Science.gov

Sample records for addressed expert opinion

  1. [Medical expert opinion--credibility, ethics, remuneration].

    PubMed

    Sahar, Avraham

    2007-07-01

    Israeli Law requires a Personal Injury Claim to be supported by an Expert Medical Opinion. Such evidence provides the Court with information essential for the evaluation of scientific material, which is beyond the Court's "judicial knowledge". Incongruent Expert Opinions are not necessarily the result of deceit. Experts are entitled to differences in their respective evaluation and interpretation of data and conflicting medical opinions may be legitimate. The Court's duty and prerogative is to select the "legally correct" opinion. The sole tool at the Court's disposal is precise and logical thinking, aided by principles set by the U.S. Supreme Court for the evaluation of scientific evidence, and adopted by the Israeli Court. The choice of the "correct" opinion centers on it's objectivity. A court-appointed expert is not necessarily an effective solution. Remuneration of the expert by the interested party increases the level of mistrust. The difficult questions concerning the credibility of an opinion arise as the result of insufficient specific expertise of the witness, presentation by a pretender to expertise or plain misrepresentation of data, excerpts of literature etc. Such transgressions are best exposed by the opposing party's expert and attorney. The court has effective means for the control of such behavior. The fraudulent expert witness is neither immune to criminal prosecution, nor to civil suit. IMA's Code of Ethics for Experts is adequate. Expert's fees should be consistent with the effort involved, as well as with the expert's rank and experience. Any linkage of fees to the outcome of the procedure should be prohibited, as well as the intervention of "contractors". Attempts to limit experts' fees, may result in the abstention of the most knowledgeable specialists from such duties. The blame for a false opinion does not lie with the paying party, it is mostly the witness who is responsible. PMID:17803167

  2. Practical problems in aggregating expert opinions

    SciTech Connect

    Booker, J.M.; Picard, R.R.; Meyer, M.A.

    1993-11-01

    Expert opinion is data given by a qualified person in response to a technical question. In these analyses, expert opinion provides information where other data are either sparse or non-existent. Improvements in forecasting result from the advantageous addition of expert opinion to observed data in many areas, such as meteorology and econometrics. More generally, analyses of large, complex systems often involve experts on various components of the system supplying input to a decision process; applications include such wide-ranging areas as nuclear reactor safety, management science, and seismology. For large or complex applications, no single expert may be knowledgeable enough about the entire application. In other problems, decision makers may find it comforting that a consensus or aggregation of opinions is usually better than a single opinion. Many risk and reliability studies require a single estimate for modeling, analysis, reporting, and decision making purposes. For problems with large uncertainties, the strategy of combining as diverse a set of experts as possible hedges against underestimation of that uncertainty. Decision makers are frequently faced with the task of selecting the experts and combining their opinions. However, the aggregation is often the responsibility of an analyst. Whether the decision maker or the analyst does the aggregation, the input for it, such as providing weights for experts or estimating other parameters, is imperfect owing to a lack of omniscience. Aggregation methods for expert opinions have existed for over thirty years; yet many of the difficulties with their use remain unresolved. The bulk of these problem areas are summarized in the sections that follow: sensitivities of results to assumptions, weights for experts, correlation of experts, and handling uncertainties. The purpose of this paper is to discuss the sources of these problems and describe their effects on aggregation.

  3. 14 CFR 13.227 - Expert or opinion witnesses.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Expert or opinion witnesses. 13.227 Section... Expert or opinion witnesses. An employee of the agency may not be called as an expert or opinion witness... respondent may not be called by an agency attorney as an expert or opinion witness for the FAA in...

  4. 14 CFR 13.227 - Expert or opinion witnesses.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Expert or opinion witnesses. 13.227 Section... Expert or opinion witnesses. An employee of the agency may not be called as an expert or opinion witness... respondent may not be called by an agency attorney as an expert or opinion witness for the FAA in...

  5. [Swan Ganz catheter. Experts opinion].

    PubMed

    Cohen Arazi, Hernán; Nani, Sebastián; Giorgi, Mariano; Guardiani, Fernando; Caturla, Nicolás; Benzadón, Mariano

    2014-01-01

    Investigators have raised doubts as to the safety of the Swan Ganz catheter (SGC). In order to define the point of view of cardiologists in our country, the Argentine Society of Cardiology's Emergency Council organized a meeting to analyze their views in different settings (non-cardiac surgery, cardiac surgery, acute coronary syndromes and heart failure) using the RAND-UCLA appropriateness method. A detailed review with the scientific evidence was sent to the experts in cardiology prior to the meeting in the SAC auditorium where the panellists selected the clinical variables create the specific situations. These hypothetic situations were resent to the panellists at a second stage for their individual evaluation, rating the benefit-to-harm ratio of the procedure on a scale of 1 to 9 (1 meant that the expected harms greatly outweighed the expected benefits, and 9 that the expected benefits greatly outweighed the expected harms, 5 could mean either that the harms and benefits were roughly equal). Two experts analyzed the results, describing the agreement/disagreement ratio. Finally, each indication was classified as "appropriate" "uncertain" or "inappropriate" ,for the procedure in accordance with the panelists' median score: median scores in the 1-3 range were classified as inappropriate, those in the 4-6 range as uncertain, and those in the 7-9 range as appropriate. We observed high disagreement rates in SGC indications between cardiologists. However, the panelists were in favor of SGC use when situations included shock and myocardial dysfunction, especially in the presence of organic dysfunction. There were some situations when panelists considered SGC not useful, in patients without organ failure. PMID:25188663

  6. 42 CFR 1008.33 - Expert opinions from outside sources.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Expert opinions from outside sources. 1008.33... SERVICES OIG AUTHORITIES ADVISORY OPINIONS BY THE OIG Advisory Opinion Fees § 1008.33 Expert opinions from... necessary to respond to the advisory opinion request. For example, the OIG may require the use...

  7. 42 CFR 1008.33 - Expert opinions from outside sources.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Expert opinions from outside sources. 1008.33... SERVICES OIG AUTHORITIES ADVISORY OPINIONS BY THE OIG Advisory Opinion Fees § 1008.33 Expert opinions from... necessary to respond to the advisory opinion request. For example, the OIG may require the use...

  8. 42 CFR 1008.33 - Expert opinions from outside sources.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Expert opinions from outside sources. 1008.33... SERVICES OIG AUTHORITIES ADVISORY OPINIONS BY THE OIG Advisory Opinion Fees § 1008.33 Expert opinions from... necessary to respond to the advisory opinion request. For example, the OIG may require the use...

  9. 42 CFR 1008.33 - Expert opinions from outside sources.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Expert opinions from outside sources. 1008.33... SERVICES OIG AUTHORITIES ADVISORY OPINIONS BY THE OIG Advisory Opinion Fees § 1008.33 Expert opinions from... necessary to respond to the advisory opinion request. For example, the OIG may require the use...

  10. 42 CFR 1008.33 - Expert opinions from outside sources.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Expert opinions from outside sources. 1008.33... SERVICES OIG AUTHORITIES ADVISORY OPINIONS BY THE OIG Advisory Opinion Fees § 1008.33 Expert opinions from... necessary to respond to the advisory opinion request. For example, the OIG may require the use...

  11. 38 CFR 14.808 - Expert or opinion testimony.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Expert or opinion... Production of Department Records in Legal Proceedings § 14.808 Expert or opinion testimony. (a) VA personnel shall not provide, with or without compensation, opinion or expert testimony in any legal...

  12. 49 CFR 1503.645 - Expert or opinion witnesses.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 9 2011-10-01 2011-10-01 false Expert or opinion witnesses. 1503.645 Section 1503... PROCEDURES Rules of Practice in TSA Civil Penalty Actions § 1503.645 Expert or opinion witnesses. An employee of the agency may not be called as an expert or opinion witness, for any party other than TSA, in...

  13. 38 CFR 14.808 - Expert or opinion testimony.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Expert or opinion... Production of Department Records in Legal Proceedings § 14.808 Expert or opinion testimony. (a) VA personnel shall not provide, with or without compensation, opinion or expert testimony in any legal...

  14. 37 CFR 104.23 - Expert or opinion testimony.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2012-07-01 2012-07-01 false Expert or opinion testimony... Proceedings § 104.23 Expert or opinion testimony. (a)(1) If the General Counsel authorizes an employee to give... opinion testimony upon the requester showing, pursuant to § 104.3 of this part, that...

  15. 37 CFR 104.23 - Expert or opinion testimony.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Expert or opinion testimony..., DEPARTMENT OF COMMERCE ADMINISTRATION LEGAL PROCESSES Employee Testimony and Production of Documents in Legal Proceedings § 104.23 Expert or opinion testimony. (a)(1) If the General Counsel authorizes an employee to...

  16. 37 CFR 104.23 - Expert or opinion testimony.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2011-07-01 2011-07-01 false Expert or opinion testimony... Proceedings § 104.23 Expert or opinion testimony. (a)(1) If the General Counsel authorizes an employee to give... be limited to facts within the personal knowledge of the employee. Employees, with or...

  17. [Position paper "Chemosensory testing for expert opinion in smell disorders"].

    PubMed

    Stuck, B A; Beule, A; Damm, M; Gudziol, H; Hüttenbrink, K-B; Landis, B N; Renner, B; Sommer, J U; Uecker, F C; Vent, J; Hummel, T

    2014-05-01

    Providing expert opinion in the context of smell disorders is often challenging, not only with regard to general aspects of providing an expert opinion but particularly with regard to chemosensory testing. Currently there is no consensus which chemosensory test should be selected and how they should be executed. This positions paper from Committee on Olfaction and Gustation of the German Society of Otorhinolaryngology, Head and Neck Surgery aims to give concrete recommendations for chemosensory testing for providing expert opinion for smell disorders with regard to the selection and execution of these test. PMID:24782205

  18. [Cardinal errors in expert opinions for the statutory accident insurance].

    PubMed

    Ludolph, E

    2015-11-01

    Expert opinions are subject to restrictions and must abide by the rules laid down by the legal system, much more so than therapies. Cardinal errors in expert opinions for the statutory accident insurance (GUV) are sometimes mistakes which can be found in all forms of expert opinions but in some cases where special questions of social law and the statutory accident insurance are concerned. The first group of mistakes are the differences between the requirements of an expert and a therapist with respect to the certainty of expert opinions, the responsibility of the commissioning authority alone for the non-medical components of an expert opinion, the generally valid principle of only giving opinions on areas of proven expertise and the extremely important aspect of personal responsibility. The second group of mistakes involve specific questions for the statutory accident insurance, such as the principles of causality, the rules of evidence, the estimation of the consequences of an accident with respect to reduction in earning capacity (MdE) and the significance of pre-existing damage. PMID:26446721

  19. 42 CFR 411.377 - Expert opinions from outside sources.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Expert opinions from outside sources. 411.377 Section 411.377 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... Relationships Between Physicians and Entities Furnishing Designated Health Services § 411.377 Expert...

  20. 42 CFR 411.377 - Expert opinions from outside sources.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Expert opinions from outside sources. 411.377 Section 411.377 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... Relationships Between Physicians and Entities Furnishing Designated Health Services § 411.377 Expert...

  1. 42 CFR 411.377 - Expert opinions from outside sources.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Expert opinions from outside sources. 411.377 Section 411.377 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... Relationships Between Physicians and Entities Furnishing Designated Health Services § 411.377 Expert...

  2. 42 CFR 411.377 - Expert opinions from outside sources.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Expert opinions from outside sources. 411.377 Section 411.377 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... Relationships Between Physicians and Entities Furnishing Designated Health Services § 411.377 Expert...

  3. 42 CFR 411.377 - Expert opinions from outside sources.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 2 2014-10-01 2014-10-01 false Expert opinions from outside sources. 411.377 Section 411.377 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... Relationships Between Physicians and Entities Furnishing Designated Health Services § 411.377 Expert...

  4. Graphic Novels in Libraries: An Expert's Opinion

    ERIC Educational Resources Information Center

    Foster, Katy

    2004-01-01

    Barbara Gordon a librarian and computer expert from Gotham city is a genius level intellect and photographic memory expert at research and analysis. According to her, graphic novels and comics are wildly appealing to readers of all ages and intensely popular with adolescents.

  5. Ethical Issues in Expert Opinions and Testimony.

    ERIC Educational Resources Information Center

    Weed, Roger O.

    2000-01-01

    This article provides an overview of ethical issues in private for-profit practice, with particular focus on expert testimony, using examples from a sample of claims filed with the National Association of Rehabilitation Professionals in the Private Sector and malpractice insurance companies. Complaints most frequently involve issues related to…

  6. ACOG Committee Opinion No. 374: Expert testimony.

    PubMed

    2007-08-01

    It is the duty of obstetricians and gynecologists who testify as expert witnesses on behalf of defendants, the government, or plaintiffs to do so solely in accordance with their judgment on the merits of the case. Obstetrician-gynecologists must limit testimony to their sphere of medical expertise and must be prepared adequately. They must make a clear distinction between medical malpractice and medical maloccurrence. The acceptance of fees that are greatly disproportionate to those customary for professional services can be construed as influencing testimony given by the witness, and it is unethical to accept compensation that is contingent on the outcome of litigation. PMID:17666622

  7. 38 CFR 14.808 - Expert or opinion testimony.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... witness of a request for opinion or expert testimony concerning official VA information, subjects or... testimony. 14.808 Section 14.808 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS LEGAL SERVICES, GENERAL COUNSEL, AND MISCELLANEOUS CLAIMS Testimony of Department Personnel...

  8. 14 CFR 13.227 - Expert or opinion witnesses.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Expert or opinion witnesses. 13.227 Section 13.227 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES INVESTIGATIVE AND ENFORCEMENT PROCEDURES Rules of Practice in FAA Civil Penalty Actions §...

  9. [Quality of anesthesiological expert opinion in medical claims cases].

    PubMed

    Hachenberg, T; Neu, J; Werner, S; Wiedemann, D; Schaffartzik, W

    2012-06-01

    Expert opinions have an important place for expert testimony in medical disputes. The report should contain a summary about facts and causality between the damage and the medical treatment in question as well as describe the current medical standard. The fulfillment of scientific criteria was investigated in 179 anesthesiological expert opinions from 150 arbitration cases. Anesthesiological expert reports (2005-2007) of the Arbitration Board of the North German Medical Associations were analyzed in terms of structure, general form of assessment and scientific substantiation of statements. Patient damage was confirmed in 76%, treatment failure in 29% and negligent malpractice in 17% of the reports. In 78% of the reports the facts were presented correctly and in 64% the question was answered whether the incident would have occurred even during adequate and professional action. Conclusive statements about the causality between the damage and the medical treatment in question were available only in 60% of the reports. The study findings suggest that anesthesia expert reports present a high incidence of non-scientific claims. The development of guidelines for expert witnesses by the medical societies is urgently recommended. PMID:22576994

  10. 15 CFR 15.16 - Legal proceedings between private litigants: Expert or opinion testimony.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... legal proceeding, an employee is asked for expert or opinion testimony regarding official DOC... opinion testimony regarding official DOC information, subjects or activities without the opportunity to... opinion testimony regarding official DOC information, subjects or activities in a legal proceeding...

  11. 29 CFR 18.705 - Disclosure of facts or data underlying expert opinion.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Disclosure of facts or data underlying expert opinion. 18... Testimony § 18.705 Disclosure of facts or data underlying expert opinion. The expert may testify in terms of opinion or inference and give reasons therefor without prior disclosure of the underlying facts or...

  12. 29 CFR 18.705 - Disclosure of facts or data underlying expert opinion.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 1 2011-07-01 2011-07-01 false Disclosure of facts or data underlying expert opinion. 18... Testimony § 18.705 Disclosure of facts or data underlying expert opinion. The expert may testify in terms of opinion or inference and give reasons therefor without prior disclosure of the underlying facts or...

  13. 29 CFR 18.705 - Disclosure of facts or data underlying expert opinion.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 1 2014-07-01 2013-07-01 true Disclosure of facts or data underlying expert opinion. 18... Testimony § 18.705 Disclosure of facts or data underlying expert opinion. The expert may testify in terms of opinion or inference and give reasons therefor without prior disclosure of the underlying facts or...

  14. 29 CFR 18.705 - Disclosure of facts or data underlying expert opinion.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 1 2013-07-01 2013-07-01 false Disclosure of facts or data underlying expert opinion. 18... Testimony § 18.705 Disclosure of facts or data underlying expert opinion. The expert may testify in terms of opinion or inference and give reasons therefor without prior disclosure of the underlying facts or...

  15. 29 CFR 18.705 - Disclosure of facts or data underlying expert opinion.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 1 2012-07-01 2012-07-01 false Disclosure of facts or data underlying expert opinion. 18... Testimony § 18.705 Disclosure of facts or data underlying expert opinion. The expert may testify in terms of opinion or inference and give reasons therefor without prior disclosure of the underlying facts or...

  16. 29 CFR 18.703 - Bases of opinion testimony by experts.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Bases of opinion testimony by experts. 18.703 Section 18.703 Labor Office of the Secretary of Labor RULES OF PRACTICE AND PROCEDURE FOR ADMINISTRATIVE HEARINGS BEFORE THE OFFICE OF ADMINISTRATIVE LAW JUDGES Rules of Evidence Opinions and Expert Testimony § 18.703 Bases of opinion testimony by experts....

  17. 29 CFR 18.703 - Bases of opinion testimony by experts.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 1 2011-07-01 2011-07-01 false Bases of opinion testimony by experts. 18.703 Section 18.703 Labor Office of the Secretary of Labor RULES OF PRACTICE AND PROCEDURE FOR ADMINISTRATIVE HEARINGS BEFORE THE OFFICE OF ADMINISTRATIVE LAW JUDGES Rules of Evidence Opinions and Expert Testimony § 18.703 Bases of opinion testimony by experts....

  18. Expert opinion: Responsive polymer nanoparticles in cancer therapy.

    PubMed

    Liechty, William B; Peppas, Nicholas A

    2012-02-01

    Polymeric nanoparticles are emerging as an attractive treatment options for cancer due to their favorable size distribution, drug carrying capacity, and tunable properties. In particular, intelligent nanoparticles that respond to biological cues are of interest because of their ability to provide controlled release at a specific site. Tumor sites display abnormal pH profiles and pathophysiology that can be exploited to provide localized release. In this expert opinion, we discuss passive and active targeting of nanoparticles and several classes of pH-responsive nanoparticles. PMID:21888972

  19. Expert Opinion: Responsive Polymer Nanoparticles in Cancer Therapy

    PubMed Central

    Liechty, William B.; Peppas, Nicholas A.

    2011-01-01

    Polymeric nanoparticles are emerging as an attractive treatment options for cancer due to their favorable size distribution, drug carrying capacity, and tunable properties. In particular, intelligent nanoparticles that respond to biological cues are of interest because of their ability to provide controlled release at a specific site. Tumor sites display abnormal pH profiles and pathophysiology that can be exploited to provide localized release. In this expert opinion, we discuss passive and active targeting of nanoparticles and several classes of pH-responsive nanoparticles. PMID:21888972

  20. Expert opinions on success factors for upper-limb prostheses.

    PubMed

    Schultz, Aimee E; Baade, Susan P; Kuiken, Todd A

    2007-01-01

    The goal of this study was to gather the opinions of prosthetics experts on the most important factors for the successful use of upper-limb (UL) prostheses, compare them with those of prosthesis users, and ultimately direct research efforts in this field. UL prosthetics experts were asked to compare the importance of the comfort, function, and cosmesis of a prosthetic device for a transhumeral amputee. Categories were subdivided into weight, socket-interface comfort, power, agility, color, and shape. The majority of those who responded viewed comfort as the most important factor for a unilateral amputee and considered socket-interface comfort to be more important than weight. Function was considered to be the most important factor for a bilateral amputee, with agility considered more important than power. Cosmesis was consistently reported as being less important than comfort and function, and shape was considered more important than color. PMID:18247245

  1. 15 CFR 15.16 - Legal proceedings between private litigants: Expert or opinion testimony.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... litigants: Expert or opinion testimony. 15.16 Section 15.16 Commerce and Foreign Trade Office of the... Proceedings § 15.16 Legal proceedings between private litigants: Expert or opinion testimony. In addition to... within the personal knowledge of the Department employee. Employees, with or without compensation,...

  2. Current and Emerging Ethical Issues in Counseling: A Delphi Study of Expert Opinions

    ERIC Educational Resources Information Center

    Herlihy, Barbara; Dufrene, Roxane L.

    2011-01-01

    A Delphi study was conducted to ascertain the opinions of panel experts regarding the most important current and emerging ethical issues facing the counseling profession. Expert opinions on ethical issues in counselor preparation also were sought. Eighteen panelists responded to 3 rounds of data collection interspersed with feedback. Themes that…

  3. [Evaluation of medical and psychological expert opinions in asylum and residence legislation].

    PubMed

    Hofmann, Mareike; Hagemeier, Ina; Altenhain, Karsten; Kruse, Johannes

    2014-01-01

    The quality of medical and psychological certificates and expert opinions in asylum and residence legislation was analyzed using judicial requirements as well as standards of the German Bundesärztekammer (SBPM). A sample of 53 cases of asylum seekers including 86 medical certificates and 15 expert opinions was evaluated qualitative and quantitative. The quality varies strongly from exemplary to insufficient. Predominantly, the medical certificates did not comply with judicial requirements. Two thirds of the expert opinions met the standards formulated by SBPM. Experts should write medical/psychological opinions being familiar with both traumatized individuals and refugees. The minimum requirements and standards should be better communicated to involved medical and psychological practitioners. PMID:23784797

  4. Testing the Stability of Experts' Opinions between Successive Rounds of Delphi Studies.

    ERIC Educational Resources Information Center

    Yang, Yu Nu

    The Delphi method is a means of structuring group communication process so that a group of experts can gather information or forecast future problems effectively. A primary objective of a Delphi study is to obtain consensual and consistent opinions from a group of experts in two or more successive rounds on a given research subject. Consensus and…

  5. The reliability of experts' opinions in constructing a composite environmental index: the case of ESI 2005.

    PubMed

    Giannetti, B F; Bonilla, S H; Silva, C C; Almeida, C M V B

    2009-06-01

    The complexity of the environment demands a well-constructed composite environmental index (CEI) to provide a useful tool to draw attention to environmental conditions and trends for policy purposes. Among the common difficulties in constructing a proper CEI are uncertainties due to the selection of the most representative underlying variables or indicators. A degree of uncertainty accompanies experts' judgments, and to deal with vague, subjective or inconsistent information, logic other than classic is required. This study analyzes a procedure that uses different experts' opinions in constructing a CEI, with the use of paraconsistent annotated logic. For this, a sensitivity analysis of the Environmental Sustainability Index (ESI 2005) was used as an example to assess the reliability of experts' opinions. The uncertainty due to the disagreement in experts' opinions clearly indicates that the forms we presently use to measure and monitor the actual environment are insufficient, that is, there is a lack of a "science of sustainability". PMID:19285781

  6. Addressing Psychosocial Adversity Within the Patient-Centered Medical Home: Expert-Created Measurable Standards

    PubMed Central

    Bair-Merritt, Megan H; Mandal, Mahua; Garg, Arvin; Cheng, Tina L.

    2016-01-01

    The Patient-Centered Medical Home (PCMH) may be improved by embedding identification and response for patients’ experiences with psychosocial adversity, but how this might optimally occur in practice has not been well-specified. We sought input from an expert panel to define feasible elements that could adapt the PCMH to adequately respond to patients’ experiences with psychosocial adversity. From December 2012 through September 2013, we used a Delphi process to systematically obtain expert opinions and reach consensus. We invited 37 experts to participate in three successive and iterative rounds of questionnaires, with each round based on aggregated, de-identified data from the prior round. We first asked experts to generate elements to adapt the PCMH, using the National Committee for Quality Assurance (NCQA’s) established six PCMH standards as the foundation. We then asked the experts to rate these elements on a 5-point Likert scale, and finally specify what they considered the most and least valuable elements. Eighteen of the 37 (49%) invited experts responded to the first survey, and constituted our sample. Experts identified 35 elements that fell under the six NCQA standards. The top rated elements included using a screening tool to identify adversity; training providers to address psychosocial adversity; having a team member with mental health expertise; providing culturally-competent care; and having written patient information related to adversity and coping. This study derived key elements that may enhance the PCMH’s ability to improve patient outcomes by purposefully identifying and responding to their psychosocial adversity. PMID:25787893

  7. [Medical expert assessment in civil and criminal law--legal evaluation of medical expert opinion].

    PubMed

    Schlund, G H

    1996-11-01

    The constitutional position of the judge and the medical expert witness during a lawsuit is explained. From this, the demands on a judicial expert witness for the preparation of his expert assessment are derived and the judge's function in the appointment of the expert witness is explained. Additionally, criteria, duties, and rules are worked out, which should be followed by the judge during assessment of the medical expert testimony. PMID:9064930

  8. Comparing Powerpoint Experts' and University Students' Opinions about Powerpoint Presentations

    ERIC Educational Resources Information Center

    Mackiewicz, Jo

    2008-01-01

    Technical communication instructors want to help students, as well as professionals, design effective PowerPoint presentations. Toward this end, I compare the advice of academic and industry experts about effective PowerPoint presentation design to survey responses from university students about slide text, visual elements, animations, and other…

  9. Common problems in the elicitation and analysis of expert opinion affecting probabilistic safety assessments

    SciTech Connect

    Meyer, M.A.; Booker, J.M.

    1990-01-01

    Expert opinion is frequently used in probabilistic safety assessment (PSA), particularly in estimating low probability events. In this paper, we discuss some of the common problems encountered in eliciting and analyzing expert opinion data and offer solutions or recommendations. The problems are: that experts are not naturally Bayesian. People fail to update their existing information to account for new information as it becomes available, as would be predicted by the Bayesian philosophy; that experts cannot be fully calibrated. To calibrate experts, the feedback from the known quantities must be immediate, frequent, and specific to the task; that experts are limited in the number of things that they can mentally juggle at a time to 7 {plus minus} 2; that data gatherers and analysts can introduce bias by unintentionally causing an altering of the expert's thinking or answers; that the level of detail the data, or granularity, can affect the analyses; and the conditioning effect poses difficulties in gathering and analyzing of the expert data. The data that the expert gives can be conditioned on a variety of factors that can affect the analysis and the interpretation of the results. 31 refs.

  10. [Traffic medicine expert opinions in otorhinolaryngology: current aspects].

    PubMed

    Waldfahrer, F; Iro, H; von Brevern, M; Fetter, M; Hamann, K-F; Holube, I; Lenarz, T; Lesinski-Schiedat, A; Stoll, W; von Stuckradt-Barre, S; Westhofen, M

    2010-02-01

    According to German law granting of driving licenses depends on the proof of an adequate driving capability. The corresponding guidelines are at present in the process of being revised. At the moment bilateral deafness and high-grade hearing loss (> or = 60% in pure tone audiometry) are not exclusion criteria for driving licenses grades A, B and C, while driving licenses grade D and licenses for public transport are generally excluded. In the forthcoming revised edition of the guidelines it has been suggested that the latter group will also not be excluded. The regulations concerning dizziness are wide-sweeping at the moment as no driving license will be granted if dizziness is present but will be more specific in the next issue. In particular a division will be made between single axle and two axle vehicles. An expert assessment about driving suitability can only be made by a certified specialist with qualifications in traffic medicine. PMID:20111915

  11. A Survey of Expert Opinion Regarding Rotator Cuff Repair.

    PubMed

    Acevedo, Daniel C; Paxton, E Scott; Williams, Gerald R; Abboud, Joseph A

    2014-07-16

    Many patients with rotator cuff tears have questions for their surgeons regarding the surgical procedure, perioperative management, restrictions, therapy, and ability to work after a rotator cuff repair. The purpose of our study was to determine common clinical practices among experts regarding rotator cuff repair and to assist them in counseling patients. We surveyed 372 members of the American Shoulder and Elbow Surgeons (ASES) and the Association of Clinical Elbow and Shoulder Surgeons (ACESS); 111 members (29.8%) completed all or part of the survey, and 92.8% of the respondents answered every question. A consensus response (>50% agreement) was achieved on 49% (24 of 49) of the questions. Variability in responses likely reflects the fact that clinical practices have evolved over time based on clinical experience. PMID:25031385

  12. Climate Change to the Year 2000: A Survey of Expert Opinion.

    ERIC Educational Resources Information Center

    Institute for the Future, Menlo Park, CA.

    This survey of expert opinion was conducted by the National Defense University, Washington, D.C. to quantify the likelihood of significant changes in climate and their practical consequences. The major objectives of the study are embodied in four tasks. This publication presents the results of the first task only: the definition and estimation of…

  13. Classification of Word Levels with Usage Frequency, Expert Opinions and Machine Learning

    ERIC Educational Resources Information Center

    Sohsah, Gihad N.; Ünal, Muhammed Esad; Güzey, Onur

    2015-01-01

    Educational applications for language teaching can utilize the language levels of words to target proficiency levels of students. This paper and the accompanying data provide a methodology for making educational standard-aligned language-level predictions for all English words. The methodology involves expert opinions on language levels and…

  14. 45 CFR 1201.10 - Prohibition on providing expert or opinion testimony.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 4 2013-10-01 2013-10-01 false Prohibition on providing expert or opinion testimony. 1201.10 Section 1201.10 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE PRODUCTION OR DISCLOSURE OF OFFICIAL INFORMATION IN RESPONSE TO COURT ORDERS, SUBPOENAS, NOTICES...

  15. Melasma and Post Inflammatory Hyperpigmentation: Management Update and Expert Opinion.

    PubMed

    Sofen, B; Prado, G; Emer, J

    2016-01-01

    Dyschromia is a leading cause for cosmetic consultation, especially in those with diverse skin types (mixture of ethnicities) and with the rise of non-core and untrained physicians performing cosmetic procedures. Melasma and post-inflammatory hyperpigmentation (PIH) account for the majority of cases and are characterized by pigmented macules and patches distributed symmetrically in sun-exposed areas of the forehead, cheeks, and chin in melasma, and irregularly in areas of inflammation or an inciting traumatic event with PIH. Treatment is challenging and focused on a variety of mechanisms to stop, hinder, and/or prevent steps in the pigment production (melanocytic hyperactivity) process, breaking down deposited pigment for internal removal or external release, exfoliating cells to enhance turnover, and decreasing inflammation. Topical lightening therapy in combination with sun protection is essential for potential improvement. The most commonly prescribed and researched topical lightening agents are hydroquinone (HQ), azelaic acid (AzA), and retinoids - although only HQ and a triple combination cream (Tri-Luma®; fluocinolone acetonide 0.01%, HQ 4%, tretinoin 0.05%) are US FDA-approved for "bleaching of hyperpigmented skin" (HQ) and "melasma" (Tri-Luma®). Numerous non-HQ brightening/lightening agents, including antioxidant and botanical cosmeceuticals, have recently flooded the market with improvements that claim less irritant potential, as well as avoiding the stigmata associated with HQ agents such as carcinogenesis and cutaneous ochronosis. Combining topical therapy with procedures such as chemical peels, intense pulsed light (IPL), fractional non-ablative lasers or radiofrequency, pigment lasers (microsecond, picosecond, Q-switched), and microneedling, enhances results. With proper treatment, melasma can be controlled, improved, and maintained; alternatively, PIH can be cured in most cases. Herein, we review treatments for both conditions and provide an opinion

  16. Survey of Expert Opinion on Intelligence: Causes of International Differences in Cognitive Ability Tests

    PubMed Central

    Rindermann, Heiner; Becker, David; Coyle, Thomas R.

    2016-01-01

    Following Snyderman and Rothman (1987, 1988), we surveyed expert opinions on the current state of intelligence research. This report examines expert opinions on causes of international differences in student assessment and psychometric IQ test results. Experts were surveyed about the importance of culture, genes, education (quantity and quality), wealth, health, geography, climate, politics, modernization, sampling error, test knowledge, discrimination, test bias, and migration. The importance of these factors was evaluated for diverse countries, regions, and groups including Finland, East Asia, sub-Saharan Africa, Southern Europe, the Arabian-Muslim world, Latin America, Israel, Jews in the West, Roma (gypsies), and Muslim immigrants. Education was rated by N = 71 experts as the most important cause of international ability differences. Genes were rated as the second most relevant factor but also had the highest variability in ratings. Culture, health, wealth, modernization, and politics were the next most important factors, whereas other factors such as geography, climate, test bias, and sampling error were less important. The paper concludes with a discussion of limitations of the survey (e.g., response rates and validity of expert opinions). PMID:27047425

  17. Survey of Expert Opinion on Intelligence: Causes of International Differences in Cognitive Ability Tests.

    PubMed

    Rindermann, Heiner; Becker, David; Coyle, Thomas R

    2016-01-01

    Following Snyderman and Rothman (1987, 1988), we surveyed expert opinions on the current state of intelligence research. This report examines expert opinions on causes of international differences in student assessment and psychometric IQ test results. Experts were surveyed about the importance of culture, genes, education (quantity and quality), wealth, health, geography, climate, politics, modernization, sampling error, test knowledge, discrimination, test bias, and migration. The importance of these factors was evaluated for diverse countries, regions, and groups including Finland, East Asia, sub-Saharan Africa, Southern Europe, the Arabian-Muslim world, Latin America, Israel, Jews in the West, Roma (gypsies), and Muslim immigrants. Education was rated by N = 71 experts as the most important cause of international ability differences. Genes were rated as the second most relevant factor but also had the highest variability in ratings. Culture, health, wealth, modernization, and politics were the next most important factors, whereas other factors such as geography, climate, test bias, and sampling error were less important. The paper concludes with a discussion of limitations of the survey (e.g., response rates and validity of expert opinions). PMID:27047425

  18. Expert systems for implementing group consensus opinion in complex, weighted decisions

    SciTech Connect

    Carr, K.R.

    1990-01-01

    The development of an expert system for instrumentation and control operations is sometimes particularly difficult because (a) the expert system must implement the consensus opinion of a group of several human experts in all circumstances, (b) there may be 20 or more complex, dynamic, interrelated factors that influence the decision, each of which must be properly considered and weighed, and (c) the decision may involve choosing from several alternative courses of action, rather that a simple yes-no'' choice. These demanding requirements can discourage or, in some cases, prevent altogether the development of expert systems that are seriously needed and would by highly beneficial. However, the integration of a formal decision analysis method into the expert system as described in this paper can smooth the development phase of the expert system and provide high assurance of the success of the project. In virtually every case, regardless of the complexity of the problem, the approach outlined will provide an expert system to function on every decision just as if the human experts had assembled and performed a formal analysis to reach the overall best balanced decision. 6 refs., 8 figs.

  19. Short-term Forecasting of the Prevalence of Trachoma: Expert Opinion, Statistical Regression, versus Transmission Models

    PubMed Central

    Liu, Fengchen; Porco, Travis C.; Amza, Abdou; Kadri, Boubacar; Nassirou, Baido; West, Sheila K.; Bailey, Robin L.; Keenan, Jeremy D.; Solomon, Anthony W.; Emerson, Paul M.; Gambhir, Manoj; Lietman, Thomas M.

    2015-01-01

    Background Trachoma programs rely on guidelines made in large part using expert opinion of what will happen with and without intervention. Large community-randomized trials offer an opportunity to actually compare forecasting methods in a masked fashion. Methods The Program for the Rapid Elimination of Trachoma trials estimated longitudinal prevalence of ocular chlamydial infection from 24 communities treated annually with mass azithromycin. Given antibiotic coverage and biannual assessments from baseline through 30 months, forecasts of the prevalence of infection in each of the 24 communities at 36 months were made by three methods: the sum of 15 experts’ opinion, statistical regression of the square-root-transformed prevalence, and a stochastic hidden Markov model of infection transmission (Susceptible-Infectious-Susceptible, or SIS model). All forecasters were masked to the 36-month results and to the other forecasts. Forecasts of the 24 communities were scored by the likelihood of the observed results and compared using Wilcoxon’s signed-rank statistic. Findings Regression and SIS hidden Markov models had significantly better likelihood than community expert opinion (p = 0.004 and p = 0.01, respectively). All forecasts scored better when perturbed to decrease Fisher’s information. Each individual expert’s forecast was poorer than the sum of experts. Interpretation Regression and SIS models performed significantly better than expert opinion, although all forecasts were overly confident. Further model refinements may score better, although would need to be tested and compared in new masked studies. Construction of guidelines that rely on forecasting future prevalence could consider use of mathematical and statistical models. PMID:26302380

  20. [Expert's opinion on recommendations for water and other beverages consumption in elderly?].

    PubMed

    Bień, Barbara; Jarosz, Agnieszka; de Latour, Teresa; Mastalerz-Migas, Agnieszka; Marczewski, Krzysztof; Okręglicka, Katarzyna; Ponikowska, Irena; Woy-Wojciechowski, Jerzy; Ziółkowska, Anna

    2014-01-01

    The article encloses definition of water role and its body requirement, review of water balance and management in older persons regarding characteristic of this age group and concomitant disorders. Based on current literature and expert's opinion the recommendations for water consumption were expressed with estimation of insufficient apply and oversupply, evaluation of hydration state, domestic water sources in diet with accent on influence of proper hydration on comfort and good health. PMID:25764788

  1. Can journalistic "false balance" distort public perception of consensus in expert opinion?

    PubMed

    Koehler, Derek J

    2016-03-01

    Media critics have expressed concern that journalistic "false balance" can distort the public's perceptions of what ought to be noncontroversial subjects (e.g., climate change). I report several experiments testing the influence of presenting conflicting comments from 2 experts who disagree on an issue (balance condition) in addition to a complete count of the number of experts on a panel who favor either side. Compared with a control condition, who received only the complete count, participants in the balance condition gave ratings of the perceived agreement among the experts that did not discriminate as clearly between issues with and without strong expert consensus. Participants in the balance condition also perceived less agreement among the experts in general, and were less likely to think that there was enough agreement among experts on the high-consensus issues to guide government policy. Evidently, "false balance" can distort perceptions of expert opinion even when participants would seem to have all the information needed to correct for its influence. (PsycINFO Database Record PMID:26752513

  2. Remarks on the assessment, representation, aggregation and utilization of expert opinion

    SciTech Connect

    Fine, T.L.

    1980-04-01

    This report considers the relevance of recent ideas in the foundations of probability to the rational use of expert opinion in the design of a nuclear waste repository, and the assessment of its performance. The main probability concepts introduce are those of modal (probably A), comparative (A is at least as probable as B) and interval-valued (the lower probability of A is P(A) and the upper probability of A is P(anti A)) probabilities. We then outline an approach first using comparative probability to model the resuls of binary elicitation of an expert's opinions concerning repository uncertainties and then employing interval-valued probability to represent comparative probability in a computationally convenient form. We further consider the issue of aggregating or amalgamating the responses of several experts, and we emphasize the need to preserve some measure of the disagreements among the experts. The resulting aggregated interval-valued representation of the responses concerning the uncertainties surrounding the performance of a nuclear waste repository design can then be used to numerically assess this performance in a manner parallel to that of utility theory. Utility theory is the basis for statistical decision theory. Our recommendations can only be tentative, and research is recommended to gain some working experience with the results of the proposed decision-making process in the repostory design context.

  3. Factors associated with experts' opinions regarding criminal responsibility in The Netherlands.

    PubMed

    Barendregt, Marko; Muller, Eline; Nijman, Henk; de Beurs, Edwin

    2008-01-01

    In many jurisdictions, offenders need to have freely chosen to commit their crimes in order to be punishable. A mental defect or disorder may be a reason for diminished or total absence of criminal responsibility and may remove culpability. This study aims to provide an empirically based understanding of the factors on which experts base their judgements concerning criminal responsibility. Clinical, demographic and crime related variables, as well as MMPI-2 profiles, were collected from final reports concerning defendants of serious crime submitted to the observation clinic of the Dutch Ministry of Justice for a criminal responsibility assessment. Criminal responsibility was expressed along a five-point scale corresponding to the Dutch legal practice. Results showed that several variables contributed independently to experts' opinions regarding criminal responsibility: diagnosis (Axis I and II), cultural background, type of weapon used in committing the crime, and whether the defendant committed the crime alone or with others. In contract to jurisdictions involving a sane/insane dichotomy, the Dutch five-point scale of criminal responsibility revealed that Axis II personality disorders turned out to be mostly associated with a diminished responsibility. MMPI-2 scores also turned out to have a small contribution to experts' opinions on criminal responsibility, independently of mere diagnostic variables. These results suggest that experts base their judgements not only on the presence or absence of mental disorders, but also on cultural and crime related characteristics, as well as dimensional information about the defendant's personality and symptomatology. PMID:18788082

  4. Expert Opinions on Improving Femicide Data Collection across Europe: A Concept Mapping Study.

    PubMed

    Vives-Cases, Carmen; Goicolea, Isabel; Hernández, Alison; Sanz-Barbero, Belen; Gill, Aisha K; Baldry, Anna Costanza; Schröttle, Monika; Stöckl, Heidi; Stoeckl, Heidi

    2016-01-01

    Femicide, defined as the killings of females by males because they are females, is becoming recognized worldwide as an important ongoing manifestation of gender inequality. Despite its high prevalence or widespread prevalence, only a few countries have specific registries about this issue. This study aims to assemble expert opinion regarding the strategies which might feasibly be employed to promote, develop and implement an integrated and differentiated femicide data collection system in Europe at both the national and international levels. Concept mapping methodology was followed, involving 28 experts from 16 countries in generating strategies, sorting and rating them with respect to relevance and feasibility. The experts involved were all members of the EU-Cost-Action on femicide, which is a scientific network of experts on femicide and violence against women across Europe. As a result, a conceptual map emerged, consisting of 69 strategies organized in 10 clusters, which fit into two domains: "Political action" and "Technical steps". There was consensus among participants regarding the high relevance of strategies to institutionalize national databases and raise public awareness through different stakeholders, while strategies to promote media involvement were identified as the most feasible. Differences in perceived priorities according to the level of human development index of the experts' countries were also observed. PMID:26859885

  5. Expert opinion on landslide susceptibility elicted by probabilistic inversion from scenario rankings

    NASA Astrophysics Data System (ADS)

    Lee, Katy; Dashwood, Claire; Lark, Murray

    2016-04-01

    For many natural hazards the opinion of experts, with experience in assessing susceptibility under different circumstances, is a valuable source of information on which to base risk assessments. This is particularly important where incomplete process understanding, and limited data, limit the scope to predict susceptibility by mechanistic or statistical modelling. The expert has a tacit model of a system, based on their understanding of processes and their field experience. This model may vary in quality, depending on the experience of the expert. There is considerable interest in how one may elicit expert understanding by a process which is transparent and robust, to provide a basis for decision support. One approach is to provide experts with a set of scenarios, and then to ask them to rank small overlapping subsets of these with respect to susceptibility. Methods of probabilistic inversion have been used to compute susceptibility scores for each scenario, implicit in the expert ranking. It is also possible to model these scores as functions of measurable properties of the scenarios. This approach has been used to assess susceptibility of animal populations to invasive diseases, to assess risk to vulnerable marine environments and to assess the risk in hypothetical novel technologies for food production. We will present the results of a study in which a group of geologists with varying degrees of expertise in assessing landslide hazards were asked to rank sets of hypothetical simplified scenarios with respect to land slide susceptibility. We examine the consistency of their rankings and the importance of different properties of the scenarios in the tacit susceptibility model that their rankings implied. Our results suggest that this is a promising approach to the problem of how experts can communicate their tacit model of uncertain systems to those who want to make use of their expertise.

  6. Forecasting the Use of Electronic Health Records: An Expert Opinion Approach

    PubMed Central

    Blavin, Fredric Evan; Buntin, Melinda Beeuwkes

    2013-01-01

    Background To promote the widespread adoption and use of electronic health records (EHRs), in 2011, CMS started making Medicare and Medicaid incentive payments to providers who demonstrate that they are “meaningful users” of certified EHR systems. Data and Methods This paper combines an expert opinion method, a modified Delphi technique, with a technological diffusion framework to create a forecast of the percent of office-based physicians who will become adopters and “meaningful users” of health information technology from 2012 to 2019. The panel consisted of 18 experts from industry, academia, and government who are knowledgeable about the adoption and use of EHRs in office-based settings and are recognized as opinion leaders in their respective professions. Results Overall, the expert panel projected that primary care physicians in large group practices are more likely to achieve the meaningful use of EHRs relative to primary care physicians in small group practices and all other specialists: the group projected that 65 percent of primary care physicians in large group practices, 45 percent of primary care physicians in small group practices, and 44 percent of all other specialists could achieve meaningful use by 2015. In 2019, these projections increase to 80 percent, 65 percent, and 66 percent for these three groups, respectively. Conclusions and Policy Implications The information from this study is especially valuable when there is a lack of data and a high degree of uncertainty in a new policy environment and could help inform and evaluate government programs, such as the Regional Extension Centers (REC), by providing data from leading experts. PMID:24753964

  7. Plus Disease in Retinopathy of Prematurity: Development of Composite Images by Quantification of Expert Opinion

    PubMed Central

    Chiang, Michael F.; Gelman, Rony; Williams, Steven L.; Lee, Joo-Yeon; Casper, Daniel S.; Martinez-Perez, M. Elena; Flynn, John T.

    2008-01-01

    Purpose To demonstrate a methodology for generating composite wide-angle images of plus disease in retinopathy of prematurity (ROP), using quantitative analysis of expert opinions. Methods Thirty-four wide-angle retinal images were independently interpreted by 22 ROP experts as “plus” or “not plus.” All images were processed by the computer-based Retinal Image multiScale Analysis (RISA) system to calculate two parameters: arterial integrated curvature (AIC) and venous diameter (VD). Using a reference standard defined by expert consensus, sensitivity and specificity curves were calculated by varying the diagnostic cutoffs for AIC and VD. From these curves, individual vessels from multiple images were identified with particular diagnostic cutoffs, and were combined into composite wide-angle images using graphics-editing software. Results The values associated with 75% underdiagnosis of true plus disease (i.e., 25% sensitivity cutoff) were AIC 0.061 and VD 4.272, the values associated with 50% underdiagnosis of true plus disease (i.e., a 50% sensitivity cutoff) were AIC 0.049 and VD 4.088, and the values associated with 25% underdiagnosis of true plus disease (i.e., 75% sensitivity cutoff) were AIC 0.042 and VD 3.795. Composite wide-angle images were generated by identifying and combining individual vessels with these characteristics. Conclusions Computer-based image analysis permits quantification of retinal vascular features, and a spectrum of abnormalities is seen in ROP. Selection of appropriate vessels from multiple images can produce composite plus disease images corresponding to expert opinions. This method may be useful for educational purposes, and for development of future disease definitions based on objective, quantitative principles. PMID:18408188

  8. Assessing the Effectiveness of Local Management of Coral Reefs Using Expert Opinion and Spatial Bayesian Modeling.

    PubMed

    Ban, Stephen S; Pressey, Robert L; Graham, Nicholas A J

    2015-01-01

    Multiple stressors are an increasing concern in the management and conservation of ecosystems, and have been identified as a key gap in research. Coral reefs are one example of an ecosystem where management of local stressors may be a way of mitigating or delaying the effects of climate change. Predicting how multiple stressors interact, particularly in a spatially explicit fashion, is a difficult challenge. Here we use a combination of an expert-elicited Bayesian network (BN) and spatial environmental data to examine how hypothetical scenarios of climate change and local management would result in different outcomes for coral reefs on the Great Barrier Reef (GBR), Australia. Parameterizing our BN using the mean responses from our experts resulted in predictions of limited efficacy of local management in combating the effects of climate change. However, there was considerable variability in expert responses and uncertainty was high. Many reefs within the central GBR appear to be at risk of further decline based on the pessimistic opinions of our expert pool. Further parameterization of the model as more data and knowledge become available could improve predictive power. Our approach serves as a starting point for subsequent work that can fine-tune parameters and explore uncertainties in predictions of responses to management. PMID:26284372

  9. Expert Opinions on Improving Femicide Data Collection across Europe: A Concept Mapping Study

    PubMed Central

    Vives-Cases, Carmen; Goicolea, Isabel; Hernández, Alison; Sanz-Barbero, Belen; Gill, Aisha K.; Baldry, Anna Costanza; Schröttle, Monika; Stoeckl, Heidi

    2016-01-01

    Femicide, defined as the killings of females by males because they are females, is becoming recognized worldwide as an important ongoing manifestation of gender inequality. Despite its high prevalence or widespread prevalence, only a few countries have specific registries about this issue. This study aims to assemble expert opinion regarding the strategies which might feasibly be employed to promote, develop and implement an integrated and differentiated femicide data collection system in Europe at both the national and international levels. Concept mapping methodology was followed, involving 28 experts from 16 countries in generating strategies, sorting and rating them with respect to relevance and feasibility. The experts involved were all members of the EU-Cost-Action on femicide, which is a scientific network of experts on femicide and violence against women across Europe. As a result, a conceptual map emerged, consisting of 69 strategies organized in 10 clusters, which fit into two domains: “Political action” and “Technical steps”. There was consensus among participants regarding the high relevance of strategies to institutionalize national databases and raise public awareness through different stakeholders, while strategies to promote media involvement were identified as the most feasible. Differences in perceived priorities according to the level of human development index of the experts’ countries were also observed. PMID:26859885

  10. Assessing the Effectiveness of Local Management of Coral Reefs Using Expert Opinion and Spatial Bayesian Modeling

    PubMed Central

    Ban, Stephen S.

