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Sample records for pathologist assessment compared

  1. A Comparative Study of the Perspectives of General and Oral and Maxillofacial Pathologists about the Rate and Value of Second Referral in Assessment of Oral and Maxillofacial Pathologic Lesions.

    PubMed

    Razavi, Sayed Mohammad; Liaghatdar, Alireza; Kargahi, Neda

    2017-02-16

    The main purpose in the practice of pathology is to provide an accurate diagnosis. Second referral and reassessment by a second pathologist significantly cause diagnostic errors, help to make an accurate diagnosis, and improve patient management. This study was aimed to assess the general perspectives of general and oral and maxillofacial pathologists in Iran on second referrals. In this cross-sectional, descriptive-analytical study, a 20-item questionnaire on second referrals was used to assess the general and oral and maxillofacial pathologists' perspective in Iran. The obtained data were analyzed by chi-square and Mann-Whitney tests (α = 0.05). A total of 64 questionnaires from general and 45 questionnaires from oral and maxillofacial pathologists were collected. The findings showed 70.9% of pathologists were in favor of seeking a second opinion when faced with diagnostic challenges. Significant differences were found between the oral and general pathologists in terms of the most challenging oral and maxillofacial lesions (p value < 0.001). In total, 74.8% of pathologists suggested second opinion to be useful and productive. Both groups of pathologists approved of the second referral. However, this pattern is still different, and it is possible to improve the referral rate among both groups and to enhance the knowledge of general pathologists about second referral to oral and maxillofacial pathologists.

  2. The Use of Interpreters by Speech-Language Pathologists Conducting Bilingual Speech-Language Assessments

    ERIC Educational Resources Information Center

    Palfrey, Carol Lynn

    2013-01-01

    The purpose of this non-experimental quantitative study was to explore the practices of speech-language pathologists in conducting bilingual assessments with interpreters. Data were obtained regarding the assessment tools and practices used by speech-language pathologists, the frequency with which they work with interpreters, and the procedures…

  3. Speech-Language Pathologists' Assessment Practices for Children with Suspected Speech Sound Disorders: Results of a National Survey

    ERIC Educational Resources Information Center

    Skahan, Sarah M.; Watson, Maggie; Lof, Gregory L.

    2007-01-01

    Purpose: This study examined assessment procedures used by speech-language pathologists (SLPs) when assessing children suspected of having speech sound disorders (SSD). This national survey also determined the information participants obtained from clients' speech samples, evaluation of non-native English speakers, and time spent on assessment.…

  4. Speech-language pathologists' assessment and intervention practices with multilingual children.

    PubMed

    Williams, Corinne J; McLeod, Sharynne

    2012-06-01

    Within predominantly English-speaking countries such as the US, UK, Canada, New Zealand, and Australia, there are a significant number of people who speak languages other than English. This study aimed to examine Australian speech-language pathologists' (SLPs) perspectives and experiences of multilingualism, including their assessment and intervention practices, and service delivery methods when working with children who speak languages other than English. A questionnaire was completed by 128 SLPs who attended an SLP seminar about cultural and linguistic diversity. Approximately one half of the SLPs (48.4%) reported that they had at least minimal competence in a language(s) other than English; but only 12 (9.4%) reported that they were proficient in another language. The SLPs spoke a total of 28 languages other than English, the most common being French, Italian, German, Spanish, Mandarin, and Auslan (Australian sign language). Participants reported that they had, in the past 12 months, worked with a mean of 59.2 (range 1-100) children from multilingual backgrounds. These children were reported to speak between two and five languages each; the most common being: Vietnamese, Arabic, Cantonese, Mandarin, Australian Indigenous languages, Tagalog, Greek, and other Chinese languages. There was limited overlap between the languages spoken by the SLPs and the children on the SLPs' caseloads. Many of the SLPs assessed children's speech (50.5%) and/or language (34.2%) without assistance from others (including interpreters). English was the primary language used during assessments and intervention. The majority of SLPs always used informal speech (76.7%) and language (78.2%) assessments and, if standardized tests were used, typically they were in English. The SLPs sought additional information about the children's languages and cultural backgrounds, but indicated that they had limited resources to discriminate between speech and language difference vs disorder.

  5. Speech-language pathologists' practices regarding assessment, analysis, target selection, intervention, and service delivery for children with speech sound disorders.

    PubMed

    Mcleod, Sharynne; Baker, Elise

    2014-01-01

    A survey of 231 Australian speech-language pathologists (SLPs) was undertaken to describe practices regarding assessment, analysis, target selection, intervention, and service delivery for children with speech sound disorders (SSD). The participants typically worked in private practice, education, or community health settings and 67.6% had a waiting list for services. For each child, most of the SLPs spent 10-40 min in pre-assessment activities, 30-60 min undertaking face-to-face assessments, and 30-60 min completing paperwork after assessments. During an assessment SLPs typically conducted a parent interview, single-word speech sampling, collected a connected speech sample, and used informal tests. They also determined children's stimulability and estimated intelligibility. With multilingual children, informal assessment procedures and English-only tests were commonly used and SLPs relied on family members or interpreters to assist. Common analysis techniques included determination of phonological processes, substitutions-omissions-distortions-additions (SODA), and phonetic inventory. Participants placed high priority on selecting target sounds that were stimulable, early developing, and in error across all word positions and 60.3% felt very confident or confident selecting an appropriate intervention approach. Eight intervention approaches were frequently used: auditory discrimination, minimal pairs, cued articulation, phonological awareness, traditional articulation therapy, auditory bombardment, Nuffield Centre Dyspraxia Programme, and core vocabulary. Children typically received individual therapy with an SLP in a clinic setting. Parents often observed and participated in sessions and SLPs typically included siblings and grandparents in intervention sessions. Parent training and home programs were more frequently used than the group therapy. Two-thirds kept up-to-date by reading journal articles monthly or every 6 months. There were many similarities with

  6. Improving Pathologists' Communication Skills.

    PubMed

    Dintzis, Suzanne

    2016-08-01

    The 2015 Institute of Medicine report on diagnostic error has placed a national spotlight on the importance of improving communication among clinicians and between clinicians and patients [1]. The report emphasizes the critical role that communication plays in patient safety and outlines ways that pathologists can support this process. Despite recognition of communication as an essential element in patient care, pathologists currently undergo limited (if any) formal training in communication skills. To address this gap, we at the University of Washington Medical Center developed communication training with the goal of establishing best practice procedures for effective pathology communication. The course includes lectures, role playing, and simulated clinician-pathologist interactions for training and evaluation of pathology communication performance. Providing communication training can help create reliable communication pathways that anticipate and address potential barriers and errors before they happen.

  7. Pathologists and liquid biopsies: to be or not to be?

    PubMed

    Hofman, Paul; Popper, Helmut H

    2016-12-01

    Recently, the advent of therapies targeting genomic alterations has improved the care of patients with certain types of cancer. While molecular targets were initially detected in nucleic acid samples extracted from tumor tissue, detection of nucleic acids in circulating blood has allowed the development of what has become known as liquid biopsies, which provide a complementary and alternative sample source allowing identification of genomic alterations that might be addressed by targeted therapy. Consequently, liquid biopsies might rapidly revolutionize oncology practice in allowing administration of more effective treatments. Liquid biopsies also provide an approach towards short-term monitoring of metastatic cancer patients to evaluate efficacy of treatment and/or early detection of secondary mutations responsible for resistance to treatment. In this context, pathologists, who have already been required in recent years to take interest in the domain of molecular pathology of cancer, now face new challenges. The attitude of pathologists to and level of involvement in the practice of liquid biopsies, including mastering the methods employed in molecular analysis of blood samples, need close attention. Regardless of the level of involvement of pathologists in this new field, it is mandatory that oncologists, biologists, geneticists, and pathologists work together to coordinate the pre-analytical, analytical, and post-analytical phases of molecular assessment of tissue and liquid samples of individual cancer patients. The challenges include (1) implementation of effective and efficient procedures for reception and analysis of liquid and tissue samples for histopathological and molecular evaluation and (2) assuring short turn-around times to facilitate rapid optimization of individual patient treatment. In this paper, we will review the following: (1) recent data concerning the concept of liquid biopsies in oncology and its development for patient care, (2) advantages

  8. "Score the Core" Web-based pathologist training tool improves the accuracy of breast cancer IHC4 scoring.

    PubMed

    Engelberg, Jesse A; Retallack, Hanna; Balassanian, Ronald; Dowsett, Mitchell; Zabaglo, Lila; Ram, Arishneel A; Apple, Sophia K; Bishop, John W; Borowsky, Alexander D; Carpenter, Philip M; Chen, Yunn-Yi; Datnow, Brian; Elson, Sarah; Hasteh, Farnaz; Lin, Fritz; Moatamed, Neda A; Zhang, Yanhong; Cardiff, Robert D

    2015-11-01

    Hormone receptor status is an integral component of decision-making in breast cancer management. IHC4 score is an algorithm that combines hormone receptor, HER2, and Ki-67 status to provide a semiquantitative prognostic score for breast cancer. High accuracy and low interobserver variance are important to ensure the score is accurately calculated; however, few previous efforts have been made to measure or decrease interobserver variance. We developed a Web-based training tool, called "Score the Core" (STC) using tissue microarrays to train pathologists to visually score estrogen receptor (using the 300-point H score), progesterone receptor (percent positive), and Ki-67 (percent positive). STC used a reference score calculated from a reproducible manual counting method. Pathologists in the Athena Breast Health Network and pathology residents at associated institutions completed the exercise. By using STC, pathologists improved their estrogen receptor H score and progesterone receptor and Ki-67 proportion assessment and demonstrated a good correlation between pathologist and reference scores. In addition, we collected information about pathologist performance that allowed us to compare individual pathologists and measures of agreement. Pathologists' assessment of the proportion of positive cells was closer to the reference than their assessment of the relative intensity of positive cells. Careful training and assessment should be used to ensure the accuracy of breast biomarkers. This is particularly important as breast cancer diagnostics become increasingly quantitative and reproducible. Our training tool is a novel approach for pathologist training that can serve as an important component of ongoing quality assessment and can improve the accuracy of breast cancer prognostic biomarkers.

  9. The role of the speech-language pathologist in home care.

    PubMed

    Giles, Melanie; Barker, Mary; Hayes, Amanda

    2014-06-01

    Speech language pathologists play an important role in the care of patients with speech, language, or swallowing difficulties that can result from a variety of medical conditions. This article describes how speech language pathologists assess and treat these conditions and the red flags that suggest a referral to a speech language pathologist is indicated.

  10. Factors Influencing School-Based Speech and Language Pathologists in the Selection of Communication Assessments for Students with Autism Spectrum Disorders: Why We Do What We Do

    ERIC Educational Resources Information Center

    Schwartz, Lorna T.

    2010-01-01

    Speech and language pathologists (SLPs) are collaborators in a diagnostic process that reflects an increasing number of referrals of children with autism spectrums disorders (ASD). Also, current practices leading to the remediation of speech and language disorders have come under scrutiny for limitations in effective carryover of targeted goals…

  11. Comparative Judgement for Assessment

    ERIC Educational Resources Information Center

    Pollitt, Alastair

    2012-01-01

    Historically speaking, students were judged long before they were marked. The tradition of marking, or scoring, pieces of work students offer for assessment is little more than two centuries old, and was introduced mainly to cope with specific problems arising from the growth in the numbers graduating from universities as the industrial revolution…

  12. Venous invasion in colorectal cancer: impact of an elastin stain on detection and interobserver agreement among gastrointestinal and nongastrointestinal pathologists.

    PubMed

    Kirsch, Richard; Messenger, David E; Riddell, Robert H; Pollett, Aaron; Cook, Megan; Al-Haddad, Sahar; Streutker, Catherine J; Divaris, Dimitrios X; Pandit, Rajani; Newell, Ken J; Liu, Jimin; Price, Russell G; Smith, Sharyn; Parfitt, Jeremy R; Driman, David K

    2013-02-01

    Venous invasion (VI) is an independent prognostic indicator in colorectal cancer and may prompt consideration for adjuvant chemotherapy in patients with stage II tumors. Recent evidence suggests that VI is underreported in colorectal cancer and that detection may be enhanced by an elastin stain. This study aimed (1) to determine the impact of an elastin stain on VI detection and on interobserver agreement between gastrointestinal (GI) and non-GI pathologists, and (2) to identify factors associated with increased VI detection. Forty hematoxylin and eosin (H&E)-stained slides were circulated to 6 GI and 6 non-GI pathologists who independently assessed the VI status as positive, negative, or equivocal. Six weeks later, 40 corresponding Movat-stained slides were recirculated together with the original H&E slides and reassessed for VI status. Detection of VI was >2-fold higher with a Movat stain compared with an H&E stain alone (46.4% vs. 19.6%, P=0.001). GI pathologists detected VI more frequently than non-GI pathologists on both H&E (30.0% vs. 9.2%, P=0.029) and Movat (58.3% vs. 34.6%, P=0.018) stains. There was higher interobserver agreement in the case of a Movat stain, particularly for extramural VI (H&E: κ=0.23 vs. Movat: κ=0.41). A poststudy survey indicated that GI pathologists and non-GI pathologists applied similar diagnostic criteria but that GI pathologists more frequently applied "orphan arteriole" and "protruding tongue" signs as diagnostic clues to VI. This study confirms that VI is underdetected on H&E and highlights the role of elastin staining in improving VI detection and interobserver agreement. Strategies to improve VI detection are warranted.

  13. Poor agreement between endoscopists and gastrointestinal pathologists for the interpretation of probe-based confocal laser endomicroscopy findings

    PubMed Central

    Peter, Shajan; Council, Leona; Bang, Ji Young; Neumann, Helmut; Mönkemüller, Klaus; Varadarajulu, Shyam; Wilcox, Charles Melbern

    2014-01-01

    AIM: To compare the interpretation of probe-based confocal laser endomicroscopy (pCLE) findings between endoscopists and gastrointestinal (GI)-pathologists. METHODS: All pCLE procedures were undertaken and the endoscopist rendered assessment. The same pCLE videos were then viewed offline by an expert GI pathologist. Histopathology was considered the gold standard for definitive diagnosis. The sensitivity, specificity and accuracy for diagnosis of dysplastic/ neoplastic GI lesions and interobserver agreement between endoscopists and experienced gastrointestinal pathologist for pCLE findings were analyzed. RESULTS: Of the 66 included patients, 40 (60.6%) had lesions in the esophagus, 7 (10.6%) in the stomach, 15 (22.7%) in the biliary tract, 3 (4.5%) in the ampulla and 1 (1.5%) in the colon. The overall sensitivity, specificity and accuracy for diagnosing dysplastic/neoplastic lesions using pCLE were higher for endoscopists than pathologist at 87.0% vs 69.6%, 80.0% vs 40.0% and 84.8% vs 60.6% (P = 0.0003), respectively. Area under the ROC curve (AUC) was greater for endoscopists than the pathologist (0.83 vs 0.55, P = 0.0001). Overall agreement between endoscopists and pathologist was moderate for all GI lesions (K = 0.43; 95%CI: 0.26-0.61), luminal lesions (K = 0.40; 95%CI: 0.20-0.60) and those of dysplastic/neoplastic pathology (K = 0.55; 95%CI: 0.37-0.72), the agreement was poor for benign (K = 0.13; 95%CI: -0.097-0.36) and pancreaticobiliary lesions (K = 0.19; 95%CI: -0.26-0.63). CONCLUSION: There is a wide discrepancy in the interpretation of pCLE findings between endoscopists and pathologist, particularly for benign and malignant pancreaticobiliary lesions. Further studies are needed to identify the cause of this poor agreement. PMID:25548499

  14. The pathologist's guide to fixatives.

    PubMed

    Qidwai, Kiran; Afkhami, Michelle; Day, Christina E

    2014-01-01

    Proper tissue fixation is essential to ensure the highest level of specimen evaluation. Pathologists and laboratory staff are frequently consulted by clinical counterparts regarding what fixative should be used for different tissues or to enable a diagnosis of a specific condition. It is vital for the patient that the pathologist provides accurate information to ensure proper fixation. Frequently, once a tissue has been fixed inadequately or inappropriately, remedial changes may no longer be possible. Most often formalin is an adequate choice, if not the optimal one; however, there are certain situations when placing the tissue in formalin may limit the ability to reach a definitive diagnosis. It is imperative for pathologists to have the knowledge to communicate which fixative is optimal. Furthermore, as we move into a world of personalized medicine, where ancillary testing has both diagnostic and specific therapeutic implications, knowledge about how different fixatives affect immunohistochemistry, cytogenetics, and molecular studies becomes even more significant. This chapter provides practical information regarding common fixatives, their mechanism of action and optimal uses.

  15. A model for predicting pathologist's velocity profiles when navigating virtual slides.

    PubMed

    Gómez, Francisco; Romero, Eduardo

    2010-02-01

    Navigation through large microscopic images is a potential benefit for histology or pathology teaching, for improving the quality of diagnosis in pathology, or for communicating pathologists in some telemedicine applications. However, the size of this kind of images is prohibitive for navigation with conventional techniques. This article presents a soft computing model, which permits to anticipate the pathologist trajectories in diagnosis tasks when exploring virtual slides. The Bayesian strategy combines an offline model of a baseline pathologist knowledge (the prior) and a prediction online module (the likelihood) that captures a particular pathologist navigation pattern. While optimal parameters for the biologically inspired offline model are calculated using an Expectation-Maximization strategy, prediction is carried out by a particle filter. Parameters are estimated from several series of actual navigations performed by several pathologists in different virtual slides. The present approach is compared with other conventional prediction methods and decreases the calculated MSE in about a 50% for the entire group of pathologists.

  16. Medical malpractice charges in Germany--role of the forensic pathologist in the preliminary criminal proceeding.

    PubMed

    Dettmeyer, Reinhard; Egl, Monika; Madea, Burkhard

    2005-03-01

    Medical malpractice charges from 1989 to 2002 were evaluated. A rising number of cases during this period is evident. The charges of practice falling below the standard of care (n = 285) were surveyed to determine who informed the prosecution, which clinical subjects are involved, what kind of charges can be found and whether such allegations can be appropriately assessed by means of a forensic autopsy. Forensic pathologists were found to be useful for ascertainment and interpretation of autopsy findings. If special questions arise, an additional expert opinion should be suggested by the forensic pathologist. There was no relevant shift in the range of subjects involved compared to former studies. The investigated charges might represent only a small fraction of cases of medical practice falling below the standard of care.

  17. Resourcing speech-language pathologists to work with multilingual children.

    PubMed

    McLeod, Sharynne

    2014-06-01

    Speech-language pathologists play important roles in supporting people to be competent communicators in the languages of their communities. However, with over 7000 languages spoken throughout the world and the majority of the global population being multilingual, there is often a mismatch between the languages spoken by children and families and their speech-language pathologists. This paper provides insights into service provision for multilingual children within an English-dominant country by viewing Australia's multilingual population as a microcosm of ethnolinguistic minorities. Recent population studies of Australian pre-school children show that their most common languages other than English are: Arabic, Cantonese, Vietnamese, Italian, Mandarin, Spanish, and Greek. Although 20.2% of services by Speech Pathology Australia members are offered in languages other than English, there is a mismatch between the language of the services and the languages of children within similar geographical communities. Australian speech-language pathologists typically use informal or English-based assessments and intervention tools with multilingual children. Thus, there is a need for accessible culturally and linguistically appropriate resources for working with multilingual children. Recent international collaborations have resulted in practical strategies to support speech-language pathologists during assessment, intervention, and collaboration with families, communities, and other professionals. The International Expert Panel on Multilingual Children's Speech was assembled to prepare a position paper to address issues faced by speech-language pathologists when working with multilingual populations. The Multilingual Children's Speech website ( http://www.csu.edu.au/research/multilingual-speech ) addresses one of the aims of the position paper by providing free resources and information for speech-language pathologists about more than 45 languages. These international

  18. Immunology for the toxicologic pathologist.

    PubMed

    Snyder, Paul W

    2012-01-01

    The immune system functions primarily as a defense mechanism to provide protective immunity against microbial pathogens and cancer. The resulting protective responses occur through the complex interaction of tissues, cells, proteins, and molecular pathways that act in concert with other systems (e.g., nervous and endocrine) to provide the host with immunologic responses that cause pathologic processes seen primarily as inflammatory reactions. The pathologic responses can be attributed to either normal responses to infectious organisms and cancer cells, misdirected responses as in the case of hypersensitivity or autoimmune diseases, or deficient responses attributable to deficiencies or defects in components of the immune system. Pathologists need to have a basic understanding of the immune system to not only interpret findings as to their likely pathogenesis, but also to predict when the immune system may be a potential target. This review will be limited to a general overview of the basic immunologic responses and primary components involved.

  19. Regulatory Forum Opinion Piece*: Veterinary Pathologists in Translational Pharmacology and Biomarker Integration in Drug Discovery and Development.

    PubMed

    Ramaiah, Shashi K; Walker, Dana B

    2016-02-01

    This article highlights emerging roles for veterinary pathologists outside of traditional functions and in line with the translational research (TR) approach. Veterinary pathologists offer unique and valuable expertise toward addressing particular TR and associated translational pharmacology questions, identifying gaps and risks in biomarker and pathology strategies, and advancing TR team decision making. Veterinary pathologists' attributes that are integral to the TR approach include (i) well-developed understanding of comparative physiology, pathology, and disease; (ii) extensive experience in interpretation and integration of complex data sets on whole-body responses and utilizing this for deciphering pathogenesis and translating events between laboratory species and man; (iii) proficiency in recognizing differences in disease end points among individuals, animal species and strains, and assessing correlations between these differences and other investigative (including biomarker) findings; and (iv) strong background in a wide spectrum of research technologies that can address pathomechanistic questions and biomarker needs. Some of the more evident roles in which veterinary pathologists can offer their greatest contributions to address questions and strategies of TR and biomarker integration will be emphasized.

  20. Veterinary clinical pathologists in the biopharmaceutical industry.

    PubMed

    Schultze, A Eric; Bounous, Denise I; Bolliger, Anne Provencher

    2008-06-01

    There is an international shortage of veterinary clinical pathologists in the workplace. Current trainees in veterinary clinical pathology may choose to pursue careers in academe, diagnostic laboratories, government health services, biopharmaceutical companies, or private practice. Academic training programs attempt to provide trainees with an exposure to several career choices. However, due to the proprietary nature of much of the work in the biopharmaceutical industry, trainees may not be fully informed regarding the nature of work for veterinary clinical pathologists and the myriad opportunities that await employment in the biopharmaceutical industry. The goals of this report are to provide trainees in veterinary clinical pathology and other laboratory personnel with an overview of the work-life of veterinary clinical pathologists employed in the biopharmaceutical industry, and to raise the profile of this career choice for those seeking to enter the workforce. Biographical sketches, job descriptions, and motivation for 3 successful veterinary clinical pathologists employed in the biopharmaceutical industry are provided. Current and past statistics for veterinary clinical pathologists employed in the biopharmaceutical industry are reviewed. An overview of the drug development process and involvement of veterinary clinical pathologists in the areas of discovery, lead optimization, and candidate evaluation are discussed. Additional duties for veterinary clinical pathologists employed in the biopharmaceutical industry include development of biomarkers and new technologies, service as scientific resources, diagnostic support services, and laboratory management responsibilities. There are numerous opportunities available for trainees in veterinary clinical pathology to pursue employment in the biopharmaceutical industry and enjoy challenging and rewarding careers.

  1. A qualitative study comparing the assay performance characteristics between the 2007 and the 2013 American Society for Clinical Oncology and College of American Pathologists HER2 scoring methods in mucinous epithelial ovarian cancer.

    PubMed

    Chen, Chi-Kuan; Lee, Ming-Yung; Lin, Wea-Lung; Wang, Yu-Ting; Han, Chih-Ping; Yu, Cheng-Ping; Chao, Wan-Ru

    2014-12-01

    The remarkable success of trastuzumab and other newly developed anti-HER2 (human epidermal growth factor receptor 2) therapies in breast, gastric, or gastroesophageal junction cancer patients has supported us to investigate the HER2 status and its possible therapeutic implication in mucinous epithelial ovarian cancer (EOC). However, there is currently no standardization of HER2 scoring criteria in mucinous EOC. In this study, we aimed to compare both the assay performance characteristics of the 2007 and the 2013 American Society for Clinical Oncology and College of American Pathologists scoring methods. Forty-nine tissue microarray samples of mucinous EOC from Asian women were analyzed by immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) tests using the 2007 and the 2013 criteria, respectively. The overall concordance between IHC and FISH by the 2007 criteria was 97.92 % (kappa = 0.921), and that by the 2013 criteria was 100% (kappa = 1.000). The percentage of Her2 FISH-amplified cases showed an increasing trend significantly through their corresponding HER2 IHC ordinals by the 2007 and the 2013 criteria, respectively (P < 0.001, P < 0.001). After excluding equivocal cases, the specificity (100%) and positive predictive value (100%) were unchanged under either the 2007 or the 2013 criteria. The sensitivity (100%), negative predictive value (NPV) (100%), and accuracy (100%) of HER2 IHC were higher under the 2013 criteria than those (sensitivity 87.5%, NPV 97.6%, and accuracy 97.9%) under the 2007 criteria. Of the total 49 cases, the number (n = 4) of HER2 IHC equivocal results under the 2013 criteria was 4-fold higher than that (n = 1) under the 2007 criteria (8.16% vs 2.04%). Conclusively, if first tested by IHC, the 2013 criteria caused more equivocal HER2 IHC cases to be referred to Her2 FISH testing than the 2007 criteria. That decreased the false-negative rate of HER2 status and increased the detection rates of HER2 positivity in mucinous

  2. Assessing the New American Society of Clinical Oncology/College of American Pathologists Guidelines for HER2 Testing by Fluorescence In Situ Hybridization: Experience of an Academic Consultation Practice.

    PubMed

    Press, Michael F; Villalobos, Ivonne; Santiago, Angela; Guzman, Roberta; Cervantes, Monica; Gasparyan, Armen; Campeau, Anaamika; Ma, Yanling; Tsao-Wei, Denice D; Groshen, Susan

    2016-04-15

    Context .- Evaluation of HER2 gene amplification by fluorescence in situ hybridization (FISH) was changed by recent American Society of Clinical Oncology/College of American Pathologists (ASCO-CAP) guidelines. Objective . -To determine frequencies and assess patterns of HER2 protein expression for each ASCO-CAP guideline FISH category among 7526 breast cancers accrued to our consultation practice. Design .- We retrospectively reevaluated the HER2 FISH status of breast cancers in our consultation practice according to ASCO-CAP FISH guidelines, and documented HER2 protein levels in each category. Results . -According to new guidelines, 17.7% of our consultation breast cancers were "ISH-positive" with HER2:CEP17 FISH ratios ≥2.0 and average HER2 gene copies per cell ≥4.0 (group 1); 0.4% were "ISH-positive" with ratios ≥2.0 and average copies <4.0 (group 2); 0.6% were "ISH-positive" with ratios <2.0 and average copies ≥6.0 (group 3); 4.6% were "ISH-equivocal" with ratios <2.0 and average copies ≥4.0 and <6.0 (group 4); and 76.7% were "ISH-negative" with ratios <2.0 and average copies <4.0 (group 5). However, only groups 1 (HER2 amplified) and 5 (HER2 not amplified) agreed with our previously reported status, and only these groups demonstrated the expected immunohistochemistry status, overexpression and low expression, respectively. Groups 2 and 4 breast cancers lacked overexpression, whereas group 3 was not significantly associated with either increased or decreased HER2 expression. Conclusions .- Although the status of approximately 95% of our cases (groups 1 and 5) is not affected by the new guidelines, those of the other 5% (groups 2-4) conflict with previous HER2 gene amplification status and with HER2 status by immunohistochemistry.

  3. Hate crimes and the forensic pathologist.

    PubMed

    Prahlow, Joseph A

    2007-12-01

    Hate crimes represent crimes committed against an individual or group on the basis of their race, ethnicity, national origin, religion, sexual orientation, gender, gender identity, or disability. For the forensic pathologist, a death related to a hate crime should be considered a high-profile case, one in which the pathologist should expect abundant public interest and scrutiny. In this article, an overview of hate crimes is presented, stressing the different types of hate crimes and the motives of those who commit such crimes. For death investigators and forensic pathologists, an awareness of these details will help them to recognize and appropriately anticipate issues that may be important in deaths related to hate crimes.

  4. Team acceptance of specific recommendations for the treatment of VPI as provided by speech pathologists.

    PubMed

    Dixon-Wood, V L; Williams, W N; Seagle, M B

    1991-07-01

    This retrospective study describes the frequency of one team's acceptance of speech pathologists' recommendations for specific secondary treatment procedures for the correction of VPI for 100 consecutive patients. In addition, assessment was made of the level of success in eliminating VPI relative to treatments utilized that were recommended by speech pathologists versus level of success when treatment other than that recommended by speech pathologists were used. For the 78 patients who received the treatment procedure recommended by speech pathologists, only 10 percent continued to demonstrate any clinically significant residual speech problem associated with VPI. However, for the 22 patients who received treatment other than that which had been recommended, 32 percent continued to demonstrate clinically significant speech problems associated with VPI. Data is presented on the success rate for correcting VPI relative to specific treatment recommendations including pharyngeal flap, palatal pushback, pharyngeal wall implant, tonsillectomy, prosthetic palatal lifts, and speech therapy.

