Can Hounsfield Unit Value Predict Type of Urinary Stones?

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Alper Gok

2014-03-01

Full Text Available Aim: Aim of this study is to determine the role of Hounsfield unit (HU in predicting results of stone analysis. Material and Method: This study included 199 patients to whom percutaneous nephrolithotomy (PNL procedures were applied between January 2008 and May 2011 in our clinic. Before the procedure HU values of kidney stones were measured using non-contrast computed tomography. After the operation, obtained stone samples were analysed using X-ray diffraction technique. HU values were compared with stone analysis results. Results: Stone analysis revealed eight different stone types. Distribution of stone types and HU value ranges were as follows: 85% calcium oxalate monohydrate, 730-1130 HU; 38% calcium oxalate dihydrate, 510-810 HU; 21% uric acid, 320-550 HU; 23% struvite, 614-870 HU; 7% calcium hydrogene phosphate, 1100-1365 HU; 3% cystine, 630-674 HU; 15% mixed uric acid plus calcium oxalate, 499-840 HU; and 7% mixed cystine plus calcium phosphate, 430-520 HU. HU values of all stone types ranged between 320 and 1365. There was a statistically significant relation between HU values of uric acid and non uric acid stones (p

Tree-type values for cycle-free directed graph games

NARCIS (Netherlands)

Khmelnitskaya, Anna Borisovna; Talman, Dolf

2010-01-01

For arbitrary cycle-free directed graph games tree-type values are introduced axiomatically and their explicit formula representation is provided. These values may be considered as natural extensions of the tree and sink values as has been defined correspondingly for rooted and sink forest graph

The value of personal health records for chronic disease management: what do we know?

Science.gov (United States)

Tenforde, Mark; Jain, Anil; Hickner, John

2011-05-01

Electronic personal health records (PHRs) allow patients access to their medical records, self-management tools, and new avenues of communication with their health care providers. They will likely become a valuable component of the primary care Patient-centered Medical Home model. Primary care physicians, who manage the majority of chronic disease, will use PHRs to help patients manage their diabetes and other chronic diseases requiring continuity of care and enhanced information flow between patient and physician. In this brief report, we explore the evidence for the value of PHRs in chronic disease management. We used a comprehensive review of MEDLINE articles published in English between January 2000 and September 2010 on personal health records and related search terms. Few published articles have described PHR programs designed for use in chronic disease management or PHR adoption and attitudes in the context of chronic disease management. Only three prospective randomized trials have evaluated the benefit of PHR use in chronic disease management, all in diabetes care. These trials showed small improvements in some but not all diabetes care measures. All three trials involved additional interventions, making it difficult to determine the influence of patient PHR use in improved outcomes. The evidence remains sparse to support the value of PHR use for chronic disease management. With the current policy focus on meaningful use of electronic and personal health records, it is crucial to investigate and learn from new PHR products so as to maximize the clinical value of this tool.

mvp - an open-source preprocessor for cleaning duplicate records and missing values in mass spectrometry data.

Science.gov (United States)

Lee, Geunho; Lee, Hyun Beom; Jung, Byung Hwa; Nam, Hojung

2017-07-01

Mass spectrometry (MS) data are used to analyze biological phenomena based on chemical species. However, these data often contain unexpected duplicate records and missing values due to technical or biological factors. These 'dirty data' problems increase the difficulty of performing MS analyses because they lead to performance degradation when statistical or machine-learning tests are applied to the data. Thus, we have developed missing values preprocessor (mvp), an open-source software for preprocessing data that might include duplicate records and missing values. mvp uses the property of MS data in which identical chemical species present the same or similar values for key identifiers, such as the mass-to-charge ratio and intensity signal, and forms cliques via graph theory to process dirty data. We evaluated the validity of the mvp process via quantitative and qualitative analyses and compared the results from a statistical test that analyzed the original and mvp-applied data. This analysis showed that using mvp reduces problems associated with duplicate records and missing values. We also examined the effects of using unprocessed data in statistical tests and examined the improved statistical test results obtained with data preprocessed using mvp.

Double-layered perpendicular magnetic recording media of granular-type FePt-MgO films

International Nuclear Information System (INIS)

Zhang Zhengang; Singh, Amarendra K.; Yin Jinhua; Perumal, A.; Suzuki, Takao

2005-01-01

The recording performance of double-layered granular-type FePt-MgO perpendicular magnetic recording media fabricated onto glass discs by sputtering is investigated. The (0 0 1)-textured FePt granular films are obtained by annealing FePt/MgO multilayers. Three different multilayer structures are compared in their magnetic properties and recording SNR performances. To evaluate thermal stability property of these granular-type FePt disks, the time-dependent magnetic force microscope (MFM) signal from the written bits on one of these disks is recorded in the temperature range 25-200 degree sign C. The signal decay at high observation temperature is interpreted based on the temperature dependence of magnetic anisotropy (K u )

A framework and approach for assessing the value of personal health records (PHRs).

Science.gov (United States)

Johnston, Douglas; Kaelber, David; Pan, Eric C; Bu, Davis; Shah, Sapna; Hook, Julie M; Middleton, Blackford

2007-10-11

Personal Health Records (PHRs) are a rapidly expanding area of medical informatics due to the belief that they may improve health care delivery and control costs of care. The PHRs in use or in development today support a myriad of different functions, and consequently offer different value propositions. A comprehensive value analysis of PHRs has never been conducted; such analysis is needed to identify those PHR functions that yield the greatest value to PHR stakeholders. Here we present a framework that could serve as a foundation for determining the value of PHR functions and thereby help optimize PHR development. While the value framework is specific to the domain of PHRs, the authors have successfully applied the associated evaluation methodology in assessing other health care information technologies.

Record mobility in transparent p-type tin monoxide films and devices by phase engineering

KAUST Repository

Caraveo-Frescas, Jesus Alfonso

2013-06-25

Here, we report the fabrication of nanoscale (15 nm) fully transparent p-type SnO thin film transistors (TFT) at temperatures as low as 180 C with record device performance. Specifically, by carefully controlling the process conditions, we have developed SnO thin films with a Hall mobility of 18.71 cm2 V-1 s-1 and fabricated TFT devices with a linear field-effect mobility of 6.75 cm2 V-1 s -1 and 5.87 cm2 V-1 s-1 on transparent rigid and translucent flexible substrates, respectively. These values of mobility are the highest reported to date for any p-type oxide processed at this low temperature. We further demonstrate that this high mobility is realized by careful phase engineering. Specifically, we show that phase-pure SnO is not necessarily the highest mobility phase; instead, well-controlled amounts of residual metallic tin are shown to substantially increase the hole mobility. A detailed phase stability map for physical vapor deposition of nanoscale SnO is constructed for the first time for this p-type oxide. © 2013 American Chemical Society.

Post-depositional formation of vivianite-type minerals alters sediment phosphorus records

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N. Dijkstra

2018-02-01

Full Text Available Phosphorus (P concentrations in sediments are frequently used to reconstruct past environmental conditions in freshwater and marine systems, with high values thought to be indicative of a high biological productivity. Recent studies suggest that the post-depositional formation of vivianite, an iron(II-phosphate mineral, might significantly alter trends in P with sediment depth. To assess its importance, we investigate a sediment record from the Bornholm Basin that was retrieved during the Integrated Ocean Drilling Program (IODP Baltic Sea Paleoenvironment Expedition 347 in 2013, consisting of lake sediments overlain by brackish–marine deposits. Combining bulk sediment geochemistry with microanalysis using scanning electron microscope energy dispersive spectroscopy (SEM-EDS and synchrotron-based X-ray absorption spectroscopy (XAS, we demonstrate that vivianite-type minerals rich in manganese and magnesium are present in the lake deposits just below the transition to the brackish–marine sediments (at 11.5 to 12 m sediment depth. In this depth interval, phosphate that diffuses down from the organic-rich, brackish–marine sediments meets porewaters rich in dissolved iron in the lake sediments, resulting in the precipitation of iron(II phosphate. Results from a reactive transport model suggest that the peak in iron(II phosphate originally occurred at the lake–marine transition (9 to 10 m and moved downwards due to changes in the depth of a sulfidization front. However, its current position relative to the lake–marine transition is stable as the vivianite-type minerals and active sulfidization fronts have been spatially separated over time. Experiments in which vivianite was subjected to sulfidic conditions demonstrate that incorporation of manganese or magnesium in vivianite does not affect its susceptibility to sulfide-induced dissolution. Our work highlights that post-depositional formation of iron(II phosphates such as vivianite has

Post-depositional formation of vivianite-type minerals alters sediment phosphorus records

Science.gov (United States)

Dijkstra, Nikki; Hagens, Mathilde; Egger, Matthias; Slomp, Caroline P.

2018-02-01

Phosphorus (P) concentrations in sediments are frequently used to reconstruct past environmental conditions in freshwater and marine systems, with high values thought to be indicative of a high biological productivity. Recent studies suggest that the post-depositional formation of vivianite, an iron(II)-phosphate mineral, might significantly alter trends in P with sediment depth. To assess its importance, we investigate a sediment record from the Bornholm Basin that was retrieved during the Integrated Ocean Drilling Program (IODP) Baltic Sea Paleoenvironment Expedition 347 in 2013, consisting of lake sediments overlain by brackish-marine deposits. Combining bulk sediment geochemistry with microanalysis using scanning electron microscope energy dispersive spectroscopy (SEM-EDS) and synchrotron-based X-ray absorption spectroscopy (XAS), we demonstrate that vivianite-type minerals rich in manganese and magnesium are present in the lake deposits just below the transition to the brackish-marine sediments (at 11.5 to 12 m sediment depth). In this depth interval, phosphate that diffuses down from the organic-rich, brackish-marine sediments meets porewaters rich in dissolved iron in the lake sediments, resulting in the precipitation of iron(II) phosphate. Results from a reactive transport model suggest that the peak in iron(II) phosphate originally occurred at the lake-marine transition (9 to 10 m) and moved downwards due to changes in the depth of a sulfidization front. However, its current position relative to the lake-marine transition is stable as the vivianite-type minerals and active sulfidization fronts have been spatially separated over time. Experiments in which vivianite was subjected to sulfidic conditions demonstrate that incorporation of manganese or magnesium in vivianite does not affect its susceptibility to sulfide-induced dissolution. Our work highlights that post-depositional formation of iron(II) phosphates such as vivianite has the potential to strongly

[Diagnostic values of serum type III procollagen N-terminal peptide in type IV gastric cancer].

Science.gov (United States)

Akazawa, S; Fujiki, T; Kanda, Y; Kumai, R; Yoshida, S

1985-04-01

Since increased synthesis of collagen has been demonstrated in tissue of type IV gastric cancer, we attempted to distinguish type IV gastric cancer from other cancers by measuring serum levels of type III procollagen N-terminal peptide (type III-N-peptide). Mean serum levels in type IV gastric cancer patients without metastasis were found to be elevated above normal values and developed a tendency to be higher than those in types I, II and III gastric cancer patients without metastasis. Highly positive ratios were found in patients with liver diseases including hepatoma and colon cancer, biliary tract cancer, and esophageal cancer patients with liver, lung or bone metastasis, but only 2 out of 14 of these cancer patients without such metastasis showed positive serum levels of type III-N-peptide. Positive cases in patients with type IV gastric cancer were obtained not only in the group with clinical stage IV but also in the groups with clinical stages II and III. In addition, high serum levels of type III-N-peptide in patients with type IV gastric cancer were seen not only in the cases with liver, lung or bone metastasis but also in cases with disseminated peritoneal metastasis alone. These results suggest that if the serum level of type III-N-peptide is elevated above normal values, type IV gastric cancer should be suspected after ruling out liver diseases, myelofibrosis and liver, lung or bone metastasis.

Logic-type Schmitt circuit using multi-valued gates

Science.gov (United States)

Wakui, M.; Tanaka, M.

Logic-type Schmitt circuits (LTSCs) proposed in this paper by author's proposal are a new detector for a multi-valued multi-threshold logic circuit, and it realizes the high resolution with a little hysteresis or the high noise margin. The detector consists of the combinations of the multi-valued gates (MVGs) and a positive reaction device (PRD), and each circuit can be realized by the conventional elements. This paper shows their practical circuits, and describes the regions and the conditions for their operation.

Types of Meaningfulness of Life and Values of Future Teachers

Science.gov (United States)

Salikhova, Nailia R.

2016-01-01

The leading role of meaning of life in regulation of human's activity of all types provides the relevance of the research. The goal of the paper is to identify and describe types of meaningfulness of life in future teachers, and to reveal the specificity of values hierarchy indicative of each type. The leading approach applied in the research was…

Vragov’s boundary value problem for an implicit equation of mixed type

Science.gov (United States)

Egorov, I. E.

2017-10-01

We study a Vragov boundary value problem for a third-order implicit equation of mixed type with an arbitrary manifold of type switch. These Sobolev-type equations arise in many important applied problems. Given certain constraints on the coefficients and the right-hand side of the equation, we demonstrate, using nonstationary Galerkin method and regularization method, the unique regular solvability of the boundary value problem. We also obtain an error estimate for approximate solutions of the boundary value problem in terms of the regularization parameter and the eigenvalues of the Dirichlet spectral problem for the Laplace operator.

Records in Athletics through Extreme-Value Theory

NARCIS (Netherlands)

Einmahl, J.H.J.; Magnus, J.R.

2006-01-01

In this paper we shall be interested in two questions on extremes relating to world records in athletics.The first question is: what is the ultimate world record in a specific athletics event (such as the 100m for men or the high jump for women), given today's state of the art?Our second question

Soft sets combined with interval valued intuitionistic fuzzy sets of type-2 and rough sets

Directory of Open Access Journals (Sweden)

Anjan Mukherjee

2015-03-01

Full Text Available Fuzzy set theory, rough set theory and soft set theory are all mathematical tools dealing with uncertainties. The concept of type-2 fuzzy sets was introduced by Zadeh in 1975 which was extended to interval valued intuitionistic fuzzy sets of type-2 by the authors.This paper is devoted to the discussions of the combinations of interval valued intuitionistic sets of type-2, soft sets and rough sets.Three different types of new hybrid models, namely-interval valued intuitionistic fuzzy soft sets of type-2, soft rough interval valued intuitionistic fuzzy sets of type-2 and soft interval valued intuitionistic fuzzy rough sets of type-2 are proposed and their properties are derived.

Resistant Hypertension, Time-Updated Blood Pressure Values and Renal Outcome in Type 2 Diabetes Mellitus.

Science.gov (United States)

Viazzi, Francesca; Piscitelli, Pamela; Ceriello, Antonio; Fioretto, Paola; Giorda, Carlo; Guida, Pietro; Russo, Giuseppina; De Cosmo, Salvatore; Pontremoli, Roberto

2017-09-22

Apparent treatment resistant hypertension (aTRH) is highly prevalent in patients with type 2 diabetes mellitus (T2D) and entails worse cardiovascular prognosis. The impact of aTRH and long-term achievement of recommended blood pressure (BP) values on renal outcome remains largely unknown. We assessed the role of aTRH and BP on the development of chronic kidney disease in patients with T2D and hypertension in real-life clinical practice. Clinical records from a total of 29 923 patients with T2D and hypertension, with normal baseline estimated glomerular filtration rate and regular visits during a 4-year follow-up, were retrieved and analyzed. The association between time-updated BP control (ie, 75% of visits with BP hypertension. BP control is not associated with a more-favorable renal outcome in aTRH. The relationship between time-updated BP and renal function seems to be J-shaped, with optimal systolic BP values between 120 and 140 mm Hg. © 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

15 CFR 30.25 - Values for certain types of transactions.

Science.gov (United States)

2010-01-01

... the EEI will be “fair market value,” plus charges when applicable, at which the property was... drayage. The estimated “fair market value” may be zero, or it may be a percentage of the original or... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Values for certain types of...

Cloud Type Classification (cldtype) Value-Added Product

Energy Technology Data Exchange (ETDEWEB)

Flynn, Donna [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Shi, Yan [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Lim, K-S [Korean Atomic Energy Research Inst., Daejeon (South Korea); Riihimaki, Laura [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

2017-08-15

The Cloud Type (cldtype) value-added product (VAP) provides an automated cloud type classification based on macrophysical quantities derived from vertically pointing lidar and radar. Up to 10 layers of clouds are classified into seven cloud types based on predetermined and site-specific thresholds of cloud top, base and thickness. Examples of thresholds for selected U.S. Department of Energy (DOE) Atmospheric Radiation Measurement (ARM) Climate Research Facility sites are provided in Tables 1 and 2. Inputs for the cldtype VAP include lidar and radar cloud boundaries obtained from the Active Remotely Sensed Cloud Location (ARSCL) and Surface Meteorological Systems (MET) data. Rain rates from MET are used to determine when radar signal attenuation precludes accurate cloud detection. Temporal resolution and vertical resolution for cldtype are 1 minute and 30 m respectively and match the resolution of ARSCL. The cldtype classification is an initial step for further categorization of clouds. It was developed for use by the Shallow Cumulus VAP to identify potential periods of interest to the LASSO model and is intended to find clouds of interest for a variety of users.

Consumers in Slovenia: values, personality types and consumerist attitudes

Directory of Open Access Journals (Sweden)

Tomaž Kolar

2010-11-01

Full Text Available The aim of our paper is to investigate the links between terminal and instrumental values, personality types, consumer attitudes and behavior that are relevant to marketing decision-making. The understanding of the personality and values of individual consumers should enable us to predict their preferences and behavior. Our set of consumer attitudes and behavior includes reported peer influence on shopping behavior, consumer ethnocentrism, value shopping and hedonism in shopping. Two multidimensional statistical approaches are considered: a cluster analysis of the individual’s personality and values and a factor analysis of consumer attitudes and behavior. An analysis of data from a representative sample of 1,094 Slovenian consumers (PGM, Valicon, 2007 reveals five clusters: conscientious-non-agreeable consumers differ in their consumer attitudes from extroversive consumers, neurotic-with-low-values, open-with-high-values and agreeable-conscious-non-open consumers. Implications for marketing decision-making and strategy development are considered, together with a possible extension of the study to multiple national groups of consumers from Central and Eastern Europe (CEE.

Double-layered NiO photocathodes for p-type DSSCs with record IPCE

Energy Technology Data Exchange (ETDEWEB)

Li, Lin; Qin, Peng; Gorlov, Mikhail [Center of Molecular Devices School of Chemical Science and Engineering, Royal Institute of Technology (KTH), Stockholm (Sweden); Gibson, Elizabeth A.; Boschloo, Gerrit [Department of Physical and Analytical Chemistry, Uppsala University (Sweden); Hagfeldt, Anders [Center of Molecular Devices School of Chemical Science and Engineering, Royal Institute of Technology (KTH), Stockholm (Sweden); Department of Physical and Analytical Chemistry, Uppsala University (Sweden); DUT-KTH Joint Education and Research Center of Molecular Devices, State Key Laboratory of Fine Chemicals, Dalian University of Technology (DUT), Dalian (China); Sun, Licheng [Center of Molecular Devices School of Chemical Science and Engineering, Royal Institute of Technology (KTH), Stockholm (Sweden); DUT-KTH Joint Education and Research Center of Molecular Devices, State Key Laboratory of Fine Chemicals, Dalian University of Technology (DUT), Dalian (China)

2010-04-18

A way to achieve a high-efficiency dye-sensitized solar cell is to combine an n-type TiO{sub 2}-based photoanode with a p-type photocathode in a tandem configuration. The development of an efficient photocathode is, at present, the key target. We have optimized the NiO, I{sub 3}{sup -}/I{sup -} p-DSSC system to obtain record photocurrent, giving 64% incident photon-to-current conversion efficiency (IPCE) and 5.48 mAcm{sup -2} J{sub SC}. (Abstract Copyright [2010], Wiley Periodicals, Inc.)

An Owen-type value for games with two-level communication structures

NARCIS (Netherlands)

van den Brink, René; Khmelnitskaya, Anna Borisovna; van der Laan, Gerard

We introduce an Owen-type value for games with two-level communication structure, which is a structure where the players are partitioned into a coalition structure such that there exists restricted communication between as well as within the a priori unions of the coalition structure. Both types of

Unreliable patient identification warrants ABO typing at admission to check existing records before transfusion.

Science.gov (United States)

Ferrera-Tourenc, V; Lassale, B; Chiaroni, J; Dettori, I

2015-06-01

This study describes patient identification errors leading to transfusional near-misses in blood issued by the Alps Mediterranean French Blood Establishment (EFSAM) to Marseille Public Hospitals (APHM) over an 18-month period. The EFSAM consolidates 14 blood banks in southeast France. It supplies 149 hospitals and maintains a centralized database on ABO types used at all area hospitals. As an added precaution against incompatible transfusion, the APHM requires ABO testing at each admission regardless of whether the patient has an ABO record. The study goal was to determine if admission testing was warranted. Discrepancies between ABO type determined by admission testing and records in the centralized database were investigated. The root cause for each discrepancy was classified as specimen collection or patient admission error. Causes of patient admission events were further subclassified as namesake (name similarity) or impersonation (identity fraud). The incidence of ABO discrepancies was 1:2334 including a 1:3329 incidence of patient admission events. Impersonation was the main cause of identity events accounting for 90.3% of cases. The APHM's ABO control policy prevented 19 incompatible transfusions. In relation to the 48,593 packed red cell units transfused, this would have corresponded to a risk of 1:2526. Collecting and storing ABO typing results in a centralized database is an essential public health tool. It allows crosschecking of current test results with past records and avoids redundant testing. However, as patient identification remains unreliable, ABO typing at each admission is still warranted to prevent transfusion errors. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Prognostic Value of Bismuth Typing and Modified T-stage in Hilar Cholangiocarcinoma

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Shengen Yi

2015-01-01

Conclusion: The majority of our patients with HCC were characterized as Subtype IV in Bismuth typing and Stage T3 in modified T-stage. Both Bismuth typing and modified T-stage showed prognostic value in HCC. Compared with Bismuth typing, modified T-stage is a better indicator of the resectability of HCC.

From Explicit to Symbolic Types for Communication Protocols in CCS

DEFF Research Database (Denmark)

Nielson, Hanne Riis; Nielson, Flemming; Kreiker, Jörg

2012-01-01

We study communication protocols having several rounds and expressed in value passing CCS. We develop a type-based analysis for providing an explicit record of all communications and show the usual subject reduction result. Since the explicit records can be infinitely large, we also develop a type...

Food and value motivation: Linking consumer affinities to different types of food products.

Science.gov (United States)

de Boer, Joop; Schösler, Hanna

2016-08-01

This study uses the consumer affinity concept to examine the multiple motives that may shape consumers' relationships with food. The concept was applied in a study on four broad product types in the Netherlands, which cover a wide range of the market and may each appeal to consumers with different affinities towards foods. These product types may be denoted as 'conventional', 'efficient', 'gourmet' and 'pure'. A comparative analysis, based on Higgins' Regulatory Focus Theory, was performed to examine whether food-related value motivations could explain different consumer affinities for these product types. The affinities of consumers were measured by means of a non-verbal, visual presentation of four samples of food products in a nationwide survey (n = 742) among consumers who were all involved in food purchasing and/or cooking. The affinities found could be predicted fairly well from a number of self-descriptions relating to food and eating, which expressed different combinations of type of value motivation and involvement with food. The analysis demonstrated the contrasting role of high and low involvement as well as the potential complementarity of promotion- and prevention-focused value motivation. It is suggested that knowledge of the relationships between product types, consumer affinities and value motivation can help improve the effectiveness of interventions that seek to promote healthy and sustainable diets in developed countries. Copyright © 2016 Elsevier Ltd. All rights reserved.

Estimation of the location parameter of distributions with known coefficient of variation by record values

Directory of Open Access Journals (Sweden)

N. K. Sajeevkumar

2014-09-01

Full Text Available In this article, we derived the Best Linear Unbiased Estimator (BLUE of the location parameter of certain distributions with known coefficient of variation by record values. Efficiency comparisons are also made on the proposed estimator with some of the usual estimators. Finally we give a real life data to explain the utility of results developed in this article.

δD values of hydrated volcanic glass : a potential record of ancient meteoric water and climate in New Zealand

International Nuclear Information System (INIS)

Shane, P.; Ingraham, N.

2002-01-01

Tephra beds that are well drained and have been buried by thin paleosols become hydrated within 2-3000 yr on reaction with meteoric waters. Hence, the absorbed water within silicic volcanic glass shards provides a potential record of δD values of ancient meteoric water. Such isotopic records have previously received little investigation. We demonstrate that 1.5-2 m thick tephra beds in central North Island, New Zealand, display uniform δD values vertically through their profiles and laterally up to 250 m in outcrop. Reproducibility is not influenced by grain size or age of the tephra. We obtained an average δD value of -48 ± 3 permille for water within the 1.8 ka Taupo Tephra. This is similar to the composition of present-day surface waters. δD values of -73 ± 2 and -60 ± 2 permille for the 25 ka Kawakawa and 30 ka Mangaone Tephra beds are significantly lower than present waters, indicating that they have been hydrated under different surficial conditions. This is consistent with other proxy paleoclimatic indicators that suggest a cooler, drier, and windier climate at the time of their eruption. Tephra beds are a potential source of paleoclimatic data in terrestrial environments that otherwise may lack proxy records. (author). 17 refs., 5 figs., 3 tabs

Does Wearable Medical Technology With Video Recording Capability Add Value to On-Call Surgical Evaluations?

Science.gov (United States)

Gupta, Sameer; Boehme, Jacqueline; Manser, Kelly; Dewar, Jannine; Miller, Amie; Siddiqui, Gina; Schwaitzberg, Steven D

2016-10-01

Background Google Glass has been used in a variety of medical settings with promising results. We explored the use and potential value of an asynchronous, near-real time protocol-which avoids transmission issues associated with real-time applications-for recording, uploading, and viewing of high-definition (HD) visual media in the emergency department (ED) to facilitate remote surgical consults. Study Design First-responder physician assistants captured pertinent aspects of the physical examination and diagnostic imaging using Google Glass' HD video or high-resolution photographs. This visual media were then securely uploaded to the study website. The surgical consultation then proceeded over the phone in the usual fashion and a clinical decision was made. The surgeon then accessed the study website to review the uploaded video. This was followed by a questionnaire regarding how the additional data impacted the consultation. Results The management plan changed in 24% (11) of cases after surgeons viewed the video. Five of these plans involved decision making regarding operative intervention. Although surgeons were generally confident in their initial management plan, confidence scores increased further in 44% (20) of cases. In addition, we surveyed 276 ED patients on their opinions regarding concerning the practice of health care providers wearing and using recording devices in the ED. The survey results revealed that the majority of patients are amenable to the addition of wearable technology with video functionality to their care. Conclusions This study demonstrates the potential value of a medically dedicated, hands-free, HD recording device with internet connectivity in facilitating remote surgical consultation. © The Author(s) 2016.

Birth Order Effects on Holland Type, Occupational Interests, and Values.

Science.gov (United States)

Hartung, Paul J.; Leong, Frederick T. L.; Grotti, Shannon D.; Goh, David; Gaylor, Michael

This investigation examined in two different samples, whether only children differ significantly from firstborn and later-born children in terms of their vocational personality type as described in Holland's RIASEC model, occupational interests, and work values. Literature on family configuration and vocational behavior is reviewed, and current…

In situ leaching process for recording uranium values

International Nuclear Information System (INIS)

McKnight, W.M.; Timmins, T.H.; Sherry, H.S.

1977-01-01

A method of recovering uranium values from a subterranean deposit comprising: injecting an alkaline carbonate lixiviant into said deposit; flowing said alkaline carbonate lixiviant through said deposit to dissolve said uranium values into said lixiviant; producing said lixiviant and said dissolved uranium values from said deposit; flowing said lixiviant and said dissolved uranium values through an adsorption material to adsorp said uranium values from said lixiviant; eluting said adsorption material with an eluant of ammonium carbonate to desorb said uranium values from said adsorption material into said eluate in a concentration greater than in said lixiviant; heating said eluate and said desorbed uranium values to vaporize off ammonia and carbon dioxide therefrom, thereby causing uranium values to crystallize from the eluate; and recovering said solid uranium values

The net value of health care for patients with type 2 diabetes, 1997 to 2005.

Science.gov (United States)

Eggleston, Karen N; Shah, Nilay D; Smith, Steven A; Wagie, Amy E; Williams, Arthur R; Grossman, Jerome H; Berndt, Ernst R; Long, Kirsten Hall; Banerjee, Ritesh; Newhouse, Joseph P

2009-09-15

The net economic value of increased health care spending remains unclear, especially for chronic diseases. To assess the net value of health care for patients with type 2 diabetes. Economic analysis of observational cohort data. Mayo Clinic, Rochester, Minnesota, a not-for-profit integrated health care delivery system. 613 patients with type 2 diabetes. Changes in inflation-adjusted annual health care spending and in health status between 1997 and 2005 (with health status defined as 10-year cardiovascular risk), holding age and diabetes duration constant across the observation period ("modifiable risk"), and simulated outcomes for all diabetes complications based on the UKPDS (United Kingdom Perspective Diabetes Study) Outcomes Model. Net value was estimated as the present discounted monetary value of improved survival and avoided treatment spending for coronary heart disease minus the increase in annual spending per patient. Assuming that 1 life-year is worth $200,000 and accounting for changes in modifiable cardiovascular risk, the net value of changes in health care for patients with type 2 diabetes was $10,911 per patient (95% CI, -$8480 to $33,402) between 1997 and 2005, a positive dollar value that suggests the value of health care has improved despite increased spending. A second approach based on diabetes complications yielded a net value of $6931 per patient (CI, -$186,901 to $211,980). The patient population was homogeneous and small, and the wide CIs of the estimates are compatible with a decrease as well as an increase in value. The economic value of improvements in health status for patients with type 2 diabetes seems to exceed or equal increases in health care spending, suggesting that those increases were worth the extra cost. However, the possibility that society is getting less value for its money could not be statistically excluded, and there is opportunity to improve the value of diabetes-related health care. None.

ENSO-Type Signals Recorded in the Late Cretaceous Laminated Sediments of Songliao Basin, Northeast China

Science.gov (United States)

Yu, E.; Wang, C.; Hinnov, L. A.; Wu, H.

2014-12-01

The quasi-periodic, ca. 2-7 year El Niño Southern Oscillation (ENSO) phenomenon globally influences the inter-annual variability of temperature and precipitation. Global warming may increase the frequency of extreme ENSO events. Although the Cretaceous plate tectonic configuration was different from today, the sedimentary record suggests that ENSO-type oscillations had existed at the time of Cretaceous greenhouse conditions. Cored Cretaceous lacustrine sediments from the Songliao Basin in Northeast China (SK-1 cores from the International Continental Drilling Program) potentially offer a partially varved record of Cretaceous paleoclimate. Fourteen polished thin sections from the depth interval 1096.12-1096.53 m with an age of 84.4 Ma were analyzed by optical and scanning electron microscopy (SEM). ImageJ software was applied to extract gray scale curves from optical images at pixel resolution. We tracked minimum values of the gray scale curves to estimate the thickness of each lamina. Five sedimentary structures were recognized: flaser bedding, wavy bedding, lenticular bedding, horizontal bedding, and massive layers. The mean layer thicknesses with different sedimentary structures range from 116 to 162mm, very close to the mean sedimentation rate estimated for this sampled interval, 135mm/year, indicating that the layers bounded by pure clay lamina with the minimum gray values are varves. SEM images indicate that a varve is composed, in succession, of one lamina rich in coarse silt, one lamina rich in fine silt, one clay-rich lamina with some silt, and one clay-rich lamina. This suggests that a Cretaceous year featured four distinct depositional seasons, two of which were rainy and the others were lacking precipitation. Spectral analysis of extended intervals of the tuned gray scale curve indicates the presence of inter-annual periodicities of 2.2-2.7 yr, 3.5-6.1 year, and 10.1-14.5 year consistent with those of modern ENSO cycles and solar cycles, as well as

Investigating the types of value and cost of green brands

DEFF Research Database (Denmark)

Papista, Erifili; Krystallis Krontalis, Athanasios

2013-01-01

development with green brands. The CV framework adopted here may provide practitioners with knowledge on the value and sacrifice factors, as well as the dimensions of RQ that are the most important in targeting green consumers and designing relationship marketing strategies. The article also fulfils......This conceptual article applies the customer value (CV) concept in the context of green marketing aiming to provide insights on the factors that motivate and/ or hinder the development of consumer–green brand relationships. The article draws upon existing literature on the streams of CV......, relationship marketing and environmental behaviour and synthesises relevant findings to propose an integrated conceptual framework entailing all identified types of value and cost, psychographic characteristics, as well as dimensions of relationship quality (RQ) and loyalty. Furthermore, it addresses existing...

A Robust Statistical Model to Predict the Future Value of the Milk Production of Dairy Cows Using Herd Recording Data

DEFF Research Database (Denmark)

Græsbøll, Kaare; Kirkeby, Carsten Thure; Nielsen, Søren Saxmose

2017-01-01

of the future value of a dairy cow requires further detailed knowledge of the costs associated with feed, management practices, production systems, and disease. Here, we present a method to predict the future value of the milk production of a dairy cow based on herd recording data only. The method consists......The future value of an individual dairy cow depends greatly on its projected milk yield. In developed countries with developed dairy industry infrastructures, facilities exist to record individual cow production and reproduction outcomes consistently and accurately. Accurate prediction...... of somatic cell count. We conclude that estimates of future average production can be used on a day-to-day basis to rank cows for culling, or can be implemented in simulation models of within-herd disease spread to make operational decisions, such as culling versus treatment. An advantage of the approach...

A comparative evaluation of dimensional stability of three types of interocclusal recording materials-an in-vitro multi-centre study

Directory of Open Access Journals (Sweden)

Tejo Sampath

2012-10-01

Full Text Available Abstract Background The introduction of different interocclusal recording materials has put clinicians in dilemma that which material should be used in routine clinical practice for precise recording and transferring of accurate existing occlusal records for articulation of patient’s diagnostic or working casts in the fabrication of good satisfactory prosthesis. In the era of developing world of dentistry the different materials are introduced for interocclusal record with different brand names because of this; the utility of the material is confusing for successful delivery of prosthesis with lack of in vitro or in vivo studies which will predict the property of the material with utility recommendations. Purpose of the study The aim of this multicenter research is to evaluate the time dependent linear dimensional stability of three types of interocclusal recording materials; which gives very clear idea to clinicians in regard to its usage in routine practice and recommendations for usage of the different materials. Also to find out ideal time for articulation of three types of interocclusal recording materials with accuracy. Materials and method Commercially available and ADA approved Polyether bite registration paste (Ramitec, Poly vinyl siloxane bite registration paste (Jetbite and Zinc oxide eugenol (ZOE bite registration paste (Super bite were used in the study. A stainless steel die was made according to modified American dental Associations (ADA specification no. 19. Each one of the tested materials were manipulated according to manufacturers’ instructions. The materials separated from die, 3-mins after their respective setting time, resulted in disks of standard diameter. Two parallel lines and three perpendicular lines reproduced on the surface. The distance between two parallel lines was measured at different time intervals i.e. 1 hour, 24, 48 and 72 hours by using travelling microscope (magnus and compared with standard die

Actualizing Unique Type and Token Values as a Solution to the Problem of Evil

Directory of Open Access Journals (Sweden)

Atle Ottesen Søvik

2017-12-01

Full Text Available Concerning the problem of evil, I suggest that God's goodness and omnipotence causes God to want to actualize many different values and things, not solely angels in heaven, but also type unique values like independence, self-formation, creativity, and surprise, and token unique goods like animals and human beings. Such a universe as ours, though, requires undisturbed indeterministic self-formation as actualized by a good God to give those token unique beings access to those type unique values and allow them the opportunity to live forever with God after completion of this self-formation.

Heating value characteristics of sewage sludge: a comparative study of different sludge types

International Nuclear Information System (INIS)

Kim, Young-JU.; Kang, Hae-Ok.; Qureshi, T.I.

2005-01-01

Heating value characteristics of three different types of sludge, i.e. domestic sewage sludge, industrial sludge, and industrial + domestic sewage sludge were investigated. Industrial + domestic sewage sludge (thickened) showed the highest heating value (5040 kcal/kg) than other sludge types. This may be due to increased amount of organic matter presents in thickened sludge than de-watered sludge. A gradual increase in organic matter of the sludge was observed with the increase of the moisture contents. Heating value of the sludge having 60% moisture contents was found in the range between 924-1656 kcal/kg and this amount was higher than the minimum heating value (800 kcal/kg) required sustaining auto thermal combustion in sludge incineration process. Energy consumption requirement for pre drying sludge operations revealed that industrial sludge (de-watered) required the minimum cost (13 $/ton of sludge) to make it a sludge of fuel grade (60% W), while mixed sludge cost the highest amount for its pre-drying operations. (author)

The Prognostic and Predictive Value of Soluble Type IV Collagen in Colorectal Cancer

DEFF Research Database (Denmark)

Rolff, Hans Christian; Christensen, Ib Jarle; Vainer, Ben

2016-01-01

PURPOSE: To investigate the prognostic and predictive biomarker value of type IV collagen in colorectal cancer. EXPERIMENTAL DESIGN: Retrospective evaluation of two independent cohorts of patients with colorectal cancer included prospectively in 2004-2005 (training set) and 2006-2008 (validation....... RESULTS: High levels of type IV collagen showed independent prognostic significance in both cohorts with hazard ratios (HRs; for a one-unit change on the log base 2 scale) of 2.25 [95% confidence intervals (CIs), 1.78-2.84; P ... and validation set, respectively. The prognostic impact was present both in patients with metastatic and nonmetastatic disease. The predictive value of the marker was investigated in stage II and III patients. In the training set, type IV collagen was prognostic both in the subsets of patients receiving...

A Ten-Value-Type Framework Associated With Spectator Sports

Directory of Open Access Journals (Sweden)

Li-Shiue Gau

2013-04-01

Full Text Available Prior value studies in sport settings have been focused on participation rather than spectatorship. This study is an initial step in examining the values associated with spectator sports. Interviews and focus groups were utilized in this qualitative study within four progressive phases for triangulation, transferability, and constant comparative assessment. A total of 54 individuals participated in the study. Because values were subjectively perceived at the highest level of abstraction reflecting desirable preference experiences, the interviews were designed to include seven categories of questions: Three categories dealt with observed behaviors and implied metaphors, and four categories including questions comparing spectator sports and sport participation, religion, other leisure activities, and substitutes. Grounded data techniques guided the coding procedure. Using the transcriptions and notes from 26 interviews and three focus groups, five coders were used to provide evidence of interrater reliability. Based on the results of the data analyses, a 10-value-type framework was developed in relation to spectator sports: (a Enjoyment (pleasure and satisfaction, (b Sociability (social interaction through sport spectating, (c Identity (enhancing self-esteem, (d Status (pursuing social recognition, (e Moral, (f Spirituality (inner peace, strength, meaning, and purpose in life, (g Epistemic, (h Aesthetics, (i Ritual (sports spectating becomes a series of formal and serious acts followed regularly and invariably as end-experience, and (j no or negative values. Different from Kahle’s (1983, Maslow’s (1970a, and Schwartz’ (1992 value theories, the framework was specifically associated with spectator sports and is expected to better predict spectator sport behavior than does a scale measuring motivations of sports fans.

Medical records confidentiality and public health research: two values at stake? An italian survey focus on individual preferences

Directory of Open Access Journals (Sweden)

Virgilia Toccaceli

2015-02-01

Full Text Available In a time when Europe is preparing to introduce new regulations on privacy protection, we conducted a survey among 1700 twins enrolled in the Italian Twin Register about the access and use of their medical records for public health research without explicit informed consent. A great majority of respondents would refuse or are doubtful about the access and use of hospital discharge records or clinical data without their explicit consent. Young and female individuals represent the modal profile of these careful people. As information retrieved from medical records is crucial for progressing knowledge, it is important to promote a better understanding of the value of public health research activities among the general population. Furthermore, public opinions are relevant to policy making, and concerns and preferences about privacy and confidentiality in research can contribute to the design of procedures to exploit medical records effectively and customize the protection of individuals’ medical data.

A Jacobi-Davidson type method for the generalized singular value problem

NARCIS (Netherlands)

Hochstenbach, M.E.

2009-01-01

We discuss a new method for the iterative computation of some of the generalized singular values and vectors of a large sparse matrix. Our starting point is the augmented matrix formulation of the GSVD. The subspace expansion is performed by (approximately) solving a Jacobi–Davidson type correction

A comparative evaluation of dimensional stability of three types of interocclusal recording materials-an in-vitro multi-centre study.

Science.gov (United States)

Tejo, Sampath Kumar; Kumar, Anil G; Kattimani, Vivekanand S; Desai, Priti D; Nalla, Sandeep; Chaitanya K, Krishna

2012-10-05

The introduction of different interocclusal recording materials has put clinicians in dilemma that which material should be used in routine clinical practice for precise recording and transferring of accurate existing occlusal records for articulation of patient's diagnostic or working casts in the fabrication of good satisfactory prosthesis. In the era of developing world of dentistry the different materials are introduced for interocclusal record with different brand names because of this; the utility of the material is confusing for successful delivery of prosthesis with lack of in vitro or in vivo studies which will predict the property of the material with utility recommendations. The aim of this multicenter research is to evaluate the time dependent linear dimensional stability of three types of interocclusal recording materials; which gives very clear idea to clinicians in regard to its usage in routine practice and recommendations for usage of the different materials. Also to find out ideal time for articulation of three types of interocclusal recording materials with accuracy. Commercially available and ADA approved Polyether bite registration paste (Ramitec), Poly vinyl siloxane bite registration paste (Jetbite) and Zinc oxide eugenol (ZOE) bite registration paste (Super bite) were used in the study.A stainless steel die was made according to modified American dental Associations (ADA) specification no. 19. Each one of the tested materials were manipulated according to manufacturers' instructions. The materials separated from die, 3-mins after their respective setting time, resulted in disks of standard diameter. Two parallel lines and three perpendicular lines reproduced on the surface. The distance between two parallel lines was measured at different time intervals i.e. 1 hour, 24, 48 and 72 hours by using travelling microscope (magnus) and compared with standard die measurements made according to ADA specification no.19 to find out the dimensional

Improving the reliability of female fertility breeding values using type and milk yield traits that predict energy status in Australian Holstein cattle.

Science.gov (United States)

González-Recio, O; Haile-Mariam, M; Pryce, J E

2016-01-01

fertility breeding value reliability (i.e., increased by 30%; up to 0.72 points of reliability), whereas a lower increase in reliability (4 points, i.e., increased by 10%) was obtained by including angularity, foot angle, and pin set in the index. In situations when a limited number of daughters have been phenotyped for CR42, including type data for sires increased reliabilities compared with when type data were omitted. However, sires with more than 80 daughters with CR42 records achieved reliability estimates close to 80% on average, and there did not appear to be a benefit from having daughters with type records. The cost of phenotyping to obtain such reliabilities (assuming a cost of AU$14 per cow with type data and AU$5 per cow with pregnancy diagnosed) is lower if more pregnancy data are collected in preference to type data. That is, efforts to increase the reliability of fertility EBV are most cost effective when directed at obtaining a larger number of pregnancy tests. Copyright © 2016 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Death by streaming or vinyl revival? Exploring the spatial dynamics and value-creating strategies of independent record shops in Stockholm

OpenAIRE

Hracs, Brian; Jansson, Johan

2017-01-01

The contemporary retail landscape is in flux and there is a growing perception that shopping at bricks and mortar stores is more expensive and time-consuming than shopping online. For music, illegal downloading and streaming have restructured the retail landscape and put thousands of record shops out of business. Yet, some retailers remain attractive consumption spaces. Drawing on a qualitative case study of independent record shops in Stockholm, this paper considers three value-creating stra...

Assessing explicit error reporting in the narrative electronic medical record using keyword searching.

Science.gov (United States)

Cao, Hui; Stetson, Peter; Hripcsak, George

2003-01-01

Many types of medical errors occur in and outside of hospitals, some of which have very serious consequences and increase cost. Identifying errors is a critical step for managing and preventing them. In this study, we assessed the explicit reporting of medical errors in the electronic record. We used five search terms "mistake," "error," "incorrect," "inadvertent," and "iatrogenic" to survey several sets of narrative reports including discharge summaries, sign-out notes, and outpatient notes from 1991 to 2000. We manually reviewed all the positive cases and identified them based on the reporting of physicians. We identified 222 explicitly reported medical errors. The positive predictive value varied with different keywords. In general, the positive predictive value for each keyword was low, ranging from 3.4 to 24.4%. Therapeutic-related errors were the most common reported errors and these reported therapeutic-related errors were mainly medication errors. Keyword searches combined with manual review indicated some medical errors that were reported in medical records. It had a low sensitivity and a moderate positive predictive value, which varied by search term. Physicians were most likely to record errors in the Hospital Course and History of Present Illness sections of discharge summaries. The reported errors in medical records covered a broad range and were related to several types of care providers as well as non-health care professionals.

An efficient approach for surveillance of childhood diabetes by type derived from electronic health record data: the SEARCH for Diabetes in Youth Study

Science.gov (United States)

Zhong, Victor W; Obeid, Jihad S; Craig, Jean B; Pfaff, Emily R; Thomas, Joan; Jaacks, Lindsay M; Beavers, Daniel P; Carey, Timothy S; Lawrence, Jean M; Dabelea, Dana; Hamman, Richard F; Bowlby, Deborah A; Pihoker, Catherine; Saydah, Sharon H

2016-01-01

Objective To develop an efficient surveillance approach for childhood diabetes by type across 2 large US health care systems, using phenotyping algorithms derived from electronic health record (EHR) data. Materials and Methods Presumptive diabetes cases diabetes-related billing codes, patient problem list, and outpatient anti-diabetic medications. EHRs of all the presumptive cases were manually reviewed, and true diabetes status and diabetes type were determined. Algorithms for identifying diabetes cases overall and classifying diabetes type were either prespecified or derived from classification and regression tree analysis. Surveillance approach was developed based on the best algorithms identified. Results We developed a stepwise surveillance approach using billing code–based prespecified algorithms and targeted manual EHR review, which efficiently and accurately ascertained and classified diabetes cases by type, in both health care systems. The sensitivity and positive predictive values in both systems were approximately ≥90% for ascertaining diabetes cases overall and classifying cases with type 1 or type 2 diabetes. About 80% of the cases with “other” type were also correctly classified. This stepwise surveillance approach resulted in a >70% reduction in the number of cases requiring manual validation compared to traditional surveillance methods. Conclusion EHR data may be used to establish an efficient approach for large-scale surveillance for childhood diabetes by type, although some manual effort is still needed. PMID:27107449

Identification during imposed change: the roles of personal values, type of change, and anxiety.

Science.gov (United States)

Sverdlik, Noga; Oreg, Shaul

2015-06-01

Using a person-situation perspective, we explain what happens to individuals' identification with a collective in the context of a change. We propose that given the anxiety that often emerges during change, individuals' personal values (conservation and openness to change) interact with type of change (imposed vs. voluntary) in predicting identification following change. In a pilot, longitudinal field study (N = 61, 67% female) of an imposed university campus relocation, we measured employees' values and identification with the university before and several months after the relocation. In two lab experiments (Study 1: N = 104, 91.3% female; Study 2: N = 113, 75.2% female), we manipulated a change to be either imposed or voluntary and compared the relationships between values and identification across types of change. In Study 2, we also measured anxiety from the change. When change was imposed (all three studies), but not when voluntary (Studies 1 and 2), individuals' conservation was positively, and openness negatively, related to individuals' post-change identification. The effects emerged only for individuals who experienced change-related anxiety (Study 2). Our findings demonstrate that individuals' identification with a changing collective depends on the amount of anxiety change elicits and on the particular combination of their values and type of change. © 2014 Wiley Periodicals, Inc.

Analytic approximations to nonlinear boundary value problems modeling beam-type nano-electromechanical systems

Energy Technology Data Exchange (ETDEWEB)

Zou, Li [Dalian Univ. of Technology, Dalian City (China). State Key Lab. of Structural Analysis for Industrial Equipment; Liang, Songxin; Li, Yawei [Dalian Univ. of Technology, Dalian City (China). School of Mathematical Sciences; Jeffrey, David J. [Univ. of Western Ontario, London (Canada). Dept. of Applied Mathematics

2017-06-01

Nonlinear boundary value problems arise frequently in physical and mechanical sciences. An effective analytic approach with two parameters is first proposed for solving nonlinear boundary value problems. It is demonstrated that solutions given by the two-parameter method are more accurate than solutions given by the Adomian decomposition method (ADM). It is further demonstrated that solutions given by the ADM can also be recovered from the solutions given by the two-parameter method. The effectiveness of this method is demonstrated by solving some nonlinear boundary value problems modeling beam-type nano-electromechanical systems.

Admission medical records made at night time have the same quality as day and evening time records.

Science.gov (United States)

Amirian, Ilda; Mortensen, Jacob F; Rosenberg, Jacob; Gögenur, Ismail

2014-07-01

A thorough and accurate admission medical record is an important tool in ensuring patient safety during the hospital stay. Surgeons' performance might be affected during night shifts due to sleep deprivation. The aim of the study was to assess the quality of admission medical records during day, evening and night time. A total of 1,000 admission medical records were collected from 2009 to 2013 based equally on four diagnoses: mechanical bowel obstruction, appendicitis, gallstone disease and gastrointestinal bleeding. The records were reviewed for errors by a pre-defined checklist based on Danish standards for admission medical records. The time of dictation for the medical record was registered. A total of 1,183 errors were found in 778 admission medical records made during day- and evening time, and 322 errors in 222 admission medical records from night time shifts. No significant overall difference in error was found in the admission medical records when day and evening values were compared to night values. Subgroup analyses made for all four diagnoses showed no difference in day and evening values compared with night time values. Night time deterioration was not seen in the quality of the medical records.

Adult lifetime reproductive value in fish depends on size and fecundity type

DEFF Research Database (Denmark)

Tsoukali, Stavroula; Olsson, Karin H.; Visser, André W.

2016-01-01

In a stable population, the adult lifetime reproductive value must be balanced against early life survival. Although delaying maturity may increase fecundity, it also reduces survival. Larger size at maturity therefore not only allows for higher fecundity, but requires it. Using simple arguments......, the expected proportionality falls off if mortality increases to include fishing. Furthermore, we find that the fecundity type (determinate or indeterminate) affects the predicted adult reproductive value, which is significantly (10-fold) higher for an indeterminate spawner than for a determinate spawner...