    2015-01-01

    Multiple stressors are an increasing concern in the management and conservation of ecosystems, and have been identified as a key gap in research. Coral reefs are one example of an ecosystem where management of local stressors may be a way of mitigating or delaying the effects of climate change. Predicting how multiple stressors interact, particularly in a spatially explicit fashion, is a difficult challenge. Here we use a combination of an expert-elicited Bayesian network (BN) and spatial environmental data to examine how hypothetical scenarios of climate change and local management would result in different outcomes for coral reefs on the Great Barrier Reef (GBR), Australia. Parameterizing our BN using the mean responses from our experts resulted in predictions of limited efficacy of local management in combating the effects of climate change. However, there was considerable variability in expert responses and uncertainty was high. Many reefs within the central GBR appear to be at risk of further decline based on the pessimistic opinions of our expert pool. Further parameterization of the model as more data and knowledge become available could improve predictive power. Our approach serves as a starting point for subsequent work that can fine-tune parameters and explore uncertainties in predictions of responses to management. PMID:26284372

  11. Comparison of AC drives for electric vehicles -- A report on experts` opinion survey

    SciTech Connect

    Chang, L.

    1994-08-01

    It is recognized that wide applications of electric vehicles (EVs) will bring tremendous social, economical and ecological benefits. With the growing interests in electric vehicles, much effort is demanded for the development of efficient, reliable and economical AC drives` for EV propulsion purpose. Both induction motor (IM) drives and permanent magnet brushless DC motor (BDCM) drives have been applied to EVs. Switched reluctance motor (SRM) drives have been proposed as an alternative for EV propulsion. In order to assess the suitability of IM, BDCM and SRM drives for EV applications and to provide a technical support for the development and selection of future EV propulsion systems, the existing EV AC propulsion drives were compared, and a survey of experts` opinions was conducted. Comparison of the three AC drives was made on a relative and a quantitative basis using the survey questionnaires. According to the majority of the experts, induction motor drives are best suited for EV propulsion purpose, due to their low cost, high reliability, high speed, established converter and manufacturing technology, low torque ripple/noise and absence of position sensors. BDCM drives feature compactness, low weight and high efficiency and therefore provide an alternative for EV propulsion. The experts regard insulated gate bipolar transistors (IGBTs) as the most suited power semiconductor devices for AC drive converters at the present stage. 7 refs.

  12. Climate Change and Infectious Disease Risk in Western Europe: A Survey of Dutch Expert Opinion on Adaptation Responses and Actors

    PubMed Central

    Akin, Su-Mia; Martens, Pim; Huynen, Maud M.T.E.

    2015-01-01

    There is growing evidence of climate change affecting infectious disease risk in Western Europe. The call for effective adaptation to this challenge becomes increasingly stronger. This paper presents the results of a survey exploring Dutch expert perspectives on adaptation responses to climate change impacts on infectious disease risk in Western Europe. Additionally, the survey explores the expert sample’s prioritization of mitigation and adaptation, and expert views on the willingness and capacity of relevant actors to respond to climate change. An integrated view on the causation of infectious disease risk is employed, including multiple (climatic and non-climatic) factors. The results show that the experts consider some adaptation responses as relatively more cost-effective, like fostering interagency and community partnerships, or beneficial to health, such as outbreak investigation and response. Expert opinions converge and diverge for different adaptation responses. Regarding the prioritization of mitigation and adaptation responses expert perspectives converge towards a 50/50 budgetary allocation. The experts consider the national government/health authority as the most capable actor to respond to climate change-induced infectious disease risk. Divergence and consensus among expert opinions can influence adaptation policy processes. Further research is necessary to uncover prevailing expert perspectives and their roots, and compare these. PMID:26295247

  13. Climate Change and Infectious Disease Risk in Western Europe: A Survey of Dutch Expert Opinion on Adaptation Responses and Actors.

    PubMed

    Akin, Su-Mia; Martens, Pim; Huynen, Maud M T E

    2015-08-01

    There is growing evidence of climate change affecting infectious disease risk in Western Europe. The call for effective adaptation to this challenge becomes increasingly stronger. This paper presents the results of a survey exploring Dutch expert perspectives on adaptation responses to climate change impacts on infectious disease risk in Western Europe. Additionally, the survey explores the expert sample's prioritization of mitigation and adaptation, and expert views on the willingness and capacity of relevant actors to respond to climate change. An integrated view on the causation of infectious disease risk is employed, including multiple (climatic and non-climatic) factors. The results show that the experts consider some adaptation responses as relatively more cost-effective, like fostering interagency and community partnerships, or beneficial to health, such as outbreak investigation and response. Expert opinions converge and diverge for different adaptation responses. Regarding the prioritization of mitigation and adaptation responses expert perspectives converge towards a 50/50 budgetary allocation. The experts consider the national government/health authority as the most capable actor to respond to climate change-induced infectious disease risk. Divergence and consensus among expert opinions can influence adaptation policy processes. Further research is necessary to uncover prevailing expert perspectives and their roots, and compare these. PMID:26295247

  14. Public opinions about human enhancement can enhance the expert-only debate: A review study.

    PubMed

    Dijkstra, Anne M; Schuijff, Mirjam

    2016-07-01

    Human enhancement, the non-medical use of biomedical technologies to improve the human body or performance beyond their 'natural' limitations, is a growing trend. At the same time, the use of these technologies has societal consequences. In societal debates about human enhancement, however, it is mainly the voices of experts that are being heard, and little is known about the public's understanding of human enhancement. The views of the public can give valuable insights, and can, in turn, supplement experts' voices in political decision-making as has been argued before for other emerging technologies. This study presents a systematic literature review of current public perceptions and attitudes towards technologies for human enhancement. Results show that the public's view has not been assessed often. Studies originate mainly from western-oriented countries and cover a broad range of enhancement technologies. In the studies, the majority of respondents hold moderate to strong negative attitudes towards enhancement technologies for non-medical applications, although the type of technology influences these opinions. The study provides an overview of what is known about citizens' attitudes towards technologies for human enhancement. PMID:25605749

  15. Biology Teacher and Expert Opinions about Computer Assisted Biology Instruction Materials: A Software Entitled Nucleic Acids and Protein Synthesis

    ERIC Educational Resources Information Center

    Hasenekoglu, Ismet; Timucin, Melih

    2007-01-01

    The aim of this study is to collect and evaluate opinions of CAI experts and biology teachers about a high school level Computer Assisted Biology Instruction Material presenting computer-made modelling and simulations. It is a case study. A material covering "Nucleic Acids and Protein Synthesis" topic was developed as the "case". The goal of the…

  16. Evaluation of food provision and nutrition support at the London 2012 Olympic Games: the opinion of sports nutrition experts.

    PubMed

    Pelly, Fiona; Meyer, Nanna L; Pearce, Jeni; Burkhart, Sarah J; Burke, Louise M

    2014-12-01

    The aim of this study was to evaluate the food provision and nutrition support at the London 2012 Olympic (OG) and Paralympic Games (PG) from the perspective of sports nutrition experts attending the event. Participants (n = 15) were asked to complete an online survey and rate on a Likert scale menu qualities, food safety, sustainability practices, nutrition labeling, and provision for cultural needs, dietary regimes and specific situations. Open-ended responses were incorporated to explore expert opinion and areas for improvement. Participants rated their overall experience of the food provision as 7.6 out of 10 (range 5 to 10), with the majority (n = 11) rating it greater than 7. The variety, accessibility, presentation, temperature, and freshness of menu items rated as average to good. A below average rating was received for recovery food and beverages, provision of food for traveling to other venues, taking suitable snacks out of the dining hall and provision of food at other venues. However, the variety and accessibility of choices for Ramadan, and provision of post-competition food were rated highly. A number of comments were received about the lack of gluten free and lower energy/fat items. The inclusion of allergens on nutrition labeling was considered more important than nutrient content. While dietetic review of the menu in advance of the OG and PG is clearly a valuable process that has resulted in improvements in the food supply, there are still areas that need to be addressed that are currently not implemented during the event. PMID:24903640

  17. Expert opinions of the first italian consensus conference on the management of malignant pleural mesothelioma.

    PubMed

    Pinto, Carmine; Ardizzoni, Andrea; Betta, Pier Giacomo; Facciolo, Francesco; Tassi, Gianfranco; Tonoli, Sandro; Zompatori, Maurizio; Alessandrini, Gabriele; Magrini, Stefano Maria; Tiseo, Marcello; Mutri, Vita

    2011-02-01

    Malignant pleural mesothelioma (MPM) is a very important public health issue. A large amount of data indicates a relationship between mesothelioma and asbestos exposure. The incidence has both considerably and constantly increased over the past 2 decades in the industrialized countries and is expected to peak in 2010-2020. In Italy, a standardized-rate incidence in 2002 among men was 2.98 per 100,000 and 0.98 per 100,000 among women, with wide differences from one region to another. Stage diagnosis and definition may be difficult. Management of patients with MPM remains complex, so an optimal treatment strategy has not yet been clearly defined. The First Italian Consensus Conference on Malignant Pleural Mesothelioma was held Bologna (Italy) in May 20, 2008. The Consensus Conference was given the patronage of the Italian scientific societies AIOM, AIRO, AIPO, SIC, SICO, SICT, SIAPEC-IAP, AIOT, GOAM, and GIME. This Consensus did not answer all of the unresolved questions in MPM management, but the Expert Opinions have nonetheless provided recommendations, presented in this report, on MPM management for clinicians and patients. PMID:20414089

  18. Diagnosing intramammary infections: evaluating expert opinions on the definition of intramammary infection using conjoint analysis.

    PubMed

    Andersen, S; Dohoo, I R; Olde Riekerink, R; Stryhn, H

    2010-07-01

    The primary purpose of this study was to develop a set of criteria to serve as a pseudo-gold standard for what constitutes an intramammary infection using data from 3 consecutive quarter milk samples taken 1 wk apart. Data from lactating cows in 90 dairy herds in 4 Canadian provinces were used to generate the data sets (profiles) used in the conjoint analysis to elicit expert opinions on the topic. The experts were selected from the participants (n=23) in the 2007 Mastitis Research Workers' Conference in Minneapolis and from a series of mastitis laboratory courses for bovine practitioners (n=25) in the Netherlands. Three-week udder quarter profiles with specific combinations of somatic cell count, bacterial species isolated, and plate colony count were selected and included in the conjoint analysis based on the desire to achieve even distributions in the categories of 6 constructed variables. The participants were presented with 3 sets of cards with 20 cards in each set. On each card, they were asked to assign a probability of infection on the middle day (test day) in the 3-wk profile. Depending on the set of cards, they were asked only to be concerned with the probability of infection with coagulase-negative staphylococci, Escherichia coli, or Staphylococcus aureus. These 3 organisms were chosen to represent a minor pathogen, a major environmental pathogen, and a major contagious pathogen, respectively. The assigned probabilities for each organism were cross-tabulated according to the number of times the organism of interest was isolated in the 3-wk period, how many colonies of the organism of interest were isolated on the test day, and the somatic cell count (200,000 cells/mL). There was considerable variation in the assigned probabilities within each of the combinations of factors. The median, minimum, and maximum values of the assigned probabilities for each combination were computed. The combinations with a median probability >50% were considered

  19. Syndrome Differentiation of Diabetes by the Traditional Chinese Medicine according to Evidence-Based Medicine and Expert Consensus Opinion

    PubMed Central

    Guo, Jing; Chen, Hongdong; Song, Jun; Wang, Jia; Zhao, Linhua; Tong, Xiaolin

    2014-01-01

    In Chinese medicine, diabetes belongs to the category of “Xiaoke disease (disease with symptoms of frequent drinking and urination)”; in the traditional sense, its pathogenesis is “Yin deficiency and dryness-heat.” However, over time, changes in the social environment and lifestyle have also changed the use of traditional Chinese medicine (TCM) in diabetes. In this study, we performed diabetes syndrome differentiation using TCM according to evidence-based medicine and expert consensus opinion. PMID:25132859

  20. Intertidal zone management in the Western Indian Ocean: assessing current status and future possibilities using expert opinions.

    PubMed

    Nordlund, Lina Mtwana; de la Torre-Castro, Maricela; Erlandsson, Johan; Conand, Chantal; Muthiga, Nyawira; Jiddawi, Narriman; Gullström, Martin

    2014-12-01

    This expert opinion study examined the current status of the intertidal zone in the Western Indian Ocean (WIO) and ranked and discussed future management approaches. Information was gathered from scientists, practitioners, and managers active in the WIO region through a questionnaire and a workshop. The experts stated that the productive intertidal environment is highly valuable for reasons such as recreation, erosion protection, and provision of edible invertebrates and fish. Several anthropogenic pressures were identified, including pollution, harbor activities, overexploitation, and climate change. The experts considered the WIO intertidal zone as generally understudied, undermanaged, and with poor or no monitoring. The most important management strategies according to the expert opinions are to develop and involve local people in integrated coastal zone management (ICZM), to increase knowledge on species-environment relationships, and to develop awareness campaigns and education programs. To improve coastal environmental management and conservation, we argue that the intertidal zone should be treated as one organizational management unit within the larger framework of ICZM. PMID:24375399

  1. Management of cardiovascular risk in patients with rheumatoid arthritis: evidence and expert opinion

    PubMed Central

    van den Oever, Inge A.M.; van Sijl, Alper M.

    2013-01-01

    The risk of cardiovascular morbidity and mortality is increased in rheumatoid arthritis. The classical cardiovascular risk factors, including smoking, hypertension, dyslipidaemia, insulin resistance and diabetes mellitus, obesity and physical inactivity do not appear to explain the excess cardiovascular risk in rheumatoid arthritis, although they do contribute, albeit in a different way or to a lesser extent, to rheumatoid arthritis in comparison with the general population. A very important link between rheumatoid arthritis and cardiovascular disease is inflammation as it plays a key role in all stages of atherosclerosis: from endothelial dysfunction to plaque rupture and thrombosis. It also has an influence on and accentuates some traditional cardiovascular risk factors, such as dyslipidaemia, obesity and insulin resistance. To date, the exact pathophysiologic mechanism by which this relation between cardiovascular disease and rheumatoid arthritis can be explained is not completely clear. Cardiovascular risk management in rheumatoid arthritis is mandatory. Unfortunately, the way this should be done remains a point of discussion. In this review issues regarding cardiovascular risk in rheumatoid arthritis and its management will be addressed, according to evidence presented in the latest studies and our own experience-based opinion. PMID:23904862

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

    NASA Technical Reports Server (NTRS)

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

    1976-01-01

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

  3. Communicating Chemical Risks for Social Learning: Findings from an Expert Opinion Survey

    ERIC Educational Resources Information Center

    Lyytimaki, Jari; Assmuth, Timo; Hilden, Mikael

    2009-01-01

    Environmental and health risks caused by chemical substances have been intensively debated in various arenas of science and policy, and in news media. The impacts of risk debates on the public have been widely studied, while less attention has been paid to expert views. We present results from a cross-national survey charting expert views on the…

  4. Eliciting climate experts' knowledge to address model uncertainties in regional climate projections: a case study of Guanacaste, Northwest Costa Rica

    NASA Astrophysics Data System (ADS)

    Grossmann, I.; Steyn, D. G.

    2014-12-01

    Global general circulation models typically cannot provide the detailed and accurate regional climate information required by stakeholders for climate adaptation efforts, given their limited capacity to resolve the regional topography and changes in local sea surface temperature, wind and circulation patterns. The study region in Northwest Costa Rica has a tropical wet-dry climate with a double-peak wet season. During the dry season the central Costa Rican mountains prevent tropical Atlantic moisture from reaching the region. Most of the annual precipitation is received following the northward migration of the ITCZ in May that allows the region to benefit from moist southwesterly flow from the tropical Pacific. The wet season begins with a short period of "early rains" and is interrupted by the mid-summer drought associated with the intensification and westward expansion of the North Atlantic subtropical high in late June. Model projections for the 21st century indicate a lengthening and intensification of the mid-summer drought and a weakening of the early rains on which current crop cultivation practices rely. We developed an expert elicitation to systematically address uncertainties in the available model projections of changes in the seasonal precipitation pattern. Our approach extends an elicitation approach developed previously at Carnegie Mellon University. Experts in the climate of the study region or Central American climate were asked to assess the mechanisms driving precipitation during each part of the season, uncertainties regarding these mechanisms, expected changes in each mechanism in a warming climate, and the capacity of current models to reproduce these processes. To avoid overconfidence bias, a step-by-step procedure was followed to estimate changes in the timing and intensity of precipitation during each part of the season. The questions drew upon interviews conducted with the regions stakeholders to assess their climate information needs. This

  5. Quantification of uncertainty sources in a 2D hydraulic model for the river Rhine using expert opinions

    NASA Astrophysics Data System (ADS)

    Warmink, J. J.; van der Klis, H.; Booij, M. J.; Hulscher, S. J. M. H.

    2009-04-01

    Hydrodynamic river models are applied to design and evaluate measures for purposes such as safety against flooding. These numerical models are all based on a deterministic approach. However, the modeling of river processes involves numerous uncertainties, resulting in uncertain model results. Uncertainty is defined as any deviation from the unachievable ideal of complete determinism. Uncertainty in models comprises (1) the difference between a model outcome and a measurement and (2) the possible variation around the computed value or measurements. Knowledge of the type and magnitude of these uncertainties is crucial for a meaningful interpretation of the model results. The aim of this study is to identify the sources of uncertainty that induce the largest uncertainties in the model outcomes and quantify this uncertainty using expert opinions. In this study, the two-dimensional WAQUA model for the Dutch river Rhine is used as an example for the quantification of uncertainty sources. Sixteen experts have been selected based on a Pedigree matrix with 4 criteria: 1) experience with code development, 2) experience with WAQUA projects, 3) experience in years, and 4) number and type of publications about WAQUA. The 16 experts with the highest Pedigree scores have been invited for an interview. Interviews are held with 11 of these experts. During the interviews, the experts are asked to list the most important uncertainty sources for the following two situations: (1) the computation of design water levels (DWL), based on a design discharge wave and (2) the computation of the effect of a measure in the river bed, which is done using a constant discharge as input. To compare the different experts, the experts are asked to quantify the uncertainty sources on the same level of detail. Finally, the experts are asked to quantify the effect of the uncertainty sources on the computed water levels. The experts stated that the sources of uncertainty are different for the computation

  6. Development of the Paris definition of early Crohn's disease for disease-modification trials: results of an international expert opinion process.

    PubMed

    Peyrin-Biroulet, Laurent; Billioud, Vincent; D'Haens, Geert; Panaccione, Remo; Feagan, Brian; Panés, Julian; Danese, Silvio; Schreiber, Stefan; Ogata, Haruhiko; Hibi, Toshifumi; Higgins, Peter D R; Beaugerie, Laurent; Chowers, Yehuda; Louis, Edouard; Steinwurz, Flávio; Reinisch, Walter; Rutgeerts, Paul; Colombel, Jean-Frédéric; Travis, Simon; Sandborn, William J

    2012-12-01

    We report the findings and outputs of an international expert opinion process to develop a definition of early Crohn's disease (CD) that could be used in future disease-modification trials. Nineteen experts on inflammatory bowel diseases held an international expert opinion meeting to discuss and agree on a definition for early CD to be used in disease-modification trials. The process included literature searches for the relevant basic-science and clinical evidence. A published preliminary definition of early CD was used as the basis for development of a proposed definition that was discussed at the expert opinion meeting. The participants then derived a final definition, based on best current knowledge, that it is hoped will be of practical use in disease-modification trials in CD. PMID:23211844

  7. 22 CFR 172.9 - Prohibition on providing expert or opinion testimony.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... opinion testimony. (a) Except as provided in this section, and subject to 5 CFR 2635.805, Department... CFR 2635.805, in their discretion and with the concurrence of the Office of the Legal Adviser, grant... scope and performance of their official Department duties, except on behalf of the United States or...

  8. Probability encoding of hydrologic parameters for basalt. Elicitation of expert opinions from a panel of five consulting hydrologists

    SciTech Connect

    Runchal, A.K.; Merkhofer, M.W.; Olmsted, E.; Davis, J.D.

    1984-11-01

    The Columbia River basalts underlying the Hanford Site in Washington State are being considered as a possible location for a geologic repository for high-level nuclear waste. To investigate the feasibility of a repository at this site, the hydrologic parameters of the site must be evaluated. Among hydrologic parameters of particular interest are the effective porosity of the Cohassett basalt flow top and flow interior and the vertical-to-horizontal hydraulic conductivity, or anisotropy ratio, of the Cohassett basalt flow interior. The Cohassett basalt flow is the prime candidate horizon for repository studies. Site-specific data for these hydrologic parameters are currently inadequate for the purpose of preliminary assessment of candidate repository performance. To obtain credible, auditable, and independently derived estimates of the specified hydrologic parameters, a panel of five nationally recognized hydrologists was assembled. Their expert judgments were quantified during two rounds of Delphi process by means of a probability encoding method developed to estimate the probability distributions of the selected hydrologic variables. The results indicate significant differences of expert opinion for cumulative probabilities of less than 10% and greater than 90%, but relatively close agreement in the middle ranges of values. The principal causes of the diversity of opinion are believed to be the lack of site-specific data and the absence of a single, widely accepted, conceptual or theoretical basis for analyzing these variables.

  9. The use of subjective expert opinions in cost optimum design of aerospace structures. [probabilistic failure models

    NASA Technical Reports Server (NTRS)

    Thomas, J. M.; Hanagud, S.

    1975-01-01

    The results of two questionnaires sent to engineering experts are statistically analyzed and compared with objective data from Saturn V design and testing. Engineers were asked how likely it was for structural failure to occur at load increments above and below analysts' stress limit predictions. They were requested to estimate the relative probabilities of different failure causes, and of failure at each load increment given a specific cause. Three mathematical models are constructed based on the experts' assessment of causes. The experts' overall assessment of prediction strength fits the Saturn V data better than the models do, but a model test option (T-3) based on the overall assessment gives more design change likelihood to overstrength structures than does an older standard test option. T-3 compares unfavorably with the standard option in a cost optimum structural design problem. The report reflects a need for subjective data when objective data are unavailable.

  10. Accelerating Struggling Readers' Progress: A Comparative Analysis of Expert Opinion and Current Research Recommendations

    ERIC Educational Resources Information Center

    Reutzel, D. Ray; Smith, John A.

    2004-01-01

    In this article, we review the findings of Rona Flippo's (1998) "Expert Study" within the comparative context of recently published reading research reports such as the National Reading Panel report (National Institute of Child Health and Human Development, 2000) and Preventing Reading Difficulties in Young Children (Snow, Burns, & Griffin, 1998).…

  11. Using Expert Opinion to Determine Professional Development Needs of School Counselors.

    ERIC Educational Resources Information Center

    Comas, Robert E.; And Others

    1987-01-01

    Surveyed national experts (N=73) in the field about training needs of school counselors. Results showed topics identified through frequency tabulations dealt with areas often reflective of concerns of today's society: single-parent families, drug and alcohol abuse, childrearing skills, ethics, use of computers, and consultation with teachers and…

  12. International expert opinion on the management of infection caused by azole-resistant Aspergillus fumigatus.

    PubMed

    Verweij, Paul E; Ananda-Rajah, Michelle; Andes, David; Arendrup, Maiken C; Brüggemann, Roger J; Chowdhary, Anuradha; Cornely, Oliver A; Denning, David W; Groll, Andreas H; Izumikawa, Koichi; Kullberg, Bart Jan; Lagrou, Katrien; Maertens, Johan; Meis, Jacques F; Newton, Pippa; Page, Iain; Seyedmousavi, Seyedmojtaba; Sheppard, Donald C; Viscoli, Claudio; Warris, Adilia; Donnelly, J Peter

    2015-01-01

    An international expert panel was convened to deliberate the management of azole-resistant aspergillosis. In culture-positive cases, in vitro susceptibility testing should always be performed if antifungal therapy is intended. Different patterns of resistance are seen, with multi-azole and pan-azole resistance more common than resistance to a single triazole. In confirmed invasive pulmonary aspergillosis due to an azole-resistant Aspergillus, the experts recommended a switch from voriconazole to liposomal amphotericin B (L-AmB; Ambisome(®)). In regions with environmental resistance rates of ≥10%, a voriconazole-echinocandin combination or L-AmB were favoured as initial therapy. All experts recommended L-AmB as core therapy for central nervous system aspergillosis suspected to be due to an azole-resistant Aspergillus, and considered the addition of a second agent with the majority favouring flucytosine. Intravenous therapy with either micafungin or L-AmB given as either intermittent or continuous therapy was recommended for chronic pulmonary aspergillosis due to a pan-azole-resistant Aspergillus. Local and national surveillance with identification of clinical and environmental resistance patterns, rapid diagnostics, better quality clinical outcome data, and a greater understanding of the factors driving or minimising environmental resistance are areas where research is urgently needed, as well as the development of new oral agents outside the azole drug class. PMID:26282594

  13. Ridiculous statements by mental health experts.

    PubMed

    Bernet, William

    2011-07-01

    When mental health experts express their opinions in testimony, reports, and articles in professional literature, it is expected that their statements will accurately reflect the current state of knowledge. Experts may disagree about the data that they collected. In some cases, however, disagreement occurs because an expert has employed a methodology that is far outside usual procedures or simply disregarded objective facts. When that occurs, the expert's opinions may be considered ridiculous. The author presents examples of ridiculous statements by mental health experts and provides suggestions for how a forensic practitioner might address ridiculous statements by mental health experts. PMID:21683920

  14. The effectiveness and practicality of occupational stress management interventions: a survey of subject matter expert opinions.

    PubMed

    Bellarosa, C; Chen, P Y

    1997-07-01

    Stress management (SM) subject matter experts (SMEs) evaluated 6 widely used occupational SM interventions (relaxation, physical fitness, cognitive restructuring, meditation, assertiveness training, and stress inoculation) on the basis of 10 practicality criteria and 7 effectiveness objectives. Relaxation was evaluated overall as the most practical intervention, while meditation and stress inoculation were judged as the least practical. Physical fitness was chosen to be the most effective intervention, while both meditation and assertiveness training were rated overall as the least effective. The findings also revealed that the SMEs considered history of success and duration of effect, rather than "relevance to program objectives," as the most important factors when selecting SM interventions. Incongruence between effectiveness ratings and actual choices of interventions are discussed. PMID:9552295

  15. Spallation Neutron Source Availability Top-Down Apportionment Using Characteristic Factors and Expert Opinion

    SciTech Connect

    Haire, M.J.; Schryver, J.C.

    1999-10-01

    Apportionment is the assignment of top-level requirements to lower tier elements of the overall facility. A method for apportioning overall facility availability requirements among systems and subsystems is presented. Characteristics that influence equipment reliability and maintainability are discussed. Experts, using engineering judgment, scored each characteristic for each system whose availability design goal is to be established. The Analytic Hierarchy Process (AHP) method is used to produce a set of weighted rankings for each characteristic for each alternative system. A mathematical model is derived which incorporates these weighting factors. The method imposes higher availability requirements on those systems in which an incremental increase in availability is easier to achieve, and lower availability requirements where greater availability is more difficult and costly. An example is given of applying this top-down apportionment methodology to the Spallation Neutron Source (SNS) facility.

  16. Recurrent issues in efforts to prevent homicidal youth violence in schools: expert opinions.

    PubMed

    Dill, Karen E; Redding, Richard E; Smith, Peter K; Surette, Ray; Cornell, Dewey G

    2011-01-01

    Developmental research on social influences on adolescents can guide practices aimed to prevent homicidal youth violence. School shootings have repeatedly raised questions about the contributory role of bullying and entertainment violence, how news media publicity might produce copycat crimes, and whether stiffer criminal sanctions might have a deterrent effect. This article presents the thoughts and recommendations of a group of experts on these topics summarizing the current knowledge base. In brief, bullying reduction programs may be a useful early prevention effort. Television and video games with violent themes can encourage aggressive behavior, but these media can be used to teach more prosocial behavior as well. The potential copycat effects of highly publicized crimes might be diminished with more restrained reporting, although more research is needed. Finally, there is substantial evidence that increased criminal sanctions for youthful offenders have not had a deterrent effect. PMID:21491577

  17. Nurses' expert opinions of workplace interventions for a healthy working environment: a Delphi survey.

    PubMed

    Doran, Diane; Clarke, Sean; Hayes, Laureen; Nincic, Vera

    2014-09-01

    Much has been written about interventions to improve the nursing work environment, yet little is known about their effectiveness. A Delphi survey of nurse experts was conducted to explore perceptions about workplace interventions in terms of feasibility and likelihood of positive impact on nurse outcomes such as job satisfaction and nurse retention. The interventions that received the highest ratings for likelihood of positive impact included: bedside handover to improve communication at shift report and promote patient-centred care; training program for nurses in dealing with violent or aggressive behaviour; development of charge nurse leadership team; training program focused on creating peer-supportive atmospheres and group cohesion; and schedule that recognizes work balance and family demands. The overall findings are consistent with the literature that highlights the importance of communication and teamwork, nurse health and safety, staffing and scheduling practices, professional development and leadership and mentorship. Nursing researchers and decision-makers should work in collaboration to implement and evaluate interventions for promoting practice environments characterized by effective communication and teamwork, professional growth and adequate support for the health and well-being of nurses. PMID:25676080

  18. Management of adverse events associated with idelalisib treatment: expert panel opinion

    PubMed Central

    Coutré, Steven E.; Barrientos, Jacqueline C.; Brown, Jennifer R.; de Vos, Sven; Furman, Richard R.; Keating, Michael J.; Li, Daniel; O’Brien, Susan M.; Pagel, John M.; Poleski, Martin H.; Sharman, Jeff P.; Yao, Nai-Shun; Zelenetz, Andrew D.

    2015-01-01

    Idelalisib is a first-in-class selective, oral, phosphatidylinositol 3-kinase delta (PI3Kδ) inhibitor approved for the treatment of several types of blood cancer. Idelalisib has demonstrated significant efficacy and a tolerable safety profile in clinical trials. However, the US prescribing information contains a black box warning for fatal and/or severe diarrhea or colitis, hepatotoxicity, pneumonitis and intestinal perforation. An expert panel was convened to review the pathology of these treatment-emergent adverse events (TEAEs) to propose key management tools for patients receiving idelalisib therapy. This article provides an overview of idelalisib TEAEs reported in clinical trials, and a summary of the panel's recommendations for identification and management of idelalisib treatment-emergent diarrhea or colitis as well as a discussion of transaminitis and pneumonitis. For idelalisib-related diarrhea or colitis (including unresolved grade 2 and grade ≥ 3), after exclusion of infectious causes, the panel recommends individualized treatment with budesonide or oral or intravenous steroid therapy. PMID:25726955

  19. Preoperative and perioperative use of levosimendan in cardiac surgery: European expert opinion.

    PubMed

    Toller, W; Heringlake, M; Guarracino, F; Algotsson, L; Alvarez, J; Argyriadou, H; Ben-Gal, T; Černý, V; Cholley, B; Eremenko, A; Guerrero-Orriach, J L; Järvelä, K; Karanovic, N; Kivikko, M; Lahtinen, P; Lomivorotov, V; Mehta, R H; Mušič, Š; Pollesello, P; Rex, S; Riha, H; Rudiger, A; Salmenperä, M; Szudi, L; Tritapepe, L; Wyncoll, D; Öwall, A

    2015-04-01

    In cardiac surgery, postoperative low cardiac output has been shown to correlate with increased rates of organ failure and mortality. Catecholamines have been the standard therapy for many years, although they carry substantial risk for adverse cardiac and systemic effects, and have been reported to be associated with increased mortality. On the other hand, the calcium sensitiser and potassium channel opener levosimendan has been shown to improve cardiac function with no imbalance in oxygen consumption, and to have protective effects in other organs. Numerous clinical trials have indicated favourable cardiac and non-cardiac effects of preoperative and perioperative administration of levosimendan. A panel of 27 experts from 18 countries has now reviewed the literature on the use of levosimendan in on-pump and off-pump coronary artery bypass grafting and in heart valve surgery. This panel discussed the published evidence in these various settings, and agreed to vote on a set of questions related to the cardioprotective effects of levosimendan when administered preoperatively, with the purpose of reaching a consensus on which patients could benefit from the preoperative use of levosimendan and in which kind of procedures, and at which doses and timing should levosimendan be administered. Here, we present a systematic review of the literature to report on the completed and ongoing studies on levosimendan, including the newly commenced LEVO-CTS phase III study (NCT02025621), and on the consensus reached on the recommendations proposed for the use of preoperative levosimendan. PMID:25734940

  20. Personalised, predictive and preventive medication process in hospitals—still rather missing: professional opinion survey on medication safety in Czech hospitals (based on professional opinions of recognised Czech health care experts)

    PubMed Central

    2014-01-01

    The survey had the following aims: (1) to rationalise the hypothesis that risks and losses relating to medication process' errors in Czech hospitals are at least comparable with the other developed countries and EU countries especially, (2) to get a valid professional opinion/estimate on the rate of adverse drug events happening in Czech hospitals, (3) to point out that medication errors represent real and serious risks and (4) to induce the hospital management readiness to execute fundamental changes and improvements to medication processes. We read through a lot of studies inquiring into hospitals' medication safety. Then, we selected the studies which brought reliable findings and formulated credible conclusions. Finally, we addressed reputable Czech experts in health care and asked them structured questions whether the studies' findings and conclusions corresponded with our respondents' own experience in the Czech hospital clinical practice and what their own estimates of adverse drug events' consequences were like. Based on the reputable Czech health care expert opinions/estimates, the rate of a false drug administration may exceed 5%, and over 7% of those cause serious health complications to Czech hospital inpatients. Measured by an average length of stay (ALOS), the Czech inpatients, harmed by a false drug administration, stay in hospital for more than 2.6 days longer than necessary. Any positive changes to a currently used, traditional, ways of drug dispensing and administration, along with computerisation, automation, electronic traceability, validation, or verification, must well pay off. Referring to the above results, it seems to be wise to follow the EU priorities in health and health care improvements. Thus, a right usage of the financial means provided by the EC—in terms of its new health programmes for the period 2014–2020 (e.g. Horizon 2020)—has a good chance of a good result in doing the right things right, at the right time and in the

  1. Treatment of Liver Tumors with Lipiodol TACE: Technical Recommendations from Experts Opinion.

    PubMed

    de Baere, Thierry; Arai, Yasuaki; Lencioni, Riccardo; Geschwind, Jean-Francois; Rilling, William; Salem, Riad; Matsui, Osamu; Soulen, Michael C

    2016-03-01

    Transarterial chemoembolization with Lipiodol (Lipiodol TACE), also called conventional TACE, was developed in the early 1980s and widely adopted worldwide after randomized control trials and meta-analysis demonstrated superiority of Lipiodol TACE to best supportive care. Presently, there is no level one evidence that other TACE techniques are superior to Lipiodol TACE for intermediate stage hepatocellular carcinoma (HCC), which includes patients with preserved liver function and nonsurgical large or multinodular HCC without distant metastases. In addition, TACE is part of the treatment for progressive or symptomatic liver metastases from gastroenteropancreatic neuroendocrine tumors. When injected into the hepatic artery, Lipiodol has the unique property of selective uptake and retention in hyperarterialyzed liver tumors. Lipiodol/drug emulsion followed by particle embolization has been demonstrated to improve the pharmacokinetic of the drug and tumor response. Radio opacity of Lipiodol helps to monitor treatment delivery, with retention of Lipiodol serving as an imaging biomarker for tumor response. For 30 years, Lipiodol TACE has been inconsistently referenced in many publications with various levels of details for the method of preparation and administration, with reported progressive outcomes following improvements in the technique and the devices used to deliver the treatment and better patient selection. Consequently, there is no consensus on the standard method of TACE regarding the use of anticancer agents, embolic material, technical details, and the treatment schedule. In order to develop an internationally validated technical recommendation to standardize the Lipiodol TACE procedure, a worldwide panel of experts participated in a consensus meeting held on May 10, 2014 . PMID:26390875

  2. Expert opinion: Assessing cochlear implant candidacy and progress for people with English as an additional language.

    PubMed

    Mahon, Merle; Rajput, Kaukab; Vickers, Debi

    2016-04-01

    Special considerations relating to cochlear implants (CIs) are necessary for deaf people for whom English is an additional language (EAL). The audiological and pre-linguistic skills criteria for CI candidacy are the same for children with EAL as for children from English-speaking families. However, thorough assessment is not straightforward, for example, requiring employment of experienced interpreters. To ensure family engagement and thus appropriate support in the home, clear understanding of the family's social and cultural framework and of their needs and requirements is essential. Equally, the family must be enabled to understand the implications of CI. Additional training of staff in CI teams may be needed. This article will address these and other issues for children and also consider the situation for adults. PMID:27099114

  3. Survey of Opinions on the Primacy of "g" and Social Consequences of Ability Testing: A Comparison of Expert and Non-Expert Views

    ERIC Educational Resources Information Center

    Reeve, Charlie L.; Charles, Jennifer E.

    2008-01-01

    The current study examines the views of experts in the science of mental abilities about the primacy and uniqueness of "g" and the social implications of ability testing, and compares their responses to the views of a group of non-expert psychologists. Results indicate expert consensus that "g" is an important, non-trivial determinant (or at least…

  4. Ethical acceptability of research on human-animal chimeric embryos: summary of opinions by the Japanese Expert Panel on Bioethics.

    PubMed

    Mizuno, Hiroshi; Akutsu, Hidenori; Kato, Kazuto

    2015-01-01

    Human-animal chimeric embryos are embryos obtained by introducing human cells into a non-human animal embryo. It is envisaged that the application of human-animal chimeric embryos may make possible many useful research projects including producing three-dimensional human organs in animals and verification of the pluripotency of human ES cells or iPS cells in vivo. The use of human-animal chimeric embryos, however, raises several ethical and moral concerns. The most fundamental one is that human-animal chimeric embryos possess the potential to develop into organisms containing human-derived tissue, which may lead to infringing upon the identity of the human species, and thus impairing human dignity. The Japanese Expert Panel on Bioethics in the Cabinet Office carefully considered the scientific significance and ethical acceptability of the issue and released its "Opinions regarding the handling of research using human-animal chimeric embryos". The Panel proposed a framework of case-by-case review, and suggested that the following points must be carefully reviewed from the perspective of ethical acceptability: (a) Types of animal embryos and types of animals receiving embryo transfers, particularly in dealing with non-human primates; (b) Types of human cells and organs intended for production, particularly in dealing with human nerve or germ cells; and (c) Extent of the period required for post-transfer studies. The scientific knowledge that can be gained from transfer into an animal uterus and from the production of an individual must be clarified to avoid unnecessary generation of chimeric animals. The time is ripe for the scientific community and governments to start discussing the ethical issues for establishing a global consensus. PMID:26694481

  5. The Use of Expert Opinion to Assess the Risk of Emergence or Re-Emergence of Infectious Diseases in Canada Associated with Climate Change

    PubMed Central

    Cox, Ruth; Revie, Crawford W.; Sanchez, Javier

    2012-01-01

    Global climate change is predicted to lead to an increase in infectious disease outbreaks. Reliable surveillance for diseases that are most likely to emerge is required, and given limited resources, policy decision makers need rational methods with which to prioritise pathogen threats. Here expert opinion was collected to determine what criteria could be used to prioritise diseases according to the likelihood of emergence in response to climate change and according to their impact. We identified a total of 40 criteria that might be used for this purpose in the Canadian context. The opinion of 64 experts from academic, government and independent backgrounds was collected to determine the importance of the criteria. A weight was calculated for each criterion based on the expert opinion. The five that were considered most influential on disease emergence or impact were: potential economic impact, severity of disease in the general human population, human case fatality rate, the type of climate that the pathogen can tolerate and the current climatic conditions in Canada. There was effective consensus about the influence of some criteria among participants, while for others there was considerable variation. The specific climate criteria that were most likely to influence disease emergence were: an annual increase in temperature, an increase in summer temperature, an increase in summer precipitation and to a lesser extent an increase in winter temperature. These climate variables were considered to be most influential on vector-borne diseases and on food and water-borne diseases. Opinion about the influence of climate on air-borne diseases and diseases spread by direct/indirect contact were more variable. The impact of emerging diseases on the human population was deemed more important than the impact on animal populations. PMID:22848536

  6. Health Experts’ Opinions about Tobacco Control Activities in Iran: Results from a Delphi Panel of National Experts

    PubMed Central

    Sharifi, Hooman; Masjedi, Mohammad Reza

    2012-01-01

    Background Iran signed the Framework Convention on Tobacco Control on June 16, 2003 and it was ratified by the parliament and the House of Representatives on November 6, 2005. Finally, it came into force on February 4, 2006. In this study, we aimed to evaluate health experts’ opinion about tobacco control activities in Iran. Materials and Methods This was a qualitative case study. We used a series of open-ended questionnaires to assess important information regarding Iranian National Tobacco Control law and FCTC implementation. The study population comprised of health experts. Use of this method ensured the validity of questionnaires’ contents. The first round of the questionnaire had been pre-tested in a pilot study. The final structure and lay out of questionnaires consisted of three main parts. The first part was designed with 7 multiple choice questions. Participants were able to rank answers from five (the most important) to one (the least important). The second part comprised four questions mainly on National Tobacco Control Program (NTCP) and the final part was about FCTC. Data collection was carried out between May 2010 and May 2011. In the analysis process each interview was considered as a separate case and then compared to other cases to ascertain variations in answers. Results All 40 members (100%) of the panel completed the entire process. All the participants had a consensus on tobacco control program in Iran. They believed the prevention programs to be important priorities in this regard. Tobacco Company as a governmental organization is believed to be the main barrier against tobacco control activities in Iran, and banning sales of tobacco to minors and controlling its smuggling are important factors for decreasing the supply of tobacco products. It is essential to implement comprehensive tobacco control law in Iran. Conclusion It is essential to implement comprehensive tobacco control law in Iran that covers all the priorities mentioned above

  7. Defining Landscape Resistance Values in Least-Cost Connectivity Models for the Invasive Grey Squirrel: A Comparison of Approaches Using Expert-Opinion and Habitat Suitability Modelling

    PubMed Central

    Stevenson-Holt, Claire D.; Watts, Kevin; Bellamy, Chloe C.; Nevin, Owen T.; Ramsey, Andrew D.

    2014-01-01

    Least-cost models are widely used to study the functional connectivity of habitat within a varied landscape matrix. A critical step in the process is identifying resistance values for each land cover based upon the facilitating or impeding impact on species movement. Ideally resistance values would be parameterised with empirical data, but due to a shortage of such information, expert-opinion is often used. However, the use of expert-opinion is seen as subjective, human-centric and unreliable. This study derived resistance values from grey squirrel habitat suitability models (HSM) in order to compare the utility and validity of this approach with more traditional, expert-led methods. Models were built and tested with MaxEnt, using squirrel presence records and a categorical land cover map for Cumbria, UK. Predictions on the likelihood of squirrel occurrence within each land cover type were inverted, providing resistance values which were used to parameterise a least-cost model. The resulting habitat networks were measured and compared to those derived from a least-cost model built with previously collated information from experts. The expert-derived and HSM-inferred least-cost networks differ in precision. The HSM-informed networks were smaller and more fragmented because of the higher resistance values attributed to most habitats. These results are discussed in relation to the applicability of both approaches for conservation and management objectives, providing guidance to researchers and practitioners attempting to apply and interpret a least-cost approach to mapping ecological networks. PMID:25380289

  8. Expert Opinion on the Perceived Effectiveness and Importance of On-Farm Biosecurity Measures for Cattle and Swine Farms in Switzerland

    PubMed Central

    Kuster, Karin; Cousin, Marie-Eve; Jemmi, Thomas; Schüpbach-Regula, Gertraud; Magouras, Ioannis

    2015-01-01

    Biosecurity is crucial for safeguarding livestock from infectious diseases. Despite the plethora of biosecurity recommendations, published scientific evidence on the effectiveness of individual biosecurity measures is limited. The objective of this study was to assess the perception of Swiss experts about the effectiveness and importance of individual on-farm biosecurity measures for cattle and swine farms (31 and 30 measures, respectively). Using a modified Delphi method, 16 Swiss livestock disease specialists (8 for each species) were interviewed. The experts were asked to rank biosecurity measures that were written on cards, by allocating a score from 0 (lowest) to 5 (highest). Experts ranked biosecurity measures based on their importance related to Swiss legislation, feasibility, as well as the effort required for implementation and the benefit of each biosecurity measure. The experts also ranked biosecurity measures based on their effectiveness in preventing an infectious agent from entering and spreading on a farm, solely based on transmission characteristics of specific pathogens. The pathogens considered by cattle experts were those causing Bluetongue (BT), Bovine Viral Diarrhea (BVD), Foot and Mouth Disease (FMD) and Infectious Bovine Rhinotracheitis (IBR). Swine experts expressed their opinion on the pathogens causing African Swine Fever (ASF), Enzootic Pneumonia (EP), Porcine Reproductive and Respiratory Syndrome (PRRS), as well as FMD. For cattle farms, biosecurity measures that improve disease awareness of farmers were ranked as both most important and most effective. For swine farms, the most important and effective measures identified were those related to animal movements. Among all single measures evaluated, education of farmers was perceived by the experts to be the most important and effective for protecting both Swiss cattle and swine farms from disease. The findings of this study provide an important basis for recommendation to farmers and

  9. Expert Opinion on the Perceived Effectiveness and Importance of On-Farm Biosecurity Measures for Cattle and Swine Farms in Switzerland.

