; Ferro, F; Flagmeyer, U; Föth, H; Fokitis, E; Fulda-Quenzer, F; Fuster, J; Gandelman, M; García, C; Gavillet, P; Gazis, E; Gokieli, R; Golob, B; Gómez-Ceballos, G; Gonçalves, P; Graziani, E; Grosdidier, G; Grzelak, K; Guy, J; Haag, C; Hallgren, A; Hamacher, K; Hamilton, K; Haug, S; Hauler, F; Hedberg, V; Hennecke, M; Hoffman, J; Holmgren, S O; Holt, P J; Houlden, M A; Jackson, J N; Jarlskog, G; Jarry, P; Jeans, D; Johansson, E K; Jonsson, P; Joram, C; Jungermann, L; Kapusta, F; Katsanevas, S; Katsoufis, E; Kernel, G; Kersevan, B P; Kerzel, U; King, B T; Kjaer, N J; Kluit, P; Kokkinias, P; Kourkoumelis, C; Kuznetsov, O; Krumshtein, Z; Kucharczyk, M; Lamsa, J; Leder, G; Ledroit, F; Leinonen, L; Leitner, R; Lemonne, J; Lepeltier, V; Lesiak, T; Liebig, W; Liko, D; Lipniacka, A; Lopes, J H; López, J M; Loukas, D; Lutz, P; Lyons, L; MacNaughton, J; Malek, A; Maltezos, S; Mandl, F; Marco, J; Marco, R; Maréchal, B; Margoni, M; Marin, J C; Mariotti, C; Markou, A; Martínez-Rivero, C; Masik, J; Mastroyiannopoulos, N; Matorras, F; Matteuzzi, C; Mazzucato, F; Mazzucato, M; McNulty, R; Meroni, C; Migliore, E; Mitaroff, W A; Mjörnmark, U; Moa, T; Moch, M; Mönig, K; Monge, R; Montenegro, J; Moraes, D; Moreno, S; Morettini, P; Müller, U; Munich, K; Mulders, M; Mundim, L; Murray, W; Muryn, B; Myatt, G; Myklebust, T; Nassiakou, M; Navarria, F; Nawrocki, K; Némécek, S; Nicolaidou, R; Nikolenko, M; Oblakowska-Mucha, A; Obraztsov, V F; Olshevski, A; Onofre, A; Orava, R; Österberg, K; Ouraou, A; Oyanguren, A; Paganoni, M; Paiano, S; Palacios, J P; Palka, H; Papadopoulou, T D; Pape, L; Parkes, C; Parodi, F; Parzefall, U; Passeri, A; Passon, O; Peralta, L; Perepelitsa, V; Perrotta, A; Petrolini, A; Piedra, J; Pieri, L; Pierre, F; Pimenta, M; Piotto, E; Podobnik, T; Poireau, V; Pol, M E; Polok, G; Pozdnyakov, V; Pukhaeva, N; Pullia, A; Radojicic, D; Rebecchi, P; Rehn, J; Reid, D; Reinhardt, R; Renton, P B; Richard, F; Rídky, J; Rivero, M; Rodríguez, D; Romero, A; Ronchese, P; Roudeau, P; Rovelli, T; Ruhlmann-Kleider, V; Ryabtchikov, D; Sadovskii, A; Salmi, L; Salt, J; Sander, C; Savoy-Navarro, A; Schwickerath, U; Sekulin, R; Siebel, M; Sisakian, A; Smadja, G; Smirnova, O; Sokolov, A; Sopczak, A; Sosnowski, R; Spassoff, Tz; Stanitzki, M; Stocchi, A; Strauss, J; Stugu, B; Szczekowski, M; Szeptycka, M; Szumlak, T; Tabarelli de Fatis, T; Tegenfeldt, F; Timmermans, J; Tkatchev, L; Tobin, M; Todorovova, S; Tomé, B; Tonazzo, A; Tortosa, P; Travnicek, P; Treille, D; Tristram, G; Trochimczuk, M; Troncon, C; Turluer, M L; Tyapkin, I A; Tzamarias, S; Uvarov, V; Valenti, G; van Dam, P; Van Eldik, J; Van Remortel, N; Van Vulpen, I; Vegni, G; Veloso, F; Venus, W; Verdier, P; Vertogradova, Yu L; Verzi, V; Vilanova, D; Vitale, L; Vrba, V; Wahlen, H; Washbrook, A J; Weiser, C; Wicke, D; Wickens, J; Wilkinson, G; Winter, M; Witek, M; Yushchenko, O; Zalewska-Bak, A; Zalewski, P; Zavrtanik, D; Zhuravlov, V; Zimin, N I; Zintchenko, A; Zupan, M

    2009-01-01

    A study of the inclusive charged hadron production in two-photon collisions is described. The data were collected with the DELPHI detector at LEP II. Results on the inclusive single-particle p_T distribution and the differential charged hadrons dsigma/dp_T cross-section are presented and compared to the predictions of perturbative NLO QCD calculations and to published results.

  8. Inclusive single-particle production in two-photon collisions at LEP II with the DELPHI detector

    Energy Technology Data Exchange (ETDEWEB)