  5. [Sarcomas, example of a pathologist network organization].

    PubMed

    Neuville, Agnes; Coindre, Jean-Michel

    2013-12-01

    Sarcomas are rare and heterogeneous with many subtypes explaining the high level of diagnostic difficulty with frequent important therapeutic consequences. In 2009, a national network of pathologists has been set up with the main objective to perform a systematic histological review of every new sarcoma, gastro-intestinal stromal tumor (GIST) and desmoid tumor. We describe the network organization and report the results of the first two years of activity. These results clearly show the interest of this organization for the patients as well as for all pathologists. Moreover, data and material collect allows a better knowledge of these tumors and an improvement of the rules for their diagnostic management.

  6. Comparative energy storage assessment item

    NASA Technical Reports Server (NTRS)

    Giudici, B.

    1984-01-01

    This analysis, a Space Station application study, rediscovered Integrated Power and Attitude Control (IPAC) and found the approach to have lower initial and resupply weight and lower initial and resupply cost than either battery/CMG or regenerative fuel cell/CMG systems. Preliminary trade studies were performed comparing (IPAC) with equivalent independent electrochemical power and control moment gyro (CMG) control approaches. Technologies considered to have adequate status for an initial Space Station were: (1) nickel cadmium batteries (NiCd batteries), (2) regenerative fuel cells (RFC), (3) Skylab class CMG's, and (4) state of the art IPAC using metal wheels and ball bearing suspension (SOA-IPAC). An advanced IPAC (ADV-IPAC) employing composite rotor material and magnetic suspension was included in the comparisons to illustrate a possible range of performance and cost of inertial systems. The candidates were compared on the basis of initial weight and cost and on the basis of resupply weight and cost for a 15 year mission. Thus, SOA-IPAC would appear to be an attractive approach for the initial Space Station and possible technology improvements would further the appeal for the initial and/or growth Space Station.

  7. TOXICOGENOMICS DRUG DISCOVERY AND THE PATHOLOGIST

    EPA Science Inventory

    Toxicogenomics, drug discovery, and pathologist.

    The field of toxicogenomics, which currently focuses on the application of large-scale differential gene expression (DGE) data to toxicology, is starting to influence drug discovery and development in the pharmaceutical indu...

  8. Forensic Pathology: A Handbook for Pathologists.

    ERIC Educational Resources Information Center

    Fisher, Russell S., Ed.; Petty, Charles S., Ed.

    This document provides a guide containing basic information for community pathologists to perform medical legal autopsies. Thirty-two chapters consider procedures to use in general and specific situations. Each chapter was written by a specialist. The publication is designed to supplement existing publications. (SL)

  9. Improving Academic Teaching by Involving Community Pathologists.

    ERIC Educational Resources Information Center

    Batata, Al

    1979-01-01

    Wright State University School of Medicine uses community pathologists as unpaid volunteers to team teach pathology courses, making possible a small-group approach in the laboratory. The organization of the course and faculty teams, student evaluation, and results of this approach are discussed. (JMD)

  10. Mobile Technologies for the Surgical Pathologist.

    PubMed

    Hartman, Douglas J

    2015-06-01

    Recent advances in hardware and computing power contained within mobile devices have made it possible to use these devices to improve and enhance pathologist workflow. This article discusses the possible uses ranging from basic functions to intermediate functions to advanced functions. Barriers to implementation are also discussed.

  11. Commentary: Roles for Pathologists in a High-throughput Image Analysis Team.

    PubMed

    Aeffner, Famke; Wilson, Kristin; Bolon, Brad; Kanaly, Suzanne; Mahrt, Charles R; Rudmann, Dan; Charles, Elaine; Young, G David

    2016-08-01

    Historically, pathologists perform manual evaluation of H&E- or immunohistochemically-stained slides, which can be subjective, inconsistent, and, at best, semiquantitative. As the complexity of staining and demand for increased precision of manual evaluation increase, the pathologist's assessment will include automated analyses (i.e., "digital pathology") to increase the accuracy, efficiency, and speed of diagnosis and hypothesis testing and as an important biomedical research and diagnostic tool. This commentary introduces the many roles for pathologists in designing and conducting high-throughput digital image analysis. Pathology review is central to the entire course of a digital pathology study, including experimental design, sample quality verification, specimen annotation, analytical algorithm development, and report preparation. The pathologist performs these roles by reviewing work undertaken by technicians and scientists with training and expertise in image analysis instruments and software. These roles require regular, face-to-face interactions between team members and the lead pathologist. Traditional pathology training is suitable preparation for entry-level participation on image analysis teams. The future of pathology is very exciting, with the expanding utilization of digital image analysis set to expand pathology roles in research and drug development with increasing and new career opportunities for pathologists.

  12. Role of forensic pathologists in mass disasters.

    PubMed

    Schuliar, Yves; Knudsen, Peter Juel Thiis

    2012-06-01

    The forensic pathologist has always had a central role in the identification of the dead in every day practice, in accidents, and in disasters involving hundreds or thousands of victims. This role has changed in recent years, as advances in forensic odontology, genetics and anthropology have improved the chances of identifying victims beyond recognition. According to the Interpol DVI Guide, fingerprints, dental examination and DNA are the primary identifiers, and this has given new emphasis to the role of the forensic pathologist as the leader of a multidisciplinary team of experts in a disaster situation, based on his or her qualifications and the experience gained from doing the same work in the everyday situation of an institute of forensic medicine.

  13. Immunohistochemistry for Pathologists: Protocols, Pitfalls, and Tips

    PubMed Central

    Kim, So-Woon; Roh, Jin; Park, Chan-Sik

    2016-01-01

    Immunohistochemistry (IHC) is an important auxiliary method for pathologists in routine diagnostic work as well as in basic and clinical research including exploration of biomarkers, as IHC allows confirmation of target molecule expressions in the context of microenvironment. Although there has been a considerable progress in automation and standardization of IHC, there are still many things to be considered in proper optimization and appropriate interpretation. In this review, we aim to provide possible pitfalls and useful tips for practicing pathologists and residents in pathology training. First, general procedure of IHC is summarized, followed by pitfalls and tips in each step and a summary of troubleshooting. Second, ways to an accurate interpretation of IHC are discussed, with introduction to general quantification and analysis methods. This review is not intended to provide complete information on IHC, but to be used as a basic reference for practice and publication. PMID:27809448

  14. Professor Witold Nowicki - a greatly spirited pathologist.

    PubMed

    Wincewicz, A; Szepietowska, A; Sulkowski, S

    2016-06-01

    This paper presents a complete overview of the scientific, professional and social activity of a great Polish pathologist, Witold Nowicki (1878-1941), from mainly Polish-written, original sources with a major impact on mostly his own publications. The biographical commemoration of this eminent professor is not only due to the fact that he provided a profound microscopic characterization of pneumatosis cystoides in 1909 and 1924. Nowicki greatly influenced the development of anatomical pathology in Poland, having authored over 82 publications, with special reference to tuberculosis, lung cancer, sarcomatous carcinomas, scleroma and others. However, the first of all his merits for the readership of Polish pathologists was his textbook titled Anatomical Pathology, which was a basic pathology manual in pre-war Poland. Witold Nowicki - as the head of the academic pathological anatomy department and former dean of the medical faculty - was shot with other professors by Nazi Germans in the Wuleckie hills in Lvov during World War Two. Professor Nowicki was described as being "small in size but great in spirit" by one of his associates, and remains an outstanding example of a meticulous pathologist, a patient tutor and a great social activist to follow.

  15. A Comparative Judgement Approach to Teacher Assessment

    ERIC Educational Resources Information Center

    McMahon, Suzanne; Jones, Ian

    2015-01-01

    We report one teacher's response to a top-down shift from external examinations to internal teacher assessment for summative purposes in the Republic of Ireland. The teacher adopted a comparative judgement approach to the assessment of secondary students' understanding of a chemistry experiment. The aims of the research were to investigate whether…

  16. Inadequate fine needle aspiration biopsy samples: Pathologists versus other specialists

    PubMed Central

    Gomez-Macías, GS; Garza-Guajardo, R; Segura-Luna, J

    2009-01-01

    Background: Fine needle aspiration biopsy (FNAB) is a simple, sensitive, quick and inexpensive method in which operator experience is essential for obtaining the best results. Methods: A descriptive study in which the aspiration biopsy cases of the Pathology and Cytopathology Service of the University Hospital of the UANL (2003–2005) were analyzed. These were divided into three study groups: Group 1, FNAB performed by a pathologist; Group 2, FNAB performed by specialists who are not pathologists, Group 3, FNAB guided by an imaging study with immediate evaluation by a pathologist. The samples were classified as adequate and inadequate for diagnosis, the organ, the size and characteristics of the lesions were taken into consideration. Results: A total of 1905 FNAB were included. In Group 1: 1347 were performed of which 1242 (92.2%) were adequate and 105 (7.7%) were inadequate. Of the 237 from Group 2, 178 were adequate (75.1%) and 59 inadequate (24.8%); in Group 3 there were 321 of which 283 (88.1%) were adequate and 38 (11.8%) inadequate. A statistically significant difference was found between FNAB performed by Group 1 (p< 0.001) and the other groups. A multivariate analysis was done where the organ punctured, the study groups, the size and characteristics of the lesion by study group were compared, finding that the most important variable was the person who performed the procedure. Conclusion: The experience and training of the person performing the aspiration biopsy, as well as immediate evaluation of the material when it is guided, substantially reduces the number of inadequate samples, improving the sensitivity of the method as well as reducing the need for open biopsies to reach a diagnosis. PMID:19621092

  17. N staging: the role of the pathologist

    PubMed Central

    Biondi, Alberto; Ricci, Riccardo

    2017-01-01

    Gastric cancer is the second cause of cancer-related mortality worldwide. Metastases, including lymph nodes ones, heavily influence the prognosis of this disease. The pathological detection of positive lymph nodes is pivotal for an optimal prognostication and clinical management of affected individuals. Several factors influence the pathological investigation of surgical specimens, ultimately affecting the number of retrieved lymph nodes and, with it, the reliability of N staging. The pathologist plays a central role in optimizing this process. Factors influencing lymph node retrieval and analysis will be herein reviewed, together with the procedures adopted for an optimal pathological analysis of lymph nodes in gastric cancer. PMID:28275742

  18. Environmental considerations for the forensic pathologist

    SciTech Connect

    Greenberg, S.R.

    1982-12-01

    The total environment has frequently been appraised as something quite apart from anything of significance in human life or death. Accurate scientific observations have, within recent times, established that temperature, humidity, and barometric pressure may, indeed, exert profound affects upon man. Some climatic effects are beyond human control; other atmospheric effects are created by man himself through his efforts to become civilized. Mining, manufacturing, farming, even daily living are associated with diseases, accidents and death, either as causes or complications. The important role of the forensic pathologist in sorting out, and evaluating these factors in relation to altered morphology is emphasized.

  19. Colour perception in pathologists: the Farnsworth-Munsell 100-hue test.

    PubMed

    Rigby, H S; Warren, B F; Diamond, J; Carter, C; Bradfield, J W

    1991-09-01

    The value of many histological stains depends on the ability of the observer to differentiate colour. This ability was assessed in 30 histopathologists and cytopathologists of varying experience using the Farnsworth-Munsell 100-hue test. As a group, the pathologists performed better than a reference population. Twenty eight subjects showed a wide ranging ability to differentiate colour: none was colour blind. Three of the 30 pathologists, however, fell below the twentieth centile for normal subjects and only one was aware of this deficiency! They may unknowingly misinterpret subtle stains. Two of these three had specific and major defects which could affect their ability to interpret a wide range of less subtle stains. Those with the poorest colour discrimination were not those with the least experience of microscopy. Pathologists should be apprised of the importance of their ability to discriminate colour, and that formal colour vision testing of prospective histopathologists may be appropriate.

  20. Continuing medical education for pathologists: an evaluation of the Royal College of Pathologists' Wessex pilot scheme.

    PubMed Central

    du Boulay, C

    1997-01-01

    AIM: To discover the attitudes to continuing medical education (CME) of the Wessex pathologists who participated in the Wessex CME pilot scheme and to identify their preferences and difficulties in pursuing CME activities. METHOD: The views of pathologists in the scheme were collected during a period of one year using workshops and discussions. A confidential, anonymous postal questionnaire based on these issues was sent to the 103 pathologists in Wessex who participated in the pilot scheme. RESULTS: A 64% response rate was obtained. The respondents identified lack of time and funded study leave as major barriers to CME and highlighted the gap between CME activity and its recognition and funding by employers. They wanted a wide variety of locally based CME activities to be recognised, and they valued local activities that linked theory with practice. They believed that the college scheme tended to favour academic activities over more practical and locally based ones. They found the paired peer review process time consuming but valuable for identifying their learning needs in some cases, but demonstrated that they have mixed preferences about the way they do their CME. CONCLUSIONS: The Wessex pathologists believe that CME is important and have positive attitudes to it. Their attitudes to CME echo the current literature about what makes CME effective. Unless individuals' preferences and difficulties are taken into account, CME programmes in which they participate are not likely to succeed. PMID:9516886

  1. Training of pathologists in countries belonging to the European Economic Community.

    PubMed Central

    Rinsler, M G

    1977-01-01

    The regulations and procedures for the training and assessment of pathologists engaged in morbid anatomy and histology, medical microbiology, haematology, and clinical chemistry in the countries of the European Economic Community are reviewed. Differences in the terminology used in the description of pathological disciplines are noted. Suggestions are made by which harmonisation of training, which is an EEC objective, could be achieved. PMID:334802

  2. Special Education Competencies for Teachers Project. Performance Competency Evaluation for Speech-Language Pathologists.

    ERIC Educational Resources Information Center

    Stulac, Joseph F., II; Olive, John

    Thirty-three speech-language pathologists (SLPs) were interviewed and observed by two teams of evaluators using a generic teacher performance assessment instrument. Interviews and therapy observations were recorded on videotape and all Ss were rated on their overall demonstration of competence by a panel of practitioners and teacher educators. As…

  3. Health Literacy and the Role of the Speech-Language Pathologist

    ERIC Educational Resources Information Center

    Hester, Eva Jackson; Stevens-Ratchford, Regena

    2009-01-01

    Purpose: This article reviews concepts of health literacy and discusses the role of speech-language pathologists in improving the health literacy of individuals with and without communication disorders. Method: A literature review was completed of health literacy definitions, concepts, and health literacy assessment and intervention studies with…

  4. Speech-Language Pathologists' Knowledge of Tongue/Palate Contact for Consonants

    ERIC Educational Resources Information Center

    McLeod, Sharynne

    2011-01-01

    Speech-language pathologists (SLPs) rely on knowledge of tongue placement to assess and provide intervention. A total of 175 SLPs who worked with children with speech sound disorders (SSDs) drew coronal diagrams of tongue/palate contact for 24 English consonants. Comparisons were made between their responses and typical English-speaking adults'…

  5. Regulatory forum opinion piece: differences between protein-based biologic products (biotherapeutics) and chemical entities (small molecules) of relevance to the toxicologic pathologist.

    PubMed

    Leach, Michael W

    2013-01-01

    With the advances in cell culture methodologies and molecular biology that have occurred over the past several decades, biologics have become as common as small molecules within the portfolios of the pharmaceutical industry. Toxicologic pathologists should be aware of some of the fundamental differences between small molecules and biologics. Effects are not always observed in studies following administration of biologics. When findings are observed, the toxicologic pathologist should initially determine whether the effect(s) are mediated (directly or indirectly) via the intended pharmacology, exaggerated pharmacology, an immune response, and/or off target effects. Following this determination, the toxicologic pathologist should provide an assessment regarding the relevance of the findings to the intended clinical population, usually humans. The toxicologic pathologist may also be asked to assess unusual species and models. Given their broad background in physiology and immunology, toxicologic pathologists are uniquely positioned to provide this input to drug development teams.

  6. Fold assessment for comparative protein structure modeling

    PubMed Central

    Melo, Francisco; Sali, Andrej

    2007-01-01

    Accurate and automated assessment of both geometrical errors and incompleteness of comparative protein structure models is necessary for an adequate use of the models. Here, we describe a composite score for discriminating between models with the correct and incorrect fold. To find an accurate composite score, we designed and applied a genetic algorithm method that searched for a most informative subset of 21 input model features as well as their optimized nonlinear transformation into the composite score. The 21 input features included various statistical potential scores, stereochemistry quality descriptors, sequence alignment scores, geometrical descriptors, and measures of protein packing. The optimized composite score was found to depend on (1) a statistical potential z-score for residue accessibilities and distances, (2) model compactness, and (3) percentage sequence identity of the alignment used to build the model. The accuracy of the composite score was compared with the accuracy of assessment by single and combined features as well as by other commonly used assessment methods. The testing set was representative of models produced by automated comparative modeling on a genomic scale. The composite score performed better than any other tested score in terms of the maximum correct classification rate (i.e., 3.3% false positives and 2.5% false negatives) as well as the sensitivity and specificity across the whole range of thresholds. The composite score was implemented in our program MODELLER-8 and was used to assess models in the MODBASE database that contains comparative models for domains in approximately 1.3 million protein sequences. PMID:17905832

  7. Fold assessment for comparative protein structure modeling.

    PubMed

    Melo, Francisco; Sali, Andrej

    2007-11-01

    Accurate and automated assessment of both geometrical errors and incompleteness of comparative protein structure models is necessary for an adequate use of the models. Here, we describe a composite score for discriminating between models with the correct and incorrect fold. To find an accurate composite score, we designed and applied a genetic algorithm method that searched for a most informative subset of 21 input model features as well as their optimized nonlinear transformation into the composite score. The 21 input features included various statistical potential scores, stereochemistry quality descriptors, sequence alignment scores, geometrical descriptors, and measures of protein packing. The optimized composite score was found to depend on (1) a statistical potential z-score for residue accessibilities and distances, (2) model compactness, and (3) percentage sequence identity of the alignment used to build the model. The accuracy of the composite score was compared with the accuracy of assessment by single and combined features as well as by other commonly used assessment methods. The testing set was representative of models produced by automated comparative modeling on a genomic scale. The composite score performed better than any other tested score in terms of the maximum correct classification rate (i.e., 3.3% false positives and 2.5% false negatives) as well as the sensitivity and specificity across the whole range of thresholds. The composite score was implemented in our program MODELLER-8 and was used to assess models in the MODBASE database that contains comparative models for domains in approximately 1.3 million protein sequences.

  8. Speech-Language Pathologists' Preparation, Practices, and Perspectives on Serving Culturally and Linguistically Diverse Children

    ERIC Educational Resources Information Center

    Guiberson, Mark; Atkins, Jenny

    2012-01-01

    This study describes the backgrounds, diversity training, and professional perspectives reported by 154 Colorado speech-language pathologists in serving children from culturally and linguistically diverse (CLD) backgrounds. The authors compare the results of the current survey to those of a similar survey collected in 1996. Respondents reported…

  9. Dysphagia Management: A Survey of School-Based Speech-Language Pathologists in Vermont

    ERIC Educational Resources Information Center

    Hutchins, Tiffany L.; Gerety, Katherine W.; Mulligan, Moira

    2011-01-01

    Purpose: This study (a) gathered information about the kinds of dysphagia management services school-based speech-language pathologists (SLPs) provide, (b) examined the attitudes of SLPs related to dysphagia management, (c) compared the responses of SLPs on the basis of their experience working in a medical setting, and (d) investigated the…

  10. Canadian Association of Pathologists-Association canadienne des pathologistes National Standards Committee/Immunohistochemistry: best practice recommendations for standardization of immunohistochemistry tests.

    PubMed

    Torlakovic, Emina Emilia; Riddell, Robert; Banerjee, Diponkar; El-Zimaity, Hala; Pilavdzic, Dragana; Dawe, Peter; Magliocco, Anthony; Barnes, Penny; Berendt, Richard; Cook, Donald; Gilks, Blake; Williams, Gaynor; Perez-Ordonez, Bayardo; Wehrli, Bret; Swanson, Paul E; Otis, Christopher N; Nielsen, Søren; Vyberg, Mogens; Butany, Jagdish

    2010-03-01

    Immunohistochemical and immunocytochemical assays are highly complex diagnostic analyses used to aid in the accurate identification and biologic characterization of tissue types in neoplastic and nonneoplastic diseases. Immunohistochemical tests are applied mainly to the diagnosis of neoplasms. Some immunohistochemical tests provide information of important prognostic and predictive value in selected human neoplasms and, as such, are often critical for the appropriate and effective treatment of patients. This document provides recommendations and opinions of the Canadian Association of Pathologists-Association canadienne des pathologistes National Standards Committee/Immunohistochemistry relevant to clinical immunohistochemical terminology, classification of immunohistochemical tests based on risk assessment, and quality control and quality assurance and summarizes matters to be considered for appropriate immunohistochemical/immunocytochemical test development, performance, and interpretation in diagnostic pathology and laboratory medicine.

  11. Comparative environmental assessment of unconventional power installations

    NASA Astrophysics Data System (ADS)

    Sosnina, E. N.; Masleeva, O. V.; Kryukov, E. V.

    2015-08-01

    Procedure of the strategic environmental assessment of the power installations operating on the basis of renewable energy sources (RES) was developed and described. This procedure takes into account not only the operational process of the power installation but also the whole life cycles: from the production and distribution of power resources for manufacturing of the power installations to the process of their recovery. Such an approach gives an opportunity to make a more comprehensive assessment of the influence of the power installations on environments and may be used during adaptation of the current regulations and development of new regulations for application of different types of unconventional power installations with due account of the ecological factor. Application of the procedure of the integrated environmental assessment in the context of mini-HPP (Hydro Power Plant); wind, solar, and biogas power installations; and traditional power installation operating natural gas was considered. Comparison of environmental influence revealed advantages of new energy technologies compared to traditional ones. It is shown that solar energy installations hardly pollute the environment during operation, but the negative influence of the mining operations and manufacturing and utilization of the materials used for solar modules is maximum. Biogas power installations are on the second place as concerns the impact on the environment due to the considerable mass of the biogas installation and gas reciprocating engine. The minimum impact on the environment is exerted by the mini-HPP. Consumption of material and energy resources for the production of the traditional power installation is less compared to power installations on RES; however, this factor incomparably increases when taking into account the fuel extraction and transfer. The greatest impact on the environment is exerted by the operational process of the traditional power installations.

  12. Impact of Age on the Male Reproductive System from the Pathologist's Perspective.

    PubMed

    Picut, Catherine A; Remick, Amera K

    2017-01-01

    Age, and in particular young age, can significantly impact the response to toxicants in animals and can greatly influence the interpretation of tissue changes by the toxicologic pathologist. Although this applies to multiple organ systems, the current review focuses on the male reproductive system. When performing microscopic evaluation of male reproductive organs, the toxicologic pathologist must be aware of the dynamic changes in histomorphology, predominantly driven by timed hormonal alterations, at various life stages. Specific challenges pathologists face are understanding the appearance of male reproductive tissues throughout the neonatal, infantile, and juvenile developmental periods, recognizing when normal looks abnormal during tissue development, defining sexual maturity, and working with high interanimal variability in maturation rate and histologic appearance in developing large laboratory animals, such as nonhuman primates, dogs, and pigs. This review describes postnatal development of the male reproductive system in the rat, demonstrates how assessing toxicity during a defined window of postnatal development in the rat may improve definition of toxicant timing and targets, and discusses challenges associated with the interpretation of toxicity in immature large animal species. The emphasis is on key age-related characteristics that influence the interpretation of tissue changes by the toxicologic pathologist.

  13. Comparative performance assessment of switching options

    NASA Astrophysics Data System (ADS)

    Vukovic, Alex; Savoie, Michel J.

    2004-11-01

    Switching is one of the key functionalities in next generation optical networks. It might be performed by either an optical switch (optical-electrical-optical, or OEO) or a "purely" photonic switch (optical-optical-optical or OOO). Both switches are analyzed from two perspectives - as an individual network element, and as an integral part within the communication network. As an individual network element, the performance evaluation of the two switch types is based on the individual assessment of switch footprint and power dissipation, bandwidth utilization, scalability to high speed, transparency, interoperability, technology maturity and ability to manipulate data. Although both switch types have their own advantages as a network element, the full judgement of their role in next generation optical networks requires an overall network perspective. From that viewpoint, network functionalities such as grooming capabilities, scalability, traffic management, protection, line equalization and performance monitoring are those taken into account for comparative analyses to gain an understanding of the impacts of switch choice in the network. As a result of the comparative performance assessment, the merits and benefits of both switch types in actual network applications are analyzed and outlined. Although the paper evaluates some criteria for switch choice in a network, it points out potential technologies or techniques critical to next generation architectural solutions and protocols as well as the challenges to bridge the gap towards implementing flexible, cost-effective and dynamically provisioned networks of the future. Finally, the paper responds to one critical question - What is the expected role of each switch type in next generation applications and services?

  14. Perceptions of pathology informatics by non-informaticist pathologists and trainees

    PubMed Central

    Walker, Addie; Garcia, Christopher; Baron, Jason M.; Gudewicz, Thomas M.; Gilbertson, John R.; Henricks, Walter H.; Lee, Roy E.

    2016-01-01

    Background: Although pathology informatics (PI) is essential to modern pathology practice, the field is often poorly understood. Pathologists who have received little to no exposure to informatics, either in training or in practice, may not recognize the roles that informatics serves in pathology. The purpose of this study was to characterize perceptions of PI by noninformatics-oriented pathologists and to do so at two large centers with differing informatics environments. Methods: Pathology trainees and staff at Cleveland Clinic (CC) and Massachusetts General Hospital (MGH) were surveyed. At MGH, pathology department leadership has promoted a pervasive informatics presence through practice, training, and research. At CC, PI efforts focus on production systems that serve a multi-site integrated health system and a reference laboratory, and on the development of applications oriented to department operations. The survey assessed perceived definition of PI, interest in PI, and perceived utility of PI. Results: The survey was completed by 107 noninformatics-oriented pathologists and trainees. A majority viewed informatics positively. Except among MGH trainees, confusion of PI with information technology (IT) and help desk services was prominent, even in those who indicated they understood informatics. Attendings and trainees indicated desire to learn more about PI. While most acknowledged that having some level of PI knowledge would be professionally useful and advantageous, only a minority plan to utilize it. Conclusions: Informatics is viewed positively by the majority of noninformatics pathologists at two large centers with differing informatics orientations. Differences in departmental informatics culture can be attributed to the varying perceptions of PI by different individuals. Incorrect perceptions exist, such as conflating PI with IT and help desk services, even among those who claim to understand PI. Further efforts by the PI community could address such

  15. Comparing Two Approaches for Assessing Observation Impact

    NASA Technical Reports Server (NTRS)

    Todling, Ricardo

    2013-01-01

    Langland and Baker introduced an approach to assess the impact of observations on the forecasts. In that approach, a state-space aspect of the forecast is defined and a procedure is derived ultimately relating changes in the aspect with changes in the observing system. Some features of the state-space approach are to be noted: the typical choice of forecast aspect is rather subjective and leads to incomplete assessment of the observing system, it requires availability of a verification state that is in practice correlated with the forecast, and it involves the adjoint operator of the entire data assimilation system and is thus constrained by the validity of this operator. This article revisits the topic of observation impacts from the perspective of estimation theory. An observation-space metric is used to allow inferring observation impact on the forecasts without the limitations just mentioned. Using differences of observation-minus-forecast residuals obtained from consecutive forecasts leads to the following advantages: (i) it suggests a rather natural choice of forecast aspect that directly links to the data assimilation procedure, (ii) it avoids introducing undesirable correlations in the forecast aspect since verification is done against the observations, and (iii) it does not involve linearization and use of adjoints. The observation-space approach has the additional advantage of being nearly cost free and very simple to implement. In its simplest form it reduces to evaluating the statistics of observationminus- background and observation-minus-analysis residuals with traditional methods. Illustrations comparing the approaches are given using the NASA Goddard Earth Observing System.

  16. Comparative proteomic assessment of matrisome enrichment methodologies

    PubMed Central

    Krasny, Lukas; Paul, Angela; Wai, Patty; Howard, Beatrice A.; Natrajan, Rachael C.; Huang, Paul H.

