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Sample records for two-round modified delphi

  1. 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.

  2. 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

  3. Development of criteria for evaluating clinical response in thyroid eye disease using a modified Delphi technique

    DEFF Research Database (Denmark)

    Douglas, Raymond S; Tsirbas, Angelo; Gordon, Mark;

    2009-01-01

    OBJECTIVE: To identify components of a provisional clinical response index for thyroid eye disease using a modified Delphi technique. METHODS: The International Thyroid Eye Disease Society conducted a structured, 3-round Delphi exercise establishing consensus for a core set of measures for clinical...... exercise, we developed provisional core measures for assessing disease activity and severity in clinical trials of therapies for thyroid eye disease. These measures will be iteratively refined for use in multicenter clinical trials.......% of participants) rated 153 criteria in Delphi 3 (67 criteria were excluded because of redundancy). Criteria with a mean greater than 6 (1 = least appropriate to 9 = most appropriate) were further evaluated by the nominal group technique and provisional core measures were chosen. CONCLUSIONS: Using a Delphi...

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

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    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

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

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    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,…

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

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    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…

  7. Identification of Core Competencies for an Undergraduate Food Safety Curriculum Using a Modified Delphi Approach

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    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…

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

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    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…

  9. 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…

  10. 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…

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

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    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.

  12. Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation.

    OpenAIRE

    Gupta, R.(Panjab University, Chandigarh, India); Moriates, C; Harrison, JD; Valencia, V; Ong, M; Clarke, R.; Steers, N; Hays, RD; Braddock, CH; De Wachter, R

    2016-01-01

    Organisational culture affects physician behaviours. Patient safety culture surveys have previously been used to drive care improvements, but no comparable survey of high-value care culture currently exists. We aimed to develop a High-Value Care Culture Survey (HVCCS) for use by healthcare leaders and training programmes to target future improvements in value-based care.We conducted a two-phase national modified Delphi process among 28 physicians and nurse experts with diverse backgrounds. We...

  13. 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.

  14. Composing a core set of performance indicators for public mental health care: a modified Delphi procedure.

    Science.gov (United States)

    Lauriks, Steve; de Wit, Matty A S; Buster, Marcel C A; Arah, Onyebuchi A; Klazinga, Niek S

    2014-09-01

    Public mental health care (PMHC) systems are responsible for the wellbeing of vulnerable groups that cope with complex psychosocial problems. This article describes the development of a set of performance indicators that are feasible, meaningful, and useful to assess the quality of the PMHC system in Amsterdam, the Netherlands. Performance indicators were selected from an international inventory and presented to stakeholders of the PMHC system in a modified Delphi procedure. Characteristics of indicators were judged individually, before consensus on a core set was reached during a plenary discussion. Involving stakeholders at early stages of development increases support for quality assessment.

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

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    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.

  16. Adapting the IDEAL Framework and Recommendations for medical device evaluation: A modified Delphi survey.

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    Pennell, Christopher P; Hirst, Allison; Sedrakyan, Art; McCulloch, Peter G

    2016-04-01

    Current regulatory systems for medical device marketing approval lack adequate requirements for evidence of safety and efficacy. The Total Product Life Cycle (TPLC) concept, with clinical use and marketing expanding as evidence develops, has won support, but lacks a template to define evidence requirements at different stages. The IDEAL Framework & Recommendations, originally developed for new surgical procedures, might provide such a template, but may require modification. We conducted a Delphi expert consensus exercise to determine how IDEAL might be modified to accommodate the needs of device regulation. 34 experts were invited to participate in 3 rounds of questioning, with feedback of the results of each round to participants before the next. 27 of 34 experts responded in at least one survey round. Experts agreed that, after appropriate modifications, IDEAL could form an evidence template for a TPLC-based regulatory system. Necessary modifications include a new Stage 0 should guide reporting of pre-clinical studies, expansion of registries to all stages, and omission of IDEAL stages 2 and 3 for "successor" devices under certain conditions. A standard approach to TPLC evaluation of medical devices does not currently exist. The IDEAL Framework, if modified appropriately, could fill such a void and improve the safety of new medical devices. Copyright © 2016 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.

  17. Designing a balanced scorecard for a tertiary care hospital in Pakistan: a modified Delphi group exercise.

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    Rabbani, Fauziah; Jafri, Syed M Wasim; Abbas, Farhat; Shah, Mairaj; Azam, Syed Iqbal; Shaikh, Babar Tasneem; Brommels, Mats; Tomson, Goran

    2010-01-01

    Balanced Scorecards (BSC) are being implemented in high income health settings linking organizational strategies with performance data. At this private university hospital in Pakistan an elaborate information system exists. This study aimed to make best use of available data for better performance management. Applying the modified Delphi technique an expert panel of clinicians and hospital managers reduced a long list of indicators to a manageable size. Indicators from existing documents were evaluated for their importance, scientific soundness, appropriateness to hospital's strategic plan, feasibility and modifiability. Panel members individually rated each indicator on a scale of 1-9 for the above criteria. Median scores were assigned. Of an initial set of 50 indicators, 20 were finally selected to be assigned to the four BSC quadrants. These were financial (n = 4), customer or patient (n = 4), internal business or quality of care (n = 7) and innovation/learning or employee perspectives (n = 5). A need for stringent definitions, international benchmarking and standardized measurement methods was identified. BSC compels individual clinicians and managers to jointly work towards improving performance. This scorecard is now ready to be implemented by this hospital as a performance management tool for monitoring indicators, addressing measurement issues and enabling comparisons with hospitals in other settings.

  18. 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.

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

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    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.

  20. 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.

  1. A Modified Delphi Process to Define Competencies for Assessment Leads Supporting a Doctor of Pharmacy Program.

    Science.gov (United States)

    Janke, Kristin K; Kelley, Katherine A; Sweet, Burgunda V; Kuba, Sarah E

    2016-12-25

    Objective. To define the competencies for individuals designated as assessment leads in colleges and schools of pharmacy. Methods. Twenty-three assessment experts in pharmacy participated in a modified Delphi process to describe competencies for an assessment lead, defined as the individual responsible for curricular assessment and assessment-related to doctor of pharmacy program accreditation. Round 1 asked open-ended questions about knowledge, skills, and attitudes. Round 2 grouped responses for comment and rating for consensus, which was prospectively set at 80%. Results. Twelve competencies were defined and grouped into 3 areas: Context for Assessment, Managing the Process of Assessment, and Leadership of Assessment Activities. In order to verify the panel's work, assessment competencies from other disciplines were reviewed and compared. Conclusions. The competencies describe roles for assessment professionals as experts, managers, and leaders of assessment processes. They can be used by assessment professionals in self-assessing areas for professional development and by administrators in selecting, developing, and supporting designated leads.

  2. 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.

  3. 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.

  4. 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.

  5. Pharmacist provision of primary health care: a modified Delphi validation of pharmacists' competencies

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    Kennie-Kaulbach Natalie

    2012-03-01

    Full Text Available Abstract Background Pharmacists have expanded their roles and responsibilities as a result of primary health care reform. There is currently no consensus on the core competencies for pharmacists working in these evolving practices. The aim of this study was to develop and validate competencies for pharmacists' effective performance in these roles, and in so doing, document the perceived contribution of pharmacists providing collaborative primary health care services. Methods Using a modified Delphi process including assessing perception of the frequency and criticality of performing tasks, we validated competencies important to primary health care pharmacists practising across Canada. Results Ten key informants contributed to competency drafting; thirty-three expert pharmacists replied to a second round survey. The final primary health care pharmacist competencies consisted of 34 elements and 153 sub-elements organized in seven CanMeds-based domains. Highest importance rankings were allocated to the domains of care provider and professional, followed by communicator and collaborator, with the lower importance rankings relatively equally distributed across the manager, advocate and scholar domains. Conclusions Expert pharmacists working in primary health care estimated their most important responsibilities to be related to direct patient care. Competencies that underlie and are required for successful fulfillment of these patient care responsibilities, such as those related to communication, collaboration and professionalism were also highly ranked. These ranked competencies can be used to help pharmacists understand their potential roles in these evolving practices, to help other health care professionals learn about pharmacists' contributions to primary health care, to establish standards and performance indicators, and to prioritize supports and education to maximize effectiveness in this role.

  6. 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/

  7. 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

  8. 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.

  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. 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

  11. 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.

  12. Development of key performance indicators for emergency departments in Ireland using an electronic modified-Delphi consensus approach.

    LENUS (Irish Health Repository)

    Wakai, Abel

    2012-02-29

    OBJECTIVE: The objective of this study was to develop a consensus among emergency medicine (EM) specialists working in Ireland for emergency department (ED) key performance indicators (KPIs). METHODS: The method employed was a three-round electronic modified-Delphi process. An online questionnaire with 54 potential KPIs was set up for round 1 of the Delphi process. The Delphi panel consisted of all registered EM specialists in Ireland. Each indicator on the questionnaire was rated using a five-point Likert-type rating scale. Agreement was defined as at least 70% of the responders rating an indicator as \\'agree\\' or \\'strongly agree\\' on the rating scale. Data were analysed using standard descriptive statistics. Data were also analysed as the mean of the Likert rating with 95% confidence intervals (95% CIs). Sensitivity of the ratings was examined for robustness by bootstrapping the original sample. Statistical analyses were carried out using SPSS version 16.0. RESULTS: The response rates in rounds 1, 2 and 3 were 86, 88 and 88%, respectively. Ninety-seven potential indicators reached agreement after the three rounds. In the context of the Donabedian structure-process-outcome framework of performance indicators, 41 (42%) of the agreed indicators were structure indicators, 52 (54%) were process indicators and four (4%) were outcome indicators. Overall, the top-three highest rated indicators were: presence of a dedicated ED clinical information system (4.7; 95% CI 4.6-4.9), ED compliance with minimum design standards (4.7; 95% CI 4.5-4.8) and time from ED arrival to first ECG in suspected cardiac chest pain (4.7; 95% CI 4.5-4.9). The top-three highest rated indicators specific to clinical care of children in EDs were: time to administration of antibiotics in children with suspected bacterial meningitis (4.6; 95% CI 4.5-4.8), separate area available within EDs (seeing both adults and children) to assess children (4.4; 95% CI 4.2-4.6) and time to administration of

  13. 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…

  14. Use of modified Delphi to plan knowledge translation for decision makers: an application in the field of advanced practice nursing.

    Science.gov (United States)

    Carter, Nancy; Lavis, John N; MacDonald-Rencz, Sandra

    2014-01-01

    Disseminating research to decision makers is difficult. Interaction between researchers and decision makers can identify key messages and processes for dissemination. To gain agreement on the key findings from a synthesis on the integration of advanced practice nurses, we used a modified Delphi process. Nursing decision makers contributed ideas via e-mail, discussed and clarified ideas face to face, and then prioritized statements. Sixteen (89%) participated and 14 (77%) completed the final phase. Priority key messages were around access to care and outcomes. The majority identified "NPs increase access to care" and "NPs and CNSs improve patient and system outcomes" as priority messaging statements. Participants agreed policy makers and the public were target audiences for messages. Consulting with policy makers provided the necessary context to develop tailored policy messages and is a helpful approach for research dissemination.

  15. Proposal of quality indicators for cardiac rehabilitation after acute coronary syndrome in Japan: a modified Delphi method and practice test

    Science.gov (United States)

    Ohtera, Shosuke; Kanazawa, Natsuko; Ozasa, Neiko; Ueshima, Kenji; Nakayama, Takeo

    2017-01-01

    Objectives Cardiac rehabilitation is underused and its quality in practice is unclear. A quality indicator is a measurable element of clinical practice performance. This study aimed to propose a set of quality indicators for cardiac rehabilitation following an acute coronary event in the Japanese population and conduct a small-size practice test to confirm feasibility and applicability of the indicators in real-world clinical practice. Design and setting This study used a modified Delphi technique (the RAND/UCLA appropriateness method), a consensus method which involves an evidence review, a face-to-face multidisciplinary panel meeting and repeated anonymous rating. Evidence to be reviewed included clinical practice guidelines available in English or Japanese and existing quality indicators. Performance of each indicator was assessed retrospectively using medical records at a university hospital in Japan. Participants 10 professionals in cardiac rehabilitation for the consensus panel. Results In the literature review, 23 clinical practice guidelines and 16 existing indicators were identified to generate potential indicators. Through the consensus-building process, a total of 30 indicators were assessed and finally 13 indicators were accepted. The practice test (n=39) revealed that 74% of patients underwent cardiac rehabilitation. Median performance of process measures was 93% (IQR 46–100%). ‘Communication with the doctor who referred the patient to cardiac rehabilitation’ and ‘continuous participation in cardiac rehabilitation’ had low performance (32% and 38%, respectively). Conclusions A modified Delphi technique identified a comprehensive set of quality indicators for cardiac rehabilitation. The single-site, small-size practice test confirmed that most of the proposed indicators were measurable in real-world clinical practice. However, some clinical processes which are not covered by national health insurance in Japan had low performance. Further

  16. What are priorities for deprescribing for elderly patients? Capturing the voice of practitioners: a modified delphi process.

    Directory of Open Access Journals (Sweden)

    Barbara Farrell

    Full Text Available Polypharmacy and inappropriate medication use among older adults contribute to adverse drug reactions, falls, cognitive impairment, noncompliance, hospitalization and mortality. While deprescribing - tapering, reducing or stopping a medication - is feasible and relatively safe, clinicians find it difficult to carry out. Deprescribing guidelines would facilitate this process. The aim of this paper is to identify and prioritize medication classes where evidence-based deprescribing guidelines would be of benefit to clinicians. A modified Delphi approach included a literature review to identify potentially inappropriate medications for the elderly, an expert panel to develop survey content and three survey rounds to seek consensus on priorities. Panel participants included three pharmacists, two family physicians and one social scientist. Sixty-five Canadian geriatrics experts (36 pharmacists, 19 physicians and 10 nurse practitioners participated in the survey. Twenty-nine drugs/drug classes were included in the first survey with 14 reaching the required (≥ 70% level of consensus, and 2 new drug classes added from qualitative comments. Fifty-three participants completed round two, and 47 participants completed round three. The final five priorities were benzodiazepines, atypical antipsychotics, statins, tricyclic antidepressants, and proton pump inhibitors; nine other drug classes were also identified as being in need of evidence-based deprescribing guidelines. The Delphi consensus process identified five priority drug classes for which expert clinicians felt guidance is needed for deprescribing. The classes of drugs that emerged strongly from the rankings dealt with mental health, cardiovascular, gastroenterological, and neurological conditions. The results suggest that deprescribing and overtreatment occurs through the full spectrum of primary care, and that evidence-based deprescribing guidelines are a priority in the care of the elderly.

  17. Economic instruments for obesity prevention: results of a scoping review and modified delphi survey

    Directory of Open Access Journals (Sweden)

    LaFrance Jeffrey

    2011-10-01

    Full Text Available Abstract Background Comprehensive, multi-level approaches are required to address obesity. One important target for intervention is the economic domain. The purpose of this study was to synthesize existing evidence regarding the impact of economic policies targeting obesity and its causal behaviours (diet, physical activity, and to make specific recommendations for the Canadian context. Methods Arksey and O'Malley's (2005 methodological framework for conducting scoping reviews was adopted for this study and this consisted of two phases: 1 a structured literature search and review, and 2 consultation with experts in the research field through a Delphi survey and an in-person expert panel meeting in April 2010. Results Two key findings from the scoping review included 1 consistent evidence that weight outcomes are responsive to food and beverage prices. The debate on the use of food taxes and subsidies to address obesity should now shift to how best to address practical issues in designing such policies; and 2 very few studies have examined the impact of economic instruments to promote physical activity and clear policy recommendations cannot be made at this time. Delphi survey findings emphasised the relatively modest impact any specific economic instrument would have on obesity independently. Based on empirical evidence and expert opinion, three recommendations were supported. First, to create and implement an effective health filter to review new and current agricultural polices to reduce the possibility that such policies have a deleterious impact on population rates of obesity. Second, to implement a caloric sweetened beverage tax. Third, to examine how to implement fruit and vegetable subsidies targeted at children and low income households. Conclusions In terms of economic interventions, shifting from empirical evidence to policy recommendation remains challenging. Overall, the evidence is not sufficiently strong to provide clear policy

  18. Distribution network connection pricing framework and methodology: identification of areas of improvement for Sarawak Energy Berhad Connection Charges Guidelines through modified delphi method

    Science.gov (United States)

    Tan, J. K.; Abas, N.

    2017-07-01

    Complaints on issues and matters related to connection charges have been very common for electricity supply utility companies around the world including Sarawak Energy Berhad. In order to identify the areas that can be improved, a mixed method of exploratory research involving qualitative and quantitative methods have been designed and undertaken rather than a single method of survey. This will ensure a more comprehensive and detailed understanding of the issues from various target groups. The method is designed under three phases, employing Modified Delphi Technique for phase 1 through a series of stake holder engagements, online and offline survey questionnaires to be filled by internal wiring contractors for phase 2 whilst under phase 3, case studies shall be carried out on the issues identified from phase 1 and phase 2 of the study. This paper presented the findings from the Modified Delphi Technique. The findings revealed that there are areas of improvement for Sarawak Energy Berhad connection guidelines in term of differentiation of dedicated and shared assets which leads to unfairness to the connecting customers, inconsistency and non-transparent in charging. The findings of Modified Delphi Technique shall be used for implementation of phase 2 and phase 3 of the study.

  19. Use of a modified Delphi panel to identify and weight criteria for prioritization of zoonotic diseases in Switzerland.

    Science.gov (United States)

    Stebler, N; Schuepbach-Regula, G; Braam, P; Falzon, L C

    2015-09-01

    Zoonotic diseases have a significant impact on public health globally. To prevent or reduce future zoonotic outbreaks, there is a constant need to invest in research and surveillance programs while updating risk management strategies. However, given the limited resources available, disease prioritization based on the need for their control and surveillance is important. This study was performed to identify and weight disease criteria for the prioritization of zoonotic diseases in Switzerland using a semi-quantitative research method based on expert opinion. Twenty-eight criteria relevant for disease control and surveillance, classified under five domains, were selected following a thorough literature review, and these were evaluated and weighted by seven experts from the Swiss Federal Veterinary Office using a modified Delphi panel. The median scores assigned to each criterion were then used to rank 16 notifiable and/or emerging zoonoses in Switzerland. The experts weighted the majority of the criteria similarly, and the top three criteria were Severity of disease in humans, incidence and prevalence of the disease in humans and treatment in humans. Based on these weightings, the three highest ranked diseases were Avian Influenza, Bovine Spongiform Encephalitis, and Bovine Tuberculosis. Overall, this study provided a preliminary list of criteria relevant for disease prioritization in Switzerland. These were further evaluated in a companion study which involved a quantitative prioritization method and multiple stakeholders.

  20. Adaptation of a difficult-to-manage asthma programme for implementation in the Dutch context: a modified e-Delphi.

    Science.gov (United States)

    Honkoop, Persijn J; Pinnock, Hilary; Kievits-Smeets, Regien M M; Sterk, Peter J; Dekhuijzen, P N Richard; In 't Veen, Johannes C C M

    2017-02-09

    Patients with difficult-to-manage asthma represent a heterogeneous subgroup of asthma patients who require extensive assessment and tailored management. The International Primary Care Respiratory Group approach emphasises the importance of differentiating patients with asthma that is difficult to manage from those with severe disease. Local adaptation of this approach, however, is required to ensure an appropriate strategy for implementation in the Dutch context. We used a modified three-round e-Delphi approach to assess the opinion of all relevant stakeholders (general practitioners, pulmonologists, practice nurses, pulmonary nurses and people with asthma). In the first round, the participants were asked to provide potentially relevant items for a difficult-to-manage asthma programme, which resulted in 67 items. In the second round, we asked participants to rate the relevance of specific items on a seven-point Likert scale, and 46 items were selected as relevant. In the third round, the selected items were categorised and items were ranked within the categories according to relevance. Finally, we created the alphabet acronym for the categories 'the A-I of difficult-to-manage asthma' to resonate with an established Dutch 'A-E acronym for determining asthma control'. This should facilitate implementation of this programme within the existing structure of educational material on asthma and chronic obstructive pulmonary disease (COPD) in primary care, with potential for improving management of difficult-to-manage asthma. Other countries could use a similar approach to create a locally adapted version of such a programme.

  1. Identifying the Core Content of a Dermatology Module for Malaysian Medical Undergraduate Curriculum Using a Modified Delphi Method

    Science.gov (United States)

    Jamil, Adawiyah; Muthupalaniappen, Leelavathi; Md Nor, Norazirah; Siraj, Harlina Halizah; Salam, Abdus

    2016-01-01

    Background Dermatology is a minor module in internal medicine undergraduate curriculum. Limited time is allocated for its teaching. Most graduates are inadequately prepared to diagnose and manage skin diseases. We aimed to identify the core content of a more effective dermatology module. Methods A modified Delphi method was used to reach a consensus. A questionnaire was developed by a selected panel and sent to 20 dermatologists, family physicians and general practitioners (GPs), respectively. They were asked to rate diseases according to importance. The participants then answered the questionnaire again with results of the first round made available to them. The final module content was identified based on the panel’s collective opinions. Results Eleven topics had mode and median values of 1 with an agreement level of more than 70%. They were as follows: (1) skin structure and function; (2) infections and infestations; (3) the skin in systemic diseases; (4) dermatology emergencies; (5) drug eruptions; (6) psoriasis; (7) eczema; (8) sexually transmitted infections; (9) leprosy; (10) acne; and (11) clinical skills and diagnostic procedures. A total of 56 diseases were identified as important. Conclusion Results of this study reflect the importance of understanding the influence of regional factors on common and important skin diseases. These topics may be used to develop a more effective dermatology module for the Malaysian undergraduate medical curriculum. PMID:27418873

  2. 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...