    Abdallah, J. [LPNHE, IN2P3-CNRS, Univ. Paris VI et VII, Tour 33 (RdC), 4 place Jussieu, FR-75252 Paris Cedex 05 (France); Abreu, P. [LIP, IST, FCUL - Av. Elias Garcia, 14-1o, PT-1000 Lisboa Codex (Portugal); Adam, W. [Institut fuer Hochenergiephysik, Osterr. Akad. d. Wissensch., Nikolsdorfergasse 18, AT-1050 Vienna (Austria); Adzic, P. [Institute of Nuclear Physics, N.C.S.R. Demokritos, P.O. Box 60228, GR-15310 Athens (Greece); Albrecht, T. [Institut fuer Experimentelle Kernphysik, Universitaet Karlsruhe, Postfach 6980, DE-76128 Karlsruhe (Germany); Alemany-Fernandez, R. [CERN, CH-1211 Geneva 23 (Switzerland); Allmendinger, T. [Institut fuer Experimentelle Kernphysik, Universitaet Karlsruhe, Postfach 6980, DE-76128 Karlsruhe (Germany); Allport, P.P. [Department of Physics, University of Liverpool, P.O. Box 147, Liverpool L69 3BX (United Kingdom); Amaldi, U. [Dipartimento di Fisica, Univ. di Milano-Bicocca and INFN-MILANO, Piazza della Scienza 3, IT-20126 Milan (Italy); Amapane, N. [Dipartimento di Fisica Sperimentale, Universita di Torino and INFN, Via P. Giuria 1, IT-10125 Turin (Italy); Amato, S. [Univ. Federal do Rio de Janeiro, C.P. 68528 Cidade Univ., Ilha do Fundao BR-21945-970 Rio de Janeiro (Brazil); Anashkin, E. [Dipartimento di Fisica, Universita di Padova and INFN, Via Marzolo 8, IT-35131 Padua (Italy); Andreazza, A. [Dipartimento di Fisica, Universita di Milano and INFN-MILANO, Via Celoria 16, IT-20133 Milan (Italy); Andringa, S.; Anjos, N. [LIP, IST, FCUL - Av. Elias Garcia, 14-1o, PT-1000 Lisboa Codex (Portugal); Antilogus, P. [LPNHE, IN2P3-CNRS, Univ. Paris VI et VII, Tour 33 (RdC), 4 place Jussieu, FR-75252 Paris Cedex 05 (France); Apel, W-D. [Institut fuer Experimentelle Kernphysik, Universitaet Karlsruhe, Postfach 6980, DE-76128 Karlsruhe (Germany); Arnoud, Y. [Institut des Sciences Nucleaires, IN2P3-CNRS, Universite de Grenoble 1, FR-38026 Grenoble Cedex (France); Ask, S. [CERN, CH-1211 Geneva 23 (Switzerland)] (and others)

    2009-08-03

    A study of the inclusive charged hadron production in two-photon collisions is described. The data were collected with the DELPHI detector at LEP II. Results on the inclusive single-particle p{sub T} distribution and the differential charged hadrons d{sigma}/dp{sub T} cross-section are presented and compared to the predictions of perturbative NLO QCD calculations and to published results.

  9. Q methodology and a Delphi poll: a useful approach to researching a narrative approach to therapy

    OpenAIRE

    2009-01-01

    Q methodology and a Delphi poll combined qualitative and quantitative methods to explore definitions of White and Epston's (1990) narrative approach to therapy among a group of UK practitioners. A Delphi poll was used to generate statements about narrative therapy. The piloting of statements by the Delphi panel identified agreement about theoretical ideas underpinning narrative therapy and certain key practices. A wider group of practitioners ranked the statements in a Q sort and made qualita...

  10. From ignorance to evidence? The use of programme evaluation in conservation: Evidence from a Delphi survey of conservation experts.

    Science.gov (United States)

    Curzon, Hannah Fay; Kontoleon, Andreas

    2016-09-15

    Persistent gaps in the evidence base regarding the performance of conservation policies has put pressure on the conservation policy field to adopt 'best practice' programme evaluation methods. These are methods that account for the counterfactual and are able to attribute causality between a conservation policy and specific observable environmental and social impacts. Despite this pressure, use of such methods continues to be rare. This paper uses the Delphi technique to provide the first systematic assessment of the reasons behind the apparent hesitation of conservation practitioners to adopt rigorous policy impact evaluation methods. The Delphi study consisted of two online questionnaires conducted on conservation policy experts. The results presented confirm that the use of rigorous impact evaluation methods in conservation is still very limited but this, crucially, is not because conservationists are ignorant of these methods or their advantages. In fact, considerable effort is being made to develop and improve evidence standards but these efforts have largely been thwarted by large financial and time related constraints that mean even elementary evaluations are hard to achieve. The results from this Delphi study allow us to provide more realistic recommendations on how impact evaluation studies can be more widely embraced and implemented in conservation practice.

  11. UTC Power/Delphi SECA CBS Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Gorman, Michael; Kerr, Rich

    2013-04-04

    The subject report summarizes the results of solid oxide fuel cell development conducted by UTC Power in conjunction with Delphi Automotive Systems under a cost-share program with from October 2008 through March of 2013. Over that period Delphi Automotive Systems developed a nearly four times larger area solid oxide fuel cell stack capable of operating on pre-reformed natural gas and simulated coal gas with durability demonstrated to 5,000 hours and projected to exceed 10,000 hours. The new stack design was scaled to 40-cell stacks with power output in excess of 6.25kW. Delphi also made significant strides in improving the manufacturability, yield and production cost of these solid oxide fuel cells over the course of the program. Concurrently, UTC Power developed a conceptual design for a 120 MW Integrated Gasification Fuel Cell (IGFC) operating on coal syngas with as high as 57% Higher Heating Value (HHV) efficiency as a measure of the feasibility of the technology. Subsequently a 400 kW on-site system preliminary design with 55% Lower Heating Value (LHV) efficiency operating on natural gas was down-selected from eighteen candidate designs. That design was used as the basis for a 25kW breadboard power plant incorporating four Delphi cell stacks that was tested on natural gas before the program was discontinued due to the sale of UTC Power in early 2013. Though the program was cut short of the endurance target of 3,000 hours, many aspects of the technology were proven including: large-area, repeatable cell manufacture, cell stack operation on simulated coal gas and natural gas and integrated power plant operation on natural gas. The potential of the technology for high efficiency stationary electric power generation is clear. Acceptable production costs, durability, and reliability in real world environments are the remaining challenges to commercialization.