    2016-01-01

    The matrisome is a complex and heterogeneous collection of extracellular matrix (ECM) and ECM-associated proteins that play important roles in tissue development and homeostasis. While several strategies for matrisome enrichment have been developed, it is currently unknown how the performance of these different methodologies compares in the proteomic identification of matrisome components across multiple tissue types. In the present study, we perform a comparative proteomic assessment of two widely used decellularisation protocols and two extraction methods to characterise the matrisome in four murine organs (heart, mammary gland, lung and liver). We undertook a systematic evaluation of the performance of the individual methods on protein yield, matrisome enrichment capability and the ability to isolate core matrisome and matrisome-associated components. Our data find that sodium dodecyl sulphate (SDS) decellularisation leads to the highest matrisome enrichment efficiency, while the extraction protocol that comprises chemical and trypsin digestion of the ECM fraction consistently identifies the highest number of matrisomal proteins across all types of tissue examined. Matrisome enrichment had a clear benefit over non-enriched tissue for the comprehensive identification of matrisomal components in murine liver and heart. Strikingly, we find that all four matrisome enrichment methods led to significant losses in the soluble matrisome-associated proteins across all organs. Our findings highlight the multiple factors (including tissue type, matrisome class of interest and desired enrichment purity) that influence the choice of enrichment methodology, and we anticipate that these data will serve as a useful guide for the design of future proteomic studies of the matrisome. PMID:27589945

  17. Comparative assessment of amphibious hearing in pinnipeds.

    PubMed

    Reichmuth, Colleen; Holt, Marla M; Mulsow, Jason; Sills, Jillian M; Southall, Brandon L

    2013-06-01

    Auditory sensitivity in pinnipeds is influenced by the need to balance efficient sound detection in two vastly different physical environments. Previous comparisons between aerial and underwater hearing capabilities have considered media-dependent differences relative to auditory anatomy, acoustic communication, ecology, and amphibious life history. New data for several species, including recently published audiograms and previously unreported measurements obtained in quiet conditions, necessitate a re-evaluation of amphibious hearing in pinnipeds. Several findings related to underwater hearing are consistent with earlier assessments, including an expanded frequency range of best hearing in true seals that spans at least six octaves. The most notable new results indicate markedly better aerial sensitivity in two seals (Phoca vitulina and Mirounga angustirostris) and one sea lion (Zalophus californianus), likely attributable to improved ambient noise control in test enclosures. An updated comparative analysis alters conventional views and demonstrates that these amphibious pinnipeds have not necessarily sacrificed aerial hearing capabilities in favor of enhanced underwater sound reception. Despite possessing underwater hearing that is nearly as sensitive as fully aquatic cetaceans and sirenians, many seals and sea lions have retained acute aerial hearing capabilities rivaling those of terrestrial carnivores.

  18. Pathologists and the judicial process: how to avoid it.

    PubMed

    Epstein, J I

    2001-04-01

    This review article covers the full range of issues concerning malpractice as it relates to pathologists. Following a brief summary as to the incidence and general statistics on the outcome of lawsuits as well as common pathology misdiagnoses resulting in lawsuits, the definition of malpractice is discussed. These include duty, breech of standard of care, proximal cause, and damage. Details are provided as to what a pathologist should do from the initial threat of a lawsuit, to the initial lawsuit, and through the initial physician/lawyer meeting. An in-depth analysis as to how pathologists should handle themselves through the discovery process and, in particular, deposition is provided. Plaintiff attorneys' goals at deposition are covered in depth. These goals include: 1) education about the pathologist's case and strategies; 2) impeachment of the pathologist's credibility; and 3) judgment as to how effective a witness the pathologist will be at trial. Various types of plaintiff's attorney at deposition are summarized. Also discussed is the post-deposition meeting with the legal representative, whether to settle, and specific issues relating to trial. Finally, general tips on how to avoid a lawsuit in pathology are reviewed.

  19. Speech-language pathologists' roles in the delivery of positive behavior support for individuals with developmental disabilities.

    PubMed

    Bopp, Karen D; Brown, Kenneth E; Mirenda, Pat

    2004-02-01

    Positive behavior support interventions such as functional communication training (FCT) and visual schedules are increasingly being used with individuals with autism and other severe developmental disabilities who engage in problem behavior and use augmentative and alternative communication (AAC). The increasing use of these communication interventions has implications for speech-language pathologists who provide support to these individuals. The purpose of this tutorial is to summarize the research regarding the use of FCT/AAC interventions and visual schedules, and to provide suggestions for the roles that speech-language pathologists can play with regard to assessment, intervention design, and implementation in school and home settings.

  20. Interobserver Variation Among Pathologists in Evaluating Perineural Invasion for Oral Squamous Cell Carcinoma.

    PubMed

    Chi, Angela C; Katabi, Nora; Chen, Huey-Shys; Cheng, Yi-Shing Lisa

    2016-12-01

    The aims of this study are as follows: (1) to assess variations among pathologists in evaluating perineural invasion (PNI) in oral squamous cell carcinoma (OSCC), (2) to survey PNI criteria used by pathologists and how they came to adopt those criteria. An electronic survey was sent to 363 oral and/or surgical pathologists. Eligibility criteria included pathology board certification. The survey participants were asked to rate whether PNI was present, absent, or uncertain for 15 provided photomicrographs, which depicted various types of tumor-nerve relationships without excessive desmoplasia or lymphocytic host response. The survey obtained information regarding demographics, whether PNI criteria were taught during residency, criteria used by participants to evaluate PNI, how the participants developed their criteria, and agreement with six proposed PNI definitions. 88 pathologists completed the survey. The participants included 47 males and 41 females, with average age = 49 years and average practice experience = 17 years. Practice settings included dental school (40 %), medical school (36 %), private pathology lab (13 %), and other (11 %). Agreement between participants in rating PNI status for the provided images was fair (κ = .38, 95 % CI .37-.39). 56 % of respondents indicated that they were taught PNI criteria during residency training. The basis for criteria currently used by participants included residency training (n = 42), published literature (n = 29), and own experience/views (n = 32). Agreement regarding six proposed PNI definitions was slight (κ = .10, 95 % CI .08-.11). In conclusion, interobserver agreement in assessing PNI status was fair. Our results suggest that more widely accepted, objective, and reproducible criteria are needed for evaluating PNI in OSCC.

  1. Risk Assessment and Alternatives Assessment: Comparing Two Methodologies

    PubMed Central

    2015-01-01

    The selection and use of chemicals and materials with less hazardous profiles reflects a paradigm shift from reliance on risk minimization through exposure controls to hazard avoidance. This article introduces risk assessment and alternatives assessment frameworks in order to clarify a misconception that alternatives assessment is a less effective tool to guide decision making, discusses factors promoting the use of each framework, and also identifies how and when application of each framework is most effective. As part of an assessor's decision process to select one framework over the other, it is critical to recognize that each framework is intended to perform different functions. Although the two frameworks share a number of similarities (such as identifying hazards and assessing exposure), an alternatives assessment provides a more realistic framework with which to select environmentally preferable chemicals because of its primary reliance on assessing hazards and secondary reliance on exposure assessment. Relevant to other life cycle impacts, the hazard of a chemical is inherent, and although it may be possible to minimize exposure (and subsequently reduce risk), it is challenging to assess such exposures through a chemical's life cycle. Through increased use of alternatives assessments at the initial stage of material or product design, there will be less reliance on post facto risk‐based assessment techniques because the potential for harm is significantly reduced, if not avoided, negating the need for assessing risk in the first place. PMID:26694655

  2. Comparability of Two Cognitive Performance Assessment Systems

    DTIC Science & Technology

    1992-02-01

    reauesters Qualified requesters may obtain copies from the Defense Technical Information Center (DTIC), Cameron Station , Alexandria, Virginia 22314...photometric expertise. Thanks also to Mr. Jim A. Chiaramonte, SPC4 Angelia Mattingly, 2LT Shawn Prickett , and PFC Hilda Pou for help in preparing the report...presentation and subject response characteristics of performance assessment batteries (PABs) which are implemented on the different computer systems

  3. The virtuous pathologist. An ethical basis for laboratory medicine.

    PubMed

    Stempsey, W E

    1989-06-01

    The profession of pathology is a practice in the technical sense used by many philosophers. Such practices have internal goods, which, it is hoped, lead to the attainment of a certain end. The ultimate end of the practice of pathology must be the good of the patient in terms of restoring health. Key internal goods in pathology are technical competence, the proper pathologist-patient relationship, and the proper pathologist-clinician relationship. Virtues are predispositions to act so as to attain the end of the practice and further the internal goods. Technical growth in the practice of pathology must be accompanied by continued attempts to articulate the goals and internal goods of the practice. Only if pathologists are predisposed to act in accordance with proper goals will an ethical practice be assured.

  4. Adhesion molecules in breast carcinoma: a challenge to the pathologist.

    PubMed

    Rossetti, Claudia; Reis, Beatriz da Costa Aguiar Alves; Delgado, Pamela de Oliveira; Azzalis, Ligia Ajaime; Junqueira, Virginia B C; Feder, David; Fonseca, Fernando

    2015-01-01

    The role of adhesion molecules is very important both in the activation of carcinogenesis and in the differentiation of subtypes of breast carcinoma, aiding in diagnosis, prognosis and therapeutic choice in these tumors. Therefore, understanding the functions and interrelationships among these molecules is crucial to the pathologist, who often uses these factors as a resource to differentiate tumors and further classify them according to a molecular point of view. Our goal is to describe the applicability and the difficulties encountered by the pathologist in the diagnosis of breast carcinoma, discussing the most commonly used markers of adhesion in routine analyses.

  5. Comparative assessment of semifragile watermarking techniques

    NASA Astrophysics Data System (ADS)

    Ekici, Oezguer; Coskun, Baris; Naci, Umut; Sankur, Bulent

    2001-11-01

    Semi-fragile watermarking techniques aim to prevent tampering and fraudulent use of modified images. A semi-fragile watermark monitors the integrity of the content of the image but not its exact representation. Thus the watermark is designed so that if the content of the image has not been tampered with, and so long as the correct key is known and the image ha sufficiently high quality, the integrity is proven. However if some parts of the image is replaced by someone who does not possess the key, the watermark information will not be reliably detected, which can be taken as evidence of forgery. In this paper we compare the performance of nine semi-fragile watermarking algorithms in terms of their miss probability under forgery attack, and in terms of false alarm probability under mild, hence non-malicious signal processing operations that preserve the content and quality of the image. We propose desiderata for semi-fragile watermarking algorithms and indicate the promising algorithms among existing ones.

  6. Impedance Screening by the School Speech-Language Pathologist.

    ERIC Educational Resources Information Center

    Lucker, Jay R.; Samsky, Jay G.

    1979-01-01

    Questions regarding the use of minimally trained speech-language pathologists in conducting an impedance screening program, obtaining the cooperation of the children during testing, and dealing with problems related to referral procedures are discussed, and an account of a pilot otoadmittance screening program is presented. (Author/DLS)

  7. Computer Usage by Speech-Language Pathologists in Public Schools.

    ERIC Educational Resources Information Center

    Houle, Gail Ruppert

    1988-01-01

    Investigation of factors influencing public school speech-language pathologists' acceptance and/or resistance to computer technology found differences between frequent computer users and rare users which were attributed to differences in attitudes toward computers, available funding for computers, in-service training, and physical facilities.…

  8. Thickened Liquids: Practice Patterns of Speech-Language Pathologists

    ERIC Educational Resources Information Center

    Garcia, Jane Mertz; Chambers, Edgar, IV; Molander, Michelle

    2005-01-01

    This study surveyed the practice patterns of speech-language pathologists in their use of thickened liquids for patients with swallowing difficulties. A 25-item Internet survey about thickened liquids was posted via an e-mail list to members of the American Speech-Language-Hearing Association Division 13, Swallowing and Swallowing Disorders…

  9. Bullying: What Speech-Language Pathologists Should Know

    ERIC Educational Resources Information Center

    Hughes, Stephanie

    2014-01-01

    Purpose: The purpose of this tutorial is to introduce speech-language pathologists (SLPs) to the broad issues surrounding the problem of school bullying in childhood and adolescence. Specifically, types of bullying and their causes are considered, as are the roles students take when bullying occurs and the effects of bullying on students with…

  10. Speech-Language Pathologists' Opinions on Response to Intervention

    ERIC Educational Resources Information Center

    Sanger, Dixie; Mohling, Sara; Stremlau, Aliza

    2012-01-01

    The purpose of this study was to survey the opinions of speech-language pathologists (SLPs) on response to intervention (RTI). Questionnaires were mailed to 2,000 randomly selected elementary and secondary SLPs throughout the United States. Mean results of 583 respondents (29.15%) indicated that SLPs agreed on 37 Likert-type items and responded…

  11. Knowledge and Confidence of Speech-Language Pathologists Regarding Autism

    ERIC Educational Resources Information Center

    Ray, Julie M.

    2010-01-01

    The increased prevalence rate of autism has immense implications for speech language pathologists (SLPs) who are directly involved in the education and service delivery for students with autism. However, few studies have documented the effectiveness of the knowledge and confidence of SLPs regarding autism. The purpose of this study was to measure…

  12. Evidence-Based Practice among Speech-Language Pathologists

    ERIC Educational Resources Information Center

    Zipoli, Richard P., Jr.; Kennedy, Marianne

    2005-01-01

    A total of 240 speech-language pathologists responded to a questionnaire examining attitudes toward and use of research and evidence-based practice (EBP). Perceived barriers to EBP were also explored. Positive attitudes toward research and EBP were reported. Attitudes were predicted by exposure to research and EBP practice during graduate training…

  13. Proliferative Lesions of Parathyroid Glands: An Update for Practicing Pathologists.

    PubMed

    Shakeel, Shaheera; Mubarak, Muhammed

    2016-01-01

    Pathological lesions of parathyroid glands encompass a wide range of lesions ranging from developmental anomalies to inflammatory disorders to neoplastic processes. Proliferative lesions of parathyroid glands represent the commonest causes of hyperparathyroidism in clinical practice. However, the parathyroid specimens represent only a tiny fraction of the workload received in a non-specialist histopathology laboratory. As a result, the familiarity of the pathologists with the spectrum of parathyroid lesions is generally limited. An accurate diagnosis of the parathyroid lesions is challenging and a daunting task for both the clinicians and the pathologists. The traditional morphological approaches have limitations. Ancillary techniques of immunohistochemistry and molecular biology are being increasingly employed to resolve the diagnostic dilemmas. This review briefly describes the proliferative pathological lesions affecting the parathyroid glands and provides some useful tips on accurately diagnosing these lesions.

  14. Nonverbal learning disability: a tutorial for speech-language pathologists.

    PubMed

    Volden, Joanne

    2004-05-01

    Nonverbal learning disability (NLD) is a diagnostic category that is unfamiliar to most speech-language pathologists. This brief tutorial describes NLD's characteristics, a theoretical model proposed to explain its source, and areas of overlap between NLD and similar diagnostic categories. The communicative profile, made up of difficulties in pragmatic and semantic language in the presence of relatively preserved syntactic skill, is also discussed. Empirical evidence relevant to NLD is also evaluated. Many questions remain unresolved, but until systematic research provides definitive answers, speech-language pathologists are encouraged to rely on careful description of the individual child's communicative strengths and weaknesses to identify appropriate targets and to focus intervention on improving the child's ability to communicate effectively in everyday contexts.

  15. Predicting Adolescent Suicidality: Comparing Multiple Informants and Assessment Techniques

    ERIC Educational Resources Information Center

    Connor, Jennifer; Rueter, Martha

    2009-01-01

    Adolescent suicidality is a serious problem among American youth. Common risk factors for adolescent suicidality include depression and conduct problems but there is little agreement on the best means to assess these factors. We compared multiple informants (mothers, fathers, the adolescent and a sibling) and multiple assessment techniques using a…

  16. Comparative Validity of the Shedler and Westen Assessment Procedure-200

    ERIC Educational Resources Information Center

    Mullins-Sweatt, Stephanie N.; Widiger, Thomas A.

    2008-01-01

    A predominant dimensional model of general personality structure is the five-factor model (FFM). Quite a number of alternative instruments have been developed to assess the domains of the FFM. The current study compares the validity of 2 alternative versions of the Shedler and Westen Assessment Procedure (SWAP-200) FFM scales, 1 that was developed…

  17. Interobserver Reproducibility Among Gynecologic Pathologists in Diagnosing Heterologous Osteosarcomatous Component in Gynecologic Tract Carcinosarcomas.

    PubMed

    Sangoi, Ankur R; Kshirsagar, Malti; Roma, Andres A; Horvai, Andrew E; Chivukula, Mamatha; Ellenson, Lora H; Fadare, Oluwole; Folkins, Ann K; Garg, Karuna; Hanley, Krisztina; Longacre, Teri A; Haas, Jacqueline; McCluggage, W Glenn; McKenney, Jesse K; Nucci, Marisa R; Oliva, Esther; Park, Kay J; Parkash, Vinita; Quick, Charles M; Rabban, Joseph T; Rutgers, Joanne K L; Soslow, Robert; Vang, Russell; Yemelyanova, Anna; Zaloudek, Charles; Beck, Andrew H

    2017-02-17

    Distinguishing hyalinized stroma from osteoid production by a heterologous osteosarcomatous component can be challenging in gynecologic tract carcinosarcomas. As heterologous components in a carcinosarcoma may have prognostic and therapeutic implications, it is important that these are recognized. This study examines interobserver reproducibility among gynecologic pathologists in the diagnosis of osteosarcomatous components, and its correlation with expression of the novel antibody SATB2 (marker of osteoblastic differentiation) in these osteosarcomatous foci. Digital H&E images from 20 gynecologic tract carcinosarcomas were reviewed by 22 gynecologic pathologists with a request to determine the presence or absence of an osteosarcomatous component. The 20 preselected cases included areas of classic heterologous osteosarcoma (malignant cells producing osteoid; n=10) and osteosarcoma mimics (malignant cells with admixed nonosteoid matrix; n=10). Interobserver agreement was evaluated and SATB2 scored on all 20 cases and compared with the original diagnoses. Moderate agreement (Fleiss' κ=0.483) was identified for the 22 raters scoring the 20 cases with a median sensitivity of 7/10 and a median specificity of 9/10 for the diagnosis of osteosarcoma. SATB2 showed 100% sensitivity (10/10) and 60% (6/10) specificity in discriminating classic osteosarcoma from osteosarcoma mimics. Utilizing negative SATB2 as a surrogate marker to exclude osteosarcoma, 73% (16/22) of the reviewers would have downgraded at least 1 case to not contain an osteosarcomatous component (range, 1-6 cases, median 1 case). Gynecologic pathologists demonstrate only a moderate level of agreement in the diagnosis of heterologous osteosarcoma based on morphologic grounds. In such instances, a negative SATB2 staining may assist in increasing accuracy in the diagnosis of an osteosarcomatous component.

  18. Inter-observer variation between pathologists in diffuse parenchymal lung disease

    PubMed Central

    Nicholson, A; Addis, B; Bharucha, H; Clelland, C; Corrin, B; Gibbs, A; Hasleton, P; Kerr, K; Ibrahim, N; Stewart, S; Wallace, W; Wells, A

    2004-01-01

    Background: There have been few inter-observer studies of diffuse parenchymal lung disease (DPLD), but the recent ATS/ERS consensus classification provides a basis for such a study. Methods: A method for categorising numerically the percentage likelihood of these differential diagnoses was developed, and the diagnostic confidence of pathologists using this classification and the reproducibility of their diagnoses were assessed. Results: The overall kappa coefficient of agreement for the first choice diagnosis was 0.38 (n = 133 biopsies), increasing to 0.43 for patients (n = 83) with multiple biopsies. Weighted kappa coefficients of agreement, quantifying the level of probability of individual diagnoses, were moderate to good (mean 0.58, range 0.40–0.75). However, in 18% of biopsy specimens the diagnosis was given with low confidence. Over 50% of inter-observer variation related to the diagnosis of non-specific interstitial pneumonia and, in particular, its distinction from usual interstitial pneumonia. Conclusion: These results show that the ATS/ERS classification can be applied reproducibly by pathologists who evaluate DPLD routinely, and support the practice of taking multiple biopsy specimens. PMID:15170033

  19. Royal College of Pathologists' United Kingdom pilot study of laboratory accreditation. The College Accreditation Steering Committee.

    PubMed

    1990-02-01

    The Royal College of Pathologists recently commissioned a pilot study to assess the feasibility, desirability, and cost of establishing a national scheme for laboratory accreditation in the United Kingdom. Using a format similar to that designed by the College of American Pathologists, eight inspectors visited 24 laboratories comprising the major disciplines of two district hospitals, two teaching hospitals, a specialised (paediatric) hospital and a private hospital. Nine were considered accreditable without reservation, but 15 had deficiencies identified of differing importance which needed to be corrected before accreditation could be awarded. Problems identified were variable, but none related to technical performance and many did not require extra resources to correct. The exercise was conducted without organisational difficulty at an approximate direct cost of 300 pounds per laboratory. The study shows that the format used could form the basis of a cost effective nationwide strategy. The type of problems identified suggest that such a strategy is more likely to succeed if it is organised from within the pathology professions.

  20. Chemometrics applications in biotech processes: assessing process comparability.

    PubMed

    Bhushan, Nitish; Hadpe, Sandip; Rathore, Anurag S

    2012-01-01

    A typical biotech process starts with the vial of the cell bank, ends with the final product and has anywhere from 15 to 30 unit operations in series. The total number of process variables (input and output parameters) and other variables (raw materials) can add up to several hundred variables. As the manufacturing process is widely accepted to have significant impact on the quality of the product, the regulatory agencies require an assessment of process comparability across different phases of manufacturing (Phase I vs. Phase II vs. Phase III vs. Commercial) as well as other key activities during product commercialization (process scale-up, technology transfer, and process improvement). However, assessing comparability for a process with such a large number of variables is nontrivial and often companies resort to qualitative comparisons. In this article, we present a quantitative approach for assessing process comparability via use of chemometrics. To our knowledge this is the first time that such an approach has been published for biotech processing. The approach has been applied to an industrial case study involving evaluation of two processes that are being used for commercial manufacturing of a major biosimilar product. It has been demonstrated that the proposed approach is able to successfully identify the unit operations in the two processes that are operating differently. We expect this approach, which can also be applied toward assessing product comparability, to be of great use to both the regulators and the industry which otherwise struggle to assess comparability.

  1. The role of the pathologist in human rights abuses

    PubMed Central

    Thomsen, J.

    2000-01-01

    The objective and unbiased statement is much valued in international work against human rights abuses. Pathologists play an increasingly important role. In this article, this role is illustrated by examples and the international set of rules is described. It is emphasised that under no circumstances should physicians assist in procedures, such as torture, which can weaken a human being. There is ongoing research into the sequelae of torture, both by gross and microscopic examination and in the living and dead victims. Key Words: torture • human rights • death in custody PMID:11002757

  2. Current Training and Continuing Education Needs of Preschool and School-Based Speech-Language Pathologists regarding Children with Cleft Lip/Palate

    ERIC Educational Resources Information Center

    Bedwinek, Anne P.; Kummer, Ann W.; Rice, Gale B.; Grames, Lynn Marty

    2010-01-01

    Purpose: The purpose of this study was to obtain information regarding the education and experience of preschool and school-based speech-language pathologists (SLPs) regarding the assessment and treatment of children born with cleft lip and/or palate and to determine their continuing education needs in this area. Method: A 16-item mixed-methods…

  3. A Framework for Comparative Assessments of Energy Efficiency Policy Measures

    SciTech Connect

    Blum, Helcio; Atkinson, Barbara; Lekov, Alex

    2011-05-24

    When policy makers propose new policies, there is a need to assess the costs and benefits of the proposed policy measures, to compare them to existing and alternative policies, and to rank them according to their effectiveness. In the case of equipment energy efficiency regulations, comparing the effects of a range of alternative policy measures requires evaluating their effects on consumers’ budgets, on national energy consumption and economics, and on the environment. Such an approach should be able to represent in a single framework the particularities of each policy measure and provide comparable results. This report presents an integrated methodological framework to assess prospectively the energy, economic, and environmental impacts of energy efficiency policy measures. The framework builds on the premise that the comparative assessment of energy efficiency policy measures should (a) rely on a common set of primary data and parameters, (b) follow a single functional approach to estimate the energy, economic, and emissions savings resulting from each assessed measure, and (c) present results through a set of comparable indicators. This framework elaborates on models that the U.S. Department of Energy (DOE) has used in support of its rulemakings on mandatory energy efficiency standards. In addition to a rigorous analysis of the impacts of mandatory standards, DOE compares the projected results of alternative policy measures to those projected to be achieved by the standards. The framework extends such an approach to provide a broad, generic methodology, with no geographic or sectoral limitations, that is useful for evaluating any type of equipment energy efficiency market intervention. The report concludes with a demonstration of how to use the framework to compare the impacts estimated for twelve policy measures focusing on increasing the energy efficiency of gas furnaces in the United States.

  4. Comparing Two Forms of Dynamic Assessment and Traditional Assessment of Preschool Phonological Awareness

    ERIC Educational Resources Information Center

    Kantor, Patricia Thatcher; Wagner, Richard K.; Torgesen, Joseph K.; Rashotte, Carol A.

    2011-01-01

    The goal of the current study was to compare two forms of dynamic assessment and standard assessment of preschool children's phonological awareness. The first form of dynamic assessment was a form of scaffolding in which item formats were modified in response to an error so as to make the task easier or more explicit. The second form of dynamic…

  5. [Authorization of pathologists for the estimation of the tumor cell percentage on tissue sample for molecular analysis purpose].

    PubMed

    Luquain, Alexandra; Arbez-Gindre, Francine; Bedgedjian, Isabelle; Felix, Sophie; Harimenshi, Jean-Marie; Mihai, Ionela-Marcela; Monnien, Franck; Singeorzan, Cristina; Valmary-Degano, Séverine

    2016-08-01

    Before molecular analysis is performed, morphological control with an estimation of the tumour cell percentage (%TC) could have a major impact on mutation detection. Accreditation according to NF EN ISO 15189 commands an authorization through evaluation of skills. The objective of this work was to validate the empowerment of pathologists to estimate %TC in tissue sample prior to molecular analysis. The accreditation technical guidance methods in Medical biology and histopathology were taken as references. %TC was the ratio of tumour cell nuclei on all nuclei within the area selected for the DNA extraction. External evaluations quality scores were used for accuracy. In order to assess the intermediate precision, 35 %TC estimation were performed 15 days apart in 4 samples (biopsies, transparietal biopsies or surgical specimen, either fixed or frozen) by 7 pathologists. Three other cases with interference (inflammation, mucus, necrosis) were evaluated. A result was satisfactory if %TC were within ±20 % of expected percentage obtained by the average of 35 estimates. The performances were satisfactory since no estimate was made more than 20 % of the expected percentage. Low interpathologists reproducibility has been reported in the literature and can have a consequence on molecular analysis in samples with low %TC, where the value reach the analytical sensitivity thresholds of molecular techniques. The current report is an example of a step of the accreditation process, which is a challenge for pathologists' activity in the future.

  6. Comparing Course Assessments: When Lower is Higher and Higher, Lower

    NASA Astrophysics Data System (ADS)

    Oliver, Dave; Dobele, Tony; Greber, Myles; Roberts, Tim

    2004-12-01

    This paper describes an exercise in determining the cognitive difficulty of the assessment tasks in six computing courses within an Information Technology (IT) degree, importing Bloom's taxonomy from the field of educational psychology as an analytical framework. Three of the six courses comprise a Programming stream and three a Data Communications and Networking stream. Bloom's taxonomy is described and we present other studies within computer science based on it. Next, we introduce the courses that were selected for the study and describe the process of analysis. The aggregated results are then presented and some inferences made. The results indicate that the programming courses required a relatively higher cognitive level in assessment tasks compared to the data communications and networking courses. This outcome suggests the need for alternative approaches to assessment.

  7. The College of American Pathologists Laboratory Accreditation Programme.

    PubMed

    Batjer, J D

    1990-01-01

    The Laboratory Accreditation Programme (LAP) offered by the College of American Pathologists (CAP) was begun in 1961. It is a voluntary peer review programme with the goal of laboratory improvement to excellence. It presently accredits more than 4300 laboratories throughout the world, although the majority are in the United States and Canada. Accreditation is contingent upon continuing successful performance in the CAP proficiency testing programmes, as well as passing biennial on-site laboratory inspections. These on-site inspections are done by practising laboratorians who use checklists appropriate for the various laboratory disciplines. Several governmental regulatory agencies (e.g. the Health Care Financing Agency) as well as private agencies (e.g. the Joint Commission on Accreditation of Healthcare Organizations) accept the LAP in place of their own programmes for laboratory accreditation.

  8. Juvenile Toxicology: Relevance and Challenges for Toxicologists and Pathologists

    PubMed Central

    Remick, Amera K.; Catlin, Natasha R.; Quist, Erin M.; Steinbach, Thomas J.; Dixon, Darlene

    2015-01-01

    The Society of Toxicologic Pathology (STP) Education Committee and the STP Reproductive Special Interest Group held a North Carolina regional meeting entitled, “Juvenile Toxicology: Relevance and Challenges for Toxicologists and Pathologists” on March 13, 2015, at the National Institute of Environmental Health Sciences/National Toxicology Program in Research Triangle Park, North Carolina. The purpose of this regional meeting was to familiarize attendees with the topic of juvenile toxicity testing and discuss its relevance to clinical pediatric medicine, regulatory perspectives, challenges of appropriate study design confronted by toxicologists, and challenges of histopathologic examination and interpretation of juvenile tissues faced by pathologists. The 1-day meeting was a success with over 60 attendees representing industry, government, research organizations, and academia. PMID:26220944

  9. Information Uncertainty to Compare Qualitative Reasoning Security Risk Assessment Results

    SciTech Connect

    Chavez, Gregory M; Key, Brian P; Zerkle, David K; Shevitz, Daniel W

    2009-01-01

    The security risk associated with malevolent acts such as those of terrorism are often void of the historical data required for a traditional PRA. Most information available to conduct security risk assessments for these malevolent acts is obtained from subject matter experts as subjective judgements. Qualitative reasoning approaches such as approximate reasoning and evidential reasoning are useful for modeling the predicted risk from information provided by subject matter experts. Absent from these approaches is a consistent means to compare the security risk assessment results. Associated with each predicted risk reasoning result is a quantifiable amount of information uncertainty which can be measured and used to compare the results. This paper explores using entropy measures to quantify the information uncertainty associated with conflict and non-specificity in the predicted reasoning results. The measured quantities of conflict and non-specificity can ultimately be used to compare qualitative reasoning results which are important in triage studies and ultimately resource allocation. Straight forward extensions of previous entropy measures are presented here to quantify the non-specificity and conflict associated with security risk assessment results obtained from qualitative reasoning models.