A Robust Statistical Model to Predict the Future Value of the Milk Production of Dairy Cows Using Herd Recording Data

DEFF Research Database (Denmark)

Græsbøll, Kaare; Kirkeby, Carsten Thure; Nielsen, Søren Saxmose

2017-01-01

The future value of an individual dairy cow depends greatly on its projected milk yield. In developed countries with developed dairy industry infrastructures, facilities exist to record individual cow production and reproduction outcomes consistently and accurately. Accurate prediction of the fut...

Revisiting enduring values

Directory of Open Access Journals (Sweden)

Michael Gorman

2015-05-01

Full Text Available The paper discusses the nature of values in general and the nature and utility of the values of librarianship.  Delineates the changes that have occurred and are occurring in the wider world and the nature of change; also the importance of values in providing a framework for dealing with present and future change.  Stresses the centrality of the human record to societal progress, the place of the human record in cultural heritage, and the central purpose of libraries in facilitating interaction with the human record and furthering the transmission of cultural heritage.  Urges a turning away from the alien value systems of information technology, consumerism, materialism, and corporate management, and a consequent set of alliances between libraries and a wide range of cultural institutions and associations.

Data mining of audiology patient records: factors influencing the choice of hearing aid type

Science.gov (United States)

2012-01-01

Background This paper describes the analysis of a database of over 180,000 patient records, collected from over 23,000 patients, by the hearing aid clinic at James Cook University Hospital in Middlesbrough, UK. These records consist of audiograms (graphs of the faintest sounds audible to the patient at six different pitches), categorical data (such as age, gender, diagnosis and hearing aid type) and brief free text notes made by the technicians. This data is mined to determine which factors contribute to the decision to fit a BTE (worn behind the ear) hearing aid as opposed to an ITE (worn in the ear) hearing aid. Methods From PCA (principal component analysis) four main audiogram types are determined, and are related to the type of hearing aid chosen. The effects of age, gender, diagnosis, masker, mould and individual audiogram frequencies are combined into a single model by means of logistic regression. Some significant keywords are also discovered in the free text fields by using the chi-squared (χ2) test, which can also be used in the model. The final model can act a decision support tool to help decide whether an individual patient should be offered a BTE or an ITE hearing aid. Results The final model was tested using 5-fold cross validation, and was able to replicate the decisions of audiologists whether to fit an ITE or a BTE hearing aid with precision in the range 0.79 to 0.87. Conclusions A decision support system was produced to predict the type of hearing aid which should be prescribed, with an explanation facility explaining how that decision was arrived at. This system should prove useful in providing a "second opinion" for audiologists. PMID:22595091

A comparative study of descriptions and value added of bibliographic records through MARC, DC and MODS: From the viewpoints of the users

Directory of Open Access Journals (Sweden)

Huei-Chu Chang

2014-04-01

Full Text Available The purpose of this study is to understand which bibliographic data are the core elements of the user’s queries? What users’ viewpoints about resource descriptions using different metadata standards? What kinds of value-added items are the users’ favorite when they conduct a bibliographic search? What are users’ viewpoints about bibliographic records integrated with the Digital Archival and Institutional Repository resources through metadata interoperability methods? This research adopted experiments, observation and interviews. The sample subjects are drawn from 14 students of The Graduate Institute of Library and Information Science and College of Agriculture and Natural Resources. First of all, the researcher displayed the bibliographic records using original MARC from the library. Secondly, users compared the images of OPAC from the library with the format of DC and MODS transformed through the MarcEdit software. Additionally, the researcher conducted interviews to understand users’ viewpoints about using three metadata schemas to describe the same book. Finally, the researcher asked the degree of users’ satisfaction about using bibliographic records alone and bibliographic records integrated with the Digital Archival and Institutional Repository resources. The findings suggest that libraries could provide more value-added and comprehensive services of bibliographic records and information retrieval, in order for all kinds of resources to be fully utilized, which helps to meet the users’ information needs.

Relationships between value orientations, self-determined motivational types and pro-environmental behavioural intentions

NARCIS (Netherlands)

de Groot, Judith M.; Steg, Linda

2010-01-01

We examined the predictive power of egoistic altruistic and biospheric value orientations and six types of self-determined motivations (i e intrinsic motivation integrated regulation identified regulation introjected regulation external regulation and amotivation) toward acting pro-environmentally

21 CFR 226.110 - Distribution records.

Science.gov (United States)

2010-04-01

...: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR TYPE A MEDICATED ARTICLES Records and Reports § 226.110 Distribution records. Complete records shall be maintained for each shipment of Type A medicated article(s) in... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Distribution records. 226.110 Section 226.110 Food...

Value Retention, Service Life, Use Intensity and Long-Term Productivity of Wood Chippers as Obtained from Contractor Records

Directory of Open Access Journals (Sweden)

Raffaele Spinelli

2017-12-01

Full Text Available Acknowledging the absence of up-to-date empirical data on the value retention, service life and annual use of chipping machinery, in 2017 the authors surveyed the records kept by 50 contractors offering biomass chipping services. The machine fleet and operations in this survey could be taken as representative for most of Europe, where the biomass sector is well established and is facing further expansion. Data collection included the whole chipping unit, comprised of chipper, carrier and loader. Manually-fed units were excluded from the survey. The data pointed at a service life up to and exceeding 10,000 h and 10 years, which relieved any concerns about poor durability. Value retention was good, and may exceed that of other mainstream forestry equipment. Engine power was the main explanatory variable in any models to predict purchase price and productivity. The effect of this variable could explain most of the variability (>80% in the purchase price and productivity data. Results also pointed at the essential equivalence in price and productivity between PTO-driven (i.e., tractor powered and independent-engine chippers, once differences in engine power are accounted for. However, the distribution of purchase price between different components of the chipping unit was different between the two unit types, with the chipper accounting for a larger proportion of the total investment in independent-engine units. Machine power was also different, with most PTO-driven units being significantly smaller than independent-engine units, due to the limitations of existing tractors. Furthermore, half of the carriers assigned to a PTO-driven unit were subject to flexible use, i.e., they were not solely used for chipping work.

NOAA JPSS Visible Infrared Imaging Radiometer Suite (VIIRS) Cloud Type and Phase Environmental Data Record (EDR) from NDE

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This dataset contains a high quality operational Environmental Data Record (EDR) of cloud type and phase from the Visible Infrared Imaging Radiometer Suite (VIIRS)...

A qualitative study of how patients with type 2 diabetes use an electronic stand-alone personal health record.

Science.gov (United States)

Fuji, Kevin T; Abbott, Amy A; Galt, Kimberly A

2015-04-01

Patient use of personal health records (PHRs) to manage their health information has been proposed to enhance patient knowledge and empower patients to make changes in their self-care behaviors. However, there remains a gap in understanding about patients' actual PHR use behaviors. The purpose of this qualitative study was to explore how patients with type 2 diabetes used a PHR to manage their diabetes-related health information for self-care. Fifty-nine patients with type 2 diabetes were interviewed 3-6 months after receiving initial training on a free-of-charge, Web-based PHR. Interviews were audio-recorded, transcribed, and analyzed using an iterative process of in vivo coding, categorization, and theme development. Nine themes emerged, three of which expressed positive experiences: complete and accessible record; increased awareness; and behavioral changes. The remaining six themes expressed negative experiences: out of sight, out of mind; I would have used it if I were sicker; economic, infrastructure, and computer literacy barriers; lack of patient-provider engagement; double tracking; and privacy and security concerns. Despite some potential positive benefits resulting from PHR use, several barriers inhibited sustained and effective use over time. Provider and patient education about the benefits of PHR use and about the potential for filling in information gaps in the provider-based record is key to engage patients and stimulate PHR adoption and use.

Identifying seizure onset zone from electrocorticographic recordings: A machine learning approach based on phase locking value.

Science.gov (United States)

Elahian, Bahareh; Yeasin, Mohammed; Mudigoudar, Basanagoud; Wheless, James W; Babajani-Feremi, Abbas

2017-10-01

Using a novel technique based on phase locking value (PLV), we investigated the potential for features extracted from electrocorticographic (ECoG) recordings to serve as biomarkers to identify the seizure onset zone (SOZ). We computed the PLV between the phase of the amplitude of high gamma activity (80-150Hz) and the phase of lower frequency rhythms (4-30Hz) from ECoG recordings obtained from 10 patients with epilepsy (21 seizures). We extracted five features from the PLV and used a machine learning approach based on logistic regression to build a model that classifies electrodes as SOZ or non-SOZ. More than 96% of electrodes identified as the SOZ by our algorithm were within the resected area in six seizure-free patients. In four non-seizure-free patients, more than 31% of the identified SOZ electrodes by our algorithm were outside the resected area. In addition, we observed that the seizure outcome in non-seizure-free patients correlated with the number of non-resected SOZ electrodes identified by our algorithm. This machine learning approach, based on features extracted from the PLV, effectively identified electrodes within the SOZ. The approach has the potential to assist clinicians in surgical decision-making when pre-surgical intracranial recordings are utilized. Copyright © 2017 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

[Joint diagnostic value of four temperature sensation tests in elderly patients with type 2 diabetic peripheral neuropathy].

Science.gov (United States)

Guo, Wei; Li, Yun-Ming; Ai, Zhi-Hua; You, Zhi-Qing; Wan, Yong; Cheng, Ying; Lang, Hong-Mei

2013-07-01

To explore the joint diagnostic value of four temperature sensation tests in elderly patients with type 2 diabetic peripheral neuropathy. Thermal sensory analyzer-II were applied to measure cool sensation (CS), warm sensation (WS), cold pain sensation (CP)and heat pain sensation (HP) of 308 elderly patients with type 2 diabetes. Logistic regression model was adopted to create the new variable Temp4 from four temperature sensation tests to diagnose type 2 diabetic peripheral neuropathy. The ROC curve analysis was used to determine the best cut-off points of the four temperature sensation and Temp4, and the diagnostic value of it was evaluated. The means of temperature sensation tests of the diabetic peripheral neuropathy (DPN) group were significantly different from those of the non-DPN group (P sensation tests to diagnose the DPN, the sensitivity of WS test was the highest, and the value was 0.710; but the specificity, positive predictive value, negative predictive value, Youden index, diagnostic accuracy and Kappa value of cold sensation test were the highest, and the values were 0.842, 0.746, 0.799, 0.528, 77.92% and 0.535, respectively; the Kappa values of the other three temperature sensation tests were all greater than 0.4 (P sensation tests (P sensation quantitative tests were in good agreementand could be applied to diagnose DPN; the new variable Temp4 could be used for diagnosis of DPN with a higher diagnostic accuracy.

Positive predictive value of automated database records for diabetic ketoacidosis (DKA in children and youth exposed to antipsychotic drugs or control medications: a tennessee medicaid study

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Bobo William V

2011-11-01

Full Text Available Abstract Background Diabetic ketoacidosis (DKA is a potentially life-threatening complication of treatment with some atypical antipsychotic drugs in children and youth. Because drug-associated DKA is rare, large automated health outcomes databases may be a valuable data source for conducting pharmacoepidemiologic studies of DKA associated with exposure to individual antipsychotic drugs. However, no validated computer case definition of DKA exists. We sought to assess the positive predictive value (PPV of a computer case definition to detect incident cases of DKA, using automated records of Tennessee Medicaid as the data source and medical record confirmation as a "gold standard." Methods The computer case definition of DKA was developed from a retrospective cohort study of antipsychotic-related type 2 diabetes mellitus (1996-2007 in Tennessee Medicaid enrollees, aged 6-24 years. Thirty potential cases with any DKA diagnosis (ICD-9 250.1, ICD-10 E1x.1 were identified from inpatient encounter claims. Medical records were reviewed to determine if they met the clinical definition of DKA. Results Of 30 potential cases, 27 (90% were successfully abstracted and adjudicated. Of these, 24 cases were confirmed by medical record review (PPV 88.9%, 95% CI 71.9 to 96.1%. Three non-confirmed cases presented acutely with severe hyperglycemia, but had no evidence of acidosis. Conclusions Diabetic ketoacidosis in children and youth can be identified in a computerized Medicaid database using our case definition, which could be useful for automated database studies in which drug-associated DKA is the outcome of interest.

Predicting absolute risk of type 2 diabetes using age and waist circumference values in an aboriginal Australian community.

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Odewumi Adegbija

Full Text Available To predict in an Australian Aboriginal community, the 10-year absolute risk of type 2 diabetes associated with waist circumference and age on baseline examination.A sample of 803 diabetes-free adults (82.3% of the age-eligible population from baseline data of participants collected from 1992 to 1998 were followed-up for up to 20 years till 2012. The Cox-proportional hazard model was used to estimate the effects of waist circumference and other risk factors, including age, smoking and alcohol consumption status, of males and females on prediction of type 2 diabetes, identified through subsequent hospitalisation data during the follow-up period. The Weibull regression model was used to calculate the absolute risk estimates of type 2 diabetes with waist circumference and age as predictors.Of 803 participants, 110 were recorded as having developed type 2 diabetes, in subsequent hospitalizations over a follow-up of 12633.4 person-years. Waist circumference was strongly associated with subsequent diagnosis of type 2 diabetes with P<0.0001 for both genders and remained statistically significant after adjusting for confounding factors. Hazard ratios of type 2 diabetes associated with 1 standard deviation increase in waist circumference were 1.7 (95%CI 1.3 to 2.2 for males and 2.1 (95%CI 1.7 to 2.6 for females. At 45 years of age with baseline waist circumference of 100 cm, a male had an absolute diabetic risk of 10.9%, while a female had a 14.3% risk of the disease.The constructed model predicts the 10-year absolute diabetes risk in an Aboriginal Australian community. It is simple and easily understood and will help identify individuals at risk of diabetes in relation to waist circumference values. Our findings on the relationship between waist circumference and diabetes on gender will be useful for clinical consultation, public health education and establishing WC cut-off points for Aboriginal Australians.

Review of utility values for economic modeling in type 2 diabetes.

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Beaudet, Amélie; Clegg, John; Thuresson, Per-Olof; Lloyd, Adam; McEwan, Phil

2014-06-01

Economic analysis in type 2 diabetes mellitus (T2DM) requires an assessment of the effect of a wide range of complications. The objective of this article was to identify a set of utility values consistent with the National Institute for Health and Care Excellence (NICE) reference case and to critically discuss and illustrate challenges in creating such a utility set. A systematic literature review was conducted to identify studies reporting utility values for relevant complications. The methodology of each study was assessed for consistency with the NICE reference case. A suggested set of utility values applicable to modeling was derived, giving preference to studies reporting multiple complications and correcting for comorbidity. The review considered 21 relevant diabetes complications. A total of 16,574 articles were identified; after screening, 61 articles were assessed for methodological quality. Nineteen articles met NICE criteria, reporting utility values for 20 of 21 relevant complications. For renal transplant, because no articles meeting NICE criteria were identified, two articles using other methodologies were included. Index value estimates for T2DM without complication ranged from 0.711 to 0.940. Utility decrement associated with complications ranged from 0.014 (minor hypoglycemia) to 0.28 (amputation). Limitations associated with the selection of a utility value for use in economic modeling included variability in patient recruitment, heterogeneity in statistical analysis, large variability around some point estimates, and lack of recent data. A reference set of utility values for T2DM and its complications in line with NICE requirements was identified. This research illustrates the challenges associated with systematically selecting utility data for economic evaluations. Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Non-Relative Value Unit-Generating Activities Represent One-Fifth of Academic Neuroradiologist Productivity.

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Wintermark, M; Zeineh, M; Zaharchuk, G; Srivastava, A; Fischbein, N

2016-07-01

A neuroradiologist's activity includes many tasks beyond interpreting relative value unit-generating imaging studies. Our aim was to test a simple method to record and quantify the non-relative value unit-generating clinical activity represented by consults and clinical conferences, including tumor boards. Four full-time neuroradiologists, working an average of 50% clinical and 50% academic activity, systematically recorded all the non-relative value unit-generating consults and conferences in which they were involved during 3 months by using a simple, Web-based, computer-based application accessible from smartphones, tablets, or computers. The number and type of imaging studies they interpreted during the same period and the associated relative value units were extracted from our billing system. During 3 months, the 4 neuroradiologists working an average of 50% clinical activity interpreted 4241 relative value unit-generating imaging studies, representing 8152 work relative value units. During the same period, they recorded 792 non-relative value unit-generating study reviews as part of consults and conferences (not including reading room consults), representing 19% of the interpreted relative value unit-generating imaging studies. We propose a simple Web-based smartphone app to record and quantify non-relative value unit-generating activities including consults, clinical conferences, and tumor boards. The quantification of non-relative value unit-generating activities is paramount in this time of a paradigm shift from volume to value. It also represents an important tool for determining staffing levels, which cannot be performed on the basis of relative value unit only, considering the importance of time spent by radiologists on non-relative value unit-generating activities. It may also influence payment models from medical centers to radiology departments or practices. © 2016 by American Journal of Neuroradiology.

Cancer recording in patients with and without type 2 diabetes in the Clinical Practice Research Datalink primary care data and linked hospital admission data: a cohort study.

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Williams, Rachael; van Staa, Tjeerd-Pieter; Gallagher, Arlene M; Hammad, Tarek; Leufkens, Hubert G M; de Vries, Frank

2018-05-26

Conflicting results from studies using electronic health records to evaluate the associations between type 2 diabetes and cancer fuel concerns regarding potential biases. This study aimed to describe completeness of cancer recording in UK primary care data linked to hospital admissions records. Patients aged 40+ years with insulin or oral antidiabetic prescriptions in Clinical Practice Research Datalink (CPRD) primary care without type 1 diabetes were matched by age, sex and general practitioner practice to non-diabetics. Those eligible for linkage to Hospital Episode Statistics Admitted Patient Care (HES APC), and with follow-up during April 1997-December 2006 were included. Cancer recording and date of first record of cancer were compared. Characteristics of patients with cancer most likely to have the diagnosis recorded only in a single data source were assessed. Relative rates of cancer estimated from the two datasets were compared. 53 585 patients with type 2 diabetes matched to 47 435 patients without diabetes were included. Of all cancers (excluding non-melanoma skin cancer) recorded in CPRD, 83% were recorded in HES APC. 94% of cases in HES APC were recorded in CPRD. Concordance was lower when restricted to same-site cancer records, and was negatively associated with increasing age. Relative rates for cancer were similar in both datasets. Good concordance in cancer recording was found between CPRD and HES APC among type 2 diabetics and matched controls. Linked data may reduce misclassification and increase case ascertainment when analysis focuses on site-specific cancers. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

The Value of Information in Library Catalogs.

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Matthews, Joe

2000-01-01

Considers the value of information contained within a library's online public access catalog. Assesses the value of MARC records; authority records; indexes; location and status information; and value for an individual. (LRW)

Prognostic value of liver fibrosis and steatosis biomarkers in type-2 diabetes and dyslipidaemia.

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Perazzo, H; Munteanu, M; Ngo, Y; Lebray, P; Seurat, N; Rutka, F; Couteau, M; Jacqueminet, S; Giral, P; Monneret, D; Imbert-Bismut, F; Ratziu, V; Hartemann-Huertier, A; Housset, C; Poynard, T

2014-11-01

In cardiometabolic disorders, non-alcoholic fatty liver disease is frequent and presumably associated with increased mortality and cardiovascular risk. To evaluate the prognostic value of non-invasive biomarkers of liver fibrosis (FibroTest) and steatosis (SteatoTest) in patients with type-2 diabetes and/or dyslipidaemia. A total of 2312 patients with type-2 diabetes and/or dyslipidaemia were included and prospectively followed up for 5-15 years. The cardiovascular Framingham-risk score was calculated; advanced fibrosis and severe steatosis, were defined by FibroTest >0.48 and SteatoTest >0.69, respectively, as previously established. During a median follow-up of 12 years, 172 patients (7.4%) died. The leading causes of mortality were cancer (31%) and cardiovascular-related death (20%). The presence of advanced fibrosis [HR (95% CI)] [2.98 (95% CI 1.78-4.99); P < 0.0001] or severe steatosis [1.86 (1.34-2.58); P = 0.0002] was associated with an increased risk of mortality. In a multivariate Cox model adjusted for confounders: the presence of advanced fibrosis was associated with overall mortality [1.95 (1.12-3.41); P = 0.02]; advanced fibrosis at baseline [n = 50/677; 1.92 (1.04-3.55); P = 0.04] and progression to advanced fibrosis during follow-up [n = 16/127; 4.8 (1.5-14.9); P = 0.007] were predictors of cardiovascular events in patients with type-2 diabetes. In patients with a Framingham-risk score ≥20%, the presence of advanced fibrosis was predictive of cardiovascular events [2.24 (1.16-4.33); P < 0.05]. Liver biomarkers, such as FibroTest and SteatoTest, have prognostic values in patients with metabolic disorders. FibroTest has prognostic value for predicting overall survival in patients with type-2 diabetes and/or dyslipidaemia. In type-2 diabetes, FibroTest predicted cardiovascular events and improved the Framingham-risk score. © 2014 John Wiley & Sons Ltd.

41 CFR 102-75.305 - What type of appraisal value must be obtained for real property disposal transactions?

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2010-07-01

... either the fair market value or the fair annual rental value of the property available for disposal. ... value must be obtained for real property disposal transactions? 102-75.305 Section 102-75.305 Public...-75.305 What type of appraisal value must be obtained for real property disposal transactions? For all...

Investigation into the value of trained glycaemia alert dogs to clients with type I diabetes.

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Rooney, Nicola J; Morant, Steve; Guest, Claire

2013-01-01

Previous studies have suggested that some pet dogs respond to their owners' hypoglycaemic state. Here, we show that trained glycaemia alert dogs placed with clients living with diabetes afford significant improvements to owner well-being. We investigated whether trained dogs reliably respond to their owners' hypoglycaemic state, and whether owners experience facilitated tightened glycaemic control, and wider psychosocial benefits. Since obtaining their dog, all seventeen clients studied reported positive effects including reduced paramedic call outs, decreased unconscious episodes and improved independence. Owner-recorded data showed that dogs alerted their owners, with significant, though variable, accuracy at times of low and high blood sugar. Eight out of the ten dogs (for which owners provided adequate records) responded consistently more often when their owner's blood sugars were reported to be outside, than within, target range. Comparison of nine clients' routine records showed significant overall change after obtaining their dogs, with seven clients recording a significantly higher proportion of routine tests within target range after obtaining a dog. HbA1C showed a small, non significant reduction after dog allocation. Based on owner-reported data we have shown, for the first time, that trained detection dogs perform above chance level. This study points to the potential value of alert dogs, for increasing glycaemic control, client independence and consequent quality of life and even reducing the costs of long-term health care.

The Added Value of Log File Analyses of the Use of a Personal Health Record for Patients With Type 2 Diabetes Mellitus: Preliminary Results.

Science.gov (United States)

Sieverink, Floor; Kelders, Saskia M; Braakman-Jansen, Louise M A; van Gemert-Pijnen, Julia E W C

2014-03-01

The electronic personal health record (PHR) is a promising technology for improving the quality of chronic disease management. Until now, evaluations of such systems have provided only little insight into why a particular outcome occurred. The aim of this study is to gain insight into the navigation process (what functionalities are used, and in what sequence) of e-Vita, a PHR for patients with type 2 diabetes mellitus (T2DM), to increase the efficiency of the system and improve the long-term adherence. Log data of the first visits in the first 6 weeks after the release of a renewed version of e-Vita were analyzed to identify the usage patterns that emerge when users explore a new application. After receiving the invitation, 28% of all registered users visited e-Vita. In total, 70 unique usage patterns could be identified. When users visited the education service first, 93% of all users ended their session. Most users visited either 1 or 5 or more services during their first session, but the distribution of the routes was diffuse. In conclusion, log file analyses can provide valuable prompts for improving the system design of a PHR. In this way, the match between the system and its users and the long-term adherence has the potential to increase. © 2014 Diabetes Technology Society.

Assessment value of transcranial Doppler hemodynamic typing for prognosis of patients with acute middle cerebral artery infarction

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Jing Xie

2016-08-01

Full Text Available Objective: To analyze the assessment value of transcranial Doppler hemodynamic typing for prognosis of patients with acute middle cerebral artery infarction. Methods: A total of 54 cases of patients with acute middle cerebral artery infarction who received treatment in our hospital from January 2014 to June 2015 were included for study, and according to different types, they were divided into total occlusion group 17 cases, partial occlusion group 28 cases and nonocclusion group 9 cases. Differences in levels of infarction-related proteins, coagulation-related indicators, illness-related factors, etc in circulating blood of three groups were compared, and the correlation of middle cerebral arterial systolic velocity (Vs and diastolic velocity (Vd with above indicators was further analyzed. Results: Vs and Vd values of non-occlusion group were higher than those of total occlusion group and partial occlusion group, and Vs and Vd values of partial occlusion group were higher than those of total occlusion group; serum Gelsolin, PT, APTT and TT values of non-occlusion group were higher, SAA, Apo- CⅡ, HbA1c, GSP, A毬, HSP70, FIB, D-D, Copeptin, P-selectin, PTX3, TPO and FFA values were lower, and compared with partial occlusion group and total occlusion group, differences were significant; Gelsolin, PT, APTT and TT values of partial occlusion group were higher than those of total occlusion group, and SAA, Apo- CⅡ, HbA1c, GSP, A毬, HSP70, FIB, D-D, Copeptin, P-selectin, PTX3, TPO and FFA values were lower than those of total occlusion group; middle cerebral arterial Vs and Vd values were directly proportional to Gelsolin, PT, APTT and TT values, and inversely proportional to SAA, Apo- CⅡ, HbA1c, GSP, A毬, HSP70, FIB, D-D, Copeptin, P-selectin, PTX3, TPO and FFA values. Conclusions: Transcranial Doppler hemodynamic typing can be the reliable way to judge the severity of acute middle cerebral artery infarction, and has great value in assessing

Multistability of delayed complex-valued recurrent neural networks with discontinuous real-imaginary-type activation functions

International Nuclear Information System (INIS)

Huang Yu-Jiao; Hu Hai-Gen

2015-01-01

In this paper, the multistability issue is discussed for delayed complex-valued recurrent neural networks with discontinuous real-imaginary-type activation functions. Based on a fixed theorem and stability definition, sufficient criteria are established for the existence and stability of multiple equilibria of complex-valued recurrent neural networks. The number of stable equilibria is larger than that of real-valued recurrent neural networks, which can be used to achieve high-capacity associative memories. One numerical example is provided to show the effectiveness and superiority of the presented results. (paper)

Sensitivity, Specificity and Predictive Value of Heart Rate Variability Indices in Type 1 Diabetes Mellitus

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Anne Kastelianne França da Silva

Full Text Available Abstract Background: Heart rate variability (HRV indices may detect autonomic changes with good diagnostic accuracy. Type diabetes mellitus (DM individuals may have changes in autonomic modulation; however, studies of this nature in this population are still scarce. Objective: To compare HRV indices between and assess their prognostic value by measurements of sensitivity, specificity and predictive values in young individuals with type 1 DM and healthy volunteers. Methods: In this cross-sectional study, physical and clinical assessment was performed in 39 young patients with type 1 DM and 43 young healthy controls. For HRV analysis, beat-to-beat heart rate variability was measured in dorsal decubitus, using a Polar S810i heart rate monitor, for 30 minutes. The following indices were calculated: SDNN, RMSSD, PNN50, TINN, RRTri, LF ms2, HF ms2, LF un, HF un, LF/HF, SD1, SD2, SD1/SD2, and ApEn. Results: Type 1 DM subjects showed a decrease in sympathetic and parasympathetic activities, and overall variability of autonomic nervous system. The RMSSD, SDNN, PNN50, LF ms2, HF ms2, RRTri, SD1 and SD2 indices showed greater diagnostic accuracy in discriminating diabetic from healthy individuals. Conclusion: Type 1 DM individuals have changes in autonomic modulation. The SDNN, RMSSD, PNN50, RRtri, LF ms2, HF ms2, SD1 and SD2 indices may be alternative tools to discriminate individuals with type 1 DM.

Electrocardiographic reference values and configuration of electrocardiogram waves recorded in Black Bengal goats of different age groups.

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Pradhan, Ranjeeta Rashmee; Mahapatra, Ambika Prasad Khadanga; Mohapatra, Swagat; Jyotiranjan, Tushar; Kundu, Akshaya Kumar

2017-09-01

A study on age-related electrocardiographic (ECG) changes was conducted on 20 apparently healthy Black Bengal goats with no history of cardiac disorders during 2015-2016. The goats selected for the study belonged to four different age groups; Group 1: Goats up to 6 months of age, Group 2: Above 6 months and below 1 year of age, Group 3: Above 1 year and below 2 years of age, and Group 4: Above 2 years of age. The ECG was recorded with the animals in standing position using a 12-lead standard ECG recorder (Model-Cardiart-108 MK VII, manufactured by BPL, India). The paper speed was set to 25 mm/s with the sensitivity of the machine was adjusted at 1 (1 cm=mV). The ECG parameters were compared within different age groups, and the data were analyzed statistically using SPSS 16.0 taking a significant level of 95% (page groups. In bipolar limb lead-II, the amplitude of T-wave, RR interval, ST segment, TP segment, and heart rate was a significant difference among some age groups. Lead-III presented significant difference among age groups in different parameters such as QRS complex duration, T-wave duration, RR interval, ST segment, TP segment, and heart rate. The study concluded that there is a significant variation in the ECG parameters both in terms of values and configuration of ECG waves when age is taken into consideration. The results of the study might be used as a reference value for field veterinarians.

36 CFR 1236.10 - What records management controls must agencies establish for records in electronic information...

Science.gov (United States)

2010-07-01

... Implementing Electronic Information Systems § 1236.10 What records management controls must agencies establish for records in electronic information systems? The following types of records management controls are... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false What records management...

Investigation into the value of trained glycaemia alert dogs to clients with type I diabetes.

Directory of Open Access Journals (Sweden)

Nicola J Rooney

Full Text Available Previous studies have suggested that some pet dogs respond to their owners' hypoglycaemic state. Here, we show that trained glycaemia alert dogs placed with clients living with diabetes afford significant improvements to owner well-being. We investigated whether trained dogs reliably respond to their owners' hypoglycaemic state, and whether owners experience facilitated tightened glycaemic control, and wider psychosocial benefits. Since obtaining their dog, all seventeen clients studied reported positive effects including reduced paramedic call outs, decreased unconscious episodes and improved independence. Owner-recorded data showed that dogs alerted their owners, with significant, though variable, accuracy at times of low and high blood sugar. Eight out of the ten dogs (for which owners provided adequate records responded consistently more often when their owner's blood sugars were reported to be outside, than within, target range. Comparison of nine clients' routine records showed significant overall change after obtaining their dogs, with seven clients recording a significantly higher proportion of routine tests within target range after obtaining a dog. HbA1C showed a small, non significant reduction after dog allocation. Based on owner-reported data we have shown, for the first time, that trained detection dogs perform above chance level. This study points to the potential value of alert dogs, for increasing glycaemic control, client independence and consequent quality of life and even reducing the costs of long-term health care.

Decoupling of Neoarchean sulfur sources recorded in Algoma-type banded iron formation

Science.gov (United States)

Diekrup, David; Hannington, Mark D.; Strauss, Harald; Ginley, Stephen J.

2018-05-01

Neoarchean Algoma-type banded iron formations (BIFs) are widely viewed as direct chemical precipitates from proximal volcanic-hydrothermal vents. However, a systematic multiple sulfur isotope study of oxide-facies BIF from a type locality in the ca. 2.74 Ga Temagami greenstone belt reveals mainly bacterial turnover of atmospheric elemental sulfur in the host basin rather than deposition of hydrothermally cycled seawater sulfate or sulfur from direct volcanic input. Trace amounts of chromium reducible sulfur that were extracted for quadruple sulfur isotope (32S-33S-34S-36S) analysis record the previously known mass-independent fractionation of volcanic SO2 in the Archean atmosphere (S-MIF) and biological sulfur cycling but only minor contributions from juvenile sulfur, despite the proximity of volcanic sources. We show that the dominant bacterial metabolisms were iron reduction and sulfur disproportionation, and not sulfate reduction, consistent with limited availability of organic matter and the abundant ferric iron deposited as Fe(OH)3. That sulfur contained in the BIF was not a direct volcanic-hydrothermal input, as expected, changes the view of an important archive of the Neoarchean sulfur cycle in which the available sulfur pools were strongly decoupled and only species produced photochemically under anoxic atmospheric conditions were deposited in the BIF-forming environment.

Maximum Acceleration Recording Circuit

Science.gov (United States)

Bozeman, Richard J., Jr.

1995-01-01

Coarsely digitized maximum levels recorded in blown fuses. Circuit feeds power to accelerometer and makes nonvolatile record of maximum level to which output of accelerometer rises during measurement interval. In comparison with inertia-type single-preset-trip-point mechanical maximum-acceleration-recording devices, circuit weighs less, occupies less space, and records accelerations within narrower bands of uncertainty. In comparison with prior electronic data-acquisition systems designed for same purpose, circuit simpler, less bulky, consumes less power, costs and analysis of data recorded in magnetic or electronic memory devices. Circuit used, for example, to record accelerations to which commodities subjected during transportation on trucks.

Development of a lung slice preparation for recording ion channel activity in alveolar epithelial type I cells

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Crandall Edward D

2005-04-01

Full Text Available Abstract Background Lung fluid balance in the healthy lung is dependent upon finely regulated vectorial transport of ions across the alveolar epithelium. Classically, the cellular locus of the major ion transport processes has been widely accepted to be the alveolar type II cell. Although evidence is now emerging to suggest that the alveolar type I cell might significantly contribute to the overall ion and fluid homeostasis of the lung, direct assessment of functional ion channels in type I cells has remained elusive. Methods Here we describe a development of a lung slice preparation that has allowed positive identification of alveolar type I cells within an intact and viable alveolar epithelium using living cell immunohistochemistry. Results This technique has allowed, for the first time, single ion channels of identified alveolar type I cells to be recorded using the cell-attached configuration of the patch-clamp technique. Conclusion This exciting new development should facilitate the ascription of function to alveolar type I cells and allow us to integrate this cell type into the general model of alveolar ion and fluid balance in health and disease.

Domestic estimated breeding values and genomic enhanced breeding values of bulls in comparison with their foreign genomic enhanced breeding values.

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Přibyl, J; Bauer, J; Čermák, V; Pešek, P; Přibylová, J; Šplíchal, J; Vostrá-Vydrová, H; Vostrý, L; Zavadilová, L

2015-10-01

Estimated breeding values (EBVs) and genomic enhanced breeding values (GEBVs) for milk production of young genotyped Holstein bulls were predicted using a conventional BLUP - Animal Model, a method fitting regression coefficients for loci (RRBLUP), a method utilizing the realized genomic relationship matrix (GBLUP), by a single-step procedure (ssGBLUP) and by a one-step blending procedure. Information sources for prediction were the nation-wide database of domestic Czech production records in the first lactation combined with deregressed proofs (DRP) from Interbull files (August 2013) and domestic test-day (TD) records for the first three lactations. Data from 2627 genotyped bulls were used, of which 2189 were already proven under domestic conditions. Analyses were run that used Interbull values for genotyped bulls only or that used Interbull values for all available sires. Resultant predictions were compared with GEBV of 96 young foreign bulls evaluated abroad and whose proofs were from Interbull method GMACE (August 2013) on the Czech scale. Correlations of predictions with GMACE values of foreign bulls ranged from 0.33 to 0.75. Combining domestic data with Interbull EBVs improved prediction of both EBV and GEBV. Predictions by Animal Model (traditional EBV) using only domestic first lactation records and GMACE values were correlated by only 0.33. Combining the nation-wide domestic database with all available DRP for genotyped and un-genotyped sires from Interbull resulted in an EBV correlation of 0.60, compared with 0.47 when only Interbull data were used. In all cases, GEBVs had higher correlations than traditional EBVs, and the highest correlations were for predictions from the ssGBLUP procedure using combined data (0.75), or with all available DRP from Interbull records only (one-step blending approach, 0.69). The ssGBLUP predictions using the first three domestic lactation records in the TD model were correlated with GMACE predictions by 0.69, 0.64 and 0

Living the Good (Work) Life: Implications of General Values for Work Values

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Carlstrom, Aaron H.

2011-01-01

Advances in the understanding of general values from personality and social psychology apply to work values. In this paper, I introduce the concepts of values, value priorities, motivational goals, value types, and personal value systems used to clarify work values. I also introduce the terms basic and broad value and work value types. Second, I…

The effect of signal acquisition and processing choices on ApEn values: towards a "gold standard" for distinguishing effort levels from isometric force records.

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Forrest, Sarah M; Challis, John H; Winter, Samantha L

2014-06-01

Approximate entropy (ApEn) is frequently used to identify changes in the complexity of isometric force records with ageing and disease. Different signal acquisition and processing parameters have been used, making comparison or confirmation of results difficult. This study determined the effect of sampling and parameter choices by examining changes in ApEn values across a range of submaximal isometric contractions of the first dorsal interosseus. Reducing the sample rate by decimation changed both the value and pattern of ApEn values dramatically. The pattern of ApEn values across the range of effort levels was not sensitive to the filter cut-off frequency, or the criterion used to extract the section of data for analysis. The complexity increased with increasing effort levels using a fixed 'r' value (which accounts for measurement noise) but decreased with increasing effort level when 'r' was set to 0.1 of the standard deviation of force. It is recommended isometric force records are sampled at frequencies >200Hz, template length ('m') is set to 2, and 'r' set to measurement system noise or 0.1SD depending on physiological process to be distinguished. It is demonstrated that changes in ApEn across effort levels are related to changes in force gradation strategy. Copyright © 2014 IPEM. Published by Elsevier Ltd. All rights reserved.

Automatic generation of nursing narratives from entity-attribute-value triplet for electronic nursing records system.

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Min, Yul Ha; Park, Hyeoun-Ae; Lee, Joo Yun; Jo, Soo Jung; Jeon, Eunjoo; Byeon, Namsoo; Choi, Seung Yong; Chung, Eunja

2014-01-01

The aim of this study is to develop and evaluate a natural language generation system to populate nursing narratives using detailed clinical models. Semantic, contextual, and syntactical knowledges were extracted. A natural language generation system linking these knowledges was developed. The quality of generated nursing narratives was evaluated by the three nurse experts using a five-point rating scale. With 82 detailed clinical models, in total 66,888 nursing narratives in four different types of statement were generated. The mean scores for overall quality was 4.66, for content 4.60, for grammaticality 4.40, for writing style 4.13, and for correctness 4.60. The system developed in this study generated nursing narratives with different levels of granularity. The generated nursing narratives can improve semantic interoperability of nursing data documented in nursing records.

41 CFR 102-193.25 - What type of records management business process improvements should my agency strive to achieve?

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2010-07-01

... management business process improvements should my agency strive to achieve? 102-193.25 Section 102-193.25...-193.25 What type of records management business process improvements should my agency strive to... correspondence; (b) Design forms that are easy to fill-in, read, transmit, process, and retrieve, and reduce...

Spatial and temporal variation in tree-ring α-cellulose oxygen and hydrogen isotope values as a record of water availability in the Atacama Desert

Science.gov (United States)

Olson, E. J.; Dodd, J. P.

2015-12-01

Previous studies have documented that tree ring oxygen and hydrogen isotopes primarily reflect source water; however, biosynthetic fractionation processes modify this signal and can have a varied response to environmental conditions. The degree to which source water contributes to δ2H and δ18O values of plant α-cellulose is species-specific and modern calibration studies are necessary. Here we present a calibration data set of P. tamarugo α-cellulose δ2H and δ18O values from the Atacama Desert in Northern Chile. P. tamarugo trees are endemic to the region and have adapted to the extremely arid environment where average annual precipitation is 2 ‰ over the past 20 years associated with a ~1.1 m lowering of the local groundwater table throughout the area. The correlation between a-cellulose isotope values and hydrologic conditions in modern times provides a baseline for interpretation of tree-ring isotope chronologies from the past 9.5 kya. A high-resolution Holocene (1.8-9.1 kya) age record of Prosopis sp. tree ring α-cellulose δ18O values provides a proxy for climatic and hydrologic conditions. During the early Holocene δ18O values range from 31 to 35‰ (2σ=0.58‰), while during the late Holocene values are much more variable (27.4 to 41‰; 2σ=2.64‰). Anthropogenic demand on local water sources is the most significant environmental factor affecting the variation in modern α-cellulose δ18O values; however, climate induced changes in regional water availability are the dominant driver of variability in the paleo-record. Increased variability in α-cellulose δ18O values in the late Holocene most likely indicates a reduction in annual recharge and an increase in episodic flood events driven by ENSO and other modes of atmospheric variability.

[Value of the study of cochlear microphonic recordings in deep and severe deafness].

Science.gov (United States)

Moatti, L; Busquet, D; Cotin, G

1983-01-01

A study was conducted to assess the contribution of cochlear microphonic potential recordings during electrophysiologic audiometry examinations. Amplitude of microphonic recordings were correlated with the degree of deafness, its etiology, and the prosthetic prognosis in 38 electrocochleographic examinations. Preliminary results are analyzed.

Teaching Electronic Health Record Communication Skills.

Science.gov (United States)

Palumbo, Mary Val; Sandoval, Marie; Hart, Vicki; Drill, Clarissa

2016-06-01

This pilot study investigated nurse practitioner students' communication skills when utilizing the electronic health record during history taking. The nurse practitioner students (n = 16) were videotaped utilizing the electronic health record while taking health histories with standardized patients. The students were videotaped during two separate sessions during one semester. Two observers recorded the time spent (1) typing and talking, (2) typing only, and (3) looking at the computer without talking. Total history taking time, computer placement, and communication skills were also recorded. During the formative session, mean history taking time was 11.4 minutes, with 3.5 minutes engaged with the computer (30.6% of visit). During the evaluative session, mean history taking time was 12.4 minutes, with 2.95 minutes engaged with the computer (24% of visit). The percentage of time individuals spent changed over the two visits: typing and talking, -3.1% (P = .3); typing only, +12.8% (P = .038); and looking at the computer, -9.6% (P = .039). This study demonstrated that time spent engaged with the computer during a patient encounter does decrease with student practice and education. Therefore, students benefit from instruction on electronic health record-specific communication skills, and use of a simple mnemonic to reinforce this is suggested.

Complexity analyses show two distinct types of nonlinear dynamics in short heart period variability recordings

Science.gov (United States)

Porta, Alberto; Bari, Vlasta; Marchi, Andrea; De Maria, Beatrice; Cysarz, Dirk; Van Leeuwen, Peter; Takahashi, Anielle C. M.; Catai, Aparecida M.; Gnecchi-Ruscone, Tomaso

2015-01-01

Two diverse complexity metrics quantifying time irreversibility and local prediction, in connection with a surrogate data approach, were utilized to detect nonlinear dynamics in short heart period (HP) variability series recorded in fetuses, as a function of the gestational period, and in healthy humans, as a function of the magnitude of the orthostatic challenge. The metrics indicated the presence of two distinct types of nonlinear HP dynamics characterized by diverse ranges of time scales. These findings stress the need to render more specific the analysis of nonlinear components of HP dynamics by accounting for different temporal scales. PMID:25806002

Values of average daily gain of swine posted to commercial hybrids on pork in youth phase depending on the type

Directory of Open Access Journals (Sweden)

Diana Marin

2013-10-01

Full Text Available Values of average daily gain of weight are calculated according to the ratio of total growth and total number of days of feeding. In the case of the four commercial hybrids intensively exploited was observed, as test applied, that there were no statistically significant differences in terms of average daily gain of these hybrids, but the lowest values ​​of this index were recorded in hybrid B (with Large White as terminal boar.

Acoustic signature of thunder from seismic records

Science.gov (United States)

Kappus, Mary E.; Vernon, Frank L.

1991-06-01

Thunder, the sound wave through the air associated with lightning, transfers sufficient energy to the ground to trigger seismometers set to record regional earthquakes. The acoustic signature recorded on seismometers, in the form of ground velocity as a function of time, contains the same type features as pressure variations recorded with microphones in air. At a seismic station in Kislovodsk, USSR, a nearly direct lightning strike caused electronic failure of borehole instruments while leaving a brief impulsive acoustic signature on the surface instruments. The peak frequency of 25-55 Hz is consistent with previously published values for cloud-to-ground lightning strikes, but spectra from this station are contaminated by very strong wind noise in this band. A thunderstorm near a similar station in Karasu triggered more than a dozen records of individual lightning strikes during a 2-hour period. The spectra for these events are fairly broadband, with peaks at low frequencies, varying from 6 to 13 Hz. The spectra were all computed by multitaper analysis, which deals appropriately with the nonstationary thunder signal. These independent measurements of low-frequency peaks corroborate the occasional occurrences in traditional microphone records, but a theory concerning the physical mechanism to account for them is still in question. Examined separately, the individual claps in each record have similar frequency distributions, discounting a need for multiple mechanisms to explain different phases of the thunder sequence. Particle motion, determined from polarization analysis of the three-component records, is predominantly vertical downward, with smaller horizontal components indicative of the direction to the lightning bolt. In three of the records the azimuth to the lightning bolt changes with time, confirming a significant horizontal component to the lightning channel itself.

Three-dimensional imaging of acetabular dysplasia: diagnostic value and impact on surgical type classification

Energy Technology Data Exchange (ETDEWEB)

Smet, Maria-Helena E-mail: marleen.smet@uz.kuleuven.ac.be; Marchal, Guy J.; Baert, Albert L.; Hoe, Lieven van; Cleynenbreugel, Johan van; Daniels, Hans; Molenaers, Guy; Moens, Pierre; Fabry, Guy

2000-04-01

Objective: To investigate the diagnostic value and the impact on surgical type classification of three-dimensional (3D) images for pre-surgical evaluation of dysplastic hips. Materials and methods: Three children with a different surgical type of hip dysplasia were investigated with helical computed tomography. For each patient, two-dimensional (2D) images, 3D, and a stereolithographic model of the dysplastic hip were generated. In two separate sessions, 40 medical observers independently analyzed the 2D images (session 1), the 2D and 3D images (session 2), and tried to identify the corresponding stereolithographic hip model. The influence of both image presentation (2D versus 3D images) and observer (degree of experience, radiologist versus orthopedic surgeon) were statistically analyzed. The SL model choice reflected the impact on surgical type classification. Results: Image presentation was a significant factor whereas the individual observer was not. Three-dimensional images scored significantly better than 2D images (P=0.0003). Three-dimensional imaging increased the correct surgical type classification by 35%. Conclusion: Three-dimensional images significantly improve the pre-surgical diagnostic assessment and surgical type classification of dysplastic hips.

Three-dimensional imaging of acetabular dysplasia: diagnostic value and impact on surgical type classification

International Nuclear Information System (INIS)

Smet, Maria-Helena; Marchal, Guy J.; Baert, Albert L.; Hoe, Lieven van; Cleynenbreugel, Johan van; Daniels, Hans; Molenaers, Guy; Moens, Pierre; Fabry, Guy

2000-01-01

Objective: To investigate the diagnostic value and the impact on surgical type classification of three-dimensional (3D) images for pre-surgical evaluation of dysplastic hips. Materials and methods: Three children with a different surgical type of hip dysplasia were investigated with helical computed tomography. For each patient, two-dimensional (2D) images, 3D, and a stereolithographic model of the dysplastic hip were generated. In two separate sessions, 40 medical observers independently analyzed the 2D images (session 1), the 2D and 3D images (session 2), and tried to identify the corresponding stereolithographic hip model. The influence of both image presentation (2D versus 3D images) and observer (degree of experience, radiologist versus orthopedic surgeon) were statistically analyzed. The SL model choice reflected the impact on surgical type classification. Results: Image presentation was a significant factor whereas the individual observer was not. Three-dimensional images scored significantly better than 2D images (P=0.0003). Three-dimensional imaging increased the correct surgical type classification by 35%. Conclusion: Three-dimensional images significantly improve the pre-surgical diagnostic assessment and surgical type classification of dysplastic hips

The resistivity imaging application in groundwater exploration: resistivity value and soil type

International Nuclear Information System (INIS)

Mohd Khardzir Husain

2006-01-01

Malaysia is rich in water resources. Water development has fueled socio-economic development of the country during the past decades. Dams and thousands of kilometers of pipes and canals divert water from the rivers to sustain domestic, industrial and agricultural needs. Lately, the water situation for the country has changed from one of relative abundance to one of relative scarcity. The population growth and the expansion in urbanization, industrialization and irrigated agriculture are imposing rapidly growing demands and pressure on the water resources, besides contributing to the rising water pollution. Surface water resource, the traditional source of water supply in the past, has become inadequate in some areas. The problem becomes more acute in areas where surface water is affected by the increasing pollution from industrial and agricultural waste and where changes in land have adversely affected the quantity and quality of surface water supply. The development of groundwater as a source of water supply or as an alternative source is therefore a timely outlook. Lack in groundwater development will becoming disasters to country. Electrical resistivity had been used in groundwater exploration to get an accuracy result in a short time. This method measures the apparent resistivity of the subsurface, including effects of any or all of the following: soil type, bedrock fractures, contaminants and ground water. Variations in electrical resistivity may indicate changes in composition, layer thickness or contaminant levels. The resistivity values obtained from various groundwater exploration and experimental sites shows that the value differs also in related to the soil type. (Author)

Probabilistic record linkage.

Science.gov (United States)

Sayers, Adrian; Ben-Shlomo, Yoav; Blom, Ashley W; Steele, Fiona

2016-06-01

Studies involving the use of probabilistic record linkage are becoming increasingly common. However, the methods underpinning probabilistic record linkage are not widely taught or understood, and therefore these studies can appear to be a 'black box' research tool. In this article, we aim to describe the process of probabilistic record linkage through a simple exemplar. We first introduce the concept of deterministic linkage and contrast this with probabilistic linkage. We illustrate each step of the process using a simple exemplar and describe the data structure required to perform a probabilistic linkage. We describe the process of calculating and interpreting matched weights and how to convert matched weights into posterior probabilities of a match using Bayes theorem. We conclude this article with a brief discussion of some of the computational demands of record linkage, how you might assess the quality of your linkage algorithm, and how epidemiologists can maximize the value of their record-linked research using robust record linkage methods. © The Author 2015; Published by Oxford University Press on behalf of the International Epidemiological Association.