  3. Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology

    Directory of Open Access Journals (Sweden)

    Breda H. Eubank

    2016-05-01

    Full Text Available Abstract Background Patients presenting to the healthcare system with rotator cuff pathology do not always receive high quality care. High quality care occurs when a patient receives care that is accessible, appropriate, acceptable, effective, efficient, and safe. The aim of this study was twofold: 1 to develop a clinical pathway algorithm that sets forth a stepwise process for making decisions about the diagnosis and treatment of rotator cuff pathology presenting to primary, secondary, and tertiary healthcare settings; and 2 to establish clinical practice guidelines for the diagnosis and treatment of rotator cuff pathology to inform decision-making processes within the algorithm. Methods A three-step modified Delphi method was used to establish consensus. Fourteen experts representing athletic therapy, physiotherapy, sport medicine, and orthopaedic surgery were invited to participate as the expert panel. In round 1, 123 best practice statements were distributed to the panel. Panel members were asked to mark “agree” or “disagree” beside each statement, and provide comments. The same voting method was again used for round 2. Round 3 consisted of a final face-to-face meeting. Results In round 1, statements were grouped and reduced to 44 statements that met consensus. In round 2, five statements reached consensus. In round 3, ten statements reached consensus. Consensus was reached for 59 statements representing five domains: screening, diagnosis, physical examination, investigations, and treatment. The final face-to-face meeting was also used to develop clinical pathway algorithms (i.e., clinical care pathways for three types of rotator cuff pathology: acute, chronic, and acute-on-chronic. Conclusion This consensus guideline will help to standardize care, provide guidance on the diagnosis and treatment of rotator cuff pathology, and assist in clinical decision-making for all healthcare professionals.

  4. Adaptation of a difficult-to-manage asthma programme for implementation in the Dutch context: a modified e-Delphi

    Science.gov (United States)

    Honkoop, Persijn J; Pinnock, Hilary; Kievits-Smeets, Regien M M; Sterk, Peter J; Dekhuijzen, P N Richard; in ’t Veen, Johannes C C M

    2017-01-01

    Patients with difficult-to-manage asthma represent a heterogeneous subgroup of asthma patients who require extensive assessment and tailored management. The International Primary Care Respiratory Group approach emphasises the importance of differentiating patients with asthma that is difficult to manage from those with severe disease. Local adaptation of this approach, however, is required to ensure an appropriate strategy for implementation in the Dutch context. We used a modified three-round e-Delphi approach to assess the opinion of all relevant stakeholders (general practitioners, pulmonologists, practice nurses, pulmonary nurses and people with asthma). In the first round, the participants were asked to provide potentially relevant items for a difficult-to-manage asthma programme, which resulted in 67 items. In the second round, we asked participants to rate the relevance of specific items on a seven-point Likert scale, and 46 items were selected as relevant. In the third round, the selected items were categorised and items were ranked within the categories according to relevance. Finally, we created the alphabet acronym for the categories ‘the A–I of difficult-to-manage asthma’ to resonate with an established Dutch ‘A–E acronym for determining asthma control’. This should facilitate implementation of this programme within the existing structure of educational material on asthma and chronic obstructive pulmonary disease (COPD) in primary care, with potential for improving management of difficult-to-manage asthma. Other countries could use a similar approach to create a locally adapted version of such a programme. PMID:28184039

  5. Identifying opportunities for nature engagement in cancer care practice and design: protocol for four-round modified electronic Delphi

    Science.gov (United States)

    Blaschke, Sarahg; O'Callaghan, Clare C; Schofield, Penelope

    2017-01-01

    Introduction Opportunities to engage with nature have shown relevance in experiences of health and recovery of patients with cancer and are attracting interest in cancer care practice and design. Such healthcare innovations can widen the horizon of possible supportive care solutions but require deliberate and rigorous investigation to ensure responsible action is taken and wastage avoided. This protocol outlines a study designed to solicit knowledge from relevant experts drawn from a range of healthcare practitioners, management representatives, designers and researchers to explore levels of opinion consensus for determining opportunities for, and barriers to, providing helpful nature engagement in cancer care settings. Methods and analysis A 4-round modified electronic Delphi methodology will be used to conduct a structured, iterative feedback process for querying and synthesising expert opinion. Round 1 administers an open-ended questionnaire to a panel of selected, relevant experts who will consider the own recommendations of patients with cancer for nature engagement (drawn from a preceding investigation) before contributing salient issues (items) with relevance to the topic. Round 2 circulates anonymised summaries of responses back to the experts who verify and, if they wish, reconsider their own responses. Rounds 3 and 4 determine and rank experts' top 10 items using a 10-point Likert-type scale. Descriptive statistics (median and mean scores) will be calculated to indicate the items' relative importance. Levels of consensus will be explored with consensus defined as 75% agreement. Ethics and dissemination Ethics approval for this study was obtained from the Institution's Human Research Ethics Committee (blinded for review). It is anticipated that the results will be published in peer-reviewed journals and presented in a variety of forums. PMID:28274965

  6. Identification of features of electronic prescribing systems to support quality and safety in primary care using a modified Delphi process

    Directory of Open Access Journals (Sweden)

    O'Neill Jennifer A

    2010-04-01

    Full Text Available Abstract Background Electronic prescribing is increasingly being used in primary care and in hospitals. Studies on the effects of e-prescribing systems have found evidence for both benefit and harm. The aim of this study was to identify features of e-prescribing software systems that support patient safety and quality of care and that are useful to the clinician and the patient, with a focus on improving the quality use of medicines. Methods Software features were identified by a literature review, key informants and an expert group. A modified Delphi process was used with a 12-member multidisciplinary expert group to reach consensus on the expected impact of the features in four domains: patient safety, quality of care, usefulness to the clinician and usefulness to the patient. The setting was electronic prescribing in general practice in Australia. Results A list of 114 software features was developed. Most of the features relate to the recording and use of patient data, the medication selection process, prescribing decision support, monitoring drug therapy and clinical reports. The expert group rated 78 of the features (68% as likely to have a high positive impact in at least one domain, 36 features (32% as medium impact, and none as low or negative impact. Twenty seven features were rated as high positive impact across 3 or 4 domains including patient safety and quality of care. Ten features were considered "aspirational" because of a lack of agreed standards and/or suitable knowledge bases. Conclusions This study defines features of e-prescribing software systems that are expected to support safety and quality, especially in relation to prescribing and use of medicines in general practice. The features could be used to develop software standards, and could be adapted if necessary for use in other settings and countries.

  7. A modified Delphi survey on the signs and symptoms of low back pain: indicators for an interventional management approach.

    Science.gov (United States)

    Cid, José; De La Calle, José L; López, Esther; Del Pozo, Cristina; Perucho, Alfredo; Acedo, María Soledad; Bedmar, Dolores; Benito, Javier; De Andrés, Javier; Díaz, Susana; García, Juan Antonio; Gómez-Caro, Leticia; Gracia, Adolfo; Hernández, José María; Insausti, Joaquín; Madariaga, María; Moñino, Pedro; Ruiz, Manuel; Uriarte, Estrella; Vidal, Alfonso

    2015-01-01

    Low back pain (LBP) symptoms and signs are nonspecific. If required, diagnostic blocks may find the source of pain, but indicators of suspect diagnosis must be defined to identify anatomical targets. To reach a consensus from an expert panel on the indicators for the most common causes of LBP. A 3-round (2 telematic and 1 face-to-face) modified Delphi survey with a questionnaire on 78 evidence-based indicators of 7 LBP etiologies was completed by 23 experts. 98.7% of the questionnaire was consensuated. The most accepted indicators were for zygapophysial joint pain, painful ipsilateral paravertebral palpation, worsening with trunk extension, paravertebral musculature spasm on the affected articulation, and referred pain above the knee, without radicular pattern. For sacroiliac joint pain, unilateral pain when seating, with at least 3 described provoking tests: Approximation; gapping; Patrick's; Gaenslen's; thigh thrust; Fortin finger; and Gillet's tests. For discogenic pain, midline pain that may be provoked by pressure on the spinal processes at the affected level; for quadratus lumborum muscle, painful palpation on both the L1 level paravertebral region, referred to iliac crest, and the iliac crest, referred to greater trochanter. For iliopsoas muscle, pain elicited by thigh flexion, referred to buttock, inguinal region, and anterior thigh. For pyramidal muscle, pain while sitting on the affected side and positive Freiberg's test. For radicular pain, paresthesias and positive Lassègue's test at 60°. Seventy-seven diagnostic suspect indicators of LBP conditions were consensuated. These may facilitate conservative or interventional pain management decision-making. © 2013 World Institute of Pain.

  8. 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

  9. 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.

  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. 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.

  12. 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.

  13. 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.

  14. Development of a curriculum for advanced nurse practitioners working with older people with frailty in the acute hospital through a modified Delphi process.

    Science.gov (United States)

    Goldberg, Sarah Elizabeth; Cooper, Jo; Blundell, Adrian; Gordon, Adam Lee; Masud, Tahir; Moorchilot, Ravisankar

    2016-01-01

    advanced nurse practitioners (ANPs) are experienced nurses who undertake some activities traditionally performed by medical staff. There are four pillars of advanced practice: advanced clinical skills, leadership, education and research. ANPs are starting to specialise in the management of older adults with frailty in the acute hospital. However, the role and competencies required for this have not been well defined. This study aimed to establish an expert consensus on the role description and essential competencies for ANPs working with older people with frailty to develop a curriculum. a literature review and workshops including multi-professional and lay representatives generated a role description and a list of 69 competencies. A modified Delphi process was then conducted with three rounds involving a panel of 31 experts including representatives from the RCN, BGS Education and Training Committee, BGS Senior Nurses and Practitioners Group, Chartered Society of Physiotherapy Older People Network, College of Occupational Therapists Older People Specialist Section and lay representatives. Consensus on the statements was established by 70% panel agreement. the role description reached 100% agreement within three rounds. Twenty-five essential competencies were agreed after Round 1, increasing to 43 after Round 2 and 49 after Round 3. this Delphi study has allowed, for the first time, a national panel of clinical experts and lay representatives to refine and agree a set of competencies for ANPs working with older people with frailty. It is the first step towards ensuring consistency in the training of ANPs in geriatric medicine. © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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.

  1. A Consensus for Classification and Pathologic Reporting of Pseudomyxoma Peritonei and Associated Appendiceal Neoplasia: The Results of the Peritoneal Surface Oncology Group International (PSOGI) Modified Delphi Process.

    Science.gov (United States)

    Carr, Norman J; Cecil, Thomas D; Mohamed, Faheez; Sobin, Leslie H; Sugarbaker, Paul H; González-Moreno, Santiago; Taflampas, Panos; Chapman, Sara; Moran, Brendan J

    2016-01-01

    Pseudomyxoma peritonei (PMP) is a complex disease with unique biological behavior that usually arises from appendiceal mucinous neoplasia. The classification of PMP and its primary appendiceal neoplasia is contentious, and an international modified Delphi consensus process was instigated to address terminology and definitions. A classification of mucinous appendiceal neoplasia was developed, and it was agreed that "mucinous adenocarcinoma" should be reserved for lesions with infiltrative invasion. The term "low-grade appendiceal mucinous neoplasm" was supported and it was agreed that "cystadenoma" should no longer be recommended. A new term of "high-grade appendiceal mucinous neoplasm" was proposed for lesions without infiltrative invasion but with high-grade cytologic atypia. Serrated polyp with or without dysplasia was preferred for tumors with serrated features confined to the mucosa with an intact muscularis mucosae. Consensus was achieved on the pathologic classification of PMP, defined as the intraperitoneal accumulation of mucus due to mucinous neoplasia characterized by the redistribution phenomenon. Three categories of PMP were agreed-low grade, high grade, and high grade with signet ring cells. Acellular mucin should be classified separately. It was agreed that low-grade and high-grade mucinous carcinoma peritonei should be considered synonymous with disseminated peritoneal adenomucinosis and peritoneal mucinous carcinomatosis, respectively. A checklist for the pathologic reporting of PMP and appendiceal mucinous neoplasms was also developed. By adopting the classifications and definitions that were agreed, different centers will be able to use uniform terminology that will allow meaningful comparison of their results.

  2. 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.

  3. Identifying and Prioritizing Gaps in Neuroendocrine Tumor Research: A Modified Delphi Process With Patients and Health Care Providers to Set the Research Action Plan for the Newly Formed Commonwealth Neuroendocrine Tumor Collaboration.

    Science.gov (United States)

    Segelov, Eva; Chan, David; Lawrence, Ben; Pavlakis, Nick; Kennecke, Hagen F; Jackson, Christopher; Law, Calvin; Singh, Simron

    2017-08-01

    Neuroendocrine tumors (NETs) are a diverse group of malignancies that pose challenges common to all rare tumors. The Commonwealth Neuroendocrine Tumor Collaboration (CommNETS) was established in 2015 to enhance outcomes for patients with NETs in Canada, Australia, and New Zealand. A modified Delphi process was undertaken involving patients, clinicians, and researchers to identify gaps in NETs research to produce a comprehensive and defensible research action plan. A three-round modified Delphi process was undertaken with larger representation than usual for medical consensus processes. Patient/advocate and health care provider/researcher expert panels undertook Round 1, which canvassed 17 research priorities and 42 potential topics; in Round 2, these priorities were ranked. Round 3 comprised a face-to-face meeting to generate final consensus rankings and formulate the research action plan. The Delphi groups consisted of 203 participants in Round 1 (64% health care providers/researchers, 36% patient/advocates; 52% Canadian, 32% Australian, and 17% New Zealander), of whom 132 participated in Round 2. The top eight priorities were biomarker development; peptide receptor radionuclide therapy optimization; trials of new agents in advanced NETs; functional imaging; sequencing therapies for metastatic NETs, including development of validated surrogate end points for studies; pathologic classification; early diagnosis; interventional therapeutics; and curative surgery. Two major areas were ranked significantly higher by patients/advocates: early diagnosis and curative surgery. Six CommNETS working parties were established. This modified Delphi process resulted in a well-founded set of research priorities for the newly formed CommNETS collaboration by involving a large, diverse group of stakeholders. This approach to setting a research agenda for a new collaborative group should be adopted to ensure that research plans reflect unmet needs and priorities in the field.

  4. 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

  5. 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.

  6. 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…

  7. 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…

  8. 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...

  9. Quality indicators for the detection and management of chronic kidney disease in primary care in Canada derived from a modified Delphi panel approach.

    Science.gov (United States)

    Tu, Karen; Bevan, Lindsay; Hunter, Katie; Rogers, Jess; Young, Jacqueline; Nesrallah, Gihad

    2017-01-01

    The detection and management of chronic kidney disease lies within primary care; however, performance measures applicable in the Canadian context are lacking. We sought to develop a set of primary care quality indicators for chronic kidney disease in the Canadian setting and to assess the current state of the disease's detection and management in primary care. We used a modified Delphi panel approach, involving 20 panel members from across Canada (10 family physicians, 7 nephrologists, 1 patient, 1 primary care nurse and 1 pharmacist). Indicators identified from peer-reviewed and grey literature sources were subjected to 3 rounds of voting to develop a set of quality indicators for the detection and management of chronic kidney disease in the primary care setting. The final indicators were applied to primary care electronic medical records in the Electronic Medical Record Administrative data Linked Database (EMRALD) to assess the current state of primary care detection and management of chronic kidney disease in Ontario. Seventeen indicators made up the final list, with 1 under the category Prevalence, Incidence and Mortality; 4 under Screening, Diagnosis and Risk Factors; 11 under Management; and 1 under Referral to a Specialist. In a sample of 139 993 adult patients not on dialysis, 6848 (4.9%) had stage 3 or higher chronic kidney disease, with the average age of patients being 76.1 years (standard deviation [SD] 11.0); 62.9% of patients were female. Diagnosis and screening for chronic kidney disease were poorly performed. Only 27.1% of patients with stage 3 or higher disease had their diagnosis documented in their cumulative patient profile. Albumin-creatinine ratio testing was only performed for 16.3% of patients with a low estimated glomerular filtration rate (eGFR) and for 28.5% of patients with risk factors for chronic kidney disease. Family physicians performed relatively better with the management of chronic kidney disease, with 90.4% of patients with

  10. 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.

  11. 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.

  12. 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

  13. 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

  14. 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

  15. 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.

  16. 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...

  17. Development of an evidence-based protocol for care of pilonidal sinus wounds healing by secondary intent using a modified Reactive Delphi procedure. Part 2: methodology, analysis and results.

    Science.gov (United States)

    Harris, Connie L; Holloway, Samantha

    2012-04-01

    This is the second part of the article based on the thesis work for a Masters of Science in Wound Healing and Tissue Repair, Cardiff University, to develop an evidence-based protocol for the care of pilonidal sinus wounds (PSWs) healing by secondary intent, using a modified Reactive Delphi process. The sample included surgeons, clinic physicians, nurses and enterostomal therapy nurses experienced in the care of these wounds. Item generation involved an extensive review of the literature to identify key aspects of evidence-based wound care essential to wound healing, infected wounds and pilonidal wounds healing by secondary intent and drawing on clinical experience. The participants responded via an electronic Delphi website, using a 4-point Likert rating scale and a ranking system. Comments were invited. Feedback was provided to the participants at the end of each round, that included comments, consensus scores, content validity index and additional information that provided rationale and references, or minor revision if requested. This project successfully achieved the objectives, which were to identify the areas of care that negatively or positively influences healing of postoperative PSWs and to inform, educate and broaden the considerations regarding these factors for health care professionals.

  18. 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)

  19. 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,...

  20. 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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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》。

  7. 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.

  8. 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.

  9. 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.

  10. 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...

  11. A proposed adaptation of the European Foundation for Quality Management Excellence Model to physical activity programmes for the elderly - development of a quality self-assessment tool using a modified Delphi process

    Directory of Open Access Journals (Sweden)

    Marques Ana I

    2011-09-01

    Full Text Available Abstract Background There has been a growing concern in designing physical activity (PA programmes for elderly people, since evidence suggests that such health promotion interventions may reduce the deleterious effects of the ageing process. Complete programme evaluations are a necessary prerequisite to continuous quality improvements. Being able to refine, adapt and create tools that are suited to the realities and contexts of PA programmes for the elderly in order to support its continuous improvement is, therefore, crucial. Thus, the aim of this study was to develop a self-assessment tool for PA programmes for the elderly. Methods A 3-round Delphi process was conducted via the Internet with 43 national experts in PA for the elderly, management and delivery of PA programmes for the elderly, sports management, quality management and gerontology, asking experts to identify the propositions that they considered relevant for inclusion in the self-assessment tool. Experts reviewed a list of proposed statements, based on the criteria and sub-criteria from the European Foundation for Quality Management Excellence Model (EFQM and PA guidelines for older adults and rated each proposition from 1 to 8 (disagree to agree and modified and/or added propositions. Propositions receiving either bottom or top scores of greater than 70% were considered to have achieved consensus to drop or retain, respectively. Results In round 1, of the 196 originally-proposed statements (best practice principles, the experts modified 41, added 1 and achieved consensus on 93. In round 2, a total of 104 propositions were presented, of which experts modified 39 and achieved consensus on 53. In the last round, of 51 proposed statements, the experts achieved consensus on 19. After 3 rounds of rating, experts had not achieved consensus on 32 propositions. The resulting tool consisted of 165 statements that assess nine management areas involved in the development of PA programmes for

  12. 应用改良Delphi法制定神经根型颈椎病治疗专家共识%Cervical radiculopathy treatment experts' consensus to establish radiculopathy type by using the modified Delphi meth-od

    Institute of Scientific and Technical Information of China (English)

    藏磊; 海涌; 范宁; 鲁世保; 杨晋才; 苏庆军; 杜鹏; 高艳军

    2015-01-01

    目的:应用改良Delphi法制定神经根型颈椎病治疗专家共识。方法应用文献检索法检索国内外关于神经根型颈椎病治疗的相关文献,并参考我国现有的神经根型颈椎病诊疗资料及规范,初步拟定包含八个方面(非手术治疗有效比、颈部制动、理疗、药物治疗、手术适应证、手术禁忌证、颈前路手术减压、颈前路手术内固定植入)23个问题的神经根型颈椎病治疗草案。在全国多个地区选取有专业代表性的专家组成专家组,应用改良Delphi法收集专家反馈意见,并对草案中的内容进行筛选及修改。共组织三次专家评估,专家赞同百分比设为≥70%。结果共30位专家组成专家组,三次专家评估的问卷回收数量分别为30份(100%)、24份(80.0%)、16份(53.3%);三次专家评估完成后,专家赞同百分率≥70%的问题共计18个,占所有问题的64.3%(18/28)。专家在七个方面达成共识,包括非手术治疗有效比(1个)、颈部制动(1个)、理疗(1个)、药物治疗(5个)、手术适应证(3个)、手术禁忌证(4个)、手术方式(3个)。结论在目前神经根型颈椎病部分治疗方案仍缺乏循证医学支持的情况下,应用改良Delphi法制定的专家共识代表性强、意见趋同性好,在研究过程中部分未达成共识的治疗方案为今后研究指明了方向。%Objective Cervical radiculopathy treatment experts' consensus to establish radiculopathy type by using the modified Delphi method. Methods Use document retrieval method to review information and articles about the treatment guidelines and articles of cervical radiculopathy including domestic and international areas, established a protocol about clini⁃cal consensus of the treatments for cervical radiculopathy. This protocol included 23 questions (the effective proportion of non⁃operating therapy, neck immobilization

  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

    = 0.087 and 0.083, respectively). Scholars in technology design, foresight research and future(s) studies might consider these new findings in strategic planning of Delphi studies, for example, in rational choice of consensus indices and sample size, or accounting for confounding factors such as experts’ variable degrees of conformity (stubbornness/flexibility) in modifying their opinions. PMID:26270647

  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.