  10. Comparing preference assessments: selection- versus duration-based preference assessment procedures.

    PubMed

    Kodak, Tiffany; Fisher, Wayne W; Kelley, Michael E; Kisamore, April

    2009-01-01

    In the current investigation, the results of a selection- and a duration-based preference assessment procedure were compared. A Multiple Stimulus With Replacement (MSW) preference assessment [Windsor, J., Piché, L. M., & Locke, P. A. (1994). Preference testing: A comparison of two presentation methods. Research in Developmental Disabilities, 15, 439-455] and a variation of a Free-Operant (FO) preference assessment procedure [Roane, H. S., Vollmer, T. R., Ringdahl, J. E., & Marcus, B. A. (1998). Evaluation of a brief stimulus preference assessment. Journal of Applied Behavior Analysis, 31, 605-620] were conducted with four participants. A reinforcer assessment was conducted to determine which preference assessment procedure identified the item that produced the highest rates of responding. The items identified as most highly preferred were different across preference assessment procedures for all participants. Results of the reinforcer assessment showed that the MSW identified the item that functioned as the most effective reinforcer for two participants.

  11. Speech-Language Pathologist and General Educator Collaboration: A Model for Tier 2 Service Delivery

    ERIC Educational Resources Information Center

    Watson, Gina D.; Bellon-Harn, Monica L.

    2014-01-01

    Tier 2 supplemental instruction within a response to intervention framework provides a unique opportunity for developing partnerships between speech-language pathologists and classroom teachers. Speech-language pathologists may participate in Tier 2 instruction via a consultative or collaborative service delivery model depending on district needs.…

  12. Comparative life cycle assessment of three biohydrogen pathways.

    PubMed

    Djomo, Sylvestre Njakou; Blumberga, Dagnija

    2011-02-01

    A life cycle assessment was performed to quantify and compare the energetic and environmental performances of hydrogen from wheat straw (WS-H(2)), sweet sorghum stalk (SSS-H(2)), and steam potato peels (SPP-H(2)). Inventory data were derived from a pilot plant. Impacts were assessed using the impact 2002+ method. When co-product was not considered, the greenhouse gas (GHG) emissions were 5.60 kg CO(2eq) kg(-1) H(2) for WS-H(2), 5.32 kg CO(2eq) kg(-1) H(2) for SSS-H(2), and 5.18 kg CO(2eq) kg(-1) H(2) for SPP-H(2). BioH(2) pathways reduced GHG emissions by 52-56% compared to diesel and by 54-57% compared to steam methane reforming production of H(2). The energy ratios (ER) were also comparable: 1.08 for WS-H(2), 1.14 for SSS-H(2) and 1.17 for SPP-H(2). A shift from SPP-H(2) to WS-H(2) would therefore not affect the ER and GHG emissions of these BioH(2) pathways. When co-product was considered, a shift from SPP-H(2) to WS-H(2) or SSS-H(2) decreased the ER, while increasing the GHG emissions significantly. Co-product yield should be considered when selecting BioH(2) feedstocks.

  13. Comparing Preference Assessments: Selection- versus Duration-Based Preference Assessment Procedures

    ERIC Educational Resources Information Center

    Kodak, Tiffany; Fisher, Wayne W.; Kelley, Michael E.; Kisamore, April

    2009-01-01

    In the current investigation, the results of a selection- and a duration-based preference assessment procedure were compared. A Multiple Stimulus With Replacement (MSW) preference assessment [Windsor, J., Piche, L. M., & Locke, P. A. (1994). "Preference testing: A comparison of two presentation methods." "Research in Developmental Disabilities,…

  14. Appropriateness of plantar pressure measurement devices: a comparative technical assessment.

    PubMed

    Giacomozzi, Claudia

    2010-05-01

    Accurate plantar pressure measurements are mandatory in both clinical and research contexts. Differences in accuracy, precision and reliability of the available devices have prevented so far the onset of standardization processes or the definition of reliable reference datasets. In order to comparatively assess the appropriateness of the most used pressure measurement devices (PMD) on-the-market, in 2006 the Institute the author is working for approved a two-year scientific project aimed to design, validate and implement dedicated testing methods for both in-factory and on-the field assessment. A first testing phase was also performed which finished in December 2008. Five commercial PMDs using different technologies-resistive, elastomer-based capacitive, air-based capacitive-were assessed and compared with respect to absolute pressure measurements, hysteresis, creep and COP estimation. The static and dynamic pressure tests showed very high accuracy of capacitive, elastomer-based technology (RMSE<0.5%), and quite a good performance of capacitive, air-based technology (RMSE<5%). High accuracy was also found for the resistive technology by TEKSCAN (RMSE<2.5%), even though a complex ad hoc calibration was necessary.

  15. Comparative assessment of nanomaterial definitions and safety evaluation considerations.

    PubMed

    Boverhof, Darrell R; Bramante, Christina M; Butala, John H; Clancy, Shaun F; Lafranconi, Mark; West, Jay; Gordon, Steve C

    2015-10-01

    Nanomaterials continue to bring promising advances to science and technology. In concert have come calls for increased regulatory oversight to ensure their appropriate identification and evaluation, which has led to extensive discussions about nanomaterial definitions. Numerous nanomaterial definitions have been proposed by government, industry, and standards organizations. We conducted a comprehensive comparative assessment of existing nanomaterial definitions put forward by governments to highlight their similarities and differences. We found that the size limits used in different definitions were inconsistent, as were considerations of other elements, including agglomerates and aggregates, distributional thresholds, novel properties, and solubility. Other important differences included consideration of number size distributions versus weight distributions and natural versus intentionally-manufactured materials. Overall, the definitions we compared were not in alignment, which may lead to inconsistent identification and evaluation of nanomaterials and could have adverse impacts on commerce and public perceptions of nanotechnology. We recommend a set of considerations that future discussions of nanomaterial definitions should consider for describing materials and assessing their potential for health and environmental impacts using risk-based approaches within existing assessment frameworks. Our intent is to initiate a dialogue aimed at achieving greater clarity in identifying those nanomaterials that may require additional evaluation, not to propose a formal definition.

  16. Transcription factor motif quality assessment requires systematic comparative analysis

    PubMed Central

    Kibet, Caleb Kipkurui; Machanick, Philip

    2016-01-01

    Transcription factor (TF) binding site prediction remains a challenge in gene regulatory research due to degeneracy and potential variability in binding sites in the genome. Dozens of algorithms designed to learn binding models (motifs) have generated many motifs available in research papers with a subset making it to databases like JASPAR, UniPROBE and Transfac. The presence of many versions of motifs from the various databases for a single TF and the lack of a standardized assessment technique makes it difficult for biologists to make an appropriate choice of binding model and for algorithm developers to benchmark, test and improve on their models. In this study, we review and evaluate the approaches in use, highlight differences and demonstrate the difficulty of defining a standardized motif assessment approach. We review scoring functions, motif length, test data and the type of performance metrics used in prior studies as some of the factors that influence the outcome of a motif assessment. We show that the scoring functions and statistics used in motif assessment influence ranking of motifs in a TF-specific manner. We also show that TF binding specificity can vary by source of genomic binding data. We also demonstrate that information content of a motif is not in isolation a measure of motif quality but is influenced by TF binding behaviour. We conclude that there is a need for an easy-to-use tool that presents all available evidence for a comparative analysis. PMID:27092243

  17. A Comparative Analysis of Life-Cycle Assessment Tools for ...

    EPA Pesticide Factsheets

    We identified and evaluated five life-cycle assessment tools that community decision makers can use to assess the environmental and economic impacts of end-of-life (EOL) materials management options. The tools evaluated in this report are waste reduction mode (WARM), municipal solid waste-decision support tool (MSW-DST), solid waste optimization life-cycle framework (SWOLF), environmental assessment system for environmental technologies (EASETECH), and waste and resources assessment for the environment (WRATE). WARM, MSW-DST, and SWOLF were developed for US-specific materials management strategies, while WRATE and EASETECH were developed for European-specific conditions. All of the tools (with the exception of WARM) allow specification of a wide variety of parameters (e.g., materials composition and energy mix) to a varying degree, thus allowing users to model specific EOL materials management methods even outside the geographical domain they are originally intended for. The flexibility to accept user-specified input for a large number of parameters increases the level of complexity and the skill set needed for using these tools. The tools were evaluated and compared based on a series of criteria, including general tool features, the scope of the analysis (e.g., materials and processes included), and the impact categories analyzed (e.g., climate change, acidification). A series of scenarios representing materials management problems currently relevant to c

  18. Biogrouting compared to jet grouting: environmental (LCA) and economical assessment.

    PubMed

    Suer, Pascal; Hallberg, Niklas; Carlsson, Christel; Bendz, David; Holm, Goran

    2009-03-01

    In order to predict consequences of replacing jet grouting with biogrouting, and identify major contributors to the cost of both technologies, a large road project in Stockholm, Sweden, was used as a case study. Jet grouting had been used to seal the contact between sheet piling and bedrock, biogrouting for the same function was computed. A comparative environmental and economical assessment was carried out using life cycle assessment (LCA). The results show that biogrouting was cheaper than jet grouting and would have had lower environmental impact. The major difference was the transport and use of heavier equipment for jet grouting. Biogrouting also used less water and produced less landfilled waste. However, the production of urea and CaCl(2) for biogrouting required much energy.

  19. Alternative future scenarios for the SPS comparative assessment

    SciTech Connect

    Ayres, R.U.; Ridker, R.G.; Watson, W.D. Jr.; Arnold, J.; Tayi, G.

    1980-08-01

    The objective of the comparative assessment is to develop an initial understanding of the SPS with respect to a limited set of energy alternatives. A comparative methodology report describes the multi-step process in the comparative assessment. The first step is the selection and characterization of alternative energy systems. Terrestrial alternatives are selected, and their cost, performance, and environmental and social attributes are specified for use in the comparison with the SPS in the post-2000 era. Data on alternative technologies were sought from previous research and from other comparisons. The object of this study is to provide a futures framework for evaluating SPS (i.e., factor prices, primary energy prices, and energy demands for the US from 1980 to 2030). The economic/energy interactions are discussed, and a number of specific modelling schemes that have been used for long-range forecasting purposes are described. This discussion provides the rationale for the choice of a specific model and methodology, which is described. Long-range cost assumptions used in the forecast are detailed, and the basis for the selection of specific scenarios follows. Results of the analysis are detailed. (WHK)

  20. Framework for a comparative environmental assessment of drilling fluids

    SciTech Connect

    Meinhold, A.F.

    1998-11-01

    During the drilling of an oil or gas well, drilling fluid (or mud) is used to maintain well control and to remove drill cuttings from the hole. In response to effluent limitation guidelines promulgated by the US Environmental Protection Agency (EPA) for discharge of drilling wastes offshore, alternatives to water and oil-based muds have been developed. These synthetic-based muds (SBMs) are more efficient than water-based muds (WBMs) for drilling difficult and complex formation intervals and have lower toxicity and smaller environmental impacts than diesel or conventional mineral oil-based muds (OBMs). A third category of drilling fluids, derived from petroleum and called enhanced mineral oils (EMOs), also have these advantages over the traditionally used OBMs and WBMs. EPA recognizes that SBMs and EMOs are new classes of drilling fluids, but their regulatory status is unclear. To address this uncertainty, EPA is following an innovative presumptive rulemaking process that will develop final regulations for SBM discharges offshore in less than three years. This report develops a framework for a comparative risk assessment for the discharge of SBMs and EMOs, to help support a risk-based, integrated approach to regulatory decision making. The framework will help identify potential impacts and benefits associated with the use of SBMs, EMOs, WBMs, and OBMs; identify areas where additional data are needed; and support early decision-making in the absence of complete data. As additional data becomes available, the framework can support a full quantitative comparative assessment. Detailed data are provided to support a comparative assessment in the areas of occupational and public health impacts.

  1. Comparative endocrinology of leptin: Assessing function in a phylogenetic context

    PubMed Central

    Londraville, Richard L.; Macotela, Yazmin; Duff, Robert J.; Easterling, Marietta R.; Liu, Qin; Crespi, Erica J.

    2014-01-01

    As we approach the end of two decades of leptin research, the comparative biology of leptin is just beginning. We now have several leptin orthologs described from nearly every major clade among vertebrates, and are moving beyond gene descriptions to functional studies. Even at this early stage, it is clear that non-mammals display clear functional similarities and differences with their better-studied mammalian counterparts. This review assesses what we know about leptin function in mammals and non-mammals, and gives examples of how these data can inform leptin biology in humans. PMID:24525452

  2. Individual differences and subjective workload assessment - Comparing pilots to nonpilots

    NASA Technical Reports Server (NTRS)

    Vidulich, Michael A.; Pandit, Parimal

    1987-01-01

    Results by two groups of subjects, pilots and nonpilots, for two subjective workload assessment techniques (the SWAT and NASA-TLX tests) intended to evaluate individual differences in the perception and reporting of subjective workload are compared with results obtained for several traditional personality tests. The personality tests were found to discriminate between the groups while the workload tests did not. It is concluded that although the workload tests may provide useful information with respect to the interaction between tasks and personality, they are not effective as pure tests of individual differences.

  3. Skin condition assessment: a comparative study of techniques

    NASA Astrophysics Data System (ADS)

    Bindra, Ravindar M.; Wong, Joretta K.; Andrew, Jeremy J.; Xiao, Peng; Zhang, Bufa; Imhof, Robert E.

    1996-05-01

    We report the results of a study aimed at comparing Opto-Thermal Transient Emission Radiometry (OTTER) with established techniques of assessing skin condition, namely evaporimetry (TEWL), skin dielectric constant measurement, ATR-FTIR and clinical assessment. Comparisons were made during a week-long study of the effects of intensive washing on the volar forearms of 14 subjects. The study also provided a comparison of skin condition after washing with two different cleansers, a mild isethionate betaine cleansing bar and a soap bar. The subject-averaged results from OTTER and TEWL were found to correlate with the clinical assessments, namely that intensive washing with the soap bar produces greater skin damage than with the isethionate betaine bar. Skin dielectric constant measurements were found to be sensitive to changes of skin condition other than hydration, as evidenced by a daily oscillation that dominate the results. The ATR-FTIR measurements proved difficult to evaluate, because of interfering calcium deposits from the soap bar. On the practical side, OTTER and skin dielectric constant measurements were found to be quicker and more convenient to use than TEWL and ATR-FTIR.

  4. Pathologists' roles in clinical utilization management. A financing model for managed care.

    PubMed

    Zhao, J J; Liberman, A

    2000-03-01

    In ancillary or laboratory utilization management, the roles of pathologists have not been explored fully in managed care systems. Two possible reasons may account for this: pathologists' potential contributions have not been defined clearly, and effective measurement of and reasonable compensation for the pathologist's contribution remains vague. The responsibilities of pathologists in clinical practice may include clinical pathology and laboratory services (which have long been well-defined and are compensated according to a resource-based relative value system-based coding system), laboratory administration, clinical utilization management, and clinical research. Although laboratory administration services have been compensated with mechanisms such as percentage of total service revenue or fixed salary, the involvement of pathologists seems less today than in the past, owing to increased clinical workload and time constraints in an expanding managed care environment, especially in community hospital settings. The lack of financial incentives or appropriate compensation mechanisms for the services likely accounts for the current situation. Furthermore, the importance of pathologist-driven utilization management in laboratory services lacks recognition among hospital administrators, managed care executives, and pathologists themselves, despite its potential benefits for reducing cost and enhancing quality of care. We propose a financial compensation model for such services and summarize its advantages.

  5. Raising future forensic pathologists (second report): results of a preliminary interview survey.

    PubMed

    Murakami, Manabu; Matoba, Kotaro; Hayakawa, Akira; Terazawa, Koichi

    2012-08-01

    Fostering the specialists of forensic pathology has become a worldwide problem. In Japan, factors such as government budget cuts, the introduction of initial postgraduate clinical training system, as well as national policy on increasing autopsy rates, may deter young graduates from entering this specialty. The aim of this study was to look for clues to promote the training of young forensic pathologists. We selected and interviewed five forensic pathologists, with each interview lasting approximately 60 minutes, and picked up common views among them. The interviews topic, based on a prior survey, was: "What do you believe forensic pathologists require to promote the training of their successors." We selected common views on the three themes listed below; 1) standardization of minimum requirements to be independent forensic pathologists, 2) balancing forensic pathologists' time among autopsy practice, research, and education, and 3) preparing positions for younger forensic pathologists. These opinions were the same as those of previous studies conducted overseas and must be discussed at academic conferences in the future, where both junior and senior forensic pathologists participate.

  6. Comparing students' performance on research-based conceptual assessments and traditional classroom assessments

    NASA Astrophysics Data System (ADS)

    Rebello, N. Sanjay

    2012-02-01

    The use of concept inventories to investigate students' learning gains is common in physics education research. However, comparatively little research has compared students' learning gains on concept inventories with other more traditional assessments in the classroom. We present a study comparing second semester calculus-based physics students' performance on traditional classroom assessments including exams and homework with learning gains on SEMCO (Survey of Electricity, Magnetism, Circuits and Optics), which was previously created by combining questions on other conceptual surveys such as CSEM and DIRECT. We report on students' performance on specific items on SEMCO and corresponding traditional classroom assessments that are based on the same topic. Our results indicate that while the overall performance on SEMCO might correlate with aggregate performance on class exams, the performance on clusters of SEMCO items that assess conceptual understanding in various topical areas does not correlate as strongly with performance on corresponding traditional exams. These results raise some potentially interesting issues on the validity and usefulness of traditional classroom assessments and conceptual assessments that are often used to measure student learning in introductory physics.

  7. Comparing life cycle assessments of different biofuel options.

    PubMed

    Kendall, Alissa; Yuan, Juhong

    2013-06-01

    Life cycle assessment (LCA) has shown that first generation biofuels provide a little to no benefit for greenhouse gas (GHG) reductions compared to petroleum fuels, particularly when indirect effects are considered. Second generation fuels are intended to achieve greater GHG reductions and avoid other sustainability issues. LCAs of second generation biofuels exhibit great variability and uncertainty, leading to inconclusive results for the performance of particular pathways (combinations of feedstocks and fuels). Variability arises in part because of the prospective nature of LCAs for future fuels; however, a review of recent articles on biofuel LCA methodology indicates two additional sources of variability: real sources such as spatiotemporal heterogeneity, and methodological sources such as choices for co-product allocation methods and system boundary definition.

  8. Coaches' assessment of their coaching efficacy compared to athletes' perceptions.

    PubMed

    Short, Sandra E; Short, Martin W

    2004-10-01

    This study compared coaches' assessments of their own coaching efficacy with their athletes' perceptions of the coaches' efficacy. Coaching efficacy was measured with the Coaching Efficacy Scale. Participants were 9 football coaches and 76 football players from the same team. Analysis indicated coaches were confident in their coaching abilities (range 6.5 to 9.0 on a 9-point scale). For 7 of the 9 coaches the coaches' ratings of themselves were higher than the athletes' ratings. For the other 2 coaches, athletes' ratings of coaches' efficacy were higher than the coaches' ratings of themselves. All coaches' ratings fell within the 95% confidence interval based on the athletes' ratings of the coaches' efficacy. Results are discussed in terms of the interplay between athletes and coaches efficacy beliefs and its influence on behavior.

  9. A comparative assessment of the economics of plutonium disposition

    SciTech Connect

    Williams, K.A.; Miller, J.W.; Reid, R.L.

    1997-04-01

    The US Department of Energy office of Fissile Materials Disposition (DOE/MD) has been evaluating three technologies for the disposition of approximately 50 metric tons of surplus plutonium from defense-related programs: reactors, immobilization, and deep boreholes. As part of the process supporting an early CY 1997 Record of Decision (ROD), a comprehensive assessment of technical viability, cost, and schedule has been conducted by DOE/MD and its national laboratory contractors. Oak Ridge National Laboratory has managed and coordinated the life-cycle cost (LCC) assessment effort for this program. This paper discusses the economic analysis methodology and the results prior to ROD. A secondary intent of the paper is to discuss major technical and economic issues that impact cost and schedule. To evaluate the economics of these technologies on an equitable basis, a set of cost-estimating guidelines and a common cost-estimating format were utilized by all three technology teams. This paper also includes the major economic analysis assumptions and the comparative constant-dollar and discounted-dollar LCCs.

  10. Earth-to-orbit reusable launch vehicles: A comparative assessment

    NASA Technical Reports Server (NTRS)

    Chase, R. L.

    1978-01-01

    A representative set of space systems, functions, and missions for NASA and DoD from which launch vehicle requirements and characteristics was established as well as a set of air-breathing launch vehicles based on graduated technology capabilities corresponding to increasingly higher staging Mach numbers. The utility of the air-breathing launch vehicle candidates based on lift-off weight, performance, technology needs, and risk was assessed and costs were compared to alternative concepts. The results indicate that a fully reusable launch vehicle, whether two stage or one stage, could potentially reduce the cost per flight 60-80% compared to that for a partially reusable vehicle but would require advances in thermal protection system technology. A two-stage-to-orbit, parallel-lift vehicle with an air-breathing booster would cost approximately the same as a single-stage-to-orbit vehicle, but the former would have greater flexibility and a significantly reduced developmental risk. A twin-booster, subsonic-staged, parallel-lift vehicle represents the lowest system cost and developmental risk. However, if a large supersonic turbojet engine in the 350,000-N thrust class were available, supersonic staging would be preferred, and the investment in development would be returned in reduced program cost.

  11. Assessing and Comparing Global Health Competencies in Rehabilitation Students

    PubMed Central

    Ramsay, Tim

    2013-01-01

    Purpose. Globalization is contributing to changes in health outcomes and healthcare use in many ways, including health professionals' practices. The objective of this study was to assess and compare global health competencies in rehabilitation students. Method. Online cross-sectional survey of physiotherapy and occupational therapy students from five universities within Ontario. We used descriptive statistics to analyze students' perceived knowledge, skills, and learning needs in global health. We used Chi-square tests, with significance set at P < 0.05, to compare results across professions. Results. One hundred and sixty-six students completed the survey. In general, both physiotherapy and occupational therapy students scored higher on the “relationship between work and health,” “relationship between income and health,” and “socioeconomic position (SEP) and impact on health” and lower on “Access to healthcare for low income nations,” “mechanisms for why racial and ethnic disparities exist,” and “racial stereotyping and medical decision making.” Occupational therapy students placed greater importance on learning concerning social determinants of health (P = 0.03). Conclusion. This paper highlights several opportunities for improvement in global health education for rehabilitation students. Educators and professionals should consider developing strategies to address these needs and provide more global health opportunities in rehabilitation training programs. PMID:24381763

  12. Comparative Assessment of Lixisenatide, Exenatide, and Liraglutide Pen Devices

    PubMed Central

    Enginee, Diplom; Elton, Hina; Penfornis, Alfred; Edelman, Steve

    2014-01-01

    Background: Glucagon-like peptide-1 (GLP-1) receptor agonists are a relatively recent addition to the treatment options for type 2 diabetes mellitus (T2DM) and are administered using prefilled pen devices. Method: In this open-label task and interview-based pilot study, 3 GLP-1 receptor agonist pen devices—exenatide (Byetta®, Bristol-Myers Squibb/AstraZeneca), liraglutide (Victoza®, Novo Nordisk), and lixisenatide (Lyxumia®, Sanofi-Aventis)—were comparatively assessed in a randomized order in 30 participants with T2DM for ease of use, using a series of key performance measures (time taken to complete a series of tasks, number of user errors [successful performance], and user satisfaction rating). Linear and logistic regression analysis was conducted for the lixisenatide and liraglutide pens versus the exenatide pen. Participants’ mean age was 60 years; 27% and 20% of the participants had visual impairments and reduced manual dexterity, respectively. Results: Tasks were completed faster (P < .001) and with higher successful performance (P = .001) with the lixisenatide pen than with the exenatide pen, whereas the liraglutide pen was not statistically significant versus the exenatide pen on these parameters. Overall, user satisfaction was statistically higher for the lixisenatide and liraglutide pens versus the exenatide pen (P < .001 for both). Conclusions: Lixisenatide and liraglutide pens are associated with higher user satisfaction compared with the exenatide pen. In addition, the lixisenatide pen is faster and results in fewer errors than its comparator (exenatide). The lixisenatide pen may therefore be a suitable choice for patients with T2DM, including older and pen device-naïve patients, and those with visual impairments and reduced manual dexterity. PMID:24876548

  13. Making environmental assessments of biomass production systems comparable worldwide

    NASA Astrophysics Data System (ADS)

    Meyer, Markus A.; Seppelt, Ralf; Witing, Felix; Priess, Joerg A.

    2016-03-01

    Global demand for agricultural and forestry products fundamentally affects regional land-use change associated with environmental impacts (EIs) such as erosion. In contrast to aggregated global metrics such as greenhouse gas (GHG) balances, local/regional EIs of different agricultural and forestry production regions need methods which enable worldwide EI comparisons. The key aspect is to control environmental heterogeneity to reveal man-made differences of EIs between production regions. Environmental heterogeneity is the variation in biotic and abiotic environmental conditions. In the present study, we used three approaches to control environmental heterogeneity: (i) environmental stratification, (ii) potential natural vegetation (PNV), and (iii) regional environmental thresholds to compare EIs of solid biomass production. We compared production regions of managed forests and plantation forests in subtropical (Satilla watershed, Southeastern US), tropical (Rufiji basin, Tanzania), and temperate (Mulde watershed, Central Germany) climates. All approaches supported the comparison of the EIs of different land-use classes between and within production regions. They also standardized the different EIs for a comparison between the EI categories. The EIs for different land-use classes within a production region decreased with increasing degree of naturalness (forest, plantation forestry, and cropland). PNV was the most reliable approach, but lacked feasibility and relevance. The PNV approach explicitly included most of the factors that drive environmental heterogeneity in contrast to the stratification and threshold approaches. The stratification approach allows consistent global application due to available data. Regional environmental thresholds only included arbitrarily selected aspects of environmental heterogeneity; they are only available for few EIs. Especially, the PNV and stratification approaches are options to compare regional EIs of biomass or crop production

  14. Speech-Language Pathologists and Primary Prevention: From Ideas to Action.

    ERIC Educational Resources Information Center

    Flynn, Pauline T.

    1983-01-01

    Speech-language pathologists can help prevent communication disorders by helping to promote disability awareness, focusing on good health, limiting noise pollution, and helping to prevent injuries due to vocal misuse. Suggested activities for each aspect are presented. (CL)

  15. Comparative environmental assessment of natural and recycled aggregate concrete.

    PubMed

    Marinković, S; Radonjanin, V; Malešev, M; Ignjatović, I

    2010-11-01

    Constant and rapid increase in construction and demolition (C&D) waste generation and consumption of natural aggregate for concrete production became one of the biggest environmental problems in the construction industry. Recycling of C&D waste represents one way to convert a waste product into a resource but the environment benefits through energy consumption, emissions and fallouts reductions are not certain. The main purpose of this study is to determine the potentials of recycled aggregate concrete (concrete made with recycled concrete aggregate) for structural applications and to compare the environmental impact of the production of two types of ready-mixed concrete: natural aggregate concrete (NAC) made entirely with river aggregate and recycled aggregate concrete (RAC) made with natural fine and recycled coarse aggregate. Based on the analysis of up-to-date experimental evidence, including own tests results, it is concluded that utilization of RAC for low-to-middle strength structural concrete and non-aggressive exposure conditions is technically feasible. The Life Cycle Assessment (LCA) is performed for raw material extraction and material production part of the concrete life cycle including transport. Assessment is based on local LCI data and on typical conditions in Serbia. Results of this specific case study show that impacts of aggregate and cement production phases are slightly larger for RAC than for NAC but the total environmental impacts depend on the natural and recycled aggregates transport distances and on transport types. Limit natural aggregate transport distances above which the environmental impacts of RAC can be equal or even lower than the impacts of NAC are calculated for the specific case study.

  16. Comparative Assessment of Very High Resolution Satellite and Aerial Orthoimagery

    NASA Astrophysics Data System (ADS)

    Agrafiotis, P.; Georgopoulos, A.