FEATURES OF MULTIPLEXED HOLOGRAMS RECORDING IN PHOTO-THERMO-REFRACTIVE GLASS

Directory of Open Access Journals (Sweden)

S. A. Ivanov

2016-05-01

Full Text Available We have carried out calculations of recording conditions for multiplexed holograms in photo-thermo-refractive (PTR glass. The proposed calculation sets the link between such parameters as: the angle between recording beams and the angle of sample rotation, operating wavelength, the angle of incidence on the element, output angle. To study recording features of multiplexed holograms on PTR glass several elements was made. Six holograms in each element were recorded with various exposures. All samples were heat-treated at one temperature around glass transition temperature. It has been demonstrated that at the recording of several gratings with a total exposure exceeding an optimal value for a given material, the total value of the refractive index modulation amplitude (n1 reaches the maximum attainable magnitude that is equivalent to a value of a single hologram with optimal exposure. It has been found that refractive index dynamic range of the material distributes between the gratings in accordance with the ratio between exposure times if holograms exposures have significant differences. In the present paper six-channel multiplexer was recorded for a wavelength equal to 632.8 nm (He-Ne laser. The diffraction angles correspond to calculations mentioned above. The n1 value in each grating is equal to the value of the highest attainable value of the value of n1 divided by the total number of multiplexed holograms.

BOUNDARY VALUE PROBLEM FOR A LOADED EQUATION ELLIPTIC-HYPERBOLIC TYPE IN A DOUBLY CONNECTED DOMAIN

Directory of Open Access Journals (Sweden)

O.Kh. Abdullaev

2014-06-01

Full Text Available We study the existence and uniqueness of the solution of one boundary value problem for the loaded elliptic-hyperbolic equation of the second order with two lines of change of type in double-connected domain. Similar results have been received by D.M.Kuryhazov, when investigated domain is one-connected.

Long-Term Prognostic Value of Coronary CT Angiography in Asymptomatic Type 2 Diabetes Mellitus.

Science.gov (United States)

Kang, Se Hun; Park, Gyung-Min; Lee, Seung-Whan; Yun, Sung-Cheol; Kim, Young-Hak; Cho, Young-Rak; Park, Hyun Woo; Suh, Jon; Yang, Dong Hyun; Kang, Joon-Won; Lim, Tae-Hwan; Jung, Chang Hee; Koh, Eun Hee; Lee, Woo Je; Kim, Min-Seon; Lee, Ki-Up; Park, Joong-Yeol

2016-11-01

This study sought to evaluate the long-term prognostic value of coronary computed tomography angiography (CTA) in asymptomatic patients with type 2 diabetes mellitus. There are limited data on the long-term prognostic impact of coronary CTA in asymptomatic patients with type 2 diabetes mellitus. This study analyzed clinical outcomes of 591 consecutive asymptomatic patients with type 2 diabetes mellitus who underwent coronary CTA (mean age 62.2 ± 8.3 years and 352 men [59.6%]). A cardiac event was defined as a composite of cardiac death, nonfatal myocardial infarction, unstable angina requiring hospitalization, or late coronary revascularization. Patients were categorized into 3 groups according to severity of coronary artery disease (CAD) on coronary CTA: normal coronary arteries, nonobstructive CAD (28.4%) had normal coronary arteries, whereas 236 (39.9%) patients had nonobstructive CAD and 187 (31.6%) had obstructive CAD. During the follow-up period (median 5.3 years [interquartile range: 4.7 to 5.8 years]), 37 cardiac events occurred in 29 patents: 10 cardiac deaths, 2 nonfatal myocardial infarctions, 8 cases of unstable angina, and 17 late coronary revascularizations. The 6-year event-free survival rates were 99.3 ± 0.7% in patients with normal coronary arteries, 96.7 ± 1.2% in patients with nonobstructive CAD, and 86.2 ± 3.0% in patients with obstructive CAD (log-rank p type 2 diabetes mellitus with normal coronary arteries or nonobstructive CAD on coronary CTA show excellent clinical outcomes over a follow-up period of more than 5 years, whereas prognosis is worse in patients with obstructive CAD. These findings suggest long-term prognostic value of coronary CTA for asymptomatic type 2 diabetes mellitus. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

The Added Value of Log File Analyses of the use of a Personal Health Record for Patients with Type 2 Diabetes Mellitus: Preliminary Results

NARCIS (Netherlands)

Sieverink, Floor; Kelders, Saskia Marion; Braakman-Jansen, Louise Marie Antoinette; van Gemert-Pijnen, Julia E.W.C.

2014-01-01

The electronic personal health record (PHR) is a promising technology for improving the quality of chronic disease management. Until now, evaluations of such systems have provided only little insight into why a particular outcome occurred. The aim of this study is to gain insight into the navigation

Age and personal values: Similar value circles with shifting priorities.

Science.gov (United States)

Borg, Ingwer; Hertel, Guido; Hermann, Dieter

2017-11-01

This study examined the relationship of personal values to age using data from two representative surveys. We hypothesized that individuals organize personal values, regardless of their age, as a circle with the same order of values on this circle but that older persons are closer to conservation and more remote from openness to change and closer to self-transcendence and more distant from self-enhancement. The structural stability of the value circle over age was largely confirmed across and within individuals. Different age groups exhibited a tendency to more strongly cluster those values that they rated as relatively important. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Iterative methods for nonlinear set-valued operators of the monotone type with applications to operator equations

International Nuclear Information System (INIS)

Chidume, C.E.

1989-06-01

The fixed points of set-valued operators satisfying a condition of monotonicity type in real Banach spaces with uniformly convex dual spaces are approximated by recursive averaging processes. Applications to important classes of linear and nonlinear operator equations are also presented. (author). 33 refs

Effect of a data buffer on the recorded distribution of time intervals for random events

Energy Technology Data Exchange (ETDEWEB)

Barton, J C [Polytechnic of North London (UK)

1976-03-15

The use of a data buffer enables the distribution of the time intervals between events to be studied for times less than the recording system dead-time but the usual negative exponential distribution for random events has to be modified. The theory for this effect is developed for an n-stage buffer followed by an asynchronous recorder. Results are evaluated for the values of n from 1 to 5. In the language of queueing theory the system studied is of type M/D/1/n+1, i.e. with constant service time and a finite number of places.

The Value of Electronic Medical Record Implementation in Mental Health Care: A Case Study.

Science.gov (United States)

Riahi, Sanaz; Fischler, Ilan; Stuckey, Melanie I; Klassen, Philip E; Chen, John

2017-01-05

Electronic medical records (EMR) have been implemented in many organizations to improve the quality of care. Evidence supporting the value added to a recovery-oriented mental health facility is lacking. The goal of this project was to implement and customize a fully integrated EMR system in a specialized, recovery-oriented mental health care facility. This evaluation examined the outcomes of quality improvement initiatives driven by the EMR to determine the value that the EMR brought to the organization. The setting was a tertiary-level mental health facility in Ontario, Canada. Clinical informatics and decision support worked closely with point-of-care staff to develop workflows and documentation tools in the EMR. The primary initiatives were implementation of modules for closed loop medication administration, collaborative plan of care, clinical practice guidelines for schizophrenia, restraint minimization, the infection prevention and control surveillance status board, drug of abuse screening, and business intelligence. Medication and patient scan rates have been greater than 95% since April 2014, mitigating the adverse effects of medication errors. Specifically, between April 2014 and March 2015, only 1 moderately severe and 0 severe adverse drug events occurred. The number of restraint incidents decreased 19.7%, which resulted in cost savings of more than Can $1.4 million (US $1.0 million) over 2 years. Implementation of clinical practice guidelines for schizophrenia increased adherence to evidence-based practices, standardizing care across the facility. Improved infection prevention and control surveillance reduced the number of outbreak days from 47 in the year preceding implementation of the status board to 7 days in the year following. Decision support to encourage preferential use of the cost-effective drug of abuse screen when clinically indicated resulted in organizational cost savings. EMR implementation allowed Ontario Shores Centre for Mental Health

Infrastructure: concept, types and value

Directory of Open Access Journals (Sweden)

Alexander E. Lantsov

2013-01-01

Full Text Available Researches of influence of infrastructure on the economic growth and development of the countries gained currency. However the majority of authors drop the problem of definition of accurate concept of studied object and its criteria out. In the given article various approaches in the definition of «infrastructure» concept, criterion and the characteristics of infrastructure distinguishing it from other capital assets are presented. Such types of infrastructure, as personal, institutional, material, production, social, etc. are considered. Author’s definition of infrastructure is given.

Comparing WTP values of different types of QALY gain elicited from the general public.

Science.gov (United States)

Pennington, Mark; Baker, Rachel; Brouwer, Werner; Mason, Helen; Hansen, Dorte Gyrd; Robinson, Angela; Donaldson, Cam

2015-03-01

The appropriate thresholds for decisions on the cost-effectiveness of medical interventions remain controversial, especially in 'end-of-life' situations. Evidence of the values placed on different types of health gain by the general public is limited. Across nine European countries, 17,657 people were presented with different hypothetical health scenarios each involving a gain of one quality adjusted life year (QALY) and asked about their willingness to pay (WTP) for that gain. The questions included quality of life (QoL) enhancing and life extending health gains, and a scenario where respondents faced imminent, premature death. The mean WTP values for a one-QALY gain composed of QoL improvements were modest (PPP$11,000). When comparing QALY gains obtained in the near future, the valuation of life extension exceeded the valuation of QoL enhancing gains (mean WTP PPP$19,000 for a scenario in which a coma is avoided). The mean WTP values were higher still when respondents faced imminent, premature death (PPP$29,000). Evidence from the largest survey on the value of health gains by the general public indicated a higher value for life extending gains compared with QoL enhancing gains. A further modest premium may be indicated for life extension when facing imminent, premature death. Copyright © 2013 John Wiley & Sons, Ltd.

Digital recording system

International Nuclear Information System (INIS)

Chandra, A.K.; Deshpande, S.V.; Iyer, A.; Vaidya, U.W.

1987-01-01

A large number of critical process parameters in nuclear power plants have hitherto been monitored using electromechanical chart recorders. The reducing costs of electronics systems have led to a trend towards modernizing power plant control rooms by computerizing all the panel instrumentation. As a first step, it has been decided to develop a digital recording system to record the values of 48 process parameters. The system as developed and described in this report is more than a replacement for recorders; it offers substantial advantages in terms of lower overall system cost, excellent time resolution, accurate data and absolute synchronization for correlated signals. The system provides high speed recording of 48 process parameters, maintains historical records and permits retrieval and display of archival information on a colour monitor, a plotter and a printer. It is implemented using a front end data acquisition unit connected on a serial link to a PC-XT computer with 20 MB Winchester. The system offers an extremely user friendly man machine interaction, based on a hierarchical paged menu driven scheme. Softwre development for this system has been carried out using the C language. (author). 9 figs

The Sensetivity of Flood Frequency Analysis on Record Length in Continuous United States

Science.gov (United States)

Hu, L.; Nikolopoulos, E. I.; Anagnostou, E. N.

2017-12-01

In flood frequency analysis (FFA), sufficiently long data series are important to get more reliable results. Compared to return periods of interest, at-site FFA usually needs large data sets. Generally, the precision of at site estimators and time-sampling errors are associated with the length of a gauged record. In this work, we quantify the difference with various record lengths. we use generalized extreme value (GEV) and Log Pearson type III (LP3), two traditional methods on annual maximum stream flows to undertake FFA, and propose quantitative ways, relative difference in median and interquartile range (IQR) to compare the flood frequency performances on different record length from selected 350 USGS gauges, which have more than 70 years record length in Continuous United States. Also, we group those gauges into different regions separately based on hydrological unit map and discuss the geometry impacts. The results indicate that long record length can avoid imposing an upper limit on the degree of sophistication. Working with relatively longer record length may lead accurate results than working with shorter record length. Furthermore, the influence of hydrologic unites for the watershed boundary dataset on those gauges also be presented. The California region is the most sensitive to record length, while gauges in the east perform steady.

Annealing effect on magnetic property and recording performance of [FePt/MgO]n perpendicular magnetic recording media

International Nuclear Information System (INIS)

Suzuki, Takao; Zhang, Zhengang; Singh, Amarendra K.; Yin, Jinhua; Perumal, A.; Osawa, Hiroshi

2005-01-01

Granular-type FePt perpendicular magnetic recording media with (001)-texture, obtained by annealing FePt/MgO multilayer films, are fabricated onto 2.5-in glass discs. For the sake of spin-stand testing, the coercivity of FePt films is carefully modulated by controlling the annealing conditions. With annealing, exchange coupling between FePt grains is decreased, indicated by the reductions in α value and activation volume. FePt ordering process is dependent on initial FePt/MgO multilayer structures, which governs the optimum annealing condition regarding coercivities and α(=4π(dM/dH)H=Hc). The SNR ratio exhibits a sensitive dependence on initial FePt/MgO multilayer structures as well as annealing conditions

Hit Record Trends, 1940-1977.

Science.gov (United States)

Anderson, Bruce; And Others

1980-01-01

Examines trends in popular music by analyzing the number one recordings from 1940 to 1977 in terms of the relationships among four variables: manufacturer (market concentration), song type (musical genre), artist type (performance mode), and lyric content (vocal message). (JMF)

A prototype of a computerized patient record.

Science.gov (United States)

Adelhard, K; Eckel, R; Hölzel, D; Tretter, W

1995-01-01

Computerized medical record systems (CPRS) should present user and problem oriented views of the patient file. Problem lists, clinical course, medication profiles and results of examinations have to be recorded in a computerized patient record. Patient review screens should give a synopsis of the patient data to inform whenever the patient record is opened. Several different types of data have to be stored in a patient record. Qualitative and quantitative measurements, narratives and images are such examples. Therefore, a CPR must also be able to handle these different data types. New methods and concepts appear frequently in medicine. Thus a CPRS must be flexible enough to cope with coming demands. We developed a prototype of a computer based patient record with a graphical user interface on a SUN workstation. The basis of the system are a dynamic data dictionary, an interpreter language and a large set of basic functions. This approach gives optimal flexibility to the system. A lot of different data types are already supported. Extensions are easily possible. There is also almost no limit concerning the number of medical concepts that can be handled by our prototype. Several applications were built on this platform. Some of them are presented to exemplify the patient and problem oriented handling of the CPR.

Deficiencies in radiation protection record systems

International Nuclear Information System (INIS)

Martin, J.B.; Lyon, M.

1991-01-01

Radiation protection records are a fundamental part of any program for protecting radiation workers. Records are essential to epidemiological studies of radiation workers and are becoming increasingly important as the number of radiation exposure litigation cases increases. Ready retrievability of comprehensive records is also essential to the adequate defense of a radiation protection program. Appraisals of numerous radiation protection programs have revealed that few record-keeping systems comply with American National Standards Institute, Standard Practice N13.6-1972. Record-keeping requirements and types of deficiencies in radiation protection records systems are presented in this paper, followed by general recommendations for implementing a comprehensive radiation protection records system

Deficiencies in radiation protection record systems

International Nuclear Information System (INIS)

Martin, J.B.; Lyon, M.

1991-01-01

Radiation protection records are a fundamental part of any program for protecting radiation workers. Records are essential to epidemiological studies of radiation workers and are becoming increasingly important as the number of radiation exposure litigation cases increases. Ready retrievability of comprehensive records is also essential to the adequate defense of a radiation protection program. Appraisals of numerous radiation protection programs have revealed that few record-keeping systems comply with American National Standards Institute, Standard Practice N13.6-1972. Record-keeping requirements and types of deficiencies in radiation protection records systems are presented in this paper, followed by general recommendations for implementing a comprehensive radiation protection records system. 8 refs

Symmetry analysis and exact solutions of one class of (1+3)-dimensional boundary-value problems of the Stefan type

OpenAIRE

Kovalenko, S. S.

2014-01-01

We present the group classification of one class of (1+3)-dimensional nonlinear boundary-value problems of the Stefan type that simulate the processes of melting and evaporation of metals. The results obtained are used for the construction of the exact solution of one boundary-value problem from the class under study.

Studies in perpendicular magnetic recording

Science.gov (United States)

Valcu, Bogdan F.

This dissertation uses both micromagnetic simulation and analytical methods to analyze several aspects of a perpendicular recording system. To increase the head field amplitude, the recording layer is grown on top of a soft magnetic layer (keeper). There is concern about the ability of the keeper to conduct the magnetic flux from the head at high data rates. We compute numerically the magnetization motion of the soft underlayer during the reversal process. Generation of non-linear spin waves characterizes the magnetization dynamics in the keeper, the spins are oscillating with a frequency higher than that of the reversal current. However, the recording field applied to the data layer follows the time dependence of the input wave form. The written transition shape is determined by the competition between the head field gradient and the demagnetizing field gradient. An analytical slope model that takes into consideration the angular orientation of the applied field is used to estimate the transition parameter; agreement is shown with the micromagnetic results. On the playback side, the reciprocity principle is applied to calculate the read out signal from a single magnetic transition in the perpendicular medium. The pulse shape is close to an error-function, going through zero when the sensor is above the transition center and decaying from the peak to an asymptotic value when the transition center is far away. Analytical closed forms for both the slope in the origin and the asymptotic value show the dependence on the recording geometry parameters. The Signal-to-Noise Ratio is calculated assuming that the noise is dominated by the medium jitter. To keep the SNR at a readable level while increasing the areal density, the average magnetic grain diameter must decrease; consequently grain size fluctuations will affect the thermal decay. We performed Transmission Electron Microscopy measurements and observed differences in the grain size distribution between various types

Adding Production Value Through Application of Value Based Scheduling

DEFF Research Database (Denmark)

Lindhard, Søren; Wandahl, Søren

2012-01-01

Customer value is a key goal in the Lean philosophy, essentially only actions that adds value should be conducted. In a transformation view, the basic lean approach is to remove waste, which indirectly increases value (or withstand value lose). Lean Construction acknowledges two different types o...... be minimized and management should seek towards democratic leadership....

FUNCTIONAL VALUES OF VILLAGE LIBRARY IN INHERITANCE WORKS OF LOCAL CULTURE

Directory of Open Access Journals (Sweden)

Pawit M Yusup

2017-12-01

books, magazines, newspapers, maps, brochures, and the like, both in print and digital format. These works contain a benefit for knowledge and education. Meanwhile, the library as an institution in charge of managing printed and recorded works, including ancient works, continues to contribute in this work with storage for wider dissemination. This study examines the existence of public libraries and village libraries in West Java related to its role as referred to above. The method used is direct observation to the field. The result illustrates that public libraries and village libraries already participate to provide this type of collection for the benefit of the public on the current generation and the future. Keywords: Printed Materials, Paper records, Ancient manuscripts,Cultural Values, Public Library.

Automating occupational protection records systems

International Nuclear Information System (INIS)

Lyon, M.; Martin, J.B.

1991-10-01

Occupational protection records have traditionally been generated by field and laboratory personnel, assembled into files in the safety office, and eventually stored in a warehouse or other facility. Until recently, these records have been primarily paper copies, often handwritten. Sometimes, the paper is microfilmed for storage. However, electronic records are beginning to replace these traditional methods. The purpose of this paper is to provide guidance for making the transition to automated record keeping and retrieval using modern computer equipment. This paper describes the types of records most readily converted to electronic record keeping and a methodology for implementing an automated record system. The process of conversion is based on a requirements analysis to assess program needs and a high level of user involvement during the development. The importance of indexing the hard copy records for easy retrieval is also discussed. The concept of linkage between related records and its importance relative to reporting, research, and litigation will be addressed. 2 figs

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

Science.gov (United States)

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

2018-01-01

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

Predictive value of small ulcers in the evolution of acute type B intramural hematoma

International Nuclear Information System (INIS)

Sebastià, C.; Evangelista, A.; Quiroga, S.; Cuellar, H.; Aguilar, R.; Muntanyà, X.

2012-01-01

Objective: To assess the long-term evolution and predictive factors of type B intramural hematoma (IMH). Material and methods: 34 patients (33 men), mean age: 67 years (47–87) diagnosed with type B IMH by computed tomography (CT) and followed up clinically and by CT yearly. Mean follow-up was 5.9 years (2–13 years). Two evolution patterns were considered: (a) regression and (b) progression. Clinical and imaging variables were analyzed for assessing their predictor values. Results: Evolution at one year was to regression in 56% and to progression in 44% of cases. There were no association among age, sex, other aortic abnormalities, presence of atherosclerotic disease or blood pressure, initial maximum aortic diameter, indexed maximum aortic diameter, IMH thickness or length, presence or absence of mediastinal hematoma and the evolution of type B IMH. Ten patients had small aortic ulcers in the acute phase. The presence of ulcers was related with progression of IMH. No differences were observed in evolution between the control at first year and the last control. Conclusions: The presence of small ulcers is a strong predictor of evolution in acute type B IMH. In addition, the regression group remains completely stable after the first year of evolution.

Mapping b-values beneath Abu Dabbab from June to August 2004 earthquake

Directory of Open Access Journals (Sweden)

I.F. Abu El-Nader

2016-12-01

Full Text Available Abu Dabbab area is considered as one of the most active earthquake sources in Egypt. It is defined by its swarm type activity, and complicated stress pattern. This study was conducted to evaluate the two and three dimensional spatial distribution of b-value at Abu Dabbab area (Margin of the northern Red Sea Rift, Egypt. The gridding technique of Wiemer and Wyss (1997 was used to compute b-value using ZMAP software. The b-value is calculated from a catalog consisting of 850 well-located earthquakes, which were recorded from 1st June to August 2004, using the maximum likelihood method. These earthquakes were recorded by temporary digital seismic network, with magnitudes ranging from −1 to 3.4 ML. It is important to mention that the variations of b-value with time cannot be easily detected for a short period. Hence, this study has been carried out to examine the variations of b-value in space. The computed b-value in the Abu Dabbab area does not follow a uniform distribution. A small volume of anomalously high b-value (b > 1.8 exists in the central part of the area at a depth between 6 and 9 km. This seems to agree with the reported low velocity value derived from previous P-wave travel time tomography studies (Hosny et al., 2009 and the low Q value (Abdel-Fattah et al., 2008. The existence of an anomalously high b-value region may be attributed to the presence of a magma reservoir or dyke zone beneath the northern Red Sea Rift that causes an intensively heterogeneous fractured crust or unusually high pore pressure.

Polarization holographic optical recording of a new photochromic diarylethene

Science.gov (United States)

Pu, Shouzhi; Miao, Wenjuan; Chen, Anyin; Cui, Shiqiang

2008-12-01

A new symmetrical photochromic diarylethene, 1,2-bis[2-methyl-5-(3-methoxylphenyl)-3-thienyl]perfluorocyclopentene (1a), was synthesized, and its photochromic properties were investigated. The compound exhibited good photochromism both in solution and in PMMA film with alternating irradiation by UV/VIS light, and the maxima absorption of its closed-ring isomer 1b are 582 and 599 nm, respectively. Using diarylethene 1b/PMMA film as recording medium and a He-Ne laser (633 nm) for recording and readout, four types of polarization and angular multiplexing holographic optical recording were performed perfectly. For different types of polarization recording including parallel linear polarization recording, parallel circular polarization recording, orthogonal linear polarization recording and orthogonal circular polarization recording,have been accomplished successfully. The results demonstrated that the orthogonal circular polarization recording is the best method for polarization holographic optical recording when this compound was used as recording material. With angular multiplexing recording technology, two high contrast holograms were recorded in the same place on the film with the dimension of 0.78 μm2.

Integrating a health-related-quality-of-life module within electronic health records: a comparative case study assessing value added

Directory of Open Access Journals (Sweden)

Shea Christopher M

2012-03-01

Full Text Available Abstract Background Health information technology (HIT applications that incorporate point-of-care use of health-related quality of life (HRQL assessments are believed to promote patient-centered interactions between seriously ill patients and physicians. However, it is unclear how willing primary care providers are to use such HRQL HIT applications. The specific aim of this study was to explore factors that providers consider when assessing the value added of an HRQL application for their geriatric patients. Methods Three case studies were developed using the following data sources: baseline surveys with providers and staff, observations of staff and patients, audio recordings of patient-provider interactions, and semi-structured interviews with providers and staff. Results The primary factors providers considered when assessing value added were whether the HRQL information from the module was (1 duplicative of information gathered via other means during the encounter; (2 specific enough to be useful and/or acted upon, and; (3 useful for enough patients to warrant time spent reviewing it for all geriatric patients. Secondary considerations included level of integration of the HRQL and EHR, impact on nursing workflow, and patient reluctance to provide HRQL information. Conclusions Health-related quality of life modules within electronic health record systems offer the potential benefit of improving patient centeredness and quality of care. However, the modules must provide benefits that are substantial and prominent in order for physicians to decide that they are worthwhile and sustainable. Implications of this study for future research include the identification of perceived "costs" as well as a foundation for operationalizing the concept of "usefulness" in the context of such modules. Finally, developers of these modules may need to make their products customizable for practices to account for variation in EHR capabilities and practice

Records management and risk management at Kenya Commercial Bank Limited, Nairobi

Directory of Open Access Journals (Sweden)

Cleophas Ambira

2011-03-01

Full Text Available Background: This paper reported empirical research findings of an MPhil in Information Sciences (Records and Archives Management study conducted at Moi University in Eldoret, Kenya between September 2007 and July 2009.Objectives: The aim of the study was to investigate records management and risk management at Kenya Commercial Bank (KCB Ltd, in the Nairobi area and propose recommendations to enhance the functions of records and risk management at KCB. The specific objectives of the study were to, (1 establish the nature and type of risks to which KCB is exposed, (2 conduct business process analysis and identify the records generated by KCB, (3 establish the extent to which records management is emphasised within KCB as a tool to managing risk, (4 identify which vital records of KCB need protection because of their nature and value to the bank and (5 make recommendations to enhance current records management practices to support the function of risk management in KCB.Method: The study was qualitative. Data were collected through face-to-face interviews. The theoretical framework of the study involved triangulation of the records continuum model by Frank Upward (1980 and the integrated risk management model by the Government of Canada (2000.Results: The key findings of the study were, (1 KCB is exposed to a wide range of risks by virtue of its business, (2 KCB generates a lot of records in the course of its business activities and (3 there are inadequate records management practices and systems, the lack of which undermines the risk management function.Conclusion: The findings of this study have revealed the need to strengthen records management as a critical success factor in risk mitigation within KCB and, by extension, the Kenyan banking industry. A records management model was proposed to guide the management of records within an enterprise-wide risk management framework in the bank.

Hybrid value foraging: How the value of targets shapes human foraging behavior.

Science.gov (United States)

Wolfe, Jeremy M; Cain, Matthew S; Alaoui-Soce, Abla

2018-04-01

In hybrid foraging, observers search visual displays for multiple instances of multiple target types. In previous hybrid foraging experiments, although there were multiple types of target, all instances of all targets had the same value. Under such conditions, behavior was well described by the marginal value theorem (MVT). Foragers left the current "patch" for the next patch when the instantaneous rate of collection dropped below their average rate of collection. An observer's specific target selections were shaped by previous target selections. Observers were biased toward picking another instance of the same target. In the present work, observers forage for instances of four target types whose value and prevalence can vary. If value is kept constant and prevalence manipulated, participants consistently show a preference for the most common targets. Patch-leaving behavior follows MVT. When value is manipulated, observers favor more valuable targets, though individual foraging strategies become more diverse, with some observers favoring the most valuable target types very strongly, sometimes moving to the next patch without collecting any of the less valuable targets.

Characterisation of Intensity Values on Terrestrial Laser Scanning for Recording Enhancement

Science.gov (United States)

Balaguer-Puig, M.; Molada-Tebar, A.; Marqués-Mateu, A.; Lerma, J. L.

2017-08-01

Mapping surveys based on terrestrial laser scanning (TLS) are common nowadays for different purposes such as documentation of cultural heritage assets. The chance to extract relevant information from TLS surveys depends not only on the fast acquisition of XYZ coordinates, but also on the meaningful intensity values of the fired objects. TLS behaviour depends on several known factors such as distance, texture, roughness, colour and albedo. This paper seeks to find out the mathematical relationship between the TLS intensity values and the colorimetric data using a colour chart. In order to do so, objective colour specification based on well-known colour spaces is needed. The approach used here started with scanning a colour chart containing a number of colour patches with known chromatic and reflection characteristics. After several transformations, the results allowed us to characterise the intensity behaviour of a time-of-flight laser scanner. The characterisation of the intensity values are tested indoor on the colour chart and outdoor on an archaeological shelter. Promising results are obtained to enhance the behaviour of the intensity values coming from the TLS.

Payroll Records, Business Education: 7734.31.

Science.gov (United States)

Mitz, Rochelle

This brief pamphlet offers a course description to acquaint students with different types of payroll records, and provides experience in the preparation of time cards, the use of charts to figure taxes, making deductions, and completing records to government requirements. Enrollment guidelines; objectives; course content; procedures; learning…

Effects of type of value appealed to and valence of appeal on children's dental health behavior.

Science.gov (United States)

Knapp, L G

1991-12-01

Examined the effects of the type of value appealed to and valence of appeal on children's intentions to engage in toothbrushing, their self-report of toothbrushing frequency, and their plaque level. 98 fifth-grade students served as the participants. Slide shows appealed to either health- or socially oriented values and also differed with respect to valence (positive vs. negative). A control group received a message that provided basic dental health information. Group comparisons revealed that children who received the negative social appeal showed a significant improvement in plaque level. Only the negative social appeal group differed significantly from the control group on the dependent measures.

Value Priorities and Behavior: Applying a Theory of Integrated Value Systems

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Shalom Schwartz

2016-02-01

Full Text Available A major goal of research on values has been to relate individual differences in value priorities to differences in attitudes, behavior and background variables. Past research most commonly adopted one of two approaches. Much research has selected a few single target values whose priorities were postulated to associate with the attitude, behavior and background variable of interest and then examined empirical relationships. Other research has been more exploratory.It has related lists of values to various other variables and then discussed the significant associations that emerge. The focus on relationships with single values make both these approaches insatisfying. My work has sought to overcome those approaches.It has derived what may be a nearly comprehensive set of different motivational types of values, recognized across cultures. Each value type is represented by a number of single values that are combined to form relatively reliable indexes of values priorities. Value systems can be treated as integrated wholes in their relations with behaviors and, thereby, encourages researches to abandom the prevailing single-values approaches. 

Hackers' Motivations: Testing Schwartz's Theory of Motivational Types of Values in a Sample of Hackers

OpenAIRE

Renushka Madarie

2017-01-01

Although much has been written on topic of hacker motivations, little empirical research has been conducted and even less research has attempted to quantify hackers’ motivations. The present study analyses relationships between the frequency of several hacking behaviours and motivations to hack in a sample of male hackers and potential hackers. Motivations frequently recurring in the literature are assessed and Schwartz´s (1992) Theory of Motivational Types of Values is applied. A preference ...

Valuing technology: A qualitative interview study with physicians about insulin pump therapy for children with type 1 diabetes.

Science.gov (United States)

Shulman, Rayzel; Miller, Fiona A; Daneman, Denis; Guttmann, Astrid

2016-01-01

Insulin pumps for children with type 1 diabetes have been broadly adopted despite equivocal evidence about comparative effectiveness. To understand why and inform policy related to public funding for new technologies, we explored how physicians interpret the value of pumps. We conducted open-ended, semi-structured interviews with 16 physicians from a pediatric diabetes network in Ontario, Canada, and analyzed the data using interpretive description. Respondents recognized that pumps fell short of expectations because they required hard work, as well as family and school support. Yet, pumps were valued for their status as new technologies and as a promising step in developing future technology. In addition, they were valued for their role within a therapeutic relationship, given the context of chronic childhood disease. These findings identify the types of beliefs that influence the adoption and diffusion of technologies. Some beliefs bear on hopes for new technology that may inappropriately hasten adoption, creating excess cost with little benefit. On the other hand, some beliefs identify potential benefits that are not captured in effectiveness studies, but may warrant consideration in resource allocation decisions. Still others suggest the need for remediation, such as those bearing on disparity in pump use by socioeconomic status. Understanding how technologies are valued can help stakeholders decide how to address such beliefs and expectations in funding decisions and implementation protocols. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Japanese Consumption Tax with Regard to Cross-Border Service Trading : A Comparison with EU-Type Value Added Taxes

OpenAIRE

細木, 宏和; ホソキ, ヒロカズ; Hirokazu, HOSOKI

2011-01-01

This paper examines a tax jurisdiction issue of the consumption tax system with regard to Japanese service trading. The Destination principle for service trading has not been established in Japanese consumption tax, but taxation at the place of consumption is gradually being adopted for value-added taxes in the EU. Under these circumstances, it is necessary for us to revise the Japanese consumption tax system in favor of taxation at the place of consumption, using EU-type value-added tax syst...

Impact of personal competencies and market value of type of occupation over objective employability and perceived career opportunities of young professionals

Directory of Open Access Journals (Sweden)

Mariana Bargsted

2017-07-01

Full Text Available The research of employability shows tension in the social field of career, where variables such as market value, gender, and personal skills are important. The aim of this study was to identify the predicted weight of market value of type of occupation, sex, and career competences (self-efficacy, pro-activity, and locus of control over objective employability and perceived opportunities for a future career and satisfaction of young professionals. In this study, 294 graduates from 27 different undergraduate degree programs participated, describing their labor situation, satisfaction with career opportunities, and their level in the studied competences. Each type of occupation has a specific market value score, according to national and international criteria. It was possible to identify that the market value of their occupations had significant effects on objective employability (p < .000, f = .48. Also, self-efficacy and locus of control were significant predictors of perceived employability opportunities (p < .000, f = .26. This predictive value of personal variables was different between males (p = .011, f = .82, and females (p < .000, f = .34, and between occupations with low market value (p=.016, f=.45, medium market value (p < .000, f = .34, and high market value (p = .006, f = .21, which allows the development of specific intervention strategies to promote equality in labor opportunities and job placement.

Estimation of breeding values using selected pedigree records.

Science.gov (United States)

Morton, Richard; Howarth, Jordan M

2005-06-01

Fish bred in tanks or ponds cannot be easily tagged individually. The parentage of any individual may be determined by DNA fingerprinting, but is sufficiently expensive that large numbers cannot be so finger-printed. The measurement of the objective trait can be made on a much larger sample relatively cheaply. This article deals with experimental designs for selecting individuals to be finger-printed and for the estimation of the individual and family breeding values. The general setup provides estimates for both genetic effects regarded as fixed or random and for fixed effects due to known regressors. The family effects can be well estimated when even very small numbers are finger-printed, provided that they are the individuals with the most extreme phenotypes.

Value Reappraisal as a Conceptual Model for Task-Value Interventions

Science.gov (United States)

Acee, Taylor W.; Weinstein, Claire Ellen; Hoang, Theresa V.; Flaggs, Darolyn A.

2018-01-01

We discuss task-value interventions as one type of relevance intervention and propose a process model of value reappraisal whereby task-value interventions elicit cognitive-affective responses that lead to attitude change and in turn affect academic outcomes. The model incorporates a metacognitive component showing that students can intentionally…

Validation of asthma recording in electronic health records: a systematic review

Directory of Open Access Journals (Sweden)

Nissen F

2017-12-01

Full Text Available Francis Nissen,1 Jennifer K Quint,2 Samantha Wilkinson,1 Hana Mullerova,3 Liam Smeeth,1 Ian J Douglas1 1Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK; 2National Heart and Lung Institute, Imperial College, London, UK; 3RWD & Epidemiology, GSK R&D, Uxbridge, UK Objective: To describe the methods used to validate asthma diagnoses in electronic health records and summarize the results of the validation studies. Background: Electronic health records are increasingly being used for research on asthma to inform health services and health policy. Validation of the recording of asthma diagnoses in electronic health records is essential to use these databases for credible epidemiological asthma research.Methods: We searched EMBASE and MEDLINE databases for studies that validated asthma diagnoses detected in electronic health records up to October 2016. Two reviewers independently assessed the full text against the predetermined inclusion criteria. Key data including author, year, data source, case definitions, reference standard, and validation statistics (including sensitivity, specificity, positive predictive value [PPV], and negative predictive value [NPV] were summarized in two tables.Results: Thirteen studies met the inclusion criteria. Most studies demonstrated a high validity using at least one case definition (PPV >80%. Ten studies used a manual validation as the reference standard; each had at least one case definition with a PPV of at least 63%, up to 100%. We also found two studies using a second independent database to validate asthma diagnoses. The PPVs of the best performing case definitions ranged from 46% to 58%. We found one study which used a questionnaire as the reference standard to validate a database case definition; the PPV of the case definition algorithm in this study was 89%. Conclusion: Attaining high PPVs (>80% is possible using each of the discussed validation

Multiple Generations on Video Tape Recorders.

Science.gov (United States)

Wiens, Jacob H.

Helical scan video tape recorders were tested for their dubbing characteristics in order to make selection data available to media personnel. The equipment, two recorders of each type tested, was submitted by the manufacturers. The test was designed to produce quality evaluations for three generations of a single tape, thereby encompassing all…

Design of node record for fast active reflector

International Nuclear Information System (INIS)

Wu Wenqing; Luo Mingcheng; Tang Pengyi; Liu Jiajing; Wang Jian

2014-01-01

Active Reflector is the one of the innovations of Five hundred meter Aperture Spherical Telescope (FAST) whose performance touches on that of the overall telescope. Therefore a real time control system is needed by the Active Reflector System. In this paper, a new record type-node record is designed for EPICS-based active reflector control system of FAST, according to more than 2000 controlled node, which will be convenient for node management of IOC and prove the reusage of IOC codes. The record type is used in design of active reflector control system of FAST Miyun model. (authors)

Preserving Logical Relations while Estimating Missing Values

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Ton de Waal

2017-09-01

Full Text Available Item-nonresponse is often treated by means of an imputation technique. In some cases, the data have to satisfy certain constraints, which are frequently referred to as edits. An example of an edit for numerical data is that the profit of an enterprise equals its turnover minus its costs. Edits place restrictions on the imputations that are allowed and hence complicate the imputation process. In this paper we explore an adjustment approach. This adjustment approach consists of three steps. In the first step, the imputation step, nearest neighbour hot deck imputation is used to find several pre-imputed values. In a second step, the adjustment step, these pre-imputed values are adjusted so the resulting records satisfy all edits. In a third step, the best donor record is selected. The adjusted record corresponding to that donor record is the final imputed record. In principle, a potential donor that is not the closest to the record to be imputed may still give the best results after adjustment. In this paper we therefore focus on the number of potential donor records that are considered in the imputation step.

Application value of different transformation zone types and its genetic relationship with high-risk HPV type in diagnosis and therapy of cervical disease.

Science.gov (United States)

Chen, Yan; Zhou, Jia-De

2015-01-01

This study aims to discuss the influence of different types of transformation zone (TZ) on positive surgical margin of loop electrosurgical excision procedure (LEEP) and the significance of infection of different genetic high-risk HPV for cervical intraepithelial neoplasm. The clinical data of patients who had CIN2+ and received LEEP during January to December 2013 was investigated. The conditions of positive surgical margin of patients of different transformation zone (type I, II, III) were analyzed. The clinical high-risk types of HPV were divided into three groups, including A5/6, A7 and A9, compared with the pathological conditions of pre-operation and post-operation of the patients in respective group. The results indicated that type III transformation zone is more likely to cause positive cutting margin. For CIN2+ patients, sensitivity and specificity are 0.89% and 79.56% in group A5/6, and negative and positive predicted value (NPV, PPV) are 40% and 5%. The sensitivity, specificity, NPV, PPV in group A7 is 12.5%, 44.08%, 29.49% and 21.21%, respectively. The sensitivity, specificity, NPV, PPV in group A9 is 88.99%, 87.09%, 85.26%, 81.51%, respectively. Transformation zone type was correlated positively with positive cutting margin percentage (r = 0.8732, P zone is more likely to cause pathological upgrades. In conclusion, different types of transformation zone and high-risk HPV have clinical significance in causing positive cutting margin of surgery and disease extent.

Screening of snoring with an MP3 recorder.

Science.gov (United States)

Kreivi, Hanna-Riikka; Salmi, Tapani; Maasilta, Paula; Bachour, Adel

2013-03-01

Snoring patients seeking medical assistance represent a wide range of clinical and sleep study findings from nonsleepy nonapneic snoring to severe obstructive sleep apnea syndrome. The prevalence of snoring is high and it significantly impacts quality of life. Its objective diagnosis usually requires a sleep study. We developed a system to analyze snoring sounds with a Moving Picture Experts Group Layer-3 Audio (MP3) recorder device and present its value in the screening of snoring. We recorded snoring sounds during in-lab polysomnography (PSG) in 200 consecutive patients referred for a suspicion of obstructive sleep apnea. Snoring was recorded during the PSG with two microphones: one attached to the throat and the other to the ceiling; an MP3 device was attached to the patient's collar. Snoring was confirmed when the MP3 acoustic signal exceeded twice the median value of the acoustic signal for the entire recording. Results of the MP3 snoring recording were compared to the snoring recordings from the PSG. MP3 recording proved technically successful for 87% of the patients. The Pearson correlation between PSG snoring and MP3 snoring was highly significant at 0.77 (p MP3 recording device underestimated the snoring time by a mean ± SD of 32 ± 55 min. The recording of snoring with an MP3 device provides reliable information about the patient's snoring.

Flood control project selection using an interval type-2 entropy weight with interval type-2 fuzzy TOPSIS

Science.gov (United States)

Zamri, Nurnadiah; Abdullah, Lazim

2014-06-01

Flood control project is a complex issue which takes economic, social, environment and technical attributes into account. Selection of the best flood control project requires the consideration of conflicting quantitative and qualitative evaluation criteria. When decision-makers' judgment are under uncertainty, it is relatively difficult for them to provide exact numerical values. The interval type-2 fuzzy set (IT2FS) is a strong tool which can deal with the uncertainty case of subjective, incomplete, and vague information. Besides, it helps to solve for some situations where the information about criteria weights for alternatives is completely unknown. Therefore, this paper is adopted the information interval type-2 entropy concept into the weighting process of interval type-2 fuzzy TOPSIS. This entropy weight is believed can effectively balance the influence of uncertainty factors in evaluating attribute. Then, a modified ranking value is proposed in line with the interval type-2 entropy weight. Quantitative and qualitative factors that normally linked with flood control project are considered for ranking. Data in form of interval type-2 linguistic variables were collected from three authorised personnel of three Malaysian Government agencies. Study is considered for the whole of Malaysia. From the analysis, it shows that diversion scheme yielded the highest closeness coefficient at 0.4807. A ranking can be drawn using the magnitude of closeness coefficient. It was indicated that the diversion scheme recorded the first rank among five causes.

Evaluating the effect of sample type on American alligator (Alligator mississippiensis) analyte values in a point-of-care blood analyser.

Science.gov (United States)

Hamilton, Matthew T; Finger, John W; Winzeler, Megan E; Tuberville, Tracey D

2016-01-01

The assessment of wildlife health has been enhanced by the ability of point-of-care (POC) blood analysers to provide biochemical analyses of non-domesticated animals in the field. However, environmental limitations (e.g. temperature, atmospheric humidity and rain) and lack of reference values may inhibit researchers from using such a device with certain wildlife species. Evaluating the use of alternative sample types, such as plasma, in a POC device may afford researchers the opportunity to delay sample analysis and the ability to use banked samples. In this study, we examined fresh whole blood, fresh plasma and frozen plasma (sample type) pH, partial pressure of carbon dioxide (PCO2), bicarbonate (HCO3 (-)), total carbon dioxide (TCO2), base excess (BE), partial pressure of oxygen (PO2), oxygen saturation (sO2) and lactate concentrations in 23 juvenile American alligators (Alligator mississippiensis) using an i-STAT CG4+ cartridge. Our results indicate that sample type had no effect on lactate concentration values (F 2,65 = 0.37, P = 0.963), suggesting that the i-STAT analyser can be used reliably to quantify lactate concentrations in fresh and frozen plasma samples. In contrast, the other seven blood parameters measured by the CG4+ cartridge were significantly affected by sample type. Lastly, we were able to collect blood samples from all alligators within 2 min of capture to establish preliminary reference ranges for juvenile alligators based on values obtained using fresh whole blood.

Some methods for blindfolded record linkage

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Christen Peter

2004-06-01

Full Text Available Abstract Background The linkage of records which refer to the same entity in separate data collections is a common requirement in public health and biomedical research. Traditionally, record linkage techniques have required that all the identifying data in which links are sought be revealed to at least one party, often a third party. This necessarily invades personal privacy and requires complete trust in the intentions of that party and their ability to maintain security and confidentiality. Dusserre, Quantin, Bouzelat and colleagues have demonstrated that it is possible to use secure one-way hash transformations to carry out follow-up epidemiological studies without any party having to reveal identifying information about any of the subjects – a technique which we refer to as "blindfolded record linkage". A limitation of their method is that only exact comparisons of values are possible, although phonetic encoding of names and other strings can be used to allow for some types of typographical variation and data errors. Methods A method is described which permits the calculation of a general similarity measure, the n-gram score, without having to reveal the data being compared, albeit at some cost in computation and data communication. This method can be combined with public key cryptography and automatic estimation of linkage model parameters to create an overall system for blindfolded record linkage. Results The system described offers good protection against misdeeds or security failures by any one party, but remains vulnerable to collusion between or simultaneous compromise of two or more parties involved in the linkage operation. In order to reduce the likelihood of this, the use of last-minute allocation of tasks to substitutable servers is proposed. Proof-of-concept computer programmes written in the Python programming language are provided to illustrate the similarity comparison protocol. Conclusion Although the protocols described in

36 CFR 1008.9 - Disclosure of records.

Science.gov (United States)

2010-07-01

... research or reporting record, and the record is to be transferred in a form that is not individually... has such value; (5) To another agency or to an instrumentality of any governmental jurisdiction within... activity is authorized by law, and if the head of the agency or instrumentality has made a written request...

40 CFR 600.209-08 - Calculation of vehicle-specific 5-cycle fuel economy values for a model type.

Science.gov (United States)

2010-07-01

...-cycle fuel economy values for a model type. 600.209-08 Section 600.209-08 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) ENERGY POLICY FUEL ECONOMY AND CARBON-RELATED EXHAUST EMISSIONS OF MOTOR VEHICLES Fuel Economy Regulations for 1977 and Later Model Year Automobiles-Procedures for...

19 CFR 10.536 - Value of materials.

Science.gov (United States)

2010-04-01

...) Accounting method. Any cost or value referenced in General Note 25, HTSUS and this subpart, must be recorded... 19 Customs Duties 1 2010-04-01 2010-04-01 false Value of materials. 10.536 Section 10.536 Customs... Rules of Origin § 10.536 Value of materials. (a) Calculating the value of materials. Except as provided...

Value Types in Higher Education--Students' Perspective

Science.gov (United States)

Dziewanowska, Katarzyna

2017-01-01

The purpose of the paper is to propose the service-dominant logic in marketing as a framework for analysing the value co-creation process in the higher education sector and present the results of a quantitative study (a survey) conducted among business students from four Polish public universities. The results of the study led to identification of…

Urban Noise Recorded by Stationary Monitoring Stations

Science.gov (United States)

Bąkowski, Andrzej; Radziszewski, Leszek; Dekýš, Vladimir

2017-10-01

The paper presents the analysis results of equivalent sound level recorded by two road traffic noise monitoring stations. The stations were located in Kielce (an example of a medium-size town in Poland) at the roads in the town in the direction of Łódź and Lublin. The measurements were carried out through stationary stations monitoring the noise and traffic of motor vehicles. The RMS values based on A-weighted sound level were recorded every 1 s in the buffer and the results were registered every 1 min over the period of investigations. The registered data were the basis for calculating the equivalent sound level for three time intervals: from 6:00 to 18:00, from 18:00 to 22:00 and from 22:00 to 6:00. Analysis included the values of the equivalent sound level recorded for different days of the week split into 24h periods, nights, days and evenings. The data analysed included recordings from 2013. The agreement of the distribution of the variable under analysis with normal distribution was evaluated. It was demonstrated that in most cases (for both roads) there was sufficient evidence to reject the null hypothesis at the significance level of 0.05. It was noted that compared with Łódź Road, in the case of Lublin Road data, more cases were recorded for which the null hypothesis could not be rejected. Uncertainties of the equivalent sound level measurements were compared within the periods under analysis. The standard deviation, coefficient of variation, the positional coefficient of variation, the quartile deviation was proposed for performing a comparative analysis of the obtained data scattering. The investigations indicated that the recorded data varied depending on the traffic routes and time intervals. The differences concerned the values of uncertainties and coefficients of variation of the equivalent sound levels.

Magma Mixing, Mingling and Its Accompanying Isotopic and Elemental Partitioning: Records from Titanites in Guojialing-type Granodiorites and Dioritic Enclaves, Jiaodong, North China

Science.gov (United States)

Jiang, P.; Yang, K. F.; Fan, H. R.; Liu, X.

2016-12-01

The grain-scale textural and in-situ compositional analyses on accessory minerals (such as titanite, rutile, apatite, monazite, etc.) have recently been a hot topic for geologists, through which a detailed information on magmatic, metamorphic or hydrothermal process can be extracted. As an attempt to unravel the petrogenesis of Early Cretaceous Guojialing-type granodiorites and their bearing dioritic enclaves, we accomplished an integrated geochronological and geochemical study on titanites within these rocks. Three types of titanites, with distinguishable textural and geochemical features, are identified. G-type titanites (from granodiorites) and E-type-I titanites (from plagioclase-rich dioritic enclaves) yield identical U-Pb age of 130 Ma, but reveal distinct back-scattered electron (BSE) zonings. G-type titanites are characterized by oscillatory zonings whereas E-type-I titanites are marked by core-mantle-rim zonings, exhibiting drastic but contrary variation trends for several key elements (such as LREEs, Zr, Hf and F) among their transition BSE zones. These two types of titanites are interpreted to crystallize coevally, and record a notable temperature and compositional change of two corresponding melts, as a response to magma mixing. E-type-II titanites (from plagioclase-poor dioritic enclaves) yield a relatively younger U-Pb age at 128 Ma, and show typical interstitial growth with narrower and lower range of Zr, total REEs contents, but higher F content and Nb/Ta ratios. Such titanites are perceived to record late-stage mingling, during which F-rich and REE-poor hybrid granodioritic magma squeezed into the incompletely consolidated dioritic enclaves with accompanying fluid-rock interaction. Unlike the dramatic elemental changes in these differentiated titanites, in-situ Nd isotopic compositions are relatively homogeneous, which in our view is a good sign of showing that isotopic equilibrium among two magma systems was more easily reached compared to

22 CFR 308.4 - Disclosure of records.

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2010-04-01

... record for statistical research provided that such record is transmitted in a form which is not... Services or his designee to determine if it has such value. (g) To an agency or instrumentality of any... activities, if the activity is authorized by law, and the head of any such agency or instrumentality has made...