    PubMed

    Kuster, Karin; Cousin, Marie-Eve; Jemmi, Thomas; Schüpbach-Regula, Gertraud; Magouras, Ioannis

    2015-01-01

    Biosecurity is crucial for safeguarding livestock from infectious diseases. Despite the plethora of biosecurity recommendations, published scientific evidence on the effectiveness of individual biosecurity measures is limited. The objective of this study was to assess the perception of Swiss experts about the effectiveness and importance of individual on-farm biosecurity measures for cattle and swine farms (31 and 30 measures, respectively). Using a modified Delphi method, 16 Swiss livestock disease specialists (8 for each species) were interviewed. The experts were asked to rank biosecurity measures that were written on cards, by allocating a score from 0 (lowest) to 5 (highest). Experts ranked biosecurity measures based on their importance related to Swiss legislation, feasibility, as well as the effort required for implementation and the benefit of each biosecurity measure. The experts also ranked biosecurity measures based on their effectiveness in preventing an infectious agent from entering and spreading on a farm, solely based on transmission characteristics of specific pathogens. The pathogens considered by cattle experts were those causing Bluetongue (BT), Bovine Viral Diarrhea (BVD), Foot and Mouth Disease (FMD) and Infectious Bovine Rhinotracheitis (IBR). Swine experts expressed their opinion on the pathogens causing African Swine Fever (ASF), Enzootic Pneumonia (EP), Porcine Reproductive and Respiratory Syndrome (PRRS), as well as FMD. For cattle farms, biosecurity measures that improve disease awareness of farmers were ranked as both most important and most effective. For swine farms, the most important and effective measures identified were those related to animal movements. Among all single measures evaluated, education of farmers was perceived by the experts to be the most important and effective for protecting both Swiss cattle and swine farms from disease. The findings of this study provide an important basis for recommendation to farmers and

  10. Effects of Noise Suppression on Intelligibility: Experts' Opinions and Naive Normal-Hearing Listeners' Performance

    ERIC Educational Resources Information Center

    Hilkhuysen, Gaston L. M.; Gaubitch, Nikolay; Huckvale, Mark

    2013-01-01

    Purpose: In this study, the authors investigated how well experts can adjust the settings of a commercial noise-reduction system to optimize the intelligibility for naive normal-hearing listeners. Method: In Experiment 1, 5 experts adjusted parameters for a noise-reduction system while aiming to optimize intelligibility. The stimuli consisted of…

  11. Portal hypertension in children: expert pediatric opinion on the report of the Baveno v Consensus Workshop on Methodology of Diagnosis and Therapy in Portal Hypertension.

    PubMed

    Shneider, Benjamin L; Bosch, Jaime; de Franchis, Roberto; Emre, Sukru H; Groszmann, Roberto J; Ling, Simon C; Lorenz, Jonathan M; Squires, Robert H; Superina, Riccardo A; Thompson, Ann E; Mazariegos, George V

    2012-08-01

    Complications of portal hypertension in children lead to significant morbidity and are a leading indication for consideration of liver transplantation. Approaches to the management of sequelae of portal hypertension are well described for adults and evidence-based approaches have been summarized in numerous meta-analyses and conferences. In contrast, there is a paucity of data to guide the management of complications of portal hypertension in children. An international panel of experts was convened on April 8, 2011 at The Children's Hospital of Pittsburgh of UPMC to review and adapt the recent report of the Baveno V Consensus Workshop on the Methodology of Diagnosis and Therapy in Portal Hypertension to the care of children. The opinions of that expert panel are reported. PMID:22409296

  12. Practical guidance and considerations for transitioning patients from oxcarbazepine or carbamazepine to eslicarbazepine acetate--Expert opinion.

    PubMed

    Peltola, Jukka; Holtkamp, Martin; Rocamora, Rodrigo; Ryvlin, Philippe; Sieradzan, Kasia; Villanueva, Vicente

    2015-09-01

    There is currently a lack of guidance on methodology and special considerations for transitioning patients from oxcarbazepine (OXC) or carbamazepine (CBZ) to eslicarbazepine acetate (ESL), if deemed clinically necessary. An advisory panel of epilepsy experts was convened to share their experience on the use of adjunctive ESL in clinical practice and to provide practical recommendations to help address this gap. When changing over from OXC to ESL, an OXC:ESL dose ratio of 1:1 should be employed to calculate the ESL target dose, and the changeover can take place overnight. No changes to comedication are required. Since CBZ has a different mechanism of action to ESL and is a stronger inducer of cytochrome P450 (CYP) enzymes, the transitioning of patients from CBZ to ESL requires careful consideration on a patient-by-patient basis. In general, a CBZ:ESL dose ratio of 1:1.3 should be employed to calculate the ESL target dose, and patients should be transitioned over a minimum period of 1-2weeks. Special considerations include adjustment of titration schedule and target dose in elderly patients and those with hepatic or renal impairment and potential adjustment of comedications metabolized by CYP enzymes. In summary, due to structural distinctions between ESL, OXC, and CBZ, which affect mechanism of action and tolerability, there are clinical situations in which it may be appropriate to consider transitioning patients from OXC or CBZ to ESL. Changing patients over from OXC to ESL is generally more straightforward than transitioning patients from CBZ to ESL, which requires careful consideration. PMID:26114438

  13. Probability encoding of hydrologic parameters for basalt. Elicitation of expert opinions from a panel of three basalt waste isolation project staff hydrologists

    SciTech Connect

    Runchal, A.K.; Merkhofer, M.W.; Olmsted, E.; Davis, J.D.

    1984-11-01

    The present study implemented a probability encoding method to estimate the probability distributions of selected hydrologic variables for the Cohassett basalt flow top and flow interior, and the anisotropy ratio of the interior of the Cohassett basalt flow beneath the Hanford Site. Site-speciic data for these hydrologic parameters are currently inadequate for the purpose of preliminary assessment of candidate repository performance. However, this information is required to complete preliminary performance assessment studies. Rockwell chose a probability encoding method developed by SRI International to generate credible and auditable estimates of the probability distributions of effective porosity and hydraulic conductivity anisotropy. The results indicate significant differences of opinion among the experts. This was especially true of the values of the effective porosity of the Cohassett basalt flow interior for which estimates differ by more than five orders of magnitude. The experts are in greater agreement about the values of effective porosity of the Cohassett basalt flow top; their estimates for this variable are generally within one to two orders of magnitiude of each other. For anisotropy ratio, the expert estimates are generally within two or three orders of magnitude of each other. Based on this study, the Rockwell hydrologists estimate the effective porosity of the Cohassett basalt flow top to be generally higher than do the independent experts. For the effective porosity of the Cohassett basalt flow top, the estimates of the Rockwell hydrologists indicate a smaller uncertainty than do the estimates of the independent experts. On the other hand, for the effective porosity and anisotropy ratio of the Cohassett basalt flow interior, the estimates of the Rockwell hydrologists indicate a larger uncertainty than do the estimates of the independent experts.

  14. Best practice strategies to safeguard drug prescribing and drug administration: an anthology of expert views and opinions.

    PubMed

    Seidling, Hanna M; Stützle, Marion; Hoppe-Tichy, Torsten; Allenet, Benoît; Bedouch, Pierrick; Bonnabry, Pascal; Coleman, Jamie J; Fernandez-Llimos, Fernando; Lovis, Christian; Rei, Maria Jose; Störzinger, Dominic; Taylor, Lenka A; Pontefract, Sarah K; van den Bemt, Patricia M L A; van der Sijs, Heleen; Haefeli, Walter E

    2016-04-01

    Background While evidence on implementation of medication safety strategies is increasing, reasons for selecting and relinquishing distinct strategies and details on implementation are typically not shared in published literature. Objective We aimed to collect and structure expert information resulting from implementing medication safety strategies to provide advice for decision-makers. Setting Medication safety experts with clinical expertise from thirteen hospitals throughout twelve European and North American countries shared their experience in workshop meetings, on-site-visits and remote structured interviews. Methods We performed an expert-based, in-depth assessment of implementation of best-practice strategies to improve drug prescribing and drug administration. Main outcome measures Workflow, variability and recommended medication safety strategies in drug prescribing and drug administration processes. Results According to the experts, institutions chose strategies that targeted process steps known to be particularly error-prone in the respective setting. Often, the selection was channeled by local constraints such as the e-health equipment and critically modulated by national context factors. In our study, the experts favored electronic prescribing with clinical decision support and medication reconciliation as most promising interventions. They agreed that self-assessment and introduction of medication safety boards were crucial to satisfy the setting-specific differences and foster successful implementation. Conclusion While general evidence for implementation of strategies to improve medication safety exists, successful selection and adaptation of a distinct strategy requires a thorough knowledge of the institute-specific constraints and an ongoing monitoring and adjustment of the implemented measures. PMID:26964781

  15. How expert advice influences decision making.

    PubMed

    Meshi, Dar; Biele, Guido; Korn, Christoph W; Heekeren, Hauke R

    2012-01-01

    People often use expert advice when making decisions in our society, but how we are influenced by this advice has yet to be understood. To address this, using functional magnetic resonance imaging, we provided expert and novice advice to participants during an estimation task. Participants reported that they valued expert advice more than novice advice, and activity in the ventral striatum correlated with this valuation, even before decisions with the advice were made. When using advice, participants compared their initial opinion to their advisor's opinion. This comparison, termed the "opinion difference", influenced advice utilization and was represented in reward-sensitive brain regions. Finally, the left lateral orbitofrontal cortex integrated both the size of the opinion difference and the advisor's level of expertise, and average activity in this area correlated with mean advice utilization across participants. Taken together, these findings provide neural evidence for how advice engenders behavioral change during the decision-making process. PMID:23185425

  16. How Expert Advice Influences Decision Making

    PubMed Central

    Meshi, Dar; Biele, Guido; Korn, Christoph W.; Heekeren, Hauke R.

    2012-01-01

    People often use expert advice when making decisions in our society, but how we are influenced by this advice has yet to be understood. To address this, using functional magnetic resonance imaging, we provided expert and novice advice to participants during an estimation task. Participants reported that they valued expert advice more than novice advice, and activity in the ventral striatum correlated with this valuation, even before decisions with the advice were made. When using advice, participants compared their initial opinion to their advisor’s opinion. This comparison, termed the “opinion difference”, influenced advice utilization and was represented in reward-sensitive brain regions. Finally, the left lateral orbitofrontal cortex integrated both the size of the opinion difference and the advisor’s level of expertise, and average activity in this area correlated with mean advice utilization across participants. Taken together, these findings provide neural evidence for how advice engenders behavioral change during the decision-making process. PMID:23185425

  17. Voices from the Field: 30 Expert Opinions on America 2000, The Bush Administration Strategy To "Reinvent" America's Schools.

    ERIC Educational Resources Information Center

    Institute for Educational Leadership, Washington, DC.

    "America 2000," President Bush's national strategy for "Reinventing America's Schools" is evaluated by 30 invited experts in the following papers: "Bottom-up Reform From the Top Down" (John E. Chubb); "Would Choice + Competition Yield Quality Education?" (Richard F. Elmore); "The Federal Education Role Comes of Age" (Denis P. Doyle; "Choice,…

  18. The Diagnosis of CAD in Women: Addressing the Unmet Need—A Report from the National Expert Roundtable Meeting

    PubMed Central

    Ladapo, Joseph L.; Monane, Mark; Lansky, Alexandra; Skoufalos, Alexandria; Nash, David B.

    2015-01-01

    Abstract A multistakeholder panel comprising experts in the fields of clinical cardiology, medical technology innovation, women's health research and policy analysis, personalized medicine, payers (including self-insured employers), patient advocacy, and health economics was convened at the Heart House in Washington, DC. The following points emerged as key concepts: (1) Diagnostic challenges in the evaluation of women with symptoms suggestive of obstructive coronary artery disease (CAD) result from: (a) presentation with atypical symptoms and lower pretest probability of disease compared to men, (b) fatty tissue and breast tissue attenuation on cardiac imaging leading to false positive findings, and (c) the presence of microvascular CAD. (2) Diagnostic challenges lead to both over-testing of low-risk women and under-testing of high-risk women. (3) Efforts should be directed toward increasing clinician, clinical professional society, and consumer awareness and understanding of sex-specific differences between men and women in the pathophysiology of CAD. (4) Multiple health care stakeholders should be made aware of new advances in genomic approaches to address the challenges of diagnosing obstructive CAD; specifically, the Corus CAD gene expression test, which was shown to have high sensitivity and negative predictive value in a recent clinical trial. As such, it has promise as a tool to help clinicians to rule out obstructive CAD as a cause of a patient's symptoms. (Population Health Management 2015;18:86–92) PMID:25714757

  19. Scratching the surface of tomorrow's diagnostics: the Editor-in-Chief's opinion at the 15th year of Expert Review of Molecular Diagnostics.

    PubMed

    Lorincz, Attila; Raison, Claire

    2015-01-01

    Interview with Attila Lorincz by Claire Raison (Commissioning Editor) To mark the beginning of the 15th year of Expert Review of Molecular Diagnostics, the journal's Editor-in-Chief shares his expert knowledge on translational diagnostics, his opinion on recent controversies and his predictions for molecular diagnostics in 2015 and beyond. Attila Lorincz received his doctorate from Trinity College, Dublin, Republic of Ireland, and went on to become a research fellow at the University of California, Santa Barbara, CA, USA. During Professor Lorincz's research on human papillomavirus (HPV), he found several important and novel carcinogenic HPV types and pioneered the use of HPV DNA testing for clinical diagnostics. In 1988, Professor Lorincz's team produced the first HPV test to be FDA-approved for patients and in 2003, for general population cervical precancer screening. Now Professor of Molecular Epidemiology at the Centre for Cancer Prevention, Queen Mary University of London, UK, he and his team are furthering translational research into DNA methylation assays for cancer risk prediction. PMID:25537568

  20. What to Do, and What Not to Do, When Diagnosing and Treating Breakthrough Cancer Pain (BTcP): Expert Opinion.

    PubMed

    Vellucci, R; Fanelli, G; Pannuti, R; Peruselli, C; Adamo, S; Alongi, G; Amato, F; Consoletti, L; Lamarca, L; Liguori, S; Lo Presti, C; Maione, A; Mameli, S; Marinangeli, F; Marulli, S; Minotti, V; Miotti, D; Montanari, L; Moruzzi, G; Palermo, S; Parolini, M; Poli, P; Tirelli, W; Valle, A; Romualdi, P

    2016-03-01

    Clinical management of breakthrough cancer pain (BTcP) is still not satisfactory despite the availability of effective pharmacological agents. This is in part linked to the lack of clarity regarding certain essential aspects of BTcP, including terminology, definition, epidemiology and assessment. Other barriers to effective management include a widespread prejudice among doctors and patients concerning the use of opioids, and inadequate assessment of pain severity, resulting in the prescription of ineffective drugs or doses. This review presents an overview of the appropriate and inappropriate actions to take in the diagnosis and treatment of BTcP, as determined by a panel of experts in the field. The ultimate aim is to provide a practical contribution to the unresolved issues in the management of BTcP. Five 'things to do' and five 'things not to do' in the diagnosis and treatment of BTcP are proposed, and evidence supporting said recommendations are described. It is the duty of all healthcare workers involved in managing cancer patients to be mindful of the possibility of BTcP occurrence and not to underestimate its severity. It is vital that all the necessary steps are carried out to establish an accurate and timely diagnosis, principally by establishing effective communication with the patient, the main information source. It is crucial that BTcP is treated with an effective pharmacological regimen and drug(s), dose and administration route prescribed are designed to suit the particular type of pain and importantly the individual needs of the patient. PMID:26755179

  1. Health outcomes of children born after IVF/ICSI: a review of current expert opinion and literature.

    PubMed

    Fauser, B C J M; Devroey, P; Diedrich, K; Balaban, B; Bonduelle, M; Delemarre-van de Waal, H A; Estella, C; Ezcurra, D; Geraedts, J P M; Howles, C M; Lerner-Geva, L; Serna, J; Wells, D

    2014-02-01

    The Sixth Evian Annual Reproduction (EVAR) Workshop Group Meeting was held to evaluate the impact of IVF/intracytoplasmic sperm injection on the health of assisted-conception children. Epidemiologists, reproductive endocrinologists, embryologists and geneticists presented data from published literature and ongoing research on the incidence of genetic and epigenetic abnormalities and congenital malformations in assisted-conception versus naturally conceived children to reach a consensus on the reasons for potential differences in outcomes between these two groups. IVF-conceived children have lower birthweights and higher peripheral fat, blood pressure and fasting glucose concentrations than controls. Growth, development and cognitive function in assisted-conception children are similar to controls. The absolute risk of imprinting disorders after assisted reproduction is less than 1%. A direct link between assisted reproduction and health-related outcomes in assisted-conception children could not be established. Women undergoing assisted reproduction are often older, increasing the chances of obtaining abnormal gametes that may cause deviations in outcomes between assisted-conception and naturally conceived children. However, after taking into account these factors, it is not clear to what extent poorer outcomes are due to the assisted reproduction procedures themselves. Large-scale, multicentre, prospective epidemiological studies are needed to investigate this further and to confirm long-term health consequences in assisted-conception children. Assisted reproduction treatment is a general term used to describe methods of achieving pregnancy by artificial means and includes IVF and sperm implantation. The effect of assisted reproduction treatment on the health of children born using these artificial methods is not fully understood. In April 2011, fertility research experts met to give presentations based on research in this area and to look carefully at the evidence

  2. Treating an Established Episode of Delirium in Palliative Care: Expert Opinion and Review of the Current Evidence Base With Recommendations for Future Development

    PubMed Central

    Pereira, José L.; Davis, Daniel H.J.; Currow, David C.; Meagher, David; Rabheru, Kiran; Wright, David; Bruera, Eduardo; Hartwick, Michael; Gagnon, Pierre R.; Gagnon, Bruno; Breitbart, William; Regnier, Laura; Lawlor, Peter G.

    2014-01-01

    Context Delirium is a highly prevalent complication in patients in palliative care settings, especially in the end-of-life context. Objectives To review the current evidence base for treating episodes of delirium in palliative care settings and propose a framework for future development. Methods We combined multidisciplinary input from delirium researchers and other purposely selected stakeholders at an international delirium study planning meeting. This was supplemented by a literature search of multiple databases and relevant reference lists to identify studies regarding therapeutic interventions for delirium. Results The context of delirium management in palliative care is highly variable. The standard management of a delirium episode includes the investigation of precipitating and aggravating factors followed by symptomatic treatment with drug therapy. However, the intensity of this management depends on illness trajectory and goals of care in addition to the local availability of both investigative modalities and therapeutic interventions. Pharmacologically, haloperidol remains the practice standard by consensus for symptomatic control. Dosing schedules are derived from expert opinion and various clinical practice guidelines as evidence-based data from palliative care settings are limited. The commonly used pharmacologic interventions for delirium in this population warrant evaluation in clinical trials to examine dosing and titration regimens, different routes of administration, and safety and efficacy compared with placebo. Conclusion Delirium treatment is multidimensional and includes the identification of precipitating and aggravating factors. For symptomatic management, haloperidol remains the practice standard. Further high-quality collaborative research investigating the appropriate treatment of this complex syndrome is needed. PMID:24480529

  3. Is expert opinion enough? A critical assessment of the evidence for potential impacts of climate change on tick-borne diseases.

    PubMed

    Randolph, Sarah E

    2013-12-01

    Before attributing cause and consequence to climate change, the precise patterns of change must be known. Ground records across much of Europe show a 1-2 °C rise in temperatures in 1989 with no significant rise since then. The timing and spatial uniformity of this pattern, relative to changes in the distribution and incidence of many vector-borne diseases, are sufficient to falsify most simple claims that climate change is the principal cause of disease emergence. Furthermore, age-specific increases in incidence indicate causes other than, or in addition to, climate change. Unfortunately, many public health professionals repeat the received wisdom that climate change is worsening the burden of indirectly transmitted infections; this 'expert opinion' soon becomes consensus dogma divorced from quantitative evidence. The pressing need is to gather appropriate data to test the simple concept that the composition and relative importance of disparate multifactorial factors, commonly integrated within a causal nexus, will inevitably vary with the geographical, cultural, socio-economical, wildlife, etc. context. The greatest impact of warming occurs at the geographical limits of current distributions, where low temperatures limit the hazard of infected vectors. Within core endemic regions, changing exposure of humans to this hazard, through changing socio-economic factors is evidently more important amongst both the poor and the wealthy. PMID:24067445

  4. Evolving strategies for the management of intermediate-stage hepatocellular carcinoma: available evidence and expert opinion on the use of transarterial chemoembolization.

    PubMed

    Raoul, J-L; Sangro, B; Forner, A; Mazzaferro, V; Piscaglia, F; Bolondi, L; Lencioni, R

    2011-05-01

    Transarterial chemoembolization (TACE) is considered the gold standard for treating intermediate-stage hepatocellular carcinoma (HCC). However, intermediate-stage HCC includes a heterogeneous population of patients with varying tumour burdens, liver function (Child-Pugh A or B) and disease aetiology. This suggests that not all patients with intermediate-stage HCC will derive similar benefit from TACE, and that some patients may benefit from other treatment options. Results of an extensive literature review into the treatment of unresectable HCC with TACE were combined with our own clinical experience to identify factors that may predict survival after TACE. We also report contraindications to TACE and propose a treatment algorithm for the repetition of TACE. In addition, we have constructed a number of expert opinions that may be used as a guide to help physicians make treatment decisions for their patients with intermediate-stage HCC. The data included in the literature review related almost exclusively to conventional TACE, rather than to TACE with drug-eluting beads. Therefore, the findings and conclusions of the literature review are only applicable to the treatment of HCC with conventional TACE. Treating physicians may want to consider other treatment options for patients with intermediate-stage HCC who are not suitable for or do not respond to TACE. By distinguishing those patients who represent good candidates for TACE from those where little or no benefit might be expected, it may be possible to make better use of current treatment options and improve outcomes for patients. PMID:20724077

  5. Opinions on Fresh Produce Food Safety and Quality Standards by Fresh Produce Supply Chain Experts from the Global South and North.

    PubMed

    Jacxsens, Liesbeth; Van Boxstael, Sigrid; Nanyunja, Jessica; Jordaan, Danie; Luning, Pieternel; Uyttendaele, Mieke

    2015-10-01

    This study describes the results of an on-line survey of fresh produce supply chain experts who work with producers from the Global North (n = 41, 20 countries) and the Global South (n = 63, 29 countries). They expressed their opinion using 1 to 5 Likert scales on several items related to four types of food safety and quality standards and legislation: Codex Alimentarius standards, European Union legislation, national legislation, and private standards. The results reflect the different circumstances under which the Southern and Northern producers operate in relation to the local organization, regulation, and support of the sector; but they also indicate similar challenges, in particular, the challenge of private standards, which were perceived to demand a higher implementation effort than the other three types of standards. Private standards were also strongly perceived to exclude Southern and Northern small- and medium-scale producers from high-value markets, whereas European Union legislation was perceived to strongly exclude, in particular, small- and medium-scale Southern producers. The results further highlight concerns about costly control measures and third-party certification that are required by downstream buyers but that are mostly paid for by upstream suppliers. Food standards are seen in their dual role as a catalyst for implementation of structured food safety management systems on the one hand and as a nontariff barrier to trade on the other hand. The results of the survey also pointed up the advantages of enforcing food safety and food quality standards in terms of knowledge spillover to noncertified activities, increased revenues, and improved food safety of delivered produce. Survey results highlight the importance of technical assistance and support of producers by governments and producer cooperatives or trade associations in the implementation and certification of food standards, along with increased awareness of and training of individuals in

  6. Using Pooled Local Expert Opinions (PLEO) to Discern Patterns in Sightings of Live and Dead Manatees (Trichechus senegalensis, Link 1785) in Lower Sanaga Basin, Cameroon.

    PubMed

    Mayaka, Theodore B; Takoukam Kamla, Aristide; Self-Sullivan, Caryn

    2015-01-01

    We aimed at unveiling patterns in live and dead manatee sightings in the Lower Sanaga Basin, Cameroon. For this purpose, the expert opinions of 133 local fishers were collected during in-person interviews, distilled using categorical data analysis, and checked against scientific literature. The five main results are as follows: manatees were sighted averagely once a week in lakes, rivers, and the coast & estuaries, mostly in group sizes of 2-3; the odds of sighting live manatees (respectively dead manatees) decreased (respectively increased) from inland lakes to estuaries and the coast, via rivers; manatee carcasses were reported in all habitats, albeit more frequently in rivers; a distribution map based on fishers' reports show two manatee concentration areas: Lake Ossa and the Malimba-Mbiako section of River Sanaga; the number of manatees was perceived as increasing despite incidental and directed catches. Thus, our findings corroborate earlier assessments of the Lower Sanaga Basin as being a major manatee conservation area. Additionally, from these results and the literature, we identified three hypotheses about local manatee persistence: deep pools such as lakes offer year round sanctuaries, not just dry-season refugia; seasonality of specific habitat variables determine manatee occurrence patterns; and local variability in habitat encroachment mediate the meta-population dynamics of manatee in the Lower Sanaga Basin. Finally, we examine the implications for data requirements in light of the small ecological scale at which the surveyed fishers ply their trade. Thus, consonant with the Malawi principles for the ecosystem approach to management (www.cbd.int/ecosystem), we recommend collecting data preferably at landscape scale, through a participatory monitoring program that fully integrates scientific and traditional knowledge systems. This program should include, amongst others, a standardised necropsy protocol for collecting mortality and biological data

  7. Using Pooled Local Expert Opinions (PLEO) to Discern Patterns in Sightings of Live and Dead Manatees (Trichechus senegalensis, Link 1785) in Lower Sanaga Basin, Cameroon

    PubMed Central

    Mayaka, Theodore B.; Takoukam Kamla, Aristide; Self-Sullivan, Caryn

    2015-01-01

    We aimed at unveiling patterns in live and dead manatee sightings in the Lower Sanaga Basin, Cameroon. For this purpose, the expert opinions of 133 local fishers were collected during in-person interviews, distilled using categorical data analysis, and checked against scientific literature. The five main results are as follows: manatees were sighted averagely once a week in lakes, rivers, and the coast & estuaries, mostly in group sizes of 2-3; the odds of sighting live manatees (respectively dead manatees) decreased (respectively increased) from inland lakes to estuaries and the coast, via rivers; manatee carcasses were reported in all habitats, albeit more frequently in rivers; a distribution map based on fishers’ reports show two manatee concentration areas: Lake Ossa and the Malimba-Mbiako section of River Sanaga; the number of manatees was perceived as increasing despite incidental and directed catches. Thus, our findings corroborate earlier assessments of the Lower Sanaga Basin as being a major manatee conservation area. Additionally, from these results and the literature, we identified three hypotheses about local manatee persistence: deep pools such as lakes offer year round sanctuaries, not just dry-season refugia; seasonality of specific habitat variables determine manatee occurrence patterns; and local variability in habitat encroachment mediate the meta-population dynamics of manatee in the Lower Sanaga Basin. Finally, we examine the implications for data requirements in light of the small ecological scale at which the surveyed fishers ply their trade. Thus, consonant with the Malawi principles for the ecosystem approach to management (www.cbd.int/ecosystem), we recommend collecting data preferably at landscape scale, through a participatory monitoring program that fully integrates scientific and traditional knowledge systems. This program should include, amongst others, a standardised necropsy protocol for collecting mortality and biological data

  8. Landmark opinions

    SciTech Connect

    Julian Levy

    2007-08-15

    On April 2, 2007, the U.S. Supreme Court issued two landmark opinions affecting the regulation of air quality in the United States. The first addressed one facet of what constitutes a modification under New Source Review (NSR) and the second addressed the issue of global climate change, specifically carbon dioxide emissions. For this month's issue, EM invited five leaders in the field of air quality to give their perspectives on these court opinions to gauge what they might mean for future air quality regulations. Titles of the five features are: Two landmark interpretations of the Clean Air Act: EPA authority to regulate greenhouse gases and increases in annual emissions trigger NSR (pp 6-10); Court examines EPA's interpretation of the Clean Air Act (pp 11,13); New Jersey: a state's perspective (pp 14-15); Supreme Court delivers historic environmental rulings (pp 17-18); and an industry perspective on the Supreme Court rulings (pp 20-21).

  9. Recommendations for Risk Categorization and Prophylaxis of Invasive Fungal Diseases in Hematological Malignancies: A Critical Review of Evidence and Expert Opinion (TEO-4)

    PubMed Central

    Boğa, Can; Bolaman, Zahit; Çağırgan, Seçkin; Karadoğan, İhsan; Özcan, Mehmet Ali; Özkalemkaş, Fahir; Saba, Rabin; Sönmez, Mehmet; Şenol, Esin; Akan, Hamdi; Akova, Murat

    2015-01-01

    This is the last of a series of articles on invasive fungal infections prepared by opinion leaders in Turkey. The aim of these articles is to guide clinicians in managing invasive fungal diseases in hematological malignancies and stem cell transplantation based on the available best evidence in this field. The previous articles summarized the diagnosis and treatment of invasive fungal disease and this article aims to explain the risk categorization and guide the antifungal prophylaxis in invasive fungal disease. PMID:26316478

  10. Test and Measurement Expert Opinions: A Dialogue about Testing Students with Disabilities Out of Level in Large-Scale Assessments. Out-of-Level Testing Report.

    ERIC Educational Resources Information Center

    Minnema, Jane; Thurlow, Martha; Bielinski, John

    Two focus groups of test and measurement experts were held to explore the use of out-of-level testing for students with disabilities. The participants (n=17) included state and federal level assessment personnel, test company employees, and university professors. A content analysis of the narrative results indicated that there was no clear…

  11. 32 CFR 516.49 - Expert witnesses.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., with or without compensation, opinion or expert testimony either in private litigation or in litigation... personnel will not provide, with or without compensation, opinion or expert testimony concerning official...). An SJA or legal adviser is authorized to deny a request for expert testimony, which decision may...

  12. Referrals for expert psychiatric opinion on dangerous offenders: a survey of instructions regarding defendants liable on conviction to a statutory assessment of dangerousness.

    PubMed

    Bickle, Andy; Stankard, Paul

    2008-07-01

    The Criminal Justice Act 2003 ('the Act') introduced significant changes to the sentencing of violent and sexual offenders. The Act brought in a statutory assessment of dangerousness which includes a statutory assumption of dangerousness ('SAD') for certain repeat offenders. Previously, expert psychiatric witnesses have commented on whether a defendant demonstrated sufficient mental instability to warrant a discretionary life sentence. Under this regime, psychiatric evidence is adduced to the assessment of dangerousness, especially for the purpose of supporting or undermining a rebuttal of the statutory assumption. This study investigated how legal referrers are instructing psychiatrists in cases where on conviction there will be an automatic assumption that the offender is dangerous. The aim was to determine whether the requirements of the new law are being outlined to expert witnesses and how much notice is being given for the production of evidence. All referrals to a medium secure unit were surveyed over two years. Fifty-one referrals concerned defendants liable to the SAD on conviction. The majority of the SAD referrals (40 referrals = 78.4%) included no request to comment on risk or dangerousness. This figure did not fall over time as the Act became established. Only a small minority (5.9%) of instructions directed the psychiatrist to the relevant statutory provisions. On average, adequate notice appeared to be given for the production of evidence (45.6 days). In the authors' view, legal referrers should make more explicit the requirements of psychiatric evidence in such cases. New legislation currently before Parliament would amend further the sentencing of such offenders, but there would remain a statutory assessment of dangerousness as the basis of sentencing violent and sexual offenders. Psychiatrists wishing to act as expert witnesses should be aware of the contents of the statutory assessment and be prepared to liaise with legal counsel to clarify

  13. 14th St. Gallen International Breast Cancer Conference 2015: Evidence, Controversies, Consensus – Primary Therapy of Early Breast Cancer: Opinions Expressed by German Experts

    PubMed Central

    Jackisch, Christian; Harbeck, Nadia; Huober, Jens; von Minckwitz, Gunter; Gerber, Bernd; Kreipe, Hans-Heinrich; Liedtke, Cornelia; Marschner, Norbert; Möbus, Volker; Scheithauer, Heike; Schneeweiss, Andreas; Thomssen, Christoph; Loibl, Sibylle; Beckmann, Matthias W.; Blohmer, Jens-Uwe; Costa, Serban-Dan; Decker, Thomas; Diel, Ingo; Fasching, Peter A.; Fehm, Tanja; Janni, Wolfgang; Lück, Hans-Joachim; Maass, Nicolai; Scharl, Anton; Untch, Michael

    2015-01-01

    Summary The key topics of this year's 14th St. Gallen Consensus Conference on the diagnosis and therapy of primary breast cancer were again questions about breast surgery and axillary surgery, radio-oncology and systemic therapy options in consideration of tumor biology, and the clinical application of multigene assays. This year, the consensus conference took place in Vienna. From a German perspective, it makes sense to substantiate the results of the vote of the international panel representing 19 countries in light of the updated national therapy recommendations of the AGO (Arbeitsgemeinschaft Gynäkologische Onkologie). Therefore, 14 German breast cancer experts, 3 of whom are members of the International St. Gallen Panel, have commented on the voting results of the St. Gallen Consensus Conference 2015 in relation to clinical routine in Germany. PMID:26557827

  14. Taking Evidence-Based Practices to School: Using Expert Opinion to Develop a Brief, Evidence-Informed School-Based Mental Health Intervention

    ERIC Educational Resources Information Center

    Lyon, Aaron R.; Bruns, Eric J.; Weathers, Ericka S.; Canavas, Nick; Ludwig, Kristy; Vander Stoep, Ann; Cheney, Douglas; McCauley, Elizabeth

    2014-01-01

    School-based mental health services offer unparalleled opportunities for providing accessible care to children and adolescents. Research indicates that services available in schools are rarely based on evidence of effectiveness and are typically disconnected from the larger school context. To address these issues, the current paper presents…

  15. The Role of mTOR Inhibitors in the Treatment of Patients with Tuberous Sclerosis Complex: Evidence-based and Expert Opinions.

    PubMed

    Curatolo, Paolo; Bjørnvold, Marit; Dill, Patricia E; Ferreira, José Carlos; Feucht, Martha; Hertzberg, Christoph; Jansen, Anna; Jóźwiak, Sergiusz; Kingswood, J Christopher; Kotulska, Katarzyna; Macaya, Alfons; Moavero, Romina; Nabbout, Rima; Zonnenberg, Bernard A

    2016-04-01

    Tuberous sclerosis complex (TSC) is a genetic disorder arising from mutations in the TSC1 or TSC2 genes. The resulting over-activation of the mammalian target of rapamycin (mTOR) signalling pathway leaves patients with TSC susceptible to the growth of non-malignant tumours in multiple organs. Previously, surgery was the main therapeutic option for TSC. However, pharmacological therapy with mTOR inhibitors such as everolimus and sirolimus is now emerging as an alternate approach. Everolimus and sirolimus have already been shown to be effective in treating subependymal giant cell astrocytoma (SEGA) and renal angiomyolipoma (AML), and everolimus is currently being evaluated in treating TSC-related epilepsy. In November 2013 a group of European experts convened to discuss the current options and practical considerations for treating various manifestations of TSC. This article provides evidence-based recommendations for the treatment of SEGA, TSC-related epilepsy and renal AML, with a focus on where mTOR inhibitor therapy may be considered alongside other treatment options. Safety considerations regarding mTOR inhibitor therapy are also reviewed. With evidence of beneficial effects in neurological and non-neurological TSC manifestations, mTOR inhibitors may represent a systemic treatment for TSC. PMID:26927950

  16. Regulatory acceptance and use of 3R models for pharmaceuticals and chemicals: expert opinions on the state of affairs and the way forward.

    PubMed

    Schiffelers, Marie-Jeanne W A; Blaauboer, Bas J; Bakker, Wieger E; Beken, Sonja; Hendriksen, Coenraad F M; Koëter, Herman B W M; Krul, Cyrille

    2014-06-01

    Pharmaceuticals and chemicals are subjected to regulatory safety testing accounting for approximately 25% of laboratory animal use in Europe. This testing meets various objections and has led to the development of a range of 3R models to Replace, Reduce or Refine the animal models. However, these models must overcome many barriers before being accepted for regulatory risk management purposes. This paper describes the barriers and drivers and options to optimize this acceptance process as identified by two expert panels, one on pharmaceuticals and one on chemicals. To untangle the complex acceptance process, the multilevel perspective on technology transitions is applied. This perspective defines influences at the micro-, meso- and macro level which need alignment to induce regulatory acceptance of a 3R model. This paper displays that there are many similar mechanisms within both sectors that prevent 3R models from becoming accepted for regulatory risk assessment and management. Shared barriers include the uncertainty about the value of the new 3R models (micro level), the lack of harmonization of regulatory requirements and acceptance criteria (meso level) and the high levels of risk aversion (macro level). In optimizing the process commitment, communication, cooperation and coordination are identified as critical drivers. PMID:24534000

  17. 29 CFR 18.704 - Opinion on ultimate issue.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 1 2013-07-01 2013-07-01 false Opinion on ultimate issue. 18.704 Section 18.704 Labor... OFFICE OF ADMINISTRATIVE LAW JUDGES Rules of Evidence Opinions and Expert Testimony § 18.704 Opinion on ultimate issue. Testimony in the form of an opinion or inference otherwise admissible is not...

  18. 29 CFR 18.704 - Opinion on ultimate issue.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 1 2012-07-01 2012-07-01 false Opinion on ultimate issue. 18.704 Section 18.704 Labor... OFFICE OF ADMINISTRATIVE LAW JUDGES Rules of Evidence Opinions and Expert Testimony § 18.704 Opinion on ultimate issue. Testimony in the form of an opinion or inference otherwise admissible is not...

  19. 29 CFR 18.704 - Opinion on ultimate issue.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 1 2011-07-01 2011-07-01 false Opinion on ultimate issue. 18.704 Section 18.704 Labor... OFFICE OF ADMINISTRATIVE LAW JUDGES Rules of Evidence Opinions and Expert Testimony § 18.704 Opinion on ultimate issue. Testimony in the form of an opinion or inference otherwise admissible is not...

  20. Public authority control strategy for opinion evolution in social networks

    NASA Astrophysics Data System (ADS)

    Chen, Xi; Xiong, Xi; Zhang, Minghong; Li, Wei

    2016-08-01

    This paper addresses the need to deal with and control public opinion and rumors. Existing strategies to control public opinion include degree, random, and adaptive bridge control strategies. In this paper, we use the HK model to present a public opinion control strategy based on public authority (PA). This means utilizing the influence of expert or high authority individuals whose opinions we control to obtain the optimum effect in the shortest time possible and thus reach a consensus of public opinion. Public authority (PA) is only influenced by individuals' attributes (age, economic status, and education level) and not their degree distribution; hence, in this paper, we assume that PA complies with two types of public authority distribution (normal and power-law). According to the proposed control strategy, our experiment is based on random, degree, and public authority control strategies in three different social networks (small-world, scale-free, and random) and we compare and analyze the strategies in terms of convergence time (T), final number of controlled agents (C), and comprehensive efficiency (E). We find that different network topologies and the distribution of the PA in the network can influence the final controlling effect. While the effect of PA strategy differs in different network topology structures, all structures achieve comprehensive efficiency with any kind of public authority distribution in any network. Our findings are consistent with several current sociological phenomena and show that in the process of public opinion/rumor control, considerable attention should be paid to high authority individuals.

  1. Public authority control strategy for opinion evolution in social networks.

    PubMed

    Chen, Xi; Xiong, Xi; Zhang, Minghong; Li, Wei

    2016-08-01

    This paper addresses the need to deal with and control public opinion and rumors. Existing strategies to control public opinion include degree, random, and adaptive bridge control strategies. In this paper, we use the HK model to present a public opinion control strategy based on public authority (PA). This means utilizing the influence of expert or high authority individuals whose opinions we control to obtain the optimum effect in the shortest time possible and thus reach a consensus of public opinion. Public authority (PA) is only influenced by individuals' attributes (age, economic status, and education level) and not their degree distribution; hence, in this paper, we assume that PA complies with two types of public authority distribution (normal and power-law). According to the proposed control strategy, our experiment is based on random, degree, and public authority control strategies in three different social networks (small-world, scale-free, and random) and we compare and analyze the strategies in terms of convergence time (T), final number of controlled agents (C), and comprehensive efficiency (E). We find that different network topologies and the distribution of the PA in the network can influence the final controlling effect. While the effect of PA strategy differs in different network topology structures, all structures achieve comprehensive efficiency with any kind of public authority distribution in any network. Our findings are consistent with several current sociological phenomena and show that in the process of public opinion/rumor control, considerable attention should be paid to high authority individuals. PMID:27586601

  2. Addressing healthcare.

    PubMed

    Daly, Rich

    2013-02-11

    Though President Barack Obama has rarely made healthcare references in his State of the Union addresses, health policy experts are hoping he changes that strategy this year. "The question is: Will he say anything? You would hope that he would, given that that was the major issue he started his presidency with," says Dr. James Weinstein, left, of the Dartmouth-Hitchcock health system. PMID:23487896

  3. [Aspects of expert opinions of avulsion fractures].

    PubMed

    Schröter, F

    2016-03-01

    The apophyses as secondary ossification centers are connected with the bone by cartilage. During the growth phase of puberty, the apophyseal plate is a mechanical weak spot. Especially, apophyses in the hip and pelvic area are exposed to considerable tensile and sheer stresses due to the strong muscles which are inserted here. The frequency of injuries to the apophyses correlates with the extent of sporting activities. For athletes participating in "Youth Train for the Olympics", this is the most common injury of all. Most often, the apophysis of the rectus femoris muscle is affected at the anterior inferior iliac spine. In adults, after complete ossification of the apophyseal plate such injuries are rare. However, in a very unusual mechanism of injury with maximum forced hip flexion and simultaneous maximum knee extension, avulsions of the ischial tuberosity are observed in adults. During the causality test-especially in the legal area of statutory accident insurance-the question is always whether the alleged course of events has to be regarded as a legally significant (partial) cause or if a longer period of time has been involved, so that the resulting morbid apophysis detachment was predominately due to fate, in which the alleged event must be interpreted as legally immaterial. PMID:26924516

  4. Measuring Iranian women's sexual behaviors: Expert opinion.

    PubMed

    Ghorashi, Zohreh; Merghati-Khoei, Effat; Yousefy, Alireza

    2014-01-01

    The cultural compatibility of sexually related instruments is problematic because the contexts from which the concepts and meanings were extracted may be significantly different from related contexts in a different society. This paper describes the instruments that have been used to assess sexual behaviors, primarily in Western contexts. Then, based on the instruments' working definition of 'sexual behavior' and their theoretical frameworks, we will (1) discuss the applicability or cultural compatibility of existing instruments targeting women's sexual behaviors within an Iranian context, and (2) suggest criteria for sexually related tools applicable in Iranian settings. Iranian women's sexual scripts may compromise the existing instruments' compatibility. Suggested criteria are as follows: understanding, language of sexuality, ethics and morality. Therefore, developing a culturally comprehensive measure that can adequately examine Iranian women's sexual behaviors is needed. PMID:25250346

  5. Measuring Iranian women's sexual behaviors: Expert opinion

    PubMed Central

    Ghorashi, Zohreh; Merghati-Khoei, Effat; Yousefy, Alireza

    2014-01-01

    The cultural compatibility of sexually related instruments is problematic because the contexts from which the concepts and meanings were extracted may be significantly different from related contexts in a different society. This paper describes the instruments that have been used to assess sexual behaviors, primarily in Western contexts. Then, based on the instruments’ working definition of ‘sexual behavior’ and their theoretical frameworks, we will (1) discuss the applicability or cultural compatibility of existing instruments targeting women's sexual behaviors within an Iranian context, and (2) suggest criteria for sexually related tools applicable in Iranian settings. Iranian women's sexual scripts may compromise the existing instruments’ compatibility. Suggested criteria are as follows: understanding, language of sexuality, ethics and morality. Therefore, developing a culturally comprehensive measure that can adequately examine Iranian women's sexual behaviors is needed. PMID:25250346

  6. School Construction Management: Expert Administrators Speak.

    ERIC Educational Resources Information Center

    Fickes, Michael

    2001-01-01

    Presents expert opinion on school construction management communication concerning educational needs, obtaining consensus among diverse groups, and envisioning what schools must offer in the future. Why furniture issues are also important is highlighted. (GR)

  7. Expert and Knowledge Based Systems.

    ERIC Educational Resources Information Center

    Demaid, Adrian; Edwards, Lyndon

    1987-01-01

    Discusses the nature and current state of knowledge-based systems and expert systems. Describes an expert system from the viewpoints of a computer programmer and an applications expert. Addresses concerns related to materials selection and forecasts future developments in the teaching of materials engineering. (ML)

  8. Filtering information from human experts

    NASA Technical Reports Server (NTRS)

    Mendel, Max B.; Sheridan, Thomas B.

    1989-01-01

    The authors propose a model, or filter, for debiasing opinions from multiple experts and combining them into a single consistent estimate of some variable of interest. A distinguishing feature of the approach consists of making the calibration of experts an integral part of filtering. This enables the filter to learn from previous experience with the experts. The theoretical development takes a Bayesian perspective, using de Finetti's (1964) notion of exchangeability. Experimental results with a preliminary computer implementation of the filter show that its estimates are better than those from comparable filters that do not involve calibration.

  9. The aggregation of expert judgment: do good things come to those who weight?

    PubMed

    Bolger, Fergus; Rowe, Gene

    2015-01-01

    Good policy making should be based on available scientific knowledge. Sometimes this knowledge is well established through research, but often scientists must simply express their judgment, and this is particularly so in risk scenarios that are characterized by high levels of uncertainty. Usually in such cases, the opinions of several experts will be sought in order to pool knowledge and reduce error, raising the question of whether individual expert judgments should be given different weights. We argue--against the commonly advocated "classical method"--that no significant benefits are likely to accrue from unequal weighting in mathematical aggregation. Our argument hinges on the difficulty of constructing reliable and valid measures of substantive expertise upon which to base weights. Practical problems associated with attempts to evaluate experts are also addressed. While our discussion focuses on one specific weighting scheme that is currently gaining in popularity for expert knowledge elicitation, our general thesis applies to externally imposed unequal weighting schemes more generally. PMID:25156754

  10. Expert evidence accountability: new developments and challenges.

    PubMed

    Freckelton, Ian

    2011-12-01

    A series of developments in relation to the accountability of expert witnesses and the admissibility of their opinions is taking place. This extends to encroachments in the United Kingdom on expert witness immunity, the imposition of disciplinary liability for registered health practitioners in Australia and the United Kingdom, and recommendations from the United Kingdom Law Commission for a systematised procedure for reliability determination as a prerequisite for admissibility rulings. This combination of measures is indicative of international concern about the contemporary role of expert witnesses. It highlights the need for both empirical information about whether the anecdotal and experiential concerns about expert evidence are well-founded and for the provision of better and clearer guidance to experts and litigators alike about the underpinnings and methodologies that are permissible for admissible and probative expert opinions. PMID:22319996

  11. Expert Biogeographers

    ERIC Educational Resources Information Center

    Bednarski, Marsha

    2006-01-01

    This article describes an alternative way of teaching about biomes by having students become expert biogeographers. In order to become experts students need to first find out what a biogeographer does. Doing an online search lets students find out for themselves what the responsibilities are of people who work in this field. A good place to visit…

  12. Future Challenges in Higher Education--Bologna Experts' Community Case Study

    ERIC Educational Resources Information Center

    Yemini, Miri

    2012-01-01

    This work presents results from systematic analysis of the challenges for the future of higher education in European and neighboring countries as it was extracted from the Bologna experts and Higher Education Reform experts' opinions. Opinions of more than 100 experts from 35 countries were documented and analyzed. Significant differences in the…

  13. Expert Systems Research.

    ERIC Educational Resources Information Center

    Duda, Richard O.; Shortliffe, Edward H.

    1983-01-01

    Discusses a class of artificial intelligence computer programs (often called "expert systems" because they address problems normally thought to require human specialists for their solution) intended to serve as consultants for decision making. Also discusses accomplishments (including information systematization in medical diagnosis and geology)…

  14. Expert Seeker

    NASA Technical Reports Server (NTRS)

    Fernandez, Becerra

    2003-01-01

    Expert Seeker is a computer program of the knowledge-management-system (KMS) type that falls within the category of expertise-locator systems. The main goal of the KMS system implemented by Expert Seeker is to organize and distribute knowledge of who are the domain experts within and without a given institution, company, or other organization. The intent in developing this KMS was to enable the re-use of organizational knowledge and provide a methodology for querying existing information (including structured, semistructured, and unstructured information) in a way that could help identify organizational experts. More specifically, Expert Seeker was developed to make it possible, by use of an intranet, to do any or all of the following: Assist an employee in identifying who has the skills needed for specific projects and to determine whether the experts so identified are available. Assist managers in identifying employees who may need training opportunities. Assist managers in determining what expertise is lost when employees retire or otherwise leave. Facilitate the development of new ways of identifying opportunities for innovation and minimization of duplicated efforts. Assist employees in achieving competitive advantages through the application of knowledge-management concepts and related systems. Assist external organizations in requesting speakers for specific engagements or determining from whom they might be able to request help via electronic mail. Help foster an environment of collaboration for rapid development in today's environment, in which it is increasingly necessary to assemble teams of experts from government, universities, research laboratories, and industries, to quickly solve problems anytime, anywhere. Make experts more visible. Provide a central repository of information about employees, including information that, heretofore, has typically not been captured by the human-resources systems (e.g., information about past projects, patents, or

  15. 29 CFR 18.702 - Testimony by experts.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Testimony by experts. 18.702 Section 18.702 Labor Office of... OF ADMINISTRATIVE LAW JUDGES Rules of Evidence Opinions and Expert Testimony § 18.702 Testimony by... to understand the evidence or to determine a fact in issue, a witness qualified as an expert...