  12. Two rounds of the cleaner production audits benefit analysis in Xinjiang oil field enterprise%新疆某油田企业两轮清洁生产审核效益分析

    Institute of Scientific and Technical Information of China (English)

    李红旭; 李梦隐; 张文俊; 马勤学; 师庆东

    2012-01-01

    An oil field enterprise in Xinjiang had finished the first round of cleaner production audit in 2007. It had identified 14 cleaner production programs, among which there were 9 no/low cost programs and 5 medium / high cost programs. The company produced the direct and indirect economic benefit 40.5727 million yuan per year. The oil field enterprise has finished the second round of cleaner production audit in 2011. It has identified 14 cleaner production programs, among which there were 6 no/low cost programs and 8 medium/high cost programs. The company produced the direct and indirect economic benefit 19.5414 million yuan per year. The enterprise has achieved win-win of economic and environmental benefits by the two rounds of cleaner production audit.%新疆某油田企业于2007年进行了第一轮清洁生产审核工作,确定了清洁生产方案14项,其中无/低费方案9项,中/高费方案5项,产生的直接、间接经济效益总计为4057.27万元/a。该企业于2011年完成了第二轮清洁生产审核,确定了清洁生产方案14项,其中无/低费方案6项,中/高费方案8项,总计清洁生产方案产生经济效益1954.142万元/a。通过两轮清洁生产审核工作,企业产生了较好的经济效益与环境效益。

  13. 卡尔曼滤波在两轮自平衡代步车姿态检测中的应用%Application of Kalman Filter in Two Rounds of Self-Balancing Walking Vehicle Attitude Detection

    Institute of Scientific and Technical Information of China (English)

    张团善; 何颖

    2014-01-01

    The two rounds of self-balancing walking vehicle attitude detection system is introduced;MENS accelerometer and gyroscope combine with Embedded microcontroller are used.In view of accelerometer and gyroscope measurement respectively with noise and ran-dom drift error,kalman filter is used to realize sensors data fusion.In this way the sensor measurement error is compensated and the op-timum estimate of car body posture is obtained.The algorithm is ported to the microcontroller of attitude detection system,the experi-mental results show that Kalman information fusion can improve the system detection accuracy effectively.%介绍了一种 ME N S加速度计、陀螺仪与嵌入式微控制器相结合的两轮自平衡代步车姿态检测系统。针对加速度计和陀螺仪测量分别存在噪声干扰和随机漂移误差,采用卡尔曼滤波实现传感器数据融合,补偿传感器测量误差,得到车体姿态的最优估计。将该算法移植到姿态检测系统的微控制器中,测试结果表明卡尔曼信息融合可以有效提高系统检测精度。

  14. Ensuring Long Time Access to DELPHI Data:The IDEA Project

    Institute of Scientific and Technical Information of China (English)

    TizianoCampores; DanielWicke; 等

    2001-01-01

    The long term accessibility of its data is an important concern of the DELPHI collaboration.It is our assumption that the storage of the data itself will be a minor issue due to the progress in storage technologies.Therefore DELPHI focuses on a reorganisation of the data,which should provide a flexible and coherent framework for physics analysis in the future.This paper describes the current status of the IDEA(Improved DElphi Analysis) project which will ensure usability of DELPHI data for future generations of physicists.

  15. [Adequacy of treatment for osteoporosis in primary prevention. Quantitative and qualitative study].

    Science.gov (United States)

    Vedia Urgell, Cristina; Massot Mesquida, Mireia; Valles Fernandez, Roser; Garcia Vicente, Juan Antonio; Franzi Siso, Alicia; Muñoz Ortiz, Laura; Vilaró Jaques, Laia; Bosch Peligero, Maite

    2017-04-14

    Quantitative study: To assess the prevalence of inadequacy of treatment for osteoporosis in primary prevention (OPP) in women aged 60-74years. Qualitative study: To evaluate the diagnostic and treatment criteria of the OPP and it's variability in primary care physicians (PC) and specialists. Quantitative study: observational, cross-sectional and retrospective study. women aged 60-74years with active treatment for OPP (n=424) in May 2012. Inadequacy if they had ≤2 risk factors with a DXA or DXA T-score ≥-2.4. Qualitative study: Delphi technique (15items) and two rounds of consultation. March-April 2014. PC physicians, rheumatologists and orthopaedic surgeons (n=251). Random sampling. Quantitative study: degree of inadequacy is 63.4%. In 43.2% isn't mention a diagnosis of osteoporosis. In 82.3% there isn't mention of risk factors. bisphosphonate 40.3% and calcium +vitaminD 47.9%. Qualitative study: 23% respond to the first round, and of these 67% the second round. Items with higher agreement were the important of the evaluation of risk factors for diagnosis and bisphosphonates for treatment. Items with fewer consensuses were using the FRAX and densitometry and treatment with only calcium +vitaminD. The percentage of inadequacy is high. The degree of registration in medical history is low. The Delphi method is useful for detecting discrepancies between recommendations of clinical practice guidelines and results. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  16. Analysis of forest fires causes and their motivations in northern Algeria: the Delphi method

    Directory of Open Access Journals (Sweden)

    Meddour-Sahar O

    2013-06-01

    Full Text Available Forest fires in Algeria are mostly human-caused and result from local social behavior, whether voluntary (arson or involuntary (negligence. Understanding the reasons why fires start is, therefore, a crucial factor in preventing or reducing their incidence, developing significant prevention efforts and designing specific fire prevention campaigns. The Delphi method is a promising tool for improving knowledge about how fire starts and why, and above all helps reduce the number of fires started by unknown causes, the majority type in Algeria. The Delphi method uses a set of procedures for eliciting and refining the opinions of a panel of experts on a particular subject of interest. This method was used in three case studies, in coastal or inner wilayas (provinces selected from a highly fire-prone area in north-central Algeria. Results showed the traditional use of fire in agriculture and forestry, in situations related to land use changes and in interpersonal conflicts are the major causes of voluntary fires. For involuntary events (negligence, experts unanimously identified the importance of the restart of fire, caused by fire crews who do not ensure the mopping up of controlled fires (91.49% and the negligent use of agricultural fires, particularly stubble burning (80.14%. For voluntary fires (arson, results highlight the importance of fires set for land use changes (77.30%, pyromania (67.38% and honey gathering (62.41%. Illegal dumping and burning of garbage was also mentioned by responders in all study-areas.

