Quality indicators for hip fracture care, a systematic review.
Voeten, S C; Krijnen, P; Voeten, D M; Hegeman, J H; Wouters, M W J M; Schipper, I B
2018-05-17
Quality indicators are used to measure quality of care and enable benchmarking. An overview of all existing hip fracture quality indicators is lacking. The primary aim was to identify quality indicators for hip fracture care reported in literature, hip fracture audits, and guidelines. The secondary aim was to compose a set of methodologically sound quality indicators for the evaluation of hip fracture care in clinical practice. A literature search according to the PRISMA guidelines and an internet search were performed to identify hip fracture quality indicators. The indicators were subdivided into process, structure, and outcome indicators. The methodological quality of the indicators was judged using the Appraisal of Indicators through Research and Evaluation (AIRE) instrument. For structure and process indicators, the construct validity was assessed. Sixteen publications, nine audits and five guidelines were included. In total, 97 unique quality indicators were found: 9 structure, 63 process, and 25 outcome indicators. Since detailed methodological information about the indicators was lacking, the AIRE instrument could not be applied. Seven indicators correlated with an outcome measure. A set of nine quality indicators was extracted from the literature, audits, and guidelines. Many quality indicators are described and used. Not all of them correlate with outcomes of care and have been assessed methodologically. As methodological evidence is lacking, we recommend the extracted set of nine indicators to be used as the starting point for further clinical research. Future research should focus on assessing the clinimetric properties of the existing quality indicators.
Generalised Multiplicative Indices of Polycyclic Aromatic Hydrocarbons and Benzenoid Systems
NASA Astrophysics Data System (ADS)
Kulli, V. R.; Stone, Branden; Wang, Shaohui; Wei, Bing
2017-05-01
Many types of topological indices such as degree-based topological indices, distance-based topological indices, and counting-related topological indices are explored during past recent years. Among degree-based topological indices, Zagreb indices are the oldest one and studied well. In the paper, we define a generalised multiplicative version of these indices and compute exact formulas for Polycyclic Aromatic Hydrocarbons and jagged-rectangle Benzenoid systems.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 42 Public Health 1 2011-10-01 2011-10-01 false Timers; elapsed time indicators; remaining service life indicators; minimum requirements. 84.83 Section 84.83 Public Health PUBLIC HEALTH SERVICE... indicators; remaining service life indicators; minimum requirements. (a) Elapsed time indicators shall be...
Code of Federal Regulations, 2010 CFR
2010-10-01
... 42 Public Health 1 2010-10-01 2010-10-01 false Timers; elapsed time indicators; remaining service life indicators; minimum requirements. 84.83 Section 84.83 Public Health PUBLIC HEALTH SERVICE... indicators; remaining service life indicators; minimum requirements. (a) Elapsed time indicators shall be...
Woitha, Kathrin; Van Beek, Karen; Ahmed, Nisar; Jaspers, Birgit; Mollard, Jean M; Ahmedzai, Sam H; Hasselaar, Jeroen; Menten, Johan; Vissers, Kris; Engels, Yvonne
2014-02-01
Validated quality indicators can help health-care professionals to evaluate their medical practices in a comparative manner to deliver optimal clinical care. No international set of quality indicators to measure the organizational aspects of palliative care settings exists. To develop and validate a set of structure and process indicators for palliative care settings in Europe. A two-round modified RAND Delphi process was conducted to rate clarity and usefulness of a previously developed set of 110 quality indicators. In total, 20 multi-professional palliative care teams of centers of excellence from seven European countries. In total, 56 quality indicators were rated as useful. These valid quality indicators concerned the following domains: the definition of a palliative care service (2 quality indicators), accessibility to palliative care (16 quality indicators), specific infrastructure to deliver palliative care (8 quality indicators), symptom assessment tools (1 quality indicator), specific personnel in palliative care services (9 quality indicators), documentation methodology of clinical data (14 quality indicators), evaluation of quality and safety procedures (1 quality indicator), reporting of clinical activities (1 quality indicator), and education in palliative care (4 quality indicator). The modified RAND Delphi process resulted in 56 international face-validated quality indicators to measure and compare organizational aspects of palliative care. These quality indicators, aimed to assess and improve the organization of palliative care, will be pilot tested in palliative care settings all over Europe and be used in the EU FP7 funded IMPACT project.
Tamper-indicating barcode and method
Cummings, Eric B.; Even, Jr., William R.; Simmons, Blake A.; Dentinger, Paul Michael
2005-03-22
A novel tamper-indicating barcode methodology is disclosed that allows for detection of alteration to the barcode. The tamper-indicating methodology makes use of a tamper-indicating means that may be comprised of a particulate indicator, an optical indicator, a deformable substrate, and/or may be an integrated aspect of the barcode itself. This tamper-indicating information provides greater security for the contents of containers sealed with the tamper-indicating barcodes.
Three Cs in Measurement Models: Causal Indicators, Composite Indicators, and Covariates
ERIC Educational Resources Information Center
Bollen, Kenneth A.; Bauldry, Shawn
2011-01-01
In the last 2 decades attention to causal (and formative) indicators has grown. Accompanying this growth has been the belief that one can classify indicators into 2 categories: effect (reflective) indicators and causal (formative) indicators. We argue that the dichotomous view is too simple. Instead, there are effect indicators and 3 types of…
Three Cs in measurement models: causal indicators, composite indicators, and covariates.
Bollen, Kenneth A; Bauldry, Shawn
2011-09-01
In the last 2 decades attention to causal (and formative) indicators has grown. Accompanying this growth has been the belief that one can classify indicators into 2 categories: effect (reflective) indicators and causal (formative) indicators. We argue that the dichotomous view is too simple. Instead, there are effect indicators and 3 types of variables on which a latent variable depends: causal indicators, composite (formative) indicators, and covariates (the "Three Cs"). Causal indicators have conceptual unity, and their effects on latent variables are structural. Covariates are not concept measures, but are variables to control to avoid bias in estimating the relations between measures and latent variables. Composite (formative) indicators form exact linear combinations of variables that need not share a concept. Their coefficients are weights rather than structural effects, and composites are a matter of convenience. The failure to distinguish the Three Cs has led to confusion and questions, such as, Are causal and formative indicators different names for the same indicator type? Should an equation with causal or formative indicators have an error term? Are the coefficients of causal indicators less stable than effect indicators? Distinguishing between causal and composite indicators and covariates goes a long way toward eliminating this confusion. We emphasize the key role that subject matter expertise plays in making these distinctions. We provide new guidelines for working with these variable types, including identification of models, scaling latent variables, parameter estimation, and validity assessment. A running empirical example on self-perceived health illustrates our major points.
[Overview of indicators in the context of environment and health].
Tobollik, Myriam; Kabel, Claudia; Mekel, Odile; Hornberg, Claudia; Plaß, Dietrich
2018-06-01
Evidence-based political measures need reliable information about the health status of a population and the determinants affecting health. Here, environment and health indicators can provide helpful additional insights. This article provides an overview of existing indicators in the field of environment and health. There are single indicators and indicator sets describing solely the environment or health as well as some indicators integrating both aspects. The indicator sets cover classical epidemiological indicators but also summary measures of population health, which combine mortality and morbidity as well as simple descriptions of the exposure towards environmental risks. The indicator sets mostly cover water and air quality related aspects. For some of the indicators their influence on health is also presented. Furthermore, environment related health indicators are part of sustainability indicator sets. There are indicators on the international, European, national, and municipal level. All indicator sets aim to support policy-making by advising on measures and setting priorities in the area of environment and health protection. However not all indicators reflect the effect of the environment on health adequately. Therefore, further development of the existing indicators is necessary to reflect current progress (e. g. political needs) and to include new scientific evidence in the field of environment and health. A continuous provision, review, and interpretation of meaningful indicators is required to identify trends and to react to these in order to protect the environment and health. This is necessary to adequately pursue the precautionary principle.
Development of on package indicator sensor for real-time monitoring of meat quality
Shukla, Vivek; Kandeepan, G.; Vishnuraj, M. R.
2015-01-01
Aim: The aim was to develop an indicator sensor for real-time monitoring of meat quality and to compare the response of indicator sensor with meat quality parameters at ambient temperature. Materials and Methods: Indicator sensor was prepared using bromophenol blue (1% w/v) as indicator solution and filter paper as indicator carrier. Indicator sensor was fabricated by coating indicator solution onto carrier by centrifugation. To observe the response of indicator sensor buffalo meat was packed in polystyrene foam trays covered with PVC film and indicator sensor was attached to the inner side of packaging film. The pattern of color change in indicator sensor was monitored and compared with meat quality parameters viz. total volatile basic nitrogen, D-glucose, standard plate count and tyrosine value to correlate ability of indicator sensor for its suitability to predict the meat quality and storage life. Results: The indicator sensor changed its color from yellow to blue starting from margins during the storage period of 24 h at ambient temperature and this correlated well with changes in meat quality parameters. Conclusions: The indicator sensor can be used for real-time monitoring of meat quality as the color of indicator sensor changed from yellow to blue starting from margins when meat deteriorates with advancement of the storage period. Thus by observing the color of indicator sensor quality of meat and shelf life can be predicted. PMID:27047103
Berkowitz, Seth A; Traore, Carine Y; Singer, Daniel E; Atlas, Steven J
2015-04-01
To determine which area-based socioeconomic status (SES) indicator is best suited to monitor health care disparities from a delivery system perspective. 142,659 adults seen in a primary care network from January 1, 2009 to December 31, 2011. Cross-sectional, comparing associations between area-based SES indicators and patient outcomes. Address data were geocoded to construct area-based SES indicators at block group (BG), census tract (CT), and ZIP code (ZIP) levels. Data on health outcomes were abstracted from electronic records. Relative indices of inequality (RIIs) were calculated to quantify disparities detected by area-based SES indicators and compared to RIIs from self-reported educational attainment. ZIP indicators had less missing data than BG or CT indicators (p < .0001). Area-based SES indicators were strongly associated with self-report educational attainment (p < .0001). ZIP, BG, and CT indicators all detected expected SES gradients in health outcomes similarly. Single-item, cut point defined indicators performed as well as multidimensional indices and quantile indicators. Area-based SES indicators detected health outcome differences well and may be useful for monitoring disparities within health care systems. Our preferred indicator was ZIP-level median household income or percent poverty, using cut points. © Health Research and Educational Trust.
Sensitivity of health sector indicators' response to climate change in Ghana.
Dovie, Delali B K; Dzodzomenyo, Mawuli; Ogunseitan, Oladele A
2017-01-01
There is accumulating evidence that the emerging burden of global climate change threatens the fidelity of routine indicators for disease detection and management of risks to public health. The threat partially reflects the conservative character of the health sector and the reluctance to adopt new indicators, despite the growing awareness that existing environmental health indicators were developed to respond to risks that may no longer be relevant, and are too simplistic to also act as indicators for newer global-scale risk factors. This study sought to understand the scope of existing health indicators, while aiming to discover new indicators for building resilience against three climate sensitive diseases (cerebro spinal meningitis, malaria and diarrhea). Therefore, new potential indicators derived from human and biophysical origins were developed to complement existing health indicators, thereby creating climate-sensitive battery of robust composite indices of resilience in health planning. Using Ghana's health sector as a case study systematic international literature review, national expert consultation, and focus group outcomes yielded insights into the relevance, sensitivity and impacts of 45 indicators in 11 categories in responding to climate change. In total, 65% of the indicators were sensitive to health impacts of climate change; 24% acted directly; 31% synergistically; and 45% indirectly, with indicator relevance strongly associated with type of health response. Epidemiological indicators (e.g. morbidity) and health demographic indicators (e.g. population structure) require adjustments with external indicators (e.g. biophysical, policy) to be resilient to climate change. Therefore, selective integration of social and ecological indicators with existing public health indicators improves the fidelity of the health sector to adopt more robust planning of interdependent systems to build resilience. The study highlights growing uncertainties in translating research into protective policies when new indicators associated with non-health sources are needed to complement existing health indicators that are expected to respond to climate change. Copyright © 2016 Elsevier B.V. All rights reserved.
Gaven, Jr., Joseph V.; Bak, Chan S.
1983-01-01
Minute durable plate-like thermal indicators are employed for precision measuring static and dynamic temperatures of well drilling fluids. The indicators are small enough and sufficiently durable to be circulated in the well with drilling fluids during the drilling operation. The indicators include a heat resistant indicating layer, a coacting meltable solid component and a retainer body which serves to unitize each indicator and which may carry permanent indicator identifying indicia. The indicators are recovered from the drilling fluid at ground level by known techniques.
New spatial and temporal indices of Indian summer monsoon rainfall
NASA Astrophysics Data System (ADS)
Dwivedi, Sanjeev; Uma, R.; Lakshmi Kumar, T. V.; Narayanan, M. S.; Pokhrel, Samir; Kripalani, R. H.
2018-02-01
The overall yearly seasonal performance of Indian southwest monsoon rainfall (ISMR) for the whole Indian land mass is presently expressed by the India Meteorological Department (IMD) by a single number, the total quantum of rainfall. Any particular year is declared as excess/deficit or normal monsoon rainfall year on the basis of this single number. It is well known that monsoon rainfall also has high interannual variability in spatial and temporal scales. To account for these aspects in ISMR, we propose two new spatial and temporal indices. These indices have been calculated using the 115 years of IMD daily 0.25° × 0.25° gridded rainfall data. Both indices seem to go in tandem with the in vogue seasonal quantum index. The anomaly analysis indicates that the indices during excess monsoon years behave randomly, while for deficit monsoon years the phase of all the three indices is the same. Evaluation of these indices is also studied with respect to the existing dynamical indices based on large-scale circulation. It is found that the new temporal indices have better link with circulation indices as compared to the new spatial indices. El Nino and Southern Oscillation (ENSO) especially over the equatorial Pacific Ocean still have the largest influence in both the new indices. However, temporal indices have much better remote influence as compared to that of spatial indices. Linkages over the Indian Ocean regions are very different in both the spatial and temporal indices. Continuous wavelet transform (CWT) analysis indicates that the complete spectrum of oscillation of the QI is shared in the lower oscillation band by the spatial index and in the higher oscillation band by the temporal index. These new indices may give some extra dimension to study Indian summer monsoon variability.
Three Cs in Measurement Models: Causal Indicators, Composite Indicators, and Covariates
Bollen, Kenneth A.; Bauldry, Shawn
2013-01-01
In the last two decades attention to causal (and formative) indicators has grown. Accompanying this growth has been the belief that we can classify indicators into two categories, effect (reflective) indicators and causal (formative) indicators. This paper argues that the dichotomous view is too simple. Instead, there are effect indicators and three types of variables on which a latent variable depends: causal indicators, composite (formative) indicators, and covariates (the “three Cs”). Causal indicators have conceptual unity and their effects on latent variables are structural. Covariates are not concept measures, but are variables to control to avoid bias in estimating the relations between measures and latent variable(s). Composite (formative) indicators form exact linear combinations of variables that need not share a concept. Their coefficients are weights rather than structural effects and composites are a matter of convenience. The failure to distinguish the “three Cs” has led to confusion and questions such as: are causal and formative indicators different names for the same indicator type? Should an equation with causal or formative indicators have an error term? Are the coefficients of causal indicators less stable than effect indicators? Distinguishing between causal and composite indicators and covariates goes a long way toward eliminating this confusion. We emphasize the key role that subject matter expertise plays in making these distinctions. We provide new guidelines for working with these variable types, including identification of models, scaling latent variables, parameter estimation, and validity assessment. A running empirical example on self-perceived health illustrates our major points. PMID:21767021
Stelfox, Henry T; Straus, Sharon E
2013-12-01
In this article, we describe one approach for developing and evaluating quality indicators. We focus on describing different conceptual approaches to quality indicator development, review one approach for developing quality indicators, outline how to evaluate quality indicators once developed, and discuss quality indicator maintenance. The key steps for developing quality indicators include specifying a clear goal for the indicators; using methodologies to incorporate evidence, expertise, and patient perspectives; and considering contextual factors and logistics of implementation. The Strategic Framework Board and the National Quality Measure Clearinghouse have developed criteria for evaluating quality indicators that complement traditional psychometric evaluations. Optimal strategies for quality indicator maintenance and dissemination have not been determined, but experiences with clinical guideline maintenance may be informative. For quality indicators to effectively guide quality improvement efforts, they must be developed, evaluated, maintained, and implemented using rigorous evidence-informed practices. Copyright © 2013 Elsevier Inc. All rights reserved.
Berkowitz, Seth A; Traore, Carine Y; Singer, Daniel E; Atlas, Steven J
2015-01-01
Objective To determine which area-based socioeconomic status (SES) indicator is best suited to monitor health care disparities from a delivery system perspective. Data Sources/Study Setting 142,659 adults seen in a primary care network from January 1, 2009 to December 31, 2011. Study Design Cross-sectional, comparing associations between area-based SES indicators and patient outcomes. Data Collection Address data were geocoded to construct area-based SES indicators at block group (BG), census tract (CT), and ZIP code (ZIP) levels. Data on health outcomes were abstracted from electronic records. Relative indices of inequality (RIIs) were calculated to quantify disparities detected by area-based SES indicators and compared to RIIs from self-reported educational attainment. Principal Findings ZIP indicators had less missing data than BG or CT indicators (p < .0001). Area-based SES indicators were strongly associated with self-report educational attainment (p < .0001). ZIP, BG, and CT indicators all detected expected SES gradients in health outcomes similarly. Single-item, cut point defined indicators performed as well as multidimensional indices and quantile indicators. Conclusions Area-based SES indicators detected health outcome differences well and may be useful for monitoring disparities within health care systems. Our preferred indicator was ZIP-level median household income or percent poverty, using cut points. PMID:25219917
Indicator-based water sustainability assessment - a review.
Juwana, I; Muttil, N; Perera, B J C
2012-11-01
In the past few decades, there have been extensive efforts on measuring sustainability. One example is the development of assessment tools based on sustainability indicators. Several individuals and organisations have suggested various indices for assessing sustainability. This paper focuses on the review of water sustainability assessment using the indicator-based approach. It discusses major definitions of sustainable development that have been proposed and more specific concepts of sustainability based on sustainability principles and criteria. It then proceeds with the review of existing definitions, principles and guidelines on sustainable water resource management. The paper then explores elements of indicator-based water sustainability assessment. These elements include the selection of components and indicators, obtaining sub-index values, weighting schemes for components and indicators, aggregation of components and indicators, robustness analysis of the index, and interpretation of the final index value. These six elements are explored considering four existing water sustainability indices and two other sustainability indices that are thought to be useful for the development and use of water sustainability indices. The review presented in this paper on indicator-based water sustainability assessment can provide significant inputs to water stakeholders worldwide for using existing indices, for customising existing indices for their applications, and for developing new water sustainability indices. These indices can provide information on current conditions of water resources, including identifying all factors contributing to the improvement of water resources. This information can be used to communicate the current status of existing water resources to the wider community. Also, the water sustainability indices can be used to assist decision makers to prioritise issues, challenges and programmes related to water resource management. Copyright © 2012 Elsevier B.V. All rights reserved.
A Review on the research and practice of city sustainable development indicators and indices
NASA Astrophysics Data System (ADS)
Xiang, Ning
2017-10-01
City sustainable development indicators and indices have become a hot issue in academic research and practical application, alongside the high-speed worldwide urbanization and driven by the actual managing demand. This article is aimed at a clear understanding of the progress in relevant research and practice. This is done by collecting common indicators and indices for city sustainable development and making comparison of the assessment process and contents, so as to find out main obstacles for the development of this research field and explore the direction for efforts to be made next step. The article divides these indicators and indices into two categories: ① indicators serving as single index which can provide an explicit description on the relationship between economic activities and environmental carrying capacity, but have a narrow scope of assessment and use complicated methods to collect and calculate data; ② indices based on indicator systems which can represent multiple processes, could reflect the view of strong sustainability and are easy to use, but can hardly depict the responding relationship between social, environmental and economic changes for city sustainable development or assure the scientific rigor of weight setting. Practices on indicators and indices for city sustainable development was summarized, and its problems were reviewed with China being representative of transitioning countries. According to the review, great progress has been achieved in the research and practice of indicators and indices for city sustainable development, but consistency of theories, rationality of indicators and scientific rigor of methodology are to be improved significantly.
RNA:DNA Ratio and Other Nucleic Acid Derived Indices in Marine Ecology
Chícharo, Maria Alexandra; Chícharo, Luis
2008-01-01
Some of most used indicators in marine ecology are nucleic acid-derived indices. They can be divided by target levels in three groups: 1) at the organism level as ecophysiologic indicators, indicators such as RNA:DNA ratios, DNA:dry weight and RNA:protein, 2) at the population level, indicators such as growth rate, starvation incidence or fisheries impact indicators, and 3) at the community level, indicators such as trophic interactions, exergy indices and prey identification. The nucleic acids derived indices, especially RNA:DNA ratio, have been applied with success as indicators of nutritional condition, well been and growth in marine organisms. They are also useful as indicators of natural or anthropogenic impacts in marine population and communities, such as upwelling or dredge fisheries, respectively. They can help in understanding important issues of marine ecology such as trophic interactions in marine environment, fish and invertebrate recruitment failure and biodiversity changes, without laborious work of counting, measuring and identification of small marine organisms. Besides the objective of integrate nucleic acid derived indices across levels of organization, the paper will also include a general characterization of most used nucleic acid derived indices in marine ecology and also advantages and limitations of them. We can conclude that using indicators, such RNA:DNA ratios and other nucleic acids derived indices concomitantly with organism and ecosystems measures of responses to climate change (distribution, abundance, activity, metabolic rate, survival) will allow for the development of more rigorous and realistic predictions of the effects of anthropogenic climate change on marine systems. PMID:19325815
49 CFR 176.704 - Requirements relating to transport indices and criticality safety indices.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 49 Transportation 2 2011-10-01 2011-10-01 false Requirements relating to transport indices and... Requirements relating to transport indices and criticality safety indices. (a) The sum of the transport indices..., transport and unloading are to be supervised by persons qualified in the transport of radioactive material...
49 CFR 176.704 - Requirements relating to transport indices and criticality safety indices.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 49 Transportation 2 2010-10-01 2010-10-01 false Requirements relating to transport indices and... Requirements relating to transport indices and criticality safety indices. (a) The sum of the transport indices..., transport and unloading are to be supervised by persons qualified in the transport of radioactive material...
An environmental scan of quality indicators in critical care.
Valiani, Sabira; Rigal, Romain; Stelfox, Henry T; Muscedere, John; Martin, Claudio M; Dodek, Peter; Lamontagne, François; Fowler, Robert; Gheshmy, Afshan; Cook, Deborah J; Forster, Alan J; Hébert, Paul C
2017-06-21
We performed a directed environmental scan to identify and categorize quality indicators unique to critical care that are reported by key stakeholder organizations. We convened a panel of experts ( n = 9) to identify key organizations that are focused on quality improvement or critical care, and reviewed their online publications and website content for quality indicators. We identified quality indicators specific to the care of critically ill adult patients and then categorized them according to the Donabedian and the Institute of Medicine frameworks. We also noted the organizations' rationale for selecting these indicators and their reported evidence base. From 28 targeted organizations, we identified 222 quality indicators, 127 of which were unique. Of the 127 indicators, 63 (32.5%) were safety indicators and 61 (31.4%) were effectiveness indicators. The rationale for selecting quality indicators was supported by consensus for 58 (26.1%) of the 222 indicators and by published research evidence for 45 (20.3%); for 119 indicators (53.6%), the rationale was not reported or the reader was referred to other organizations' reports. Of the 127 unique quality indicators, 27 (21.2%) were accompanied by a formal grading of evidence, whereas for 52 (40.9%), no reference to evidence was provided. There are many quality indicators related to critical care that are available in the public domain. However, owing to a paucity of rationale for selection, supporting evidence and results of implementation, it is not clear which indicators should be adopted for use. Copyright 2017, Joule Inc. or its licensors.
Socioeconomic indicators for sustainable design and commercial development of algal biofuel systems
DOE Office of Scientific and Technical Information (OSTI.GOV)
Efroymson, Rebecca Ann; Dale, Virginia H.; Langholtz, Matthew H.
Socio-economic sustainability indicators that have been proposed previously for terrestrial bioenergy were evaluated for applicability to algal biofuels. Indicators developed for terrestrial bioenergy were found to be appropriate and sufficient for algae biofuels, meeting the selection criteria of practicality, wide applicability, predictability in response to management, anticipation of future changes, adaptability to multiple scales where possible, ability to integrate multiple dimensions, and non-redundancy. The 16 indicators fall into the categories of social well-being, energy security, external trade, profitability, resource conservation, and social acceptability. None of the indicators have yet been measured in published sustainability assessments for commercial facilities. Indicators estimatedmore » for various scenarios in the scientific literature include the profitability indicators return on investment and net present value, and the resource conservation indicator, fossil energy return on investment. The food security indicator, percent change in food price volatility, is easy to estimate at zero if agricultural lands are not used. Some indicators, such as the energy security indicators energy security premium and fuel price volatility and the external trade indicators terms of trade and trade volume cannot be projected into the future with accuracy, so they will not be measured prior to significant commercialization of algal biofuels. Furthermore, the list of proposed sustainability indicators may be adjusted to particular purposes and contexts. Together with environmental sustainability indicators, these socioeconomic sustainability indicators should contribute to sustainability assessments for algal biofuels.« less
Socioeconomic indicators for sustainable design and commercial development of algal biofuel systems
Efroymson, Rebecca Ann; Dale, Virginia H.; Langholtz, Matthew H.
2016-05-10
Socio-economic sustainability indicators that have been proposed previously for terrestrial bioenergy were evaluated for applicability to algal biofuels. Indicators developed for terrestrial bioenergy were found to be appropriate and sufficient for algae biofuels, meeting the selection criteria of practicality, wide applicability, predictability in response to management, anticipation of future changes, adaptability to multiple scales where possible, ability to integrate multiple dimensions, and non-redundancy. The 16 indicators fall into the categories of social well-being, energy security, external trade, profitability, resource conservation, and social acceptability. None of the indicators have yet been measured in published sustainability assessments for commercial facilities. Indicators estimatedmore » for various scenarios in the scientific literature include the profitability indicators return on investment and net present value, and the resource conservation indicator, fossil energy return on investment. The food security indicator, percent change in food price volatility, is easy to estimate at zero if agricultural lands are not used. Some indicators, such as the energy security indicators energy security premium and fuel price volatility and the external trade indicators terms of trade and trade volume cannot be projected into the future with accuracy, so they will not be measured prior to significant commercialization of algal biofuels. Furthermore, the list of proposed sustainability indicators may be adjusted to particular purposes and contexts. Together with environmental sustainability indicators, these socioeconomic sustainability indicators should contribute to sustainability assessments for algal biofuels.« less
An environmental scan of quality indicators in critical care
Valiani, Sabira; Rigal, Romain; Stelfox, Henry T.; Muscedere, John; Martin, Claudio M.; Dodek, Peter; Lamontagne, François; Fowler, Robert; Gheshmy, Afshan; Cook, Deborah J.; Forster, Alan J.; Hébert, Paul C.
2017-01-01
Background: We performed a directed environmental scan to identify and categorize quality indicators unique to critical care that are reported by key stakeholder organizations. Methods: We convened a panel of experts (n = 9) to identify key organizations that are focused on quality improvement or critical care, and reviewed their online publications and website content for quality indicators. We identified quality indicators specific to the care of critically ill adult patients and then categorized them according to the Donabedian and the Institute of Medicine frameworks. We also noted the organizations' rationale for selecting these indicators and their reported evidence base. Results: From 28 targeted organizations, we identified 222 quality indicators, 127 of which were unique. Of the 127 indicators, 63 (32.5%) were safety indicators and 61 (31.4%) were effectiveness indicators. The rationale for selecting quality indicators was supported by consensus for 58 (26.1%) of the 222 indicators and by published research evidence for 45 (20.3%); for 119 indicators (53.6%), the rationale was not reported or the reader was referred to other organizations' reports. Of the 127 unique quality indicators, 27 (21.2%) were accompanied by a formal grading of evidence, whereas for 52 (40.9%), no reference to evidence was provided. Interpretation: There are many quality indicators related to critical care that are available in the public domain. However, owing to a paucity of rationale for selection, supporting evidence and results of implementation, it is not clear which indicators should be adopted for use. PMID:28637683
Selecting and applying indicators of ecosystem collapse for risk assessments.
Rowland, Jessica A; Nicholson, Emily; Murray, Nicholas J; Keith, David A; Lester, Rebecca E; Bland, Lucie M
2018-03-12
Ongoing ecosystem degradation and transformation are key threats to biodiversity. Measuring ecosystem change towards collapse relies on monitoring indicators that quantify key ecological processes. Yet little guidance is available on selecting and implementing indicators for ecosystem risk assessment. Here, we reviewed indicator use in ecological studies of decline towards collapse in marine pelagic and temperate forest ecosystems. We evaluated the use of indicator selection methods, indicator types (geographic distribution, abiotic, biotic), methods of assessing multiple indicators, and temporal quality of time series. We compared these ecological studies to risk assessments in the International Union for the Conservation of Nature Red List of Ecosystems (RLE), where indicators are used to estimate ecosystem collapse risk. We found that ecological studies and RLE assessments rarely reported how indicators were selected, particularly in terrestrial ecosystems. Few ecological studies and RLE assessments quantified ecosystem change with all three indicator types, and indicators types used varied between marine and terrestrial ecosystem. Several studies used indices or multivariate analyses to assess multiple indicators simultaneously, but RLE assessments did not, as RLE guidelines advise against them. Most studies and RLE assessments used time series spanning at least 30 years, increasing the chance of reliably detecting change. Limited use of indicator selection protocols and infrequent use of all three indicator types may hamper the ability to accurately detect changes. To improve the value of risk assessments for informing policy and management, we recommend using: (i) explicit protocols, including conceptual models, to identify and select indicators; (ii) a range of indicators spanning distributional, abiotic and biotic features; (iii) indices and multivariate analyses with extreme care until guidelines are developed; (iv) time series with sufficient data to increase ability to accurately diagnose directional change; (v) data from multiple sources to support assessments; and (vi) explicitly reporting steps in the assessment process. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
NASA Astrophysics Data System (ADS)
Kenney, M. A.; Janetos, A.; Arndt, D. S.; Pouyat, R. V.; Aicher, R.; Lloyd, A.; Malik, O.; Reyes, J. J.; Anderson, S. M.
2014-12-01
The National Climate Indicators System is being developed as part of sustained assessment activities associated with the U.S. National Climate Assessment (NCA). The NCA is conducted under the U.S. Global Change Research Program, which is required to provide a report to Congress every 4 years. The National Climate Indicators System is a set of physical, ecological, and societal indicators that communicate key aspects of the physical climate, climate impacts, vulnerabilities, and preparedness for the purpose of informing both decision makers and the public with scientifically valid information. The Indicators System will address questions important to multiple audiences including (but not limited to) nonscientists (e.g., Congress, U.S. citizens, students), resource managers, and state and municipal planners in a conceptually unified framework. The physical, ecological, and societal indicators will be scalable, to provide information for indicators at national, state, regional, and local scales. The pilot system is a test of the Indicators System for evaluation purposes to assess the readiness of indicators and usability of the system. The National Climate Indicator System has developed a pilot given the recommendations of over 150+ scientists and practitioners and 14 multidisciplinary teams, including, for example, greenhouse gases, forests, grasslands, water, human health, oceans and coasts, and energy. The pilot system of indicators includes approximately 20 indicators that are already developed, scientifically vetted, and implementable immediately. Specifically, the pilot indicators include a small set of global climate context indicators, which provide context for the national or regional indicators, as well as a set of nationally important U.S. natural system and human sector indicators. The purpose of the pilot is to work with stakeholder communities to evaluate the system and the individual indicators using a robust portfolio of evaluation studies, which provides a data driven approach to further develop and improve the National Climate Indicators System.
Use of indicator items to monitor marine debris on a New Jersey beach from 1991 to 1996
Ribic, C.A.
1998-01-01
The US National Marine Debris Monitoring Program is using indicator items from beach surveys to identify whether amounts of marine debris are changing over time. Indicator items were selected through expert opinion and assumed to reflect the trend of all debris. We used monthly data from a 1991-1996 study of debris on a New Jersey beach to determine if indicator and non-indicator items showed similar trends. Total indicator debris levels did not change; this was true regardless of probable source. Non-indicator debris increased about 40% annually. Plastic non-indicator items increased regardless of whether items were whole items, cigarette filters, or pieces. Of the whole items, almost 50% were plastic lids, cups, and utensils, and about 25% were drug-related paraphernalia, tobacco-related products, plastic stirrers, pull rings, and fireworks. When indicator items are used in a monitoring programme to reflect total debris patterns, concordance of trends in indicator and non-indicator debris should be checked.
An integrated evaluation for the performance of clinical engineering department.
Yousry, Ahmed M; Ouda, Bassem K; Eldeib, Ayman M
2014-01-01
Performance benchmarking have become a very important component in all successful organizations nowadays that must be used by Clinical Engineering Department (CED) in hospitals. Many researchers identified essential mainstream performance indicators needed to improve the CED's performance. These studies revealed mainstream performance indicators that use the database of a CED to evaluate its performance. In this work, we believe that those indicators are insufficient for hospitals. Additional important indicators should be included to improve the evaluation accuracy. Therefore, we added new indicators: technical/maintenance indicators, economic indicators, intrinsic criticality indicators, basic hospital indicators, equipment acquisition, and safety indicators. Data is collected from 10 hospitals that cover different types of healthcare organizations. We developed a software tool that analyses collected data to provide a score for each CED under evaluation. Our results indicate that there is an average gap of 67% between the CEDs' performance and the ideal target. The reasons for the noncompliance are discussed in order to improve performance of CEDs under evaluation.
Lan, Hsiao-Ching; Li, Chih-Ping; Zheng, Hao-Wei
2015-09-25
The purpose of this study was to construct the quality indicators of professional competence for exercise instructors of the elderly, and then to rank the importance among those indicators. This study used the Delphi technique to integrate the opinions of 11 experts to construct the indicators, and then adopts the analytic hierarchy process (AHP) to calculate the relative rank among each individual indicator. Results revealed that the experts identified 3 first-degree indicators (professional attitude, professional skills, and professional knowledge), 10 second-degree indicators (teaching attitude, exercise knowledge, professional growth, exercise safety, personal characteristics, exercise instructor, gerontology knowledge, communicative competence, curriculum design, and motor skill), and 72 third-degree indicators. In the indicator weighting system, professional attitude was the most important among all other first-degree indicators, and the teaching attitude was the most important among all other second-degree indicators. The results provided will help in planning the curriculums of training, professional growth and evaluation. The results also provide a reference for future research.
Lan, Hsiao-Ching; Li, Chih-Ping; Zheng, Hao-Wei
2015-01-01
The purpose of this study was to construct the quality indicators of professional competence for exercise instructors of the elderly, and then to rank the importance among those indicators. This study used the Delphi technique to integrate the opinions of 11 experts to construct the indicators, and then adopts the analytic hierarchy process (AHP) to calculate the relative rank among each individual indicator. Results revealed that the experts identified 3 first-degree indicators (professional attitude, professional skills, and professional knowledge), 10 second-degree indicators (teaching attitude, exercise knowledge, professional growth, exercise safety, personal characteristics, exercise instructor, gerontology knowledge, communicative competence, curriculum design, and motor skill), and 72 third-degree indicators. In the indicator weighting system, professional attitude was the most important among all other first-degree indicators, and the teaching attitude was the most important among all other second-degree indicators. The results provided will help in planning the curriculums of training, professional growth and evaluation. The results also provide a reference for future research.
Surface flow visualization using indicators
NASA Technical Reports Server (NTRS)
Crowder, J. P.
1982-01-01
Surface flow visualization using indicators in the cryogenic wind tunnel which requires a fresh look at materials and procedures to accommodate the new test conditions is described. Potential liquid and gaseous indicators are identified. The particular materials illustrate the various requirements an indicator must fulfill. The indicator must respond properly to the flow phenomenon of interest and must be observable. Boundary layer transition is the most important phenomenon for which flow visualization indicators may be employed. The visibility of a particular indicator depends on utilizing various optical or chemical reactions. Gaseous indicators are more difficult to utilize, but because of their diversity may present unusual and useful opportunities. Factors to be considered in selecting an indicator include handling safety, toxicity, potential for contamination of the tunnel, and cost.
Baseline predictability of daily east Asian summer monsoon circulation indices
NASA Astrophysics Data System (ADS)
Ai, Shucong; Chen, Quanliang; Li, Jianping; Ding, Ruiqiang; Zhong, Quanjia
2017-05-01
The nonlinear local Lyapunov exponent (NLLE) method is adopted to quantitatively determine the predictability limit of East Asian summer monsoon (EASM) intensity indices on a synoptic timescale. The predictability limit of EASM indices varies widely according to the definitions of indices. EASM indices defined by zonal shear have a limit of around 7 days, which is higher than the predictability limit of EASM indices defined by sea level pressure (SLP) difference and meridional wind shear (about 5 days). The initial error of EASM indices defined by SLP difference and meridional wind shear shows a faster growth than indices defined by zonal wind shear. Furthermore, the indices defined by zonal wind shear appear to fluctuate at lower frequencies, whereas the indices defined by SLP difference and meridional wind shear generally fluctuate at higher frequencies. This result may explain why the daily variability of the EASM indices defined by zonal wind shear tends be more predictable than those defined by SLP difference and meridional wind shear. Analysis of the temporal correlation coefficient (TCC) skill for EASM indices obtained from observations and from NCEP's Global Ensemble Forecasting System (GEFS) historical weather forecast dataset shows that GEFS has a higher forecast skill for the EASM indices defined by zonal wind shear than for indices defined by SLP difference and meridional wind shear. The predictability limit estimated by the NLLE method is shorter than that in GEFS. In addition, the June-September average TCC skill for different daily EASM indices shows significant interannual variations from 1985 to 2015 in GEFS. However, the TCC for different types of EASM indices does not show coherent interannual fluctuations.
NASA Astrophysics Data System (ADS)
Kim, Taereem; Shin, Ju-Young; Kim, Sunghun; Heo, Jun-Haeng
2018-02-01
Climate indices characterize climate systems and may identify important indicators for long-term precipitation, which are driven by climate interactions in atmosphere-ocean circulation. In this study, we investigated the climate indices that are effective indicators of long-term precipitation in South Korea, and examined their relationships based on statistical methods. Monthly total precipitation was collected from a total of 60 meteorological stations, and they were decomposed by ensemble empirical mode decomposition (EEMD) to identify the inherent oscillating patterns or cycles. Cross-correlation analysis and stepwise variable selection were employed to select the significant climate indices at each station. The climate indices that affect the monthly precipitation in South Korea were identified based on the selection frequencies of the selected indices at all stations. The NINO12 indices with four- and ten-month lags and AMO index with no lag were identified as indicators of monthly precipitation in South Korea. Moreover, they indicate meaningful physical information (e.g. periodic oscillations and long-term trend) inherent in the monthly precipitation. The NINO12 indices with four- and ten- month lags was a strong indicator representing periodic oscillations in monthly precipitation. In addition, the long-term trend of the monthly precipitation could be explained by the AMO index. A multiple linear regression model was constructed to investigate the influences of the identified climate indices on the prediction of monthly precipitation. Three identified climate indices successfully explained the monthly precipitation in the winter dry season. Compared to the monthly precipitation in coastal areas, the monthly precipitation in inland areas showed stronger correlation to the identified climate indices.
Rathi, Vinay K; Wang, Bo; Ross, Joseph S; Downing, Nicholas S; Kesselheim, Aaron S; Gray, Stacey T
2017-04-01
Objective The US Food and Drug Administration (FDA) approves indications for prescription drugs based on premarket pivotal clinical studies designed to demonstrate safety and efficacy. We characterized the pivotal studies supporting FDA approval of otolaryngologic prescription drug indications. Study Design Retrospective cross-sectional analysis. Setting Publicly available FDA documents. Subjects Recently approved (2005-2014) prescription drug indications for conditions treated by otolaryngologists or their multidisciplinary teams. Drugs could be authorized for treatment of otolaryngologic disease upon initial approval (original indications) or thereafter via supplemental applications (supplemental indications). Methods Pivotal studies were categorized by enrollment, randomization, blinding, comparator type, and primary endpoint. Results Between 2005 and 2014, the FDA approved 48 otolaryngologic prescription drug indications based on 64 pivotal studies, including 21 original indications (19 drugs, 31 studies) and 27 supplemental indications (18 drugs, 33 studies). Median enrollment was 299 patients (interquartile range, 198-613) for original indications and 197 patients (interquartile range, 64-442) for supplemental indications. Most indications were supported by ≥1 randomized study (original: 20/21 [95%], supplemental: 21/27 [78%]) and ≥1 double-blinded study (original: 14/21 [67%], supplemental: 17/27 [63%]). About half of original indications (9/21 [43%]) and one-quarter of supplemental indications (7/27 [26%]) were supported by ≥1 active-controlled study. Nearly half (original: 8/21 [38%], supplemental: 14/27 [52%]) of all indications were approved based exclusively on studies using surrogate markers as primary endpoints. Conclusion The quality of clinical evidence supporting FDA approval of otolaryngologic prescription drug indications varied widely. Otolaryngologists should consider limitations in premarket evidence when helping patients make informed treatment decisions about newly approved drugs.
Electronic health indicators in the selected countries: Are these indicators the best?
Afshari, Somaye; Khorasani, Elahe; Yarmohammadian, Mohammad Hossein; Atighechian, Golrokh; Darab, Mohsen Ghaffari
2013-01-01
Many changes have been made in different sciences by developing and advancing information and communication technology in last two decades. E-health is a very broad term that includes many different activities related to the use of electronic devices, software as well as hardware in health organizations. The aim of this study is comparing electronic health indicators in the selected countries and discussion on the best indicators. This study has chosen 12 countries randomly based on the regional division of the WHO. The relevant numbers of health indicators and general indicators and information technology indicators are extracted of these countries. We use data from the Bitarf's comparative study, which is conducted by the Iranian Supreme Council of Information Technology in 2007. By using Pearson correlation test, the relations between health general indicators and IT indicators are studied. Data was analyzed based on the research objectives using SPSS software and in accordance with research questions Pearson correlation test were used. The findings show that there is a positive relation between indicators related to IT and "Total per capita health, healthy life expectancy, percent literacy". Furthermore, there is a mutual relation between IT indicators and "mortality indicator". This study showed differences between selective indicators among different countries. The modern world, with its technological advances, is not powerless in the face of these geographic and health disparity challenges. Researchers must not rely on the available indicators. They must consider indicators like e-business companies, electronic data internet, medical supplies, health electronic record, health information system, etc., In future, continuous studies in this field, to provide the exact and regular reports of amount of using of these indicators through different countries must be necessary.
Use of quality indicators by obstetric caregivers in the Netherlands: A descriptive study.
Cellissen, Evelien; Franx, Arie; Roes, Kit C B
2017-04-01
To evaluate the use of quality indicators by obstetric caregivers in hospitals in the Netherlands. An anonymous, self-administered survey was conducted in a convenience sample of obstetricians and clinical midwives in Dutch hospitals. Descriptive statistics were used to analyse the data, both for all caregivers and stratified by hospital setting and profession (obstetricians and midwives). Differences between strata were tested at a 5% significance level. The response rate to the online questionnaire was 61% (n=171/279). Of all respondents 83% were aware of the quality indicators and 63% contributed to their registration. Caregivers received information about the indicators by mail or in meetings according to 64% (internal indicators) and 48% (external indicators) of the respondents. Of the respondents 56% (internal indicators) and 41% (external indicators) stated to use the results of indicators when designing plans to improve the quality of care. We conclude that obstetric quality indicators are not widely used by obstetricians and midwives in Dutch hospitals to improve quality of care. To improve quality of care and the effective use of quality indicators we suggest to focus first on registering outcome indicators. These indicators should be implemented in quality structures that ensure that action is taken. Copyright © 2017 Elsevier B.V. All rights reserved.
Xiao-Jun, Meng; Sheng-Hua, Zong; Xuan, Zhang; Dong-Lin, Gao; Yan-Hua, Qian; Bing, Lu
2017-07-27
To establish a risk assessing indicator system after the transmission interruption of schistosomiasis in Wuxi City, so as to provide evidences for formulating strategies on schistosomiasis control and prevention. A primary risk assessing indicator system was established based on the literature review. Alternative indicators were scored and screened to establish a final indicator system through two rounds of Delphy method and the related normalized weights and combined weights were also calculated. The risk assessing indicator system was established through two rounds of expert consultation including 3 first grade indicators and 15 second grade indicators. Among the first grade indicators, the normalized weights of natural environment, key populations and social environment were 0.370 6, 0.292 9 and 0.336 5, respectively. Among the second grade indicators, the migrant population accounted for the highest combined weight of 0.125 2 compared to domestic animal of 0.037 1. The authority degree among the first grade indicators was between 0.91 and 0.93, while the authority degree among the second grade indicators was between 0.79 and 0.92. The scientific and authoritative risk assessing indicator system after the transmission interruption of schistosomiasis is established, which provides the evidences for risk assessment on schistosomiasis transmission in Wuxi City.
A set of care quality indicators for stroke management.
Navarro Soler, I M; Ignacio García, E; Masjuan Vallejo, J; Gállego Culleré, J; Mira Solves, J J
2017-06-22
This study proposes a set of quality indicators for care outcomes in patients with acute cerebral infarction. These indicators are understandable and relevant from a clinical viewpoint, as well as being acceptable and feasible in terms of time required, ease of data capture, and interpretability. The method consisted of reaching consensus among doctors after having reviewed the literature on quality indicators in stroke. We then designed and conducted a field study to assess the understandability and feasibility of the set of indicators. Consensus yielded 8 structural indicators, 5 process indicators, and 12 result indicators. Additionally, standards of reference were established for each indicator. This set of indicators can be used to monitor the quality care for stroke patients, identify strengths, and potentially to identify areas needing improvement. Copyright © 2017 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.
In defense of causal-formative indicators: A minority report.
Bollen, Kenneth A; Diamantopoulos, Adamantios
2017-09-01
Causal-formative indicators directly affect their corresponding latent variable. They run counter to the predominant view that indicators depend on latent variables and are thus often controversial. If present, such indicators have serious implications for factor analysis, reliability theory, item response theory, structural equation models, and most measurement approaches that are based on reflective or effect indicators. Psychological Methods has published a number of influential articles on causal and formative indicators as well as launching the first major backlash against them. This article examines 7 common criticisms of these indicators distilled from the literature: (a) A construct measured with "formative" indicators does not exist independently of its indicators; (b) Such indicators are causes rather than measures; (c) They imply multiple dimensions to a construct and this is a liability; (d) They are assumed to be error-free, which is unrealistic; (e) They are inherently subject to interpretational confounding; (f) They fail proportionality constraints; and (g) Their coefficients should be set in advance and not estimated. We summarize each of these criticisms and point out the flaws in the logic and evidence marshaled in their support. The most common problems are not distinguishing between what we call causal-formative and composite-formative indicators, tautological fallacies, and highlighting issues that are common to all indicators, but presenting them as special problems of causal-formative indicators. We conclude that measurement theory needs (a) to incorporate these types of indicators, and (b) to better understand their similarities to and differences from traditional indicators. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
NASA Astrophysics Data System (ADS)
Fout, G. Shay; Borchardt, Mark A.; Kieke, Burney A.; Karim, Mohammad R.
2017-06-01
Groundwater quality is often evaluated using microbial indicators. This study examines data from 12 international groundwater studies (conducted 1992-2013) of 718 public drinking-water systems located in a range of hydrogeological settings. Focus was on testing the value of indicator organisms for identifying virus-contaminated wells. One or more indicators and viruses were present in 37 and 15% of 2,273 samples and 44 and 27% of 746 wells, respectively. Escherichia coli ( E. coli) and somatic coliphage are 7-9 times more likely to be associated with culturable virus-positive samples when the indicator is present versus when it is absent, while F-specific and somatic coliphages are 8-9 times more likely to be associated with culturable virus-positive wells. However, single indicators are only marginally associated with viruses detected by molecular methods, and all microbial indicators have low sensitivity and positive predictive values for virus occurrence, whether by culturable or molecular assays, i.e., indicators are often absent when viruses are present and the indicators have a high false-positive rate. Wells were divided into three susceptibility subsets based on presence of (1) total coliform bacteria or (2) multiple indicators, or (3) location of wells in karst, fractured bedrock, or gravel/cobble settings. Better associations of some indicators with viruses were observed for (1) and (3). Findings indicate the best indicators are E. coli or somatic coliphage, although both indicators may underestimate virus occurrence. Repeat sampling for indicators improves evaluation of the potential for viral contamination in a well.
Azami-Aghdash, Saber; Tabrizi, Jafar Sadegh; Sadeghi-Bazargani, Homayoun; Hajebrahimi, Sakineh; Naghavi-Behzad, Mohammad
2015-04-01
This study has been designed and conducted to develop domestic indicators for evaluating the performance of clinical governance in dimensions of risk management and clinical effectiveness. This study implemented a 5-stage process including conducting a comprehensive literature review, expert panel (∼ 1000 h per person per session, 11 experts), semi-structured interviews, a 2-round Delphi study (33 experts were in attendance) and a final expert panel (8 experts were in attendance). East Azerbaijan-Iran Province. Fifty-six specialists and experts in different fields of medical sciences. Importance and applicability of indicators. Using a thorough literature review, 361 indicators (129 risk management indicators in 4 dimensions and 232 clinical effectiveness indicators in 18 dimensions) were found. After conducting expert panels and interviews, the number of indicators decreased to 168 cases (65 risk management indicators in 4 dimensions and 103 clinical effectiveness indicators in 12 dimensions). Two rounds of Delphi identified four indicators that were omitted. The members of the final expert panel agreed on 113 indicators (43 risk management indicators in 4 dimensions and 70 clinical effectiveness indicators in 11 dimensions). In this study, indicators for assessing clinical governance in domains of risk management and clinical effectiveness were designed that can be used by policy-makers and other authorities for improving the quality of services and evaluating the performance of clinical governance. Those indicators can be used with slight modifications in other countries having healthcare systems similar to that of Iran. © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.
LAC indicators: an evaluation of progress and list of proposed indicators
Alan E. Watson; David N. Cole
1992-01-01
One of the most critical, and difficult, steps in the Limits of Acceptable Change (LAC) process is the selection of indicators. To help with this step, this paper (I) briefly reviews some desirable characteristics of indicators and (2) lists indicators that have been proposed or adopted in LAC plans. From a comparison of this list of indicators and desirable...