  16. The Same Middle East Respiratory Syndrome-Coronavirus (MERS-CoV) yet Different Outbreak Patterns and Public Health Impacts on the Far East Expert Opinion from the Rapid Response Team of the Republic of Korea

    PubMed Central

    2015-01-01

    A Middle East Respiratory Syndrome-Coronavirus (MERS-CoV) outbreak, the largest outbreak outside the Middle East in 2012, occurred in the Republic of Korea and resulted in a large number of cases, with 186 infected people, including 38 deaths. A Rapid Response Team (RRT) was appointed after a request from the Korean government on June 8, 2015 calling for specialists to manage and control the MERS-CoV outbreak. This report presents the opinion of the RRT who worked to manage this healthcare-associated MERS-CoV outbreak in Korea. PMID:26788408

  17. The Bakke Opinions and Equal Protection Doctrine.

    ERIC Educational Resources Information Center

    Karst, Kenneth L.; Horowitz, Harold W.

    1979-01-01

    Constitutional issues addressed in the Supreme Court's decision are reviewed. The opinions rendered by Justice Powell are viewed as reflections of the weakness of recent equal protection theory, and as signs of future doctrine. (GC)

  18. 29 CFR 18.701 - Opinion testimony by lay witnesses.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Opinion testimony by lay witnesses. If the witness is not testifying as an expert, the witness' testimony... based on the perception of the witness and helpful to a clear understanding of the witness' testimony or... 29 Labor 1 2010-07-01 2010-07-01 true Opinion testimony by lay witnesses. 18.701 Section...

  19. Legal Decisions and Opinions in Pollution Cases

    ERIC Educational Resources Information Center

    Hills, John P.

    1976-01-01

    When dealing with the "frontier of scientific knowledge" and questions of public health, United States courts are waiving traditional burdens of proof, giving increased weight to expert opinions and/or lowering their standard of necessary proof. Recent cases involving asbestos, pesticides, lead in gasoline, and vinyl chlorides are discussed. (BT)

  20. Spacecraft environmental anomalies expert system

    NASA Technical Reports Server (NTRS)

    Koons, H. C.; Gorney, D. J.

    1988-01-01

    A microcomputer-based expert system is being developed at the Aerospace Corporation Space Sciences Laboratory to assist in the diagnosis of satellite anomalies caused by the space environment. The expert system is designed to address anomalies caused by surface charging, bulk charging, single event effects and total radiation dose. These effects depend on the orbit of the satellite, the local environment (which is highly variable), the satellite exposure time and the hardness of the circuits and components of the satellite. The expert system is a rule-based system that uses the Texas Instruments Personal Consultant Plus expert system shell. The completed expert system knowledge base will include 150 to 200 rules, as well as a spacecraft attributes database, an historical spacecraft anomalies database, and a space environment database which is updated in near real-time. Currently, the expert system is undergoing development and testing within the Aerospace Corporation Space Sciences Laboratory.

  1. Identifying key conservation threats to Alpine birds through expert knowledge.

    PubMed

    Chamberlain, Dan E; Pedrini, Paolo; Brambilla, Mattia; Rolando, Antonio; Girardello, Marco

    2016-01-01

    Alpine biodiversity is subject to a range of increasing threats, but the scarcity of data for many taxa means that it is difficult to assess the level and likely future impact of a given threat. Expert opinion can be a useful tool to address knowledge gaps in the absence of adequate data. Experts with experience in Alpine ecology were approached to rank threat levels for 69 Alpine bird species over the next 50 years for the whole European Alps in relation to ten categories: land abandonment, climate change, renewable energy, fire, forestry practices, grazing practices, hunting, leisure, mining and urbanization. There was a high degree of concordance in ranking of perceived threats among experts for most threat categories. The major overall perceived threats to Alpine birds identified through expert knowledge were land abandonment, urbanization, leisure and forestry, although other perceived threats were ranked highly for particular species groups (renewable energy and hunting for raptors, hunting for gamebirds). For groups of species defined according to their breeding habitat, open habitat species and treeline species were perceived as the most threatened. A spatial risk assessment tool based on summed scores for the whole community showed threat levels were highest for bird communities of the northern and western Alps. Development of the approaches given in this paper, including addressing biases in the selection of experts and adopting a more detailed ranking procedure, could prove useful in the future in identifying future threats, and in carrying out risk assessments based on levels of threat to the whole bird community. PMID:26966659

  2. Identifying key conservation threats to Alpine birds through expert knowledge

    PubMed Central

    Pedrini, Paolo; Brambilla, Mattia; Rolando, Antonio; Girardello, Marco

    2016-01-01

    Alpine biodiversity is subject to a range of increasing threats, but the scarcity of data for many taxa means that it is difficult to assess the level and likely future impact of a given threat. Expert opinion can be a useful tool to address knowledge gaps in the absence of adequate data. Experts with experience in Alpine ecology were approached to rank threat levels for 69 Alpine bird species over the next 50 years for the whole European Alps in relation to ten categories: land abandonment, climate change, renewable energy, fire, forestry practices, grazing practices, hunting, leisure, mining and urbanization. There was a high degree of concordance in ranking of perceived threats among experts for most threat categories. The major overall perceived threats to Alpine birds identified through expert knowledge were land abandonment, urbanization, leisure and forestry, although other perceived threats were ranked highly for particular species groups (renewable energy and hunting for raptors, hunting for gamebirds). For groups of species defined according to their breeding habitat, open habitat species and treeline species were perceived as the most threatened. A spatial risk assessment tool based on summed scores for the whole community showed threat levels were highest for bird communities of the northern and western Alps. Development of the approaches given in this paper, including addressing biases in the selection of experts and adopting a more detailed ranking procedure, could prove useful in the future in identifying future threats, and in carrying out risk assessments based on levels of threat to the whole bird community. PMID:26966659

  3. 29 CFR 18.702 - Testimony by experts.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... experts. If scientific, technical, or other specialized knowledge will assist the judge as trier of fact... knowledge, skill, experience, training, or education, may testify thereto in the form of an opinion...

  4. Expert reports.

    PubMed

    Thornton, R G

    2000-10-01

    In 1996, article 4590i of the Texas Revised Civil Statutes Annotated, the statutory provision that governs health care liability claims in Texas, was amended to require claimants to file expert reports within 180 days as part of the prosecution of their claims. Sufficient expert reports include explanations of the standard of care, the deviation from that standard, and how the deviation caused the claimant's damages. Two provisions allow courts to grant a 30-day extension for filing expert reports. A good cause extension can be used to extend the filing deadline to 210 days; however, case law has not clearly defined what constitutes good cause. An accident or mistake grace period can be used to justify reports filed >210 days after the suit has been filed; judges determine whether the failure is due to a mistake or intentional indifference. As with any statute, the language is not as important as how the courts (judges) interpret that language. The statute may appear strict but room for interpretation exists. PMID:16389359

  5. Expert Report of Kent D. Syverud in "Grutter v. Bollinger"

    ERIC Educational Resources Information Center

    Syverud, Kent D.

    2004-01-01

    In "Grutter v. Bollinger", __ U.S. ___ ; 123 S. Ct. 2325; 156 L. Ed. 2d 304 (2003), the Supreme Court rendered a landmark decision approving the use of race as one factor in admissions decisions at the University of Michigan Law School. The opinion of the Court discussed an expert opinion of Kent D. Syverud, Dean of the Vanderbilt Law School,…

  6. Stochastic population forecasting based on combinations of expert evaluations within the Bayesian paradigm.

    PubMed

    Billari, Francesco C; Graziani, Rebecca; Melilli, Eugenio

    2014-10-01

    This article suggests a procedure to derive stochastic population forecasts adopting an expert-based approach. As in previous work by Billari et al. (2012), experts are required to provide evaluations, in the form of conditional and unconditional scenarios, on summary indicators of the demographic components determining the population evolution: that is, fertility, mortality, and migration. Here, two main purposes are pursued. First, the demographic components are allowed to have some kind of dependence. Second, as a result of the existence of a body of shared information, possible correlations among experts are taken into account. In both cases, the dependence structure is not imposed by the researcher but rather is indirectly derived through the scenarios elicited from the experts. To address these issues, the method is based on a mixture model, within the so-called Supra-Bayesian approach, according to which expert evaluations are treated as data. The derived posterior distribution for the demographic indicators of interest is used as forecasting distribution, and a Markov chain Monte Carlo algorithm is designed to approximate this posterior. This article provides the questionnaire designed by the authors to collect expert opinions. Finally, an application to the forecast of the Italian population from 2010 to 2065 is proposed. PMID:25124024

  7. Opinion Integration and Summarization

    ERIC Educational Resources Information Center

    Lu, Yue

    2011-01-01

    As Web 2.0 applications become increasingly popular, more and more people express their opinions on the Web in various ways in real time. Such wide coverage of topics and abundance of users make the Web an extremely valuable source for mining people's opinions about all kinds of topics. However, since the opinions are usually expressed as…

  8. Expert Concept Mapping Study on Mobile Learning

    ERIC Educational Resources Information Center

    Borner, Dirk; Glahn, Christian; Stoyanov, Slavi; Kalz, Marco; Specht, Marcus

    2010-01-01

    Purpose: The present paper introduces concept mapping as a structured participative conceptualization approach to identify clusters of ideas and opinions generated by experts within the domain of mobile learning. Utilizing this approach, the paper aims to contribute to a definition of key domain characteristics by identifying the main educational…

  9. Expert Mining for Solving Social Harmony Problems

    NASA Astrophysics Data System (ADS)

    Gu, Jifa; Song, Wuqi; Zhu, Zhengxiang; Liu, Yijun

    Social harmony problems are being existed in social system, which is an open giant complex system. For solving such kind of problems the Meta-synthesis system approach proposed by Qian XS et al will be applied. In this approach the data, information, knowledge, model, experience and wisdom should be integrated and synthesized. Data mining, text mining and web mining are good techniques for using data, information and knowledge. Model mining, psychology mining and expert mining are new techniques for mining the idea, opinions, experiences and wisdom. In this paper we will introduce the expert mining, which is based on mining the experiences, knowledge and wisdom directly from experts, managers and leaders.

  10. Explosion probability of unexploded ordnance: expert beliefs.

    PubMed

    MacDonald, Jacqueline Anne; Small, Mitchell J; Morgan, M G

    2008-08-01

    This article reports on a study to quantify expert beliefs about the explosion probability of unexploded ordnance (UXO). Some 1,976 sites at closed military bases in the United States are contaminated with UXO and are slated for cleanup, at an estimated cost of $15-140 billion. Because no available technology can guarantee 100% removal of UXO, information about explosion probability is needed to assess the residual risks of civilian reuse of closed military bases and to make decisions about how much to invest in cleanup. This study elicited probability distributions for the chance of UXO explosion from 25 experts in explosive ordnance disposal, all of whom have had field experience in UXO identification and deactivation. The study considered six different scenarios: three different types of UXO handled in two different ways (one involving children and the other involving construction workers). We also asked the experts to rank by sensitivity to explosion 20 different kinds of UXO found at a case study site at Fort Ord, California. We found that the experts do not agree about the probability of UXO explosion, with significant differences among experts in their mean estimates of explosion probabilities and in the amount of uncertainty that they express in their estimates. In three of the six scenarios, the divergence was so great that the average of all the expert probability distributions was statistically indistinguishable from a uniform (0, 1) distribution-suggesting that the sum of expert opinion provides no information at all about the explosion risk. The experts' opinions on the relative sensitivity to explosion of the 20 UXO items also diverged. The average correlation between rankings of any pair of experts was 0.41, which, statistically, is barely significant (p= 0.049) at the 95% confidence level. Thus, one expert's rankings provide little predictive information about another's rankings. The lack of consensus among experts suggests that empirical studies

  11. Multinational evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E Initiative

    PubMed Central

    Machado, P; Castrejon, I; Katchamart, W; Koevoets, R; Kuriya, B; Schoels, M; Silva-Fernández, L; Thevissen, K; Vercoutere, W; Villeneuve, E; Aletaha, D; Carmona, L; Landewé, R; van der Heijde, D; Bijlsma, J W J; Bykerk, V; Canhão, H; Catrina, A I; Durez, P; Edwards, C J; Mjaavatten, M D; Leeb, B F; Losada, B; Martín-Mola, E M; Martinez-Osuna, P; Montecucco, C; Müller-Ladner, U; Østergaard, M; Sheane, B; Xavier, R M; Zochling, J; Bombardier, C

    2011-01-01

    Objective To develop evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis (UPIA). Methods 697 rheumatologists from 17 countries participated in the 3E (Evidence, Expertise, Exchange) Initiative of 2008–9 consisting of three separate rounds of discussions and modified Delphi votes. In the first round 10 clinical questions were selected. A bibliographic team systematically searched Medline, Embase, the Cochrane Library and ACR/EULAR 2007–2008 meeting abstracts. Relevant articles were reviewed for quality assessment, data extraction and synthesis. In the second round each country elaborated a set of national recommendations. Finally, multinational recommendations were formulated and agreement among the participants and the potential impact on their clinical practice was assessed. Results A total of 39 756 references were identified, of which 250 were systematically reviewed. Ten multinational key recommendations about the investigation and follow-up of UPIA were formulated. One recommendation addressed differential diagnosis and investigations prior to establishing the operational diagnosis of UPIA, seven recommendations related to the diagnostic and prognostic value of clinical and laboratory assessments in established UPIA (history and physical examination, acute phase reactants, autoantibodies, radiographs, MRI and ultrasound, genetic markers and synovial biopsy), one recommendation highlighted predictors of persistence (chronicity) and the final recommendation addressed monitoring of clinical disease activity in UPIA. Conclusions Ten recommendations on how to investigate and follow-up UPIA in the clinical setting were developed. They are evidence-based and supported by a large panel of rheumatologists, thus enhancing their validity and practical use. PMID:20724311

  12. Expert Assessments of Russians' Attitudes toward Higher Education Reform

    ERIC Educational Resources Information Center

    Grigor'ev, S. I.

    2009-01-01

    This article examines the opinion of experts who are first-rate specialists in their fields and can provide accurate and objective information about these issues. An expert survey was conducted by the Russian State Social University in seven federal districts, twenty-five regions of the country. The survey was participated in by 309 experts…

  13. Expert judgment and occupational hygiene: application to aerosol speciation in the nickel primary production industry.

    PubMed

    Ramachandran, Gurumurthy; Banerjee, Sudipto; Vincent, James H

    2003-08-01

    In many situations characterized by sparse data, occupational hygienists have used subjective judgments that are claimed to be derived from their experience and knowledge. While this practice is widespread, there has been no systematic study of 'expert judgment' or the 'art' of occupational hygiene. Indeed, there is a need to address the question of whether there is such a thing as 'expert opinion' in occupational hygiene that is broadly shared by practicing professionals. This research, employing 11 experts who estimate an exposure parameter (the percentages of four nickel species) in 12 workplaces in a nickel primary production industry, provides a large dataset from which useful inferences can be drawn about the quality of expert judgments and the variability among the experts. A well-designed questionnaire that provided succinct information about the processes and baseline data served to calibrate the experts. The Bayesian framework has been used in this work to develop posterior means and standard deviations of the percentages of the four nickel species in the 12 workplaces of interest in the company. These estimates of the nickel speciation are at least as precise as--and most of the time more precise than--those provided by the sparse measurement data. There was a very high degree of agreement among the experts. A majority of the experts agreed among themselves 92% of the time, while almost two-thirds agreed 73% of the time. This, coupled with the fact that the experts came from varied backgrounds, seems to suggest that there is indeed some broad body of specialized knowledge that the experts are drawing on to reach similar judgments. It also seems that one type of expert is not necessarily any better than any other kind, and expertise does not necessarily require intimate familiarity with the workplace. In this example, the expert judgment exercise has indeed enhanced the quality of our knowledge of the exposure 'fingerprints' for the nickel industry

  14. Ethical issues of expert witness testimony.

    PubMed

    Ferreres, Alberto R

    2014-07-01

    Being a surgical expert witness (EW) in professional liability claims implies ethical responsibilities, which are usually unknown to the parties who try to obtain such testimony as well as to the surgeons involved in providing the expert opinion required by the courts. Giving medical testimony can be included in the field of surgery since (1) being an expert medical witness and judge the performance of another surgeon means that the witness must have a medical license and preferably be board-certified as a surgeon, and (2) the EW opinion sets the standard of care to be applied in each particular case. Thus, the role of the surgeon EW in the legal arena must have the same degree of integrity as the surgeon in his practice with direct patient care and it should be reviewed and subject to regulation. PMID:24852436

  15. Should Committees That Write Guidelines and Recommendations Publish Dissenting Opinions?

    PubMed

    Musher, Daniel M

    2016-05-01

    Medical guidelines tend to convey a sense of unanimity of opinion that may not reflect the deliberations of the experts who wrote them. Using, as an example, an analysis of the recently published recommendations on administering pneumococcal conjugate vaccine to adults, the present article raises the question of whether official recommendations and guidelines should include dissenting opinions, analogous to decisions issued by the US Supreme Court. The argument that such a policy would lead to confusion in our profession is addressed in 2 ways: (1) the current system, in which different professional societies publish conflicting recommendations, as in the case of breast or prostate cancer screening, can be far more confusing, and (2) in the long run, greater transparency will lead to more thoughtful and higher-quality medical care. Perhaps the most important point of this paper is the suggestion that it is far better to bring dissent into the recommendation process than to act as if it is not there. PMID:27061767

  16. Reinforcement in opinion dynamics

    NASA Astrophysics Data System (ADS)

    Volovik, Daniel

    I consider the evolution and acceptance of a new opinion in a population of unaware agents by using physics-based models of contagion spread. These models rely upon agent-based dynamics, in which an agent changes opinion by interactions with neighbors according to specific interactions. Most of these models have the feature that only a single input is required to change the opinion of an agent --- an agent has no commitment to its current opinion and accepts a new idea at the slightest provocation. These single-input models fail to account for people's confidence in their own beliefs. Thus I study the concept of social reinforcement --- that an agent adopts a new opinion only after multiple reinforcing prompts. Building on single-input models, I introduce two models of opinion spreading that incorporate a social reinforcement mechanism. (a) In the irreversible innovation and in the transient fad spreading models, a development is initially known only to a small portion of the population and subsequently spreads. An individual requires M > 1 interactions with an adopter before adopting the development. The ultimate extent of a transient fad depends critically on the characteristic time the fad keeps the attention of an adopting agent. (b) In the confident voter model, a voter can be in one of two opinion states and can additionally have two levels of commitment to an opinion: confident and vacillating. Upon interacting with an agent of a different opinion, a confident voter becomes less committed, or vacillating, but does not change opinion. However, a vacillating agent changes opinion by interacting with an agent of a different opinion. In two dimensions, the distribution of consensus times is characterized by two distinct times one that scales linearly with N and another that appears to scale as N 3/2. The longer time arises from configurations that fall into long-lived states that consist of multiple single-opinion stripes before consensus is reached.

  17. Selection system for forensic expert witness and their qualification in Japan.

    PubMed

    Matoba, Ryoji

    2003-03-01

    The origin of modern Japanese criminal procedure can be traced back to 1880, when the Code of Criminal Procedure saying that the judge can summon an expert to make an expert opinion was enacted. Broadly speaking, this procedure derived from continental law. After the end of World War II, some Anglo-American approaches were fused with the former continental system. Ex-officio examination of evidence by the court was abolished and the system of cross-examination by the parties was adopted. However, the system of 'expert opinion' did not change basically. Now-a-days, we have two experts; expert and expert witness. When the judge asked 'expert opinion' to expert, he is an expert. However, when either of parties asked, then he is called 'expert witness'. Usually, expert witnesses are selected from professors or associate professors of universities. But accepting expert witness is not estimated for promotion in Japanese Medical College, so sometimes to select expert witness is difficult. Then, justice began to educate medical doctors to receive expert witness and has asked to medical society to offer the list of adequate expert witnesses, and also our society cooperates with this. Japanese Society of Legal Medicine instituted the medical speciality certification system, which includes such specialities as inspection of corpses and legal medicine that focuses on forensic practice. This means that our society certifies those who having diploma of legal medicine as expert witness. PMID:12935552

  18. Survival of extreme opinions

    NASA Astrophysics Data System (ADS)

    Hsu, Jiann-wien; Huang, Ding-wei

    2009-12-01

    We study the survival of extreme opinions in various processes of consensus formation. All the opinions are treated equally and subjected to the same rules of changing. We investigate three typical models to reach a consensus in each case: (A) personal influence, (B) influence from surroundings, and (C) influence to surroundings. Starting with uniformly distributed random opinions, our calculated results show that the extreme opinions can survive in both models (A) and (B), but not in model (C). We obtain a conclusion that both personal influence and passive adaptation to the environment are not sufficient enough to eradicate all the extreme opinions. Only the active persuasion to change the surroundings eliminates the extreme opinions completely.

  19. Address on the Occasion of the Meeting of the Second Committee of Governmental Experts on Problems in the Field of Copyright and of the Protection of Performers, Producers of Phonograms and Broadcasting Organizations Raised by Transmission via Space Satellites.

    ERIC Educational Resources Information Center

    Maheu, Rene

    These opening remarks by the Director General of Unesco briefly discuss that organization's activities in the area of copyright within the field of satellite communication. They were addressed to members of a committee whose purpose is to determine whether the protection of signals transmitted by communications satellites does or does not require…

  20. [Medical expert assessment in civil and criminal law--medical expert assessment from the viewpoint of the attorney].

    PubMed

    Dierks, C

    1996-11-01

    Dealing with a medical expert assessment requires experience and perseverance of the lawyer. Exact knowledge about the expert opinion itself and the procedural options is of greatest importance due to the decisive impact of the medical expert assessment on the outcome of the lawsuit. The lawyer has to consider at any time of the process whether he can initiate an expert assessment, whether he has to evaluate, criticize or question obtained expert assessments, whether he has to challenge the expert or possibly has to introduce another expert into the lawsuit. The expert witness has to have professional knowledge and the lawyer as well as the court have to absorb this knowledge and use it accordingly. PMID:9064931

  1. Discourse, Opinions, and Ideologies.

    ERIC Educational Resources Information Center

    van Dijk, Teun A.

    1995-01-01

    Attempts to demonstrate the linkage between opinions, attitudes, and ideologies and to look for ways of explaining variation in opinions as well as in shared social dimensions of evaluative beliefs. The article argues that theories of discourse and ideologies, as well as the cognitive aspects of ideologies, should not be reduced to any partial…

  2. The prevention of analgesic opioids abuse: expert opinion.

    PubMed

    Maremmani, I; Gerra, G; Ripamonti, I C; Mugelli, A; Allegri, M; Viganò, R; Romualdi, P; Pinto, C; Raffaeli, W; Coluzzi, F; Gatti, R C; Mammucari, M; Fanelli, G

    2015-11-01

    Opioids are drugs of reference for the treatment of moderate to severe pain. Their proper use and a periodic assessment of the patient are crucial to prevent misuse. A multidisciplinary group suggests strategies for all stakeholders involved in the management of pain and suggests the importance of the doctor-patient relationship. PMID:26592848

  3. Expert opinion: diagnosis and treatment of proximal hamstring tendinopathy

    PubMed Central

    Lempainen, Lasse; Johansson, Kristian; Banke, Ingo J.; Ranne, Juha; Mäkelä, Keijo; Sarimo, Janne; Niemi, Pekka; Orava, Sakari

    2015-01-01

    Summary Background: proximal hamstring tendinopathy (PHT) is a disabilitating disease often causing underperformance in the athletically demanding patients. The main symptom of PHT is lower gluteal pain especially during running or while prolonged sitting. Mainly affecting athletically active individuals, PHT is a considerable challenge for treating health care professionals. Purpose: this paper aims to concisely present the literature on PHT to guide health care professionals treating these patients and doing research on the subject. Methods: we reviewed the literature on PHT through literature search of scientific journal databases. Conclusions: as a tendinopathic pathology, it is a rather recently discovered exertion injury. As with other chronic tendon overuse injuries, current treatment strategies are unspecific with uncertain outcomes due to the unknown etiology of the tendon degeneration. Diagnostic features as well as both operative and non-operative treatments are evaluated from a clinical perspective, providing up to date information for clinicians and sports medicine therapists dealing with hamstring problems. Level of evidence: V. PMID:25878983

  4. Expert opinion on available options treating pulmonary arterial hypertension.

    PubMed

    Naeije, Robert; Huez, Sandrine

    2007-10-01

    Until in the early nineties, pulmonary arterial hypertension (PAH) was a uniformly fatal disease, with a median life expectancy of approximately 2.5 years. Uncontrolled studies showed that a small proportion of patients responded to high-dose calcium channel blockers, retrospective studies supported the use of anticoagulant therapy and heart-lung or lung transplantation remained the only option. In 1996, a 3-month randomised, placebo-controlled trial showed that chronic intravenous epoprostenol (synthetic prostacyclin) improved functional state, exercise capacity, haemodynamics, and even survival in patients with idiopathic PAH. Similar benefits were subsequently reported and extended to all PAH categories, and confirmed with more stable prostacyclin analogues administered subcutaneously (treprostinil), by inhalation (iloprost), or even orally (beraprost). In the early 2000s, two randomised controlled trials showed efficacy of the oral intake of the dual endothelin A/B receptor antagonist bosentan. Two selective endothelin-A receptor antagonists, sitaxsentan and ambrisentan, are being developed. Finally, a randomised controlled trial has established the therapeutic efficacy of phosphodiesterase-5 inhibition with sildenafil, introducing a third signalling pathway to be targeted by the pharmacological treatment of PAH. Another phosphodiesterase-5 inhibitor, tadalafil, is already being evaluated. While all these treatments have markedly improved the lives of PAH patients, they have not offered yet a cure of the disease. Multi-drug approaches are now under evaluation, with more ambitious therapeutic goals. Alternative approaches with stem cells, RhoA-Rho-kinase inhibitors, platelet derived growth factor inhibitors and vasoactive intestinal peptides are being considered. PMID:17927481

  5. [Expert opinion of ORL for private accident insurance].

    PubMed

    Michel, O; Brusis, T

    2010-02-01

    The provisions and the aims of private accident insurance are not comparable to those of the statutory accident insurance. The ear nose throat- (ENT-)specialist is often consulted on the question of a possible causality between an accident and sequelae. Loss of smell, taste disorder and loss of hearing are specified in a table with a fixed percentage for compensation. The individual invalidity for ear ringing, vertigo and other disorders have to be determined separately from this table. In private accident insurance a probability bordering on absolute certainty must be given when establishing a possible causal connection whereby mental reactions are excluded from compensation and all sequelae have to have continued for at least 3 years. The occupation or specific skills of the injured person are not essential for the judgement. The current jurisdiction and conditions of private accident insurance for tinnitus and vertigo have to be taken into consideration. PMID:20127064

  6. Administering ziconotide and monitoring patients treated with ziconotide: expert opinions.

    PubMed

    Mitchell, Alisia A; Sapienza-Crawford, Anne J; Hanley, Kari L; Lokey, Kristi J; Wells, Linda; McDowell, Gladstone C; Stanton-Hicks, Michael

    2013-09-01

    Some patients with chronic pain who are intolerant of or refractory to treatment with systemic analgesics may benefit from intrathecal therapy. Ziconotide is the first nonopioid analgesic approved by the United States Food and Drug Administration for intrathecal administration. Several randomized, double-blind, placebo-controlled clinical trials have demonstrated the efficacy and safety of ziconotide. However, the maximum recommended dosing and titration schedule provided in the prescribing information may be too aggressive for some patients, and experience has demonstrated that ziconotide is better tolerated with slower titration to a lower maximum dose. Efficacy can be assessed by an evaluation of changes in pain, functionality, and quality of life. Cognitive adverse events may be subtle; therefore, it is important that health care professionals not only monitor patients for signs and symptoms of cognitive adverse events, but also teach family members how to do the same. Careful patient assessment and monitoring can help optimize the potential benefit from treatment with ziconotide. PMID:23972874

  7. The Delphi Method: Gathering Expert Opinion in Religious Education

    ERIC Educational Resources Information Center

    Baumfield, Vivienne M.; Conroy, James C.; Davis, Robert A.; Lundie, David C.

    2012-01-01

    The "Does Religious Education work?" project is part of the Religion and Society programme funded by two major research councils in the UK. It sets out to track the trajectory of Religious Education (RE) in secondary schools in the UK from the aims and intentions represented in policy through its enactment in classroom practice to the estimations…

  8. Infrared Thermography And The Expert Witness

    NASA Astrophysics Data System (ADS)

    Roberts, Charles C.

    1985-03-01

    With the continued growth of legal activities involving litigation, lawsuits involving technical matters may be very complex. Expert witnesses are often hired by both plaintiffs and defendants to help clarify and simplify technical merits of a case in order for the jury to make an educated decision. The usage of infrared thermography in legal matters has also been growing. This paper reviews several areas where infrared thermography has been utilized in legal matters. These include analysis of building defects, fire analysis and equipment failures. Expert witness qualifications, test procedures and analyses are discussed. The role of industry and governmental standards is reviewed. Opinions from the infrared thermographic expert should be unbiased, factual and within the area of qualification of the expert.

  9. Simplified Expert Elicitation Procedure for Risk Assessment of Operating Events

    SciTech Connect

    Ronald L. Boring; David Gertman; Jeffrey Joe; Julie Marble; William Galyean; Larry Blackwood; Harold Blackman

    2005-06-01

    This report describes a simplified, tractable, and usable procedure within the US Nuclear Regulator Commission (NRC) for seeking expert opinion and judgment. The NRC has increased efforts to document the reliability and risk of nuclear power plants (NPPs) through Probabilistic Risk Assessment (PRA) and Human Reliability Analysis (HRA) models. The Significance Determination Process (SDP) and Accident Sequence Precursor (ASP) programs at the NRC utilize expert judgment on the probability of failure, human error, and the operability of equipment in cases where otherwise insufficient operational data exist to make meaningful estimates. In the past, the SDP and ASP programs informally sought the opinion of experts inside and outside the NRC. This document represents a formal, documented procedure to take the place of informal expert elicitation. The procedures outlined in this report follow existing formal expert elicitation methodologies, but are streamlined as appropriate to the degree of accuracy required and the schedule for producing SDP and ASP analyses.

  10. Techniques for capturing expert knowledge - An expert systems/hypertext approach

    NASA Technical Reports Server (NTRS)

    Lafferty, Larry; Taylor, Greg; Schumann, Robin; Evans, Randy; Koller, Albert M., Jr.

    1990-01-01

    The knowledge-acquisition strategy developed for the Explosive Hazards Classification (EHC) Expert System is described in which expert systems and hypertext are combined, and broad applications are proposed. The EHC expert system is based on rapid prototyping in which primary knowledge acquisition from experts is not emphasized; the explosive hazards technical bulletin, technical guidance, and minimal interviewing are used to develop the knowledge-based system. Hypertext is used to capture the technical information with respect to four issues including procedural, materials, test, and classification issues. The hypertext display allows the integration of multiple knowlege representations such as clarifications or opinions, and thereby allows the performance of a broad range of tasks on a single machine. Among other recommendations, it is suggested that the integration of hypertext and expert systems makes the resulting synergistic system highly efficient.

  11. Addressing Intimate Partner Violence with Male Patients: A Review and Introduction of Pilot Guidelines

    PubMed Central

    2008-01-01

    Intimate partner violence (IPV) is a common and devastating problem affecting the health of women, men, and children. Most health-care research focuses on the effects of IPV on women and children and addressing IPV with women in the health-care setting. Less is known about addressing IPV with men in the health-care setting. This article reviews the challenges in interpreting research on IPV in men, its prevalence and health effects in men, and the arguments for addressing IPV with men in the health-care setting. It introduces pilot guidelines that are based on the existing literature and expert opinion. Electronic supplementary material The online version of this article (doi:10.1007/s11606-008-0755-1) contains supplementary material, which is available to authorized users. PMID:18830771

  12. Essays of a peripheral mind: An opinion on policy

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Strengthening the connections between science and policy is critical if science is to have meaningful impacts. Policy is often primarily based on arrays of opinion and experience. Science typically shapes some of these opinions. This essay addresses characteristics of science and its communicatio...

  13. Scientific Opinion on Risk Assessment of Synthetic Biology.

    PubMed

    Epstein, Michelle M; Vermeire, Theo

    2016-08-01

    In 2013, three Scientific Committees of the European Commission (EC) drafted Scientific Opinions on synthetic biology that provide an operational definition and address risk assessment methodology, safety aspects, environmental risks, knowledge gaps, and research priorities. These Opinions contribute to the international discussions on the risk governance for synthetic biology developments. PMID:27234301

  14. The Technologist As An Expert Witness

    NASA Astrophysics Data System (ADS)

    Morrill, R. E. K.; Hall, Morse

    1985-03-01

    Decisions in our legal system are made by laymen. Even the most technical and complex cases are heard and decided by a judge or jury who may very well have no expertise on the questions which confront them. As a result, our legal system permits experts to explain complex phenomena to the fact finder and even to express his opinion on the issue which the fact finder ultimately has to decide. For example, an expert may explain not only how an airplane accident occurred, but also may testify that someone was at fault.

  15. Expert systems relations in space applications

    NASA Technical Reports Server (NTRS)

    Brady, Michael

    1987-01-01

    The problem of expert systems relations as they pertain to space applications is discussed. First, these systems are categorized and the relationships between them are analyzed. Then, the expert systems cooperation paradigm is proposed. This paradigm addresses various types of communication and coordination issues in an attempt to create a general model applicable in a number of situations.

  16. Expert evidence and medical manslaughter: vagueness in action.

    PubMed

    Quick, Oliver

    2011-01-01

    This article examines the reliance placed on expert evidence in prosecutions of health professionals for gross negligence manslaughter, where juries must decide whether conduct goes beyond civil negligence and constitutes the crime of involuntary manslaughter. It argues that the test for liability is vague and examines some of the consequences of this. Given the vagueness of the offence, jurors are likely to place great reliance on expert medical evidence. Little is known about how experts negotiate the legal process, empirically speaking: how they approach their task, how they view their role as expert witnesses, and the attitudes, biases, and beliefs that may underpin their testimony. Drawing on the experiences and perceptions often medical experts, this article explores how experts manage the vagueness inherent in the task of interpreting and applying gross negligence. Experts appear to go beyond offering purely medical opinion and enjoy engaging with law and the legal process. PMID:22180927

  17. Neuropsychologist Experts and Civil Capacity Evaluations: Representative Cases.

    PubMed

    Kaufmann, Paul M

    2016-09-01

    Clinical neuropsychologists accept more forensic referrals now and spend more time in forensic consulting than ever before. Recent surveys show weekly hours devoted to forensic consulting increased 97% in the past decade. During the same time period, the number of board certified neuropsychologists more than doubled. Under recently published Specialty Guidelines for Forensic Psychology, clinical neuropsychologists practice forensic psychology when applying scientific, technical, or specialized knowledge of neuropsychology to the law to assist in addressing legal, contractual, or administrative matters. Among those increasingly varied forensic referrals, clinical neuropsychologists are conducting more civil competency and capacity evaluations. Representative cases from three jurisdictions demonstrate how neuropsychologists provide expertize in matters involving testamentary capacity, contractual capacity, business judgments, and job capacity. Case presentations illustrate some of the strengths and weaknesses of neuropsychological evaluation of civil capacities. The article concludes with a "battle of experts" case involving five neuropsychologists with opposing opinions recently heard in a Federal Appellate court. Implications for neuropschology training and forensic competencies are considered. In offering quality services to the legal profession, neuropsychologists support the truth-seeking function of the judiciary, promote justice, protect the profession, and serve public policy. PMID:27538441

  18. Speech spectrogram expert

    SciTech Connect

    Johannsen, J.; Macallister, J.; Michalek, T.; Ross, S.

    1983-01-01

    Various authors have pointed out that humans can become quite adept at deriving phonetic transcriptions from speech spectrograms (as good as 90percent accuracy at the phoneme level). The authors describe an expert system which attempts to simulate this performance. The speech spectrogram expert (spex) is actually a society made up of three experts: a 2-dimensional vision expert, an acoustic-phonetic expert, and a phonetics expert. The visual reasoning expert finds important visual features of the spectrogram. The acoustic-phonetic expert reasons about how visual features relates to phonemes, and about how phonemes change visually in different contexts. The phonetics expert reasons about allowable phoneme sequences and transformations, and deduces an english spelling for phoneme strings. The speech spectrogram expert is highly interactive, allowing users to investigate hypotheses and edit rules. 10 references.

  19. Opening Address

    NASA Astrophysics Data System (ADS)

    Abalakin, V. K.

    1997-03-01

    Dear Colleagues, It is a great pleasure and honor for me to invite you on the occasion of the IAU Colloquium International Cooperation in Dissemination of the Astronomical Data to the Central (Pulkovo) Astronomical Observatory of the Russian Academy of Sciences. This distinguished gathering of experts in the vast field of modern methods for archiving and managing almost infinite astronomical data files of everlasting value will doubtlessly make a considerable and important contribution to success in the present and future research in astronomy. All of us are witnesses of a great technological, even psychological upturn that occurs in the everyday astronomical practice. The small but the most powerful handy devices known as desktop, laptop, or even palm-top PCs, have rendered a tedious calculating work and stressing search in the card-file or book-form catalogs to a pure pleasure and raised an admiration for those brilliant minds that have invented such a kind of hard- and software. The networks of all kinds and sorts -- Internet, Bitnet, World Wide Web, etc. -- have realized ancient dreams of a Man to fly with thought all over the world communicating with other human beings. But ... don't forget that the most real and valuable communication is the live one, when one can see the face and the eyes of his (or her) partner, listen to his voice as large as life, and the only opportunity for this is to stay together. And this just occurs at the colloquium like ours! So, let me heartily welcome you to the Pulkovo Observatory.

  20. Convocation address.

    PubMed

    Alexander, P C

    1994-07-01

    Total world population is growing at the annual rate of 2%. While this rate of growth represents a decline from the annual growth rate of 2.5% during the early 1960s, world population still continues to grow rapidly in absolute terms as a result of the already enormous population base. Experts predict world population to grow to 12-14 billion before it stabilizes. Most of this growth will be due to high fertility amid declining mortality in developing countries; 80% of world population by the year 2000 will be in developing countries. India, for example, had a population of 358 million people in 1950. That population, however, should grow to more than one billion by the year 2000. The author, governor of Maharashtra, congratulates all who have successfully completed courses at the International Institute for Population Sciences during the year and voices his expectation that graduates will use their newfound knowledge and expertise in research and teaching as well as in developing meaningful and effective population policies in their respective countries. He also describes some of India's current population-related problems and future prospects. India has thus far kept its rate of food production above the rate of population growth. Even so, the average caloric intake in India needs to be increased by at least 50% in order for the population to maintain adequate health standards. The current scarcity of additional arable land, the need to halt further deforestation, and the ongoing absolute growth in population, however, suggest that India will be unable to raise the level of caloric intake for its people. India may even become dependent upon other countries to provide food for its population. PMID:12346131

  1. 29 CFR 18.701 - Opinion testimony by lay witnesses.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Labor Office of the Secretary of Labor RULES OF PRACTICE AND PROCEDURE FOR ADMINISTRATIVE HEARINGS BEFORE THE OFFICE OF ADMINISTRATIVE LAW JUDGES Rules of Evidence Opinions and Expert Testimony § 18.701... based on the perception of the witness and helpful to a clear understanding of the witness' testimony...

  2. 29 CFR 18.701 - Opinion testimony by lay witnesses.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Labor Office of the Secretary of Labor RULES OF PRACTICE AND PROCEDURE FOR ADMINISTRATIVE HEARINGS BEFORE THE OFFICE OF ADMINISTRATIVE LAW JUDGES Rules of Evidence Opinions and Expert Testimony § 18.701... based on the perception of the witness and helpful to a clear understanding of the witness' testimony...

  3. 29 CFR 18.701 - Opinion testimony by lay witnesses.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Labor Office of the Secretary of Labor RULES OF PRACTICE AND PROCEDURE FOR ADMINISTRATIVE HEARINGS BEFORE THE OFFICE OF ADMINISTRATIVE LAW JUDGES Rules of Evidence Opinions and Expert Testimony § 18.701... based on the perception of the witness and helpful to a clear understanding of the witness' testimony...

  4. Register of hydrogen technology experts

    NASA Technical Reports Server (NTRS)

    Ludtke, P. R.

    1975-01-01

    This register presents the names of approximately 235 individuals who are considered experts, or very knowledgeable, in various fields of technology related to hydrogen. Approximately 90 organizations are represented. Each person is listed by organizational affiliation, address, and principal area of expertise. The criteria for selection of names for the register are extensive experience in a given field of work, participation in or supervision of relevant research programs, contributions to the literature, or being recognized as an expert in a particular field. The purpose of the register is to present, in easy form, sources of dependable information regarding highly technical areas of hydrogen technology, with particular emphasis on safety. The register includes two indexes: an alphabetical listing of the experts and an alphabetical listing of the organizations with which they are affiliated.

  5. Eliciting spatial statistics from geological experts using genetic algorithms

    NASA Astrophysics Data System (ADS)

    Walker, Matthew; Curtis, Andrew

    2014-07-01

    A new method to obtain the statistics of a geostatistical model is introduced. The method elicits the statistical information from a geological expert directly, by iteratively updating a population of vectors of statistics, based on the expert's subjective opinion of the corresponding geological simulations. Thus, it does not require the expert to have knowledge of the mathematical and statistical details of the model. The process uses a genetic algorithm to generate new vectors. We demonstrate the methodology for a particular geostatistical model used to model rock pore-space, which simulates the spatial distribution of matrix and pores over a 2-D grid, using multipoint statistics specified by conditional probabilities. Experts were asked to use the algorithm to estimate the statistics of a given target pore-space image with known statistics; thus, their numerical rates of convergence could be calculated. Convergence was measured for all experts, showing that the algorithm can be used to find appropriate probabilities given the expert's subjective input. However, considerable and apparently irreducible residual misfit was found between the true statistics and the estimates of statistics obtained by the experts, with the root-mean-square error on the conditional probabilities typically >0.1. This is interpreted as the limit of the experts' abilities to distinguish between realizations of different spatial statistics using the algorithm. More accurate discrimination is therefore likely to require complementary elicitation techniques or sources of information independent of expert opinion.

  6. A teledentistry system for the second opinion.

    PubMed

    Gambino, Orazio; Lima, Fausto; Pirrone, Roberto; Ardizzone, Edoardo; Campisi, Giuseppina; di Fede, Olga

    2014-01-01

    In this paper we present a Teledentistry system aimed to the Second Opinion task. It make use of a particular camera called intra-oral camera, also called dental camera, in order to perform the photo shooting and real-time video of the inner part of the mouth. The pictures acquired by the Operator with such a device are sent to the Oral Medicine Expert (OME) by means of a current File Transfer Protocol (FTP) service and the real-time video is channeled into a video streaming thanks to the VideoLan client/server (VLC) application. It is composed by a HTML5 web-pages generated by PHP and allows to perform the Second Opinion both when Operator and OME are logged and when one of them is offline. PMID:25570224

  7. A Multilevel Model of Minority Opinion Expression and Team Decision-Making Effectiveness

    ERIC Educational Resources Information Center

    Park, Guihyun; DeShon, Richard P.

    2010-01-01

    The consideration of minority opinions when making team decisions is an important factor that contributes to team effectiveness. A multilevel model of minority opinion influence in decision-making teams is developed to address the conditions that relate to adequate consideration of minority opinions. Using a sample of 57 teams working on a…

  8. Expert system application education project

    NASA Technical Reports Server (NTRS)

    Gonzelez, Avelino J.; Ragusa, James M.

    1988-01-01

    Artificial intelligence (AI) technology, and in particular expert systems, has shown potential applicability in many areas of operation at the Kennedy Space Center (KSC). In an era of limited resources, the early identification of good expert system applications, and their segregation from inappropriate ones can result in a more efficient use of available NASA resources. On the other hand, the education of students in a highly technical area such as AI requires an extensive hands-on effort. The nature of expert systems is such that proper sample applications for the educational process are difficult to find. A pilot project between NASA-KSC and the University of Central Florida which was designed to simultaneously address the needs of both institutions at a minimum cost. This project, referred to as Expert Systems Prototype Training Project (ESPTP), provided NASA with relatively inexpensive development of initial prototype versions of certain applications. University students likewise benefit by having expertise on a non-trivial problem accessible to them at no cost. Such expertise is indispensible in a hands-on training approach to developing expert systems.

  9. Expert witness immunity: surveying the karnage!

    PubMed

    Pamplin, Chris

    2014-03-01

    For most expert witnesses, the decidedly disturbing decision-making of the Supreme Court in Jones v Kaney (2011) UKSC 13, has little immediate impact as, being conscientious professionals, they will be unlikely to be found negligent and will carry professional indemnity insurance just in case. Indeed, they will view existing professional disciplinary risks as a greater concern! But there are a number of potential consequences of this disturbing decision that should be considered by all expert witnesses and some clear actions that may be necessary. These include including obtain appropriate professional indemnity insurance, considering the potential for limiting liability through contract, becoming more circumspect about the way they express their opinions and consider whether accepting single joint expert instructions is still an option. PMID:24619841

  10. Inaugural address

    NASA Astrophysics Data System (ADS)

    Joshi, P. S.