    Science.gov (United States)

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

    2015-01-01

    .087 and 0.083, respectively). Scholars in technology design, foresight research and future(s) studies might consider these new findings in strategic planning of Delphi studies, for example, in rational choice of consensus indices and sample size, or accounting for confounding factors such as experts' variable degrees of conformity (stubbornness/flexibility) in modifying their opinions.

  15. 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

    (dependency = 0.087 and 0.083, respectively. Scholars in technology design, foresight research and future(s studies might consider these new findings in strategic planning of Delphi studies, for example, in rational choice of consensus indices and sample size, or accounting for confounding factors such as experts' variable degrees of conformity (stubbornness/flexibility in modifying their opinions.

  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. 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…

  18. 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

  19. 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...

  20. 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.

  1. 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.

  2. Global research priorities to better understand the burden of iatrogenic harm in primary care: an international Delphi exercise.

    Directory of Open Access Journals (Sweden)

    Kathrin M Cresswell

    2013-11-01

    Full Text Available Using a modified Delphi exercise, Aziz Sheikh and colleagues identify research priorities for patient safety research in primary care contexts. Please see later in the article for the Editors' Summary.

  3. The Determination of Relevant Goals and Criteria Used to Select an Automated Patient Care Information System: A Delphi Approach

    OpenAIRE

    Chocholik, Joan K.; Bouchard, Susan E.; Tan, Joseph K. H.; Ostrow, David N.

    1999-01-01

    Objectives: To determine the relevant weighted goals and criteria for use in the selection of an automated patient care information system (PCIS) using a modified Delphi technique to achieve consensus.

  4. 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...

  5. 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.

  6. 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.

  7. 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

  8. 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

  9. 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

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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…

  17. 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.

  18. 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…

  19. 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.

  20. 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

  1. 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

  2. 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.

  3. $\\tau$ 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).

  4. 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...

  5. 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.

  6. 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.

  7. 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 ...

  8. 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 ...

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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

  17. 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

  18. 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…

  19. 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…

  20. 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…

  1. Use of the Delphi Technique for developing national clinical guidelines for prescription of lower-limb prostheses

    NARCIS (Netherlands)

    van der Linde, H; Hofstad, CJ; Postema, K; Geertzen, JHB

    2005-01-01

    The aim of this project was the development of evidence- and consensus-based clinical practice guidelines for lower-limb prosthesis prescription for achieving transparency and consensus among clinicians, manufacturers, and insurance companies. This article describes a modified Delphi Technique, whic

  2. 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.

  3. 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.

  4. 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…

  5. 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'.

  6. Anatomical Society core regional anatomy syllabus for undergraduate medicine: the Delphi process.

    Science.gov (United States)

    Smith, C F; Finn, G M; Stewart, J; McHanwell, S

    2016-01-01

    A modified Delphi method was employed to seek consensus when revising the UK and Ireland's core syllabus for regional anatomy in undergraduate medicine. A Delphi panel was constructed involving 'expert' (individuals with at least 5 years' experience in teaching medical students anatomy at the level required for graduation). The panel (n = 39) was selected and nominated by members of Council and/or the Education Committee of the Anatomical Society and included a range of specialists including surgeons, radiologists and anatomists. The experts were asked in two stages to 'accept', 'reject' or 'modify' (first stage only) each learning outcome. A third stage, which was not part of the Delphi method, then allowed the original authors of the syllabus to make changes either to correct any anatomical errors or to make minor syntax changes. From the original syllabus of 182 learning outcomes, removing the neuroanatomy component (163), 23 learning outcomes (15%) remained unchanged, seven learning outcomes were removed and two new learning outcomes added. The remaining 133 learning outcomes were modified. All learning outcomes on the new core syllabus achieved over 90% acceptance by the panel.

  7. Curriculum development for a national cardiotocography education program: a Delphi survey to obtain consensus on learning objectives.

    Science.gov (United States)

    Thellesen, Line; Hedegaard, Morten; Bergholt, Thomas; Colov, Nina P; Hoegh, Stinne; Sorensen, Jette L

    2015-08-01

    To define learning objectives for a national cardiotocography (CTG) education program based on expert consensus. A three-round Delphi survey. One midwife and one obstetrician from each maternity unit in Denmark were appointed based on CTG teaching experience and clinical obstetric experience. Following national and international guidelines, the research group determined six topics as important when using CTG: fetal physiology, equipment, indication, interpretation, clinical management, and communication/responsibility. In the first Delphi round, participants listed one to five learning objectives within the predefined topics. Responses were analyzed by a directed approach to content analysis. Phrasing was modified in accordance with Bloom's taxonomy. In the second and third Delphi rounds, participants rated each objective on a five-point relevance scale. Consensus was predefined as objectives with a mean rating value of ≥ 3. A prioritized list of CTG learning objectives. A total of 42 midwives and obstetricians from 21 maternity units were invited to participate, of whom 26 completed all three Delphi rounds, representing 18 maternity units. The final prioritized list included 40 objectives. The highest ranked objectives emphasized CTG interpretation and clinical management. The lowest ranked objectives emphasized fetal physiology. Mean ratings of relevance ranged from 3.15 to 5.00. National consensus on CTG learning objectives was achieved using the Delphi methodology. This was an initial step in developing a valid CTG education program. A prioritized list of objectives will clarify which topics to emphasize in a CTG education program. © 2015 Nordic Federation of Societies of Obstetrics and Gynecology.

  8. 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.

  9. 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.

  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. 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.

  12. 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.

  13. 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).

  14. 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.

  15. [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.

  16. Consensus on Exercise Reporting Template (CERT) : A Modified Delphi Study

    NARCIS (Netherlands)

    Slade, Susan C; Dionne, Clermont E; Underwood, Martin; Buchbinder, Rachelle; Beck, Belinda; Bennell, Kim; Brosseau, Lucie; Costa, Leonardo; Cramp, Fiona; Cup, Edith; Feehan, Lynne; Ferreira, Manuela; Forbes, Scott; Glasziou, Paul; Habets, Bas; Harris, Susan; Hay-Smith, Jean; Hillier, Susan; Hinman, Rana; Holland, Ann; Hondras, Maria; Kelly, George; Kent, Peter; Lauret, Gert-Jan; Long, Audrey; Maher, Chris; Morso, Lars; Osteras, Nina; Peterson, Tom; Quinlivan, Ros; Rees, Karen; Regnaux, Jean-Philippe; Reitberg, Marc; Saunders, Dave; Skoetz, Nicole; Sogaard, Karen; Takken, Tim; van Tulder, Maurits; Voet, Nicoline; Ward, Lesley; White, Claire

    2016-01-01

    BACKGROUND: Exercise interventions are often incompletely described in reports of clinical trials hampering evaluation of results and replication and implementation into practice. OBJECTIVE: To develop a standardized method for reporting exercise programs in clinical trials, the Consensus on Exercis

  17. Reporting outcomes of back pain trials: A modified Delphi study

    DEFF Research Database (Denmark)

    Froud, Robert; Eldridge, Sandra; Kovacs, Francisco;

    2011-01-01

    BACKGROUND: Low back pain is a common and expensive health complaint. Many low back pain trials have been conducted, but these are reported in a variety of ways and are often difficult to interpret. AIM: To facilitate consensus on a statement recommending reporting methods for future low back pain...... commonly used in back pain trials, are reported using between-group mean differences (accompanied by minimally important difference (between-group/population-level) thresholds where these exist), the proportion of participants improving and deteriorating according to established and relevant minimally...... pain experts reached a high level of consensus on a statement recommending reporting methods for patient-reported outcomes in future low back pain trials. The statement has the potential to increase interpretability and improve patient care....

  18. 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

  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. 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…

  1. [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.

  2. 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

  3. 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…

  4. 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…

  5. 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.

  6. 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.

  7. 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.

  8. 改進修正型德菲式卡片分類法探討大學圖書館網站尋獲度之研究 Using Refined Modified-Delphi Card Sorting to Analyze the Findability of University Library Websites

    Directory of Open Access Journals (Sweden)

    Jiann-Cherng Shieh

    2010-04-01

    Full Text Available 利用網站獲取資訊已經成為現代人經常從事的行為,有些網站提供了具邏輯性的架構幫助使用者方便找到資訊;但缺乏組織性的網站架構會讓使用者受挫並離開網站。值此電子化時代,網站成了遠端使用者與單位組織溝通的最佳橋樑,如何讓使用者能方便、有效率地從網站中取用所需之資訊,使網站資訊發揮應有的價值,是網站設計者必須深思的問題。本研究是以大學圖書館網站使用者為中心,提出改進修正型德菲式卡片分類法,以瞭解使用者如何組織網站中的網站標籤、以及對於各項網站標籤的命名方式,進而建立符合使用者需求之大學圖書館網站架構。在經由於不同資訊架構網站之任務導向尋獲度測試及變異數分析,證實本研究所提出之改進德菲式卡片分類法,確實能有效提昇大學圖書館網站尋獲度。Modern people use websites to access information frequently. Some websites provide logical structures that help users find information. Others without intel- ligible organization may frustrate users’ attempts to navigate through them. In the digital age, websites have become the best communication channels for the remote users and the institutes. How to make users access the required informa- tion from the websites conveniently and efficiently to bring the values of them, website designers must seriously take the problem into consideration. Based on the understanding of users’ demand to organize information and to name the labels of the websites, in this study we propose the refined modified-Delphi card sorting to redesign the university library website that practically meets the users’ requirements. By using task-oriented findability testing and analysis on various websites’ information architectures, we apply analysis of variance to definitely verify that the proposed refined card sorting method can effectively enhance the

  9. 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.

  10. 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

  11. 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.

  12. 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.

  13. 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

  14. 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…

  15. 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

  16. 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...

  17. Improving the care of older persons in Australian prisons using the Policy Delphi method.

    Science.gov (United States)

    Patterson, Karen; Newman, Claire; Doona, Katherine

    2016-09-01

    There are currently no internationally recognised and approved processes relating to the care of older persons with dementia in prison. This research aimed to develop tools and procedures related to managing the care of, including the identification and assessment of, older persons with dementia who are imprisoned in New South Wales, Australia. A modified approach to the Policy Delphi method, using both surveys and facilitated discussion groups, enabled experts to come together to discuss improving the quality of care provision for older persons with dementia in prison and achieve research aims.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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...

  7. 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.

  8. 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

  9. 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

  10. 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

  11. 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.

  12. 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.

  13. 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...

  14. 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.

  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. 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

  1. 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.

  2. 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...

  3. 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.

  4. 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.

  5. 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.

  6. 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

  7. 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

  8. Best practices for safe use of insulin pen devices in hospitals: Recommendations from an expert panel Delphi consensus process.

    Science.gov (United States)

    Haines, Stuart T; Miklich, Margaret A; Rochester-Eyeguokan, Charmaine

    2016-10-01

    A Delphi consensus development process was used to identify best practices for the safe use of insulin pen devices in hospitals. A panel of healthcare professionals with experience in patient safety activities and development of insulin-use guidelines was selected. In round 1 of a 4-round Delphi process, panelists were asked to identify key concepts and practices relating to safe use of insulin pen devices in hospitals. In round 2, panelists indicated their level of agreement with draft practice statements reflecting input received in round 1; statements with strong support were refined based on panelist suggestions. In round 3, the modified draft statements were rated for potential impact on patient safety. In round 4, panelists selected a final list of statements to recommend as best practices. A 12-member interprofessional panel consisting of nurses, pharmacists, and physicians participated in the Delphi process. In round 1, panelists submitted more than 450 statements describing safe practices for insulin pen use. Based on that input, 125 draft practice statements were developed; among 98 statements receiving panelist support in round 2, 76 were judged in round 3 to be critical to patient safety or likely to have a positive impact on patient safety. In round 4, panelists unanimously affirmed a final list of 35 best-practice statements for the safe use of insulin pens in hospitals. A Delphi consensus development process yielded a list of recommended best practices to help ensure the safe use of insulin pen devices in hospitals and health systems. Copyright © 2016 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  9. 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.

  10. 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

  11. 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

  12. 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.

  13. 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…

  14. 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…

  15. 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

  16. 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

  17. 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…

  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. 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.…

  20. 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:…

  1. 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…

  2. [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.

  3. 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.

  4. 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.

  5. 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…

  6. 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).

  7. 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…

  8. 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.

  9. 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…

  10. 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

  11. 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…

  12. 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…

  13. 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...

  14. Delphi Method Validation of a Procedural Performance Checklist for Insertion of an Ultrasound-Guided Internal Jugular Central Line.

    Science.gov (United States)

    Hartman, Nicholas; Wittler, Mary; Askew, Kim; Manthey, David

    2016-01-01

    Placement of ultrasound-guided central lines is a critical skill for physicians in several specialties. Improving the quality of care delivered surrounding this procedure demands rigorous measurement of competency, and validated tools to assess performance are essential. Using the iterative, modified Delphi technique and experts in multiple disciplines across the United States, the study team created a 30-item checklist designed to assess competency in the placement of ultrasound-guided internal jugular central lines. Cronbach α was .94, indicating an excellent degree of internal consistency. Further validation of this checklist will require its implementation in simulated and clinical environments.

  15. Search for one large extra dimension 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, 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; Hamilton, K; Houlden, M A; Graziani, E; Haug, S; Jackson, J N; Grosdidier, G; Jarlskog, G; Grzelak, K; Jarry, P; Guy, J; Haag, C; Hoffman, J; Hallgren, A; Hamacher, K; Holt, P J; Joram, C; Hauler, F; Hedberg, V; Hennecke, M; Jeans, D; Holmgren, S O; Jonsson, P; Johansson, E K; 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; Mazzucato, M; Mönig, K; Mulders, M; Nawrocki, K; Onofre, A; Masik, J; Nulty; Mastroyiannopoulos, N; Migliore, E; Matorras, F; Matteuzzi, C; Mazzucato, F; Moch, R McM; Montenegro, J; Moraes, D; Moreno, S; Morettini, P; Müller, U; Münich, K; Murray, R Monge W; Nicolaidou, R; Muryn, B; Ouraou, A; Myatt, G; Myklebust, T; Nassiakou, M; Obraztsov, V F; Paiano, S; Navarria, F; Olshevski, A; Palacios, J P; Nikolenko, M; Oblakowska-Mucha, A; Meroni, C; Mitaroff, W A; Mjörnmark, U; Moa, T; Mundim, L; Némécek, S; Orava, R; Österberg, K; Oyanguren, A; Paganoni, M; 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; Smadja, G; Strauss, J; Salt, J; Stugu, B; Sander, C; Savoy-Navarro, A; Sopczak, A; Szeptycka, M; Schwickerath, U; Sosnowski, R; Szumlak, T; Sekulin, R; Spassoff, Tz; Siebel, M; Stanitzki, M; Sisakian, A; Smirnova, O; Sokolov, A; Stocchi, A; Timmermans, J; Szczekowski, M; Tabarelli de Fatis, T; Tegenfeldt, F; 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

    2009-01-01

    Single photons detected by the DELPHI experiment at LEP2 in the years 1997-2000 are reanalysed to investigate the existence of a single extra dimension in a modified ADD scenario with slightly warped large extra dimensions. The data collected at centre-of-mass energies between 180 and 209 GeV for an integrated luminosity of ~650 pb^{-1} agree with the predictions of the Standard Model and allow a limit to be set on graviton emission in one large extra dimension. The limit obtained on the fundamental mass scale M_D is 1.69 TeV/c^2 at 95% CL, with an expected limit of 1.71 TeV/c^2.

  16. Search for one large extra dimension with the DELPHI detector at LEP

    Energy Technology Data Exchange (ETDEWEB)

    Abdallah, J.; Antilogus, P.; Augustin, J.E.; Baubillier, M.; Berggren, M.; Silva, W. da; Kapusta, F.; Savoy-Navarro, A. [Univ. Paris VI et VII, LPNHE, IN2P3-CNRS, Paris Cedex 05 (France); Abreu, P.; Andringa, S.; Anjos, N.; Castro, N.; Espirito Santo, M.C.; Goncalves, P.; Moreno, S.; Onofre, A.; Peralta, L.; Pimenta, M.; Tome, B.; Veloso, F. [FCUL, LIP, IST, Lisboa Codex (Portugal); Adam, W.; Buschbeck, B.; Leder, G.; Liko, D.; MacNaughton, J.; Mandl, F.; Mitaroff, W.; Strauss, J. [Oesterr. Akad. d. Wissensch., Institut fuer Hochenergiephysik, Vienna (Austria); Adzic, P.; Fanourakis, G.; Kokkinias, P.; Loukas, D.; Markou, A.; Mastroyiannopoulos, N.; Nassiakou, M.; Tzamarias, S.; Zupan, M. [N.C.S.R. Demokritos, Institute of Nuclear Physics, P.O. Box 60228, Athens (Greece); Albrecht, T.; Allmendinger, T.; Apel, W.D.; Boer, W. de; Feindt, M.; Haag, C.; Hauler, F.; Hennecke, M.; Jungermann, L.; Kerzel, U.; Moch, M.; Rehn, J.; Sander, C.; Stanitzki, M.; Weiser, C. [Universitaet Karlsruhe, Institut fuer Experimentelle Kernphysik, Postfach 6980, Karlsruhe (Germany); Alemany-Fernandez, R.; Ask, S.; Augustinus, A.; Baillon, P.; Battaglia, M.; Camporesi, T.; Carena, F.; Charpentier, P.; Chierici, R.; Chudoba, J.; Chung, S.U.; Collins, P.; Elsing, M.; Foeth, H.; Gavillet, P.; Holt, P.J.; Joram, C.; Kjaer, N.J.; Marin, J.C.; Mariotti, C.; Pape, L.; Parzefall, U.; Piotto, E.; Poireau, V.; Rebecchi, P.; Schwickerath, U.; Spassov, T.; Treille, D.; Van Eldik, J.; Van Vulpen, I.; Wicke, D. [CERN, Geneva 23 (Switzerland); Allport, P.P.; Booth, P.S.L.; Bowcock, T.J.V.; Houlden, M.A.; Jackson, J.N.; King, B.T.; Mc Nulty, R.; Palacios, J.P.; Tobin, M.; Washbrook, A.J. [University of Liverpool, Department of Physics, P.O. Box 147, Liverpool (United Kingdom); Amaldi, U.; Bonesini, M.; Calvi, M.; Matteuzzi, C.; Paganoni, M.; Pullia, A.; Tabarelli, T.; Tonazzo, A. [Universita di Milano-Bicocca (Italy); INFN-MILANO, Dipartimento di Fisica, Milan (Italy)] [and others

    2009-03-15

    Single photons detected by the DELPHI experiment at LEP2 in the years 1997-2000 are reanalysed to investigate the existence of a single extra dimension in a modified ADD scenario with slightly warped large extra dimensions. The data collected at centre-of-mass energies between 180 and 209 GeV for an integrated luminosity of {proportional_to}650 pb{sup -1} agree with the predictions of the Standard Model and allow a limit to be set on graviton emission in one large extra dimension. The limit obtained on the fundamental mass scale M{sub D} is 1.69 TeV/c{sup 2} at 95% CL, with an expected limit of 1.71 TeV/c{sup 2}. (orig.)

  17. A national Delphi to determine developmental progression of quality and safety competencies in nursing education.

    Science.gov (United States)

    Barton, Amy J; Armstrong, Gail; Preheim, Gayle; Gelmon, Sherril B; Andrus, Lynne C

    2009-01-01

    Quality and Safety Education for Nurses (QSEN) faculty outlined 6 competency domains: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. In this study, 18 subject matter experts participated in a web-based modified Delphi survey between October 2008 and February 2009 to determine whether there was consensus on the developmental progression of knowledge, skill, and attitude elements within the QSEN competencies. Support for creation of curricular threads to facilitate student progressive achievement of the QSEN competencies was validated. Competency development related to the individual patient was emphasized early in the curriculum, whereas teams and systems were emphasized later. Complex concepts such as teamwork and collaboration, evidence-based practice, quality improvement, and informatics were emphasized in advanced courses. Experts outlined a developmental approach in curriculum design, which would potentially encourage practice, reinforcement of learning, and recognition of context of care.

  18. 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.

  19. 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.

  20. 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

  1. Predictors of recurrent sickness absence due to depressive disorders--a Delphi approach involving scientists and physicians.