9 CFR 2.75 - Records: Dealers and exhibitors.

Science.gov (United States)

2010-01-01

... AGRICULTURE ANIMAL WELFARE REGULATIONS Records § 2.75 Records: Dealers and exhibitors. (a)(1) Each dealer... breed or type; (B) The sex; (C) The date of birth or approximate age; and (D) The color and any...

Olivia Records: The Production of a Movement.

Science.gov (United States)

Morris, Bonnie

2015-01-01

This article looks at the early years of Olivia Records, setting the context for the historic release of the album Where Would I Be Without You. From its origins as a Washington, D.C.-based activist collective in 1973, Olivia became a hugely successful recording company, marketing radical lesbian recordings and performances that soon defined the "women's music" movement. Both artistically and politically, Olivia's woman-identified albums became the soundtrack for a generation awakening to lesbian activism. Pat Parker and Judy Grahn's 1976 spoken-word recording is a unique demonstration of Olivia's radical production values and expanding catalog.

Computer Security: the value of your password

CERN Multimedia

Stefan Lueders, Computer Security Team

2016-01-01

Of course, your passwords have a value to you as they allow you to access your computer and your Facebook page, to buy on Amazon, to create a Twitter feed, and to use a multitude of computing services provided by CERN. But have you ever thought of their value to the malicious people of this world?    With your account password, I can take over your computer. I can install software allowing me to enable your microphone and listen to your communications and what is happening around you as long as your computer is turned on. I can take regular screenshots and monitor you while you work. With that, I can try to determine your working habits, your online behaviour, the way you write e-mails… Useful, if I want to impersonate you believably (e.g. to attack CERN and the systems you are working on at CERN). What’s more, with access to your computer, I can install a keylogger to record your every keystroke – including when you type all your other passwords: ...

Activated crystals of fluorite type as photochromic mediums for recording of volumetric holograms

International Nuclear Information System (INIS)

Arkhangel'skaya, V.A.; Ashcheulov, Yu.V.; Perfilov, V.N.; Rejterov, V.M.; Sukhanov, V.I.; Feofilov, P.P.

1975-01-01

The paper is a study of the mechanism of photochromism and of the photochromic and holographic properties of fluorides of alkaline earth metals with one and two rare-earth activators. It is shown that the angular selectivity of ''thick'' (d approximately 2-5 mm) crystals is 2-3 angular minutes and that the optimum energy exposures, corresponding to the maximum diffraction efficiency values, are 0.1-1.0 J/cm 2 for singly-activated crystals and 1.0-10 J/cm 2 for crystals with two activators. The diffraction efficiencies of holograms of both types of crystals is in the range of approximately 0.1-0.2%. The experimental data are compared with calculations made for photochromic crystals with pigmentation centres. It is suggested that the materials studied can serve as a basis for measuring volumetric holograms. (author)

Records via probability theory

CERN Document Server

Ahsanullah, Mohammad

2015-01-01

A lot of statisticians, actuarial mathematicians, reliability engineers, meteorologists, hydrologists, economists. Business and sport analysts deal with records which play important roles in various fields of statistics and its application. This book enables a reader to check his/her level of understanding of the theory of record values. We give basic formulae which are more important in the theory and present a lot of examples which illustrate the theoretical statements. For a beginner in record statistics, as well as for graduate students the study of our book needs the basic knowledge of the subject. A more advanced reader can use our book to polish his/her knowledge. An upgraded list of bibliography which will help a reader to enrich his/her theoretical knowledge and widen the experience of dealing with ordered observations, is also given in the book.

Long-term periodicities in the sunspot record

International Nuclear Information System (INIS)

Wilson, R.M.

1984-07-01

Sunspot records are systematically maintained, with the knowledge that an 11 year average period exists since about 1850. Thus, the sunspot record of highest quality and considered to be the most reliable is that of cycle eight through the present. On the basis of cycles 8 through 20, various combinations of sine curves were used to approximate the observed R sub MAX values (where R sub MAX is the smoothed sunspot number at cycle maximum). It is found that a three component sinusoidal function, having an 11 cycle and a 2 cycle variation on a 90 cycle periodicity, yields computed R sub MAX values which fit, reasonably well, observed R sub MAX values for the modern sunspot cycles. Extrapolation of the empirical functions forward in time allows for the projection of values of R sub MAX for cycles 21 and 22. For cycle 21, the function projects a value of 157.3, very close to the actually observed value of 164.5. For cycle 22, the function projects a value of about 107. Linear regressions applied to cycle 22 indicate a long-period cycle (cycle duration 132 months). An extensive bibliography on techniques used to estimate the time dependent behavior of sunspot cycles is provided

77 FR 48551 - Records Schedules; Availability and Request for Comments

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2012-08-14

..., after a specified period, of records lacking administrative, legal, research, or other value. Notice is..., this public notice lists the organizational unit(s) accumulating the records or indicates agency- wide... items, 5 temporary items). Family support program records for cases of alleged child abuse or domestic...

77 FR 12622 - Records Schedules; Availability and Request for Comments

Science.gov (United States)

2012-03-01

..., after a specified period, of records lacking administrative, legal, research, or other value. Notice is..., this public notice lists the organizational unit(s) accumulating the records or indicates agency- wide...-10-85, 1 item, 1 temporary item), Web site records relating to health care, child services, family...

Beneficial Effects of Two Types of Personal Health Record Services Connected With Electronic Medical Records Within the Hospital Setting.

Science.gov (United States)

Lee, Jisan; Kim, James G Boram; Jin, Meiling; Ahn, Kiwhan; Kim, Byungjun; Kim, Sukwha; Kim, Jeongeun

2017-11-01

Healthcare consumers must be able to make decisions based on accurate health information. To assist with this, we designed and developed an integrated system connected with electronic medical records in hospitals to ensure delivery of accurate health information. The system-called the Consumer-centered Open Personal Health Record platform-is composed of two services: a portal for users with any disease and a mobile application for users with cleft lip/palate. To assess the benefits of these services, we used a quasi-experimental, pretest-posttest design, assigning participants to the portal (n = 50) and application (n = 52) groups. Both groups showed significantly increased knowledge, both objective (actual knowledge of health information) and subjective (perceived knowledge of health information), after the intervention. Furthermore, while both groups showed higher information needs satisfaction after the intervention, the application group was significantly more satisfied. Knowledge changes were more affected by participant characteristics in the application group. Our results may be due to the application's provision of specific disease information and a personalized treatment plan based on the participant and other users' data. We recommend that services connected with electronic medical records target specific diseases to provide personalized health management to patients in a hospital setting.

Personal values and value systems of humanities students and workers

Directory of Open Access Journals (Sweden)

Lucie Křeménková

2015-01-01

Full Text Available Problem: The aim of this paper is to analyze the value orientation of university students and workers in humanities and then determine possible differences between these groups in the context of branches of occupation, school results and gender. Methods: The sample consisted of 158 university students aged 19-24 years (mean age = 20.8 and 170 humanities workers aged 29-48 years (mean age=36.8. Respondents were divided into following groups: men (N = 72, women (N = 256, students’ school results A (N = 43, B (N = 47, C (N = 35, D (N = 29, E (N = 4 and worker´s branch of occupation: teachers in the kindergarten (N = 34, special education teachers (N = 32, high school teachers (N = 47, educational workers (N = 31 and civil servants (N = 26. We used a Rokeach Value Survey (RVS which is designed to measure two sets of values. One set is composed of 18 terminal values or desired end states of existence (e.g., an exciting life, national security, and the other set is composed of 18 instrumental values, or preferable modes of behavior (e.g., being ambitious, independent. Then, subjects are asked to rank order each value as to its importance as a guiding principle in their life. A 1 indicates the most important value and an 18 the least important. Scale responses are considered ordinal.Data were analyzed using SPSS. Results: We analyzed the preference of values depending on the gender. Pearson’s ?2 analyses indicated that men are significantly more (often „Effective Crusaders“ than women and women are significantly more (often „Virtuous Advocates“ than men, ?2 (3 = 13.817, p= .003, ?c = .205. After that we analyzed the preference of values depending on depending on the type of employment. Pearson’s ?2analyses indicated that students are significantly more (often „Virtuous Advocates“ than workers and workers are significantly more (often „Effective Crusaders“ and „Independent Maximizers“ than students, ?2 (3 = 61.414, p= .000, ?c

A Bayesian network model for predicting type 2 diabetes risk based on electronic health records

Science.gov (United States)

Xie, Jiang; Liu, Yan; Zeng, Xu; Zhang, Wu; Mei, Zhen

2017-07-01

An extensive, in-depth study of diabetes risk factors (DBRF) is of crucial importance to prevent (or reduce) the chance of suffering from type 2 diabetes (T2D). Accumulation of electronic health records (EHRs) makes it possible to build nonlinear relationships between risk factors and diabetes. However, the current DBRF researches mainly focus on qualitative analyses, and the inconformity of physical examination items makes the risk factors likely to be lost, which drives us to study the novel machine learning approach for risk model development. In this paper, we use Bayesian networks (BNs) to analyze the relationship between physical examination information and T2D, and to quantify the link between risk factors and T2D. Furthermore, with the quantitative analyses of DBRF, we adopt EHR and propose a machine learning approach based on BNs to predict the risk of T2D. The experiments demonstrate that our approach can lead to better predictive performance than the classical risk model.

Effect of pH value of applied solution on radioiodine sorption by soils

International Nuclear Information System (INIS)

Szabova, T.

1976-01-01

Sorption of radioiodine by soils was followed under static conditions at different pH values of the initial solution in five soil types. Sorption of radioiodine by soils is affected by the amount of the organic mass and by the pH of solutions. With the same pH, soils containing a higher amount of the organic mass absorb more radioiodine. The highest sorption percentage of 131 I - for all pH values was found in meadow chernozem soil and the lowest in the rendzina and in carboniferous meadow soils. The highest sorption of 131 I - for degraded chernozem, meadow chernozem soils and brown soil was recorded at pH 5 and for carboniferous meadow soil and rendzina at pH 7. (author)

An educational intervention impact on the quality of nursing records.

Science.gov (United States)

Linch, Graciele Fernanda da Costa; Lima, Ana Amélia Antunes; Souza, Emiliane Nogueira de; Nauderer, Tais Maria; Paz, Adriana Aparecida; da Costa, Cíntia

2017-10-30

to evaluate the impact of an educational intervention on the quality of nursing records. quasi-experimental study with before-and-after design conducted in a hospital. All the nurses in the cardiac intensive care unit of the hospital received the intervention, which consisted of weekly meetings during five months. To collect data, the instrument Quality of Diagnoses, Interventions and Outcomes was applied to the patients' charts in two moments: baseline and after intervention. the educational intervention had an impact on the quality of the records, since most of the items presented a significant increase in their mean values after the intervention, despite the low values in the two moments. the educational intervention proved to be effective at improving the quality of nursing records and a lack of quality was identified in the evaluated records, revealed by the low mean values and by the weakness of some questions presented in the items, which did not present a significant increase. Therefore, educational actions focused on real clinical cases may have positive implications for nursing practice.

Role of Tb–Mn substitution on the magnetic properties of Y-type hexaferrites

Energy Technology Data Exchange (ETDEWEB)

Ali, Irshad, E-mail: irshadalibzu@gmail.com [Department of Physics, Bahauddin Zakariya University, Multan 60800 (Pakistan); Islam, M.U. [Department of Physics, Bahauddin Zakariya University, Multan 60800 (Pakistan); Ashiq, Muhammad Naeem, E-mail: naeemashiqqau@yahoo.com [Institute of Chemical Sciences, Bahauddin Zakariya University, Multan 60800 (Pakistan); Asif Iqbal, M. [National University of Sciences and Technology, EME College, Islamabad (Pakistan); Karamat, Nazia [Institute of Chemical Sciences, Bahauddin Zakariya University, Multan 60800 (Pakistan); Awan, M.S. [Center for Micro and Nano Devices, Department of Physics, COMSAT Institute of Information Technology, Islamabad (Pakistan); Naseem, Shahzad [Centre for Solid State Physics, University of the Punjab, Lahore 54560 (Pakistan)

2014-06-25

Graphical abstract: In-plane MH-loop of Tb–Mn substituted Co{sub 2}Sr{sub 2}Fe{sub 12}O{sub 22}. - Highlights: • The magnetic properties changes with increasing substitution level. • The shape of grains is plate like useful for microwave devices. • The samples can be used in perpendicular recording media (PRM) due to their high value of coercivity. - Abstract: A series of (Tb–Mn) doped Sr{sub 2}Co{sub (2−x)}Mn{sub x}Tb{sub y}Fe{sub (12−y)}O{sub 22} (x = 0.0–1, Y = 0.0–0.1) Y-type hexaferrite were synthesized by the microemulsion method. The effect of doping of manganese at the tetrahedral site, and terbium at octahedral site, has been studied. It was observed that changes in magnetic properties such as saturation magnetization, coercivity, remanence and magnetic moment due to the cationic stoichiometry and their occupancy in the specific sites. The energy-dispersive X-ray fluorescence analysis was used to confirm the concentration of the elements. Scanning electron micrograph of the samples showed that grains are of plate like shape which is quite encouraging for their use in microwave devices and in perpendicular recording media (PRM) due to their high value of coercivity, 3200 Oe comparable to M-type and W-type hexaferrites hard magnetic materials.

Self-Employment, Personal Values, and Varieties of Happiness-Unhappiness.

Science.gov (United States)

Warr, Peter

2017-07-27

This study compares personal values and forms of happiness between self-employed workers and those employed in an organization. Values are examined through Schwartz's (1999) established model, and happiness is measured in terms of personal flourishing and both job-specific and general hedonic well-being. In two nationally representative samples, self-employed workers are found to value self-direction and stimulation in their lives to a significantly greater degree than do organizational employees, but not to differ in other types of value. Well-being differences are predicted to depend on whether or not workers supervise others, such that any well-being advantages of self-employment are expected to occur only for self-employed workers without subordinates. As predicted, job satisfaction in self-employment is found to exceed that of organizational workers primarily for those who do not supervise others. In respect of personal flourishing, self-employed workers report significantly greater accomplishment in their lives, and that difference is again found only for workers without supervisory responsibility. However, strain experienced in a job and context-free hedonic well-being are found to be similar between self- and organizational employment. Refinements are proposed to research methods and practical procedures. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Methodology Series Module 9: Designing Questionnaires and Clinical Record Forms - Part II.

Science.gov (United States)

Setia, Maninder Singh

2017-01-01

This article is a continuation of the previous module on designing questionnaires and clinical record form in which we have discussed some basic points about designing the questionnaire and clinical record forms. In this section, we will discuss the reliability and validity of questionnaires. The different types of validity are face validity, content validity, criterion validity, and construct validity. The different types of reliability are test-retest reliability, inter-rater reliability, and intra-rater reliability. Some of these parameters are assessed by subject area experts. However, statistical tests should be used for evaluation of other parameters. Once the questionnaire has been designed, the researcher should pilot test the questionnaire. The items in the questionnaire should be changed based on the feedback from the pilot study participants and the researcher's experience. After the basic structure of the questionnaire has been finalized, the researcher should assess the validity and reliability of the questionnaire or the scale. If an existing standard questionnaire is translated in the local language, the researcher should assess the reliability and validity of the translated questionnaire, and these values should be presented in the manuscript. The decision to use a self- or interviewer-administered, paper- or computer-based questionnaire depends on the nature of the questions, literacy levels of the target population, and resources.

Spatiotemporal Characteristics of QRS Complexes Enable the Diagnosis of Brugada Syndrome Regardless of the Appearance of a Type 1 ECG.

Science.gov (United States)

Guillem, Maria S; Climent, Andreu M; Millet, José; Berne, Paola; Ramos, Rafael; Brugada, Josep; Brugada, Ramon

2016-05-01

The diagnosis of Brugada syndrome based on the ECG is hampered by the dynamic nature of its ECG manifestations. Brugada syndrome patients are only 25% likely to present a type 1 ECG. The objective of this study is to provide an ECG diagnostic criterion for Brugada syndrome patients that can be applied consistently even in the absence of a type 1 ECG. We recorded 67-lead body surface potential maps from 94 Brugada syndrome patients and 82 controls (including right bundle branch block patients and healthy individuals). The spatial propagation direction during the last r' wave and the slope at the end of the QRS complex were measured and compared between patients groups. Receiver-operating characteristic curves were constructed for half of the database to identify optimal cutoff values; sensitivity and specificity for these cutoff values were measured in the other half of the database. A spontaneous type 1 ECG was present in only 30% of BrS patients. An orientation in the sagittal plane ECG recordings can enable a robust identification of BrS even without the presence of a type 1 ECG. © 2016 Wiley Periodicals, Inc.

The Single- and Multichannel Audio Recordings Database (SMARD)

DEFF Research Database (Denmark)

Nielsen, Jesper Kjær; Jensen, Jesper Rindom; Jensen, Søren Holdt

2014-01-01

A new single- and multichannel audio recordings database (SMARD) is presented in this paper. The database contains recordings from a box-shaped listening room for various loudspeaker and array types. The recordings were made for 48 different configurations of three different loudspeakers and four...... different microphone arrays. In each configuration, 20 different audio segments were played and recorded ranging from simple artificial sounds to polyphonic music. SMARD can be used for testing algorithms developed for numerous application, and we give examples of source localisation results....

77 FR 11063 - Privacy Act of 1974, System of Records

Science.gov (United States)

2012-02-24

... signature and encryption certificates for documents and email and to add biometric authentication... National Archives Records Administration--Schedules for the type of record being maintained. System manager...

A survey of atmospheric wave recording at Blacknest

International Nuclear Information System (INIS)

Grover, F.H.

1977-11-01

Techniques are described for recording atmospheric waves at the AWRE Blacknest Research Centre. Examples, with interpretative comments, of various types of atmospheric waves observed over a period of several years are illustrated in a series of figures taken from a representative selection of Blacknest records. (author)

Variability of road traffic noise recorded by stationary monitoring stations

Science.gov (United States)

Bąkowski, Andrzej; Radziszewski, Leszek

2017-11-01

The paper presents the analysis results of equivalent sound level recorded by two road traffic noise monitoring stations. The stations were located in Kielce (an example of a medium-size town in Poland) at the roads out of the town in the direction of Kraków and Warszawa. The measurements were carried out through stationary stations monitoring the noise and traffic of motor vehicles. The RMS values based on A-weighted sound level were recorded every 1 s in the buffer and the results were registered every 1 min over the period of investigations. The registered data were the basis for calculating the equivalent sound level for three time intervals: from 6:00 to 18:00, from 18:00 to 22:00 and from 22:00 to 6:00. Analysis included the values of the equivalent sound level recorded for different days of the week split into 24h periods, nights, days and evenings. The data analysed included recordings from 2013. The coefficient of variation and positional variation were proposed for performing comparative analysis of the obtained data scattering. The investigations indicated that the recorded data varied depending on the traffic routes. The differences concerned the values of coefficients of variation of the equivalent sound levels.

4 CFR 200.10 - Disclosure of records to third parties.

Science.gov (United States)

2010-01-01

... as a statistical research or reporting record and that the record is to be transferred in a form that... determine whether the record has such value. (7) To another agency or to an instrumentality of any... enforcement activity, if the activity is authorized by law, and if the head of the agency or instrumentality...

7 CFR 225.8 - Records and reports.

Science.gov (United States)

2010-01-01

.... (a) Each State agency shall maintain complete and accurate current accounting records of its Program... must also notify the appropriate FNSRO within 5 working days after they approve each private nonprofit... estimated daily attendance that was previously provided; (ii) The hours and type(s) of approved meal service...

Required number of records for ASCE/SEI 7 ground-motion scaling procedure

Science.gov (United States)

Reyes, Juan C.; Kalkan, Erol

2011-01-01

The procedures and criteria in 2006 IBC (International Council of Building Officials, 2006) and 2007 CBC (International Council of Building Officials, 2007) for the selection and scaling ground-motions for use in nonlinear response history analysis (RHA) of structures are based on ASCE/SEI 7 provisions (ASCE, 2005, 2010). According to ASCE/SEI 7, earthquake records should be selected from events of magnitudes, fault distance, and source mechanisms that comply with the maximum considered earthquake, and then scaled so that the average value of the 5-percent-damped response spectra for the set of scaled records is not less than the design response spectrum over the period range from 0.2Tn to 1.5Tn sec (where Tn is the fundamental vibration period of the structure). If at least seven ground-motions are analyzed, the design values of engineering demand parameters (EDPs) are taken as the average of the EDPs determined from the analyses. If fewer than seven ground-motions are analyzed, the design values of EDPs are taken as the maximum values of the EDPs. ASCE/SEI 7 requires a minimum of three ground-motions. These limits on the number of records in the ASCE/SEI 7 procedure are based on engineering experience, rather than on a comprehensive evaluation. This study statistically examines the required number of records for the ASCE/SEI 7 procedure, such that the scaled records provide accurate, efficient, and consistent estimates of" true" structural responses. Based on elastic-perfectly-plastic and bilinear single-degree-of-freedom systems, the ASCE/SEI 7 scaling procedure is applied to 480 sets of ground-motions. The number of records in these sets varies from three to ten. The records in each set were selected either (i) randomly, (ii) considering their spectral shapes, or (iii) considering their spectral shapes and design spectral-acceleration value, A(Tn). As compared to benchmark (that is, "true") responses from unscaled records using a larger catalog of ground

An audit of some processing effects in aggregated occurrence records.

Science.gov (United States)

Mesibov, Robert

2018-01-01

A total of ca 800,000 occurrence records from the Australian Museum (AM), Museums Victoria (MV) and the New Zealand Arthropod Collection (NZAC) were audited for changes in selected Darwin Core fields after processing by the Atlas of Living Australia (ALA; for AM and MV records) and the Global Biodiversity Information Facility (GBIF; for AM, MV and NZAC records). Formal taxon names in the genus- and species-groups were changed in 13-21% of AM and MV records, depending on dataset and aggregator. There was little agreement between the two aggregators on processed names, with names changed in two to three times as many records by one aggregator alone compared to records with names changed by both aggregators. The type status of specimen records did not change with name changes, resulting in confusion as to the name with which a type was associated. Data losses of up to 100% were found after processing in some fields, apparently due to programming errors. The taxonomic usefulness of occurrence records could be improved if aggregators included both original and the processed taxonomic data items for each record. It is recommended that end-users check original and processed records for data loss and name replacements after processing by aggregators.

Efficiency Improvement of HIT Solar Cells on p-Type Si Wafers.

Science.gov (United States)

Wei, Chun-You; Lin, Chu-Hsuan; Hsiao, Hao-Tse; Yang, Po-Chuan; Wang, Chih-Ming; Pan, Yen-Chih

2013-11-22

Single crystal silicon solar cells are still predominant in the market due to the abundance of silicon on earth and their acceptable efficiency. Different solar-cell structures of single crystalline Si have been investigated to boost efficiency; the heterojunction with intrinsic thin layer (HIT) structure is currently the leading technology. The record efficiency values of state-of-the art HIT solar cells have always been based on n-type single-crystalline Si wafers. Improving the efficiency of cells based on p-type single-crystalline Si wafers could provide broader options for the development of HIT solar cells. In this study, we varied the thickness of intrinsic hydrogenated amorphous Si layer to improve the efficiency of HIT solar cells on p-type Si wafers.

[Value of bedside echocardiography in diagnosis and risk assessment of in-hospital death for patients with Stanford type A aortic dissection].

Science.gov (United States)

Wang, H J; Xiao, Z Y; Gu, G R; Xue, Y; Shao, M; Deng, Z; Tao, Z G; Yao, C L; Tong, C Y

2017-11-24

Objective: To investigate the value of bedside echocardiography in diagnosis and risk assessment of in-hospital death of patients with Stanford type A aortic dissection. Methods: The clinical data of 229 patients with Stanford type A aortic dissection diagnosed by CT angiography in Zhongshan Hospital affiliated to Fudan University between January 2009 and January 2016 were retrospectively analyzed. The patients were divided into survival group(191 cases)and non-survival group(38 cases)according to presence or absence of in-hospital death. The bedside echocardiography features were analyzed, and influence factors of in-hospital death were determined by multivariate logistic regression analysis. Results: (1) Compared with the survival group, the non-survival group had lower surgery rate (60.52%(23/38) vs. 85.34%(163/191), P 0.05). (2) The bedside echocardiography results showed that prevalence of aortic valve involvement(65.79%(25/38) vs.34.03%(65/191), P 0.05). (3) The multivariate logistic regression analysis showed that aortic valve involvement( OR =3.275, 95% CI 1.290-8.313, P risk factors for in-hospital death in patients with Stanford type A aortic dissection. Conclusions: Bedside echocardiography has significant diagnostic value for Stanford type A aortic dissection. Aortic valve involvement, enlargement of aortic root diameter and without surgery are independent risk factors for patients with Stanford type A aortic dissection.

Uptake and Effects of the e-Vita Personal Health Record with Self-Management Support and Coaching, for Type 2 Diabetes Patients Treated in Primary Care

NARCIS (Netherlands)

van Vugt, M.; de Wit, M.; Sieverink, Floor; Roelofsen, Y.; Hendriks, S.H.; Bilo, H.J.G.; Snoek, F.J.

2016-01-01

We studied the use, uptake, and effects of e-Vita, a personal health record, with self-management support and personalized asynchronized coaching, for type 2 diabetes patients treated in primary care. Patients were invited by their practice nurse to join the study aimed at testing use and effects of

Use of the Electronic Medical Record to Assess Pancreas Size in Type 1 Diabetes

Science.gov (United States)

Virostko, John; Hilmes, Melissa; Eitel, Kelsey; Moore, Daniel J.; Powers, Alvin C.

2016-01-01

Aims This study harnessed the electronic medical record to assess pancreas volume in patients with type 1 diabetes (T1D) and matched controls to determine whether pancreas volume is altered in T1D and identify covariates that influence pancreas volume. Methods This study included 25 patients with T1D and 25 age-, sex-, and weight-matched controls from the Vanderbilt University Medical Center enterprise data warehouse. Measurements of pancreas volume were made from medical imaging studies using magnetic resonance imaging (MRI) or computed tomography (CT). Results Patients with T1D had a pancreas volume 47% smaller than matched controls (41.16 ml vs. 77.77 ml, P pancreas volume normalized by subject body weight, body mass index, or body surface area (all P pancreas volume over time (~ 6% of volume/year), whereas five controls scanned a year apart did not exhibit a decline in pancreas size (P = 0.03). The pancreas was uniformly smaller on the right and left side of the abdomen. Conclusions Pancreas volume declines with disease duration in patients with T1D, suggesting a protracted pathological process that may include the exocrine pancreas. PMID:27391588

Value-based resource management: a model for best value nursing care.

Science.gov (United States)

Caspers, Barbara A; Pickard, Beth

2013-01-01

With the health care environment shifting to a value-based payment system, Catholic Health Initiatives nursing leadership spearheaded an initiative with 14 hospitals to establish best nursing care at a lower cost. The implementation of technology-enabled business processes at point of care led to a new model for best value nursing care: Value-Based Resource Management. The new model integrates clinical patient data from the electronic medical record and embeds the new information in care team workflows for actionable real-time decision support and predictive forecasting. The participating hospitals reported increased patient satisfaction and cost savings in the reduction of overtime and improvement in length of stay management. New data generated by the initiative on nursing hours and cost by patient and by population (Medicare severity diagnosis-related groups), and patient health status outcomes across the acute care continuum expanded business intelligence for a value-based population health system.

14 CFR 1206.200 - Types of records to be made available.

Science.gov (United States)

2010-01-01

... general applicability adopted as authorized by law, and statements of general policy or interpretations of general applicability formulated and adopted by NASA; (5) Each amendment, revision, or repeal of the... reading room records created after November 1, 1997, under paragraphs (b)(1)(iv) and (v) and a guide for...

Changing atmospheric fallout of magnetic particles recorded in recent ombrotrophic peat sections.

Science.gov (United States)

Oldfield, F; Thompson, R; Barber, K E

1978-02-10

Magnetic measurements of ombrotrophic peat allow a reconstruction of changes in the past fallout of magnetic particles through the atmosphere. In recent peat profiles from three sites in Britain and Northern Ireland, a marked increase in saturated isothermal remanent magnetization of the peat is recorded in levels which can be shown to postdate the onset of the Industrial Revolution. Furthermore the spatial variation in contemporary isothermal remanent magnetization values is consistent with a recent industrial and urban origin for the bulk of the magnetic minerals present. Pre-Industrial Revolution values are between two and three orders of magnitude lower, suggesting that the natural cosmic and terrestrial sources previously cited for such material have been dominated in recent times by the products of human activity. Magnetic measurements provide a simple, rapid, and nondestructive method of monitoring and differentiating various types of particulate atmospheric fallout for both recent and preindustrial times.

[Effects of different soil types on the foliar δ13C values of common local plant species in karst rocky desertification area in central Guizhou Province].

Science.gov (United States)

Du, Xue-lian; Wang, Shi-jie; Luo, Xu-qiang

2014-09-01

By measuring the foliar δ13C values of common local plant species grown in different soil types in Wangjiazhai catchments, a typical karst desertification area in Qingzhen City, Central Guizhou, we studied the impact of soil type and rocky desertification grade on the foliar δ13C values. The results showed that the foliar δ13C values were more negative in yellow soil area than those in black calcareous area and there was no obvious difference in foliar δ13C values between these two soil types. The distribution interval of foliar δ13C values in yellow soil area was narrower than those in black calcareous area and the variation coefficient of foliar δ13C values in yellow soil area were smaller than those in black calcareous area. With increasing degree of karst rocky desertification, the foliar δ13C values of plant community in black calcareous area increased, whereas those in yellow soil area first increased and then decreased. The result of multiple comparison showed that the difference in foliar δ13C values of plant community among rocky desertification grade was not obvious in yellow soil area, but it was obvious in black calcareous area. Correlation analysis between the foliar δ13C values of plant species and the main environmental factors indicated that slope and soil thickness were the main factors which affected the foliar δ13C values of plants in yellow soil area and soil water contant was the main factor in black calcareous area. The impact of soil on the foliar δ13C values was realized by adjusting the soil moisture in study area.

A record-driven growth process

International Nuclear Information System (INIS)

Godrèche, C; Luck, J M

2008-01-01

We introduce a novel stochastic growth process, the record-driven growth process, which originates from the analysis of a class of growing networks in a universal limiting regime. Nodes are added one by one to a network, each node possessing a quality. The new incoming node connects to the pre-existing node with best quality, that is, with record value for the quality. The emergent structure is that of a growing network, where groups are formed around record nodes (nodes endowed with the best intrinsic qualities). Special emphasis is put on the statistics of leaders (nodes whose degrees are the largest). The asymptotic probability for a node to be a leader is equal to the Golomb–Dickman constant ω = 0.624 329 ..., which arises in problems of combinatorial nature. This outcome solves the problem of the determination of the record breaking rate for the sequence of correlated inter-record intervals. The process exhibits temporal self-similarity in the late-time regime. Connections with the statistics of the cycles of random permutations, the statistical properties of randomly broken intervals, and the Kesten variable are given

Reproducibility and reliability of hypoglycaemic episodes recorded with Continuous Glucose Monitoring System (CGMS) in daily life

DEFF Research Database (Denmark)

Høi-Hansen, T; Pedersen-Bjergaard, U; Thorsteinsson, B

2005-01-01

AIM: Continuous glucose monitoring may reveal episodes of unrecognized hypoglycaemia. We evaluated reproducibility and reliability of hypoglycaemic episodes recorded in daily life by the Medtronic MiniMed Continuous Glucose Monitoring System (CGMS). METHODS: Twenty-nine adult patients with Type 1...... data were recalibrated generating four different CGMS data sets [left-A (left side of abdomen, calibration set A), left-B, right-A and right-B]. Agreement between CGMS data sets was evaluated during hypoglycaemic events, comparing CGMS readings = 2.2 mmol/l with nadir values from corresponding CGMS...... data sets. CGMS readings were also compared with independent self-monitored blood glucose (SMBG) values. RESULTS: With hypoglycaemia (CGMS readings = 2.2 mmol/l) in calibration set left-A, values below 3.5 mmol/l were present in 99% (95% CI: 95-100%) of samples in left-B, 91% (95% CI: 84...

The value of space

DEFF Research Database (Denmark)

Panduro, Toke Emil

The thesis consists of four papers which address the potential and challenges of the hedonic house price method. The aim of the thesis has been to estimate consistent and efficient parameter estimates of spatial varying regressors in the hedonic house price model. In particular, the articles are ...... and provide reliable estimates of the value of different types of green space....... are concerned with the value of different types of green space and how these values can be applied in urban planning policies related to climate adaption. The results presented in this thesis, ensure a “level playing field” in the assessment of the cost and benefits of different climate adaptation strategies...

On the relation between ecosystem services, intrinsic value, existence value and economic valuation

NARCIS (Netherlands)

Davidson, M.D.

2013-01-01

Various attempts have been made to amalgamate the concepts of intrinsic value and ecosystem services, often with a stop-over at the economic concept of existence value. These attempts are based on a confusion of concepts, however. In this article, two types of non-use values are distinguished: warm

Intracellular recording from a spider vibration receptor.

Science.gov (United States)

Gingl, Ewald; Burger, Anna-M; Barth, Friedrich G

2006-05-01

The present study introduces a new preparation of a spider vibration receptor that allows intracellular recording of responses to natural mechanical or electrical stimulation of the associated mechanoreceptor cells. The spider vibration receptor is a lyriform slit sense organ made up of 21 cuticular slits located on the distal end of the metatarsus of each walking leg. The organ is stimulated when the tarsus receives substrate vibrations, which it transmits to the organ's cuticular structures, reducing the displacement to about one tenth due to geometrical reasons. Current clamp recording was used to record action potentials generated by electrical or mechanical stimuli. Square pulse stimulation identified two groups of sensory cells, the first being single-spike cells which generated only one or two action potentials and the second being multi-spike cells which produced bursts of action potentials. When the more natural mechanical sinusoidal stimulation was applied, differences in adaptation rate between the two cell types remained. In agreement with prior extracellular recordings, both cell types showed a decrease in the threshold tarsus deflection with increasing stimulus frequency. Off-responses to mechanical stimuli have also been seen in the metatarsal organ for the first time.

The fossil record of the sixth extinction.

Science.gov (United States)

Plotnick, Roy E; Smith, Felisa A; Lyons, S Kathleen

2016-05-01

Comparing the magnitude of the current biodiversity crisis with those in the fossil record is difficult without an understanding of differential preservation. Integrating data from palaeontological databases with information on IUCN status, ecology and life history characteristics of contemporary mammals, we demonstrate that only a small and biased fraction of threatened species (fossil record, compared with 20% of non-threatened species. We find strong taphonomic biases related to body size and geographic range. Modern species with a fossil record tend to be large and widespread and were described in the 19(th) century. The expected magnitude of the current extinction based only on species with a fossil record is about half of that of one based on all modern species; values for genera are similar. The record of ancient extinctions may be similarly biased, with many species having originated and gone extinct without leaving a tangible record. © 2016 John Wiley & Sons Ltd/CNRS.

Calculation device for fuel power history in BWR type reactors

International Nuclear Information System (INIS)

Sakagami, Masaharu.

1980-01-01

Purpose: To enable calculations for power history and various variants of power change in the power history of fuels in a BWR type reactor or the like. Constitution: The outputs of the process computation for the nuclear reactor by a process computer are stored and the reactor core power distribution is judged from the calculated values for the reactor core power distribution based on the stored data. Data such as for thermal power, core flow rate, control rod position and power distribution are recorded where the changes in the power distribution exceed a predetermined amount, and data such as for thermal power and core flow rate are recorded where the changes are within the level of the predetermined amount, as effective data excluding unnecessary data. Accordingly, the recorded data are taken out as required and the fuel power history and the various variants in the fuel power are calculated and determined in a calculation device for fuel power history and variants for fuel power fluctuation. (Furukawa, Y.)

Projects as value constellations

DEFF Research Database (Denmark)

Laursen, Markus

Creating value has been outlined as very central to projects applying the organizational perspective to projects. It has been suggested that value is created in value constellations or project networks, where actors work together to create value. However, research on the value creation process...... in value constellations is scarce, and through an exploratory study of two project networks in a cultural setting we investigate how value is created in value constellations. We outline how each project may be a distinct type of value constellation, one project creates value for the partners of the network...... as a consortium, and the project creates value primarily for others as a facilitator....

14 CFR Appendix E to Part 125 - Airplane Flight Recorder Specifications

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Airplane Flight Recorder Specifications E... AND OPERATIONS: AIRPLANES HAVING A SEATING CAPACITY OF 20 OR MORE PASSENGERS OR A MAXIMUM PAYLOAD... Appendix E to Part 125—Airplane Flight Recorder Specifications The recorded values must meet the designated...

Pitfalls in urinary stone identification using CT attenuation values: Are we getting the same information on different scanner models?

Energy Technology Data Exchange (ETDEWEB)

Grosjean, Romain, E-mail: r.grosjean@chu-nancy.fr [IADI Laboratory, INSERM-U947, Nancy-University, Allée du Morvan, 54500 Vandoeuvre-les-Nancy (France); Daudon, Michel, E-mail: michel.daudon@tnn.aphp.fr [IADI Laboratory, INSERM-U947, Nancy-University, Allée du Morvan, 54500 Vandoeuvre-les-Nancy (France); Chammas, Mario F., E-mail: mariochammas@usp.br [University of Sao Paulo – Division of Urology, Av. Dr. Enéas de Carvalho Aguiar, 255, 7" o Andar – s. 7123, São Paulo (Brazil); Claudon, Michel, E-mail: m.claudon@chu-nancy.fr [IADI Laboratory, INSERM-U947, Nancy-University, Allée du Morvan, 54500 Vandoeuvre-les-Nancy (France); Eschwege, Pascal, E-mail: peschwege@yahoo.com [Department of Urology, Brabois Hospital, University Hospital of Nancy, Allée du Morvan, 54511 Vandoeuvre-les-Nancy (France); Felblinger, Jacques, E-mail: j.felblinger@chu-nancy.fr [IADI Laboratory, INSERM-U947, Nancy-University, Allée du Morvan, 54500 Vandoeuvre-les-Nancy (France); Hubert, Jacques, E-mail: j.hubert@chu-nancy.fr [Department of Urology, Brabois Hospital, University Hospital of Nancy, Allée du Morvan, 54511 Vandoeuvre-les-Nancy (France)

2013-08-15

Introduction: Evaluate the capability of different Computed Tomography scanners to determine urinary stone compositions based on CT attenuation values and to evaluate potential differences between each model. Methods: 241 human urinary stones were obtained and their biochemical composition determined. Four different CT scanners (Siemens, Philips, GEMS and Toshiba) were evaluated. Mean CT-attenuation values and the standard deviation were recorded separately and compared with a t-paired test. Results: For all tested CT scanners, when the classification of the various types of stones was arranged according to the mean CT-attenuation values and to the confidence interval, large overlappings between stone types were highlighted. The t-paired test showed that most stone types could not be identified. Some types of stones presented mean CT attenuation values significantly different from one CT scanner to another. At 80 kV, the mean CT attenuation values obtained with the Toshiba Aquilion were significantly different from those obtained with the Siemens Sensation. On the other hand, mean values obtained with the Philips Brilliance were all significantly equal to those obtained with the Siemens Sensation and with the Toshiba Aquilion. At 120 kV mean CT attenuation values of uric acid, cystine and struvite stones obtained with the Philips model are significantly different from those obtained with the Siemens and the Toshiba but equal to those obtained with the GE 64. Conclusions: According to our study, there is a great variability when different brands and models of scanners are compared directly. Furthermore, the CT scan analysis and HU evaluation appears to gather insufficient information in order to characterize and identify the composition of renal stones.

Pitfalls in urinary stone identification using CT attenuation values: Are we getting the same information on different scanner models?

International Nuclear Information System (INIS)

Grosjean, Romain; Daudon, Michel; o Andar – s. 7123, São Paulo (Brazil))" data-affiliation=" (University of Sao Paulo – Division of Urology, Av. Dr. Enéas de Carvalho Aguiar, 255, 7o Andar – s. 7123, São Paulo (Brazil))" >Chammas, Mario F.; Claudon, Michel; Eschwege, Pascal; Felblinger, Jacques; Hubert, Jacques

2013-01-01

Introduction: Evaluate the capability of different Computed Tomography scanners to determine urinary stone compositions based on CT attenuation values and to evaluate potential differences between each model. Methods: 241 human urinary stones were obtained and their biochemical composition determined. Four different CT scanners (Siemens, Philips, GEMS and Toshiba) were evaluated. Mean CT-attenuation values and the standard deviation were recorded separately and compared with a t-paired test. Results: For all tested CT scanners, when the classification of the various types of stones was arranged according to the mean CT-attenuation values and to the confidence interval, large overlappings between stone types were highlighted. The t-paired test showed that most stone types could not be identified. Some types of stones presented mean CT attenuation values significantly different from one CT scanner to another. At 80 kV, the mean CT attenuation values obtained with the Toshiba Aquilion were significantly different from those obtained with the Siemens Sensation. On the other hand, mean values obtained with the Philips Brilliance were all significantly equal to those obtained with the Siemens Sensation and with the Toshiba Aquilion. At 120 kV mean CT attenuation values of uric acid, cystine and struvite stones obtained with the Philips model are significantly different from those obtained with the Siemens and the Toshiba but equal to those obtained with the GE 64. Conclusions: According to our study, there is a great variability when different brands and models of scanners are compared directly. Furthermore, the CT scan analysis and HU evaluation appears to gather insufficient information in order to characterize and identify the composition of renal stones

Reference values for vastus lateralis fiber size and type in healthy subjects over 40 years old: a systematic review and metaanalysis.

Science.gov (United States)

Gouzi, Fares; Maury, Jonathan; Molinari, Nicolas; Pomiès, Pascal; Mercier, Jacques; Préfaut, Christian; Hayot, Maurice

2013-08-01

Skeletal muscle atrophy is a major systemic impairment in chronic diseases. Yet its determinants have been hard to identify because a clear research definition has not been agreed upon. The reduction in muscle fiber cross-sectional area (CSA) is a widely acknowledged marker of muscle atrophy, but no reference values for the muscle fiber CSA at the age of the onset of chronic disease have ever been published. Thus, we aimed to systematically review the studies providing data on fiber CSA and fiber type proportion in the vastus lateralis of the quadriceps of healthy subjects (age >40 yr) and then to pool and analyze the data from the selected studies to determine reference values for fiber CSA. We followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and identified 19 studies, including 423 subjects that matched the inclusion criteria. On the basis of fiber type and gender, the mean fiber CSA and the lower limits of normal (LLNs) were (%type I*60) + 1,743 μm(2) and (%type I*60) - 718 μm(2), respectively, for men; and (%type I*70) + 139 μm(2) and (%type I*70) - 1,485 μm(2), respectively, for women. There was no significant heterogeneity among subgroups of fiber type and gender. The pooled type I fiber proportion was 50.3% (LLN = 32.9%). In multivariate analysis, fiber CSA was significantly correlated with Vo2 peak (r = 190.92; P = 0.03), and type I fiber proportion was correlated with age (r = -0.024; P = 0.005), body mass index (r = 0.096; P = 0.005), and Vo2 peak (r = -0.053; P = 0.005). Our metaanalysis of a homogeneous set of studies is the first to provide valuable LLNs for fiber CSA according to fiber type and gender. This analysis will be improved by prospective assessment in well-characterized healthy subjects.

Photoanisotropic polarization gratings beyond the small recording angle regime

NARCIS (Netherlands)

Xu, M.; De Boer, D.K.G.; Van Heesch, C.M.; Wachters, A.J.H.; Urbach, H.P.

2010-01-01

Polarization gratings can be realized by polarization holographic recording in photoanisotropic materials. In this paper, we study two types of polarization gratings. One is recorded with two orthogonally circularly (OC) polarized beams and the other one with two orthogonally linearly (OL) polarized

Existence and Uniqueness of Solutions for a Discrete Fractional Mixed Type Sum-Difference Equation Boundary Value Problem

Directory of Open Access Journals (Sweden)

Weidong Lv

2015-01-01

Full Text Available By means of Schauder’s fixed point theorem and contraction mapping principle, we establish the existence and uniqueness of solutions to a boundary value problem for a discrete fractional mixed type sum-difference equation with the nonlinear term dependent on a fractional difference of lower order. Moreover, a suitable choice of a Banach space allows the solutions to be unbounded and two representative examples are presented to illustrate the effectiveness of the main results.

SU-E-T-240: Design and Implement of An Electronic Records Function for Treatment Plan Checked Meeting

International Nuclear Information System (INIS)

Wu, Q

2015-01-01

Purpose: To replace the paper records, we designed an electronic records function for plan checked meeting in our in-house developed radiotherapy information management system(RTIMS). Methods: Since 2007, the RTIMS has been developed on a database and web service of Apache+PHP+MySQL, and almost all computers and smartphones could access the RTIMS through IE browser, to input, search, count, and print the data. In 2012, we also established an radiation therapy case conference multi-media system(RTCCMMS) based on Windows Remote Desktop feature. Since 2013, we have carried out the treatment plan checked meeting of the physics division in every afternoon for about half an hour. In 2014, we designed an electronic records function, which includes a meeting information record and a checked plan record. And the meeting record includes the following items: meeting date, name, place, length, status, attendee, content, etc. The plan record includes the followings: meeting date, meeting name, patient ID, gender, age, patient name, course, plan, purpose, position, technique, CTsim type, plan type, primary doctor, other doctor, primary physicist, other physicist, difficulty, quality, score, opinion, status, note, etc. Results: In the past year, the electronic meeting records function has been successfully developed and implemented in the division, and it could be accessed from an smartphone. Almost all items have the corresponding pull-down menu selection, and each option would try to intelligently inherit default value from the former record or other form. According to the items, we could do big data mining to the input data. It also has both Chinese and English two versions. Conclusion: It was demonstrated to be user-friendly and was proven to significantly improve the clinical efficiency and quality of treatment plan. Since the RTIMS is an in-house developed system, more functions can be added or modified to further enhance its potentials in research and clinical practice

SU-E-T-240: Design and Implement of An Electronic Records Function for Treatment Plan Checked Meeting

Energy Technology Data Exchange (ETDEWEB)

Wu, Q [Beijing Hospital, Beijing (China)

2015-06-15

Purpose: To replace the paper records, we designed an electronic records function for plan checked meeting in our in-house developed radiotherapy information management system(RTIMS). Methods: Since 2007, the RTIMS has been developed on a database and web service of Apache+PHP+MySQL, and almost all computers and smartphones could access the RTIMS through IE browser, to input, search, count, and print the data. In 2012, we also established an radiation therapy case conference multi-media system(RTCCMMS) based on Windows Remote Desktop feature. Since 2013, we have carried out the treatment plan checked meeting of the physics division in every afternoon for about half an hour. In 2014, we designed an electronic records function, which includes a meeting information record and a checked plan record. And the meeting record includes the following items: meeting date, name, place, length, status, attendee, content, etc. The plan record includes the followings: meeting date, meeting name, patient ID, gender, age, patient name, course, plan, purpose, position, technique, CTsim type, plan type, primary doctor, other doctor, primary physicist, other physicist, difficulty, quality, score, opinion, status, note, etc. Results: In the past year, the electronic meeting records function has been successfully developed and implemented in the division, and it could be accessed from an smartphone. Almost all items have the corresponding pull-down menu selection, and each option would try to intelligently inherit default value from the former record or other form. According to the items, we could do big data mining to the input data. It also has both Chinese and English two versions. Conclusion: It was demonstrated to be user-friendly and was proven to significantly improve the clinical efficiency and quality of treatment plan. Since the RTIMS is an in-house developed system, more functions can be added or modified to further enhance its potentials in research and clinical practice

Mandatory Use of Electronic Health Records: Overcoming Physician Resistance

Science.gov (United States)

Brown, Viseeta K.

2012-01-01

Literature supports the idea that electronic health records hold tremendous value for the healthcare system in that it increases patient safety, improves the quality of care and provides greater efficiency. The move toward mandatory implementation of electronic health records is a growing concern in the United States health care industry. The…

The completeness of electronic medical record data for patients with Type 2 Diabetes in primary care and its implications for computer modelling of predicted clinical outcomes.

Science.gov (United States)

Staff, Michael; Roberts, Christopher; March, Lyn

2016-10-01

To describe the completeness of routinely collected primary care data that could be used by computer models to predict clinical outcomes among patients with Type 2 Diabetes (T2D). Data on blood pressure, weight, total cholesterol, HDL-cholesterol and glycated haemoglobin levels for regular patients were electronically extracted from the medical record software of 12 primary care practices in Australia for the period 2000-2012. The data was analysed for temporal trends and for associations between patient characteristics and completeness. General practitioners were surveyed to identify barriers to recording data and strategies to improve its completeness. Over the study period data completeness improved up to around 80% complete although the recording of weight remained poorer at 55%. T2D patients with Ischaemic Heart Disease were more likely to have their blood pressure recorded (OR 1.6, p=0.02). Practitioners reported not experiencing any major barriers to using their computer medical record system but did agree with some suggested strategies to improve record completeness. The completeness of routinely collected data suitable for input into computerised predictive models is improving although other dimensions of data quality need to be addressed. Copyright © 2016 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

When in doubt, seize the day? Security values, prosocial values, and proactivity under ambiguity.

Science.gov (United States)

Grant, Adam M; Rothbard, Nancy P

2013-09-01

Researchers have suggested that both ambiguity and values play important roles in shaping employees' proactive behaviors, but have not theoretically or empirically integrated these factors. Drawing on theories of situational strength and values, we propose that ambiguity constitutes a weak situation that strengthens the relationship between the content of employees' values and their proactivity. A field study of 204 employees and their direct supervisors in a water treatment plant provided support for this contingency perspective. Ambiguity moderated the relationship between employees' security and prosocial values and supervisor ratings of proactivity. Under high ambiguity, security values predicted lower proactivity, whereas prosocial values predicted higher proactivity. Under low ambiguity, values were not associated with proactivity. We replicated these findings in a laboratory experiment with 232 participants in which we measured proactivity objectively as initiative taken to correct errors: Participants with strong security values were less proactive, and participants with strong prosocial values were more proactive, but only when performance expectations were ambiguous. We discuss theoretical implications for research on proactivity, values, and ambiguity and uncertainty. PsycINFO Database Record (c) 2013 APA, all rights reserved

78 FR 36603 - Records Schedules; Availability and Request for Comments

Science.gov (United States)

2013-06-18

... destruction, after a specified period, of records lacking administrative, legal, research, or other value..., this public notice lists the organizational unit(s) accumulating the records or indicates agency- wide... administration of family support programs. 8. Department of Transportation, Federal Transit Administration (DAA...