    2014-03-01

    From jets to cosmos to cosmic censorship P S Joshi Tata Institute of Fundamental Research, Homi Bhabha Road, Colaba, Mumbai 400005, India E-mail: psj@tifr.res.in 1. Introduction At the outset, I should like to acknowledge that part of the title above, which tries to capture the main flavour of this meeting, and has been borrowed from one of the plenary talks at the conference. When we set out to make the programme for the conference, we thought of beginning with observations on the Universe, but then we certainly wanted to go further and address deeper questions, which were at the very foundations of our inquiry, and understanding on the nature and structure of the Universe. I believe, we succeeded to a good extent, and it is all here for you in the form of these Conference Proceedings, which have been aptly titled as 'Vishwa Mimansa', which could be possibly translated as 'Analysis of the Universe'! It is my great pleasure and privilege to welcome you all to the ICGC-2011 meeting at Goa. The International Conference on Gravitation and Cosmology (ICGC) series of meetings are being organized by the Indian Association for General Relativity and Gravitation (IAGRG), and the first such meeting was planned and conducted in Goa in 1987, with subsequent meetings taking place at a duration of about four years at various locations in India. So, it was thought appropriate to return to Goa to celebrate the 25 years of the ICGC meetings. The recollections from that first meeting have been recorded elsewhere here in these Proceedings. The research and teaching on gravitation and cosmology was initiated quite early in India, by V V Narlikar at the Banares Hindu University, and by N R Sen in Kolkata in the 1930s. In course of time, this activity grew and gained momentum, and in early 1969, at the felicitation held for the 60 years of V V Narlikar at a conference in Ahmedabad, P C Vaidya proposed the formation of the IAGRG society, with V V Narlikar being the first President. This

  11. Retroperitoneal Sarcoma: Fact, Opinion, and Controversy.

    PubMed

    Gladdy, Rebecca A; Gupta, Abha; Catton, Charles N

    2016-10-01

    After diagnosis of retroperitoneal sarcoma (RPS), detailed imaging and multidisciplinary discussion should guide treatment including surgical resection and in select cases, neoadjuvant therapy. Local recurrence is common in RPS and is associated with grade, histologic subtype, completeness of resection, and size. As guidelines to standardize RPS patient management emerge, expert pathologic assessment and management in centers of excellence are benchmarks of quality of care. The efficacy of current chemotherapy is limited and there is a critical need to understand the molecular basis of sarcoma so that new drug therapies are developed. Multicenter clinical trials are needed to limit opinion and controversy in this complex and challenging disease. PMID:27591493

  12. Opening addresses.

    PubMed

    Chukudebelu, W O; Lucas, A O; Ransome-kuti, O; Akinla, O; Obayi, G U

    1988-01-01

    The theme of the 3rd International Conference of the Society of Gynecology and Obstetrics of Nigeria (SOGON) held October 26, 1986 in Enugu was maternal morbidity and mortality in Africa. The opening addresses emphasize the high maternal mortality rate in Africa and SOGON's dedication to promoting women's health and welfare. In order to reduce maternal mortality, the scope of this problem must be made evident by gathering accurate mortality rates through maternity care monitoring and auditing. Governments, health professionals, educators, behavioral scientists, and communication specialists have a responsibility to improve maternal health services in this country. By making the population aware of this problem through education, measures can be taken to reduce the presently high maternal mortality rates. Nigerian women are physically unprepared for childbirth; therefore, balanced diets and disease prevention should be promoted. Since about 40% of deliveries are unmanaged, training for traditional birth attendants should be provided. Furthermore, family planning programs should discourage teenage pregnancies, encourage birth spacing and small families, and promote the use of family planning techniques among men. The problem of child bearing and rearing accompanied by hard work should also be investigated. For practices to change so that maternal mortality rates can be reduced, attitudes must be changed such that the current rates are viewed as unacceptable. PMID:12179275

  13. Opening Address

    NASA Astrophysics Data System (ADS)

    Yamada, T.

    2014-12-01

    Ladies and Gentlemen, it is my great honor and pleasure to present an opening address of the 3rd International Workshop on "State of the Art in Nuclear Cluster Physics"(SOTANCP3). On the behalf of the organizing committee, I certainly welcome all your visits to KGU Kannai Media Center belonging to Kanto Gakuin University, and stay in Yokohama. In particular, to whom come from abroad more than 17 countries, I would appreciate your participations after long long trips from your homeland to Yokohama. The first international workshop on "State of the Art in Nuclear Cluster Physics", called SOTANCP, was held in Strasbourg, France, in 2008, and the second one was held in Brussels, Belgium, in 2010. Then the third workshop is now held in Yokohama. In this period, we had the traditional 10th cluster conference in Debrecen, Hungary, in 2012. Thus we have the traditional cluster conference and SOTANCP, one after another, every two years. This obviously shows our field of nuclear cluster physics is very active and flourishing. It is for the first time in about 10 years to hold the international workshop on nuclear cluster physics in Japan, because the last cluster conference held in Japan was in Nara in 2003, about 10 years ago. The president in Nara conference was Prof. K. Ikeda, and the chairpersons were Prof. H. Horiuchi and Prof. I. Tanihata. I think, quite a lot of persons in this room had participated at the Nara conference. Since then, about ten years passed. So, this workshop has profound significance for our Japanese colleagues. The subjects of this workshop are to discuss "the state of the art in nuclear cluster physics" and also discuss the prospect of this field. In a couple of years, we saw significant progresses of this field both in theory and in experiment, which have brought better and new understandings on the clustering aspects in stable and unstable nuclei. I think, the concept of clustering has been more important than ever. This is true also in the

  14. Presidential address.

    PubMed

    Vohra, U

    1993-07-01

    The Secretary of India's Ministry of Health and Family Welfare serves as Chair of the Executive Council of the International Institute for Population Sciences in Bombay. She addressed its 35th convocation in 1993. Global population stands at 5.43 billion and increases by about 90 million people each year. 84 million of these new people are born in developing countries. India contributes 17 million new people annually. The annual population growth rate in India is about 2%. Its population size will probably surpass 1 billion by the 2000. High population growth rates are a leading obstacle to socioeconomic development in developing countries. Governments of many developing countries recognize this problem and have expanded their family planning programs to stabilize population growth. Asian countries that have done so and have completed the fertility transition include China, Japan, Singapore, South Korea, and Thailand. Burma, Malaysia, North Korea, Sri Lanka, and Vietnam have not yet completed the transition. Afghanistan, Bangladesh, Iran, Nepal, and Pakistan are half-way through the transition. High population growth rates put pressure on land by fragmenting finite land resources, increasing the number of landless laborers and unemployment, and by causing considerable rural-urban migration. All these factors bring about social stress and burden civic services. India has reduced its total fertility rate from 5.2 to 3.9 between 1971 and 1991. Some Indian states have already achieved replacement fertility. Considerable disparity in socioeconomic development exists among states and districts. For example, the states of Bihar, Madhya Pradesh, Rajasthan, and Uttar Pradesh have female literacy rates lower than 27%, while that for Kerala is 87%. Overall, infant mortality has fallen from 110 to 80 between 1981 and 1990. In Uttar Pradesh, it has fallen from 150 to 98, while it is at 17 in Kerala. India needs innovative approaches to increase contraceptive prevalence rates

  15. Setting health research priorities using the CHNRI method: VI. Quantitative properties of human collective opinion

    PubMed Central

    Yoshida, Sachiyo; Rudan, Igor; Cousens, Simon

    2016-01-01

    Introduction Crowdsourcing has become an increasingly important tool to address many problems – from government elections in democracies, stock market prices, to modern online tools such as TripAdvisor or Internet Movie Database (IMDB). The CHNRI method (the acronym for the Child Health and Nutrition Research Initiative) for setting health research priorities has crowdsourcing as the major component, which it uses to generate, assess and prioritize between many competing health research ideas. Methods We conducted a series of analyses using data from a group of 91 scorers to explore the quantitative properties of their collective opinion. We were interested in the stability of their collective opinion as the sample size increases from 15 to 90. From a pool of 91 scorers who took part in a previous CHNRI exercise, we used sampling with replacement to generate multiple random samples of different size. First, for each sample generated, we identified the top 20 ranked research ideas, among 205 that were proposed and scored, and calculated the concordance with the ranking generated by the 91 original scorers. Second, we used rank correlation coefficients to compare the ranks assigned to all 205 proposed research ideas when samples of different size are used. We also analysed the original pool of 91 scorers to to look for evidence of scoring variations based on scorers' characteristics. Results The sample sizes investigated ranged from 15 to 90. The concordance for the top 20 scored research ideas increased with sample sizes up to about 55 experts. At this point, the median level of concordance stabilized at 15/20 top ranked questions (75%), with the interquartile range also generally stable (14–16). There was little further increase in overlap when the sample size increased from 55 to 90. When analysing the ranking of all 205 ideas, the rank correlation coefficient increased as the sample size increased, with a median correlation of 0.95 reached at the sample size

  16. Welcome Address

    NASA Astrophysics Data System (ADS)

    Kiku, H.

    2014-12-01

    Ladies and Gentlemen, It is an honor for me to present my welcome address in the 3rd International Workshop on "State of the Art in Nuclear Cluster Physics"(SOTANCP3), as the president of Kanto Gakuin University. Particularly to those from abroad more than 17 countries, I am very grateful for your participation after long long trips from your home to Yokohama. On the behalf of the Kanto Gakuin University, we certainly welcome your visit to our university and stay in Yokohama. First I would like to introduce Kanto Gakuin University briefly. Kanto Gakuin University, which is called KGU, traces its roots back to the Yokohama Baptist Seminary founded in 1884 in Yamate, Yokohama. The seminary's founder was Albert Arnold Bennett, alumnus of Brown University, who came to Japan from the United States to establish a theological seminary for cultivating and training Japanese missionaries. Now KGU is a major member of the Kanto Gakuin School Corporation, which is composed of two kindergartens, two primary schools, two junior high schools, two senior high schools as well as KGU. In this university, we have eight faculties with graduate school including Humanities, Economics, Law, Sciences and Engineering, Architecture and Environmental Design, Human and Environmental Studies, Nursing, and Law School. Over eleven thousands students are currently learning in our university. By the way, my major is the geotechnical engineering, and I belong to the faculty of Sciences and Engineering in my university. Prof. T. Yamada, here, is my colleague in the same faculty. I know that the nuclear physics is one of the most active academic fields in the world. In fact, about half of the participants, namely, more than 50 scientists, come from abroad in this conference. Moreover, I know that the nuclear physics is related to not only the other fundamental physics such as the elementary particle physics and astrophysics but also chemistry, medical sciences, medical cares, and radiation metrology

  17. The Expert Witness

    ERIC Educational Resources Information Center

    Environmental Science and Technology, 1975

    1975-01-01

    As consumers organize and industry begins to feel the economic pinch of pollution control laws, litigation may increase as will the need for the expert witness. Discussed are the functions and preparations of expert witnesses, their role and conduct in judicial proceedings, and the techniques of being an expert witness. (BT)

  18. A renewed Medication Adherence Alliance call to action: harnessing momentum to address medication nonadherence in the United States

    PubMed Central

    Zullig, Leah L; Granger, Bradi B; Bosworth, Hayden B

    2016-01-01

    The problem Nonadherence to prescription medications is a common and costly problem with multiple contributing factors, spanning the dimensions of individual behavior change, psychology, medicine, and health policy, among others. Addressing the problem of medication nonadherence requires strategic input from key experts in a number of fields. Meeting of experts The Medication Adherence Alliance is a group of key experts, predominately from the US, in the field of medication nonadherence. Members include representatives from consumer advocacy groups, community health providers, nonprofit groups, the academic community, decision-making government officials, and industry. In 2015, the Medication Adherence Alliance convened to review the current landscape of medication adherence. The group then established three working groups that will develop recommendations for shifting toward solutions-oriented science. Commentary of expert opinion From the perspective of the Medication Adherence Alliance, the objective of this commentary is to describe changes in the US landscape of medication adherence, framing the evolving field in the context of a recent think tank meeting of experts in the field of medication adherence. PMID:27462145

  19. Anisotropic opinion dynamics

    NASA Astrophysics Data System (ADS)

    Neirotti, Juan

    2016-07-01

    We consider the process of opinion formation in a society of interacting agents, where there is a set B of socially accepted rules. In this scenario, we observed that agents, represented by simple feed-forward, adaptive neural networks, may have a conservative attitude (mostly in agreement with B ) or liberal attitude (mostly in agreement with neighboring agents) depending on how much their opinions are influenced by their peers. The topology of the network representing the interaction of the society's members is determined by a graph, where the agents' properties are defined over the vertexes and the interagent interactions are defined over the bonds. The adaptability of the agents allows us to model the formation of opinions as an online learning process, where agents learn continuously as new information becomes available to the whole society (online learning). Through the application of statistical mechanics techniques we deduced a set of differential equations describing the dynamics of the system. We observed that by slowly varying the average peer influence in such a way that the agents attitude changes from conservative to liberal and back, the average social opinion develops a hysteresis cycle. Such hysteretic behavior disappears when the variance of the social influence distribution is large enough. In all the cases studied, the change from conservative to liberal behavior is characterized by the emergence of conservative clusters, i.e., a closed knitted set of society members that follow a leader who agrees with the social status quo when the rule B is challenged.

  20. Anisotropic opinion dynamics.

    PubMed

    Neirotti, Juan

    2016-07-01

    We consider the process of opinion formation in a society of interacting agents, where there is a set B of socially accepted rules. In this scenario, we observed that agents, represented by simple feed-forward, adaptive neural networks, may have a conservative attitude (mostly in agreement with B) or liberal attitude (mostly in agreement with neighboring agents) depending on how much their opinions are influenced by their peers. The topology of the network representing the interaction of the society's members is determined by a graph, where the agents' properties are defined over the vertexes and the interagent interactions are defined over the bonds. The adaptability of the agents allows us to model the formation of opinions as an online learning process, where agents learn continuously as new information becomes available to the whole society (online learning). Through the application of statistical mechanics techniques we deduced a set of differential equations describing the dynamics of the system. We observed that by slowly varying the average peer influence in such a way that the agents attitude changes from conservative to liberal and back, the average social opinion develops a hysteresis cycle. Such hysteretic behavior disappears when the variance of the social influence distribution is large enough. In all the cases studied, the change from conservative to liberal behavior is characterized by the emergence of conservative clusters, i.e., a closed knitted set of society members that follow a leader who agrees with the social status quo when the rule B is challenged. PMID:27575150

  1. Expert witness reform.

    PubMed

    Horton, J Bauer; Reece, Edward; Janis, Jeffrey E; Broughton, George; Hollier, Larry; Thornton, James F; Kenkel, Jeffrey M; Rohrich, Rod J

    2007-12-01

    The legal system depends on the medical expert for evidence. Doctors readily complain about frivolous cases that go to trial, yet a lawyer cannot bring a frivolous claim to trial without a physician expert witness stating that the claim is not frivolous. An insurance company cannot raise premiums without medical expert witnesses servicing the increasing litigation against the insured. Physicians must look to themselves as a major contributor to rising malpractice insurance costs. For without the physician expert witness, no medical malpractice lawsuit can take place. It is the expert physician, not the attorneys or insurance companies, who defines "meritless" and "frivolous" and who ultimately controls the courts' medical malpractice caseload. PMID:18090781

  2. Expert status and performance.

    PubMed

    Burgman, Mark A; McBride, Marissa; Ashton, Raquel; Speirs-Bridge, Andrew; Flander, Louisa; Wintle, Bonnie; Fidler, Fiona; Rumpff, Libby; Twardy, Charles

    2011-01-01

    Expert judgements are essential when time and resources are stretched or we face novel dilemmas requiring fast solutions. Good advice can save lives and large sums of money. Typically, experts are defined by their qualifications, track record and experience. The social expectation hypothesis argues that more highly regarded and more experienced experts will give better advice. We asked experts to predict how they will perform, and how their peers will perform, on sets of questions. The results indicate that the way experts regard each other is consistent, but unfortunately, ranks are a poor guide to actual performance. Expert advice will be more accurate if technical decisions routinely use broadly-defined expert groups, structured question protocols and feedback. PMID:21829574

  3. Expert Status and Performance

    PubMed Central

    Burgman, Mark A.; McBride, Marissa; Ashton, Raquel; Speirs-Bridge, Andrew; Flander, Louisa; Wintle, Bonnie; Fidler, Fiona; Rumpff, Libby; Twardy, Charles

    2011-01-01

    Expert judgements are essential when time and resources are stretched or we face novel dilemmas requiring fast solutions. Good advice can save lives and large sums of money. Typically, experts are defined by their qualifications, track record and experience [1], [2]. The social expectation hypothesis argues that more highly regarded and more experienced experts will give better advice. We asked experts to predict how they will perform, and how their peers will perform, on sets of questions. The results indicate that the way experts regard each other is consistent, but unfortunately, ranks are a poor guide to actual performance. Expert advice will be more accurate if technical decisions routinely use broadly-defined expert groups, structured question protocols and feedback. PMID:21829574

  4. The role of the expert witness in the adversarial legal system.

    PubMed

    Beran, Roy G

    2009-08-01

    So often we hear the legal profession berate expert witnesses as "hired guns" whose bias is for sale. While this may be relevant to a small minority of "experts", the majority do their job with integrity and in an ethical fashion. An advocate for a proposition will not call a witness to support a claim if it is clear that the witness holds an opposing view. It follows that the bias emanates from the lawyer, not the witness. A witness without a formed view cannot truly claim to be an expert, as the expert should have sufficient knowledge to form an opinion. Once that opinion has been expressed and justified, the lawyer will select the most persuasive and cogently constructed opinion with which to convince the court. The expert witness must commence the assessment without bias or favour; must collect her or his history and examination of the relevant material; evaluate all the facts and evidence provided for scrutiny; seek additional material where there appears to be a deficiency; and draw on all of these data to formulate an opinion in response to questions posed by the instructing lawyer. The expert need not support or refute the stance proposed by the lawyer but the lawyer will only use those opinions favourable to the lawyer's case and hold the remainder as privileged where even that option prevails. It follows that the role of the expert is to provide a well-prepared analysis; it is the lawyer who is paid to be biased. PMID:19771993

  5. Opinion dynamics in networked command and control organizations

    NASA Astrophysics Data System (ADS)

    Song, Xiao; Zhang, Shaoyun; Qian, Lidong

    2013-10-01

    An opinion dynamics model for a Command and Control (C2) organization is essential for simulating combat system effectiveness. However, few studies have addressed opinion evolution in C2 simulation. With the goal of overcoming this research gap, this paper proposes an opinion exchange model, which is illustrated through a practical example of an Armored Division network. The model is divided into homogeneous and heterogeneous aspects: the former is mainly characterized by communication rules and types, while the latter is extended with the influence of multi-level opinion leaders. After carrying out the simulation of the two main models, the results show that the opinion evolution of the hierarchical leveled C2 organization with descending influence is much more complex and unpredictable than that of social networks.

  6. Expert System Development Methodology (ESDM)

    NASA Technical Reports Server (NTRS)

    Sary, Charisse; Gilstrap, Lewey; Hull, Larry G.

    1990-01-01

    The Expert System Development Methodology (ESDM) provides an approach to developing expert system software. Because of the uncertainty associated with this process, an element of risk is involved. ESDM is designed to address the issue of risk and to acquire the information needed for this purpose in an evolutionary manner. ESDM presents a life cycle in which a prototype evolves through five stages of development. Each stage consists of five steps, leading to a prototype for that stage. Development may proceed to a conventional development methodology (CDM) at any time if enough has been learned about the problem to write requirements. ESDM produces requirements so that a product may be built with a CDM. ESDM is considered preliminary because is has not yet been applied to actual projects. It has been retrospectively evaluated by comparing the methods used in two ongoing expert system development projects that did not explicitly choose to use this methodology but which provided useful insights into actual expert system development practices and problems.

  7. EMMA: The expert system for munition maintenance

    NASA Technical Reports Server (NTRS)

    Mullins, Barry E.

    1988-01-01

    Expert Missile Maintenance Aid (EMMA) is a first attempt to enhance maintenance of the tactical munition at the field and depot level by using artificial intelligence (AI) techniques. The ultimate goal of EMMA is to help a novice maintenance technician isolate and diagnose electronic, electromechanical, and mechanical equipment faults to the board/chassis level more quickly and consistently than the best human expert using the best currently available automatic test equipment (ATE). To this end, EMMA augments existing ATE with an expert system that captures the knowledge of design and maintenance experts. The EMMA program is described, including the evaluation of field-level expert system prototypes, the description of several study tasks performed during EMMA, and future plans for a follow-on program. This paper will briefly address several study tasks performed during EMMA. The paper concludes with a discussion of future plans for a follow-on program and other areas of concern.

  8. Assertive women as expert witnesses: a study of assertive and defensive responses in male and female experts.

    PubMed

    Larson, Bridget A; Brodsky, Stanley L

    2014-01-01

    This investigation of expert witness gender used scenarios addressing threats to the expert, sexuality, parenting by the expert, and lying, and in which intrusive and non-intrusive gender cross-examinations were presented to 352 mock jurors. Male and female experts were matched carefully on attractiveness and other social desirability dimensions. In half of the situations the expert witnesses replied with defensive answers, and in the other half, they replied assertively. The assertive responses were found to be significantly more effective on a number of dependent measures, including perceived credibility. In results consistent with other studies, the male experts were evaluated more positively than the female experts. Sexism and other attitudes of the mock jurors were unrelated to credibility and expert gender. The results are discussed in the context of managing aggressive cross-examinations, role demands for women in the courtroom, and methodological approaches to the study of expert witness gender. PMID:24691753

  9. Assessment of effectiveness of geologic isolation systems: the feasibility of computer interrogation of experts for WISAP

    SciTech Connect

    Wight, L.H.

    1980-05-01

    Simulation of the response of a waste repository to events that could initiate a fault tree to breach and failure is currently a keystone to the Battelle Waste Isolation Safety Assessment Program (WISAP). The repository simulation, which is part of the Disruptive Event Analysis Task, models the repository for its entire design life, one million years. This is clearly a challenging calculation, requiring input unlike any other response analysis by virtue of the long design life of the facility. What technology will provide design criteria for a million year design life. Answers to questions like this can, to some extent, be based on data, but always require some subjective judgments. The subjectivity, which is sometimes driven by inadequate or incomplete data or by a lack of understanding of the physical process, is therefore a crucial ingredient in an analysis of initiating events. Because of the variety of possible initiating events (glaciation, man-caused disruption, volcanism, etc.), many expert opinions will be solicited as input. The complexity of the simulation, the variety of experts involved, and the volume of applicable data all suggest that there may be a more direct, economical method to solicit the expert opinion. This report addresses the feasibility of such a system. Background information is presented that demonstrates the advantages of a computer interrogation system over conventional interrogation and assessment techniques. In the subsequent three sections the three elements - structure and decomposition, scaling, and synthesis - that are basic to any interrogation and assessment technique are reviewed. The interrelationship are schematically illustrated between these three fundamental elements and, therefore, serves as a useful guide to these three sections. Each of these three sections begins with a recommended approach to the particular element and ends with an illustration of representative dialogue.

  10. Unsolicited medical opinion.

    PubMed

    Ratzan, R M

    1985-05-01

    By virtue of their professional ethics as healers and because of their specialized technical knowledge and clinical experience in assessing and reacting to real and potential emergencies, physicians have an obligation to offer an unsolicited medical opinion when the following conditions are met: (1) physicians assess a high probability of potentially serious disease in a stranger because of information presented to them, either in the form of a communication or physical signs; (2) physicians judge this information to be latent (not readily interpretable as potentially dangerous by the stranger) and likely to remain latent prior to the onset of symptoms; (3) the physicians possess the medical knowledge appropriate to the professional interpretation of this information. Although not a morally risk-free endeavor (invasion of privacy and the potential creation of a 'sick role' whether or not the diagnosis is correct), offering an unsolicited medical opinion under the above conditions can prevent suffering and save lives in unsuspecting strangers. PMID:4009080

  11. From expert witness to defendant: abolition of expert witness protection and its implications.

    PubMed

    Mendelson, Danuta

    2012-12-01

    In Jones v Kaney [2011] 2 AC 398, the United Kingdom Supreme Court held that in England and Wales (but not in Scotland), clients can sue expert witnesses in negligence and/or contract for work performed under their retainer, whether in civil or criminal trials. The duties of expert witnesses in England are regulated by the Civil Procedure Rules and Protocols; the former also regulate the conduct of cases involving expert opinions. The legal context that led to the litigation is examined in the light of these rules, in particular, the nature of the allegations against Dr Kaney, a psychologist retained to provide psychiatric opinion. Jones v Kaney, as a decision of the United Kingdom Supreme Court, is not a binding precedent in Australia. However, unlike statutory enactments, common law judgments are retrospective in their operation, which means that health care practitioners who follow a generally accepted practice today may still be sued for damages by their patients or clients in the future. By definition, the future, including the refusal by the Australian High Court to follow Kaney's abolition of expert witnesses' immunity from suit for breach of duty to their clients, cannot be predicted with certainty. Consequently, health care practitioners in Australia and other countries should be aware of the case, its jurisprudential and practical ramifications. PMID:23431843

  12. Factors Influencing Continuing Professional Development: A Delphi Study among Nursing Experts

    ERIC Educational Resources Information Center

    Brekelmans, Gerard; Poell, Rob F.; van Wijk, Kees

    2013-01-01

    Purpose: The aim of this paper is to present an inventory of expert opinions on the factors that influence the participation of registered nurses in continuing professional development (CPD) activities. Design/methodology/approach: A Delphi study was conducted among 38 Dutch experts (nursing employers, managers, education institutions, and…

  13. The dermatologist as expert witness-revisited: know the risks before you agree.

    PubMed

    Piekarsky, Scott B

    2013-12-01

    Legal Standards and requirements exist for dermatologists wishing to serve as expert witnesses. Case law, statutes and licensing/credentialing groups exist to regulate the practice to ensure honesty and integrity. Penalties and sanctions exist for deceptive and fraudulent opinions. However, conversely, private groups must be careful in their efforts to not libel savvy experts or interfere with their legitimate work. PMID:24800432

  14. ASSESSING PESTICIDE RISK TO ARTHROPOD NATURAL ENEMIES USING EXPERT SYSTEM TECHNOLOGY

    EPA Science Inventory

    A prototype expert system (NERISK) has been developed to help users assess the impact of pesticides on beneficial arthropod predators and parasitoids in agricultural systems. hell program (RECOG) was adapted with minor modifications to allow the encoding of expert opinion on this...

  15. The irresponsible expert witness: a failure of biomedical graduate education and professional accountability.

    PubMed

    Brent, R L

    1982-11-01

    Many forces have created the epidemic of negligence and malpractice litigation. One of the contributing factors to the rising rate of nonmeritorious litigation is the increasing number of unequalified and irresponsible expert witnesses. The high remuneration has attracted physician-scientists who are unaware of the proper role of an expert witness. They are frequently manipulated by the attorneys and function as partisans rather than scholars. The role of the expert witness should be taught in medical and graduate school. Testimony should be taught in medical and graduate school. Testimony should be treated as a scholarly endeavor and experts should be encouraged to seek peer review of their opinions and not to testify secretly and in isolation. It is suggested that greater visibility of experts and their testimony (light of day phenomenon) should raise the quality of expert witness testimony and encourage more qualified experts to participate as expert witnesses, thus removing the stigmata usually associated with unqualified expert witnesses. PMID:7133826

  16. Expert witness blinding strategies to mitigate bias in radiology malpractice cases: a comprehensive review of the literature.

    PubMed

    Durand, Daniel J; Robertson, Christopher T; Agarwal, Gautam; Duszak, Richard; Krupinski, Elizabeth A; Itri, Jason N; Fotenos, Anthony; Savoie, Brent; Ding, Alexander; Lewin, Jonathan S

    2014-09-01

    Like all physicians, radiologists in the United States are subject to frequent and costly medical malpractice claims. Legal scholars and physicians concur that the US civil justice system is neither precise nor accurate in determining whether malpractice has truly occurred in cases in which claims are made. Sometimes, this inaccuracy is driven by biases inherent in medical expert-witness opinions. For example, expert-witness testimony involving "missed" radiology findings can be negatively affected by several cognitive biases, such as contextual bias, hindsight bias, and outcome bias. Biases inherent in the US legal system, such as selection bias, compensation bias, and affiliation bias, also play important roles. Fortunately, many of these biases can be significantly mitigated or eliminated through the use of appropriate blinding techniques. This paper reviews the major works on expert-witness blinding in the legal scholarship and the radiology professional literature. Its purpose is to acquaint the reader with the evidence that unblinded expert-witness testimony is tainted by multiple sources of bias and to examine proposed strategies for addressing these biases through blinding. PMID:25041992

  17. HESS Opinions "Urgent water challenges are not sufficiently researched"

    NASA Astrophysics Data System (ADS)

    van der Zaag, P.; Gupta, J.; Darvis, L. P.

    2009-06-01

    In this opinion paper we submit that water experts conduct comparatively little research on the more urgent challenges facing the global community. Five specific biases are identified. First, research in the field of water and sanitation is heavily biased against sanitation. Second, research on food security is biased in favour of conventional irrigation and fails to address the problems and opportunities of rainfed agriculture. Third, insufficient water research is dedicated to developmental compared to environmental issues. Fourth, too little research is conducted on adaptation to climate change by developing countries. And finally, research on water governance has a fascination for conflict but too little eye for cooperation and meeting basic needs. This paper illustrates these biases with bibliometric indicators extracted from the ISI Web of Science. There is a stark mismatch between the global demand for knowledge and the supply of it. This mismatch is identified here as a problem that we water scientists must confront and resolve. We still lack a full understanding why this divergence between demand and supply occurs and persists; an understanding that is required to guide us towards aligning our research priorities to societal demands. The paper, however, makes some inferences. On the one hand, we should promote the global South to create its own research biases and allow it to develop alternative solutions. Simultaneously we would benefit from critical examination of our own research practice. Although this paper addresses a critical challenge it does not aim to be exhaustive or definitive. We merely identify the persistence of intransigent water problems as a valid research object in itself.

  18. Attorney beliefs concerning scientific evidence and expert witness credibility.

    PubMed

    Wechsler, Hayley J; Kehn, Andre; Wise, Richard A; Cramer, Robert J

    2015-01-01

    Expert witnesses play a pivotal role in offering a variety of scientific evidence at trial. Although judges are the ultimate gatekeepers of what constitutes valid scientific evidence, attorneys play an important part in determining what evidence is presented to the court. Employing experimental and descriptive analyses, the present study sought to address gaps in the attorney/expert witness literature by addressing three questions: One) To what extent do attorneys prefer forensic or social scientific evidence and experts?, Two) How knowledgeable are attorneys concerning empirically-supported indicators of expert credibility?, Three) What do attorneys believe concerning the frequency and nature of expert errors in their own trials relative to others? Results showed that attorneys prefer forensic science evidence and experts compared to social/psychological counterparts. Moreover, attorneys displayed considerable knowledge of factors that will impact perceived expert credibility. In particular, attorneys value perceived expert trustworthiness, communication skills, content of testimony/reports, perceived expert knowledge, and years and type of expert experience. Finally, attorneys displayed a consistent and strong self-serving bias pattern, such that they believe expert errors occur more much frequently in other attorneys' cases compared to their own. Implications are discussed with respect to vetting expert witnesses, scientific evidence/errors and wrongful conviction, and training for attorneys. PMID:25869850

  19. Expert system technology

    NASA Technical Reports Server (NTRS)

    Prince, Mary Ellen

    1987-01-01

    The expert system is a computer program which attempts to reproduce the problem-solving behavior of an expert, who is able to view problems from a broad perspective and arrive at conclusions rapidly, using intuition, shortcuts, and analogies to previous situations. Expert systems are a departure from the usual artificial intelligence approach to problem solving. Researchers have traditionally tried to develop general modes of human intelligence that could be applied to many different situations. Expert systems, on the other hand, tend to rely on large quantities of domain specific knowledge, much of it heuristic. The reasoning component of the system is relatively simple and straightforward. For this reason, expert systems are often called knowledge based systems. The report expands on the foregoing. Section 1 discusses the architecture of a typical expert system. Section 2 deals with the characteristics that make a problem a suitable candidate for expert system solution. Section 3 surveys current technology, describing some of the software aids available for expert system development. Section 4 discusses the limitations of the latter. The concluding section makes predictions of future trends.

  20. Ethical Expert Systems

    PubMed Central

    Victoroff, Michael S.

    1985-01-01

    The title is a double entendre. The discussion approaches expert systems from two directions: “What ethical hazards are created by expert systems in medicine?” and “Would it be ethical to design an expert system for solving problems in bioethics?” Computers present new ethical problems to society, some of which are unprecedented. These can be categorized under several rubrics. The paper describes a rudimentary scheme for understanding ethical issues raised by computers, in general, and medical expert systems, in particular. It focuses on bioethical implications of AI in medicine; explores norms, assumptions and taboos; and highlights certain ethical pitfalls. Principles are elucidated, for building ethically sound systems. Finally, a proposal is discussed, for the design of an expert system for moral problem solving, and the ethical implications of this notion are analyzed.

  1. Expert networks in CLIPS

    NASA Technical Reports Server (NTRS)

    Hruska, S. I.; Dalke, A.; Ferguson, J. J.; Lacher, R. C.

    1991-01-01

    Rule-based expert systems may be structurally and functionally mapped onto a special class of neural networks called expert networks. This mapping lends itself to adaptation of connectionist learning strategies for the expert networks. A parsing algorithm to translate C Language Integrated Production System (CLIPS) rules into a network of interconnected assertion and operation nodes has been developed. The translation of CLIPS rules to an expert network and back again is illustrated. Measures of uncertainty similar to those rules in MYCIN-like systems are introduced into the CLIPS system and techniques for combining and hiring nodes in the network based on rule-firing with these certainty factors in the expert system are presented. Several learning algorithms are under study which automate the process of attaching certainty factors to rules.

  2. Adaptive feature extraction expert

    SciTech Connect

    Yuschik, M.

    1983-01-01

    The identification of discriminatory features places an upper bound on the recognition rate of any automatic speech recognition (ASR) system. One way to structure the extraction of features is to construct an expert system which applies a set of rules to identify particular properties of the speech patterns. However, these patterns vary for an individual speaker and from speaker to speaker so that another expert is actually needed to learn the new variations. The author investigates the problem by using sets of discriminatory features that are suggested by a feature generation expert, improves the selectivity of these features with a training expert, and finally develops a minimally spanning feature set with a statistical selection expert. 12 references.

  3. Expert system for first order inelastic analysis of transmission towers

    SciTech Connect

    Miller, M.; Kempner, L. Jr. ); Mueller, W. III )

    1992-01-01

    The concept of an Expert System is not new. It has been around since the days of the early computers when scientists had dreams of robot automation to do everything from washing windows to automobile design. This paper discusses an application of an expert system and addresses software development issues and various levels of expert system development form a structural engineering viewpoint. An expert system designed to aid the structural engineer in first order inelastic analysis of latticed steel transmission powers is presented. The utilization of expert systems with large numerical analysis programs is discussed along with the software development of such a system.

  4. Reducing overconfidence in the interval judgments of experts.

    PubMed

    Speirs-Bridge, Andrew; Fidler, Fiona; McBride, Marissa; Flander, Louisa; Cumming, Geoff; Burgman, Mark

    2010-03-01

    Elicitation of expert opinion is important for risk analysis when only limited data are available. Expert opinion is often elicited in the form of subjective confidence intervals; however, these are prone to substantial overconfidence. We investigated the influence of elicitation question format, in particular the number of steps in the elicitation procedure. In a 3-point elicitation procedure, an expert is asked for a lower limit, upper limit, and best guess, the two limits creating an interval of some assigned confidence level (e.g., 80%). In our 4-step interval elicitation procedure, experts were also asked for a realistic lower limit, upper limit, and best guess, but no confidence level was assigned; the fourth step was to rate their anticipated confidence in the interval produced. In our three studies, experts made interval predictions of rates of infectious diseases (Study 1, n = 21 and Study 2, n = 24: epidemiologists and public health experts), or marine invertebrate populations (Study 3, n = 34: ecologists and biologists). We combined the results from our studies using meta-analysis, which found average overconfidence of 11.9%, 95% CI [3.5, 20.3] (a hit rate of 68.1% for 80% intervals)-a substantial decrease in overconfidence compared with previous studies. Studies 2 and 3 suggest that the 4-step procedure is more likely to reduce overconfidence than the 3-point procedure (Cohen's d = 0.61, [0.04, 1.18]). PMID:20030766

  5. Sherlock Holmes: an expert's view of expertise.

    PubMed

    André, Didierjean; Fernand, Gobet

    2008-02-01

    In recent years, there has been an intense research effort to understand the cognitive processes and structures underlying expert behaviour. Work in different fields, including scientific domains, sports, games and mnemonics, has shown that there are vast differences in perceptual abilities between experts and novices, and that these differences may underpin other cognitive differences in learning, memory and problem solving. In this article, we evaluate the progress made in the last years through the eyes of an outstanding, albeit fictional, expert: Sherlock Holmes. We first use the Sherlock Holmes character to illustrate expert processes as described by current research and theories. In particular, the role of perception, as well as the nature and influence of expert knowledge, are all present in the description of Conan Doyle's hero. In the second part of the article, we discuss a number of issues that current research on expertise has barely addressed. These gaps include, for example, several forms of reasoning, the influence of emotions on cognition, and the effect of age on experts' knowledge and cognitive processes. Thus, although nearly 120-year-old, Conan Doyle's books show remarkable illustrations of expert behaviour, including the coverage of themes that have mostly been overlooked by current research. PMID:17621416

  6. Benchmarking expert system tools

    NASA Technical Reports Server (NTRS)

    Riley, Gary

    1988-01-01

    As part of its evaluation of new technologies, the Artificial Intelligence Section of the Mission Planning and Analysis Div. at NASA-Johnson has made timing tests of several expert system building tools. Among the production systems tested were Automated Reasoning Tool, several versions of OPS5, and CLIPS (C Language Integrated Production System), an expert system builder developed by the AI section. Also included in the test were a Zetalisp version of the benchmark along with four versions of the benchmark written in Knowledge Engineering Environment, an object oriented, frame based expert system tool. The benchmarks used for testing are studied.

  7. Communications and Public Opinion: A Public Opinion Quarterly Reader.

    ERIC Educational Resources Information Center

    Carlson, Robert O., Ed.

    The phenomenon of the close relationship between communication and public opinion is shown in this book to have played a major role historically in the measurement of support for political policies, officials, and candidates. The communications media influence public opinion and are subject to it; yet the precise nature and definition of public…

  8. 77 FR 34350 - November 2010 Biological Opinion on the Effects of the Alaska Groundfish Fisheries on Steller Sea...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ...NMFS will host a meeting to conduct a panel review by experts contracted through the Center for Independent Experts (CIE) related to NMFS's November 2010 Biological Opinion on the effects of the Alaska groundfish fisheries on Steller sea lions and other endangered species (Final Biop). The meeting will provide an opportunity for the CIE reviewers to receive presentations from NMFS, the State......

  9. [Medical expert assessment in civil and criminal law--stand for evaluating medical expert assessment].

    PubMed

    Kienzle, H F

    1996-11-01

    The standard for the assessment of the medical expert opinion is defined by the high demands expected from the judgement of a high court: Objectiveness, solid knowledge, self-criticism, in contestability in diction and firmness in the argumentation. From the legal point of view, the knowledge of the medical expert witness has to clearly go beyond the knowledge of his profession. The obligation for objectiveness is the basis of expert witness' activity. From the medical point of view, the physician has to take into account during the preparation of his expert assessment that structural deficiency of the personnel and surgical equipment of a department for surgery frequently plays a role due to the development of surgery to high tech medicine and the hospital physician cannot affect this. It is necessary for a physician as an expert witness to have basic knowledge about the evidence law and the medical liability process. On the other hand, judges and lawyers should basically know the medical way of thinking. PMID:9064929

  10. Expert verification of the knowledge base of FEED--a feedback expert system for EMS documentation.

    PubMed

    Saini, Devashish; Orthner, Helmuth F; Berner, Eta S; Mirza, Muzna; Godwin, Charles J; Brown, Todd B

    2008-01-01

    Feedback Expert System for Emergency Medical Services (EMS) Documentation (FEED) has a rule-based knowledge base (KB) that was verified against specifications in a focus group consisting of six experts. The focus group suggested changes in almost all rules discussed, indicating that the KB did not meet specifications at that stage of development. However, enough information was gathered to address these issues in the next iteration of development. PMID:18999259

  11. Jurors' views on the value and objectivity of mental health experts testifying in sexually violent predator trials.

    PubMed

    Boccaccini, Marcus T; Murrie, Daniel C; Turner, Darrel B

    2014-01-01

    Although psychologists and psychiatrists often testify in court, we know relatively little about the extent to which jurors value the testimony they hear from these experts. We surveyed 161 jurors who rendered opinions in 14 sex offender civil commitment trials after hearing testimony from psychologists and psychiatrists serving as expert witnesses. Most jurors reported that the experts they heard testify were honest, and they tended to attribute disagreements among experts to case complexity, as opposed to adversarial allegiance or bias. Most reported that hearing from the experts helped them make better decisions and that experts using risk assessment instruments could make more accurate predictions than those who did not. Jurors were, however, more skeptical about the ability of experts to accurately predict recidivism when they heard testimony from both prosecution and defense experts. Findings suggest that jurors value risk assessment testimony from experts, but that experts must think carefully about how to best make risk assessment instrument results accessible to jurors. PMID:25043830

  12. The Selective Task Trainer: The Expert Solution.

    ERIC Educational Resources Information Center

    Gerson, Charles W.

    1995-01-01

    Examines simulator classification and design in light of new technology, current research, and a changing focus for using flight simulators in the military, and proposes a selective task trainer that addresses the expert's performance needs. Highlights include motor skill physiology; retention; automaticity skills; the novice to expert…

  13. Survey Questions Answered Only by Medication Experts.

    ERIC Educational Resources Information Center

    American Journal on Mental Retardation, 2000

    2000-01-01

    Fifty-eight tables provide a breakdown of answers to a survey responded to by 45 experts in the medication treatment of psychiatric and behavioral problems in people with mental retardation. Questions address treatment of specific disorders, ratings of various medications for specific disorders or symptoms, and preferences in mood stabilizers,…

  14. Survey Questions Answered Only by Psychosocial Experts.

    ERIC Educational Resources Information Center

    American Journal on Mental Retardation, 2000

    2000-01-01

    Twelve tables provide a breakdown of answers to a survey responded to by 48 experts in the psychosocial treatment of psychiatric and behavioral problems in people with mental retardation. Questions address treatment of self-injurious or aggressive behavior, specific psychiatric disorders, specific target symptoms, use of applied behavior analysis…

  15. Safety organizations and experts

    NASA Technical Reports Server (NTRS)

    Mandel, G.; Rubinstein, R. I.; Pinto, J. J.; Meschkow, S. Z.

    1977-01-01

    Handbook lists organizations and experts in specific, well defined areas of safety technology. Special emphasis is given to relevant safety information sources on aircraft fire hazards and aircraft interior flammability.

  16. Sources of correlation between experts: Empirical results from two extremes

    SciTech Connect

    Meyer, M.A.; Booker, J.M.

    1987-04-01

    Through two studies, this report seeks to identify the sources of correlation, or dependence, between experts' estimates. Expert estimates are relied upon as sources of data whenever experimental data is lacking, such as in risk analyses and reliability assessments. Correlation between experts is a problem in the elicitation and subsequent use of subjective estimates. Until now, there have been no data confirming sources of correlation, although the experts' background is commonly speculated to be one. Two different populations of experts were administered questions in their areas of expertise. Data on their professional backgrounds and means of solving the questions were elicited using techniques from educational psychology and ethnography. The results from both studies indicate that the way in which an expert solves the problem is the major source of correlation. The experts' background can not be shown to be an important source of correlation nor to influence his choice of method for problem solution. From these results, some recommendations are given for the elicitation and use of expert opinion.

  17. 5 CFR 2636.103 - Advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Advisory opinions. 2636.103 Section 2636... Advisory opinions. (a) Request for an advisory opinion. (1) An employee may request an advisory opinion... any provision contained in this part. (2) An advisory opinion may not be obtained for the purpose...

  18. 5 CFR 2636.103 - Advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Advisory opinions. 2636.103 Section 2636... Advisory opinions. (a) Request for an advisory opinion. (1) An employee may request an advisory opinion... any provision contained in this part. (2) An advisory opinion may not be obtained for the purpose...

  19. 5 CFR 2636.103 - Advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Advisory opinions. 2636.103 Section 2636... Advisory opinions. (a) Request for an advisory opinion. (1) An employee may request an advisory opinion... any provision contained in this part. (2) An advisory opinion may not be obtained for the purpose...

  20. 5 CFR 2636.103 - Advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Advisory opinions. 2636.103 Section 2636... Advisory opinions. (a) Request for an advisory opinion. (1) An employee may request an advisory opinion... any provision contained in this part. (2) An advisory opinion may not be obtained for the purpose...

  1. Expert elicitation on the uncertainties associated with chronic wasting disease.

    PubMed

    Tyshenko, Michael G; Oraby, Tamer; Darshan, Shalu; Westphal, Margit; Croteau, Maxine C; Aspinall, Willy; Elsaadany, Susie; Krewski, Daniel; Cashman, Neil

    2016-01-01

    A high degree of uncertainty exists for chronic wasting disease (CWD) transmission factors in farmed and wild cervids. Evaluating the factors is important as it helps to inform future risk management strategies. Expert opinion is often used to assist decision making in a number of health, science, and technology domains where data may be sparse or missing. Using the "Classical Model" of elicitation, a group of experts was asked to estimate the most likely values for several risk factors affecting CWD transmission. The formalized expert elicitation helped structure the issues and hence provide a rational basis for estimating some transmission risk factors for which evidence is lacking. Considered judgments regarding environmental transmission, latency of CWD transmission, management, and species barrier were provided by the experts. Uncertainties for many items were determined to be large, highlighting areas requiring more research. The elicited values may be used as surrogate values until research evidence becomes available. PMID:27556566

  2. Addressing the Need for Independence in the CSE Model

    SciTech Connect

    Abercrombie, Robert K; Ferragut, Erik M; Sheldon, Frederick T; Grimaila, Michael R

    2011-01-01

    Abstract Information system security risk, defined as the product of the monetary losses associated with security incidents and the probability that they occur, is a suitable decision criterion when considering different information system architectures. Risk assessment is the widely accepted process used to understand, quantify, and document the effects of undesirable events on organizational objectives so that risk management, continuity of operations planning, and contingency planning can be performed. One technique, the Cyberspace Security Econometrics System (CSES), is a methodology for estimating security costs to stakeholders as a function of possible risk postures. In earlier works, we presented a computational infrastructure that allows an analyst to estimate the security of a system in terms of the loss that each stakeholder stands to sustain, as a result of security breakdowns. Additional work has applied CSES to specific business cases. The current state-of-the-art of CSES addresses independent events. In typical usage, analysts create matrices that capture their expert opinion, and then use those matrices to quantify costs to stakeholders. This expansion generalizes CSES to the common real-world case where events may be dependent.

  3. Current Opinion on Nanotoxicology

    PubMed Central

    2012-01-01

    Nanotechnology is one of the premiere technologies available today, having expanded both as field of scientific study and in the public consciousness. Despite this growth, the drawbacks, limitations and potential safety hazards associated with the incorporation of nanotechnology into existing industries are still being learned. The noticeable point is that there is no enough data available yet to analyze global use of nanotechnology from a meta-perspective. Three challenges can be defined in light of nanotoxicology. One, materials that might prove to be significantly toxic must be identified. Two, a system for the categorization of NP materials must be codified and made available to toxicologists. Third, a better understanding of nanoparticles biological interactions must be obtained, in order to make the best use of the first two goals. For all three, it must be remembered that research standards need to be developed for the gathering of data on the nanoscale, as that level is where the NPs and the patient’s biosystems will be interacting. As requiring toxicologists to become nanotechnology experts would not be feasible, to properly incorporate the care of nanotoxicity into the existing medical framework, a range of experts across multiple fields of study must work in close synchronization. The focus needs to be on mechanism-driven research to ensure a solid scientific foundation for the assessment of NP and their role in healthcare. PMID:23351979

  4. Death caused by cardioinhibitory reflex: what experts believe.

    PubMed

    Schrag, Bettina; Mangin, Patrice; Vaucher, Paul; Bollmann, Marc D

    2012-03-01

    The danger of neck compression without restriction of the arterial flow remains unresolved in forensic medicine. There is an ongoing debate concerning life endangerment due to the cardioinhibitory reflex. The aim of this study was to determine what forensic medical experts believe and how they deal with this reflex. An anonymous electronic questionnaire was sent to 1429 forensic medical experts all over the world. We asked them about their opinion on the cardioinhibitory reflex, its role in causing death, and what their diagnostic criteria were.A total of 182 questionnaires were returned. The experts who answered were from 32 different countries. Our survey showed that 80.2% of experts believe that the cardioinhibitory reflex can theoretically cause death. In the practical application opinions diverge though. Apparently, the practical application mainly depends on the habit of the individual expert. We observed no consensus on the diagnostic criteria to be used. Given the potentially frequent use of the concept of the cardioinhibitory reflex in forensic practice and its judicial impact it would be important to reach a consensus. PMID:22442830

  5. 38 CFR 20.901 - Rule 901. Medical opinions and opinions of the General Counsel.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... opinions and opinions of the General Counsel. 20.901 Section 20.901 Pensions, Bonuses, and Veterans' Relief... § 20.901 Rule 901. Medical opinions and opinions of the General Counsel. (a) Opinion from the Veterans... Pathology opinions. The Board may refer pathologic material to the Armed Forces Institute of Pathology...