    Directory of Open Access Journals (Sweden)

    Giny Norder

    Full Text Available BACKGROUND: Depression is a common and highly recurrent mental disorder that is accompanied by poor functioning at home and at work. Not all depressed employees report sick and little is known about variables associated with sickness absence (SA due to depression. Recurrent SA due to depression tends to marginalize employees from the workforce and exclude them from social participation. Therefore, this study sought group consensus on factors predicting recurrent SA due to depression. METHODOLOGY/PRINCIPAL FINDINGS: 23 scientists in the field of work and mental health and 23 physicians with expertise in assessing work disability were invited for a Delphi study. Sixty-seven factors retrieved from the literature were scored for their impact on the recurrence of SA due to depression, range 1 (no impact to 10 (very high impact in two Delphi rounds. The third Delphi round addressed the assessability and modifiability of elected predictors. Group consensus was defined as 75% agreement. In the first round (response 78%, group consensus was reached on a high impact of 13 factors on recurrent SA due to depression. The second round (response 79% added another 8 factors with high impact on recurrent SA due to depression. The panelists were of the opinion that stressful life and work events, age at first diagnosis, duration of the last depressive episode, anxiety, lifetime number of depressive episodes, and psychological work demands were readily assessable in consultation with patients. Furthermore, work factors, particularly decision latitude, psychological job demands, and commitment to work, were recognized as modifiable. CONCLUSIONS/SIGNIFICANCE: Although results have to be validated with further quantitative research, physicians may identify employees at risk of recurrent SA due to depression and may support them to adjust their work aimed at increasing commitment to work and preventing future SA due to depression.

  2. 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/.

  3. 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

  4. [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.

  5. 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...

  6. 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...

  7. 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.

  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. 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.

  10. 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.

  11. 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.

  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. 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.

  15. 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.

  16. 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.)

  17. 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

  18. 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…

  19. 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

  20. 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…

  1. 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…

  2. 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,…

  3. 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...

  4. 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.

  5. 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

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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...

  13. 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.

  14. 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.

  15. 基于Delphi的自定义预览报表的设计与实现%Design and realization of userdefined preview form based on Delphi

    Institute of Scientific and Technical Information of China (English)

    宋宝卫; 耿雪春; 陈仁鹏

    2001-01-01

    A kind of designing method is proposed in the context of Delphi to realize previ ew form by using Quickrep and QRpreview components in designing the size and the scale of form\\|expanded and form\\|contracted. The detailed steps include creati ng form, using preview components, programming in the event o f OnMouseDown. Userdefined preview form is modifying the default format of pr eview form of Delphi, a valid supplement to realizing special form in Delphi.%阐述了在Delphi 环境下开发自定义预览报表的设计方法,即利用Delphi提供的Quickrep和Q Rpreview控件,通过设定预览报表的尺寸大小和缩放比例等来生成预览报表.编程实现自定 义预览报表的具体步骤包括创建预览报表、使用预览控制元件、在OnMouseDown事件中编写 程序代码等.自定义预览报表改变了Delphi缺省的预览报表格式,是Delphi中实现特殊格式 报表的有效补充.

  16. 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

  17. Construction of the Chinese cancer-related fatigue assessment scale by using Delphi technique%运用Delphi法构建中国癌因性疲乏评估量表

    Institute of Scientific and Technical Information of China (English)

    李艳; 袁长蓉

    2009-01-01

    目的 应用Delphi法构建中国的癌因性疲乏评估工具.方法 选择咨询专家、形成专家咨询表,进行2轮专家咨询并分析咨询结果.结果 通过2轮咨询确立中国癌因性疲乏评估量表的结构和内容:躯体疲乏8个条目、精神疲乏5个条目、情绪状态7个条目.结论 Delphi法所确立的中国癌因性疲乏评估量表为准确地评估中国肿瘤患者的疲乏,提出针对性的护理干预措施贡献研究工具.%Objective To construct the Chinese cancer-related fatigue assessment tool by using Delphi technique.Methods A certain number of expels were chosen for consulting to form a consuiting scale.Two-round consultations were conducted and the results were analyzed.Results The Chinese cancer-related fatigue assessment scale was formed after 2-round consultation,including 3 dimensions and 20 items,which were:8 items for the physical fatigue,5 items for mental fatigue,7 items for emotional condition.Conclusions The Chinese cancer-related fatigue assessment scale formed by Delphi technique provides a research tool to evaluate fatigue of Chinese cancer patients accurately and presents targeted nursing interventions.

  18. 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

  19. The use of the Delphi survey as a research tool in understanding church trends

    Directory of Open Access Journals (Sweden)

    Robert L. Elkington

    2013-02-01

    Full Text Available In the practical theological research process, as in most disciplines, extant literature is vital in assisting a researcher to formulate a foundational understanding of the topic under review. A literature review is also valuable in understanding the meta-theoretical aspects of the research topic. What does a researcher do, though, if there is little current literature on the topic under scrutiny? If there is a small corpus of literature around a subject, the Delphi method can serve as an extremely helpful research tool. This article discussed the use of the Delphi survey in a practical theological research endeavour and surveyed its history from inception to current usage. The article also reviewed the various types of Delphi survey and supported the use of the Lockean Delphi survey in this particular example of practical theological research. The article finished with an actual Delphi survey of Canadian Evangelical church pastors as an example of how the Delphi method can be used as a research tool in practical theology. The article concluded that the Delphi survey is an extremely useful research tool across the wide domain of social science research.

  20. The use of advanced web-based survey design in Delphi research.

    Science.gov (United States)

    Helms, Christopher; Gardner, Anne; McInnes, Elizabeth

    2017-07-16

    A discussion of the application of metadata, paradata and embedded data in web-based survey research, using two completed Delphi surveys as examples. Metadata, paradata and embedded data use in web-based Delphi surveys has not been described in the literature. The rapid evolution and widespread use of online survey methods imply that paper-based Delphi methods will likely become obsolete. Commercially available web-based survey tools offer a convenient and affordable means of conducting Delphi research. Researchers and ethics committees may be unaware of the benefits and risks of using metadata in web-based surveys. Discussion paper. Two web-based, three-round Delphi surveys were conducted sequentially between August 2014 - January 2015 and April - May 2016. Their aims were to validate the Australian nurse practitioner metaspecialties and their respective clinical practice standards. Our discussion paper is supported by researcher experience and data obtained from conducting both web-based Delphi surveys. Researchers and ethics committees should consider the benefits and risks of metadata use in web-based survey methods. Web-based Delphi research using paradata and embedded data may introduce efficiencies that improve individual participant survey experiences and reduce attrition across iterations. Use of embedded data allows the efficient conduct of multiple simultaneous Delphi surveys across a shorter timeframe than traditional survey methods. The use of metadata, paradata and embedded data appears to improve response rates, identify bias and give possible explanation for apparent outlier responses, providing an efficient method of conducting web-based Delphi surveys. © 2017 John Wiley & Sons Ltd.

  1. 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.

  2. Developing an industry-oriented safety curriculum using the Delphi technique.

    Science.gov (United States)

    Chen, Der-Fa; Wu, Tsung-Chih; Chen, Chi-Hsiang; Chang, Shu-Hsuan; Yao, Kai-Chao; Liao, Chin-Wen

    2016-09-01

    In this study, we examined the development of industry-oriented safety degree curricula at a college level. Based on a review of literature on the practices and study of the development of safety curricula, we classified occupational safety and health curricula into the following three domains: safety engineering, health engineering, and safety and health management. We invited 44 safety professionals to complete a four-round survey that was designed using a modified Delphi technique. We used Chi-square statistics to test the panel experts' consensus on the significance of the items in the three domains and employed descriptive statistics to rank the participants' rating of each item. The results showed that the top three items for each of the three domains were Risk Assessment, Dangerous Machinery and Equipment, and Fire and Explosion Prevention for safety engineering; Ergonomics, Industrial Toxicology, and Health Risk Assessment for health engineering; and Industrial Safety and Health Regulations, Accident Investigation and Analysis, and Emergency Response for safety and health management. Only graduates from safety programmes who possess practical industry-oriented abilities can satisfy industry demands and provide value to the existence of college safety programmes.

  3. 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.

  4. Content validation of the Self-perception of Family Health Status scale using the Delphi technique.

    Science.gov (United States)

    Lima-Rodríguez, Joaquín Salvador; Lima-Serrano, Marta; Jiménez-Picón, Nerea; Domínguez-Sánchez, Isabel

    2013-01-01

    To ascertain the content validity of the Self-perception of Family Health Status scale. A validation study of an instrument with an online Delphi panel using the consensus technique. Eighteen experts in the subject were intentionally selected, with a multidisciplinary origin and representing different professional fields. Each of the proposed items was assessed using a five-point scale, and open-ended questions, to modify or propose items. Descriptive analysis was performed of the sample and the items, applying criteria of validation/elimination. The first round had a response rate of 83.3% and validated 75 of the 96 proposed items; the second had a response rate of 80%, and validated the 21 newly created items, concluding the panel of experts. We present an instrument to measure self-perception of family health status, from a nursing perspective. This may be an advance in scientific knowledge, to facilitate the assessment of the state of health of the family unit, enabling detection of alterations, and to facilitate interventions to prevent consequences to the family unit and its members. It can be used in clinical care, research or teaching.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. Stima dell’effetto delle esternalità localizzative sui valori immobiliari tramite il metodo Delphi

    Directory of Open Access Journals (Sweden)

    Boaz Barzilay

    2012-12-01

    Full Text Available Il metodo Delphi è un metodo per raccogliere e strutturare indicazioni provenienti da un gruppo di esperti, utilizzando un questionario combinato con un feedback controllato delle opinioni. Il presente contributo esamina i principi fondamentali del metodo Delphi e tenta di convalidare i suoi risultati, utilizzando dati ottenuti mediante le normali tecniche econometriche di valutazione immobiliare, come, ad esempio, il metodo del prezzo edonico. Il metodo Delphi, come sosteniamo, può diventare uno strumento utile per la valutazione immobiliare in casi particolari, come i piccoli comuni con vendite di abitazioni relativamente scarse ed economie di transizione caratterizzate da mercati immobiliari in via di sviluppo.

  10. Best Practices for Outpatient Anterior Cervical Surgery: Results From a Delphi Panel.

    Science.gov (United States)

    Mohandas, Anita; Summa, Chris; Worthington, W Bradley; Lerner, Jason; Foley, Kevin T; Bohinski, Robert J; Lanford, Gregory B; Holden, Carol; Wohns, Richard N W

    2017-06-01

    Delphi Panel expert panel consensus and narrative literature review. To obtain expert consensus on best practices for patient selection and perioperative decision making for outpatient anterior cervical surgery (anterior cervical disc fusion (ACDF) and cervical total disc replacement (CTDR)). Spine surgery in ambulatory settings is becoming a preferred option for both patients and providers. The transition from traditional inpatient environments has been enabled by innovation in anesthesia protocols and surgical technique, as well as favorable economics. Studies have demonstrated that anterior cervical surgery (ACDF and CTDR) can be performed safely on an outpatient basis. However, practice guidelines and evidence-based protocols to inform best practices for the safe and efficient performance of these procedures in same-day, ambulatory settings are lacking. A panel of five neurosurgeons, three anesthesiologists, one orthopedic spine surgeon, and a registered nurse was convened to comprise a multidisciplinary expert panel. A three-round modified-Delphi method was used to generate best-practice statements. Predetermined consensus was set at 70% for each best-practice statement. A total of 94 consensus statements were reviewed by the panel. After three rounds of review, there was consensus for 83 best-practice statements, while 11 statements failed to achieve consensus. All statements within several perioperative categories (and subcategories) achieved consensus, including preoperative assessment (n = 8), home-care/follow-up (n = 2), second-stage recovery (n = 18), provider economics (n = 8), patient education (n = 14), discharge criteria (n = 4), and hypothermia prevention (n = 6). This study obtained expert-panel consensus on best practices for patient selection and perioperative decision making for outpatient anterior cervical surgery (ACDF/CTDR). Given a paucity of guidelines and a lack of established care pathways for ACDF/CTDR in same

  11. Burden of corticosteroid use in patients with systemic lupus erythematosus: results from a Delphi panel.

    Science.gov (United States)

    Petri, M; Bechtel, B; Dennis, G; Shah, M; McLaughlin, T; Kan, H; Molta, C

    2014-09-01

    Corticosteroid-related adverse events (AEs) are commonly reported in systemic lupus erythematosus (SLE), but are often under-represented in claims data. The most common corticosteroid-related AEs are not necessarily the most costly. The present study aimed to examine corticosteroid-related AE rates and identify the associated cost consequences in patients with SLE from the perspective of rheumatologists treating SLE in the United States (US). A modified Delphi process and RAND Appropriateness Method was used to estimate corticosteroid-related AEs and costs based on data from SLE-treating US rheumatologists and estimates from alternative sources. The panel (n=10) participated in two web-based questionnaires, covering disease severity, corticosteroid use, corticosteroid-related AEs, and resource utilization associated with treatment of the AEs. Eight members of the panel then participated in a guided discussion by interactive teleconference, in which the costs associated with specific corticosteroid-related AEs were also discussed. Consensus was achieved in the teleconference when a single response category (consensus values from 1 to 4 [4=strongly agree, 1=strongly disagree]) accounted for ≥80% of responses. Thirteen consensus statements were developed following two Delphi rounds. Costs were estimated for eight corticosteroid-associated AEs from the panel of rheumatologists. In the patients with SLE treated by these physicians, 41.5% were considered to have mild disease, 36.5% moderate disease, and 22.0% severe disease. The number of specialist visits, corticosteroid use, and corticosteroid dose increased with disease severity. The estimated rates of all AEs (except for cataracts) were at least doubled in patients receiving corticosteroid doses>20 mg/day compared with ≤20 mg/day. The highest estimated mean total costs of an event (for the required treatment duration for one patient) were for avascular necrosis ($14,460) and serious infection ($11,660). The

  12. Setting a Health Policy Research Agenda for Controlling Cancer Burden in Korea

    OpenAIRE

    Jang, Sung-In; Cho, Kyoung-hee; Kim, Sun Jung; Lee, Kwang-Sig; Park, Eun-Cheol

    2014-01-01

    Purpose The aim of study was to provide suggestions for prioritizing research in effort to reduce cancer burden in Korea based on a comprehensive analysis of cancer burden and Delphi consensus among cancer experts. Materials and Methods Twenty research plans covering 10 topics were selected based on an assessment of the literature, and e-mail surveys were analyzed using a two-round modified Delphi method. Thirty-four out of 79 experts were selected from four organizations to participate in ro...

  13. Delphi VCL的多线程安全问题

    Institute of Scientific and Technical Information of China (English)

    胡学联

    2002-01-01

    @@ 多线程程序设计对于多数Windows用户和程序员来说,是一个新的技术,因此在Windows95以前的Windows并不支持线程的概念(WindowsNT除外).当Windows提供了对线程的支持时,将线程和Delphi语言联系起来时又会提出这样的问题:在Delphi中进行多线程编程时,要使用哪些VCL构件,这是安全的吗?换言之,DelphiVCL多线程是安全的吗?

  14. 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.

  15. 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.

  16. Four-fermion simulation at LEP2 in DELPHI

    CERN Document Server

    Ballestrero, A; Cossutti, F; Migliore, E

    2003-01-01

    We present and discuss the generator setup for $e^+e^-\\rightarrow 4f$ processes chosen by the DELPHI collaboration. The need to combine the most recent theoretical achievements in the CC03 sector with the state of the art description of the remaining part of the 4-fermion processes has led to an original combination of different codes, with the {\\tt WPHACT 2.0} 4-fermion generator and the {\\tt YFSWW} code for the CC03 $\\mathcal{O}(\\alpha)$ corrections as a starting point. The coverage of the 4-fermion phase space is discussed in detail, with particular attention to ensuring the compatibility of {\\tt WPHACT} with dedicated $\\gamma\\gamma$ generators.

  17. Structural and functional characterization of Delphinus delphis hemoglobin system.

    Science.gov (United States)

    Manconi, Barbara; Messana, Irene; Maggiani, Federica; Olianas, Alessandra; Pellegrini, Mariagiuseppina; Crnjar, Roberto; Castagnola, Massimo; Giardina, Bruno; Sanna, Maria Teresa

    2009-11-01

    Structural analysis of the hemoglobin (Hb) system of Delphinus delphis revealed a high globin multiplicity: HPLC-electrospray ionization-mass spectrometry (ESI-MS) analysis evidenced three major beta (beta1 16,022 Da, beta2 16,036 Da, beta3 16,036 Da, labeled according to their progressive elution times) and two major alpha globins (alpha1 15,345 Da, alpha2 15,329 Da). ESI-tandem mass and nucleotide sequence analyses showed that beta2 globin differs from beta1 for the substitution Val126 --> Leu, while beta3 globin differs from beta2 for the isobaric substitution Lys65 --> Gln. The alpha2 globin differs from the alpha1 for the substitution Ser15 --> Ala. Anion-exchange chromatography allowed the separation of two Hb fractions and HPLC-ESI-MS analysis revealed that the fraction with higher pI (HbI) contained beta1, beta2 and both the alpha globins, and the fraction with lower pI (HbII) contained beta3 and both the alpha globins. Both D. delphis Hb fractions displayed a lower intrinsic oxygen affinity, a decreased effect of 2,3-BPG and a reduced cooperativity with respect to human HbA(0), with HbII showing the more pronounced differences. With respect to HbA(0), either the substitution Probeta5 --> Gly or the Probeta5 --> Ala is present in all the cetacean beta globins sequenced so far, and it has been hypothesized that position 5 of beta globins may have a role in the interaction with 2,3-BPG. Regarding the particularly lowered cooperativity of HbII, it is interesting to observe that the variant human HbA, characterized by the substitution Lysbeta65 --> Gln (HbJ-Cairo) has a decreased cooperativity with respect to HbA(0).

  18. 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.

  19. Curricular priorities for business ethics in medical practice and research: recommendations from Delphi consensus panels

    National Research Council Canada - National Science Library

    DuBois, James M; Kraus, Elena M; Gursahani, Kamal; Mikulec, Anthony; Bakanas, Erin

    2014-01-01

    ..., and (2) to establish curricular priorities through expert consensus. In spring 2012, the authors conducted an online Delphi survey with two heterogeneous panels of experts recruited in the United States...

  20. An Organizational Effectiveness Evaluation System for College Sports Associations Established by Delphi Method%应用德尔菲法建立高校体育社团的组织效能评价体系

    Institute of Scientific and Technical Information of China (English)

    申桂芳

    2015-01-01

    T his paper presents an organizational effectiveness evaluation system for college sports associations .Firstly ,we conducted two rounds of expert investigation by the Delphi method .T hen ,we summarized the results of the survey by mathematical statistics .Finally ,we es‐tablished the 30 formal evaluation indicators and theirs weights .T he top three evaluation indicators are community awareness in schools ,com‐munity leaders management capabilities ,and the ability to educate members .%运用德尔菲法对高校体育社团的组织效能评价指标进行了两轮专家调查,并采用数理统计法对调查结果进行归纳处理,最终确定了30个评价指标,其中社团在校内的知名度、社团领导的管理能力、是否注重培养重要成员3个指标平均得分排在前3.

  1. 运用Delphi法制作供简易标准化病人使用的个案病历评估量表%Assessment Rating Scales of Special Cases History for Simple Standardized Patient Made by Delphi Method

    Institute of Scientific and Technical Information of China (English)

    李艳; 曾娜; 王娟; 陈琼书

    2012-01-01

    Objective To make assessment rating scales of special cases history by Delphi method,so as to provide an objective ,fair and unified evaluation method for nursing students after talking with simple standardized patients ( SSP) . Methods According to specific eases history, two rounds of questionnaire were carried out between nursing students and experts by Delphi method. Results The positive and authority coefficient of experts were 100% and 78.54% .respectively. The objective and subjective variation coefficient of scales were 20. 59% and 16. 99% in first round, which were 4. 65% and 15. 93% in second round, respectively. The objective and subjective coordination factor of scales were 0.886 and 0.440 in first round,which were 0. 975 and 0. 398 in second round,respectively. The predicting results was reliable by the concordant suggestion of experts. Conclusion Delphi method could be used to perfect assessment rating scale making it more reliable and effective,so as to promote feedback effects in teaching.%目的:运用Delphi法制作个案病历的评估量表,在护生对简易标准化病人(Simple Standardized Patient,SSP)进行护理交谈后,供SSP对护生的交谈情况进行客观、公平与统一的评价.方法:根据特定的病历,采用Delphi法对专家进行两轮问卷调查.结果:专家积极系数100%,专家权威系数78.54%,第一轮客观量表变异系数20.59%,主观量表变异系数16.99%,第二轮客观量表变异系数4.65%,主观量表变异系数15.93%,第一轮客观量表协调系数0.886,主观量表协调系数0.440,第二轮客观量表协调系数0.975,主观量表协调系数0.398,协调系数都有显著性,专家意见协调性好,预测结果可靠.结论:评估量表可以用Delphi法来完善,Delphi法使量表可靠有效,通过此法制作的量表可以更好的反馈教学效果.

  2. 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.