  17. Muon Identification in Hadron Calorimeter at DELPHI and Muons as P robes of Particle Interactions

    CERN Document Server

    Ridky, Jan

    2007-01-01

    The presented dissertation consists of the papers [A.1, A.2, A.3, A.4, A.5, A.6, A.7] on DELPHI hadron calorimeter (HAC) [B.1]. These papers deal with signal simulations, performance and major upgrade of HAC after the period LEP1 (production of Z 0 around the resonance peak). This upgrade resulted from extensive tests of streamer tube1 prop- erties and studies of possible utilisation of tube signals for data analysis. The aim was to improve the capabilities of HAC for the second period of the LEP collider operation, so called LEP200 program when the energy of e+ and e− beams has been gradually increased up to the energy 104 GeV per beam. The above mentioned studies led to the conclusion, that with the constraints imposed by HAC construction, the upgrade can improve signif- icantly the muon identification of DELPHI [A.7] and on this ground the upgrade project has been defended and realized in the years 1994-1996. The muon identification has been used in standard analyses (part 3.1). However, it turned out th...

  18. AQUILA: assessment of quality in lower limb arthroplasty. An expert Delphi consensus for total knee and total hip arthroplasty

    Directory of Open Access Journals (Sweden)

    Van der Linden-Van der Zwaag Henrica MJ

    2011-07-01

    Full Text Available Abstract Background In the light of both the importance and large numbers of case series and cohort studies (observational studies in orthopaedic literature, it is remarkable that there is currently no validated measurement tool to appraise their quality. A Delphi approach was used to develop a checklist for reporting quality, methodological quality and generalizability of case series and cohorts in total hip and total knee arthroplasty with a focus on aseptic loosening. Methods A web-based Delphi was conducted consisting of two internal rounds and three external rounds in order to achieve expert consensus on items considered relevant for reporting quality, methodological quality and generalizability. Results The internal rounds were used to construct a master list. The first external round was completed by 44 experts, 35 of them completed the second external round and 33 of them completed the third external round. Consensus was reached on an 8-item reporting quality checklist, a 6-item methodological checklist and a 22-item generalizability checklist. Conclusions Checklist for reporting quality, methodological quality and generalizability for case series and cohorts in total hip and total knee arthroplasty were successfully created through this Delphi. These checklists should improve the accuracy, completeness and quality of case series and cohorts regarding total hip and total knee arthroplasty.

  19. Delphi electric cam phasing as an enabler for CO{sub 2} reduction; Der elektrisch angetriebene Nockenwellenversteller von Delphi

    Energy Technology Data Exchange (ETDEWEB)

    Jacque, Etienne; Mafrica, Sebastien; Stoltz-Douchet, Sebastien [Delphi Powertrain Systems, Bascharage (Luxembourg); David, Pascal

    2013-02-01

    The electric variable cam phaser (EVCP) from Delphi allows fast, wide and precise phasing independent of engine oil pressure. This allows additional degrees of freedom for the introduction of new combustion systems for gasoline, diesel and HCCI engines with very low consumption of electrical energy. The system also meets the new requirements of start stop and hybrid applications, in particular when phasing is required at very low engine speeds. (orig.)

  20. The Desired Learning Outcomes of School-Based Nutrition/Physical Activity Health Education: A Health Literacy Constructed Delphi Survey of Finnish Experts

    Science.gov (United States)

    Ormshaw, Michael James; Kokko, Sami Petteri; Villberg, Jari; Kannas, Lasse

    2016-01-01

    Purpose: The purpose of this paper is to utilise the collective opinion of a group of Finnish experts to identify the most important learning outcomes of secondary-level school-based health education, in the specific domains of physical activity and nutrition. Design/ Methodology/ Approach: The study uses a Delphi survey technique to collect the…

  1. The Desired Learning Outcomes of School-Based Nutrition/Physical Activity Health Education: A Health Literacy Constructed Delphi Survey of Finnish Experts

    Science.gov (United States)

    Ormshaw, Michael James; Kokko, Sami Petteri; Villberg, Jari; Kannas, Lasse

    2016-01-01

    Purpose: The purpose of this paper is to utilise the collective opinion of a group of Finnish experts to identify the most important learning outcomes of secondary-level school-based health education, in the specific domains of physical activity and nutrition. Design/ Methodology/ Approach: The study uses a Delphi survey technique to collect the…

  2. A Delphi Exercise to Identify Characteristic Features of Gout -- Opinions from Patients and Physicians, the First Stage in Developing New Classification Criteria

    NARCIS (Netherlands)

    Prowse, R.L.; Dalbeth, N.; Kavanaugh, A.; Adebajo, A.O.; Gaffo, A.L.; Terkeltaub, R.; Mandell, B.F.; Suryana, B.P.; Goldenstein-Schainberg, C.; Diaz-Torne, C.; Khanna, D.; Liote, F.; McCarthy, G.; Kerr, G.S.; Yamanaka, H.; Janssens, H.; Baraf, H.F.; Chen, J.H.; Vazquez-Mellado, J.; Harrold, L.R.; Stamp, L.K.; Laar, M.A. van der; Janssen, M.; Doherty, M.; Boers-Sonderen, M.J.; Edwards, N.L.; Gow, P.; Chapman, P.; Khanna, P.; Helliwell, P.S.; Grainger, R.; Schumacher, H.R.; Neogi, T.; Jansen, T.L.Th.A.; Louthrenoo, W.; Sivera, F.; Taylor, W.J.