  6. Becoming an Expert: Developing Expertise in an Applied Discipline

    ERIC Educational Resources Information Center

    Kuhlmann, Diane Orlich; Ardichvili, Alexandre

    2015-01-01

    Purpose: This paper aims to examine the development of expertise in an applied discipline by addressing the research question: How is professional expertise developed in an applied profession? Design/methodology/approach: Using a grounded theory methodology (GTM), nine technical-tax experts, and three experienced, non-expert tax professionals were…

  7. Avionic expert systems

    NASA Technical Reports Server (NTRS)

    Golshani, Forouzan

    1988-01-01

    At the heart of any intelligent flight control system, there is a knowledge based expert system. The efficiency of these knowledge bases is one of the major factors in the success of aviation and space control systems. In the future, the speed and the capabilities of the expert system and their underlying data base(s) will be the limiting factors in the ability to build more accurate real time space controllers. A methodology is proposed for design and construction of such expert systems. It is noted that existing expert systems are inefficient (slow) in dealing with nontrivial real world situations that involve a vast collection of data. However, current data bases, which are fast in handling large amounts of data, cannot carry out intelligent tasks normally expected from an expert system. The system presented provides the power of deduction (reasoning) along with the efficient mechanisms for management of large data bases. In the system, both straight forward evaluation procedures and sophisticated inference mechanisms coexist. The design methodology is based on mathematics and logic, which ensures the correctness of the final product.

  8. Attorneys' requests for complete tax records from opposing expert witnesses: some approaches to the problem.

    PubMed

    Gutheil, Thomas G; Simon, Robert I; Simpson, Skip

    2006-01-01

    As part of an impeachment attempt on cross-examination of opposing expert witnesses in trial or deposition, the cross-examining attorney may request the complete tax records of the expert. It is widely believed that expert witnesses may be expected to express opinions that favor the parties who engage them and who pay their fees. Theoretically, the purpose of this request is an attempt to paint the expert as a "hired gun" whose major source of income is forensic work. The different issues, statutes, and case law citations that bear on requests for tax records are reviewed, and the strategies for coping with this tactic are suggested. PMID:17185482

  9. Autonomous power expert system

    NASA Technical Reports Server (NTRS)

    Walters, Jerry L.; Petrik, Edward J.; Roth, Mary Ellen; Truong, Long Van; Quinn, Todd; Krawczonek, Walter M.

    1990-01-01

    The Autonomous Power Expert (APEX) system was designed to monitor and diagnose fault conditions that occur within the Space Station Freedom Electrical Power System (SSF/EPS) Testbed. APEX is designed to interface with SSF/EPS testbed power management controllers to provide enhanced autonomous operation and control capability. The APEX architecture consists of three components: (1) a rule-based expert system, (2) a testbed data acquisition interface, and (3) a power scheduler interface. Fault detection, fault isolation, justification of probable causes, recommended actions, and incipient fault analysis are the main functions of the expert system component. The data acquisition component requests and receives pertinent parametric values from the EPS testbed and asserts the values into a knowledge base. Power load profile information is obtained from a remote scheduler through the power scheduler interface component. The current APEX design and development work is discussed. Operation and use of APEX by way of the user interface screens is also covered.

  10. Expert Recommended Strategies for Classroom Management for Beginning Teachers Placed in Hard-to-Staff Schools in Urban School Districts

    ERIC Educational Resources Information Center

    Alexis, Chelly C.

    2014-01-01

    Purpose: The purpose of this study was to get the opinion of a panel of experts as to which classroom management strategies should be implemented in urban school district mentoring programs to help beginning teachers who are placed in hard-to-staff schools in Los Angeles County, California. Methodology: This Delphi study included 20 expert mentors…

  11. Estimating Production Potentials: Expert Bias in Applied Decision Making

    SciTech Connect

    L. J. Matthews; L. K. Burggraf; W. J. Reece

    1998-10-01

    A study was conducted to evaluate how workers predict manufacturing production potentials given positively and negatively framed information. Findings indicate the existence of a bias toward positive information and suggest that this bias may be reduced with experience but is never the less maintained. Experts err in the same way non experts do in differentially processing negative and positive information. Additionally, both experts and non experts tend to overestimate production potentials in a positive direction. The authors propose that these biases should be addressed with further research including cross domain analyses and consideration in training, workplace design, and human performance modeling.

  12. Pain Management in the Elderly: An FDA Safe Use Initiative Expert Panel's View on Preventable Harm Associated with NSAID Therapy

    PubMed Central

    Taylor, Robert; Lemtouni, Salma; Weiss, Karen; Pergolizzi, Joseph V.

    2012-01-01

    Optimization of current pain management strategies is necessary in order to reduce medication risks. Promoting patient and healthcare provider education on pain and pain medications is an essential step in reducing inadequate prescribing behaviors and adverse events. In an effort to raise awareness on medication safety, the FDA has launched the Safe Use Initiative program. The program seeks to identify areas with the greatest amount of preventable harm and help promote new methods and practices to reduce medication risks. Since the establishment of the program, FDA's Safe Use initiative staff convened a panel of key opinion leaders throughout the medical community to address pain management in older adults (≥65 years of age). The aim of the expert panel was to focus on areas where significant risk occurs and where potential interventions will be feasible, implementable, and lead to substantial impact. The panel suggested one focus could be the use of NSAIDs for pain management in the elderly. PMID:22400024

  13. Expert Systems Application In Manufacturing

    NASA Astrophysics Data System (ADS)

    Som, Pradip; Chitturi, Ramesh; Babu, A. J. G.

    1987-05-01

    Expert system, a special branch of Artificial Intelligence finds its way in the domain of manufacturing. This paper presents the basic ideas and features of the expert systems, problems in manufacturing and application of expert systems in manufacturing. As the process planning is an important phase in manufacturing, the suitability of expert systems for process planning area has been highlighted. Several expert systems, developed to solve manufacturing problems are also discussed in the paper.

  14. Expert systems: a classical introduction.

    PubMed

    Semmel, R D

    1988-01-01

    Expert systems are providing a means of solving complex problems that previously defied automation efforts. This paper explains what an expert system is and how one operates. Following a brief description of expert systems, the nature of computer problem-solving and the role of knowledge in that activity are discussed. A typical expert system architecture and common knowledge representation schemes are then described. Finally, the operation of a simple, rule-based expert system is illustrated. PMID:10288417

  15. Integrating expert judgment in veterinary epidemiology: example guidance for disease freedom surveillance.

    PubMed

    Gustafson, L L; Gustafson, D H; Antognoli, M C; Remmenga, M D

    2013-04-01

    Expert opinions supplement empirical data in many epidemiologic assessments. For veterinary disease freedom surveillance, where the geographic scope of concern is often broad, populations subject to change, decisions eminent and empirical data, expert opinion can be a critical component of the decision making process. However, opinion is by definition subjective and the manner in which opinion is sought can impact the quality and reliability of estimates. Group interaction can hinder or improve the estimation process, depending on its facilitation. Further, whether and how validation is conducted can limit or increase acceptance of the resulting model. While the utility of expert opinion is widely recognized in many fields, and the impact of its use or misuse implicit, standards for application to veterinary assessments are not readily available. This paper aims to foster discussion on this influential component of epidemiology, with disease freedom application as a focus. Benefits and concerns attributed to expert judgment and guidelines for its structured elicitation are described, borrowing insights from its long history of use in decision science fields and examples from recent veterinary assessments. PMID:23270791

  16. Expert Cold Structure Development

    NASA Astrophysics Data System (ADS)

    Atkins, T.; Demuysere, P.

    2011-05-01

    The EXPERT Program is funded by ESA. The objective of the EXPERT mission is to perform a sub-orbital flight during which measurements of critical aero- thermodynamic phenomena will be obtained by using state-of-the-art instrumentation. As part of the EXPERT Flight Segment, the responsibility of the Cold Structure Development Design, Manufacturing and Validation was committed to the Belgian industrial team SONACA/SABCA. The EXPERT Cold Structure includes the Launcher Adapter, the Bottom Panel, the Upper Panel, two Cross Panels and the Parachute Bay. An additional Launcher Adapter was manufactured for the separation tests. The selected assembly definition and manufacturing technologies ( machined parts and sandwich panels) were dictated classically by the mass and stiffness, but also by the CoG location and the sensitive separation interface. Used as support for the various on-board equipment, the Cold Structure is fixed to but thermally uncoupled from the PM 1000 thermal shield. It is protect on its bottom panel by a thermal blanket. As it is a protoflight, analysis was the main tool for the verification. Low level stiffness and modal analysis tests have also been performed on the Cold Structure equipped with its ballast. It allowed to complete its qualification and to prepare SONACA/SABCA support for the system dynamic tests foreseen in 2011. The structure was finally coated with a thermal control black painting and delivered on time to Thales Alenia Space-Italy end of March 201.

  17. Where Experts Come From.

    ERIC Educational Resources Information Center

    Horgan, Dianne D.

    Studies of over 100 chess players at varying skill levels and ages show the ways in which experts and nonexperts differ in problem-solving strategies. Important differences are found at all stages of problem solving. The most significant differences appear to be before and after the evaluation of alternatives ("sizing up" the problem, generating…

  18. Experts, Dialects, and Discourse.

    ERIC Educational Resources Information Center

    Bhatt, Rakesh Mohan

    2002-01-01

    Examines "expert" discourse--complexes of signs and practices that organize and legitimize social existence and social reproduction--to demonstrate the ideological process involved in the manufacture of Standard English ideology and its continual duplication as necessitated by the three axiomatic conceptions of the English-sacred imagined…

  19. Lack of evidence does not justify neglect: how can we address unmet medical needs in calciphylaxis?

    PubMed

    Brandenburg, Vincent M; Evenepoel, Pieter; Floege, Jürgen; Goldsmith, David; Kramann, Rafael; Massy, Ziad; Mazzaferro, Sandro; Schurgers, Leon J; Sinha, Smeeta; Torregrosa, Vicens; Ureña-Torres, Pablo; Vervloet, Marc; Cozzolino, Mario

    2016-08-01

    Calcific uraemic arteriolopathy (CUA), or calciphylaxis, is a rare disease predominantly occurring in comorbidity with dialysis. Due to the very low frequency of CUA, prospective studies on its management are lacking and even anecdotal reports on treatment remain scarce. Therefore, calciphylaxis is still a challenging disease with dismal prognosis urgently requiring adequate strategies for diagnosis and treatment.In an attempt to fill some of the current gaps in evidence on various, highly debated and controversial aspects of dialysis-associated calciphylaxis, 13 international experts joined the 1st Consensus Conference on CUA, held in Leuven, Belgium on 21 September 2015. The conference was supported by the European Calciphylaxis Network (EuCalNet), which is a task force of the ERA-EDTA scientific working group on Chronic Kidney Disease-Mineral and Bone Disorders (CKD-MBD). After an intense discussion, a 9-point Likert scale questionnaire regarding 20 items on calciphylaxis was anonymously answered by each participant. These 20 items addressed unsolved issues in terms of diagnosis and management of calciphylaxis. On the one hand, the analysis of the expert opinions identified areas of general consensus, which might be a valuable aid for physicians treating such a disease with less experience in the field. On the other hand, some topics such as the pertinence of skin biopsy and administration of certain treatments revealed divergent opinions. The aim of the present summary report is to provide some guidance for clinicians who face patients with calciphylaxis in the current setting of absence of evidence-based medicine. PMID:27005994

  20. Disparities in access to effective treatment for infertility in the United States: an Ethics Committee opinion.

    PubMed

    2015-11-01

    In the United States, economic, racial, ethnic, geographic, and other disparities exist in access to fertility treatment and in treatment outcomes. This opinion examines the factors that contribute to these disparities and proposes actions to address them. PMID:26364838

  1. Pharmacotherapy of depression in older patients: a summary of the expert consensus guidelines.

    PubMed

    Alexopoulos, G S; Katz, I R; Reynolds, C F; Carpenter, D; Docherty, J P; Ross, R W

    2001-11-01

    psychotic major depression, the treatment of choice is an antidepressant plus one of the newer atypical antipsychotics, with electroconvulsive therapy another first-line option. If the patient has a comorbid medical condition that is contributing to the depression, the experts recommend treating both the depression and the medical condition from the outset. The SSRIs were the top-rated antidepressants for all types of depression, with highest ratings for efficacy and tolerability given to citalopram and sertraline. Paroxetine was another first-line option, and fluoxetine was rated high second line. The preferred psychotherapy techniques for treating depression in older patients are cognitive-behavioral therapy, supportive psychotherapy, problem-solving psychotherapy, and interpersonal psychotherapy. The experts also recommended use of psychosocial interventions (e.g., psychoeducation, family counseling, visiting nurse services) in addition to pharmacotherapy and psychotherapy. Within limits of expert opinion and with the expectation that future research data will take precedence, these guidelines provide direction concerning common clinical dilemmas in older patients. They cannot address the complexities of each individual patient's care and can be most helpful in the hands of experienced clinicians. PMID:15990550

  2. Expert music performance: cognitive, neural, and developmental bases.

    PubMed

    Brown, Rachel M; Zatorre, Robert J; Penhune, Virginia B

    2015-01-01

    In this chapter, we explore what happens in the brain of an expert musician during performance. Understanding expert music performance is interesting to cognitive neuroscientists not only because it tests the limits of human memory and movement, but also because studying expert musicianship can help us understand skilled human behavior in general. In this chapter, we outline important facets of our current understanding of the cognitive and neural basis for music performance, and developmental factors that may underlie musical ability. We address three main questions. (1) What is expert performance? (2) How do musicians achieve expert-level performance? (3) How does expert performance come about? We address the first question by describing musicians' ability to remember, plan, execute, and monitor their performances in order to perform music accurately and expressively. We address the second question by reviewing evidence for possible cognitive and neural mechanisms that may underlie or contribute to expert music performance, including the integration of sound and movement, feedforward and feedback motor control processes, expectancy, and imagery. We further discuss how neural circuits in auditory, motor, parietal, subcortical, and frontal cortex all contribute to different facets of musical expertise. Finally, we address the third question by reviewing evidence for the heritability of musical expertise and for how expertise develops through training and practice. We end by discussing outlooks for future work. PMID:25725910

  3. [Disease--defence--manipulation: the difficulties in providing forensic-psychiatry opinions].

    PubMed

    Heitzman, Janusz; Opio, Małgorzata; Waszkiewicz-Białek, Ewa

    2008-01-01

    The challenges met by the psychiatrist and the psychologist and the difficulties in providing forensic-psychiatry and forensic-psychology opinions have been reviewed, based on examples. The studied patient was hospitalised 10 times and the forensic-psychiatry opinion passed 15 times during the judiciary process. Different psychiatric diagnoses were made and different soundness of mind were passed. The psychiatric health status were expresses by professors of psychiatry who did not participate directly in passing the forensic-psychiatry opinion. The studied patient was examined by other specialists and assessed by certificating medical doctors with the aim of getting disability pension benefits. The effect of medical certificates and testimonials from different medical doctors were analysed. Analysing this example, revealed the problem of proper formulation of content of medical documents to support the medical diagnosis and declared soundness of mind during the passing of forensic-psychiatry opinion. The doctors treating the patients and doctors passing opinion on the treated patient had a different assessment of the diagnoses and soundness of mind for the studied patients. Irrespective of the immediate aim of the examinations, all professionals providing assessment should mind the consequences of opinions passed by them and especially, the possibility of the opinion being used by the subject to prolong the judiciary process or even avoid legal responsibility. The independence (sovereignty) of the expert requires consideration in the context of prior multiple forensic-psychiatry opinion leaders in the field of psychiatry and the need for the expert to assume an attitude towards these opinions. PMID:19189604

  4. Addressing Consumer Questions.

    Technology Transfer Automated Retrieval System (TEKTRAN)

    It seems people either have very strong thoughts and opinions on food or they could care less as long as food is available to feed them and their families. With the current economy, many individuals are examining food choices more closely to ensure the greatest nutrition for their families at the l...

  5. Non-consensus opinion model with a neutral view on complex networks

    NASA Astrophysics Data System (ADS)

    Tian, Zihao; Dong, Gaogao; Du, Ruijin; Ma, Jing

    2016-05-01

    A nonconsensus opinion (NCO) model was introduced recently, which allows the stable coexistence of minority and majority opinions. However, due ​to disparities in the knowledge, experiences, and personality or self-protection of agents, they often remain ​neutral when faced with some opinions in real scenarios. ​To address this issue, we propose a general non-consensus opinion model with neutral view (NCON) ​and we define the dynamic opinion ​change process. We applied the NCON model to different topological networks and studied the formation of opinion clusters. In the case of random graphs, random regular networks, and scale-free (SF) networks, we found that the system moved from a continuous phase transition to a discontinuous phase transition as the connectivity density and exponent of the SF network λ ​decreased and increased in the steady state, respectively. Moreover, the initial proportions of neutral opinions were found to have little effect on the proportional structure of opinions at the steady state. These results suggest that the majority choice between positive and negative opinions depends on the initial proportion of each opinion. The NCON model may have potential applications for decision makers.

  6. 24 CFR 1710.17 - Advisory opinion.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Advisory opinion. 1710.17 Section... Advisory opinion. (a) General. A developer may request an opinion from the Secretary as to whether an... requests for Advisory Opinions must be accompanied by the following: (1) A $500.00 filing fee submitted...

  7. 38 CFR 14.507 - Opinions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Opinions. 14.507 Section... COUNSEL, AND MISCELLANEOUS CLAIMS § 14.507 Opinions. (a) A written legal opinion of the General Counsel... been a material change in controlling statute or regulation, a superseding written legal opinion by...

  8. 39 CFR 310.6 - Advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Advisory opinions. 310.6 Section 310.6 Postal... PRIVATE EXPRESS STATUTES § 310.6 Advisory opinions. An advisory opinion on any question arising under this..., 475 L'Enfant Plaza SW., Washington, DC 20260-1100. A numbered series of advisory opinions is...

  9. 39 CFR 310.6 - Advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Advisory opinions. 310.6 Section 310.6 Postal... PRIVATE EXPRESS STATUTES § 310.6 Advisory opinions. An advisory opinion on any question arising under this..., 475 L'Enfant Plaza SW., Washington, DC 20260-1100. A numbered series of advisory opinions is...

  10. 24 CFR 1710.17 - Advisory opinion.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 5 2013-04-01 2013-04-01 false Advisory opinion. 1710.17 Section... Advisory opinion. (a) General. A developer may request an opinion from the Secretary as to whether an... requests for Advisory Opinions must be accompanied by the following: (1) A $500.00 filing fee submitted...

  11. 19 CFR 210.79 - Advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 3 2012-04-01 2012-04-01 false Advisory opinions. 210.79 Section 210.79 Customs... ADJUDICATION AND ENFORCEMENT Enforcement Procedures and Advisory Opinions § 210.79 Advisory opinions. (a) Advisory opinions. Upon request of any person, the Commission may, upon such investigation as it...

  12. 5 CFR 1800.3 - Advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Advisory opinions. 1800.3 Section 1800.3... opinions. The Special Counsel is authorized to issue advisory opinions only about political activity of..., subchapter III). A person can seek an advisory opinion from OSC by any of the following methods: (a) By...

  13. 5 CFR 2638.313 - Agency opinions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Agency opinions. 2638.313 Section 2638... AND EXECUTIVE AGENCY ETHICS PROGRAM RESPONSIBILITIES Formal Advisory Opinion Service § 2638.313 Agency opinions. If the designated agency ethics official issues a written opinion concerning the application...

  14. 38 CFR 14.507 - Opinions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Opinions. 14.507 Section... COUNSEL, AND MISCELLANEOUS CLAIMS § 14.507 Opinions. (a) A written legal opinion of the General Counsel... been a material change in controlling statute or regulation, a superseding written legal opinion by...

  15. 19 CFR 210.79 - Advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 3 2014-04-01 2014-04-01 false Advisory opinions. 210.79 Section 210.79 Customs... ADJUDICATION AND ENFORCEMENT Enforcement Procedures and Advisory Opinions § 210.79 Advisory opinions. (a) Advisory opinions. Upon request of any person, the Commission may, upon such investigation as it...

  16. 5 CFR 2638.313 - Agency opinions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Agency opinions. 2638.313 Section 2638... AND EXECUTIVE AGENCY ETHICS PROGRAM RESPONSIBILITIES Formal Advisory Opinion Service § 2638.313 Agency opinions. If the designated agency ethics official issues a written opinion concerning the application...

  17. 5 CFR 1800.3 - Advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Advisory opinions. 1800.3 Section 1800.3... opinions. The Special Counsel is authorized to issue advisory opinions only about political activity of..., subchapter III). A person can seek an advisory opinion from OSC by any of the following methods: (a) By...

  18. 19 CFR 210.79 - Advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 3 2011-04-01 2011-04-01 false Advisory opinions. 210.79 Section 210.79 Customs... ADJUDICATION AND ENFORCEMENT Enforcement Procedures and Advisory Opinions § 210.79 Advisory opinions. (a) Advisory opinions. Upon request of any person, the Commission may, upon such investigation as it...

  19. 12 CFR 1010.17 - Advisory opinion.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 8 2014-01-01 2014-01-01 false Advisory opinion. 1010.17 Section 1010.17 Banks... Requirements § 1010.17 Advisory opinion. (a) General. A developer may request an opinion from the Director as...) Requirements. All requests for Advisory Opinions must be accompanied by the following: (1) A $500.00 filing...

  20. 39 CFR 310.6 - Advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Advisory opinions. 310.6 Section 310.6 Postal... PRIVATE EXPRESS STATUTES § 310.6 Advisory opinions. An advisory opinion on any question arising under this..., 475 L'Enfant Plaza SW., Washington, DC 20260-1100. A numbered series of advisory opinions is...

  1. 39 CFR 310.6 - Advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 39 Postal Service 1 2013-07-01 2013-07-01 false Advisory opinions. 310.6 Section 310.6 Postal... PRIVATE EXPRESS STATUTES § 310.6 Advisory opinions. An advisory opinion on any question arising under this..., 475 L'Enfant Plaza SW., Washington, DC 20260-1100. A numbered series of advisory opinions is...

  2. 5 CFR 2638.313 - Agency opinions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Agency opinions. 2638.313 Section 2638... AND EXECUTIVE AGENCY ETHICS PROGRAM RESPONSIBILITIES Formal Advisory Opinion Service § 2638.313 Agency opinions. If the designated agency ethics official issues a written opinion concerning the application...

  3. 38 CFR 14.507 - Opinions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Opinions. 14.507 Section... COUNSEL, AND MISCELLANEOUS CLAIMS § 14.507 Opinions. (a) A written legal opinion of the General Counsel... been a material change in controlling statute or regulation, a superseding written legal opinion by...

  4. 38 CFR 14.507 - Opinions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Opinions. 14.507 Section... COUNSEL, AND MISCELLANEOUS CLAIMS § 14.507 Opinions. (a) A written legal opinion of the General Counsel... been a material change in controlling statute or regulation, a superseding written legal opinion by...

  5. 5 CFR 1800.3 - Advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Advisory opinions. 1800.3 Section 1800.3... opinions. The Special Counsel is authorized to issue advisory opinions only about political activity of..., subchapter III). A person can seek an advisory opinion from OSC by any of the following methods: (a) By...

  6. 5 CFR 2638.313 - Agency opinions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Agency opinions. 2638.313 Section 2638... AND EXECUTIVE AGENCY ETHICS PROGRAM RESPONSIBILITIES Formal Advisory Opinion Service § 2638.313 Agency opinions. If the designated agency ethics official issues a written opinion concerning the application...

  7. 5 CFR 2638.313 - Agency opinions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Agency opinions. 2638.313 Section 2638... AND EXECUTIVE AGENCY ETHICS PROGRAM RESPONSIBILITIES Formal Advisory Opinion Service § 2638.313 Agency opinions. If the designated agency ethics official issues a written opinion concerning the application...

  8. 19 CFR 210.79 - Advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false Advisory opinions. 210.79 Section 210.79 Customs... ADJUDICATION AND ENFORCEMENT Enforcement Procedures and Advisory Opinions § 210.79 Advisory opinions. (a) Advisory opinions. Upon request of any person, the Commission may, upon such investigation as it...

  9. 12 CFR 1010.17 - Advisory opinion.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 8 2013-01-01 2013-01-01 false Advisory opinion. 1010.17 Section 1010.17 Banks... Requirements § 1010.17 Advisory opinion. (a) General. A developer may request an opinion from the Director as...) Requirements. All requests for Advisory Opinions must be accompanied by the following: (1) A $500.00 filing...

  10. 12 CFR 1010.17 - Advisory opinion.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 8 2012-01-01 2012-01-01 false Advisory opinion. 1010.17 Section 1010.17 Banks... Requirements § 1010.17 Advisory opinion. (a) General. A developer may request an opinion from the Director as...) Requirements. All requests for Advisory Opinions must be accompanied by the following: (1) A $500.00 filing...

  11. 39 CFR 310.6 - Advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 39 Postal Service 1 2014-07-01 2014-07-01 false Advisory opinions. 310.6 Section 310.6 Postal... PRIVATE EXPRESS STATUTES § 310.6 Advisory opinions. An advisory opinion on any question arising under this..., 475 L'Enfant Plaza SW., Washington, DC 20260-1100. A numbered series of advisory opinions is...

  12. 24 CFR 1710.17 - Advisory opinion.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 5 2012-04-01 2012-04-01 false Advisory opinion. 1710.17 Section... Advisory opinion. (a) General. A developer may request an opinion from the Secretary as to whether an... requests for Advisory Opinions must be accompanied by the following: (1) A $500.00 filing fee submitted...

  13. 5 CFR 1800.3 - Advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Advisory opinions. 1800.3 Section 1800.3... opinions. The Special Counsel is authorized to issue advisory opinions only about political activity of..., subchapter III). A person can seek an advisory opinion from OSC by any of the following methods: (a) By...

  14. 19 CFR 210.79 - Advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 3 2013-04-01 2013-04-01 false Advisory opinions. 210.79 Section 210.79 Customs... ADJUDICATION AND ENFORCEMENT Enforcement Procedures and Advisory Opinions § 210.79 Advisory opinions. (a) Advisory opinions. Upon request of any person, the Commission may, upon such investigation as it...

  15. 5 CFR 1800.3 - Advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Advisory opinions. 1800.3 Section 1800.3... opinions. The Special Counsel is authorized to issue advisory opinions only about political activity of..., subchapter III). A person can seek an advisory opinion from OSC by any of the following methods: (a) By...

  16. 24 CFR 1710.17 - Advisory opinion.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 5 2011-04-01 2011-04-01 false Advisory opinion. 1710.17 Section... Advisory opinion. (a) General. A developer may request an opinion from the Secretary as to whether an... requests for Advisory Opinions must be accompanied by the following: (1) A $500.00 filing fee submitted...

  17. 38 CFR 14.507 - Opinions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Opinions. 14.507 Section... COUNSEL, AND MISCELLANEOUS CLAIMS § 14.507 Opinions. (a) A written legal opinion of the General Counsel... been a material change in controlling statute or regulation, a superseding written legal opinion by...

  18. Opinion Dynamics with Confirmation Bias

    PubMed Central

    Allahverdyan, Armen E.; Galstyan, Aram

    2014-01-01

    Background Confirmation bias is the tendency to acquire or evaluate new information in a way that is consistent with one's preexisting beliefs. It is omnipresent in psychology, economics, and even scientific practices. Prior theoretical research of this phenomenon has mainly focused on its economic implications possibly missing its potential connections with broader notions of cognitive science. Methodology/Principal Findings We formulate a (non-Bayesian) model for revising subjective probabilistic opinion of a confirmationally-biased agent in the light of a persuasive opinion. The revision rule ensures that the agent does not react to persuasion that is either far from his current opinion or coincides with it. We demonstrate that the model accounts for the basic phenomenology of the social judgment theory, and allows to study various phenomena such as cognitive dissonance and boomerang effect. The model also displays the order of presentation effect–when consecutively exposed to two opinions, the preference is given to the last opinion (recency) or the first opinion (primacy) –and relates recency to confirmation bias. Finally, we study the model in the case of repeated persuasion and analyze its convergence properties. Conclusions The standard Bayesian approach to probabilistic opinion revision is inadequate for describing the observed phenomenology of persuasion process. The simple non-Bayesian model proposed here does agree with this phenomenology and is capable of reproducing a spectrum of effects observed in psychology: primacy-recency phenomenon, boomerang effect and cognitive dissonance. We point out several limitations of the model that should motivate its future development. PMID:25007078

  19. Neuropsychologist experts and neurolaw: cases, controversies, and admissibility challenges.

    PubMed

    Kaufmann, Paul M

    2013-01-01

    Clinical neuropsychologists engage increasingly in forensic consulting activities because such expert opinions are generally relevant, reliable and helpful in resolving certain legal claims, especially those related to traumatic brain injury. Consequently, practitioners of law, medicine and psychology would benefit from understanding the nature of neuropsychological evidence, the standards for its admissibility, and its expanding role in neurolaw. This article reviews important evidentiary rules regulating relevance, preliminary questions, and expert testimony, while tracing federal key court decisions and progeny. Civil and criminal cases are detailed to illustrate the application of these rules and case law to neuropsychological evidence, with suggestions for overcoming motions to exclude such evidence. Expert neuropsychologists have a role in forensic consultation on brain trauma cases, even as the interdisciplinary dialog and understanding among law, medicine, and psychology continues to expand. PMID:24115139

  20. Make yourself an expert.

    PubMed

    Leonard, Dorothy; Barton, Gavin; Barton, Michelle

    2013-04-01

    Almost every organization has people it can't do without--specialists with "deep smarts," who are the go-to experts on critical issues. But because their knowledge is experienced-based, it's often instinctive and unarticulated, and never gets passed on. Capturing it is a challenge for both the organization and for colleagues who wish to become in-house authorities themselves. This article offers a methodical system for acquiring deep smarts from an expert. It involves observing that person extensively to understand what makes him successful, practicing the behaviors he exhibits on your own, partnering with him to solve problems, and ultimately taking responsibility for some of his tasks. Describing the experiences of one executive as she takes this journey with a mentor, the authors show how you too can gain the wisdom that will make you indispensable to your firm. PMID:23593772

  1. Bioethics for Technical Experts

    NASA Astrophysics Data System (ADS)

    Asano, Shigetaka

    Along with rapidly expanding applications of life science and technology, technical experts have been implicated more and more often with ethical, social, and legal problems than before. It should be noted that in this background there are scientific and social uncertainty elements which are inevitable during the progress of life science in addition to the historically-established social unreliability to scientists and engineers. In order to solve these problems, therefore, we should establish the social governance with ‘relief’ and ‘reliance’ which enables for both citizens and engineers to share the awareness of the issues, to design social orders and criterions based on hypothetical sense of values for bioethics, to carry out practical use management of each subject carefully, and to improve the sense of values from hypothetical to universal. Concerning these measures, the technical experts can learn many things from the present performance in the medical field.

  2. ALICE Expert System

    NASA Astrophysics Data System (ADS)

    Ionita, C.; Carena, F.

    2014-06-01

    The ALICE experiment at CERN employs a number of human operators (shifters), who have to make sure that the experiment is always in a state compatible with taking Physics data. Given the complexity of the system and the myriad of errors that can arise, this is not always a trivial task. The aim of this paper is to describe an expert system that is capable of assisting human shifters in the ALICE control room. The system diagnoses potential issues and attempts to make smart recommendations for troubleshooting. At its core, a Prolog engine infers whether a Physics or a technical run can be started based on the current state of the underlying sub-systems. A separate C++ component queries certain SMI objects and stores their state as facts in a Prolog knowledge base. By mining the data stored in different system logs, the expert system can also diagnose errors arising during a run. Currently the system is used by the on-call experts for faster response times, but we expect it to be adopted as a standard tool by regular shifters during the next data taking period.

  3. Building America Expert Meeting. Combustion Safety

    SciTech Connect

    Brand, Larry

    2013-03-01

    This is an overview of "The Best Approach to Combustion Safety in a Direct Vent World," held June 28, 2012, in San Antonio, TX. The objective of this Expert Meeting was to identify gaps and barriers that need to be addressed by future research, and to develop data-driven technical recommendations for code updates so that a common approach for combustion safety can be adopted by all members of the building energy efficiency and code communities.

  4. Building America Expert Meeting: Combustion Safety

    SciTech Connect

    Brand, L.

    2013-03-01

    This is a meeting overview of 'The Best Approach to Combustion Safety in a Direct Vent World', held June 28, 2012, in San Antonio, Texas. The objective of this Expert Meeting was to identify gaps and barriers that need to be addressed by future research, and to develop data-driven technical recommendations for code updates so that a common approach for combustion safety can be adopted by all members of the building energy efficiency and code communities.

  5. Towards a Fuzzy Expert System on Toxicological Data Quality Assessment.

    PubMed

    Yang, Longzhi; Neagu, Daniel; Cronin, Mark T D; Hewitt, Mark; Enoch, Steven J; Madden, Judith C; Przybylak, Katarzyna

    2013-01-01

    Quality assessment (QA) requires high levels of domain-specific experience and knowledge. QA tasks for toxicological data are usually performed by human experts manually, although a number of quality evaluation schemes have been proposed in the literature. For instance, the most widely utilised Klimisch scheme1 defines four data quality categories in order to tag data instances with respect to their qualities; ToxRTool2 is an extension of the Klimisch approach aiming to increase the transparency and harmonisation of the approach. Note that the processes of QA in many other areas have been automatised by employing expert systems. Briefly, an expert system is a computer program that uses a knowledge base built upon human expertise, and an inference engine that mimics the reasoning processes of human experts to infer new statements from incoming data. In particular, expert systems have been extended to deal with the uncertainty of information by representing uncertain information (such as linguistic terms) as fuzzy sets under the framework of fuzzy set theory and performing inferences upon fuzzy sets according to fuzzy arithmetic. This paper presents an experimental fuzzy expert system for toxicological data QA which is developed on the basis of the Klimisch approach and the ToxRTool in an effort to illustrate the power of expert systems to toxicologists, and to examine if fuzzy expert systems are a viable solution for QA of toxicological data. Such direction still faces great difficulties due to the well-known common challenge of toxicological data QA that "five toxicologists may have six opinions". In the meantime, this challenge may offer an opportunity for expert systems because the construction and refinement of the knowledge base could be a converging process of different opinions which is of significant importance for regulatory policy making under the regulation of REACH, though a consensus may never be reached. Also, in order to facilitate the implementation

  6. Opinion formation and the collective dynamics of risk perception.

    PubMed

    Moussaïd, Mehdi

    2013-01-01

    The formation of collective opinion is a complex phenomenon that results from the combined effects of mass media exposure and social influence between individuals. The present work introduces a model of opinion formation specifically designed to address risk judgments, such as attitudes towards climate change, terrorist threats, or children vaccination. The model assumes that people collect risk information from the media environment and exchange them locally with other individuals. Even though individuals are initially exposed to the same sample of information, the model predicts the emergence of opinion polarization and clustering. In particular, numerical simulations highlight two crucial factors that determine the collective outcome: the propensity of individuals to search for independent information, and the strength of social influence. This work provides a quantitative framework to anticipate and manage how the public responds to a given risk, and could help understanding the systemic amplification of fears and worries, or the underestimation of real dangers. PMID:24386398

  7. Opinion Formation and the Collective Dynamics of Risk Perception

    PubMed Central

    Moussaïd, Mehdi

    2013-01-01

    The formation of collective opinion is a complex phenomenon that results from the combined effects of mass media exposure and social influence between individuals. The present work introduces a model of opinion formation specifically designed to address risk judgments, such as attitudes towards climate change, terrorist threats, or children vaccination. The model assumes that people collect risk information from the media environment and exchange them locally with other individuals. Even though individuals are initially exposed to the same sample of information, the model predicts the emergence of opinion polarization and clustering. In particular, numerical simulations highlight two crucial factors that determine the collective outcome: the propensity of individuals to search for independent information, and the strength of social influence. This work provides a quantitative framework to anticipate and manage how the public responds to a given risk, and could help understanding the systemic amplification of fears and worries, or the underestimation of real dangers. PMID:24386398

  8. Awards and Addresses Summary

    PubMed Central

    2008-01-01

    Each year at the annual ASHG meeting, addresses are given in honor of the society and a number of award winners. A summary of each of these addresses is given below. On the next pages, we have printed the Presidential Address and the addresses for the William Allan Award. The other addresses, accompanied by pictures of the speakers, can be found at www.ashg.org.

  9. Analysis of cases of forensic veterinary opinions produced in a research and teaching unit.

    PubMed

    Listos, Piotr; Gryzinska, Magdalena; Kowalczyk, Marek

    2015-11-01

    The aim of the study was to present the results of necropsies carried out in the years 2000-2014 in the Department of Pathological Anatomy, Faculty of Veterinary Medicine, University of Life Sciences in Lublin. The material used for the analysis consisted of expert opinions prepared on the basis of a decision by a judicial body to admit an expert opinion as evidence. An increase was observed in the demand for the services of veterinary forensic experts, beginning in 2006 and persisting through 2014. The response to the growing popularity of veterinary forensic examinations should be systematization of knowledge and exchange of experience, which would enable the further development of this interdisciplinary science. PMID:26408394

  10. Heat exchanger demonstration expert system

    NASA Technical Reports Server (NTRS)

    Bagby, D. G.; Cormier, R. A.

    1988-01-01

    A real-time expert system intended for detecting and diagnosing faults in a 20 kW microwave transmitter heat exchanger is described. The expert system was developed on a LISP machine, Incorporated (LMI), Lambda Plus computer using Process Intelligent Control (PICON) software. The Heat Exhanger Expert System was tested and debugged. Future applications and extensions of the expert system to transmitters, masers, and antenna subassemblies are discussed.

  11. Heat exchanger demonstration expert system

    NASA Astrophysics Data System (ADS)

    Bagby, D. G.; Cormier, R. A.

    1988-05-01

    A real-time expert system intended for detecting and diagnosing faults in a 20 kW microwave transmitter heat exchanger is described. The expert system was developed on a LISP machine, Incorporated (LMI), Lambda Plus computer using Process Intelligent Control (PICON) software. The Heat Exhanger Expert System was tested and debugged. Future applications and extensions of the expert system to transmitters, masers, and antenna subassemblies are discussed.

  12. Differing professional views or opinions: 1994 Special Review Panel

    SciTech Connect

    1996-09-01

    In July 1994, the Executive Director for Operations of the US Nuclear Regulatory Commission (NRC) appointed a Special Review Panel to assess the Differing Professional View or Opinion (DPV/DPO) process, including its effectiveness, how well it is understood by employees, and the organizational climate for having such views aired and properly decided. An additional area within this review was to address the effectiveness of the DPO procedures as they pertain to public access and confidentiality. Further, the Panel was charged with the review of the submittals completed since the last review to identify employees who made significant contributions to the agency or to the public health and safety but had not been adequately recognized for this contribution. The report presents the Special Review Panel`s evaluation of the NRC`s current process for dealing with Differing Professional Views or Opinions. Provided in this report are the results of an employee opinion survey on the process; highlights and suggestions from interviews with individuals who had submitted a Differing Professional View or Opinion, as well as with agency managers directly involved with the Differing Professional Views or Opinions process; and the Special Review Panel`s recommendations for improving the DPV/DPO process.

  13. Distinctive Qualities of Expert Teachers

    ERIC Educational Resources Information Center

    Tsui, Amy B. M.

    2009-01-01

    This paper attempts to identify the distinctive qualities of successful veteran teachers, referred to as "expert teachers", which separates them not only from novice teachers but more importantly from experienced non-expert teachers. Based on earlier case studies, this paper maintains that the critical differences between expert and non-expert…

  14. Community Size, Perceptions of Majority Opinion and Opinion Expression.

    ERIC Educational Resources Information Center

    Salmon, Charles T.; Oshagan, Hayg

    A study examined structural determinants of opinion expression by merging two theoretical perspectives: the "spiral of silence" model advanced by Elisabeth Noelle-Neumann, and the structural approach to communication research offered by Phillip Tichenor, George Donohue, and Clarice Olien. The study also distinguished between different forms of…

  15. The imported forensic expert

    SciTech Connect

    Larson, C.P.

    1980-09-01

    A review of the experiences of one of the pioneer forensic pathologists in the United States offers an interesting insight into the possibilities of private forensic pathology in America. The author's experience includes serving as President of the National Boxing Association and the International Boxing Association, during which time he made many improvements in ring safety. His research into several areas of cases of product liability offer an insight to the wide scope of the potential of the forensic expert. This presentation reviews his activities in realms widely afield from medicine.

  16. A qualitative study of diverse experts' views about barriers and strategies to improve the diets and health of Supplemental Nutrition Assistance Program (SNAP) beneficiaries.

    PubMed

    Leung, Cindy W; Hoffnagle, Elena E; Lindsay, Ana C; Lofink, Hayley E; Hoffman, Vanessa A; Turrell, Sophie; Willett, Walter C; Blumenthal, Susan J

    2013-01-01

    The Supplemental Nutrition Assistance Program (SNAP), the largest federal food assistance program, currently serves 44.7 million Americans with a budget of $75 billion in 2011. This study engaged leading experts for in-depth, semi-structured interviews to explore their opinions concerning the existing challenges and barriers to eating nutritiously in SNAP. Experts also proposed strategies for improving nutritional status among SNAP recipients. Twenty-seven individuals were interviewed from advocacy, government, industry, and research organizations. Interviews were recorded, transcribed, coded, and analyzed for thematic content. The high cost of nutrient-rich foods, inadequate SNAP benefits, limited access to purchasing healthy foods, and environmental factors associated with poverty were identified as barriers that influence nutrition among low-income households in the United States. Six themes emerged among respondents from diverse sectors about how to address these challenges, including providing SNAP participants with incentives to purchase nutrient-rich food consistent with the 2010 Dietary Guidelines for Americans, restricting the purchase of nutrient-poor foods and beverages with program benefits, modifying the frequency of SNAP benefit distribution, enhancing nutrition education, improving the SNAP retailer environment, and increasing state and federal level coordination and consistency of program implementation. Given the recent dramatic increase in SNAP enrollment, policymakers must address existing barriers as well as consider new strategies to improve nutrition policies in SNAP so that the program can continue to address food insecurity needs as well as provide a healthful diet for SNAP beneficiaries. PMID:23260725

  17. Multi-level tolerance opinion dynamics in military command and control networks

    NASA Astrophysics Data System (ADS)

    Song, Xiao; Shi, Wen; Tan, Gary; Ma, Yaofei

    2015-11-01

    Opinion exchange is useful when a military agent needs to take the opinions of others into account before decision making. Few studies have addressed opinion dynamics in military command and control (C2) organizations, which are often hierarchically ranked in a tree structure. Moreover, military agents should have different tolerance levels when communicating with differentially ranked agents, which is our reasoning for proposing an opinion dynamics model with multi-level tolerance in this study. We can use this model to test opinion dynamics models in depth and further analyze and compare them to traditional tree organizations and other organization forms, including small-world and scale-free networks. Opinion dynamics experiments show that although traditional indices such as a clustering coefficient or the average distance of a small-world network are worse than those of a scale-free network, opinion dynamics indices, which include the number of rounds to fixed opinions, number of opinion clusters, and relative size of the largest small-world cluster are unexpectedly better than those of a scale-free network. Moreover, adding links to a tree network can enhance the tendency to consensus, while a small-world network needs fewer links compared to a scale-free network.

  18. Expert system prototype developments for NASA-KSC business and engineering applications

    NASA Technical Reports Server (NTRS)

    Ragusa, James M.; Gonzalez, Avelino J.

    1988-01-01

    Prototype expert systems developed for a variety of NASA projects in the business/management and engineering domains are discussed. Business-related problems addressed include an assistant for simulating launch vehicle processing, a plan advisor for the acquisition of automated data processing equipment, and an expert system for the identification of customer requirements. Engineering problems treated include an expert system for detecting potential ignition sources in LOX and gaseous-oxygen transportation systems and an expert system for hazardous-gas detection.

  19. Mandate Consultant: An Expert System for Examining the Implementation of Special Education Regulations. Technical Paper.

    ERIC Educational Resources Information Center

    Parry, James D.; And Others

    The role of artificial intelligence expert systems in administrative issues in special education is examined. Mandate Consultant (MC) is one such system designed to provide a second opinion on the consistency of school officials' actions in implementing the Individualized Education Program team process. MC employs rules based on the Education For…

  20. How experts gain influence.

    PubMed

    Mikes, Anette; Hall, Matthew; Millo, Yuval

    2013-01-01

    In theory, the risk management groups of two British banks--Saxon and Anglo--had the same influence in their organizations. But in practice, they did not: Saxon's was engaged in critical work throughout the bank, while Anglo's had little visibility outside its areas of expertise. In their study of these two financial institutions, the authors identified four competencies--trailblazing, toolmaking, teamwork, and translation--that help functional leaders or groups compete for top management's limited attention and increase their impact. Anglo's risk managers were strong in only some of the competencies, but Saxon's were strong in all four. They consistently scanned the internal and external environment for important issues to which they could apply a risk management perspective (trailblazing) and then developed tools--such as quarterly risk reports--that spread their expertise (toolmaking). While controlling the tools' design and implementation, the risk managers incorporated business managers' insights (teamwork) and made sure everyone could understand the findings (translation). Ultimately, experts' roles must fit the organization's strategy and structural needs. In some situations, functional experts can raise their profile by cultivating just two of the competencies. But those who are strong in all four are likely to be the most influential. PMID:24730171

  1. Confessions and expert testimony.

    PubMed

    Weiss, Kenneth J

    2003-01-01

    In this clinical paper, the author discusses criminal confessions from the point of view of the expert witness who may be asked to comment on the reliability of the statement and waiver of rights. From the time a suspect is in police custody, constitutional protections against self-incrimination and for due process are in place. The Supreme Court set the standard for these situations in the 1966 Miranda v. Arizona decision. Although it has long been criticized by law enforcement, the decision was upheld in the 2000 decision in Dickerson v. U.S. For a waiver of rights to be valid, it must be a knowing, intelligent, and voluntary decision. Voluntariness is an equation of objective and subjective variables. Treatment by police, physical conditions of interrogation, the suspect's experience and mental state can alter the reliability of a confession. Accordingly, the author has devised a mnemonic for the recognition of conditions that may give rise to expert testimony. The conditions are: Mental illness, Intoxication, Retardation, Acquiescence, Narcotic withdrawal, Deception, and Abuse. These are discussed, supported by examples from the author's practice. PMID:14974801

  2. Autonomous power expert system

    NASA Technical Reports Server (NTRS)

    Ringer, Mark J.; Quinn, Todd M.

    1990-01-01

    The goal of the Autonomous Power System (APS) program is to develop and apply intelligent problem solving and control technologies to the Space Station Freedom Electrical Power Systems (SSF/EPS). The objectives of the program are to establish artificial intelligence/expert system technology paths, to create knowledge based tools with advanced human-operator interfaces, and to integrate and interface knowledge-based and conventional control schemes. This program is being developed at the NASA-Lewis. The APS Brassboard represents a subset of a 20 KHz Space Station Power Management And Distribution (PMAD) testbed. A distributed control scheme is used to manage multiple levels of computers and switchgear. The brassboard is comprised of a set of intelligent switchgear used to effectively switch power from the sources to the loads. The Autonomous Power Expert System (APEX) portion of the APS program integrates a knowledge based fault diagnostic system, a power resource scheduler, and an interface to the APS Brassboard. The system includes knowledge bases for system diagnostics, fault detection and isolation, and recommended actions. The scheduler autonomously assigns start times to the attached loads based on temporal and power constraints. The scheduler is able to work in a near real time environment for both scheduling and dynamic replanning.

  3. Autonomous power expert system

    NASA Technical Reports Server (NTRS)

    Ringer, Mark J.; Quinn, Todd M.