  3. Three decision-making aids: brainstorming, nominal group, and Delphi technique.

    Science.gov (United States)

    McMurray, A R

    1994-01-01

    The methods of brainstorming, Nominal Group Technique, and the Delphi technique can be important resources for nursing staff development educators who wish to expand their decision-making skills. Staff development educators may find opportunities to use these methods for such tasks as developing courses, setting departmental goals, and forecasting trends for planning purposes. Brainstorming, Nominal Group Technique, and the Delphi technique provide a structured format that helps increase the quantity and quality of participant responses.

  4. Mass of the W and trilinear gauge couplings at DELPHI and LEP

    CERN Document Server

    Parzefall, U

    2000-01-01

    Preliminary measurements of the W boson mass and of the trilinear gauge boson couplings are presented using data taken by DELPHI at centre-of-mass energies of 189 GeV and below. Results from the other three LEP collaborations ALEPH, L3 and OPAL are included to obtain the combined LEP measurements. The experimental methods used in DELPHI to determine the W mass and the trilinear gauge couplings are described. (7 refs).

  5. 动态数据交换技术在Delphi5中的实现机制%Realization Method of DDE Technology in Delphi 5

    Institute of Scientific and Technical Information of China (English)

    尹志喜; 刘红敏; 余本国

    2002-01-01

    目的研究动态数据交换技术在 Delphi 5 中的实现机制, 从而为 C/S 结构软件的开发提供理论指导. 方法从分析基本概念入手, 找到基本概念在 Delphi 5 中的映射概念, 利用映射概念来实现一个动态数据交换的对话. 结果与结论发现了动态数据交换技术在 Delphi 5 中的实现机制, 并实现了一个简单的对话.

  6. Business Education Research: Identification and Prioritization of Topics.

    Science.gov (United States)

    Rader, Martha H.; Wilhelm, William J.

    2002-01-01

    Using an affinity diagram, business educators generated 110 research topics. In a two-round modified Delphi, 15 business educators aggregated, categorized, and rank ordered the topics. Topics related to workplace soft skills, business communication, technology, and distance learning ranked highest. Topics related to traditional business education…

  7. Examining the Breadth and Depth of Environmental Health through a Modified Delphi Technique

    Science.gov (United States)

    Ratnapradipa, Dhitinut; Brown, Stephen L.; Wodika, Alicia B.

    2011-01-01

    Background: Environmental health, a crucial part of our everyday lives, is a multidisciplinary field with many discrepancies as to what encompasses the core areas. Purpose: This study intended to establish core areas and corresponding topics of environmental health as a preliminary step to identifying knowledge, attitude and behavior questions for…

  8. European undergraduate curriculum in geriatric medicine developed using an international modified Delphi technique.

    LENUS (Irish Health Repository)

    Masud, Tahir

    2014-09-01

    the rise in the number of older, frail adults necessitates that future doctors are adequately trained in the skills of geriatric medicine. Few countries have dedicated curricula in geriatric medicine at the undergraduate level. The aim of this project was to develop a consensus among geriatricians on a curriculum with the minimal requirements that a medical student should achieve by the end of medical school.

  9. European undergraduate curriculum in geriatric medicine developed using an international modified Delphi technique

    DEFF Research Database (Denmark)

    Masud, T.; Blundell, A.; Gordon, A. L.

    2014-01-01

    will be needed to implement these requirements, given the large variation in the quality of geriatric teaching in medical schools. This curriculum is a first step to help improve teaching of geriatrics in medical schools, and will also serve as a basis for advancing postgraduate training in geriatrics across...

  10. The Essential Elements of Successful Marriage and Family Therapy: A Modified Delphi Study.

    Science.gov (United States)

    White, Mark B.; Edwards, Scott A.; Russell, Candyce S.

    1997-01-01

    A panel of American Association of Marriage and Family Therapy approved supervisors generated 771 variables thought to be fundamental to positive marriage and family therapy (MFT) outcome, and rated 217 of these variables as very important to the successful outcome of MFT. The variables were collapsed into five categories and further condensed…

  11. A modified Delphi method toward multidisciplinary consensus on functional convalescence recommendations after abdominal surgery

    NARCIS (Netherlands)

    Vliet, D.C. van; Meij, E van der; Bouwsma, E.V.; Noordegraaf, A. Vonk; Heuvel, B. van den; Meijerink, W.J.H.J.; Baal, W.M. van; Huirne, J.A.; Anema, J.R.

    2016-01-01

    BACKGROUND: Evidence-based information on the resumption of daily activities following uncomplicated abdominal surgery is scarce and not yet standardized in medical guidelines. As a consequence, convalescence recommendations are generally not provided after surgery, leading to patients' insecurity,

  12. Assessment and treatment of malnutrition in Dutch geriatric practice: consensus through a modified Delphi study.

    NARCIS (Netherlands)

    Asselt, D.Z.B. van; Bokhorst-de van der Schueren, M.A. van; Cammen, T.J.M. van der; Disselhorst, L.G.; Janse, A.; Lonterman-Monasch, S.; Maas, H.A.; Popescu, M.E.; Schölzel-Dorenbos, C.J.M.; Sipers, W.M.; Veldhoven, C.M. van; Wijnen, H.H.M; Olde Rikkert, M.

    2012-01-01

    OBJECTIVE: scientific evidence regarding the optimal management of malnutrition in geriatric patients is scarce. Our aim was to develop a consensus statement for geriatric hospital practice concerning six elements: (i) definition of malnutrition, (ii) screening and assessment, (iii) treatment and mo

  13. [Construction of a physiological aging scale for healthy people based on a modified Delphi method].

    Science.gov (United States)

    Long, Yao; Zhou, Xuan; Deng, Pengfei; Liao, Xiong; Wu, Lei; Zhou, Jianming; Huang, Helang

    2016-04-01

    目的:构建健康人生理性衰老评价量表。方法:采用文献搜集、专家征询座谈筛选衰老生理性条目,经两轮德尔菲法咨询,对生理性衰老指标体系重要性、可行性、权威程度进行打分,经层次分析法对生理性衰老维度和条目进行权重分配。结果:经生理学等不同专业的17位专家德尔菲法咨询,专家权威程度(Cr)为0.86±0.03;两轮专家协调系数分别为0.264(χ2=229.691,P<0.001),0.293(χ2=228.474,P<0.001),一致性好。健康人生理性衰老量表包括3个维度,即形态体貌、感觉运动、功能状态,每个维度8个条目共24条,3个维度的权重系数分别为0.54,0.16,0.30。量表的Cronbach's α系数为0.893,重测信度为0.796,公因子的方差累计贡献率为58.17%。结论:通过改良德尔菲法构建的生理性衰老量表较为理想,可为衰老的评定提供参考。.

  14. The Modified Delphi Method to Analyze the Application of Instructional Design Theory to Online Graduate Education

    Science.gov (United States)

    Zeedick, Danielle Marie

    2010-01-01

    During the past several decades, the field of instructional design theory has experienced changes in what is mostly applied to traditional, on-ground education. While instructional design theory has been (and still is being) discussed, constructed, and deconstructed, there has been no agreement among prominent instructional design theory…

  15. Modified Delphi Investigation of Motor Development and Learning in Physical Education Teacher Education

    Science.gov (United States)

    Ross, Susan; Metcalf, Amanda; Bulger, Sean M.; Housner, Lynn D.

    2014-01-01

    Purpose: As the scope of motor development and learning knowledge has successfully broadened over the years, there is an increased need to identify the content and learning experiences that are essential in preparing preservice physical educators. The purpose of this study was to generate expert consensus regarding the most critical motor…

  16. Opinión de los médicos españoles sobre el síndrome de intestino irritable: Resultados de un estudio utilizando el método Delphi Spanish physicians´point of view on irritable bowel syndrome (IBS: Results of a Delphi survey

    Directory of Open Access Journals (Sweden)

    C. Almansa

    2007-04-01

    rounds of a Delphi survey were conducted on 100 physicians: general practitioners (GPs and gastroenterologists. The questionnaire evaluated agreement among participants in some aspects regarding the definition, diagnosis, and treatment of IBS. Results: fifty-five percent of participants completed the two-round survey. Agreement was achieved regarding the definition of typical symptoms and red flags characterizing IBS. Although there was no consensus regarding the appropriate management of patients without alarm symptoms, the performance of a colonoscopy on any patient presenting red flags was suggested. Patients were thought to require a wider examination when older than 40. A well defined line of IBS treatment was not found, albeit most physicians tended to choose it depending on the main complaint. Conclusion: interviewed physicians showed adequate theoretical knowledge of IBS, but lack of uniformity on diagnosis and treatment approach reflects the controversial day-by-day management of this syndrome.

  17. 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.

  18. The DELPHI silicon microvertex detector: from concept to physical results; Krzemowy detektor wierzcholka w eksperymencie DELPHI; od pomyslu do wynikow z fizyki

    Energy Technology Data Exchange (ETDEWEB)

    Zalewska, A. [Institute of Nuclear Physics, Cracow (Poland)

    1994-09-01

    The silicon microvertex detector which has been used in DELPHI experiments at CERN is described in detail. The brief description of the LEP accelerator as well as the results of the physical experiment have also been presented. (author). 65 refs, 50 figs, 6 tabs.

  19. 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.

  20. 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.

  1. SOLID STATE ENERGY CONVERSION ALLIANCE DELPHI SOLID OXIDE FUEL CELL

    Energy Technology Data Exchange (ETDEWEB)

    Steven Shaffer; Sean Kelly; Subhasish Mukerjee; David Schumann; Gail Geiger; Kevin Keegan; John Noetzel; Larry Chick

    2003-12-08

    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 the option of piped-in water (Demonstration System A). 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 January 1, 2003 to June 30, 2003, under Department of Energy Cooperative Agreement DE-FC-02NT41246. This report highlights technical results of the work performed under the following tasks: 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; Task 7 System Testing; Task 8 Program Management; and Task 9 Stack Testing with Coal-Based Reformate.

  2. A combined ANP-delphi approach to evaluate sustainable tourism

    Energy Technology Data Exchange (ETDEWEB)

    Garcia-Melon, Monica, E-mail: mgarciam@dpi.upv.es [INGENIO (CSIC-UPV), Universitat Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Gomez-Navarro, Tomas, E-mail: tgomez@dpi.upv.es [Depto. Proyectos Ingenieria, Universitat Politecnica de Valencia, Camino de Vera s/n 46022 Valencia (Spain); Acuna-Dutra, Silvia, E-mail: sacuna@unime.edu.ve [Universidad Metropolitana de Caracas, Caracas (Venezuela, Bolivarian Republic of)

    2012-04-15

    The evaluation of sustainable tourism strategies promoted by National Parks (NP) related stakeholders is a key concern for NP managers. To help them in their strategic evaluation procedures, in this paper we propose a methodology based on the Analytic Network Process and a Delphi-type judgment-ensuring procedure. The approach aims at involving stakeholders in a participatory and consensus-building process. The methodology was applied to Los Roques NP in Venezuela. The problem included three sustainable tourism strategies defined by the stakeholders: eco-efficient resorts, eco-friendly leisure activities and ecological transportation systems. Representatives of eight stakeholders participated in the methodology. 13 sustainability criteria were selected. Results provide some important insights into the overall philosophy and underlying participants' conception of what sustainable development of Los Roques NP means. This conception is broadly shared by stakeholders as they coincided in the weights of most of the criteria, which were assigned individually through the questionnaire. It is particularly noteworthy that tourists and environmentalists almost fully match in their assessments of criteria but not of the alternatives. Moreover, there is a great agreement in the final assessment. This suggests that the regular contact among the different stakeholders, i.e. tourists with inhabitants, authorities with environmentalists, tour operators with representatives of the ministry, etc. has led to a common understanding of the opportunities and threats for the NP. They all agreed that the procedure enhances participation and transparency and it is a necessary source of information and support for their decisions.

  3. Practice patterns in venous thromboembolism (VTE) prophylaxis in thoracic surgery: a comprehensive Canadian Delphi survey

    Science.gov (United States)

    Agzarian, John; Linkins, Lori-Ann; Schneider, Laura; Hanna, Waël C.; Finley, Christian J.; Schieman, Colin; De Perrot, Marc; Crowther, Mark; Douketis, James

    2017-01-01

    Background The incidence of venous thromboembolic events (VTE) after resection of thoracic malignancies can reach 15%, but prophylaxis guidelines are yet to be established. We aimed to survey Canadian practitioners regarding perioperative risk factors for VTE, impact of those factors on extended prophylaxis selection, type of preferred prophylaxis, and timing of initiation and duration of thromboprophylaxis. Methods A modified Delphi survey was undertaken over three rounds with thoracic surgeons, thoracic anesthesiologists and thrombosis experts across Canada. Participants were asked to rate each parameter on a ten-point scale. Agreement was determined a priori as an item reaching a coefficient of variation of ≤30% (0.3), with the item then discontinued from later rounds. Results In total, 72, 57 and 50 respondents participated in three consecutive rounds, respectively. Consensus was reached on previous VTE, age, cancer diagnosis, thrombophilia, poor mobilization, extended resections, and pre-operative chemotherapy as risk factors. Consensus on risk factors impacting extended prophylaxis decisions was achieved on cancer diagnosis, obesity, previous VTE and poor mobilization. With respect to perioperative prophylaxis, once daily low-molecular-weight heparin (LMWH) was the only parameter that demonstrated agreement as a common practice pattern. No agreement was achieved regarding the role of mechanical prophylaxis, unfractionated heparin (UFH) or timing of initiation of peri-operative treatment. VTE prophylaxis until discharge reached agreement but there was substantial variability regarding the role of extended prophylaxis. Conclusions There is agreement between Canadian clinicians treating patients with thoracic malignancies regarding most risk factors for VTE, but there is no agreement on timing of initiation of prophylaxis, the agents used or factors mandating usage of extended prophylaxis. PMID:28203409

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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…

  9. 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.

  10. Hybrid intelligent system for Sale Forecasting using Delphi and adaptive Fuzzy Back-Propagation Neural Networks

    Directory of Open Access Journals (Sweden)

    Attariuas Hicham

    2012-12-01

    Full Text Available ales forecasting is one of the most crucial issues addressed in business. Control and evaluation of future sales still seem concerned both researchers and policy makers and managers of companies. this research propose an intelligent hybrid sales forecasting system Delphi-FCBPN sales forecast based on Delphi Method, fuzzy clustering and Back-propagation (BP Neural Networks with adaptive learning rate. The proposed model is constructed to integrate expert judgments, using Delphi method, in enhancing the model of FCBPN. Winter’s Exponential Smoothing method will be utilized to take the trend effect into consideration. The data for this search come from an industrial company that manufactures packaging. Analyze of results show that the proposed model outperforms other three different forecasting models in MAPE and RMSE measures.

  11. 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

  12. 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.

  13. SOLID STATE ENERGY CONVERSION ALLIANCE DELPHI SOLID OXIDE FUEL CELL

    Energy Technology Data Exchange (ETDEWEB)

    Steven Shaffer; Sean Kelly; Subhasish Mukerjee; David Schumann; Gail Geiger; Kevin Keegan; Larry Chick

    2004-05-07

    The objective of 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 the option of piped-in water (Demonstration System A). 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 1, 2003 to December 31, 2003, under Department of Energy Cooperative Agreement DE-FC-02NT41246. This report highlights technical results of the work performed under the following tasks: 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; Task 7 System Testing; Task 8 Program Management; Task 9 Stack Testing with Coal-Based Reformate; and Task 10 Technology Transfer from SECA CORE Technology Program. In this reporting period, unless otherwise noted Task 6--System Fabrication and Task 7--System Testing will be reported within Task 1 System Design and Integration. Task 8--Program Management, Task 9--Stack Testing with Coal Based Reformate, and Task 10--Technology Transfer from SECA CORE Technology Program will be reported on in the Executive Summary section of this report.

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. University teacher training in ICT. Application of Delphi method for the selection of training content

    OpenAIRE

    Julio CABERO ALMENARA

    2014-01-01

    Uno de los problemas con que nos encontramos para la incorporación de las Tecnologías de la Información y Comunicación (TIC) es la formación que el profesorado tenga para su utilización didáctica. Con objeto de formar los bloques de contenidos que deberían tener una futura acción formativa del profesorado universitario en TIC, se llevo a cabo un estudio Delphi parcialmente “modificado”. Se presenta, como se llevó a cabo la aplicación del estudio Delphi, el proceso seguido para determinar la l...

  19. 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.

  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. LEP and results obtained by DELPHI after four years of operation; LEP i wyniki uzyskane przez DELPHI po czterech latach dzialania

    Energy Technology Data Exchange (ETDEWEB)

    Blocki, J. [Warsaw Univ. (Poland). Inst. Fizyki Doswiadczalnej; Brueckman de Renstrom, P.; Budziak, A. [Institute of Nuclear Physics, Cracow (Poland)] [and others

    1993-10-01

    We characterize the most important problems of modern elementary particles physics, for the solution of which the LEP (Large Electron Positron) accelerator was built. We present the characteristics of this accelerator. The structure and properties of the DELPHI detector are described with special emphasis on the contribution of Polish groups. The most important results obtained so far in the LEP accelerator are discussed. (author). 12 refs, 17 figs, 1 tab.

  2. Development Technique of Software System Based on Delphi 7 Studio%基于Delphi 7 Studio的软件系统开发技术

    Institute of Scientific and Technical Information of China (English)

    王维; 张克农

    2002-01-01

    介绍了快速应用开发工具Delphi的发展概况,叙述了使用针对,NET平台的Delphi 7 Studio进行软件系统开发的几种新技术,使用这些技术可以实现优秀的企业级解决方案,并可以实现跨平台开发.

  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. 《耳鸣中医诊疗指南》的德尔菲法评价与结果分析%Delphi Evaluation and Result Analysis of Guidelines to Diagnosis and Treatment of Tinnitus

    Institute of Scientific and Technical Information of China (English)

    申琪; 严道南; 刘蓬

    2011-01-01

    Objective:To formulate the practical TCM diagnosis and treatment of tinnitus according to the concentration and coordination opinions of experts in TCM ENT on The Guidelines to Diagnosis and Treatment of Tinnitus. Methods: By applying the Delphi method,Expert Questionnaires were designed based on the bibliometrics research. 57 copies of Expert Questionnaires were distributed to ENT experts of TCM and 53 copies to ENT experts of Chinese and Westem Integrative Medicine. One expert meeting was held to analyze the questionnaire results in the first and second rounds. Results: 48 and 44 valid questionnaires were retracted respectively from the two rounds and the active coefficients of the experts were 84. 2% and 83.0% respectively. The draft of The Guidelines to Diagnosis and Treatment of Tinnitus was set down. The concentration and coordination degree of the experts ' opinions on this book was obviously high. Conclusion: The experts who come from all over China are actively involved and represent the typical opinions of all experts in this field. The investigated items in the frame of The Guidelines to Diagnosis and Treatment of Tinnitus are basically recognized by the experts.%目的:根据中医耳鼻喉科行业专家对初稿框架以及诊治意见的集中与协调程度,制定科学实用的中医诊疗文件.方法:采用德尔菲(Delphi)法,在文献计量研究基础上编制,向全国中医及中西医耳鼻喉科专家发送57份和53份问卷调查,并进行1次专家会议,对第1、2轮问卷结果进行分析.结果:2次调查问卷分别收回有效问卷为48份与44份,专家积极系数分别为84.2%与83.0%,制定出初稿,专家对其中指标意见的集中程度与协调程度较高.结论:专家的分布地区广,参与性较高,具有代表性,调查涉及的条目基本得到专家认可.

  5. 运用Delphi法确立川崎病中医基本证候分类的研究%Using Delphi Method to Establish TCM syndrome classification of Kawasaki disease

    Institute of Scientific and Technical Information of China (English)

    王文革; 申广生; 汪受传

    2011-01-01

    Objective: To screen out the TCM syndrome classification indices of Kawasaki disease by Delphi method.Methods:Two rounds of questionnaire survey were carried out by 40 experts according to Delphi method. The data was analyzed with SPSS software for positive degree, concentricity and coordination. Results:The recovery rate of the first round questionnaire was 90.0% and that of the second round was 92.5%. The variance coefficient of syndrome of disease involving weifen and qifen, syndrome of flaring heat in qifen and yingfen, syndrome of deficiency of both qi and yin were smaller than 0.20. The variance coefficient of syndrome of lingering heat due to deficiency of yin was 0.576 of the second round questionnaire. Conclusions:Syndrome of disease involving weifen and qifen, syndrome of flaring heat in qifen and yingfen, syndrome of deficiency of both qi and yin could be taken as the TCM syndrome classification indices of Kawasaki disease.%目的:运用德尔菲法(Delphi法)筛选川崎病中医基本证候分类的指标.方法:通过Delphi法对全国40位专家进行两轮问卷调查,利用SPSS软件,对问卷反馈的数据进行积极度、集中程度、协调程度的统计与评价.结果:第1轮问卷回收率90.0%,第2轮问卷回收率92.5%.第2轮问卷邪在卫气证、气营两燔证、气阴两伤证3项指标的变异系数(CV)均在0.20以内,热恋阴伤证的CV值为0.576.结论:邪在卫气证、气营两燔证、气阴两伤证可作为川崎病的基本证候分类.

  6. 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.

  7. 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

  8. 75 FR 41521 - Delphi Corporation, Automotive Holding Group, Plant 6, Currently Known as General Motors...

    Science.gov (United States)

    2010-07-16

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF LABOR Employment and Training Administration Delphi Corporation, Automotive Holding Group, Plant 6, Currently Known as General Motors Corporation Including On-Site Leased Workers From Securitas, EDS, Bartech, Mays Chemicals, Interim Physicians, LLC and HSS...