Boucher, Beatrice A; Manafò, Elizabeth; Boddy, Meaghan R; Roblin, Lynn; Truscott, Rebecca
2017-09-01
To address challenges Canadians face within their food environments, a comprehensive, multistakeholder, intergovernmental approach to policy development is essential. Food environment indicators are needed to assess population status and change. The Ontario Food and Nutrition Strategy (OFNS) integrates the food, agriculture and nutrition sectors, and aims to improve the health of Ontarians through actions that promote healthy food systems and environments. This report describes the process of identifying indicators for 11 OFNS action areas in two strategic directions (SDs): Healthy Food Access, and Food Literacy and Skills. The OFNS Indicators Advisory Group used a five-step process to select indicators: (1) potential indicators from national and provincial data sources were identified; (2) indicators were organized by SD, action area and data type; (3) selection criteria were identified, pilot tested and finalized; (4) final criteria were applied to refine the indicator list; and (5) indicators were prioritized after reapplication of selection criteria. Sixty-nine potential indicators were initially identified; however, many were individual-level rather than system-level measures. After final application of the selection criteria, one individual-level indicator and six system-level indicators were prioritized in five action areas; for six of the action areas, no indicators were available. Data limitations suggest that available data may not measure important aspects of the food environment, highlighting the need for action and resources to improve system-level indicators and support monitoring of the food environment and health in Ontario and across Canada.
Douw, Gooske; Huisman-de Waal, Getty; van Zanten, Arthur R H; van der Hoeven, Johannes G; Schoonhoven, Lisette
2017-09-01
To determine the predictive value of individual and combined dutch-early-nurse-worry-indicator-score indicators at various Early Warning Score levels, differentiating between Early Warning Scores reaching the trigger threshold to call a rapid response team and Early Warning Score levels not reaching this point. Dutch-early-nurse-worry-indicator-score comprises nine indicators underlying nurses' 'worry' about a patient's condition. All indicators independently show significant association with unplanned intensive care/high dependency unit admission or unexpected mortality. Prediction of this outcome improved by adding the dutch-early-nurse-worry-indicator-score indicators to an Early Warning Score based on vital signs. An observational cohort study was conducted on three surgical wards in a tertiary university-affiliated teaching hospital. Included were surgical, native-speaking, adult patients. Nurses scored presence of 'worry' and/or dutch-early-nurse-worry-indicator-score indicators every shift or when worried. Vital signs were measured according to the prevailing protocol. Unplanned intensive care/high dependency unit admission or unexpected mortality was the composite endpoint. Percentages of 'worry' and dutch-early-nurse-worry-indicator-score indicators were calculated at various Early Warning Score levels in control and event groups. Entering all dutch-early-nurse-worry-indicator-score indicators in a multiple logistic regression analysis, we calculated a weighted score and calculated sensitivity, specificity, positive predicted value and negative predicted value for each possible total score. In 3522 patients, 102 (2·9%) had an unplanned intensive care/high dependency unit admissions (n = 97) or unexpected mortality (n = 5). Patients with such events and only slightly changed vital signs had significantly higher percentages of 'worry' and dutch-early-nurse-worry-indicator-score indicators expressed than patients in the control group. Increasing number of dutch-early-nurse-worry-indicator-score indicators showed higher positive predictive values. Dutch-early-nurse-worry-indicator-score indicators alert in an early stage of deterioration, before reaching the trigger threshold to call a rapid response team and can improve interdisciplinary communication on surgical wards during regular rounds, and when calling for assistance. Dutch-early-nurse-worry-indicator-score structures communication and recording of signs known to be associated with a decline in a patient's condition and can empower nurses to call assistance on the 'worry' criterion in an early stage of deterioration. © 2016 John Wiley & Sons Ltd.
Campbell, Stephen M; Kontopantelis, Evangelos; Hannon, Kerin; Burke, Martyn; Barber, Annette; Lester, Helen E
2011-08-10
Quality measures should be subjected to a testing protocol before being used in practice using key attributes such as acceptability, feasibility and reliability, as well as identifying issues derived from actual implementation and unintended consequences. We describe the methodologies and results of an indicator testing protocol (ITP) using data from proposed quality indicators for the United Kingdom Quality and Outcomes Framework (QOF). The indicator testing protocol involved a multi-step and methodological process: 1) The RAND/UCLA Appropriateness Method, to test clarity and necessity, 2) data extraction from patients' medical records, to test technical feasibility and reliability, 3) diaries, to test workload, 4) cost-effectiveness modelling, and 5) semi-structured interviews, to test acceptability, implementation issues and unintended consequences. Testing was conducted in a sample of representative family practices in England. These methods were combined into an overall recommendation for each tested indicator. Using an indicator testing protocol as part of piloting was seen as a valuable way of testing potential indicators in 'real world' settings. Pilot 1 (October 2009-March 2010) involved thirteen indicators across six clinical domains and twelve indicators passed the indicator testing protocol. However, the indicator testing protocol identified a number of implementation issues and unintended consequences that can be rectified or removed prior to national roll out. A palliative care indicator is used as an exemplar of the value of piloting using a multiple attribute indicator testing protocol - while technically feasible and reliable, it was unacceptable to practice staff and raised concerns about potentially causing actual patient harm. This indicator testing protocol is one example of a protocol that may be useful in assessing potential quality indicators when adapted to specific country health care settings and may be of use to policy-makers and researchers worldwide to test the likely effect of implementing indicators prior to roll out. It builds on and codifies existing literature and other testing protocols to create a field testing methodology that can be used to produce country specific quality indicators for pay-for-performance or quality improvement schemes.
14 CFR 27.1551 - Oil quantity indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Oil quantity indicator. 27.1551 Section 27... § 27.1551 Oil quantity indicator. Each oil quantity indicator must be marked with enough increments to indicate readily and accurately the quantity of oil. ...
14 CFR 27.1551 - Oil quantity indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Oil quantity indicator. 27.1551 Section 27... § 27.1551 Oil quantity indicator. Each oil quantity indicator must be marked with enough increments to indicate readily and accurately the quantity of oil. ...
14 CFR 27.1551 - Oil quantity indicator.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Oil quantity indicator. 27.1551 Section 27... § 27.1551 Oil quantity indicator. Each oil quantity indicator must be marked with enough increments to indicate readily and accurately the quantity of oil. ...
14 CFR 27.1551 - Oil quantity indicator.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Oil quantity indicator. 27.1551 Section 27... § 27.1551 Oil quantity indicator. Each oil quantity indicator must be marked with enough increments to indicate readily and accurately the quantity of oil. ...
Electronic health indicators in the selected countries: Are these indicators the best?
Afshari, Somaye; Khorasani, Elahe; Yarmohammadian, Mohammad Hossein; Atighechian, Golrokh; Darab, Mohsen Ghaffari
2013-01-01
Background: Many changes have been made in different sciences by developing and advancing information and communication technology in last two decades. E-health is a very broad term that includes many different activities related to the use of electronic devices, software as well as hardware in health organizations. Aims: The aim of this study is comparing electronic health indicators in the selected countries and discussion on the best indicators. Settings and Design: This study has chosen 12 countries randomly based on the regional division of the WHO. The relevant numbers of health indicators and general indicators and information technology indicators are extracted of these countries. We use data from the Bitarf's comparative study, which is conducted by the Iranian Supreme Council of Information Technology in 2007. Materials and Methods: By using Pearson correlation test, the relations between health general indicators and IT indicators are studied. Statistical Analysis Used: Data was analyzed based on the research objectives using SPSS software and in accordance with research questions Pearson correlation test were used. Results: The findings show that there is a positive relation between indicators related to IT and “Total per capita health, healthy life expectancy, percent literacy”. Furthermore, there is a mutual relation between IT indicators and “mortality indicator”. Conclusion: This study showed differences between selective indicators among different countries. The modern world, with its technological advances, is not powerless in the face of these geographic and health disparity challenges. Researchers must not rely on the available indicators. They must consider indicators like e-business companies, electronic data internet, medical supplies, health electronic record, health information system, etc., In future, continuous studies in this field, to provide the exact and regular reports of amount of using of these indicators through different countries must be necessary. PMID:24083281
A consensus-established set of important indicators of pediatric emergency department performance.
Hung, Geoffrey R; Chalut, Dominic
2008-01-01
Quality assurance is a new and important area of research in pediatric emergency medicine (PEM). There are few studies that describe which performance indicators best represent the PEM practice. The primary study objective is to construct a set of performance indicators that have been selected by current and former pediatric emergency department (PED) medical directors as most useful in assessing PED performance. The secondary objective is to assess which indicators are currently measured to assess performance in PEDs. Current and former directors of accredited Canadian PEM programs were considered as eligible participants. A list of indicators was generated by a survey (item pool generation); this list was refined by clarifying unclear terms or eliminating redundant and unquantifiable performance indicators (item scaling); PED directors were asked to rate each item of this refined list to indicate which indicators were more useful in assessing PED performance (item prioritization). A novel ranking formula was used to prioritize those items considered most useful by a larger proportion of respondents, using the provided rating scores. Fourteen current and former medical directors were considered eligible participants. Indicators related to patient morbidity and mortality, adverse outcomes, return visits, patient length of stay (LOS), and waiting times were considered to be more useful. Less useful indicators included the number of deaths, daily census, number of incident reports, and individual physicians' admission rates. The most commonly measured PED performance indicators included the rate of patients who left without being seen, patient LOS, and the waiting time until being seen by a physician by triage category. The top quartile of performance indicators considered most useful by participants included indicators that reflected clinical outcomes, LOS, and waiting times. A dichotomy may exist between those performance indicators that PED directors considered more useful and those indicators that are currently measured.
Identifying critical thinking indicators and critical thinker attributes in nursing practice.
Chao, Shu-Yuan; Liu, Hsing-Yuan; Wu, Ming-Chang; Clark, Mary Jo; Tan, Jung-Ying
2013-09-01
Critical thinking is an essential skill in the nursing process. Although several studies have evaluated the critical thinking skills of nurses, there is limited information related to the indicators of critical thinking or evaluation of critical thinking in the context of the nursing process. This study investigated the potential indicators of critical thinking and the attributes of critical thinkers in clinical nursing practice. Knowledge of these indicators can aid the development of tools to assess nursing students' critical thinking skills. The study was conducted between September 2009 and August 2010. In phase 1, a literature review and four focus groups were conducted to identify the indicators of critical thinking in the context of nursing and the attributes of critical thinkers. In phase 2, 30 nursing professionals participated in a modified Delphi research survey to establish consensus and the appropriateness of each indicator and attribute identified in phase 1. We identified 37 indicators of critical thinking and 10 attributes of critical thinkers. The indicators were categorized into five subscales within the context of the nursing process toreflect nursing clinical practice: assessment, 16 indicators of ability to apply professional knowledge and skills to analyze and interpret patient problems; diagnosis, five indicators of ability to propose preliminary suppositions; planning, five indicators of ability to develop problem-solving strategies; implementation, five indicators of ability to implement planning; and evaluation, six indicators of ability to self-assess and reflect. The study operationalized critical thinking into a practical indicator suitable for nursing contexts in which critical thinking is required for clinical problem solving. Identified indicators and attributes can assist clinical instructors to evaluate student critical thought skills and development-related teaching strategies.
Waltman, Ludo; Yan, Erjia; van Eck, Nees Jan
2011-10-01
Two commonly used ideas in the development of citation-based research performance indicators are the idea of normalizing citation counts based on a field classification scheme and the idea of recursive citation weighing (like in PageRank-inspired indicators). We combine these two ideas in a single indicator, referred to as the recursive mean normalized citation score indicator, and we study the validity of this indicator. Our empirical analysis shows that the proposed indicator is highly sensitive to the field classification scheme that is used. The indicator also has a strong tendency to reinforce biases caused by the classification scheme. Based on these observations, we advise against the use of indicators in which the idea of normalization based on a field classification scheme and the idea of recursive citation weighing are combined.
14 CFR 29.1551 - Oil quantity indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Oil quantity indicator. 29.1551 Section 29... Placards § 29.1551 Oil quantity indicator. Each oil quantity indicator must be marked with enough increments to indicate readily and accurately the quantity of oil. ...
14 CFR 29.1551 - Oil quantity indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Oil quantity indicator. 29.1551 Section 29... Placards § 29.1551 Oil quantity indicator. Each oil quantity indicator must be marked with enough increments to indicate readily and accurately the quantity of oil. ...
14 CFR 29.1551 - Oil quantity indicator.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Oil quantity indicator. 29.1551 Section 29... Placards § 29.1551 Oil quantity indicator. Each oil quantity indicator must be marked with enough increments to indicate readily and accurately the quantity of oil. ...
Use of Balanced Indicators as a Management Tool in Nursing.
Fugaça, Neidamar Pedrini Arias; Cubas, Marcia Regina; Carvalho, Deborah Ribeiro
2015-01-01
To develop a proposal for a nursing panel of indicators based on the guiding principles of Balanced Scorecard. A single case study that ranked 200 medical records of patients, management reports and protocols, which are capable of generating indicators. We identified 163 variables that resulted in 72 indicators; of these, 32 nursing-related: two financial indicators (patient's average revenue per day and patient's revenue per day by product used); two client indicators (overall satisfaction rate of patient with nursing care and adherence rate to the patient satisfaction survey); 23 process indicators, and five learning and growth indicators (average total hours of training, total of approved nursing professionals in the internal selection process, absenteeism rate, turnover rate and index of performance evaluation). Although there is a limit related to the amount of data generated, the methodology of Balanced Scorecard has proved to be flexible and adaptable to incorporate nursing services. It was possible to identify indicators with adherence to more than one area. Internal processes was the area with the higher number of indicators.
Jin, Guang; Jeng, Huei-Wang; Bradford, Henry; Englande, A J
2004-01-01
Escherichia coli (E. coli), enterococci, and fecal coliform data were collected and compared as potential indicators for swimmablility assessment of a brackish waterbody (Lake Pontchartrain, Louisiana). These indicators were measured during lake background conditions, in stormwater runoff (before dilution with lake water), and in the outfall plume within the lake following storm events. Microbial indicator titers associated with suspended particles and lake-bottom sediments were also investigated. Overall reduction rate constants for fecal coliform, E. coli, and enterococci in lake water and sediment were measured and reported. Attachment of microbial indicators to suspended matter and subsequent sedimentation appeared to be a significant fate mechanism. A slower reduction rate of indicator organisms in sediment further suggested that bottom sediment may act as a reservoir for prolonging indicator organism survival and added concern of recontamination of overlaying waters due to potential solids resuspension. Results indicated that enterococci might be a more stable indicator than E. coli and fecal coliform and, consequently, a more conservative indicator under brackish water conditions.
Testing the Value of Information of Climate Change Indicators that use Earth Observations
NASA Astrophysics Data System (ADS)
Kenney, M. A.
2012-12-01
Indicators are usually thought of as measurements or calculations that represent important features of the status, trend, or performance of a system of interest (e.g. the economy, agriculture, air quality). They are often used for the most practical of reasons - one cannot measure everything important about systems of interest, so there is a practical need to identify major features that can be reported periodically and used to guide both research and decisions (National Research Council (NRC). 2000. Ecological Indicators for the Nation. National Academy Press. Washington, DC). The use of indicators to track the status and trends of many features of environmental or economic performance, quality of life, and a host of other social concerns is embedded in the fabric of our everyday lives. Businesses, governments, and consumers regularly use the common economic indices - e.g. the unemployment index or consumer price index - as guides for decision-making on investments and hiring. There is an analogous demand for indicators of environmental conditions and performance - everything from agricultural yields to air and water quality to weather and climate - that are currently less publicly visible than the common economic indicators, but that can have critically important uses in such areas as natural resource management, improvement of environmental quality, emergency planning, and infrastructure development. A number of these environmental indicators, be it physical or ecological, use a range of data sources including earth observations. Despite the extensive development and use of indicators, there is little testing of these indicators to assure that they indeed provide the assumed positive information benefit. This is particularly concerning because if these indicators are systematically misunderstood by the intended audience or a sub-group of that audience, such individuals could make decisions that are consistent with their incorrect understanding of the indicator. Such a result would mean that the indicator has a negative value of information. Granted the value of information depends on the intended audience(s), with some groups being able to understand and want more technically sophisticated and detailed information presented as an indicator. However, if the goal of an indicator is to provide information to a wide range of groups, it is essential to assure that these groups have a correct understanding of the indicator, its assumptions, and the ability to use the indicator (as presented or modified) for decision-making contexts. In this talk, I will present the preliminary results of a study that is testing the value of information of a range of climate change indicators, and I will focus on indicators that use earth observations. Such results contribute to a richer understanding of the value of information of indicators, and can shape the development of both individual indicators and systems of indicators, such as the development of the indicator system for the U.S. Global Change Research Program, National Climate Assessment.
20 CFR 615.12 - Determination of “on” and “off” indicators.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Determination of âonâ and âoffâ indicators... “off” indicators. (a) Standard State indicators. (1) There is a State “on” indicator in a State for a...) Equalled or exceeded 5.0 percent. (2) There is a State “off” indicator in a State for a week if the head of...
20 CFR 615.12 - Determination of “on” and “off” indicators.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Determination of âonâ and âoffâ indicators... “off” indicators. (a) Standard State indicators. (1) There is a State “on” indicator in a State for a...) Equalled or exceeded 5.0 percent. (2) There is a State “off” indicator in a State for a week if the head of...
Sustainability Assessment of indicators for integrated water resources management.
Pires, A; Morato, J; Peixoto, H; Botero, V; Zuluaga, L; Figueroa, A
2017-02-01
The scientific community strongly recommends the adoption of indicators for the evaluation and monitoring of progress towards sustainable development. Furthermore, international organizations consider that indicators are powerful decision-making tools. Nevertheless, the quality and reliability of the indicators depends on the application of adequate and appropriate criteria to assess them. The general objective of this study was to evaluate how indicators related to water use and management perform against a set of sustainability criteria. Our research identified 170 indicators related to water use and management. These indicators were assessed by an international panel of experts that evaluated whether they fulfil the four sustainability criteria: social, economic, environmental, and institutional. We employed an evaluation matrix that classified all indicators according to the DPSIR (Driving Forces, Pressures, States, Impacts and Responses) framework. A pilot study served to test and approve the research methodology before carrying out the full implementation. The findings of the study show that 24 indicators comply with the majority of the sustainability criteria; 59 indicators are bi-dimensional (meaning that they comply with two sustainability criteria); 86 are one-dimensional indicators (fulfilling just one of the four sustainability criteria) and one indicator do not fulfil any of the sustainability criteria. Copyright © 2016. Published by Elsevier B.V.
Chemochromic Indicators for the Detection of Hypergolic Fuels
NASA Technical Reports Server (NTRS)
Santiago-Maldonado, E.; Captian, J.; Devor, R.
2010-01-01
The toxicity and hazard level associated with the use of hypergolic fuels necessitates the development of technology capable of detecting the presence of such fuels in a variety of different environments and conditions. The most commonly used sensors for the detection of hypergolic fuels are electrochemical in nature, which have serious limitations when used as area monitoring devices. Recent collaborative work between Kennedy Space Center and ASRC Aerospace has led to the development of indicators which exhibit a color change upon exposure to hydrazine under different conditions. The indicators under investigation on this developmental effort are para-dimethylaminobenzaldehyde (PDAB), various formulations of universal pH indicators, and potassium tetrachloroaurate (KAuCl4). These chemochromic indicators have been tested for the detection of hydrazine under various conditions: pure liquid fuel, aqueous fuel solution, saline aqueous fuel solutions, vapor fuel, and 3-month shelf life study, which included UV protection, thermal extremes, and normal storage conditions. The hypergolic fuel indicator test was conducted with the indicator impregnated into a wipe material to test the applicability of the indicator to be used to capture (absorb) and indicate the presence of hypergolic fuels. Each of the indicators performed well, with the universal pH indicator being the best candidate because of the visible response color change and the indicator stability after the shelf life study.
Consumer health information on the Internet about carpal tunnel syndrome: indicators of accuracy.
Frické, Martin; Fallis, Don; Jones, Marci; Luszko, Gianna M
2005-02-01
To identify indicators of accuracy for consumer health information on the Internet. Several popular search engines were used to find websites on carpal tunnel syndrome. The accuracy and completeness of these sites were determined by orthopedic surgeons. It also was noted whether proposed indicators of accuracy were present. The correlation between proposed indicators of accuracy and the actual accuracy of the sites was calculated. A total of 116 websites and 29 candidate indicators were examined. A high Google toolbar rating of the main page of a site, many inlinks to the main page of a site, and an unbiased presentation of information on carpal tunnel syndrome were considered genuine indicators of accuracy. Many proposed indicators taken from published guidelines did not indicate accuracy (e.g., the author or sponsor having medical credentials). There are genuine indicators of the accuracy of health information on the Internet. Determining these indicators, and informing providers and consumers of health information about them, would be useful for public health care. Published guidelines have proposed many indicators that are obvious to unaided observation by the consumer. However, indicators that make use of the invisible link structure of the Internet are more reliable guides to accurate information on carpal tunnel syndrome.
Operational indicators for measuring agricultural sustainability in developing countries.
Zhen, Lin; Routray, Jayant K
2003-07-01
This paper reviews relevant literature on the sustainability indicators theoretically proposed and practically applied by scholars over the past 15 years. Although progress is being made in the development and critical analysis of sustainability indicators, in many cases existing or proposed indicators are not the most sensitive or useful measures in developing countries. Indicator selection needs to meet the following criteria: relative availability of data representing the indicators, sensitivity to stresses on the system, existence of threshold values and guidelines, predictivity, integratability and known response to disturbances, anthropogenic stresses, and changes over time. Based on these criteria, this paper proposes a set of operational indicators for measuring agricultural sustainability in developing countries. These indicators include ecological indicators involving amounts of fertilizers and pesticides used, irrigation water used, soil nutrient content, depth to the groundwater table, water use efficiency, quality of groundwater for irrigation, and nitrate content of both groundwater and crops. Economic indicators include crop productivity, net farm income, benefit-cost ratio of production, and per capita food grain production. Social indicators encompass food self-sufficiency, equality in food and income distribution among farmers, access to resources and support services, and farmers' knowledge and awareness of resource conservation. This article suggests that the selection of indicators representing each aspect of sustainability should be prioritized according to spatial and temporal characteristics under consideration.
Linking quality indicators to clinical trials: an automated approach
Coiera, Enrico; Choong, Miew Keen; Tsafnat, Guy; Hibbert, Peter; Runciman, William B.
2017-01-01
Abstract Objective Quality improvement of health care requires robust measurable indicators to track performance. However identifying which indicators are supported by strong clinical evidence, typically from clinical trials, is often laborious. This study tests a novel method for automatically linking indicators to clinical trial registrations. Design A set of 522 quality of care indicators for 22 common conditions drawn from the CareTrack study were automatically mapped to outcome measures reported in 13 971 trials from ClinicalTrials.gov. Intervention Text mining methods extracted phrases mentioning indicators and outcome phrases, and these were compared using the Levenshtein edit distance ratio to measure similarity. Main Outcome Measure Number of care indicators that mapped to outcome measures in clinical trials. Results While only 13% of the 522 CareTrack indicators were thought to have Level I or II evidence behind them, 353 (68%) could be directly linked to randomized controlled trials. Within these 522, 50 of 70 (71%) Level I and II evidence-based indicators, and 268 of 370 (72%) Level V (consensus-based) indicators could be linked to evidence. Of the indicators known to have evidence behind them, only 5.7% (4 of 70) were mentioned in the trial reports but were missed by our method. Conclusions We automatically linked indicators to clinical trial registrations with high precision. Whilst the majority of quality indicators studied could be directly linked to research evidence, a small portion could not and these require closer scrutiny. It is feasible to support the process of indicator development using automated methods to identify research evidence. PMID:28651340
Quality Indicators for Safe Medication Preparation and Administration: A Systematic Review
Maaskant, Jolanda M.; de Boer, Monica; Krediet, C. T. Paul; Nieveen van Dijkum, Els J. M.
2015-01-01
Background One-third of all medication errors causing harm to hospitalized patients occur in the medication preparation and administration phase, which is predominantly a nursing activity. To monitor, evaluate and improve the quality and safety of this process, evidence-based quality indicators can be used. Objectives The aim of study was to identify evidence-based quality indicators (structure, process and outcome) for safe in-hospital medication preparation and administration. Methods MEDLINE, EMBASE and CINAHL were searched for relevant studies published up to January 2015. Additionally, nine databases were searched to identify relevant grey literature. Two reviewers independently selected studies if (1) the method for quality indicator development combined a literature search with expert panel opinion, (2) the study contained quality indicators on medication safety, and (3) any of the quality indicators were applicable to hospital medication preparation and administration. A multidisciplinary team appraised the studies independently using the AIRE instrument, which contains four domains and 20 items. Quality indicators applicable to in-hospital medication preparation and administration were extracted using a structured form. Results The search identified 1683 studies, of which 64 were reviewed in detail and five met the inclusion criteria. Overall, according to the AIRE domains, all studies were clear on purpose; most of them applied stakeholder involvement and used evidence reasonably; usage of the indicator in practice was scarcely described. A total of 21 quality indicators were identified: 5 structure indicators (e.g. safety management and high alert medication), 11 process indicators (e.g. verification and protocols) and 5 outcome indicators (e.g. harm and death). These quality indicators partially cover the 7 rights. Conclusion Despite the relatively small number of included studies, the identified quality indicators can serve as an excellent starting point for further development of nursing specific quality indicators for medication safety. Especially on the right patient, right route, right time and right documentation there is room future development of quality indicators. PMID:25884623
14 CFR 23.1551 - Oil quantity indicator.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Oil quantity indicator. 23.1551 Section 23... Information Markings and Placards § 23.1551 Oil quantity indicator. Each oil quantity indicator must be marked in sufficient increments to indicate readily and accurately the quantity of oil. ...
14 CFR 23.1551 - Oil quantity indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Oil quantity indicator. 23.1551 Section 23... Information Markings and Placards § 23.1551 Oil quantity indicator. Each oil quantity indicator must be marked in sufficient increments to indicate readily and accurately the quantity of oil. ...
14 CFR 23.1551 - Oil quantity indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Oil quantity indicator. 23.1551 Section 23... Information Markings and Placards § 23.1551 Oil quantity indicator. Each oil quantity indicator must be marked in sufficient increments to indicate readily and accurately the quantity of oil. ...
14 CFR 23.1551 - Oil quantity indicator.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Oil quantity indicator. 23.1551 Section 23... Information Markings and Placards § 23.1551 Oil quantity indicator. Each oil quantity indicator must be marked in sufficient increments to indicate readily and accurately the quantity of oil. ...
24 CFR 901.15 - Indicator #2, modernization.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Indicator #2, modernization. 901.15... DEVELOPMENT PUBLIC HOUSING MANAGEMENT ASSESSMENT PROGRAM § 901.15 Indicator #2, modernization. This indicator is automatically excluded if a PHA does not have a modernization program. This indicator examines the...
[Efficiency versus quality in the NHS, in Portugal: methodologies for evaluation].
Giraldes, Maria do Rosário
2008-01-01
To proceed to the evaluation of the efficiency and quality in the NHS, based in methodologies of evaluation of management, indicators of benchmarking and indicators of process and outcome. The 1980 and 1990 decades have seen the proliferation of all forms of process indicators as a way to control health services. It is not a coincidence that the increase in managed care has been accompanied by an explosion of process indicators, as it has happened in the health system of the USA. More recently the attention has turned away from measures of performance, which measure the process (what has been done) to those which measure outcomes (what was the result). Quality indicators have been developed in Europe, first to be used in hospitals, but also to be used in primary health care. Conceptually the justification for the introduction of process indicators comes from the principle that their use will reinforce a modification in the quality of the proceedings, which will give origin to better outcomes as well at population level, as resource saving. Outcome indicators compared with process indicators in health care shows that process indicators have the advantage of being more sensitive than outcome indicators to differences in the quality. Optimizing health care quality has the objective of establishing a quantitative relationship between the quality of the health services and cost-effectiveness. To identify quality indicators and benchmarking and to implement plans to measure the quality of health care. In a study made in a group of senior GP, in the UK, with the objective of determining which process indicators better reflect the quality of the services in primary health care services a Delphi method was used. Only seven indicators were chosen by 75% of the respondents: the percentage of eligible patients receiving cervical screening; the percentage of generic prescribing; the percentage of eligible patients receiving childhood immunization; the percentage of eligible patients receiving influenza vaccinations; ability to see GP within 48 hours; percentage prescribing antibacterial drugs; primary care management (diabetes and asthma). The main characteristics of health indicators are: acceptability--The acceptability of the data collected using a measure will depend upon the extent to which the findings are acceptable to both those being assessed and those undertaking the assessment; feasibility--information about the quality of services is often driven by data availability rather than by epidemiological and clinical considerations. Quality measurement cannot be achieved without accurate and consistent information systems; reliability--indicators should be used to compare organisations/practitioners with similar organisations/practitioners; sensitivity to change--quality measures must be capable of detecting changes in quality of care in order to discriminate between and within subjects; validity--there has been little methodological scrutiny of the validity of consensus methods. Outcome indicators are not good performance indicators in health care. Which causes the variation in outcomes between deliverers of primary health care services are the observed differences due to differences in users, due to age, sex, co-morbidity, severity and socio-economic situation. The Medical Outcomes Study, published in 1989, has brought, for the first time, subjective indicators, based in the evaluation of users, as an important outcome indicator. Clinical indicators are those that are more associated with the outcomes. A few studies exist of the effects of management indicators in outcomes. Several indicators, however, reflect norms related with the local of work. The use of a Composite Indicator presents advantages. In England it has been used a Composite Indicator of process indicators in 302 organizations of primary health care, in 2001-2002. This study has used a mathematical model to select the best indicators which allow the evaluation of performance. It has concluded that the use of a Composite Indicator is of easy construction, interpretation, and acceptable and that has validity. Giraldes (2007) has done an evaluation of health centres in a perspective of management and quality of deliver using a Composite Indicator of Efficiency and Quality. It includes the efficiency indicators concerned with the main activities of the health centre, preventive activities, curative activities and drugs, by main pharmaco therapeutic groups, and auxiliary means of diagnosis (analysis, X Ray, ecographies and CAT by user, weighted according to the relevance of the expenditure in total expenditure). The Composite Quality Indicator includes 12 performance and 5 outcome indicators. From the 10 best health centres in an efficiency and quality perspective 3 are from the Porto Sub-Region (Negrelos, Rebordosa and Paredes) and 2 from the Braga Sub-Region (Vila Verde and Vila Nova de Famalicão I), Leiria (Pedrogão Grande and Batalha), and Vila Real (Mesão Frio and Sabrosa), while 1 belongs to the Aveiro Sub-Region (Sever do Vouga). The more efficient health centres are from the Aveiro Sub-Region, followed by Braga, Porto, and Lisboa. Sub-Regions with very similar values. Giraldes (2007) has made an evaluation of the hospital expenditure by user in an efficiency perspective and to evaluate the quality of the health system process indicators and outcome indicators. In an efficiency perspective the concept of technical efficiency has been chosen, and a correction has been made, as well, in what concerns a case-mix index (CMI). The indicators have been calculated by user in what concerns the main hospital activities (the expenditure in inpatient care by treated patient, in day hospital by treated patient, in outpatient care by consultation, etc.) and as well the auxiliary sections of clinic support and the hotel support services. All the indicators have been corrected according to the relevance of its expenditure in total expenditure. In a quality perspective two types of indicators have been considered; process indicators and outcome indicators. Process indicators, as the percentage of surgeries in ambulatory care, the percentage of cesareans in total deliveries and the rate of autopsy. The outcome indicator number of episodes of inpatient care due to surgery infection in total days of inpatient care. Those indicators have been aggregated, by a mean. The Composite Indicator of Efficiency and Quality is the mean of the Composite Indicator of Efficiency and the Composite Indicator of Quality, having this one been converted in inverse base.
14 CFR 25.1551 - Oil quantity indication.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Oil quantity indication. 25.1551 Section 25... Placards § 25.1551 Oil quantity indication. Each oil quantity indicating means must be marked to indicate the quantity of oil readily and accurately. [Amdt. 25-72, 55 FR 29786, July 20, 1990] ...
14 CFR 25.1551 - Oil quantity indication.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Oil quantity indication. 25.1551 Section 25... Placards § 25.1551 Oil quantity indication. Each oil quantity indicating means must be marked to indicate the quantity of oil readily and accurately. [Amdt. 25-72, 55 FR 29786, July 20, 1990] ...
Reliable low-cost battery voltage indicator for light aircraft and automobiles
NASA Technical Reports Server (NTRS)
Miller, R. L.
1973-01-01
Voltage indicator fits into cigarette lighter socket and utilizes light emitting and Zener diodes to display three levels of battery voltage. Indicator is superior to typical conventional electrical system indicators in that it gives a positive discrete indication of battery voltage. It is simple, inexpensive, and rugged.
14 CFR 25.1551 - Oil quantity indication.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Oil quantity indication. 25.1551 Section 25... Placards § 25.1551 Oil quantity indication. Each oil quantity indicating means must be marked to indicate the quantity of oil readily and accurately. [Amdt. 25-72, 55 FR 29786, July 20, 1990] ...
14 CFR 25.1551 - Oil quantity indication.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Oil quantity indication. 25.1551 Section 25... Placards § 25.1551 Oil quantity indication. Each oil quantity indicating means must be marked to indicate the quantity of oil readily and accurately. [Amdt. 25-72, 55 FR 29786, July 20, 1990] ...
Social Indicators and Program Evaluation.
ERIC Educational Resources Information Center
Elliott, Elizabeth
The paper examines the concept of social indicators as ways of evaluating macro level adult education programs. In general social indicators deal with social factors which affect the quality of life of the population. Social scientists are recognizing the need for both economic and social indicators. Even as the need for social indicators is…
34 CFR 379.51 - What are the program compliance indicators?
Code of Federal Regulations, 2010 CFR
2010-07-01
... 34 Education 2 2010-07-01 2010-07-01 false What are the program compliance indicators? 379.51... Compliance Indicator Requirements Must a Grantee Meet To Receive Continuation Funding? § 379.51 What are the program compliance indicators? (a) General. The program compliance indicators implement program evaluation...
34 CFR 379.52 - How is grantee performance measured using the compliance indicators?
Code of Federal Regulations, 2011 CFR
2011-07-01
... indicators? 379.52 Section 379.52 Education Regulations of the Offices of the Department of Education... INDUSTRY What Compliance Indicator Requirements Must a Grantee Meet To Receive Continuation Funding? § 379.52 How is grantee performance measured using the compliance indicators? (a) Each compliance indicator...
34 CFR 379.51 - What are the program compliance indicators?
Code of Federal Regulations, 2011 CFR
2011-07-01
... 34 Education 2 2011-07-01 2010-07-01 true What are the program compliance indicators? 379.51... Compliance Indicator Requirements Must a Grantee Meet To Receive Continuation Funding? § 379.51 What are the program compliance indicators? (a) General. The program compliance indicators implement program evaluation...
WATER QUALITY INDICES: A SURVEY OF INDICES USED IN THE UNITED STATES
This study documents the extent to which water quality indices currently are being used in the United States. It reviews the indices published in the literature and surveys the States and interstate commissions to determine: (1) which agencies are using indices, (2) the type of i...
Utilization of natural indicators for borax identification in the Indonesian tofu
NASA Astrophysics Data System (ADS)
Purbaningtias, Tri Esti; Lestari, Intan Dwi; Wiyantoko, Bayu; Kurniawati, Puji; Sriadryani, Devi
2017-03-01
Borax has been found in food products i.e. on the Indonesian Tofu that is often consumed by people. Generally, the identification of borax in food products hard to do by the public. Indicators of natural materials will allow the public to identify the presence of borax in food easier. Qualitative test for borax on Indonesian Tofu showed purple cabbage and sappanwood are the effective natural indicators. The result of determining borax on Indonesian Tofu indicated natural indicator from purple cabbage had the smallest correction factor (with conventional indicators PP) about 4.8%. The results of the validation method for purple cabbage indicator in acid-base titration showed that the purple cabbage indicator is homogenous but unstable. The natural indicators of purple cabbage could not be used again after three days of extraction time based on the results of control chart.
[Indication: scientific and ethical basis of medical practice].
Neitzke, G
2014-02-01
The medical indication provides a rational foundation for treatment decisions. An indication can be defined as the reasonable professional judgement that a medical procedure is suitable and useful to reach a specific therapeutic goal with a certain probability. An indication includes empirical, causal and purposive considerations and justifications, and a scrutiny of the individual case. This ensures that medical aspects of the patient, therapeutic goals and evidence-based knowledge are integrated and represented in the indication. An indication justifies a treatment proposal to the patient, which may only be carried out after a procedure of informed consent. Indications can be considered as the ethical basis of treatment decisions and as the heart of professionalism: indications should be used as a professional tool to protect against irrational therapeutic expectations, while ensuring the patient's right for reasonable treatment. In health care that is increasingly shaped by economic constraints, conscientious indications ensure the professional and ethical basis of medical treatment decisions.
The transmission of fluctuation among price indices based on Granger causality network
NASA Astrophysics Data System (ADS)
Sun, Qingru; Gao, Xiangyun; Wen, Shaobo; Chen, Zhihua; Hao, Xiaoqing
2018-09-01
In this paper, we provide a method of statistical physics to analyze the fluctuation of transmission by constructing Granger causality network among price indices (PIGCN) from a systematical perspective, using complex network theory combined with Granger causality method. In economic system, there are numerous price indices, of which the relationships are extreme complicated. Thus, time series data of 6 types of price indices of China, including 113 kinds of sub price indices, are selected as example of empirical study. Through the analysis of the structure of PIGCN, we identify important price indices with high transmission range, high intermediation capacity, high cohesion and the fluctuation transmission path of price indices, respectively. Furthermore, dynamic relationships among price indices are revealed. Based on these results, we provide several policy implications for monitoring the diffusion of risk of price fluctuation. Our method can also be used to study the price indices of other countries, which is generally applicable.
[A set of quality and safety indicators for hospitals of the "Agencia Valenciana de Salud"].
Nebot-Marzal, C M; Mira-Solves, J J; Guilabert-Mora, M; Pérez-Jover, V; Pablo-Comeche, D; Quirós-Morató, T; Cuesta Peredo, D
2014-01-01
To prepare a set of quality and safety indicators for Hospitals of the «Agencia Valenciana de Salud». The qualitative technique Metaplan® was applied in order to gather proposals on sustainability and nursing. The catalogue of the «Spanish Society of Quality in Healthcare» was adopted as a starting point for clinical indicators. Using the Delphi technique, 207 professionals were invited to participate in the selecting the most reliable and feasible indicators. Lastly, the resulting proposal was validated with the managers of 12 hospitals, taking into account the variability, objectivity, feasibility, reliability and sensitivity, of the indicators. Participation rates varied between 66.67% and 80.71%. Of the 159 initial indicators, 68 were prioritized and selected (21 economic or management indicators, 22 nursing indicators, and 25 clinical or hospital indicators). Three of them were common to all three categories and two did not match the specified criteria during the validation phase, thus obtaining a final catalogue of 63 indicators. A set of quality and safety indicators for Hospitals was prepared. They are currently being monitored using the hospital information systems. Copyright © 2013 SECA. Published by Elsevier Espana. All rights reserved.
Bollen, Kenneth A
2007-06-01
R. D. Howell, E. Breivik, and J. B. Wilcox (2007) have argued that causal (formative) indicators are inherently subject to interpretational confounding. That is, they have argued that using causal (formative) indicators leads the empirical meaning of a latent variable to be other than that assigned to it by a researcher. Their critique of causal (formative) indicators rests on several claims: (a) A latent variable exists apart from the model when there are effect (reflective) indicators but not when there are causal (formative) indicators, (b) causal (formative) indicators need not have the same consequences, (c) causal (formative) indicators are inherently subject to interpretational confounding, and (d) a researcher cannot detect interpretational confounding when using causal (formative) indicators. This article shows that each claim is false. Rather, interpretational confounding is more a problem of structural misspecification of a model combined with an underidentified model that leaves these misspecifications undetected. Interpretational confounding does not occur if the model is correctly specified whether a researcher has causal (formative) or effect (reflective) indicators. It is the validity of a model not the type of indicator that determines the potential for interpretational confounding. Copyright 2007 APA, all rights reserved.
Performance indicators of work activity.
Lahoz, Manoela de Assis; Camarotto, João Alberto
2012-01-01
The measurement of performance is a current topic in the management of people in companies, used as a parameter of effectiveness of processes and operations of production. The methods and models of the indicators of current use in the production have concentrated in the assessment of people's performance as determinative resource of the organizational success in the search for the competitiveness. Associated with the classic indicators of performance assessment of the production proceeding, other indicators are used in the assessment of risks and hazards, however with methods focused in the tasks, without connection with the real work activity. The present article explores literature on the models of performance measurement in use in companies and a field research to understand how companies interpret and use indicators that relate health and work, to direct future studies on the subject. Regarding the literature review, one can see that health indicators can be basically divided into two major groups: the legal and managerial indicators. When conducting case studies, it can be realized that companies do not have precisely the concept of health indicator, or were unable to define which of the indicators could be considered indicators of health, considering that absenteeism was the indicator mentioned by the four companies.
[Family physicians attitude towards quality indicator program].
Shani, Michal; Nakar, Sasson; Azuri, Yossi
2012-10-01
Quality indicator programs for primary care are implanted throughout the world improving quality in health care. In this study, we have assessed family physicians attitudes towards the quality indicators program in Israel. Questionnaires were distributed to family physicians in various continuing educational programs. The questionnaire addressed demographics, whether the physician dealt with quality indicators, time devoted by the physician to quality indicators, pressure placed on the physician related to quality indicators, and the working environment. A total of 140 questionnaires were distributed and 91 (65%) were completed. The average physician age was 49 years (range 33-65 years]; the average working experience as a family physician was 17.8 years (range 0.5-42); 58 physicians were family medicine specialist (65.9%). Quality indicators were part of the routine work of 94% of the physicians; 72% of the physicians noted the importance of quality indicators; 84% of the physicians noted that quality indicators demand better team work; 76% of the physicians noted that quality indicators have reduced their professional independence. Pressure to deal with quality indicators was noted by 72% of the family physicians. Pressure to deal with quality indicators was related to reduced loyalty to their employer (P = 0.001), reducing their interest to practice family medicine (p < 0.001), and increasing their burnout at work (p = 0.001). It is important that policy makers find the way to leverage the advantages of quality indicator programs, without creating a heavy burden on the work of family physicians.
Peiris, David; Mohsin, Mohammed; Jenkins, Andre; Hughes, Clifford; Cass, Alan
2010-12-01
Focussing on maternal/newborn health and vascular diseases, to review NSW Health's reporting, by Aboriginal status, against national performance indicators relevant to preventable chronic diseases. We reviewed seven indicator documents and the Australian Institute of Health and Welfare Chronic Disease Indicator Database to identify national indicators. Indicators from six NSW Health reports were then compared with these national indicators to assess reporting by Aboriginal status and region. NSW Health routinely reports against six maternal/newborn indicators and fourteen vascular national indicators. Five of the former report performance by both Aboriginal status and region. Eight of the latter report by Aboriginal status, one of which (diabetes hospitalisations) also reports by region. Indicator quality and breadth was substantially limited by under-enumeration of Aboriginal status, small or potentially unrepresentative samples, inadequate longitudinal or regional data and few primary health care indicators. Notwithstanding these limitations, we found wide and persistent disparities in outcomes for Aboriginal people for all indicators in all regions. NSW Health reports adequately, by Aboriginal status, for maternal/newborn health monitoring (albeit constrained by under-enumeration), but provides limited information about vascular health. A minimum, national chronic disease indicator dataset against which all jurisdictions would report performance by Aboriginal status and region is needed. Improved monitoring requires sustained efforts to address under-enumeration, better survey sampling, and population representative data from the primary care system. © 2010 The Authors. ANZJPH © 2010 Public Health Association of Australia.
QSPR modeling: graph connectivity indices versus line graph connectivity indices
Basak; Nikolic; Trinajstic; Amic; Beslo
2000-07-01
Five QSPR models of alkanes were reinvestigated. Properties considered were molecular surface-dependent properties (boiling points and gas chromatographic retention indices) and molecular volume-dependent properties (molar volumes and molar refractions). The vertex- and edge-connectivity indices were used as structural parameters. In each studied case we computed connectivity indices of alkane trees and alkane line graphs and searched for the optimum exponent. Models based on indices with an optimum exponent and on the standard value of the exponent were compared. Thus, for each property we generated six QSPR models (four for alkane trees and two for the corresponding line graphs). In all studied cases QSPR models based on connectivity indices with optimum exponents have better statistical characteristics than the models based on connectivity indices with the standard value of the exponent. The comparison between models based on vertex- and edge-connectivity indices gave in two cases (molar volumes and molar refractions) better models based on edge-connectivity indices and in three cases (boiling points for octanes and nonanes and gas chromatographic retention indices) better models based on vertex-connectivity indices. Thus, it appears that the edge-connectivity index is more appropriate to be used in the structure-molecular volume properties modeling and the vertex-connectivity index in the structure-molecular surface properties modeling. The use of line graphs did not improve the predictive power of the connectivity indices. Only in one case (boiling points of nonanes) a better model was obtained with the use of line graphs.
Evidence-based quality indicators for stroke rehabilitation.
Grube, Maike M; Dohle, Christian; Djouchadar, Diana; Rech, Petra; Bienek, Karen; Dietz-Fricke, Ursula; Jöbges, Michael; Kohler, Martin; Missala, Isabelle; Schönherr, Bertram; Werner, Cordula; Zeytountchian, Helen; Wissel, Jörg; Heuschmann, Peter U
2012-01-01
Previous stroke performance measures consider aspects of postacute treatment, but there are only few specific quality indicators or standards for poststroke rehabilitation. The purpose of this study was to develop a set of indicators for measuring the quality of postacute stroke rehabilitation in inpatient and outpatient facilities using a standardized evidence-based approach. Quality indicators were developed between January 2009 and February 2010 by an interdisciplinary board of healthcare professionals from rehabilitation centers cooperating in the Berlin Stroke Alliance. The Berlin Stroke Alliance is a regional network of >40 providers of acute treatment, rehabilitation, and aftercare aiming to improve stroke services within Berlin and Brandenburg. The indicators were developed according to published international recommendations and predefined methodological requirements. The applied standards included a systematic literature review, a rating of published evidence, an external peer review, and the evaluation in a pilot study before implementation. Of an initial list of 33 indicators, 20 indicators were rated as being appropriate. After completion of the pilot phase, we agreed on a set of 18 indicators. The indicators measure processes (9 indicators), outcomes (5 indicators), and structures (4 indicators) in the following domains of stroke rehabilitation: completion of diagnostics; secondary prevention; cognition and affect; speech and swallowing; management of complications; sensorimotor functions and mobility; discharge status; and aftercare. Documentation of evidence-based quality indicators for stroke rehabilitation in clinical routine is feasible and can serve as a first step toward implementing standardized cross-institutional quality assurance programs for stroke rehabilitation.
An efficient compression scheme for bitmap indices
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wu, Kesheng; Otoo, Ekow J.; Shoshani, Arie
2004-04-13
When using an out-of-core indexing method to answer a query, it is generally assumed that the I/O cost dominates the overall query response time. Because of this, most research on indexing methods concentrate on reducing the sizes of indices. For bitmap indices, compression has been used for this purpose. However, in most cases, operations on these compressed bitmaps, mostly bitwise logical operations such as AND, OR, and NOT, spend more time in CPU than in I/O. To speedup these operations, a number of specialized bitmap compression schemes have been developed; the best known of which is the byte-aligned bitmap codemore » (BBC). They are usually faster in performing logical operations than the general purpose compression schemes, but, the time spent in CPU still dominates the total query response time. To reduce the query response time, we designed a CPU-friendly scheme named the word-aligned hybrid (WAH) code. In this paper, we prove that the sizes of WAH compressed bitmap indices are about two words per row for large range of attributes. This size is smaller than typical sizes of commonly used indices, such as a B-tree. Therefore, WAH compressed indices are not only appropriate for low cardinality attributes but also for high cardinality attributes.In the worst case, the time to operate on compressed bitmaps is proportional to the total size of the bitmaps involved. The total size of the bitmaps required to answer a query on one attribute is proportional to the number of hits. These indicate that WAH compressed bitmap indices are optimal. To verify their effectiveness, we generated bitmap indices for four different datasets and measured the response time of many range queries. Tests confirm that sizes of compressed bitmap indices are indeed smaller than B-tree indices, and query processing with WAH compressed indices is much faster than with BBC compressed indices, projection indices and B-tree indices. In addition, we also verified that the average query response time is proportional to the index size. This indicates that the compressed bitmap indices are efficient for very large datasets.« less
March 2011 Physical Indicators Workshop Summary Report
NASA Technical Reports Server (NTRS)
Roberts, Brent
2011-01-01
The National Climate Assessment (NCA) convened a workshop on Physical Climate Indicators from 29-30 March 2011, as part of a series on Monitoring Climate Change and its Impacts . The overarching goal of this workshop was to identify a few broad categories of potential physical climate indicators using a set of priorities developed by the NCA, and to provide a clear justification for how they would inform the Nation about climate change. Additional goals included providing input on the overall NCA framework for selecting the indicators and suggesting methodologies to construct indicators. Although one of the workshop goals was to address the status of current observational networks to support indicators, this was not a main focus of any single discussion. However, participants agreed with the NCA indicator vision that high quality data were needed to develop indicators, and generally focused on identifying indicator categories that current observation systems could support. The nearly 60 participants, primarily from Federal agencies, received a white paper in advance of the workshop that detailed the NCA vision for a coordinated suite of climate-related physical, ecological, and societal indicators. The intent of these national indicators of change is to develop a way to evaluate and communicate over time both the rate of change in impacts and the capacity to respond to climate drivers. These indicators will be tracked as a part of ongoing, long-term assessment activities, with adjustments as necessary to adapt to changing conditions and understanding. An initial framework was provided to workshop participants to ensure that everyone understood the audience, scope, and purpose of the indicators. A common lexicon was defined since indicator terminology varies widely. In addition, several potential approaches to grouping or categorizing the indicators were presented. Participants spent most of their time in small breakout groups with facilitators, working to address a common set of questions. The workshop was structured to start with the broadest issue and then focus down as the workshop progressed. The first breakout therefore solicited comments on the NCA indicator framework, followed by discussion of the potential approaches to organizing the physical climate indicators. Once several approaches were identified, the groups then worked to define specific measurements, or types of measurements, that could be used to create the indicators.