    2013-01-01

    OBJECTIVE: To identify a comprehensive list of features that might discriminate between gout and other rheumatic musculoskeletal conditions, to be used subsequently for a case-control study to develop and test new classification criteria for gout. METHODS: Two Delphi exercises were conducted using W

  3. A delphi exercise to identify characteristic features of gout - opinions from patients and psysicians, the first stage in developing new classification criteria

    NARCIS (Netherlands)

    Prowse, R.L.; Dalbeth, N.; Kavanaugh, A.; Adebajo, A.O.; Gaffo, A.L.; Terkeltaub, R.; Mandell, B.F.; Suryana, B.P.; Goldenstein-Schainberg, C.; Diaz-Torne, C.; Khanna, D.; Lioté, F.; McCarthy, G.; Kerr, G.S.; Yamanaka, H.; Janssens, H.; Baraf, H.F.; Chen, J.H.; Vazquez-Mellado, J.; Harrold, L.R.; Stamp, L.K.; Laar, van de M.A.; Janssen, M.; Doherty, M.; Boers, M.; Edwards, N.L.; Gow, P.; Chapman, P.; Khanna, P.; Helliwell, P.S.; Grainger, R.; Schumacher, H.R.; Neogi, T.; Jansen, T.L.; Louthrenoo, W.; Sivera, F.; Taylor, W.J.; Alten, R.

    2013-01-01

    Objective. To identify a comprehensive list of features that might discriminate between gout and other rheumatic musculoskeletal conditions, to be used subsequently for a case-control study to develop and test new classification criteria for gout. Methods. Two Delphi exercises were conducted using W

  4. Using a Delphi technique to seek consensus regarding definitions, descriptions and classification of terms related to implicit and explicit forms of motor learning

    NARCIS (Netherlands)

    Kleynen, Melanie; Braun, Susy; Bleijlevens, Michel; Lexis, Monique; Rasquin, Sascha; Halfens, Jos; Wilson, Mark; Beurskens, Anna; Masters, Rich

    2014-01-01

    Background: Motor learning is central to domains such as sports and rehabilitation; however, often terminologies are insufficiently uniform to allow effective sharing of experience or translation of knowledge. A study using a Delphi technique was conducted to ascertain level of agreement between ex

  5. A delphi exercise to identify characteristic features of gout - opinions from patients and psysicians, the first stage in developing new classification criteria

    NARCIS (Netherlands)

    Prowse, R.L.; Dalbeth, N.; Kavanaugh, A.; Adebajo, A.O.; Gaffo, A.L.; Terkeltaub, R.; Mandell, B.F.; Suryana, B.P.; Goldenstein-Schainberg, C.; Diaz-Torne, C.; Khanna, D.; Lioté, F.; McCarthy, G.; Kerr, G.S.; Yamanaka, H.; Janssens, H.; Baraf, H.F.; Chen, J.H.; Vazquez-Mellado, J.; Harrold, L.R.; Stamp, L.K.; van de Laar, Mart A F J; Janssen, M.; Doherty, M.; Boers, M.; Edwards, N.L.; Gow, P.; Chapman, P.; Khanna, P.; Helliwell, P.S.; Grainger, R.; Schumacher, H.R.; Neogi, T.; Jansen, T.L.; Louthrenoo, W.; Sivera, F.; Taylor, W.J.; Alten, R.

    2013-01-01

    Objective. To identify a comprehensive list of features that might discriminate between gout and other rheumatic musculoskeletal conditions, to be used subsequently for a case-control study to develop and test new classification criteria for gout. Methods. Two Delphi exercises were conducted using

  6. A Delphi Exercise to Identify Characteristic Features of Gout -- Opinions from Patients and Physicians, the First Stage in Developing New Classification Criteria

    NARCIS (Netherlands)

    Prowse, R.L.; Dalbeth, N.; Kavanaugh, A.; Adebajo, A.O.; Gaffo, A.L.; Terkeltaub, R.; Mandell, B.F.; Suryana, B.P.; Goldenstein-Schainberg, C.; Diaz-Torne, C.; Khanna, D.; Liote, F.; McCarthy, G.; Kerr, G.S.; Yamanaka, H.; Janssens, H.; Baraf, H.F.; Chen, J.H.; Vazquez-Mellado, J.; Harrold, L.R.; Stamp, L.K.; Laar, M.A. van der; Janssen, M.; Doherty, M.; Boers-Sonderen, M.J.; Edwards, N.L.; Gow, P.; Chapman, P.; Khanna, P.; Helliwell, P.S.; Grainger, R.; Schumacher, H.R.; Neogi, T.; Jansen, T.L.Th.A.; Louthrenoo, W.; Sivera, F.; Taylor, W.J.

    2013-01-01

    OBJECTIVE: To identify a comprehensive list of features that might discriminate between gout and other rheumatic musculoskeletal conditions, to be used subsequently for a case-control study to develop and test new classification criteria for gout. METHODS: Two Delphi exercises were conducted using

  7. A Modified Delphi to Identify the Significant Works Pertaining to the Understanding of Reading Comprehension and Content Analysis of the Identified Works

    Science.gov (United States)

    Zunker, Norma D.; Pearce, Daniel L.