78 FR 74172 - Records Schedules; Availability and Request for Comments

Science.gov (United States)

2013-12-10

... destruction, after a specified period, of records lacking administrative, legal, research, or other value... requesting disposition authority, this public notice lists the organizational unit(s) accumulating the... Families (DAA-0292-2012-0001, 6 items, 6 temporary items). Children's Bureau records including child and...

75 FR 19663 - Records Schedules; Availability and Request for Comments

Science.gov (United States)

2010-04-15

..., after a specified period, of records lacking administrative, legal, research, or other value. Notice is... lists the organizational unit(s) accumulating the records or indicates agency- wide applicability in the... family members enrolled in special needs programs. Included are eligibility documentation, evaluations...

Analyses and distribution of various types of cancers recorded in Ife ...

African Journals Online (AJOL)

This work presents analyses of data on cancers diagnosed and recorded at the Ife-Ijesa Cancer Registry located at the Obafemi Awolowo University Teaching ... Liver and Gall Bladder (4.4%), Skin (2.7%), Metastatic (2.3%), Cytology (2.1%), Ear, Nose and Throat E.N.T., (2.1%), Lungs (1.9%), Connective tissue (1.9%), ...

40 CFR 1065.202 - Data updating, recording, and control.

Science.gov (United States)

2010-07-01

... command and control frequency Minimum recording frequency § 1065.510 Speed and torque during an engine step-map 1 Hz 1 mean value per step. § 1065.510 Speed and torque during an engine sweep-map 5 Hz 1 Hz... POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Measurement Instruments § 1065.202 Data updating, recording...

40 CFR 63.8490 - What records must I keep?

Science.gov (United States)

2010-07-01

... malfunction. (3) Records of performance tests as required in § 63.10(b)(2)(viii). (4) Records relating to... action taken. (2) For each deviation of an operating limit parameter value, the date, time, and duration of the deviation, a brief explanation of the cause of the deviation and the corrective action taken...

40 CFR 63.8640 - What records must I keep?

Science.gov (United States)

2010-07-01

...) Records of performance tests as required in § 63.10(b)(2)(viii). (4) Records relating to control device... deviation of an operating limit parameter value, the date, time, and duration of the deviation, a brief explanation of the cause of the deviation and the corrective action taken, and whether the deviation occurred...

Electronic properties of electron and hole in type-II semiconductor nano-heterostructures

Science.gov (United States)

Rahul, K. Suseel; Souparnika, C.; Salini, K.; Mathew, Vincent

2016-05-01

In this project, we record the orbitals of electron and hole in type-II (CdTe/CdSe/CdTe/CdSe) semiconductor nanocrystal using effective mass approximation. In type-II the band edges of both valance and conduction band are higher than that of shell. So the electron and hole get confined in different layers of the hetero-structure. The energy eigen values and eigen functions are calculated by solving Schrodinger equation using finite difference matrix method. Based on this we investigate the effect of shell thickness and well width on energy and probability distribution of ground state (1s) and few excited states (1p,1d,etc). Our results predict that, type-II quantum dots have significant importance in photovoltaic applications.

Electronic properties of electron and hole in type-II semiconductor nano-heterostructures

Energy Technology Data Exchange (ETDEWEB)

Rahul, K. Suseel [Department of Physics, Central University of Kerala, Riverside Transit Campus, Kasaragod, Kerala. India (India); Department of Physics, Sri Vyasa NSS College, Wadakkancheri, Thrissur, Kerala, PIN:680623. India (India); Souparnika, C. [Department of Physics, Sri Vyasa NSS College, Wadakkancheri, Thrissur, Kerala, PIN:680623. India (India); Salini, K.; Mathew, Vincent, E-mail: vincent@cukerala.ac.in [Department of Physics, Central University of Kerala, Riverside Transit Campus, Kasaragod, Kerala. India (India)

2016-05-06

In this project, we record the orbitals of electron and hole in type-II (CdTe/CdSe/CdTe/CdSe) semiconductor nanocrystal using effective mass approximation. In type-II the band edges of both valance and conduction band are higher than that of shell. So the electron and hole get confined in different layers of the hetero-structure. The energy eigen values and eigen functions are calculated by solving Schrodinger equation using finite difference matrix method. Based on this we investigate the effect of shell thickness and well width on energy and probability distribution of ground state (1s) and few excited states (1p,1d,etc). Our results predict that, type-II quantum dots have significant importance in photovoltaic applications.

What records have we been breaking?

Science.gov (United States)

Bartholow, J.M.; Milhous, R.

2002-01-01

"Today was another record-breaking day," the evening radio or television declares. High temperatures, low temperatures, floods, drought - take your choice. But how can we put these pronouncements in perspective? What do they really mean?We present two types of information in this article: 1) an analysis of daily air temperature and precipitation for Fort Collins and 2) an analysis of annual precipitation for Fort Collins. Each analysis provides a different meaning to the statement about a record-breaking day or year.

Study of apparent diffusion coefficient value in the normal breastq

International Nuclear Information System (INIS)

Cai Shifeng

2007-01-01

Objective: To investigate the differences of apparent diffusion coefficient (ADC) value in normal breasts and to evaluate the correlation between ADC value and corresponding histology. Methods: Sixty-two normal breasts including 42 normal breasts of 42 patients with unilateral lesions and 20 normal breasts of 10 volunteers were studied. The ADC value of all 62 normal breasts were calculated when b value was given from 1000 to 0 s/mm 2 , 1000 to 500 s/mm 2 and 500 to 0 s/mm 2 . The MRI features of 60 normal breasts were classified into 3 types (dense, lobular-speckled, degenerative types) according to Wolf's classification and histology. Results: DWI and ADC images were different in 3 types of normal breasts because of different histologic structures. The mean ADC value of the dense type breasts was (1.70 ± 0.37) x 10 -3 mm 2 /s, the lobular-speckled type was (1.93 ± 0.46) x 10 -3 mm 2 /s and the degenerative type was (1.18 ± 0.65) x 10 -3 mm 2 /s (F=12.998, P=0.000). There were no significant differences between the dense type and the lobular-speckled type (F=2.167, P=0.147), but significant differences between the dense type and the degenerative type, the lobular-speckled type and the degenerate type (F=5.593 and 19.128; P=0.029 and 0.000). When b value decreased, the ADC value of the dense type and the lobular-speckled type increased correspondingly, but the degenerative type didn't increase apparently. Conclusion: ADC value was influenced by histologic structures in normal breasts and also was influenced by b value in the dense type and lobular-speckled type breasts. (authors)

A review of the empirical evidence of the value of structuring and coding of clinical information within electronic health records for direct patient care

Directory of Open Access Journals (Sweden)

Dipak Kalra

2013-05-01

Full Text Available Background The case has historically been presented that structured and/or coded electronic health records (EHRs benefit direct patient care, but the evidence base for this is not well documented.Methods We searched for evidence of direct patient care value from the use of structured and/or coded information within EHRs. We interrogated nine international databases from 1990 to 2011. Value was defined using the Institute of Medicine’s six areas for improvement for healthcare systems: effectiveness, safety, patient-centredness, timeliness, efficiency and equitability. We included studies satisfying the Cochrane Effective Practice and Organisation of Care (EPOC group criteria.Results Of 5016 potentially eligible papers, 13 studies satisfied our criteria: 10 focused on effectiveness, with eight demonstrating potential for improved proxy and actual clinical outcomes if a structured and/or coded EHR was combined with alerting or advisory systems in a focused clinical domain. Three studies demonstrated improvement in safety outcomes. No studies were found reporting value in relation to patient-centredness, timeliness, efficiency or equitability.Conclusions We conclude that, to date, there has been patchy effort to investigate empirically the value from structuring and coding EHRs for direct patient care. Future investments in structuring and coding of EHRs should be informed by robust evidence as to the clinical scenarios in which patient care benefits may be realised.

Taking Stock of Project Value Creation

DEFF Research Database (Denmark)

Laursen, Markus; Svejvig, Per

2014-01-01

This paper presents the outcome of a literature review through classifying and analyzing 59 publications in project value creation literature. The analysis led to five distinct categories: Benefit Realization Management (BRM) and techniques, broad value perspective, value time frame, engineering...... requirements and product development. These five categories cover a wide selection of value creation literature in project contexts. The project types reported in empirical studies are mainly IS/IT and construction and a variety of other types such as R&D and strategy implementation. The literature dates back...

Beyond School Records: The Value of Cognitive and Affective Engagement in Predicting Dropout and On-Time Graduation

Science.gov (United States)

Lovelace, Matthew D.; Reschly, Amy L.; Appleton, James J.

2018-01-01

Early warning systems use school record data--such as attendance rate, behavior records, and course performance--to identify students at risk of dropping out. These are useful predictors of graduation-related outcomes, in large part because they indicate a student's level of engagement with school. However, these data do not indicate how invested…

Manual editing of automatically recorded data in an anesthesia information management system.

Science.gov (United States)

Wax, David B; Beilin, Yaakov; Hossain, Sabera; Lin, Hung-Mo; Reich, David L

2008-11-01

Anesthesia information management systems allow automatic recording of physiologic and anesthetic data. The authors investigated the prevalence of such data modification in an academic medical center. The authors queried their anesthesia information management system database of anesthetics performed in 2006 and tabulated the counts of data points for automatically recorded physiologic and anesthetic parameters as well as the subset of those data that were manually invalidated by clinicians (both with and without alternate values manually appended). Patient, practitioner, data source, and timing characteristics of recorded values were also extracted to determine their associations with editing of various parameters in the anesthesia information management system record. A total of 29,491 cases were analyzed, 19% of which had one or more data points manually invalidated. Among 58 attending anesthesiologists, each invalidated data in a median of 7% of their cases when working as a sole practitioner. A minority of invalidated values were manually appended with alternate values. Pulse rate, blood pressure, and pulse oximetry were the most commonly invalidated parameters. Data invalidation usually resulted in a decrease in parameter variance. Factors independently associated with invalidation included extreme physiologic values, American Society of Anesthesiologists physical status classification, emergency status, timing (phase of the procedure/anesthetic), presence of an intraarterial catheter, resident or certified registered nurse anesthetist involvement, and procedure duration. Editing of physiologic data automatically recorded in an anesthesia information management system is a common practice and results in decreased variability of intraoperative data. Further investigation may clarify the reasons for and consequences of this behavior.

Iterated local search and record-to-record travel applied to the fixed charge transportation problem

DEFF Research Database (Denmark)

Andersen, Jeanne; Klose, Andreas

The fixed charge transportation problem (FCTP) is a well-known and difficult optimization problem with lots of applications in logistics. It consists in finding a minimum cost network flow from a set of suppliers to a set of customers. Beside costs proportional to quantities transported......, transportation costs do, however, include a fixed charge. Iterated local search and record-to-record travel are both simple local search based meta-heuristics that, to our knowledge, not yet have been applied to the FCTP. In this paper, we apply both types of search strategies and combine them into a single...

A Calculus with Partially Dynamic Records for Typeful Manipulation of JSON Objects

OpenAIRE

Ohori, Atsushi; Ueno, Katsuhiro; Sasaki, Tomohiro; Kikuchi, Daisuke

2016-01-01

This paper investigates language constructs for high-level and type-safe manipulation of JSON objects in a typed functional language. A major obstacle in representing JSON in a static type system is their heterogeneous nature: in most practical JSON APIs, a JSON array is a heterogeneous list consisting of, for example, objects having common fields and possibly some optional fields. This paper presents a typed calculus that reconciles static typing constraints and heterogeneous JSON arrays...

Universal scaling behaviors of meteorological variables’ volatility and relations with original records

Science.gov (United States)

Lu, Feiyu; Yuan, Naiming; Fu, Zuntao; Mao, Jiangyu

2012-10-01

Volatility series (defined as the magnitude of the increments between successive elements) of five different meteorological variables over China are analyzed by means of detrended fluctuation analysis (DFA for short). Universal scaling behaviors are found in all volatility records, whose scaling exponents take similar distributions with similar mean values and standard deviations. To reconfirm the relation between long-range correlations in volatility and nonlinearity in original series, DFA is also applied to the magnitude records (defined as the absolute values of the original records). The results clearly indicate that the nonlinearity of the original series is more pronounced in the magnitude series.

6 CFR 7.29 - Documents of permanent historical value.

Science.gov (United States)

2010-01-01

... 6 Domestic Security 1 2010-01-01 2010-01-01 false Documents of permanent historical value. 7.29... NATIONAL SECURITY INFORMATION Classified Information § 7.29 Documents of permanent historical value. The... contained in records determined to have permanent historical value under 44 U.S.C. 2107 before they are...

Are diet diaries of value in recording dietary intake of sugars? A retrospective analysis of completion rates and information quality.

Science.gov (United States)

Arheiam, A; Albadri, S; Brown, S; Burnside, G; Higham, S; Harris, R

2016-11-04

Objectives Current guidance recommends that dental practitioners should routinely give dietary advice to patients, with diet diaries as a tool to help diet assessment. We explored patients' compliance with diet-diaries usage in a paediatric clinic within a teaching hospital setting, where remuneration is not an issue. Objectives were to investigate associated factors affecting diet diaries return rate and the information obtained from returned diaries.Methods A retrospective study of 200 randomly selected clinical records of children aged 5-11 years who had received diet analysis and advice as part of a preventive dental care programme at a dental teaching hospital between 2010 and 2013. Clinical records, with a preventive care pro forma, were included in the study. Data on social and family history, DMFT-dmft, oral hygiene practices, dental attendance and dietary habits were obtained and compared with information given in completed diet-diaries. A deductive content analysis of returned diet-diaries was undertaken using a pre-developed coding scheme.Results Of 174 complete records included in this study, diet diaries were returned in 60 (34.5%) of them. Diet diaries were more likely to be returned by those children who reported that they regularly brushed their teeth (P diet diaries enabled the identification of harmful types of foods and drinks in 100% of diaries. General dietary issues, frequency and between-meals intake of sugars were also all captured in the majority of diaries (95.0%, N = 56). Information on sugar amount (53.0%, N = 32), prolonged-contact with teeth (57.0%, N = 34) and near bedtime intakes (17.0%, N = 28) was reported in fewer diaries.Conclusions The return rate of diet-diaries in this setting was low, and associated with patients' demographic and oral health characteristics. Returned diet-diaries showed a varied range of missing important dietary information, such as sugar amount, which appears to compromise their validity as a diet

Validation of asthma recording in electronic health records: protocol for a systematic review.

Science.gov (United States)

Nissen, Francis; Quint, Jennifer K; Wilkinson, Samantha; Mullerova, Hana; Smeeth, Liam; Douglas, Ian J

2017-05-29

Asthma is a common, heterogeneous disease with significant morbidity and mortality worldwide. It can be difficult to define in epidemiological studies using electronic health records as the diagnosis is based on non-specific respiratory symptoms and spirometry, neither of which are routinely registered. Electronic health records can nonetheless be valuable to study the epidemiology, management, healthcare use and control of asthma. For health databases to be useful sources of information, asthma diagnoses should ideally be validated. The primary objectives are to provide an overview of the methods used to validate asthma diagnoses in electronic health records and summarise the results of the validation studies. EMBASE and MEDLINE will be systematically searched for appropriate search terms. The searches will cover all studies in these databases up to October 2016 with no start date and will yield studies that have validated algorithms or codes for the diagnosis of asthma in electronic health records. At least one test validation measure (sensitivity, specificity, positive predictive value, negative predictive value or other) is necessary for inclusion. In addition, we require the validated algorithms to be compared with an external golden standard, such as a manual review, a questionnaire or an independent second database. We will summarise key data including author, year of publication, country, time period, date, data source, population, case characteristics, clinical events, algorithms, gold standard and validation statistics in a uniform table. This study is a synthesis of previously published studies and, therefore, no ethical approval is required. The results will be submitted to a peer-reviewed journal for publication. Results from this systematic review can be used to study outcome research on asthma and can be used to identify case definitions for asthma. CRD42016041798. © Article author(s) (or their employer(s) unless otherwise stated in the text of the

Exploring Type-and-Identity-Based Proxy Re-Encryption Scheme to Securely Manage Personal Health Records

NARCIS (Netherlands)

Ibraimi, L.; Gangopadhyay, Aryya; Tang, Qiang; Hartel, Pieter H.; Jonker, Willem

2010-01-01

Commercial Web-based Personal-Health Record (PHR) systems can help patients to share their personal health records (PHRs) anytime from anywhere. PHRs are very sensitive data and an inappropriate disclosure may cause serious problems to an individual. Therefore commercial Web-based PHR systems have

New Optical Card for Sneaker’s Network in Place of Electronic Clinical Record

Science.gov (United States)

Goto, Kenya; Satsukawa, Takatoshi; Chiba, Seisho; Ohmori, Takaaki

2006-02-01

In order to solve problems in electronic medical records, a new optical card of the digital versatile disk (DVD) type with higher capacity and lower cost than conventional compact disc recording (CD-R)-type cards has been developed, which is thinner, stronger and wearable like a credit card.

Ethics of medical records and professional communications.

Science.gov (United States)

Recupero, Patricia R

2008-01-01

In child and adolescent psychiatry, medical records and professional communications raise important ethical concerns for the treating or consulting clinician. Although a distinction may be drawn between internal records (eg, medical records and psychotherapy notes) and external communications (eg, consultation reports and correspondence with pediatricians), several ethical principles apply to both types of documentation; however, specific considerations may vary, depending upon the context in which the records or communications were produced. Special care is due with regard to thoroughness and honesty, collaboration and cooperation, autonomy and dignity of the patient, confidentiality of the patient and family members, maintaining objectivity and neutrality, electronic communications media, and professional activities (eg, political advocacy). This article reviews relevant ethical concerns for child and adolescent psychiatrists with respect to medical records and professional communications, drawing heavily from forensic and legal sources, and offers additional recommendations for further reading for clarification and direction on ethical dilemmas.

Comparison of Diagnostic Information from Regular Telemetry Equipment and a Novel Patch Type Electrocardiogram Recorder

DEFF Research Database (Denmark)

Saadi, Dorthe Bodholt; Egstrup, Kenneth; Hoppe, Karsten

2014-01-01

The purpose of this pilot study is to compare the diagnostic information obtained using regular telemetry equipment and the novel ePatch heart monitor. The comparison was conducted by a cardiologist on 24-hour recordings from 11 admitted patients. For all 11 recordings, the same diagnostic inform...

14 CFR Appendix F to Part 135 - Airplane Flight Recorder Specification

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Airplane Flight Recorder Specification F.... F Appendix F to Part 135—Airplane Flight Recorder Specification The recorded values must meet the....125 0.004g 6. Pitch Attitude ±75% ±2° 1 or 0.25 for airplanes operated under § 135.152(j) 0.5° A...

Speleothem records of acid sulphate deposition and organic carbon mobilisation

Science.gov (United States)

Wynn, Peter; Fairchild, Ian; Bourdin, Clement; Baldini, James; Muller, Wolfgang; Hartland, Adam; Bartlett, Rebecca

2017-04-01

Dramatic increases in measured surface water DOC in recent decades have been variously attributed to either temperature rise, or destabilisation of long-term soil carbon pools following sulphur peak emissions status. However, whilst both drivers of DOC dynamics are plausible, they remain difficult to test due to the restricted nature of the available records of riverine DOC flux (1978 to present), and the limited availability of SO2 emissions inventory data at the regional scale. Speleothems offer long term records of both sulphur and carbon. New techniques to extract sulphur concentrations and isotopes from speleothem calcite have enabled archives of pollution history and environmental acidification to be reconstructed. Due to the large dynamic range in sulphur isotopic values from end member sources (marine aerosol +21 ‰ to continental biogenic emissions -30 ‰) and limited environmental fractionation under oxidising conditions, sulphur isotopes form an ideal tracer of industrial pollution and environmental acidification in the palaeo-record. We couple this acidification history to the carbon record, using organic matter fluorescence and trace metals. Trace metal ratios and abundance can be used to infer the type and size of organic ligand and are therefore sensitive to changes in temperature as a driver of organic carbon processing and biodegradation. This allows fluorescent properties and ratios of trace metals in speleothem carbonate to be used to represent both the flux of organic carbon into the cave as well as the degradation pathway. Here we present some of the first results of this work, exploring sulphur acidification as a mechanistic control on carbon solubility and export throughout the twentieth century.

Facts about Type 2

Medline Plus

Full Text Available ... org > Diabetes Basics > Type 2 Share: Print Page Text Size: A A A Listen En Español Facts ... Type 2 Education Series Hear audio clips and full recordings of past Q&A events at your ...

Coral-based climate records from tropical South Atlantic

DEFF Research Database (Denmark)

Pereira, Natan S.; Sial, Alcides N.; Kikuchi, Ruy K.P.

2015-01-01

the two colonies are observed, yet both record the 2009/2010 El Niño event - a period of widespread coral bleaching - as anomalously negative δ18O values (up to −1 permil). δ13C is found to be measurably affected by the El Niño event in one colony, by more positive values (+0.39 ‰), and together...

Providing a complete online multimedia patient record.

Science.gov (United States)

Dayhoff, R. E.; Kuzmak, P. M.; Kirin, G.; Frank, S.

1999-01-01

Seamless integration of all types of patient data is a critical feature for clinical workstation software. The Dept. of Veterans Affairs has developed a multimedia online patient record that includes traditional medical chart information as well as a wide variety of medical images from specialties such as cardiology, pulmonary and gastrointestinal medicine, pathology, radiology, hematology, and nuclear medicine. This online patient record can present data in ways not possible with a paper chart or other physical media. Obtaining a critical mass of information online is essential to achieve the maximum benefits from an integrated patient record system. Images Figure 1 Figure 2 PMID:10566357

Importance of health physics records in litigation

International Nuclear Information System (INIS)

Forbes, J.L.

1982-01-01

The nuclear insurance pools, through American Nuclear Insurers (ANI) and the Mutual Atomic Energy Liability Underwriters (MAELU), have been providing the third-party liability insurance required of the nuclear industry by the Price-Anderson Act since 1957. Records of claims of radiation injury have been kept for twenty-five years, and a recent upsurge of the claim rate has been noted. An explanation for this new trend is postulated and some examples are discussed. The use of health physics records as evidence in litigation is described, and specific examples of the types of records required to defend against past and future claims are given

21 CFR 1310.06 - Content of records and reports.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Content of records and reports. 1310.06 Section 1310.06 Food and Drugs DRUG ENFORCEMENT ADMINISTRATION, DEPARTMENT OF JUSTICE RECORDS AND REPORTS OF... (company truck, picked up by customer, etc.). (5) The type of identification used by the purchaser and any...

Prognostic value of N-terminal pro-B-type natriuretic peptide in patients with acute coronary syndromes undergoing left main percutaneous coronary intervention

OpenAIRE

Jaberg, L; Toggweiler, S; Puck, M; Frank, M; Rufibach, K; Lüscher, T F; Corti, R

2011-01-01

BACKGROUND: Patients undergoing acute left main (LM) coronary artery revascularization have a high mortality and natriuretic peptides such as N-terminal pro-B-type (NT-proBNP) have been shown to have prognostic value in patients with acute coronary syndromes. The present study looked at the prognostic value of NT-proBNP in these patients. METHODS AND RESULTS: We studied all consecutive patients undergoing acute LM coronary artery percutaneous coronary intervention between January 2005 and Dec...

36 CFR 1235.48 - What documentation must agencies transfer with electronic records?

Science.gov (United States)

2010-07-01

... documentation for the following types of electronic records: (i) E-mail messages with attachments; (ii) Scanned... agencies transfer with electronic records? 1235.48 Section 1235.48 Parks, Forests, and Public Property... agencies transfer with electronic records? (a) General. Agencies must transfer documentation adequate to...

Estimation of optimal hologram recording modes on photothermal materials

Science.gov (United States)

Dzhamankyzov, Nasipbek Kurmanalievich; Ismanov, Yusupzhan Khakimzhanovich; Zhumaliev, Kubanychbek Myrzabekovich; Alymkulov, Samsaly Amanovich

2018-01-01

A theoretical analysis of the hologram recording process on photothermal media to estimate the required laser radiation power for the information recording as the function of the spatial frequency and radiation exposure duration is considered. Results of the analysis showed that materials with a low thermal diffusivity are necessary to increase the recording density in these media and the recording should be performed with short pulses to minimize the thermal diffusion length. A solution for the heat conduction equation for photothermal materials heated by an interference laser field was found. The solution obtained allows one to determine the required value of the recording temperature for given spatial frequencies, depending on the thermal physical parameters of the medium and on the power and duration of the heating radiation.

Comparing Color Change Value of Three Types of Composite Resins in Distilled Water during the First 24 Hours after Exposure to Light

Directory of Open Access Journals (Sweden)

S Afkhami

2016-09-01

Full Text Available BACKGROUND AND OBJECTIVE: Color change of composite resin restorations is one the most common causes for replacing these restorations, which might occur due to internal and external factors. This research was carried out to study and compare color change value of three types of composite resins in distilled water during the first 24 hours after exposure to light. METHODS: In this laboratory research, 120 samples were prepared from three types of composites (Z350, Z250 and Heliomolar and were divided into 3 groups of 40. Samples with 2 mm thickness and 7 mm diameter were prepared. After assessing the initial color by spectrophotometer, samples were exposed to distilled water for 1, 6, 12 and 24 hours, respectively. Then, the final color was assessed by EasyShade device and the color change value (ΔE was calculated for all samples. Moreover, ΔE<3.3 was clinically acceptable. FINDINGS: In 12h group, Heliomolar composite showed lowest color change value compared with two other composites (Z350=1.385, Z250=1.179 and Heliomolar=0.854 (p<0.05, while no significant difference was observed in other groups. Furthermore, lowest color change value in each composite was observed 1 hour after curing (Z350=0.352, Z250=0.641 and Heliomolar=0.298 and color change value increased 24 hours after curing (Z350=1.888, Z250=1.903 and Heliomolar=1.929. CONCLUSION: Results of the study revealed that color change value of all three composites in distilled water was less than 3.3 after 24 hours and it was clinically acceptable

14C Records from Indonesian Sea

International Nuclear Information System (INIS)

Baresic, J.; Fallon, S.; Mazerat, J.

2013-01-01

To investigate ocean currents and past climate events affecting the Indonesian throughflow (ITF), a radiocarbon record from a Porites coral collected from Alor Island, Indonesia, was constructed. Porites corals are often used in paleoclimate research and water mass circulation studies in the Tropics because of their abundance in the region and growth rate of 8 - 20 mm/y. These characteristics allow reconstructions of past environmental changes on weekly to annual time scales. At this point radiocarbon coral results from Alor cover approximately 30 years. An age model was constructed using the sea surface temperature proxy δ18O. Alor radiocarbon results were compared with previous measurements obtained from Padang and Langkai corals. a14C values obtained from the Alor coral display a strong seasonal cycle, high values during Australian summer and low values during Australian winter. Higher a 14C summer values indicate inflow of waters enriched by 14C through Makassar Strait from the North Pacific Ocean and Java Sea surface water. Summer a14C values are also enhanced by summer stratification. Winter values indicate upwelling of deep Ocean waters within the research area and transport of 14C-depleted waters from the Banda Sea, which has input from the South Pacific Ocean (lower a14C than North Pacific). Therefore, the a14C coral record reflects the movement of enriched water from North Pacific to Indian Ocean through Makassar Strait during summer and upwelling of depleted surface waters from the Banda Sea during the winter. Lower a14C dips could be attributed to strong El Nino events, which would enhance surface water mixing and upwelling of low radiocarbon deep waters. Water transport from North Pacific Ocean decreases during El Nino events also contributing to lowering of a14C signal.(author)

The predictive value of the sacral base pressure test in detecting specific types of sacroiliac dysfunction

Science.gov (United States)

Mitchell, Travis D.; Urli, Kristina E.; Breitenbach, Jacques; Yelverton, Chris

2007-01-01

Abstract Objective This study aimed to evaluate the validity of the sacral base pressure test in diagnosing sacroiliac joint dysfunction. It also determined the predictive powers of the test in determining which type of sacroiliac joint dysfunction was present. Methods This was a double-blind experimental study with 62 participants. The results from the sacral base pressure test were compared against a cluster of previously validated tests of sacroiliac joint dysfunction to determine its validity and predictive powers. The external rotation of the feet, occurring during the sacral base pressure test, was measured using a digital inclinometer. Results There was no statistically significant difference in the results of the sacral base pressure test between the types of sacroiliac joint dysfunction. In terms of the results of validity, the sacral base pressure test was useful in identifying positive values of sacroiliac joint dysfunction. It was fairly helpful in correctly diagnosing patients with negative test results; however, it had only a “slight” agreement with the diagnosis for κ interpretation. Conclusions In this study, the sacral base pressure test was not a valid test for determining the presence of sacroiliac joint dysfunction or the type of dysfunction present. Further research comparing the agreement of the sacral base pressure test or other sacroiliac joint dysfunction tests with a criterion standard of diagnosis is necessary. PMID:19674694

Magnetic characterisation of recording materials: design, instrumentation and experimental methods

NARCIS (Netherlands)

Samwel, E.O.

1995-01-01

The progress being made in the field of magnetic recording is extremely fast. The need to keep this progress going, leads to new types of recording materials which require advanced measurement systems and measurement procedures. Furthermore, the existing measurement methods need to be reviewed as

75 FR 22570 - Privacy Act of 1974; System of Records

Science.gov (United States)

2010-04-29

..., rank/grade, Social Security Number (SSN), promotion photos, date of birth, blood type, hair and eye... birth, home of record, records of emergency data. Personnel/Duty Related Information: Enlistment... Manpower Data Center (DMDC); and Department of Agriculture (DoA). Exemptions claimed for the system: None...

Access Control Model for Sharing Composite Electronic Health Records

Science.gov (United States)

Jin, Jing; Ahn, Gail-Joon; Covington, Michael J.; Zhang, Xinwen

The adoption of electronically formatted medical records, so called Electronic Health Records (EHRs), has become extremely important in healthcare systems to enable the exchange of medical information among stakeholders. An EHR generally consists of data with different types and sensitivity degrees which must be selectively shared based on the need-to-know principle. Security mechanisms are required to guarantee that only authorized users have access to specific portions of such critical record for legitimate purposes. In this paper, we propose a novel approach for modelling access control scheme for composite EHRs. Our model formulates the semantics and structural composition of an EHR document, from which we introduce a notion of authorized zones of the composite EHR at different granularity levels, taking into consideration of several important criteria such as data types, intended purposes and information sensitivities.

Lower Bispectral index values in psychiatric patients: A prospective, observational study

Directory of Open Access Journals (Sweden)

Venkatapura J Ramesh

2014-01-01

Full Text Available Background : Bispectral index score (BIS is a processed electroencephalographic parameter used to measure level of sedation in anaesthetised patients. In few studies of psychiatric patients undergoing electroconvulsive therapy (ECT, it was observed that the BIS values were lower at baseline. It is not clear from those studies whether the BIS values are really low. Also, it is not clear whether the lower values are related to the primary psychiatric illness or the due to the effect of ECT. Therefore, we studied the BIS values in psychiatric illnesses and compared them with the normal controls. Materials and Methods : BIS index was recorded in 237 patients with various psychiatric illness (Group P and 40 control patients without any psychiatric illness undergoing spinal surgery (Group C. BIS values were recorded in supine position before breakfast and before the morning doses of antipsychotic/benzodiazepine medications. It was recorded during resting state in all the subjects. Results : BIS values were lower in group P compared to control group (a mean of 89.8 ± 7.8 vs 95.7 ± 2.4, P < 0.0001. In the group P, the patients with psychosis and bipolar disorder had significantly lower BIS values than the patients with depression (P = 0.04. Conclusions : BIS values in psychiatric patients are lower than those in the control group. Psychotic and bipolar disorders are associated with significantly lower BIS values than the depression.

Optimization by record dynamics

DEFF Research Database (Denmark)

Barettin, Daniele; Sibani, Paolo

2014-01-01

Large dynamical changes in thermalizing glassy systems are triggered by trajectories crossing record sized barriers, a behavior revealing the presence of a hierarchical structure in configuration space. The observation is here turned into a novel local search optimization algorithm dubbed record...... dynamics optimization,or RDO. RDO uses the Metropolis rule to accept or reject candidate solutions depending on the value of a parameter akin to the temperature and minimizes the cost function of the problem at hand through cycles where its ‘temperature’ is raised and subsequently decreased in order......), is applied to the same problem as a benchmark. RDO and PT turn out to produce solutions of similar quality for similar numerical effort, but RDO is simpler to program and additionally yields geometrical information on the system’s configuration space which is of interest in many applications. In particular...

Disassociation for electronic health record privacy.

Science.gov (United States)

Loukides, Grigorios; Liagouris, John; Gkoulalas-Divanis, Aris; Terrovitis, Manolis

2014-08-01

The dissemination of Electronic Health Record (EHR) data, beyond the originating healthcare institutions, can enable large-scale, low-cost medical studies that have the potential to improve public health. Thus, funding bodies, such as the National Institutes of Health (NIH) in the U.S., encourage or require the dissemination of EHR data, and a growing number of innovative medical investigations are being performed using such data. However, simply disseminating EHR data, after removing identifying information, may risk privacy, as patients can still be linked with their record, based on diagnosis codes. This paper proposes the first approach that prevents this type of data linkage using disassociation, an operation that transforms records by splitting them into carefully selected subsets. Our approach preserves privacy with significantly lower data utility loss than existing methods and does not require data owners to specify diagnosis codes that may lead to identity disclosure, as these methods do. Consequently, it can be employed when data need to be shared broadly and be used in studies, beyond the intended ones. Through extensive experiments using EHR data, we demonstrate that our method can construct data that are highly useful for supporting various types of clinical case count studies and general medical analysis tasks. Copyright © 2014 Elsevier Inc. All rights reserved.

Record date in Serbian company law

Directory of Open Access Journals (Sweden)

Arsić Zoran

2011-01-01

Full Text Available The right of the shareholder to participate in and vote at the general meeting is determined based on the shares he holds on a certain date prior to the general meeting (record date. However, the rules regulating the record date deviate from the principle of indivisibility of shares. In extreme cases it is possible to have persons, none of which are shareholders at a given time, to participate in and vote at the general meeting. Hence, it is possible to have persons with no investment interest in the company to decide, for example, on adoption of financial reports, or on disposal of high-value assets. This issue, by its virtue, is not put forward in cases where there was no transfer of shares in the period between the record date and the date of the general meeting.

Methodology Series Module 9: Designing Questionnaires and Clinical Record Forms – Part II

Science.gov (United States)

Setia, Maninder Singh

2017-01-01

This article is a continuation of the previous module on designing questionnaires and clinical record form in which we have discussed some basic points about designing the questionnaire and clinical record forms. In this section, we will discuss the reliability and validity of questionnaires. The different types of validity are face validity, content validity, criterion validity, and construct validity. The different types of reliability are test-retest reliability, inter-rater reliability, and intra-rater reliability. Some of these parameters are assessed by subject area experts. However, statistical tests should be used for evaluation of other parameters. Once the questionnaire has been designed, the researcher should pilot test the questionnaire. The items in the questionnaire should be changed based on the feedback from the pilot study participants and the researcher's experience. After the basic structure of the questionnaire has been finalized, the researcher should assess the validity and reliability of the questionnaire or the scale. If an existing standard questionnaire is translated in the local language, the researcher should assess the reliability and validity of the translated questionnaire, and these values should be presented in the manuscript. The decision to use a self- or interviewer-administered, paper- or computer-based questionnaire depends on the nature of the questions, literacy levels of the target population, and resources. PMID:28584367

Validation of a Human Papillomavirus (HPV) DNA Cervical Screening Test That Provides Expanded HPV Typing.

Science.gov (United States)

Demarco, Maria; Carter-Pokras, Olivia; Hyun, Noorie; Castle, Philip E; He, Xin; Dallal, Cher M; Chen, Jie; Gage, Julia C; Befano, Brian; Fetterman, Barbara; Lorey, Thomas; Poitras, Nancy; Raine-Bennett, Tina R; Wentzensen, Nicolas; Schiffman, Mark

2018-05-01

As cervical cancer screening shifts from cytology to human papillomavirus (HPV) testing, a major question is the clinical value of identifying individual HPV types. We aimed to validate Onclarity (Becton Dickinson Diagnostics, Sparks, MD), a nine-channel HPV test recently approved by the FDA, by assessing (i) the association of Onclarity types/channels with precancer/cancer; (ii) HPV type/channel agreement between the results of Onclarity and cobas (Roche Molecular Systems, Pleasanton, CA), another FDA-approved test; and (iii) Onclarity typing for all types/channels compared to typing results from a research assay (linear array [LA]; Roche). We compared Onclarity to histopathology, cobas, and LA. We tested a stratified random sample ( n = 9,701) of discarded routine clinical specimens that had tested positive by Hybrid Capture 2 (HC2; Qiagen, Germantown, MD). A subset had already been tested by cobas and LA ( n = 1,965). Cervical histopathology was ascertained from electronic health records. Hierarchical Onclarity channels showed a significant linear association with histological severity. Onclarity and cobas had excellent agreement on partial typing of HPV16, HPV18, and the other 12 types as a pool (sample-weighted kappa value of 0.83); cobas was slightly more sensitive for HPV18 and slightly less sensitive for the pooled high-risk types. Typing by Onclarity showed excellent agreement with types and groups of types identified by LA (kappa values from 0.80 for HPV39/68/35 to 0.97 for HPV16). Onclarity typing results corresponded well to histopathology and to an already validated HPV DNA test and could provide additional clinical typing if such discrimination is determined to be clinically desirable. This is a work of the U.S. Government and is not subject to copyright protection in the United States. Foreign copyrights may apply.

HHARP: The Historical Hospital Admission Records Project – a review

Directory of Open Access Journals (Sweden)

Cara Hirst

2018-04-01

Full Text Available Hospital records have frequently been used in epidemiological research (Kilgore et al. 2017; Rushton 2016, and in some cases palaeopathological research. However, the availability of data is problematic, with written records requiring considerable time to interpret, digitise and analyse. In 2001, the Historical Hospital Records Project (HHARP began digitising over 140,000 hospital admission records from four hospitals in London and Glasgow, providing researchers with an online data base of hospital records (Figure 1. I review the data available in the HHARP database, as well as make a preliminary analysis of the hospital records from London and Glasgow between c.1852-1921 which illustrates the value of the HHARP database in understanding disease and medical care during this period.

9 CFR 2.76 - Records: Operators of auction sales and brokers.

Science.gov (United States)

2010-01-01

..., DEPARTMENT OF AGRICULTURE ANIMAL WELFARE REGULATIONS Records § 2.76 Records: Operators of auction sales and... breed or type of animal; (ii) The sex of the animal; and (iii) The date of birth or approximate age; and...

The value of structured data elements from electronic health records for identifying subjects for primary care clinical trials.

Science.gov (United States)

Ateya, Mohammad B; Delaney, Brendan C; Speedie, Stuart M

2016-01-11

An increasing number of clinical trials are conducted in primary care settings. Making better use of existing data in the electronic health records to identify eligible subjects can improve efficiency of such studies. Our study aims to quantify the proportion of eligibility criteria that can be addressed with data in electronic health records and to compare the content of eligibility criteria in primary care with previous work. Eligibility criteria were extracted from primary care studies downloaded from the UK Clinical Research Network Study Portfolio. Criteria were broken into elemental statements. Two expert independent raters classified each statement based on whether or not structured data items in the electronic health record can be used to determine if the statement was true for a specific patient. Disagreements in classification were discussed until 100 % agreement was reached. Statements were also classified based on content and the percentages of each category were compared to two similar studies reported in the literature. Eligibility criteria were retrieved from 228 studies and decomposed into 2619 criteria elemental statements. 74 % of the criteria elemental statements were considered likely associated with structured data in an electronic health record. 79 % of the studies had at least 60 % of their criteria statements addressable with structured data likely to be present in an electronic health record. Based on clinical content, most frequent categories were: "disease, symptom, and sign", "therapy or surgery", and "medication" (36 %, 13 %, and 10 % of total criteria statements respectively). We also identified new criteria categories related to provider and caregiver attributes (2.6 % and 1 % of total criteria statements respectively). Electronic health records readily contain much of the data needed to assess patients' eligibility for clinical trials enrollment. Eligibility criteria content categories identified by our study can be

Valuing values: A history of wilderness economics

Science.gov (United States)

J. M. Bowker; H. K. Cordell; N. C. Poudyal

2014-01-01

Prior to the U.S. Wilderness Act of 1964, economics as a science was hardly considered applicable to the types of human values set forth in this pathbreaking legislation. Economics was largely confined to the purchasing and labor decisions of households and firms as well the functioning of markets and economies. However, around this time, John Krutilla (1967) in his...

A New Spectral Shape-Based Record Selection Approach Using Np and Genetic Algorithms

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Edén Bojórquez

2013-01-01

Full Text Available With the aim to improve code-based real records selection criteria, an approach inspired in a parameter proxy of spectral shape, named Np, is analyzed. The procedure is based on several objectives aimed to minimize the record-to-record variability of the ground motions selected for seismic structural assessment. In order to select the best ground motion set of records to be used as an input for nonlinear dynamic analysis, an optimization approach is applied using genetic algorithms focuse on finding the set of records more compatible with a target spectrum and target Np values. The results of the new Np-based approach suggest that the real accelerograms obtained with this procedure, reduce the scatter of the response spectra as compared with the traditional approach; furthermore, the mean spectrum of the set of records is very similar to the target seismic design spectrum in the range of interest periods, and at the same time, similar Np values are obtained for the selected records and the target spectrum.

Medical ADP Systems: Automated Medical Records Hold Promise to Improve Patient Care

Science.gov (United States)

1991-01-01

automated medical records. The report discusses the potential benefits that automation could make to the quality of patient care and the factors that impede...information systems, but no organization has fully automated one of the most critical types of information, patient medical records. The patient medical record...its review of automated medical records. GAO’s objectives in this study were to identify the (1) benefits of automating patient records and (2) factors

10 CFR 1304.110 - Disclosure of records to third parties.

Science.gov (United States)

2010-01-01

... research or reporting record and that the record is to be transferred in a form that is not individually... such value. (7) To another agency or to an instrumentality of any governmental jurisdiction within or... is authorized by law, and if the head of the agency or instrumentality has made a written request to...

Documentation of Accounting Records in Light of Legislative Innovations

Directory of Open Access Journals (Sweden)

K. V. BEZVERKHIY

2017-05-01

Full Text Available Legislative reforms in accounting aim to simplify accounting records and compilation of financial reports by business entities, thus increasing the position of Ukraine in the global ranking of Doing Business. This simplification is implied in the changes in the Regulation on Documentation of Accounting Records, entered into force to the Resolution of the Ukrainian Ministry of Finance. The objective of the study is to analyze the legislative innovations involved. The review of changes in documentation of accounting records is made. A comparative analysis of changes in the Regulation on Documentation of Accounting Records is made by sections: 1 General; 2 Primary documents; 3 Accounting records; 4 Correction of errors in primary documents and accounting records; 5 Organization of document circulation; 6 Storage of documents. Methods of analysis and synthesis are used for separating the differences in the editions of the Regulation on Documentation of Accounting Records. The result of the study has theoretical and practical value for the domestic business enterprise sector.

The added value of simultaneous EEG and amplitude-integrated EEG recordings in three newborn infants

NARCIS (Netherlands)

de Vries, Nathalie K. S.; ter Horst, Hendrik J.; Bos, Arend F.

2007-01-01

Amplitude-integrated electroencephalograms (aEEGs) recorded by cerebral function monitors (CFMs) are used increasingly to monitor the cerebral activity of newborn infants with encephalopathy. Recently, new CFM devices became available which also reveal the original EEG signals from the same leads.

Paleogene Seawater Osmium Isotope Records

Science.gov (United States)

Rolewicz, Z.; Thomas, D. J.; Marcantonio, F.

2012-12-01

to construct an age model for this predominantly pelagic clay section. The 187Os/188Os values generally increase from 0.312 at 64.46 mbsf to 0.531 at 28.26 mbsf. The low value recorded at 64.46 likely reflects the Os isotope minimum recorded across the K/Pg boundary, while the uppermost value likely correlates to the E/O interval. Comparison of the Os-derived ages with a crude linearly interpolated sedimentation rate age model reveals variations in sediment accumulation rate between 0.86 and 1.5 m/Myr.

Quality assurance records and records' system

International Nuclear Information System (INIS)

Link, M.; Martinek, J.

1980-01-01

For nuclear power plants extensive proof of quality is required which has to be documented reliably by quality records. With respect to the paper volume it is the most comprehensive 'curriculum vitae' of the technique. Traditional methods of information and recording are unsatisfactory for meeting regulatory requirements for maintaining the QA-aspects of status reporting, completeness, traceability and retrieval. Therefore KWU has established a record (documentation) subsystem within the overall component qualification system. Examples of the general documentation requirements, the procedure and handling in accordance with this subsystem for mechanical equipment are to be described examplarily. Topics are: - National and international requirements - Definition of QA records - Modular and product orientated KWU-record subsystem - Criteria for developing records - Record control, distribution, collection, storage - New documentation techniques (microfilm, data processing) - Education and training of personnel. (orig./RW)

Yetenek Hiyerarşisi: Üstün Yetenek Türlerinin Toplumsal Değerleri Üzerine Bir Araştırma (Talent Hierarchy: A Research Study on the Social Value of Talent Types

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Şule Demirel

2011-12-01

Full Text Available Purpose and significance: The purpose of this research study was to investigate social values of talent types that were identified based on the psychosocial classification of talents proposed by Tannenbaum (1983. According to this model talents can be classified based on their social values into scarcity talents that preserve and prolong life, surplus talents that elevate sensibilities and sensivities, quota talents that provide goods and services and anomalous talents that provide enjoyment. The societal value of a talent contributes to the degree to which parents in particular and governments and educational institutions in general make investment in the nurturance of this talent. Method: A likert-type questionnaire consisting of 60 different types of talents was developed based on the Tannenbaum Model. Talents were identified through reviewing inventions books, expert opinions and the Guinness Records. The questionnaire included 15 talent types for each class of the Tannenbaum Model. Each talent type was scored from 1 to 4 (1 = above-average; 2 = high; 3 = very high; 4= extraordinarily high based on its value as perceived by the participants. The questionnaire was administered to 601 people (female = %36.4; male = 63.6 in a major city in the middle part of Turkey. Two criteria were used for participation in the study: Volunteer participation and being over 18-years old. Their age ranged from 18 to 72 with a mean of 27.14 and standard deviation of 10.83. Their educational status also ranged from elementary school and high school graduates (%38 to university students and university graduates (%62. The scale was given to all participants face to face, taking 15 minutes for each participant. Paired-samples t-test was used to compare mean scores of the talent categories and independent-samples t-test was used to test gender differences. Results: Results showed that scarcity talents were rated as the highest (M = 3.06; SD = .57 followed by surplus

NEW EUROPEAN RECORDS AND FIRST EVIDENCE OF EPIDERMAL STRUCTURES OF SLOANEA L. FROM THE ITALIAN OLIGOCENE – REVISED TYPE AND ORIGINAL MATERIAL OF PRINCIPI 1916

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LILLA HABLY

2007-11-01

Full Text Available Leaves of Sloanea elliptica (Andreánszky Z. Kvaèek & Hably and S. peolai (Principi Hably, Tamás & Cioppi  with preserved organic structures were found during the study of Principi’s collection from the Oligocene flora of Santa Giustina. Fossil leaves of Sloanea elliptica have so far been recorded exclusively from the Palaeogene Basin of the Inner Carpathian Region, i.e. from the Lower Oligocene strata of Hungary and Slovenia, whereas S. peolai has been described from a single locality, Chiavon in Italy. Organic structure of S. peolai hitherto has not been recorded. The mass occurrence of Sloanea elliptica in the fossil assemblage of Santa Giustina indicates that its area was much more extensive than it was presumed. It was a characteristic element mainly of Oligocene floras, and even predominated them. This is the first record of the co-occurrence of two Sloanea species described on the basis of leaf remains. During the study 6 types and more than 30 illustrated specimens published in Principi's monograph were revised and identified as S. elliptica.    

Comparison of regional index flood estimation procedures based on the extreme value type I distribution

DEFF Research Database (Denmark)

Kjeldsen, Thomas Rodding; Rosbjerg, Dan

2002-01-01

the prediction uncertainty and that the presence of intersite correlation tends to increase the uncertainty. A simulation study revealed that in regional index-flood estimation the method of probability weighted moments is preferable to method of moment estimation with regard to bias and RMSE.......A comparison of different methods for estimating T-year events is presented, all based on the Extreme Value Type I distribution. Series of annual maximum flood from ten gauging stations at the New Zealand South island have been used. Different methods of predicting the 100-year event...... and the connected uncertainty have been applied: At-site estimation and regional index-flood estimation with and without accounting for intersite correlation using either the method of moments or the method of probability weighted moments for parameter estimation. Furthermore, estimation at ungauged sites were...

Inconsistent identification of pit bull-type dogs by shelter staff.