Siqueira, Marina Martins; Araujo, Claudia Affonso; de Aguiar Roza, Bartira; Schirmer, Janine
2016-08-01
To search the literature and identify indicators used to monitor and control the organ donation and transplantation process and to group these indicators into categories. In November 2014, a systematic review of the literature was carried out in the following databases: Biblioteca Virtual em Saúde (BVS), EBSCO, Emerald, Proquest, Science Direct, and Web of Science. The following search terms (and the corresponding terms in Brazilian Portuguese) were employed: "efficiency," "indicators," "organ donation," "tissue and organ procurement," and "organ transplantation." Of the 344 articles retrieved, 23 original articles published between 1992 and 2013 were selected and reviewed for analysis of efficiency indicators. The review revealed 117 efficiency indicators, which were grouped according to similarity of content and divided into three categories: 1) 71 indicators related to organ donation, covering mortality statistics, communication of brain death, clinical status of donors and exclusion of donors for medical reasons, attitude of families, confirmation of donations, and extraction of organs and tissues; 2) 22 indicators related to organ transplantation, covering the surgical procedure per se and post-transplantation follow-up; and 3) 24 indicators related to the demand for organs and the resources of hospitals involved in the process. Even if organ transplantation is a recent phenomenon, the high number of efficiency indicators described in the literature suggests that scholars interested in this field have been searching for ways to measure performance. However, there is little standardization of the indicators used. Also, most indicators focus on the donation step, suggesting gaps in the measurement of efficiency at others points in the process. Additional indicators are needed to monitor important stages, such as organ distribution (for example, organ loss indicators) and post-transplantation aspects (for example, survival and quality of life).
Aarts, Nikkie; Noordam, Raymond; Hofman, Albert; Tiemeier, Henning; Stricker, Bruno H; Visser, Loes E
2016-10-01
Background Population-based studies investigating indications for antidepressant prescribing mostly rely on diagnoses from general practitioners. However, diagnostic codes might be incomplete and drugs may be prescribed 'off-label' for indications not investigated in clinical trials. Objective We aimed to study indications for antidepressant use based on self-report. Also, we studied the presence of depressive symptoms associated with the self-reported indications. Setting Our study population of antidepressant users was selected based on interview data between 1997 and 2013 from the prospective population-based Rotterdam Study cohort (age >45 years). Method Antidepressant use, self-reported indication for use, and presence of depressive symptoms (Center for Epidemiological Studies Depression Scale) were based on interview. Self-reported indications were categorized by the researchers into officially approved, clinically-accepted and commonly mentioned off-label indications. Main outcome measures A score of 16 and higher on the Center for Epidemiological Studies Depression Scale was considered as indicator for clinically-relevant depressive symptoms. Results The majority of 914 antidepressant users reported 'depression' (52.4 %) as indication for treatment. Furthermore, anxiety, stress and sleep disorders were reported in selective serotonin reuptake inhibitor and other antidepressant users (ranging from 5.9 to 13.3 %). The indication 'pain' was commonly mentioned by tricyclic antidepressant users (19.0 %). Indications were statistically significantly associated with higher depressive symptom scores when compared to non-users (n = 10,979). Conclusions Depression was the main indication for antidepressant treatment. However, our findings suggest that antidepressants are also used for off-label indications, subthreshold disorders and complex situations, which were all associated with clinically-relevant depressive symptoms in the middle-aged and elderly population.
Twycross, Alison M; Chorney, Jill MacLaren; McGrath, Patrick J; Finley, G Allen; Boliver, Darlene M; Mifflin, Katherine A
2013-01-01
BACKGROUND: Adverse health care events are injuries occurring as a result of patient care. Significant acute pain is often caused by medical and surgical procedures in children, and it has been argued that undermanaged pain should be considered to be an adverse event. Indicators are often used to identify other potential adverse events. There are currently no validated indicators for undertreated pediatric pain. OBJECTIVES: To develop a preliminary list of indicators of undermanaged pain in hospitalized pediatric patients. METHODS: The Delphi technique was used to survey experts in pediatric pain management and quality improvement. The first round used an electronic questionnaire to ask: “In your opinion, what indicators would signify that acute pain in a child has not been adequately controlled?” Responses were grouped together in semantically similar themes, providing a list of possible adverse event indicators. Using this list, an electronic questionnaire was developed for round 2 asking respondents to indicate the importance of each potential indicator. RESULTS: All but one indicator achieved a level of consensus ≥70%. Separate indicators emerged for postoperative and procedural pain. An additional distinction was made between indicators that could be identified by chart review and those requiring observation of practice and assessment from the child or parent. DISCUSSION: The adverse care indicators developed in the present study require further refinement. There is a need to test their clinical usability and to determine whether these indicators actually identify undermanaged pain in clinical practice. The present study is an important first step in identifying undermanaged pain in hospital and treating it as an adverse event. CONCLUSION: The adverse care indicators developed in the present study are the first step in conceptualizing mismanaged pain as an adverse event. PMID:24093121
Hydrologic indices for nontidal wetlands
Lent, Robert M.; Weiskel, Peter K.; Lyford, Forest P.; Armstrong, David S.
1997-01-01
Two sets of hydrologic indices were developed to characterize the water-budget components of nontidal wetlands. The first set consisted of six water-budget indices for input and output variables, and the second set consisted of two hydrologic interaction indices derived from the water-budget indices. The indices then were applied to 19 wetlands with previously published water-budget data. Two trilinear diagrams for each wetland were constructed, one for the three input indices and another for the three output indices. These two trilinear diagrams then were combined with a central quadrangle to form a Piper-type diagram, with data points from the trilinear diagrams projected onto the quadrangle. The quadrangle then was divided into nine fields that summarized the water-budget information. Two quantitative "interaction indices" were calculated from two of the six water-budget indices (precipitation and evapotranspiration). They also were obtained graphically from the water-budget indices, which were first projected to the central quadrangle of a Piper-type diagram from the flanking trilinear plots. The first interaction index (l) defines the strength of interaction between a wetland and the surrounding ground- and surface-water system. The second interaction index (S) defines the nature of the interaction between the wetland and the surrounding ground- and surface-water system (source versus sink). Evaluation of these indices using published wetland water-budget data illustrates the usefulness of the technique.
NASA Astrophysics Data System (ADS)
Nobi, Ashadun; Maeng, Seong Eun; Ha, Gyeong Gyun; Lee, Jae Woo
2013-02-01
We analyzed cross-correlations between price fluctuations of global financial indices (20 daily stock indices over the world) and local indices (daily indices of 200 companies in the Korean stock market) by using random matrix theory (RMT). We compared eigenvalues and components of the largest and the second largest eigenvectors of the cross-correlation matrix before, during, and after the global financial the crisis in the year 2008. We find that the majority of its eigenvalues fall within the RMT bounds [ λ -, λ +], where λ - and λ + are the lower and the upper bounds of the eigenvalues of random correlation matrices. The components of the eigenvectors for the largest positive eigenvalues indicate the identical financial market mode dominating the global and local indices. On the other hand, the components of the eigenvector corresponding to the second largest eigenvalue are positive and negative values alternatively. The components before the crisis change sign during the crisis, and those during the crisis change sign after the crisis. The largest inverse participation ratio (IPR) corresponding to the smallest eigenvector is higher after the crisis than during any other periods in the global and local indices. During the global financial the crisis, the correlations among the global indices and among the local stock indices are perturbed significantly. However, the correlations between indices quickly recover the trends before the crisis.
42 CFR 84.255 - Requirements for end-of-service-life indicator.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 42 Public Health 1 2010-10-01 2010-10-01 false Requirements for end-of-service-life indicator. 84... Special Use Respirators § 84.255 Requirements for end-of-service-life indicator. (a) Each canister or... equipped with a canister or cartridge end-of-service-life indicator which shows a satisfactory indicator...
America's Children: Key National Indicators of Well-Being 2007
ERIC Educational Resources Information Center
Federal Interagency Forum on Child and Family Statistics, 2007
2007-01-01
This document is a compendium of indicators--drawn from the most reliable official statistics--illustrative of both the promises and the difficulties confronting our Nation's young people. The report summarizes 38 key indicators of child well-being and monitors changes in these indicators. The 38 indicators depict the well-being of children in the…
21 CFR 864.5300 - Red cell indices device.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Red cell indices device. 864.5300 Section 864.5300....5300 Red cell indices device. (a) Identification. A red cell indices device, usually part of a larger... corpuscular hemoglobin (MCH), and the mean corpuscular hemoglobin concentration (MCHC). The red cell indices...
Statistical Indicators for Religious Studies: Indicators of Level and Structure
ERIC Educational Resources Information Center
Herteliu, Claudiu; Isaic-Maniu, Alexandru
2009-01-01
Using statistic indicators as vectors of information relative to the operational status of a phenomenon, including a religious one, is unanimously accepted. By introducing a system of statistic indicators we can also analyze the interfacing areas of a phenomenon. In this context, we have elaborated a system of statistic indicators specific to the…
DC KIDS COUNT e-Databook Indicators
ERIC Educational Resources Information Center
DC Action for Children, 2012
2012-01-01
This report presents indicators that are included in DC Action for Children's 2012 KIDS COUNT e-databook, their definitions and sources and the rationale for their selection. The indicators for DC KIDS COUNT represent a mix of traditional KIDS COUNT indicators of child well-being, such as the number of children living in poverty, and indicators of…
America's Children: Key National Indicators of Well-Being, 2011
ERIC Educational Resources Information Center
Cook, Traci; Blachman, Dara; Dye, Jane; Macartney, Suzanne; Lukacs, Susan; Howie, LaJeana; Kena, Grace; Sonnenberg, William; Axelrad, Daniel; Steffen, Barry; Truman, Jennifer; Cotto, Jessica; Jekielek, Susan; Mueggenborg, Mary; Coleman-Jensen, Alisha; Denton, Stephanie; Avenevoli, Shelli; Singleton, James; Knighton, Cindi; Han, Beth; O'Connell, Kellie; Guenther, Patricia; Hiza, Hazel; Kuczynski, Kevin; Koegel, Kristin; Radel, Laura
2011-01-01
"America's Children: Key National Indicators of Well-Being, 2011" is a compendium of indicators depicting both the promises and the challenges confronting our Nation's young people. The report, the 15th in an ongoing series, presents 41 key indicators on important aspects of children's lives. These indicators are drawn from the most…
21 CFR 864.5300 - Red cell indices device.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Red cell indices device. 864.5300 Section 864.5300....5300 Red cell indices device. (a) Identification. A red cell indices device, usually part of a larger... corpuscular hemoglobin (MCH), and the mean corpuscular hemoglobin concentration (MCHC). The red cell indices...
21 CFR 864.5300 - Red cell indices device.
Code of Federal Regulations, 2012 CFR
2012-04-01
... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Red cell indices device. 864.5300 Section 864.5300....5300 Red cell indices device. (a) Identification. A red cell indices device, usually part of a larger... corpuscular hemoglobin (MCH), and the mean corpuscular hemoglobin concentration (MCHC). The red cell indices...
21 CFR 864.5300 - Red cell indices device.
Code of Federal Regulations, 2013 CFR
2013-04-01
... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Red cell indices device. 864.5300 Section 864.5300....5300 Red cell indices device. (a) Identification. A red cell indices device, usually part of a larger... corpuscular hemoglobin (MCH), and the mean corpuscular hemoglobin concentration (MCHC). The red cell indices...
21 CFR 864.5300 - Red cell indices device.
Code of Federal Regulations, 2014 CFR
2014-04-01
... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Red cell indices device. 864.5300 Section 864.5300....5300 Red cell indices device. (a) Identification. A red cell indices device, usually part of a larger... corpuscular hemoglobin (MCH), and the mean corpuscular hemoglobin concentration (MCHC). The red cell indices...
20 CFR 641.700 - What performance measures/indicators apply to SCSEP grantees?
Code of Federal Regulations, 2010 CFR
2010-04-01
... performance. There are currently eight performance measures, of which six are core indicators and two are additional indicators. Core indicators (defined in § 641.710) are subject to goal-setting and corrective action (described in § 641.720); that is, performance level goals for each core indicator must be agreed...
24 CFR 901.25 - Indicator #4, work orders.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Indicator #4, work orders. 901.25... DEVELOPMENT PUBLIC HOUSING MANAGEMENT ASSESSMENT PROGRAM § 901.25 Indicator #4, work orders. This indicator... work orders. Implicit in this indicator is the adequacy of the PHA's work order system in terms of how...
20 CFR 641.700 - What performance measures/indicators apply to SCSEP grantees?
Code of Federal Regulations, 2011 CFR
2011-04-01
... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false What performance measures/indicators apply to... Accountability § 641.700 What performance measures/indicators apply to SCSEP grantees? (a) Indicators of performance. There are currently eight performance measures, of which six are core indicators and two are...
42 CFR 84.255 - Requirements for end-of-service-life indicator.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 42 Public Health 1 2011-10-01 2011-10-01 false Requirements for end-of-service-life indicator. 84... Special Use Respirators § 84.255 Requirements for end-of-service-life indicator. (a) Each canister or... equipped with a canister or cartridge end-of-service-life indicator which shows a satisfactory indicator...
20 CFR 641.710 - How are the performance indicators defined?
Code of Federal Regulations, 2011 CFR
2011-04-01
... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false How are the performance indicators defined... § 641.710 How are the performance indicators defined? (a) The core indicators are defined as follows: (1... indicators are defined as follows: (1) “Retention in unsubsidized employment for 1 year” is defined by the...
42 CFR 84.255 - Requirements for end-of-service-life indicator.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 42 Public Health 1 2013-10-01 2013-10-01 false Requirements for end-of-service-life indicator. 84... Special Use Respirators § 84.255 Requirements for end-of-service-life indicator. (a) Each canister or... equipped with a canister or cartridge end-of-service-life indicator which shows a satisfactory indicator...
Quan, May Lynn; Wells, Bryan J; McCready, David; Wright, Frances C; Fraser, Novlette; Gagliardi, Anna R
2010-02-01
Sentinel lymph node biopsy (SNLB) has been adopted as the standard method of axillary staging for women with clinically node-negative early-stage breast cancer. The false negative rate as a quality indicator is impractical given the need for a completion axillary dissection to calculate. The objective of this study was to develop practical quality indicators for SLNB using an expert consensus method and to determine if they were feasible to measure. We used a modified Delphi consensus process to develop quality indicators for SLNB. A multidisciplinary expert panel reviewed potential indicators extracted from the medical literature to select quality indicators that were relevant and measurable. Feasibility was determined by abstracting the quality indicator variables from a retrospective chart review. The expert panel prioritized 11 quality indicators as benchmarks for assessing the quality of surgical care in SNLB. Nine of the indicators were measurable at the chart or institutional level. A systematic evidence- and consensus-based approach was used to develop measurable quality indicators that could be used by practicing surgeons and administrators to evaluate performance of SLNB in breast cancer.
Use of Balanced Indicators as a Management Tool in Nursing1
Fugaça, Neidamar Pedrini Arias; Cubas, Marcia Regina; Carvalho, Deborah Ribeiro
2015-01-01
Objective: to develop a proposal for a nursing panel of indicators based on the guiding principles of Balanced Scorecard. Method: a single case study that ranked 200 medical records of patients, management reports and protocols, which are capable of generating indicators. Results: we identified 163 variables that resulted in 72 indicators; of these, 32 nursing-related: two financial indicators (patient's average revenue per day and patient's revenue per day by product used); two client indicators (overall satisfaction rate of patient with nursing care and adherence rate to the patient satisfaction survey); 23 process indicators, and five learning and growth indicators (average total hours of training, total of approved nursing professionals in the internal selection process, absenteeism rate, turnover rate and index of performance evaluation). Conclusion: although there is a limit related to the amount of data generated, the methodology of Balanced Scorecard has proved to be flexible and adaptable to incorporate nursing services. It was possible to identify indicators with adherence to more than one area. Internal processes was the area with the higher number of indicators. PMID:26625995
Constructing Indicators for Measuring Provincial Sustainable Development Index in Vietnam
NASA Astrophysics Data System (ADS)
Truong, Van Canh; Lisowski, Andrzej
2018-03-01
Sustainable development is zeitgeist of our age. It is one kind of development that in this trajectory humanity can create a stable and developed socio-economic foundations, conserve environment and therefore able to continue for a long time. Using indicators is one of the best ways to monitor and measure the progress toward sustainable development. In this paper we have proposed the way to create indicators for measuring provincial sustainable development index in Vietnam. We firstly made a framework of elements for economic, social and environmental component and compiled a list of indicators of 20 national and international agencies in the world. We then applied the SMART framework (Specific, Measurable, Achievable, Relevant, and Time-related) to choose indicators which will be relevant for Vietnam and put them back to the elements. We then have 39 relevant indicators with 12 indicators for economy, 17 indicators for social and 10 indicators for environmental component. Finally, we have established the way to determine the worst and best value for each indicator from available data for countries in the world.
Measuring individual work performance: identifying and selecting indicators.
Koopmans, Linda; Bernaards, Claire M; Hildebrandt, Vincent H; de Vet, Henrica C W; van der Beek, Allard J
2014-01-01
Theoretically, individual work performance (IWP) can be divided into four dimensions: task performance, contextual performance, adaptive performance, and counterproductive work behavior. However, there is no consensus on the indicators used to measure these dimensions. This study was designed to (1) identify indicators for each dimension, (2) select the most relevant indicators, and (3) determine the relative weight of each dimension in ratings of work performance. IWP indicators were identified from multiple research disciplines, via literature, existing questionnaires, and expert interviews. Subsequently, experts selected the most relevant indicators per dimension and scored the relative weight of each dimension in ratings of IWP. In total, 128 unique indicators were identified. Twenty-three of these indicators were selected by experts as most relevant for measuring IWP. Task performance determined 36% of the work performance rating, while the other three dimensions respectively determined 22%, 20% and 21% of the rating. Notable consensus was found on relevant indicators of IWP, reducing the number from 128 to 23 relevant indicators. This provides an important step towards the development of a standardized, generic and short measurement instrument for assessing IWP.
Categorisation of Drought Indices Used in Agricultural Meteorology
NASA Astrophysics Data System (ADS)
Dunkel, Z.
2009-09-01
The research and the operative work use many type of indices in everyday meteorological practice. The goal of present summary is to group the indices used for identification of drought phenomenon in the agricultural meteorology practice. Besides summarising the indices the different drought definitions are evaluated. Drought indices seem to be the simplest tools in drought analysis. The more or less well known and popular indices have been collected and compared not only with the well known simple but more complicated water balance and so called ‘recursive' indices beside few ones use remotely sensed data, mainly satellite born information. The indices are classified into five groups, namely ‘precipitation', ‘water balance', ‘soil moisture', ‘recursive' and ‘remote sensing' indices. For every group typical expressions are given and analysed for their performance and comparability. Taking into consideration that the drought is a compound concept few drought definitions are examined together with the drought indices. As any classification the presented categories have got their limitation but the hope is that as wide review is given as it is possible using mainly meteorological data and information.
NASA Technical Reports Server (NTRS)
Donner, Kimberly A.; Holden, Kritina L.; Manahan, Meera K.
1991-01-01
Investigated are five designs of software-based ON/OFF indicators in a hypothetical Space Station Power System monitoring task. The hardware equivalent of the indicators used in the present study is the traditional indicator light that illuminates an ON label or an OFF label. Coding methods used to represent the active state were reverse video, color, frame, check, or reverse video with check. Display background color was also varied. Subjects made judgments concerning the state of indicators that resulted in very low error rates and high percentages of agreement across indicator designs. Response time measures for each of the five indicator designs did not differ significantly, although subjects reported that color was the best communicator. The impact of these results on indicator design is discussed.
Stucki, Gerold; Bickenbach, Jerome
2017-02-01
In this methodological note on applying the ICF in rehabilitation, we introduce functioning as the third health indicator complementing the established indicators mortality and morbidity. Together, these three provide a complete set of indicators for monitoring the performance of health strategies in health systems. When applying functioning as the third health indicator across the five health strategies, it is fundamental to distinguish between biological health and lived health. For rehabilitation, functioning is the key indicator. Since we can now code mortality and morbidity data with the ICD, and functioning data with the ICF, and since given current plans to including functioning properties in the proposed ICD-11 revision, we should in the future be able to report on all three health indicators.
A Prototype Indicators System for U.S. Climate Changes, Impacts, Vulnerabilities, and Responses
NASA Astrophysics Data System (ADS)
Kenney, M. A.; Janetos, A.; Gerst, M.; Lloyd, A.; Wolfinger, J. F.; Reyes, J. J.; Anderson, S. M.; Pouyat, R. V.
2015-12-01
Indicators are observations or calculations that are used to systematically report or forecast social and biophysical conditions over time. When the purpose of indicators is to, in part, provide complex scientific information that is understood by non-scientists and included in decision processes, the choice of indicators requires a structured process that includes co-production among a range of actors, including scientists, decision-makers, and a range of stakeholders. Here we describe recommendations on a vision and a prototype created for an indicators system, we term the National Climate Indicators System (NCIS). The goal of the NCIS is to create a system of physical, natural, and societal indicators to communicate and inform decisions about climate changes, impacts, vulnerabilities, and responses. The process of generating the indicator system involved input from over 200 subject-matter experts. Organized into 13 teams, experts created conceptual models of their respective sectors to generate an initial recommended set of indicators. A subset of indicators, which could be immediately implemented, were prototyped for the U.S. Global Change Research Program (USGCRP) a Federal program that coordinates and supports integration of global change research across the government. USGCRP reviewed the recommendations (Kenney et al., 2014) and prototypes provided by the scientific experts, and recently launched 14 indicators as proof-of-concept in support of a sustained National Climate Assessment and to solicit feedback from the users. Social science research is currently being undertaken in order to evaluate how well the prototype indicators communicate science to non-scientists, the usability of indicator system portal by scientists and decision-makers, and the development of information visualization guidelines to improve visual communication effectiveness. The goal of such efforts would be to provide input into the development of a more comprehensive USGCRP indicator set, building on recommendations from Kenney et al. (2014), and improve our understanding of the comprehension and use of indicators by non-scientists.
Wu, Chao-Jung
2017-01-01
Producing indices composed of multiple input variables has been embedded in some data processing and analytical methods. We aim to test the feasibility of creating data-driven indices by aggregating input variables according to principal component analysis (PCA) loadings. To validate the significance of both the theory-based and data-driven indices, we propose principles to review innovative indices. We generated weighted indices with the variables obtained in the first years of the two-year panels in the Medical Expenditure Panel Survey initiated between 1996 and 2011. Variables were weighted according to PCA loadings and summed. The statistical significance and residual deviance of each index to predict mortality in the second years was extracted from the results of discrete-time survival analyses. There were 237,832 surviving the first years of panels, represented 4.5 billion civilians in the United States, of which 0.62% (95% CI = 0.58% to 0.66%) died in the second years of the panels. Of all 134,689 weighted indices, there were 40,803 significantly predicting mortality in the second years with or without the adjustment of age, sex and races. The significant indices in the both models could at most lead to 10,200 years of academic tenure for individual researchers publishing four indices per year or 618.2 years of publishing for journals with annual volume of 66 articles. In conclusion, if aggregating information based on PCA loadings, there can be a large number of significant innovative indices composing input variables of various predictive powers. To justify the large quantities of innovative indices, we propose a reporting and review framework for novel indices based on the objectives to create indices, variable weighting, related outcomes and database characteristics. The indices selected by this framework could lead to a new genre of publications focusing on meaningful aggregation of information. PMID:28886057
Lee, Hyo Sang; Oh, Jungsu S; Park, Young Soo; Jang, Se Jin; Choi, Ik Soo; Ryu, Jin-Sook
2016-05-01
We aimed to explore the ability of textural heterogeneity indices determined by (18)F-FDG PET/CT for grading the malignancy of thymic epithelial tumors (TETs). We retrospectively enrolled 47 patients with pathologically proven TETs who underwent pre-treatment (18)F-FDG PET/CT. TETs were classified by pathological results into three subgroups with increasing grades of malignancy: low-risk thymoma (LRT; WHO classification A, AB and B1), high-risk thymoma (B2 and B3), and thymic carcinoma (TC). Using (18)F-FDG PET/CT, we obtained conventional imaging indices including SUVmax and 20 intratumoral heterogeneity indices: i.e., four local-scale indices derived from the neighborhood gray-tone difference matrix (NGTDM), eight regional-scale indices from the gray-level run-length matrix (GLRLM), and eight regional-scale indices from the gray-level size zone matrix (GLSZM). Area under the receiver operating characteristic curve (AUC) was used to demonstrate the abilities of the imaging indices for differentiating subgroups. Multivariable logistic regression analysis was performed to show the independent significance of the textural indices. Combined criteria using optimal cutoff values of the SUVmax and a best-performing heterogeneity index were applied to investigate whether they improved differentiation between the subgroups. Most of the GLRLM and GLSZM indices and the SUVmax showed good or fair discrimination (AUC >0.7) with best performance for some of the GLRLM indices and the SUVmax, whereas the NGTDM indices showed relatively inferior performance. The discriminative ability of some of the GLSZM indices was independent from that of SUVmax in multivariate analysis. Combined use of the SUVmax and a GLSZM index improved positive predictive values for LRT and TC. Texture analysis of (18)F-FDG PET/CT scans has the potential to differentiate between TET tumor grades; regional-scale indices from GLRLM and GLSZM perform better than local-scale indices from the NGTDM. The SUVmax and heterogeneity indices may have complementary value in differentiating TET subgroups.
Salinas La Casta, Maria; Flores Pardo, Emilio; Uris Selles, Joaquín
2009-01-01
to propose a set of indicators as a management tool for a clinical laboratory, by using the balanced scorecard internal business processes perspective. indicators proposed are obtained from different sources; external proficiency testing of the Valencia Community Government, by means of internal surveys and laboratory information system registers. One year testing process proportion indicators results are showed. internal management indicators are proposed (process, appropriateness and proficiency testing). The process indicators results show gradual improvement since its establishment. after one years of using a conceptually solid Balanced Scorecard Internal business processes perspective indicators, the obtained results validate the usefulness as a laboratory management tool.
Post-disaster health indicators for pregnant and postpartum women and infants.
Zotti, Marianne E; Williams, Amy M; Wako, Etobssie
2015-06-01
United States (U.S.) pregnant and postpartum (P/PP) women and their infants may be particularly vulnerable to effects from disasters. In an effort to guide post-disaster assessment and surveillance, we initiated a collaborative process with nationwide expert partners to identify post-disaster epidemiologic indicators for these at-risk groups. This 12 month process began with conversations with partners at two national conferences to identify critical topics for P/PP women and infants affected by disaster. Next we hosted teleconferences with a 23 member Indicator Development Working Group (IDWG) to review and prioritize the topics. We then divided the IDWG into three population subgroups (pregnant women, postpartum women, and infants) that conducted at least three teleconferences to discuss the proposed topics and identify/develop critical indicators, measures for each indicator, and relevant questions for each measure for their respective population subgroup. Lastly, we hosted a full IDWG teleconference to review and approve the indicators, measures, and questions. The final 25 indicators and measures with questions (available online) are organized by population subgroup: pregnant women (indicators = 9; measures = 24); postpartum women (indicators = 10; measures = 36); and infants (indicators = 6; measures = 30). We encourage our partners in disaster-affected areas to test these indicators and measures for relevancy and completeness. In post-disaster surveillance, we envision that users will not use all indicators and measures but will select ones appropriate for their setting. These proposed indicators and measures promote uniformity of measurement of disaster effects among U.S. P/PP women and their infants and assist public health practitioners to identify their post-disaster needs.
Wang, Bo; Kesselheim, Aaron S
2015-09-23
To characterize the types of comparators and endpoints used in efficacy trials for approvals of supplemental indications, compared with the data supporting these drugs' originally approved indications. Systematic review. Publicly accessible data on supplemental indications approved by the US Food and Drug Administration from 2005 to 2014. Types of comparators (active, placebo, historical, none) and endpoints (clinical outcomes, clinical scales, surrogate) in the efficacy trials for these drugs' supplemental and original indication approvals. The cohort included 295 supplemental indications. Thirty per cent (41/136) of supplemental approvals for new indications were supported by efficacy trials with active comparators, compared with 51% (47/93) of modified use approvals and 11% (7/65) of approvals expanding the patient population (P<0.001), almost all of which related to pediatric patients (61/65; 94%). Trials using clinical outcome endpoints led to approval for 32% (44/137) of supplemental approvals for new indications, 30% (28/93) of modified indication approvals, and 22% (14/65) of expanded population approvals (P=0.29). Orphan drugs had supplemental approvals for 40 non-orphan indications, which were supported by similar proportions of trials using active comparators (28% (11/40) for non-orphan supplemental indications versus 24% (10/42) for original orphan indications; P=0.70) and clinical outcome endpoints (25% (10/40) versus 31% (13/42); P=0.55). Wide variations were seen in the evidence supporting approval of supplemental indications, with the fewest active comparators and clinical outcome endpoints used in trials leading to supplemental approvals that expanded the patient population. © Wang et al 2015.
A new four-step hierarchy method for combined assessment of groundwater quality and pollution.
Zhu, Henghua; Ren, Xiaohua; Liu, Zhizheng
2017-12-28
A new four-step hierarchy method was constructed and applied to evaluate the groundwater quality and pollution of the Dagujia River Basin. The assessment index system is divided into four types: field test indices, common inorganic chemical indices, inorganic toxicology indices, and trace organic indices. Background values of common inorganic chemical indices and inorganic toxicology indices were estimated with the cumulative-probability curve method, and the results showed that the background values of Mg 2+ (51.1 mg L -1 ), total hardness (TH) (509.4 mg L -1 ), and NO 3 - (182.4 mg L -1 ) are all higher than the corresponding grade III values of Quality Standard for Groundwater, indicating that they were poor indicators and therefore were not included in the groundwater quality assessment. The quality assessment results displayed that the field test indices were mainly classified as grade II, accounting for 60.87% of wells sampled. The indices of common inorganic chemical and inorganic toxicology were both mostly in the range of grade III, whereas the trace organic indices were predominantly classified as grade I. The variabilities and excess ratios of the indices were also calculated and evaluated. Spatial distributions showed that the groundwater with poor quality indices was mainly located in the northeast of the basin, which was well-connected with seawater intrusion. Additionally, the pollution assessment revealed that groundwater in well 44 was classified as "moderately polluted," wells 5 and 8 were "lightly polluted," and other wells were classified as "unpolluted."
A decade of emerging indications: deep brain stimulation in the United States.
Youngerman, Brett E; Chan, Andrew K; Mikell, Charles B; McKhann, Guy M; Sheth, Sameer A
2016-08-01
OBJECTIVE Deep brain stimulation (DBS) is an emerging treatment option for an expanding set of neurological and psychiatric diseases. Despite growing enthusiasm, the patterns and implications of this rapid adoption are largely unknown. National trends in DBS surgery performed for all indications between 2002 and 2011 are reported. METHODS Using a national database of hospital discharges, admissions for DBS for 14 indications were identified and categorized as either FDA approved, humanitarian device exempt (HDE), or emerging. Trends over time were examined, differences were analyzed by univariate analyses, and outcomes were analyzed by hierarchical regression analyses. RESULTS Between 2002 and 2011, there were an estimated 30,490 discharges following DBS for approved indications, 1647 for HDE indications, and 2014 for emerging indications. The volume for HDE and emerging indications grew at 36.1% annually in comparison with 7.0% for approved indications. DBS for emerging indications occurred at hospitals with more neurosurgeons and neurologists locally, but not necessarily at those with the highest DBS caseloads. Patients treated for HDE and emerging indications were younger with lower comorbidity scores. HDE and emerging indications were associated with greater rates of reported complications, longer lengths of stay, and greater total costs. CONCLUSIONS DBS for HDE and emerging indications underwent rapid growth in the last decade, and it is not exclusively the most experienced DBS practitioners leading the charge to treat the newest indications. Surgeons may be selecting younger and healthier patients for their early experiences. Differences in reported complication rates warrant further attention and additional costs should be anticipated as surgeons gain experience with new patient populations and targets.
Correlation and network analysis of global financial indices
NASA Astrophysics Data System (ADS)
Kumar, Sunil; Deo, Nivedita
2012-08-01
Random matrix theory (RMT) and network methods are applied to investigate the correlation and network properties of 20 financial indices. The results are compared before and during the financial crisis of 2008. In the RMT method, the components of eigenvectors corresponding to the second largest eigenvalue form two clusters of indices in the positive and negative directions. The components of these two clusters switch in opposite directions during the crisis. The network analysis uses the Fruchterman-Reingold layout to find clusters in the network of indices at different thresholds. At a threshold of 0.6, before the crisis, financial indices corresponding to the Americas, Europe, and Asia-Pacific form separate clusters. On the other hand, during the crisis at the same threshold, the American and European indices combine together to form a strongly linked cluster while the Asia-Pacific indices form a separate weakly linked cluster. If the value of the threshold is further increased to 0.9 then the European indices (France, Germany, and the United Kingdom) are found to be the most tightly linked indices. The structure of the minimum spanning tree of financial indices is more starlike before the crisis and it changes to become more chainlike during the crisis. The average linkage hierarchical clustering algorithm is used to find a clearer cluster structure in the network of financial indices. The cophenetic correlation coefficients are calculated and found to increase significantly, which indicates that the hierarchy increases during the financial crisis. These results show that there is substantial change in the structure of the organization of financial indices during a financial crisis.
Correlation and network analysis of global financial indices.
Kumar, Sunil; Deo, Nivedita
2012-08-01
Random matrix theory (RMT) and network methods are applied to investigate the correlation and network properties of 20 financial indices. The results are compared before and during the financial crisis of 2008. In the RMT method, the components of eigenvectors corresponding to the second largest eigenvalue form two clusters of indices in the positive and negative directions. The components of these two clusters switch in opposite directions during the crisis. The network analysis uses the Fruchterman-Reingold layout to find clusters in the network of indices at different thresholds. At a threshold of 0.6, before the crisis, financial indices corresponding to the Americas, Europe, and Asia-Pacific form separate clusters. On the other hand, during the crisis at the same threshold, the American and European indices combine together to form a strongly linked cluster while the Asia-Pacific indices form a separate weakly linked cluster. If the value of the threshold is further increased to 0.9 then the European indices (France, Germany, and the United Kingdom) are found to be the most tightly linked indices. The structure of the minimum spanning tree of financial indices is more starlike before the crisis and it changes to become more chainlike during the crisis. The average linkage hierarchical clustering algorithm is used to find a clearer cluster structure in the network of financial indices. The cophenetic correlation coefficients are calculated and found to increase significantly, which indicates that the hierarchy increases during the financial crisis. These results show that there is substantial change in the structure of the organization of financial indices during a financial crisis.
Use of comparative performance indicators in rehabilitation.
Zidarov, Diana; Poissant, Lise; Sicotte, Claude
The development of performance indicators that enable benchmarking between organizations is an important mechanism for accountability, organizational learning, and performance improvement. In the province of Quebec (Canada), 21 rehabilitation organizations developed a common set of performance indicators through interorganizational collaboration. The aims of this study were to describe the rehabilitation organizations' use of a common set of performance indicators and to identify the factors influencing such use. A qualitative survey was performed. Individual semistructured interviews were conducted with executives (n = 18) working at 16 rehabilitation organizations using a common set of performance indicators. A thematic analysis of the factors of use was performed according to the Consolidated Framework for Implementation Research. The use of performance indicators was categorized as purposeful, political, or passive. Our results showed that all organizations used the common set of performance indicators. Four factors were identified as important to all the rehabilitation organizations to explain their interest in comparative performance indicators: the need to develop their own performance indicators, the compatibility of performance information with organizational needs, complexity/simplicity of performance information, and the support offered by their common association. Sixty-three percent of rehabilitation organizations made purposeful or political use of performance indicators. Three main factors contributed to typify those organizations from the others: the perceived quality of the performance indicators, the leadership of decision makers, and the resources available. Our results showed that use of performance indicators can support the initiation of projects for improving the quality of care. Key recommendations are proposed to decision makers that may enhance performance indicators' use.
On Multiple Zagreb Indices of TiO2 Nanotubes.
Malik, Mehar Ali; Imran, Muhammad
2015-01-01
The First and Second Zagreb indices were first introduced by I. Gutman and N. Trinajstic in 1972. It is reported that these indices are useful in the study of anti-inflammatory activities of certain chemical instances, and in elsewhere. Recently, the first and second multiple Zagreb indices of a graph were introduced by Ghorbani and Azimi in 2012. In this paper, we calculate the Zagreb indices and the multiplicative versions of the Zagreb indices of an infinite class of Titania nanotubes TiO(2)[m,n].
Applications of the Conceptual Density Functional Theory Indices to Organic Chemistry Reactivity.
Domingo, Luis R; Ríos-Gutiérrez, Mar; Pérez, Patricia
2016-06-09
Theoretical reactivity indices based on the conceptual Density Functional Theory (DFT) have become a powerful tool for the semiquantitative study of organic reactivity. A large number of reactivity indices have been proposed in the literature. Herein, global quantities like the electronic chemical potential μ, the electrophilicity ω and the nucleophilicity N indices, and local condensed indices like the electrophilic P k + and nucleophilic P k - Parr functions, as the most relevant indices for the study of organic reactivity, are discussed.
Evaluation of Rock Joint Coefficients
NASA Astrophysics Data System (ADS)
Audy, Ondřej; Ficker, Tomáš
2017-10-01
A computer method for evaluation of rock joint coefficients is described and several applications are presented. The method is based on two absolute numerical indicators that are formed by means of the Fourier replicas of rock joint profiles. The first indicator quantifies the vertical depth of profiles and the second indicator classifies wavy character of profiles. The absolute indicators have replaced the formerly used relative indicators that showed some artificial behavior in some cases. This contribution is focused on practical computations testing the functionality of the newly introduced indicators.
McGillis Hall, Linda; Peterson, Jessica; Baker, G Ross; Brown, Adalsteinn D; Pink, George H; McKillop, Ian; Daniel, Imtiaz; Pedersen, Cheryl
2008-01-01
This study examined relationships between financial indicators for nurse staffing and organizational system integration and change indicators. These indicators, along with hospital location and type, were examined in relation to the nursing financial indicators. Results showed that different indicators predicted each of the outcome variables. Nursing care hours were predicted by the hospital type, geographic location, and the system. Both nursing and patient care hours were significantly related to dissemination and benchmarking of clinical data.
NASA Technical Reports Server (NTRS)
Anderson, G. E.; Loo, S. (Inventor)
1985-01-01
A fluid leak indicator for detecting and indicating leaks in visually inaccessible fluid tubing joints, such as those obstructed by insulation includes a bag system and a wicking system surrounding or wrapping the joints under the visual obstructing material. Leaking fluid is collected in the bag or on the wicking material where it is conducted along the wicking material to a visily accessible capturing transparent indicator bulb for providing a visual indication of the leak without requiring a chemical change in the capturing indicator bulb.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Dale, Virginia H.; Efroymson, Rebecca Ann; Kline, Keith L.
2012-10-16
Indicators are needed to assess both socioeconomic and environmental sustainability of bioenergy systems. Effective indicators can help to identify and quantify the sustainability attributes of bioenergy options. We identify 16 socioeconomic indicators that fall into the categories of social well-being, energy security, trade, profitability, resource conservation, and social acceptability. The suite of indicators is predicated on the existence of basic institutional frameworks to provide governance, legal, regulatory and enforcement services. Indicators were selected to be practical, sensitive to stresses, unambiguous, anticipatory, predictive, calibrated with known variability, and sufficient when considered collectively. The utility of each indicator, methods for its measurement,more » and applications appropriate for the context of particular bioenergy systems are described along with future research needs. Together, this suite of indicators is hypothesized to reflect major socioeconomic effects of the full supply chain for bioenergy, including feedstock production and logistics, conversion to biofuels, biofuel logistics and biofuel end uses. Ten of those 16 indicators are proposed to be the minimum list of practical measures of socioeconomic aspects of bioenergy sustainability. Coupled with locally-prioritized environmental indicators, we propose that these socioeconomic indicators can provide a basis to quantify and evaluate sustainability of bioenergy systems across many regions in which they will be deployed.« less
A paper-based Colorimetric Indicator Label using Natural Dye for Monitoring Shrimp Spoilage
NASA Astrophysics Data System (ADS)
Listyarini, A.; Sholihah, W.; Imawan, C.
2018-05-01
Shrimp is a type of perishable food. This study developed a simple indicator label using colorimetric method for monitoring shrimp freshness. This indicator label was made from natural dye extract of Ruellia simplex flowers which immobilized on cellulose paper by dip coating method. The indicator labels were used for examining freshness of shrimp. In this experiment, shrimp were stored in sealed bottles that have been labeled using the indicator and stored at 13 °C, 25 °C, and 40 °C for a certain range of time. Color changes of the indicator labels were observed using digital photography after shrimp storage for 0 h, 2 h, 17 h and 24 h. The color changes that occur were quantified and analyzed using the ImageJ program. The color of the indicator label when detecting the fresh shrimp was pink and after the shrimp spoilage began, the color of the label changed to purple and then became yellow when the shrimp is badly spoilage. The color change rates of label indicator increases as the shrimp storage temperature increased. These results indicate that this label indicator can be used as an indicator of the freshness of shrimps and it is not toxic and safe for food.
H-indices of Academic Pediatricians of Mashhad University of Medical Sciences.
Hamidreza, Kianifar; Javad, Akhoondian; Ramin, Sadeghi; Leili, Zarifmahmoudi
2013-12-01
Web of Science, Scopus, and Google Scholar are three major sources which provide h-indices for individual researchers. In this study we aimed to compare the h-indices of the academic pediatricians of Mashhad University of Medical Sciences obtained from the above mentioned sources. Academic pediatrician who had at least 5 ISI indexed articles entered the study. Information required for evaluating the h-indices of the included researchers were retrieved from official websites Web of Science (WOS), Scopus, and Google Scholar (GS). Correlations between obtained h-indices from the mentioned databases were analyzed using Spearrman correlation coefficient. Ranks of each researcher according to each database h-index were also evaluated. In general, 16 pediatricians entered the study. Computed h-indices for individual authors were different in each database. Correlations between obtained h-indices were: 0.439 (ISI and Scopus), 0.488 (ISI and GS), and 0.810 (Scopus and GS). Despite differences between evaluated h-indices in each database for individual authors, the rankings according to these h-indices were almost similar. Although h-indices supplied by WOS, SCOPUS, and GS can be used interchangeably, their differences should be acknowledged. Setting up "ReasercherID" in WOS and "User profile" in GS, and giving regular feedback to SCOPUS can increase the validity of the calculated h-indices.
Van Damme, N; Buijck, B; Van Hecke, A; Verhaeghe, S; Goossens, E; Beeckman, D
2016-01-01
To develop a content validated set of indicators to evaluate the quality of meals and meal service in residential facilities for elderly. Inadequate food intake is an important risk factor for malnutrition in residential facilities for elderly. Through better meeting the needs and preferences of residents and optimization of meals and meal service, residents' food intake can improve. No indicators were available which could help to guide strategies to improve the quality of meals and meal service. The indicator set was developed according to the Indicator Development Manual of the Dutch Institute for Health Care Improvement (CBO). The working group consisted of three nurse researchers and one expert in gastrology and had expertise in elderly care, malnutrition, indicator development, and food quality. A preliminary list of potential indicators was compiled using the literature and the working group's expertise. Criteria necessary to measure the indicator in practice were developed for each potential indicator. In a double Delphi procedure, the list of potential indicators and respective criteria were analyzed for content validity, using a multidisciplinary expert panel of 11 experts in elderly meal care. A preliminary list of 20 quality indicators, including 45 criteria, was submitted to the expert panel in a double Delphi procedure. After the second Delphi round, 13 indicators and 25 criteria were accepted as having content validity. The content validity index (CVI) ranged from 0.83 to 1. The indicator set consisted of six structural, four result, and three outcome indicators covering the quality domains food, service and choice, as well as nutritional screening. The criteria measure diverse aspects of meal care which are part of the responsibility of kitchen staff and health care professionals. The 'quality of meals and meal service' set of indicators is a resource to map meal quality in residential facilities for elderly. As soon as feasibility tests in practice are completed, the indicator set can be used to guide meal and meal service quality improvement projects in collaboration with kitchen staff and health care professionals. These improvement projects will help to improve food intake and reduce the risk of malnutrition among elders living in residential facilities.
Flenady, Vicki; Wojcieszek, Aleena M; Fjeldheim, Ingvild; Friberg, Ingrid K; Nankabirwa, Victoria; Jani, Jagrati V; Myhre, Sonja; Middleton, Philippa; Crowther, Caroline; Ellwood, David; Tudehope, David; Pattinson, Robert; Ho, Jacqueline; Matthews, Jiji; Bermudez Ortega, Aurora; Venkateswaran, Mahima; Chou, Doris; Say, Lale; Mehl, Garret; Frøen, J Frederik
2016-09-30
Electronic health registries - eRegistries - can systematically collect relevant information at the point of care for reproductive, maternal, newborn and child health (RMNCH). However, a suite of process and outcome indicators is needed for RMNCH to monitor care and to ensure comparability between settings. Here we report on the assessment of current global indicators and the development of a suite of indicators for the WHO Essential Interventions for use at various levels of health care systems nationally and globally. Currently available indicators from both household and facility surveys were collated through publicly available global databases and respective survey instruments. We then developed a suite of potential indicators and associated data points for the 45 WHO Essential Interventions spanning preconception to newborn care. Four types of performance indicators were identified (where applicable): process (i.e. coverage) and outcome (i.e. impact) indicators for both screening and treatment/prevention. Indicators were evaluated by an international expert panel against the eRegistries indicator evaluation criteria and further refined based on feedback by the eRegistries technical team. Of the 45 WHO Essential Interventions, only 16 were addressed in any of the household survey data available. A set of 216 potential indicators was developed. These indicators were generally evaluated favourably by the panel, but difficulties in data ascertainment, including for outcome measures of cause-specific morbidity and mortality, were frequently reported as barriers to the feasibility of indicators. Indicators were refined based on feedback, culminating in the final list of 193 total unique indicators: 93 for preconception and antenatal care; 53 for childbirth and postpartum care; and 47 for newborn and small and ill baby care. Large gaps exist in the availability of information currently collected to support the implementation of the WHO Essential Interventions. The development of this suite of indicators can be used to support the implementation of eRegistries and other data platforms, to ensure that data are utilised to support evidence-based practice, facilitate measurement and accountability, and improve maternal and child health outcomes.
The Gulf of Maine Council’s EcoSystem Indicator Partnership (ESIP) was formed in 2006 to look at change in the health of the Gulf of Maine ecosystem through the use of indicators. ESIP’s initial approach to indicator development focused on seven ecosystem themes, whic...
Code of Federal Regulations, 2010 CFR
2010-04-01
... agreed to under § 666.120 for core indicators of performance or customer satisfaction indicators for the... meet the negotiated levels of performance for core indicators of performance or customer satisfaction... indicators of performance and customer satisfaction indicators for that program. (WIA sec. 136(g).) (d) Only...
ERIC Educational Resources Information Center
Van den Berghe, Wouter
Indicators are used in quite different ways in vocational education and training, from control and accountability to performance and quality purposes. A classification model has been proposed in which many indicators can fit. It is based on two important dimensions of indicators: (1) the "message" relating to the information content,…
Education in States and Nations: Indicators Comparing U.S. States with the OECD Countries in 1988.
ERIC Educational Resources Information Center
Salganik, Laura Hersh; And Others
This report is based on the first international education indicators produced by the Organization for Economic Co-operation and Development (OECD). The 16 indicators were chosen to take advantage of data available in "Education at a Glance," the most up-to-date set of international educational indicators. Indicators are grouped into…
Pawłowska, Zofia
2015-01-01
Improvement of occupational safety and health (OSH) management is closely related to the development of OSH performance measurement, which should include OSH outcomes (e.g., occupational accidents), OSH inputs (including working conditions) and OSH-related activities. The indicators used to measure the OSH outcomes are often called lagging indicators, and the indicators of inputs and OSH activities are leading indicators. A study was conducted in 60 companies in order to determine what kinds of indicators were used for OSH performance measurement by companies with different levels of OSH performance. The results reveal that the indicators most commonly used in all of the companies are those related to ensuring compliance with the statutory requirements. At the same time, the leading indicators are much more often adopted in companies with a higher performance level. These companies also much more often monitor on a regular basis the indicators adopted for the evaluation of their OSH performance.
Lydy, M.J.; Crawford, Charles G.; Frey, J.W.
2000-01-01
Implementation of advanced wastewater treatment at the two municipal wastewater-treatment plants for Indianapolis, Indiana, resulted in substantial improvement in the quality of the receiving stream and significant changes in the benthic-invertebrate community. Diversity, similarity, and biotic indices were compared to determine which indices best reflected changes in the composition of the biota in the river. None of the indices perfectly reflected the changes in river quality or community structure. Similarity indices, especially percentage similarity, exhibit the most promise of the three classes of indices. Diversity indices were least useful, wrongly indicating that water quality deteriorated after the upgrade of the wastewater-treatment plants. The most descriptive tool in analyzing the data was the percentage of Ephemeroptera, Plecoptera, and Trichoptera (EPT) taxa present. Using a mixture of indices and other analytical tools, such as EPT, in the analysis of biological data will ensure the most effective investigations of water quality.
Pawłowska, Zofia
2015-01-01
Improvement of occupational safety and health (OSH) management is closely related to the development of OSH performance measurement, which should include OSH outcomes (e.g., occupational accidents), OSH inputs (including working conditions) and OSH-related activities. The indicators used to measure the OSH outcomes are often called lagging indicators, and the indicators of inputs and OSH activities are leading indicators. A study was conducted in 60 companies in order to determine what kinds of indicators were used for OSH performance measurement by companies with different levels of OSH performance. The results reveal that the indicators most commonly used in all of the companies are those related to ensuring compliance with the statutory requirements. At the same time, the leading indicators are much more often adopted in companies with a higher performance level. These companies also much more often monitor on a regular basis the indicators adopted for the evaluation of their OSH performance. PMID:26647949
State and group dynamics of world stock market by principal component analysis
NASA Astrophysics Data System (ADS)
Nobi, Ashadun; Lee, Jae Woo
2016-05-01
We study the dynamic interactions and structural changes by a principal component analysis (PCA) to cross-correlation coefficients of global financial indices in the years 1998-2012. The variances explained by the first PC increase with time and show a drastic change during the crisis. A sharp change in PC coefficient implies a transition of market state, a situation which occurs frequently in the American and Asian indices. However, the European indices remain stable over time. Using the first two PC coefficients, we identify indices that are similar and more strongly correlated than the others. We observe that the European indices form a robust group over the observation period. The dynamics of the individual indices within the group increase in similarity with time, and the dynamics of indices are more similar during the crises. Furthermore, the group formation of indices changes position in two-dimensional spaces due to crises. Finally, after a financial crisis, the difference of PCs between the European and American indices narrows.
Continued Evaluation of Gear Condition Indicator Performance on Rotorcraft Fleet
NASA Technical Reports Server (NTRS)
Delgado, Irebert R.; Dempsey, Paula J.; Antolick, Lance J.; Wade, Daniel R.