    2012-01-01

    The first part of this study explored the significant works pertaining to the understanding of reading comprehension using a Modified Delphi Method. A panel of reading comprehension experts identified 19 works they considered to be significant to the understanding of reading comprehension. The panel of experts identified the reasons they…

  8. A Delphi Exercise to Identify Characteristic Features of Gout -- Opinions from Patients and Physicians, the First Stage in Developing New Classification Criteria

    NARCIS (Netherlands)

    Prowse, R.L.; Dalbeth, N.; Kavanaugh, A.; Adebajo, A.O.; Gaffo, A.L.; Terkeltaub, R.; Mandell, B.F.; Suryana, B.P.; Goldenstein-Schainberg, C.; Diaz-Torne, C.; Khanna, D.; Liote, F.; McCarthy, G.; Kerr, G.S.; Yamanaka, H.; Janssens, H.; Baraf, H.F.; Chen, J.H.; Vazquez-Mellado, J.; Harrold, L.R.; Stamp, L.K.; Laar, M.A. van der; Janssen, M.; Doherty, M.; Boers-Sonderen, M.J.; Edwards, N.L.; Gow, P.; Chapman, P.; Khanna, P.; Helliwell, P.S.; Grainger, R.; Schumacher, H.R.; Neogi, T.; Jansen, T.L.Th.A.; Louthrenoo, W.; Sivera, F.; Taylor, W.J.

    2013-01-01

    OBJECTIVE: To identify a comprehensive list of features that might discriminate between gout and other rheumatic musculoskeletal conditions, to be used subsequently for a case-control study to develop and test new classification criteria for gout. METHODS: Two Delphi exercises were conducted using W

  9. USING THE DELPHI TECHNIQUE TO DEVELOP EFFECTIVENESS INDICATORS FOR SOCIAL MARKETING COMMUNICATION TO REDUCE HEALTH-RISK BEHAVIORS AMONG YOUTH.

    Science.gov (United States)

    Vantamay, Nottakrit

    2015-09-01

    This study aimed to develop effectiveness indicators for social marketing communication to reduce health-risk behaviors among Thai youth by using the Delphi technique. The Delphi technique is a research approach used to gain consensus through a series of two or more rounds of questionnaire surveys where information and results are fed back to panel members between each round and it has been extensively used to generate many indicators relevant to health behaviors. The Delphi technique was conducted in 3 rounds by consulting a panel of 15 experts in the field of social marketing communication for public health campaigns in Thailand. We found forty-nine effectiveness indicators in eight core components reached consensus. These components were: 1) attitude about health-risk behavior reduction, 2) subjective norms, 3) perceived behavioral control, 4) intention to reduce health-risk behaviors, 5) practices for reducing health-risk behaviors, 6) knowledge about the dangers and impact of health-risk behaviors, 7) campaign brand equity, and 8) communication networks. These effectiveness indicators could be applied by health promotion organizations for evaluating the effectiveness of social marketing communication to effectively reduce health-risk behaviors among youth.

  10. Sales Forecasting Based on ERP System through Delphi, fuzzy Clustering and Back-Propagation Neural Networks with adaptive learning rate

    Directory of Open Access Journals (Sweden)

    Attariuas Hicham

    2012-11-01

    Full Text Available In recent years, there has been a strong tendency by companies to use centralized management systems like Enterprise resource planning (ERP. ERP systems offer a comprehensive and simplified process managements and extensive functional coverage. Sales management module is an important element business management of ERP. This paper describes an intelligent hybrid sales forecasting system ERP-FCBPN sales forecast based on architecture of ERP through Delphi, fuzzy clustering and Back-propagation (BP Neural Networks with adaptive learning rate (FCBPN. The proposed approach is composed of three stages: (1 Stage of data collection: Data collection will be implemented from the fields (attributes existing at the interfaces (Tables the database of the ERP. Collection of Key factors that influence sales be made using the Delphi method; (2 Stage of Data preprocessing: Winter Exponential Smoothing method will be utilized to take the trend effect into consideration. (3 Stage of learning by FCBPN: We use hybrid sales forecasting system based on Delphi, fuzzy clustering and Back-propagation (BP Neural Networks with adaptive learning rate (FCBPN. The data for this study come from an industrial company that manufactures packaging. Experimental results show that the proposed model outperforms the previous and traditional approaches. Therefore, it is a very promising solution for industrial forecasting.

  11. What should primary care providers know about pediatric skin conditions? A modified Delphi technique for curriculum development.

    Science.gov (United States)

    Feigenbaum, Dana F; Boscardin, Christy K; Frieden, Ilona J; Mathes, Erin F D

    2014-10-01

    There is limited access to pediatric dermatology in the United States, resulting in inadequate education and patient care. This Delphi study aimed to identify important objectives for a pediatric dermatology curriculum for general practitioners. A modified, 2-round Delphi technique was used to develop consensus on objectives developed by expert pediatric dermatologists. A panel of 20 experts (pediatric dermatologists, family practitioners, and general pediatricians) rated objectives using a 5-point Likert-type scale. Items with group medians 4.0 or greater with at least 70% agreement reached consensus. In round 1, the expert panel rated 231 objectives from 16 categories for inclusion in an online curriculum. In round 2, experts were given group feedback and rated 235 objectives. A total of 170 items met consensus. Generally, objectives surrounding common conditions including acne, molluscum, warts, atopic dermatitis, and newborn skin met consensus whereas objectives on rare growths, birthmarks, and inherited conditions failed to meet consensus. The Delphi panel consisted of US-based physicians, most in urban areas with a dedicated pediatric specialist at their institution. The accepted objectives encompass management of common conditions and referral of potentially dangerous diseases and can be used to develop a pediatric dermatology curriculum for primary care providers. Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  12. Preferred reporting items for studies mapping onto preference-based outcome measures: The MAPS statement.