    1990-01-01

    The goal of the Autonomous Power System (APS) program is to develop and apply intelligent problem solving and control technologies to the Space Station Freedom Electrical Power Systems (SSF/EPS). The objectives of the program are to establish artificial intelligence/expert system technology paths, to create knowledge based tools with advanced human-operator interfaces, and to integrate and interface knowledge-based and conventional control schemes. This program is being developed at the NASA-Lewis. The APS Brassboard represents a subset of a 20 KHz Space Station Power Management And Distribution (PMAD) testbed. A distributed control scheme is used to manage multiple levels of computers and switchgear. The brassboard is comprised of a set of intelligent switchgear used to effectively switch power from the sources to the loads. The Autonomous Power Expert System (APEX) portion of the APS program integrates a knowledge based fault diagnostic system, a power resource scheduler, and an interface to the APS Brassboard. The system includes knowledge bases for system diagnostics, fault detection and isolation, and recommended actions. The scheduler autonomously assigns start times to the attached loads based on temporal and power constraints. The scheduler is able to work in a near real time environment for both scheduling an dynamic replanning.

  4. National Opinion Poll: Education, 2002.

    ERIC Educational Resources Information Center

    Bositis, David A.

    In 2002, a national opinion poll of 2,463 U.S. adults examined such topics as politics, education, crime and criminal justice policy, globalization, international relations, and race relations. The education poll focused on such issues as school quality, school safety, school vouchers, school violence, and same-sex education. The survey sample…

  5. A Survey of Student Opinion.

    ERIC Educational Resources Information Center

    Kroll, Herman M.

    An important area of concern to university faculties and administrators is the effect upon students of the college environment. Are students pleased or dissatisfied? What is the source of their approval or dissatisfaction? The University of Wisconsin Center System sponsored a comprehensive system-wide survey of student opinion in 1975 for the…

  6. Opinion: Writing for the Public

    ERIC Educational Resources Information Center

    Rose, Mike

    2010-01-01

    For the past twenty years or so, the author has been fortunate to write for a fairly broad audience. While he was teaching, or running an educational program, or doing research, he was also composing opinion pieces or commentaries about the work he was doing. This process of writing with part of his attention on the classroom or research site and…

  7. Student Opinion of Tutorial CAL.

    ERIC Educational Resources Information Center

    Whiting, John

    1986-01-01

    Describes program design and presents undergraduate students' opinions of computer tutorial--"GROWTH"--used to replace teachers in mastery learning experience. Student reactions were favorable to the program, which stimulated small tutorial group formation. Although females and younger students had more difficulty answering program questions, they…

  8. [To attach importance to expert commentary and to grasp the orientation in academic development].

    PubMed

    He, Shouzhi

    2014-10-01

    The purpose of this article is to make authors and readers master some writing and reading skills by elaborating the definition, characteristics, the comparison of style and writing technique of expert commentary. Expert commentary is journal editorial that is not only author's personal point of view, but also the collective opinions of Ophthalmology Branch of the Chinese Medical Association and editorial board of the magazine. Therefore, it should be view clear, clear-cut stand and having certain academic orientation. It is our common responsibility to promote the academic development of ophthalmology in China, by mobilizing various aspects strength, carefully written and read expert commentary. PMID:25547570

  9. Being an expert witness in geomorphology

    NASA Astrophysics Data System (ADS)

    Keller, Edward A.

    2015-02-01

    Gathering your own data and coming to your own conclusion through scientific research and discovery is the most important principle to remember when being an expert witness in geomorphology. You can only be questioned in deposition and trial in your area of expertise. You are qualified as an expert by education, knowledge, and experience. You will have absolutely nothing to fear from cross-examination if you are prepared and confident about your work. Being an expert witness requires good communication skills. When you make a presentation, speak clearly and avoid jargon, especially when addressing a jury. Keep in mind that when you take on a case that may eventually go to court as a lawsuit, the entire process, with appeals and so forth, can take several years. Therefore, being an expert may become a long-term commitment of your time and energy. You may be hired by either side in a dispute, but your job is the same - determine the scientific basis of the case and explain your scientific reasoning to the lawyers, the judge, and the jury. Your work, including pre-trial investigations, often determines what the case will be based on. The use of science in the discovery part of an investigation is demonstrated from a California case involving the Ventura River, where building of a flood control levee restricted flow to a narrower channel, increasing unit stream power as well as potential for bank erosion and landsliding.

  10. System of Experts for Intelligent Data Management (SEIDAM)

    NASA Technical Reports Server (NTRS)

    Goodenough, David G.; Iisaka, Joji; Fung, KO

    1992-01-01

    It is proposed to conduct research and development on a system of expert systems for intelligent data management (SEIDAM). CCRS has much expertise in developing systems for integrating geographic information with space and aircraft remote sensing data and in managing large archives of remotely sensed data. SEIDAM will be composed of expert systems grouped in three levels. At the lowest level, the expert systems will manage and integrate data from diverse sources, taking account of symbolic representation differences and varying accuracies. Existing software can be controlled by these expert systems, without rewriting existing software into an Artificial Intelligence (AI) language. At the second level, SEIDAM will take the interpreted data (symbolic and numerical) and combine these with data models. At the top level, SEIDAM will respond to user goals for predictive outcomes given existing data. The SEIDAM Project will address the research areas of expert systems, data management, storage and retrieval, and user access and interfaces.

  11. System of experts for intelligent data management (SEIDAM)

    NASA Technical Reports Server (NTRS)

    Goodenough, David G.; Iisaka, Joji; Fung, KO

    1993-01-01

    A proposal to conduct research and development on a system of expert systems for intelligent data management (SEIDAM) is being developed. CCRS has much expertise in developing systems for integrating geographic information with space and aircraft remote sensing data and in managing large archives of remotely sensed data. SEIDAM will be composed of expert systems grouped in three levels. At the lowest level, the expert systems will manage and integrate data from diverse sources, taking account of symbolic representation differences and varying accuracies. Existing software can be controlled by these expert systems, without rewriting existing software into an Artificial Intelligence (AI) language. At the second level, SEIDAM will take the interpreted data (symbolic and numerical) and combine these with data models. at the top level, SEIDAM will respond to user goals for predictive outcomes given existing data. The SEIDAM Project will address the research areas of expert systems, data management, storage and retrieval, and user access and interfaces.

  12. Phase transitions in Nowak Sznajd opinion dynamics

    NASA Astrophysics Data System (ADS)

    Wołoszyn, Maciej; Stauffer, Dietrich; Kułakowski, Krzysztof

    2007-05-01

    The Nowak modification of the Sznajd opinion dynamics model on the square lattice assumes that with probability β the opinions flip due to mass-media advertising from down to up, and vice versa. Besides, with probability α the Sznajd rule applies that a neighbour pair agreeing in its two opinions convinces all its six neighbours of that opinion. Our Monte Carlo simulations and mean-field theory find sharp phase transitions in the parameter space.

  13. Expert System Software

    NASA Technical Reports Server (NTRS)

    1989-01-01

    C Language Integrated Production System (CLIPS) is a software shell for developing expert systems is designed to allow research and development of artificial intelligence on conventional computers. Originally developed by Johnson Space Center, it enables highly efficient pattern matching. A collection of conditions and actions to be taken if the conditions are met is built into a rule network. Additional pertinent facts are matched to the rule network. Using the program, E.I. DuPont de Nemours & Co. is monitoring chemical production machines; California Polytechnic State University is investigating artificial intelligence in computer aided design; Mentor Graphics has built a new Circuit Synthesis system, and Brooke and Brooke, a law firm, can determine which facts from a file are most important.

  14. What six experts say

    SciTech Connect

    Not Available

    1981-02-01

    Six experts with backgrounds in government, business, and research describe how the energy problem should be handled. John F. O'Leary feels we need to give more attention to the interdependencies of the global energy equation and to the political and financial mechanism for developing conventional as well as unconventional resources. Hans H. Lansberg advocates and outlines a crash program for energy independence, while Steven C. Wilson recommends individual self-sufficiency and decentralization. Reducing oil imports by replacing price control with financial incentives to invest in heavy energy-saving programs are suggested by Robert C. Stobaugh. Fred L. Hartley would accomplish this by allowing the energy industry to operate in a free market. Amory Lovins suggests improving efficiency and emphasizing soft-energy technologies. (DCK)

  15. Expert Systems for the Analytical Laboratory.

    ERIC Educational Resources Information Center

    de Monchy, Allan R.; And Others

    1988-01-01

    Discusses two computer problem solving programs: rule-based expert systems and decision analysis expert systems. Explores the application of expert systems to automated chemical analyses. Presents six factors to consider before using expert systems. (MVL)

  16. Expert elicitation for a national-level volcano hazard model

    NASA Astrophysics Data System (ADS)

    Bebbington, Mark; Stirling, Mark; Cronin, Shane; Wang, Ting; Jolly, Gill

    2016-04-01

    The quantification of volcanic hazard at national level is a vital pre-requisite to placing volcanic risk on a platform that permits meaningful comparison with other hazards such as earthquakes. New Zealand has up to a dozen dangerous volcanoes, with the usual mixed degrees of knowledge concerning their temporal and spatial eruptive history. Information on the 'size' of the eruptions, be it in terms of VEI, volume or duration, is sketchy at best. These limitations and the need for a uniform approach lend themselves to a subjective hazard analysis via expert elicitation. Approximately 20 New Zealand volcanologists provided estimates for the size of the next eruption from each volcano and, conditional on this, its location, timing and duration. Opinions were likewise elicited from a control group of statisticians, seismologists and (geo)chemists, all of whom had at least heard the term 'volcano'. The opinions were combined via the Cooke classical method. We will report on the preliminary results from the exercise.

  17. Opinion formation with upper and lower bounds

    NASA Astrophysics Data System (ADS)

    Yano, Ryosuke; Martin, Arnaud

    2015-12-01

    We investigate the opinion formation with upper and lower bounds. We formulate the binary exchange of opinions between two peoples under the second (or political) party using the relativistic inelastic-Boltzmann-Vlasov equation with randomly perturbed motion. In this paper, we discuss the relativistic effects on the opinion formation of peoples from the standpoint of the relativistic kinetic theory.

  18. Opinion Expression as a Rational Behavior.

    ERIC Educational Resources Information Center

    Kim, Sei-Hill

    This study looks at individuals' opinion expressions as a rational behavior based on a conscious calculus of expected benefits and costs (economic analysis). The influences of "issue benefit,""opinion congruence," and "issue knowledge," as sources of benefits and costs on opinion expression were hypothesized and tested. The study also examined the…

  19. 22 CFR 1429.10 - Advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Advisory opinions. 1429.10 Section 1429.10... AND GENERAL REQUIREMENTS Miscellaneous § 1429.10 Advisory opinions. The Board and the General Counsel will not issue advisory opinions....

  20. 22 CFR 1429.10 - Advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Advisory opinions. 1429.10 Section 1429.10... AND GENERAL REQUIREMENTS Miscellaneous § 1429.10 Advisory opinions. The Board and the General Counsel will not issue advisory opinions....

  1. 5 CFR 2429.10 - Advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Advisory opinions. 2429.10 Section 2429.10 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR....10 Advisory opinions. The Authority and the General Counsel will not issue advisory opinions....

  2. 21 CFR 10.85 - Advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Advisory opinions. 10.85 Section 10.85 Food and... PRACTICES AND PROCEDURES General Administrative Procedures § 10.85 Advisory opinions. (a) An interested person may request an advisory opinion from the Commissioner on a matter of general applicability....

  3. 21 CFR 808.5 - Advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Advisory opinions. 808.5 Section 808.5 Food and... Advisory opinions. (a) Any State, political subdivision, or other interested person may request an advisory opinion from the Commissioner with respect to any general matter concerning preemption of State or...

  4. 21 CFR 12.83 - Advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Advisory opinions. 12.83 Section 12.83 Food and... PUBLIC HEARING Hearing Procedures § 12.83 Advisory opinions. Before or during a hearing, a person may, under § 10.85, request the Commissioner for an advisory opinion on whether any regulation or order...

  5. 22 CFR 1429.10 - Advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 2 2012-04-01 2009-04-01 true Advisory opinions. 1429.10 Section 1429.10... AND GENERAL REQUIREMENTS Miscellaneous § 1429.10 Advisory opinions. The Board and the General Counsel will not issue advisory opinions....

  6. 5 CFR 2429.10 - Advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Advisory opinions. 2429.10 Section 2429.10 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR....10 Advisory opinions. The Authority and the General Counsel will not issue advisory opinions....

  7. 13 CFR 134.303 - Advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 13 Business Credit and Assistance 1 2013-01-01 2013-01-01 false Advisory opinions. 134.303 Section... and NAICS Code Designations § 134.303 Advisory opinions. The Office of Hearings and Appeals does not issue advisory opinions....

  8. 13 CFR 134.303 - Advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Advisory opinions. 134.303 Section... and NAICS Code Designations § 134.303 Advisory opinions. The Office of Hearings and Appeals does not issue advisory opinions....

  9. 21 CFR 808.5 - Advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Advisory opinions. 808.5 Section 808.5 Food and... Advisory opinions. (a) Any State, political subdivision, or other interested person may request an advisory opinion from the Commissioner with respect to any general matter concerning preemption of State or...

  10. 13 CFR 134.303 - Advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 13 Business Credit and Assistance 1 2011-01-01 2011-01-01 false Advisory opinions. 134.303 Section... and NAICS Code Designations § 134.303 Advisory opinions. The Office of Hearings and Appeals does not issue advisory opinions....

  11. 21 CFR 808.5 - Advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Advisory opinions. 808.5 Section 808.5 Food and... Advisory opinions. (a) Any State, political subdivision, or other interested person may request an advisory opinion from the Commissioner with respect to any general matter concerning preemption of State or...

  12. 5 CFR 2429.10 - Advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Advisory opinions. 2429.10 Section 2429.10 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR....10 Advisory opinions. The Authority and the General Counsel will not issue advisory opinions....

  13. 21 CFR 10.85 - Advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Advisory opinions. 10.85 Section 10.85 Food and... PRACTICES AND PROCEDURES General Administrative Procedures § 10.85 Advisory opinions. (a) An interested person may request an advisory opinion from the Commissioner on a matter of general applicability....

  14. 5 CFR 2429.10 - Advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Advisory opinions. 2429.10 Section 2429.10 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR....10 Advisory opinions. The Authority and the General Counsel will not issue advisory opinions....

  15. 13 CFR 134.303 - Advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 13 Business Credit and Assistance 1 2014-01-01 2014-01-01 false Advisory opinions. 134.303 Section... and NAICS Code Designations § 134.303 Advisory opinions. The Office of Hearings and Appeals does not issue advisory opinions....

  16. 21 CFR 10.85 - Advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Advisory opinions. 10.85 Section 10.85 Food and... PRACTICES AND PROCEDURES General Administrative Procedures § 10.85 Advisory opinions. (a) An interested person may request an advisory opinion from the Commissioner on a matter of general applicability....

  17. 21 CFR 10.85 - Advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Advisory opinions. 10.85 Section 10.85 Food and... PRACTICES AND PROCEDURES General Administrative Procedures § 10.85 Advisory opinions. (a) An interested person may request an advisory opinion from the Commissioner on a matter of general applicability....

  18. 21 CFR 12.83 - Advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Advisory opinions. 12.83 Section 12.83 Food and... PUBLIC HEARING Hearing Procedures § 12.83 Advisory opinions. Before or during a hearing, a person may, under § 10.85, request the Commissioner for an advisory opinion on whether any regulation or order...

  19. 21 CFR 12.83 - Advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Advisory opinions. 12.83 Section 12.83 Food and... PUBLIC HEARING Hearing Procedures § 12.83 Advisory opinions. Before or during a hearing, a person may, under § 10.85, request the Commissioner for an advisory opinion on whether any regulation or order...

  20. 21 CFR 12.83 - Advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Advisory opinions. 12.83 Section 12.83 Food and... PUBLIC HEARING Hearing Procedures § 12.83 Advisory opinions. Before or during a hearing, a person may, under § 10.85, request the Commissioner for an advisory opinion on whether any regulation or order...

  1. 22 CFR 1429.10 - Advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Advisory opinions. 1429.10 Section 1429.10... AND GENERAL REQUIREMENTS Miscellaneous § 1429.10 Advisory opinions. The Board and the General Counsel will not issue advisory opinions....

  2. 5 CFR 2429.10 - Advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Advisory opinions. 2429.10 Section 2429.10 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR....10 Advisory opinions. The Authority and the General Counsel will not issue advisory opinions....

  3. 21 CFR 12.83 - Advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Advisory opinions. 12.83 Section 12.83 Food and... PUBLIC HEARING Hearing Procedures § 12.83 Advisory opinions. Before or during a hearing, a person may, under § 10.85, request the Commissioner for an advisory opinion on whether any regulation or order...

  4. 21 CFR 808.5 - Advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Advisory opinions. 808.5 Section 808.5 Food and... Advisory opinions. (a) Any State, political subdivision, or other interested person may request an advisory opinion from the Commissioner with respect to any general matter concerning preemption of State or...

  5. 21 CFR 808.5 - Advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Advisory opinions. 808.5 Section 808.5 Food and... Advisory opinions. (a) Any State, political subdivision, or other interested person may request an advisory opinion from the Commissioner with respect to any general matter concerning preemption of State or...

  6. 13 CFR 134.303 - Advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 13 Business Credit and Assistance 1 2012-01-01 2012-01-01 false Advisory opinions. 134.303 Section... and NAICS Code Designations § 134.303 Advisory opinions. The Office of Hearings and Appeals does not issue advisory opinions....

  7. 21 CFR 10.85 - Advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Advisory opinions. 10.85 Section 10.85 Food and... PRACTICES AND PROCEDURES General Administrative Procedures § 10.85 Advisory opinions. (a) An interested person may request an advisory opinion from the Commissioner on a matter of general applicability....

  8. 22 CFR 1429.10 - Advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Advisory opinions. 1429.10 Section 1429.10... AND GENERAL REQUIREMENTS Miscellaneous § 1429.10 Advisory opinions. The Board and the General Counsel will not issue advisory opinions....

  9. Public Opinion about the Roles of the Public Library in the Community: The Results of a Recent Gallup Poll.

    ERIC Educational Resources Information Center

    D'Elia, George; Rodger, Eleanor Jo

    1994-01-01

    Discusses results of a national telephone survey that was conducted to assess public opinion about the importance of various roles of public libraries. Topics addressed include financial support and community spending for public libraries; differences of opinions between ethnic groups and by demographic groups; and possible uses of the data.…

  10. Expert Identification of In-Service Training Needs of Field Agents Working in Training and Visit (T&V) Systems of Extension.

    ERIC Educational Resources Information Center

    Alawy, Abdillahi S.; Safrit, R. Dale

    A study used the opinions of 25 recognized experts in international extension education to identify the in-service training needs of field agents working in training and visit (T&V) systems of extension in developing countries. A pilot-tested nine-item interview schedule was used to interview 25 experts with work and/or consultation experience in…

  11. [Expert advice in liability cases].

    PubMed

    Brands, W G

    2009-05-01

    Concerning cases of liability, dentists in the future will probably have to call on expert help or act as experts on behalf of a colleague with increasing frequency. Dentists who consider acting as experts in liability cases will have to develop their expertise especially in civil law and disciplinary law. Matters which in this respect should receive special attention are: the expert must act in conformity with the law on Medical Treatment Agreement; the expert's report must make clear what the legal basis is of the report's conclusions; the legal basis must be substantially supported by the facts, conditions and findings that are mentioned in the report; the expert must act independently and refrain from subjective judgments, assumptions and unprofessional and prejudicial qualifications. PMID:19507415

  12. MOORE: A prototype expert system for diagnosing spacecraft problems

    NASA Technical Reports Server (NTRS)

    Howlin, Katherine; Weissert, Jerry; Krantz, Kerry

    1988-01-01

    MOORE is a rule-based, prototype expert system that assists in diagnosing operational Tracking and Data Relay Satellite (TDRS) problems. It is intended to assist spacecraft engineers at the TDRS ground terminal in trouble shooting problems that are not readily solved with routine procedures, and without expert counsel. An additional goal of the prototype system is to develop in-house expert system and knowledge engineering skills. The prototype system diagnoses antenna pointing and earth pointing problems that may occur within the TDRS Attitude Control System (ACS). Plans include expansion to fault isolation of problems in the most critical subsystems of the TDRS spacecraft. Long term benefits are anticipated with use of an expert system during future TDRS programs with increased mission support time, reduced problem solving time, and retained expert knowledge and experience. Phase 2 of the project is intended to provide NASA the necessary expertise and capability to define requirements, evaluate proposals, and monitor the development progress of a highly competent expert system for NASA's Tracking Data Relay Satellite. Phase 2 also envisions addressing two unexplored applications for expert systems, spacecraft integration and tests (I and T) and support to launch activities. The concept, goals, domain, tools, knowledge acquisition, developmental approach, and design of the expert system. It will explain how NASA obtained the knowledge and capability to develop the system in-house without assistance from outside consultants. Future plans will also be presented.

  13. Expert witness testimony guidelines: identifying areas for improvement.

    PubMed

    Svider, Peter F; Eloy, Jean Anderson; Baredes, Soly; Setzen, Michael; Folbe, Adam J

    2015-02-01

    Expert witnesses play an invaluable, if controversial, role by deciphering medical events for juries in cases of alleged negligence. We review expert witness guidelines among major surgical societies and identify gaps within these standards, as our hope is that this spurs discussion addressing areas for improvement. Of 8 surgical societies with accessible guidelines, none included specific compensation guidelines or limits, detailed reporting mechanisms regarding unethical behavior by legal professionals, or addressed the appropriateness of testifying frequently and exclusively for one side. Several processes possibly deterring grossly inaccurate testimony have been adopted by other surgical societies and should potentially be addressed by the American Academy of Otolaryngology-Head and Neck Surgery. These include offering an expert witness testimony certification path, strengthening the formalized grievance process, and encouraging members to sign an affirmation statement. PMID:25389319

  14. Ask the Experts.

    ERIC Educational Resources Information Center

    Fry, Betty C.

    1988-01-01

    The author addresses the impact and significance of the back-to-the-basics movement as it relates to business education. She focuses on curriculum for business students, the need to train teachers to provide basic skills instruction, the role of business education, effects of the educational reform groups, and strategies for business educators.…

  15. Geographic variation in opinions on climate change at state and local scales in the USA

    NASA Astrophysics Data System (ADS)

    Howe, Peter D.; Mildenberger, Matto; Marlon, Jennifer R.; Leiserowitz, Anthony

    2015-06-01

    Addressing climate change in the United States requires enactment of national, state and local mitigation and adaptation policies. The success of these initiatives depends on public opinion, policy support and behaviours at appropriate scales. Public opinion, however, is typically measured with national surveys that obscure geographic variability across regions, states and localities. Here we present independently validated high-resolution opinion estimates using a multilevel regression and poststratification model. The model accurately predicts climate change beliefs, risk perceptions and policy preferences at the state, congressional district, metropolitan and county levels, using a concise set of demographic and geographic predictors. The analysis finds substantial variation in public opinion across the nation. Nationally, 63% of Americans believe global warming is happening, but county-level estimates range from 43 to 80%, leading to a diversity of political environments for climate policy. These estimates provide an important new source of information for policymakers, educators and scientists to more effectively address the challenges of climate change.

  16. Nonlinear Opinion Dynamics on Networks

    NASA Astrophysics Data System (ADS)

    Gabbay, Michael; Das, Arindam

    2013-03-01

    A model which treats group decision making as nonlinear opinion dynamics occurring over a network is presented. The model makes predictions regarding the interaction of network structure and initial disagreement level upon decision outcomes and consensus formation. The model displays bifurcations at high disagreement levels which lead to behaviors that are qualitatively distinct from those at low disagreement. For example, at high disagreement, the model exhibits asymmetric, majority rule outcomes that arise even when the system is symmetric with respect to the distribution of initial opinions and network structure. Analytical approximations for the bifurcation boundaries agree well with numerically-determined boundaries. An ongoing experimental effort involving the use of online discussion groups to test the model predictions is briefly described. We acknowledge the support of the Defense Threat Reduction Agency and the Office of Naval Research under grant HDTRA1-10-1-0075

  17. ESG - EXPERT SCRIPT GENERATOR

    NASA Technical Reports Server (NTRS)

    Cooper, E. G.

    1994-01-01

    The Automation Technology Branch of NASA's Langley Research Center is employing increasingly complex degrees of operator/robot cooperation (telerobotics). A good relationship between the operator and computer is essential for smooth performance by a telerobotic system. ESG (Expert Script Generator) is a software package that automatically generates high-level task objective commands from the NASA Intelligent Systems Research Lab's (ISRL's) complex menu-driven language. ESG reduces errors and makes the telerobotics lab accessible to researchers who are not familiar with the comprehensive language developed by ISRL for interacting with the various systems of the ISRL testbed. ESG incorporates expert system technology to capture the typical rules of operation that a skilled operator would use. The result is an operator interface which optimizes the system's capability to perform a task remotely in a hazardous environment, in a timely manner, and without undue stress to the operator, while minimizing the chance for operator errors that may damage equipment. The intricate menu-driven command interface which provides for various control modes of both manipulators and their associated sensors in the TeleRobotic System Simulation (TRSS) has a syntax which is both irregular and verbose. ESG eliminates the following two problems with this command "language": 1) knowing the correct command sequence to accomplish a task, and 2) inputting a known command sequence without typos and other errors. ESG serves as an additional layer of interface, working in conjunction with the menu command processor, not supplanting it. By specifying task-level commands, such as GRASP, CONNECT, etc., ESG will generate the appropriate menu elements to accomplish the task. These elements will be collected in a script file which can then be executed by the ISRL menu command processor. In addition, the operator can extend the list of task-level commands to include customized tasks composed of sub

  18. Epistemological Beliefs across Faculty Experts and Student Non-Experts

    ERIC Educational Resources Information Center

    Barnard-Brak, Lucy; Lan, William

    2009-01-01

    The epistemological beliefs of non-experts or novices have been studied with some frequency, while the beliefs of experts as a comparison group have received little attention in research literature. The purpose of the current study was to examine whether the conceptual framework of epistemological beliefs may be considered statistically similar or…

  19. System Experts and Decision Making Experts in Transdisciplinary Projects

    ERIC Educational Resources Information Center

    Mieg, Harald A.

    2006-01-01

    Purpose: This paper aims at a better understanding of expert roles in transdisciplinary projects. Thus, the main purpose is the analysis of the roles of experts in transdisciplinary projects. Design/methodology/approach: The analysis of the ETH-UNS case studies from the point of view of the psychology of expertise and the sociology of professions…

  20. Collective opinion formation on fluctuating networks

    NASA Astrophysics Data System (ADS)

    Ngampruetikorn, Vudtiwat; Stephens, Greg

    Thanks to the advent of online social networks, not only are we more connected than ever but we are also able to design and maintain our own social networks. An insight into this phenomenon will be key to understanding modern societies. To this end, we argue that active network maintenance exposes individuals to selective exposure (preference for agreeing information sources) and we explore how this could affect the structure of social networks and collective opinion formation. More technically, we investigate opinion dynamics on a complex network with fast stochastic rewiring. We show that selective exposure while inducing segregation of agents with different opinions, stabilises consensus state regardless of opinion update rules. We argue further that selective exposure can lead to a shorter time to consensus. The time to consensus has non-trivial dependence on the magnitude of selective exposure. Moreover, we find for some opinion updating rules, selective exposure can increase the lifetime of opinion segregation (polarisation of opinions).

  1. Stochastic opinion formation in scale-free networks

    NASA Astrophysics Data System (ADS)

    Bartolozzi, M.; Leinweber, D. B.; Thomas, A. W.

    2005-10-01

    The dynamics of opinion formation in large groups of people is a complex nonlinear phenomenon whose investigation is just beginning. Both collective behavior and personal views play an important role in this mechanism. In the present work we mimic the dynamics of opinion formation of a group of agents, represented by two states ±1 , as a stochastic response of each agent to the opinion of his/her neighbors in the social network and to feedback from the average opinion of the whole. In the light of recent studies, a scale-free Barabási-Albert network has been selected to simulate the topology of the interactions. A turbulentlike dynamics, characterized by an intermittent behavior, is observed for a certain range of the model parameters. The problem of uncertainty in decision taking is also addressed both from a topological point of view, using random and targeted removal of agents from the network, and by implementing a three-state model, where the third state, zero, is related to the information available to each agent. Finally, the results of the model are tested against the best known network of social interactions: the stock market. A time series of daily closures of the Dow-Jones index has been used as an indicator of the possible applicability of our model in the financial context. Good qualitative agreement is found.

  2. Stochastic opinion formation in scale-free networks

    SciTech Connect

    M. Bartolozzi; D. B. Leinweber; A. W. Thomas

    2005-10-01

    The dynamics of opinion formation in large groups of people is a complex nonlinear phenomenon whose investigation is just beginning. Both collective behavior and personal views play an important role in this mechanism. In the present work we mimic the dynamics of opinion formation of a group of agents, represented by two states 1, as a stochastic response of each agent to the opinion of his/her neighbors in the social network and to feedback from the average opinion of the whole. In the light of recent studies, a scale-free Barabsi-Albert network has been selected to simulate the topology of the interactions. A turbulent-like dynamics, characterized by an intermittent behavior, is observed for a certain range of the model parameters. The problem of uncertainty in decision taking is also addressed both from a topological point of view, using random and targeted removal of agents from the network, and by implementing a three-state model, where the third state, zero, is related to the information available to each agent. Finally, the results of the model are tested against the best known network of social interactions: the stock market. A time series of daily closures of the Dow-Jones index has been used as an indicator of the possible applicability of our model in the financial context. Good qualitative agreement is found.

  3. Expert Antiskid System

    NASA Astrophysics Data System (ADS)

    Matsumoto, N.; Kuraoka, H.; Ohka, N.; Ohba, M.; Tabe, T.

    1987-10-01

    In this paper we discuss how to generate the command value for the optimal regulator in an automotive antiskid system. First, the behavior of the vehicle at braking is expressed as a mathematical model with the formulation by physical consideration and identification of the hydraulic system by statistical methods. An optimal regulator with additional integral is applied to the automotive antiskid control in order to make the each wheel speed follow any command value. However, the desired command value to stop the vehicle efficiently and stably is dependent on ambiguous road surface conditions. Thus, how to determine the desired command value under the moment-to-moment conditions is most important. A method for inferring the conditions is developed using fuzzy logic, with three fuzzy variables expressing the conditions adequately. On the basis of the inference, the ideal command values are generated. Outstanding control performance and good adaptability are obtained in vehicle experiments. Consequently, the Expert Antiskid System, employing modern control theory and fuzzy logic, can stop a vehicle efficiently and stably under any condition.

  4. 42 CFR 1008.59 - Range of the advisory opinion.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Range of the advisory opinion. 1008.59 Section 1008... AUTHORITIES ADVISORY OPINIONS BY THE OIG Scope and Effect of OIG Advisory Opinions § 1008.59 Range of the advisory opinion. (a) An advisory opinion will state only the OIG's opinion regarding the subject matter...

  5. 42 CFR 1008.59 - Range of the advisory opinion.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Range of the advisory opinion. 1008.59 Section 1008... AUTHORITIES ADVISORY OPINIONS BY THE OIG Scope and Effect of OIG Advisory Opinions § 1008.59 Range of the advisory opinion. (a) An advisory opinion will state only the OIG's opinion regarding the subject matter...

  6. 42 CFR 1008.59 - Range of the advisory opinion.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Range of the advisory opinion. 1008.59 Section 1008... AUTHORITIES ADVISORY OPINIONS BY THE OIG Scope and Effect of OIG Advisory Opinions § 1008.59 Range of the advisory opinion. (a) An advisory opinion will state only the OIG's opinion regarding the subject matter...

  7. 42 CFR 1008.59 - Range of the advisory opinion.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Range of the advisory opinion. 1008.59 Section 1008... AUTHORITIES ADVISORY OPINIONS BY THE OIG Scope and Effect of OIG Advisory Opinions § 1008.59 Range of the advisory opinion. (a) An advisory opinion will state only the OIG's opinion regarding the subject matter...

  8. 42 CFR 1008.59 - Range of the advisory opinion.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Range of the advisory opinion. 1008.59 Section 1008... AUTHORITIES ADVISORY OPINIONS BY THE OIG Scope and Effect of OIG Advisory Opinions § 1008.59 Range of the advisory opinion. (a) An advisory opinion will state only the OIG's opinion regarding the subject matter...

  9. Expert Systems and Document Handling.

    ERIC Educational Resources Information Center

    Edmonds, Ernest

    1987-01-01

    Describes significant attributes of expert systems, contrasts them to conventional computer systems, and provides an overview of the R1 expert system used by Digital Equipment Corporation (DEC) to put together operational systems that meet customers' requirements. Document handling, particularly pictures and images in documents, is also briefly…

  10. Expert Systems in Reference Services.

    ERIC Educational Resources Information Center

    Roysdon, Christine, Ed.; White, Howard D., Ed.

    1989-01-01

    Eleven articles introduce expert systems applications in library and information science, and present design and implementation issues of system development for reference services. Topics covered include knowledge based systems, prototype development, the use of artificial intelligence to remedy current system inadequacies, and an expert system to…

  11. Expert Systems and Special Education.

    ERIC Educational Resources Information Center

    Hofmeister, Alan M.; Ferrara, Joseph M.

    The application of artificial intelligence to the problems of education is examined. One of the most promising areas in artificial intelligence is expert systems technology which engages the user in a problem-solving diaglogue. Some of the characteristics that make expert systems "intelligent" are identified and exemplified. The rise of expert…

  12. Energy Policy: Ask the Experts.

    ERIC Educational Resources Information Center

    Nuclear Industry, 1991

    1991-01-01

    Twelve U.S. experts on energy policies individually offer perspectives about which priorities should be enlisted with respect to the current energy policy of the United States. In their analyses, these experts unanimously agree that the biggest U.S. problem is an increasing dependence upon imported oil. (JJK)

  13. Communicator Credibility: Trustworthiness Defeats Expertness.

    ERIC Educational Resources Information Center

    Lui, Louisa; Standing, Lionel

    1989-01-01

    Compared credibility of highly trustworthy communicator with that of an expert by using nuns (N=36) who listened to the same persuasive message about Acquired Immune Deficiency Syndrome presented as either a trustworthy source (priest), an expert (doctor), or a neutral source. Found trustworthy communicator was regarded as significantly more…

  14. Expert Systems and Medical Education.

    ERIC Educational Resources Information Center

    Educational Researcher, 1988

    1988-01-01

    Expert systems are computerized databases that can diagnose and recommend treatment for persons who are ill. The database contains information on more than 7,600 diseases generated from exhaustive questioning of experts. These systems supplement human expertise but do not replace the good teaching of physicians. (VM)

  15. Expertise in Teaching: Expert Pedagogues.

    ERIC Educational Resources Information Center

    Lavely, Carolyn; And Others

    "The purpose of this article is to report a review of the developing empirical literature to explain "expert" teacher behavior, by analogy, from the cognitive psychology expertise literature. Emphasized is a review of the expert-novice cognitive psychology literature, encompassing the research on: chess, and other games; physics, medicine, and…

  16. What defines an Expert? - Uncertainty in the interpretation of seismic data

    NASA Astrophysics Data System (ADS)

    Bond, C. E.

    2008-12-01

    Studies focusing on the elicitation of information from experts are concentrated primarily in economics and world markets, medical practice and expert witness testimonies. Expert elicitation theory has been applied in the natural sciences, most notably in the prediction of fluid flow in hydrological studies. In the geological sciences expert elicitation has been limited to theoretical analysis with studies focusing on the elicitation element, gaining expert opinion rather than necessarily understanding the basis behind the expert view. In these cases experts are defined in a traditional sense, based for example on: standing in the field, no. of years of experience, no. of peer reviewed publications, the experts position in a company hierarchy or academia. Here traditional indicators of expertise have been compared for significance on affective seismic interpretation. Polytomous regression analysis has been used to assess the relative significance of length and type of experience on the outcome of a seismic interpretation exercise. Following the initial analysis the techniques used by participants to interpret the seismic image were added as additional variables to the analysis. Specific technical skills and techniques were found to be more important for the affective geological interpretation of seismic data than the traditional indicators of expertise. The results of a seismic interpretation exercise, the techniques used to interpret the seismic and the participant's prior experience have been combined and analysed to answer the question - who is and what defines an expert?

  17. Threat expert system technology advisor

    NASA Technical Reports Server (NTRS)

    Kurrasch, E. R.; Tripp, L. R.

    1987-01-01

    A prototype expert system was developed to determine the feasibility of using expert system technology to enhance the performance and survivability of helicopter pilots in a combat threat environment while flying NOE (Nap of the Earth) missions. The basis for the concept is the potential of using an Expert System Advisor to reduce the extreme overloading of the pilot who flies NOE mission below treetop level at approximately 40 knots while performing several other functions. The ultimate goal is to develop a Threat Expert System Advisor which provides threat information and advice that are better than even a highly experienced copilot. The results clearly show that the NOE pilot needs all the help in decision aiding and threat situation awareness that he can get. It clearly shows that heuristics are important and that an expert system for combat NOE helicopter missions can be of great help to the pilot in complex threat situations and in making decisions.

  18. Engineering monitoring expert system's developer

    NASA Technical Reports Server (NTRS)

    Lo, Ching F.

    1991-01-01

    This research project is designed to apply artificial intelligence technology including expert systems, dynamic interface of neural networks, and hypertext to construct an expert system developer. The developer environment is specifically suited to building expert systems which monitor the performance of ground support equipment for propulsion systems and testing facilities. The expert system developer, through the use of a graphics interface and a rule network, will be transparent to the user during rule constructing and data scanning of the knowledge base. The project will result in a software system that allows its user to build specific monitoring type expert systems which monitor various equipments used for propulsion systems or ground testing facilities and accrues system performance information in a dynamic knowledge base.

  19. Cognitive resources of physics experts

    NASA Astrophysics Data System (ADS)

    Jones, Darrick C.

    One important goal of physics education is to help students develop reasoning patterns similar to those of expert physicists. To achieve this goal, physics educators must know what makes physics experts so successful at solving challenging physics problems. However, this dimension of physics expertise has not been fully explored by the physics education research (PER) community. In this dissertation, I describe several studies I have conducted that further the PER community's understanding of physics expertise. In these studies, I investigate how expert physicists reason as they solve unfamiliar, challenging physics problems by using a resource-based model of cognition to analyze videotaped recordings of problem solving sessions. By developing a way to determine when experts are making conceptual breakthroughs I analyze what resources experts use during conceptual breakthroughs. In the first study, I show that physics conceptual breakthroughs are characterized by reasoning which combines resources related to intuitive knowledge, higher level physics based conceptual knowledge, and epistemological knowledge. In the second study, I develop a way to reliably code for epistemological resources and determine what epistemological resources experts rely on most during conceptual breakthroughs. My findings show that experts rely on contrasting cases more often than any other epistemological resource. In the third study, I use variation theory to investigate how experts use contrasting cases. I look for patterns across all instances when experts use contrasting cases to make a conceptual breakthrough and show how scientific epistemology can be used to better understand experts' use of contrasting cases. I discuss how the findings of each study can be used to inform physics education.

  20. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study

    PubMed Central

    Tosteson, Anna NA; Pepe, Margaret S; Longton, Gary M; Nelson, Heidi D; Geller, Berta; Carney, Patricia A; Onega, Tracy; Allison, Kimberly H; Jackson, Sara L; Weaver, Donald L

    2016-01-01

    Objective To evaluate the potential effect of second opinions on improving the accuracy of diagnostic interpretation of breast histopathology. Design Simulation study. Setting 12 different strategies for acquiring independent second opinions. Participants Interpretations of 240 breast biopsy specimens by 115 pathologists, one slide for each case, compared with reference diagnoses derived by expert consensus. Main outcome measures Misclassification rates for individual pathologists and for 12 simulated strategies for second opinions. Simulations compared accuracy of diagnoses from single pathologists with that of diagnoses based on pairing interpretations from first and second independent pathologists, where resolution of disagreements was by an independent third pathologist. 12 strategies were evaluated in which acquisition of second opinions depended on initial diagnoses, assessment of case difficulty or borderline characteristics, pathologists’ clinical volumes, or whether a second opinion was required by policy or desired by the pathologists. The 240 cases included benign without atypia (10% non-proliferative, 20% proliferative without atypia), atypia (30%), ductal carcinoma in situ (DCIS, 30%), and invasive cancer (10%). Overall misclassification rates and agreement statistics depended on the composition of the test set, which included a higher prevalence of difficult cases than in typical practice. Results Misclassification rates significantly decreased (P<0.001) with all second opinion strategies except for the strategy limiting second opinions only to cases of invasive cancer. The overall misclassification rate decreased from 24.7% to 18.1% when all cases received second opinions (P<0.001). Obtaining both first and second opinions from pathologists with a high volume (≥10 breast biopsy specimens weekly) resulted in the lowest misclassification rate in this test set (14.3%, 95% confidence interval 10.9% to 18.0%). Obtaining second opinions only for

  1. Addressivity in cogenerative dialogues

    NASA Astrophysics Data System (ADS)

    Hsu, Pei-Ling

    2014-03-01

    Ashraf Shady's paper provides a first-hand reflection on how a foreign teacher used cogens as culturally adaptive pedagogy to address cultural misalignments with students. In this paper, Shady drew on several cogen sessions to showcase his journey of using different forms of cogens with his students. To improve the quality of cogens, one strategy he used was to adjust the number of participants in cogens. As a result, some cogens worked and others did not. During the course of reading his paper, I was impressed by his creative and flexible use of cogens and at the same time was intrigued by the question of why some cogens work and not others. In searching for an answer, I found that Mikhail Bakhtin's dialogism, especially the concept of addressivity, provides a comprehensive framework to address this question. In this commentary, I reanalyze the cogen episodes described in Shady's paper in the light of dialogism. My analysis suggests that addressivity plays an important role in mediating the success of cogens. Cogens with high addressivity function as internally persuasive discourse that allows diverse consciousnesses to coexist and so likely affords productive dialogues. The implications of addressivity in teaching and learning are further discussed.

  2. [Opinion of the citizens, opinion of the officials].

    PubMed

    1997-09-01

    No government can survive without consulting the opinion of the governed. Even dictators cannot be completely ignorant of the needs and sentiments of the population. This truth applies as well in intimate aspects of life related to conscience and morality. Mexican federal and local legislators lack means of consulting the citizenry. Only a few localities have the type of procedures to determine the will of the electorate used in nations of long democratic tradition. Abortion and other matters of conscience should be subjected to referendum. At present, referenda are impracticable in Mexico. Reflecting the situation in secular society, the Catholic Church hierarchy lacks means of consulting that would at least temper the authoritarian condemnation by the Pope of contraception and birth control and the obsessive opposition to condoms, the best HIV preventive. It is difficult to gauge the true weight of the pope¿s influence in Mexico, but many lawmakers and authorities consider it definitive. The Church hierarchy neither consults the faithful nor listens to those within the Church who recommend modification of doctrines regarding reproduction. Surveys reveal that Catholic men and women use contraception, and women have obtained abortions without considering themselves outside the religious community. Legislators and officials should know what people really think, and citizens should be provided with information to enable them to form their own opinions. PMID:12349538

  3. Tools and technologies for expert systems: A human factors perspective

    NASA Technical Reports Server (NTRS)

    Rajaram, Navaratna S.

    1987-01-01

    It is widely recognized that technologies based on artificial intelligence (AI), especially expert systems, can make significant contributions to the productivity and effectiveness of operations of information and knowledge intensive organizations such as NASA. At the same time, these being relatively new technologies, there is the problem of transfering technology to key personnel of such organizations. The problems of examining the potential of expert systems and of technology transfer is addressed in the context of human factors applications. One of the topics of interest was the investigation of the potential use of expert system building tools, particularly NEXPERT as a technology transfer medium. Two basic conclusions were reached in this regard. First, NEXPERT is an excellent tool for rapid prototyping of experimental expert systems, but not ideal as a delivery vehicle. Therefore, it is not a substitute for general purpose system implementation languages such a LISP or C. This assertion probably holds for nearly all such tools on the market today. Second, an effective technology transfer mechanism is to formulate and implement expert systems for problems which members of the organization in question can relate to. For this purpose, the LIghting EnGineering Expert (LIEGE) was implemented using NEXPERT as the tool for technology transfer and to illustrate the value of expert systems to the activities of the Man-System Division.

  4. [Veterinarians as experts in court].

    PubMed

    Ort, J D

    2004-03-01

    General veterinarians such as veterinary officers act as experts at court. They are in so far part of the evidence. Due to his experience the veterinary expert shall give systematical uniform principles concerning even domains adjacent to the field of animal protection such as protection of animal epidemics and food cases, verifiable by science and university research. Examples for expert's topics as well as the requirements of expert reports are shown. According to paragraph 15 II Tierschutzgesetz (Animal Protection Act), as well as according to paragraph paragraph 63, 76 Ordnungswidrigkeitengesetz the experts participation in the proceeding is necessary. In consideration of paragraph paragraph 74, 22 Strafprozessordnung (Code of Criminal Proceedure) conflicts may arise because the veterinarian officer is self-contained investigator, witness as well as expert in the same proceeding. In general the veterinarian officer, who has been involved in the investigations must be excluded from expert activity in the same case. The veterinarian officers have to solve this problem by seperating tasks and functions within one legal case. PMID:15195954

  5. Decidedly different: Expert and public views of risks from a radioactive waste repository

    SciTech Connect

    Flynn, J.; Slovic, P.; Mertz, C.K. )

    1993-12-01

    A questionnaire with items that had been used in a national survey of the general public was administered to persons attending an American Nuclear Society meeting. The items asked about risks associated with high-level nuclear waste (HLNW), trust in nuclear-waste program managers, costs and benefits of a repository project, and images of a HLNW repository. The results suggest that nuclear industry experts may have very different opinions from the general public about most of these items and their images of a repository indicate a vastly different conceptual framework within which their opinions are formed. 8 refs., 4 tabs.

  6. Expert systems for personnel assignment

    SciTech Connect

    Hardee, J.L.; Liepins, G.

    1986-01-01

    In order to reduce stress on assignment personnel (detailers) and ensure maximum fairness and consistency in the Navy's personnel assignment process, The Navy Military Personnel Command (NMPC) has begun to explore the potential use of expert systems to supplement current manual and computerized distribution methods. The Detailer's Assistant expert system is being developed to improve the detailers' ability to satisfy the needs of their constituents and Navy management. An initial prototype of the Detailer's Assistant is now being evaluated. Numerous upgrades and extensions should lead to an operational system in the near future. Further development to a production system will involve additional research in machine learning, intelligent database methods, and cooperating expert systems.

  7. Signal Processing Expert Code (SPEC)

    SciTech Connect

    Ames, H.S.

    1985-12-01

    The purpose of this paper is to describe a prototype expert system called SPEC which was developed to demonstrate the utility of providing an intelligent interface for users of SIG, a general purpose signal processing code. The expert system is written in NIL, runs on a VAX 11/750 and consists of a backward chaining inference engine and an English-like parser. The inference engine uses knowledge encoded as rules about the formats of SIG commands and about how to perform frequency analyses using SIG. The system demonstrated that expert system can be used to control existing codes.

  8. The dynamics of opinion in hierarchical organizations

    NASA Astrophysics Data System (ADS)

    Laguna, M. F.; Risau Gusman, S.; Abramson, G.; Gonçalves, S.; Iglesias, J. R.

    2005-06-01

    We study the mutual influence of authority and persuasion in the flow of opinions. We describe a simple model with no social mobility, where each agent belongs to a class in the hierarchy and has also a persuasion capability. Agents use the force of its persuasion to propagate their opinions; however a high-rank agent can also use its authority to impose its opinion on other ones. The model is studied analytically within a mean field approximation and by means of numerical simulations. In the case of a three authority level hierarchy the agreement between the two approaches is excellent. We obtain a phase diagram identifying the relative frequency of the prevailing opinions, and find that the stratum where the dominant opinion arises from is strongly dependent on the relative population of each hierarchy level. The time evolution shows that conflicting opinions polarize after a short transient.