2013-01-01
This paper details analyses of condition indicator performance for the helicopter nose gearbox within the U.S. Army's Condition-Based Maintenance Program. Ten nose gearbox data sets underwent two specific analyses. A mean condition indicator level analysis was performed where condition indicator performance was based on a 'batting average' measured before and after part replacement. Two specific condition indicators, Diagnostic Algorithm 1 and Sideband Index, were found to perform well for the data sets studied. A condition indicator versus gear wear analysis was also performed, where gear wear photographs and descriptions from Army tear-down analyses were categorized based on ANSI/AGMA 1010-E95 standards. Seven nose gearbox data sets were analyzed and correlated with condition indicators Diagnostic Algorithm 1 and Sideband Index. Both were found to be most responsive to gear wear cases of micropitting and spalling. Input pinion nose gear box condition indicators were found to be more responsive to part replacement during overhaul than their corresponding output gear nose gear box condition indicators.
IDIOS: An innovative index for evaluating dental imaging-based osteoporosis screening indices.
Barngkgei, Imad; Halboub, Esam; Almashraqi, Abeer Abdulkareem; Khattab, Razan; Al Haffar, Iyad
2016-09-01
The goal of this study was to develop a new index as an objective reference for evaluating current and newly developed indices used for osteoporosis screening based on dental images. Its name; IDIOS, stands for Index of Dental-imaging Indices of Osteoporosis Screening. A comprehensive PubMed search was conducted to retrieve studies on dental imaging-based indices for osteoporosis screening. The results of the eligible studies, along with other relevant criteria, were used to develop IDIOS, which has scores ranging from 0 (0%) to 15 (100%). The indices presented in the studies we included were then evaluated using IDIOS. The 104 studies that were included utilized 24, 4, and 9 indices derived from panoramic, periapical, and computed tomographic/cone-beam computed tomographic techniques, respectively. The IDIOS scores for these indices ranged from 0 (0%) to 11.75 (78.32%). IDIOS is a valuable reference index that facilitates the evaluation of other dental imaging-based osteoporosis screening indices. Furthermore, IDIOS can be utilized to evaluate the accuracy of newly developed indices.
Retractable Visual Indicator Assembly
NASA Technical Reports Server (NTRS)
Hackler, George R. (Inventor); Gamboa, Ronald J. (Inventor); Dominquez, Victor (Inventor)
1998-01-01
A retractable indicator assembly may be mounted on a container which transmits air through the container and removes deleterious gases with an activated charcoal medium in the container. The assembly includes: an elongate indicator housing has a chamber therein; a male adaptor with an external threads is used for sealing engagement with the container; a plug located at the upper end of the housing; a housing that includes a transparent wall portion for viewing at least a portion of the chamber; a litmus indicator, moveable by a retractable rod from a retracted position within the container to an extended position within the chamber of the housing; and an outer housing that is secured to the upper end of the rod, and protects the indicator housing while the litmus indicator is in its normally retracted position. The assembly may be manually manipulated between its extended position wherein the litmus indicator may be viewed through the transparent wall of the indicator housing, and a retracted position wherein the outer housing encloses the indicator housing and engages the exterior of the container.
Doebler, Klaus; Geraedts, Max
2017-12-20
The value and usefulness of the results of indicator-based performance measurement in healthcare for different purposes do not only depend on the methodological quality of the individual indicators but also on the composition of the indicator sets. So far, the balance of the currently used indicator sets of the German mandatory national performance measurement system for hospitals has not been systematically analyzed. Due to the lack of a methodological gold standard for the assessment of balance and orientation of indicator sets we adapted the OECD concept of quality dimensions and defined four categories: 1) "Achieving primary goals of treatment", 2) "Avoiding adverse events", 3) "Indication" and 4) "Patient-centeredness". We defined rules for the assignment to the categories and analyzed the distribution of the 239 indicators from 29 medical areas in relation to these categories. 63 indicators (26.4 %) were assigned to the category "Achieving primary goals of treatment", 153 (64.0 %) to the category "Avoiding adverse events", 18 (7.5 %) to the category "Indication", one indicator (0.4 %) to the category "Patient-centeredness". Four indicators (1.7 %) addressed documentation quality. 12 of the 29 indicator sets only covered one OECD quality dimension by at least one indicator. The current indicator sets seem to be unbalanced with a strong focus on the category "Avoiding adverse events". As regards the goal of monitoring the compliance with minimal safety standards and performing improvement interventions, the direction of the indicator sets seems to be appropriate. With respect to other goals, such as for example the identification of "excellence", further development efforts are required. One relevant reason for the dominant focus on the category "Avoiding adverse events" seems to be that data sources for a follow-up and for the inclusion of the patient perspective have not been available until recently. There is a strong demand for the consequent use of these data sources to optimize the interpretability and value of the current performance measurement. The methodological approach presented may offer useful information to assess the value of indicator sets for different purposes although further development and research is necessary. Copyright © 2017. Published by Elsevier GmbH.
Weissmannová, Helena Doležalová; Pavlovský, Jiří
2017-11-07
This article provides the assessment of heavy metal soil pollution with using the calculation of various pollution indices and contains also summarization of the sources of heavy metal soil pollution. Twenty described indices of the assessment of soil pollution consist of two groups: single indices and total complex indices of pollution or contamination with relevant classes of pollution. This minireview provides also the classification of pollution indices in terms of the complex assessment of soil quality. In addition, based on the comparison of metal concentrations in soil-selected sites of the world and used indices of pollution or contamination in soils, the concentration of heavy metal in contaminated soils varied widely, and pollution indices confirmed the significant contribution of soil pollution from anthropogenic activities mainly in urban and industrial areas.
Boulkedid, Rym; Sibony, Olivier; Goffinet, François; Fauconnier, Arnaud; Branger, Bernard; Alberti, Corinne
2013-01-01
Objective Measuring the quality of inpatient obstetrical care using quality indicators is becoming increasingly important for both patients and healthcare providers. However, there is no consensus about which measures are optimal. We describe a modified Delphi method to identify a set of indicators for continuously monitoring the quality of maternity care by healthcare professionals. Methodology and Main Findings An international French-speaking multidisciplinary panel comprising 22 obstetricians-gynaecologists, 12 midwives, and 1 paediatrician assessed potential indicators extracted from a medical literature search, using a two-round Delphi procedure followed by a physical meeting. Each panellist rated each indicator based on validity and feasibility. In the first round, 35 panellists from 5 countries and 20 maternity units evaluated 26 indicators including 15 related to the management of the overall population of pregnant women, 3 to the management of women followed from the first trimester of pregnancy, 2 to the management of low-risk pregnant women, and 6 to the management of neonates. 25 quality indicators were kept for next step. In the second round, 27 (27/35: 77%) panellists selected 17 indicators; the remaining 8 indicators were discussed during a physical meeting. The final set comprised 18 indicators. Conclusion A multidisciplinary panel selected indicators that reflect the quality of obstetrical care. This set of indicators could be used to assess and monitor obstetrical care, with the goal of improving the quality of care in maternity units. PMID:23577143
Petzold, Thomas; Deckert, Stefanie; Williamson, Paula R.; Schmitt, Jochen
2018-01-01
We conducted a systematic review of clinical guidelines (CGs) to examine the methodological approaches of quality indicator derivation in CGs, the frequency of quality indicators to check CG recommendations in routine care, and clinimetric properties of quality indicators. We analyzed the publicly available CG databases of the Association of the Scientific Medical Societies in Germany (AWMF) and National Institute for Health and Care Excellence (NICE). Data on the methodology of subsequent quality indicator derivation, the content and definition of recommended quality indicators, and clinimetric properties of measurement instruments were extracted. In Germany, no explicit methodological guidance exists, but 3 different approaches are used. For NICE, a general approach is used for the derivation of quality indicators out of quality standards. Quality indicators were defined in 34 out of 87 CGs (39%) in Germany and for 58 out of 133 (43%) NICE CGs. Statements regarding measurement properties of instruments for quality indicator assessment were missing in German and NICE documents. Thirteen pairs of CGs (32%) have associated quality indicators. Thirty-four quality indicators refer to the same aspect of the quality of care, which corresponds to 27% of the German and 7% of NICE quality indicators. The development of a standardized and internationally accepted methodology for the derivation of quality indicators relevant to CGs is needed to measure and compare quality of care in health care systems. PMID:29591538
Developing quality indicators for community services: the case of district nursing.
Davies, Philippa; Wye, Lesley; Horrocks, Sue; Salisbury, Chris; Sharp, Debbie
2011-01-01
Quality indicators exist for the acute and primary care sectors in the National Health Service (NHS), but until recently little attention has been given to measuring the quality of community services. The innovative project described in this paper attempted to address that gap. To produce a framework for developing quality indicators for Bristol Community Health services. To develop a set of initial indicators for Bristol Community Health services using the proposed framework. After familiarising ourselves with community services and NHS policy, gathering the views of stakeholders and consulting the literature on quality indicators, we designed a framework for indicator development, using the 'test' case of the district nursing service. The long list of possible indicators came from best practice guidelines for wound, diabetes and end of life care, the three conditions most commonly treated by district nurses. To narrow down this list we surveyed and held workshops with district nurses, interviewed service users by telephone and met with commissioners and senior community health managers. The final set of quality indicators for district nurses included 23 organisational and clinical process and outcome indicators and eight patient experience indicators. These indicators are now being piloted, together with two potential tools identified to capture patient reported outcomes. Developing quality indicators for community services is time consuming and resource intensive. A range of skills are needed including clinical expertise, project management and skills in evidence-based medicine. The commitment and involvement of front-line professionals is crucial.
Zhang, T Q; Zheng, Z M; Lal, R; Lin, Z Q; Sharpley, A N; Shober, A L; Smith, D; Tan, C S; Van Cappellen, P
2018-03-01
Environmental indicators are powerful tools for tracking environmental changes, measuring environmental performance, and informing policymakers. Many diverse environmental indicators, including agricultural environmental indicators, are currently in use or being developed. This special collection of technical papers expands on the peer-reviewed literature on environmental indicators and their application to important current issues in the following areas: (i) model-derived indicators to indicate phosphorus losses from arable land to surface runoff and subsurface drainage, (ii) glutathione-ascorbate cycle-related antioxidants as early-warning bioindicators of polybrominated diphenyl ether toxicity in mangroves, and (iii) assessing the effectiveness of using organic matrix biobeds to limit herbicide dissipation from agricultural fields, thereby controlling on-farm point-source pollution. This introductory review also provides an overview of environmental indicators, mainly for agriculture, with examples related to the quality of the agricultural soil-water-air continuum and the application of model-derived indicators. Current knowledge gaps and future lines of investigation are also discussed. It appears that environmental indicators, particularly those for agriculture, work efficiently at the field, catchment, and local scales and serve as valuable metrics of system functioning and response; however, these indicators need to be refined or further developed to comprehensively meet community expectations in terms of providing a consistent picture of relevant issues and/or allowing comparisons to be made nationally or internationally. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.
NASA Astrophysics Data System (ADS)
James, C. Andrew; Kershner, Jessi; Samhouri, Jameal; O'Neill, Sandra; Levin, Phillip S.
2012-03-01
Ecosystem-based Management (EBM) is an approach that includes different management priorities and requires a balance between anthropogenic and ecological resource demands. Indicators can be used to monitor ecosystem status and trends, and assess whether projects and/or programs are leading to the achievement of management goals. As such, the careful selection of a suite of indicators is a crucial exercise. In this paper we describe an indicator evaluation and selection process designed to support the EBM approach in Puget Sound. The first step in this process was the development of a general framework for selecting indicators. The framework, designed to transparently include both scientific and policy considerations into the selection and evaluation process, was developed and then utilized in the organization and determination of a preliminary set of indicators. Next, the indicators were assessed against a set of nineteen distinct criteria that describe the model characteristics of an indicator. A literature review was performed for each indicator to determine the extent to which it satisfied each of the evaluation criteria. The result of each literature review was summarized in a numerical matrix, allowing comparison, and demonstrating the extent of scientific reliability. Finally, an approach for ranking indicators was developed to explore the effects of intended purpose on indicator selection. We identified several sets of scientifically valid and policy-relevant indicators that included metrics such as annual-7 day low flow and water system reliability, which are supportive of the EBM approach in the Puget Sound.
Role of Nematodes in Soil Health and Their Use as Indicators
Neher, Deborah A.
2001-01-01
The composition of nematode communities (plant-parasitic and free-living) may be used as bioindicators of soil health or condition because composition correlates well with nitrogen cycling and decomposition, two critical ecological processes in soil. Maturity and trophic diversity indices withstand statistical rigor better than do abundances, proportions, or ratios of trophic groups. Maturity indices respond to a variety of land-management practices, based largely on inferred life history characteristics of families. Similarity indices may be more useful than diversity indices because they reflect taxon composition. Improving existing indices or developing alternative indices refined by a greater understanding of the biology of key taxa may enhance the utility of nematodes as bioindicators. PMID:19265875
[Indicators of communication and degree of professional integration in healthcare].
Mola, Ernesto; Maggio, Anna; Vantaggiato, Lucia
2009-01-01
According to the chronic care model, improving the management of chronic illness requires efficient communication between health care professionals and the creation of a web of integrated healthcare The aim of this study was to identify an efficient methodology for evaluating the degree of professional integration through indicators related to communication between healthcare professionals. The following types of indicators were identified:-structure indicators to evaluate the presence of prerequisites necessary for implementing the procedures -functional indicators to quantitatively evaluate the use of communications instruments-performance indicators Defining specific indicators may be an appropriate methodology for evaluating the degree of integration and communication between health professionals, available for a bargaining system of incentives.
Developing an Indicator System for Schools of Choice: A Balanced Scorecard Approach
ERIC Educational Resources Information Center
Brown, Richard S.; Wohlstetter, Priscilla; Liu, Sunny
2008-01-01
This article describes the process of developing an indicator system that goes beyond a single indicator of school progress or performance. The system relies on a set of school indicators that uses data that public schools routinely report to state agencies for compliance purposes. The framework for the indicator system is based on the idea of…
ERIC Educational Resources Information Center
Tighe, Elizabeth L.; Wagner, Richard K.; Schatschneider, Christopher
2015-01-01
This study demonstrates the utility of applying a causal indicator modeling framework to investigate important predictors of reading comprehension in third, seventh, and tenth grade students. The results indicated that a 4-factor multiple indicator multiple indicator cause (MIMIC) model of reading comprehension provided adequate fit at each grade…
Attracting Attention for the Cause. The Reporting of Three Indices in the UK National Press
ERIC Educational Resources Information Center
Morse, Stephen
2011-01-01
Indicators and indices (a collection of indicators into a single value) have been promoted for some time as convenient devices for the presentation of complex datasets to a more general audience. Examples of indices are the corruption perception index (CPI), human development index (HDI) and ecological footprint (EF). The research reported in this…
Federal Register 2010, 2011, 2012, 2013, 2014
2012-06-11
...-indicator of the Capital Fund indicator to all PHAs for the Capital Fund Indicator under the PHAS interim... transition to the scoring system implemented by the PHAS interim rule, especially as relates to the indicator that assesses occupancy rate. The 5 points for the occupancy sub-indicator will be awarded for fiscal...
Mental health indicator interaction in predicting substance abuse treatment outcomes in nevada.
Greenfield, Lawrence; Wolf-Branigin, Michael
2009-01-01
Indicators of co-occurring mental health and substance abuse problems routinely collected at treatment admission in 19 State substance abuse treatment systems include a dual diagnosis and a State mental health (cognitive impairment) agency referral. These indicators have yet to be compared as predictors of treatment outcomes. 1. Compare both indices as outcomes predictors individually and interactively. 2. Assess relationship of both indices to other client risk factors, e.g., physical/sexual abuse. Client admission and discharge records from the Nevada substance abuse treatment program, spanning 1995-2001 were reviewed (n = 17,591). Logistic regression analyses predicted treatment completion with significant improvement (33%) and treatment readmission following discharge (21%). Using Cox regression, the number of days from discharge to treatment readmission was predicted. Examined as predictors were two mental health indicators and their interaction with other admission and treatment variables controlled. Neither mental health indicator alone significantly predicted any of the three outcomes; however, the interaction between the two indicators significantly predicted each outcome (p < .05). Having both indices was highly associated with physical/sexual abuse, domestic violence, homelessness, out of labor force and prior treatment. Indicator interactions may help improve substance abuse treatment outcomes prediction.
Kayser, Georgia L; Moriarty, Patrick; Fonseca, Catarina; Bartram, Jamie
2013-10-11
Monitoring of water services informs policy and planning for national governments and the international community. Currently, the international monitoring system measures the type of drinking water source that households use. There have been calls for improved monitoring systems over several decades, some advocating use of multiple indicators. We review the literature on water service indicators and frameworks with a view to informing debate on their relevance to national and international monitoring. We describe the evidence concerning the relevance of each identified indicator to public health, economic development and human rights. We analyze the benefits and challenges of using these indicators separately and combined in an index as tools for planning, monitoring, and evaluating water services. We find substantial evidence on the importance of each commonly recommended indicator--service type, safety, quantity, accessibility, reliability or continuity of service, equity, and affordability. Several frameworks have been proposed that give structure to the relationships among individual indicators and some combine multiple indicator scores into a single index but few have been rigorously tested. More research is needed to understand if employing a composite metric of indicators is advantageous and how each indicator might be scored and scaled.
NASA Astrophysics Data System (ADS)
Amrina, E.; Yulianto, A.
2018-03-01
Sustainable maintenance is a new challenge for manufacturing companies to realize sustainable development. In this paper, an interpretive structural model is developed to evaluate sustainable maintenance in the rubber industry. The initial key performance indicators (KPIs) is identified and derived from literature and then validated by academic and industry experts. As a result, three factors of economic, social, and environmental dividing into a total of thirteen indicators are proposed as the KPIs for sustainable maintenance evaluation in rubber industry. Interpretive structural modeling (ISM) methodology is applied to develop a network structure model of the KPIs consisting of three levels. The results show the economic factor is regarded as the basic factor, the social factor as the intermediate factor, while the environmental factor indicated to be the leading factor. Two indicators of social factor i.e. labor relationship, and training and education have both high driver and dependence power, thus categorized as the unstable indicators which need further attention. All the indicators of environmental factor and one indicator of social factor are indicated as the most influencing indicator. The interpretive structural model hoped can aid the rubber companies in evaluating sustainable maintenance performance.
[Development of quality of care indicators to support chronic disease management].
Beaulieu, Marie-dominique; Pomey, Marie-pascale; Del Grande, Claudio; Côté, Brigitte; Tremblay, Éric; Ghorbel, Monia; Hua, Phuong
2015-01-01
This article presents the results of a project conducted by the Institut national d'excellence en santé et en services sociaux of Québec to develop quality of care indicators for the management of six chronic illnesses. Indicators were identified through literature searches and analysis of clinical practice guidelines (CPGs). Interdisciplinary expert panels assessed their validity and the strength of the evidence on which they were based. Representatives of patients (N = 19) and professionals (N = 29) were consulted on their relevance and acceptability. Indicators were categorized according to the Chronic Care Model (CCM). A total of 164 indicators were developed, 126 specific to the illnesses under study and 38 on processes and outcomes generic to the CCM. There was convergence between patients and professionals on the relevance of a majority of indicators. Professionals expressed concerns on the indicators measured by means of patient surveys that they considered to be too subjective. The importance given to CPGs as the main source of indicators resulted in a great number of indicators of the technical quality ofcare. Using the CCM contributed to a broader perspective of quality. The consultation process identified some of the concerns of professionals about indicator measurement, thusguidingfuture implementation initiatives.
[Quality indicators in the storage and dispensing process in a Hospital Pharmacy].
Rabuñal-Álvarez, M T; Calvin-Lamas, M; Feal-Cortizas, B; Martínez-López, L M; Pedreira-Vázquez, I; Martín-Herranz, M I
2014-01-01
To establish indicators for the evaluation of the quality of the storage and dispensing processes related to semiautomatic vertical (SAVCS) and horizontal (SAHCS) carousel systems. Descriptive observational study conducted between January-December 2012. Definition of quality indicators, a target value is established and an obtained value is calculated for 2012. Five quality indicators in the process of storage and dispensing of drugs were defined and calculated: indicator 1, error filling unidose trolleys: target (<1.67%), obtained (1.03%); indicator 2, filling accuracy unidose trolleys by using an SAVCS: target (<15%), obtained (11.5%); indicator 3, reliability of drug inventory in the process of drug entries using an SAHCS: target (<15%), obtained (6.53%); indicator 4, reliability of drug inventory in the picking process of orders replacement stock of clinical units using an SAHCS: target (<10%), obtained (1.97%); indicator 5, accuracy of the picking process of drug orders using an SAHCS: target (<10%), obtained (10.41%). Establishing indicators has allowed the quality in terms of safety, precision and reliability of semiautomatic systems for storage and dispensing drugs to be assessed. Copyright © 2014 SECA. Published by Elsevier Espana. All rights reserved.
Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas.
Gao, Hongda; Chen, He; Feng, Jun; Qin, Xianjing; Wang, Xuan; Liang, Shenglin; Zhao, Jinmin; Feng, Qiming
2018-05-01
Objective Since the Guangxi government implemented public county hospital reform in 2009, there have been no studies of county hospitals in this underdeveloped area of China. This study aimed to establish an evaluation indicator system for Guangxi county hospitals and to generate recommendations for hospital development and policymaking. Methods A performance evaluation indicator system was developed based on balanced scorecard theory. Opinions were elicited from 25 experts from administrative units, universities and hospitals and the Delphi method was used to modify the performance indicators. The indicator system and the Topsis method were used to evaluate the performance of five county hospitals randomly selected from the same batch of 2015 Guangxi reform pilots. Results There were 4 first-level indicators, 9 second-level indicators and 36 third-level indicators in the final performance evaluation indicator system that showed good consistency, validity and reliability. The performance rank of the hospitals was B > E > A > C > D. Conclusions The performance evaluation indicator system established using the balanced scorecard is practical and scientific. Analysis of the results based on this indicator system identified several factors affecting hospital performance, such as resource utilisation efficiency, medical service price, personnel structure and doctor-patient relationships.
How Many Environmental Impact Indicators Are Needed in the Evaluation of Product Life Cycles?
Steinmann, Zoran J N; Schipper, Aafke M; Hauck, Mara; Huijbregts, Mark A J
2016-04-05
Numerous indicators are currently available for environmental impact assessments, especially in the field of Life Cycle Impact Assessment (LCIA). Because decision-making on the basis of hundreds of indicators simultaneously is unfeasible, a nonredundant key set of indicators representative of the overall environmental impact is needed. We aimed to find such a nonredundant set of indicators based on their mutual correlations. We have used Principal Component Analysis (PCA) in combination with an optimization algorithm to find an optimal set of indicators out of 135 impact indicators calculated for 976 products from the ecoinvent database. The first four principal components covered 92% of the variance in product rankings, showing the potential for indicator reduction. The same amount of variance (92%) could be covered by a minimal set of six indicators, related to climate change, ozone depletion, the combined effects of acidification and eutrophication, terrestrial ecotoxicity, marine ecotoxicity, and land use. In comparison, four commonly used resource footprints (energy, water, land, materials) together accounted for 84% of the variance in product rankings. We conclude that the plethora of environmental indicators can be reduced to a small key set, representing the major part of the variation in environmental impacts between product life cycles.
2014-01-01
Background The monitoring and evaluation of health research capacity strengthening (health RCS) commonly involves documenting activities and outputs using indicators or metrics. We sought to catalogue the types of indicators being used to evaluate health RCS and to assess potential gaps in quality and coverage. Methods We purposively selected twelve evaluations to maximize diversity in health RCS, funders, countries, and approaches to evaluation. We explored the quality of the indicators and extracted them into a matrix across individual, institutional, and national/regional/network levels, based on a matrix in the ESSENCE Planning, Monitoring and Evaluation framework. We synthesized across potential impact pathways (activities to outputs to outcomes) and iteratively checked our findings with key health RCS evaluation stakeholders. Results Evaluations varied remarkably in the strengths of their evaluation designs. The validity of indicators and potential biases were documented in a minority of reports. Indicators were primarily of activities, outputs, or outcomes, with little on their inter-relationships. Individual level indicators tended to be more quantitative, comparable, and attentive to equity considerations. Institutional and national–international level indicators were extremely diverse. Although linkage of activities through outputs to outcomes within evaluations was limited, across the evaluations we were able to construct potential pathways of change and assemble corresponding indicators. Conclusions Opportunities for improving health RCS evaluations include work on indicator measurement properties and development of indicators which better encompass relationships with knowledge users. Greater attention to evaluation design, prospective indicator measurement, and systematic linkage of indicators in keeping with theories of change could provide more robust evidence on outcomes of health RCS. PMID:24725961
Wang, Bo
2015-01-01
Objective To characterize the types of comparators and endpoints used in efficacy trials for approvals of supplemental indications, compared with the data supporting these drugs’ originally approved indications. Design Systematic review. Setting Publicly accessible data on supplemental indications approved by the US Food and Drug Administration from 2005 to 2014. Main outcome measures Types of comparators (active, placebo, historical, none) and endpoints (clinical outcomes, clinical scales, surrogate) in the efficacy trials for these drugs’ supplemental and original indication approvals. Results The cohort included 295 supplemental indications. Thirty per cent (41/136) of supplemental approvals for new indications were supported by efficacy trials with active comparators, compared with 51% (47/93) of modified use approvals and 11% (7/65) of approvals expanding the patient population (P<0.001), almost all of which related to pediatric patients (61/65; 94%). Trials using clinical outcome endpoints led to approval for 32% (44/137) of supplemental approvals for new indications, 30% (28/93) of modified indication approvals, and 22% (14/65) of expanded population approvals (P=0.29). Orphan drugs had supplemental approvals for 40 non-orphan indications, which were supported by similar proportions of trials using active comparators (28% (11/40) for non-orphan supplemental indications versus 24% (10/42) for original orphan indications; P=0.70) and clinical outcome endpoints (25% (10/40) versus 31% (13/42); P=0.55). Conclusions Wide variations were seen in the evidence supporting approval of supplemental indications, with the fewest active comparators and clinical outcome endpoints used in trials leading to supplemental approvals that expanded the patient population. PMID:26400844
Sensitivity of plankton indices to lake trophic conditions.
Ochocka, A; Pasztaleniec, A
2016-11-01
Herein, we report the response of indices based on phytoplankton and zooplankton and their combination to different nutrient concentrations in lakes. The study was carried out in ten lakes in northeastern Poland. Integrated samples were collected from the epilimnion during the summer of 2012-2013. Secchi disk visibility (SD), total phosphorus (TP), total nitrogen (TN), and chlorophyll a were used as proxies for eutrophication. We calculated 16 plankton indices: two phytoplankton indices, six crustacean indices, five rotiferan indices, two zooplankton diversity indices, and one combined phytoplankton and zooplankton index. Among them, nine indices with the strongest correlations with TP were selected: percentage share of Crustacean species indicative of high trophy in the indicative group's numbers (IHT CRU ), percentage share of Rotifera species indicative of high trophy in the indicative group's numbers IHT ROT , Crustacean ratio of biomass to numbers B/N CRU , phytoplankton trophic index (TI TP+TN ), Margalef's index, percentage share of cyclopoid biomass in total biomass of Crustacea (CB), Rotifera numbers (N ROT ), biomass of Cyclopoida (B CY ), and ratio of the cyclopoid biomass to the biomass of Cladocera (CY/CL). The sensitivity of the normalized values of these indices to proxies of eutrophication was tested. IHT CRU , IHT ROT , and B/N CRU were the most sensitive and gave the strongest responses at lower TP concentrations (<35 μg/L). The phytoplankton trophic index, TI TP+TN , together with the zooplankton-based Margalef's index and CB were very sensitive in both low (<35 μg/L) and high (>60 μg/L) TP conditions. On the other hand, N ROT , B CY , and CY/CL were slightly sensitive at low TP concentrations while their reaction was notable at high TP concentrations. A similar pattern of response was observed for TN concentration and SD visibility.
Towards sets of hazardous waste indicators. Essential tools for modern industrial management.
Peterson, Peter J; Granados, Asa
2002-01-01
Decision-makers require useful tools, such as indicators, to help them make environmentally sound decisions leading to effective management of hazardous wastes. Four hazardous waste indicators are being tested for such a purpose by several countries within the Sustainable Development Indicator Programme of the United Nations Commission for Sustainable Development. However, these indicators only address the 'down-stream' end-of-pipe industrial situation. More creative thinking is clearly needed to develop a wider range of indicators that not only reflects all aspects of industrial production that generates hazardous waste but considers socio-economic implications of the waste as well. Sets of useful and innovative indicators are proposed that could be applied to the emerging paradigm shift away from conventional end-of-pipe management actions and towards preventive strategies that are being increasingly adopted by industry often in association with local and national governments. A methodological and conceptual framework for the development of a core-set of hazardous waste indicators has been developed. Some of the indicator sets outlined quantify preventive waste management strategies (including indicators for cleaner production, hazardous waste reduction/minimization and life cycle analysis), whilst other sets address proactive strategies (including changes in production and consumption patterns, eco-efficiency, eco-intensity and resource productivity). Indicators for quantifying transport of hazardous wastes are also described. It was concluded that a number of the indicators proposed could now be usefully implemented as management tools using existing industrial and economic data. As cleaner production technologies and waste minimization approaches are more widely deployed, and industry integrates environmental concerns at all levels of decision-making, it is expected that the necessary data for construction of the remaining indicators will soon become available.
Indicators of biodiversity and ecosystem services: A synthesis across ecosystems and spatial scales
Feld, C.K.; Da Silva, P.M.; Sousa, J.P.; De Bello, F.; Bugter, R.; Grandin, U.; Hering, D.; Lavorel, S.; Mountford, O.; Pardo, I.; Partel, M.; Rombke, J.; Sandin, Leonard; Jones, K. Bruce; Harrison, P.
2009-01-01
According to the Millennium Ecosystem Assessment, common indicators are needed to monitor the loss of biodiversity and the implications for the sustainable provision of ecosystem services. However, a variety of indicators are already being used resulting in many, mostly incompatible, monitoring systems. In order to synthesise the different indicator approaches and to detect gaps in the development of common indicator systems, we examined 531 indicators that have been reported in 617 peer-reviewed journal articles between 1997 and 2007. Special emphasis was placed on comparing indicators of biodiversity and ecosystem services across ecosystems (forests, grass- and shrublands, wetlands, rivers, lakes, soils and agro-ecosystems) and spatial scales (from patch to global scale). The application of biological indicators was found most often focused on regional and finer spatial scales with few indicators applied across ecosystem types. Abiotic indicators, such as physico-chemical parameters and measures of area and fragmentation, are most frequently used at broader (regional to continental) scales. Despite its multiple dimensions, biodiversity is usually equated with species richness only. The functional, structural and genetic components of biodiversity are poorly addressed despite their potential value across habitats and scales. Ecosystem service indicators are mostly used to estimate regulating and supporting services but generally differ between ecosystem types as they reflect ecosystem-specific services. Despite great effort to develop indicator systems over the past decade, there is still a considerable gap in the widespread use of indicators for many of the multiple components of biodiversity and ecosystem services, and a need to develop common monitoring schemes within and across habitats. Filling these gaps is a prerequisite for linking biodiversity dynamics with ecosystem service delivery and to achieving the goals of global and sub-global initiatives to halt the loss of biodiversity. ?? 2009 Oikos.
Systematic review: reliability of compendia methods for off-label oncology indications.
Abernethy, Amy P; Raman, Gowri; Balk, Ethan M; Hammond, Julia M; Orlando, Lori A; Wheeler, Jane L; Lau, Joseph; McCrory, Douglas C
2009-03-03
The Centers for Medicare & Medicaid Services limit coverage of cancer drugs for off-label indications to indications listed in specified compendia. To assess whether compendia provide comprehensive, research-based, and timely information for off-label prescribing in oncology. 6 drug compendia, English-language literature searches of MEDLINE and the Cochrane Central Register of Controlled Trials from 2006 and 2008, and American Society of Clinical Oncology annual meeting abstracts from 2004 to 2007. Data Assessment: The compendia's stated methods, literature related to off-label indications of 14 cancer drugs in 2006, updated literature related to 1 off-label indication between 2006 and 2008, and completeness of compendia content and citations were assessed. The compendia's stated methods varied greatly from their actual practices. Compendia cited little of the available evidence, often neither the most recent nor that of highest methodological quality. Compendia differed in evidence cited, terminology, detail, presentation, and referencing. For the 14 off-label indications studied, the compendia differed in the indications included and whether and how they recommended particular agents for particular types of cancer. Update schedules varied, and documentation practices made it difficult to determine whether and when compendia content was updated. For 1 indication, compendia citations did not increase between 2006 and 2008 despite newly published articles. The 2006 analysis was limited to 14 off-label indications; the 2008 update examined 1 indication. Only off-label indications for cancer drugs were included, and results cannot be generalized to noncancer drugs or indications. Oncologists rely on compendia for up-to-date access to evidence and reimbursement information for off-label indications. Current compendia lack transparency, cite little current evidence, and lack systematic methods to review or update evidence.
Assessment of emergency general surgery care based on formally developed quality indicators.
Ingraham, Angela; Nathens, Avery; Peitzman, Andrew; Bode, Allison; Dorlac, Gina; Dorlac, Warren; Miller, Preston; Sadeghi, Mahsa; Wasserman, Deena D; Bilimoria, Karl
2017-08-01
Emergency general surgery outcomes vary widely across the United States. The utilization of quality indicators can reduce variation and assist providers in administering care aligned with established recommendations. Previous quality indicators have not focused on emergency general surgery patients. We identified indicators of high-quality emergency general surgery care and assessed patient- and hospital-level compliance with these indicators. We utilized a modified Delphi technique (RAND Appropriateness Methodology) to develop quality indicators. Through 2 rankings, an expert panel ranked potential quality indicators for validity. We then examined historic compliance with select quality indicators after 4 nonelective procedures (cholecystectomy, appendectomy, colectomy, small bowel resection) at 4 academic centers. Of 25 indicators rated as valid, 13 addressed patient-level quality and 12 addressed hospital-level quality. Adherence with 18 indicators was assessed. Compliance with performing a cholecystectomy for acute cholecystitis within 72 hours of symptom onset ranged from 45% to 76%. Compliance with surgery start times within 3 hours from the decision to operate for uncontained perforated viscus ranged from 20% to 100%. Compliance with exploration of patients with small bowel obstructions with ischemia/impending perforation within 3 hours of the decision to operate was 0% to 88%. For 3 quality indicators (auditing 30-day unplanned readmissions/operations for patients previously managed nonoperatively, monitoring time to source control for intra-abdominal infections, and having protocols for bypass/transfer), none of the hospitals were compliant. Developing indicators for providers to assess their performance provides a foundation for specific initiatives. Adherence to quality indicators may improve the quality of emergency general surgery care provided for which current outcomes are potentially modifiable. Copyright © 2017 Elsevier Inc. All rights reserved.
Jones, Andrew D; Ickes, Scott B; Smith, Laura E; Mbuya, Mduduzi N N; Chasekwa, Bernard; Heidkamp, Rebecca A; Menon, Purnima; Zongrone, Amanda A; Stoltzfus, Rebecca J
2014-01-01
As the World Health Organization (WHO) infant and young child feeding (IYCF) indicators are increasingly adopted, a comparison of country-specific analyses of the indicators' associations with child growth is needed to examine the consistency of these relationships across contexts and to assess the strengths and potential limitations of the indicators. This study aims to determine cross-country patterns of associations of each of these indicators with child stunting, wasting, height-for-age z-score (HAZ) and weight-for-height z-score (WHZ). Eight studies using recent Demographic and Health Surveys data from a total of nine countries in sub-Saharan Africa (nine), Asia (three) and the Caribbean (one) were identified. The WHO indicators showed mixed associations with child anthropometric indicators across countries. Breastfeeding indicators demonstrated negative associations with HAZ, while indicators of diet diversity and overall diet quality were positively associated with HAZ in Bangladesh, Ethiopia, India and Zambia (P < 0.05). These same complementary feeding indicators did not show consistent relationships with child stunting. Exclusive breastfeeding under 6 months of age was associated with greater WHZ in Bangladesh and Zambia (P < 0.05), although CF indicators did not show strong associations with WHZ or wasting. The lack of sensitivity and specificity of many of the IYCF indicators may contribute to the inconsistent associations observed. The WHO indicators are clearly valuable tools for broadly assessing the quality of child diets and for monitoring population trends in IYCF practices over time. However, additional measures of dietary quality and quantity may be necessary to understand how specific IYCF behaviours relate to child growth faltering. © 2013 John Wiley & Sons Ltd.
20 CFR 666.100 - What performance indicators must be included in a State's plan?
Code of Federal Regulations, 2010 CFR
2010-04-01
..., respectively and the two customer satisfaction indicators. (1) For the Adult program, these indicators are: (i...) A single customer satisfaction measure for employers and a single customer satisfaction indicator...
NASA Technical Reports Server (NTRS)
Anderson, George E. (Inventor); Loo, Shu (Inventor)
1989-01-01
A fluid leak indicator (30) for detecting and indicating leaks in visually inaccessible fluid tubing joints (20, 21), such as those obstructed by insulation (24), includes a bag system (25) and a wicking system (30) surrounding or wrapping the joints (20, 21) under the visual obstructing material (24). Leaking fluid is collected in the bag (25) or on the wicking material (34) where it is conducted along the wicking material (34) to a visibly accessible capturing transparent indicator bulb (35) for providing a visual indication of the leak without requiring a chemical change in the capturing indicator bulb (35).
Climate Change Impacts and Responses: Societal Indicators for the National Climate Assessment
NASA Technical Reports Server (NTRS)
Kenney, Melissa A.; Chen, Robert S.; Maldonado, Julie; Quattrochi, Dale
2011-01-01
The Climate Change Impacts and Responses: Societal Indicators for the National Climate Assessment workshop, sponsored by the National Aeronautics and Space Administration (NASA) for the National Climate Assessment (NCA), was held on April 28-29, 2011 at The Madison Hotel in Washington, DC. A group of 56 experts (see list in Appendix B) convened to share their experiences. Participants brought to bear a wide range of disciplinary expertise in the social and natural sciences, sector experience, and knowledge about developing and implementing indicators for a range of purposes. Participants included representatives from federal and state government, non-governmental organizations, tribes, universities, and communities. The purpose of the workshop was to assist the NCA in developing a strategic framework for climate-related physical, ecological, and socioeconomic indicators that can be easily communicated with the U.S. population and that will support monitoring, assessment, prediction, evaluation, and decision-making. The NCA indicators are envisioned as a relatively small number of policy-relevant integrated indicators designed to provide a consistent, objective, and transparent overview of major variations in climate impacts, vulnerabilities, adaptation, and mitigation activities across sectors, regions, and timeframes. The workshop participants were asked to provide input on a number of topics, including: (1) categories of societal indicators for the NCA; (2) alternative approaches to constructing indicators and the better approaches for NCA to consider; (3) specific requirements and criteria for implementing the indicators; and (4) sources of data for and creators of such indicators. Socioeconomic indicators could include demographic, cultural, behavioral, economic, public health, and policy components relevant to impacts, vulnerabilities, and adaptation to climate change as well as both proactive and reactive responses to climate change. Participants provided inputs through in-depth discussion in breakout sessions, plenary sessions on break-out results, and several panels that provided key insights about indicators, lessons learned through experience with developing and implementing indicators, and thoughts on how the NCA could proceed to develop indicators for the NCA.
Welsh, A W; Hou, M; Meriki, N; Martins, W P
2012-10-01
Volumetric impedance indices derived from spatiotemporal image correlation (STIC) power Doppler ultrasound (PDU) might overcome the influence of machine settings and attenuation. We examined the feasibility of obtaining these indices from spherical samples of anterior placentas in healthy pregnancies, and assessed intraobserver reliability and correlation with conventional umbilical artery (UA) impedance indices. Uncomplicated singleton pregnancies with anterior placenta were included in the study. A single observer evaluated UA pulsatility index (PI), resistance index (RI) and systolic/diastolic ratio (S/D) and acquired three STIC-PDU datasets from the placenta just above the placental cord insertion. Another observer analyzed the STIC-PDU datasets using Virtual Organ Computer-aided AnaLysis (VOCAL) spherical samples from every frame to determine the vascularization index (VI) and vascularization flow index (VFI); maximum, minimum and average values were used to determine the three volumetric impedance indices (vPI, vRI, vS/D). Intraobserver reliability was examined by intraclass correlation coefficients (ICC) and association between volumetric indices from placenta, and UA Doppler indices were assessed by Pearson's correlation coefficient. A total of 25 pregnant women were evaluated but five were excluded because of artifacts observed during analysis. The reliability of measurement of volumetric indices of both VI and VFI from three STIC-PDU datasets was similar, with all ICCs ≥ 0.78. Pearson's r values showed a weak and non-significant correlation between UA pulsed-wave Doppler indices and their respective volumetric indices from spherical samples of placenta (all r ≥ 0.23). VOCAL indices from specific phases of the cardiac cycle showed good repeatability (ICC ≥ 0.92). Volumetric impedance indices determined from spherical samples of placenta are sufficiently reliable but do not correlate with UA Doppler indices in healthy pregnancies. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.
Shibata, Tomoyuki; Solo-Gabriele, Helena M.; Fleming, Lora E.; Elmir, Samir
2008-01-01
The microbial water quality at two beaches, Hobie Beach and Crandon Beach, in Miami-Dade County, Florida, USA was measured using multiple microbial indicators for the purpose of evaluating correlations between microbes and for identifying possible sources of contamination. The indicator microbes chosen for this study (enterococci, Escherichia coli, fecal coliform, total coliform and C. perfringens) were evaluated through three different sampling efforts. These efforts included daily measurements at four locations during a wet season month and a dry season month, spatially intensive water sampling during low- and high-tide periods, and a sand sampling effort. Results indicated that concentrations did not vary in a consistent fashion between one indicator microbe and another. Daily water quality frequently exceeded guideline levels at Hobie Beach for all indicator microbes except for fecal coliform, which never exceeded the guideline. Except for total coliform, the concentrations of microbes did not change significantly between seasons in spite of the fact that the physical–chemical parameters (rainfall, temperature, pH, and salinity) changed significantly between the two monitoring periods. Spatially intense water sampling showed that the concentrations of microbes were significantly different with distance from the shoreline. The highest concentrations were observed at shoreline points and decreased at offshore points. Furthermore, the highest concentrations of indicator microbe concentrations were observed at high tide, when the wash zone area of the beach was submerged. Beach sands within the wash zone tested positive for all indicator microbes, thereby suggesting that this zone may serve as the source of indicator microbes. Ultimate sources of indicator microbes to this zone may include humans, animals, and possibly the survival and regrowth of indicator microbes due to the unique environmental conditions found within this zone. Overall, the results of this study indicated that the concentrations of indicator microbes do not necessarily correlate with one another. Exceedence of water quality guidelines, and thus the frequency of beach advisories, depends upon which indicator microbe is chosen. PMID:15261551
van der Ploeg, E; Depla, M F I A; Shekelle, P; Rigter, H; Mackenbach, J P
2008-08-01
Measurement of the quality of healthcare is a first step for quality improvement. To measure quality of healthcare, a set of quality indicators is needed. We describe the adaptation of a set of systematically developed US quality indicators for healthcare for vulnerable elders in The Netherlands. We also compare the US and the Dutch set to see if quality indicators can be transferred between countries, as has been done in two studies in the UK, with mixed results. 108 US quality indicators on GP care for vulnerable elders, covering eight conditions, were assessed by a panel of nine clinical experts in The Netherlands. A modified version of the RAND/UCLA appropriateness method was used. The panel members received US literature reviews, extended with more recent and Dutch literature, summarising the evidence for each quality indicator. 72 indicators (67% of US set) were (nearly) identical in the Dutch and US sets. For some conditions, this percentage was much lower. For undernutrition, only half of the US indicators were included in the Dutch set. For depression, many indicators were discarded or changed in a significant way, with the result that only five of the original 17 indicators (29%) are the same in the Dutch and the US set. Quality indicators can be transferred between countries, but with caution, because in two of the three studies on transferring indicators between the US and Europe, 33-44% of the indicators were discarded. For some conditions in the current study, this percentage is much higher. For undernutrition, there is hardly any evidence, and differences between the indicator sets can be attributed to differences in expert opinion between the countries. For depression, it seems that different evidence is considered important in the US and in The Netherlands, of which the Dutch body of knowledge is not known in the US.
Measuring Economic Freedom: Better Without Size of Government.
Ott, Jan
2018-01-01
The Heritage Foundation and the Fraser Institute measure economic freedom in nations using indices with ten and five indicators respectively. Eight of the Heritage indicators and four of the Fraser-indicators are about specific types of institutional quality, like rule of law, the protection of property, and the provision of sound money. More of these is considered to denote more economic freedom. Both indices also involve indicators of 'big government', or levels of government activities. More of that is seen to denote less economic freedom. Yet, levels of government spending, consumption, and transfers and subsidies appear to correlate positively with the other indicators related to institutional quality, while this correlation is close to zero for the level of taxation as a percentage of GDP. Using government spending, consumption transfers and subsidies as positive indicators is no alternative, because these levels stand for very different government activities, liberal or less liberal. This means that levels of government activities can better be left out as negative or positive indicators. Thus shortened variants of the indices create a better convergent validity in the measurement of economic freedom, and create higher correlations between economic freedom and alternative types of freedom, and between economic freedom and happiness. The higher correlations indicate a better predictive validity, since they are predictable in view of the findings of previous research and theoretical considerations about the relations between types of freedom, and between freedom and happiness.
Evaluating the validity of using unverified indices of body condition
Schamber, J.L.; Esler, Daniel N.; Flint, Paul L.
2009-01-01
Condition indices are commonly used in an attempt to link body condition of birds to ecological variables of interest, including demographic attributes such as survival and reproduction. Most indices are based on body mass adjusted for structural body size, calculated as simple ratios or residuals from regressions. However, condition indices are often applied without confirming their predictive value (i.e., without being validated against measured values of fat and protein), which we term ‘unverified’ use. We evaluated the ability of a number of unverified indices frequently found in the literature to predict absolute and proportional levels of fat and protein across five species of waterfowl. Among indices we considered, those accounting for body size never predicted absolute protein more precisely than body mass, however, some indices improved predictability of fat, although the form of the best index varied by species. Further, the gain in precision by using a condition index to predict either absolute or percent fat was minimal (rise in r2≤0.13), and in many cases model fit was actually reduced. Our data agrees with previous assertions that the assumption that indices provide more precise indicators of body condition than body mass alone is often invalid. We strongly discourage the use of unverified indices, because subjectively selecting indices likely does little to improve precision and might in fact decrease predictability relative to using body mass alone.
H-indices of Academic Pediatricians of Mashhad University of Medical Sciences
Hamidreza, Kianifar; Javad, Akhoondian; Ramin, Sadeghi; Leili, Zarifmahmoudi
2013-01-01
Background: Web of Science, Scopus, and Google Scholar are three major sources which provide h-indices for individual researchers. In this study we aimed to compare the h-indices of the academic pediatricians of Mashhad University of Medical Sciences obtained from the above mentioned sources. Method: Academic pediatrician who had at least 5 ISI indexed articles entered the study. Information required for evaluating the h-indices of the included researchers were retrieved from official websites Web of Science (WOS), Scopus, and Google Scholar (GS). Correlations between obtained h-indices from the mentioned databases were analyzed using Spearrman correlation coefficient. Ranks of each researcher according to each database h-index were also evaluated. Results: In general, 16 pediatricians entered the study. Computed h-indices for individual authors were different in each database. Correlations between obtained h-indices were: 0.439 (ISI and Scopus), 0.488 (ISI and GS), and 0.810 (Scopus and GS). Despite differences between evaluated h-indices in each database for individual authors, the rankings according to these h-indices were almost similar. Conclusion: Although h-indices supplied by WOS, SCOPUS, and GS can be used interchangeably, their differences should be acknowledged. Setting up “ReasercherID” in WOS and “User profile” in GS, and giving regular feedback to SCOPUS can increase the validity of the calculated h-indices. PMID:24554795
46 CFR 112.45-1 - Visible indicators.
Code of Federal Regulations, 2012 CFR
2012-10-01
... COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Visible Indicators § 112.45-1 Visible indicators. There must be visible indicators in the... controlled emergency power source is supplying the emergency loads. ...
46 CFR 112.45-1 - Visible indicators.
Code of Federal Regulations, 2013 CFR
2013-10-01
... COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Visible Indicators § 112.45-1 Visible indicators. There must be visible indicators in the... controlled emergency power source is supplying the emergency loads. ...
46 CFR 112.45-1 - Visible indicators.
Code of Federal Regulations, 2011 CFR
2011-10-01
... COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Visible Indicators § 112.45-1 Visible indicators. There must be visible indicators in the... controlled emergency power source is supplying the emergency loads. ...
46 CFR 112.45-1 - Visible indicators.
Code of Federal Regulations, 2010 CFR
2010-10-01
... COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Visible Indicators § 112.45-1 Visible indicators. There must be visible indicators in the... controlled emergency power source is supplying the emergency loads. ...
46 CFR 112.45-1 - Visible indicators.
Code of Federal Regulations, 2014 CFR
2014-10-01
... COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING EMERGENCY LIGHTING AND POWER SYSTEMS Visible Indicators § 112.45-1 Visible indicators. There must be visible indicators in the... controlled emergency power source is supplying the emergency loads. ...
Climate change indicators in the United States
DOT National Transportation Integrated Search
2010-04-01
The U.S. Environmental Protection Agency (EPA) has published this report, Climate Change Indicators in the United States, to help readers interpret a set of important indicators to better understand climate change. The report presents 24 indicators, ...
An Olfactory Indicator for Acid-Base Titrations.
ERIC Educational Resources Information Center
Flair, Mark N.; Setzer, William N.
1990-01-01
The use of an olfactory acid-base indicator in titrations for visually impaired students is discussed. Potential olfactory indicators include eugenol, thymol, vanillin, and thiophenol. Titrations performed with each indicator with eugenol proved to be successful. (KR)
Analysis of Behavioral Indicators as a Measure of Satiation.
Scalzo, Rachel; Davis, Tonya N
2017-03-01
Providing noncontingent access to a stimulus until an individual displays behavioral indicators of satiation has been used to determine when an abolishing operation is in effect, but there has been variation in its application in the literature. Four males diagnosed with autism spectrum disorder with tangibly maintained challenging behavior participated in this study. Individualized behavioral indicators were identified and verified to determine when each participant was finished playing with his/her preferred item. Three presession conditions were manipulated including restricted access to the tangible stimulus for 30 min, access to the tangible stimulus until the display of one behavioral indicator, and access to the tangible stimulus until the display of three behavioral indicators. Each presession condition was followed by a tangible condition of the functional analysis to measure challenging behavior. Results indicated that presession access to a tangible stimulus until the display of three behavioral indicators produced a greater abative effect on challenging behavior than one behavioral indicator.