  9. 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…

  10. A Delphi Survey on Citizenship Education in Asean Countries: Findings for Brunei

    Science.gov (United States)

    Salleh, Hajah Sallimah Haji Mohammed; Laxman, Kumar; Jawawi, Rosmawijah

    2015-01-01

    The aim of the Delphi Survey was to elucidate Bruneian Education experts' responses to five questions regarding their knowledge and understanding of the charateristics of citizenship education viz. Environment, Coexistence, Culture, Social Justice and Equity, Democracy, Sustainable Development, Interdependence, Foreign Language, Social Welfare,…

  11. 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.

  12. 基于Delphi 6的Web Services及其实现

    Institute of Scientific and Technical Information of China (English)

    王湘群

    2003-01-01

    在简要概述了Web Service的编程模型及其关键要素XML与SOAP后,给出了在Delphi 6环境下,基于XML与SOAP的Web Service的实现方法与步骤,并对Web Service的应用前景进行了展望.

  13. 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…

  14. 基于Delphi的CORBA开发%Developing Based on CORBA in Delphi

    Institute of Scientific and Technical Information of China (English)

    江晓谷

    2003-01-01

    主要介绍了基于Delphi的CORBA开发方法.分析了在Delphi V6中CORBA客户和服务器对象分布式工作机理,并通过一个简单实例说明了基于GUI的CORBA应用程序的开发过程.

  15. 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…

  16. 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…

  17. Assessing the Trends and Challenges of Teaching Marketing Abroad: A Delphi Approach

    Science.gov (United States)

    Kelley, Craig A.

    2007-01-01

    The past 20 years have seen a growth in the teaching of marketing in business schools around the world. This article reports the trends and challenges that will face U.S. marketing educators teaching abroad over the next 10 years. Predictions are from a Delphi panel of U.S. marketing educators experienced in teaching marketing abroad to non-U.S.…

  18. Context-specific definitions of organizational concepts: Defining 'team effectiveness' with use of the Delphi Technique

    NARCIS (Netherlands)

    Lohuis, Anne Marie; Vuuren, van Mark; Bohlmeijer, Ernst

    2013-01-01

    Definitions are social constructions rather than objective descriptions. They set clear boundaries for what is considered normal in a situation. Common words in organizations, like effectiveness or success, carry different meaningss in different contexts. In this paper, we evaluate the Delphi Techni

  19. Using the Delphi Technique to Assess Educational Needs Related to Extension's 4-H Beef Program.

    Science.gov (United States)

    Shih, Ching-Chun; Gamon, Julia A.

    1997-01-01

    Delphi panels completing questionnaires included 32 parents of 4-H students, 16 extension beef specialists, 21 4-H field specialists, and 21 industry representatives. They identified 31 subject-matter and 30 life-skill topics useful for 4-H manuals. Emerging topics included consumer and environmental concerns. (SK)

  20. 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…

  1. Context-specific definitions of organizational concepts: Defining 'team effectiveness' with use of the Delphi Technique

    NARCIS (Netherlands)

    Lohuis, Anne Marie; van Vuuren, Hubrecht A.; Bohlmeijer, Ernst Thomas

    2014-01-01

    Definitions are social constructions rather than objective descriptions. They set clear boundaries for what is considered normal in a situation. Common words in organizations, like effectiveness or success, carry different meaningss in different contexts. In this paper, we evaluate the Delphi

  2. 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…

  3. 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…

  4. 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...

  5. Biomedical and psychosocial factors influencing transtibial prosthesis fit : a Delphi survey among health care professionals

    NARCIS (Netherlands)

    Baars, Erwin C.; Schrier, Ernst; Geertzen, Jan H.; Dijkstra, Pieter U.

    2015-01-01

    Purpose: We aimed to reach consensus among professionals caring for prosthesis users, on definitions of biomedical and psychosocial factors, to assess their influence on fit of transtibial prosthesis and to identify new factors. Method: A three-round, internet-based, Delphi survey was conducted amon

  6. 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…

  7. Co-Creating Nano-Imaginaries: Report of a Delphi-Exercise

    Science.gov (United States)

    Deblonde, Marian; Van Oudheusden, Michiel; Evers, Johan; Goorden, Lieve

    2008-01-01

    In the first phase of the research project Nanotechnologies for Tomorrow's Society (www.nanosoc.be), the research consortium explored a variety of futuristic visions or technoscientific imaginaries. This exploration took the form of a Policy Delphi, adapted to the particular objective of jointly constructing nano-imaginaries, taking participants'…

  8. 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…

  9. 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…

  10. 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…

  11. Biomedical and psychosocial factors influencing transtibial prosthesis fit : a Delphi survey among health care professionals

    NARCIS (Netherlands)

    Baars, Erwin C.; Schrier, Ernst; Geertzen, Jan H.; Dijkstra, Pieter U.

    2015-01-01

    Purpose: We aimed to reach consensus among professionals caring for prosthesis users, on definitions of biomedical and psychosocial factors, to assess their influence on fit of transtibial prosthesis and to identify new factors. Method: A three-round, internet-based, Delphi survey was conducted amon

  12. 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…

  13. 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…

  14. 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…

  15. The Delphi Technique: A Research Strategy for Career and Technical Education

    Science.gov (United States)

    Stitt-Gohdes, Wanda L.; Crews, Tena B.

    2004-01-01

    Career and technical education research often centers around quantitative research designs. The Delphi Technique provides a structured communication process designed to produce a detailed examination of a topic and/or problem and discussion from the participating group. The contributions of individuals via this tool produce a group perspective not…

  16. Developing content standards for teaching research skills using a delphi method

    NARCIS (Netherlands)

    Schaaf, M.F. van der; Stokking, K.M.; Verloop, N.

    2008-01-01

    The increased attention for teacher assessment and current educational reforms ask for procedures to develop adequate content standards. For the development of content standards on teaching research skills, a Delphi method based on stakeholders’ judgments has been designed and tested. In three round

  17. 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…

  18. Idea Generation and Exploration: Benefits and Limitations of the Policy Delphi Research Method

    Science.gov (United States)

    Franklin, Kathy K.; Hart, Jan K.

    2007-01-01

    Researchers use the policy Delphi method to explore a complex topic with little historical context that requires expert opinion to fully understand underlying issues. The benefit of this research technique is the use of experts who have more timely information than can be gleamed from extant literature. Additionally, those experts place…

  19. 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…

  20. 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…

  1. 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

  2. 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…

  3. 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…

  4. Probing the power of Apollo: methodological challenges and opportunities of the Delphi methods for developing rankings

    NARCIS (Netherlands)

    Meijering, Jurian V.

    2016-01-01

    The Delphi method is a structured data-collection process aimed at facilitating experts to achieve a certain level of agreement on a complex problem. In several subsequent rounds experts give their opinion on the problem of interest, usually by means of a standardized questionnaire. After each round

  5. The Policy Delphi: A Method for Identifying Intended and Unintended Consequences of Educational Policy

    Science.gov (United States)

    Manley, R. Adam

    2013-01-01

    This article highlights a rarely utilized but effective technique for identifying intended and unintended consequences of past or current policy or policy change. The author guides the reader through the process of identifying potential participants, contacting participants, developing the policy Delphi instrument, and analyzing the findings by…

  6. Production of a single new charged heavy lepton in DELPHI/LEP

    CERN Document Server

    Do Vale, M A B; De Paula, L S

    1999-01-01

    The search for a new charged heavy lepton predicted by some extended models is presented. The data used were collected by the detector DELPHI/LEP at 1994 operating with a center of mass energy near the Z /sup 0/ mass and correspond to a total luminosity of 40 pb/sup -1/. (1 refs).

  7. 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…

  8. 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…

  9. 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…

  10. Comparing Management Models of Secondary Schools in Tamaulipas, Mexico: An Exploration with a Delphi Method

    Science.gov (United States)

    Navarro-Leal, Marco Aurelio; Garcia, Concepcion Nino; Saldivar, Luisa Caballero

    2012-01-01

    For a preliminary exploration of management models between two secondary schools, a Delphi method was used in order to identify and focus relevant topics for a larger research. A first approximation with this method proved to be a heuristic tool to focus and define some categories and guidelines of enquiry. It was found that in both of the schools…

  11. 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

  12. 基于注册表的DELPHI数据库应用程序发布%Distributing of Delphi DataBase Application Based on Registry

    Institute of Scientific and Technical Information of China (English)

    陈明; 宋宝卫

    2001-01-01

    In this paper, the authors propose a method which distributes delphi-based database application. Its feature is not using traditional method of installing application and BDE drivers. While application is being installed,this method saves BDE system configuration information through modifying registry and copies BDE configuration files.%提出了一种发布DELPHI数据库应用程序的方法。其特点是完全摆脱传统的安装应用程序和BDE驱动程序,在安装应用程序时通过修改注册表来写入BDE的系统配置信息和复制BDE的配置文件。

  13. Position Statement of the Israeli Society for Musculoskeletal Medicine on Intramuscular Stimulation for Myofascial Pain Syndrome-A Delphi Process.

    Science.gov (United States)

    Ratmansky, Motti; Minerbi, Amir; Kalichman, Leonid; Kent, John; Wende, Osnat; Finestone, Aharon S; Vulfsons, Simon

    2017-04-01

    To develop consensus on a position paper on the use of intramuscular stimulation (IMS) for the treatment of myofascial pain syndrome (MPS) by physicians in Israel. The Israeli Society of Musculoskeletal Medicine ran a modified Delphi process to gather opinions from a multidisciplinary expert panel. Eight experts in the treatment of MPS were chosen and asked to participate, and six participated. The position paper was iterated three times. After three iterations, general consensus was reached by all six experts. The general statement that was agreed on was: "IMS is one of the preferred treatments for myofascial pain syndrome. The treatment is evidence-based, effective, safe, and inexpensive. The position of the Israeli Society of Musculoskeletal Medicine is that the treatment should be taught and used by all primary care physicians and those physicians in other areas of medicine who deal with pain in their work." The position paper is a basis for clinical work and education programs for physicians interested in a better understanding and ability to treat patients with a musculoskeletal complaint or manifestation of disease. © 2016 World Institute of Pain.

  14. 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.

  15. [A Delphi Method Survey of the Core Competences of Post-Acute-Care Nurses in Caring for Acute Stroke Patients].

    Science.gov (United States)

    Chi, Shu-Ching; Yeh, Lily; Lu, Meei-Shiow; Lin, Pei-Yu

    2015-12-01

    Post-acute care (PAC) service is becoming increasingly important in Taiwan as a core focus of government policies that are designed to ensure continuity of care. In order to improve PAC nursing education and quality of care, the present study applies a modified Delphi method to identify the core competences of nurses who provide PAC services to acute stroke patients. We surveyed 18 experts in post-acute care and long-term care anonymously using a 29-question questionnaire in order to identify the essential professional skills that are required to perform PAC effectively. The results of this survey indicate that the core competences of PAC may be divided into two categories: Case Management and Care Management. Case Management includes Direct Care, Communication, Health Care Education, Nursing Consulting, and Family Assessment & Health Care. Care Management includes Interdisciplinary Teamwork, Patient Care Management, and Resource Integration. The importance and practicality of each item was evaluated using a 7-point Likert scale. The experts required 2 rounds to reach a consensus about the importance and 3 rounds to determine the practicality of PAC core competences. This process highlighted the differing points of view that are held by professionals in the realms of nursing, medicine, and national health policy. The PAC in-job training program in its current form inadequately cul-tivates core competence in Care Management. The results of the present study may be used to inform the development of PAC nurse orientation training programs and continuing education courses.

  16. 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

  17. 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

  18. 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.

  19. 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

  20. What do adolescents and young adults want from cancer resources? Insights from a Delphi panel of AYA patients.

    Science.gov (United States)

    Cheung, Christabel K; Zebrack, Brad

    2017-01-01

    Cancer treatment programs and community-based support organizations are increasingly producing information and support resources geared to adolescent and young adult patients (AYAs); however, systematically-derived knowledge about user preferences for these resources is lacking. The primary purpose of this study was to generate findings from informed AYA cancer patients that resource developers can use to create products consistent with AYAs' expressed preferences for information and support. Utilizing a modified Delphi technique, AYA cancer patients identified barriers to optimal AYA cancer care, cancer resources that address their needs, and specific characteristics of cancer resources they find helpful. The Delphi panel consisted of a convenience sample of 21 patients aged 18-39 years, who were diagnosed with cancer between ages 15-39 and were no more than 8 years out from cancer treatment at the time of the study. Survey data were collected in three consecutive and iterative rounds over the course of 6 months in 2015. Findings indicated that AYA patients prefer resources that reduce feelings of loneliness, create a sense of community or belonging, and provide opportunities to meet other AYA patients. Among the top barriers to optimal cancer care, AYAs identified a lack of cancer care providers specializing in AYA care, a lack of connection to an AYA patient community, and their own lack of ability to navigate the health system. Participants also described aspects of cancer information and supportive care resources that they believe address AYAs' concerns. Information derived from this study will help developers of cancer information and support resources to better reach their intended audience. From the point of view of AYA cancer patients, optimal cancer care and utilization of information and support resources requires that cancer support programs foster meaningful connections among AYA patients. Results also suggest that patient resources should equip

  1. Modified cyanobacteria

    Science.gov (United States)

    Vermaas, Willem F J.

    2014-06-17

    Disclosed is a modified photoautotrophic bacterium comprising genes of interest that are modified in terms of their expression and/or coding region sequence, wherein modification of the genes of interest increases production of a desired product in the bacterium relative to the amount of the desired product production in a photoautotrophic bacterium that is not modified with respect to the genes of interest.

  2. 基于Delphi 5核心技术的分布式Web网站实现技术%The Methods of Developing Distributed Web based on the Technologies of Delphi 5

    Institute of Scientific and Technical Information of China (English)

    王绍恒; 王志刚

    2002-01-01

    比较了几种主要的Web开发技术,介绍一种基于Delphi 5核心技术支持的分布式Web网站的开发方法,并给出了运用Delphi 5的Web核心技术开发税法查询Web系统的一些细节.

  3. 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

  4. 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.

  5. USE OF THE DELPHI METHOD FOR COLLECTION AND ANALYSIS OF SUBJECTIVE JUDGEMENTS: AN EXAMPLE FROM CENTRAL KALIMANTAN

    Directory of Open Access Journals (Sweden)

    D. Hindle

    2012-09-01

    Full Text Available Sebagian besar daripada keputusan-keputusan yang penting dalam bidang pelayanan kesehatan harus didasarkan kepada pendapat individu yang subyektif, oleh karena data-data yang tepat dan model-model analitis tidak cukup tersedia. Metoda Delphi dapat digunakan maka data-data subyektif dapat dikumpulkan dan dianalisa secara sistematis, walaupun metoda tersebut sangat murah digunakan dan mudah dimengerti. Satu contoh daripada penggunaan metoda Delphi diberikan dalam naskah ini, mengenai persiapan-persiapan Pelita 3 Kesehatan di Kalimantan Tengah.

  6. Analysis of airborne radiometric data. Volume 2. Description, listing, and operating instructions for the code DELPHI/MAZAS. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Sperling, M.; Shreve, D.C.

    1978-12-01

    The computer code DELPHI is an interactive English language command system for the analysis of airborne radiometric data. The code includes modules for data reduction, data simulation, time filtering, data adjustment and graphical presentation of the results. DELPHI is implemented in FORTRAN on a DEC-10 computer. This volume gives a brief set of operations instructions, samples of the output obtained from hard copies of the display on a Tektronix terminal and finally a listing of the code.

  7. 基于Delphi/Access的C/S系统设计%C/S System Design on the Basis of Delphi/Access

    Institute of Scientific and Technical Information of China (English)

    陈振庆

    2006-01-01

    C/S系统采用Access作后台数据库,具有性能稳定、数据交换迅速、数据安全、维护方便等特点,可视化编程语言Delphi具有丰富的编程环境、友好的界面、高速的编译器、强大的数据库开发功能,文章介绍了基于Delphi/Access的C/S系统软、硬件设计方法和技术.

  8. The DELPHI distributed information system for exchanging LEP machine related information

    Science.gov (United States)

    Dönszelmann, M.; Gaspar, C.

    1994-12-01

    An information management system was designed and implemented to interchange information between the DELPHI experiment at CERN and the monitoring/control system for the LEP (Large Electron Positron Collider) accelerator. This system is distributed and communicates with many different sources and destinations (LEP) using different types of communication. The system itself communicates internally via a communication system based on a publish-and-subscribe mechanism, DIM (Distributed Information Manager). The information gathered by this system is used for on-line as well as off-line data analysis. Therefore it logs the information to a database and makes it available to operators and users via DUI (DELPHI User Interface). The latter was extended to be capable of displaying "time-evolution" plots. It also handles a protocol, implemented using a finite state machine, SMI (State Management Interface), for (semi-)automatic running of the Data Acquisition System and the Slow Controls System.

  9. A search for the standard model Higgs boson using the DELPHI detector at LEP 2

    CERN Document Server

    Sheridan, A

    1998-01-01

    A search for the Standard Model Higgs boson is performed using the 51.59 pb sup - sup 1 of data collected by the DELPHI detector at a centre-of-mass energy of 182.7 GeV. A search is made for the production of Higgs bosons with an on-shell Z boson, with the Higgs boson decaying to b-quarks and the Z to either a dielectron or dimuon pair. No significant excess is seen in the data and hence a 95% CL upper cross- section limit is set as a function of the Higgs boson mass. The results from these leptonic channels are combined with those from other Higgs and Z decay channel analyses using DELPHI data and a 95% CL lower mass limit for the Higgs boson of 87.6 GeV/c sup 2 is set. This limit significantly improves the limit obtained with previous data.

  10. [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.

  11. 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

  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. Running experience with the DELPHI pixel detector reflections on design characteristics and system features

    CERN Document Server

    Heuser, J M

    1999-01-01

    The DELPHI experiment at LEP is the first collider experiment with hybrid pixel detectors contributing to its track reconstruction. The pixel detector has been installed in 1996 with the final DELPHI silicon tracker, an assembly of microstrip, ministrip and pixel detectors optimized for the operation at LEP2. It was completed for the physics period in 1997. The pixel detector comprises 1.2 million detector cells of 330*330 mu m/sup 2/. 152 detector modules are arranged in 4 inclined cone-shaped layers which cover polar angles from 10 degrees to 25 degrees . Experience on the system's features has been gained during three years of operation. The article intends to provide information on positive and critical aspects which might be useful for designers of pixel detector systems in forthcoming experiments. (4 refs).

  14. 用Delphi制作播放器%A Player Be Implemented Based on Delphi

    Institute of Scientific and Technical Information of China (English)

    刘世荣

    2016-01-01

    As the high-definition video resources increasingly rich and user demand for high-definition video playback, tradition-al players cannot meet the requirements of the hd video playback. In Windows XP as a development platform, Delphi XE6 as de-velopment tool, using FFOCX control, programming is easy to realize the function of play audio and video files.%随着高清视频资源的日益丰富和用户对高清视频播放的需求,传统的播放器已不能满足高清视频播放的要求。以Windows XP作为开发平台,Delphi XE6为开发工具,采用FFOCX控件,编程实现播放音视频文件的功能是容易的。

  15. FRAMEWORK PARA CONVERSÃO DE APLICATIVOS DELPHI DESKTOP EM APLICATIVOS ANDROID NATIVO

    Directory of Open Access Journals (Sweden)

    Rodrigo da Silva Riquena

    2014-08-01

    Full Text Available With the growing use of mobile devices by companies and organizations there is an increasing demand applications in production mobile platform. For certain companies, business success may depend on a mobile application which approaches the customers or improve the performance of internal processes. However, developing software for the mobile platform is an expensive process which takes time and resources. A framework to convert Delphi Desktop applications into native Android applications in an automatic way constitutes a useful tool for architects and software developers can contribute with the implementation phase of the application. Therefore, this work is based on methods and processes for software reengineering as the PRE / OO (Process of Reengineering Object Oriented, for automatic conversion of an application developed in Delphi environment in an application for Android mobile platform. At last, an experiment was performed with a real case to corroborate the goals.

  16. 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.

  17. 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...

  18. Validation of Criteria for Nosocomial Use of Amikacin in Brazil With the Delphi Technique

    OpenAIRE

    Noblat, Lúcia de Araújo Costa Beisl; Jesus,Rogerio Santos de; Noblat,Antonio Carlos Beisl; Oliveira,Márcio Galvão Guimarães de; Badaró, Roberto

    2006-01-01

    p. 173-178 The Delphi technique has been used since the 1950s to collect the opinions of experts; to gauge their indications, and in some instances, to develop a consensus. This systematic collection and aggregation of informed judgments from a group of experts on specific questions or issues is a highly efficient and cost-effective means to establish guidelines and policies, when compared to other strategies, such as committee meetings or personal interviews. Objective. Examine the con...

  19. 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...

  20. A Delphi exercise used to identify potential causes of variation in litter size of Ontario swine

    OpenAIRE

    Dewey, Catherine E.; Martin, S. Wayne; Friendship, Robert M.; Kennedy, Brain

    1992-01-01

    Forty-eight people, considered to the swine experts, were asked to collaborate in a Delphi exercise to identify the factors which they believed affect litter size in Ontario swine. The panel included 16 animal scientists, 16 pork producers, and 16 veterinarians in swine practice. The ten factors with the highest ratings were parity of the sow, mycotoxins in the feed, infections with porcine parvovirus or Leptospira spp., breeding gilts on their second versus first observed estrus, the timing ...