  9. Expert Witness: A system for developing expert medical testimony

    NASA Technical Reports Server (NTRS)

    Lewandowski, Raymond; Perkins, David; Leasure, David

    1994-01-01

    Expert Witness in an expert system designed to assist attorneys and medical experts in determining the merit of medical malpractice claims in the area of obstetrics. It substitutes the time of the medical expert with the time of a paralegal assistant guided by the expert system during the initial investigation of the medical records and patient interviews. The product of the system is a narrative transcript containing important data, immediate conclusions from the data, and overall conclusions of the case that the attorney and medical expert use to make decisions about whether and how to proceed with the case. The transcript may also contain directives for gathering additional information needed for the case. The system is a modified heuristic classifier and is implemented using over 600 CLIPS rules together with a C-based user interface. The data abstraction and solution refinement are implemented directly using forward chaining production and matching. The use of CLIPS and C is essential to delivering a system that runs on a generic PC platform. The direct implementation in CLIPS together with locality of inference ensures that the system will scale gracefully. Two years of use has revealed no errors in the reasoning.

  10. Not All Flavor Expertise Is Equal: The Language of Wine and Coffee Experts

    PubMed Central

    Majid, Asifa

    2016-01-01

    People in Western cultures are poor at naming smells and flavors. However, for wine and coffee experts, describing smells and flavors is part of their daily routine. So are experts better than lay people at conveying smells and flavors in language? If smells and flavors are more easily linguistically expressed by experts, or more “codable”, then experts should be better than novices at describing smells and flavors. If experts are indeed better, we can also ask how general this advantage is: do experts show higher codability only for smells and flavors they are expert in (i.e., wine experts for wine and coffee experts for coffee) or is their linguistic dexterity more general? To address these questions, wine experts, coffee experts, and novices were asked to describe the smell and flavor of wines, coffees, everyday odors, and basic tastes. The resulting descriptions were compared on a number of measures. We found expertise endows a modest advantage in smell and flavor naming. Wine experts showed more consistency in how they described wine smells and flavors than coffee experts, and novices; but coffee experts were not more consistent for coffee descriptions. Neither expert group was any more accurate at identifying everyday smells or tastes. Interestingly, both wine and coffee experts tended to use more source-based terms (e.g., vanilla) in descriptions of their own area of expertise whereas novices tended to use more evaluative terms (e.g., nice). However, the overall linguistic strategies for both groups were en par. To conclude, experts only have a limited, domain-specific advantage when communicating about smells and flavors. The ability to communicate about smells and flavors is a matter not only of perceptual training, but specific linguistic training too. PMID:27322035

  11. Not All Flavor Expertise Is Equal: The Language of Wine and Coffee Experts.

    PubMed

    Croijmans, Ilja; Majid, Asifa

    2016-01-01

    People in Western cultures are poor at naming smells and flavors. However, for wine and coffee experts, describing smells and flavors is part of their daily routine. So are experts better than lay people at conveying smells and flavors in language? If smells and flavors are more easily linguistically expressed by experts, or more "codable", then experts should be better than novices at describing smells and flavors. If experts are indeed better, we can also ask how general this advantage is: do experts show higher codability only for smells and flavors they are expert in (i.e., wine experts for wine and coffee experts for coffee) or is their linguistic dexterity more general? To address these questions, wine experts, coffee experts, and novices were asked to describe the smell and flavor of wines, coffees, everyday odors, and basic tastes. The resulting descriptions were compared on a number of measures. We found expertise endows a modest advantage in smell and flavor naming. Wine experts showed more consistency in how they described wine smells and flavors than coffee experts, and novices; but coffee experts were not more consistent for coffee descriptions. Neither expert group was any more accurate at identifying everyday smells or tastes. Interestingly, both wine and coffee experts tended to use more source-based terms (e.g., vanilla) in descriptions of their own area of expertise whereas novices tended to use more evaluative terms (e.g., nice). However, the overall linguistic strategies for both groups were en par. To conclude, experts only have a limited, domain-specific advantage when communicating about smells and flavors. The ability to communicate about smells and flavors is a matter not only of perceptual training, but specific linguistic training too. PMID:27322035

  12. Classification of health webpages as expert and non expert with a reduced set of cross-language features.

    PubMed

    Grabar, Natalia; Krivine, Sonia; Jaulent, Marie-Christine

    2007-01-01

    Making the distinction between expert and non expert health documents can help users to select the information which is more suitable for them, according to whether they are familiar or not with medical terminology. This issue is particularly important for the information retrieval area. In our work we address this purpose through stylistic corpus analysis and the application of machine learning algorithms. Our hypothesis is that this distinction can be performed on the basis of a small number of features and that such features can be language and domain independent. The used features were acquired in source corpus (Russian language, diabetes topic) and then tested on target (French language, pneumology topic) and source corpora. These cross-language features show 90% precision and 93% recall with non expert documents in source language; and 85% precision and 74% recall with expert documents in target language. PMID:18693843

  13. Classification of Health Webpages as Expert and Non Expert with a Reduced Set of Cross-language Features

    PubMed Central

    Grabar, Natalia; Krivine, Sonia; Jaulent, Marie-Christine

    2007-01-01

    Making the distinction between expert and non expert health documents can help users to select the information which is more suitable for them, according to whether they are familiar or not with medical terminology. This issue is particularly important for the information retrieval area. In our work we address this purpose through stylistic corpus analysis and the application of machine learning algorithms. Our hypothesis is that this distinction can be performed on the basis of a small number of features and that such features can be language and domain independent. The used features were acquired in source corpus (Russian language, diabetes topic) and then tested on target (French language, pneumology topic) and source corpora. These cross-language features show 90% precision and 93% recall with non expert documents in source language; and 85% precision and 74% recall with expert documents in target language. PMID:18693843

  14. Ugandan opinion-leaders' knowledge and perceptions of unsafe abortion.

    PubMed

    Moore, Ann M; Kibombo, Richard; Cats-Baril, Deva

    2014-10-01

    While laws in Uganda surrounding abortion remain contradictory, a frequent interpretation of the law is that abortion is only allowed to save the woman's life. Nevertheless abortion occurs frequently under unsafe conditions at a rate of 54 abortions per 1000 women of reproductive age annually, taking a large toll on women's health. There are an estimated 148,500 women in Uganda who experience abortion complications annually. Understanding opinion leaders' knowledge and perceptions about unsafe abortion is critical to identifying ways to address this public health issue. We conducted in-depth, semi-structured interviews with 41 policy-makers, cultural leaders, local politicians and leaders within the health care sector in 2009-10 at the national as well as district (Bushenyi, Kamuli and Lira) level to explore their knowledge and perceptions of unsafe abortion and the potential for policy to address this issue. Only half of the sample knew the current law regulating abortion in Uganda. Respondents understood that the result of the current abortion restrictions included long-term health complications, unwanted children and maternal death. Perceived consequences of increasing access to safe abortion included improved health as well as overuse of abortion, marital conflict and less reliance on preventive behaviour. Opinion leaders expressed the most support for legalization of abortion in cases of rape when the perpetrator was unknown. Understanding opinion leaders' perspectives on this politically sensitive topic provides insight into the policy context of abortion laws, drivers behind maintaining the status quo, and ways to improve provision under the law: increase education among providers and opinion leaders. PMID:24064047

  15. Prediction of collective opinion in consensus formation

    NASA Astrophysics Data System (ADS)

    Hou, Lei; Liu, Jianguo; Pan, Xue; Song, Wen-Jun; Li, Xu-Dong

    2014-12-01

    In the consensus formation dynamics, the effect of leaders and interventions have been widely studied for it has many applications such as in politics and commerce. However, the problem is how to know if it is necessary for one to make an intervention. In this paper, we theoretically propose a method for predicting the tendency and final state of collective opinion. By giving each agent a conviction ci which measures the ability to insist on his opinion, we present an opinion formation model in which agents with high convictions naturally show up properties of the opinion leaders. Results reveal that, although each agent initially gets an opinion evenly distributed in the range [-1, 1], the collective opinion of the steady-state may deviate to the positive or negative direction because of the initial bias of the leaders' opinions. We further get the correlation coefficient of the linear relationship between the collective opinion and the initial bias according to both the experimental and theoretical analysis. Thus, we could predict the final state at the very beginning of the dynamic only if we get the opinions of a small portion of the population. The prediction would afford us more time and opportunities to make reactions and interventions.

  16. An expert system to advise astronauts during experiments

    NASA Technical Reports Server (NTRS)

    Young, Laurence R.; Groleau, Nicolas; Szolovits, Peter; Colombano, Silvano P.; Rosenthal, Don; Haymann-Haber, Guido

    1989-01-01

    Work being done on an expert system designed to improve the quality of space experimentation in vestibular physiology is described. Emphasis is given to two of the several modules of which the system architecture is composed: the Protocol Manager and the Interesting Data Filter. Some engineering issues related to human factors and to data acquisition and monitoring are also addressed.

  17. The Metamorphosis of Industrial Designers from Novices to Experts

    ERIC Educational Resources Information Center

    Wong, Ju-Joan; Chen, Po-Yu; Chen, Chun-Di

    2016-01-01

    Professional training for designers is crucial in the field of design studies. The characteristics of novices versus those of expert designers have been identified in the literature; however, studies exploring the issue of professional training processes in the actual workplace are not well developed. Our study addresses the topic by using…

  18. The nutrition advisor expert system

    NASA Technical Reports Server (NTRS)

    Huse, Scott M.; Shyne, Scott S.

    1991-01-01

    The Nutrition Advisor Expert System (NAES) is an expert system written in the C Language Integrated Production System (CLIPS). NAES provides expert knowledge and guidance into the complex world of nutrition management by capturing the knowledge of an expert and placing it at the user's fingertips. Specifically, NAES enables the user to: (1) obtain precise nutrition information for food items; (2) perform nutritional analysis of meal(s), flagging deficiencies based upon the U.S. Recommended Daily Allowances; (3) predict possible ailments based upon observed nutritional deficiency trends; (4) obtain a top ten listing of food items for a given nutrient; and (5) conveniently upgrade the data base. An explanation facility for the ailment prediction feature is also provided to document the reasoning process.

  19. Expert Systems in Clinical Microbiology

    PubMed Central

    Winstanley, Trevor; Courvalin, Patrice

    2011-01-01

    Summary: This review aims to discuss expert systems in general and how they may be used in medicine as a whole and clinical microbiology in particular (with the aid of interpretive reading). It considers rule-based systems, pattern-based systems, and data mining and introduces neural nets. A variety of noncommercial systems is described, and the central role played by the EUCAST is stressed. The need for expert rules in the environment of reset EUCAST breakpoints is also questioned. Commercial automated systems with on-board expert systems are considered, with emphasis being placed on the “big three”: Vitek 2, BD Phoenix, and MicroScan. By necessity and in places, the review becomes a general review of automated system performances for the detection of specific resistance mechanisms rather than focusing solely on expert systems. Published performance evaluations of each system are drawn together and commented on critically. PMID:21734247

  20. Expert systems in clinical microbiology.

    PubMed

    Winstanley, Trevor; Courvalin, Patrice

    2011-07-01

    This review aims to discuss expert systems in general and how they may be used in medicine as a whole and clinical microbiology in particular (with the aid of interpretive reading). It considers rule-based systems, pattern-based systems, and data mining and introduces neural nets. A variety of noncommercial systems is described, and the central role played by the EUCAST is stressed. The need for expert rules in the environment of reset EUCAST breakpoints is also questioned. Commercial automated systems with on-board expert systems are considered, with emphasis being placed on the "big three": Vitek 2, BD Phoenix, and MicroScan. By necessity and in places, the review becomes a general review of automated system performances for the detection of specific resistance mechanisms rather than focusing solely on expert systems. Published performance evaluations of each system are drawn together and commented on critically. PMID:21734247

  1. Use (and abuse) of expert elicitation in support of decision making for public policy

    PubMed Central

    Morgan, M. Granger

    2014-01-01

    The elicitation of scientific and technical judgments from experts, in the form of subjective probability distributions, can be a valuable addition to other forms of evidence in support of public policy decision making. This paper explores when it is sensible to perform such elicitation and how that can best be done. A number of key issues are discussed, including topics on which there are, and are not, experts who have knowledge that provides a basis for making informed predictive judgments; the inadequacy of only using qualitative uncertainty language; the role of cognitive heuristics and of overconfidence; the choice of experts; the development, refinement, and iterative testing of elicitation protocols that are designed to help experts to consider systematically all relevant knowledge when they make their judgments; the treatment of uncertainty about model functional form; diversity of expert opinion; and when it does or does not make sense to combine judgments from different experts. Although it may be tempting to view expert elicitation as a low-cost, low-effort alternative to conducting serious research and analysis, it is neither. Rather, expert elicitation should build on and use the best available research and analysis and be undertaken only when, given those, the state of knowledge will remain insufficient to support timely informed assessment and decision making. PMID:24821779

  2. Nickel Hydrogen Battery Expert System

    NASA Astrophysics Data System (ADS)

    Johnson, Yvette B.; McCall, Kurt E.

    The Nickel Cadmium Battery Expert System-2, or 'NICBES-2', which was used by the NASA HST six-battery testbed, was subsequently converted into the Nickel Hydrogen Battery Expert System, or 'NICHES'. Accounts are presently given of this conversion process and future uses being contemplated for NICHES. NICHES will calculate orbital summary data at the end of each orbit, and store these files for trend analyses and rules-generation.

  3. Parallel processing and expert systems

    NASA Technical Reports Server (NTRS)

    Lau, Sonie; Yan, Jerry C.

    1991-01-01

    Whether it be monitoring the thermal subsystem of Space Station Freedom, or controlling the navigation of the autonomous rover on Mars, NASA missions in the 1990s cannot enjoy an increased level of autonomy without the efficient implementation of expert systems. Merely increasing the computational speed of uniprocessors may not be able to guarantee that real-time demands are met for larger systems. Speedup via parallel processing must be pursued alongside the optimization of sequential implementations. Prototypes of parallel expert systems have been built at universities and industrial laboratories in the U.S. and Japan. The state-of-the-art research in progress related to parallel execution of expert systems is surveyed. The survey discusses multiprocessors for expert systems, parallel languages for symbolic computations, and mapping expert systems to multiprocessors. Results to date indicate that the parallelism achieved for these systems is small. The main reasons are (1) the body of knowledge applicable in any given situation and the amount of computation executed by each rule firing are small, (2) dividing the problem solving process into relatively independent partitions is difficult, and (3) implementation decisions that enable expert systems to be incrementally refined hamper compile-time optimization. In order to obtain greater speedups, data parallelism and application parallelism must be exploited.

  4. Parallel processing and expert systems

    NASA Technical Reports Server (NTRS)

    Yan, Jerry C.; Lau, Sonie

    1991-01-01

    Whether it be monitoring the thermal subsystem of Space Station Freedom, or controlling the navigation of the autonomous rover on Mars, NASA missions in the 90's cannot enjoy an increased level of autonomy without the efficient use of expert systems. Merely increasing the computational speed of uniprocessors may not be able to guarantee that real time demands are met for large expert systems. Speed-up via parallel processing must be pursued alongside the optimization of sequential implementations. Prototypes of parallel expert systems have been built at universities and industrial labs in the U.S. and Japan. The state-of-the-art research in progress related to parallel execution of expert systems was surveyed. The survey is divided into three major sections: (1) multiprocessors for parallel expert systems; (2) parallel languages for symbolic computations; and (3) measurements of parallelism of expert system. Results to date indicate that the parallelism achieved for these systems is small. In order to obtain greater speed-ups, data parallelism and application parallelism must be exploited.

  5. Development of an Expert Judgement Elicitation and Calibration Methodology for Risk Analysis in Conceptual Vehicle Design

    NASA Technical Reports Server (NTRS)

    Unal, Resit; Keating, Charles; Conway, Bruce; Chytka, Trina

    2004-01-01

    A comprehensive expert-judgment elicitation methodology to quantify input parameter uncertainty and analysis tool uncertainty in a conceptual launch vehicle design analysis has been developed. The ten-phase methodology seeks to obtain expert judgment opinion for quantifying uncertainties as a probability distribution so that multidisciplinary risk analysis studies can be performed. The calibration and aggregation techniques presented as part of the methodology are aimed at improving individual expert estimates, and provide an approach to aggregate multiple expert judgments into a single probability distribution. The purpose of this report is to document the methodology development and its validation through application to a reference aerospace vehicle. A detailed summary of the application exercise, including calibration and aggregation results is presented. A discussion of possible future steps in this research area is given.

  6. Addressing Social Issues.

    ERIC Educational Resources Information Center

    Schoebel, Susan

    1991-01-01

    Maintains that advertising can help people become more aware of social responsibilities. Describes a successful nationwide newspaper advertising competition for college students in which ads address social issues such as literacy, drugs, teen suicide, and teen pregnancy. Notes how the ads have helped grassroots programs throughout the United…

  7. States Address Achievement Gaps.

    ERIC Educational Resources Information Center

    Christie, Kathy

    2002-01-01

    Summarizes 2 state initiatives to address the achievement gap: North Carolina's report by the Advisory Commission on Raising Achievement and Closing Gaps, containing an 11-point strategy, and Kentucky's legislation putting in place 10 specific processes. The North Carolina report is available at www.dpi.state.nc.us.closingthegap; Kentucky's…

  8. Address of the President

    ERIC Educational Resources Information Center

    Ness, Frederic W.

    1976-01-01

    The president of the Association of American Colleges addresses at the 62nd annual meeting the theme of the conference: "Looking to the Future--Liberal Education in a Radically Changing Society." Contributions to be made by AAC are examined. (LBH)

  9. Addressing Sexual Harassment

    ERIC Educational Resources Information Center

    Young, Ellie L.; Ashbaker, Betty Y.

    2008-01-01

    This article discusses ways on how to address the problem of sexual harassment in schools. Sexual harassment--simply defined as any unwanted and unwelcome sexual behavior--is a sensitive topic. Merely providing students, parents, and staff members with information about the school's sexual harassment policy is insufficient; schools must take…

  10. Space sciences - Keynote address

    NASA Technical Reports Server (NTRS)

    Alexander, Joseph K.

    1990-01-01

    The present status and projected future developments of the NASA Space Science and Applications Program are addressed. Emphasis is given to biochemistry experiments that are planned for the Space Station. Projects for the late 1990s which will study the sun, the earth's magnetosphere, and the geosphere are briefly discussed.

  11. Juror decision-making in a mock sexually violent predator trial: gender differences in the impact of divergent types of expert testimony.

    PubMed

    Guy, Laura S; Edens, John F

    2003-01-01

    Despite widespread use of mental health testimony in cases where violence risk is at issue, relatively little is known about the impact of such information on juror decision-making. This study addressed the effects of testimony based on three types of risk assessment instrument or method (clinical opinion, actuarial assessment, and ratings of psychopathy) to examine whether they would have differential impact on jurors' perceptions of the defendant. In a mock sexually violent predator civil commitment trial, 172 undergraduates were presented a case summary that included prosecution and defense expert testimony related to violence risk based on one of the three methods noted above. Consistent with earlier research, the hypothesis that a defendant described as a "high risk psychopath" by the prosecution would be judged more severely than a defendant judged as "high risk" based on other evaluation procedures was supported, but only among female jurors. Unlike prior studies, little support was found for the hypothesis that clinical opinion testimony would be more influential than actuarially based testimony for either gender. Mechanisms that may underlie the observed gender differences are discussed, as are the potential implications of these findings for civil commitment proceedings. PMID:12645046

  12. 32 CFR 1698.4 - Confidentiality of advisory opinions and requests for advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Confidentiality of advisory opinions and requests for advisory opinions. 1698.4 Section 1698.4 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM ADVISORY OPINIONS § 1698.4 Confidentiality of advisory...

  13. 32 CFR 1698.4 - Confidentiality of advisory opinions and requests for advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Confidentiality of advisory opinions and requests for advisory opinions. 1698.4 Section 1698.4 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM ADVISORY OPINIONS § 1698.4 Confidentiality of advisory...

  14. 20 CFR 258.7 - Board decisions and opinions and dissenting opinions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 1 2014-04-01 2012-04-01 true Board decisions and opinions and dissenting opinions. 258.7 Section 258.7 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD RETIREMENT ACT HEARINGS BEFORE THE BOARD OR DESIGNATED EXAMINERS § 258.7 Board decisions and opinions...

  15. 20 CFR 258.7 - Board decisions and opinions and dissenting opinions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Board decisions and opinions and dissenting opinions. 258.7 Section 258.7 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD RETIREMENT ACT HEARINGS BEFORE THE BOARD OR DESIGNATED EXAMINERS § 258.7 Board decisions and opinions...

  16. 20 CFR 258.7 - Board decisions and opinions and dissenting opinions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 1 2013-04-01 2012-04-01 true Board decisions and opinions and dissenting opinions. 258.7 Section 258.7 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD RETIREMENT ACT HEARINGS BEFORE THE BOARD OR DESIGNATED EXAMINERS § 258.7 Board decisions and opinions...

  17. 32 CFR 1698.4 - Confidentiality of advisory opinions and requests for advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Confidentiality of advisory opinions and requests for advisory opinions. 1698.4 Section 1698.4 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM ADVISORY OPINIONS § 1698.4 Confidentiality of advisory...

  18. 20 CFR 258.7 - Board decisions and opinions and dissenting opinions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 1 2012-04-01 2012-04-01 false Board decisions and opinions and dissenting opinions. 258.7 Section 258.7 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD RETIREMENT ACT HEARINGS BEFORE THE BOARD OR DESIGNATED EXAMINERS § 258.7 Board decisions and opinions...

  19. 32 CFR 1698.4 - Confidentiality of advisory opinions and requests for advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false Confidentiality of advisory opinions and requests for advisory opinions. 1698.4 Section 1698.4 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM ADVISORY OPINIONS § 1698.4 Confidentiality of advisory...

  20. 20 CFR 258.7 - Board decisions and opinions and dissenting opinions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 1 2011-04-01 2011-04-01 false Board decisions and opinions and dissenting opinions. 258.7 Section 258.7 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD RETIREMENT ACT HEARINGS BEFORE THE BOARD OR DESIGNATED EXAMINERS § 258.7 Board decisions and opinions...

  1. 32 CFR 1698.4 - Confidentiality of advisory opinions and requests for advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false Confidentiality of advisory opinions and requests for advisory opinions. 1698.4 Section 1698.4 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM ADVISORY OPINIONS § 1698.4 Confidentiality of advisory...

  2. Information Needs and Visitors' Experience of an Internet Expert Forum on Infertility

    PubMed Central

    Meyer, Juliane; Kochen, Michael M; Michelmann, Hans Wilhelm

    2005-01-01

    -third of visitors (n = 199) sent detailed results of diagnostic tests and asked for a first or second opinion. Requests to the expert forum were also sent in order to obtain emotional support (17%) or to complain about a doctor (15%). Conclusions Visitors who sent their laboratory findings to receive a thorough evaluation or a second opinion had a good command of the opportunities that an expert forum offers. One important expectation of the forum was emotional support, indicating psychological needs that were not met by medical providers. Future websites must find a compromise in order to protect experts from being overwhelmed by general, nonspecific requests while supporting patients with individualized answers. PMID:15998611

  3. Student Views Concerning Evidence and the Expert in Reasoning a Socio-Scientific Issue and Personal Epistemology

    ERIC Educational Resources Information Center

    Yang, Fang-Ying

    2005-01-01

    This study investigated their views concerning evidence and expert opinion of 10th-grade students, accessed by an open-ended questionnaire in the context of a socio-scientific issue: the cause of flood disasters, and personal epistemology identified by the "Learning Environment Preference Questionnaire" (LEP). Students' responses to the open-ended…

  4. 32 CFR 1698.6 - Issuance of advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Issuance of advisory opinions. 1698.6 Section... ADVISORY OPINIONS § 1698.6 Issuance of advisory opinions. A copy of the advisory opinion will be furnished... opinion will be furnished, without charge, to any Federal, state, or municipal governmental agency...

  5. 42 CFR 1008.51 - Exclusivity of OIG advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Exclusivity of OIG advisory opinions. 1008.51... SERVICES OIG AUTHORITIES ADVISORY OPINIONS BY THE OIG Scope and Effect of OIG Advisory Opinions § 1008.51 Exclusivity of OIG advisory opinions. The only method for obtaining a binding advisory opinion regarding...

  6. 28 CFR 80.13 - Scope of FCPA Opinion.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Scope of FCPA Opinion. 80.13 Section 80.13 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) FOREIGN CORRUPT PRACTICES ACT OPINION PROCEDURE § 80.13 Scope of FCPA Opinion. An FCPA Opinion will state only the Attorney General's opinion...

  7. 32 CFR 1698.6 - Issuance of advisory opinions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false Issuance of advisory opinions. 1698.6 Section... ADVISORY OPINIONS § 1698.6 Issuance of advisory opinions. A copy of the advisory opinion will be furnished... opinion will be furnished, without charge, to any Federal, state, or municipal governmental agency...

  8. 28 CFR 80.13 - Scope of FCPA Opinion.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Scope of FCPA Opinion. 80.13 Section 80.13 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) FOREIGN CORRUPT PRACTICES ACT OPINION PROCEDURE § 80.13 Scope of FCPA Opinion. An FCPA Opinion will state only the Attorney General's opinion...

  9. 32 CFR 1698.6 - Issuance of advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false Issuance of advisory opinions. 1698.6 Section... ADVISORY OPINIONS § 1698.6 Issuance of advisory opinions. A copy of the advisory opinion will be furnished... opinion will be furnished, without charge, to any Federal, state, or municipal governmental agency...

  10. 32 CFR 1698.6 - Issuance of advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Issuance of advisory opinions. 1698.6 Section... ADVISORY OPINIONS § 1698.6 Issuance of advisory opinions. A copy of the advisory opinion will be furnished... opinion will be furnished, without charge, to any Federal, state, or municipal governmental agency...

  11. 42 CFR 1008.51 - Exclusivity of OIG advisory opinions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Exclusivity of OIG advisory opinions. 1008.51... SERVICES OIG AUTHORITIES ADVISORY OPINIONS BY THE OIG Scope and Effect of OIG Advisory Opinions § 1008.51 Exclusivity of OIG advisory opinions. The only method for obtaining a binding advisory opinion regarding...

  12. 42 CFR 1008.51 - Exclusivity of OIG advisory opinions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Exclusivity of OIG advisory opinions. 1008.51... SERVICES OIG AUTHORITIES ADVISORY OPINIONS BY THE OIG Scope and Effect of OIG Advisory Opinions § 1008.51 Exclusivity of OIG advisory opinions. The only method for obtaining a binding advisory opinion regarding...

  13. 28 CFR 80.13 - Scope of FCPA Opinion.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Scope of FCPA Opinion. 80.13 Section 80.13 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) FOREIGN CORRUPT PRACTICES ACT OPINION PROCEDURE § 80.13 Scope of FCPA Opinion. An FCPA Opinion will state only the Attorney General's opinion...

  14. 28 CFR 80.13 - Scope of FCPA Opinion.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Scope of FCPA Opinion. 80.13 Section 80.13 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) FOREIGN CORRUPT PRACTICES ACT OPINION PROCEDURE § 80.13 Scope of FCPA Opinion. An FCPA Opinion will state only the Attorney General's opinion...

  15. 42 CFR 1008.51 - Exclusivity of OIG advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Exclusivity of OIG advisory opinions. 1008.51... SERVICES OIG AUTHORITIES ADVISORY OPINIONS BY THE OIG Scope and Effect of OIG Advisory Opinions § 1008.51 Exclusivity of OIG advisory opinions. The only method for obtaining a binding advisory opinion regarding...

  16. 42 CFR 1008.51 - Exclusivity of OIG advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Exclusivity of OIG advisory opinions. 1008.51... SERVICES OIG AUTHORITIES ADVISORY OPINIONS BY THE OIG Scope and Effect of OIG Advisory Opinions § 1008.51 Exclusivity of OIG advisory opinions. The only method for obtaining a binding advisory opinion regarding...

  17. 32 CFR 1698.6 - Issuance of advisory opinions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Issuance of advisory opinions. 1698.6 Section... ADVISORY OPINIONS § 1698.6 Issuance of advisory opinions. A copy of the advisory opinion will be furnished... opinion will be furnished, without charge, to any Federal, state, or municipal governmental agency...

  18. 28 CFR 80.13 - Scope of FCPA Opinion.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Scope of FCPA Opinion. 80.13 Section 80.13 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) FOREIGN CORRUPT PRACTICES ACT OPINION PROCEDURE § 80.13 Scope of FCPA Opinion. An FCPA Opinion will state only the Attorney General's opinion...

  19. The impact of new diagnostic technologies on health care. An aggregation of expert opinion.

    PubMed

    Schmid, G C; Poulin, M M; McNeal, B R

    1986-01-01

    The growing number of applications for both new and existing technologies will act as a catalyst for major changes in the diagnostic testing field over the next decade. The most important single factor affecting diagnostics, however, will be the increasing restrictions on reimbursement for diagnostic tests as traditional payers become much more cost conscious. After decades of growth, we should see a gradual decline in absolute numbers of diagnostic tests and procedures by the early 1990s. The locations of pathology testing may change as well. Free-standing labs will continue to grow in importance while the number of tests in hospitals will decline as hospital admission volumes fall. The number of tests in the home will grow dramatically but will remain a relatively small part of the whole. In diagnostic imaging, rapid growth will occur in the use of some of the newer specialized procedures, but the use of traditional x-rays is likely to fall off slightly. The share of procedures done in hospitals will drop, and the share done in diagnostic imaging centers will show a corresponding growth. These changes are likely to mean fewer radiologists and pathologists, tougher questions about administrative allocation of flat-rate reimbursements, a shift of focus in medical specialist education, and a shift in the role of medical specialty societies. PMID:10317697

  20. Expert Opinions on Postsecondary Outdoor Adventure Risk Management Curriculum Design: A Research Note

    ERIC Educational Resources Information Center

    Harper, Nevin

    2007-01-01

    A study of outdoor adventure risk management education was conducted in the fall of 2003 following the devastating avalanche season of winter 2002-2003, which took close to 50 lives in North America. The study was guided by the desire to better understand effective risk management training of outdoor adventure leaders in postsecondary…

  1. [Forgetting hormonal contraceptive methods: expert opinion about their daily management in clinical routine practice].

    PubMed

    Jamin, C; André, G; Audebert, A; Christin-Maître, S; Elia, D; Harvey, T; Letombe, B; Lopes, P; Moreau, C; Nisand, I; Pélissier, C

    2011-11-01

    Many guidelines regarding the daily management of regular oral hormonal contraceptive methods have been proposed worldwide. Some of them may even appear to be conflicting. The search for the maximal contraceptive protection leads to a low acceptance of these guidelines, probably because of their complexity and their apparent discrepancy. We are deeply convinced that simplicity and pragmatism of guidelines should pave the way to both their better acceptance and compliance and, consequently, to their improved real-life effectiveness. We have considered physiology and pharmacodynamics before proposing the following rules for an effective management of hormonal contraceptive failures. We conclude that the risk of unwanted pregnancy is higher in case of a unique contraception misuse/a delayed start during the first week of the contraceptive cycle (or in case of multiple days of contraceptive misuses during the following weeks) for a combined contraception or at every cycle day for a non anti-ovulatory progestin only contraception. In such risky situations, we firmly recommend the restart of the regular contraceptive method and the use of condoms for the following 72 hours, provided no sexual intercourse has occurred during the past 5 days before the contraceptive failure. If sexual intercourse has occurred during the past 5 days before the contraceptive failure, we firmly recommend the intake of an emergency contraception, ulipristal acetate, the restart the regular contraceptive method and in this case, the use of condoms for, at least, the following 7 days. PMID:22000833

  2. Expert opinion: vaginal aplasia: creation of a neovagina following the Creatsas vaginoplasty.

    PubMed

    Creatsas, George; Deligeoroglou, Efthimios

    2007-04-01

    Vaginal aplasia is an uncommon congenital anomaly which is usually diagnosed as part of the Mayer-Rokitansky-Kuster-Hauser syndrome. The appropriate management of the anomaly includes the creation of a neovagina, and various surgical or non-surgical techniques have been described. Among them the Creatsas modification of Williams vaginoplasty is an operative technique which involves the following surgical steps: Under general anesthesia, and after cutting the hymen with the use of diathermy, a U-shaped incision is made in the vulva extending across the perineum and up to the medial side of the labia to the level of the external urethral meatus, being 4cm lateral to it. The tissues are mobilized and a first layer of interrupted sutures is put between the inner skin margins using absorbable material with the knots lying inside the creating neovagina. A second layer of the same material is used to approximate the subcutaneous fat and the perineal muscles and finally, the external skin is sutured with absorbable interrupted stitches. The Creatsas vaginoplasty is simple, safe and highly effective, as its application in a large number of patients has been followed by excellent results, with the creation of a satisfactory neovagina (length 10-12 cm, width 5 cm) in 98% of patients. PMID:17350745

  3. A Pragmatic Approach to Patch Testing Atopic Dermatitis Patients: Clinical Recommendations Based on Expert Consensus Opinion.

    PubMed

    Chen, Jennifer K; Jacob, Sharon E; Nedorost, Susan T; Hanifin, Jon M; Simpson, Eric L; Boguniewicz, Mark; Watsky, Kalman L; Lugo-Somolinos, Aida; Hamann, Carsten R; Eberting, Cheryl Lee; Silverberg, Jonathan I; Thyssen, Jacob P

    2016-01-01

    Allergic contact dermatitis (ACD) may complicate the clinical course of atopic dermatitis (AD), and patch testing remains the criterion standard for diagnosing ACD. To date, there have been no guidelines or consensus recommendations on when and how to patch test individuals with AD. Failure to patch test when appropriate may result in overlooking an important and potentially curable complicating comorbidity. In this article, we present consensus recommendations regarding when to perform patch testing in the AD patient, best practices, and common pitfalls. Patch testing should be considered in AD patients with dermatitis that fails to improve with topical therapy; with atypical/changing distribution of dermatitis, or pattern suggestive of ACD; with therapy-resistant hand eczema in the working population; with adult- or adolescent-onset AD; and/or before initiating systemic immunosuppressants for the treatment of dermatitis. A suggested patch testing algorithm for AD patients is provided. PMID:27427820

  4. Prioritizing multiple health behavior change research topics: expert opinions in behavior change science.

    PubMed

    Amato, Katie; Park, Eunhee; Nigg, Claudio R

    2016-06-01

    Multiple health behavior change (MHBC) approaches are understudied. The purpose of this study is to provide strategic MHBC research direction. This cross-sectional study contacted participants through the Society of Behavioral Medicine email listservs and rated the importance of 24 MHBC research topics (1 = not at all important, 5 = extremely important) separately for general and underserved populations. Participants (n = 76) were 79 % female; 76 % White, 10 % Asian, 8 % African American, 5 % Hispanic, and 1 % Native Hawaiian/Pacific Islander. Top MHBC research priorities were predictors of behavior change and the sustainability, long-term effects, and dissemination/translation of interventions for both populations. Recruitment and retention of participants (t(68) = 2.17, p = 0.000), multi-behavioral indices (t(68) = 3.54, p = 0.001), and measurement burden (t(67) = 5.04, p = 0.001) were important for the underserved. Results identified the same top research priorities across populations. For the underserved, research should emphasize recruitment, retention, and measurement burden. PMID:27356992

  5. Expert opinion on first-line therapy in the treatment of castration-resistant prostate cancer.

    PubMed

    Maroto, Pablo; Solsona, Eduardo; Gallardo, Enrique; Mellado, Begoña; Morote, Juan; Arranz, José Ángel; Gómez-Veiga, Francisco; Unda, Miguel; Climent, Miguel Ángel; Alcaraz, Antonio

    2016-04-01

    Treatment of metastatic castration-resistant prostate cancer (mCRPC) has been revolutionized in recent years. It is well known that androgen receptor is still active in most patients with disease progression and serum testosterone levels <50 ng/dL. Moreover, further hormonal maneuvers, either through decreasing androgen levels (abiraterone) or by targeting the androgen receptor (AR) pathway (enzalutamide), prolong survival. In addition, a new cytostatic able to overcome docetaxel resistance, cabazitaxel, and the radioisotope radium 223 have been incorporated to the armamentarium of mCRPC. mCRPC is not only a heterogeneous tumor, it changes over time developing neuroendocrine features or selection of clones resistant to hormonal maneuvers. In addition, the multiplicity of current treatments, make it necessary to design algorithms that help the specialist to choose the most appropriate treatment for a particular patient. The lack of randomized trials comparing face to face the different available options limit the scope of this review. In this article, the authors describe the prognostic factors for first line therapy in patients with mCRPC, and propose a treatment algorithm for mCRPC based on the levels of scientific evidence available and, if not available, on the consensus between medical professionals. Finally, the panel discuss how to define progressive disease in the setting of mCRPC and treatment with targeted therapies. PMID:26363809

  6. Recurrent Issues in Efforts to Prevent Homicidal Youth Violence in Schools: Expert Opinions

    ERIC Educational Resources Information Center

    Dill, Karen E.; Redding, Richard E.; Smith, Peter K.; Surette, Ray; Cornell, Dewey G.

    2011-01-01

    Developmental research on social influences on adolescents can guide practices aimed to prevent homicidal youth violence. School shootings have repeatedly raised questions about the contributory role of bullying and entertainment violence, how news media publicity might produce copycat crimes, and whether stiffer criminal sanctions might have a…

  7. [Expert Opinion Cases - What documentation is necessary from a legal perspective?].

    PubMed

    Weis, Evelyn

    2016-05-01

    Doctors are obliged by professional code and civil law (630 f German Civil Code [BGB] §) to document their medical activities in relation to patients. The documentation serves as proof of executed measures and thus for backing up medical/therapeutic issues. Documentation shall be made immediately after or during the treatment and if the original content remains recognizable, can be supplemented/modified. The patient record may be kept in paper form or in electronic form. Medical records are to be stored at least for 10 years. Some special laws (eg. laws governing X rays, Transfusion Act) require that documents be stored for longer periods. Documentation errors are - unlike patient information errors/medical malpractice - no basis for damages claims by the patient, but may result in medical malpractice process with the burden of proof in favor of the patient (§ 630 h BGB). The patient has, in principle, the right to inspect the medical documents relating to him. PMID:27219297

  8. Risks and Benefits of Late Onset Hypogonadism Treatment: An Expert Opinion

    PubMed Central

    Corona, Giovanni; Vignozzi, Linda; Sforza, Alessandra

    2013-01-01

    Late-onset hypogonadism (LOH) is a syndromic condition that has a well-recognized association with sexual and reproductive failure. LOH is frequently associated with chronic conditions including cardiovascular diseases (CVD), obesity, osteoporosis, HIV infection, renal failure, and obstructive pulmonary diseases. Despite this evidence, in patients with these conditions, LOH is still only rarely investigated and testosterone replacement therapy (TRT) rarely considered. In this paper, we critically reviewed the available evidence on LOH treatment focusing on possible risks and benefits. Medical therapy of LOH should be individualized depending on the etiology of the disease and the patient's expectations. The fear of prostate cancer and the risk of erythrocytosis probably represent the main limitations of TRT in aging men. However, TRT in healthy older men in near physiological doses does not appear to incur serious adverse events, although regular monitoring of prostate-specific antigen and hematocrit levels is required. Available evidence also suggests that TRT might ameliorate central obesity and glycometabolic control in patients with metabolic syndrome and type 2 diabetes. In addition, TRT has been associated with an increase in bone mineral density in men with osteoporosis, with an improvement in lean body mass in subjects with human immunodeficiency virus infection or chronic obstructive pulmonary disease, as well as with peripheral oxygenation in patients with chronic kidney diseases. Despite this evidence, however, it should be recognized that the results of these trials were heterogeneous and limited by small sample sizes. Hence, further research is required regarding the long-term benefits and adverse effects of TRT in LOH. PMID:24044106

  9. A survey on chronic rhinosinusitis: opinions from experts of 50 countries.

    PubMed

    Passali, Desiderio; Cingi, Cemal; Cambi, Jacopo; Passali, Francesco; Muluk, Nuray Bayar; Bellussi, Maria Luisa

    2016-08-01

    Chronic rhinosinusitis (CRS) is a very prevalent inflammatory disease. Treatments vary in different countries. In the present study, we explored the approaches of physicians in 50 countries. In this cross-sectional study, a rhinosinusitis survey (RSS) was completed by Honorary and Corresponding Members (otorhinolaryngologists) of the Italian Society of Rhinology. In 79.1 % of the 50 countries, the proportion of patients suffering from CRS was 15 %. Nasal symptoms were more intense in winter (46 % of countries), and spring and autumn (22 %). The most common symptoms were nasal obstruction (86 %), postnasal drip (82 %) and headache (52 %). The most common investigative modalities in the assessment of CRS are paranasal sinus CT, fiberoptic endoscopy, and anterior rhinoscopy. CRS patients were principally treated by otorhinolaryngologists (70 %). Medical treatments included nasal corticosteroids (90 %), nasal washes (68 %), and nasal decongestants (32 %). In 88 % of countries, more than 50 %, or "about 50 %", of all patients reported subjective symptom improvement after treatment. In most of the countries, surgery was required by 20-35 % of all CRS patients. During post-surgery follow-up, nasal washes (90 %), nasal corticosteroids (76 %), and systemic antibiotics (32 %) were prescribed. In 20-40 % of all patients, CRS was associated with nasal polyps. In such patients, the medical treatment options were nasal corticosteroids (90 %), systemic corticosteroids (50 %), nasal washes (46 %), and systemic antibiotics (34 %). Treatment of CRS patients varies in different countries. Paranasal sinus CT is the most common investigative modality in the assessment of CRS, and nasal corticosteroids are the first-line treatment, in the absence or presence of nasal polyps. PMID:26742909

  10. 15 CFR 15.16 - Legal proceedings between private litigants: Expert or opinion testimony.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... proceedings between private litigants: (a) If a Department employee is authorized to give testimony in a legal... activities except on behalf of the United States or a party represented by the United States Department of Justice. However, upon a showing by the requester that there are exceptional circumstances and that...

  11. [Legal characteristics of expert opinions of anaesthetic cases of the North German Arbitration Board].

    PubMed

    Schaffartzik, Walter; Hachenberg, Thomas; Kols, Kerstin; Neu, Johann

    2016-05-01

    The Arbitration Board for Medical Liability Issues of the State Medical Councils of Northern Germany in Hannover (North German Arbitration Board, NGAB) settles about 100 cases in the area of anaesthesiology per year. In these proceedings the patient carries the burden of proof. I. e. the patient has to prove that its health damage was caused by a medical error. Nevertheless, for individual cases the NGAB examines also whether facilitation of the burden of proof can be granted to the patient. This article exemplifies cases, for which the NGAB recognized such facilitation of the burden of proof. In each of these cases, the NGAB asserted the damage claim. PMID:27213605

  12. Obstetricians’ Opinions of the Optimal Caesarean Rate: A Global Survey

    PubMed Central

    Cavallaro, Francesca L.; Cresswell, Jenny A.; Ronsmans, Carine

    2016-01-01

    Background The debate surrounding the optimal caesarean rate has been ongoing for several decades, with the WHO recommending an “acceptable” rate of 5–15% since 1997, despite a weak evidence base. Global expert opinion from obstetric care providers on the optimal caesarean rate has not been documented. The objective of this study was to examine providers’ opinions of the optimal caesarean rate worldwide, among all deliveries and within specific sub-groups of deliveries. Methods A global online survey of medical doctors who had performed at least one caesarean in the last five years was conducted between August 2013 and January 2014. Respondents were asked to report their opinion of the optimal caesarean rate—defined as the caesarean rate that would minimise poor maternal and perinatal outcomes—at the population level and within specific sub-groups of deliveries (including women with demographic and clinical risk factors for caesareans). Median reported optimal rates and corresponding inter-quartile ranges (IQRs) were calculated for the sample, and stratified according to national caesarean rate, institutional caesarean rate, facility level, and respondent characteristics. Results Responses were collected from 1,057 medical doctors from 96 countries. The median reported optimal caesarean rate was 20% (IQR: 15–30%) for all deliveries. Providers in private for-profit facilities and in facilities with high institutional rates reported optimal rates of 30% or above, while those in Europe, in public facilities and in facilities with low institutional rates reported rates of 15% or less. Reported optimal rates were lowest among low-risk deliveries and highest for Absolute Maternal Indications (AMIs), with wide IQRs observed for most categories other than AMIs. Conclusions Three-quarters of respondents reported an optimal caesarean rate above the WHO 15% upper threshold. There was substantial variation in responses, highlighting a lack of consensus around

  13. Applied Linguists and Institutions of Opinion

    ERIC Educational Resources Information Center

    Myers, Greg

    2005-01-01

    Public opinion research is not an area that has received much attention from applied linguists. But language lies at the heart of the procedures used to define, elicit, and report opinions, whether through such methods as polling, interviews, and focus groups, or through the less obvious channels of vox pop interviews, letters to the editor, radio…

  14. A Public Opinion Survey on Educational Planning.

    ERIC Educational Resources Information Center

    Puzzuoli, David A.; Gillespie, John O.

    Major objectives of this planning study were (1) to determine public opinion as related to the need for a "multi-county" educational service unit and (2) to determine public opinion on selected school functions as they are presently organized in Region II, West Virginia. The 3 phases of the study consisted of development of the questionnaire by…

  15. Collaborators' Attitudes about Differences of Opinion

    ERIC Educational Resources Information Center

    Creamer, Elizabeth G.

    2004-01-01

    This article describes how long-term collaborators interpret substantive differences of opinion and the strategies they use to negotiate them. Long-term collaborators are coauthors who have had a working relationship for ten or more years. Differences of opinion refer to differences in interpretation about substantive issues related to research…

  16. Museum Personnel's Opinions on Mobile Guidance Systems

    ERIC Educational Resources Information Center

    Yoshimura, Hirokazu; Sekiguchi, Hiromi; Yabumoto, Yoshitaka

    2007-01-01

    While opinions from the general public are certainly important, opinions from the museum staff are also necessary to improve user service systems. this article introduces two groups of museum staff who have evaluated the usability of mobile guidance systems in Japanese museums. One group is the research team who used the PDA system in the National…

  17. Public Opinion Poll Question Databases: An Evaluation

    ERIC Educational Resources Information Center

    Woods, Stephen

    2007-01-01

    This paper evaluates five polling resource: iPOLL, Polling the Nations, Gallup Brain, Public Opinion Poll Question Database, and Polls and Surveys. Content was evaluated on disclosure standards from major polling organizations, scope on a model for public opinion polls, and presentation on a flow chart discussing search limitations and usability.

  18. Internet Censorship in Turkey: University Students' Opinions

    ERIC Educational Resources Information Center

    Ozkan, Hasan; Arikan, Arda

    2009-01-01

    The aim of this paper is to study university students' opinions toward online censorship with references to their socio-political and economic variables. Considering the upwards trend and the increasing number of online restrictions in Turkey, the opinions of university students (n=138) are thought to give significant findings. The questionnaire…

  19. Public Opinion Poll on Community Priorities: Sacramento

    ERIC Educational Resources Information Center

    Sierra Health Foundation, 2009

    2009-01-01

    The primary goal of this study was to measure public perceptions, opinions and priorities as they pertain to youth issues in Sacramento for the purposes of further developing public and private youth programming and public policy in the Sacramento region. By presenting a "statistically reliable" profile of public opinion on youth issues, the…

  20. 17 CFR 200.63 - Commission opinions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 17 Commodity and Securities Exchanges 3 2014-04-01 2014-04-01 false Commission opinions. 200.63 Section 200.63 Commodity and Securities Exchanges SECURITIES AND EXCHANGE COMMISSION ORGANIZATION; CONDUCT AND ETHICS; AND INFORMATION AND REQUESTS Canons of Ethics § 200.63 Commission opinions. The...