Min, Jun Ki; Cha, Jae Myung; Cho, Yu Kyung; Kim, Jie Hyun; Yoon, Soon Man; Im, Jong Pil; Jung, Yunho; Moon, Jeong Seop; Kim, Jin Oh; Jeen, Yoon Tae
2018-05-25
Gastroscopy and colonoscopy are widely used for the early diagnosis of stomach and colorectal cancer. The present revision integrates recent data regarding previous quality indicators and novel indicators suggested for gastroscopy and colonoscopy procedures for the National Cancer Screening Program in Korea. The new indicators, developed by the Quality Improvement Committee of the Korean Society for Gastrointestinal Endoscopy, vary in the level of supporting evidence, and most are based solely on expert opinion. Updated indicators validated by clinical research were prioritized, but were chosen by expert consensus when such studies were absent. The resultant quality indicators were graded according to the levels of consensus and recommendations. The updated indicators will provide a relevant guideline for high-quality endoscopy. The future direction of quality indicator development should include relevant outcome measures and an evidence-based approach to support proposed performance targets.
Jackson, Bianca D; Walker, Neff; Heidkamp, Rebecca
2017-11-01
Background: The Lives Saved Tool (LiST) uses the poverty head-count ratio at $1.90/d as a proxy for food security to identify the percentage of the population with the potential to benefit from balanced energy supplementation and complementary feeding (CF) interventions, following the approach used for the Lancet 's 2008 series on Maternal and Child Undernutrition. Because much work has been done in the development of food security indicators, a re-evaluation of the use of this indicator was warranted. Objective: The aim was to re-evaluate the use of the poverty head-count ratio at $1.90/d as the food security proxy indicator in LiST. Methods: We carried out a desk review to identify available indicators of food security. We identified 3 indicators and compared them by using scatterplots, Spearman's correlations, and Bland-Altman plot analysis. We generated LiST projections to compare the modeled impact results with the use of the different indicators. Results: There are many food security indicators available, but only 3 additional indicators were identified with the data availability requirements to be used as the food security indicator in LiST. As expected, analyzed food security indicators were significantly positively correlated ( P < 0.001), but there was generally poor agreement between them. The disparity between the indicators also increases as the values of the indicators increase. Consequently, the choice of indicator can have a considerable effect on the impact of interventions modeled in LiST, especially in food-insecure contexts. Conclusions: There was no single indicator identified that is ideal for measuring the percentage of the population who is food insecure for LiST. Thus, LiST will use the food security indicators that were used in the meta-analyses that produced the effect estimates. These are the poverty head-count ratio at $1.90/d for CF interventions and the prevalence of a low body mass index in women of reproductive age for balanced energy supplementation interventions. © 2017 American Society for Nutrition.
Piazza, Bryan P.; La Peyre, M.K.
2010-01-01
Numerous indices have been used to estimate fish growth and condition however, differences in sensitivity and reliability of the methods have hampered efforts to identify appropriate indicators for routine evaluation of habitat quality in the field. We compared common morphometric (length, weight, somatic growth, length-weight condition) and biochemical (RNA:DNA ratio, relative DNA content, energy density) growth indices on the same wild-caught mosquitofish Gambusia affinis to examine their usefulness as indicators of habitat quality. A laboratory experiment was used to quantify growth rates of wild-caught G. affinis under different feeding treatments. Field studies consisted of both a short-term enclosure experiment (10 d) and weekly (7 wk) fish collections to compare growth indices in managed inflow and reference marshes during a winter/spring freshwater pulse event in upper Breton Sound, Louisiana, USA. Marshes flooded by restored freshwater pulses were capable of producing optimum growth (0.001 g DW d-1 DW = dry weight) and energetically valuable habitat (>6000 cal g-1 DW) for trophic transport. Because of differences in timing of response, morphometric and biochemical indices were generally not directly correlated, but there was clear agreement in direction and magnitude of response. The most striking difference in timing was that biochemical indices (RNA:DNA) responded more slowly to treatments than did morphometric growth indices. While gross patterns are comparable between indicators, differences in sensitivity and response time between indicators suggest that choice of indicator needs to be accounted for in interpretation and analysis of effects. ?? Inter-Research 2010, www.int-res.com.
Siddique, Iqbal; Mohan, Krishna; Hasan, Fuad; Memon, Anjum; Patty, Istvan; Al-Nakib, Basil
2005-11-28
To assess the appropriateness of referrals and to determine the diagnostic yield of colonoscopy according to the 2000 guidelines of the American Society for Gastrointestinal Endoscopy (ASGE). A total of 736 consecutive patients (415 males, 321 females; mean age 43.6+/-16.6 years) undergoing colonoscopy during October 2001-March 2002 were prospectively enrolled in the study. The 2000 ASGE guidelines were used to assess the appropriateness of the indications for the procedure. Diagnostic yield was defined as the ratio between significant findings detected on colonoscopy and the total number of procedures performed for that indication. The large majority (64%) of patients had colonoscopy for an indication that was considered "generally indicated", it was "generally not indicated" for 20%, and it was "not listed" for 16% in the guidelines. The diagnostic yield of colonoscopy was highest for the "generally indicated" (38%) followed by "not listed" (13%) and "generally not indicated" (5%) categories. In the multivariable analysis, the diagnostic yield was independently associated with the appropriateness of indication that was "generally indicated" (odds ratio=12.3) and referrals by gastroenterologist (odds ratio =1.9). There is a high likelihood of inappropriate referrals for colonoscopy in an open-access endoscopy system. The diagnostic yield of the procedure is dependent on the appropriateness of indication and referring physician's specialty. Certain indications "not listed" in the guidelines have an intermediate diagnostic yield and further studies are required to evaluate whether they should be included in future revisions of the ASGE guidelines.
National audit of continence care: laying the foundation.
Mian, Sarah; Wagg, Adrian; Irwin, Penny; Lowe, Derek; Potter, Jonathan; Pearson, Michael
2005-12-01
National audit provides a basis for establishing performance against national standards, benchmarking against other service providers and improving standards of care. For effective audit, clinical indicators are required that are valid, feasible to apply and reliable. This study describes the methods used to develop clinical indicators of continence care in preparation for a national audit. To describe the methods used to develop and test clinical indicators of continence care with regard to validity, feasibility and reliability. A multidisciplinary working group developed clinical indicators that measured the structure, process and outcome of care as well as case-mix variables. Literature searching, consensus workshops and a Delphi process were used to develop the indicators. The indicators were tested in 15 secondary care sites, 15 primary care sites and 15 long-term care settings. The process of development produced indicators that received a high degree of consensus within the Delphi process. Testing of the indicators demonstrated an internal reliability of 0.7 and an external reliability of 0.6. Data collection required significant investment in terms of staff time and training. The method used produced indicators that achieved a high degree of acceptance from health care professionals. The reliability of data collection was high for this audit and was similar to the level seen in other successful national audits. Data collection for the indicators was feasible to collect, however, issues of time and staffing were identified as limitations to such data collection. The study has described a systematic method for developing clinical indicators for national audit. The indicators proved robust and reliable in primary and secondary care as well as long-term care settings.
Lambert, Mark; Bellamy, Fiona; Budgey, Richard; Callaby, Rebecca; Coats, Julia; Talling, Janet
2018-01-01
Indices of rodent activity are used as indicators of population change during field evaluation of rodenticides. We investigated the potential for using camera traps to determine activity indices for commensal rodents living in and around farm buildings, and sought to compare these indices against previously calibrated survey methods. We recorded 41 263 images of 23 species, including Norway rats (Rattus norvegicus Berk.) and house mice (Mus musculus L.). We found a positive correlation between activity indices from camera traps and activity indices from a method (footprint tracking) previously shown to have a linear relationship with population size for Norway rats. Filtering the camera trap data to simulate a 30-s delay between camera trigger events removed 59.9% of data and did not adversely affect the correlation between activity indices from camera traps and footprint tracking. The relationship between activity indices from footprint tracking and Norway rat population size is known from a previous study; from this, we determined the relationship between activity indices from camera traps and population size for Norway rats living in and around farm buildings. Systematic use of camera traps was used to determine activity indices for Norway rats living in and around farm buildings; the activity indices were positively correlated with those derived from a method previously calibrated against known population size for this species in this context. © 2017 Crown copyright. Pest Management Science © 2017 Society of Chemical Industry. © 2017 Crown copyright. Pest Management Science © 2017 Society of Chemical Industry.
Stakeholders' perspectives on quality indicators for diabetes care: a qualitative study.
Markhorst, Joekie; Martirosyan, Liana; Calsbeek, Hiske; Braspenning, Jozé
2012-01-01
Transparency in diabetes care requires quality indicators that are of interest to stakeholders in order to optimise their usage. Indicator development is often focused on consensus, and little is known about stakeholders' preferences for information on quality. To explore the preferences of consumers, providers, purchasers and policy makers for different quality domains and indicators in relation to the intended use of quality indicators. Between June and December 2009, 14 semi-structured interviews were held with stakeholders who have a decisive vote in the selection of the national indicator set for diabetes care in the Netherlands. The following subjects were explored: (1) the aims of using information on quality; (2) the interpretation of and preferences for the quality domains of safety, timeliness, effectiveness and patient-centredness in relation to the user aims; and (3) the preferences for structure, process or outcome indicators. Content analysis was used to analyse qualitative data. Stakeholders had similar and different aims according to their roles. The interpretations of quality domains varied greatly between the stakeholders. Besides differences in interpretation, their preferences were similar. Most stakeholders prioritised patient-centredness above the other domains of quality, ranked in order of priority as safety, effectiveness and timeliness, whereas purchasers also prioritised efficiency. All stakeholders preferred to use process indicators or a mix of process and outcome indicators. The preferences of the stakeholders for quality indicators seem to be neither well-refined nor congruent. The implementation of an indicator set can probably be improved if the stakeholders' definitions and preferences for quality domains become more explicit during the selection process for indicators.
Yuen, Nicholas; O'Shaughnessy, Pauline; Thomson, Andrew
2017-12-01
Indications for endoscopic retrograde cholangiopancreatography (ERCP) have received little attention, especially in scientific or objective terms. To review the prevailing ERCP indications in the literature, and to propose and evaluate a new ERCP indication system, which relies on more objective pre-procedure parameters. An analysis was conducted on 1758 consecutive ERCP procedures, in which contemporaneous use was made of an a-priori indication system. Indications were based on the objective pre-procedure parameters and divided into primary [cholangitis, clinical evidence of biliary leak, acute (biliary) pancreatitis, abnormal intraoperative cholangiogram (IOC), or change/removal of stent for benign/malignant disease] and secondary [combination of two or three of: pain attributable to biliary disease ('P'), imaging evidence of biliary disease ('I'), and abnormal liver function tests (LFTs) ('L')]. A secondary indication was only used if a primary indication was not present. The relationship between this newly developed classification system and ERCP findings and adverse events was examined. The indications of cholangitis and positive IOC were predictive of choledocholithiasis at ERCP (101/154 and 74/141 procedures, respectively). With respect to secondary indications, only if all three of 'P', 'I', and 'L' were present there was a statistically significant association with choledocholithiasis (χ 2 (1) = 35.3, p < .001). Adverse events were associated with an unusual indication leading to greater risk of unplanned hospitalization (χ 2 (1) = 17.0, p < .001). An a-priori-based indication system for ERCP, which relies on pre-ERCP objective parameters, provides a more useful and scientific classification system than is available currently.
Developing an Index to Measure Health System Performance: Measurement for Districts of Nepal.
Kandel, N; Fric, A; Lamichhane, J
2014-01-01
Various frameworks for measuring health system performance have been proposed and discussed. The scope of using performance indicators are broad, ranging from examining national health system to individual patients at various levels of health system. Development of innovative and easy index is essential to measure multidimensionality of health systems. We used indicators, which also serve as proxy to the set of activities, whose primary goal is to maintain and improve health. We used eleven indicators of MDGs, which represent all dimensions of health to develop index. These indicators are computed with similar methodology that of human development index. We used published data of Nepal for computation of the index for districts of Nepal as an illustration. To validate our finding, we compared the indices of these districts with other development indices of Nepal. An index for each district has been computed from eleven indicators. Then indices are compared with that of human development index, socio-economic and infrastructure development indices and findings has shown the similarity on distribution of districts. Categories of low and high performing districts on health system performance are also having low and high human development, socio-economic, and infrastructure indices respectively. This methodology of computing index from various indicators could assist policy makers and program managers to prioritize activities based on their performance. Validation of the findings with that of other development indicators show that this can be one of the tools, which can assist on assessing health system performance for policy makers, program managers and others.
Development and pilot study of an essential set of indicators for general surgery services.
Soria-Aledo, Victor; Angel-Garcia, Daniel; Martinez-Nicolas, Ismael; Rebasa Cladera, Pere; Cabezali Sanchez, Roger; Pereira García, Luis Francisco
2016-11-01
At present there is a lack of appropriate quality measures for benchmarking in general surgery units of Spanish National Health System. The aim of this study is to present the selection, development and pilot-testing of an initial set of surgical quality indicators for this purpose. A modified Delphi was performed with experts from the Spanish Surgeons Association in order to prioritize previously selected indicators. Then, a pilot study was carried out in a public hospital encompassing qualitative analysis of feasibility for prioritized indicators and an additional qualitative and quantitative three-rater reliability assessment for medical record-based indicators. Observed inter-rater agreement, prevalence adjusted and bias adjusted kappa and non-adjusted kappa were performed, using a systematic random sample (n=30) for each of these indicators. Twelve out of 13 proposed indicators were feasible: 5 medical record-based indicators and 7 indicators based on administrative databases. From medical record-based indicators, 3 were reliable (observed agreement >95%, adjusted kappa index >0.6 or non-adjusted kappa index >0.6 for composites and its components) and 2 needed further refinement. Currently, medical record-based indicators could be used for comparison purposes, whilst further research must be done for validation and risk-adjustment of outcome indicators from administrative databases. Compliance results in the adequacy of informed consent, diagnosis-to-treatment delay in colorectal cancer, and antibiotic prophylaxis show room for improvement in the pilot-tested hospital. Copyright © 2016 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.
Identification of an updated set of prescribing-safety indicators for GPs
Spencer, Rachel; Bell, Brian; Avery, Anthony J; Gookey, Gill; Campbell, Stephen M
2014-01-01
Background Medication error is an important contributor to patient morbidity and mortality and is associated with inadequate patient safety measures. However, prescribing-safety tools specifically designed for use in general practice are lacking. Aim To identify and update a set of prescribing-safety indicators for assessing the safety of prescribing in general practice, and to estimate the risk of harm to patients associated with each indicator. Design and setting RAND/UCLA consensus development of indicators in UK general practice. Method Prescribing indicators were identified from a systematic review and previous consensus exercise. The RAND Appropriateness Method was used to further identify and develop the indicators with an electronic-Delphi method used to rate the risk associated with them. Twelve GPs from all the countries of the UK participated in the RAND exercise, with 11 GPs rating risk using the electronic-Delphi approach. Results Fifty-six prescribing-safety indicators were considered appropriate for inclusion (overall panel median rating of 7–9, with agreement). These indicators cover hazardous prescribing across a range of therapeutic indications, hazardous drug–drug combinations and inadequate laboratory test monitoring. Twenty-three (41%) of these indicators were considered high risk or extreme risk by 80% or more of the participants. Conclusion This study identified a set of 56 indicators that were considered, by a panel of GPs, to be appropriate for assessing the safety of GP prescribing. Twenty-three of these indicators were considered to be associated with high or extreme risk to patients and should be the focus of efforts to improve patient safety. PMID:24686882
Energy conservation indicators. 1982 annual report
DOE Office of Scientific and Technical Information (OSTI.GOV)
Belzer, D.B.
A series of Energy Conservation Indicators were developed for the Department of Energy to assist in the evaluation of current and proposed conservation strategies. As descriptive statistics that signify current conditions and trends related to efficiency of energy use, indicators provide a way of measuring, monitoring, or inferring actual responses by consumers in markets for energy services. Related sets of indicators are presented in some 40 one-page indicator summaries. Indicators are shown graphically, followed by several paragraphs that explain their derivation and highlight key findings. Indicators are classified according to broad end-use sectors: Aggregate (economy), Residential, Commercial, Industrial, Transportation andmore » Electric Utilities. In most cases annual time series information is presented covering the period 1960 through 1981.« less
Readability and writing style analysis of selected allied health professional journals.
Hedl, J J; Glazer-Waldman, H R; Parker, H J; Hopkins, K M
1991-01-01
Using US Department of Defense text sampling procedures, nine allied health journals were analyzed for readability and selected writing style indices via Right Writer, a commercial software program. Two indices of readability were computed for each journal as were several indices of writing style. The computed readability ranged from 13.0 to 15.4, depending upon the journal in question. Two journals showed the highest levels of readability (15.4) compared to the other seven journals. The writing style analyses indicated generally normal ranges for the descriptive and jargon indices, but seven journals showed below recommended strength indices. Sentence structure analyses indicated a need to reduce sentence structure complexity. Implications for journal editors and authors are discussed.
ELUCIDATING THE MECHANISMS BEHIND SUCCESSFUL INDICATORS OF BIODIVERSITY
Groups of species have been proposed as indicators of biodiversity for use in conservation planning. Different tests of indicator groups have produced divergent results varying with taxonomy, methodology, scale, and location. At large scales, successful indicator groups should b...
Virus and indicator relationships in groundwater
This presentation examines indicator-virus relationships from 13 international studies of public groundwater systems. This presentation shows that the absence of classic indicators is a strong predictor of the absence of viral pathogens. However, indicators are often present in t...
Gaudino, Stefano; Goia, Irene; Grignani, Carlo; Monaco, Stefano; Sacco, Dario
2014-07-01
Dairy farms control an important share of the agricultural area of Northern Italy. Zero grazing, large maize-cropped areas, high stocking densities, and high milk production make them intensive and prone to impact the environment. Currently, few published studies have proposed indicator sets able to describe the entire dairy farm system and their internal components. This work had four aims: i) to propose a list of agro-environmental indicators to assess dairy farms; ii) to understand which indicators classify farms best; iii) to evaluate the dairy farms based on the proposed indicator list; iv) to link farmer decisions to the consequent environmental pressures. Forty agro-environmental indicators selected for this study are described. Northern Italy dairy systems were analysed considering both farmer decision indicators (farm management) and the resulting pressure indicators that demonstrate environmental stress on the entire farming system, and its components: cropping system, livestock system, and milk production. The correlations among single indicators identified redundant indicators. Principal Components Analysis distinguished which indicators provided meaningful information about each pressure indicator group. Analysis of the communalities and the correlations among indicators identified those that best represented farm variability: Farm Gate N Balance, Greenhouse Gas Emission, and Net Energy of the farm system; Net Energy and Gross P Balance of the cropping system component; Energy Use Efficiency and Purchased Feed N Input of the livestock system component; N Eco-Efficiency of the milk production component. Farm evaluation, based on the complete list of selected indicators demonstrated organic farming resulted in uniformly high values, while farms with low milk-producing herds resulted in uniformly low values. Yet on other farms, the environmental quality varied greatly when different groups of pressure indicators were considered, which highlighted the importance of expanding environmental analysis to effects within the farm. Statistical analysis demonstrated positive correlations between all farmer decision and pressure group indicators. Consumption of mineral fertiliser and pesticide negatively influenced the cropping system. Furthermore, stocking rate was found to correlate positively with the milk production component and negatively with the farm system. This study provides baseline references for ex ante policy evaluation, and monitoring tools for analysis both in itinere and ex post environment policy implementation. Copyright © 2014 Elsevier Ltd. All rights reserved.
Features of the Correlation Structure of Price Indices
Gao, Xiangyun; An, Haizhong; Zhong, Weiqiong
2013-01-01
What are the features of the correlation structure of price indices? To answer this question, 5 types of price indices, including 195 specific price indices from 2003 to 2011, were selected as sample data. To build a weighted network of price indices each price index is represented by a vertex, and a positive correlation between two price indices is represented by an edge. We studied the features of the weighted network structure by applying economic theory to the analysis of complex network parameters. We found that the frequency of the price indices follows a normal distribution by counting the weighted degrees of the nodes, and we identified the price indices which have an important impact on the network's structure. We found out small groups in the weighted network by the methods of k-core and k-plex. We discovered structure holes in the network by calculating the hierarchy of the nodes. Finally, we found that the price indices weighted network has a small-world effect by calculating the shortest path. These results provide a scientific basis for macroeconomic control policies. PMID:23593399
Selecting Indicators For The Sustainable Development of Residential Neighborhoods in Tripoli, Libya
NASA Astrophysics Data System (ADS)
Elgadi, Ahmed. A.; Hakim Ismail, Lokman; Bargi, Walid A. Al; Suliman. Ali, Ahmed
2016-11-01
The government of Libya aims to position Libya as one of the most sustainable countries in the region, with the hope that this success will create an inspiring example for surrounding countries. To achieve this, an indicator based assessment framework needs to be developed to assess neighborhood sustainability in Libya as it is important in achieving sustainable urban development. The aim of this paper is to identify a significant set of indicators to assess the sustainable development in Tripoli, Libya. Firstly, a number of indicators for sustainable development from various studies were collected into a preliminary list. The list of indicators was then assessed and filtered by experts in the industry, thus resulting in 50 assessment indicators that are relevant to the sustainable development in Tripoli, Libya. Based on measurement issues, 50 indicators were then grouped into 30 main indices or themes that reflect either sustainable economic, environmental, social, or institutional indicators. Therefore, the final sustainable neighborhood assessment framework will hopefully be used as assessment framework or guidelines in strategic planning for the development of sustainable neighborhood in Tripoli, Libya.
NASA Astrophysics Data System (ADS)
Theresia, L.; Lahuddin, A. H.; Bangun, R.
2017-12-01
Balanced Scorecard (BSC) is a powerful tool in decision making process. Nevertheless, it is not rare that the BSC does not give satisfactory results because the indicators chosen do not reflect the needs of the organization. Therefore, indicator establishment is very crucial in the utilization of BSC. This research aims to determine the indicators BSC for a university and the research is a case study in Institut Teknologi Indonesia (ITI). In this study, BSC structure and indicators, comparison made by 4 previous researchers was used as the initial guide to determine the structure and indicators of ITI. And then, questionnaires were distributed to selected respondents and a focus group discussion (FGD) was conducted in order to produce indicators of BSC based on the mental model of the ITI. It is found 15 indicators based on the mental model of ITI. Furthermore, the relationships between the indicators are seen as dynamic relationships, and by using system dynamics, some feedback loops that are considered critical to organizational success can be identified and isolated.
Campbell, Norm R C; Ordunez, Pedro; DiPette, Donald J; Giraldo, Gloria P; Angell, Sonia Y; Jaffe, Marc G; Lackland, Dan; Martinez, Ramón; Valdez, Yamilé; Maldonado Figueredo, Javier I; Paccot, Melanie; Santana, Maria J; Whelton, Paul K
2018-06-01
The Pan American Health Organization (PAHO)-World Hypertension League (WHL) Hypertension Monitoring and Evaluation Framework is summarized. Standardized indicators are provided for monitoring and evaluating national or subnational hypertension control programs. Five core indicators from the World Health Organization hearts initiative and a single PAHO-WHL core indicator are recommended to be used in all hypertension control programs. In addition, hypertension control programs are encouraged to select from 14 optional qualitative and 33 quantitative indicators to facilitate progress towards enhanced hypertension control. The intention is for hypertension programs to select quantitative indicators based on the current surveillance mechanisms that are available and what is feasible and to use the framework process indicators as a guide to program management. Programs may wish to increase or refine the number of indicators they use over time. With adaption the indicators can also be implemented at a community or clinic level. The standardized indicators are being pilot tested in Cuba, Colombia, Chile, and Barbados. ©2018 Wiley Periodicals, Inc.
To lag or not to lag? How to compare indices of stock markets that operate on different times
NASA Astrophysics Data System (ADS)
Sandoval, Leonidas
2014-06-01
Financial markets worldwide do not have the same working hours. As a consequence, the study of correlation or causality between financial market indices becomes dependent on whether we should use all indices on the same day or lagged indices in computations of correlation matrices. The answer this article proposes is that we should consider both, by representing original and lagged indices in the same network. We then obtain a better understanding of how indices that operate on different hours relate to each other. We use a diverse range of 79 stock market indices from around the world and study their correlation structure, the eigenvalues and eigenvectors of their correlations under different time periods and volatility, as well as the differences between the working hours of the stock exchanges in order to analyze the possible time zone effects and suggest ways to remove them. We also analyze the enlarged correlation matrix obtained from original and lagged indices and examine a network structure derived from it, thus showing connections between lagged and original indices that could not be well represented before.
IDIOS: An innovative index for evaluating dental imaging-based osteoporosis screening indices
Halboub, Esam; Almashraqi, Abeer Abdulkareem; Khattab, Razan; Al Haffar, Iyad
2016-01-01
Purpose The goal of this study was to develop a new index as an objective reference for evaluating current and newly developed indices used for osteoporosis screening based on dental images. Its name; IDIOS, stands for Index of Dental-imaging Indices of Osteoporosis Screening. Materials and Methods A comprehensive PubMed search was conducted to retrieve studies on dental imaging-based indices for osteoporosis screening. The results of the eligible studies, along with other relevant criteria, were used to develop IDIOS, which has scores ranging from 0 (0%) to 15 (100%). The indices presented in the studies we included were then evaluated using IDIOS. Results The 104 studies that were included utilized 24, 4, and 9 indices derived from panoramic, periapical, and computed tomographic/cone-beam computed tomographic techniques, respectively. The IDIOS scores for these indices ranged from 0 (0%) to 11.75 (78.32%). Conclusion IDIOS is a valuable reference index that facilitates the evaluation of other dental imaging-based osteoporosis screening indices. Furthermore, IDIOS can be utilized to evaluate the accuracy of newly developed indices. PMID:27672615
Laporte, Paola P; Pan, Pedro M; Hoffmann, Mauricio S; Wakschlag, Lauren S; Rohde, Luis A; Miguel, Euripedes C; Pine, Daniel S; Manfro, Gisele G; Salum, Giovanni A
2017-01-01
To distinguish normative fears from problematic fears and phobias. We investigated 2,512 children and adolescents from a large community school-based study, the High Risk Study for Psychiatric Disorders. Parent reports of 18 fears and psychiatric diagnosis were investigated. We used two analytical approaches: confirmatory factor analysis (CFA)/item response theory (IRT) and nonparametric receiver operating characteristic (ROC) curve. According to IRT and ROC analyses, social fears are more likely to indicate problems and phobias than specific fears. Most specific fears were normative when mild; all specific fears indicate problems when pervasive. In addition, the situational fear of toilets and people who look unusual were highly indicative of specific phobia. Among social fears, those not restricted to performance and fear of writing in front of others indicate problems when mild. All social fears indicate problems and are highly indicative of social phobia when pervasive. These preliminary findings provide guidance for clinicians and researchers to determine the boundaries that separate normative fears from problem indicators in children and adolescents, and indicate a differential severity threshold for specific and social fears.
Construction cost forecast model : model documentation and technical notes.
DOT National Transportation Integrated Search
2013-05-01
Construction cost indices are generally estimated with Laspeyres, Paasche, or Fisher indices that allow changes : in the quantities of construction bid items, as well as changes in price to change the cost indices of those items. : These cost indices...
Advanced User Interface Capabilities for Application on Portable Computers
1992-02-01
0 060 iI 1 ........ ... r: switch_ e( pressure , switch ) r6 : pilot- valvecircuit(A, pilot valve) pilot_ valve_ circuit(B, pilot valve) r7...shutoff_valvecircwt(A, shutoff valve) shutoff_valve circuit(B, shutoff valve) r: pressure_ switch_ circuit(A, pressure switch ) pressure_ switch circuit(B... pressure switch ) r: indicator(A, pilot valve) indicator(B, pilot valve) indicator(A, shutoff valve) indicator(B, shutoff valve) indicator(A, pressure
Processing, Microstructures, and Properties of Nb-Based Metal/Silicide Alloys
2003-07-01
Fig 15. (a) Fracture features at 800°C also indicated brittle failure, (b) indication of limited microplasticity in the Nbss phase...magnification, Fig. 15(b), there are some indication of microplasticity of the Nbss phase (arrows) but it was not sufficient to provide macroscopic...features at 800°C also indicated brittle failure, (b) indication of limited microplasticity in the Nbss phase (bright features) at
NASA Technical Reports Server (NTRS)
Costakis, W. G.; Wenzel, L. M.
1975-01-01
The relation of the steady-state and dynamic distortions and the stall margin of a J85-13 turbojet engine was investigated. A distortion indicator capable of computing two distortion indices was used. A special purpose signal conditioner was also used as an interface between transducer signals and distortion indicator. A good correlation of steady-state distortion and stall margin was established. The prediction of stall by using the indices as instantaneous distortion indicators was not successful. A sensitivity factor that related the loss of stall margin to the turbulence level was found.
2017-11-01
This proceedings report presents the outcomes from an international workshop supported by the European Society of Human Reproduction and Embryology (ESHRE) and Alpha Scientists in Reproductive Medicine, designed to establish consensus on definitions and recommended values for Indicators for the assisted reproductive technology (ART) laboratory. Minimum performance-level values ('competency') and aspirational ('benchmark') values were recommended for a total of 19 Indicators, including 12 Key Performance Indicators (KPIs), five Performance Indicators (PIs), and two Reference Indicators (RIs). Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.
Linking indices for biodiversity monitoring to extinction risk theory.
McCarthy, Michael A; Moore, Alana L; Krauss, Jochen; Morgan, John W; Clements, Christopher F
2014-12-01
Biodiversity indices often combine data from different species when used in monitoring programs. Heuristic properties can suggest preferred indices, but we lack objective ways to discriminate between indices with similar heuristics. Biodiversity indices can be evaluated by determining how well they reflect management objectives that a monitoring program aims to support. For example, the Convention on Biological Diversity requires reporting about extinction rates, so simple indices that reflect extinction risk would be valuable. We developed 3 biodiversity indices that are based on simple models of population viability that relate extinction risk to abundance. We based the first index on the geometric mean abundance of species and the second on a more general power mean. In a third index, we integrated the geometric mean abundance and trend. These indices require the same data as previous indices, but they also relate directly to extinction risk. Field data for butterflies and woodland plants and experimental studies of protozoan communities show that the indices correlate with local extinction rates. Applying the index based on the geometric mean to global data on changes in avian abundance suggested that the average extinction probability of birds has increased approximately 1% from 1970 to 2009. © 2014 The Authors. Conservation Biology published by Wiley Periodicals, Inc., on behalf of the Society for Conservation Biology.
Liao, Li-Ling; Lai, I-Ju
2017-10-01
To use the Delphi process to select nutrition literacy (NL) indicators for Taiwan college students. Initial formulation of 8 principal indicators and 77 subindicators, followed by a 2-round Delphi survey and final selection of indicators. A total of 28 nutrition experts selected through snowball sampling; 100% response rate. An expert panel scored and ranked NL themes and indicators for relevance, representativeness, and importance. Quantitative analysis. For principal indicators, the defined cutoff was mean (relevance and representativeness) > 4 and SD < 1. For subindicators, screening criteria were: (1) >20 experts ranked the nutrition theme's importance in the top 50% of the 12 themes; (2) mean (relevance and representativeness) > 4 and SD < 1 and >20 experts ranked the indicator's importance in the top 50% of all indicators within a domain. Consensus was reached on 8 principal indicators and 28 subindicators in 8 themes, including 10 in understand, 8 in analyze, 5 in appraise, and 5 in apply. An initial set of NL indicators was developed for Taiwan college students, serving as a basis to develop Taiwan College's Nutrition Literacy Scale and providing information on nutrition education. Copyright © 2017 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
A literature review of quantitative indicators to measure the quality of labor and delivery care.
Tripathi, Vandana
2016-02-01
Strengthening measurement of the quality of labor and delivery (L&D) care in low-resource countries requires an understanding of existing approaches. To identify quantitative indicators of L&D care quality and assess gaps in indicators. PubMed, CINAHL Plus, and Embase databases were searched for research published in English between January 1, 1990, and October 31, 2013, using structured terms. Studies describing indicators for L&D care quality assessment were included. Those whose abstracts contained inclusion criteria underwent full-text review. Study characteristics, including indicator selection and data sources, were extracted via a standard spreadsheet. The structured search identified 1224 studies. After abstract and full-text review, 477 were included in the analysis. Most studies selected indicators by using literature review, clinical guidelines, or expert panels. Few indicators were empirically validated; most studies relied on medical record review to measure indicators. Many quantitative indicators have been used to measure L&D care quality, but few have been validated beyond expert opinion. There has been limited use of clinical observation in quality assessment of care processes. The findings suggest the need for validated, efficient consensus indicators of the quality of L&D care processes, particularly in low-resource countries. Copyright © 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Quantitative descriptions of rice plant architecture and their application
Li, Xumeng; Wang, Xiaohui; Peng, Yulin; Wei, Hailin; Zhu, Xinguang; Chang, Shuoqi; Li, Ming; Li, Tao; Huang, Huang
2017-01-01
Plant architecture is an important agronomic trait, and improving plant architecture has attracted the attention of scientists for decades, particularly studies to create desirable plant architecture for high grain yields through breeding and culture practices. However, many important structural phenotypic traits still lack quantitative description and modeling on structural-functional relativity. This study defined new architecture indices (AIs) derived from the digitalized plant architecture using the virtual blade method. The influences of varieties and crop management on these indices and the influences of these indices on biomass accumulation were analyzed using field experiment data at two crop growth stages: early and late panicle initiation. The results indicated that the vertical architecture indices (LAI, PH, 90%-DRI, MDI, 90%-LI) were significantly influenced by variety, water, nitrogen management and the interaction of water and nitrogen, and compact architecture indices (H-CI, Q-CI, 90%-LI, 50%-LI) were significantly influenced by nitrogen management and the interaction of variety and water. Furthermore, there were certain trends in the influence of variety, water, and nitrogen management on AIs. Biomass accumulation has a positive linear correlation with vertical architecture indices and has a quadratic correlation with compact architecture indices, respectively. Furthermore, the combination of vertical and compact architecture indices is the indicator for evaluating the effects of plant architecture on biomass accumulation. PMID:28545144
Patterns relationships of student’s creativity with its indicators in learning optical instrument
NASA Astrophysics Data System (ADS)
Sukarmin; Dhian, T. E. V.; Nonoh, S. A.; Delisma, W. A.
2017-01-01
This study aims to identify patterns relationships of student’s creativity with its indicators in Learning Optical Instrument. The study was conducted at SMPN 2 Sawo. SMPN 1 Jetis, SMPIT Darut Taqwa, SMPN 1 Dander, Bojonegoro and SMPN 3 Plus Al-Fatima. Data analysis used descriptive analysis using the Confirmatory Factor Analysis. Creativity test instruments used have been tested parameters. Creativity indicators used are personal (self-confidence, perseverance), press (spirit, unyielding), process (preparation, incubation illumination, verification) and the product (knowledge, skills). Research Result shows that perseverance and incubation are the highest capabilities and verification capabilities of the lowest. All indicators on student creativity can still be improved. The relationship between creativity with the indicators grouped into a strong, moderate, weak and no relation. Indicators that have a strong relationship (r ≥ 0.50), namely are personal (self-confidence, perseverance), process (illumination). Indicators that have a connection was (0.3 ≤ r ≤ 0.49) are press (spirit), process (verification). Indicators which have a very low correlation (r ≤ 0.1 ≤ 0.29) are press (unyielding), process (preparation), process (incubation), product (skills) as shown in Figure 1. Indicators that do not have a relationship between the creativity of the students with the indicator that is, product (knowledge).
Hörster, A C; Kulla, M; Brammen, D; Lefering, R
2018-06-01
Emergency department processes are often key for successful treatment. Therefore, collection of quality indicators is demanded. A basis for the collection is systematic, electronic documentation. The development of paper-based documentation into an electronic and interoperable national emergency registry is-besides the establishment of quality management for emergency departments-a target of the AKTIN project. The objective of this research is identification of internationally applied quality indicators. For the investigation of the current status of quality management in emergency departments based on quality indicators, a systematic literature search of the database PubMed, the Cochrane Library and the internet was performed. Of the 170 internationally applied quality indicators, 25 with at least two references are identified. A total of 10 quality indicators are ascertainable by the data set. An enlargement of the data set will enable the collection of seven further quality indicators. The implementation of data of care behind the emergency processes will provide eight additional quality indicators. This work was able to show that the potential of a national emergency registry for the establishment of quality indicators corresponds with the international systems taken into consideration and could provide a comparable collection of quality indicators.
Evaluation of Stony Coral Indicators for Coral Reef ...
Colonies of reef-building stony corals at 57 stations around St. Croix, U.S. Virgin Islands were characterized by species, size and percentage of living tissue. Taxonomic, biological and physical indicators of coral condition were derived from these measurements and assessed for their response to gradients of human disturbance. The purpose of the study was to identify indicators that could be used for regulatory assessments under authority of the Clean Water Act--this requires that indicators distinguish anthropogenic disturbances from natural variation. Stony coral indicators were tested for correlation with human disturbance across gradients located on three different sides of the island. At the most intensely disturbed location, five of eight primary indicators were highly correlated with distance from the source of disturbance: Coral taxa richness, average colony size, the coefficient of variation of colony size (an indicator of colony size heterogeneity), total topographic coral surface area, and live coral surface area. An additional set of exploratory indicators related to rarity, reproductive and spawning mode, and taxonomic identity were also screened for association with disturbance at the same location. For the other two locations, there were no significant changes in indicator values and therefore no discernible effects of human activity. Coral indicators demonstrated sufficient precision to detect levels of change that would be applicable in a regio
Quantitative descriptions of rice plant architecture and their application.
Li, Xumeng; Wang, Xiaohui; Peng, Yulin; Wei, Hailin; Zhu, Xinguang; Chang, Shuoqi; Li, Ming; Li, Tao; Huang, Huang
2017-01-01
Plant architecture is an important agronomic trait, and improving plant architecture has attracted the attention of scientists for decades, particularly studies to create desirable plant architecture for high grain yields through breeding and culture practices. However, many important structural phenotypic traits still lack quantitative description and modeling on structural-functional relativity. This study defined new architecture indices (AIs) derived from the digitalized plant architecture using the virtual blade method. The influences of varieties and crop management on these indices and the influences of these indices on biomass accumulation were analyzed using field experiment data at two crop growth stages: early and late panicle initiation. The results indicated that the vertical architecture indices (LAI, PH, 90%-DRI, MDI, 90%-LI) were significantly influenced by variety, water, nitrogen management and the interaction of water and nitrogen, and compact architecture indices (H-CI, Q-CI, 90%-LI, 50%-LI) were significantly influenced by nitrogen management and the interaction of variety and water. Furthermore, there were certain trends in the influence of variety, water, and nitrogen management on AIs. Biomass accumulation has a positive linear correlation with vertical architecture indices and has a quadratic correlation with compact architecture indices, respectively. Furthermore, the combination of vertical and compact architecture indices is the indicator for evaluating the effects of plant architecture on biomass accumulation.
Gao, Jingjing; Christensen, Per; Kørnøv, Lone
2017-08-15
As an information carrier and communication medium, indicators provide useful decision-making assistance in setting process goals and effectively reaching the goals. The main focus of this article is to investigate indicators' role in influencing planning through Strategic Environmental Assessment (SEA) especially related to Chinese experiences. From the perspective of planning and decision-making theory, the influence on planning is studied as influence of planning structure and influence of planning actors. Such a conceptual framework is applied in order to demonstrate how the use of indicators can influence planning through a SEA process. The study holds two empirical levels. On a general level, based on an online survey, this article investigates SEA practitioners' experiences in using indicators. On a case level, two urban plans are selected to provide more detailed experiences. The case level investigation is based on a documentary study and individual interviews with SEA practitioners/planners. By exploring how indicators influence planning through the structure of and the actors within SEA, this study tries to provide an overview of indicators' role in SEA. The results indicate that indicators are perceived as a useful tool in the Chinese SEA system. By improving and simplifying the procedures of SEA, the indicators exert more structural influence on SEA and on plan making. On the other hand, indicators are also shown to have more influence through political actors than found among technical actors. Copyright © 2017. Published by Elsevier B.V.
Fatemi, Farin; Ardalan, Ali; Aguirre, Benigno; Mansouri, Nabiollah; Mohammadfam, Iraj
2017-04-10
Industrial chemical accidents have been increased in developing countries. Assessing the human vulnerability in the residents of industrial areas is necessary for reducing the injuries and causalities of chemical hazards. The aim of this study was to explore the key indicators for the assessment of human vulnerability in the residents living near chemical installations. The indicators were established in the present study based on the Fuzzy Delphi method (FDM) and Fuzzy Analytic Hierarchy Process (FAHP). The reliability of FDM and FAHP was calculated. The indicators of human vulnerability were explored in two sets of social and physical domains. Thirty-five relevant experts participated in this study during March-July 2015. According to experts, the top three indicators of human vulnerability according to the FDM and FAHP were vulnerable groups, population density, and awareness. Detailed sub-vulnerable groups and awareness were developed based on age, chronic or severe diseases, disability, first responders, and residents, respectively. Each indicator and sub-indicator was weighted and ranked and had an acceptable consistency ratio. The importance of social vulnerability indicators are about 7 times more than physical vulnerability indicators. Among the extracted indicators, vulnerable groups had the highest weight and the greatest impact on human vulnerability. however, further research is needed to investigate the applicability of established indicators and generalizability of the results to other studies. Fuzzy Delphi; Fuzzy AHP; Human vulnerability; Chemical hazards.
[Contextual indicators to assess social determinants of health and the Spanish economic recession].
Cabrera-León, Andrés; Daponte Codina, Antonio; Mateo, Inmaculada; Arroyo-Borrell, Elena; Bartoll, Xavier; Bravo, María José; Domínguez-Berjón, María Felicitas; Renart, Gemma; Álvarez-Dardet, Carlos; Marí-Dell'Olmo, Marc; Bolívar Muñoz, Julia; Saez, Marc; Escribà-Agüir, Vicenta; Palència, Laia; López, María José; Saurina, Carme; Puig, Vanessa; Martín, Unai; Gotsens, Mercè; Borrell, Carme; Serra Saurina, Laura; Sordo, Luis; Bacigalupe, Amaia; Rodríguez-Sanz, Maica; Pérez, Glòria; Espelt, Albert; Ruiz, Miguel; Bernal, Mariola
To provide indicators to assess the impact on health, its social determinants and health inequalities from a social context and the recent economic recession in Spain and its autonomous regions. Based on the Spanish conceptual framework for determinants of social inequalities in health, we identified indicators sequentially from key documents, Web of Science, and organisations with official statistics. The information collected resulted in a large directory of indicators which was reviewed by an expert panel. We then selected a set of these indicators according to geographical (availability of data according to autonomous regions) and temporal (from at least 2006 to 2012) criteria. We identified 203 contextual indicators related to social determinants of health and selected 96 (47%) based on the above criteria; 16% of the identified indicators did not satisfy the geographical criteria and 35% did not satisfy the temporal criteria. At least 80% of the indicators related to dependence and healthcare services were excluded. The final selection of indicators covered all areas for social determinants of health, and 62% of these were not available on the Internet. Around 40% of the indicators were extracted from sources related to the Spanish Statistics Institute. We have provided an extensive directory of contextual indicators on social determinants of health and a database to facilitate assessment of the impact of the economic recession on health and health inequalities in Spain and its autonomous regions. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.
Fatemi, Farin; Ardalan, Ali; Aguirre, Benigno; Mansouri, Nabiollah; Mohammadfam, Iraj
2017-01-01
Introduction: Industrial chemical accidents have been increased in developing countries. Assessing the human vulnerability in the residents of industrial areas is necessary for reducing the injuries and causalities of chemical hazards. The aim of this study was to explore the key indicators for the assessment of human vulnerability in the residents living near chemical installations. Methods: The indicators were established in the present study based on the Fuzzy Delphi method (FDM) and Fuzzy Analytic Hierarchy Process (FAHP). The reliability of FDM and FAHP was calculated. The indicators of human vulnerability were explored in two sets of social and physical domains. Thirty-five relevant experts participated in this study during March-July 2015. Results: According to experts, the top three indicators of human vulnerability according to the FDM and FAHP were vulnerable groups, population density, and awareness. Detailed sub-vulnerable groups and awareness were developed based on age, chronic or severe diseases, disability, first responders, and residents, respectively. Each indicator and sub-indicator was weighted and ranked and had an acceptable consistency ratio. Conclusions: The importance of social vulnerability indicators are about 7 times more than physical vulnerability indicators. Among the extracted indicators, vulnerable groups had the highest weight and the greatest impact on human vulnerability. however, further research is needed to investigate the applicability of established indicators and generalizability of the results to other studies. Key words: Fuzzy Delphi; Fuzzy AHP; Human vulnerability; Chemical hazards PMID:28480124
Conceptual framework for holistic dialysis management based on key performance indicators.
Liu, Hu-Chen; Itoh, Kenji
2013-10-01
This paper develops a theoretical framework of holistic hospital management based on performance indicators that can be applied to dialysis hospitals, clinics or departments in Japan. Selection of a key indicator set and its validity tests were performed primarily by a questionnaire survey to dialysis experts as well as their statements obtained through interviews. The expert questionnaire asked respondents to rate the degree of "usefulness" for each of 66 indicators on a three-point scale (19 responses collected). Applying the theoretical framework, we selected a minimum set of key performance indicators for dialysis management that can be used in the Japanese context. The indicator set comprised 27 indicators and items that will be collected through three surveys: patient satisfaction, employee satisfaction, and safety culture. The indicators were confirmed by expert judgment from viewpoints of face, content and construct validity as well as their usefulness. This paper established a theoretical framework of performance measurement for holistic dialysis management from primary healthcare stakeholders' perspectives. In this framework, performance indicators were largely divided into healthcare outcomes and performance shaping factors. Indicators of the former type may be applied for the detection of operational problems or weaknesses in a dialysis hospital, clinic or department, while latent causes of each problem can be more effectively addressed by the latter type of indicators in terms of process, structure and culture/climate within the organization. © 2013 The Authors. Therapeutic Apheresis and Dialysis © 2013 International Society for Apheresis.
PLANKTON RESPIRATION AND BIOMASS AS FUNCTIONAL INDICATORS OF RECOVERY IN RESTORED PRAIRIE WETLANDS
Reliable ecological indicators of wetland integrity are necessary for assessing recovery of restored wetlands, yet little consensus currently exists on which indicators are most appropriate. We employed indicators derived from simple, standard measures of ecosystem function selec...
Key Performance Indicators for Primary Schools.
ERIC Educational Resources Information Center
Strand, Steve
Focusing mostly on their application for primary schools, this document describes the educational key performance indicators (KPI) employed by the Wendsworth, England, Local Educational Authority (LEA). Indicators are divided into 3 areas, educational context, resource development, and outcomes. Contextual indicators include pupil mobility, home…
A Review of Indicators of Estuarine Tidal Wetland Condition
This review critically evaluates indicators of tidal wetland condition based on 36 indicator development studies and indicators developed as part of U.S. state tidal wetland monitoring programs. Individual metrics were evaluated based on relative scores on two sets of evaluation ...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-06-25
...; NIOSH-258] Open-Circuit Self-Contained Breathing Apparatus Remaining Service-Life Indicator Performance... open-circuit self-contained breathing apparatus (OC- SCBA) remaining service-life indicators... ``Open-Circuit Self-Contained Breathing Apparatus Remaining Service-Life Indicator Performance...
Allowance market pricing indicators
DOE Office of Scientific and Technical Information (OSTI.GOV)
Miller, R.W.
1995-12-31
Regardless of whether buyers and sellers rely on one allowance price indicator or a combination of several, the publication of price indicators has facilitated trading in the SO{sub 2} allowance market. Buyers and sellers feel more comfortable with a price benchmark against which to measure their actions; liquidity has increased; and transactions are easier to conclude. At this market`s present stage of development, five price indicators are worthy of discussion: EPA Allowance Auctions; Compliance Strategies Review`s EATX; Utility Environment Report`s price range; Cantor Fitzgerald`s Allowance Price Indicators; and Emissions Exchange Corporation`s Exchange Values. But experience in other markets indicates thatmore » (1) others will be created as the market develops, and (2) all published price indicators will tend to converge as time passes.« less
Discriminating tests of information and topological indices. Animals and trees.
Konstantinova, Elena V; Vidyuk, Maxim V
2003-01-01
In this paper we consider 13 information and topological indices based on the distance in a molecular graph with respect to their discrimination power. The numerical results of discriminating tests on 3490528 trees up to 21 vertices are given. The indices of the highest sensitivity are listed on the set of 1528775 alkane trees. The discrimination powers of indices are also examined on the classes of 849285 hexagonal, 298382 square, and 295365 triangular simply connected animals. The first class of animals corresponds to the structural formulas of planar benzenoid hydrocarbons. The values of all indices were calculated for all classes of animals as well as for the united set of 1443032 animals. The inspection of the data indicates the great sensitivity of four information indices and one topological index.
White, Pam; Roudsari, Abdul
2014-01-01
In the United Kingdom's National Health Service, quality indicators are generally measured electronically by using queries and data extraction, resulting in overlap and duplication of query components. Electronic measurement of health care quality indicators could be improved through an ontology intended to reduce duplication of effort during healthcare quality monitoring. While much research has been published on ontologies for computer-interpretable guidelines, quality indicators have lagged behind. We aimed to determine progress on the use of ontologies to facilitate computer-interpretable healthcare quality indicators. We assessed potential for improvements to computer-interpretable healthcare quality indicators in England. We concluded that an ontology for a large, diverse set of healthcare quality indicators could benefit the NHS and reduce workload, with potential lessons for other countries.
The evolution of tooth wear indices
2008-01-01
Tooth wear—attrition, erosion and abrasion—is perceived internationally as an ever-increasing problem. Clinical and epidemiological studies, however, are difficult to interpret and compare due to differences in terminology and the large number of indices that have been developed for diagnosing, grading and monitoring dental hard tissue loss. These indices have been designed to identify increasing severity and are usually numerical. Some record lesions on an aetiological basis (e.g. erosion indices), others record lesions irrespective of aetiology (tooth wear indices); none have universal acceptance, complicating the evaluation of the true increase in prevalence reported. This article considers the ideal requirements for an erosion index. It reviews the literature to consider how current indices have evolved and discusses if these indices meet the clinical and research needs of the dental profession. PMID:17701430
NASA Astrophysics Data System (ADS)
Eliazar, Iddo
2017-03-01
Inequality indices are widely applied in economics and in the social sciences as quantitative measures of the socioeconomic inequality of human societies. The application of inequality indices extends to size-distributions at large, where these indices can be used as general gauges of statistical heterogeneity. Moreover, as inequality indices are plentiful, arrays of such indices facilitate high-detail quantification of statistical heterogeneity. In this paper we elevate from arrays of inequality indices to inequality spectra: continuums of inequality indices that are parameterized by a single control parameter. We present a general methodology of constructing Lorenz-based inequality spectra, apply the general methodology to establish four sets of inequality spectra, investigate the properties of these sets, and show how these sets generalize known inequality gauges such as: the Gini index, the extended Gini index, the Rényi index, and hill curves.