  1. 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

  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. A measurement of trilinear gauge couplings using the DELPHI detector at LEP2

    CERN Document Server

    Kinvig, A C

    2001-01-01

    A measurement of the Trilinear Gauge Couplings is performed using 153.81pb sup - sup 1 of data collected by the DELPHI detector in 1998 at a centre-of-mass energy of 189GeV. The differential cross-sections for W sup + W sup - events producing a qq-barlv final state are analysed to determine the couplings DELTA g sub 1 sup z , lambda subgamma and DELTA K subgamma associated with the WWZ/WW subgamma vertex.

  4. 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.

  5. Planning interventional trials in childhood arterial ischaemic stroke using a Delphi consensus process.

    Science.gov (United States)

    Steinlin, Maja; O'callaghan, Finbar; Mackay, Mark T

    2017-07-01

    There is a paucity of data from randomized controlled treatment trials in childhood arterial ischaemic stroke. Our objectives were to identify and plan a trial through use of a Delphi consensus process. The Delphi panel consisted of Australian, New Zealand, and European paediatric neurologists with interests in childhood stroke. Four rounds were conducted using a REDCap (Research Electronic Data Capture) Web-based application: the first consisted of open-ended questions; the second evaluated agreement for the most important trial; the third and fourth reached consensus on design. Forty-seven out of 66 neurologists answered the first round. Eight areas of research for important and feasible trials were identified. In the second round, 43 paediatric neurologists ranked the three highest rated trials: (1) aspirin versus aspirin plus steroids in focal arteriopathy (n=31); (2) heparin versus aspirin (n=6); and (3) heparin versus aspirin versus modern anticoagulation (n=6). The third and fourth surveys reached consensus among 43 out of 44 respondents on design of the highest ranked trial, and allowed agreement on inclusion/exclusion criteria, clinical/neuroimaging data, and treatment protocols. The Delphi consensus process is an efficient method of identifying and planning paediatric stroke trials. An international, multicentre trial is now in preparation. © 2017 Mac Keith Press.

  6. 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."

  7. 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.

  8. 利用Delphi 6实现单桩最终沉降量计算程序的跨平台开发%Cross-platform calculating program of final settlement of single pile developed with Delphi 6

    Institute of Scientific and Technical Information of China (English)

    唐益群; 周玉石; 黄雨; 叶为民

    2004-01-01

    本文对Delphi 6及其内部的VCL和CLX两个组件类库作了简要的论述,分析了这两个组件库的各自特点及相互之间的区别,对比了开发环境(Windows与Linux)的不同.根据CLX库完全支持跨平台的特性,说明了利用Delphi 6实现应用程序的跨平台开发的具体方法和步骤,并提出了利用Delphi 6进行跨平台开发的几点注意事项.最后,给出实现单桩承载力计算程序跨平台开发的关键源代码.

  9. 利用Delphi 5开发教务师资管理软件%Develop Teacher's Management System Using Delphi 5

    Institute of Scientific and Technical Information of China (English)

    雷建云; 魏燕; 赵丹青

    2001-01-01

    This paper states the overall design requirement of a teacher's management system from the angle of safety, function of the software, compatibility, expandbility and maintence etc., also give the characteristic of teacher's database design and auxiliary software tools design.%从安全性、软件功能、兼容性、可维护性和易操作性等方面提出了利用Delphi 5开发教务师资管理软件的设计要求、并且给出了师资数据库的设计方案,指出了辅助工具设计的特点.

  10. 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

  11. Delphi6下多层分布式Web Services应用程序开发%Development of Multi-tier and Distributed Web Services Application Program under Delphi6

    Institute of Scientific and Technical Information of China (English)

    张晓刚

    2003-01-01

    讨论了如何使用Delphi6开发多层分布式Web Services应用程序.介绍了Web Services的体系结构及相关技术和Delphi6相关技术支持,通过一个简单实例来具体说明多层分布式Web Services应用程序开发的方法和步骤,总结了多层分布式Web Services应用程序的优势.

  12. 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

  13. 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.

  14. 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.

  15. 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.

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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

  1. Development of sustainability reports for farming operations in the Basque Country using the Delphi method

    Directory of Open Access Journals (Sweden)

    Igor Alvarez Etxeberria

    2015-01-01

    Full Text Available In recent decades, publications of sustainability reports from a variety of organisations all over the world have significantly increased. Most of these companies are large and belong to the secondary and tertiary sector. This paper uses stakeholder theory to attempt to contribute to the development of sustainability reports specifically related to farming operations. This paper also uses the Delphi methodology to collect information from different stakeholders that, in turn, represent different groups of agents within the organisations involved. The conclusions indicate a difference in the assessments from the three subgroups of experts that comprise the panel.

  2. Development and application of compact models of packages based on DELPHI methodology

    CERN Document Server

    Parry, J; Shidore, S

    1997-01-01

    The accurate prediction of the temperatures of critical electronic parts at the package- board- and system-level is seriously hampered by the lack of reliable, standardised input data for the characterisation of the thermal $9 behaviour of these parts. The recently completed collaborative European project, DELPHI has been concerned with the creation and experimental validation of thermal models (both detailed and compact) of a range of electronic parts, $9 including mono-chip packages. This paper demonstrates the reliable performance of thermal compact models in a range of applications, by comparison with the detailed models from which they were derived. (31 refs).

  3. 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.

  4. Determination of Innovation Capability of Organizations: Qualitative Meta Synthesis and Delphi Method

    DEFF Research Database (Denmark)

    Momeni, Mostafa; Nielsen, Susanne Balslev; Kafash, Mahdi Haghighi

    2015-01-01

    in this rapidly changing world. This research focuses on recognition of the aspects of innovation capability and proposes a conceptual model based on a qualitative Meta-Analysis of academic literature on organisations innovation capability. This is proposed for the development of the concept of innovation...... capability in the organizations and this paper includes an expert based validation in three rounds of the Delphi method. This research proposed a direct relationship between Innovation Capability and three main capabilities that is called Structural Capability, Personnel Capability and Operational Capability...

  5. Measurement of the W pair production cross section and W branching ratios with the DELPHI detector

    CERN Document Server

    Cossutti, F

    2001-01-01

    Data collected with the DELPHI detector at centre-of-mass energies up to the highest values explored by the LEP collider of about 206 GeV have been used to extract preliminary values of the cross-section for the process e/sup +/e/sup -/ to W/sup +/W/sup -/. The branching ratios of the W decay were also measured; from them the value of  V /sub cs/  was extracted. The results are compared with the most recent calculations in the framework of the standard model. (5 refs).

  6. 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.

  7. 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- \

  8. Hospitalizaciones evitables por cirugía sin ingreso en la Comunidad Valenciana: un estudio Delphi

    OpenAIRE

    Grau Martínez Nieves; Meneu de Guillerna Ricardo; Peiró Salvador; Librero López Julián; Ordiñana Rosa

    1997-01-01

    FUNDAMENTOS: El objetivo de este trabajo de investigación ha sido estimar, desde el punto de vista de los cirujanos y anestesistas que trabajan actualmente en el Sistema Nacional de Salud, el volumen de hospitalizaciones evitables por la utilización de la cirugía sin ingreso (CSI). MÉTODO: Mediante un proceso Delphi en el que participaron 25 médicos, cirujanos o anestesistas, del Servei Valencià de la Salut (SVS), se obtuvo un consenso sobre los criterios objetivos de exclusión de pacientes p...

  9. Engaging communication experts in a Delphi process to identify patient behaviors that could enhance communication in medical encounters

    Directory of Open Access Journals (Sweden)

    Stein Terry

    2010-04-01

    Full Text Available Abstract Background The communication literature currently focuses primarily on improving physicians' verbal and non-verbal behaviors during the medical interview. The Four Habits Model is a teaching and research framework for physician communication that is based on evidence linking specific communication behaviors with processes and outcomes of care. The Model conceptualizes basic communication tasks as "Habits" and describes the sequence of physician communication behaviors during the clinical encounter associated with improved outcomes. Using the Four Habits Model as a starting point, we asked communication experts to identify the verbal communication behaviors of patients that are important in outpatient encounters. Methods We conducted a 4-round Delphi process with 17 international experts in communication research, medical education, and health care delivery. All rounds were conducted via the internet. In round 1, experts reviewed a list of proposed patient verbal communication behaviors within the Four Habits Model framework. The proposed patient verbal communication behaviors were identified based on a review of the communication literature. The experts could: approve the proposed list; add new behaviors; or modify behaviors. In rounds 2, 3, and 4, they rated each behavior for its fit (agree or disagree with a particular habit. After each round, we calculated the percent agreement for each behavior and provided these data in the next round. Behaviors receiving more than 70% of experts' votes (either agree or disagree were considered as achieving consensus. Results Of the 14 originally-proposed patient verbal communication behaviors, the experts modified all but 2, and they added 20 behaviors to the Model in round 1. In round 2, they were presented with 59 behaviors and 14 options to remove specific behaviors for rating. After 3 rounds of rating, the experts retained 22 behaviors. This set included behaviors such as asking questions

  10. Delphi 6的SOAP/Web Services查询功能的一点改进

    Institute of Scientific and Technical Information of China (English)

    徐金宝

    2002-01-01

    SOAP是极为重要的软件技术,代表着计算机软件的发展方向,本文通过本人在实践中使用Delphi 6的SOAP/Web Services简要谈了一下该技术的方便与强大,同时对Delphi 6的单个参数动态查询的一个小错误给出了解决办法.

  11. Cost estimation: An expert-opinion approach. [cost analysis of research projects using the Delphi method (forecasting)

    Science.gov (United States)

    Buffalano, C.; Fogleman, S.; Gielecki, M.

    1976-01-01

    A methodology is outlined which can be used to estimate the costs of research and development projects. The approach uses the Delphi technique a method developed by the Rand Corporation for systematically eliciting and evaluating group judgments in an objective manner. The use of the Delphi allows for the integration of expert opinion into the cost-estimating process in a consistent and rigorous fashion. This approach can also signal potential cost-problem areas. This result can be a useful tool in planning additional cost analysis or in estimating contingency funds. A Monte Carlo approach is also examined.

  12. Identifying and Verifying Earthquake Engineering Concepts to Create a Knowledge Base in STEM Education: A Modified Delphi Study

    Science.gov (United States)

    Cavlazoglu, Baki; Stuessy, Carol L.

    2017-01-01

    Stakeholders in STEM education have called for integrating engineering content knowledge into STEM-content classrooms. To answer the call, stakeholders in science education announced a new framework, Next Generation Science Standards, which focuses on the integration of science and engineering in K-12 science education. However, research indicates…

  13. Quality indicators for diagnosis and treatment of respiratory tract infections in general practice: a modified Delphi study

    DEFF Research Database (Denmark)

    Hansen, Malene Plejdrup; Bjerrum, Lars; Gahrn-Hansen, Bente

    2010-01-01

    that all potential quality indicators were considered. OUTCOME: Consensus for a quality indicator was reached if > or =75% of experts scored the item > or =5 on a 7-point Likert scale, ranging from 1 (=completely disagree) through 4 (=uncertain) to 7 (=completely agree). RESULTS: A 96% response rate...

  14. Entry-Level Technical Skills That Teachers Expected Students to Learn through Supervised Agricultural Experiences (SAEs): A Modified Delphi Study

    Science.gov (United States)

    Ramsey, Jon W.; Edwards, M. Craig

    2012-01-01

    Supervised experiences are designed to provide opportunities for the hands-on learning of skills and practices that lead to successful personal growth and future employment in an agricultural career (Talbert, Vaughn, Croom, & Lee, 2007). In the Annual Report for Agricultural Education (2005-2006), it was stated that 91% of the respondents…

  15. Entry-Level Technical Skills That Teachers Expected Students to Learn through Supervised Agricultural Experiences (SAEs): A Modified Delphi Study

    Science.gov (United States)

    Ramsey, Jon W.; Edwards, M. Craig

    2012-01-01

    Supervised experiences are designed to provide opportunities for the hands-on learning of skills and practices that lead to successful personal growth and future employment in an agricultural career (Talbert, Vaughn, Croom, & Lee, 2007). In the Annual Report for Agricultural Education (2005-2006), it was stated that 91% of the respondents (i.e.,…

  16. Curricular priorities for business ethics in medical practice and research: recommendations from Delphi consensus panels.

    Science.gov (United States)

    DuBois, James M; Kraus, Elena M; Gursahani, Kamal; Mikulec, Anthony; Bakanas, Erin

    2014-11-15

    No published curricula in the area of medical business ethics exist. This is surprising given that physicians wrestle daily with business decisions and that professional associations, the Institute of Medicine, Health and Human Services, Congress, and industry have issued related guidelines over the past 5 years. To fill this gap, the authors aimed (1) to identify the full range of medical business ethics topics that experts consider important to teach, and (2) to establish curricular priorities through expert consensus. In spring 2012, the authors conducted an online Delphi survey with two heterogeneous panels of experts recruited in the United States. One panel focused on business ethics in medical practice (n = 14), and 1 focused on business ethics in medical research (n = 12). Panel 1 generated an initial list of 14 major topics related to business ethics in medical practice, and subsequently rated 6 topics as very important or essential to teach. Panel 2 generated an initial list of 10 major topics related to business ethics in medical research, and subsequently rated 5 as very important or essential. In both domains, the panel strongly recommended addressing problems that conflicts of interest can cause, legal guidelines, and the goals or ideals of the profession. The Bander Center for Medical Business Ethics at Saint Louis University will use the results of the Delphi panel to develop online curricular resources for each of the highest rated topics.

  17. Alternative method of highway traffic safety analysis for developing countries using delphi technique and Bayesian network.

    Science.gov (United States)

    Mbakwe, Anthony C; Saka, Anthony A; Choi, Keechoo; Lee, Young-Jae

    2016-08-01

    Highway traffic accidents all over the world result in more than 1.3 million fatalities annually. An alarming number of these fatalities occurs in developing countries. There are many risk factors that are associated with frequent accidents, heavy loss of lives, and property damage in developing countries. Unfortunately, poor record keeping practices are very difficult obstacle to overcome in striving to obtain a near accurate casualty and safety data. In light of the fact that there are numerous accident causes, any attempts to curb the escalating death and injury rates in developing countries must include the identification of the primary accident causes. This paper, therefore, seeks to show that the Delphi Technique is a suitable alternative method that can be exploited in generating highway traffic accident data through which the major accident causes can be identified. In order to authenticate the technique used, Korea, a country that underwent similar problems when it was in its early stages of development in addition to the availability of excellent highway safety records in its database, is chosen and utilized for this purpose. Validation of the methodology confirms the technique is suitable for application in developing countries. Furthermore, the Delphi Technique, in combination with the Bayesian Network Model, is utilized in modeling highway traffic accidents and forecasting accident rates in the countries of research.

  18. 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.

  19. 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...

  20. A Delphi approach to developing a core competency framework for family practice registered nurses in Ontario.

    Science.gov (United States)

    Moaveni, Azadeh; Gallinaro, Anna; Conn, Lesley Gotlib; Callahan, Sheilagh; Hammond, Melanie; Oandasan, Ivy

    2010-12-01

    This paper describes the results of a Delphi panel process to gain consensus on a role description and competency framework for family practice registered nurses (FP-RNs) in Ontario. Based on the findings from interviews and focus groups with family practice registered nurses and their inter-professional colleagues throughout Ontario, a core competency framework for FP-RNs emerged consisting of six distinct roles - Professional, Expert, Communicator, Synergist, Health Educator and Lifelong Learner - with accompanying enabling competency statements. This framework was refined and validated by a panel of experts from various nursing and family medicine associations and organizations through a Delphi consensus process. This core competency framework for FP-RNs was developed as a stepping stone for clarifying this very important and poorly understood role in family practice. As a result of this research, we expect a greater acknowledgement of the contributions and expertise of the FP-RN as well as the need to celebrate and profile this role. This work has already led to the establishment of a network of stakeholders from nursing organizations in Ontario who are considering opportunities to move the development and use of the competency framework forward.

  1. 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.

  2. 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.

  3. 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.

  4. Guidelines for using the Delphi Technique to develop habitat suitability index curves

    Science.gov (United States)

    Crance, Johnie H.

    1987-01-01

    Habitat Suitability Index (SI) curves are one method of presenting species habitat suitability criteria. The curves are often used with the Habitat Evaluation Procedures (HEP) and are necessary components of the Instream Flow Incremental Methodology (IFIM) (Armour et al. 1984). Bovee (1986) described three categories of SI curves or habitat suitability criteria based on the procedures and data used to develop the criteria. Category I curves are based on professional judgment, with 1ittle or no empirical data. Both Category II (utilization criteria) and Category III (preference criteria) curves have as their source data collected at locations where target species are observed or collected. Having Category II and Category III curves for all species of concern would be ideal. In reality, no SI curves are available for many species, and SI curves that require intensive field sampling often cannot be developed under prevailing constraints on time and costs. One alternative under these circumstances is the development and interim use of SI curves based on expert opinion. The Delphi technique (Pill 1971; Delbecq et al. 1975; Linstone and Turoff 1975) is one method used for combining the knowledge and opinions of a group of experts. The purpose of this report is to describe how the Delphi technique may be used to develop expert-opinion-based SI curves.

  5. Search for an LSP gluino at LEP 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.; 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.; Berntzon, L.; 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.; Bugge, L.; Buschmann, P.; Calvi, M.; Camporesi, T.; Canale, V.; Carena, F.; Castro, Nuno Filipe; Cavallo, F.; Chapkin, M.; Charpentier, P.; Checchia, P.; Chierici, R.; Chliapnikov, P.; Chudoba, J.; Chung, S.U.; Cieslik, K.; Collins, P.; Contri, R.; Cosme, G.; Cossutti, F.; Costa, M.J.; Crawley, 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; Geralis, T.; 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.; 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, John Neil; Jarlskog, G.; Jarry, P.; Jeans, D.; Johansson, Erik Karl; Johansson, P.D.; Jonsson, P.; Joram, C.; Jungermann, L.; Kapusta, Frederic; Katsanevas, S.; Katsoufis, E.; Kernel, G.; Kersevan, B.P.; Kiiskinen, A.; King, B.T.; Kjaer, N.J.; Kluit, P.; Kokkinias, P.; Kourkoumelis, C.; Kouznetsov, O.; Krumstein, Z.; Kucharczyk, M.; Lamsa, J.; Leder, G.; Ledroit, Fabienne; Leinonen, L.; Leitner, R.; Lemonne, J.; Lepeltier, V.; Lesiak, T.; Liebig, W.; Liko, D.; Lipniacka, A.; Lopes, J.H.; 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.; Meyer, W.T.; Migliore, E.; Mitaroff, W.; Mjoernmark, U.; Moa, T.; Moch, M.; Monig, Klaus; 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.; 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, 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.; Poropat, P.; Pozdniakov, V.; Pukhaeva, N.; Pullia, A.; Rames, J.; Ramler, L.; Read, Alexander L.; Rebecchi, P.; Rehn, J.; Reid, D.; Reinhardt, R.; Renton, P.; Richard, F.; Ridky, J.; Rivero, M.; Rodriguez, D.; Romero, A.; Ronchese, P.; Rosenberg, E.; Roudeau, P.; Rovelli, T.; Ruhlmann-Kleider, V.; Ryabtchikov, D.; Sadovsky, A.; Salmi, L.; Salt, J.; Savoy-Navarro, A.; Schwickerath, U.; Segar, A.; 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.; Taffard, A.C.; Tegenfeldt, F.; Timmermans, Jan; Tkatchev, L.; Tobin, M.; Todorovova, S.; Tomaradze, A.; 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, 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.; Yushchenko, O.; Zalewska, A.; Zalewski, P.; Zavrtanik, D.; Zimine, N.I.; Zintchenko, A.; Zupan, M.

    2003-01-01

    In some supersymmetric models, the gluino (\\glui) is predicted to be light and stable. In that case, it would hadronize to form R-hadrons. In these models, the missing energy signature of the lightest supersymmetric particle is no longer valid, even if R-parity is conserved. Therefore, such a gluino is not constrained by hadron collider results, which looked for the decay $\\glui\\to\\qqbar\\xoi$.\\\\ Data collected by the DELPHI detector in 1994 at 91.2~GeV have been analysed to search for $\\qqbar\\glui\\glui$ events. No deviation from Standard Model predictions is observed and a gluino mass between 2 and 18~\\GeVcc\\ is excluded at the 95\\% confidence level in these models. Then, R-hadrons produced in the squark decays were searched for in the data collected by DELPHI at the centre-of-mass energies of 189 to 208 GeV, corresponding to an overall integrated luminosity of 609~\\pb. The observed number of events is in agreement with the Standard Model predictions. Limits at 95\\% confidence level are derived on the squark ...

  6. 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.

  7. 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.