    Science.gov (United States)

    Petrou, Stavros; Rivero-Arias, Oliver; Dakin, Helen; Longworth, Louise; Oppe, Mark; Froud, Robert; Gray, Alastair

    2015-08-01

    'Mapping' onto generic preference-based outcome measures is increasingly being used as a means of generating health utilities for use within health economic evaluations. Despite publication of technical guides for the conduct of mapping research, guidance for the reporting of mapping studies is currently lacking. The MAPS (MApping onto Preference-based measures reporting Standards) statement is a new checklist, which aims to promote complete and transparent reporting of mapping studies. The primary audiences for the MAPS statement are researchers reporting mapping studies, the funders of the research, and peer reviewers and editors involved in assessing mapping studies for publication.A de novo list of 29 candidate reporting items and accompanying explanations was created by a working group comprised of six health economists and one Delphi methodologist. Following a two-round, modified Delphi survey with representatives from academia, consultancy, health technology assessment agencies and the biomedical journal editorial community, a final set of 23 items deemed essential for transparent reporting, and accompanying explanations, was developed. The items are contained in a user friendly 23 item checklist. They are presented numerically and categorised within six sections, namely: (i) title and abstract; (ii) introduction; (iii) methods; (iv) results; (v) discussion; and (vi) other. The MAPS statement is best applied in conjunction with the accompanying MAPS explanation and elaboration document.It is anticipated that the MAPS statement will improve the clarity, transparency and completeness of reporting of mapping studies. To facilitate dissemination and uptake, the MAPS statement is being co-published by eight health economics and quality of life journals, and broader endorsement is encouraged. The MAPS working group plans to assess the need for an update of the reporting checklist in five years' time.This statement was published jointly in Applied Health Economics

  13. Foresight Model of Turkey's Defense Industries' Space Studies until 2040

    Science.gov (United States)

    Yuksel, Nurdan; Cifci, Hasan; Cakir, Serhat

    2016-07-01

    Being advanced in science and technology is inevitable reality in order to be able to have a voice in the globalized world. Therefore, for the countries, making policies in consistent with their societies' intellectual, economic and political infrastructure and attributing them to the vision having been embraced by all parties of the society is quite crucial for the success. The generated policies are supposed to ensure the usage of countries' resources in the most effective and fastest way, determine the priorities and needs of society and set their goals and related roadmaps. In this sense, technology foresight studies based on justified forecasting in science and technology have critical roles in the process of developing policies. In this article, Foresight Model of Turkey's Defense Industries' Space Studies, which is turned out to be the important part of community life and fundamental background of most technologies, up to 2040 is presented. Turkey got late in space technology studies. Hence, for being fast and efficient to use its national resources in a cost effective way and within national and international collaboration, it should be directed to its pre-set goals. By taking all these factors into consideration, the technology foresight model of Turkey's Defense Industry's Space Studies was presented in the study. In the model, the present condition of space studies in the World and Turkey was analyzed; literature survey and PEST analysis were made. PEST analysis will be the inputs of SWOT analysis and Delphi questionnaire will be used in the study. A two-round Delphi survey will be applied to the participants from universities, public and private organizations operating in space studies at Defense Industry. Critical space technologies will be distinguished according to critical technology measures determined by expert survey; space technology fields and goals will be established according to their importance and feasibility indexes. Finally, for the

  14. The vertebrate ancestral repertoire of visual opsins, transducin alpha subunits and oxytocin/vasopressin receptors was established by duplication of their shared genomic region in the two rounds of early vertebrate genome duplications.

    Science.gov (United States)

    Lagman, David; Ocampo Daza, Daniel; Widmark, Jenny; Abalo, Xesús M; Sundström, Görel; Larhammar, Dan

    2013-11-02

    Vertebrate color vision is dependent on four major color opsin subtypes: RH2 (green opsin), SWS1 (ultraviolet opsin), SWS2 (blue opsin), and LWS (red opsin). Together with the dim-light receptor rhodopsin (RH1), these form the family of vertebrate visual opsins. Vertebrate genomes contain many multi-membered gene families that can largely be explained by the two rounds of whole genome duplication (WGD) in the vertebrate ancestor (2R) followed by a third round in the teleost ancestor (3R). Related chromosome regions resulting from WGD or block duplications are said to form a paralogon. We describe here a paralogon containing the genes for visual opsins, the G-protein alpha subunit families for transducin (GNAT) and adenylyl cyclase inhibition (GNAI), the oxytocin and vasopressin receptors (OT/VP-R), and the L-type voltage-gated calcium channels (CACNA1-L). Sequence-based phylogenies and analyses of conserved synteny show that the above-mentioned gene families, and many neighboring gene families, expanded in the early vertebrate WGDs. This allows us to deduce the following evolutionary scenario: The vertebrate ancestor had a chromosome containing the genes for two visual opsins, one GNAT, one GNAI, two OT/VP-Rs and one CACNA1-L gene. This chromosome was quadrupled in 2R. Subsequent gene losses resulted in a set of five visual opsin genes, three GNAT and GNAI genes, six OT/VP-R genes and four CACNA1-L genes. These regions were duplicated again in 3R resulting in additional teleost genes for some of the families. Major chromosomal rearrangements have taken place in the teleost genomes. By comparison with the corresponding chromosomal regions in the spotted gar, which diverged prior to 3R, we could time these rearrangements to post-3R. We present an extensive analysis of the paralogon housing the visual opsin, GNAT and GNAI, OT/VP-R, and CACNA1-L gene families. The combined data imply that the early vertebrate WGD events contributed to the evolution of vision and the

  15. Global priorities for research and the relative importance of different research outcomes: an international Delphi survey of malaria research experts.