    2015-03-01

    This paper aims to assess the accuracy and radiometric quality of orthorectified high resolution satellite imagery from Pleiades-1B satellites through a comparative evaluation of their quantitative and qualitative properties. A Pleiades-B1 stereopair of high resolution images taken in 2013, two adjacent GeoEye-1 stereopairs from 2011 and aerial orthomosaic (LSO) provided by NCMA S.A (Hellenic Cadastre) from 2007 have been used for the comparison tests. As control dataset orthomosaic from aerial imagery provided also by NCMA S.A (0.25m GSD) from 2012 was selected. The process for DSM and orthoimage production was performed using commercial digital photogrammetric workstations. The two resulting orthoimages and the aerial orthomosaic (LSO) were relatively and absolutely evaluated for their quantitative and qualitative properties. Test measurements were performed using the same check points in order to establish their accuracy both as far as the single point coordinates as well as their distances are concerned. Check points were distributed according to JRC Guidelines for Best Practice and Quality Checking of Ortho Imagery and NSSDA standards while areas with different terrain relief and land cover were also included. The tests performed were based also on JRC and NSSDA accuracy standards. Finally, tests were carried out in order to assess the radiometric quality of the orthoimagery. The results are presented with a statistical analysis and they are evaluated in order to present the merits and demerits of the imaging sensors involved for orthoimage production. The results also serve for a critical approach for the usability and cost efficiency of satellite imagery for the production of Large Scale Orthophotos.

  17. The value of biomedical research training for veterinary anatomic and clinical pathologists.

    PubMed

    Sharkey, L C; Simpson, R M; Wellman, M L; Craig, L E; Birkebak, T A; Kock, N D; Miller, M A; Harris, R K; Munson, L

    2012-07-01

    Veterinary pathologists traditionally have been actively engaged in research as principal investigators and as collaborators. Pathologists frequently obtain advanced training in research; however, it appears that in the last 10 years there has been a reversal of a previous trend toward increasing numbers of pathologists obtaining PhD degrees. This has arisen despite an established shortage of veterinarians engaged in research. This article evaluates the benefits of research training for individual pathologists, including a wide spectrum of professional opportunities and additional skill development beyond that usually provided by diagnostic pathology training alone. Various training models are discussed, including combined and sequential diagnostic residency and research degree training as well as the nondegree research fellowship programs more commonly pursued in human medicine. Best-practice recommendations for program infrastructure, mentorship, time management, and a team approach to research and research training are advocated to facilitate the development of successful programs and to encourage a continued emphasis on integrated training for pathologists as both clinical diagnosticians and experimentalists. This article is intended to help prospective and active pathology trainees, their mentors, and educational administrators optimize opportunities to ensure the future vitality of veterinary pathologists, and their contributions, in basic and applied research.

  18. Sport, scales, or war? Metaphors speech-language pathologists use to describe caseload management.

    PubMed

    Kenny, Belinda; Lincoln, Michelle

    2012-06-01

    Professionals' experiences, perceptions, and attitudes may be reflected in the metaphors they use to describe and discuss important professional issues. This qualitative study explored speech-language pathologists' experiences of caseload management through metaphorical analysis. Metaphors provided a lens for reflecting participants' lived experiences and professional knowledge construction. Data was obtained from 16 practising speech-language pathologists during individual work place interviews. Participants included new graduate and experienced speech-language pathologists who were employed in hospital and community settings. Metaphors for caseload management were identified from participants' transcribed narratives, then coded and organized into themes. Participants produced a total of 297 metaphors during professional practice narratives. Thematic analysis indicated that participants used three salient metaphors of sport, measuring scales, and war when they addressed caseload issues. Metaphors of sport, scales, and war reflected speech-language pathologists' concerns about managing clients efficiently, perceived caseload burdens, and the conflict they experienced when resources were inadequate. These metaphors may also represent a continuum in speech-language pathologists' personal and professional responses to caseload demands. Shared metaphors may contribute to the professional socialization of individuals entering a profession and to changing or maintaining workplace culture. Hence, speech-language pathologists need to consider the impact of using metaphors of sport, measuring scales, and war during interactions with clients and colleagues.

  19. Comparative assessment of the methods for exchangeable acidity measuring

    NASA Astrophysics Data System (ADS)

    Vanchikova, E. V.; Shamrikova, E. V.; Bespyatykh, N. V.; Zaboeva, G. A.; Bobrova, Yu. I.; Kyz"yurova, E. V.; Grishchenko, N. V.

    2016-05-01

    A comparative assessment of the results of measuring the exchangeable acidity and its components by different methods was performed for the main mineral genetic horizons of texturally-differentiated gleyed and nongleyed soddy-podzolic and gley-podzolic soils of the Komi Republic. It was shown that the contents of all the components of exchangeable soil acidity determined by the Russian method (with potassium chloride solution as extractant, c(KCl) = 1 mol/dm3) were significantly higher than those obtained by the international method (with barium chloride solution as extractant, c(BaCl2) = 0.1 mol/dm3). The error of the estimate of the concentration of H+ ions extracted with barium chloride solution equaled 100%, and this allowed only qualitative description of this component of the soil acidity. In the case of the extraction with potassium chloride, the error of measurements was 50%. It was also shown that the use of potentiometric titration suggested by the Russian method overestimates the results of soil acidity measurement caused by the exchangeable metal ions (Al(III), Fe(III), and Mn(II)) in comparison with the atomic emission method.

  20. Comparative assessment of municipal wastewater disposal methods in southeast Florida.

    PubMed

    Bloetscher, Frederick; Englehardt, James D; Chin, David A; Rose, Joan B; Tchobanoglous, George; Amy, Vincent P; Gokgoz, Sinem

    2005-01-01

    A comparative assessment of the risks of three effluent disposal alternatives currently available to wastewater utilities in Southeast Florida is presented in this paper. The alternatives are: deep well injection and ocean outfalls following secondary treatment, and surface water (canal) discharges following secondary wastewater treatment, filtration and nutrient removal. Water quality data, relative to disposal of wastewater treatment plant effluent were gathered, along with water quality data on the receiving waters, from utilities. Comparisons and conclusions regarding potential health concerns associated with the three disposal alternatives are presented. The results indicated that health risks associated with deep wells were generally lower than those of the other two alternatives. The proximity of injection wells to aquifer storage and recovery wells was a determining factor relative to injection well risk. Urban ecological risks were also indicated to be lower, though impacts of urban water use/reuse to the Everglades were not studied. Additional data collection and analysis were recommended to understand the effects of wastewater management on the cycling of water, nutrients and other constituents on southeast Florida. In particular, it was recommended that monitoring of effluents for nitrosamines and pharmaceutically active substances be implemented on a broad scale.

  1. A Framework for Developing Comparable Multilingual Assessments for Minority Populations: Why Context Matters

    ERIC Educational Resources Information Center

    Oliveri, Maria Elena; Ercikan, Kadriye; Simon, Marielle

    2015-01-01

    The assessment of linguistic minorities often involves using multiple language versions of assessments. In these assessments, comparability of scores across language groups is central to valid comparative interpretations. Various frameworks and guidelines describe factors that need to be considered when developing comparable assessments. These…

  2. A comparative assessment of endogenous water institutional change

    NASA Astrophysics Data System (ADS)

    Pande, Saket; Ersten, Maurits

    2013-04-01

    This paper builds the theory of endogenous institutional change, first proposed by Greif and Laitin (2004), for water scarce regions in context of water institutions. The current emphasis on environmental change, including hydrological change, largely ignores the adaptation of human societies to change. Humans have mostly been considered as boundary conditions or parameters of the dynamics of hydrological change and are not considered as conduits of feedbacks. Nonetheless, the dynamical representation of hydrological change with feedbacks between various components of a system is assuring since it is reminiscent of processual ecological anthropology(Orlove, 1980), except that individual decision making is absent. This paper proposes to consider selected dryland basins of the world, to conceptualize proxies of water relevant socio-economic organisation, such as spatial scales of upstream-downstream cooperation in water use, synthesized over time and then proposes a comparative assessment to test regularities predicted by an extension of river game theory (Ambec and Ehlers, 2008; van der Brink et al, 2012) to endogenous institutional change. References: Orlove, B. S. (1980). Ecological Anthropology. Annual Review of Anthropology, Vol. 9 (1980), pp. 235-273. Greif. A. and D. D. Laitin (2004). A Theory of Endogenous Institutional Change. American Political Science Review, Vol. 98, No. 4 November 2004. Ambec, S. and L. Ehlers (2008). Sharing a river amongst satiable agents. Games and Economic Behavior, 64, 35-50. Van der Brink, G. van der Laan and N. Moes (2012). Fair agreements for sharing international rivers with multiple springs and externalities. Journal of Environmental Economics and Management, 63, 388-403.

  3. Educating globally conscious speech-language pathologists for collaborative professional practice.

    PubMed

    McNeilly, Lemmietta G

    2014-01-01

    Speech-language pathologists (SLPs) practicing in the US are facing significant changes in reimbursement, billing and practice in both health care and educational settings. Health care professionals need to convey and demonstrate the value of their services, measure functional patient outcomes and assess patient satisfaction. Documentation procedures for patient and student progress are changing, becoming more abbreviated and electronic. The content of curricula in accredited graduate programs and professional development programs for maintenance of certification for SLPs will need modifications to address the myriad of changes in clinical practice. University programs that design interprofessional education opportunities for students in speech-language pathology programs and educate students in other health professional programs, e.g. physical therapy, occupational therapy, nursing and pharmacy, will help practitioners who are prepared to engage in collaborative practice with other health care professionals in hospitals, schools and community-based environments. The American Speech-Language-Hearing Association (ASHA) is actively engaged in several initiatives to facilitate interprofessional education for graduate students, faculties and practicing professionals. Individuals and families with communication disorders in the US represent an array of cultures, and SLPs need to be prepared to work effectively with individuals from different cultural and linguistic backgrounds.

  4. Group Assessment: Comparing Group and Individual Undergraduate Module Marks

    ERIC Educational Resources Information Center

    Almond, Richard J.

    2009-01-01

    This report describes a small study that analysed module marks of one cohort of science undergraduates from one academic year. It explored how group summative assessment marking affected the overall marks in comparison with individual assessment. A tutor allocated students to mixed ability project groups. Individual marks for the group work…

  5. Comparative risk assessment: an international comparison of methodologies and results.

    PubMed

    Morgenstern, R D; Shih, J; Sessions, S L

    2000-11-03

    Comparative risk assessment (CRA) is a systematic procedure for evaluating the environmental problems affecting a geographic area. This paper looks beyond the U.S. border and examines the experience with CRAs conducted in various developing countries and economies in transition, including Bangkok, Thailand, Cairo, Egypt and Quito, Ecuador, as well as other locations in Eastern Europe, Asia and Central and South America. A recent pilot CRA conducted in Taiwan is also considered. Comparisons are made of both the methodologies and the results across the relatively diverse international literature. The most robust finding is that conventional air pollutants (e.g., particulate matter and lead) consistently rank as high health risks across all of the CRAs examined. Given the varied nature of the settings studied in the CRAs, including level of economic development, urban-rural differences, and climate, this finding is particularly significant. Problems involving drinking water are also ranked as a high or medium health risk in almost all the countries studied. This is consistent with the results of analyses conducted by the World Bank suggesting contamination, limited coverage and erratic service by water supply systems. Beyond the major air pollutants and drinking water, the CRA results diverge significantly across countries. A number of problems involving toxic chemicals, e. g., hazardous air pollutants, rank as high health risks in the US but do not appear as consistent areas of concerns in the other countries studied. This likely reflects the so-called "risk transition" - the shift from sanitation and infection disease problems to those involving industry, vehicles and toxic substances - that often occurs with economic development. It may also reflect the greater information about sources of toxic pollutants in the U.S. For other problems, there are important differences across the developing countries and economies in transition. For example, hazardous and

  6. The ECVP/ESVP summer school in veterinary pathology: high-standard, structured training for young veterinary pathologists.

    PubMed

    Kipar, Anja; Aleksandersen, Mona; Benazzi, Cinzia; Hodge, Thomas; Sukura, Antti; Wyers, Monique

    2007-01-01

    This article describes the ECVP/ESVP Summer School in Veterinary Pathology, a new annual two-week European training facility established by the European College of Veterinary Pathologists (ECVP) in collaboration with the European Society of Veterinary Pathology (ESVP). The aim of the Summer Schools is to provide Europe-wide, harmonized, top-standard theoretical and practical post-graduate training for veterinarians specializing in veterinary pathology. In particular, it aims to support trainees in veterinary pathology in their individual preparation for the ECVP certifying examination. Ultimately, it aims to provide young pathologists with the skills and knowledge necessary to participate in international, high-quality research and the tools for applying international standards to their own research and for independent study for the ECVP certifying examination, even if they do not work in comparable academic environments and do not have the same level of local support and training. The ECVP/ESVP Summer Schools take place in European countries, with local organization from a university department of veterinary pathology. Each event comprises modules provided by internationally recognized specialists in their specific fields of expertise on different organ systems, diseases of specific species, specific techniques, and specific topics relevant to pathology, forming a cycle of four events to cover all major topics. Every two years a mock exam is organized as a tool to monitor individual progress in preparing for the ECVP certifying examination.

  7. Historical perspective and future directions in training of veterinary pathologists with an emphasis on zoo and wildlife species.

    PubMed

    Lowenstine, Linda J; Montali, Richard J

    2006-01-01

    This article discusses the history of the field of zoo and wildlife pathology, training opportunities for veterinary students and graduate veterinarians, and current and future job opportunities. The niches occupied by veterinarians in this field and their contributions to animal and human health are also highlighted. The field of zoo and wildlife, or "non-traditional" species, pathology has its roots in comparative anatomy, zoology, wildlife biology, and medical pathology in the mid- to late nineteenth century. The initial emphasis was on comparisons between animal and human diseases or on management of game animals. Veterinarians became increasingly involved during the twentieth century, gradually changing the emphasis to improvement of conservation strategies, captive care, and elucidation of diseases of concern for the animals themselves. Currently there are several zoos and wildlife agencies in the United States employing full-time veterinary pathologists. Private and government diagnostic laboratories, veterinary schools, and other academic institutions in the United States with pathology departments are other employers. The field requires post-DVM training by means of a residency program leading to board certification, graduate school (MS or PhD degrees), or both. Veterinary students can gain valuable experience in the field through externships and, at some schools, through elective courses in the curriculum. Current concerns about ecosystem health, bioterrorism, and the recognition that captive and free-ranging wildlife can serve as sentinel species will increase the demand for veterinary pathologists choosing this very rewarding career path specializing in non-traditional species.

  8. Speech-language pathologists' informal learning in healthcare settings: behaviours and motivations.

    PubMed

    Walden, Patrick R; Bryan, Valerie C

    2011-08-01

    The current research sought to identify the types of informal learning behaviours speech-language pathologists (SLPs) working in healthcare settings engage in as well as SLPs' motivations for engaging in informal learning. Twenty-four American Speech-Language-Hearing Association (ASHA)-certified SLPs participated in this qualitative study. Data collection consisted of computer-mediated interviews, online journaling, and a virtual focus group. These textual data were coded and collapsed into themes. All participant SLPs reported that they learned through collaboration (inter- and intra-disciplinary), worked with patients to learn through trial-and-error, and consulted non-peer-reviewed material on the internet as well as peer-reviewed research in order to learn informally in the workplace. Eighteen of the 24 participants reported being motivated to learn at work to meet a patient's need to meet therapy goals. Five of the 24 participants reported meeting their own personal learning needs was a motivating factor and 10 of the 24 participants reported learning informally to meet the needs of the healthcare organization/SLP profession. Results were compared to past research on SLPs' information retrieval behaviours. It was concluded that SLPs acknowledge their personal work-related gaps in knowledge and skills and actively seek to develop their knowledge and skill base through informal means.

  9. [Analysis of on-call consultations with clinical pathologists--identification of customer's satisfaction].

    PubMed

    Yanai, M

    2000-09-01

    One aspect whereby effectiveness of clinical pathologists can be measured is customer service and satisfaction. Clinical pathologist should identify their customers, their processes and procedures to meet these needs to the customer's satisfaction. To identify customer's satisfaction, the records of on-call consultations with clinical pathologists were analyzed. Between January 1996 and December 1998, 1327 consultations were recorded, 40% of which were consultations from physicians, 50% from medical technologists. Physicians requested interpretation of laboratory data obtained, and clinical knowledge mainly concerning the microbiology and hematology during office hours. On holidays, physicians needed help performing emergency tests such as Gram stain and Wright-Giemsa stain. During office hours, medical technologists requested clinical information concerning patients in whom unreasonable data would be reported and the contact to the clinical side. Furthermore, technologists inquired about the methodology of laboratory tests during day duty on holidays. These results indicated that the clinical pathologist in our hospital could satisfy the customer(physicians and medical technologists), by providing 1) a wide range of clinical knowledge concerning not only the laboratory medicine but clinical medicine including therapeutics, 2) capability of performing emergency tests such as Gram stain and Wright-Giemsa stain, and 3) capability of interpreting the results obtained. Although these would not be adopted in every hospital, every clinical pathologist should examine his role in the hospital.

  10. [Technical considerations for KRAS testing in colorectal cancer. The pathologist's point of view].

    PubMed

    Bibeau, F; Frugier, H; Denouel, A; Sabourin, J-C; Boissiere-Michot, F

    2009-12-01

    The KRAS status is now a mandatory prerequisite in order to treat metastatic colorectal patients with anti-EGFR (epidermal growth factor receptor) antibodies, such as cetuximab (Erbitux) or panitumumab (Vectibix). KRAS mutations are unambiguously linked to a lack of response to these targeted therapies and to a poor outcome. The optimal determination of the KRAS status should be based on coordination between pathologists and biologists. The pathologist must morphologically check the tumor to be analyzed and be sure that the fixatives used are valuable for molecular biology. The pathologist's involvement may also concern the DNA extraction and the KRAS mutations analyses. This involvement has to be included in a multidisciplinary setting in order to get rapid and robust tests for the clinical use. The imperative knowledge of the KRAS status in the management of metastatic disease represents a good example of this multidisciplinary coordination. In the future, the pathologist's role should be extended, considering the emergence of a more and more personalized medicine, integrating efficiency and cost-effectiveness. Thus, the pathologist may contribute to validate new molecular tests and to offer his specific techniques for translational research.

  11. Capacity to support young low-progress readers at school: experiences of speech-language pathologists.

    PubMed

    Serry, Tanya

    2013-12-01

    There is a complex interplay between expectations for speech-language pathologists based in primary schools to work with low-progress readers and various factors that may preclude this from actually occurring. This qualitative study investigated experiences and perspectives of nine Australian speech-language pathologists based in primary schools about their capacity to work with low-progress readers. Building on previous quantitative research, this study supported a relatively even split of those who do and do not work with such children. Moreover, thematic analysis revealed that speech-language pathologists face many more barriers than facilitators when attempting to become a member of written language support teams within schools. Facilitators included having a personal interest in reading difficulty as well as working in an environment supportive of speech-language pathology input for low-progress readers. Barriers to working with or participating in teams to support low-progress readers involved factors such as time constraints, resistance from educational colleagues, and a theoretical divide about reading difficulty between educators and speech-language pathologists. Suggested strategies to enhance school-based speech-language pathologists' capacity to operate as key supports for struggling readers are discussed. These include approaches such as aiming to create a more transparent role definition, professional advocacy, and increasing interdisciplinary collaborations at schools.

  12. Assessments of direct human exposure: the approach of EU risk assessments compared to scenario-based risk assessment.

    PubMed

    Wormuth, Matthias; Demou, Evangelia; Scheringer, Martin; Hungerbühler, Konrad

    2007-08-01

    The awareness of potential risks emerging from the use of chemicals in all parts of daily life has increased the need for risk assessments that are able to cover a high number of exposure situations and thereby ensure the safety of workers and consumers. In the European Union (EU), the practice of risk assessments for chemicals is laid down in a Technical Guidance Document; it is designed to consider environmental and human occupational and residential exposure. Almost 70 EU risk assessment reports (RARs) have been finalized for high-production-volume chemicals during the last decade. In the present study, we analyze the assessment of occupational and consumer exposure to trichloroethylene and phthalates presented in six EU RARs. Exposure scenarios in these six RARs were compared to scenarios used in applications of the scenario-based risk assessment approach to the same set of chemicals. We find that scenarios used in the selected EU RARs to represent typical exposure situations in occupational or private use of chemicals and products do not necessarily represent worst-case conditions. This can be due to the use of outdated information on technical equipment and conditions in workplaces or omission of pathways that can cause consumer exposure. Considering the need for exposure and risk assessments under the new chemicals legislation of the EU, we suggest that a transparent process of collecting data on exposure situations and of generating representative exposure scenarios is implemented to improve the accuracy of risk assessments. Also, the data sets used to assess human exposure should be harmonized, summarized in a transparent fashion, and made accessible for all risk assessors and the public.

  13. The Problem of Assessing Problem Solving: Can Comparative Judgement Help?

    ERIC Educational Resources Information Center

    Jones, Ian; Inglis, Matthew

    2015-01-01

    School mathematics examination papers are typically dominated by short, structured items that fail to assess sustained reasoning or problem solving. A contributory factor to this situation is the need for student work to be marked reliably by a large number of markers of varied experience and competence. We report a study that tested an…

  14. Peer Review of Assessment Network: Supporting Comparability of Standards

    ERIC Educational Resources Information Center

    Booth, Sara; Beckett, Jeff; Saunders, Cassandra

    2016-01-01

    Purpose: This paper aims to test the need in the Australian higher education (HE) sector for a national network for the peer review of assessment in response to the proposed HE standards framework and propose a sector-wide framework for calibrating and assuring achievement standards, both within and across disciplines, through the establishment of…

  15. Comparing Course Assessments: When Lower Is Higher and Higher, Lower

    ERIC Educational Resources Information Center

    Oliver, Dave; Dobele, Tony; Greber, Myles; Roberts, Tim

    2004-01-01

    This paper describes an exercise in determining the cognitive difficulty of the assessment tasks in six computing courses within an Information Technology (IT) degree, importing Bloom's taxonomy from the field of educational psychology as an analytical framework. Three of the six courses comprise a Programming stream and three a Data…

  16. Comparative assessment of selected PWR auxiliary feedwater system reliability analyses

    SciTech Connect

    Youngblood, R.; Fresco, A.; Papazoglou, I.A.; Tsao, J.

    1985-01-01

    This paper presents a sample of results obtained in reviewing utility submittals of Auxiliary Feedwater System reliability studies. These results are then used to illustrate a few general points regarding such studies. The submittals and reviews for operating license applications are quite significant in that they represent an application of probabilistic risk assessment techniques in the licensing process.

  17. Skewness and Comparability of School Based Continuous Assessment Scores

    ERIC Educational Resources Information Center

    Gbore, Lawrence Olu; Olabode, Abe Thomas; Olufemi, Adodo Sunday

    2011-01-01

    This study examined skewness as means of determining the nature of distribution of school based continuous assessment (SBCA) scores in selected subjects among Secondary Schools in Ondo State, Nigeria, to determine whether or not there is need for moderation of the SBCA Scores. This is an ex-post-facto research design involving no treatment and…

  18. Comparing Assessments within Junior Geography Textbooks Used in Mainland China

    ERIC Educational Resources Information Center

    Yang, Daihu

    2013-01-01

    The 2001 Geography Standards for Junior Secondary Schools are the first national standards for geographic education since the founding of Communist China. The standards heralded several new ideas for geographic education, and textbook assessments are one important way for understanding their impact. This study examines the changes in assessments…

  19. Overview of the laboratory accreditation programme of the College of American Pathologists.

    PubMed

    Abu-Amero, K K

    2002-01-01

    Although Saudi medical laboratories have developed enormously over the past 25 years, the absence of a national body for medical laboratory accreditation has meant the number of accredited laboratories (seven) remains low. Of these, five are accredited by the College of American Pathologists' Laboratory Accreditation Program (LAP)--the 'gold standard' of laboratory accreditation. It requires successful performance in the College of American Pathologists' proficiency testing programme as well as passing on-site inspections carried out by practising laboratory technicians, after which the laboratory is accredited for a 2-year period. This article gives an insight into the current situation of laboratory accreditation in Saudi Arabia and an updated overview of the process involved in obtaining laboratory accreditation from the College of American Pathologists.

  20. [Web-ring of sites for pathologists in the internet: a computer-mediated communication environment].

    PubMed

    Khramtsov, A I; Isianov, N N; Khorzhevskiĭ, V A

    2009-01-01

    The recently developed Web-ring of pathology-related Web-sites has transformed computer-mediated communications for Russian-speaking pathologists. Though the pathologists may be geographically dispersed, the network provides a complex of asynchronous and synchronous conferences for the purposes of diagnosis, consultations, education, communication, and collaboration in the field of pathology. This paper describes approaches to be used by participants of the pathology-related Web-ring. The approaches are analogous to the tools employed in telepathology and digital microscopy. One of the novel methodologies is the use of Web-based conferencing systems, in which the whole slide digital images of tissue microarrays were jointly reviewed online by pathologists at distant locations. By using ImageScope (Aperio Technologies) and WebEx connect desktop management technology, they shared presentations and images and communicated in realtime. In this manner, the Web-based forums and conferences will be a powerful addition to a telepathology.

  1. Device Comparability of Tablets and Computers for Assessment Purposes

    ERIC Educational Resources Information Center

    Davis, Laurie Laughlin; Kong, Xiaojing; McBride, Yuanyuan; Morrison, Kristin M.

    2017-01-01

    The definition of what it means to take a test online continues to evolve with the inclusion of a broader range of item types and a wide array of devices used by students to access test content. To assure the validity and reliability of test scores for all students, device comparability research should be conducted to evaluate the impact of…

  2. Comparative assessment of health and safety impacts of coal use

    SciTech Connect

    Not Available

    1980-03-01

    Increasing the use of coal to replace oil and gas consumption is considered beneficial for economic and political reasons. The evaluation of this report, however, is that the shift to coal can involve significant health, safety, and environmental impacts compared to those from oil and natural gas systems, which are considerably less adverse than those of any coal energy system in use today. An evaluation and comparison of the potential impacts from the various alternative coal technologies would be useful to both governmental and industrial policy planners and would provide them with information relevant to a decision on assistance, incentives, and prioritization among the energy technologies. It is, therefore, the main objective of this report to review the key health, safety, and environmental impacts of some promising coal energy technologies and to compare them.

  3. Comparative Assessment of Advanced Gay Hydrate Production Methods

    SciTech Connect

    M. D. White; B. P. McGrail; S. K. Wurstner

    2009-06-30

    Displacing natural gas and petroleum with carbon dioxide is a proven technology for producing conventional geologic hydrocarbon reservoirs, and producing additional yields from abandoned or partially produced petroleum reservoirs. Extending this concept to natural gas hydrate production offers the potential to enhance gas hydrate recovery with concomitant permanent geologic sequestration. Numerical simulation was used to assess a suite of carbon dioxide injection techniques for producing gas hydrates from a variety of geologic deposit types. Secondary hydrate formation was found to inhibit contact of the injected CO{sub 2} regardless of injectate phase state, thus diminishing the exchange rate due to pore clogging and hydrate zone bypass of the injected fluids. Additional work is needed to develop methods of artificially introducing high-permeability pathways in gas hydrate zones if injection of CO{sub 2} in either gas, liquid, or micro-emulsion form is to be more effective in enhancing gas hydrate production rates.

  4. Diagnosis of Asbestos-Related Diseases: The Mineralogist and Pathologist's Role in Medicolegal Field.

    PubMed

    Capella, Silvana; Bellis, Donata; Belluso, Elena

    2016-03-01

    Because asbestos diseases represent a complex pattern of legal, social, and political issue, the involvement of the mineralogist and pathologist for a multidisciplinary assessment of its diagnosis helps investigate the relationship between mesothelioma or lung cancer and occupational or environmental asbestos exposure.In the present study, we consider the concentrations of asbestos bodies (ABs) detected by optical microscopy (OM) and scanning electron microscopy (SEM) and the burden of different kinds of mineral fibers (among which is asbestos) identified by SEM combined with an energy dispersive spectrometer (EDS), in 10 lung tissue samples of subjects with occupational and nonoccupational exposure to asbestos.In all subjects with occupational exposure to asbestos, more than 1000 ABs per gram of dry weight were detected both with OM and SEM; this concentration is internationally accepted as suggesting high probability of past occupational exposure to asbestos.In 9 lung samples of the 10 investigated by SEM-EDS different inorganic fibers were found. Asbestos fibers have been identified too, and more than 100,000 fibers per gram of dry weight were detected in subjects with occupational exposure; this concentration is internationally accepted as suggesting high probability of past occupational exposure to asbestos.Instead, when the ABs burden is low or moderate (such as in subjects with absent or probable asbestos exposure), the correlation between ABs concentration determined by OM and those determined by SEM is lost. Therefore, when the ABs value in OM is borderline, the SEM investigation became essential. Furthermore, the mineralogical analysis by SEM-EDS (identification and quantification of inorganic fibers in general and asbestos in particular) of the fibers detected in the lung tissues is very useful, if not necessary, to complete the pathological diagnosis of asbestos-related malignancies in medicolegal field.