  8. Research Priorities for NCD Prevention and Climate Change: An International Delphi Survey

    Directory of Open Access Journals (Sweden)

    Ruth Colagiuri

    2015-10-01

    Full Text Available Climate change and non-communicable diseases (NCDs are arguably the greatest global challenges of the 21st Century. However, the confluence between them remains under-examined and there is little evidence of a comprehensive, systematic approach to identifying research priorities to mitigate their joint impact. Consequently, we: (i convened a workshop of academics (n = 25 from the Worldwide Universities Network to identify priority areas at the interface between NCDs and climate change; (ii conducted a Delphi survey of international opinion leaders in public health and relevant other disciplines; and (iii convened an expert panel to review and advise on final priorities. Three research areas (water security; transport; conceptualising NCD harms to support policy formation were listed among the top 10 priorities by >90% of Delphi respondents, and ranked among the top 12 priorities by >60% of respondents who ranked the order of priority. A fourth area (reducing the carbon footprint of cities was ranked highest by the same >60% of respondents. Our results are consistent with existing frameworks on health and climate change, and extends them by focusing specifically on NCDs. Researching these priorities could progress understanding of climate change and NCDs, and inform global and national policy decisions for mitigating associated harms.

  9. 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.;

  10. 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.

  11. A True Delphi Approach: Developing a Tailored Curriculum in Response to Local Agriscience Need

    Energy Technology Data Exchange (ETDEWEB)

    Rubenstein, Eric; Thoron, Andrew; Burleson, Sarah

    2012-02-07

    The Delphi approach is a structured communication technique, developed as a systematic, interactive forecasting method which relies on a panel of experts. In this specific case experts from Industry, Education and Extension fields addressed needs for educational programs in a traditional agriculturally-based community, environmentally conscious practices in order to restore environmental integrity and multi-disciplinary approach to solve sustainability problems facing the agricultural industry. The experts were divided into two main groups, (A) Secondary and (B) Post-secondary, and answered questionnaires in three rounds: • 1st Round – Participants generated a list of knowledge, skills, and competencies followed • 2nd Round – Panelists rated each item • 3rd Round – Panelists were given the opportunity to combine and add additional items As a result, top six items from both groups were not found similar, secondary panelists centralized around employment skills and post-secondary panelists focused on content areas. Implications include a need for content-based curriculum for post-secondary graduates, utilization of true-Delphi technique for future curriculum development research and further examination of students that complete secondary and post-secondary programs in biofuels/sustainable agriculture.

  12. 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.

  13. Search for an LSP gluino at LEP 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; 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 M; Kokkinias, P; Kourkoumelis, C; Kuznetsov, O; Krumshtein, Z; Kucharczyk, M; Lamsa, J; Leder, Gerhard; 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, Winfried 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, Aurore; Schwickerath, U; Segar, A; Sekulin, R L; Siebel, M; Sissakian, A N; Smadja, G; Smirnova, O G; Sokolov, A; Sopczak, André; 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, Piotr; Zavrtanik, D; Zimin, N I; Zinchenko, A I; Zupan, M

    2003-01-01

    In some supersymmetric models, the gluino (\\glui) is predicted to be light and stable. In that case, it would hadronize to form R-hadrons. In these models, the missing energy signature of the lightest supersymmetric particle is no longer valid, even if R-parity is conserved. Therefore, such a gluino is not constrained by hadron collider results, which looked for the decay $\\glui\\to\\qqbar\\xoi$.\\\\ Data collected by the DELPHI detector in 1994 at 91.2~GeV have been analysed to search for $\\qqbar\\glui\\glui$ events. No deviation from Standard Model predictions is observed and a gluino mass between 2 and 18~\\GeVcc\\ is excluded at the 95\\% confidence level in these models. Then, R-hadrons produced in the squark decays were searched for in the data collected by DELPHI at the centre-of-mass energies of 189 to 208 GeV, corresponding to an overall integrated luminosity of 609~\\pb. The observed number of events is in agreement with the Standard Model predictions. Limits at 95\\% confidence level are derived on the squark ...

  14. Modified Ureterosigmoidostomy

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Objective To introduce an operation procedure and evaluate the coutinence diversion results of the modified ureterosigmoidostomy after radical cystectomy. Methods Fourteen cases of bladder cancer or prostate carcinoma were operated on with modified Sigma pouch from Feb, 1998 to Dec, 1999. A longitudinal incision about 25 cm on the sigmoid uall was done to form a low pressure pouch. The vertex of the new pouch was fixed to sacrum. Both ends of ureters were anastomosed side to side and to form a big nipple and inserted into the top of pouch for 2 to 3 centimeters. Results It took about sixty five minutes to create a new low pressure pouch after radical cystectomy. Early complication of was found in two cases postoperatively, and cured with temporary colonostomy. Hydronephrosis and hypokalemia in one patient were cured by percutaneous anterograde ureter dilatation with balloon and oral replacement of potassium salt. All patients displayed urinary continence. No symptomatic renal infection or hypercholoraemic acidosis occurred. Conclusion Modified ureterosigmoidostomy is a safe procedure of urinary diversion and provides a big volume, low intravesical pressure pouch. The patients are free from the troublesome urine-bag, intermittert catheterization , and upper urinary tracts are protected effectively. The quality of life is satisfied.

  15. 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.

  16. 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

  17. 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…

  18. 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...

  19. 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…

  20. 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…

  1. Photosensitive gas detectors for the ring-imaging Cherenkov (RICH) technique and the DELPHI barrel RICH prototype

    Energy Technology Data Exchange (ETDEWEB)

    Arnold, R.; Berst, J.D.; Christophel, E.; Guyonnet, J.L.; Baillon, P.; Bosteels, M.; Passardi, G.; Besch, H.J.; Seguinot, J.; Tocqueville, J.

    1986-12-01

    After a short introduction to the ring-imaging technique, the principal types of photosensitive gas detectors are discussed. In the second part, status and results of the DELPHI barrel RICH prototype are presented. A short description of a possible very fast RICH for future hadron colliders is given.

  2. 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

  3. 76 FR 16446 - Delphi Corporation Electronics And Safety Division Including On-Site Leased Workers From Acro...

    Science.gov (United States)

    2011-03-23

    ... Employment and Training Administration Delphi Corporation Electronics And Safety Division Including On- Site... Alternative Trade Adjustment Assistance In accordance with Section 223 of the Trade Act of 1974 (19 U.S.C. 2273), and Section 246 of the Trade Act of 1974 (26 U.S.C. 2813), as amended, the Department of...

  4. [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.

  5. 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

  6. 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…

  7. 应用德尔菲法编制国内COPD患者护理结局评定量表%Application of Delphi Method in Compiling the Rating Scale of Nursing Outcomes in Domestic COPD Patients

    Institute of Scientific and Technical Information of China (English)

    柴云花; 杨辉; 李变娥

    2015-01-01

    目的:设计适合我国COPD患者护理结局评定量表,用于评价患者健康状况。方法:采用德尔菲法选取22名专家,涉及临床医学、临床护理、护理管理、医院管理和医学心理学5个领域,收集其对量表设计的建议和意见,确定量表的内容与结构。结果:通过2轮专家咨询形成专家一致性意见,2次专家咨询表回收率及有效率均为100%,总体权威系数为0.72。按照专家咨询意见,并结合COPD患者健康状况,在第1轮专家咨询后对4个领域的定义、4个维度的名称和1个条目进行修正,对2个条目进行删除;第2轮专家咨询后对1个条目进行修正,对1个条目进行删除,增加1个条目,初步形成了包含6个领域23个维度的量表。结论:应用德尔菲法从护理角度初步编制COPD量表,建立了一套适合COPD患者测评的护理结局指标体系,用于评价患者健康状况。%Objective:To development the rating scale suitable for nursing outcomes in domestic COPD patients, which is used to evaluate the health status of patients.Method:The Delphi method was used through recruiting 22 experts in the five areas of clinical medicine,clinical care,care management,hospital management and medical psychology.The common suggestions and opinions of experts for the design of scale were collected and the contents and structure of the scale were identified. Result:Expert opinion was unanimous through two-round meetings,which showed that the overall authority grade was 0.72 with the respond rate and the effective rate both of 100%.After the first-round meeting,combining patients’ health status,definition of the 4 areas,dimension of 4 names and 1 item were revised,2 items were deleted.1 item was revised,1 item was deleted and 1 item was increased after second-round meeting,then initially formed the scale of the 6 areas and 23 dimensions.Conclusion:Preliminary preparation of COPD scale in nursing angle by

  8. 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.

  9. Priorities for research in child maltreatment, intimate partner violence and resilience to violence exposures: results of an international Delphi consensus development process.

    Science.gov (United States)

    Wathen, C Nadine; MacGregor, Jennifer C D; Hammerton, Joanne; Coben, Jeffrey H; Herrman, Helen; Stewart, Donna E; MacMillan, Harriet L

    2012-08-21

    Intimate partner violence (IPV) and child maltreatment (CM) are major global public health problems. The Preventing Violence Across the Lifespan (PreVAiL) Research Network, an international group of over 60 researchers and national and international knowledge-user partners in CM and IPV, sought to identify evidence-based research priorities in IPV and CM, with a focus on resilience, using a modified Delphi consensus development process. Review of existing empirical evidence, PreVAiL documents and team discussion identified a starting list of 20 priorities in the following categories: resilience to violence exposure (RES), CM, and IPV, as well as priorities that cross-cut the content areas (CC), and others specific to research methodologies (RM) in violence research. PreVAiL members (N = 47) completed two online survey rounds, and one round of discussions via three teleconference calls to rate, rank and refine research priorities. Research priorities were: to examine key elements of promising or successful programmes in RES/CM/IPV to build intervention pilot work; CC: to integrate violence questions into national and international surveys, and RM: to investigate methods for collecting and collating datasets to link data and to conduct pooled, meta and sub-group analyses to identify promising interventions for particular groups. These evidence-based research priorities, developed by an international team of violence, gender and mental health researchers and knowledge-user partners, are of relevance for prevention and resilience-oriented research in the areas of IPV and CM.

  10. Searching for an Operational Definition of Frailty: A Delphi Method Based Consensus Statement. The Frailty Operative Definition-Consensus Conference Project

    Science.gov (United States)

    Féart, Catherine; Mann, Giovanni; Viña, Jose; Chatterji, Somnath; Chodzko-Zajko, Wojtek; Gonzalez-Colaço Harmand, Magali; Bergman, Howard; Carcaillon, Laure; Nicholson, Caroline; Scuteri, Angelo; Sinclair, Alan; Pelaez, Martha; Van der Cammen, Tischa; Beland, François; Bickenbach, Jerome; Delamarche, Paul; Ferrucci, Luigi; Fried, Linda P.; Gutiérrez-Robledo, Luis Miguel; Rockwood, Kenneth; Rodríguez Artalejo, Fernando; Serviddio, Gaetano; Vega, Enrique

    2013-01-01

    Background. There is no consensus regarding the definition of frailty for clinical uses. Methods. A modified Delphi process was used to attempt to achieve consensus definition. Experts were selected from different fields and organized into five Focus Groups. A questionnaire was developed and sent to experts in the area of frailty. Responses and comments were analyzed using a pre-established strategy. Statements with an agreement more than or equal to 80% were accepted. Results. Overall, 44% of the statements regarding the concept of frailty and 18% of the statements regarding diagnostic criteria were accepted. There was consensus on the value of screening for frailty and about the identification of six domains of frailty for inclusion in a clinical definition, but no agreement was reached concerning a specific set of clinical/laboratory biomarkers useful for diagnosis. Conclusions. There is agreement on the usefulness of defining frailty in clinical settings as well as on its main dimensions. However, additional research is needed before an operative definition of frailty can be established. PMID:22511289

  11. Determining Possible Professionals and Respective Roles and Responsibilities for a Model Comprehensive Elder Abuse Intervention: A Delphi Consensus Survey.

    Directory of Open Access Journals (Sweden)

    Janice Du Mont

    Full Text Available We have undertaken a multi-phase, multi-method program of research to develop, implement, and evaluate a comprehensive hospital-based nurse examiner elder abuse intervention that addresses the complex functional, social, forensic, and medical needs of older women and men. In this study, we determined the importance of possible participating professionals and respective roles and responsibilities within the intervention.Using a modified Delphi methodology, recommended professionals and their associated roles and responsibilities were generated from a systematic scoping review of relevant scholarly and grey literatures. These items were reviewed, new items added for review, and rated/re-rated for their importance to the intervention on a 5-point Likert scale by an expert panel during a one day in-person meeting. Items that did not achieve consensus were subsequently re-rated in an online survey.Those items that achieved a mean Likert rating of 4+ (rated important to very important, and an interquartile range<1 in the first or second round, and/or for which 80% of ratings were 4+ in the second round were retained for the model elder abuse intervention.Twenty-two of 31 recommended professionals and 192 of 229 recommended roles and responsibilities rated were retained for our model elder abuse intervention. Retained professionals were: public guardian and trustee (mean rating = 4.88, geriatrician (4.87, police officer (4.87, GEM (geriatric emergency management nurse (4.80, GEM social worker (4.78, community health worker (4.76, social worker/counsellor (4.74, family physician in community (4.71, paramedic (4.65, financial worker (4.59, lawyer (4.59, pharmacist (4.59, emergency physician (4.57, geriatric psychiatrist (4.33, occupational therapist (4.29, family physician in hospital (4.28, Crown prosecutor (4.24, neuropsychologist (4.24, bioethicist (4.18, caregiver advocate (4.18, victim support worker (4.18, and respite care worker (4.12.A large and

  12. Measurement of the W boson mass in the Delphi experiment; Mesure de la masse du W dans l'experience DELPHI

    Energy Technology Data Exchange (ETDEWEB)

    Simard, L

    2000-01-01

    After the Z{sup 0} study during the first phase of LEP, the properties of the W boson, in particular its mass, are precisely measured at LEP2. After the implications of that measurement on the Higgs mass being explained, the analysis of the WW semileptonic events, where the two W decay into two quarks, a charged lepton and a neutrino, is described. It was carried out with the data sample collected at DELPHI in 1997 and 1998, corresponding to an integrated luminosity of 211.1 pb{sup -1}. The measurement, based upon a likelihood fit applied both to simulation and data requires that all variables of simulation reproduce well the data. Comparisons between Monte Carlo and data are set out, as well as the selection of WW events and the kinematical fit used to improve the mass resolution. The method used to estimate the systematic errors on the measurement and the result of the measurement are presented. When combining these measurements with the measurements done in the hadronic channel, the mass and the width are measured. (author)

  13. Search for squarks with LSP in the DELPHI experiment at Lep; Recherche des squarks quasi degeneres avec la LSP dans l'experience DELPHI au LEP

    Energy Technology Data Exchange (ETDEWEB)

    Abdallah, J

    2003-12-01

    The present work deals with the search of third generation squarks in the framework of the MSSM (minimal supersymmetric standard model) with R-parity conservation, for small mass differences between these squarks and the lightest supersymmetric particle (LSP). Data collected at centre-of-mass energies from 189 to 209 GeV by DELPHI detector, corresponding to an integrated luminosity of 608 pb{sup -1}, are analysed in a search for three topologies. No evidence for deviations from the Standard Model expectation is found. For a short lifetime stop a lower limit of 71 GeV/c{sup 2} is set for the mass, independently of the mixing angle. Long-lived stop and s-bottom of 97 GeV/c{sup 2} and 89 GeV/c{sup 2}, respectively, are also excluded. For {delta}m > 5 GeV/c{sup 2} an intermediate lifetime stop with m < 52 GeV/c{sup 2} is excluded for all mixing angles; for {delta}m > 2 GeV/c{sup 2}, the limit is set to 54 GeV/c{sup 2} for a loft-handed stop only. (author)

  14. Hospitalizaciones evitables por cirugía sin ingreso en la Comunidad Valenciana: un estudio Delphi

    Directory of Open Access Journals (Sweden)

    Grau Martínez Nieves

    1997-01-01

    Full Text Available FUNDAMENTOS: El objetivo de este trabajo de investigación ha sido estimar, desde el punto de vista de los cirujanos y anestesistas que trabajan actualmente en el Sistema Nacional de Salud, el volumen de hospitalizaciones evitables por la utilización de la cirugía sin ingreso (CSI. MÉTODO: Mediante un proceso Delphi en el que participaron 25 médicos, cirujanos o anestesistas, del Servei Valencià de la Salut (SVS, se obtuvo un consenso sobre los criterios objetivos de exclusión de pacientes para CSI y sobre la proporción de determinadas intervenciones que podrían realizarse ambulatoriamente, criterios que fueron aplicados al Conjunto Mínimo de Datos Básicos (CMBD al alta hospitalaria de la Comunidad Valenciana para estimar los ingresos y estancias evitables por CSI en una selección de 29 procesos quirúrgicos. RESULTADOS: El 83% de los médicos respondieron a los cuestionarios Delphi. La mediana de la estimación de los encuestados sobre la proporción de casos realizables con CSI en las diferentes patologías oscila entre el 40% para las reparaciones de hernia de pared abdominal o la colecistectomía laparoscópica, y el 90% para las escisiones de tejido perianal, anastomosis para diálisis o gangliectomía. La aplicación de las restricciones a la CSI definidas en el Delphi hubiera supuesto para el SVS la evitación de 12.558 ingresos en 1994, el 75% de los realizados en las intervenciones estudiadas, porcentaje casi idéntico al resultante de aplicar las estimaciones de los clínicos al CMBD. CONCLUSIONES: Los profesionales del SVS consideran factible un número de intervenciones sin ingreso muy superior al efectivamente realizado, siendo probablemente los sistemas de financiación e incentivos utilizados en el SNS, y no los criterios clínicos, las causas del escaso desarrollo de la CSI.

  15. 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

  16. KRITERIA KUALITATIF PENENTUAN PRODUK UNGGULAN KOMODITAS PERKEBUNAN DENGAN METODE DELPHI DI KABUPATEN KOLAKA-SULAWESI TENGGARA

    Directory of Open Access Journals (Sweden)

    Dhian Herdhiansyah

    2013-06-01

    Full Text Available The determination of the main product of plantation commodity in kolaka has not been done. The purpose of this research were to composing an order of main product of plantation commodity in Kolaka. The object of this research were alternative 17 of plantation commodity. The determination of strategic indicators as the selection criteria of the main products were done by a panel of researchers that experts in different fields in plantation scope. In the effort to reach of the consensus, they were accordance with the Delphi Method. There are seven strategic indicators used as the criteria in determination of the main product of plantation commodity in Kolaka as followed: (1 based on the local resource potential, (2 enhancing to acces domestic and global market, (3 to produce high added value, (4 supported by technology and qualified human resources, (5 eco-friendly product by applying eco-friendly technology and have optimum agriculture waste as well as apply good waste management, (6 implement cooperation principle and business oriented, and (7 administratively and economically feasible for business development. The result of score calculation on the each indicator showed that the main product of plantation commodity were cacao on the first with score 4.6, clove and pepper on the second with score 4.3, and cashew, coconut, and coffee on the third with score 4.2.   Keywords: Determination of the main product, Delphi method, plantation of the commodity   ABSTRAK   Penentuan produk unggulan komoditas perkebunan di Kabupaten Kolaka selama ini belum dilakukan. Penelitian ini bertujuan untuk memunculkan suatu urutan produk unggulan komoditas perkebunan di Kabupaten Kolaka. Objek penelitian ini adalah 17 alternatif komoditas perkebunan. Penetapan indikator strategis sebagai kriteria pemilihan produk unggulan komoditas perkebunan dilakukan oleh sekelompok panel peneliti yang memiliki latar belakang kebidangan berbeda dalam lingkup perkebunan.  Dalam

  17. 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.

  18. Identification and analysis of reverse logistics barriers using fuzzy Delphi method and AHP

    DEFF Research Database (Denmark)

    Bouzon, Marina; Govindan, Kannan; Rodriguez, Carlos M Taboada

    2016-01-01

    enacted National Policy on solid waste. To bridge this gap, this paper identifies and evaluates the barriers for RL in the Brazilian context. An eleven-step research methodology is proposed. First, literature was thoroughly reviewed. fuzzy Delphi method (FDM) was used to obtain the critical list...... a systematic literature review process, a list of most common RL barriers accepted by Brazilian organizations, and a priority ranking of RL barriers for the electrical-electronic industry sector in Brazil. The "Economic related issues" category of barriers seems to be the first priority. The financial burden...... of barriers by experts and industrial managers' opinions. Then, analytic hierarchy process (AHP) questionnaires were answered by electrical-electronic equipment (EEE) industry sector experts in order to obtain the priority ranking of barriers. This paper contributes with a compilation of the RL barriers from...

  19. 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.

  20. GPU linear and non-linear Poisson–Boltzmann solver module for DelPhi

    Science.gov (United States)

    Colmenares, José; Ortiz, Jesús; Rocchia, Walter

    2014-01-01

    Summary: In this work, we present a CUDA-based GPU implementation of a Poisson–Boltzmann equation solver, in both the linear and non-linear versions, using double precision. A finite difference scheme is adopted and made suitable for the GPU architecture. The resulting code was interfaced with the electrostatics software for biomolecules DelPhi, which is widely used in the computational biology community. The algorithm has been implemented using CUDA and tested over a few representative cases of biological interest. Details of the implementation and performance test results are illustrated. A speedup of ∼10 times was achieved both in the linear and non-linear cases. Availability and implementation: The module is open-source and available at http://www.electrostaticszone.eu/index.php/downloads. Contact: walter.rocchia@iit.it Supplementary information: Supplementary data are available at Bioinformatics online PMID:24292939