Socioeconomic Status and Health: A New Approach to the Measurement of Bivariate Inequality.
Erreygers, Guido; Kessels, Roselinde
2017-06-23
We suggest an alternative way to construct a family of indices of socioeconomic inequality of health. Our indices belong to the broad category of linear indices. In contrast to rank-dependent indices, which are defined in terms of the ranks of the socioeconomic variable and the levels of the health variable, our indices are based on the levels of both the socioeconomic and the health variable. We also indicate how the indices can be modified in order to introduce sensitivity to inequality in the socioeconomic distribution and to inequality in the health distribution. As an empirical illustration, we make a comparative study of the relation between income and well-being in 16 European countries using data from the Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 4.
Multipartite entanglement indicators based on monogamy relations of n-qubit symmetric states
Liu, Feng; Gao, Fei; Qin, Su-Juan; Xie, Shu-Cui; Wen, Qiao-Yan
2016-01-01
Constructed from Bai-Xu-Wang-class monogamy relations, multipartite entanglement indicators can detect the entanglement not stored in pairs of the focus particle and the other subset of particles. We investigate the k-partite entanglement indicators related to the αth power of entanglement of formation (αEoF) for k ≤ n, αϵ and n-qubit symmetric states. We then show that (1) The indicator based on αEoF is a monotonically increasing function of k. (2) When n is large enough, the indicator based on αEoF is a monotonically decreasing function of α, and then the n-partite indicator based on works best. However, the indicator based on 2 EoF works better when n is small enough. PMID:26842264
Multipartite entanglement indicators based on monogamy relations of n-qubit symmetric states.
Liu, Feng; Gao, Fei; Qin, Su-Juan; Xie, Shu-Cui; Wen, Qiao-Yan
2016-02-04
Constructed from Bai-Xu-Wang-class monogamy relations, multipartite entanglement indicators can detect the entanglement not stored in pairs of the focus particle and the other subset of particles. We investigate the k-partite entanglement indicators related to the αth power of entanglement of formation (αEoF) for k ≤ n, αϵ and n-qubit symmetric states. We then show that (1) The indicator based on αEoF is a monotonically increasing function of k. (2) When n is large enough, the indicator based on αEoF is a monotonically decreasing function of α, and then the n-partite indicator based on works best. However, the indicator based on 2 EoF works better when n is small enough.
Multipartite entanglement indicators based on monogamy relations of n-qubit symmetric states
NASA Astrophysics Data System (ADS)
Liu, Feng; Gao, Fei; Qin, Su-Juan; Xie, Shu-Cui; Wen, Qiao-Yan
2016-02-01
Constructed from Bai-Xu-Wang-class monogamy relations, multipartite entanglement indicators can detect the entanglement not stored in pairs of the focus particle and the other subset of particles. We investigate the k-partite entanglement indicators related to the αth power of entanglement of formation (αEoF) for k ≤ n, αɛ and n-qubit symmetric states. We then show that (1) The indicator based on αEoF is a monotonically increasing function of k. (2) When n is large enough, the indicator based on αEoF is a monotonically decreasing function of α, and then the n-partite indicator based on works best. However, the indicator based on 2 EoF works better when n is small enough.
Garada, Mona; McLachlan, Andrew J; Schiff, Gordon D; Lehnbom, Elin C
2017-11-15
Documenting the indication on prescriptions and dispensed medicines labels is not standard practice in Australia. However, previous studies that have focused on the content and design of dispensed medicines labels, have suggested including the indication as a safety measure. The aim of this study was to investigate the perspectives of Australian consumers, pharmacists and prescribers on documenting the indication on prescriptions and dispensed medicines labels. Semi-structured interviews were conducted and mock-up of dispensed medicines labels were designed for participants. Consumers (n = 19) and pharmacists (n = 7) were recruited by convenience sample at community pharmacies in Sydney (Australia) and prescribers (n = 8), including two medical students, were recruited through snowballing. Thirty-four participants were interviewed. Most participants agreed that documenting the indication would be beneficial especially for patients who are forgetful or take multiple medications. Participants also believed it would improve consumers' medication understanding and adherence. Prescribers and pharmacists believed it could help reduce prescribing and dispensing errors by matching the drug/dosage to the correct indication. Prescribers refrained from documenting the indication to protect patients' privacy; however, most patients did not consider documenting the indication as a breach of privacy. Prescribers raised concerns about the extra time to include indications on prescriptions and best language to document indications, using plain language as opposed to medical terminology. All interviewed stakeholders identified numerous benefits of documenting the indication on prescriptions and dispensed medicines labels. Whether these potential benefits can be realized remains unknown and addressing prescribers' concern regarding the time involved in documenting the indication on prescriptions remains a challenge for vendors of electronic medication management systems.
Quality Indicators for Global Benchmarking of Localized Prostate Cancer Management.
Sampurno, Fanny; Zheng, Jia; Di Stefano, Lydia; Millar, Jeremy L; Foster, Claire; Fuedea, Ferran; Higano, Celestia; Hulan, Hartwig; Mark, Stephen; Moore, Caroline; Richardson, Alison; Sullivan, Frank; Wenger, Neil S; Wittmann, Daniela; Evans, Sue
2018-03-01
We sought to develop a core set of clinical indicators to enable international benchmarking of localized prostate cancer management using data available in the TrueNTH (True North) Global Registry. An international expert panel completed an online survey and participated in a face to face meeting. Participants included 3 urologists, 3 radiation oncologists, 2 psychologists, 1 medical oncologist, 1 nurse and 1 epidemiologist with prostate cancer expertise from a total of 7 countries. Current guidelines on prostate cancer treatment and potential quality indicators were identified from a literature review. These potential indicators were refined and developed through a modified Delphi process during which each panelist independently and repeatedly rated each indicator based on importance (satisfying the indicator demonstrated a provision of high quality care) and feasibility (the likelihood that data used to construct the indicator could be collected at a population level). The main outcome measure was items with panel agreement indicted by a disagreement index less 1, median importance 8.5 or greater and median feasibility 9 or greater. The expert panel endorsed 33 indicators. Seven of these 33 prostate cancer quality indicators assessed care relating to diagnosis, 7 assessed primary treatment, 1 assessed salvage treatment and 18 assessed health outcomes. We developed a set of quality indicators to measure prostate cancer care using numerous international evidence-based clinical guidelines. These indicators will be pilot tested in the TrueNTH Global Registry. Reports comparing indicator performance will subsequently be distributed to groups at participating sites with the purpose of improving the consistency and quality of prostate cancer management on a global basis. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
Van Grootven, Bastiaan; McNicoll, Lynn; Mendelson, Daniel A; Friedman, Susan M; Fagard, Katleen; Milisen, Koen; Flamaing, Johan; Deschodt, Mieke
2018-01-01
Objective To find consensus on appropriate and feasible structure, process and outcome indicators for the evaluation of in-hospital geriatric co-management programmes. Design An international two-round Delphi study based on a systematic literature review (searching databases, reference lists, prospective citations and trial registers). Setting Western Europe and the USA. Participants Thirty-three people with at least 2 years of clinical experience in geriatric co-management were recruited. Twenty-eight experts (16 from the USA and 12 from Europe) participated in both Delphi rounds (85% response rate). Measures Participants rated the indicators on a nine-point scale for their (1) appropriateness and (2) feasibility to use the indicator for the evaluation of geriatric co-management programmes. Indicators were considered appropriate and feasible based on a median score of seven or higher. Consensus was based on the level of agreement using the RAND/UCLA Appropriateness Method. Results In the first round containing 37 indicators, there was consensus on 14 indicators. In the second round containing 44 indicators, there was consensus on 31 indicators (structure=8, process=7, outcome=16). Experts indicated that co-management should start within 24 hours of hospital admission using defined criteria for selecting appropriate patients. Programmes should focus on the prevention and management of geriatric syndromes and complications. Key areas for comprehensive geriatric assessment included cognition/delirium, functionality/mobility, falls, pain, medication and pressure ulcers. Key outcomes for evaluating the programme included length of stay, time to surgery and the incidence of complications. Conclusion The indicators can be used to assess the performance of geriatric co-management programmes and identify areas for improvement. Furthermore, the indicators can be used to monitor the implementation and effect of these programmes. PMID:29549210
NASA Astrophysics Data System (ADS)
Goldie, James; Alexander, Lisa; Lewis, Sophie C.; Sherwood, Steven C.; Bambrick, Hilary
2018-03-01
Various human heat stress indices have been developed to relate atmospheric measures of extreme heat to human health impacts, but the usefulness of different indices across various health impacts and in different populations is poorly understood. This paper determines which heat stress indices best fit hospital admissions for sets of cardiovascular, respiratory, and renal diseases across five Australian cities. We hypothesized that the best indices would be largely dependent on location. We fit parent models to these counts in the summers (November-March) between 2001 and 2013 using negative binomial regression. We then added 15 heat stress indices to these models, ranking their goodness of fit using the Akaike information criterion. Admissions for each health outcome were nearly always higher in hot or humid conditions. Contrary to our hypothesis that location would determine the best-fitting heat stress index, we found that the best indices were related largely by health outcome of interest, rather than location as hypothesized. In particular, heatwave and temperature indices had the best fit to cardiovascular admissions, humidity indices had the best fit to respiratory admissions, and combined heat-humidity indices had the best fit to renal admissions. With a few exceptions, the results were similar across all five cities. The best-fitting heat stress indices appear to be useful across several Australian cities with differing climates, but they may have varying usefulness depending on the outcome of interest. These findings suggest that future research on heat and health impacts, and in particular hospital demand modeling, could better reflect reality if it avoided "all-cause" health outcomes and used heat stress indices appropriate to specific diseases and disease groups.
Winters, S; Kool, R B; Klazinga, N S; Huijsman, R
2014-08-01
To examine the impact of corporate structure and quality improvement (QI) activities on improvements in client-reported and professional indicators between 2007 and 2009. A cross-sectional study using organizational survey and indicator multilevel modelling to test relationships between corporate structure, QI activities and performance improvements on indicators. In total, 169 residential care homes for the elderly in the Netherlands. Change between 2007 and 2009 in client-reported and professional indicators. A middle-size corporate structure was associated with QI. The QI activity 'multidisciplinary team meetings' was positively correlated with the indicator 'safety environment' for somatic and psycho-geriatric care. The QI activities 'educational material' and 'direct work instructions' were associated negatively with the indicator 'availability of personnel' for somatic clients, but positively for psycho-geriatric clients. QI activities such as 'health plan activities', 'clinical lessons' and 'financial activities' had no relationship to improved performance. For psycho-geriatric clients mainly organizational QI activities were positively associated with QI. The mediating role of the corporate structure for performing QI activities appeared stronger for the change in client-reported than for professional indicators. This study reveals associations between QI activities and corporate structure and changes in indicator performance. A corporate structure was associated with improvement in client-reported indicators, but less on professional indicators, which assumes a central policy at corporate level with impact on client-reported indicators, in contrast to a more local level approach towards activities that result in QI on professional indicators. Tailoring QI activities at the right managerial level may be important to achieve improvement. © The Author 2014. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.
Goldie, James; Alexander, Lisa; Lewis, Sophie C; Sherwood, Steven C; Bambrick, Hilary
2018-03-01
Various human heat stress indices have been developed to relate atmospheric measures of extreme heat to human health impacts, but the usefulness of different indices across various health impacts and in different populations is poorly understood. This paper determines which heat stress indices best fit hospital admissions for sets of cardiovascular, respiratory, and renal diseases across five Australian cities. We hypothesized that the best indices would be largely dependent on location. We fit parent models to these counts in the summers (November-March) between 2001 and 2013 using negative binomial regression. We then added 15 heat stress indices to these models, ranking their goodness of fit using the Akaike information criterion. Admissions for each health outcome were nearly always higher in hot or humid conditions. Contrary to our hypothesis that location would determine the best-fitting heat stress index, we found that the best indices were related largely by health outcome of interest, rather than location as hypothesized. In particular, heatwave and temperature indices had the best fit to cardiovascular admissions, humidity indices had the best fit to respiratory admissions, and combined heat-humidity indices had the best fit to renal admissions. With a few exceptions, the results were similar across all five cities. The best-fitting heat stress indices appear to be useful across several Australian cities with differing climates, but they may have varying usefulness depending on the outcome of interest. These findings suggest that future research on heat and health impacts, and in particular hospital demand modeling, could better reflect reality if it avoided "all-cause" health outcomes and used heat stress indices appropriate to specific diseases and disease groups.
Haack, S.K.; Duris, J.W.; Fogarty, L.R.; Kolpin, D.W.; Focazio, M.J.; Furlong, E.T.; Meyer, M.T.
2009-01-01
The objective of this study was to compare fecal indicator bacteria (FIB) (fecal coliforms, Escherichia coli [EC], and enterococci [ENT]) concentrations with a wide array of typical organic wastewater chemicals and selected bacterial genes as indicators of fecal pollution in water samples collected at or near 18 surface water drinking water intakes. Genes tested included esp (indicating human-pathogenic ENT) and nine genes associated with various animal sources of shiga-toxin-producing EC (STEC). Fecal pollution was indicated by genes and/or chemicals for 14 of the 18 tested samples, with little relation to FIB standards. Of 13 samples with <50 EC 100 mL-1, human pharmaceuticals or chemical indicators of wastewater treatment plant effluent occurred in six, veterinary antibiotics were detected in three, and stx1 or stx2 genes (indicating varying animal sources of STEC) were detected in eight. Only the EC eaeA gene was positively correlated with FIB concentrations. Human-source fecal pollution was indicated by the esp gene and the human pharmaceutical carbamazepine in one of the nine samples that met all FIB recreational water quality standards. Escherichia coli rfbO157 and stx2c genes, which are typically associated with cattle sources and are of potential human health significance, were detected in one sample in the absence of tested chemicals. Chemical and gene-based indicators of fecal contamination may be present even when FIB standards are met, and some may, unlike FIB, indicate potential sources. Application of multiple water quality indicators with variable environmental persistence and fate may yield greater confidence in fecal pollution assessment and may inform remediation decisions. Copyright ?? 2009 by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America. All rights reserved.
Development of Mental Health Indicators in Korea
Han, Hyeree; Ahn, Dong Hyun; Song, Jinhee; Hwang, Tae Yeon
2012-01-01
Objective Promoting mental health and preventing mental health problems are important tasks for international organizations and nations. Such goals entail the establishment of active information networks and effective systems and indicators to assess the mental health of populations. This being said, there is a need in Korea develop ways to measure the state of mental health in Korea. Methods This paper reviews the mental health indicator development policies and practices of seven organizations, countries, and regions: WHO, OECD, EU, United States, Australia, UK, and Scotland. Using Delphi method, we conducted two surveys of mental health indicators for experts in the field of mental health. The survey questionnaire included 5 domains: mental health status, mental health factor, mental health system, mental health service, and quality of mental health services. We considered 124 potential mental health indicators out of more than 600 from indicators of international organizations and foreign countries. Results We obtained the top 30 mental health indicators from the surveys. Among them, 10 indicators belong to the mental health system. The most important five mental health indicators are suicide rate, rate of increase in mental disorder treatment, burden caused by mental disorders, adequacy of identifying problems of mental health projects and deriving solutions, and annual prevalence of mental disorders. Conclusion Our study provides information about the process for indicator development and the use of survey results to measure the mental health status of the Korean population. The aim of mental health indicator development is to improve the mental health system by better grasping the current situation. We suggest these mental health indicators can monitor progress in efforts to implement reform policies, provide community services, and involve users, families and other stakeholders in mental health promotion, prevention, care and rehabilitation. PMID:23251193
NASA Astrophysics Data System (ADS)
Hinrichs, S.; Patten, N. L.; Allcock, R. J. N.; Saunders, S. M.; Strickland, D.; Waite, A. M.
2013-09-01
Seasonal variations in coral health indices reflecting autotrophic activity (chlorophyll a and zooxanthellae density), metabolic rates (RNA/DNA ratio and protein) and energy storage (ratio of storage: structural lipids or lipid ratios) were examined for two dominant Acropora species [ Acropora digitifera ( AD) and Acropora spicifera ( AS)] at Ningaloo Reef (north-western Australia). Such detailed investigation of metabolic processes is important background, with regard to understanding the vulnerability of corals to environmental change. Health indices in AD and AS were measured before and after spawning in austral autumn and winter 2010, and austral summer 2011 at six stations. Health indices showed seasonal and species-specific differences but negligible spatial differences across a reef section. For AD, autotrophic indices were negatively correlated with lipid ratios and metabolic indices. Metabolic indices were significantly higher in AS than AD. No correlation was observed between RNA/DNA ratios and lipid ratios with any autotrophic indices for AS. Lipid ratios were stable throughout the year for AS while they changed significantly for AD. For both species, indices of metabolic activity were highest during autumn, while autotrophic indices were highest in winter and summer. Results suggest that the impact of the broadcast spawning event on coral health indices at Ningaloo Reef occurred only as a backdrop to massive seasonal changes in coral physiology. The La Niña summer pattern resulted in high autotrophic indices and low metabolic indices and energy stores. Our results imply different metabolic processes in A. digitifera and A. spicifera as well as a strong impact of extreme events on coral physiology.
Helicopter Display Improvement Study
1975-05-01
PRESSURE INDICATOR 43 TURN A N D SLIP INDICATOR 21 ENGINE AND SDG OIL IN TEMPERATURE INDICATOR 44 COURSE INDICATOR 22 RADIO MAGNETIC COMPASS INDICATOR... compass seemed to present a problem to several H-l series pilots In that It was poorly located and should be moved. Possible locations Included...the UH-lNs standby compass . Both H/L and L/L pilots agreed that internal, white light was the best system currently in use. INDIVIDUAL DISPLAYS
1974-06-01
i INDICATORS Approaches to Early Warning The Quantitative Indicators Approach: A ... 5 Summary Indicators and Early Warning...Indicators for Early ^ Wa rning 3. Quantitative Signs of Unusual or Ominous Activity 9 13 4. Simulated Cables 25 5 . TEXSCAN...Behavior) for Czechoslovakia 1 mmmmm mmm LIST OF FIGURES vi Pa£« 1. 2. 3. 4. 5 . 6. 7. 8. 9. 10. U. 12. 13. 14. 15. 16. 17. 18
Layani, Géraldine; Fleet, Richard; Dallaire, Renée; Tounkara, Fatoumata K; Poitras, Julien; Archambault, Patrick; Chauny, Jean-Marc; Ouimet, Mathieu; Gauthier, Josée; Dupuis, Gilles; Tanguay, Alain; Lévesque, Jean-Frédéric; Simard-Racine, Geneviève; Haggerty, Jeannie; Légaré, France
2016-01-01
Evidence-based indicators of quality of care have been developed to improve care and performance in Canadian emergency departments. The feasibility of measuring these indicators has been assessed mainly in urban and academic emergency departments. We sought to assess the feasibility of measuring quality-of-care indicators in rural emergency departments in Quebec. We previously identified rural emergency departments in Quebec that offered medical coverage with hospital beds 24 hours a day, 7 days a week and were located in rural areas or small towns as defined by Statistics Canada. A standardized protocol was sent to each emergency department to collect data on 27 validated quality-of-care indicators in 8 categories: duration of stay, patient safety, pain management, pediatrics, cardiology, respiratory care, stroke and sepsis/infection. Data were collected by local professional medical archivists between June and December 2013. Fifteen (58%) of the 26 emergency departments invited to participate completed data collection. The ability to measure the 27 quality-of-care indicators with the use of databases varied across departments. Centres 2, 5, 6 and 13 used databases for at least 21 of the indicators (78%-92%), whereas centres 3, 8, 9, 11, 12 and 15 used databases for 5 (18%) or fewer of the indicators. On average, the centres were able to measure only 41% of the indicators using heterogeneous databases and manual extraction. The 15 centres collected data from 15 different databases or combinations of databases. The average data collection time for each quality-of-care indicator varied from 5 to 88.5 minutes. The median data collection time was 15 minutes or less for most indicators. Quality-of-care indicators were not easily captured with the use of existing databases in rural emergency departments in Quebec. Further work is warranted to improve standardized measurement of these indicators in rural emergency departments in the province and to generalize the information gathered in this study to other health care environments.
Miró, O; Burbano Santos, P; Trilla, A; Casademont, J; Fernandez Pérez, C; Martín-Sánchez, Fj
2016-01-01
To study the behaviour of several indicators of scientific production and repercussion in a group of Spanish clinical researchers and to evaluate their possible utility for interpreting individual or collective scientific pathways. We performed a unicentric, ecological pilot study involving a group of physicians with consolidated research experience. From the Science Citation Index Expanded (SCI-Expanded) database, we obtained the number of publications of each author (indicator of production) and the number of citations, impact factor and h index (indicators of repercussion). These indicators were calculated individually for each of the years of research experience and we assessed the relationship between the experience of the researcher and the value of the indicator achieved, the relationship between these indicators themselves, and their temporal evolution, both individually and for the entire group. We analysed 35 researchers with a research experience of 28.4 (9.6) years. The h index showed the lowest coefficient of variance. The relationship between the indicators and research experience was significant, albeit modest (R2 between 0.15-0.22). The 4 indicators showed good correlations. The temporal evolution of the indicators, both individual and collective, adjusted better to a second grade polynomial than a linear function: individually, all the authors obtained R2>0.90 in all the indicators; together the best adjustment was produced with the h index (R2=0.61). Based on the indicator used, substantial variations may be produced in the researchers' ranking. A model of the temporal evolution of the indicators of production and repercussion can be described in a relatively homogeneous sample of researchers and the h index seems to demonstrate certain advantages compared to the remaining indicators. This type of analysis could become a predictive tool of performance to be achieved not only for a particular researcher, but also for a homogeneous group of resear-chers corresponding to a specific scientific niche.
NASA Astrophysics Data System (ADS)
Chen, Ajiao; He, Xinguang; Guan, Huade; Cai, Yi
2018-04-01
In this study, the trends and periodicity in climate extremes are examined in Hunan Province over the period 1960-2013 on the basis of 27 extreme climate indices calculated from daily temperature and precipitation records at 89 meteorological stations. The results show that in the whole province, temperature extremes exhibit a warming trend with more than 50% stations being statistically significant for 7 out of 16 temperature indices, and the nighttime temperature increases faster than the daytime temperature at the annual scale. The changes in most extreme temperature indices show strongly coherent spatial patterns. Moreover, the change rates of almost all temperature indices in north Hunan are greater than those of other regions. However, the statistically significant changes in indices of extreme precipitation are observed at fewer stations than in extreme temperature indices, forming less spatially coherent patterns. Positive trends in indices of extreme precipitation show that the amount and intensity of extreme precipitation events are generally increasing in both annual and seasonal scales, whereas the significant downward trend in consecutive wet days indicates that the precipitation becomes more even over the study period. Analysis of changes in probability distributions of extreme indices for 1960-1986 and 1987-2013 also demonstrates a remarkable shift toward warmer condition and increasing tendency in the amount and intensity of extreme precipitation during the past decades. The variations in extreme climate indices exhibit inconstant frequencies in the wavelet power spectrum. Among the 16 temperature indices, 2 of them show significant 1-year periodic oscillation and 7 of them exhibit significant 4-year cycle during some certain periods. However, significant periodic oscillations can be found in all of the precipitation indices. Wet-day precipitation and three absolute precipitation indices show significant 1-year cycle and other seven provide significant power at the 4-year period, which are mainly found during 1970-1980 and after 1992.
Facilities Performance Indicators Report, 2008-09
ERIC Educational Resources Information Center
Hills, Christina, Ed.
2010-01-01
This paper features another expanded Web-based Facilities Performance Indicators Report (FPI). The purpose of APPA's Facilities Performance Indicators is to provide a representative set of statistics about facilities in educational institutions. The 2008-09 iteration of the Web-based Facilities Performance Indicators Survey was posted and…
47 CFR 80.927 - Antenna radio frequency indicator.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 47 Telecommunication 5 2014-10-01 2014-10-01 false Antenna radio frequency indicator. 80.927... Boats § 80.927 Antenna radio frequency indicator. The transmitter must be equipped with a device which provides visual indication whenever the transmitter is supplying power to the antenna. ...
47 CFR 80.927 - Antenna radio frequency indicator.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 47 Telecommunication 5 2010-10-01 2010-10-01 false Antenna radio frequency indicator. 80.927... Boats § 80.927 Antenna radio frequency indicator. The transmitter must be equipped with a device which provides visual indication whenever the transmitter is supplying power to the antenna. ...
47 CFR 80.927 - Antenna radio frequency indicator.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 47 Telecommunication 5 2012-10-01 2012-10-01 false Antenna radio frequency indicator. 80.927... Boats § 80.927 Antenna radio frequency indicator. The transmitter must be equipped with a device which provides visual indication whenever the transmitter is supplying power to the antenna. ...
47 CFR 80.927 - Antenna radio frequency indicator.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 47 Telecommunication 5 2013-10-01 2013-10-01 false Antenna radio frequency indicator. 80.927... Boats § 80.927 Antenna radio frequency indicator. The transmitter must be equipped with a device which provides visual indication whenever the transmitter is supplying power to the antenna. ...
47 CFR 80.927 - Antenna radio frequency indicator.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 47 Telecommunication 5 2011-10-01 2011-10-01 false Antenna radio frequency indicator. 80.927... Boats § 80.927 Antenna radio frequency indicator. The transmitter must be equipped with a device which provides visual indication whenever the transmitter is supplying power to the antenna. ...
34 CFR 200.19 - Other academic indicators.
Code of Federal Regulations, 2013 CFR
2013-07-01
... EDUCATION, DEPARTMENT OF EDUCATION TITLE I-IMPROVING THE ACADEMIC ACHIEVEMENT OF THE DISADVANTAGED Improving... 34 Education 1 2013-07-01 2013-07-01 false Other academic indicators. 200.19 Section 200.19... academic indicators. (a) Elementary and middle schools—(1) Choice of indicator. To determine AYP...
34 CFR 200.19 - Other academic indicators.
Code of Federal Regulations, 2012 CFR
2012-07-01
... EDUCATION, DEPARTMENT OF EDUCATION TITLE I-IMPROVING THE ACADEMIC ACHIEVEMENT OF THE DISADVANTAGED Improving... 34 Education 1 2012-07-01 2012-07-01 false Other academic indicators. 200.19 Section 200.19... academic indicators. (a) Elementary and middle schools—(1) Choice of indicator. To determine AYP...
34 CFR 200.19 - Other academic indicators.
Code of Federal Regulations, 2014 CFR
2014-07-01
... EDUCATION, DEPARTMENT OF EDUCATION TITLE I-IMPROVING THE ACADEMIC ACHIEVEMENT OF THE DISADVANTAGED Improving... 34 Education 1 2014-07-01 2014-07-01 false Other academic indicators. 200.19 Section 200.19... academic indicators. (a) Elementary and middle schools—(1) Choice of indicator. To determine AYP...
40 CFR 64.3 - Monitoring design criteria.
Code of Federal Regulations, 2013 CFR
2013-07-01
... indicators of emission control performance for the control device, any associated capture system and, if.... Indicators of performance may include, but are not limited to, direct or predicted emissions (including...(s) or designated condition(s) for the selected indicator(s) such that operation within the ranges...
Development of diatom indicators of ecological conditons for streams of the western US
The species composition of benthic diatoms was related to environmental conditions in streams throughout the western US to develop diatom traits, indicators for assessment of biological condition and indicators for diagnosing stressors. We hypothesized that indicators based on s...
Development of diatom indicators of ecological conditions for streams of the western US
The species composition of benthic diatoms was related to environmental conditions in streams throughout the western US to develop diatom traits, indicators for assessment of biological condition and indicators for diagnosing stressors. We hypothesized that indicators based on sp...
24 CFR 901.35 - Indicator #6, financial management.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Indicator #6, financial management... URBAN DEVELOPMENT PUBLIC HOUSING MANAGEMENT ASSESSMENT PROGRAM § 901.35 Indicator #6, financial management. This indicator examines the amount of cash reserves available for operations and, for PHAs...
Reaction and Transport Processes Controlling In Situ Chemical Oxidation of DNAPLs
2006-11-01
efficiency (MTE), which indicates the efficiency of oxidant use, and the volumetric depletion efficiency ( VDE ), which indicates the efficiency of the...indicating better oxidant use. The volumetric depletion efficiency ( VDE ) indicates the effectiveness of the flushing regime, with a higher value
USDA-ARS?s Scientific Manuscript database
Environmental indicators are powerful tools for tracking environmental changes, measuring environmental performance, and informing policy makers. With the ubiquitous nature of environmental assets and within the broad themes of environmental disciplines, many diverse environmental indicators, inclu...
14 CFR 23.1545 - Airspeed indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Airspeed indicator. 23.1545 Section 23.1545 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... Markings and Placards § 23.1545 Airspeed indicator. (a) Each airspeed indicator must be marked as specified...
14 CFR 27.1545 - Airspeed indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Airspeed indicator. 27.1545 Section 27.1545 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... Airspeed indicator. (a) Each airspeed indicator must be marked as specified in paragraph (b) of this...
34 CFR 361.86 - Performance levels.
Code of Federal Regulations, 2011 CFR
2011-07-01
... Standards and Performance Indicators § 361.86 Performance levels. (a) General. (1) Paragraph (b) of this..., new performance levels. (b) Performance levels for each performance indicator. (1)(i) The performance levels for Performance Indicators 1.1 through 1.6 are— Performance indicator Performance level by type of...
49 CFR 393.53 - Automatic brake adjusters and brake adjustment indicators.
Code of Federal Regulations, 2010 CFR
2010-10-01
... indicators. 393.53 Section 393.53 Transportation Other Regulations Relating to Transportation (Continued... brake adjustment indicators. (a) Automatic brake adjusters (hydraulic brake systems). Each commercial... vehicle at the time it was manufactured. (c) Brake adjustment indicator (air brake systems). On each...
Interpretational Confounding or Confounded Interpretations of Causal Indicators?
ERIC Educational Resources Information Center
Bainter, Sierra A.; Bollen, Kenneth A.
2014-01-01
In measurement theory, causal indicators are controversial and little understood. Methodological disagreement concerning causal indicators has centered on the question of whether causal indicators are inherently sensitive to interpretational confounding, which occurs when the empirical meaning of a latent construct departs from the meaning…
14 CFR 29.1545 - Airspeed indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Airspeed indicator. 29.1545 Section 29.1545 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS....1545 Airspeed indicator. (a) Each airspeed indicator must be marked as specified in paragraph (b) of...
49 CFR 393.53 - Automatic brake adjusters and brake adjustment indicators.
Code of Federal Regulations, 2011 CFR
2011-10-01
... indicators. 393.53 Section 393.53 Transportation Other Regulations Relating to Transportation (Continued... brake adjustment indicators. (a) Automatic brake adjusters (hydraulic brake systems). Each commercial... vehicle at the time it was manufactured. (c) Brake adjustment indicator (air brake systems). On each...
14 CFR 29.1545 - Airspeed indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Airspeed indicator. 29.1545 Section 29.1545 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS....1545 Airspeed indicator. (a) Each airspeed indicator must be marked as specified in paragraph (b) of...
14 CFR 27.1545 - Airspeed indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Airspeed indicator. 27.1545 Section 27.1545 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... Airspeed indicator. (a) Each airspeed indicator must be marked as specified in paragraph (b) of this...
Schuelke, Matthew J; Day, Eric Anthony; McEntire, Lauren E; Boatman, Jazmine Espejo; Wang, Xiaoqian; Kowollik, Vanessa; Boatman, Paul R
2009-07-01
The authors examined the relative criterion-related validity of knowledge structure coherence and two accuracy-based indices (closeness and correlation) as well as the utility of using a combination of knowledge structure indices in the prediction of skill acquisition and transfer. Findings from an aggregation of 5 independent samples (N = 958) whose participants underwent training on a complex computer simulation indicated that coherence and the accuracy-based indices yielded comparable zero-order predictive validities. Support for the incremental validity of using a combination of indices was mixed; the most, albeit small, gain came in pairing coherence and closeness when predicting transfer. After controlling for baseline skill, general mental ability, and declarative knowledge, only coherence explained a statistically significant amount of unique variance in transfer. Overall, the results suggested that the different indices largely overlap in their representation of knowledge organization, but that coherence better reflects adaptable aspects of knowledge organization important to skill transfer.
Developing Urban Environment Indicators for Neighborhood Sustainability Assessment in Tripoli-Libya
NASA Astrophysics Data System (ADS)
Elgadi, Ahmed. A.; Hakim Ismail, Lokman; Abass, Fatma; Ali, Abdelmuniem
2016-11-01
Sustainability assessment frameworks are becoming increasingly important to assist in the transition towards a sustainable urban environment. The urban environment is an effective system and requires regular monitoring and evaluation through a set of relevant indicators. The indicator provides information about the state of the environment through the production value of quantity. The indicator creates sustainability assessment requests to be considered on all spatial scales to specify efficient information of urban environment sustainability in Tripoli-Libya. Detailed data is necessary to assess environmental modification in the urban environment on a local scale and ease the transfer of this information to national and global stages. This paper proposes a set of key indicators to monitor urban environmental sustainability developments of Libyan residential neighborhoods. The proposed environmental indicator framework measures the sustainability performance of an urban environment through 13 sub-categories consisting of 21 indicators. This paper also explains the theoretical foundations for the selection of all indicators with reference to previous studies.
Parsons, Marsha B; Bentley, Erik; Inman, Amy; Lattimore, L. Perry
2012-01-01
Research is increasingly demonstrating the importance of monitoring indices of happiness as part of behavioral programs for individuals who have severe intellectual disabilities. We evaluated a practitioner-oriented process for identifying and validating individualized indices of this private event among three adults with autism who were nonvocal or minimally vocal. Caregiver surveys were administered to obtain agreement regarding behavior displayed when the individuals were happy and unhappy, as well as situations in which they were likely to experience happiness and unhappiness. Observations corroborated caregiver opinion in that participants displayed more happiness indices in situations reported to be accompanied by happiness, and for the most part, more unhappiness indices in reported unhappiness situations. Subsequent choices by each participant supported the validity of the individualized indices. Results are discussed regarding how identifying happiness indices can be a useful component of behavioral applications, as well as guidelines and cautions regarding use of the indices in routine practice. PMID:23326627
The indicator performance estimate approach to determining acceptable wilderness conditions
NASA Astrophysics Data System (ADS)
Hollenhorst, Steven; Gardner, Lisa
1994-11-01
Using data from a study conducted in the Cranberry Wilderness Area of West Virginia, United States, this paper describes how a modified importance—performance approach can be used to prioritize wilderness indicators and determine how much change from the pristine is acceptable. The approach uses two key types of information: (1) indicator importance, or visitor opinion as to which wilderness indicators have the greatest influence on their experience, and (2) management performance, or the extent to which actual indicator conditions exceed or are within visitor expectations. Performance was represented by calculating indicator performance estimates (IPEs), as defined by standardized differences between actual conditions and visitor preferences for each indicator. The results for each indicator are then presented graphically on a four-quadrant matrix for objective interpretation. Each quadrant represents a management response: keep up the good work, concentrate here, low priority, or possible overkill. The technique allows managers to more systematically and effectively utilize information routinely collected during the limits of acceptable change wilderness planning process.
Goh, B P L; Lai, C H
2014-08-30
With increasing recognition that maximum oxygen demand is the unifying limit in tolerance, the first line of thermal sensitivity is, as a corollary, due to capacity limitations at a high level of organisational complexity before individual, molecular or membrane functions become disturbed. In this study the tropical mussel Perna viridis were subjected to temperature change of 0.4 °C per hour from ambient to 8-36 °C. By comparing thermal mortality against biochemical indices (hsp70, gluthathione), physiological indices (glycogen, FRAP, NRRT) and behavioural indices (clearance rate), a hierarchy of thermal tolerance was therein elucidated, ranging from systemic to cellular to molecular levels. Generally, while biochemical indices indicated a stress signal much earlier than the more integrated behavioural indices, failure of the latter (indicating a tolerance limit and transition to pejus state) occurred much earlier than the other indices tending towards thermal extremities at both ends of the thermal spectrum. Copyright © 2013 Elsevier Ltd. All rights reserved.
Rejec, Ana; Butinar, Janos; Gawor, Jerzy; Petelin, Milan
2017-12-01
The aim of the study was to retrospectively assess complete blood count (CBC) indices of dogs with periodontitis (PD; n = 73) and dogs with oropharyngeal tumors (OT; n = 92) in comparison to CBC indices of healthy dogs (HD; n = 71). Neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio, mean platelet volume to platelet ratio, and platelet large cell ratio index (PLCRi) were evaluated as biomarkers of systemic inflammatory response provoked by PD and OT. Results of multivariable polytomous logistic regression analysis indicated no significant associations between CBC indices and PD. Both NLR and PLCRi were significantly higher in dogs with OT when compared to HD and dogs with PD and could, therefore, indicate a tumor-associated systemic inflammatory response. Additional studies of CBC indices, along with other biomarkers of systemic inflammatory response, are recommended to validate them as reliable indicators of clinical disease activity.
Investigating the key indicators for evaluating post-disaster shelter.
Nath, Ronita; Shannon, Harry; Kabali, Conrad; Oremus, Mark
2017-07-01
This study sought to identify the primary indicators for evaluating shelter assistance following natural disasters and then to develop a shelter evaluation instrument based on these indicators. Electronic databases and the 'grey' literature were scoured for publications with a relation to post-disaster shelter assistance. Indicators for evaluating such assistance were extracted from these publications. In total, 1,525 indicators were extracted from 181 publications. A preliminary evaluation instrument was designed from these 1,525 indicators. Shelter experts checked the instrument for face and content validity, and it was revised subsequently based on their input. The revised instrument comprises a version for use by shelter agencies (48 questions that assess 23 indicators) and a version for use by beneficiaries (52 questions that assess 22 indicators). The instrument can serve as a standardised tool to enable groups to gauge whether or not the shelter assistance that they supply meets the needs of disaster-affected populations. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.
Byrnes, Hilary F.; Miller, Brenda A.; Morrison, Christopher N.; Wiebe, Douglas J.; Woychik, Marcie; Wiehe, Sarah E.
2017-01-01
Most prior studies use objectively measured data (e.g., census-based indicators) to assess contextual risks. However, teens’ observations might be more important for their risk behavior. Objectives: 1) determine relationships between observed and objective indicators of contextual risks 2) determine relations of observed and objective indicators with teen alcohol use and problem behavior. Teens aged 14–16 (N=170) carried GPS-enabled smartphones for one month, with locations documented. Ecological momentary assessment (EMA) measured teens’ observations via texts regarding risk behaviors and environmental observations. Objective indicators of alcohol outlets and disorganization were spatially joined to EMAs based on teens’ location at the time of the texts. Observed and objective disorganization, and objective indicators of alcohol outlets were related to alcohol use. Observed disorganization was related to problem behavior, while objective indicators were unrelated. Findings suggest the importance of considering teens’ observations of contextual risk for understanding influences on risk behavior and suggest future directions for research and prevention strategies. PMID:28061392
Identification of Hemoglobin Levels Based on Anthropometric Indices in Elderly Koreans
Kim, Jong Yeol
2016-01-01
Objectives Anemia is independently and strongly associated with an increased risk of mortality in older people and is also strongly associated with obesity. The objectives of the present study were to examine the associations between the hemoglobin level and various anthropometric indices, to predict low and normal hemoglobin levels using combined anthropometric indices, and to assess differences in the hemoglobin level and anthropometric indices between Korean men and women. Methods A total of 7,156 individuals ranging in age from 53–90 years participated in this retrospective cross-sectional study. Binary logistic regression (LR) and naïve Bayes (NB) models were used to identify significant differences in the anthropometric indices between subjects with low and normal hemoglobin levels and to assess the predictive power of these indices for the hemoglobin level. Results Among all of the variables, age displayed the strongest association with the hemoglobin level in both men (p < 0.0001, odds ratio [OR] = 0.487, area under the receiver operating characteristic curve based on the LR [LR-AUC] = 0.702, NB-AUC = 0.701) and women (p < 0.0001, OR = 0.636, LR-AUC = 0.625, NB-AUC = 0.624). Among the anthropometric indices, weight and body mass index (BMI) were the best predictors of the hemoglobin level. The predictive powers of all of the variables were higher in men than in women. The AUC values for the NB-Wrapper and LR-Wrapper predictive models generated using combined anthropometric indices were 0.734 and 0.723, respectively, for men and 0.649 and 0.652, respectively, for women. The use of combined anthropometric indices may improve the predictive power for the hemoglobin level. Discussion Among the various anthropometric indices, with the exception of age, we did not identify any indices that were better predictors than weight and BMI for low and normal hemoglobin levels. In addition, none of the ratios between pairs of indices were good indicators of the hemoglobin level. Finally, the Korean men tended to have higher associations between the anthropometric indices and anemia than the women. PMID:27812118
Paint for detection of radiological or chemical agents
Farmer, Joseph C [Tracy, CA; Brunk, James L [Martinez, CA; Day, Sumner Daniel [Danville, CA
2010-08-24
A paint that warns of radiological or chemical substances comprising a paint operatively connected to the surface, an indicator material carried by the paint that provides an indication of the radiological or chemical substances, and a thermo-activation material carried by the paint. In one embodiment, a method of warning of radiological or chemical substances comprising the steps of painting a surface with an indicator material, and monitoring the surface for indications of the radiological or chemical substances. In another embodiment, a paint is operatively connected to a vehicle and an indicator material is carried by the paint that provides an indication of the radiological or chemical substances.
Climate Indicators for Energy and Infrastructure
NASA Astrophysics Data System (ADS)
Wilbanks, T. J.
2014-12-01
Two of the key categories of climate indicators are energy and infrastructure. For energy supply and use, many indicators are available for energy supply and consumption; and some indicators are available to assess implications of climate change, such as changes over time in heating and cooling days. Indicators of adaptation and adaptive capacity are more elusive. For infrastructure, which includes more than a dozen different sectors, general indicators are not available, beyond counts of major disasters and such valuable contributions as the ASCE "report cards." In this case, research is needed, for example to develop credible metrics for assessing the resilience of built infrastructures to climate change and other stresses.
Correlation and network topologies in global and local stock indices
NASA Astrophysics Data System (ADS)
Nobi, Ashadun; Lee, Sungmin; Kim, Doo Hwan; Lee, Jae Woo
2014-07-01
We examined how the correlation and network structure of the global indices and local Korean indices have changed during years 2000-2012. The average correlations of the global indices increased with time, while the local indices showed a decreasing trend except for drastic changes during the crises. A significant change in the network topologies was observed due to the financial crises in both markets. The Jaccard similarities identified the change in the market state due to a crisis in both markets. The dynamic change of the Jaccard index can be used as an indicator of systemic risk or precursors of the crisis.
Goldie, James; Alexander, Lisa; Lewis, Sophie C; Sherwood, Steven
2017-08-01
To find appropriate regression model specifications for counts of the daily hospital admissions of a Sydney cohort and determine which human heat stress indices best improve the models' fit. We built parent models of eight daily counts of admission records using weather station observations, census population estimates and public holiday data. We added heat stress indices; models with lower Akaike Information Criterion scores were judged a better fit. Five of the eight parent models demonstrated adequate fit. Daily maximum Simplified Wet Bulb Globe Temperature (sWBGT) consistently improved fit more than most other indices; temperature and heatwave indices also modelled some health outcomes well. Humidity and heat-humidity indices better fit counts of patients who died following admission. Maximum sWBGT is an ideal measure of heat stress for these types of Sydney hospital admissions. Simple temperature indices are a good fallback where a narrower range of conditions is investigated. Implications for public health: This study confirms the importance of selecting appropriate heat stress indices for modelling. Epidemiologists projecting Sydney hospital admissions should use maximum sWBGT as a common measure of heat stress. Health organisations interested in short-range forecasting may prefer simple temperature indices. © 2017 The Authors.
Kayser, Georgia L.; Moriarty, Patrick; Fonseca, Catarina; Bartram, Jamie
2013-01-01
Monitoring of water services informs policy and planning for national governments and the international community. Currently, the international monitoring system measures the type of drinking water source that households use. There have been calls for improved monitoring systems over several decades, some advocating use of multiple indicators. We review the literature on water service indicators and frameworks with a view to informing debate on their relevance to national and international monitoring. We describe the evidence concerning the relevance of each identified indicator to public health, economic development and human rights. We analyze the benefits and challenges of using these indicators separately and combined in an index as tools for planning, monitoring, and evaluating water services. We find substantial evidence on the importance of each commonly recommended indicator—service type, safety, quantity, accessibility, reliability or continuity of service, equity, and affordability. Several frameworks have been proposed that give structure to the relationships among individual indicators and some combine multiple indicator scores into a single index but few have been rigorously tested. More research is needed to understand if employing a composite metric of indicators is advantageous and how each indicator might be scored and scaled. PMID:24157507
Choosing indicators of natural resource condition: A case study in Arches National Park, Utah, USA
Belnap, J.
1998-01-01
Heavy visitor use in many areas of the world have necessitated development of ways to assess visitation impacts. Arches National Park recently completed a Visitor Experience and Resource Protection (VERP) plan. Integral to this plan was developing a method to identify biological indicators that would both measure visitor impacts and response to management actions. The process used in Arches for indicator selection is outlined here as a model applicable to many areas facing similar challenges. The steps were: (1) Vegetation types most used by visitors were identified. Impacted and unimpacted areas in these types were sampled, comparing vegetation and soil factors. (2) Variables found to differ significantly between compared sites were used as potential indicators. (3) Site-specific criteria for indicators were developed, and potential indicators evaluated using these criteria. (4) Chosen indicators were further researched for ecological relevancy. (5) Final indicators were chosen, field tested, and monitoring sites designated. In Arches, indicators were chosen for monitoring annually (soil crust index, soil compaction, number of used social trails and soil aggregate stability) and every five years (vegetation cover and frequency; ground cover; soil chemistry; and plant tissue chemistry).
Takahashi, Renata Ferreira; Gryschek, Anna Luíza F P L; Izumi Nichiata, Lúcia Yasuko; Lacerda, Rúbia Aparecida; Ciosak, Suely Itsuko; Gir, Elucir; Padoveze, Maria Clara
2010-05-01
There is growing demand for the adoption of qualification systems for health care practices. This study is aimed at describing the development and validation of indicators for evaluation of biologic occupational risk control programs. The study involved 3 stages: (1) setting up a research team, (2) development of indicators, and (3) validation of the indicators by a team of specialists recruited to validate each attribute of the developed indicators. The content validation method was used for the validation, and a psychometric scale was developed for the specialists' assessment. A consensus technique was used, and every attribute that obtained a Content Validity Index of at least 0.75 was approved. Eight indicators were developed for the evaluation of the biologic occupational risk prevention program, with emphasis on accidents caused by sharp instruments and occupational tuberculosis prevention. The indicators included evaluation of the structure, process, and results at the prevention and biologic risk control levels. The majority of indicators achieved a favorable consensus regarding all validated attributes. The developed indicators were considered validated, and the method used for construction and validation proved to be effective. Copyright (c) 2010 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.
Analysis of architect’s performance indicators in project delivery process
NASA Astrophysics Data System (ADS)
Marisa, A.
2018-03-01
Architect as a professional in the construction industry should possess a good performance in project delivery process. As a design professional, architect has an important role to ensure that the process is well-conducted by delivering a high-quality product for the clients. Thus, analyzing architect’s performance indicators is crucial in the project delivery process. This study aims to analyze the relative importance of architect performance indicators in project delivery process among registered architects in North Sumatera, Indonesia. A total of five indicators that measure architect performance in project delivery process were identified and 110 completed questionnaires were obtained and used for data analysis. A relative importance index is used to rank the relative importance of architect performance indicators. Results indicate that focus on the clients is the most important indicator of architect performance in project delivery process. This study demonstrates project communication as one of crucial indicators perceived by the architects for measuring their performance, and fills a knowledge gap on the importance of identifying the most important indicator for measuring architect performance from their own perspectives which previous studies have overlooked to improve performance assessment in project delivery process.
NASA Astrophysics Data System (ADS)
Arndt, D. S.
2014-12-01
In recent years, much attention has been dedicated to the development, testing and implementation of climate indicators. Several Federal agencies and academic groups have commissioned suites of indicators drawing upon and aggregating information available across the spectrum of climate data stewards and providers. As a long-time participant in the applied climatology discipline, NOAA's National Climatic Data Center (NCDC) has generated climate indicators for several decades. Traditionally, these indicators were developed for sectors with long-standing relationships with, and needs of, the applied climatology field. These have recently been adopted and adapted to meet the needs of sectors who have newfound sensitivities to climate and needs for climate data. Information and indices from NOAA's National Climatic Data Center have been prominent components of these indicator suites, and in some cases have been drafted in toto by these aggregators, often with improvements to the communicability and aesthetics of the indicators themselves. Across this history of supporting needs for indicators, NCDC climatologists developed a handful of practical approaches and philosophies that inform a successful climate monitoring product. This manuscript and presentation will demonstrate the utility this set of practical applications that translate raw data into useful information.
Matching the needs of a nation: The strategic roles of indicators for decisionmaking
DOE Office of Scientific and Technical Information (OSTI.GOV)
Peterson, P.J.
Indicators are important tools for communicating and making accessible scientific and technical information to policymakers and the general public. They therefore play an important role in transforming information into action. Worldwide, many initiatives are underway to construct indicators for a variety of purposes, including those for reporting on sustainable development. This paper briefly describes the attempts made so far, but stresses that the users of the indicators should play a greater role in indicator construction. In developing countries, a substantial lack of data has meant that specific policy formulation may develop without adequate technical input. In developed countries also, datamore » gaps may hinder policy formulation, implementation, and evaluation. However, the development of indicators as tools to assist in the management of hazardous wastes and toxic chemicals is still in the early stages of formulation. A more imaginative program of indicators and indices is required, where targets are well defined and the users clearly identified to assist in decision making, especially at the local and national levels. A broader range of pressure indicators, beyond hazardous wastes, is proposed to integrate toxic chemicals, emissions, and environmental and human health impacts. 39 refs., 3 figs.« less
Indicators of wetland condition for the Prairie Pothole Region of the United States
Guntenspergen, Glenn R.; Peterson, S.A.; Leibowitz, S.G.; Cowardin, L.M.