    Science.gov (United States)

    Mulligan, Jo-Ann; Conteh, Lesong

    2016-12-06

    As global research investment increases, attention inevitably turns to assessing and measuring the outcomes and impact from research programmes. Research can have many different outcomes such as producing advances in scientific knowledge, building research capacity and, ultimately, health and broader societal benefits. The aim of this study was to test the use of a Delphi methodology as a way of gathering views from malaria research experts on research priorities and eliciting relative valuations of the different types of health research impact. An international Delphi survey of 60 malaria research experts was used to understand views on research outcomes and priorities within malaria and across global health more widely. The study demonstrated the application of the Delphi technique to eliciting views on malaria specific research priorities, wider global health research priorities and the values assigned to different types of research impact. In terms of the most important past research successes, the development of new anti-malarial drugs and insecticide-treated bed nets were rated as the most important. When asked about research priorities for future funding, respondents ranked tackling emerging drug and insecticide resistance the highest. With respect to research impact, the panel valued research that focuses on health and health sector benefits and informing policy and product development. Contributions to scientific knowledge, although highly valued, came lower down the ranking, suggesting that efforts to move research discoveries to health products and services are valued more highly than pure advances in scientific knowledge. Although the Delphi technique has been used to elicit views on research questions in global health this was the first time it has been used to assess how a group of research experts value or rank different types of research impact. The results suggest it is feasible to inject the views of a key stakeholder group into the research

  16. Study on the rapid as essm enti ndxe es for sfa ety manga emen t of high pathogenic biool giac l samplet rans portatoi n bya dopting the Delphi survey%德尔菲法构建高致病性病原微生物菌毒种或样本运输生物安全快速评价指标的研究

    Institute of Scientific and Technical Information of China (English)

    袁璧翡; 王绍鑫; 卢中南; 罗海燕; 周宏东

    2016-01-01

    目的:对高致病性病原微生物菌毒种或样本运输生物安全的现行评价指标进行筛选和重构,选择关键性指标从而实现快速评价放行的要求。方法在本市现行使用的高致病性病原微生物菌毒种或样本运输生物安全监督检查评价表的基础上,采取德尔菲研究法组织7名专家对所有21项评价指标进行咨询,经过2轮咨询,对21项指标评分和统计分析,采用界值法并充分结合专家意见筛选评价指标。结果通过2轮咨询,建立了7项关键性指标作为高致病性病原微生物菌毒种或样本的运输安全快速评价指标,包括申办有效的准运证书、运输人员、运输车辆、运输包装以及运输后报告等5个方面。结论建立了一套针对高致病性病原微生物菌毒种和样本运输生物安全的现场快速评估指标,对卫生监督部门来说,缩短了评价放行的时间,提高了运输安全监管效率;对运输部门提供了一套自我评估快速放行的评价指标,对确保运输过程中的生物安全具有重要意义。%Objective To determine key indicators from the current assessment indicators for rapid and safe transportation of high pathogenic biological samples. Methods Based on the current assessment tables of biological safety inspection for high pathogenic biological samples, a total of seven experts were consulted on the 21 indicators by Delphi method.Key assessment indicators were selected through two rounds of consultation and analysis of indexes with boundary value method. Results A total of seven key assessment indexes were selected as the rapid evaluation indexes for safe transportation of high pathogenic biological samples including effective certificate, the management of transportation personnel and transportation vehicles, the safety of transportation packaging, and transportation report. Conclusion A system of rapid assessment indexes about the safe transportation

  17. 76 FR 46852 - Workers From Kelly Services, Working On-Site at Delphi Automotive Systems, LLC, Powertrain...

    Science.gov (United States)

    2011-08-03

    ... workers from Kelly Services working on-site at Delphi Automotive Systems, LLC, El Paso, Texas. The workers...-site at Delphi Automotive Systems, LLC, Powertrain Division, El Paso, Texas. The amended notice...-site at Delphi Automotive Systems, LLC, Powertrain Division, El Paso, Texas, who became totally...

  18. Identifying the most critical project complexity factors using Delphi method: the Iranian construction industry

    Directory of Open Access Journals (Sweden)

    Mohammad Mehdi Mozaffari

    2012-09-01

    Full Text Available Complexity is one of the most important issues influencing success of any construction project and there are literally different studies devoted to detect important factors increasing complexity of projects. During the past few years, there have been growing interests in developing mass construction projects in Iran. The proposed study of this paper uses Delphi technique to find out about important factors as barriers of construction projects in Iran. The results show that among 47 project complexity factors, 19 factors are more important than others are. The study groups different factors into seven categories including environmental, organizational, objectives, tasks, stakeholders, technological, information systems and determines the relative importance of each. In each group, many other sub group activities are determined and they are carefully investigated. The study provides some detailed suggestions on each category to reduce the complexity of construction project.

  19. Selecting examinable nursing core competencies: a Delphi project.

    Science.gov (United States)

    Lock, L R

    2011-09-01

    To establish a set of core competencies that could be practically examined in a pre-registration practical examination for Indonesian candidates completing their pre-service education. Indonesia is planning to institute a register for nurses to ensure a minimum standard of safe practice for new nurses completing their pre-service education. A proposed route to registration includes the practical examination of a minimum set of core competencies. This Delphi project aimed to reduce 192 existing standard competencies to an examinable group of 12 core competences that all nurses registering in Indonesia must meet. A modified Delphi method was used by 12 expert Indonesian nurses and a facilitator to determine which standard competencies should be considered core. Five Delphi rounds were used. One hundred and ninety-two standard competencies were reduced to a core set of 12. Selected competencies are assessable in a practical examination and can be used to determine a minimum level of safe practice for all nurses seeking to register at the completion of their pre-service education. The expert panel met the project aim and provided a set of examinable competencies/activities that they consider will demonstrate the fundamental safety of new registered nurses. The subsequent responsibility for setting up a register for nurses in Indonesia now rests with the Indonesian Ministry of Health. The Indonesian National Nursing Association is working with the Ministry of Health to determine the route and criteria for registration in order to establish a common level of competence for nurses across the country exiting their pre-service education. © 2011 The Author. International Nursing Review © 2011 International Council of Nurses.

  20. Delphi 4.0下TeeChart控件的编程方法%The Programming Method For TeeChart Control in Delphi4.0

    Institute of Scientific and Technical Information of China (English)

    罗强; 李小琼

    1999-01-01

    本文在介绍面向Windows的编程语言Delphi4.0的基础上,重点介绍了Delphi4.0中VCL库的一个重要控件TeeChart控件的编程方法,并通过实例给出了一个具体的实现过程.