Science.gov (United States)

Olson, K R; Levy, J K; Norby, B; Crandall, M M; Broadhurst, J E; Jacks, S; Barton, R C; Zimmerman, M S

2015-11-01

Shelter staff and veterinarians routinely make subjective dog breed identification based on appearance, but their accuracy regarding pit bull-type breeds is unknown. The purpose of this study was to measure agreement among shelter staff in assigning pit bull-type breed designations to shelter dogs and to compare breed assignments with DNA breed signatures. In this prospective cross-sectional study, four staff members at each of four different shelters recorded their suspected breed(s) for 30 dogs; there was a total of 16 breed assessors and 120 dogs. The terms American pit bull terrier, American Staffordshire terrier, Staffordshire bull terrier, pit bull, and their mixes were included in the study definition of 'pit bull-type breeds.' Using visual identification only, the median inter-observer agreements and kappa values in pair-wise comparisons of each of the staff breed assignments for pit bull-type breed vs. not pit bull-type breed ranged from 76% to 83% and from 0.44 to 0.52 (moderate agreement), respectively. Whole blood was submitted to a commercial DNA testing laboratory for breed identification. Whereas DNA breed signatures identified only 25 dogs (21%) as pit bull-type, shelter staff collectively identified 62 (52%) dogs as pit bull-type. Agreement between visual and DNA-based breed assignments varied among individuals, with sensitivity for pit bull-type identification ranging from 33% to 75% and specificity ranging from 52% to 100%. The median kappa value for inter-observer agreement with DNA results at each shelter ranged from 0.1 to 0.48 (poor to moderate). Lack of consistency among shelter staff indicated that visual identification of pit bull-type dogs was unreliable. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Pragmatics of type-directed partial evaluation

DEFF Research Database (Denmark)

Danvy, Olivier

1996-01-01

Type-directed partial evaluation stems from the residualization of static values in dynamic contexts, given their type and the type of their free variables. Its algorithm coincides with the algorithm for coercing a subtype value into a supertype value, which itself coincides with Berger and Schwi...

Weighted Moments Estimators of the Parameters for the Extreme Value Distribution Based on the Multiply Type II Censored Sample

Directory of Open Access Journals (Sweden)

Jong-Wuu Wu

2013-01-01

Full Text Available We propose the weighted moments estimators (WMEs of the location and scale parameters for the extreme value distribution based on the multiply type II censored sample. Simulated mean squared errors (MSEs of best linear unbiased estimator (BLUE and exact MSEs of WMEs are compared to study the behavior of different estimation methods. The results show the best estimator among the WMEs and BLUE under different combinations of censoring schemes.

The prognostic value of concurrent phrenic nerve palsy in newborn babies with neonatal brachial plexus palsy.

Science.gov (United States)

Yoshida, Kiyoshi; Kawabata, Hidehiko

2015-06-01

To investigate the prognostic value of concurrent phrenic nerve palsy for predicting spontaneous motor recovery in neonatal brachial plexus palsy. We reviewed the records of 366 neonates with brachial plexus palsy. The clinical and follow-up data of patients with and without phrenic nerve palsy were compared. Of 366 newborn babies with neonatal brachial plexus palsy, 21 (6%) had concurrent phrenic nerve palsy. Sixteen of these neonates had upper-type palsy and 5 had total-type palsy. Poor spontaneous motor recovery was observed in 13 neonates with concurrent phrenic nerve palsy (62%) and in 129 without concurrent phrenic nerve palsy (39%). Among neonates born via vertex delivery, poor motor recovery was observed in 7 of 9 (78%) neonates with concurrent phrenic nerve palsy and 115 of 296 (39%) without concurrent phrenic nerve palsy. Concurrent phrenic nerve palsy in neonates with brachial plexus palsy has prognostic value in predicting poor spontaneous motor recovery of the brachial plexus, particularly after vertex delivery. Therapeutic IV. Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Record statistics of financial time series and geometric random walks.

Science.gov (United States)

Sabir, Behlool; Santhanam, M S

2014-09-01

The study of record statistics of correlated series in physics, such as random walks, is gaining momentum, and several analytical results have been obtained in the past few years. In this work, we study the record statistics of correlated empirical data for which random walk models have relevance. We obtain results for the records statistics of select stock market data and the geometric random walk, primarily through simulations. We show that the distribution of the age of records is a power law with the exponent α lying in the range 1.5≤α≤1.8. Further, the longest record ages follow the Fréchet distribution of extreme value theory. The records statistics of geometric random walk series is in good agreement with that obtained from empirical stock data.

Reconciliation of the Devils Hole climate record with orbital forcing.

Science.gov (United States)

Moseley, Gina E; Edwards, R Lawrence; Wendt, Kathleen A; Cheng, Hai; Dublyansky, Yuri; Lu, Yanbin; Boch, Ronny; Spötl, Christoph

2016-01-08

The driving force behind Quaternary glacial-interglacial cycles and much associated climate change is widely considered to be orbital forcing. However, previous versions of the iconic Devils Hole (Nevada) subaqueous calcite record exhibit shifts to interglacial values ~10,000 years before orbitally forced ice age terminations, and interglacial durations ~10,000 years longer than other estimates. Our measurements from Devils Hole 2 replicate virtually all aspects of the past 204,000 years of earlier records, except for the timing during terminations, and they lower the age of the record near Termination II by ~8000 years, removing both ~10,000-year anomalies. The shift to interglacial values now broadly coincides with the rise in boreal summer insolation, the marine termination, and the rise in atmospheric CO2, which is consistent with mechanisms ultimately tied to orbital forcing. Copyright © 2016, American Association for the Advancement of Science.

Predicting Comorbid Conditions and Trajectories using Social Health Records.

Science.gov (United States)

Ji, Xiang; Ae Chun, Soon; Geller, James

2016-05-05

Many patients suffer from comorbidity conditions, for example, obese patients often develop type-2 diabetes and hypertension. In the US, 80% of Medicare spending is for managing patients with these multiple coexisting conditions. Predicting potential comorbidity conditions for an individual patient can promote preventive care and reduce costs. Predicting possible comorbidity progression paths can provide important insights into population heath and aid with decisions in public health policies. Discovering the comorbidity relationships is complex and difficult, due to limited access to Electronic Health Records by privacy laws. In this paper, we present a collaborative comorbidity prediction method to predict likely comorbid conditions for individual patients, and a trajectory prediction graph model to reveal progression paths of comorbid conditions. Our prediction approaches utilize patient generated health reports on online social media, called Social Health Records (SHR). The experimental results based on one SHR source show that our method is able to predict future comorbid conditions for a patient with coverage values of 48% and 75% for a top-20 and a top-100 ranked list, respectively. For risk trajectory prediction, our approach is able to reveal each potential progression trajectory between any two conditions and infer the confidence of the future trajectory, given any observed condition. The predicted trajectories are validated with existing comorbidity relations from the medical literature.

A First Standardized Swiss Electronic Maternity Record.

Science.gov (United States)

Murbach, Michel; Martin, Sabine; Denecke, Kerstin; Nüssli, Stephan

2017-01-01

During the nine months of pregnancy, women have to regularly visit several physicians for continuous monitoring of the health and development of the fetus and mother. Comprehensive examination results of different types are generated in this process; documentation and data transmission standards are still unavailable or not in use. Relevant information is collected in a paper-based maternity record carried by the pregnant women. To improve availability and transmission of data, we aim at developing a first prototype for an electronic maternity record for Switzerland. By analyzing the documentation workflow during pregnancy, we determined a maternity record data set. Further, we collected requirements towards a digital maternity record. As data exchange format, the Swiss specific exchange format SMEEX (swiss medical data exchange) was exploited. Feedback from 27 potential users was collected to identify further improvements. The relevant data is extracted from the primary care information system as SMEEX file, stored in a database and made available in a web and a mobile application, developed as prototypes of an electronic maternity record. The user confirmed the usefulness of the system and provided multiple suggestions for an extension. An electronical maternity record as developed in this work could be in future linked to the electronic patient record.

Childhood body mass index and development of type 2 diabetes throughout adult life

DEFF Research Database (Denmark)

Zimmermann, Esther; Bjerregaard, Lise G.; Gamborg, Michael

2017-01-01

OBJECTIVE: This study investigated how a wide spectrum of body mass index (BMI) values at ages 7 to 13 years are associated with type 2 diabetes throughout adulthood, including potential modifying effects of sex and birth weight. METHODS: From the Copenhagen School Health Records Register, 292......,827 individuals, born between 1930 and 1989, were followed in national registers for type 2 diabetes (women, n = 7,472; men, n = 11,548). Heights and weights were measured at ages 7 to 13 years. RESULTS: Below-average BMIs, with few exceptions, were not associated with type 2 diabetes. Above-average BMIs had.......36) to 2.84 (2.31-3.49) per z score when diagnosed at 30 to 47 years. Birth weight did not modify these associations. CONCLUSIONS: Childhood BMIs below average are not associated with type 2 diabetes, whereas childhood BMIs above average are strongly associated with type 2 diabetes in adulthood...

Laryngeal High-Speed Videoendoscopy: Sensitivity of Objective Parameters towards Recording Frame Rate

Directory of Open Access Journals (Sweden)

Anne Schützenberger

2016-01-01

Full Text Available The current use of laryngeal high-speed videoendoscopy in clinic settings involves subjective visual assessment of vocal fold vibratory characteristics. However, objective quantification of vocal fold vibrations for evidence-based diagnosis and therapy is desired, and objective parameters assessing laryngeal dynamics have therefore been suggested. This study investigated the sensitivity of the objective parameters and their dependence on recording frame rate. A total of 300 endoscopic high-speed videos with recording frame rates between 1000 and 15 000 fps were analyzed for a vocally healthy female subject during sustained phonation. Twenty parameters, representing laryngeal dynamics, were computed. Four different parameter characteristics were found: parameters showing no change with increasing frame rate; parameters changing up to a certain frame rate, but then remaining constant; parameters remaining constant within a particular range of recording frame rates; and parameters changing with nearly every frame rate. The results suggest that (1 parameter values are influenced by recording frame rates and different parameters have varying sensitivities to recording frame rate; (2 normative values should be determined based on recording frame rates; and (3 the typically used recording frame rate of 4000 fps seems to be too low to distinguish accurately certain characteristics of the human phonation process in detail.

Going means trouble and staying makes it double: the value of licensing recorded music online

NARCIS (Netherlands)

C.W. Handke (Christian); B. Balazs (Bodo); J.-J. Vallbé (Joan-Josep)

2016-01-01

textabstractThis paper discusses whether a copyright compensation system (CCS) for recorded music—endowing private Internet subscribers with the right to download and use works in return for a fee—would be welfare increasing. It reports on the results of a discrete choice experiment conducted with a

A flexible time recording and time correlation analysis system

International Nuclear Information System (INIS)

Shenhav, N.J.; Leiferman, G.; Segal, Y.; Notea, A.

1983-01-01

A system was developed to digitize and record the time intervals between detection event pulses, feed to its input channels from a detection device. The accumulated data is transferred continuously in real time to a disc through a PDP 11/34 minicomputer. Even though the system was designed for a specific scope, i.e., the comparative study of passive neutron nondestructive assay methods, it can be characterized by its features as a general purpose time series recorder. The time correlation analysis is performed by software after completion of the data accumulation. The digitizing clock period is selectable and any value, larger than a minimum of 100 ns, may be selected. Bursts of up to 128 events with a frequency up to 10 MHz may be recorded. With the present recorder-minicomputer combination, the maximal average recording frequency is 40 kHz. (orig.)

Blood group typing based on recording the elastic scattering of laser radiation using the method of digital imaging

Energy Technology Data Exchange (ETDEWEB)

Dolmashkin, A A; Dubrovskii, V A; Zabenkov, I V [V.I.Razumovsky Saratov State Medical University, Saratov (Russian Federation)

2012-05-31

The possibility is demonstrated to determine the human blood group by recording the scattering of laser radiation with the help of the digital imaging method. It is experimentally shown that the action of a standing ultrasound wave leads to acceleration of the agglutination reaction of red blood cells, to formation of larger immune complexes of red blood cells, and, as a consequence, to acceleration of their sedimentation. In the absence of agglutination of red blood cells the ultrasound does not enhance the relevant processes. This difference in the results of ultrasound action on the mixture of blood and serum allows a method of blood typing to be offered. Theoretical modelling of the technique of the practical blood typing, carried out on the basis of the elastic light scattering theory, agrees well with the experimental results, which made it possible to plan further improvement of the proposed method. The studies of specific features of sedimentation of red blood cells and their immune complexes were aimed at the optimisation of the sample preparation, i.e., at the search for such experimental conditions that provide the maximal resolution of the method and the device for registering the reaction of red blood cells agglutination. The results of the study may be used in designing the instrumentation for blood group assessment in humans.

Blood group typing based on recording the elastic scattering of laser radiation using the method of digital imaging

International Nuclear Information System (INIS)

Dolmashkin, A A; Dubrovskii, V A; Zabenkov, I V

2012-01-01

The possibility is demonstrated to determine the human blood group by recording the scattering of laser radiation with the help of the digital imaging method. It is experimentally shown that the action of a standing ultrasound wave leads to acceleration of the agglutination reaction of red blood cells, to formation of larger immune complexes of red blood cells, and, as a consequence, to acceleration of their sedimentation. In the absence of agglutination of red blood cells the ultrasound does not enhance the relevant processes. This difference in the results of ultrasound action on the mixture of blood and serum allows a method of blood typing to be offered. Theoretical modelling of the technique of the practical blood typing, carried out on the basis of the elastic light scattering theory, agrees well with the experimental results, which made it possible to plan further improvement of the proposed method. The studies of specific features of sedimentation of red blood cells and their immune complexes were aimed at the optimisation of the sample preparation, i.e., at the search for such experimental conditions that provide the maximal resolution of the method and the device for registering the reaction of red blood cells agglutination. The results of the study may be used in designing the instrumentation for blood group assessment in humans.

Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary. BET 4: Prognostic value of B-type natriuretic peptides (BNP and NT-proBNP) in community-acquired pneumonia.

Science.gov (United States)

Hodgson, David; Nee, Patrick; Sultan, Laith

2012-10-01

A short cut review was carried out to establish the prognostic value of B-type natriuretic peptides (BNP and NT-proBNP) in community acquired pneumonia (CAP). Three cohort studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. The clinical bottom line was that B-type natriuretic peptides have prognostic value in CAP but further prospective studies were needed to assess their application in clinical practice.

Improving Neural Recording Technology at the Nanoscale

Science.gov (United States)

Ferguson, John Eric

Neural recording electrodes are widely used to study normal brain function (e.g., learning, memory, and sensation) and abnormal brain function (e.g., epilepsy, addiction, and depression) and to interface with the nervous system for neuroprosthetics. With a deep understanding of the electrode interface at the nanoscale and the use of novel nanofabrication processes, neural recording electrodes can be designed that surpass previous limits and enable new applications. In this thesis, I will discuss three projects. In the first project, we created an ultralow-impedance electrode coating by controlling the nanoscale texture of electrode surfaces. In the second project, we developed a novel nanowire electrode for long-term intracellular recordings. In the third project, we created a means of wirelessly communicating with ultra-miniature, implantable neural recording devices. The techniques developed for these projects offer significant improvements in the quality of neural recordings. They can also open the door to new types of experiments and medical devices, which can lead to a better understanding of the brain and can enable novel and improved tools for clinical applications.

Record of hospitalizations for ambulatory care sensitive conditions: validation of the hospital information system.

Science.gov (United States)

Rehem, Tania Cristina Morais Santa Barbara; de Oliveira, Maria Regina Fernandes; Ciosak, Suely Itsuko; Egry, Emiko Yoshikawa

2013-01-01

To estimate the sensitivity, specificity and positive and negative predictive values of the Unified Health System's Hospital Information System for the appropriate recording of hospitalizations for ambulatory care-sensitive conditions. The hospital information system records for conditions which are sensitive to ambulatory care, and for those which are not, were considered for analysis, taking the medical records as the gold standard. Through simple random sampling, a sample of 816 medical records was defined and selected by means of a list of random numbers using the Statistical Package for Social Sciences. The sensitivity was 81.89%, specificity was 95.19%, the positive predictive value was 77.61% and the negative predictive value was 96.27%. In the study setting, the Hospital Information System (SIH) was more specific than sensitive, with nearly 20% of care sensitive conditions not detected. There are no validation studies in Brazil of the Hospital Information System records for the hospitalizations which are sensitive to primary health care. These results are relevant when one considers that this system is one of the bases for assessment of the effectiveness of primary health care.

Record of hospitalizations for ambulatory care sensitive conditions: validation of the hospital information system

Directory of Open Access Journals (Sweden)

Tania Cristina Morais Santa Barbara Rehem

2013-09-01

Full Text Available OBJECTIVE: to estimate the sensitivity, specificity and positive and negative predictive values of the Unified Health System's Hospital Information System for the appropriate recording of hospitalizations for ambulatory care-sensitive conditions. METHOD: the hospital information system records for conditions which are sensitive to ambulatory care, and for those which are not, were considered for analysis, taking the medical records as the gold standard. Through simple random sampling, a sample of 816 medical records was defined and selected by means of a list of random numbers using the Statistical Package for Social Sciences. RESULT: the sensitivity was 81.89%, specificity was 95.19%, the positive predictive value was 77.61% and the negative predictive value was 96.27%. In the study setting, the Hospital Information System (SIH was more specific than sensitive, with nearly 20% of care sensitive conditions not detected. CONCLUSION: there are no validation studies in Brazil of the Hospital Information System records for the hospitalizations which are sensitive to primary health care. These results are relevant when one considers that this system is one of the bases for assessment of the effectiveness of primary health care.

Towards Quasi-continuous Heart Rate Variability Estimation using a Patch Type Electrocardiogram Recorder

DEFF Research Database (Denmark)

Bodholt Saadi, Dorthe; Ahrens, Esben; Sørensen, Helge Bjarup Dissing

2015-01-01

electrocardiogram recorders facilitates new possibilities for long-term monitoring, real-time data analysis, and wireless transmission of clinically relevant parameters, e.g. short-term HRV measures. This information might in the future assist the healthcare professionals in timely notification of changes...

Flexibility and Project Value: Interactions and Multiple Real Options

Science.gov (United States)

Čulík, Miroslav

2010-06-01

This paper is focused on a project valuation with embedded portfolio of real options including their interactions. Valuation is based on the criterion of Net Present Value on the simulation basis. Portfolio includes selected types of European-type real options: option to expand, contract, abandon and temporarily shut down and restart a project. Due to the fact, that in reality most of the managerial flexibility takes the form of portfolio of real options, selected types of options are valued not only individually, but also in combination. The paper is structured as follows: first, diffusion models for forecasting of output prices and variable costs are derived. Second, project value is estimated on the assumption, that no real options are present. Next, project value is calculated with the presence of selected European-type options; these options and their impact on project value are valued first in isolation and consequently in different combinations. Moreover, intrinsic value evolution of given real options with respect to the time of exercising is analysed. In the end, results are presented graphically; selected statistics and risk measures (Value at Risk, Expected Shortfall) of the NPV's distributions are calculated and commented.

DNA Profiles from Fingerprint Lifts-Enhancing the Evidential Value of Fingermarks Through Successful DNA Typing.

Science.gov (United States)

Subhani, Zuhaib; Daniel, Barbara; Frascione, Nunzianda

2018-05-25

This study evaluated the compatibility of the most common enhancement methods and lifting techniques with DNA profiling. Emphasis is placed on modern lifting techniques (i.e., gelatin lifters and Isomark™) and historical fingerprint lifts for which limited research has been previously conducted. A total of 180 fingerprints were deposited on a glass surface, enhanced, lifted, and processed for DNA typing. DNA could be extracted and profiled for all the powders and lifts tested and from both groomed fingerprints and natural prints with no significant difference in the percentage of profile recovered. DNA profiles could also be obtained from historical fingerprint lifts (79.2% of 72 lifts) with one or more alleles detected. These results demonstrate the compatibility between different powder/lift combinations and DNA profiling therefore augmenting the evidential value of fingerprints in forensic casework. © 2018 American Academy of Forensic Sciences.

Assessing the nutritive value of waterweeds to livestock production ...

African Journals Online (AJOL)

Paspalum scrobiculatum and Dicksonia antartica recorded the least value at 24 and 48 hours incubation while Nymphaea lotus and Dicksonia antartica had the least value at 72 and 96 hours incubation. Heteranthera callifolia had the highest organic matter digestibility (%) while the least short chain fatty acid (μmol) was ...

Combined analysis of 19 common validated type 2 diabetes susceptibility gene variants shows moderate discriminative value and no evidence of gene-gene interaction

DEFF Research Database (Denmark)

Sparsø, T; Grarup, N; Andreasen, C.

2009-01-01

study; and additional type 2 diabetic patients and glucose-tolerant individuals. The case-control studies involved 4,093 type 2 diabetic patients and 5,302 glucose-tolerant individuals. RESULTS: Single-variant analyses demonstrated allelic odds ratios ranging from 1.04 (95% CI 0.98-1.11) to 1.33 (95% CI...... analysis of the 19 validated variants enables detection of subgroups at substantially increased risk of type 2 diabetes; however, the discrimination between glucose-tolerant and type 2 diabetes individuals is still too inaccurate to achieve clinical value.......AIMS/HYPOTHESIS: The list of validated type 2 diabetes susceptibility variants has recently been expanded from three to 19. The variants identified are common and have low penetrance in the general population. The aim of the study is to investigate the combined effect of the 19 variants by applying...

Late Glacial Tropical Savannas in Sundaland Inferred From Stable Carbon Isotope Records of Cave Guano

Science.gov (United States)

Wurster, C. M.; Bird, M. I.; Bull, I.; Dungait, J.; Bryant, C. L.; Ertunç, T.; Hunt, C.; Lewis, H. A.; Paz, V.

2008-12-01

During the Last Glacial Period (LGP), reduced global sea level exposed the continental shelf south of Thailand to Sumatra, Java, and Borneo to form the contiguous continent of Sundaland. However, the type and extent of vegetation that existed on much of this exposed landmass during the LGP remains speculative. Extensive bird and bat guano deposits in caves throughout this region span beyond 40,000 yr BP, and contain a wealth of untapped stratigraphic palaeoenvironmental information. Stable carbon isotope ratios of insectivorous bird and bat guano contain a reliable record of the animal's diet and, through non-specific insect predation, reflect the relative abundance of major physiological pathways in plants. Various physiological pathways of carbon fixation in plants yield differing stable carbon isotope ratios. Stable carbon isotope values of C3 plants are lower than C4 vegetation due to different enzymatic discriminations of the heavy isotope through the carbon fixing pathways. In tropical locales, grasses nearly always follow the C4 photosynthetic pathway, whereas tropical rainforest uses C3 photosynthesis, providing a proxy for vegetation and therefore climate change in the past. Here we discuss four guano stable-isotope records, based on insect cuticle and n-alkane analysis, supplemented by pollen analysis. All sites suggest a C3 dominated ecosystem for the Holocene, consistent with the wet tropical forest vegetation present at all locations. Two sites from Palawan Island, Philippines, record stable carbon isotope values of guano that document a drastic change from C3 (forest) to C4 (savanna) dominated ecosystems during the Last Glacial Maximum (LGM). A third location, at Niah Great Cave, Malaysia, indicates C3-dominant vegetation throughout the record, but does display variation in stable carbon isotope values likely linked to humidity changes. A fourth location, Batu Caves in Peninsular Malaysia, also indicates open vegetation during the LGM. Vegetation

76 FR 49753 - Privacy Act of 1974; System of Records

Science.gov (United States)

2011-08-11

..., and type of disability.'' Record access procedures: Delete entry and replace with ``Individuals... 22041-3206. Request should contain name, work address, work telephone number, and type of disability... Federal employees and members of the Armed Forces with disabilities that can be addressed with assistive...

Standard generalized markup language: A guide for transmitting encoded bibliographic records

International Nuclear Information System (INIS)

1994-09-01

This document provides the guidance necessary to transmit to DOE's Office of Scientific and Technical Information (OSTI) an encoded bibliographic record that conforms to International Standard ISO 8879, Information Processing -- Text and office systems -- Standard Generalized Markup Language (SGML). Included in this document are element and attribute tag definitions, sample bibliographic records, the bibliographic document type definition, and instructions on how to transmit a bibliographic record electronically to OSTI

Standard generalized markup language: A guide for transmitting encoded bibliographic records

Energy Technology Data Exchange (ETDEWEB)

1994-09-01

This document provides the guidance necessary to transmit to DOE`s Office of Scientific and Technical Information (OSTI) an encoded bibliographic record that conforms to International Standard ISO 8879, Information Processing -- Text and office systems -- Standard Generalized Markup Language (SGML). Included in this document are element and attribute tag definitions, sample bibliographic records, the bibliographic document type definition, and instructions on how to transmit a bibliographic record electronically to OSTI.

Guidelines for the content of records to support nuclear power plant operation, maintenance, and modification (NCIG-08): Volume 1, Guidelines: Final report

International Nuclear Information System (INIS)

Reedy, R.F.; Hegglin, D.P.

1988-11-01

The record systems at many nuclear power plant sites are becoming overloaded with unnecessary and superfluous records. The reason for this overload is that although the Codes and Standards list the record types to be retained, there is no definition for the contents of the records. This encourages varied interpretations which often lead to the approach of ''save everything''. This document provides guidelines for the content of records to support nuclear power plant operation, maintenance and modification. These Guidelines are based on an engineering approach to identify which data in the records are of ''significant value'' in (1) demonstrating capability for safe operation; (2) maintaining, reworking, repairing, replacing, or modifying an item; (3) determining the cause of an accident or malfunction of an item; and (4) providing required baseline data for in-service inspection. Particular topical issues affecting record retention needs, such as plant life extension activities, may require additional evaluation of data or records. By identifying the data to be retained in the records, it is possible to modify the record management system to substantially reduce the amount of unnecessary information being retained in the records. These Guidelines will provide for more uniform interpretation of requirements. The Guidelines are meant as an interpretation of current Codes, Standards and Regulatory Guides, and not as new requirements. Should any conflict exist between these Guidelines and the specified requirements of the NRC Regulations, the regulations govern. 4 tabs

Singular-value demodulation of phase-shifted holograms.

Science.gov (United States)

Lopes, Fernando; Atlan, Michael

2015-06-01

We report on phase-shifted holographic interferogram demodulation by singular-value decomposition. Numerical processing of optically acquired interferograms over several modulation periods was performed in two steps: (1) rendering of off-axis complex-valued holograms by Fresnel transformation of the interferograms; and (2) eigenvalue spectrum assessment of the lag-covariance matrix of hologram pixels. Experimental results in low-light recording conditions were compared with demodulation by Fourier analysis, in the presence of random phase drifts.

Towards lifetime electronic health record implementation.

Science.gov (United States)

Gand, Kai; Richter, Peggy; Esswein, Werner

2015-01-01

Integrated care concepts can help to diminish demographic challenges. Hereof, the use of eHealth, esp. overarching electronic health records, is recognized as an efficient approach. The article aims at rigorously defining the concept of lifetime electronic health records (LEHRs) and the identification of core factors that need to be fulfilled in order to implement such. A literature review was conducted. Existing definitions were identified and relevant factors were categorized. The derived assessment categories are demonstrated by a case study on Germany. Seven dimensions to differentiate types of electronic health records were found. The analysis revealed, that culture, regulation, informational self-determination, incentives, compliance, ICT infrastructure and standards are important preconditions to successfully implement LEHRs. The article paves the way for LEHR implementation and therewith for integrated care. Besides the expected benefits of LEHRs, there are a number of ethical, legal and social concerns, which need to be balanced.

Value creation in the cloud: understanding business model factors affecting value of cloud computing

OpenAIRE

Morgan, Lorraine; Conboy, Kieran

2013-01-01

peer-reviewed Despite the rapid emergence of cloud technology, its prevalence and accessibility to all types of organizations and its potential to predominantly shift competitive landscapes by providing a new platform for creating and delivering business value, empirical research on the business value of cloud computing, and in particular how service providers create value for their customers, is quite limited. Of what little research exists to date, most focuses on technical issu...

Determining the Correlation Between Three and Seven Day Records of Fluids Consumption to Determine an Appropriate Method for Estimating the Amount and Type of Fluids Intake in Adults

Directory of Open Access Journals (Sweden)

Karandish

2016-09-01

Full Text Available Background Different methods are used for adequate fluid intake assessment, while there is no standard method for adequate fluid intake assessment. Objectives The current pilot study aimed to evaluate the amount, type and frequency of fluids consumption to determine the correlation between three- and seven-day records. Methods This pilot cross-sectional study was done on 30 adult subjects in Ahvaz, Iran during year 2014. Demographic data were collected via a questionnaire and fluids consumption was assessed with a seven days records questionnaire. For data analyses the SPSS 16 software was used. Results Results of this cross-sectional study showed that the average total daily fluids consumption was 1.6 liter. Total fluids consumption for each subject on average in three and seven days was 4.5 and 11 liter, respectively. Water was the major fluid, which the participants consumed and tea was the second item. Total amount and frequency of fluids intake were not significantly different between three and seven-day records (P = 0.287, (P = 0.546. Conclusions This study showed that there was no significant difference between the record of seven and three days of fluids consumption in the participants and it is suggested that three-day records is useful in order to determine fluids intake.

How can facility managers add value?

DEFF Research Database (Denmark)

Jensen, Per Anker; van der Voordt, Theo

2015-01-01

Recent years have seen a growing interest in the concept of added value of facilities management (FM) and corporate real estate management (CREM), and how to attain and measure it. There is a wide variety of definitions in use, and recognition of different types of added value, such as user value...

Implications of the law on video recording in clinical practice

OpenAIRE

Henken, Kirsten R.; Jansen, Frank-Willem; Klein, Jan; Stassen, Laurents; Dankelman, Jenny; Dobbelsteen, John

2012-01-01

textabstractBackground: Technological developments allow for a variety of applications of video recording in health care, including endoscopic procedures. Although the value of video registration is recognized, medicolegal concerns regarding the privacy of patients and professionals are growing. A clear understanding of the legal framework is lacking. Therefore, this research aims to provide insight into the juridical position of patients and professionals regarding video recording in health ...

The theory of discrete barriers and its applications to linear boundary-value problems of the 'Dirichlet type'; Theorie des barrieres discretes et applications a des problemes lineaires elliptiques du ''type de dirichlet''

Energy Technology Data Exchange (ETDEWEB)

Jamet, P [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1967-07-01

This report gives a general presentation of barrier theory for finite difference operators, with its applications to some boundary value problems. (author) [French] Ce rapport est un expose synthetique de la theorie des barrieres pour les operateurs aux differences finies et ses applications a certaines classes de problemes lineaires elliptiques du 'type de Dirichlet'. (auteur)

Assessing the value of Western Cape Provincial Government health administrative data and electronic pharmacy records in ascertaining medicine use during pregnancy

Directory of Open Access Journals (Sweden)

U Mehta

2018-04-01

Full Text Available Background. In African settings, where there is a high disease burden, there is a need to improve the science of documenting and analysing accurate information regarding medicine exposures in women immediately before and during pregnancy to assess the extent of use and safety in pregnant women and their unborn children.Objectives. To compare evidence of medicine use during pregnancy, as documented in paper-based clinical records (maternity case records (MCRs against electronic health information resources (Provincial Health Data Centre (PHDC and assess the level of concordance between the two as part of baseline investigations before piloting a provincial pregnancy exposure registry and birth defect surveillance system. The PHDC consolidates electronic clinical and pharmacy data.Methods. A folder review of completed pregnancies between November 2013 and January 2016 was conducted on randomly selected MCRs from midwife-run obstetric units and a secondary maternity hospital in Cape Town, South Africa. Medication exposures in the MCR were captured and compared with a customised PHDC data extract. The type and timing of drug exposures were compared. Total exposures were compiled from all data sources.Results. Two hundred and six MCRs from three facilities were sampled: 83 women had documented antiretroviral therapy (ART exposure; all but 1 (1% had been recorded in the PHDC extract. There was no evidence of ART use in the MCRs of 4 (5% cases, despite evidence in the PHDC. There were imprecise drug names in the MCRs of 14 (17% ART patients, discordant dates of onset between the MCRs and PHDC extracts in 10/83 (12% and inaccurate medicine names and incorrect dates in 1 (1% case each. Nine of 10 (90% women who were administered antituberculosis medication were recorded in the PHDC extract. Ten of 21 (48% isoniazid preventive therapy treatments appeared in the MCRs and PHDC; 9 (42% in the PHDC only and 2 (10% in the MCRs only. Half (n=18/36 of all

Linearly Refined Session Types

Directory of Open Access Journals (Sweden)

Pedro Baltazar

2012-11-01

Full Text Available Session types capture precise protocol structure in concurrent programming, but do not specify properties of the exchanged values beyond their basic type. Refinement types are a form of dependent types that can address this limitation, combining types with logical formulae that may refer to program values and can constrain types using arbitrary predicates. We present a pi calculus with assume and assert operations, typed using a session discipline that incorporates refinement formulae written in a fragment of Multiplicative Linear Logic. Our original combination of session and refinement types, together with the well established benefits of linearity, allows very fine-grained specifications of communication protocols in which refinement formulae are treated as logical resources rather than persistent truths.

Influence of the Different Primary Cancers and Different Types of Bone Metastasis on the Lesion-based Artificial Neural Network Value Calculated by a Computer-aided Diagnostic System,BONENAVI, on Bone Scintigraphy Images

Directory of Open Access Journals (Sweden)

TAKURO ISODA

2017-01-01

Full Text Available Objective(s: BONENAVI, a computer-aided diagnostic system, is used in bone scintigraphy. This system provides the artificial neural network (ANN and bone scan index (BSI values. ANN is associated with the possibility of bone metastasis, while BSI is related to the amount of bone metastasis. The degree of uptake on bone scintigraphy can be affected by the type of bone metastasis. Therefore, the ANN value provided by BONENAVI may be influenced by the characteristics of bone metastasis. In this study, we aimed to assess the relationship between ANN value and characteristics of bone metastasis. Methods: We analyzed 50 patients (36 males, 14 females; age range: 42–87 yrs, median age: 72.5 yrs with prostate, breast, or lung cancer who had undergone bone scintigraphy and were diagnosed with bone metastasis (32 cases of prostate cancer, nine cases of breast cancer, and nine cases of lung cancer. Those who had received systematic therapy over the past years were excluded. Bone metastases were diagnosed clinically, and the type of bone metastasis (osteoblastic, mildly osteoblastic,osteolytic, and mixed components was decided visually by the agreement of two radiologists. We compared the ANN values (case-based and lesion-based among the three primary cancers and four types of bone metastasis.Results: There was no significant difference in case-based ANN values among prostate, breast, and lung cancers. However, the lesion-based ANN values were the highest in cases with prostate cancer and the lowest in cases of lung cancer (median values: prostate cancer, 0.980; breast cancer, 0.909; and lung cancer, 0.864. Mildly osteoblastic lesions showed significantly lower ANN values than the other three types of bone metastasis (median values: osteoblastic, 0.939; mildly osteoblastic, 0.788; mixed type, 0.991; and osteolytic, 0.969. The possibility of a lesion-based ANN value below 0.5 was 10.9% for bone metastasis in prostate cancer, 12.9% for breast cancer, and 37

Threshold value of home pulse pressure predicting arterial stiffness in patients with type 2 diabetes: KAMOGAWA-HBP study.

Science.gov (United States)

Kitagawa, Noriyuki; Ushigome, Emi; Matsumoto, Shinobu; Oyabu, Chikako; Ushigome, Hidetaka; Yokota, Isao; Asano, Mai; Tanaka, Muhei; Yamazaki, Masahiro; Fukui, Michiaki

2018-03-01

This cross-sectional multicenter study was designed to evaluate the threshold value of home pulse pressure (PP) and home systolic blood pressure (SBP) predicting the arterial stiffness in 876 patients with type 2 diabetes. We measured the area under the receiver-operating characteristic curve (AUC) and estimated the ability of home PP to identify arterial stiffness using Youden-Index defined cut-off point. The arterial stiffness was measured using the brachial-ankle pulse wave velocity (baPWV). AUC for arterial stiffness in morning PP was significantly greater than that in morning SBP (P AUC for arterial stiffness in evening PP was also significantly greater than that in evening SBP (P < .001). The optimal cut-off points for morning PP and evening PP, which predicted arterial stiffness, were 54.6 and 56.9 mm Hg, respectively. Our findings indicate that we should pay more attention to increased home PP in patients with type 2 diabetes. ©2018 Wiley Periodicals, Inc.

Choice of the recording arrangement for bubble chamber holography

International Nuclear Information System (INIS)

Royer, H.

1982-01-01

The main characteristics of the different recording arrangements are compared. The in-line system is the most simple and the cheapest but it does not suit to all types of chambers. The side-band systems yield different sorts of images and require different coherence, stability and energy conditions according to the type of illumination of the bubbles. (orig.)

Cost effectiveness and value of information analyses of islet cell transplantation in the management of 'unstable' type 1 diabetes mellitus.

Science.gov (United States)

Wallner, Klemens; Shapiro, A M James; Senior, Peter A; McCabe, Christopher

2016-04-09

Islet cell transplantation is a method to stabilize type 1 diabetes patients with hypoglycemia unawareness and unstable blood glucose levels by reducing insulin dependency and protecting against severe hypoglycemia through restoring endogenous insulin secretion. This study analyses the current cost-effectiveness of this technology and estimates the value of further research to reduce uncertainty around cost-effectiveness. We performed a cost-utility analysis using a Markov cohort model with a mean patient age of 49 to simulate costs and health outcomes over a life-time horizon. Our analysis used intensive insulin therapy (IIT) as comparator and took the provincial healthcare provider perspective. Cost and effectiveness data for up to four transplantations per patient came from the University of Alberta hospital. Costs are expressed in 2012 Canadian dollars and effectiveness in quality-adjusted life-years (QALYs) and life years. To characterize the uncertainty around expected outcomes, we carried out a probabilistic sensitivity analysis within the Bayesian decision-analytic framework. We performed a value-of-information analysis to identify priority areas for future research under various scenarios. We applied a structural sensitivity analysis to assess the dependence of outcomes on model characteristics. Compared to IIT, islet cell transplantation using non-generic (generic) immunosuppression had additional costs of $150,006 ($112,023) per additional QALY, an average gain of 3.3 life years, and a probability of being cost-effective of 0.5 % (28.3 %) at a willingness-to-pay threshold of $100,000 per QALY. At this threshold the non-generic technology has an expected value of perfect information (EVPI) of $260,744 for Alberta. This increases substantially in cost-reduction scenarios. The research areas with the highest partial EVPI are costs, followed by natural history, and effectiveness and safety. Current transplantation technology provides substantial

The Diffusion and Value of Healthcare Information Technology

CERN Document Server

Bower, Anthony G

2006-01-01

Through a series of interviews and database analyses, and an extensive literature review and synthesis, this report characterizes the diffusion of use of electronic health records and places a value on that diffusion.

Interpretations of Recursive Type Definitions

DEFF Research Database (Denmark)

Schwartzbach, Michael Ignatieff

1992-01-01

A system of hierarchical imperative types is extended to allow infinite values. The general structure of value assignments to types in the context of a hierarchy is considered, and it is shown that both a minimal and a maximal value assignment exist. We give two different characterizations...... of intermediate value assignments: In terms of the predicates that describe them as subsets of the maximal values, and in terms of computational stability. As an application we introduce rational infinite values in our system. Programs can then work on infinite imperative data structures which are allocated...

Value of shared preclinical safety studies - The eTOX database.

Science.gov (United States)

Briggs, Katharine; Barber, Chris; Cases, Montserrat; Marc, Philippe; Steger-Hartmann, Thomas

2015-01-01

A first analysis of a database of shared preclinical safety data for 1214 small molecule drugs and drug candidates extracted from 3970 reports donated by thirteen pharmaceutical companies for the eTOX project (www.etoxproject.eu) is presented. Species, duration of exposure and administration route data were analysed to assess if large enough subsets of homogenous data are available for building in silico predictive models. Prevalence of treatment related effects for the different types of findings recorded were analysed. The eTOX ontology was used to determine the most common treatment-related clinical chemistry and histopathology findings reported in the database. The data were then mined to evaluate sensitivity of established in vivo biomarkers for liver toxicity risk assessment. The value of the database to inform other drug development projects during early drug development is illustrated by a case study.

30 CFR 220.030 - Maintenance of records.

Science.gov (United States)

2010-07-01

... such records as are necessary to determine for each NPSL: (1) The volume and disposition of all oil and gas production saved, removed or sold for each month; (2) The value of all oil and gas production... ACCOUNTING PROCEDURES FOR DETERMINING NET PROFIT SHARE PAYMENT FOR OUTER CONTINENTAL SHELF OIL AND GAS LEASES...

25 CFR 700.267 - Disclosure of records.

Science.gov (United States)

2010-04-01

... form that is not individually identifiable; (4) To the National Archives of the United States as a... the record has such value; (5) To another agency or to an instrumentality of any governmental... if the activity is authorized by law, and if the head of the agency or instrumentality has made a...

SU-F-T-234: Quality Improvements in the Electronic Medical Record of Patients Treated with High Dose-Rate Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Diener, T [Cleveland State University, Cleveland, OH (United States); Wilkinson, D [Cleveland Clinic Foundation, Cleveland, OH (United States)

2016-06-15

Purpose: To improve workflow efficiency and patient safety by assessing the quality control documentation for HDR brachytherapy within our Electronic Medical Record System (Mosaiq). Methods: A list of parameters based on NRC regulations, our quality management program (QMP), recommendations of the ACR and the American Brachytherapy Society, and HDR treatment planning risks identified in our previous FMEA study was made. Next, the parameter entries were classified according to the type of data input—manual, electronic, or both. Manual entry included the electronic Brachytherapy Treatment Record (BTR) and pre-treatment Mosaiq Assessments list. Oncentra Treatment Reports (OTR) from the Oncentra Treatment Control System constituted the electronic data. The OTR includes a Pre-treatment Report for each fraction, and a Treatment Summary Report at the completion of treatment. Each entry was then examined for appropriateness and completeness of data; adjustments and additions as necessary were then made. Results: Ten out of twenty-one recorded treatment parameters were identified to be documented within both the BTR and OTR. Of these ten redundancies, eight were changed from recorded values to a simple checklist in the BTR to avoid recording errors. The other redundancies were kept in both documents due to their value to ensuring patient safety. An edit was made to the current BTR quality assessment; this change revises the definition of a medical event in accordance with ODH Regulation 3701:1-58-101. One addition was made to the current QMP documents regarding HDR. This addition requires a physician to be present through the duration of HDR treatment in accordance with ODH Regulation 3701:1-58-59; Paragraph (F); Section (2); Subsection (a). Conclusion: Careful examination of HDR documentation that originates from different sources can help to improve the accuracy and reliability of the documents. In addition, there may be a small improvement in efficiency due to

Studies regarding the influence of different straw-based ration types on fermentation and production of volatile fatty acids in the rumen of lactating cows. 1

International Nuclear Information System (INIS)

Muenchow, H.; Bergner, H.

1977-01-01

Lactating cows fed different types of ration were used to test a combined in-vitro/in-vivo technique for determining the rate of VFA-production. Both under N 2 - and CO 2 -atmosphere the applied in-vitro technique allowed to obtain fermentation results agreeing with the corresponding in-vivo results. The VFA-production was found to depend on the time of rumen juice extraction; it reached its peak 3 hours feed intake. The time-conditioned variations revealed a good agreement between the results obtained before morning and evening feedings, respectively. The rumen juice volume necessary for calculating the daily VFA production rate was recorded using the water-soluble complex of 51 Cr-ethylene diaminetetra acetate (EDTA). The results demonstrate that the measured values are of good reproducibility. Rumen juice volumes of 81.7 +- 6 l (ration type: straw pellets + concentrates) and 81.7 +- 4 l (ration type: fodder beet + dried green forage + concentrates) were recorded for the two groups of 10 experimental cows each, given restricted amounts of water and feed. Replication trials conducted 14 days later gave values of 70.7 +- 4 and 81.7 +- 2 l, respectively. (author)

Values and entrepreneurship

Directory of Open Access Journals (Sweden)

Martina Urbanová

2013-01-01

Full Text Available This paper deals with the importance of values ​​in business development. The authors remind M. Weber and his study about the impact of Protestantism on business development. After defining the concept of value, attention is focused on the theory of R.K. Merton, T. Parsons, R. Inglehart. Using the critical sociological approach the authors reflect on the research strategies in the area of values. In this context is mentioned for example the issue of ideal and real cultures – ideal cultures consist of norms and values to which people officially claim, e.g. values of Christian civilization, values of Central Europe; so-called universal values are very often (or should be a base for legal norms. Real cultures represent a pattern according to which people act and regard it socially acceptable. In this context is also discussed the question of individualism without responsibility that is typical for current western society as well as for the Czech society of last decades. Value orientations are patterns for expected roles, culturally defined types of human relations, expressing the basic attitudes in social interaction. The level of prevailing business values is visible also in many multinational corporations espousing the concept of corporate social responsibility within their promotion but violating it in reality.

Electronic health records: what are the most important barriers?

Science.gov (United States)

Ayatollahi, Haleh; Mirani, Nader; Haghani, Hamid

2014-01-01

The process of design and adoption of electronic health records may face a number of barriers. This study aimed to compare the importance of the main barriers from the experts' point of views in Iran. This survey study was completed in 2011. The potential participants (62 experts) included faculty members who worked in departments of health information technology and individuals who worked in the Ministry of Health in Iran and were in charge of the development and adoption of electronic health records. No sampling method was used in this study. Data were collected using a Likert-scale questionnaire ranging from 1 to 5. The validity of the questionnaire was established using content and face validity methods, and the reliability was calculated using Cronbach's alpha coefficient. The response rate was 51.6 percent. The participants' perspectives showed that the most important barriers in the process of design and adoption of electronic health records were technical barriers (mean = 3.84). Financial and ethical-legal barriers, with the mean value of 3.80 were other important barriers, and individual and organizational barriers, with the mean values of 3.59 and 3.50 were found to be less important than other barriers from the experts' perspectives. Strategic planning for the creation and adoption of electronic health records in the country, creating a team of experts to assess the potential barriers and develop strategies to eliminate them, and allocating financial resources can help to overcome most important barriers to the adoption of electronic health records.

Proposal for a New Model for Highway Records in the Republic of Croatia

Directory of Open Access Journals (Sweden)

Rinaldo Paar

2012-05-01

Full Text Available Highways are public roads, whose function is to integrate Croatia in the European transport system, link the regions of Croatia and facilitate transit traffic. They are public property for general use, owned by the Republic of Croatia, and they cannot be the subject of acquisition or other proprietary rights of any kind. Today, there are two types of highway record-keeping. The first is conducted by leading companies authorised to manage highways in order to develop a highway database, or create a highway register. The second is conducted by land-management systems; the Cadastre and Land Registry. They are the official public registers for keeping records of land plots, buildings and other structures, and their ownership. Procedures that need to be implemented in the second type of record-keeping often get "stuck" in practice. Based on the problems identified in this model and an analysis of the state of record-keeping, a proposal for a new model for highway records in the Cadastre and Land Registry is given. Keywords: highways; building plot; expropriation; record; Cadastre; Land Registry

Relationship between natural radioactivity and rock type in the Van lake basin - Turkey

International Nuclear Information System (INIS)

Tolluoglu, A. U.; Eral, M.; Aytas, S.

2004-01-01

The Van Lake basin located at eastern part of Turkey. The Van lake basin essentially comprises two province, these are namely Van and Bitlis. The former geochemistry research indicated that the uranium concentrations of Van lake water and deep sediments are 78-116 ppb and 0.1-0.5 ppm respectively. Uranium was transported to Van Lake by rivers and streams, flow through to outcrops of Paleozoic Bitlis Massive, and young Pleistocene alkaline/calkalkaline volcanic rocks. This study focused on the revealing natural radioactivity and secondary dispersion of radioactivity related to rock types surface environments in the Van Lake Basin. The Van Lake Basin essentially subdivided into three different parts; the Eastern parts characterized by Mesozoic basic and ultra basic rocks, southern parts dominated by metamorphic rocks of Bitlis Massive, Western and Northwestern parts covered by volcanic rocks of Pleistocene. Volcanic rocks can be subdivided into two different types. The first type is mafic rocks mainly composed of basalts. The second type is felsic rocks represented by rhyolites, dacites and pumice tuff. Surface gamma measurements (cps) and dose rate measurements (μR/h) show different values according to rock type. Surface gamma measurement and surface dose rate values in the basaltic rocks are slightly higher than the average values (130 cps, 11 μR/h). In the felsic volcanic rocks such as rhyolites and dacites surface gamma measurement values and surface dose rate values, occasionally exceed the background. Highest values were obtained in the pumice tuffs. Rhyolitic eruptions related to Quaternary volcanic activity formed thick pumice (natural glassy froth related to felsic volcanic rocks and exhibit spongy texture) sequences Northern and Western part of Van Lake basin. The dose rate of pumice rocks was measured mean 15 μR/h. The highest value for surface gamma measurements was recorded as 200 cps. The pumice has very big water capacity, due to porous texture of

Age and Value Orientations

Directory of Open Access Journals (Sweden)

Asya Kh. Kukubayeva

2013-01-01

Full Text Available The present article deals with value orientations and their role in men’s lives, particularly, in young people’s lives. This notion was introduced by the American theoretical sociologist T. Parsons, one of the creators of modern theoretical sociology. The scientist made an attempt to construct the structural and analytical theory of social action, combining personal interests (needs and aims and situation, it takes place in. The issue of value orientations remains acute for psychology. Herein we have considered several most important works, relating to the considered issue. Age aspects of young people’s value orientations are of peculiar interest to us. When analyzing this phenomenon, one should take into consideration the psychological formations, inhere for a certain age. In fact every age has its unique structure, which may change when passing from one development stage to another. Basing on this fact, we’ve considered the values, depending on the age features of the youth, relying upon the works of the scientists, working with different categories of the youth, such as: teenagers, students, children of different nationalities. It is not surprising that most scientists have come to the conclusion that the chief role in value orientation belongs to a family, originates in relations with parents and teachers. The positive reinforcement to the future develops throughout life in accordance with a lifestyle of a family, society and political situation in a state.Life orientations as a type of value orientations show different types of young people’s preferences. Value structure of its consciousness has its own specific character, depending on the age peculiarities. The dynamics of the transition from one age to another is accompanied with the reappraisal of values, eventually, influencing the life strategy of the future generation

Inner-Directed and Other-Directed Values of Professional Journalists.

Science.gov (United States)

Schwartz, Stuart H.