2002-01-01
We describe a study designed to evaluate the performance ofwetland condition indicators of the Prairie Pothole Region (PPR)of the north central United States. Basin and landscape scaleindicators were tested in 1992 and 1993 to determine theirability to discriminate between the influences of grasslanddominated and cropland dominated landscapes in the PPR. Pairedplots were selected from each of the major regions of the PPR.Among the landscape scale indicators tested, those most capableof distinguishing between the two landscapes were: 1) frequencyof drained wetland basins, 2) total length of drainage ditch perplot, 3) amount of exposed soil in the upland subject to erosion,4) indices of change in area of wetland covered by water, and5) number of breeding duck pairs. Basin scale indicators includingsoil phosphorus concentrations and invertebrate taxa richnessshowed some promise; however, plant species richness was the onlystatistically significant basin scale indicator distinguishinggrassland dominated from cropland dominated landscapes. Althoughour study found a number of promising candidate indicators, oneof our conclusions is that basin scale indicators present anumber of implementation problems, including: skill levelrequirements, site access denials, and recession of site accessby landowners. Alternatively, we suggest that the use oflandscape indicators based on remote sensing can be an effectivemeans of assessing wetland integrity.
de Souza, Edinilsa Ramos; Correia, Bruna Soares Chaves
2010-09-01
The follow article presents the methodology used to construct indicators to assess the implementation of the National Policy of Mortality Reduction by Accidents and Violence, of public health policies aimed at the elderly and the Mental Health Policy developed in the research entitled Diagnostic Analysis of Local Health Systems to Meet the Problems Caused by Accidents and Violence against Elderly. These indicators were applied in health services that meet elderly victims of accidents and violence in five Brazilian cities: Brasília, Curitiba, Manaus, Recife and Rio de Janeiro. It started with 124 indicatives to assistance level pre-hospital, hospital, rehabilitation and CAPS. There was a selection phase where indicatives without discriminatory capability were eliminated. It was also decided by the relaxation of some criteria are creating new categories. After this step, a group of the experts validate the questionnaires created with these indicators by using Nominal Technical Group. We performed the Kruskal-Wallis test and a graphical analysis. In the final round, the indicators were grouped by similarity, building synthetic indices, 60 indicatives left. These methods can be used in other organizations to evaluate and adjust their health care based on public policies.
Federal Register 2010, 2011, 2012, 2013, 2014
2012-02-27
...] Final Decision on Withdrawal of Breast Cancer Indication for AVASTIN (Bevacizumab) Following Public... the breast cancer indication for AVASTIN (Bevacizumab). The Commissioner of Food and Drugs (the.... DATES: Withdrawal of AVASTIN's breast cancer indication was effective November 18, 2011. ADDRESSES...
14 CFR 29.1305 - Powerplant instruments.
Code of Federal Regulations, 2013 CFR
2013-01-01
... temperature indicator for each turbine engine; (12) A gas producer rotor tachometer for each turbine engine... free power turbine tachometer for each turbine engine; (16) A means, for each turbine engine, to indicate power for that engine; (17) For each turbine engine, an indicator to indicate the functioning of...
14 CFR 29.1305 - Powerplant instruments.
Code of Federal Regulations, 2010 CFR
2010-01-01
... temperature indicator for each turbine engine; (12) A gas producer rotor tachometer for each turbine engine... free power turbine tachometer for each turbine engine; (16) A means, for each turbine engine, to indicate power for that engine; (17) For each turbine engine, an indicator to indicate the functioning of...
14 CFR 29.1305 - Powerplant instruments.
Code of Federal Regulations, 2012 CFR
2012-01-01
... temperature indicator for each turbine engine; (12) A gas producer rotor tachometer for each turbine engine... free power turbine tachometer for each turbine engine; (16) A means, for each turbine engine, to indicate power for that engine; (17) For each turbine engine, an indicator to indicate the functioning of...
14 CFR 29.1305 - Powerplant instruments.
Code of Federal Regulations, 2014 CFR
2014-01-01
... temperature indicator for each turbine engine; (12) A gas producer rotor tachometer for each turbine engine... free power turbine tachometer for each turbine engine; (16) A means, for each turbine engine, to indicate power for that engine; (17) For each turbine engine, an indicator to indicate the functioning of...
14 CFR 29.1305 - Powerplant instruments.
Code of Federal Regulations, 2011 CFR
2011-01-01
... temperature indicator for each turbine engine; (12) A gas producer rotor tachometer for each turbine engine... free power turbine tachometer for each turbine engine; (16) A means, for each turbine engine, to indicate power for that engine; (17) For each turbine engine, an indicator to indicate the functioning of...
An Introduction to "Benefit of the Doubt" Composite Indicators
ERIC Educational Resources Information Center
Cherchye, Laurens; Moesen, Willem; Rogge, Nicky; Van Puyenbroeck, Tom
2007-01-01
Despite their increasing use, composite indicators remain controversial. The undesirable dependence of countries' rankings on the preliminary normalization stage, and the disagreement among experts/stakeholders on the specific weighting scheme used to aggregate sub-indicators, are often invoked to undermine the credibility of composite indicators.…
Facilities Performance Indicators Report 2012-13: Tracking Your Facilities Vital Signs
ERIC Educational Resources Information Center
APPA: Association of Higher Education Facilities Officers, 2014
2014-01-01
This paper features an expanded Web-based "Facilities Performance Indicators (FPI) Report." The purpose of APPA's Facilities Performance Indicators is to provide a representative set of statistics about facilities in educational institutions. "The Facilities Performance Indicators Report" is designed for survey…
Environmental indicators are often aggregated into a single index for various purposes in environmental studies. Aggregated indices derived from the same data set can differ, usually because the aggregated indices' sensitivities are not thoroughly analyzed. Furthermore, if a sens...
Laboratory Indices of Nutritional Status in Pregnancy.
ERIC Educational Resources Information Center
National Academy of Sciences-National Research Council, Washington, DC. Food and Nutrition Board.
This report reviews the current state of knowledge regarding laboratory indices of nutritional and metabolic status during normal pregnancy in order to provide normative data with respect to such indices in healthy pregnant women. The report contains seven chapters: Physiologic Adjustments in General; Hematologic Indices; Electrolytes in Normal…
Social Indicators and Social Forecasting.
ERIC Educational Resources Information Center
Johnston, Denis F.
The paper identifies major types of social indicators and explains how they can be used in social forecasting. Social indicators are defined as statistical measures relating to major areas of social concern and/or individual well being. Examples of social indicators are projections, forecasts, outlook statements, time-series statistics, and…
14 CFR 29.1327 - Magnetic direction indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Magnetic direction indicator. 29.1327....1327 Magnetic direction indicator. (a) Each magnetic direction indicator must be installed so that its accuracy is not excessively affected by the rotorcraft's vibration or magnetic fields. (b) The compensated...
14 CFR 25.1327 - Magnetic direction indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Magnetic direction indicator. 25.1327....1327 Magnetic direction indicator. (a) Each magnetic direction indicator must be installed so that its accuracy is not excessively affected by the airplane's vibration or magnetic fields. (b) The compensated...
14 CFR 29.1327 - Magnetic direction indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Magnetic direction indicator. 29.1327....1327 Magnetic direction indicator. (a) Each magnetic direction indicator must be installed so that its accuracy is not excessively affected by the rotorcraft's vibration or magnetic fields. (b) The compensated...
14 CFR 25.1327 - Magnetic direction indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Magnetic direction indicator. 25.1327....1327 Magnetic direction indicator. (a) Each magnetic direction indicator must be installed so that its accuracy is not excessively affected by the airplane's vibration or magnetic fields. (b) The compensated...
49 CFR 236.23 - Aspects and indications.
Code of Federal Regulations, 2010 CFR
2010-10-01
..., MAINTENANCE, AND REPAIR OF SIGNAL AND TRAIN CONTROL SYSTEMS, DEVICES, AND APPLIANCES Rules and Instructions: All Systems Roadway Signals and Cab Signals § 236.23 Aspects and indications. (a) Aspects shall be... with any other name and indication. (d) The fundamental indications of signal aspects shall conform to...
75 FR 62135 - Notice of Adjustment of Statewide Per Capita Impact Indicator
Federal Register 2010, 2011, 2012, 2013, 2014
2010-10-07
... Statewide Per Capita Impact Indicator AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: FEMA gives notice that the statewide per capita impact indicator under the Public Assistance... the statewide per capita impact indicator under the Public Assistance program to reflect changes in...
30 CFR 57.19009 - Position indicator.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Position indicator. 57.19009 Section 57.19009 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... Hoists § 57.19009 Position indicator. An accurate and reliable indicator of the position of the cage...
24 CFR 901.20 - Indicator #3, rents uncollected.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Indicator #3, rents uncollected... URBAN DEVELOPMENT PUBLIC HOUSING MANAGEMENT ASSESSMENT PROGRAM § 901.20 Indicator #3, rents uncollected. This indicator examines the PHA's ability to collect dwelling rent owed by residents in possession...
30 CFR 56.19009 - Position indicator.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Position indicator. 56.19009 Section 56.19009 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... § 56.19009 Position indicator. An accurate and reliable indicator of the position of the cage, skip...
33 CFR 164.42 - Rate of turn indicator.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Rate of turn indicator. 164.42...) PORTS AND WATERWAYS SAFETY NAVIGATION SAFETY REGULATIONS § 164.42 Rate of turn indicator. Each vessel of... turn indicator. [CGD 83-004, 49 FR 43468, Oct. 29, 1984] ...
30 CFR 57.19009 - Position indicator.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Position indicator. 57.19009 Section 57.19009 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... Hoists § 57.19009 Position indicator. An accurate and reliable indicator of the position of the cage...
33 CFR 164.42 - Rate of turn indicator.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Rate of turn indicator. 164.42...) PORTS AND WATERWAYS SAFETY NAVIGATION SAFETY REGULATIONS § 164.42 Rate of turn indicator. Each vessel of... turn indicator. [CGD 83-004, 49 FR 43468, Oct. 29, 1984] ...
30 CFR 75.1401 - Hoists; rated capacities; indicators.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Hoists; rated capacities; indicators. 75.1401... Hoists; rated capacities; indicators. Hoists shall have rated capacities consistent with the loads handled. An accurate and reliable indicator of the position of the cage, platform, skip, bucket, or cars...
76 FR 63936 - Notice of Adjustment of Statewide Per Capita Impact Indicator
Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-14
... Statewide Per Capita Impact Indicator AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: FEMA gives notice that the statewide per capita impact indicator under the Public Assistance... FEMA will adjust the statewide per capita impact indicator under the Public Assistance program to...
Early Reading Proficiency. Leading Indicator Spotlight
ERIC Educational Resources Information Center
Musen, Lindsey
2010-01-01
In "Beyond Test Scores: Leading Indicators for Education," Foley and colleagues (2008) define leading indicators as those that "provide early signals of progress toward academic achievement" (p. 1) and stress that educators "need leading indicators to help them see the direction their efforts are going in and to take…
30 CFR 75.1401 - Hoists; rated capacities; indicators.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Hoists; rated capacities; indicators. 75.1401... Hoists; rated capacities; indicators. Hoists shall have rated capacities consistent with the loads handled. An accurate and reliable indicator of the position of the cage, platform, skip, bucket, or cars...
30 CFR 56.19009 - Position indicator.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Position indicator. 56.19009 Section 56.19009 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... § 56.19009 Position indicator. An accurate and reliable indicator of the position of the cage, skip...
Resource Letter MA-2: Musical acoustics
NASA Astrophysics Data System (ADS)
Rossing, Thomas D.
1987-07-01
This Resource Letter provides a guide to the literature on musical acoustics. The letter E after an item indicates elementary level or material of general interest to persons becoming informed in the field. The letter I, for intermediate level, indicates material of a somewhat more specialized nature; and the letter A indicates rather specialized or advanced material. An asterisk (*) indicates articles that are especially useful or interesting; a double asterisk (**) indicates those articles to be included in an accompanying Reprint Book.
Indicators of wetland condition for the prairie pothole region of the United States.
Guntenspergen, G R; Peterson, S A; Leibowitz, S G; Cowardin, L M
2002-09-01
We describe a study designed to evaluate the performance of wetland condition indicators of the Prairie Pothole Region (PPR) of the north central United States. Basin and landscape scale indicators were tested in 1992 and 1993 to determine their ability to discriminate between the influences of grassland dominated and cropland dominated landscapes in the PPR. Paired plots were selected from each of the major regions of the PPR. Among the landscape scale indicators tested, those most capable of distinguishing between the two landscapes were: 1) frequency of drained wetland basins. 2) total length of drainage ditch per plot, 3) amount of exposed soil in the upland subject to erosion, 4) indices of change in area of wetland covered by water, and 5) number of breeding duck pairs. Basin scale indicators including soil phosphorus concentrations and invertebrate taxa richness showed some promise: however, plant species richness was the only statistically significant basin scale indicator distinguishing grassland dominated from cropland dominated landscapes. Although our study found a number of promising candidate indicators, one of our conclusions is that basin scale indicators present a number of implementation problems. including: skill level requirements, site access denials, and recession of site access by landowners. Alternatively, we suggest that the use of landscape indicators based on remote sensing can be an effective means of assessing wetland integrity.
Casey, Carolyn; Chung, Cecilia P; Crofford, Leslie J; Barnado, April
2017-01-01
Differences in quality of care may contribute to health disparities in systemic lupus erythematosus (SLE). Studies show low physician adherence rates to the SLE quality indicators but do not assess physician perception of SLE quality indicators or quality improvement. Using a cross-sectional survey of rheumatologists in the southeastern USA, we assessed the perception and involvement of rheumatologists in quality improvement and the SLE quality indicators. Using electronic mail, an online survey of 32 questions was delivered to 568 rheumatologists. With a response rate of 19% (n = 106), the majority of participants were male, Caucasian, with over 20 years of experience, and seeing adult patients in an academic setting. Participants had a positive perception toward quality improvement (81%) with a majority responding that the SLE quality indicators would significantly impact quality of care (54%). While 66% of respondents were familiar with the SLE quality indicators, only 18% of respondents reported using them in everyday practice. The most commonly reported barrier to involvement in quality improvement and the SLE quality indicators was time. Rheumatologists had a positive perception of the SLE quality indicators and agreed that use of the quality indicators could improve quality of care in SLE; however, they identified time as a barrier to implementation. Future studies should investigate methods to increase use of the SLE quality indicators.
Shin, Saemi; Moon, Hyung-Il; Lee, Kwon Seob; Hong, Mun Ki; Byeon, Sang-Hoon
2014-11-20
This study aimed to devise a method for prioritizing hazardous chemicals for further regulatory action. To accomplish this objective, we chose appropriate indicators and algorithms. Nine indicators from the Globally Harmonized System of Classification and Labeling of Chemicals were used to identify categories to which the authors assigned numerical scores. Exposure indicators included handling volume, distribution, and exposure level. To test the method devised by this study, sixty-two harmful substances controlled by the Occupational Safety and Health Act in Korea, including acrylamide, acrylonitrile, and styrene were ranked using this proposed method. The correlation coefficients between total score and each indicator ranged from 0.160 to 0.641, and those between total score and hazard indicators ranged from 0.603 to 0.641. The latter were higher than the correlation coefficients between total score and exposure indicators, which ranged from 0.160 to 0.421. Correlations between individual indicators were low (-0.240 to 0.376), except for those between handling volume and distribution (0.613), suggesting that each indicator was not strongly correlated. The low correlations between each indicator mean that the indicators and independent and were well chosen for prioritizing harmful chemicals. This method proposed by this study can improve the cost efficiency of chemical management as utilized in occupational regulatory systems.
Mathematical literacy skills of students' in term of gender differences
NASA Astrophysics Data System (ADS)
Lailiyah, Siti
2017-08-01
Good mathematical literacy skills will hopefully help maximize the tasks and role of the prospective teacher in activities. Mathematical literacy focus on students' ability to analyze, justify, and communicate ideas effectively, formulate, solve and interpret mathematical problems in a variety of forms and situations. The purpose of this study is to describe the mathematical literacy skills of the prospective teacher in term of gender differences. This research used a qualitative approach with a case study. Subjects of this study were taken from two male students and two female students of the mathematics education prospective teacher who have followed Community Service Program (CSP) in literacy. Data were collected through methods think a loud and interviews. Four prospective teachers were asked to fill mathematical literacy test and video taken during solving this test. Students are required to convey loud what he was thinking when solving problems. After students get the solution, researchers grouped the students' answers and results think aloud. Furthermore, the data are grouped and analyzed according to indicators of mathematical literacy skills. Male students have good of each indicator in mathematical literacy skills (the first indicator to the sixth indicator). Female students have good of mathematical literacy skills (the first indicator, the second indicator, the third indicator, the fourth indicator and the sixth indicator), except for the fifth indicators that are enough.
Kosmas, C; Kairis, Or; Karavitis, Ch; Ritsema, C; Salvati, L; Acikalin, S; Alcala, M; Alfama, P; Atlhopheng, J; Barrera, J; Belgacem, A; Solé-Benet, A; Brito, J; Chaker, M; Chanda, R; Coelho, C; Darkoh, M; Diamantis, I; Ermolaeva, O; Fassouli, V; Fei, W; Feng, J; Fernandez, F; Ferreira, A; Gokceoglu, C; Gonzalez, D; Gungor, H; Hessel, R; Juying, J; Khatteli, H; Khitrov, N; Kounalaki, A; Laouina, A; Lollino, P; Lopes, M; Magole, L; Medina, L; Mendoza, M; Morais, P; Mulale, K; Ocakoglu, F; Ouessar, M; Ovalle, C; Perez, C; Perkins, J; Pliakas, F; Polemio, M; Pozo, A; Prat, C; Qinke, Y; Ramos, A; Ramos, J; Riquelme, J; Romanenkov, V; Rui, L; Santaloia, F; Sebego, R; Sghaier, M; Silva, N; Sizemskaya, M; Soares, J; Sonmez, H; Taamallah, H; Tezcan, L; Torri, D; Ungaro, F; Valente, S; de Vente, J; Zagal, E; Zeiliguer, A; Zhonging, W; Ziogas, A
2014-11-01
An approach to derive relationships for defining land degradation and desertification risk and developing appropriate tools for assessing the effectiveness of the various land management practices using indicators is presented in the present paper. In order to investigate which indicators are most effective in assessing the level of desertification risk, a total of 70 candidate indicators was selected providing information for the biophysical environment, socio-economic conditions, and land management characteristics. The indicators were defined in 1,672 field sites located in 17 study areas in the Mediterranean region, Eastern Europe, Latin America, Africa, and Asia. Based on an existing geo-referenced database, classes were designated for each indicator and a sensitivity score to desertification was assigned to each class based on existing research. The obtained data were analyzed for the various processes of land degradation at farm level. The derived methodology was assessed using independent indicators, such as the measured soil erosion rate, and the organic matter content of the soil. Based on regression analyses, the collected indicator set can be reduced to a number of effective indicators ranging from 8 to 17 in the various processes of land degradation. Among the most important indicators identified as affecting land degradation and desertification risk were rain seasonality, slope gradient, plant cover, rate of land abandonment, land-use intensity, and the level of policy implementation.
NASA Astrophysics Data System (ADS)
Kumar, Naresh; Jaswal, A. K.; Mohapatra, M.; Kore, P. A.
2017-08-01
Spatial and temporal variations in summer and winter extreme temperature indices are studied by using daily maximum and minimum temperatures data from 227 surface meteorological stations well distributed over India for the period 1969-2012. For this purpose, time series for six extreme temperature indices namely, hot days (HD), very hot days (VHD), extremely hot days (EHD), cold nights (CN), very cold nights (VCN), and extremely cold nights (ECN) are calculated for all the stations. In addition, time series for mean extreme temperature indices of summer and winter seasons are also analyzed. Study reveals high variability in spatial distribution of threshold temperatures of extreme temperature indices over the country. In general, increasing trends are observed in summer hot days indices and decreasing trends in winter cold night indices over most parts of the country. The results obtained in this study indicate warming in summer maximum and winter minimum temperatures over India. Averaged over India, trends in summer hot days indices HD, VHD, and EHD are significantly increasing (+1.0, +0.64, and +0.32 days/decade, respectively) and winter cold night indices CN, VCN, and ECN are significantly decreasing (-0.93, -0.47, and -0.15 days/decade, respectively). Also, it is observed that the impact of extreme temperature is higher along the west coast for summer and east coast for winter.
[Preventable drug-related morbidity: determining valid indicators for primary care in Portugal].
Guerreiro, Mara Pereira; Cantrill, Judith A; Martins, Ana Paula
2007-01-01
Preventable drug-related morbidity (PDRM) indicators are operational measures of therapeutic risk management. These clinical indicators, which cover a wide range of drugs, combine process and outcome in the same instrument. They were developed in the US and have been validated for primary care settings in the US, UK and Canada. This study is part of a research programme; it aimed to determine a valid set of PDRM indicators for adult patients in primary care in Portugal. Face validity of 61 US and UK-derived indicators translated to Portuguese was preliminarily determined by means of a postal questionnaire using a purposive sample of four Portuguese pharmacists with different backgrounds. Preliminary content validity of indicators approved in the previous stage was determined by cross-checking each definition of PDRM with standard drug information sources in Portugal. Face and content validity of indicators yielded by preliminary work were then established by a 37 expert panel (20 community pharmacists and 17 general practitioners) using a two-round Delphi survey. Data were analysed using SPSS release 11.5. Nineteen indicators were ruled out in preliminary validation. Changes were made in the content of eight of the remaining 42 indicators; these were related to differences in the drugs being marketed and patterns of drug monitoring between countries. Thirty-five indicators were consensus approved as PDRM for adult patients in Portuguese primary care by the Delphi panel.
ESIP: Boldly going towards ESIP 2.0 and your phone ...
The Gulf of Maine Council’s EcoSystem Indicator Partnership (ESIP) was formed in 2006 to evaluate changes in the health of the Gulf of Maine ecosystems through the use of indicators. ESIP’s initial approach to indicator development focused on seven ecosystem themes, which were based on priority issues identified by scientists, decision-makers and other stakeholders. To date, ESIP has made indicator data available online through its Indicator Reporting Tool and published fact sheets on six of its indicator themes: aquaculture, aquatic habitats, climate change, coastal development, contaminants, and eutrophication. Indicator data and information on ESIP’s final theme – fisheries – will be available in 2016. The ESIP community is now looking to the future and is poised to begin the next phase (ESIP 2.0). As part of a bold and innovative new approach, ESIP 2.0 will focus on indicators to track ecosystem services; the benefits that people and coastal communities obtain from the ecosystem. The current state of science on ecosystem services is growing rapidly and will be summarized. ESIP is participating in conversations with other organizations and agencies to determine the best approach to incorporate indicators of ecosystem goods and services along with traditional, environmental indicators. Together with ongoing work that relates watershed drivers and environmental impacts, the Gulf of Maine community will help lead the effort towards better incorporatio
Brownell, M J; Harwood, V J; Kurz, R C; McQuaig, S M; Lukasik, J; Scott, T M
2007-08-01
The effect of a stormwater conveyance system on indicator bacteria levels at a Florida beach was assessed using microbial source tracking methods, and by investigating indicator bacteria population structure in water and sediments. During a rain event, regulatory standards for both fecal coliforms and Enterococcus spp. were exceeded, contrasting with significantly lower levels under dry conditions. Indicator bacteria levels were high in sediments under all conditions. The involvement of human sewage in the contamination was investigated using polymerase chain reaction (PCR) assays for the esp gene of Enterococcus faecium and for the conserved T antigen of human polyomaviruses, all of which were negative. BOX-PCR subtyping of Escherichia coli and Enterococcus showed higher population diversity during the rain event; and higher population similarity during dry conditions, suggesting that without fresh inputs, only a subset of the population survives the selective pressure of the secondary habitat. These data indicate that high indicator bacteria levels were attributable to a stormwater system that acted as a reservoir and conduit, flushing high levels of indicator bacteria to the beach during a rain event. Such environmental reservoirs of indicator bacteria further complicate the already questionable relationship between indicator organisms and human pathogens, and call for a better understanding of the ecology, fate and persistence of indicator bacteria.
NASA Astrophysics Data System (ADS)
Kosmas, C.; Kairis, Or.; Karavitis, Ch.; Ritsema, C.; Salvati, L.; Acikalin, S.; Alcalá, M.; Alfama, P.; Atlhopheng, J.; Barrera, J.; Belgacem, A.; Solé-Benet, A.; Brito, J.; Chaker, M.; Chanda, R.; Coelho, C.; Darkoh, M.; Diamantis, I.; Ermolaeva, O.; Fassouli, V.; Fei, W.; Feng, J.; Fernandez, F.; Ferreira, A.; Gokceoglu, C.; Gonzalez, D.; Gungor, H.; Hessel, R.; Juying, J.; Khatteli, H.; Khitrov, N.; Kounalaki, A.; Laouina, A.; Lollino, P.; Lopes, M.; Magole, L.; Medina, L.; Mendoza, M.; Morais, P.; Mulale, K.; Ocakoglu, F.; Ouessar, M.; Ovalle, C.; Perez, C.; Perkins, J.; Pliakas, F.; Polemio, M.; Pozo, A.; Prat, C.; Qinke, Y.; Ramos, A.; Ramos, J.; Riquelme, J.; Romanenkov, V.; Rui, L.; Santaloia, F.; Sebego, R.; Sghaier, M.; Silva, N.; Sizemskaya, M.; Soares, J.; Sonmez, H.; Taamallah, H.; Tezcan, L.; Torri, D.; Ungaro, F.; Valente, S.; de Vente, J.; Zagal, E.; Zeiliguer, A.; Zhonging, W.; Ziogas, A.
2014-11-01
An approach to derive relationships for defining land degradation and desertification risk and developing appropriate tools for assessing the effectiveness of the various land management practices using indicators is presented in the present paper. In order to investigate which indicators are most effective in assessing the level of desertification risk, a total of 70 candidate indicators was selected providing information for the biophysical environment, socio-economic conditions, and land management characteristics. The indicators were defined in 1,672 field sites located in 17 study areas in the Mediterranean region, Eastern Europe, Latin America, Africa, and Asia. Based on an existing geo-referenced database, classes were designated for each indicator and a sensitivity score to desertification was assigned to each class based on existing research. The obtained data were analyzed for the various processes of land degradation at farm level. The derived methodology was assessed using independent indicators, such as the measured soil erosion rate, and the organic matter content of the soil. Based on regression analyses, the collected indicator set can be reduced to a number of effective indicators ranging from 8 to 17 in the various processes of land degradation. Among the most important indicators identified as affecting land degradation and desertification risk were rain seasonality, slope gradient, plant cover, rate of land abandonment, land-use intensity, and the level of policy implementation.
Walker, Vicky; Sullivan-Taylor, Patricia; Webster, Greg; Macphail, Judith
2009-01-01
The Canadian Institute for Health Information (CIHI), in collaboration with diverse stakeholders, led the development of pan-Canadian indicators to measure primary health care. In 2006, CIHI released a set of 105 pan-Canadian Primary Health Care (PHC) indicators that were developed with the assistance of national, provincial and territorial representatives, clinicians and researchers. Additionally, data gaps were identified in a series of reports. In 2006 and 2007, CIHI assessed options for closing the data gaps so that the indicators could be measured and reported. CIHI then began a program to build the data infrastructure needed for the PHC indicators. The program included the development of content standards for electronic medical records, a prototype of a voluntary reporting system, enhancements to surveys, and the development of reports. In 2006, fewer than 10% of the 105 indicators could be calculated with existing data sources. Now, four projects have begun and over 50% of the indicators are being captured. Important relationships have been established with key collaborators. These relationships will lead to the development of a reporting system prototype and to the refinement of PHC indicators and electronic medical record (EMR) content standards. The project for pan-Canadian PHC indicators has encouraged consultation and synergy. It has motivated CIHI to establish an information program to fill data gaps and to make PHC indicators available.
Abrahamyan, H T; Minasyan, S M
2016-01-01
There were investigated changes in indices of the activity of regulatory mechanisms of heart rhythm in student under exam stress conditions and the possibility of their correction with aid of aromatherapy. The examination stress was established to be accompanied by pronounced shifts of integral and spectral indices of heart rhythm in students, indicating to the activation of the sympathetic circuit of Autonomic Nervous System in conditions of examination stress. A positive, relaxation impact of the essential oil of orange on the investigated indices was also recorded. The latter is expressed by weakly pronounced changes or lack of them in data of integral and spectral heart rate indices in students from the experimental group, that indicates to the stabilizing effect of used ethereal oil on the psycho-physiological state of students in conditions of exam stress
ACOustic: A Nature-Inspired Exploration Indicator for Ant Colony Optimization.
Sagban, Rafid; Ku-Mahamud, Ku Ruhana; Abu Bakar, Muhamad Shahbani
2015-01-01
A statistical machine learning indicator, ACOustic, is proposed to evaluate the exploration behavior in the iterations of ant colony optimization algorithms. This idea is inspired by the behavior of some parasites in their mimicry to the queens' acoustics of their ant hosts. The parasites' reaction results from their ability to indicate the state of penetration. The proposed indicator solves the problem of robustness that results from the difference of magnitudes in the distance's matrix, especially when combinatorial optimization problems with rugged fitness landscape are applied. The performance of the proposed indicator is evaluated against the existing indicators in six variants of ant colony optimization algorithms. Instances for travelling salesman problem and quadratic assignment problem are used in the experimental evaluation. The analytical results showed that the proposed indicator is more informative and more robust.
A proposal for a quantitative indicator of original research output
NASA Astrophysics Data System (ADS)
Onofrio, Roberto
2017-12-01
The use of quantitative indicators of scientific productivity seems now quite widespread for assessing researchers and research institutions. There is a general perception, however, that these indicators are not necessarily representative of the originality of the research carried out, being primarily indicative of a more or less prolific scientific activity and of the size of the targeted scientific subcommunity. We first discuss some of the drawbacks of the broadly adopted h-index and of the fact that it represents, in an average sense, an indicator derivable from the total number of citations. Then we propose an indicator which, although not immune from biases, seems more in line with the general expectations for quantifying what is typically considered original work. Qualitative arguments on how different indicators may shape the future of science are finally discussed.
Socioeconomic Status and Health: A New Approach to the Measurement of Bivariate Inequality
Kessels, Roselinde
2017-01-01
We suggest an alternative way to construct a family of indices of socioeconomic inequality of health. Our indices belong to the broad category of linear indices. In contrast to rank-dependent indices, which are defined in terms of the ranks of the socioeconomic variable and the levels of the health variable, our indices are based on the levels of both the socioeconomic and the health variable. We also indicate how the indices can be modified in order to introduce sensitivity to inequality in the socioeconomic distribution and to inequality in the health distribution. As an empirical illustration, we make a comparative study of the relation between income and well-being in 16 European countries using data from the Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 4. PMID:28644405
The effect of geographical indices on left ventricular structure in healthy Han Chinese population
NASA Astrophysics Data System (ADS)
Cen, Minyi; Ge, Miao; Liu, Yonglin; Wang, Congxia; Yang, Shaofang
2017-02-01
The left ventricular posterior wall thickness (LVPWT) and interventricular septum thickness (IVST) are generally regarded as the functional parts of the left ventricular (LV) structure. This paper aims to examine the effects of geographical indices on healthy Han adults' LV structural indices and to offer a scientific basis for developing a unified standard for the reference values of adults' LV structural indices in China. Fifteen terrain, climate, and soil indices were examined as geographical explanatory variables. Statistical analysis was performed using correlation analysis. Moreover, a back propagation neural network (BPNN) and a support vector regression (SVR) were applied to developing models to predict the values of two indices. After the prediction models were built, distribution maps were produced. The results show that LV structural indices are characteristically associated with latitude, longitude, altitude, average temperature, average wind velocity, topsoil sand fraction, topsoil silt fraction, topsoil organic carbon, and topsoil sodicity. The model test analyses show the BPNN model possesses better simulative and predictive ability in comparison with the SVR model. The distribution maps of the LV structural indices show that, in China, the values are higher in the west and lower in the east. These results demonstrate that the reference values of the adults' LV structural indices will be different affected by different geographical environment. The reference values of LV structural indices in one region can be calculated by setting up a BPNN, which showed better applicability in this study. The distribution of the reference values of the LV structural indices can be seen clearly on the geographical distribution map.
Correlation of sex ratio at birth with health and socioeconomic indicators.
Grech, Victor
2018-03-01
The sex ratio at birth (male divided by total live births: M/T) has been mooted as a potential sentinel health indicator. Several metrics indicate individual countries' health and socioeconomic status. In this study, in all available countries (where such data was accessible), M/T and these indicators were compared in order to ascertain whether better (vis-à-vis health and socioeconomic status) levels of these indicators were associated with higher M/T in available countries. The following were obtained (by country) from various sources: M/T, infant mortality rate, under 5 years mortality rate, fertility rate, Human Development Index, gross domestic product per capita, life expectancy for both sexes, females, males, as well as both sexes Health Adjusted Life Expectancy (HALE). Pearson correlation was performed comparing M/T and these indicators. Despite weak correlation values, all except for the Human Development Index (HDI) correlated with M/T at statistically significant levels. A decrease in mortality and an increase in life expectancy and GDP/capita are indicators of socioeconomic wellbeing. In this study, mortality was negatively correlated with M/T. Life expectancy and GDP/capita were both positively correlated with M/T, indicating that M/T may also serve as a surrogate health indicator, and incidentally, also supporting the Trivers-Willard hypothesis. Improving economies lead to increasing education, which in turns tends to lower fertility rate in association with a declining M/T. In conclusion, the global correlation of health and socioeconomic indicators with M/T suggests that M/T may be a useful sentinel health indicator. Copyright © 2018 Elsevier B.V. All rights reserved.
Storm loads of culturable and molecular fecal indicators in an inland urban stream.
Liao, Hehuan; Krometis, Leigh-Anne H; Cully Hession, W; Benitez, Romina; Sawyer, Richard; Schaberg, Erin; von Wagoner, Emily; Badgley, Brian D
2015-10-15
Elevated concentrations of fecal indicator bacteria in receiving waters during wet-weather flows are a considerable public health concern that is likely to be exacerbated by future climate change and urbanization. Knowledge of factors driving the fate and transport of fecal indicator bacteria in stormwater is limited, and even less is known about molecular fecal indicators, which may eventually supplant traditional culturable indicators. In this study, concentrations and loading rates of both culturable and molecular fecal indicators were quantified throughout six storm events in an instrumented inland urban stream. While both concentrations and loading rates of each fecal indicator increased rapidly during the rising limb of the storm hydrographs, it is the loading rates rather than instantaneous concentrations that provide a better estimate of transport through the stream during the entire storm. Concentrations of general fecal indicators (both culturable and molecular) correlated most highly with each other during storm events but not with the human-associated HF183 Bacteroides marker. Event loads of general fecal indicators most strongly correlated with total runoff volume, maximum discharge, and maximum turbidity, while event loads of HF183 most strongly correlated with the time to peak flow in a hydrograph. These observations suggest that collection of multiple samples during a storm event is critical for accurate predictions of fecal indicator loading rates and total loads during wet-weather flows, which are required for effective watershed management. In addition, existing predictive models based on general fecal indicators may not be sufficient to predict source-specific genetic markers of fecal contamination. Copyright © 2015 Elsevier B.V. All rights reserved.
The effect of geographical indices on left ventricular structure in healthy Han Chinese population.
Cen, Minyi; Ge, Miao; Liu, Yonglin; Wang, Congxia; Yang, Shaofang
2017-02-01
The left ventricular posterior wall thickness (LVPWT) and interventricular septum thickness (IVST) are generally regarded as the functional parts of the left ventricular (LV) structure. This paper aims to examine the effects of geographical indices on healthy Han adults' LV structural indices and to offer a scientific basis for developing a unified standard for the reference values of adults' LV structural indices in China. Fifteen terrain, climate, and soil indices were examined as geographical explanatory variables. Statistical analysis was performed using correlation analysis. Moreover, a back propagation neural network (BPNN) and a support vector regression (SVR) were applied to developing models to predict the values of two indices. After the prediction models were built, distribution maps were produced. The results show that LV structural indices are characteristically associated with latitude, longitude, altitude, average temperature, average wind velocity, topsoil sand fraction, topsoil silt fraction, topsoil organic carbon, and topsoil sodicity. The model test analyses show the BPNN model possesses better simulative and predictive ability in comparison with the SVR model. The distribution maps of the LV structural indices show that, in China, the values are higher in the west and lower in the east. These results demonstrate that the reference values of the adults' LV structural indices will be different affected by different geographical environment. The reference values of LV structural indices in one region can be calculated by setting up a BPNN, which showed better applicability in this study. The distribution of the reference values of the LV structural indices can be seen clearly on the geographical distribution map.
Latent degradation indicators estimation and prediction: A Monte Carlo approach
NASA Astrophysics Data System (ADS)
Zhou, Yifan; Sun, Yong; Mathew, Joseph; Wolff, Rodney; Ma, Lin
2011-01-01
Asset health inspections can produce two types of indicators: (1) direct indicators (e.g. the thickness of a brake pad, and the crack depth on a gear) which directly relate to a failure mechanism; and (2) indirect indicators (e.g. the indicators extracted from vibration signals and oil analysis data) which can only partially reveal a failure mechanism. While direct indicators enable more precise references to asset health condition, they are often more difficult to obtain than indirect indicators. The state space model provides an efficient approach to estimating direct indicators by using indirect indicators. However, existing state space models to estimate direct indicators largely depend on assumptions such as, discrete time, discrete state, linearity, and Gaussianity. The discrete time assumption requires fixed inspection intervals. The discrete state assumption entails discretising continuous degradation indicators, which often introduces additional errors. The linear and Gaussian assumptions are not consistent with nonlinear and irreversible degradation processes in most engineering assets. This paper proposes a state space model without these assumptions. Monte Carlo-based algorithms are developed to estimate the model parameters and the remaining useful life. These algorithms are evaluated for performance using numerical simulations through MATLAB. The result shows that both the parameters and the remaining useful life are estimated accurately. Finally, the new state space model is used to process vibration and crack depth data from an accelerated test of a gearbox. During this application, the new state space model shows a better fitness result than the state space model with linear and Gaussian assumption.
Evaluating Microbial Indicators of Environmental Condition in Oregon Rivers
NASA Astrophysics Data System (ADS)
Pennington, Alan T.; Harding, Anna K.; Hendricks, Charles W.; Campbell, Heidi M. K.
2001-12-01
Traditional bacterial indicators used in public health to assess water quality and the Biolog® system were evaluated to compare their response to biological, chemical, and physical habitat indicators of stream condition both within the state of Oregon and among ecoregion aggregates (Coast Range, Willamette Valley, Cascades, and eastern Oregon). Forty-three randomly selected Oregon river sites were sampled during the summer in 1997 and 1998. The public health indicators included heterotrophic plate counts (HPC), total coliforms (TC), fecal coliforms (FC) and Escherichia coli (EC). Statewide, HPC correlated strongly with physical habitat (elevation, riparian complexity, % canopy presence, and indices of agriculture, pavement, road, pasture, and total disturbance) and chemistry (pH, dissolved O2, specific conductance, acid-neutralizing capacity, dissolved organic carbon, total N, total P, SiO2, and SO4). FC and EC were significantly correlated generally with the river chemistry indicators. TC bacteria significantly correlated with riparian complexity, road disturbance, dissolved O2, and SiO2 and FC. Analyzing the sites by ecoregion, eastern Oregon was characterized by high HPC, FC, EC, nutrient loads, and indices of human disturbance, whereas the Cascades ecoregion had correspondingly low counts of these indicators. The Coast Range and Willamette Valley presented inconsistent indicator patterns that are more difficult to characterize. Attempts to distinguish between ecoregions with the Biolog system were not successful, nor did a statistical pattern emerge between the first five principle components and the other environmental indicators. Our research suggests that some traditional public health microbial indicators may be useful in measuring the environmental condition of lotic systems.
Empirical assessment of indices of prey importance in the diets of predacious fish
Liao, H.; Pierce, C.L.; Larscheid, J.G.
2001-01-01
Determining the importance of prey taxa in the diets of predacious species is a frequent objective in fisheries research. Various indices of prey importance are in common use, and all give different results because of their emphasis on different aspects of fish diets. We explored these differences by empirically comparing four well-known indices-percent weight (%W), percent occurrence (%O), percent number (%N), and percent index of relative importance (%IRI)-as well as a modified %IRI (%MIRI), as applied to an extensive data set on the diets of six fish species in Spirit Lake, Iowa. Correlations among all indices were positive but were weaker among component indices (%W, %O, and %N) than between the two compound indices (%IRI and %MIRI); correlations among component indices were also weaker than correlations of compound with component indices. Correlation strength of %MIRI with the three component indices varied greatly (%N %O %W), whereas the correlation strength of %IRI with component indices was similar. Importance values based on %W, %MIRI, and %N depend more on prey size than those based on %IRI and %O. The %W and %MIRI emphasized the importance of large prey taxa, whereas %N emphasized small prey in diets; %IRI and %O were similarly unbiased with respect to prey size. The %O yielded substantially higher importance values than all other indices. Thus, for use as a general index of dietary importance, we believe %IRI provides the optimal balancing of frequency of occurrence, numerical abundance, and abundance by weight of taxa in fish diets.
Evaluating the Quality of Colorectal Cancer Care across the Interface of Healthcare Sectors
Ludt, Sabine; Urban, Elisabeth; Eckardt, Jörg; Wache, Stefanie; Broge, Björn; Kaufmann-Kolle, Petra; Heller, Günther; Miksch, Antje; Glassen, Katharina; Hermann, Katja; Bölter, Regine; Ose, Dominik; Campbell, Stephen M.; Wensing, Michel; Szecsenyi, Joachim
2013-01-01
Background Colorectal cancer (CRC) has a high prevalence in western countries. Diagnosis and treatment of CRC is complex and requires multidisciplinary collaboration across the interface of health care sectors. In Germany, a new nationwide established program aims to provide quality information of healthcare delivery across different sectors. Within this context, this study describes the development of a set of quality indicators charting the whole pathway of CRC-care including data specifications that are necessary to operationalize these indicators before practice testing. Methods Indicators were developed following a systematic 10 step modified ‘RAND/UCLA Appropriateness Method’ which involved a multidisciplinary panel of thirteen participants. For each indicator in the final set, data specifications relating to sources of quality information, data collection procedures, analysis and feedback were described. Results The final indicator set included 52 indicators covering diagnostic procedures (11 indicators), therapeutic management (28 indicators) and follow-up (6 indicators). In addition, 7 indicators represented patient perspectives. Primary surgical tumor resection and pre-operative radiation (rectum carcinoma only) were perceived as most useful tracer procedures initiating quality data collection. To assess the quality of CRC care across sectors, various data sources were identified: medical records, administrative inpatient and outpatient data, sickness-funds billing code systems and patient survey. Conclusion In Germany, a set of 52 quality indicators, covering necessary aspects across the interfaces and pathways relevant to CRC-care has been developed. Combining different sectors and sources of health care in quality assessment is an innovative and challenging approach but reflects better the reality of the patient pathway and experience of CRC-care. PMID:23658684
Developing quality indicators for older adults: transfer from the USA to the UK is feasible.
Steel, N; Melzer, D; Shekelle, P G; Wenger, N S; Forsyth, D; McWilliams, B C
2004-08-01
Measurement of the quality of health care is essential for quality improvement, and patients are an underused source of data about quality of care. We describe the adaptation of a set of USA quality indicators for use in patient interview surveys in England, to measure the extent to which older patients receive a broad range of effective health care interventions in both primary and secondary care. One hundred and nineteen quality indicators covering 16 clinical areas, based on a set of indicators for the care of vulnerable elderly patients in the USA, were reviewed by a panel of 10 clinical experts in England. A modified version of the RAND/UCLA appropriateness method was used and panel members were supplied with literature reviews summarising the evidence base for each quality indicator. The indicators were sent for comment before the panel meeting to UK charitable organisations for older people. The panel rated 102 of the 119 indicators (86%) as valid for use in England; 17 (14%) were rejected as invalid. All 58 indicators about treatment or continuity and follow up were rated as valid compared with just over half (13 of 24) of the indicators about screening. These 102 indicators are suitable for use in patient interview surveys, including the English Longitudinal Study of Ageing (ELSA). The systematic measurement of quality of care at the population level and identification of gaps in quality is essential for quality improvement. There is potential for transfer of quality indicators between countries, at least for the health care of older people.
Assessment of drinking water quality using indicator bacteria and bacteriophages.
Méndez, Javier; Audicana, Ana; Cancer, Mercedes; Isern, Anna; Llaneza, Julian; Moreno, Belén; Navarro, Mercedes; Tarancón, M Lluisa; Valero, Fernando; Ribas, Ferran; Jofre, Juan; Lucena, Francisco
2004-09-01
Bacterial indicators and bacteriophages suggested as potential indicators of water quality were determined by public laboratories in water from springs, household water wells, and rural and metropolitan water supplies in north-eastern Spain. Indicator bacteria were detected more frequently than bacteriophages in springs, household water wells and rural water supplies. In contrast, positive bacteriophage detections were more numerous than those of bacteria in metropolitan water supplies. Most of the metropolitan water supply samples containing indicators had concentrations of chlorine below 0.1 mg l(-1), their indicator loads resembling more closely those of rural water supplies than any other samples taken from metropolitan water supplies. The number of samples from metropolitan water supplies containing more than 0.1 mg l(-1) of chlorine that contained phages clearly outnumbered those containing indicator bacteria. Some association was observed between rainfall and the presence of indicators. Sediments from service reservoirs and water from dead ends in the distribution network of one of the metropolitan water supplies were also tested. Bacterial indicators and phages were detected in a higher percentage than in samples of tap water from the same network. Additionally, indicator bacteria were detected more frequently than bacteriophages in sediments of service reservoirs and water from dead end samples. We conclude that naturally occurring indicator bacteria and bacteriophages respond differently to chlorination and behave differently in drinking water distribution networks. Moreover, this study has shown that testing for the three groups of phages in routine laboratories is easy to implement and feasible without the requirement for additional material resources for the laboratories.
Catts, Stanley V; Frost, Aaron D J; O'Toole, Brian I; Carr, Vaughan J; Lewin, Terry; Neil, Amanda L; Harris, Meredith G; Evans, Russell W; Crissman, Belinda R; Eadie, Kathy
2011-01-01
Clinical practice improvement carried out in a quality assurance framework relies on routinely collected data using clinical indicators. Herein we describe the development, minimum training requirements, and inter-rater agreement of indicators that were used in an Australian multi-site evaluation of the effectiveness of early psychosis (EP) teams. Surveys of clinician opinion and face-to-face consensus-building meetings were used to select and conceptually define indicators. Operationalization of definitions was achieved by iterative refinement until clinicians could be quickly trained to code indicators reliably. Calculation of percentage agreement with expert consensus coding was based on ratings of paper-based clinical vignettes embedded in a 2-h clinician training package. Consensually agreed upon conceptual definitions for seven clinical indicators judged most relevant to evaluating EP teams were operationalized for ease-of-training. Brief training enabled typical clinicians to code indicators with acceptable percentage agreement (60% to 86%). For indicators of suicide risk, psychosocial function, and family functioning this level of agreement was only possible with less precise 'broad range' expert consensus scores. Estimated kappa values indicated fair to good inter-rater reliability (kappa > 0.65). Inspection of contingency tables (coding category by health service) and modal scores across services suggested consistent, unbiased coding across services. Clinicians are able to agree upon what information is essential to routinely evaluate clinical practice. Simple indicators of this information can be designed and coding rules can be reliably applied to written vignettes after brief training. The real world feasibility of the indicators remains to be tested in field trials.
Wagner, Tyler; Jones, Michael L.; Ebener, Mark P.; Arts, Michael T.; Brenden, Travis O.; Honeyfield, Dale C.; Wright, Gregory M.; Faisal, Mohamed
2010-01-01
We examined the spatial and temporal dynamics of health indicators in four lake whitefish (Coregonus clupeaformis) stocks located in northern lakes Michigan and Huron from 2003 to 2006. The specific objectives were to (1) quantify spatial and temporal variability in health indicators; (2) examine relationships among nutritional indicators and stock-specific spatial and temporal dynamics of pathogen prevalence and intensity of infection; and (3) examine relationships between indicators measured on individual fish and stock-specific estimates of natural mortality. The percent of the total variation attributed to spatial and temporal sources varied greatly depending on the health indicator examined. The most notable pattern was a downward trend in the concentration of highly unsaturated fatty acids (HUFAs), observed in all stocks, in the polar lipid fraction of lake whitefish dorsal muscle tissue over the three study years. Variation among stocks and years for some indicators were correlated with the prevalence and intensity of the swimbladder nematode Cystidicola farionis, suggesting that our measures of fish health were related, at some level, with disease dynamics. We did not find relationships between spatial patterns in fish health indicators and estimates of natural mortality rates for the stocks. Our research highlights the complexity of the interactions between fish nutritional status, disease dynamics, and natural mortality in wild fish populations. Additional research that identifies thresholds of health indicators, below (or above) which survival may be reduced, will greatly help in understanding the relationship between indicators measured on individual fish and potential population-level effects.
Developing global indicators for quality of maternal and newborn care: a feasibility assessment
Smith, Helen; Mathai, Matthews; Roos, Nathalie; van den Broek, Nynke
2017-01-01
Abstract Objective To assess the feasibility of applying the World Health Organization’s proposed 15 indicators of quality of care for maternal and newborn health at health-facility level in low- and middle-income settings. Methods Six of the indicators are about maternal health, five are for newborn health and four are general cross-cutting indicators. We used data collected routinely in facility registers and obtained as part of facility assessments from 963 health-care facilities specializing in maternity services in 10 countries in Africa and Asia. We made a feasibility assessment of the availability of data and the clarity of indicator definitions and identified additional information and data collection processes needed to apply the proposed indicators in real-life settings. Findings Of the indicators evaluated, 10 were clearly defined, of which four could be applied directly in the field and six would require revisions to operationalize them. The other five indicators require further development, with one of them being ready for implementation by using information readily available in registers and four requiring further information before deployment. For indicators that measure coverage of care or availability of services or products, there is a need to further strengthen measurement. Information on emergency obstetric complications was not recorded in a standard manner, thus limiting the reliability of the information. Conclusion While some of the proposed indicators can already be applied, other indicators need to be refined or will need additional sources and methods of data collection to be applied in real-world settings. PMID:28603311
Precipitation extremes and their relation to climatic indices in the Pacific Northwest USA
NASA Astrophysics Data System (ADS)
Zarekarizi, Mahkameh; Rana, Arun; Moradkhani, Hamid
2018-06-01
There has been focus on the influence of climate indices on precipitation extremes in the literature. Current study presents the evaluation of the precipitation-based extremes in Columbia River Basin (CRB) in the Pacific Northwest USA. We first analyzed the precipitation-based extremes using statistically (ten GCMs) and dynamically downscaled (three GCMs) past and future climate projections. Seven precipitation-based indices that help inform about the flood duration/intensity are used. These indices help in attaining first-hand information on spatial and temporal scales for different service sectors including energy, agriculture, forestry etc. Evaluation of these indices is first performed in historical period (1971-2000) followed by analysis of their relation to large scale tele-connections. Further we mapped these indices over the area to evaluate the spatial variation of past and future extremes in downscaled and observational data. The analysis shows that high values of extreme indices are clustered in either western or northern parts of the basin for historical period whereas the northern part is experiencing higher degree of change in the indices for future scenario. The focus is also on evaluating the relation of these extreme indices to climate tele-connections in historical period to understand their relationship with extremes over CRB. Various climate indices are evaluated for their relationship using Principal Component Analysis (PCA) and Singular Value Decomposition (SVD). Results indicated that, out of 13 climate tele-connections used in the study, CRB is being most affected inversely by East Pacific (EP), Western Pacific (WP), East Atlantic (EA) and North Atlaentic Oscillation (NAO).