  5. A Comparative Study on Emerging Electric Vehicle Technology Assessments

    SciTech Connect

    Ford, Jonathan; Khowailed, Gannate; Blackburn, Julia; Sikes, Karen

    2011-03-01

    Numerous organizations have published reports in recent years that investigate the ever changing world of electric vehicle (EV) technologies and their potential effects on society. Specifically, projections have been made on greenhouse gas (GHG) emissions associated with these vehicles and how they compare to conventional vehicles or hybrid electric vehicles (HEVs). Similar projections have been made on the volumes of oil that these vehicles can displace by consuming large amounts of grid electricity instead of petroleum-based fuels. Finally, the projected rate that these new vehicle fleets will enter the market varies significantly among organizations. New ideas, technologies, and possibilities are introduced often, and projected values are likely to be refined as industry announcements continue to be made. As a result, over time, a multitude of projections for GHG emissions, oil displacement, and market penetration associated with various EV technologies has resulted in a wide range of possible future outcomes. This leaves the reader with two key questions: (1) Why does such a collective range in projected values exist in these reports? (2) What assumptions have the greatest impact on the outcomes presented in these reports? Since it is impractical for an average reader to review and interpret all the various vehicle technology reports published to date, Sentech Inc. and the Oak Ridge National Laboratory have conducted a comparative study to make these interpretations. The primary objective of this comparative study is to present a snapshot of all major projections made on GHG emissions, oil displacement, or market penetration rates of EV technologies. From the extensive data found in relevant publications, the key assumptions that drive each report's analysis are identified and 'apples-to-apples' comparisons between all major report conclusions are attempted. The general approach that was taken in this comparative study is comprised of six primary steps: (1

  6. A comparative assessment of waste incinerators in the UK

    SciTech Connect

    Nixon, J.D.; Wright, D.G.; Dey, P.K.; Ghosh, S.K.; Davies, P.A.

    2013-11-15

    Highlights: • We evaluate operational municipal solid waste incinerators in the UK. • The supply chain of four case study plants are examined and compared in detail. • Technical, financial and operational data has been gathered for the four plants. • We suggest the best business practices for waste incinerators. • Appropriate strategy choices are the major difficulties for waste to energy plants. - Abstract: The uptake in Europe of Energy from Waste (EfW) incinerator plants has increased rapidly in recent years. In the UK, 25 municipal waste incinerators with energy recovery are now in operation; however, their waste supply chains and business practices vary significantly. With over a hundred more plant developments being considered it is important to establish best business practices for ensuring efficient environmental and operational performance. By reviewing the 25 plants we identify four suitable case study plants to compare technologies (moving grate, fluidised bed and rotary kiln), plant economics and operations. Using data collected from annual reports and through interviews and site visits we provide recommendations for improving the supply chain for waste incinerators and highlight the current issues and challenges faced by the industry. We find that plants using moving grate have a high availability of 87–92%. However, compared to the fluidised bed and rotary kiln, quantities of bottom ash and emissions of hydrogen chloride and carbon monoxide are high. The uptake of integrated recycling practices, combined heat and power, and post incineration non-ferrous metal collections needs to be increased among EfW incinerators in the UK. We conclude that one of the major difficulties encountered by waste facilities is the appropriate selection of technology, capacity, site, waste suppliers and heat consumers. This study will be of particular value to EfW plant developers, government authorities and researchers working within the sector of waste

  7. Comparative safety assessment of surface versus submarine plutonium shipments

    SciTech Connect

    Knepper, D.S.; Feltus, M.A. )

    1993-01-01

    The recent shipment of plutonium from France to Japan aboard the freighter Akatsuki Maru touched off protests from environmental and antinuclear organizations. These protests arose from the fear of an accidental sinking of the vessel that would release its cargo to the sea, as well as the threat of a terrorist nation highjacking the ship for its cargo to produce atomic weapons. The sinking of a merchant ship is not uncommon, as illustrated by the famous losses of the tankers Amoco Cadiz and Exxon Valdez. The highjacking of a lightly armed freighter such as the Akatsuki Maru is possible and would not be unduly difficult for a well-equipped terrorist nation. The combined threats of weapons proliferation and environmental damage arising from the diversion or destruction of a sea vessel carrying plutonium will continue to abound as the reprocessing of spent nuclear fuel increases. An alternate method for the transportation with reduced risks of both diversion and destruction needs to be developed. The shipment aboard the Akatsuki Maru was originally proposed to be flown from France to Japan over the continental United States. This proposal was rejected by the Reagan administration in 1988. A third alternative to the current ideas of air transport and surface transport is subsurface transport. This research project investigates the transportation of plutonium by submarine and compares it to the current method of transportation by freighter. This analysis involves a study of the military threat to a submarine by a terrorist nation and comparable threat to a surface vessel. To study the nonmilitary aspects of plutonium shipping, a fault-tree evaluation is performed for transportation by submarine and compared with the current risk analysis performed for surface vessels.

  8. Assessing and Comparing Information Security in Swiss Hospitals

    PubMed Central

    Hirschel, Jürg; Schlienger, Thomas; Businger, Walter; Zbinden, Alex M

    2012-01-01

    Background Availability of information in hospitals is an important prerequisite for good service. Significant resources have been invested to improve the availability of information, but it is also vital that the security of this information can be guaranteed. Objective The goal of this study was to assess information security in hospitals through a questionnaire based on the International Organization for Standardization (ISO) and the International Electrotechnical Commission (IEC) standard ISO/IEC 27002, evaluating Information technology – Security techniques – Code of practice for information-security management, with a special focus on the effect of the hospitals’ size and type. Methods The survey, set up as a cross-sectional study, was conducted in January 2011. The chief information officers (CIOs) of 112 hospitals in German-speaking Switzerland were invited to participate. The online questionnaire was designed to be fast and easy to complete to maximize participation. To group the analyzed controls of the ISO/IEC standard 27002 in a meaningful way, a factor analysis was performed. A linear score from 0 (not implemented) to 3 (fully implemented) was introduced. The scores of the hospitals were then analyzed for significant differences in any of the factors with respect to size and type of hospital. The participating hospitals were offered a benchmark report about their status. Results The 51 participating hospitals had an average score of 51.1% (range 30.6% - 81.9%) out of a possible 100% where all items in the questionnaire were fully implemented. Room for improvement could be identified, especially for the factors covering “process and quality management” (average score 1.3 ± 0.8 out of a maximum of 3) and “organization and risk management” (average score 1.3 ± 0.7 out of a maximum of 3). Private hospitals scored significantly higher than university hospitals in the implementation of “security zones” and “backup” (P = .008

  9. Comparative Study of Child Assessment Practices in English and Korean Preschools

    ERIC Educational Resources Information Center

    Nah, Kwi-Ok

    2014-01-01

    Child assessment practices in English and Korean preschools were compared by analysing data from interviews with educators, examples of child assessment, and official documents from each country. Child assessment in England was systematically implemented and characterised by several methodological and procedural strengths, whereas assessment in…

  10. Activities in dementia care: A comparative assessment of activity types.

    PubMed

    Lokon, Elizabeth; Sauer, Philip E; Li, Yue

    2016-12-05

    This exploratory study compares the impact of five activity types on the well-being of institutionalized people with dementia: the intergenerational art program Opening Minds through Art, art and music therapies, creative activities, non-creative activities, and no activities at all. We validated the Scripps Modified Greater Cincinnati Chapter Well-Being Observational Tool, and used that instrument to systematically observe N = 67 people with dementia as they participated in different activity types. People with dementia showed the highest well-being scores during Opening Minds through Art compared to all other activities. No significant well-being differences were found between creative activities led by licensed art/music therapist versus regular activity staff. Furthermore, no significant well-being differences were found between creative and non-creative activities that were both led by regular activity staff. Overall, people with dementia benefit from participating in activities, regardless of the type (creative or non-creative), or who conducts them (licensed therapists or activity staff). However, in order for people with dementia to reach significantly high levels of overall well-being, we recommend that activities are specifically designed for people with dementia and incorporate a 1:1 ratio between people with dementia and well-trained volunteers/staff members.

  11. Comparative toxicology of laboratory organisms for assessing hazardous waste sites

    SciTech Connect

    Miller, W.E.; Peterson, S.A.; Greene, J.C.; Callahan, C.A.

    1985-01-01

    Multi-media/multi-trophic level bioassays have been proposed to determine the extent and severity of environmental contamination at hazardous waste sites. Comparative toxicological profiles for algae (Selenastrum capricornutum), daphnia (Daphnia magna), earthworms (Eisenia foetida), microbes (Photobacterium fisherii, mixed sewage microorganisms) and plants; wheat Stephens, (Triticum aestivum), lettuce, butter crunch, (Lactuca sativa L.) radish, Cherry Belle, (Raphanus sativa L.), red clover, Kenland, (Trifolium pratense L.) and cucumber, Spartan Valor, (Cucumis sativa L.) are presented for selected heavy metals, herbicides and insecticides. Specific chemical EC/sub 50/ values are presented for each test organism. Differences in standard deviations were compared between each individual test organism, as well as for the chemical subgroup assayed. Algae and daphnia are the most sensitive test organisms to heavy metals and insecticides followed in order of decreasing sensitivity by Microtox (Photobacterium fisherii), DO depletion rate, seed germination and earthworms. Higher plants were most sensitive to 2,4-D, (2,4-Dichlorophenoxy acetic acid) followed by algae, Microtox, daphnia and earthworms. Differences in toxicity of 2,4-D chemical formulations and commercial sources of insecticides were observed with algae and daphia tests.

  12. A comparative assessment of waste incinerators in the UK.

    PubMed

    Nixon, J D; Wright, D G; Dey, P K; Ghosh, S K; Davies, P A

    2013-11-01

    The uptake in Europe of Energy from Waste (EfW) incinerator plants has increased rapidly in recent years. In the UK, 25 municipal waste incinerators with energy recovery are now in operation; however, their waste supply chains and business practices vary significantly. With over a hundred more plant developments being considered it is important to establish best business practices for ensuring efficient environmental and operational performance. By reviewing the 25 plants we identify four suitable case study plants to compare technologies (moving grate, fluidised bed and rotary kiln), plant economics and operations. Using data collected from annual reports and through interviews and site visits we provide recommendations for improving the supply chain for waste incinerators and highlight the current issues and challenges faced by the industry. We find that plants using moving grate have a high availability of 87-92%. However, compared to the fluidised bed and rotary kiln, quantities of bottom ash and emissions of hydrogen chloride and carbon monoxide are high. The uptake of integrated recycling practices, combined heat and power, and post incineration non-ferrous metal collections needs to be increased among EfW incinerators in the UK. We conclude that one of the major difficulties encountered by waste facilities is the appropriate selection of technology, capacity, site, waste suppliers and heat consumers. This study will be of particular value to EfW plant developers, government authorities and researchers working within the sector of waste management.

  13. How Effective Are Self- and Peer Assessment of Oral Presentation Skills Compared with Teachers' Assessments?

    ERIC Educational Resources Information Center

    De Grez, Luc; Valcke, Martin; Roozen, Irene

    2012-01-01

    Assessment of oral presentation skills is an underexplored area. The study described here focuses on the agreement between professional assessment and self- and peer assessment of oral presentation skills and explores student perceptions about peer assessment. The study has the merit of paying attention to the inter-rater reliability of the…

  14. Comparative life cycle assessment of standard and green roofs.

    PubMed

    Saiz, Susana; Kennedy, Christopher; Bass, Brad; Pressnail, Kim

    2006-07-01

    Life cycle assessment (LCA) is used to evaluate the benefits, primarily from reduced energy consumption, resulting from the addition of a green roof to an eight story residential building in Madrid. Building energy use is simulated and a bottom-up LCA is conducted assuming a 50 year building life. The key property of a green roof is its low solar absorptance, which causes lower surface temperature, thereby reducing the heat flux through the roof. Savings in annual energy use are just over 1%, but summer cooling load is reduced by over 6% and reductions in peak hour cooling load in the upper floors reach 25%. By replacing the common flat roof with a green roof, environmental impacts are reduced by between 1.0 and 5.3%. Similar reductions might be achieved by using a white roof with additional insulation for winter, but more substantial reductions are achieved if common use of green roofs leads to reductions in the urban heat island.

  15. Comparative assessment of different drought indices across the Mediterranean

    NASA Astrophysics Data System (ADS)

    Giglioni, Michele; Efstratiadis, Andreas; Lombardo, Federico; Napolitano, Francesco; Russo, Fabio

    2016-04-01

    Droughts have become one of the most challenging issues in hydrological sciences due to their major socio-economic impacts all over the world. In the context of the everyday water resources management practice, the identification and evaluation of droughts are mainly based on simplified indices, which are estimated through easily accessible information. In this work, we employ several meteorological indices, i.e. Standardized Precipitation Index (SPI), Standardized Precipitation and Evapotranspiration Index (SPEI), Reconnaissance Drought Index (RDI), Palmer Drought Z Index, and Palmer Drought Severity Index (PDSI), in order to evaluate the severity and duration of the observed drought events. The main purpose of this study is to underline the difference in the onset time of drought, the distance between events, and the discrepancies in the magnitude assessment for the same event. Various temporal aggregation scales, from one month to one year, have been considered in order to investigate the impacts of the adopted time scale on the drought characteristics. Our analysis focuses to the Mediterranean region, using data from Southern Italy and Greece.

  16. Energy forest irrigated with wastewater: a comparative microbial risk assessment.

    PubMed

    Carlander, A; Schönning, C; Stenström, T A

    2009-09-01

    In this study, risks for human infection associated with irrigation of municipal wastewater on short rotation willow coppice (Salix) were evaluated in three countries. The aim was also to determine the reduction of indicator organisms and pathogens in the treatment plants. Two of the field sites were chosen for further evaluation by QMRA (quantitative microbial risk assessment) applied to three scenarios: accidental ingestions of wastewater, exposure to aerosols and ingestion of groundwater. The risks of infection for bacteria (Salmonella), virus (rotavirus) and protozoa (Giardia, Cryptosporidium) were characterised as probability of infections per exposure and number of infections per year.The highest risk for infection was associated with exposure to rotavirus in Culmore (Northern Ireland), by either accidental ingestion of wastewater or ingestion of groundwater (P(inf) 8 x 10(-1)). For Kvidinge (Sweden) the risk for virus infection by ingestion of wastewater were in the same range (P(inf) 7 x 10(-1)). The risk for Giardia infection differed between the two sites due to differences in concentration of this pathogen in the wastewater. The groundwater was found to have suffered faecal contamination due to the wastewater irrigation. Use of partially treated wastewater for irrigation of energy crops could be a sustainable option if site-specific recommendations are developed.

  17. Ethical Perspective on Quality of Care: The Nature of Ethical Dilemmas Identified by New Graduate and Experienced Speech Pathologists

    ERIC Educational Resources Information Center

    Kenny, Belinda J.; Lincoln, Michelle; Blyth, Katrina; Balandin, Susan

    2009-01-01

    Background: Speech pathologists are confronted by ethical issues when they need to make decisions about client care, address team conflict, and fulfil the range of duties and responsibilities required of health professionals. However, there has been little research into the specific nature of ethical dilemmas experienced by speech pathologists and…

  18. Speech-Language Pathologist Job Satisfaction in School versus Medical Settings

    ERIC Educational Resources Information Center

    Kalkhoff, Nicole L.; Collins, Dana R.

    2012-01-01

    Purpose: The goal of this study was to determine if job satisfaction differs between speech-language pathologists (SLPs) working in school settings and SLPs working in medical settings. Method: The Job Satisfaction Survey (JSS) by Spector (1997) was sent via electronic mail to 250 SLPs in each of the 2 settings. Job satisfaction scores were…

  19. Speech-Language Pathologists' Comfort Levels in English Language Learner Service Delivery

    ERIC Educational Resources Information Center

    Kimble, Carlotta

    2013-01-01

    This study examined speech-language pathologists' (SLPs) comfort levels in providing service delivery to English language learners (ELLs) and limited English proficient (LEP) students. Participants included 192 SLPs from the United States and Guam. Participants completed a brief, six-item questionnaire that investigated their perceptions regarding…

  20. Factors Impacting the Employment and Retention of Speech-Language Pathologists in Rural Public Schools.

    ERIC Educational Resources Information Center

    Neeley, Richard A.; And Others

    1994-01-01

    A survey of 169 speech-language pathologists (SLPs) employed in rural public schools examined reasons why SLPs opt to remain in rural settings. Three of the most important reasons for continued employment were related to salary, vacation, and support for continuing education. Includes the questionnaire and response rates. (KS)

  1. Preparing Bilingual Speech-Language Pathologists: The Development of an Innovative Master's Degree Program.

    ERIC Educational Resources Information Center

    Wright-Harp, Wilhelmina; Munoz, Emma

    2000-01-01

    This paper describes the two-year master's degree program for speech-language pathologists with a specialization in bilingualism (Spanish/English) developed at the University of the District of Columbia. First, the article describes the program's curriculum, clinical practicum, recruitment, and retention activities. It then discusses the student…

  2. Speech-Language Pathologists and Autistic Children: What Is Our Role?

    ERIC Educational Resources Information Center

    Prizant, Barry M.

    1982-01-01

    The speech/language pathologist's role in planning and executing a program for autistic children that emphasizes the development of communication and interaction skills is addressed. Journal Availability: American Speech-Language-Hearing Association, 10801 Rockville Pike, Rockville, MD 20852. (SEW)

  3. Facilitating Emergent Literacy: Efficacy of a Model that Partners Speech-Language Pathologists and Educators

    ERIC Educational Resources Information Center

    Girolametto, Luigi; Weitzman, Elaine; Greenberg, Janice

    2012-01-01

    Purpose: This study examined the efficacy of a professional development program for early childhood educators that facilitated emergent literacy skills in preschoolers. The program, led by a speech-language pathologist, focused on teaching alphabet knowledge, print concepts, sound awareness, and decontextualized oral language within naturally…

  4. Identifying Culturally Competent Clinical Skills in Speech-Language Pathologists in the Central Valley of California

    ERIC Educational Resources Information Center

    Maul, Christine A.

    2010-01-01

    The purpose of this research was to identify specific clinical skills in speech-language pathologists (SLPs) that may constitute cultural competency, a term which currently lacks operational definition. Through qualitative interview methods, the following research questions were addressed: (1) What dominant themes, if any, can be found in SLPs'…

  5. Autism Spectrum Disorders: Experience, Training, and Confidence Levels of School-Based Speech-Language Pathologists

    ERIC Educational Resources Information Center

    Plumb, Allison M.; Plexico, Laura W.

    2013-01-01

    Purpose: To investigate the graduate training experiences of school-based speech-language pathologists (SLPs) working with children with autism spectrum disorders (ASDs). Comparisons were made between recent graduates (post 2006) and pre-2006 graduates to determine if differences existed in their academic and clinical experiences or their…

  6. Dysphagic Independent Feeders' Justifications for Noncompliance with Recommendations by a Speech-Language Pathologist

    ERIC Educational Resources Information Center

    Colodny, Nancy

    2005-01-01

    The purpose of this study was to examine the various ways in which independent-feeding patients with dysphagia justified their noncompliance with swallowing recommendations suggested by a speech-language pathologist (SLP). Sixty-three independent-feeding dysphagia patients between the ages of 65 and 100 years who had been identified by the SLP or…

  7. School-Based Speech-Language Pathologists' Perspectives on Dysphagia Management in the Schools

    ERIC Educational Resources Information Center

    Bailey, Rita L.; Stoner, Julia B.; Angell, Maureen E.; Fetzer, Alycia

    2008-01-01

    Purpose: Although provision of dysphagia services is within the scope of practice of speech-language pathologists (SLPs), little is known about the perspectives of school-based SLPs in relation to these services. The purpose of this study was to examine SLPs' perspectives related to school-based management of students with dysphagia. Method: Focus…

  8. An Introduction to Item Response Theory and Rasch Models for Speech-Language Pathologists

    ERIC Educational Resources Information Center

    Baylor, Carolyn; Hula, William; Donovan, Neila J.; Doyle, Patrick J.; Kendall, Diane; Yorkston, Kathryn

    2011-01-01

    Purpose: To present a primarily conceptual introduction to item response theory (IRT) and Rasch models for speech-language pathologists (SLPs). Method: This tutorial introduces SLPs to basic concepts and terminology related to IRT as well as the most common IRT models. The article then continues with an overview of how instruments are developed…

  9. Automated Detection of Heuristics and Biases among Pathologists in a Computer-Based System

    ERIC Educational Resources Information Center

    Crowley, Rebecca S.; Legowski, Elizabeth; Medvedeva, Olga; Reitmeyer, Kayse; Tseytlin, Eugene; Castine, Melissa; Jukic, Drazen; Mello-Thoms, Claudia

    2013-01-01

    The purpose of this study is threefold: (1) to develop an automated, computer-based method to detect heuristics and biases as pathologists examine virtual slide cases, (2) to measure the frequency and distribution of heuristics and errors across three levels of training, and (3) to examine relationships of heuristics to biases, and biases to…

  10. Guidelines for the Roles and Responsibilities of the School-Based Speech-Language Pathologist.

    ERIC Educational Resources Information Center

    American Speech-Language-Hearing Association, Rockville, MD.

    These guidelines are an official statement of the American Speech-Language-Hearing Association (ASHA) that address the official roles and responsibilities of school-based speech-language pathologists. Chapter 1 outlines the guiding principles that underlie the development of the document, provides federal and global definitions of speech-language…

  11. Familiarity Breeds Support: Speech-Language Pathologists' Perceptions of Bullying of Students with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Blood, Gordon W.; Blood, Ingrid M.; Coniglio, Amy D.; Finke, Erinn H.; Boyle, Michael P.

    2013-01-01

    Children with autism spectrum disorders (ASD) are primary targets for bullies and victimization. Research shows school personnel may be uneducated about bullying and ways to intervene. Speech-language pathologists (SLPs) in schools often work with children with ASD and may have victims of bullying on their caseloads. These victims may feel most…

  12. Bullying in Children Who Stutter: Speech-Language Pathologists' Perceptions and Intervention Strategies

    ERIC Educational Resources Information Center

    Blood, Gordon W.; Boyle, Michael P.; Blood, Ingrid M.; Nalesnik, Gina R.

    2010-01-01

    Bullying in school-age children is a global epidemic. School personnel play a critical role in eliminating this problem. The goals of this study were to examine speech-language pathologists' (SLPs) perceptions of bullying, endorsement of potential strategies for dealing with bullying, and associations among SLPs' responses and specific demographic…

  13. Pharmacotherapy and Children with Autism Spectrum Disorder: A Tutorial for Speech-Language Pathologists

    ERIC Educational Resources Information Center

    Self, Trisha L.; Hale, LaDonna S.; Crumrine, Daiquirie

    2010-01-01

    Purpose: The purpose of this tutorial is to provide speech-language pathologists (SLPs) with general information regarding the most commonly prescribed medications for children with autism spectrum disorder (ASD; e.g., central nervous system stimulants, noradrenergic reuptake inhibitors, alpha-2 adrenergic agonists, antipsychotics,…

  14. Developing Educationally Relevant IEPs: A Technical Assistance Document for Speech-Language Pathologists.

    ERIC Educational Resources Information Center

    Brannen, Susan J.; Cooper, Eugene B.; Dellegrotto, John T.; Disney, Sarah T.; Eger, Diane L.; Ehren, Barbara J.; Ganley, Kimberly A.; Isakson, Carolyn W.; Montgomery, Judith K.; Ralabate, Patricia K.; Secord, Wayne A.; Whitmire, Kathleen A.

    This document provides information, based on the final Part B regulations implementing statutory changes made by the Individuals with Disabilities Education Act (IDEA) of 1997, which will assist speech-language pathologists in their role in developing Individualized Education Programs (IEPs) as IEP team members and in implementing those portions…

  15. Society of Toxicologic Pathologists (STP) Annual Symposium General Session II: Modem Pathology Methods for Neural Investigations

    EPA Science Inventory

    This half-day session at the 20I0 Joint Symposium of the Society of Toxicologic Pathology (STP) and the International Federation of Societies of Toxicologic Pathologists (IFSTP) explored many deceptively simple questions related to toxicologic neuropathology. What is the best met...

  16. Korean Speech-Language Pathologists' Attitudes toward Stuttering According to Clinical Experiences

    ERIC Educational Resources Information Center

    Lee, Kyungjae

    2014-01-01

    Background: Negative attitudes toward stuttering and people who stutter (PWS) are found in various groups of people in many regions. However the results of previous studies examining the influence of fluency coursework and clinical certification on the attitudes of speech-language pathologists (SLPs) toward PWS are equivocal. Furthermore, there…

  17. A Study of Job Satisfaction Correlates among Urban School Speech Language Pathologists

    ERIC Educational Resources Information Center

    Maxie-Brown, Gwendolyn J.

    2011-01-01

    The purpose of this study was to examine relationships between the job satisfaction of speech language pathologists (SLPs) and self-efficacy, work relationships and two components of job performance: teacher judgments of student improvement and supervisor ratings of teacher efficiency. It was hypothesized that each of the variables would be…

  18. Training and Knowledge in Autism among Speech-Language Pathologists: A Survey

    ERIC Educational Resources Information Center

    Schwartz, Heatherann; Drager, Kathryn D. R.

    2008-01-01

    Purpose: The current study was designed to answer the following questions: (a) What knowledge do school-based speech-language pathologists (SLPs) have concerning autism? (b) What educational and clinical training do SLPs receive in autism? (c) Do SLPs have confidence in their ability to provide services to children with autism and their families?…

  19. Voice Disorder Management Competencies: A Survey of School-Based Speech-Language Pathologists in Nebraska

    ERIC Educational Resources Information Center

    Teten, Amy F.; DeVeney, Shari L.; Friehe, Mary J.

    2016-01-01

    Purpose: The purpose of this survey was to determine the self-perceived competence levels in voice disorders of practicing school-based speech-language pathologists (SLPs) and identify correlated variables. Method: Participants were 153 master's level, school-based SLPs with a Nebraska teaching certificate and/or licensure who completed a survey,…

  20. Stakeholder assessment of comparative effectiveness research needs for Medicaid populations.

    PubMed

    Fischer, Michael A; Allen-Coleman, Cora; Farrell, Stephen F; Schneeweiss, Sebastian

    2015-09-01

    Patients, providers and policy-makers rely heavily on comparative effectiveness research (CER) when making complex, real-world medical decisions. In particular, Medicaid providers and policy-makers face unique challenges in decision-making because their program cares for traditionally underserved populations, especially children, pregnant women and people with mental illness. Because these patient populations have generally been underrepresented in research discussions, CER questions for these groups may be understudied. To address this problem, the Agency for Healthcare Research and Quality commissioned our team to work with Medicaid Medical Directors and other stakeholders to identify relevant CER questions. Through an iterative process of topic identification and refinement, we developed relevant, feasible and actionable questions based on issues affecting Medicaid programs nationwide. We describe challenges and limitations and provide recommendations for future stakeholder engagement.