1978-01-01

Reports that an analysis of the responses of 35 journalists to 50 value items revealed two types of journalists: the inner-directed high professional and the other-directed low professional. Discusses attitudes and values of the two types. (GT)

A comparative study to evaluate the discrepancy in condylar guidance values between two commercially available arcon and non-arcon articulators: A clinical study

Directory of Open Access Journals (Sweden)

Mukesh Kumar Goyal

2011-01-01

Full Text Available Aim: The purpose of this study was comparative evaluation of sagittal condylar values of arcon and non-arcon articulators with cephalometric readings and to determine the amount of discrepancy in sagittal condylar guidance values between arcon and non-arcon articulators using same protrusive record. Materials and Methods: Twenty subjects in the age group of 19-35 years, free from temporomandibular joint dysfunction, and occlusal disharmony, with healthy dentition participated in the study. Hanau H2 (non-arcon type and Hanau Wide-Vue (arcon type articulators were programmed for sagittal condylar guidance values using the same protrusive record made in polysiloxane bite registration material with edge to edge degree of protrusion. The resultant values for both the articulators on either side were compared with values obtained from tracing of digital lateral cephalogram using Kodak Dental imaging Window software 6.6.3.0-C program. The tabulated data were subjected to statistical analysis, ANOVA (Fishers ′F′ test for group comparison, Tukey′s HSD test for inter-comparison, student′s unpaired ′t′ test for intra-group comparison, and level of significance (P was calculated using the same. Results: The mean sagittal condylar guidance values of the three different groups were found to be very highly significant (P=0.001 and highly significant (P=0.002 on the right and left sides respectively. There was a very highly significant difference (P=0.001 and highly significant difference (P=0.003 between the arcon and non-arcon group on the right and left side respectively. No significant difference was found between the arcon and cephalometric group (P=0.284 right, P=0.853 left and a statistically significant difference was found between the non-arcon and cephalometric group (P=0.049 right, P=0.015 left. On intragroup comparison there was no statistically significant difference in sagittal condylar values on the right and left sides. Conclusion

14 CFR 152.309 - Availability of sponsor's records.

Science.gov (United States)

2010-01-01

... (CONTINUED) AIRPORTS AIRPORT AID PROGRAM Accounting and Reporting Requirements § 152.309 Availability of... the purposes of accounting and audit. (b) The sponsor or planning agency shall allow appropriate FAA...-term retention value, the FAA may require transfer of custody of those records to the FAA. ...

Patent Value: A Business Perspective for Technology Startups

OpenAIRE

Angela de Wilton

2011-01-01

In the last year, news headlines have highlighted record patent infringement settlements, multibillion dollar auctions of large corporate patent portfolios, and ongoing patent battles between key technology industry players. Despite this acknowledgment of the significant value of patents for large corporations, many small technology companies are understandably more focused on the near-term costs of obtaining a patent rather than future value. Costs may seem prohibitive to an early stage tech...

Oxygen Isotope Speleothem record of Decadal and Multidecadal Atlantic Oscillations over the last millennium in Southwestern Morocco

Science.gov (United States)

Ait Brahim, Yassine; Sha, LiJuan; Sifeddine, Abdelfettah; Cheng, Hai; Bouchaou, Lhoussaine; Da Cruz Junior, Francisco William; Khodri, Myriam; Peerbocus, Nawaaz; Mariller, Alexandre; Apaestegui, James; Guyot, Jean-Loup; Auler, Augusto; Hassane Beraaouz, El

2016-04-01

In this work, we present a stable oxygen isotope (δ18O) speleothem record from Ifoulki cave located South-West of Morocco (N 30°42'29'', W 09°19'39'' and 1267 meters above sea level). The age model, based on eighteen U-Th dates, reveals that the record covers the AD 790-1953 period with a data resolution of ~1.7 years. Stable oxygen isotope variations show substantial decadal to multi-decadal swings between dry and humid periods. The Medieval Climate Anomaly (MCA) is characterized by the longest period with δ18O values above the average, suggestive of pronounced drying possibly as a response to positive North Atlantic Oscillation (NAO) phases and increased volcanic activity during this period. However, at least two short wet phases are recognized during the MCA in Morocco, with peaks centered on the years AD 1040 and AD 1190 and seem to overlap with negative NAO phases as recorded in a recently published NAO reconstruction for the last millennium. During the next centuries, the NAO again depicts predominantly negative values and the δ18O drops below the average during the Little Ice Age (LIA). Furthermore, a striking resemblance is observed between our record and another recently published stalagmite record from the Piste cave in Northeastern Morocco, which is quite remarkable given the different type of tracers (δ18O vs. Mg and Sr) obtained from different environments (Western High Atlas vs. Northeastern Middle Atlas and ~634 km away). Comparison with regional paleorecords from other studies also reveals the replication of many characteristic climate features from the last millennium, first detected in Northern Morocco and the Iberian Peninsula. In particular, the evidence of generally dry conditions during the MCA and wetter conditions in the LIA, which is confirmed by all the paleorecords. These similarities indicate coherent climate variability in Northwest Africa and the Iberian Peninsula and suggest a strong regional control of the NAO during the last

Impact of Disease Management Programs on HbA1c Values in Type 2 Diabetes Patients in Germany.

Science.gov (United States)

Kostev, Karel; Rockel, Timo; Jacob, Louis

2017-01-01

The aim was to analyze the impact of disease management programs on HbA1c values in type 2 diabetes mellitus (T2DM) patients in Germany. This study included 9017 patients followed in disease management programs (DMPs) who started an antihyperglycemic treatment upon inclusion in a DMP. Standard care (SC) patients were included after individual matching (1:1) to DMP cases based on age, gender, physician (diabetologist versus nondiabetologist care), HbA1c values at baseline, and index year. The main outcome was the share of patients with HbA1c HbA1c level as a dependent variable and the potential predictor (DMP versus SC). The mean age was 64.3 years and 54.7% of the patients were men. The mean HbA1c level at baseline was equal to 8.7%. In diabetologist practices, 64.7% of DMP patients and 55.1% of SC patients had HbA1c levels HbA1c levels HbA1c levels HbA1c levels HbA1c levels lower than 7.5% or 6.5% after 6 months of therapy in both diabetologist and general care practices. The present study indicates that the enrollment of T2DM patients in DMPs has a positive impact on HbA1c values in Germany.

76 FR 58857 - Privacy Act of 1974: System of Records

Science.gov (United States)

2011-09-22

...] Attachment type text. [cir] Binary image. [cir] Capture date. [cir] Description text. [cir] Format type text..., adjudicative or administrative body, when it is necessary to the litigation and one of the following is a party... electronically. The records are stored on magnetic disc, tape, digital media, and CD-ROM. RETRIEVABILITY: Much of...

Evaluating the effect of sample type on American alligator (Alligator mississippiensis) analyte values in a point-of-care blood analyser

OpenAIRE

Hamilton, Matthew T.; Finger, John W.; Winzeler, Megan E.; Tuberville, Tracey D.

2016-01-01

The assessment of wildlife health has been enhanced by the ability of point-of-care (POC) blood analysers to provide biochemical analyses of non-domesticated animals in the field. However, environmental limitations (e.g. temperature, atmospheric humidity and rain) and lack of reference values may inhibit researchers from using such a device with certain wildlife species. Evaluating the use of alternative sample types, such as plasma, in a POC device may afford researchers the opportunity to d...

The Minister Council decree about intervention level values for particular types of intervention activity and about criteria of recall this activity of 27 April 2004

International Nuclear Information System (INIS)

Miller, L.

2004-01-01

The decree refers to intervention level values for particular types of intervention activity, such as evacuation, order to leave in closed rooms, application of preparations containing stabile iodine, prohibition or limiting to consume contaminated food or water, temporary or permanent displacement. The intervention level values refer to contamination level values refer to contamination with strontium 90, iodine 131, plutonium 239, americium 241, cesium 134 and cesium 137 of drinking water, milk and food for men and domestic animals. The decree replaces the decrees of 6 August 2002 (Dz. U. no 145, item 1218, 2002 and no 151, item 1463, 2003)

Shareholder/Stakeholder Value Management, Company Growth and

OpenAIRE

Ekholm, Bo-Göran; Wallin, Jan

2003-01-01

There has been considerable discussion in the literature about the relative merits of shareholder value management and stakeholder value management, but relatively little empirical research has been reported concerning the relationship between these types of management and financial performance. The present study puts forward a hypothesis that true shareholder value management also encompasses stakeholder value management. This combination of shareholder/stakeholder value management is hypoth...

76 FR 56503 - Agency Information Collection Activity (VSO Access to VHA Electronic Health Records) Under OMB...

Science.gov (United States)

2011-09-13

... (VSO Access to VHA Electronic Health Records) Under OMB Review AGENCY: Veterans Health Administration... Electronic Health Records, VA Form 10- 0400. OMB Control Number: 2900-0710. Type of Review: Extension of a... power of attorney by veterans who have medical information recorded in VHA electronic health records...

Effects of soil type, moisture content, redox potential and methyl bromide fumigation on Kd values of radio-selenium in soil

International Nuclear Information System (INIS)

Ashworth, D.J.; Moore, J.; Shaw, G.

2008-01-01

Understanding the processes that determine the solid-liquid partitioning (K d value) of Se is of fundamental importance in assessing the risk associated with the disposal of radio-selenium-containing waste. Using a mini-column (rather than batch) approach, K d values for 75 Se were determined over time in relation to soil moisture content (field capacity or saturated), redox potential and methyl bromide fumigation (used to disrupt the soil microbial population) in three contrasting soil types: clay loam, organic and sandy loam. The K d values were generally in the range 50-500 L kg -1 , with mean soil K d increasing with increasing organic matter content. Saturation with water lowered the measured redox potentials in the soils. However, only in the sandy loam soil did redox potential become negative, and this led to an increase in 75 Se K d value in this soil. Comparison of the data with the Eh-pH stability diagram for Se suggested that such strong reduction may have been consistent with the formation of the insoluble Se species, selenide. These findings, coupled with the fact that methyl bromide fumigation had no discernible effect on 75 Se K d value in the sandy loam soil, suggest that geochemical, rather than microbial, processes controlled 75 Se partitioning. The inter-relations between soil moisture content, redox potential and Se speciation should be considered in the modelling and assessment of radioactive Se fate and transport in the environment

Smoothing type buffer memory device

International Nuclear Information System (INIS)

Podorozhnyj, D.M.; Yashin, I.V.

1990-01-01

The layout of the micropower 4-bit smoothing type buffer memory device allowing one to record without counting the sequence of input randomly distributed pulses in multi-channel devices with serial poll, is given. The power spent by a memory cell for one binary digit recording is not greater than 0.15 mW, the device dead time is 10 mus

Clinical relevance of the apparent diffusion coefficient value of metastatic bone tumours on diffusion-weighted MRI images: differences according to the types of primary tumour, the affected bones, and clinical factors.

Science.gov (United States)

Cha, M J; Yoon, Y C

2015-10-01

To evaluate whether the apparent diffusion coefficient (ADC) of metastatic bone tumours on diffusion-weighted magnetic resonance imaging (MRI) images differs according to the type of primary cancer, the affected bone, and clinical factors. For this retrospective study, two radiologists reviewed MRI images, including ADC maps, of 67 patients (M:F=38:29; median age, 48 years) who were diagnosed with bone metastasis by means of histological or clinical confirmation. The primary tumours included 29 lung adenocarcinomas, 15 invasive ductal adenocarcinomas of the breast, 13 hepatocellular carcinomas, six prostatic carcinomas, and four renal cell carcinomas. ADC values of the metastatic tumour were compared according to the type of primary malignancy, the affected bone, and the age and sex of the patient using Kruskal-Wallis and Mann-Whitney U-tests with Bonferroni correction. In addition, pre-contrast CT images were available in 38 of 67 patients; a subanalysis of the CT radiodensity and ADC values were performed with Spearman correlation. The mean, standard deviation, and minimum and maximum values of the ADC of metastatic bone tumours did not differ significantly according to type of primary malignancy, the affected bone, or clinical variables (p>0.1). The ADC value was not significantly correlated with CT radiodensity (p=0.24). Intra- and interobserver agreements for the mean ADC values were excellent (intra-observer: p=0.98; interobserver: p=0.98). Assessment of the ADC value of metastatic bone tumours is not reliable for differentiation of the type of primary cancer. Copyright © 2015 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Predictive value of stroke discharge diagnoses in the Danish National Patient Register.

Science.gov (United States)

Lühdorf, Pernille; Overvad, Kim; Schmidt, Erik B; Johnsen, Søren P; Bach, Flemming W

2017-08-01

To determine the positive predictive values for stroke discharge diagnoses, including subarachnoidal haemorrhage, intracerebral haemorrhage and cerebral infarction in the Danish National Patient Register. Participants in the Danish cohort study Diet, Cancer and Health with a stroke discharge diagnosis in the National Patient Register between 1993 and 2009 were identified and their medical records were retrieved for validation of the diagnoses. A total of 3326 records of possible cases of stroke were reviewed. The overall positive predictive value for stroke was 69.3% (95% confidence interval (CI) 67.8-70.9%). The predictive values differed according to hospital characteristics, with the highest predictive value of 87.8% (95% CI 85.5-90.1%) found in departments of neurology and the lowest predictive value of 43.0% (95% CI 37.6-48.5%) found in outpatient clinics. The overall stroke diagnosis in the Danish National Patient Register had a limited predictive value. We therefore recommend the critical use of non-validated register data for research on stroke. The possibility of optimising the predictive values based on more advanced algorithms should be considered.

Statistical methods for change-point detection in surface temperature records

Science.gov (United States)

Pintar, A. L.; Possolo, A.; Zhang, N. F.

2013-09-01

We describe several statistical methods to detect possible change-points in a time series of values of surface temperature measured at a meteorological station, and to assess the statistical significance of such changes, taking into account the natural variability of the measured values, and the autocorrelations between them. These methods serve to determine whether the record may suffer from biases unrelated to the climate signal, hence whether there may be a need for adjustments as considered by M. J. Menne and C. N. Williams (2009) "Homogenization of Temperature Series via Pairwise Comparisons", Journal of Climate 22 (7), 1700-1717. We also review methods to characterize patterns of seasonality (seasonal decomposition using monthly medians or robust local regression), and explain the role they play in the imputation of missing values, and in enabling robust decompositions of the measured values into a seasonal component, a possible climate signal, and a station-specific remainder. The methods for change-point detection that we describe include statistical process control, wavelet multi-resolution analysis, adaptive weights smoothing, and a Bayesian procedure, all of which are applicable to single station records.

Comparability of reference values

International Nuclear Information System (INIS)

Rossbach, M.; Stoeppler, M.

1993-01-01

Harmonization of certified values in Reference Materials (RMs) can be carried out by applying nuclear analytical techniques to RMs of various matrix types and concentration levels. Although RMs generally should not be used as primary standards the cross evaluation of concentrations in RMs leads to better compatibility of reference values and thus to a greater agreement between analytical results from different laboratories using these RMs for instrument calibration and quality assurance. (orig.)

Perspectives on electronic medical records adoption: electronic medical records (EMR in outcomes research

Directory of Open Access Journals (Sweden)

Dan Belletti

2010-04-01

Full Text Available Dan Belletti1, Christopher Zacker1, C Daniel Mullins21Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA; 2University of Maryland School of Pharmacy, Baltimore, MD, USAAbstract: Health information technology (HIT is engineered to promote improved quality and efficiency of care, and reduce medical errors. Healthcare organizations have made significant investments in HIT tools and the electronic medical record (EMR is a major technological advance. The Department of Veterans Affairs was one of the first large healthcare systems to fully implement EMR. The Veterans Health Information System and Technology Architecture (VistA began by providing an interface to review and update a patient’s medical record with its computerized patient record system. However, since the implementation of the VistA system there has not been an overall substantial adoption of EMR in the ambulatory or inpatient setting. In fact, only 23.9% of physicians were using EMRs in their office-based practices in 2005. A sample from the American Medical Association revealed that EMRs were available in an office setting to 17% of physicians in late 2007 and early 2008. Of these, 17% of physicians with EMR, only 4% were considered to be fully functional EMR systems. With the exception of some large aggregate EMR databases the slow adoption of EMR has limited its use in outcomes research. This paper reviews the literature and presents the current status of and forces influencing the adoption of EMR in the office-based practice, and identifies the benefits, limitations, and overall value of EMR in the conduct of outcomes research in the US.Keywords: electronic medical records, health information technology, medical errors

Flotsam samples can help explain the δ13C and δ15N values of invertebrate resting stages in lake sediment

Science.gov (United States)

van Hardenbroek, Maarten; Rinta, Päivi; Wooller, Matthew J.; Schilder, Jos; Stötter, Tabea; Heiri, Oliver

2018-06-01

The stable isotopic composition of chitinous remains of Cladocera (water fleas) and freshwater Bryozoa (moss animals) preserved in lake sediment records can provide supporting insights into past environmental and ecosystem changes in lakes. Here we explore whether analyses of these remains isolated from lake flotsam can provide information on the driving variables affecting the isotopic composition of these remains. We collected flotsam in 53 lakes and found enough material in 33 lakes to measure the stable carbon and nitrogen isotope ratios (expressed as δ13C and δ15N values, respectively) of resting stages. These values were compared with lake characteristics, water chemistry measurements, and the isotopic composition of sedimentary organic matter (SOM) in the lakes. Mean δ13C values of cladoceran ephippia and SOM were correlated and both were also negatively correlated with deep water methane concentrations and indicators of lake stratification. This supports the findings of previous studies that methane-derived carbon can provide a significant proportion of carbon entering planktonic food webs. Mean δ15N values of bryozoan statoblasts and SOM were correlated, suggesting that both reflect the δ15N values of phytoplankton. Our results provide information on how environmental variables in lakes can influence the δ13C and δ15N values in resting stages, but flotsam samples can also potentially be used to assess seasonal stable isotope variability of resting stages. Both types of information are important to improve palaeoenvironmental interpretations of stable isotope records based on these remains in lake sediments.

Reproducibility of vibration perception threshold values in children and adolescents with type 1 diabetes mellitus and associated factors.

Science.gov (United States)

Louraki, M; Tsentidis, C; Kallinikou, D; Katsalouli, M; Kanaka-Gantenbein, C; Kafassi, N; Papathanasiou, A; Karavanaki, K

2014-07-01

To define the reproducibility of vibration perception thresholds (VPTs) and the possible associated factors, as an early index of peripheral diabetic neuropathy (PDN) in type 1 diabetes mellitus (T1DM) children and adolescents. A single examiner studied 118 T1DM subjects (aged 13.5±3.4 years) and 79 controls (aged 12.0±3.07 years). Glycaemic control was assessed with HbA1c levels. VPT was measured twice on upper and lower limbs, using a Biothesiometer. Concordance between the two VPT measurements was evaluated using the Cohen's Weighted Kappa statistic (Kappa=0.41-0.60→moderate concordance, Kappa=0.61-0.80→substantial concordance). T1DM children had significantly higher VPTs than controls at all sites (p=0.001), but with lower Kappa values (0.64-0.70). VPT values increased in parallel with HbA1c (a.9.5%) and T1DM duration (a.1-10, c.>10 years). However, Kappa values were lower in the groups with the poorest control (HbA1c>9.5%) (Kappa=0.54-0.76) or the longest T1DM duration (>10 years) (Kappa=0.49-0.71). Although VPTs increased with stature and male gender, no effect on VPT reproducibility was observed. However, obesity was associated with lower VPT values and poorer concordance. These findings suggest that the reproducibility of VPTs is lower in the high-risk patients for early subclinical PDN development, who need a regular follow-up. Copyright © 2013 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

40 CFR 141.571 - What records does subpart T require my system to keep?

Science.gov (United States)

2010-07-01

... records does subpart T require my system to keep? Your system must keep several types of records based on... Benchmarking(§§ 141.540-141.544) Benchmark (including raw data and analysis) Indefinitely. ...

The death of ink: the value of typing skills as an addition to the medical school curriculum

Directory of Open Access Journals (Sweden)

Miah S

2017-10-01

Full Text Available Saiful Miah,1 Hashim U Ahmed21Department of Urology, Imperial College Healthcare NHS Trust, Charing Cross Hospital, 2Imperial College London, London, UKWe read with great interest the article by Malik on the importance of writing skills, which has been highlighted as one of the four  competencies that all medical students should possess as future doctors.1 Malik’s article also stated that “first and foremost”writing in a legible manner is imperative for good clinical practice.1While we wholeheartedly agree with these statements, one potentially overlooked skill that we predict will overtake the requirement of legible writing skills within a generation of doctors is typing proficiency. Decades of investment and development of electronic health records (EHRs have resulted in a greater implementation of this tool globally.2 EHRs have been shown through use of reminders, electronic order sets and other means to improve reliability of performance of many basic tasks in acute, preventive and chronic medical care.2View the original paper by Malik. 

The prognostic value of dividing epithelial ovarian cancer into type I and type II tumors based on pathologic characteristics

DEFF Research Database (Denmark)

Prahm, Kira Philipsen; Karlsen, Mona Aarenstrup; Høgdall, Estrid

2015-01-01

OBJECTIVE: To investigate the prognostic significance of dividing epithelial ovarian cancer (EOC) in type I and type II tumors based on pathologic variables. METHODS: We used the Danish Gynecologic Cancer Database to identify all patients diagnosed with EOC from 2005 to 2012. Information on histo......OBJECTIVE: To investigate the prognostic significance of dividing epithelial ovarian cancer (EOC) in type I and type II tumors based on pathologic variables. METHODS: We used the Danish Gynecologic Cancer Database to identify all patients diagnosed with EOC from 2005 to 2012. Information...... for survival confirmed the increased overall survival for type I tumors after two years of follow-up (hazard ratio: 1.85, 95% confidence interval: 1.35-2.54, Pbased on pathologic variables was associated with an increased risk of death...

The Analysis and Suppression of the spike noise in vibrator record

Science.gov (United States)

Jia, H.; Jiang, T.; Xu, X.; Ge, L.; Lin, J.; Yang, Z.

2013-12-01

During the seismic exploration with vibrator, seismic recording systems have often been affected by random spike noise in the background, which leads to strong data distortions as a result of the cross-correlation processing of the vibrator method. Partial or total loss of the desired seismic information is possible if no automatic spike reduction is available in the field prior to correlation of the field record. Generally speaking, original record of vibrator is uncorrelated data, in which the signal is non-wavelet form. In order to obtain the seismic record similar to explosive source, the signal of uncorrelated data needs to use the correlation algorithm to compress into wavelet form. The correlation process results in that the interference of spike in correlated data is not only being suppressed, but also being expanded. So the spike noise suppression of vibrator is indispensable. According to numerical simulation results, the effect of spike in the vibrator record is mainly affected by the amplitude and proportional points in the uncorrelated record. When the spike noise ratio in uncorrelated record reaches 1.5% and the average amplitude exceeds 200, it will make the SNR(signal-to-noise ratio) of the correlated record lower than 0dB, so that it is difficult to separate the signal. While the amplitude and ratio is determined by the intensity of background noise. Therefore, when the noise level is strong, in order to improve SNR of the seismic data, the uncorrelated record of vibrator need to take necessary steps to suppress spike noise. For the sake of reducing the influence of the spike noise, we need to make the detection and suppression of spike noise process for the uncorrelated record. Because vibrator works by inputting sweep signal into the underground long time, ideally, the peak and valley values of each trace have little change. On the basis of the peak and valley values, we can get a reference amplitude value. Then the spike can be detected and

75 FR 43499 - Privacy Act of 1974; System of Records

Science.gov (United States)

2010-07-26

..., current address, contact information, beneficiary and next of kin information, blood type, service... authentication and access is specifically granted by a MCWIITS Administrator. Records in the MCWIITS are...

Post-depositional formation of vivianite-type minerals alters sediment phosphorus records

NARCIS (Netherlands)

DIjkstra, Nikki; Hagens, Mathilde; Egger, Matthias; Slomp, Caroline P.

2018-01-01

Phosphorus (P) concentrations in sediments are frequently used to reconstruct past environmental conditions in freshwater and marine systems, with high values thought to be indicative of a high biological productivity. Recent studies suggest that the post-depositional formation of vivianite, an

Extracting the respiration cycle lengths from ECG signal recorded with bed sheet electrodes

International Nuclear Information System (INIS)

Vehkaoja, A; Peltokangas, M; Lekkala, J

2013-01-01

A method for recognizing the respiration cycle lengths from the electrocardiographic (ECG) signal recorded with textile electrodes that are attached to a bed sheet is proposed. The method uses two features extracted from the ECG that are affected by the respiration: respiratory sinus arrhythmia and the amplitude of the R-peaks. The proposed method was tested in one hour long recordings with ten healthy young adults. A relative mean absolute error of 5.6 % was achieved when the algorithm was able to provide a result for approximately 40 % of the time. 90 % of the values were within 0.5 s and 97 % within 1 s from the reference respiration value. In addition to the instantaneous respiration cycle lengths, also the mean values during 1 and 5 minutes epochs are calculated. The effect of the ECG signal source is evaluated by calculating the result also from the simultaneously recorded reference ECG signal. The acquired respiration information can be used in the estimation of sleep quality and the detection of sleep disorders

76 FR 40454 - Proposed Information Collection (VSO Access to VHA Electronic Health Records) Activity; Comment...

Science.gov (United States)

2011-07-08

... Access to VHA Electronic Health Records) Activity; Comment Request AGENCY: Veterans Health Administration... Access to VHA Electronic Health Records, VA Form 10- 0400. OMB Control Number: 2900-0710. Type of Review... were granted power of attorney by veterans who have medical information recorded in VHA electronic...

Study about geomagnetic variations from data recorded at Surlari Geomagnetic Observatory

Science.gov (United States)

Asimopolos, Laurentiu; Asimopolos, Natalia-Silvia; Sandulescu, Agata Monica; Niculici, Eugen

2013-04-01

This paper presents statistical and spectral analysis of data from Surlari Geomagnetic Observatory that contributing to study of geomagnetic variations. Thus were highlighted, for long series of records over several solar cycles, periodicities of 22 years and 11 years. Following the same procedures for medium recording series (multi-annual) have highlighted annual, seasonal and monthly periodicities. For shorter data series, we highlighted diurnal, semidiurnal, 8 hours and even lower periodicities. For very short series with a high sample rate and for few magnetotellurics records, we highlight different types of pulsations (Pc2 - Pc5 and Pi 2). Geomagnetic signals are the convolution product of the atomic stationary signals mono-frequential of different amplitudes associated to phenomena with a very broad band of periodicities and nondeterministic signals associated with geomagnetic disturbances and non-periodic phenomena. Among analysis processes used for discrete series of geomagnetic data with different lengths and sampling rates, can conclude the following: Moving average works as a low pass filter in frequency or high pass in time. By eliminating high frequency components (depending on mobile window size used) can be studied preferential periodicities greater than a given value. Signal linearization (using least squares) provides information on linear trend of the entire series analyzed. Thus, for the very long data series (several decades) we extracted the secular variation slope for each geomagnetic component, separately. The numeric derivative of signal versus time proved to be a very reliable indicator for geomagnetic disturbed periods. Thus, the derivative value may be increased by several orders of magnitude during periods of agitation in comparisons to calm periods. The correlation factor shows significant increases when between two time series a causal relationship exists. Variation of the correlation factor, calculated for a mobile window containing k

Accurate blood pressure recording: is it difficult?

Science.gov (United States)

Bhalla, A; Singh, R; D'cruz, S; Lehl, S S; Sachdev, A

2005-11-01

Blood pressure (BP) measurement is a routine procedure but errors are frequently committed during BP recording. AIMS AND SETTINGS: The aim of the study was to look at the prevalent practices in the institute regarding BP recording. The study was conducted in the Medicine Department at Government Medical College, Chandigarh, a teaching institute for MBBS students. A prospective, observational study was performed amongst the 80 doctors in a tertiary care hospital. All of them were observed by a single observer during the act of BP recording. The observer was well versed with the guidelines issued by British Hypertension Society (BHS) and the deviations from the standard set of guidelines issued by BHS were noted. The errors were defined as deviations from these guidelines. The results were recorded as percentage of doctors committing these errors. In our study, 90% used mercury type sphygmomanometer. Zero error of the apparatus, hand dominance was not noted by any one. Every one used the standard BP cuff for recording BP. 70% of them did not let the patient rest before recording BP. 80% did not remove the clothing from the arm. None of them recorded BP in both arms. In out patient setting, 80% recorded blood pressure in sitting position and 14% in supine position. In all the patients where BP was recorded in sitting position BP apparatus was below the level of heart and 20% did not have their arm supported. 60% did not use palpatory method for noticing systolic BP and 70% did not raise pressure 30-40 mm Hg above the systolic level before checking the BP by auscultation. 80% lowered the BP at a rate of more than 2 mm/s and 60% rounded off the BP to nearest 5-10 mm Hg. 70% recorded BP only once and 90% of the rest re inflated the cuff without completely deflating and allowing rest before a second reading was obtained. The practice of recording BP in our hospital varies from the standard guidelines issued by the BHS.

Public value creation through collaborative innovation

DEFF Research Database (Denmark)

Crosby, Barbara C.; 't Hart, Paul; Torfing, Jacob

2017-01-01

to achieving it. It then considers the usefulness of the public value framework for managers seeking to design innovative solutions for complex problems, and examines the type of leadership that is likely to foster collaborative innovation and public value. It finishes by offering levers for achieving...

CORTICAL ENCODING OF SIGNALS IN NOISE: EFFECTS OF STIMULUS TYPE AND RECORDING PARADIGM

Science.gov (United States)

Billings, Curtis J.; Bennett, Keri O.; Molis, Michelle R.; Leek, Marjorie R.

2010-01-01

Objectives Perception-in-noise deficits have been demonstrated across many populations and listening conditions. Many factors contribute to successful perception of auditory stimuli in noise, including neural encoding in the central auditory system. Physiological measures such as cortical auditory evoked potentials can provide a view of neural encoding at the level of the cortex that may inform our understanding of listeners’ abilities to perceive signals in the presence of background noise. In order to understand signal-in-noise neural encoding better, we set out to determine the effect of signal type, noise type, and evoking paradigm on the P1-N1-P2 complex. Design Tones and speech stimuli were presented to nine individuals in quiet, and in three background noise types: continuous speech spectrum noise, interrupted speech spectrum noise, and four-talker babble at a signal-to-noise ratio of −3 dB. In separate sessions, cortical auditory evoked potentials were evoked by a passive homogenous paradigm (single repeating stimulus) and an active oddball paradigm. Results The results for the N1 component indicated significant effects of signal type, noise type, and evoking paradigm. While components P1 and P2 also had significant main effects of these variables, only P2 demonstrated significant interactions among these variables. Conclusions Signal type, noise type, and evoking paradigm all must be carefully considered when interpreting signal-in-noise evoked potentials. Furthermore, these data confirm the possible usefulness of CAEPs as an aid to understanding perception-in-noise deficits. PMID:20890206

Periodontal disease and type I diabetes mellitus: Associations with glycemic control and complications

Directory of Open Access Journals (Sweden)

Ajita Meenawat

2013-01-01

Full Text Available Objective: The aim of the study was to evaluate periodontal health status in patients diagnosed with type 1 diabetes mellitus (DM1 and to establish a correlation between metabolic control and periodontal health status. Materials and Methods: Periodontal health parameters namely plaque index (PI, gingival index (GI, probing pocket depth (PPD and clinical attachment loss (CAL were recorded in 28 patients diagnosed with type 1 diabetes mellitus (DM1 and 20 healthy controls. Diabetes history was recorded based on the information provided by the physician and it included date of diagnosis, duration, age of diagnosis, latest values of glycosylated haemoglobin and existing diabetic complications. Statistical analysis was performed to evaluate the relationship between periodontal parameters and degree of metabolic control, the duration of the disease and the appearance of complications. Results: The periodontal health in the diabetic group was compromised and they had greater bleeding index (P < 0.001, probing pocket depth (P < 0.001 and clinical attachment level (P = 0.001. Patients diagnosed for diabetes for shorter duration of time (4-7 years showed bleeding index-disease severity correlation to be 1.760 ΁ 0.434. Conclusion: Periodontal disease was more evident in type 1 diabetes mellitus patients and periodontal inflammation is greatly increased in subjects with longer disease course, poor metabolic control and diabetic complications.

Loveridge’s Angolan geckos, Afroedura karroica bogerti and Pachydactylus scutatus angolensis (Sauria, Gekkonidae: new distribution records, comments on type localities and taxonomic status

Directory of Open Access Journals (Sweden)

William R. Branch

2017-03-01

Full Text Available In 1944 Loveridge described two new geckos from Angola Afroedura karroica bogerti and Pachydactylus scutatus angolensis. The descriptions of both species have vague and confusing type localities and refinements are suggested based on early expedition reports historical accounts from the region and a review of cartographic material. Numerous new distribution records are reported for both species from expeditions undertaken from 1956–2016 by the authors or their colleagues. The taxonomic status of both species has changed but new material from diverse habitats altitudes and geological substrates indicates that further taxonomic adjustments are likely in order to reflect additional cryptic diversity.

Optimal cut?off value of alanine aminotransferase level to precisely estimate the presence of fatty liver in patients with poorly controlled type?2 diabetes

OpenAIRE

Tanabe, Akihito; Tatsumi, Fuminori; Okauchi, Seizo; Yabe, Hiroki; Tsuda, Tomohiro; Okutani, Kazuma; Yamashita, Kazuki; Nakashima, Koji; Kaku, Kohei; Kaneto, Hideaki

2016-01-01

Optimal cut?off value of ALT level to precisely estimate the presence of fatty liver was as low as 28.0?U/L. We should consider the possibility of fatty liver even when ALT level is within normal range in subjects with poorly controlled type 2 diabetes.

The importance of actions and the worth of an object: dissociable neural systems representing core value and economic value

Science.gov (United States)

Coppin, Géraldine; Schwartz, Sophie; Sander, David

2012-01-01

Neuroeconomic research has delineated neural regions involved in the computation of value, referring to a currency for concrete choices and decisions (‘economic value’). Research in psychology and sociology, on the other hand, uses the term ‘value’ to describe motivational constructs that guide choices and behaviors across situations (‘core value’). As a first step towards an integration of these literatures, we compared the neural regions computing economic value and core value. Replicating previous work, economic value computations activated a network centered on medial orbitofrontal cortex. Core value computations activated medial prefrontal cortex, a region involved in the processing of self-relevant information and dorsal striatum, involved in action selection. Core value ratings correlated with activity in precuneus and anterior prefrontal cortex, potentially reflecting the degree to which a core value is perceived as internalized part of one’s self-concept. Distributed activation pattern in insula and ACC allowed differentiating individual core value types. These patterns may represent evaluation profiles reflecting prototypical fundamental concerns expressed in the core value types. Our findings suggest mechanisms by which core values, as motivationally important long-term goals anchored in the self-schema, may have the behavioral power to drive decisions and behaviors in the absence of immediately rewarding behavioral options. PMID:21642352

Recording Information on Architectural Heritage Should Meet the Requirements for Conservation Digital Recording Practices at the Summer Palace

Science.gov (United States)

Zhang, L.; Cong, Y.; Wu, C.; Bai, C.; Wu, C.

2017-08-01

, structural distortion analysis, display, statue restoration and thematic research. Three points will be highlighted in our discussion: 1. Understanding of the heritage is more important than the particular technology used: Architectural heritage information collection and recording are based on an understanding of the value and nature of the architectural heritage. Understanding is the purpose, whereas information collection and recording are the means. 2. Demand determines technology: Collecting and recording architectural heritage information is to serve the needs of heritage research, conservation, management and display. These different needs determine the different technologies that we use. 3. Set the level of accuracy appropriately: For information recording, high accuracy is not the key criterion; rather an appropriate level of accuracy is key. There is considerable deviation between the nominal accuracy of any instrument and the accuracy of any particular measurement.

Diversification: A Value-Creating or Value-Destroying Strategy? Evidence from the Eurozone Countries

OpenAIRE

Gálvan Antonio; Pindado Julio; De La Torre Chabela

2014-01-01

In this paper, we provide evidence on how diversification strategy impacts on excess value in a sample of Eurozone firms by using the data panel methodology. Specifically, we study the effect of the levels and types of the product diversification on the premium or discount that diversified firms trade at. Preliminary results are consistent with the value-destroying expectations and show that diversified companies trade at a discount in the Eurozone countries. However, a more accurate analysis...

Magnitude Estimation for Large Earthquakes from Borehole Recordings

Science.gov (United States)

Eshaghi, A.; Tiampo, K. F.; Ghofrani, H.; Atkinson, G.

2012-12-01

We present a simple and fast method for magnitude determination technique for earthquake and tsunami early warning systems based on strong ground motion prediction equations (GMPEs) in Japan. This method incorporates borehole strong motion records provided by the Kiban Kyoshin network (KiK-net) stations. We analyzed strong ground motion data from large magnitude earthquakes (5.0 ≤ M ≤ 8.1) with focal depths < 50 km and epicentral distances of up to 400 km from 1996 to 2010. Using both peak ground acceleration (PGA) and peak ground velocity (PGV) we derived GMPEs in Japan. These GMPEs are used as the basis for regional magnitude determination. Predicted magnitudes from PGA values (Mpga) and predicted magnitudes from PGV values (Mpgv) were defined. Mpga and Mpgv strongly correlate with the moment magnitude of the event, provided sufficient records for each event are available. The results show that Mpgv has a smaller standard deviation in comparison to Mpga when compared with the estimated magnitudes and provides a more accurate early assessment of earthquake magnitude. We test this new method to estimate the magnitude of the 2011 Tohoku earthquake and we present the results of this estimation. PGA and PGV from borehole recordings allow us to estimate the magnitude of this event 156 s and 105 s after the earthquake onset, respectively. We demonstrate that the incorporation of borehole strong ground-motion records immediately available after the occurrence of large earthquakes significantly increases the accuracy of earthquake magnitude estimation and the associated improvement in earthquake and tsunami early warning systems performance. Moment magnitude versus predicted magnitude (Mpga and Mpgv).

Algorithms for Some Euler-Type Identities for Multiple Zeta Values

Directory of Open Access Journals (Sweden)

Shifeng Ding

2013-01-01

Full Text Available Multiple zeta values are the numbers defined by the convergent series ζ(s1,s2,…,sk=∑n1>n2>⋯>nk>0(1/n1s1 n2s2⋯nksk, where s1, s2, …, sk are positive integers with s1>1. For k≤n, let E(2n,k be the sum of all multiple zeta values with even arguments whose weight is 2n and whose depth is k. The well-known result E(2n,2=3ζ(2n/4 was extended to E(2n,3 and E(2n,4 by Z. Shen and T. Cai. Applying the theory of symmetric functions, Hoffman gave an explicit generating function for the numbers E(2n,k and then gave a direct formula for E(2n,k for arbitrary k≤n. In this paper we apply a technique introduced by Granville to present an algorithm to calculate E(2n,k and prove that the direct formula can also be deduced from Eisenstein's double product.

Positive predictive value of a case definition for diabetes mellitus using automated administrative health data in children and youth exposed to antipsychotic drugs or control medications: a Tennessee Medicaid study.

Science.gov (United States)

Bobo, William V; Cooper, William O; Stein, C Michael; Olfson, Mark; Mounsey, Jackie; Daugherty, James; Ray, Wayne A

2012-08-24

We developed and validated an automated database case definition for diabetes in children and youth to facilitate pharmacoepidemiologic investigations of medications and the risk of diabetes. The present study was part of an in-progress retrospective cohort study of antipsychotics and diabetes in Tennessee Medicaid enrollees aged 6-24 years. Diabetes was identified from diabetes-related medical care encounters: hospitalizations, outpatient visits, and filled prescriptions. The definition required either a primary inpatient diagnosis or at least two other encounters of different types, most commonly an outpatient diagnosis with a prescription. Type 1 diabetes was defined by insulin prescriptions with at most one oral hypoglycemic prescription; other cases were considered type 2 diabetes. The definition was validated for cohort members in the 15 county region geographically proximate to the investigators. Medical records were reviewed and adjudicated for cases that met the automated database definition as well as for a sample of persons with other diabetes-related medical care encounters. The study included 64 cases that met the automated database definition. Records were adjudicated for 46 (71.9%), of which 41 (89.1%) met clinical criteria for newly diagnosed diabetes. The positive predictive value for type 1 diabetes was 80.0%. For type 2 and unspecified diabetes combined, the positive predictive value was 83.9%. The estimated sensitivity of the definition, based on adjudication for a sample of 30 cases not meeting the automated database definition, was 64.8%. These results suggest that the automated database case definition for diabetes may be useful for pharmacoepidemiologic studies of medications and diabetes.

Clinical workplace learning: perceived learning value of individual and group feedback in a collectivistic culture.

Science.gov (United States)

Suhoyo, Yoyo; Schönrock-Adema, Johanna; Emilia, Ova; Kuks, Jan B M; Cohen-Schotanus, Janke

2018-04-19

Feedback is essential for workplace learning. Most papers in this field concern individual feedback. In collectivistic cultures, however, group feedback is common educational practice. This study was conducted to investigate the perceived learning value and characteristics of individual and group feedback in a collectivistic culture. During two weeks, on a daily basis, clerkship students (n = 215) from 12 clinical departments at Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia, recorded individual and group feedback moments by using a structured form: the providers, focus and perceived learning value of feedback. Data were analysed with logistic regression and multilevel techniques. Students reported 2687 group and 1535 individual feedback moments. Group feedback more often focused on history taking, clinical judgment, patient management, patient counselling, and professional behaviour (OR ranging from 1.232, p cultures, group feedback may add to the array of educational measures that optimize student learning. Congruence between culture and type of feedback may be important for the effectiveness of feedback.

Awareness of forensic odontology among dentists in Australia; are they keeping forensically valuable dental records?

Science.gov (United States)

Al-Azri, Abdul Rahman; Harford, Jane; James, Helen

2015-03-30

Forensic odontologists provide an important service to the community by identifying unknown deceased people, allowing both legal outcomes and family closure. Non-visual identification may be achieved by comparison of post-mortem data with ante-mortem dental records provided by oral health practitioners. Success is dependent largely on the accuracy and adequacy of data in the dental records. An online self-administered questionnaire evaluated Australian dentists' knowledge and behaviours relevant to forensic odontology. Reported record keeping practices were assessed for detail, legibility, accessibility and retention. Behaviours were classified according to the frequency of response. Dentists reported overall reasonable awareness of the major applications of forensic odontology. Personal information and details of restorative treatment were recorded at high levels, while tooth anomalies, photography, additional patient details and denture marking were recorded inadequately. Legible tooth coding was reported at a high level, while other key legibility practices were recorded inadequately. Few of the behaviours related to retention or to maximise accessibility were recorded at a high level. Australian dentists have high expectations of the forensic value of their dental records; however many practices that would enhance the diagnostic, medico-legal and forensic value of dental records are not routinely applied. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

[A case of IgA2-lambda type M-protein that IgA concentration differs from the values of M-protein by serum protein electrophoresis].

Science.gov (United States)

Fukushima, M; Sugano, M; Ichikawa, T; Honda, T; Totsuka, M; Katsuyama, T; Fujita, K

2001-07-01

We report an IgA-lambda type M-protein in which the IgA concentration differed from the values of M-protein by serum protein electrophoresis found in a 53-year-old man with multiple myeloma. The M-protein value as determined by serum protein electrophoresis was 6,170 mg/dl. However, the serum IgA concentration was 3,052 mg/dl by turbidimetric immunoassay. Immuno-fixation electrophoresis using IgA subclass antisera revealed that this M-protein was the IgA2-lambda type. Western blotting analysis showed that the IgA2 molecules were composed of two approximately 68 kDa alpha 2 chains and two 28 kDa lambda chains. In addition the free lambda chain band was detected at the position of 28 kDa without 2-mercaptoethanol(2-ME) even though the patient IgA was purified. Since it is known that IgA2m(1) allotype easily release light chains from the IgA molecules in SDS-PAGE without 2-ME, we speculated that in this patient the IgA was the IgA2m(1) allotype. After peripheral blood stem cell transplantation(PBSCT), immunofixation electrophoresis of the patient serum revealed not only the bands of IgA2-lambda type M-protein, but also three bands of IgG1-kappa type M-protein in the gamma region.

RECORDS REACHING RECORDING DATA TECHNOLOGIES

Directory of Open Access Journals (Sweden)

G. W. L. Gresik

2013-07-01

Full Text Available The goal of RECORDS (Reaching Recording Data Technologies is the digital capturing of buildings and cultural heritage objects in hard-to-reach areas and the combination of data. It is achieved by using a modified crane from film industry, which is able to carry different measuring systems. The low-vibration measurement should be guaranteed by a gyroscopic controlled advice that has been , developed for the project. The data were achieved by using digital photography, UV-fluorescence photography, infrared reflectography, infrared thermography and shearography. Also a terrestrial 3D laser scanner and a light stripe topography scanner have been used The combination of the recorded data should ensure a complementary analysis of monuments and buildings.

Records Reaching Recording Data Technologies

Science.gov (United States)

Gresik, G. W. L.; Siebe, S.; Drewello, R.

2013-07-01

The goal of RECORDS (Reaching Recording Data Technologies) is the digital capturing of buildings and cultural heritage objects in hard-to-reach areas and the combination of data. It is achieved by using a modified crane from film industry, which is able to carry different measuring systems. The low-vibration measurement should be guaranteed by a gyroscopic controlled advice that has been , developed for the project. The data were achieved by using digital photography, UV-fluorescence photography, infrared reflectography, infrared thermography and shearography. Also a terrestrial 3D laser scanner and a light stripe topography scanner have been used The combination of the recorded data should ensure a complementary analysis of monuments and buildings.

Individualism-Collectivism And Organisational Value Types: A Case Of Malaysian Managers

OpenAIRE

Fauziah Noordin; Jamil Hamali

2011-01-01

The results showed that Malaysian managers have significantly high levels of horizontal and vertical collectivism. Vertical collectivism has significant positive relationships with collegial, meritocratic, and leadership organisational values.

Values and learning styles of postgraduate public health students in Mexico.

Science.gov (United States)

Palacios-Hernández, Bruma; Idrovo, Alvaro J; Magaña-Valladares, Laura

This study identifies learning values and styles of students at the National Institute of Public Health in Mexico (2009-2011). The values described by Allport-Vernon-Lindser and the Learning Style Inventory were used to classify the students. Assimilating learning was identified as more frequent among students, without differences noted in either type of program. As regards values, the theoretical value was well above other values in research-oriented programs, while students of programs focusing on professional development mainly expressed a social value. A significant difference in the social value of accepted and rejected students was found, with the highest levels in the first group. The assimilator learning style was frequent among public health students. The most significant values in each type of program are consistent with the educational areas of focus and the type of work to be developed after graduating from the courses.

Measuring value for money: a scoping review on economic evaluation of health information systems.

Science.gov (United States)

Bassi, Jesdeep; Lau, Francis

2013-01-01

To explore how key components of economic evaluations have been included in evaluations of health information systems (HIS), to determine the state of knowledge on value for money for HIS, and provide guidance for future evaluations. We searched databases, previously collected papers, and references for relevant papers published from January 2000 to June 2012. For selection, papers had to: be a primary study; involve a computerized system for health information processing, decision support, or management reporting; and include an economic evaluation. Data on study design and economic evaluation methods were extracted and analyzed. Forty-two papers were selected and 33 were deemed high quality (scores ≥ 8/10) for further analysis. These included 12 economic analyses, five input cost analyses, and 16 cost-related outcome analyses. For HIS types, there were seven primary care electronic medical records, six computerized provider order entry systems, five medication management systems, five immunization information systems, four institutional information systems, three disease management systems, two clinical documentation systems, and one health information exchange network. In terms of value for money, 23 papers reported positive findings, eight were inconclusive, and two were negative. We found a wide range of economic evaluation papers that were based on different assumptions, methods, and metrics. There is some evidence of value for money in selected healthcare organizations and HIS types. However, caution is needed when generalizing these findings. Better reporting of economic evaluation studies is needed to compare findings and build on the existing evidence base we identified.

Assessing electronic health record systems in emergency departments: Using a decision analytic Bayesian model.

Science.gov (United States)

Ben-Assuli, Ofir; Leshno, Moshe

2016-09-01

In the last decade, health providers have implemented information systems to improve accuracy in medical diagnosis and decision-making. This article evaluates the impact of an electronic health record on emergency department physicians' diagnosis and admission decisions. A decision analytic approach using a decision tree was constructed to model the admission decision process to assess the added value of medical information retrieved from the electronic health record. Using a Bayesian statistical model, this method was evaluated on two coronary artery disease scenarios. The results show that the cases of coronary artery disease were better diagnosed when the electronic health record was consulted and led to more informed admission decisions. Furthermore, the value of medical information required for a specific admission decision in emergency departments could be quantified. The findings support the notion that physicians and patient healthcare can benefit from implementing electronic health record systems in emergency departments. © The Author(s) 2015.

Second harmonics HOE recording in Bayfol HX

Science.gov (United States)

Bruder, Friedrich-Karl; Fäcke, Thomas; Hagen, Rainer; Hönel, Dennis; Orselli, Enrico; Rewitz, Christian; Rölle, Thomas; Walze, Günther; Wewer, Brita

2015-05-01

Volume Holographic Optical Elements (vHOEs) provide superior optical properties over DOEs (surface gratings) due to high diffraction efficiencies in the -1st order and their excellent Bragg selectivity. Bayer MaterialScience is offering a variety of customized instant-developing photopolymer films to meet requirements for a specific optics design of a phase hologram. For instance, the photopolymer film thickness is an ideal means to adjust the angular and the spectral selectivity while the index modulation can be adopted with the film thickness to achieve a specific required dynamic range. This is especially helpful for transmission type holograms and in multiplex recordings. The selection of different substrates is helpful to achieve the overall optical properties for a targeted application that we support in B2B-focused developments. To provide further guidance on how to record volume holograms in Bayfol HX, we describe in this paper a new route towards the recording of substrate guided vHOEs by using optimized photopolymer films. Furthermore, we discuss special writing conditions that are suitable to create higher 2nd harmonic intensities and their useful applications. Due to total internal reflection (TIR) at the photopolymer-air interface in substrate guided vHOEs, hologram recording with those large diffraction angles cannot usually be done with two free-space beams. Edge-lit recording setups are used to circumvent this limitation. However, such setups require bulky recording blocks or liquid bathes and are complex and hard to align. A different approach that we present in this paper is to exploit 2nd harmonic grating generation in a freespace recording scheme. Those 2nd harmonic components allow the replay of diffraction angles that are normally only accessible with edge-lit writing configurations. Therefore, this approach significantly simplifies master recordings for vHOEs with edge-lit functionalities, which later can be used in contact copy schemes for

Can a resident's publication record predict fellowship publications?