Clinical validation of the nursing diagnosis of ineffective protection in haemodialysis patients.
de Sá Tinôco, Jéssica Dantas; de Paiva, Maria das Graças Mariano Nunes; de Queiroz Frazão, Cecília Maria Farias; Lucio, Kadyjina Daiane Batista; Fernandes, Maria Isabel da Conceição Dias; de Oliveira Lopes, Marcos Venicios; de Carvalho Lira, Ana Luisa Brandão
2018-01-01
To evaluate the clinical validity of indicators of the nursing diagnosis of "ineffective protection" in haemodialysis patients. Haemodialysis patients have reduced protection. Studies on the nursing diagnosis of "ineffective protection" are scarce in the literature. The use of indicators to diagnose "ineffective protection" could improve the care of haemodialysis patients. The clinical usefulness of the indicators requires clinical validation. This was a diagnostic accuracy study. This study assessed a sample of 200 patients undergoing haemodialysis in a reference clinic for nephrology during the first half of 2015. Operational definitions were created for each clinical indicator based on concept analysis and content validation by experts for these indicators. Diagnostic accuracy measurement was performed with latent class analysis with randomised effects. The clinical indicator of "fatigue" had high sensitivity (p = .999) and specificity (p = 1.000) for the identification of "ineffective protection." Additionally, "maladaptive response to stress" (p = .711) and "coagulation change" (p = .653) were sensitive indicators. The main indicators that showed high specificity were "fever" (p = .987), "increased number of hospitalisations" (p = .911), "weakness" (p = .937), "infected vascular access" (p = .962) and "vascular access dysfunction" (p = .722). A set of nine clinical indicators of "ineffective protection" were accurate and statistically significant for haemodialysis patients. Three clinical indicators showed sensitivity, and six indicators showed specificity. Accurate measures for nursing diagnoses can help nurses confirm or rule out the probability of the occurrence of "ineffective protection" in patients undergoing haemodialysis. © 2017 John Wiley & Sons Ltd.
Persson, Ulf; Norlin, J M
2018-04-01
Many pharmaceuticals are effective in multiple indications and the degree of effectiveness may differ. A product-based pricing and reimbursement system with a single price per product is insufficient to reflect the variable values between different indications. The objective of this article is to present examples of actual pricing and reimbursement decisions using current value-based pricing in Sweden and to discuss their implications and possible solutions. The value of several cancer drugs was estimated for various indications based on a willingness-to-pay threshold of 1 million SEK (EUR 104,000) per QALY gained. For some drugs, the estimated value was higher than the drug acquisition cost in several indications, whilst in others, the estimated value was lower than the drug acquisition cost. Drugs used in combination present a special case. If a drug prolongs survival and consequently also a continued use of the anchor drug, the combination use may not be cost effective even at a zero price. In a product-based pricing and reimbursement system, patients may not get access to drugs or access may be delayed and manufacturers may be discouraged to invest in future indications. To overcome these issues, there are several approaches to link price and value. One approach is a "weighted-average" price based on an average of the value across all indications. Another is "multi-indication pricing," which enables price differentiation between indications. However, there are several barriers for applying multi-indication pricing and reimbursement schemes. One barrier is the lack of existing administrative infrastructure to track patients' indications.
Educational Indicators: A Guide for Policymakers. CPRE Occasional Paper Series.
ERIC Educational Resources Information Center
Oakes, Jeannie
An educational indicator is a statistic revealing something about the education system's health or performance. Indicators must meet certain substantive and technical standards that define the kind of information they should provide and the features they should measure. There are two types of statistical indicators. Whereas single statistics…
20 CFR 641.710 - How are the performance indicators defined?
Code of Federal Regulations, 2010 CFR
2010-04-01
... customer satisfaction surveys administered to each of these three customer groups. The Department will... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false How are the performance indicators defined... § 641.710 How are the performance indicators defined? (a) The core indicators are defined as follows: (1...
33 CFR 159.65 - Chemical level indicator.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Chemical level indicator. 159.65...) POLLUTION MARINE SANITATION DEVICES Design, Construction, and Testing § 159.65 Chemical level indicator. The... any chemical that is necessary for its effective operation. (b) A means of indicating when chemicals...
33 CFR 159.65 - Chemical level indicator.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Chemical level indicator. 159.65...) POLLUTION MARINE SANITATION DEVICES Design, Construction, and Testing § 159.65 Chemical level indicator. The... any chemical that is necessary for its effective operation. (b) A means of indicating when chemicals...
49 CFR 229.111 - Water-flow indicator.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 49 Transportation 4 2010-10-01 2010-10-01 false Water-flow indicator. 229.111 Section 229.111....111 Water-flow indicator. (a) Steam generators shall be equipped with an illuminated visual return water-flow indicator. (b) Steam generators shall be equipped with an operable test valve or other means...
49 CFR 229.111 - Water-flow indicator.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 49 Transportation 4 2011-10-01 2011-10-01 false Water-flow indicator. 229.111 Section 229.111....111 Water-flow indicator. (a) Steam generators shall be equipped with an illuminated visual return water-flow indicator. (b) Steam generators shall be equipped with an operable test valve or other means...
A first-approximation urban-air-quality indicator
David M. Paproski; Julian R. Walker
1977-01-01
Development of the first-approximation-urban-air-quality indicator was reported by the Economic Council of Canada. The indicator takes account of ambient concentrations of five pollutants: sulfur dioxide, particulate matter, oxides of nitrogen, carbon monoxide, and total oxidants. Epidemiological evidence indicating the potential impact of these pollutants on human...
Measuring Institutions: Indicators of Political and Property Rights in Malawi
ERIC Educational Resources Information Center
Fedderke, Johannes; Garlick, Julia
2012-01-01
This paper constructs a new set of institutional indicators for Malawi. We develop indicators of political rights, of freehold, traditional (communitarian) and intellectual property rights, based on the Malawian legislative framework. In exploring the association between our rights measures and a range of indicators of socio-economic development,…
Higher Education Counts: Achieving Results, 2011. Report
ERIC Educational Resources Information Center
Connecticut Department of Higher Education (NJ1), 2011
2011-01-01
This report, issued by the Connecticut Department of Higher Education, reports on trends in higher education for the year 2011. Six goals are presented, each with at least two indicators. Each indicator is broken down into the following subsections: About This Indicator; Highlights; and In the Future. Most indicators also include statistical…
24 CFR 985.3 - Indicators, HUD verification methods and ratings.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Indicators, HUD verification..., HUD verification methods and ratings. This section states the performance indicators that are used to assess PHA Section 8 management. HUD will use the verification method identified for each indicator in...
Performance Indicators: Theory and Practice. Coombe Lodge Report Volume 20, Number 1.
ERIC Educational Resources Information Center
Theodossin, Ernest; Thomson, Craig
1987-01-01
Two papers on performance indicators are presented: (1) "Quality Control in Education: The Use of Performance Indicators," by Ernest Theodossin, and (2) "Developing and Using a Performance Indicator Instrument," by Theodossin and Craig Thomson. The first paper looks at the relationship between colleges and the manufacturing…
Mid-1974 Population Estimates for Nonmetropolitan Communities in Arizona.
ERIC Educational Resources Information Center
Scott, Harold; Williams, Valerie C.
Rural Arizona population estimates were determined for 67 communities by computing a ratio of 1970 population to a 1970 population indicator and then multiplying the resultant persons per indicator times the 1974 value of the specific indicator. The indicators employed were: average daily elementary school enrollment (Arizona Department of…
33 CFR 159.65 - Chemical level indicator.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Chemical level indicator. 159.65...) POLLUTION MARINE SANITATION DEVICES Design, Construction, and Testing § 159.65 Chemical level indicator. The... any chemical that is necessary for its effective operation. (b) A means of indicating when chemicals...
33 CFR 159.65 - Chemical level indicator.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Chemical level indicator. 159.65...) POLLUTION MARINE SANITATION DEVICES Design, Construction, and Testing § 159.65 Chemical level indicator. The... any chemical that is necessary for its effective operation. (b) A means of indicating when chemicals...
33 CFR 159.65 - Chemical level indicator.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Chemical level indicator. 159.65...) POLLUTION MARINE SANITATION DEVICES Design, Construction, and Testing § 159.65 Chemical level indicator. The... any chemical that is necessary for its effective operation. (b) A means of indicating when chemicals...
What Is the Latent Variable in Causal Indicator Models?
ERIC Educational Resources Information Center
Howell, Roy D.
2014-01-01
Building on the work of Bollen (2007) and Bollen & Bauldry (2011), Bainter and Bollen (this issue) clarifies several points of confusion in the literature regarding causal indicator models. This author would certainly agree that the effect indicator (reflective) measurement model is inappropriate for some indicators (such as the social…
College Readiness Indicators. Bulletin. Issue 25
ERIC Educational Resources Information Center
Cromwell, Ashley M.; McClarty, Katie Larsen; Larson, Sarah J.
2013-01-01
This paper outlines current student-level indicators at the high school and middle school levels that predict college success. In this bulletin, indicators are divided into three categories: assessment scores (e.g., SAT® exam scores), transcript attributes (e.g., course rigor), and additional indicators (e.g., attendance) that impact achievement.
47 CFR 80.1019 - Antenna radio frequency indicator.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 47 Telecommunication 5 2011-10-01 2011-10-01 false Antenna radio frequency indicator. 80.1019... Act § 80.1019 Antenna radio frequency indicator. Each nonportable bridge-to-bridge transmitter must be... indication when the transmitter is supplying power to the antenna transmission line or, in lieu thereof, a...
47 CFR 80.1019 - Antenna radio frequency indicator.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 47 Telecommunication 5 2014-10-01 2014-10-01 false Antenna radio frequency indicator. 80.1019... Act § 80.1019 Antenna radio frequency indicator. Each nonportable bridge-to-bridge transmitter must be... indication when the transmitter is supplying power to the antenna transmission line or, in lieu thereof, a...
47 CFR 80.1019 - Antenna radio frequency indicator.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 47 Telecommunication 5 2012-10-01 2012-10-01 false Antenna radio frequency indicator. 80.1019... Act § 80.1019 Antenna radio frequency indicator. Each nonportable bridge-to-bridge transmitter must be... indication when the transmitter is supplying power to the antenna transmission line or, in lieu thereof, a...
47 CFR 80.1019 - Antenna radio frequency indicator.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 47 Telecommunication 5 2013-10-01 2013-10-01 false Antenna radio frequency indicator. 80.1019... Act § 80.1019 Antenna radio frequency indicator. Each nonportable bridge-to-bridge transmitter must be... indication when the transmitter is supplying power to the antenna transmission line or, in lieu thereof, a...
47 CFR 80.1019 - Antenna radio frequency indicator.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 47 Telecommunication 5 2010-10-01 2010-10-01 false Antenna radio frequency indicator. 80.1019... Act § 80.1019 Antenna radio frequency indicator. Each nonportable bridge-to-bridge transmitter must be... indication when the transmitter is supplying power to the antenna transmission line or, in lieu thereof, a...
A selection of forest condition indicators for monitoring
Kurt H. Riitters; B.E. Law; R.C. Kucera; A.L. Gallant; R.L. DeVelice; C.J. Palmer
1992-01-01
Regional monitoring and assessments of the health of forested ecosystems require indicators of forest conditions and environmental stresses. Indicator selections depend on objectives and the strategy for data collection and analysis. This paper recommends a set of indicators to signal changes in forest ecosystem distribution, productivity, and disturbance. Additional...
Early Warning Signs of Suicide in Service Members Who Engage in Unauthorized Acts of Violence
2016-06-01
observable to military law enforcement personnel. Statistical analyses tested for differences in warning signs between cases of suicide, violence, or...indicators, (2) Behavioral Change indicators, (3) Social indicators, and (4) Occupational indicators. Statistical analyses were conducted to test for...6 Coding _________________________________________________________________ 7 Statistical
Choosing Aggregation Rules for Composite Indicators
ERIC Educational Resources Information Center
Munda, Giuseppe
2012-01-01
From a formal point of view, a composite indicator is an aggregate of all dimensions, objectives, individual indicators and variables used for its construction. This implies that what defines a composite indicator is the set of properties underlying its mathematical aggregation convention. In this article, I try to revise the theoretical debate on…
40 CFR 1400.4 - Vulnerable zone indicator system.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 40 Protection of Environment 33 2014-07-01 2014-07-01 false Vulnerable zone indicator system. 1400... INFORMATION Public Access § 1400.4 Vulnerable zone indicator system. (a) In general. The Administrator shall provide access to a computer-based indicator that shall inform any person located in any state whether an...
40 CFR 1400.4 - Vulnerable zone indicator system.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 40 Protection of Environment 34 2012-07-01 2012-07-01 false Vulnerable zone indicator system. 1400... INFORMATION Public Access § 1400.4 Vulnerable zone indicator system. (a) In general. The Administrator shall provide access to a computer-based indicator that shall inform any person located in any state whether an...
40 CFR 1400.4 - Vulnerable zone indicator system.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 40 Protection of Environment 34 2013-07-01 2013-07-01 false Vulnerable zone indicator system. 1400... INFORMATION Public Access § 1400.4 Vulnerable zone indicator system. (a) In general. The Administrator shall provide access to a computer-based indicator that shall inform any person located in any state whether an...
40 CFR 1400.4 - Vulnerable zone indicator system.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 40 Protection of Environment 33 2011-07-01 2011-07-01 false Vulnerable zone indicator system. 1400... INFORMATION Public Access § 1400.4 Vulnerable zone indicator system. (a) In general. The Administrator shall provide access to a computer-based indicator that shall inform any person located in any state whether an...
21 CFR 864.8150 - Calibrator for cell indices.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Calibrator for cell indices. 864.8150 Section 864...) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Hematology Reagents § 864.8150 Calibrator for cell indices. (a) Identification. A calibrator for cell indices is a device that approximates whole blood or...
49 CFR 229.111 - Water-flow indicator.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 49 Transportation 4 2013-10-01 2013-10-01 false Water-flow indicator. 229.111 Section 229.111....111 Water-flow indicator. (a) Steam generators shall be equipped with an illuminated visual return water-flow indicator. (b) Steam generators shall be equipped with an operable test valve or other means...
49 CFR 229.111 - Water-flow indicator.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 49 Transportation 4 2014-10-01 2014-10-01 false Water-flow indicator. 229.111 Section 229.111....111 Water-flow indicator. (a) Steam generators shall be equipped with an illuminated visual return water-flow indicator. (b) Steam generators shall be equipped with an operable test valve or other means...
49 CFR 229.111 - Water-flow indicator.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 49 Transportation 4 2012-10-01 2012-10-01 false Water-flow indicator. 229.111 Section 229.111....111 Water-flow indicator. (a) Steam generators shall be equipped with an illuminated visual return water-flow indicator. (b) Steam generators shall be equipped with an operable test valve or other means...
Environmental indices for common Michigan trees and shrubs.
Gary J. Brand
1985-01-01
Plants are indicators of environmental factors like moisture, nutrients, heat, and light. Semi-quantitative indices for these four factors were developed for 90 Michigan trees and shrubs. The indices and a tally of species present provide a simple evaluation of the environment of a forest stand and a useful management aid.
21 CFR 864.8150 - Calibrator for cell indices.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Calibrator for cell indices. 864.8150 Section 864...) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Hematology Reagents § 864.8150 Calibrator for cell indices. (a) Identification. A calibrator for cell indices is a device that approximates whole blood or...
21 CFR 864.8150 - Calibrator for cell indices.
Code of Federal Regulations, 2014 CFR
2014-04-01
... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Calibrator for cell indices. 864.8150 Section 864...) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Hematology Reagents § 864.8150 Calibrator for cell indices. (a) Identification. A calibrator for cell indices is a device that approximates whole blood or...
21 CFR 864.8150 - Calibrator for cell indices.
Code of Federal Regulations, 2012 CFR
2012-04-01
... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Calibrator for cell indices. 864.8150 Section 864...) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Hematology Reagents § 864.8150 Calibrator for cell indices. (a) Identification. A calibrator for cell indices is a device that approximates whole blood or...
21 CFR 864.8150 - Calibrator for cell indices.
Code of Federal Regulations, 2013 CFR
2013-04-01
... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Calibrator for cell indices. 864.8150 Section 864...) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Hematology Reagents § 864.8150 Calibrator for cell indices. (a) Identification. A calibrator for cell indices is a device that approximates whole blood or...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-15
...] Guidance for Industry on Hypertension Indication: Drug Labeling for Cardiovascular Outcome Claims... ``Hypertension Indication: Drug Labeling for Cardiovascular Outcome Claims.'' This guidance is intended to assist applicants in developing labeling for outcome claims for drugs that are indicated to treat hypertension. With...
14 CFR 23.1547 - Magnetic direction indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Magnetic direction indicator. 23.1547... Limitations and Information Markings and Placards § 23.1547 Magnetic direction indicator. (a) A placard meeting the requirements of this section must be installed on or near the magnetic direction indicator. (b...
14 CFR 25.1547 - Magnetic direction indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Magnetic direction indicator. 25.1547... Markings and Placards § 25.1547 Magnetic direction indicator. (a) A placard meeting the requirements of this section must be installed on, or near, the magnetic direction indicator. (b) The placard must show...
14 CFR 29.1547 - Magnetic direction indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Magnetic direction indicator. 29.1547... Markings and Placards § 29.1547 Magnetic direction indicator. (a) A placard meeting the requirements of this section must be installed on or near the magnetic direction indicator. (b) The placard must show...
14 CFR 25.1547 - Magnetic direction indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Magnetic direction indicator. 25.1547... Markings and Placards § 25.1547 Magnetic direction indicator. (a) A placard meeting the requirements of this section must be installed on, or near, the magnetic direction indicator. (b) The placard must show...
14 CFR 23.1327 - Magnetic direction indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Magnetic direction indicator. 23.1327... Instruments: Installation § 23.1327 Magnetic direction indicator. (a) Except as provided in paragraph (b) of this section— (1) Each magnetic direction indicator must be installed so that its accuracy is not...
14 CFR 29.1547 - Magnetic direction indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Magnetic direction indicator. 29.1547... Markings and Placards § 29.1547 Magnetic direction indicator. (a) A placard meeting the requirements of this section must be installed on or near the magnetic direction indicator. (b) The placard must show...
14 CFR 27.1547 - Magnetic direction indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Magnetic direction indicator. 27.1547... and Placards § 27.1547 Magnetic direction indicator. (a) A placard meeting the requirements of this section must be installed on or near the magnetic direction indicator. (b) The placard must show the...
14 CFR 23.1547 - Magnetic direction indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Magnetic direction indicator. 23.1547... Limitations and Information Markings and Placards § 23.1547 Magnetic direction indicator. (a) A placard meeting the requirements of this section must be installed on or near the magnetic direction indicator. (b...
14 CFR 27.1547 - Magnetic direction indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Magnetic direction indicator. 27.1547... and Placards § 27.1547 Magnetic direction indicator. (a) A placard meeting the requirements of this section must be installed on or near the magnetic direction indicator. (b) The placard must show the...
49 CFR 229.117 - Speed indicators.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 49 Transportation 4 2010-10-01 2010-10-01 false Speed indicators. 229.117 Section 229.117... § 229.117 Speed indicators. (a) After December 31, 1980, each locomotive used as a controlling locomotive at speeds in excess of 20 miles per hour shall be equipped with a speed indicator which is— (1...
49 CFR 230.68 - Speed indicators.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 49 Transportation 4 2011-10-01 2011-10-01 false Speed indicators. 230.68 Section 230.68... Tenders Speed Indicators § 230.68 Speed indicators. Steam locomotives that operate at speeds in excess of 20 miles per hour over the general system of railroad transportation shall be equipped with speed...
49 CFR 230.68 - Speed indicators.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 49 Transportation 4 2010-10-01 2010-10-01 false Speed indicators. 230.68 Section 230.68... Tenders Speed Indicators § 230.68 Speed indicators. Steam locomotives that operate at speeds in excess of 20 miles per hour over the general system of railroad transportation shall be equipped with speed...
49 CFR 229.117 - Speed indicators.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 49 Transportation 4 2011-10-01 2011-10-01 false Speed indicators. 229.117 Section 229.117... § 229.117 Speed indicators. (a) After December 31, 1980, each locomotive used as a controlling locomotive at speeds in excess of 20 miles per hour shall be equipped with a speed indicator which is— (1...
34 CFR 379.52 - How is grantee performance measured using the compliance indicators?
Code of Federal Regulations, 2010 CFR
2010-07-01
... compliance indicators? 379.52 Section 379.52 Education Regulations of the Offices of the Department of... PROJECTS WITH INDUSTRY What Compliance Indicator Requirements Must a Grantee Meet To Receive Continuation Funding? § 379.52 How is grantee performance measured using the compliance indicators? (a) Each compliance...
20 CFR 666.110 - May a Governor require additional indicators of performance?
Code of Federal Regulations, 2011 CFR
2011-04-01
... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false May a Governor require additional indicators... of Performance § 666.110 May a Governor require additional indicators of performance? Yes, Governors may develop additional indicators of performance for adults, youth and dislocated worker activities...
20 CFR 666.110 - May a Governor require additional indicators of performance?
Code of Federal Regulations, 2010 CFR
2010-04-01
... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false May a Governor require additional indicators... of Performance § 666.110 May a Governor require additional indicators of performance? Yes, Governors may develop additional indicators of performance for adults, youth and dislocated worker activities...
75 FR 62135 - Notice of Adjustment of Countywide Per Capita Impact Indicator
Federal Register 2010, 2011, 2012, 2013, 2014
2010-10-07
... Countywide Per Capita Impact Indicator AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: FEMA gives notice that the countywide per capita impact indicator under the Public Assistance.... 9122.1 provides that FEMA will adjust the countywide per capita impact indicator under the Public...
34 CFR 379.54 - What are the reporting requirements for the compliance indicators?
Code of Federal Regulations, 2011 CFR
2011-07-01
... indicators? 379.54 Section 379.54 Education Regulations of the Offices of the Department of Education... INDUSTRY What Compliance Indicator Requirements Must a Grantee Meet To Receive Continuation Funding? § 379.54 What are the reporting requirements for the compliance indicators? (a) To receive continuation...
46 CFR 113.40-10 - Detailed requirements.
Code of Federal Regulations, 2011 CFR
2011-10-01
... ALARM SYSTEMS AND EQUIPMENT Rudder Angle Indicator Systems § 113.40-10 Detailed requirements. (a) Each rudder angle indicator system must have a transmitter at the rudder head that is actuated by movement of the rudder with the angular movements of the rudder transmitted to a remote indicator or indicators...
34 CFR 379.54 - What are the reporting requirements for the compliance indicators?
Code of Federal Regulations, 2010 CFR
2010-07-01
... indicators? 379.54 Section 379.54 Education Regulations of the Offices of the Department of Education... INDUSTRY What Compliance Indicator Requirements Must a Grantee Meet To Receive Continuation Funding? § 379.54 What are the reporting requirements for the compliance indicators? (a) To receive continuation...
Cognitive Indicators of Different Levels of Special Educational Support Needs in Autism
ERIC Educational Resources Information Center
Aljunied, Mariam; Frederickson, Norah
2011-01-01
Potential cognitive indicators of the level of special educational needs (SEN) were investigated in 52 children with autism. Two general indicators (intelligence quotient and cognitive modifiability) and three specific indicators (theory of mind, executive functioning and central coherence) were evaluated for their ability to discriminate three…
Method for warning of radiological and chemical agents using detection paints on a vehicle surface
Farmer, Joseph C [Tracy, CA; Brunk, James L [Martinez, CA; Day, S Daniel [Danville, CA
2012-03-27
A paint that warns of radiological or chemical substances comprising a paint operatively connected to the surface, an indicator material carried by the paint that provides an indication of the radiological or chemical substances, and a thermo-activation material carried by the paint. In one embodiment, a method of warning of radiological or chemical substances comprising the steps of painting a surface with an indicator material, and monitoring the surface for indications of the radiological or chemical substances. In another embodiment, a paint is operatively connected to a vehicle and an indicator material is carried by the paint that provides an indication of the radiological or chemical substances.
Developing Quality Indicators for Family Support Services in Community Team-Based Mental Health Care
Olin, S. Serene; Kutash, Krista; Pollock, Michele; Burns, Barbara J.; Kuppinger, Anne; Craig, Nancy; Purdy, Frances; Armusewicz, Kelsey; Wisdom, Jennifer; Hoagwood, Kimberly E.
2013-01-01
Quality indicators for programs integrating parent-delivered family support services for children’s mental health have not been systematically developed. Increasing emphasis on accountability under the Affordable Care Act highlights the importance of quality-benchmarking efforts. Using a modified Delphi approach, quality indicators were developed for both program level and family support specialist level practices. These indicators were pilot tested with 21 community-based mental health programs. Psychometric properties of these indicators are reported; variations in program and family support specialist performance suggest the utility of these indicators as tools to guide policies and practices in organizations that integrate parent-delivered family support service components. PMID:23709287
Aerial vehicle with paint for detection of radiological and chemical warfare agents
DOE Office of Scientific and Technical Information (OSTI.GOV)
Farmer, Joseph C.; Brunk, James L.; Day, S. Daniel
A paint that warns of radiological or chemical substances comprising a paint operatively connected to the surface, an indicator material carried by the paint that provides an indication of the radiological or chemical substances, and a thermo-activation material carried by the paint. In one embodiment, a method of warning of radiological or chemical substances comprising the steps of painting a surface with an indicator material, and monitoring the surface for indications of the radiological or chemical substances. In another embodiment, a paint is operatively connected to a vehicle and an indicator material is carried by the paint that provides anmore » indication of the radiological or chemical substances.« less
Lee, Kathy E.; Schoenfuss, Heiko L.; Barber, Larry B.; Writer, Jeff H.; Blazer, Vicki; Keisling, Richard L.; Ferrey, Mark L.
2010-01-01
Although these studies indicate that wastewater-treatment plant effluent is a conduit for endocrine active chemicals to surface waters, endocrine active chemicals also were present in surface waters with no obvious wastewater-treatment plant effluent sources. Endocrine active chemicals were detected and indicators of endocrine disruption in fish were measured at numerous sites upstream from discharge of wastewater-treatment plant effluent. These observations indicate that other unidentified sources of endocrine active chemicals exist, such as runoff from land surfaces, atmospheric deposition, inputs from onsite septic systems, or other groundwater sources. Alternatively, some endocrine active chemicals may not yet have been identified or measured. The presence of biological indicators of endocrine disruption in male fish indicates that the fish are exposed to endocrine active chemicals. However indicators of endocrine disruption in male fish does not indicate an effect on fish reproduction or changes in fish populations.
Ye, Bixiong; E, Xueli; Zhang, Lan
2015-01-01
To optimize non-regular drinking water quality indices (except Giardia and Cryptosporidium) of urban drinking water. Several methods including drinking water quality exceed the standard, the risk of exceeding standard, the frequency of detecting concentrations below the detection limit, water quality comprehensive index evaluation method, and attribute reduction algorithm of rough set theory were applied, redundancy factor of water quality indicators were eliminated, control factors that play a leading role in drinking water safety were found. Optimization results showed in 62 unconventional water quality monitoring indicators of urban drinking water, 42 water quality indicators could be optimized reduction by comprehensively evaluation combined with attribute reduction of rough set. Optimization of the water quality monitoring indicators and reduction of monitoring indicators and monitoring frequency could ensure the safety of drinking water quality while lowering monitoring costs and reducing monitoring pressure of the sanitation supervision departments.
Insertion of operation-and-indicate instructions for optimized SIMD code
Eichenberger, Alexander E; Gara, Alan; Gschwind, Michael K
2013-06-04
Mechanisms are provided for inserting indicated instructions for tracking and indicating exceptions in the execution of vectorized code. A portion of first code is received for compilation. The portion of first code is analyzed to identify non-speculative instructions performing designated non-speculative operations in the first code that are candidates for replacement by replacement operation-and-indicate instructions that perform the designated non-speculative operations and further perform an indication operation for indicating any exception conditions corresponding to special exception values present in vector register inputs to the replacement operation-and-indicate instructions. The replacement is performed and second code is generated based on the replacement of the at least one non-speculative instruction. The data processing system executing the compiled code is configured to store special exception values in vector output registers, in response to a speculative instruction generating an exception condition, without initiating exception handling.
Luo, Gang
2017-12-01
For user-friendliness, many software systems offer progress indicators for long-duration tasks. A typical progress indicator continuously estimates the remaining task execution time as well as the portion of the task that has been finished. Building a machine learning model often takes a long time, but no existing machine learning software supplies a non-trivial progress indicator. Similarly, running a data mining algorithm often takes a long time, but no existing data mining software provides a nontrivial progress indicator. In this article, we consider the problem of offering progress indicators for machine learning model building and data mining algorithm execution. We discuss the goals and challenges intrinsic to this problem. Then we describe an initial framework for implementing such progress indicators and two advanced, potential uses of them, with the goal of inspiring future research on this topic.
NASA Technical Reports Server (NTRS)
Walley, J. L.; Nunes, A. C.; Clounch, J. L.; Russell, C. K.
2007-01-01
This study presents examples and considerations for differentiating linear radiographic indications produced by gas tungsten arc welds in a 0.05-in-thick sheet of Inconel 718. A series of welds with different structural features, including the enigma indications and other defect indications such as lack of fusion and penetration, were produced, radiographed, and examined metallographically. The enigma indications were produced by a large columnar grain running along the center of the weld nugget occurring when the weld speed was reduced sufficiently below nominal. Examples of respective indications, including the effect of changing the x-ray source location, are presented as an aid to differentiation. Enigma, nominal, and hot-weld specimens were tensile tested to demonstrate the harmlessness of the enigma indication. Statistical analysis showed that there is no difference between the strengths of these three weld conditions.
NASA Astrophysics Data System (ADS)
Arkeman, Y.; Rizkyanti, R. A.; Hambali, E.
2017-05-01
Development of Indonesian palm-oil-based bioenergy faces an international challenge regarding to sustainability issue, indicated by the establishment of standards on sustainable bioenergy. Currently, Indonesia has sustainability standards limited to palm-oil cultivation, while other standards are lacking appropriateness for Indonesian palm-oil-based bioenergy sustainability regarding to real condition in Indonesia. Thus, Indonesia requires sustainability indicators for Indonesian palm-oil-based bioenergy to gain recognition and easiness in marketing it. Determination of sustainability indicators was accomplished through three stages, which were preliminary analysis, indicator assessment (using fuzzy inference system), and system validation. Global Bioenergy partnership (GBEP) was used as the standard for the assessment because of its general for use, internationally accepted, and it contained balanced proportion between environment, economic, and social aspects. Result showed that the number of sustainability indicators using FIS method are 21 indicators. The system developed has an accuracy of 85%.
Luo, Gang
2017-01-01
For user-friendliness, many software systems offer progress indicators for long-duration tasks. A typical progress indicator continuously estimates the remaining task execution time as well as the portion of the task that has been finished. Building a machine learning model often takes a long time, but no existing machine learning software supplies a non-trivial progress indicator. Similarly, running a data mining algorithm often takes a long time, but no existing data mining software provides a nontrivial progress indicator. In this article, we consider the problem of offering progress indicators for machine learning model building and data mining algorithm execution. We discuss the goals and challenges intrinsic to this problem. Then we describe an initial framework for implementing such progress indicators and two advanced, potential uses of them, with the goal of inspiring future research on this topic. PMID:29177022
Code of Federal Regulations, 2010 CFR
2010-10-01
... 49 Transportation 4 2010-10-01 2010-10-01 false Cab signal indication when locomotive enters block... Systems Standards § 236.512 Cab signal indication when locomotive enters block where restrictive... within a block, wherein any condition described in § 236.205 obtains, the cab signals shall indicate...
14 CFR 135.158 - Pitot heat indication systems.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Pitot heat indication systems. 135.158... Equipment § 135.158 Pitot heat indication systems. (a) Except as provided in paragraph (b) of this section... instrument pitot heating system unless the airplane is also equipped with an operable pitot heat indication...
14 CFR 121.342 - Pitot heat indication systems.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Pitot heat indication systems. 121.342... heat indication systems. No person may operate a transport category airplane or, after December 20... heat indication system that complies § 25.1326 of this chapter in effect on April 12, 1978. [Doc. No...
14 CFR 121.342 - Pitot heat indication systems.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Pitot heat indication systems. 121.342... heat indication systems. No person may operate a transport category airplane or, after December 20... heat indication system that complies § 25.1326 of this chapter in effect on April 12, 1978. [Doc. No...
14 CFR 135.158 - Pitot heat indication systems.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Pitot heat indication systems. 135.158... Equipment § 135.158 Pitot heat indication systems. (a) Except as provided in paragraph (b) of this section... instrument pitot heating system unless the airplane is also equipped with an operable pitot heat indication...
America's Children: Key National Indicators of Well-Being, 2015
ERIC Educational Resources Information Center
Federal Interagency Forum on Child and Family Statistics, 2015
2015-01-01
The Federal Interagency Forum on Child and Family Statistics' primary mission is to enhance data collection and reporting on children and families. "America's Children: Key National Indicators of Well-Being, 2015" provides the Nation with a summary of national indicators of children's well-being and monitors changes in these indicators.…
America's Children: Key National Indicators of Well-Being, 2013
ERIC Educational Resources Information Center
Federal Interagency Forum on Child and Family Statistics, 2013
2013-01-01
The Federal Interagency Forum on Child and Family Statistics' primary mission is to enhance data collection and reporting on children and families. "America's Children: Key National Indicators of Well-Being, 2013" provides the Nation with a summary of national indicators of children's well-being and monitors changes in these indicators.…
14 CFR 121.342 - Pitot heat indication systems.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Pitot heat indication systems. 121.342... heat indication systems. No person may operate a transport category airplane or, after December 20... heat indication system that complies § 25.1326 of this chapter in effect on April 12, 1978. [Doc. No...
14 CFR 121.342 - Pitot heat indication systems.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Pitot heat indication systems. 121.342... heat indication systems. No person may operate a transport category airplane or, after December 20... heat indication system that complies § 25.1326 of this chapter in effect on April 12, 1978. [Doc. No...
14 CFR 135.158 - Pitot heat indication systems.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Pitot heat indication systems. 135.158... Equipment § 135.158 Pitot heat indication systems. (a) Except as provided in paragraph (b) of this section... instrument pitot heating system unless the airplane is also equipped with an operable pitot heat indication...
14 CFR 121.342 - Pitot heat indication systems.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Pitot heat indication systems. 121.342... heat indication systems. No person may operate a transport category airplane or, after December 20... heat indication system that complies § 25.1326 of this chapter in effect on April 12, 1978. [Doc. No...
14 CFR 135.158 - Pitot heat indication systems.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Pitot heat indication systems. 135.158... Equipment § 135.158 Pitot heat indication systems. (a) Except as provided in paragraph (b) of this section... instrument pitot heating system unless the airplane is also equipped with an operable pitot heat indication...
14 CFR 135.158 - Pitot heat indication systems.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Pitot heat indication systems. 135.158... Equipment § 135.158 Pitot heat indication systems. (a) Except as provided in paragraph (b) of this section... instrument pitot heating system unless the airplane is also equipped with an operable pitot heat indication...
21 CFR 872.1840 - Dental x-ray position indicating device.
Code of Federal Regulations, 2012 CFR
2012-04-01
... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Dental x-ray position indicating device. 872.1840... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1840 Dental x-ray position indicating device. (a) Identification. A dental x-ray position indicating device is a device, such as a collimator...
21 CFR 872.1840 - Dental x-ray position indicating device.
Code of Federal Regulations, 2014 CFR
2014-04-01
... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Dental x-ray position indicating device. 872.1840... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1840 Dental x-ray position indicating device. (a) Identification. A dental x-ray position indicating device is a device, such as a collimator...
21 CFR 872.1840 - Dental x-ray position indicating device.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Dental x-ray position indicating device. 872.1840... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1840 Dental x-ray position indicating device. (a) Identification. A dental x-ray position indicating device is a device, such as a collimator...
21 CFR 872.1840 - Dental x-ray position indicating device.
Code of Federal Regulations, 2013 CFR
2013-04-01
... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Dental x-ray position indicating device. 872.1840... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1840 Dental x-ray position indicating device. (a) Identification. A dental x-ray position indicating device is a device, such as a collimator...
21 CFR 872.1840 - Dental x-ray position indicating device.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Dental x-ray position indicating device. 872.1840... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1840 Dental x-ray position indicating device. (a) Identification. A dental x-ray position indicating device is a device, such as a collimator...
Productivity in Academia: An Assessment of Causal Linkages between Output and Outcome Indicators
ERIC Educational Resources Information Center
Wamala, Robert; Ssembatya, Vincent A.
2015-01-01
Purpose: The purpose of this paper is to investigate causal linkages between output and outcome indicators of productivity in academia. Design/methodology/approach: The duration of teaching service and the number of graduate students supervised to completion were adopted as output indicators of productivity. Equivalent outcome indicators were the…
Social indicators and outdoor recreation: the forgotten sector
John D. Peine; Robert W. Marans; Charles C. Harris
1980-01-01
Following a brief historical overview of the social indicators movement, outdoor recreation measures which can be considered as social indicators are discussed. Such indicators are largely derived from social surveys. Illustrative data from 53 such surveys are presented. Despite the availability of such data, there have been few attempts to adapt them as established...
This research plan for the Landscape Indicators for Pesticides Study ? Mid-Atlantic Coastal Streams (LIPS-MACS) describes the rational and approach of developing a research project to evaluate statistical landscape indicator models for freshwater streams in the Mid-Atlantic Coas...
Developing of Indicators of an E-Learning Benchmarking Model for Higher Education Institutions
ERIC Educational Resources Information Center
Sae-Khow, Jirasak
2014-01-01
This study was the development of e-learning indicators used as an e-learning benchmarking model for higher education institutes. Specifically, it aimed to: 1) synthesize the e-learning indicators; 2) examine content validity by specialists; and 3) explore appropriateness of the e-learning indicators. Review of related literature included…
An Evaluation of Item Response Theory Classification Accuracy and Consistency Indices
ERIC Educational Resources Information Center
Wyse, Adam E.; Hao, Shiqi
2012-01-01
This article introduces two new classification consistency indices that can be used when item response theory (IRT) models have been applied. The new indices are shown to be related to Rudner's classification accuracy index and Guo's classification accuracy index. The Rudner- and Guo-based classification accuracy and consistency indices are…
ERIC Educational Resources Information Center
Wang, Wenyi; Song, Lihong; Chen, Ping; Meng, Yaru; Ding, Shuliang
2015-01-01
Classification consistency and accuracy are viewed as important indicators for evaluating the reliability and validity of classification results in cognitive diagnostic assessment (CDA). Pattern-level classification consistency and accuracy indices were introduced by Cui, Gierl, and Chang. However, the indices at the attribute level have not yet…
77 FR 23385 - Airworthiness Directives; Fokker Services B.V. Airplanes
Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-19
... modifying the crossfeed valve control and power supply, the crossfeed indication logic and power supply, and... supply, of the crossfeed indication logic and power supply and of the fuel fire shut-off valve indication... this AD, modify the crossfeed valve control and power supply, the crossfeed indication logic and power...
28 CFR 79.36 - Indication of the presence of hepatitis B or cirrhosis.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Indication of the presence of hepatitis B or cirrhosis. 79.36 Section 79.36 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CLAIMS... § 79.36 Indication of the presence of hepatitis B or cirrhosis. Possible indication of hepatitis B or...
28 CFR 79.36 - Indication of the presence of hepatitis B or cirrhosis.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Indication of the presence of hepatitis B or cirrhosis. 79.36 Section 79.36 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CLAIMS... § 79.36 Indication of the presence of hepatitis B or cirrhosis. Possible indication of hepatitis B or...
28 CFR 79.36 - Indication of the presence of hepatitis B or cirrhosis.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Indication of the presence of hepatitis B or cirrhosis. 79.36 Section 79.36 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CLAIMS... § 79.36 Indication of the presence of hepatitis B or cirrhosis. Possible indication of hepatitis B or...
28 CFR 79.36 - Indication of the presence of hepatitis B or cirrhosis.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Indication of the presence of hepatitis B or cirrhosis. 79.36 Section 79.36 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CLAIMS... § 79.36 Indication of the presence of hepatitis B or cirrhosis. Possible indication of hepatitis B or...
21 CFR 872.1850 - Lead-lined position indicator.
Code of Federal Regulations, 2012 CFR
2012-04-01
... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Lead-lined position indicator. 872.1850 Section... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1850 Lead-lined position indicator. (a) Identification. A lead-lined position indicator is a cone-shaped device lined with lead that is attached to a...
21 CFR 872.1850 - Lead-lined position indicator.
Code of Federal Regulations, 2013 CFR
2013-04-01
... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Lead-lined position indicator. 872.1850 Section... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1850 Lead-lined position indicator. (a) Identification. A lead-lined position indicator is a cone-shaped device lined with lead that is attached to a...
ERIC Educational Resources Information Center
Camara, Boubacar
This publication complements the "Education for All" program and is intended to provide a comprehensive and operational indicator for monitoring education. As a synthetic tool, the Educational Progress Indicator (EPI) facilitates the analytical assessment and projection work of educational planners, managers, actors, and policymakers. The EPI…
ERIC Educational Resources Information Center
Christopher, Minolar T.
2010-01-01
Quality in higher education today is often measured by institutional accountability indicators. The purpose of this study was to examine trends and explore correlational relationships of the performance indicators deemed important to the stakeholders of two postsecondary institutions in the State of Georgia--retention rate, graduation rate, and…
28 CFR 79.36 - Indication of the presence of hepatitis B or cirrhosis.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Indication of the presence of hepatitis B or cirrhosis. 79.36 Section 79.36 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CLAIMS... § 79.36 Indication of the presence of hepatitis B or cirrhosis. Possible indication of hepatitis B or...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-06-08
... withdrawing approval of the familial adenomatous polyposis (FAP) indication for CELEBREX (celecoxib) Capsules... Spring, MD 20993-0002, 301- 796-3601. SUPPLEMENTARY INFORMATION: FDA approved the FAP indication for..., subpart H. In addition to FAP, CELEBREX is indicated for the relief of the signs and symptoms of...
34 CFR 379.53 - What are the minimum performance levels for each compliance indicator?
Code of Federal Regulations, 2011 CFR
2011-07-01
... compliance indicator? 379.53 Section 379.53 Education Regulations of the Offices of the Department of... PROJECTS WITH INDUSTRY What Compliance Indicator Requirements Must a Grantee Meet To Receive Continuation Funding? § 379.53 What are the minimum performance levels for each compliance indicator? (a) Primary...
20 CFR 666.300 - What performance indicators apply to local areas?
Code of Federal Regulations, 2010 CFR
2010-04-01
... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false What performance indicators apply to local... Performance § 666.300 What performance indicators apply to local areas? (a) Each local workforce investment area in a State is subject to the same core indicators of performance and the customer satisfaction...
78 FR 64231 - Notice of Adjustment of Countywide Per Capita Impact Indicator
Federal Register 2010, 2011, 2012, 2013, 2014
2013-10-28
... Countywide Per Capita Impact Indicator AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: FEMA gives notice that the countywide per capita impact indicator under the Public Assistance... under 44 CFR 206.40(b), FEMA uses a county-wide per capita indicator to evaluate the impact of the...
21 CFR 872.1850 - Lead-lined position indicator.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Lead-lined position indicator. 872.1850 Section... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1850 Lead-lined position indicator. (a) Identification. A lead-lined position indicator is a cone-shaped device lined with lead that is attached to a...
47 CFR 80.877 - Controls and indicators required for VHF radiotelephone installation.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 47 Telecommunication 5 2010-10-01 2010-10-01 false Controls and indicators required for VHF... Cargo Vessels Not Subject to Subpart W § 80.877 Controls and indicators required for VHF radiotelephone installation. The controls and indicators used on equipment of the VHF radiotelephone installation must meet...
Using College Admission Test Scores to Clarify High School Placement. Leading Indicator Spotlight
ERIC Educational Resources Information Center
Flug, Susanna
2010-01-01
In "Beyond Test Scores: Leading Indicators for Education," Foley and colleagues (2008) define leading indicators as those that "provide early signals of progress toward academic achievement" (p. 1) and stress that educators "need leading indicators to help them see the direction their efforts are going in and to take…
14 CFR 25.1553 - Fuel quantity indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Fuel quantity indicator. 25.1553 Section 25... Placards § 25.1553 Fuel quantity indicator. If the unusable fuel supply for any tank exceeds one gallon, or five percent of the tank capacity, whichever is greater, a red arc must be marked on its indicator...
33 CFR 401.17 - Pitch indicators and alarms.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Pitch indicators and alarms. 401... indicators and alarms. Every vessel of 1600 gross registered tons or integrated tug and barge or articulated... propeller shall be equipped with— (a) A pitch indicator in the wheelhouse and the engine room; and (b...
14 CFR 27.1553 - Fuel quantity indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Fuel quantity indicator. 27.1553 Section 27... § 27.1553 Fuel quantity indicator. If the unusable fuel supply for any tank exceeds one gallon, or five percent of the tank capacity, whichever is greater, a red arc must be marked on its indicator extending...
20 CFR 666.300 - What performance indicators apply to local areas?
Code of Federal Regulations, 2011 CFR
2011-04-01
... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false What performance indicators apply to local... Performance § 666.300 What performance indicators apply to local areas? (a) Each local workforce investment area in a State is subject to the same core indicators of performance and the customer satisfaction...
77 FR 61011 - Notice of Adjustment of Countywide Per Capita Impact Indicator
Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-05
... Countywide Per Capita Impact Indicator AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: FEMA gives notice that the countywide per capita impact indicator under the Public Assistance... under 44 CFR 206.40(b), FEMA uses a county-wide per capita indicator to evaluate the impact of the...
47 CFR 80.877 - Controls and indicators required for VHF radiotelephone installation.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 47 Telecommunication 5 2011-10-01 2011-10-01 false Controls and indicators required for VHF... Cargo Vessels Not Subject to Subpart W § 80.877 Controls and indicators required for VHF radiotelephone installation. The controls and indicators used on equipment of the VHF radiotelephone installation must meet...
21 CFR 872.1850 - Lead-lined position indicator.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Lead-lined position indicator. 872.1850 Section... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1850 Lead-lined position indicator. (a) Identification. A lead-lined position indicator is a cone-shaped device lined with lead that is attached to a...
14 CFR 29.1553 - Fuel quantity indicator.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Fuel quantity indicator. 29.1553 Section 29... Placards § 29.1553 Fuel quantity indicator. If the unusable fuel supply for any tank exceeds one gallon, or five percent of the tank capacity, whichever is greater, a red arc must be marked on its indicator...
14 CFR 27.1553 - Fuel quantity indicator.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Fuel quantity indicator. 27.1553 Section 27... § 27.1553 Fuel quantity indicator. If the unusable fuel supply for any tank exceeds one gallon, or five percent of the tank capacity, whichever is greater, a red arc must be marked on its indicator extending...
76 FR 63936 - Notice of Adjustment of Countywide Per Capita Impact Indicator
Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-14
... Countywide Per Capita Impact Indicator AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: FEMA gives notice that the countywide per capita impact indicator under the Public Assistance... designations under 44 CFR 206.40(b), FEMA uses a county-wide per capita indicator to evaluate the impact of the...
33 CFR 401.17 - Pitch indicators and alarms.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Pitch indicators and alarms. 401... indicators and alarms. Every vessel of 1600 gross registered tons or integrated tug and barge or articulated... propeller shall be equipped with— (a) A pitch indicator in the wheelhouse and the engine room; and (b...
Comparison of the efficacy of steam sterilization indicators.
Lee, C H; Montville, T J; Sinskey, A J
1979-01-01
Twenty-one commercially available chemical steam sterilization indicators were processed in an empty autoclave for various times at temperatures between 240 and 270 degrees F (ca. 116 and 132 degrees C). The time required to reach a sterilized reading at each temperature was plotted on a semilogarithmic time-temperature plot and compared with the time-temperature sterilization curve for Bacillus stearothermophilus. Five of the indicators had time-temperature kinetics similar to those of B. stearothermophilus, but three of these overestimated the effect of processing. Two of the indicators overestimated the effect of processing and were less sensitive to temperature changes when was B. stearothermophilus. Thirteen of the indicators had time-temperature curves that crossed the B. stearothermophilus plot. One indicator produced such ambiguous results that no determinations could be made with it. Out of 21 indicators tested, only 2 appear to be capable of accurately integrating the time-temperature effect at temperatures between 240 and 270 degrees F. The other indicators should be used only after careful analysis of their suitability for use at a given temperature. PMID:485144
Environmental indicators for sustainable production of algal biofuels
Efroymson, Rebecca A.; Dale, Virginia H.
2014-10-01
For analyzing sustainability of algal biofuels, we identify 16 environmental indicators that fall into six categories: soil quality, water quality and quantity, air quality, greenhouse gas emissions, biodiversity, and productivity. Indicators are selected to be practical, widely applicable, predictable in response, anticipatory of future changes, independent of scale, and responsive to management. Major differences between algae and terrestrial plant feedstocks, as well as their supply chains for biofuel, are highlighted, for they influence the choice of appropriate sustainability indicators. Algae strain selection characteristics do not generally affect which indicators are selected. The use of water instead of soil as themore » growth medium for algae determines the higher priority of water- over soil-related indicators. The proposed set of environmental indicators provides an initial checklist for measures of biofuel sustainability but may need to be modified for particular contexts depending on data availability, goals of the stakeholders, and financial constraints. Ultimately, use of these indicators entails defining sustainability goals and targets in relation to stakeholder values in a particular context and can lead to improved management practices.« less
Biotic indices for assessing the status of coastal waters: a review of strengths and weaknesses.
Martínez-Crego, Begoña; Alcoverro, Teresa; Romero, Javier
2010-05-01
Biotic indices have become key assessment tools in most recent national and trans-national policies aimed at improving the quality of coastal waters and the integrity of their associated ecosystems. In this study we analyzed 90 published biotic indices, classified them into four types, and analyzed the strengths and weaknesses of each type in relation to the requirements of these policies. We identified three main type-specific weaknesses. First, the problems of applicability, due to practical and conceptual difficulties, which affect most indices related to ecosystem function. Second, the failure of many indices based on structural attributes of the community (e.g. taxonomic composition) to link deterioration with causative stressors, or to provide an early-detection capacity. Third, the poor relevance to the ecological integrity of indices based on attributes at the sub-individual level (e.g. multi-biomarkers). Additionally, most indices still fail on two further aspects: the broad-scale applicability and the definition of reference conditions. Nowadays, the most promising approach seems to be the aggregation of indices with complementary strengths, and obtained from different biological communities.