  1. Comparative assessment of three-phase oil relative permeability models

    NASA Astrophysics Data System (ADS)

    Ranaee, Ehsan; Riva, Monica; Porta, Giovanni M.; Guadagnini, Alberto

    2016-07-01

    We assess the ability of 11 models to reproduce three-phase oil relative permeability (kro) laboratory data obtained in a water-wet sandstone sample. We do so by considering model performance when (i) solely two-phase data are employed to render predictions of kro and (ii) two and three-phase data are jointly used for model calibration. In the latter case, a Maximum Likelihood (ML) approach is used to estimate model parameters. The tested models are selected among (i) classical models routinely employed in practical applications and implemented in commercial reservoir software and (ii) relatively recent models which are considered to allow overcoming some drawbacks of the classical formulations. Among others, the latter set of models includes the formulation recently proposed by Ranaee et al., which has been shown to embed the critical effects of hysteresis, including the reproduction of oil remobilization induced by gas injection in water-wet media. We employ formal model discrimination criteria to rank models according to their skill to reproduce the observed data and use ML Bayesian model averaging to provide model-averaged estimates (and associated uncertainty bounds) of kro by taking advantage of the diverse interpretive abilities of all models analyzed. The occurrence of elliptic regions is also analyzed for selected models in the framework of the classical fractional flow theory of displacement. Our study confirms that model outcomes based on channel flow theory and classical saturation-weighted interpolation models do not generally yield accurate reproduction of kro data, especially in the regime associated with low oil saturations, where water alternating gas injection (WAG) techniques are usually employed for enhanced oil recovery. This negative feature is not observed in the model of Ranaee et al. (2015) due to its ability to embed key effects of pore-scale phase distributions, such as hysteresis effects and cycle dependency, for modeling kro observed

  2. Assessment of cognition in mild cognitive impairment: A comparative study

    PubMed Central

    Snyder, Peter J.; Jackson, Colleen E.; Petersen, Ronald C.; Khachaturian, Ara S.; Kaye, Jeffrey; Albert, Marilyn S.; Weintraub, Sandra

    2014-01-01

    The demand for rapidly administered, sensitive, and reliable cognitive assessments that are specifically designed for identifying individuals in the earliest stages of cognitive decline (and to measure subtle change over time) has escalated as the emphasis in Alzheimer’s disease clinical research has shifted from clinical diagnosis and treatment toward the goal of developing presymptomatic neuroprotective therapies. To meet these changing clinical requirements, cognitive measures or tailored batteries of tests must be validated and determined to be fit-for-use for the discrimination between cognitively healthy individuals and persons who are experiencing very subtle cognitive changes that likely signal the emergence of early mild cognitive impairment. We sought to collect and review data systematically from a wide variety of (mostly computer-administered) cognitive measures, all of which are currently marketed or distributed with the claims that these instruments are sensitive and reliable for the early identification of disease or, if untested for this purpose, are promising tools based on other variables. The survey responses for 16 measures/batteries are presented in brief in this review; full survey responses and summary tables are archived and publicly available on the Campaign to Prevent Alzheimer’s Disease by 2020 Web site (http://pad2020.org). A decision tree diagram highlighting critical decision points for selecting measures to meet varying clinical trials requirements has also been provided. Ultimately, the survey questionnaire, framework, and decision guidelines provided in this review should remain as useful aids for the evaluation of any new or updated sets of instruments in the years to come. PMID:21575877

  3. A comparative toxicity assessment of materials used in aquatic construction.

    PubMed

    Lalonde, Benoit A; Ernst, William; Julien, Gary; Jackman, Paula; Doe, Ken; Schaefer, Rebecca

    2011-10-01

    Comparative toxicity testing was performed on selected materials that may be used in aquatic construction projects. The tests were conducted on the following materials: (1) untreated wood species (hemlock [Tsuga ssp], Western red cedar (Thuja plicata), red oak [Quercus rubra], Douglas fir [Pseudotsuga menziesii], red pine [Pinus resinosa], and tamarack [Larix ssp]); (2) plastic wood; (3) Ecothermo wood hemlock stakes treated with preservatives (e.g., chromated copper arsenate [CCA], creosote, alkaline copper quaternary [ACQ], zinc naphthenate, copper naphthenate, and Lifetime Wood Treatment); (4) epoxy-coated steel; (5) hot-rolled steel; (6) zinc-coated steel; and (7) concrete. Those materials were used in acute lethality tests with rainbow trout, Daphnia magna, Vibrio fischeri and threespine stickleback. The results indicated the following general ranking of the materials (from the lowest to highest LC(50) values); ACQ > creosote > zinc naphthenate > copper naphthenate > CCA (treated at 22.4 kg/m(3)) > concrete > red pine > western red cedar > red oak > zinc-coated steel > epoxy-coated steel > CCA (6.4 kg/m(3)). Furthermore, the toxicity results indicated that plastic wood, certain untreated wood species (hemlock, tamarack, Douglas fir, and red oak), hot-rolled steel, Ecothermo wood, and wood treated with Lifetime Wood Treatment were generally nontoxic to the test species.

  4. Climate change mitigation: comparative assessment of Malaysian and ASEAN scenarios.

    PubMed

    Rasiah, Rajah; Ahmed, Adeel; Al-Amin, Abul Quasem; Chenayah, Santha

    2017-01-01

    This paper analyses empirically the optimal climate change mitigation policy of Malaysia with the business as usual scenario of ASEAN to compare their environmental and economic consequences over the period 2010-2110. A downscaling empirical dynamic model is constructed using a dual multidisciplinary framework combining economic, earth science, and ecological variables to analyse the long-run consequences. The model takes account of climatic variables, including carbon cycle, carbon emission, climatic damage, carbon control, carbon concentration, and temperature. The results indicate that without optimal climate policy and action, the cumulative cost of climate damage for Malaysia and ASEAN as a whole over the period 2010-2110 would be MYR40.1 trillion and MYR151.0 trillion, respectively. Under the optimal policy, the cumulative cost of climatic damage for Malaysia would fall to MYR5.3 trillion over the 100 years. Also, the additional economic output of Malaysia will rise from MYR2.1 billion in 2010 to MYR3.6 billion in 2050 and MYR5.5 billion in 2110 under the optimal climate change mitigation scenario. The additional economic output for ASEAN would fall from MYR8.1 billion in 2010 to MYR3.2 billion in 2050 before rising again slightly to MYR4.7 billion in 2110 in the business as usual ASEAN scenario.

  5. Probabilistic risk assessment for comparative evaluation of security features

    NASA Astrophysics Data System (ADS)

    Saksena, Anshu; Lucarelli, Dennis

    2004-06-01

    A systematic approach for comparing the effectiveness of counterfeit deterrence features in banknotes, credit cards, digital media, etc. was previously presented. That approach built a probabilistic model around the expert identification of the most efficient process by which a counterfeiter can gain sufficient information to replicate a particular feature. We have extended the scope and functionality of that approach to encompass the entire counterfeiting process from the learning phase to the production of counterfeits. The extended approach makes determining the probabilities more straightforward by representing a more detailed model of the counterfeiting process, including many probable counterfeiting scenarios rather than just representing the least costly successful scenario. It uses the counterfeiter's probability of succeeding and level of effort as metrics to perform feature comparisons. As before, these metrics are evaluated for a security feature and presented in a way that facilitates comparison with other security features similarly evaluated. Based on this representation, the cost and laboratory procedures necessary for succeeding may be recovered by a dynamic programming technique. This information may be useful in forensic profiling of potential counterfeiters.

  6. Comparative Performance Assessment For Central Receiver CPV Systems

    NASA Astrophysics Data System (ADS)

    Lasich, John B.; Thomas, Ian; Verlinden, Pierre J.; Lewandowski, Allan; Heartag, Wolfgang; Wright, Mark

    2011-12-01

    A Central receiver Concentrating PV (C2PV) system has the potential to be the optimum solar energy generation system for utility scale because it combines the high efficiency of CPV with the low cost of a heliostat collector. Due to the off axis nature of a heliostat central receiver concentrator a cosine efficiency loss is incurred and, unlike `normal' tracking CPV lens and dish systems, the optical performance varies with time and site latitude. To investigate the optical performance of a C2PV system a ray trace model has been developed and the performance of a representative C2PV system is modelled throughout the year and at different site latitudes. The cosine loss and latitude dependence are put into perspective by calculating the annual average optical efficiency and testing its sensitivity to variations in site latitude. These values are then used to estimate a system performance by applying efficiencies for solar cell, balance of system and operational factors. This system efficiency is finally compared to published data for `normal' tracking CPV dish and lens systems. Modelled annual average AC system efficiency for the C2PV system was calculated to be 21% at 40° latitude and 19% at 15° latitude. These annual average AC system efficiencies are shown to be similar to those reported for typical dish and lens CPV systems when they are adjusted to use a total collector area baseline.

  7. The international criminal tribunal for the former Yugoslavia (ICTY) and the forensic pathologist: ethical considerations.

    PubMed

    Lorin de la Grandmaison, G; Durigon, M; Moutel, G; Herve, C

    2006-07-01

    Since 1991, war crimes in the former Yugoslavia have been the subject of several international medico-legal investigations of mass graves within the framework of inquiries led by the International Criminal Tribunal for the former Yugoslavia (ICTY). Forensic pathologists involved in the ICTY missions could be subjected to ethical tensions due to the difficulties of the missions, the emergent conflicts between forensic scientists of the investigating teams and the original nature of the ICTY proceedings. In order to study the nature of such ethical tensions, we sent a questionnaire to 65 forensic pathologists who have been involved in the ICTY missions. The rate of response was 38%. The majority of forensic pathologists questioned (n=18) did not know how the medico-legal data was exploited by the ICTY. Three of them have been subjected to pressures. Three of them were aware of mass grave sites knowingly not investigated by the ICTY. Fifteen considered that the ICTY respected the elementary rules of the law and four of them questioned the impartiality of the justice led by the ICTY. Two conflicting types of ethics can be drawn from these results: conviction ethics, which are shared by most of the forensic pathologists questioned, and responsibility ethics. In the former, the forensic pathologist completely agrees with the need for an international war crimes tribunal, even if such justice can be challenged regarding the respect of human rights and impartiality. In the latter, he or she needs to conduct him or herself in ways that do not infringe impartiality. As medical deontology duty requires impartiality ethics, discursive ethics are needed to ease ethical tensions and to suggest ethical guidelines. Alternatives to international justice, through a truth and reconciliation commission and by way of humanitarian missions combining victims' identification with forensic investigations for historical purposes, could be considered.

  8. Assessing The Anthropocene In The Context Of Comparative Planetology.

    NASA Astrophysics Data System (ADS)

    Grinspoon, D. H.

    2012-12-01

    of the fourth kind": intentional change. We are arguably approaching a branching point, where we will either become masters of our world or victims of our own success. Most likely this is a common experience of intelligent life developing technologically elsewhere in the universe, because regardless of specific evolutionary, cultural and technological paths, life will evolve by Darwinian evolution and therefore will inherit a biological imperative to multiply and maximize survival. Planets are finite and thus analogous developments will lead to a collision between technological survival strategies that are successful on limited temporal and spatial scales, and unforeseen long-term global consequences. The nature and prevalence of intelligent life in the universe will be shaped by how civilizations respond to this challenge, and future observations of exoplanets may reveal the global signatures of proto-intelligent or intelligent life. In addition to comparing the current rapid transformations of the Earth system to changes in our planet's past, some context for the Anthropocene can be gained by comparison with catastrophic changes on other planets. I will compare the rate, magnitude and duration of the Anthropocene with known and hypothesized catastrophic changes on other planets, including the loss of oceans and global resurfacing on Venus, global desiccation and quasi-periodic climate change on Mars, and the end-Cretaceous impact catastrophe on Earth.

  9. Comparative assessment of water treatment using polymeric and inorganic coagulants

    NASA Astrophysics Data System (ADS)

    Manda, Innocent K. M.; Chidya, Russel C. G.; Saka, John D. K.; Biswick, Timothy T.

    2016-06-01

    Portable water plays a vital role in improving human life, particularly in controlling the spread of diseases. However, problems associated with lack of potable water are still common especially in developing countries including Malawi. Until now little information exists on the effectiveness of available commercial coagulants used by national water boards in Malawi. Therefore, this study was undertaken in Southern Region Water Board (SRWB) to investigate the efficiency of polymeric coagulants (sufdfloc 3850 and algaefloc 19s) in turbidity reduction comparative with inorganic coagulant (aluminium sulphate) at Zomba, Liwonde, Mangochi, Chikwawa and Mulanje Treatment plants. The jar test method was used to determine the effectiveness of the water coagulants. The results revealed that sudfloc 3850 was most effective in reducing turbidity at Mangochi (99.4 ± 0.06%) and Liwonde (97.2 ± 0.04%) using 0.4 mg L-1 flocculant dose. The Zomba, Mulanje and Chikwawa plants gave 19.56 ± 0.03%, 29.23 ± 0.02% and 9.43 ± 0.02% total reductions respectively. Algaefloc 19s afforded the highest turbidity reduction at Liwonde and Mangochi plants (98.66 ± 0.06 and 97.48 ± 0.05% at a dose of 0.4 and 0.6 mg L-1 respectively), while Chikwawa provided the lowest (9.52 ± 0.01%). At the Zomba and Mulanje plants 20.5 ± 0.03% and 28.4 ± 0.04% reductions were obtained respectively. The inorganic flocculant, alum provided a 99.0 ± 0.05% and 98.6 ± 0.04% reduction at a dose of 4.0 mg L-1 and 6.0 mg L-1 at Zomba and Liwonde plants respectively. The lowest reductions in turbidity were achieved at Chikwawa (7.50 ± 0.01%), Mangochi (12.97 ± 0.02%) and Mulanje (25.00 ± 0.02). The best and optimum pH ranges for polymeric and inorganic coagulants were 7.20-7.80 and 7.35 to 7.57 respectively. The results further revealed that sudfloc 3850 and algaefloc 19s achieved faster formation of heavy flocs than alum. At 0.4 mg L-1 flocculant dosage sudfloc 3850 and algaefloc 19s required ten times

  10. Comparing Yes/No Angoff and Bookmark Standard Setting Methods in the Context of English Assessment

    ERIC Educational Resources Information Center

    Hsieh, Mingchuan

    2013-01-01

    The Yes/No Angoff and Bookmark method for setting standards on educational assessment are currently two of the most popular standard-setting methods. However, there is no research into the comparability of these two methods in the context of language assessment. This study compared results from the Yes/No Angoff and Bookmark methods as applied to…

  11. Comparing Sex Offender Risk Classification Using the Static-99 and LSI-R Assessment Instruments

    ERIC Educational Resources Information Center

    Gentry, Amanda L.; Dulmus, Catherine N.; Theriot, Matthew T.

    2005-01-01

    Objective: This study compares sex offender risk classification using two popular actuarial risk assessment instruments--the Static-99 and the Level of Service Inventory-Revised (LSI-R). Despite their extensive use, the two scales assess different types of risk factors and research has yet to compare them. Method: Static-99 and LSI-R risk…

  12. On the Comparative Impact of Self-Assessment and Teacher-Assessment on Iranian EFL Learners' Academic Motivation

    ERIC Educational Resources Information Center

    Salimi, Asghar; Larsari, Vahid Nowrozi

    2015-01-01

    Nowadays, the function of language teaching and testing has been paid much attention by researchers. There is an overall notion in the literature that motivation, as driving force, is one of the likely learners' traits. The aim of this study was to examine the comparative impact of self-assessment and teacher-assessment on learners' academic…

  13. Accuracy is in the eyes of the pathologist: The visual interpretive process and diagnostic accuracy with digital whole slide images.

    PubMed

    Brunyé, Tad T; Mercan, Ezgi; Weaver, Donald L; Elmore, Joann G

    2017-02-01

    Digital whole slide imaging is an increasingly common medium in pathology, with application to education, telemedicine, and rendering second opinions. It has also made it possible to use eye tracking devices to explore the dynamic visual inspection and interpretation of histopathological features of tissue while pathologists review cases. Using whole slide images, the present study examined how a pathologist's diagnosis is influenced by fixed case-level factors, their prior clinical experience, and their patterns of visual inspection. Participating pathologists interpreted one of two test sets, each containing 12 digital whole slide images of breast biopsy specimens. Cases represented four diagnostic categories as determined via expert consensus: benign without atypia, atypia, ductal carcinoma in situ (DCIS), and invasive cancer. Each case included one or more regions of interest (ROIs) previously determined as of critical diagnostic importance. During pathologist interpretation we tracked eye movements, viewer tool behavior (zooming, panning), and interpretation time. Models were built using logistic and linear regression with generalized estimating equations, testing whether variables at the level of the pathologists, cases, and visual interpretive behavior would independently and/or interactively predict diagnostic accuracy and efficiency. Diagnostic accuracy varied as a function of case consensus diagnosis, replicating earlier research. As would be expected, benign cases tended to elicit false positives, and atypia, DCIS, and invasive cases tended to elicit false negatives. Pathologist experience levels, case consensus diagnosis, case difficulty, eye fixation durations, and the extent to which pathologists' eyes fixated within versus outside of diagnostic ROIs, all independently or interactively predicted diagnostic accuracy. Higher zooming behavior predicted a tendency to over-interpret benign and atypia cases, but not DCIS cases. Efficiency was not predicted

  14. [BRCA1 and BRCA2 - pathologists starting kit].

    PubMed

    Škapa, Petr

    2016-01-01

    Dysfunction of tumor suppressor genes BRCA1 and BRCA2 is involved in the pathogenesis of malignant tumors, especially breast and ovarian carcinoma. BRCA1/2 genes may be inactivated by germinal and somatic mutations or epigenetic changes. Germinal mutations are responsible for the hereditary breast and ovarian carcinoma syndrome. Defects of BRCA1/2 genes lead to the failure of homologous recombination, the basic mechanism for DNA double strand break repair. The resultant genomic instability is associated with a high risk of malignant transformation of the cell, but it also results in a higher sensitivity of tumors to platinum-based chemotherapeutic compounds which damage DNA structure directly. Inhibitors of poly(ADP-ribose) polymerase (PARP) are the next generation of antitumor agents aimed on the suppression of DNA single strand break repair. In homologous recombination deficient tumors, PARP inhibitors lead to accumulation of DNA damage and death of neoplastic cells through the mechanism of synthetic lethality. Platinum-based agents and PARP inhibitors are effective not only against tumors with germinal and somatic BRCA1/2 mutations but also against sporadic carcinomas with epigenetic BRCA1/2 inactivation or with defects of other independent genes involved in the control of homologous recombination. This phenomenon is represented by the term "BRCAness". Mutational analysis is used for the assessment of BRCA1/2 status, but it is complicated by the prominent length of BRCA1/2 genes and a wide spectrum of possible genetic alterations. Therefore, next generation sequencing seems to represent an optimal approach for BRCA1/2 evaluation nowadays. Development of reliable diagnostic tests for BRCAness in sporadic tumors and efforts to reverse platinum and PARP inhibitors resistance represent the key objectives of the forthcoming research.

  15. Development and validation of an instrument to measure occupational stress in speech-language pathologists.

    PubMed

    Fimian, M J; Lieberman, R J; Fastenau, P S

    1991-04-01

    The Speech-Language Pathologist Stress Inventory (SLPSI) is a 48-item questionnaire adapted from the Teacher Stress Inventory (Fimian, 1988). Factor analyses of the responses of 626 speech-language pathologists revealed four stress source factors (Bureaucratic Restrictions, Time and Workload Management, Lack of Professional Supports, and Instructional Limitations) and two stress manifestation factors (Emotional-Fatigue Manifestations and Biobehavioral Manifestations). The internal consistency reliability of scales based on these factors ranged from .71 to .87, with .93 for the entire scale. Evidence for construct validity was found in moderate positive correlations between the scales of the SLPSI and the scales of the Maslach Burnout Inventory (MBI) (Maslach & Jackson, 1986). Stress and burnout subscale intercorrelations ranged from .10 to .82 (p less than .01), and the correlation between stress strength and burnout frequency was .66 (p less than .001).

  16. The role of the pathologist in environmental medicine and public health.

    PubMed Central

    Higginson, J.

    1977-01-01

    The present paper summarizes the role of the morbid anatomist and clinical pathologist in environmental carcinogenesis. It points out that in the past he has contributed considerably to the identification of rare tumors and their etiology. He has an important role to play in the future in providing more accurate data on which epidemiology studies can be developed. The view is also expressed that it is highly important that modern pathologists have an understanding of toxicologic and pharmacologic techniques and their potential application to biologic material in order that they may be in a position to correlate and develop multidisciplinary approaches to the identification of environmental hazards. Some of these approaches are illustrated and their potential developments outlined. PMID:836677

  17. Host response in tumor diagnosis and prognosis: importance of immunologists and pathologists alliance.

    PubMed

    Finn, Olivera J

    2012-12-01

    Pathologists and immunologists have collaborated over many years in their efforts to understand and properly diagnose cancer. The ability of pathologists to correctly diagnose this disease was facilitated by the development of immunohistology that utilized specificity of antibodies to distinguish between normal cells and cancer cells. Further boost was provided through the advent of monoclonal antibodies. The two disciplines are now together on the brink of a paradigm shift resulting from a better understanding of the importance for cancer diagnosis and prognosis to consider not only the characteristics of the cancer cells, but also the cancer microenvironment reflecting the host response to the disease. This new immunology and pathology alliance named "Immunoscore" will advance research in both disciplines as well as benefit patients.

  18. Models of phonology in the education of speech-language pathologists.

    PubMed

    Nelson, Ryan; Ball, Martin J

    2003-01-01

    We discuss developments in theoretical phonology and, in particular, at the divide between theories aiming to be adequate accounts of the data, as opposed to those claiming psycholinguistic validity. It would seem that the latter might have greater utility for thye speech-language pathologist. However, we need to know the dominant models of clinical phonology, in both clinical education and practise, before we can promote other theoretical approaches. This article describes preliminary results from a questionnaire designed to discover what models of phonology are taught in institutions training speech-language pathologists in the United States. Results support anecdotal evidence that only a limited number of approaches (phonemic, distinctive features, and processes) are taught in many instances. They also demonstrate that some correspondents were unable to distinguish aspects of theoretical phonology from similar sounding (but radically different) models of intervention. This ties in with the results showing that some instructors of phonology courses have little or no background in the subject.

  19. The role of the pathologist in tissue banking: European Consensus Expert Group Report.

    PubMed

    Bevilacqua, Generoso; Bosman, Fred; Dassesse, Thibaut; Höfler, Heinz; Janin, Anne; Langer, Rupert; Larsimont, Denis; Morente, Manuel M; Riegman, Peter; Schirmacher, Peter; Stanta, Giorgio; Zatloukal, Kurt; Caboux, Elodie; Hainaut, Pierre

    2010-04-01

    Human tissue biobanking encompasses a wide range of activities and study designs and is critical for application of a wide range of new technologies (-"omics") to the discovery of molecular patterns of disease and for implementation of novel biomarkers into clinical trials. Pathology is the cornerstone of hospital-based tissue biobanking. Pathologists not only provide essential information identifying the specimen but also make decisions on what should be biobanked, making sure that the timing of all operations is consistent with both the requirements of clinical diagnosis and the optimal preservation of biological products. This document summarizes the conclusions of a Pathology Expert Group Meeting within the European Biological and Biomolecular Research Infrastructure (BBMRI) Program. These recommendations are aimed at providing guidance for pathologists as well as for institutions hosting biobanks on how to better integrate and support pathological activities within the framework of biobanks that fulfill international standards.

  20. Applications of responsiveness to intervention and the speech-language pathologist in elementary school settings.

    PubMed

    Roth, Froma P; Troia, Gary A

    2009-05-01

    This article addresses ways in which speech-language pathologists can play a proactive and substantive part in school-wide language and reading disability prevention and intervention efforts within the responsiveness to intervention framework. Within a collaborative working paradigm, specific student-focused instructional targets are presented in the areas of oral language, metacognition, and reading comprehension. A discussion of professional development focuses on enhancing teacher-student communication interaction, a critical yet often undervalued component of teacher training.

  1. Requirements for accreditation by the College of American Pathologists Laboratory Accreditation Program.

    PubMed

    Hamlin, W B

    1999-06-01

    The College of American Pathologists Laboratory Accreditation Program expects a participant laboratory or laboratory section to be able to demonstrate that it is in compliance with the Standards for Laboratory Accreditation. The program expects laboratories to demonstrate that they are continually taking steps to identify and correct deficient areas and improve performance, in compliance with the Clinical Laboratory Improvement Amendments of 1988 regulatory requirements, particularly those pertaining to proficiency testing performance, and participating as inspectors in the accreditation process.

  2. General pathologist-helper: The new medical app about general pathology

    PubMed Central

    Fernández-Vega, Iván

    2015-01-01

    Introduction: Smartphone applications (apps) have become increasingly prevalent in medicine. Due to most pathologists, pathology trainees, technicians, and medical students use smartphones; apps can be a different way for general pathology education. “General pathologist-helper (GP-HELPER)” is a novel app developed as a reference tool in general pathology and especially for general pathologists, developed for Android and iOS platforms. Materials and Methods: “GP-HELPER,” was created using Mobincube website platform. This tool also integrates “FORUM GP-HELPER,” an external website created using Miarroba website (http://forum-gp-helper.mboards.com) and “COMMUNITY GP-HELPER” a multichannel chat created using Chatango website platform. Results: The application was released in July 2015, and it is been periodically updated since then. The app has permanent information (offline data) about different pathology protocols (TNM latest edition, protocols regarding management of tumors of unknown primary origin, and flowcharts for some of the most difficult tumors to diagnose) and a database with more than 5000 immunohistochemistry results from different tumors. Online data have links to more than 1100 reference pathology video lectures, 250 antibodies information, more than 70 pathology association websites, 46 pathology providers, and 78 outstanding pathology journal websites. Besides this information, the app has two interactive places such as “FORUM GP-HELPER” and “COMMUNITY GP-HELPER” that let users to stay in touch everywhere and every time. Expert consult section is also available. Conclusions: “GP-HELPER” pretends to integrate offline and online data about pathology with two interactive external places in order to represent a reference tool for general pathologists and associate members. PMID:26730351

  3. Comparative assessment of transport risks--how it can contribute to health impact assessment of transport policies.

    PubMed Central

    Kjellstrom, Tord; van Kerkhoff, Lorrae; Bammer, Gabriele; McMichael, Tony

    2003-01-01

    Health impact assessment (HIA) and comparative risk assessment (CRA) are important tools with which governments and communities can compare and integrate different sources of information about various health impacts into a single framework for policy-makers and planners. Both tools have strengths that may be combined usefully when conducting comprehensive assessments of decisions that affect complex health issues, such as the health risks and impacts of transport policy and planning activities. As yet, however, HIA and CRA have not been applied widely to the area of transport. We draw on the limited experience of the application of these tools in the context of road transport to explore how comparative assessment of transport risks can contribute to HIA of transport policies. PMID:12894331

  4. A Survey of Attitudes of Board-Certified Veterinary Pathologists to Forensic Veterinary Pathology.

    PubMed

    McEwen, B J; McDonough, S P

    2016-09-01

    An electronic survey was conducted to determine the attitudes of veterinary pathologists toward forensic pathology and the adequacy of their training in the discipline. The survey was sent to 1933 diplomates of the American College of Veterinary Pathologists and 311 completed responses were analyzed. Of respondents, 80% report receiving at least 1 type of medicolegal case, with cases from law enforcement received most frequently. Most (74%) of the respondents indicated that their previous training did not prepare them adequately to handle forensic cases and almost half of the respondents (48%) indicated that they needed more training on serving as an expert witness. Relative risk ratios (RRR) and odds ratios (OR) were generated to determine the strength of a statistically significant association. Responses from a free-text entry question determining additional training needs could be grouped into 3 main categories: (1) veterinary forensic pathology science and procedures, (2) documentation, evidence collection and handling, and (3) knowledge of the medicolegal system. Last, a field for additional comments or suggestions regarding veterinary forensic pathology was completed by 107 respondents and many reinforced the need for training in the categories previously described. The survey highlights that a significant proportion of diplomates of the American College of Veterinary Pathologists are currently engaged in veterinary forensic pathology but feel their training has not adequately prepared them for these cases. Hopefully, the survey results will inform the college and residency training coordinators as they address the training requirements for an important emerging discipline.

  5. Creating communicatively accessible healthcare environments: perceptions of speech-language pathologists.

    PubMed

    O'Halloran, Robyn; Lee, Yan Shan; Rose, Miranda; Liamputtong, Pranee

    2014-12-01

    There is a growing body of research that indicates that a person with a communication disability communicates and participates more effectively given a communicatively accessible environment. If this research is to be translated into practice then one needs to determine who will take on the role of creating communicatively accessible environments. This research adopted a qualitative methodology to explore the perceptions of speech-language pathologists about working to create communicatively accessible healthcare settings. Fifteen speech-language pathologists in three focus groups participated in this research. The focus group discussions were transcribed and analysed thematically. Thematic analysis indicated that speech-language pathologists believe there are four main benefits in creating communicatively accessible healthcare environments. These are Benefits for all people: Access for all, Benefits for healthcare administrators, Benefits for those wanting to improve communication with patients, and Benefits to the capacity to provide communicatively accessible environments. However, they believe these benefits can only be achieved if; The communication resources are available, Skilled, knowledgeable and supportive healthcare providers are available; and Systems are in place to support a whole-of-hospital approach. This research supports the development of a new role to improve the communicative accessibility of healthcare settings.

  6. Research issues in forensic pathology: a survey of academic institutions employing forensic pathologists.

    PubMed

    Nolte, Kurt B

    2004-05-01

    In an effort to characterize research efforts in forensic pathology, a questionnaire was sent to a representative of each of the 14 academic medical centers that employ full-time faculty forensic pathologists. Responses were received from all 14 (100%) of the institutions queried, representing a total of 39 forensic pathology faculty positions; 21 positions were tenure track and 18 positions were clinical or other tracks. Of the 39 positions, 25 positions (64%) at 10 institutions required some degree of research or scholarly output. Of the 25 forensic pathologists with a research imperative, only 3 (12%) were principal investigators or co-investigators on funded forensic pathology-based projects. The major limitation cited by respondents on the performance of forensic pathology research was the lack of protected time from service responsibilities. Fellowship training in forensic pathology was available at 6 of the 14 respondent institutions. Of these institutions, 4 (67%) had a research requirement for trainees, and 4 (67%) provided research training. In conclusion, very few US medical schools currently employ full-time faculty forensic pathologists. Of these, only a small number of institutions prioritize research by these faculty members. Scant federal funds are available to support research in forensic pathology. Few forensic pathology fellowship programs provide research training. To achieve a robust research agenda in forensic pathology that is sufficient to support the needs of the criminal justice and public health systems will require a paradigm shift in the medicolegal death investigative system and investment by federal agencies.

  7. Interactive Rapid Dose Assessment Model (IRDAM): scenarios for comparing dose-assessment models. Vol. 3

    SciTech Connect

    Poeton, R.W.; Moeller, M.P.; Laughlin, G.J.; Desrosiers, A.E.