Science.gov (United States)

Prasad, Vinay; Rho, Jason; Selvaraj, Senthil; Cheung, Mike; Vandross, Andrae; Ho, Nancy

2014-01-01

Internal medicine fellowship programs have an incentive to select fellows who will ultimately publish. Whether an applicant's publication record predicts long term publishing remains unknown. Using records of fellowship bound internal medicine residents, we analyzed whether publications at time of fellowship application predict publications more than 3 years (2 years into fellowship) and up to 7 years after fellowship match. We calculate the sensitivity, specificity, positive and negative predictive values and likelihood ratios for every cutoff number of application publications, and plot a receiver operator characteristic curve of this test. Of 307 fellowship bound residents, 126 (41%) published at least one article 3 to 7 years after matching, and 181 (59%) of residents do not publish in this time period. The area under the receiver operator characteristic curve is 0.59. No cutoff value for application publications possessed adequate test characteristics. The number of publications an applicant has at time of fellowship application is a poor predictor of who publishes in the long term. These findings do not validate the practice of using application publications as a tool for selecting fellows.

Seismic demand evaluation based on actual earthquake records

International Nuclear Information System (INIS)

Jhaveri, D.P.; Czarnecki, R.M.; Kassawara, R.P.; Singh, A.

1990-01-01

Seismic input in the form of floor response spectra (FRS) are needed in seismic design and evaluation of equipment in nuclear power plants (NPPs). These are typically determined by analytical procedures using mathematical models of NPP structures and are known to be very conservative. Recorded earthquake data, in the form of acceleration response spectra computed from the recorded acceleration time histories, have been collected from NPP structures located in seismically active areas. Statistics of the ratios, or amplification factors, between the FRS at typical floors and the acceleration response spectra at the basemat or in the freefield, are obtained for typical NPP structures. These amplification factors are typically in terms of the peak spectral and zero period values, as well as a function of frequency. The average + 1σ values of these ratios, for those cases where enough data are available, are proposed to be used as limits to analytically calculated FRS, or for construction of simplified FRS for determining seismic input or demand in equipment qualification. (orig.)

75 FR 27051 - Privacy Act of 1974: System of Records

Science.gov (United States)

2010-05-13

... duplicate or fraudulent information in the database. NCCDB is capable of recording the following types of... restricted to those authorized users with a specific ``need to know'' and requires authentication with a...

Comparison of broad band time series recorded parallel by FGI type interferometric water level and Lippmann type pendulum tilt meters at Conrad observatory, Austria

Science.gov (United States)

Ruotsalainen, Hannu; Papp, Gabor; Leonhardt, Roman; Ban, Dora; Szücs, Eszter; Benedek, Judith

2016-04-01

The Finnish Geodetic Institute (FGI) the progenitor of Finnish Geospatial Research Institute of NLS designed and built a 5.5m long prototype of interferometric water level tiltmeter (iWT) in early 2014. Geodetic and Geophysical Institute (GGI), Sopron, Hungary bought the instrument and started tilt measurement in August 2014 at the Conrad observatory (COBS), Austria to monitor geodynamical phenomena like microseisms, free oscillations of the Earth, earth tides, mass loading effects and crustal deformations in cooperation with Austrian Central Institute for Meteorology and Geodynamics (ZAMG) and the FGI. On the July 16 2015 a Lippmann-type 2D tilt sensor (LTS) was also installed by GGI on the 6 m long pier where iWT was set up previously. This situation opens a possibility to do broad band (from secular to seismic variations up to 15 Hz) geophysical signal analysis comparing the responses of long (several meters) and short (a few decimeters) base instruments implementing different physical principles (relative height change of a level surface and inclination change of the plumb line). The characteristics of the sensors are studied by the evaluation of the spectra of recorded signals dominated by microseisms. The iWT has internal interferometric calibration and it can be compared to Lippmanns tilt meter one. Both instruments show good long term ( > 1 day) stability when earth tides and ocean and air mass loading tilts are modelled.

Recording performances in perpendicular magnetic patterned media

International Nuclear Information System (INIS)

Asbahi, M; Moritz, J; Dieny, B; Gourgon, C; Perret, C; Van de Veerdonk, R J M

2010-01-01

We report on the recording performances and signal-to-noise ratio (SNR) analyses of perpendicular magnetic bit-patterned media. Two different types of magnetic samples are investigated. They differ by the way that they were patterned (nano-imprint versus e-beam lithography) as well as their magnetic properties (Co/Pt multilayers and CoCrPt alloy are the recording layers).Using a contact read/write quasi-static tester, we were able to characterize the write windows, the bit error rates and measure the SNR. The influence of magnetic properties and media microstructure on the writing processes is studied. We show also that the lithographical method used to replicate the media induces more or less noise due to structural distributions.

21 CFR 225.102 - Master record file and production records.

Science.gov (United States)

2010-04-01

... or production run of medicated feed to which it pertains. The Master Record File or card shall... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Master record file and production records. 225.102....102 Master record file and production records. (a) The Master Record File provides the complete...

A FIRST RECORD OF BEAMYS FROM TANZANIA WITH OBSERV ...

African Journals Online (AJOL)

tailed Pouched. Mouse", Saccostomus ... the others but like a monstrous Norwegian Rat. It does have the cheek pouches and they will ... only four were secured using every imaginable type of food for bait. All Beamys recorded. • Present address: ...

Using the FAIMS Mobile App for field data recording

Science.gov (United States)

Ballsun-Stanton, Brian; Klump, Jens; Ross, Shawn

2016-04-01

Multiple people creating data in the field poses a hard technical problem: our ``web 2.0'' environment presumes constant connectivity, data ``authority'' held by centralised servers, and sees mobile devices as tools for presentation rather than origination. A particular design challenge is the remoteness of the sampling locations, hundreds of kilometres away from network access. The alternative, however, is hand collection with a lengthy, error prone, and expensive digitisation process. This poster will present a field-tested open-source solution to field data recording. This solution, originally created by a community of archaeologists, needed to accommodate diverse recording methodologies. The community could not agree on standard vocabularies, workflows, attributes, or methodologies, but most agreed that at app to ``record data in the field'' was desirable. As a result, the app is generalised for field data collection; not only can it record a range of data types, but it is deeply customisable. The NeCTAR / ARC funded FAIMS Project, therefore, created an app which allows for arbitrary data collection in the field. In order to accomplish this ambitious goal, FAIMS relied heavily on OSS projects including: spatialite and gdal (for GIS support), sqlite (for a lightweight key-attribute-value datastore), Javarosa and Beanshell (for UI and scripting), Ruby, and Linux. Only by standing on the shoulders of giants, FAIMS was able to make a flexible and highly generalisable field data collection system that CSIRO geoscientists were able to customise to suit most of their completely unanticipated needs. While single-task apps (i.e. those commissioned by structural geologists to take strikes and dips) will excel in their domains, other geoscientists (palaeoecologists, palaeontologists, anyone taking samples) likely cannot afford to commission domain- and methodology-specific recording tools for their custom recording needs. FAIMS shows the utility of OSS software

Results from a survey of national immunization programmes on home-based vaccination record practices in 2013

OpenAIRE

Young, Stacy L.; Gacic-Dobo, Marta; Brown, David W.

2015-01-01

Background Data on home-based records (HBRs) practices within national immunization programmes are non-existent, making it difficult to determine whether current efforts of immunization programmes related to basic recording of immunization services are appropriately focused. Methods During January 2014, WHO and the United Nations Children's Fund sent a one-page questionnaire to 195 countries to obtain information on HBRs including type of record used, number of records printed, whether record...

Implications of the law on video recording in clinical practice

NARCIS (Netherlands)

K.R. Henken (Kirsten R.); F-W. Jansen (Frank-Willem); J. Klein (Jan); L.P. Stassen (Laurents); J. Dankelman (Jenny); J.J. van den Dobbelsteen (John)

2012-01-01

textabstractBackground: Technological developments allow for a variety of applications of video recording in health care, including endoscopic procedures. Although the value of video registration is recognized, medicolegal concerns regarding the privacy of patients and professionals are growing. A

Implications of the law on video recording in clinical practice

NARCIS (Netherlands)

Henken, K.R.; Jansen, F.W.; Klein, J.; Stassen, L.P.S.; Dankelman, J.; Van den Dobbelsteen, J.J.

2012-01-01

Background Technological developments allow for a variety of applications of video recording in health care, including endoscopic procedures. Although the value of video registration is recognized, medicolegal concerns regarding the privacy of patients and professionals are growing. A clear

Automatic prediction of rheumatoid arthritis disease activity from the electronic medical records.

Directory of Open Access Journals (Sweden)

Chen Lin

Full Text Available We aimed to mine the data in the Electronic Medical Record to automatically discover patients' Rheumatoid Arthritis disease activity at discrete rheumatology clinic visits. We cast the problem as a document classification task where the feature space includes concepts from the clinical narrative and lab values as stored in the Electronic Medical Record.The Training Set consisted of 2792 clinical notes and associated lab values. Test Set 1 included 1749 clinical notes and associated lab values. Test Set 2 included 344 clinical notes for which there were no associated lab values. The Apache clinical Text Analysis and Knowledge Extraction System was used to analyze the text and transform it into informative features to be combined with relevant lab values.Experiments over a range of machine learning algorithms and features were conducted. The best performing combination was linear kernel Support Vector Machines with Unified Medical Language System Concept Unique Identifier features with feature selection and lab values. The Area Under the Receiver Operating Characteristic Curve (AUC is 0.831 (σ = 0.0317, statistically significant as compared to two baselines (AUC = 0.758, σ = 0.0291. Algorithms demonstrated superior performance on cases clinically defined as extreme categories of disease activity (Remission and High compared to those defined as intermediate categories (Moderate and Low and included laboratory data on inflammatory markers.Automatic Rheumatoid Arthritis disease activity discovery from Electronic Medical Record data is a learnable task approximating human performance. As a result, this approach might have several research applications, such as the identification of patients for genome-wide pharmacogenetic studies that require large sample sizes with precise definitions of disease activity and response to therapies.

Prognosis value of molecular sub-types in breast cancers free of ganglionary invasion after mastectomy and impact of radiotherapy; Valeur pronostique des sous-types moleculaires dans les cancers du sein indemnes d'envahissement ganglionnaire apres mastectomie et impact de la radiotherapie

Energy Technology Data Exchange (ETDEWEB)

Selz, J.; Stevens, D.; Jouanneau, L.; Labib, A.; Le Scodan, R. [Hopital Rene-Huguenin, Saint-Cloud (France)

2011-10-15

The authors report the assessment of the prognosis value in terms of local control of molecular subtypes in patients suffering from breast cancer without ganglionary invasion, and of their predictive value for adjuvant irradiation. Medical files of nearly 700 patients have been analyzed. Some had an irradiation after mastectomy, some hadn't. The distribution of molecular sub-types is indicated, and the relationship with relapse is examined. The different molecular sub-types do not allow sub-groups with high risk of relapse to be defined. Breast cancers of stage pN0 after mastectomy seem to have a very good prognosis. Short communication

Type of litter determines the formation and properties of charred material during wildfires

Science.gov (United States)

Chavez, Bruno; Fonturbel, M. Teresa; Salgado, Josefa; García-Oliva, Felipe; Vega, Jose A.; Merino, Agustin

2014-05-01

Wildfire is one of the most important disturbances all over the World, affecting both the amount and composition of forest floor and mineral soils. In comparison with unburnt areas, wildfire-affected forest floor usually shows lower contents of labile C compounds and higher concentrations of recalcitrant aromatic forms. These changes in composition can have important impact on biogeochemical cycles and therefore ecosystem functions. Although burning of different types of litter can lead to different amount and types of pyrogenic compounds, this aspect has not been evaluated yet. The effect of wildfire on SOM composition and stability were evaluated in five major types of non-wood litter in Mediterranean ecosystems: Pinus nigra, E. arborea, P. pinaster, U. europaeus and Eucalyptus globulus. In each of these ecosystems, forest floor samples from different soil burn severities were sampled. Soil burnt severities were based on visual signs of changes in forest floor and deposition of ash. Pyrogenic carbon quality were analysed using elementary analysis, solid-state 13 C nuclear magnetic resonance spectroscopy, Reflectance Infrared Fourier Transform (FTIR) and thermal analysis (simultaneous DSC-TG). The study showed that the different types of litter influenced the formation and characteristics of charred material. They differed in the temperature at which they start to be formed, the amounts of charred compounds and in their chemical composition. The resulting charred materials from the different litter, showed an important variability in the degree of carbonitation/aromatization. Unlike the biochar obtained through pyrolysis of woody sources, which contains exclusively aromatic structures, in the charred material produced in some litter, lignin, cellulose and even cellulose persist even in the high soil burnt severity. Coinciding with increases in aromatic contents, important decreases in atomic H/C and O/C ratios were recorded. However, the values found in some

Theoretical modeling of iodine value and saponification value of biodiesel fuels from their fatty acid composition

Energy Technology Data Exchange (ETDEWEB)

Gopinath, A.; Puhan, Sukumar; Nagarajan, G. [Internal Combustion Engineering Division, Department of Mechanical Engineering, Anna University, Chennai 600 025, Tamil Nadu (India)

2009-07-15

Biodiesel is an alternative fuel consisting of alkyl esters of fatty acids from vegetable oils or animal fats. The properties of biodiesel depend on the type of vegetable oil used for the transesterification process. The objective of the present work is to theoretically predict the iodine value and the saponification value of different biodiesels from their fatty acid methyl ester composition. The fatty acid ester compositions and the above values of different biodiesels were taken from the available published data. A multiple linear regression model was developed to predict the iodine value and saponification value of different biodiesels. The predicted results showed that the prediction errors were less than 3.4% compared to the available published data. The predicted values were also verified by substituting in the available published model which was developed to predict the higher heating values of biodiesel fuels from their iodine value and the saponification value. The resulting heating values of biodiesels were then compared with the published heating values and reported. (author)

What environmental factors influence resumption of valued activities post stroke: a systematic review of qualitative and quantitative findings.

Science.gov (United States)

Jellema, Sandra; van Hees, Suzanne; Zajec, Jana; van der Sande, Rob; Nijhuis-van der Sanden, Maria Wg; Steultjens, Esther Mj

2017-07-01

Identify the environmental factors that influence stroke-survivors' reengagement in personally valued activities and determine what specific environmental factors are related to specific valued activity types. PubMed, CINAHL and PsycINFO were searched until June 2016 using multiple search-terms for stroke, activities, disability, and home and community environments. An integrated mixed-method systematic review of qualitative, quantitative and mixed-design studies was conducted. Two researchers independently identified relevant studies, assessed their methodological quality and extracted relevant findings. To validly compare and combine the various findings, all findings were classified and grouped by environmental category and level of evidence. The search yielded 4024 records; 69 studies were included. Most findings came from low-evidence-level studies such as single qualitative studies. All findings were consistent in that the following factors facilitated reengagement post-stroke: personal adapted equipment; accessible environments; transport; services; education and information. Barriers were: others' negative attitudes and behaviour; long distances and inconvenient environmental conditions (such as bad weather). Each type of valued activity, such as mobility or work, had its own pattern of environmental influences, social support was a facilitator to all types of activities. Although in many qualitative studies others' attitudes, behaviour and stroke-related knowledge were seen as important for reengagement, these factors were hardly studied quantitatively. A diversity of environmental factors was related to stroke-survivors' reengagement. Most findings came from low-evidence-level studies so that evidence on causal relationships was scarce. In future, more higher-level-evidence studies, for example on the attitudes of significant others, should be conducted.

Values-based recruitment in health care.

Science.gov (United States)

Miller, Sam Louise

2015-01-27

Values-based recruitment is a process being introduced to student selection for nursing courses and appointment to registered nurse posts. This article discusses the process of values-based recruitment and demonstrates why it is important in health care today. It examines the implications of values-based recruitment for candidates applying to nursing courses and to newly qualified nurses applying for their first posts in England. To ensure the best chance of success, candidates should understand the principles and process of values-based recruitment and how to prepare for this type of interview.

[Clinical value of MRI united-sequences examination in diagnosis and differentiation of morphological sub-type of hilar and extrahepatic big bile duct cholangiocarcinoma].

Science.gov (United States)

Yin, Long-Lin; Song, Bin; Guan, Ying; Li, Ying-Chun; Chen, Guang-Wen; Zhao, Li-Ming; Lai, Li

2014-09-01

To investigate MRI features and associated histological and pathological changes of hilar and extrahepatic big bile duct cholangiocarcinoma with different morphological sub-types, and its value in differentiating between nodular cholangiocarcinoma (NCC) and intraductal growing cholangiocarcinoma (IDCC). Imaging data of 152 patients with pathologically confirmed hilar and extrahepatic big bile duct cholangiocarcinoma were reviewed, which included 86 periductal infiltrating cholangiocarcinoma (PDCC), 55 NCC, and 11 IDCC. Imaging features of the three morphological sub-types were compared. Each of the subtypes demonstrated its unique imaging features. Significant differences (P big bile duct cholangiocarcinoma. MRI united-sequences examination can accurately describe those imaging features for differentiation diagnosis.

The value of cows in reference populations for genomic selection of new functional traits

DEFF Research Database (Denmark)

Buch, Line Hjortø; Kargo, Morten; Berg, Peer

2012-01-01

Today, almost all reference populations consist of progeny tested bulls. However, older progeny tested bulls do not have reliable estimated breeding values (EBV) for new traits. Thus, to be able to select for these new traits, it is necessary to build a reference population. We used a deterministic...... of the direct genomic values (DGV) for a new functional trait, regardless of its heritability. For small-scale recording, we compared two scenarios where the reference population consisted of the 2000 cows with phenotypic records or the 30 sires of these cows in the first year with measurements of the new...... to achieve accuracies of the DGV that enable selection for new functional traits recorded on a large scale within 3 years from commencement of recording; and (iv) a higher heritability benefits a reference population of cows more than a reference population of bulls....

Cow's milk quality and energy value during different lactation stages.

Science.gov (United States)

Salamończyk, Ewa

2013-01-01

The quality of dairy products, raw milk in particular, depends on many factors. Low bacterial and somatic cell counts are basic determinants of the appropriate raw milk quality. The objective of the work was to assess the effect of selected factors, that is, the age of cows and their daily milk performance, on cytological quality (somatic cell count) and energy value of milk produced at individual stages of lactation. Somatic cell count and energy value of cow's milk were assessed. A total of 229 792 milk samples were examined. Data for analysis were taken from milk records of 350 dairy herds. It was demonstrated that, of all the lactations studied, the fi rst lactation (from calving to the 100th day of lactation) was characterised by the highest daily milk performance (25.1 kg) and the lowest somatic cell count (356 thous./1 ml), fat, protein and dry matter contents (4.06, 2.96 and 12.41%, respectively) and milk calorific value (732 kcal/kg). The highest energy value was recorded in cow's milk produced towards the end of lactation, that is from day 300 till the end of lactation (842 kcal/kg). High milk calorific value in late lactation and high fat and protein contents were accompanied by low raw milk quality.

Effect of Temperature on Film Thickness of Two Types of Commonly used Luting Cements.

Science.gov (United States)

Kumar, M Praveen; Priyadarshini, Reddy; Kumar, Yasangi M; Priya, K Shanthi; Chunchuvyshnavi, Chunchuvyshnavi; Yerrapragada, Harika

2017-12-01

The aim of this study is to evaluate the effect of temperature change on film thickness of both types of cements. Totally, 60 samples were prepared with 10 in each subgroup, thus comprising 30 in each group. Materials tested were glass ionomer cement (GIC) type I and zinc phosphate type I. Samples were manipulated with manufacturer's instructions and tested according to American Dental Association (ADA) guidelines. The mean values of film thickness were recorded for both groups I and II. In intragroup comparison of group 1, subgroup III (26.560 ± 0.489 urn) was found to have the highest film thickness followed by subgroup II (24.182 ± 0.576 urn) and the lowest in subgroup I (20.209 ± 0.493 urn). In intragroup comparison of group II, the film thickness recorded in subgroup III (25.215 ± 0.661 urn) was the highest followed by subgroup II (21.471 ± 0.771 urn) and the least in subgroup I (17.951 ± 0.654 urn; p film thickness than group I (23.650 ± 0.271). The results were found to be statistically significant (p film thickness. Zinc phosphate has less film thickness than GIC. Zinc phosphate should be preferred over GIC in clinical practice, and more stress should be given in mechanical preparation of crowns for better retentive quality of prosthesis.

77 FR 42339 - Records Schedules; Availability and Request for Comments

Science.gov (United States)

2012-07-18

..., 9 items, 7 temporary items). Records of financial reporting and accounting. Proposed for permanent... litigation file duplicates. Proposed for permanent retention are investigation indices, history sheets with..., ownership, value, disposition, and accounting classification of real and personal property assets. Included...

Outlier removal, sum scores, and the inflation of the Type I error rate in independent samples t tests: the power of alternatives and recommendations.

Science.gov (United States)

Bakker, Marjan; Wicherts, Jelte M

2014-09-01

In psychology, outliers are often excluded before running an independent samples t test, and data are often nonnormal because of the use of sum scores based on tests and questionnaires. This article concerns the handling of outliers in the context of independent samples t tests applied to nonnormal sum scores. After reviewing common practice, we present results of simulations of artificial and actual psychological data, which show that the removal of outliers based on commonly used Z value thresholds severely increases the Type I error rate. We found Type I error rates of above 20% after removing outliers with a threshold value of Z = 2 in a short and difficult test. Inflations of Type I error rates are particularly severe when researchers are given the freedom to alter threshold values of Z after having seen the effects thereof on outcomes. We recommend the use of nonparametric Mann-Whitney-Wilcoxon tests or robust Yuen-Welch tests without removing outliers. These alternatives to independent samples t tests are found to have nominal Type I error rates with a minimal loss of power when no outliers are present in the data and to have nominal Type I error rates and good power when outliers are present. PsycINFO Database Record (c) 2014 APA, all rights reserved.

Prognostic value of biological markers in myocardial infarction patients.

Science.gov (United States)

Berezin, Alexander E; Samura, Tatiana A

2013-04-01

The aim of this study was to compare the prognostic value of matrix metalloproteinase-3 and -9, and NT-pro-natriuretic peptide for fatal and nonfatal complications in Q-wave myocardial infarction patients in the acute and postinfarction periods. 85 men and women with documented Q-wave myocardial infarction were observed for 1 year after hospitalization. Clinical endpoints were identified through the hospital patient-tracking system, with a review of medical records for each recorded endpoint. Left ventricular ejection fraction and wall motion index were calculated. Measurements of matrix metalloproteinases and NT-pro-natriuretic peptide were performed by an enzyme-linked immunosorbent assay. A cutoff value of 9.7 ng·mL(-1) for matrix metalloproteinase-3 showed the best discriminatory power (sensitivity = 77.8%, specificity = 90.8%). The optimal cutoff value of matrix metalloproteinase-9 was 18.1 ng·mL(-1) (sensitivity, 70.5%; specificity, 75%), and the cutoff for NT-pro-natriuretic peptide was 885 pmol·L(-1) (sensitivity, 58%; specificity, 68.6%). Matrix metalloproteinase-3 and -9 were strongly related with a positive prognostic value of 70% (sensitivity and specificity, 84% and 82%, respectively). These data may be helpful for further stratification of patients into cardiovascular mortality risk groups.

Methods to estimate breeding values in honey bees

NARCIS (Netherlands)

Brascamp, E.W.; Bijma, P.

2014-01-01

Background Efficient methodologies based on animal models are widely used to estimate breeding values in farm animals. These methods are not applicable in honey bees because of their mode of reproduction. Observations are recorded on colonies, which consist of a single queen and thousands of workers

THE ROLE OF EDUCATION IN THE FORMATION OF VALUES AND VALUE ORIENTATIONS AMONG ADOLESCENTS

Directory of Open Access Journals (Sweden)

Aneta Barakoska

2014-12-01

Full Text Available In this paper is reviewed the concept of values and value orientations, as to the role of education in the process of their forming among adolescents from middle and late adolescence. Presented and discussed are the results of a larger research regarding the differences in values and value orientations in adolescents with different kind of education and: а adolescents learning religious subjects and ethics b adolescents learning ethics and c adolescents learning neither religious subjects, nor ethics.The findings obtained testify for the presence of differences in the system of values in adolescents with different education type as regarding to the following instrumental values: cooperation, honesty, determination, capability, assistance, clarity, generosity, logics and competing. There are also differences regarding the terminal values: exciting life, peace in the world, self-respecting, peace of mind, equality, economic welfare, pleasure and social justice. As regarding to the examined life styles, differences are found between the examined groups of adolescents in the following value orientations: family, altruistic, utilitary, popular and individual, as to religious, hedonism and power.

Recording and accounting for stakeholder involvement in systematic reviews.

NARCIS (Netherlands)

Saan, M.; Boeije, H.; Sattoe, J.; Bal, M.; Missler, M.A.; van Wesel, F.

2015-01-01

Objectives: The use of stakeholders in systematic reviews is increasingly valued, but their influence on the systematicity of the review is often unclear. The aim of this study was to describe some of the processes of involvement of stakeholders and to demonstrate a Tool for Recording and Accounting

REGULATION OF INSTANTANEOUS POWER OUTPUT VALUE IN MAGNETRON WITH CONTINUOUS GENERATION MODE (M-105-, M-112-TYPES BEING PART OF PLASMA TECHNOLOGICAL UNIT

Directory of Open Access Journals (Sweden)

S. V. Bordusov

2010-01-01

Full Text Available The paper presents results of investigations pertaining to the possibility of regulating instantaneous power output  in a magnetron of M-105 (M-112-type by changing the capacity value of a capacitor in structure diagram for doubling voltage of high-voltage power supply on the basis of a step-up transformer operating in the saturation regime.

The value relevance of environmental emissions

Directory of Open Access Journals (Sweden)

Melinda Lydia Nelwan

2016-07-01

Full Text Available This study examines whether environmental performance has value relevance by investigating the relations between environmental emissions and stock prices for the U.S. public companies. The previous studies argued that the conjectured relations between accounting performance measures and environmental performance do not have a strong theoretical basis, and the modeling of relations between market per-formance measures and environmental performance do not adequately consider the relevance of accounting performance to market value. Therefore, this study examines whether publicly reported environmental emissions provide incremental information to accounting earnings in pricing companies stocks. It is done among the complete set of industries covered by Toxics Release Inventory (TRI reporting for the period 2007 to 2010. Using Ohlson model but modified to include different types of emis-sions, it is found that ground emissions (underground injection and land emissions are value relevant but other emission types (air and water and transferred-out emis-sions appear to not provide incremental information in the valuation model. The result in this study raise concerns that different types of emissions are assessed differently by the market, confirming that studies should not aggregate such measures.

Predictive modeling of structured electronic health records for adverse drug event detection.

Science.gov (United States)

Zhao, Jing; Henriksson, Aron; Asker, Lars; Boström, Henrik

2015-01-01

The digitization of healthcare data, resulting from the increasingly widespread adoption of electronic health records, has greatly facilitated its analysis by computational methods and thereby enabled large-scale secondary use thereof. This can be exploited to support public health activities such as pharmacovigilance, wherein the safety of drugs is monitored to inform regulatory decisions about sustained use. To that end, electronic health records have emerged as a potentially valuable data source, providing access to longitudinal observations of patient treatment and drug use. A nascent line of research concerns predictive modeling of healthcare data for the automatic detection of adverse drug events, which presents its own set of challenges: it is not yet clear how to represent the heterogeneous data types in a manner conducive to learning high-performing machine learning models. Datasets from an electronic health record database are used for learning predictive models with the purpose of detecting adverse drug events. The use and representation of two data types, as well as their combination, are studied: clinical codes, describing prescribed drugs and assigned diagnoses, and measurements. Feature selection is conducted on the various types of data to reduce dimensionality and sparsity, while allowing for an in-depth feature analysis of the usefulness of each data type and representation. Within each data type, combining multiple representations yields better predictive performance compared to using any single representation. The use of clinical codes for adverse drug event detection significantly outperforms the use of measurements; however, there is no significant difference over datasets between using only clinical codes and their combination with measurements. For certain adverse drug events, the combination does, however, outperform using only clinical codes. Feature selection leads to increased predictive performance for both data types, in isolation and

Esophageal contractions in type 3 achalasia esophagus: simultaneous or peristaltic?

Science.gov (United States)

Kim, Tae Ho; Patel, Nirali; Ledgerwood-Lee, Melissa; Mittal, Ravinder K

2016-05-01

Absence of peristalsis and impaired relaxation of lower esophageal sphincter are the hallmarks of achalasia esophagus. Based on the pressurization patterns, achalasia has been subdivided into three subtypes. The goal of our study was to evaluate the esophageal contraction pattern and bolus clearance in type 3 achalasia esophagus. High-resolution manometry (HRM) recordings of all patients diagnosed with achalasia esophagus in our center between the years 2011 and 2013 were reviewed. Recordings of 36 patients with type 3 achalasia were analyzed for the characteristics of swallow-induced "simultaneous esophageal contraction." The HRM impedance recordings of 14 additional patients with type 3 achalasia were analyzed for bolus clearance from the impedance recording. Finally, the HRM impedance along with intraluminal ultrasound imaging was conducted in six patients to further characterize the simultaneous esophageal contractions. Among 187 achalasia patients, 30 were type 1, 121 type 2, and 36 type 3. A total of 434 swallows evaluated in type 3 achalasia patients revealed that 95% of the swallow-induced contractions met criteria for simultaneous esophageal contraction, based on the onset of contraction. Interestingly, the peak and termination of the majority of simultaneous esophageal contractions were sequential. The HRM impedance revealed that 94% of the "simultaneous contractions" were associated with complete bolus clearance. Ultrasound image analysis revealed that baseline muscle thickness of patients in type 3 achalasia is larger than normal but the pattern of axial shortening is similar to that in normal subjects. The majority of esophageal contractions in type 3 achalasia are not true simultaneous contractions because the peak and termination of contraction are sequential and they are associated with complete bolus clearance.

Health Disparities by Type of Disability: Health Examination Results of Adults (18-64 Years) with Disabilities in Shanghai, China.

Science.gov (United States)

Kang, Qi; Chen, Gang; Lu, Jun; Yu, Huijiong

2016-01-01

There have been few studies on the disparities within the population with disabilities, especially in China. The aim of this study was to evaluate the differences in some health conditions among people with different types of disabilities in Shanghai. This study was conducted using data from the Shanghai Disabled Persons' Rehabilitation Comprehensive Information Platform. The records of 31,082 persons with disabilities who had undergone professional health examination were analyzed, and the prevalence and number of five diseases and five risk factors were examined. Logistic regression was used to explore disparities from two perspectives: 1) basic differences, unadjusted for other factors, and 2) differences after adjusting for key demographic covariates. A p-value disability had a high rate of refractive error (60.0%), and averaged 1.75 diseases of interest, which was the highest value among all disability types. The mean number of risk factors we measured was greatest (1.96) in the population with mental disability. There were significant differences (p types of disabilities remained after controlling for key demographic indicators. Further research is needed to explore the relationships between health conditions and disability types.

Paper-Based Medical Records: the Challenges and Lessons Learned from Studying Obstetrics and Gynaecological Post-Operation Records in a Nigerian Hospital

Directory of Open Access Journals (Sweden)

Adekunle Yisau Abdulkadir

2010-10-01

Full Text Available AIM: With the background knowledge that auditing of Medical Records (MR for adequacy and completeness is necessary if it is to be useful and reliable in continuing patient care; protection of the legal interest of the patient, physicians, and the Hospital; and meeting requirements for researches, we scrutinized theatre records of our hospital to identify routine omissions or deficiencies, and correctable errors in our MR system. METHOD: Obstetrics and Gynaecological post operation theatre records between January 2006 and December 2008 were quantitatively and qualitatively analyzed for details that included: hospital number; Patients age; diagnosis; surgery performed; types and modes of anesthesia; date of surgery; patients’ ward; Anesthetists names; surgeons and attending nurses names, and abbreviations used with SPSS 15.0 for Windows. RESULTS: Hardly were any of the 1270 surgeries during the study period documented without an omission or an abbreviation. Hospital numbers and patients’ age were not documented in 21.8% (n=277 and 59.1% (n=750 respectively. Diagnoses and surgeries were recorded with varying abbreviations in about 96% of instances. Surgical team names were mostly abbreviated or initials only given. CONCLUSION: To improve the quality of Paper-based Medical Record, regular auditing, training and good orientation of medical personnel for good record practices, and discouraging large volume record book to reduce paper damages and sheet loss from handling are necessary else what we record toady may neither be useful nor available tomorrow. [TAF Prev Med Bull 2010; 9(5.000: 427-432

Distribution of estimated glomerular filtration rate (eGFR) values in patients receiving contrast-enhanced magnetic resonance imaging

International Nuclear Information System (INIS)

Shimoji, Keigo; Aoki, Shigeki; Nakanishi, Atsushi

2012-01-01

The aim of this study was to elucidate the distribution of estimated glomerular filtration rate (eGFR) values in patients who underwent gadolinium-based contrast agent (GBCA)-enhanced magnetic resonance imaging (MRI) at different types of hospitals. We retrospectively studied 2,550 patients who underwent MRI at five institutions. We recorded the date and value of each patient's eGFR test. The distribution of eGFR values was compared with that in the general Japanese population. A total of 84.3% of patients had their eGFRs evaluated before GBCA-enhanced MRI. Of these, 84.7% were evaluated within 3 months before the GBCA-enhanced MRI, and 1.3% were evaluated on the day of the GBCA-enhanced MRI. A total of 87.2% of patients tested had an eGFR of ≥60 ml/min/1.73 m 2 ; 12.8% had an eGFR of 2 , and no patients had an eGFR of 2 . The rate of renal function evaluation differed among hospitals. The prevalence of low eGFR values was greater in Juntendo Tokyo Koto Geriatric Medical Center than in the other hospitals, and the prevalence of low eGFR values was greater in patients who underwent GBCA-enhanced MRI than in the general Japanese population. (author)

A national survey of genetic counselors' personal values.

Science.gov (United States)

Pirzadeh, Sara M; McCarthy Veach, Patricia; Bartels, Dianne M; Kao, Juihsien; Leroy, Bonnie S

2007-12-01

Personal values are motivational sources for an individual's actions [Hitlin and Piliavin (Annual Review of Sociology 30:359-393, 2004)]. Genetic counselors' values may influence their behaviors in clinical practice, but a profile of their personal values has not been identified empirically. In this study, 292 genetic counselors completed the Schwartz Universal Values Questionnaire (SUVQ; Schwartz, S. H. (1992). Universals in the content and structure of values: Theoretical advances and empirical tests in 20 countries. In M. Zanna (Ed.), Advances in experimental social psychology (pp. 1-65). Boston, MA: Academic.), a widely used measure of value types, and provided information about their demographic characteristics. Results indicate that respondents highly valued benevolence, self-direction, achievement, and universalism indicating a strong pattern of concern for the welfare of others. They placed considerably less value on stimulation, tradition, and power, which reflect personal interests. Respondents who reported practicing a religion scored significantly lower on stimulation and hedonism and higher on tradition and spirituality than those not practicing; married respondents and parents scored significantly lower on stimulation and achievement; and males scored higher on power than females. The value types are described, and training and research recommendations are provided.

Systematic reviews in bioethics: types, challenges, and value.

Science.gov (United States)

McDougall, Rosalind

2014-02-01

There has recently been interest in applying the techniques of systematic review to bioethics literature. In this paper, I identify the three models of systematic review proposed to date in bioethics: systematic reviews of empirical bioethics research, systematic reviews of normative bioethics literature, and systematic reviews of reasons. I argue that all three types yield information useful to scholarship in bioethics, yet they also face significant challenges particularly in relation to terminology and time. Drawing on my recent experience conducting a systematic review, I suggest that complete comprehensiveness may not always be an appropriate goal of a literature review in bioethics, depending on the research question. In some cases, all the relevant ideas may be captured without capturing all the relevant literature. I conclude that systematic reviews in bioethics have an important role to play alongside the traditional broadbrush approach to reviewing literature in bioethics.

Value function in economic growth model

Science.gov (United States)

Bagno, Alexander; Tarasyev, Alexandr A.; Tarasyev, Alexander M.

2017-11-01

Properties of the value function are examined in an infinite horizon optimal control problem with an unlimited integrand index appearing in the quality functional with a discount factor. Optimal control problems of such type describe solutions in models of economic growth. Necessary and sufficient conditions are derived to ensure that the value function satisfies the infinitesimal stability properties. It is proved that value function coincides with the minimax solution of the Hamilton-Jacobi equation. Description of the growth asymptotic behavior for the value function is provided for the logarithmic, power and exponential quality functionals and an example is given to illustrate construction of the value function in economic growth models.

A type system for Continuation Calculus

Directory of Open Access Journals (Sweden)

Herman Geuvers

2014-09-01

Full Text Available Continuation Calculus (CC, introduced by Geron and Geuvers, is a simple foundational model for functional computation. It is closely related to lambda calculus and term rewriting, but it has no variable binding and no pattern matching. It is Turing complete and evaluation is deterministic. Notions like "call-by-value" and "call-by-name" computation are available by choosing appropriate function definitions: e.g. there is a call-by-value and a call-by-name addition function. In the present paper we extend CC with types, to be able to define data types in a canonical way, and functions over these data types, defined by iteration. Data type definitions follow the so-called "Scott encoding" of data, as opposed to the more familiar "Church encoding". The iteration scheme comes in two flavors: a call-by-value and a call-by-name iteration scheme. The call-by-value variant is a double negation variant of call-by-name iteration. The double negation translation allows to move between call-by-name and call-by-value.

High diffraction efficiency polarization gratings recorded by biphotonic holography in an azobenzene liquid crystalline polyester

International Nuclear Information System (INIS)

Sanchez, C.; Alcala, R.; Hvilsted, S.; Ramanujam, P. S.

2001-01-01

High diffraction efficiencies have been achieved with polarization gratings recorded in thin films of an azobenzene side-chain liquid crystalline polyester by means of biphotonic processes. Efficiency values up to 30% have been reached after an induction period of 300 s and subsequent evolution with the sample in darkness. These values are at least two orders of magnitude higher than those previously reported for biphotonic recording. The gratings can be erased with unpolarized blue light and partial recovery of the diffraction efficiency has been observed after the erasure process when the sample is kept in darkness. Red light illumination of the erased film increases the recovered efficiency value and the recovery rate. [copyright] 2001 American Institute of Physics

Age differences in personal values: Universal or cultural specific?

Science.gov (United States)

Fung, Helene H; Ho, Yuan Wan; Zhang, Rui; Zhang, Xin; Noels, Kimberly A; Tam, Kim-Pong

2016-05-01

Prior studies on value development across adulthood have generally shown that as people age, they espouse communal values more strongly and agentic values less strongly. Two studies investigated whether these age differences in personal values might differ according to cultural values. Study 1 examined whether these age differences in personal values, and their associations with subjective well-being, showed the same pattern across countries that differed in individualism-collectivism. Study 2 compared age differences in personal values in the Canadian culture that emphasized agentic values more and the Chinese culture that emphasized communal values more. Personal and cultural values of each individual were directly measured, and their congruence were calculated and compared across age and cultures. Findings revealed that across cultures, older people had lower endorsement of agentic personal values and higher endorsement of communal personal values than did younger people. These age differences, and their associations with subjective well-being, were generally not influenced by cultural values. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Administrative encounters in general practice: low value or hidden value care?

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Trevena, Lyndal J; Harrison, Christopher; Britt, Helena C

2018-02-19

To determine the frequency of general practice administrative encounters, and to determine whether they represent low value care. Secondary analysis of data from the Bettering Evaluation and Care of Health (BEACH) dataset. 1 568 100 GP-patient encounters in Australia, 2000-01 to 2015-16. An annual nationally representative random sample of about 1000 GPs, who each recorded the details of 100 consecutive encounters with patients. Proportions of general practice encounters that were potentially low value care encounters (among the patient's reasons for the encounter was at least one administrative, medication, or referral request) and potentially low value care only encounters (such reasons were the sole reason for the encounter). For 2015-16, we also examined other health care provided by GPs at these encounters. During 2015-16, 18.5% (95% CI, 17.7-19.3%) of 97 398 GP-patient encounters were potentially low value care request encounters; 7.4% (95% CI, 7.0-7.9%) were potentially low value care only encounters. Administrative work was requested at 3.8% (95% CI, 3.5-4.0%) of GP visits, 35.4% of which were for care planning and coordination, 33.5% for certification, and 31.2% for other reasons. Medication requests were made at 13.1% (95% CI, 12.4-13.7%) of encounters; other health care was provided at 57.9% of medication request encounters, counselling, advice or education at 23.4%, and pathology testing was ordered at 16.7%. Referrals were requested at 2.8% (95% CI, 1.7-3.0%) of visits, at 69.4% of which additional health care was provided. The problems managed most frequently at potentially low value care only encounters were chronic diseases. Most patients requested certificates, medications and referrals in the context of seeking help for other health needs. Additional health care, particularly for chronic diseases, was provided at most GP administrative encounters. The MBS Review should consider the hidden value of these encounters.

The distribution of P-values in medical research articles suggested selective reporting associated with statistical significance.

Science.gov (United States)

Perneger, Thomas V; Combescure, Christophe

2017-07-01

Published P-values provide a window into the global enterprise of medical research. The aim of this study was to use the distribution of published P-values to estimate the relative frequencies of null and alternative hypotheses and to seek irregularities suggestive of publication bias. This cross-sectional study included P-values published in 120 medical research articles in 2016 (30 each from the BMJ, JAMA, Lancet, and New England Journal of Medicine). The observed distribution of P-values was compared with expected distributions under the null hypothesis (i.e., uniform between 0 and 1) and the alternative hypothesis (strictly decreasing from 0 to 1). P-values were categorized according to conventional levels of statistical significance and in one-percent intervals. Among 4,158 recorded P-values, 26.1% were highly significant (P values values equal to 1, and (3) about twice as many P-values less than 0.05 compared with those more than 0.05. The latter finding was seen in both randomized trials and observational studies, and in most types of analyses, excepting heterogeneity tests and interaction tests. Under plausible assumptions, we estimate that about half of the tested hypotheses were null and the other half were alternative. This analysis suggests that statistical tests published in medical journals are not a random sample of null and alternative hypotheses but that selective reporting is prevalent. In particular, significant results are about twice as likely to be reported as nonsignificant results. Copyright © 2017 Elsevier Inc. All rights reserved.

Therapeutically interchangeable? A study of real-world outcomes associated with switching basal insulin analogues among US patients with type 2 diabetes mellitus using electronic medical records data.

Science.gov (United States)

Levin, P; Wei, W; Miao, R; Ye, F; Xie, L; Baser, O; Gill, J

2015-03-01

To evaluate real-world clinical outcomes for switching basal insulin analogues [insulin glargine (GLA) and insulin detemir (DET)] among US patients with type 2 diabetes mellitus (T2DM). Using the GE Centricity Electronic Medical Records database, this retrospective study examined two cohorts: cohort 1, comprising patients previously on GLA and then either switching to DET (DET-S) or continuing with GLA (GLA-C); and cohort 2, comprising patients previously on DET and then either switching to GLA (GLA-S) or continuing with DET (DET-C). Within each cohort, treatment groups were propensity-score-matched on baseline characteristics. At 1-year follow-up, insulin treatment patterns, glycated haemoglobin (HbA1c) levels, hypoglycaemic events, weight and body mass index (BMI) were evaluated. The analysis included 13 942 patients: cohort 1: n = 10 657 (DET-S, n = 1797 matched to GLA-C, n = 8860) and cohort 2: n = 3285 (GLA-S, n = 858 matched to DET-C, n = 2427). Baseline characteristics were similar between the treatment groups in each cohort. At 1-year follow-up, in cohort 1, patients in the DET-S subgroup were significantly less persistent with treatment, more likely to use a rapid-acting insulin analogue, had higher HbA1c values, lower HbA1c reductions and lower proportions of patients achieving HbA1c Diabetes, Obesity and Metabolism published by John Wiley & Sons Ltd.

Implications of the law on video recording in clinical practice.

Science.gov (United States)

Henken, Kirsten R; Jansen, Frank Willem; Klein, Jan; Stassen, Laurents P S; Dankelman, Jenny; van den Dobbelsteen, John J

2012-10-01

Technological developments allow for a variety of applications of video recording in health care, including endoscopic procedures. Although the value of video registration is recognized, medicolegal concerns regarding the privacy of patients and professionals are growing. A clear understanding of the legal framework is lacking. Therefore, this research aims to provide insight into the juridical position of patients and professionals regarding video recording in health care practice. Jurisprudence was searched to exemplify legislation on video recording in health care. In addition, legislation was translated for different applications of video in health care found in the literature. Three principles in Western law are relevant for video recording in health care practice: (1) regulations on privacy regarding personal data, which apply to the gathering and processing of video data in health care settings; (2) the patient record, in which video data can be stored; and (3) professional secrecy, which protects the privacy of patients including video data. Practical implementation of these principles in video recording in health care does not exist. Practical regulations on video recording in health care for different specifically defined purposes are needed. Innovations in video capture technology that enable video data to be made anonymous automatically can contribute to protection for the privacy of all the people involved.

Probabilistic Segmentation of Folk Music Recordings

Directory of Open Access Journals (Sweden)

Ciril Bohak

2016-01-01

Full Text Available The paper presents a novel method for automatic segmentation of folk music field recordings. The method is based on a distance measure that uses dynamic time warping to cope with tempo variations and a dynamic programming approach to handle pitch drifting for finding similarities and estimating the length of repeating segment. A probabilistic framework based on HMM is used to find segment boundaries, searching for optimal match between the expected segment length, between-segment similarities, and likely locations of segment beginnings. Evaluation of several current state-of-the-art approaches for segmentation of commercial music is presented and their weaknesses when dealing with folk music are exposed, such as intolerance to pitch drift and variable tempo. The proposed method is evaluated and its performance analyzed on a collection of 206 folk songs of different ensemble types: solo, two- and three-voiced, choir, instrumental, and instrumental with singing. It outperforms current commercial music segmentation methods for noninstrumental music and is on a par with the best for instrumental recordings. The method is also comparable to a more specialized method for segmentation of solo singing folk music recordings.

The application of historical records to astrophysical problems

International Nuclear Information System (INIS)

Zezong, X.

1982-01-01

In 1921, a Swedish astronomer noted that the position of supernova recorded in 1054 was very close to that of the Crab Nebula, and suspected that they were related. Soon after that, the calculation from the expansion speed of the Crab Nebula showed that the explosion had taken place 900 years before-it is consistent with the year of explosion of the supernova of 1054. In 1942, it was confirmed that the Crab Nebula was a remnant of the explosion in 1054 and the explosion was one of supernova rather than of nova. The identification of 1054 supernova with the Crab Nebula is an important evidence of the value of historical records to astrophysics and the Crab Nebula is considered the Rosetta stone of astrophysics. Most of what is known about the origin of cosmic rays, synchrotron radiation and heavy elements derives from our knowledge of the Crab Nebula, and much of what can be deduced from observations of the Crab Nebula is aided by the records of supernova explosion in 1054. In addition to this, the historical records of galactic supernovae can give some information on the frequency of such outbursts and on the development of their remnants

Microwave-assisted shingled magnetic recording simulations on an exchange-coupled composite medium

Energy Technology Data Exchange (ETDEWEB)

Tanaka, T., E-mail: t-tanaka@ed.kyushu-u.ac.jp [Department of Electronics, Graduate School of Information Science and Electrical Engineering, Kyushu University, Motoota 744, Nishi-ku, Fukuoka 819-0395 (Japan); Kashiwagi, S. [Department of Electronics, Graduate School of Information Science and Electrical Engineering, Kyushu University, Motoota 744, Nishi-ku, Fukuoka 819-0395 (Japan); Kanai, Y. [Department of Information and Electronics Engineering, Niigata Institute of Technology, Fujihashi 1719, Kashiwazaki, Niigata 945-1195 (Japan); Matsuyama, K. [Department of Electronics, Graduate School of Information Science and Electrical Engineering, Kyushu University, Motoota 744, Nishi-ku, Fukuoka 819-0395 (Japan)

2016-10-15

The potential of microwave-assisted magnetic recording combined with the shingled recording scheme has been studied by simulating read/write processes on exchange-coupled composite media focusing on recording characteristics in the cross-track direction. Microwave fields enhance writability, especially at the track edge, resulting in lower noise and higher signal-to-noise ratio (SNR), which enables higher track density in the shingled recording scheme. Read/write simulations of microwave-assisted shingled recording achieve 1.4 Mtracks/in. while retaining high SNR. Further increases in SNR and track density will require either a narrower reader or track edge noise reduction. - Highlights: • Signal recording of shingled magnetic recording using an asymmetric single pole type head combined with a microwave assistance was numerically demonstrated. • Writability is improved by microwave fields with a moderate frequency at the track edge of the shielded side, resulting in higher signal-to-noise ratio. • 1.41 Mtpi of track density is feasible for the recording scheme of shingled magnetic recording with microwave assistance.

Microwave-assisted shingled magnetic recording simulations on an exchange-coupled composite medium

International Nuclear Information System (INIS)

Tanaka, T.; Kashiwagi, S.; Kanai, Y.; Matsuyama, K.

2016-01-01

The potential of microwave-assisted magnetic recording combined with the shingled recording scheme has been studied by simulating read/write processes on exchange-coupled composite media focusing on recording characteristics in the cross-track direction. Microwave fields enhance writability, especially at the track edge, resulting in lower noise and higher signal-to-noise ratio (SNR), which enables higher track density in the shingled recording scheme. Read/write simulations of microwave-assisted shingled recording achieve 1.4 Mtracks/in. while retaining high SNR. Further increases in SNR and track density will require either a narrower reader or track edge noise reduction. - Highlights: • Signal recording of shingled magnetic recording using an asymmetric single pole type head combined with a microwave assistance was numerically demonstrated. • Writability is improved by microwave fields with a moderate frequency at the track edge of the shielded side, resulting in higher signal-to-noise ratio. • 1.41 Mtpi of track density is feasible for the recording scheme of shingled magnetic recording with microwave assistance.

31 CFR 1.24 - Disclosure of records to person other than the individual to whom they pertain.

Science.gov (United States)

2010-07-01

... statistical research or reporting record, and the record is to be transferred in a form that is not... record has such value; (7) To another agency or to an instrumentality of any governmental jurisdiction... the activity is authorized by law; and (ii) If the head of the agency or instrumentality has made a...

12 CFR 792.60 - Disclosure of record to person other than the individual to whom it pertains.

Science.gov (United States)

2010-01-01

... statistical research or reporting record, and the record is to be transferred in a form that is not... determine whether the record has such value; (g) To another agency or to an instrumentality of any... enforcement activity if the activity is authorized by law, and if the head of the agency or instrumentality...

Prognostic value of PET/CT in lung cancer. Study of survival and tumor metabolic characterization