    1983-05-01

    The Interactive Rapid Dose Assessment Model (IRDAM) is a micro-computer based program designed to provide rapid assessments of the radiological impact of accidents at nuclear power plants. The main body of this document consists of 28 examples of IRDAM input and output, representing various types of accidents and releases. These examples are intended to provide a basis for comparison with other models or for testing IRDAM itself. Figures are included which show dose rates calculated by IRDAM for each scenario. Figures are also included which show calculations made using the computer codes WRAITH (Scherpelz, Borst and Hoenes, 1980) and RADPUR (Dabbert, et. al., 1982). Two other companion volumes to this one provide additional information on IRDAM. The User's Guide (NUREG/CR-3012, Volume 1) describes the setup and operation of equipment necessary to run IRDAM. Reactor Accident Assessment Methods (NUREG/CR-3012, Volume 2) describes the technical bases for IRDAM including methods, models and assumptions used in calculations.

  8. Comparative Human Health Impact Assessment of Engineered Nanomaterials in the Framework of Life Cycle Assessment.

    PubMed

    Fransman, Wouter; Buist, Harrie; Kuijpers, Eelco; Walser, Tobias; Meyer, David; Zondervan-van den Beuken, Esther; Westerhout, Joost; Klein Entink, Rinke H; Brouwer, Derk H

    2016-09-24

    For safe innovation, knowledge on potential human health impacts is essential. Ideally, these impacts are considered within a larger life-cycle-based context to support sustainable development of new applications and products. A methodological framework that accounts for human health impacts caused by inhalation of engineered nanomaterials (ENMs) in an indoor air environment has been previously developed. The objectives of this study are as follows: (i) evaluate the feasibility of applying the CF framework for NP exposure in the workplace based on currently available data; and (ii) supplement any resulting knowledge gaps with methods and data from the life cycle approach and human risk assessment (LICARA) project to develop a modified case-specific version of the framework that will enable near-term inclusion of NP human health impacts in life cycle assessment (LCA) using a case study involving nanoscale titanium dioxide (nanoTiO2 ). The intent is to enhance typical LCA with elements of regulatory risk assessment, including its more detailed measure of uncertainty. The proof-of-principle demonstration of the framework highlighted the lack of available data for both the workplace emissions and human health effects of ENMs that is needed to calculate generalizable characterization factors using common human health impact assessment practices in LCA. The alternative approach of using intake fractions derived from workplace air concentration measurements and effect factors based on best-available toxicity data supported the current case-by-case approach for assessing the human health life cycle impacts of ENMs. Ultimately, the proposed framework and calculations demonstrate the potential utility of integrating elements of risk assessment with LCA for ENMs once the data are available.

  9. How do swine practitioners and veterinary pathologists arrive at a diagnosis of Clostridium perfringens type A enteritis in neonatal piglets?

    PubMed

    Chan, Gloria; Farzan, Abdolvahab; Prescott, John F; Friendship, Robert

    2013-05-01

    A questionnaire was administered to 22 veterinary practitioners and 17 veterinary pathologists to investigate the methods used for diagnosis of Clostridium perfringens type A enteritis in neonatal pigs. Practitioners generally diagnosed C. perfringens type A associated enteritis by age of onset of diarrhea (between 1 to 7 days of age). Most practitioners (95%) were moderately to very confident in their diagnosis. Pathologists generally diagnosed C. perfringens type A associated enteritis by combinations of isolation of the organism, genotyping or detecting the toxins of the organism, and ruling out other pathogens through histopathology. Almost half (41%) of the pathologists were not confident of their diagnosis. This study reports that the current diagnostic method for C. perfringens type A enteritis is not specific, and although many pathologists expressed reservations about making a diagnosis of C. perfringens type A enteritis, most practitioners were confident in their diagnosis, even though reported clinical signs of clostridial diarrhea are similar to those of a number of other enteric diseases.

  10. Health impact assessment of global climate change: expanding on comparative risk assessment approaches for policy making.

    PubMed

    Patz, Jonathan; Campbell-Lendrum, Diarmid; Gibbs, Holly; Woodruff, Rosalie

    2008-01-01

    Climate change is projected to have adverse impacts on public health. Cobenefits may be possible from more upstream mitigation of greenhouse gases causing climate change. To help measure such cobenefits alongside averted disease-specific risks, a health impact assessment (HIA) framework can more comprehensively serve as a decision support tool. HIA also considers health equity, clearly part of the climate change problem. New choices for energy must be made carefully considering such effects as additional pressure on the world's forests through large-scale expansion of soybean and oil palm plantations, leading to forest clearing, biodiversity loss and disease emergence, expulsion of subsistence farmers, and potential increases in food prices and emissions of carbon dioxide to the atmosphere. Investigators must consider the full range of policy options, supported by more comprehensive, flexible, and transparent assessment methods.

  11. Composition Medium Comparability in a Direct Writing Assessment of Non-Native English Speakers

    ERIC Educational Resources Information Center

    Wolfe, Edward W.; Manalo, Jonathan R.

    2004-01-01

    The Test of English as a Foreign Language (TOEFL) contains a direct writing assessment, and examinees are given the option of composing their responses at a computer terminal using a keyboard or composing their responses in handwriting. This study sought to determine whether performance on a direct writing assessment is comparable for examinees…

  12. Group Assessment at First Year and Final Degree Level: A Comparative Evaluation

    ERIC Educational Resources Information Center

    Plastow, N.; Spiliotopoulou, G.; Prior, S.

    2010-01-01

    Group projects are an established but debated pedagogical technique in higher education. The purpose of this study was to assess the appropriateness of combining individual and group marks in assessment. A mixed method design involving correlational and comparative elements was used. The sample included one cohort of students who completed a group…

  13. Research Assessment as an Instrument for Steering Higher Education--A Comparative Study

    ERIC Educational Resources Information Center

    Orr, Dominic

    2004-01-01

    This paper argues that research assessment is of increasing importance as an instrument of New Public Management and within the context of efforts to establish a European Research Area. Specifically, it compares the procedures of research assessment in the Netherlands, the United Kingdom, Ireland and Germany in an attempt to distil basic design…

  14. Balancing Autonomy and Comparability: State Approaches to Assessment Selection for Student Learning Objectives. Ask the Team

    ERIC Educational Resources Information Center

    Cushing, Ellen; Meyer, Cassandra

    2014-01-01

    States take a wide range of approaches to Student Learning Objectives (SLO) assessment selection. This "Ask the Team" brief helps states consider the trade-offs between approaches that offer more teacher choice and those that offer better comparability across SLOs. The brief identifies four common approaches to selecting SLO assessments:…

  15. A Comparative Study of Adolescent Risk Assessment Instruments: Predictive and Incremental Validity

    ERIC Educational Resources Information Center

    Welsh, Jennifer L.; Schmidt, Fred; McKinnon, Lauren; Chattha, H. K.; Meyers, Joanna R.

    2008-01-01

    Promising new adolescent risk assessment tools are being incorporated into clinical practice but currently possess limited evidence of predictive validity regarding their individual and/or combined use in risk assessments. The current study compares three structured adolescent risk instruments, Youth Level of Service/Case Management Inventory…

  16. What Makes the Finnish Different in Science? Assessing and Comparing Students' Science Learning in Three Countries

    ERIC Educational Resources Information Center

    Geller, Cornelia; Neumann, Knut; Boone, William J.; Fischer, Hans E.

    2014-01-01

    This manuscript details our efforts to assess and compare students' learning about electricity in three countries. As our world is increasingly driven by technological advancements, the education of future citizens in science becomes one important resource for economic productivity. Not surprisingly international large-scale assessments are viewed…

  17. Peer Assessment in the Digital Age: A Meta-Analysis Comparing Peer and Teacher Ratings

    ERIC Educational Resources Information Center

    Li, Hongli; Xiong, Yao; Zang, Xiaojiao; Kornhaber, Mindy L.; Lyu, Youngsun; Chung, Kyung Sun; Suen, Hoi K.

    2016-01-01

    Given the wide use of peer assessment, especially in higher education, the relative accuracy of peer ratings compared to teacher ratings is a major concern for both educators and researchers. This concern has grown with the increase of peer assessment in digital platforms. In this meta-analysis, using a variance-known hierarchical linear modelling…

  18. Acceptance of Computerized Compared to Paper-and-Pencil Assessment in Psychiatric Inpatients.

    ERIC Educational Resources Information Center

    Weber, Bernhard; Schneider, Barbara; Fritze, Jurgen; Gille, Boris; Hornung, Stefan; Kuhner, Thorsten; Maurer, Konrad

    2003-01-01

    Investigated the acceptance of computerized assessment, particularly compared to conventional paper-and-pencil techniques, in seriously impaired psychiatric inpatients. Describes the development of a self-rating questionnaire (OPQ, Operation and Preference Questionnaire) and reports results that showed computerized assessment was convincingly…

  19. Comparative assessment of life cycle assessment methods used for personal computers.

    PubMed

    Yao, Marissa A; Higgs, Tim G; Cullen, Michael J; Stewart, Scott; Brady, Todd A

    2010-10-01

    This article begins with a summary of findings from commonly cited life cycle assessments (LCA) of Information and Communication Technology (ICT) products. While differing conclusions regarding environmental impact are expected across product segments (mobile phones, personal computers, servers, etc.) significant variation and conflicting conclusions are observed even within product segments such as the desktop Personal Computer (PC). This lack of consistent conclusions and accurate data limits the effectiveness of LCA to influence policy and product design decisions. From 1997 to 2010, the majority of published studies focused on the PC concluded that the use phase contributes most to the life cycle energy demand of PC products with a handful of studies suggesting that manufacturing phase of the PC has the largest impact. The purpose of this article is to critically review these studies in order to analyze sources of uncertainty, including factors that extend beyond data quality to the models and assumptions used. These findings suggest existing methods to combine process-based LCA data with product price data and remaining value adjustments are not reliable in conducting life cycle assessments for PC products. Recommendations are provided to assist future LCA work.

  20. Comparing the Costs and Acceptability of Three Fidelity Assessment Methods for Assertive Community Treatment.

    PubMed

    Rollins, Angela L; Kukla, Marina; Salyers, Michelle P; McGrew, John H; Flanagan, Mindy E; Leslie, Doug L; Hunt, Marcia G; McGuire, Alan B

    2017-01-04

    Successful implementation of evidence-based practices requires valid, yet practical fidelity monitoring. This study compared the costs and acceptability of three fidelity assessment methods: on-site, phone, and expert-scored self-report. Thirty-two randomly selected VA mental health intensive case management teams completed all fidelity assessments using a standardized scale and provided feedback on each. Personnel and travel costs across the three methods were compared for statistical differences. Both phone and expert-scored self-report methods demonstrated significantly lower costs than on-site assessments, even when excluding travel costs. However, participants preferred on-site assessments. Remote fidelity assessments hold promise in monitoring large scale program fidelity with limited resources.

  1. Do Different Approaches to Examining Construct Comparability in Multilanguage Assessments Lead to Similar Conclusions?

    ERIC Educational Resources Information Center

    Oliveri, Maria E.; Ercikan, Kadriye

    2011-01-01

    In this study, we examine the degree of construct comparability and possible sources of incomparability of the English and French versions of the Programme for International Student Assessment (PISA) 2003 problem-solving measure administered in Canada. Several approaches were used to examine construct comparability at the test- (examination of…

  2. Australian speech-language pathologists' perceptions and experiences of augmentative and alternative communication in early childhood intervention.

    PubMed

    Iacono, Teresa; Cameron, Marnie

    2009-12-01

    Speech-language pathologists (SLPs) working in early childhood intervention are expected to have knowledge and skills across a number of areas and to engage in evidence-based practice. We explored the knowledge and perceptions of SLPs working with young children within Australian early childhood settings about augmentative and alternative communication (AAC), evidence-based practice, and barriers to such practice. Fourteen clinicians participated in group or individual interviews. Thematic analysis of the transcripts of these discussions revealed that they had a broad view of AAC and its benefits. Their reported assessment and intervention approaches reflected best practice as documented in the literature. The exception was in the implementation of family-centred practice. Although the participants involved families in their children's intervention, many appeared to use a directive approach. There was also evidence of struggling with families' negative attitudes about the use of AAC. A major barrier for these clinicians in implementing AAC and best practice was limited time in light of the many demands and expectations. Despite some frustration, these participants were passionate about their work and belief in the benefits of AAC for young children with varied communication difficulties. The results suggest that many expectations placed on clinicians within early childhood intervention settings may fail to take into account the everyday demands on their time, in a context of varied resources and support.

  3. Application of a logic model to an evidence-based practice training program for speech-language pathologists and audiologists.

    PubMed

    Guo, Ruiling; Bain, Barbara A; Willer, Janene

    2011-01-01

    The purpose of this study was to present the application of a logic model in planning, implementing, and evaluating an evidence-based practice (EBP) training program for speech-language pathologists (SLPs) and audiologists. A logic model was used as a guide in developing the EBP training program. The program investigators delineated the core components of the logic model based on the results of a needs assessment survey of SLPs and audiologists as well as literature reviews. The major components of the logic model were constructed as inputs, activities, outputs, and outcomes/impacts. Statistical analysis using repeated measures ANOVA for the pre-test and post-test indicated that the participants increased their EBP knowledge, information searching skills, and confidence in using EBP in their clinical practice (p < 0.001). Five of the eight program objectives were met by having at least 75% of the participants achieve the objectives. The logic model is a useful tool for grant application and program planning, implementation, and evaluation.

  4. The estimation of tumor cell percentage for molecular testing by pathologists is not accurate.

    PubMed

    Smits, Alexander J J; Kummer, J Alain; de Bruin, Peter C; Bol, Mijke; van den Tweel, Jan G; Seldenrijk, Kees A; Willems, Stefan M; Offerhaus, G Johan A; de Weger, Roel A; van Diest, Paul J; Vink, Aryan

    2014-02-01

    Molecular pathology is becoming more and more important in present day pathology. A major challenge for any molecular test is its ability to reliably detect mutations in samples consisting of mixtures of tumor cells and normal cells, especially when the tumor content is low. The minimum percentage of tumor cells required to detect genetic abnormalities is a major variable. Information on tumor cell percentage is essential for a correct interpretation of the result. In daily practice, the percentage of tumor cells is estimated by pathologists on hematoxylin and eosin (H&E)-stained slides, the reliability of which has been questioned. This study aimed to determine the reliability of estimated tumor cell percentages in tissue samples by pathologists. On 47 H&E-stained slides of lung tumors a tumor area was marked. The percentage of tumor cells within this area was estimated independently by nine pathologists, using categories of 0-5%, 6-10%, 11-20%, 21-30%, and so on, until 91-100%. As gold standard, the percentage of tumor cells was counted manually. On average, the range between the lowest and the highest estimate per sample was 6.3 categories. In 33% of estimates, the deviation from the gold standard was at least three categories. The mean absolute deviation was 2.0 categories (range between observers 1.5-3.1 categories). There was a significant difference between the observers (P<0.001). If 20% of tumor cells were considered the lower limit to detect a mutation, samples with an insufficient tumor cell percentage (<20%) would have been estimated to contain enough tumor cells in 27/72 (38%) observations, possibly causing false negative results. In conclusion, estimates of tumor cell percentages on H&E-stained slides are not accurate, which could result in misinterpretation of test results. Reliability could possibly be improved by using a training set with feedback.

  5. Using the Reliability Theory for Assessing the Decision Confidence Probability for Comparative Life Cycle Assessments.

    PubMed

    Wei, Wei; Larrey-Lassalle, Pyrène; Faure, Thierry; Dumoulin, Nicolas; Roux, Philippe; Mathias, Jean-Denis

    2016-03-01

    Comparative decision making process is widely used to identify which option (system, product, service, etc.) has smaller environmental footprints and for providing recommendations that help stakeholders take future decisions. However, the uncertainty problem complicates the comparison and the decision making. Probability-based decision support in LCA is a way to help stakeholders in their decision-making process. It calculates the decision confidence probability which expresses the probability of a option to have a smaller environmental impact than the one of another option. Here we apply the reliability theory to approximate the decision confidence probability. We compare the traditional Monte Carlo method with a reliability method called FORM method. The Monte Carlo method needs high computational time to calculate the decision confidence probability. The FORM method enables us to approximate the decision confidence probability with fewer simulations than the Monte Carlo method by approximating the response surface. Moreover, the FORM method calculates the associated importance factors that correspond to a sensitivity analysis in relation to the probability. The importance factors allow stakeholders to determine which factors influence their decision. Our results clearly show that the reliability method provides additional useful information to stakeholders as well as it reduces the computational time.

  6. Protein comparability assessments and potential applicability of high throughput biophysical methods and data visualization tools to compare physical stability profiles

    PubMed Central

    Alsenaidy, Mohammad A.; Jain, Nishant K.; Kim, Jae H.; Middaugh, C. Russell; Volkin, David B.

    2014-01-01

    In this review, some of the challenges and opportunities encountered during protein comparability assessments are summarized with an emphasis on developing new analytical approaches to better monitor higher-order protein structures. Several case studies are presented using high throughput biophysical methods to collect protein physical stability data as function of temperature, agitation, ionic strength and/or solution pH. These large data sets were then used to construct empirical phase diagrams (EPDs), radar charts, and comparative signature diagrams (CSDs) for data visualization and structural comparisons between the different proteins. Protein samples with different sizes, post-translational modifications, and inherent stability are presented: acidic fibroblast growth factor (FGF-1) mutants, different glycoforms of an IgG1 mAb prepared by deglycosylation, as well as comparisons of different formulations of an IgG1 mAb and granulocyte colony stimulating factor (GCSF). Using this approach, differences in structural integrity and conformational stability profiles were detected under stress conditions that could not be resolved by using the same techniques under ambient conditions (i.e., no stress). Thus, an evaluation of conformational stability differences may serve as an effective surrogate to monitor differences in higher-order structure between protein samples. These case studies are discussed in the context of potential utility in protein comparability studies. PMID:24659968

  7. [Close teamwork between pathologist and surgeon can improve results in colorectal cancer treatment].

    PubMed

    West, Nicholas P; Quirke, Philip; Hagemann-Madsen, Rikke Hjarnø

    2011-04-04

    Colorectal cancer is common in the Western world and is a leading cause of cancer related mortality. The introduction of multidisciplinary teams and focus on quality control has led to improved outcomes in which pathologists play a central role through feedback to surgeons, radiologists, and oncologists. This review focuses on the importance of pathological examination of the resection specimen and subsequent feedback to the surgical team regarding quality. Specific markers of oncological quality including grading the plane of surgery, tissue morphometry and lymph node yields are discussed.

  8. Accreditation of Individualized Quality Control Plans by the College of American Pathologists.

    PubMed

    Hoeltge, Gerald A

    2017-03-01

    The Laboratory Accreditation Program of the College of American Pathologists (CAP) began in 2015 to allow accredited laboratories to devise their own strategies for quality control of laboratory testing. Participants now have the option to implement individualized quality control plans (IQCPs). Only nonwaived testing that features an internal control (built-in, electronic, or procedural) is eligible for IQCP accreditation. The accreditation checklists that detail the requirements have been peer-reviewed by content experts on CAP's scientific resource committees and by a panel of accreditation participants. Training and communication have been key to the successful introduction of the new IQCP requirements.

  9. Analysis of prosthetic cardiac devices: a guide for the practising pathologist

    PubMed Central

    Butany, J; Collins, M J

    2005-01-01

    Pathologists all over the world increasingly encounter prosthetic cardiac devices. A good evaluation of these devices is a valuable source of information, which can contribute to patient care and the appreciation and understanding of the pathobiology involved in the changes occurring between the host and the implanted prosthetic device. This article summarises the considerations underlying the analysis of prosthetic devices (particularly prosthetic heart valves), including the identification of the devices, the major morphological features of the devices, their modes of failure, and some technical details about evaluation and pitfalls. PMID:15677529

  10. The speech-language pathologist's role in a writing lab approach.

    PubMed

    Nelson, N W; Van Meter, A M; Chamberlain, D; Bahr, C M

    2001-08-01

    In a writing lab approach, speech-language pathologists (SLPs) work on collaborative teams with general and special educators to foster language growth using inclusive, curriculum-based, computer-supported writing process instruction. By engaging students in authentic writing projects using recursive writing processes--planning, organizing, drafting, revising, editing, publishing, presenting--and supporting them with instructional scaffolding, peer feedback, and computers, SLPs can address individualized needs while achieving goals of the general education curriculum. Case examples illustrate how intervention can be designed to meet the needs of students with diverse disabilities to interact socially and progress academically within the general education curriculum.

  11. Medicolegal aspects of the Thai Airbus crash near Kathmandu, Nepal: findings of the investigating pathologists.

    PubMed

    Fernando, R; Vanezis, P

    1998-06-01

    A Thai Airbus, carrying 99 passengers and 14 crew members, traveling from Bangkok to Kathmandu, hit a mountain and crashed several minutes before landing. There were no survivors. Recovered human remains, none of which was easily identifiable, varied in size from a small piece of muscle to mutilated bodies. Of the 97 fragments, only 15 were sufficiently intact (albeit, only partially) to be designated as "bodies." Of the fragments and "bodies," only 11 were positively identified. Causes of death, although all traumatic, could not be stated accurately due to the degree of disintegration. Identification of human remains in these circumstances is a major problem for the pathologist.

  12. The role of the toxicologic pathologist in the post-genomic era(#).

    PubMed

    Maronpot, Robert R

    2013-06-01

    An era can be defined as a period in time identified by distinctive character, events, or practices. We are now in the genomic era. The pre-genomic era: There was a pre-genomic era. It started many years ago with novel and seminal animal experiments, primarily directed at studying cancer. It is marked by the development of the two-year rodent cancer bioassay and the ultimate realization that alternative approaches and short-term animal models were needed to replace this resource-intensive and time-consuming method for predicting human health risk. Many alternatives approaches and short-term animal models were proposed and tried but, to date, none have completely replaced our dependence upon the two-year rodent bioassay. However, the alternative approaches and models themselves have made tangible contributions to basic research, clinical medicine and to our understanding of cancer and they remain useful tools to address hypothesis-driven research questions. The pre-genomic era was a time when toxicologic pathologists played a major role in drug development, evaluating the cancer bioassay and the associated dose-setting toxicity studies, and exploring the utility of proposed alternative animal models. It was a time when there was shortage of qualified toxicologic pathologists. The genomic era: We are in the genomic era. It is a time when the genetic underpinnings of normal biological and pathologic processes are being discovered and documented. It is a time for sequencing entire genomes and deliberately silencing relevant segments of the mouse genome to see what each segment controls and if that silencing leads to increased susceptibility to disease. What remains to be charted in this genomic era is the complex interaction of genes, gene segments, post-translational modifications of encoded proteins, and environmental factors that affect genomic expression. In this current genomic era, the toxicologic pathologist has had to make room for a growing population of

  13. Molecular profiling--a tool for addressing emerging gaps in the comparative risk assessment of GMOs.

    PubMed

    Heinemann, Jack A; Kurenbach, Brigitta; Quist, David

    2011-10-01

    Assessing the risks of genetically modified organisms (GMOs) is required by both international agreement and domestic legislation. Many view the use of the "omics" tools for profiling classes of molecules as useful in risk assessment, but no consensus has formed on the need or value of these techniques for assessing the risks of all GMOs. In this and many other cases, experts support case-by-case use of molecular profiling techniques for risk assessment. We review the latest research on the applicability and usefulness of molecular profiling techniques for GMO risk assessment. As more and more kinds of GMOs and traits are developed, broader use of molecular profiling in a risk assessment may be required to supplement the comparative approach to risk assessment. The literature-based discussions on the use of profiling appear to have settled on two findings: 1. profiling techniques are reliable and relevant, at least no less so than other techniques used in risk assessment; and 2. although not required routinely, regulators should be aware of when they are needed. The dismissal of routine molecular profiling may be confusing to regulators who then lack guidance on when molecular profiling might be worthwhile. Molecular profiling is an important way to increase confidence in risk assessments if the profiles are properly designed to address relevant risks and are applied at the correct stage of the assessment.

  14. Comparative assessment of the environmental impact of wastes from electricity generation systems

    SciTech Connect

    Torres, C. [Instituto de Medio Ambiente Smith, G.M.; Linsley, G.; Hossain, S.

    1994-12-31

    The paper describes an outline methodology for assessing and comparing the environmental impact arising from management of the wastes from nuclear and other electricity generation systems. The assessment framework is applicable to wastes from all generation systems, including nuclear, fossil and renewable fuel systems, and can also be applied to the management of mixed hazardous waste. The major energy technologies in terms of waste production can be classified according to three major categories of fuels: fossil, nuclear and renewable. The emphasis in this description is on nuclear utility low-level and mixed wastes and waste streams. The methodology may be used to support the project on Data Bases and Methodologies for Comparative Assessment of Different Energy Sources for Electricity Generation (DECADES project, (2)) which is being developed by the International Atomic Energy Agency in collaboration with other international agencies. The DECADES project has the overall objective to improve the abilities for comparative assessment of energy chains for electricity generation. The objective of a methodology such as that described here is to ensure that waste management aspects are included effectively in comparative assessments of energy systems. This paper discusses the waste strams arising from nuclear power plants.

  15. The role of the peer review pathologist in good laboratory practices studies: a sponsor perspective.

    PubMed

    Hailey, James R

    2014-01-01

    While the study pathologist (SP) signs the pathology report and is ultimately accountable for the data, the sponsor peer review pathologist (SPRP) generally signs a peer review (PR) statement indicating agreement with the overall pathology data and the associated interpretations. Additionally, the SPRP is often the initial contact to field internal and regulatory pathology data queries. Therefore, the SPRP should conduct as comprehensive a pathology PR as necessary to have complete confidence in the data and interpretations. Ideally, the SPRP should be involved at study design, as the study evolves, through completion of the overall study report. The SPRP should prepare as much as possible before the actual PR start date to include a review of all available data that may impact the PR. This review should focus on identifying findings not already identified in the draft pathology report that may need further interrogation. While all discrepancies between the SPRP and SP may be discussed for mutual learning, the emphasis should be on resolving issues that impact study interpretation. The final pathology report should reflect the consensus between the SP and SPRP and appropriately communicate the study findings. This article provides further background and example scenarios to illustrate these PR perspectives.

  16. Neuroendocrine proliferations of the stomach: a pragmatic approach for the perplexed pathologist.

    PubMed

    Cockburn, Amber N; Morgan, Christopher J; Genta, Robert M

    2013-05-01

    The classifications of neuroendocrine proliferations that lead from enterochromaffin-like cell hyperplasia to neuroendocrine tumors in the stomach are complicated and relatively inaccessible to nonspecialists. Consequently, these lesions tend to remain widely underdiagnosed until they progress to easily recognizable neuroendocrine tumors. This review provides simple, yet rigorous guidelines on how to recognize, classify, and diagnose the neuroendocrine proliferations found in the stomach, emphasizing the most common background in which they arise, atrophic gastritis. After a succinct outline of the types and distribution of the neuroendocrine cells in the normal gastric mucosa we discuss the most common situations in which the pathologist needs to think about gastric neuroendocrine cells. In general practice gastric biopsy specimens are often numerically and topographically inadequate for the evaluation of atrophic gastritis; therefore, we have included an algorithm to address specifically the steps that should be taken when confronted with suboptimal sampling. Finally, we illustrate the suggested diagnostic process with 4 cases that are fairly representative of the type of situations encountered in everyday practice. The pathologist who follows our simple steps will be better aware of this neglected area of gastric pathology and will learn to suspect, recognize, and accurately diagnose the most common abnormalities of the neuroendocrine system in the stomach.

  17. Improvement of diagnostic agreement among pathologists in resolving an "atypical glands suspicious for cancer" diagnosis in prostate biopsies using a novel "Disease-Focused Diagnostic Review" quality improvement process.

    PubMed

    Shah, Rajal B; Leandro, Gioacchino; Romerocaces, Gloria; Bentley, James; Yoon, Jiyoon; Mendrinos, Savvas; Tadros, Yousef; Tian, Wei; Lash, Richard

    2016-10-01

    One of the major goals of an anatomic pathology laboratory quality program is to minimize unwarranted diagnostic variability and equivocal reporting. This study evaluated the utility of Miraca Life Sciences' "Disease-Focused Diagnostic Review" (DFDR) quality program in improving interobserver diagnostic reproducibility associated with classification of "atypical glands suspicious for adenocarcinoma" (ATYP) in prostate biopsies. Seventy-one selected prostate biopsies with a focus of ATYP were reviewed by 8 pathologists. Participants were blinded to the original diagnosis and were first asked to classify the ATYP as benign, atypical, or limited adenocarcinoma. DFDR comprised a "theoretical consensus" (in which pathologists first reached consensus on the morphological features they considered relevant for the diagnosis of limited prostatic adenocarcinoma), a didactic review including relevant literature, and "practical consensus" (pathologists performed joint microscopic sessions, reconciling each other's observations and positions evaluating a separate unique slide set). Participants were finally asked to reclassify the original 71 ATYP cases based on knowledge gleaned from DFDR. Pre- and post-DFDR interobserver reproducibility of overall diagnostic agreement was assessed. Interobserver reproducibility measured by Fleiss κ values of pre- and post-DFDR was 0.36 and 0.59, respectively (P=.006). Post-DFDR, there were significant improvement for "100% concordance" (P=.011) and reduction for "no consensus" (P=.0004) categories. Despite a lower pre-DFDR reproducibility for non-uropathology fellowship-trained (n=3, κ=0.38) versus uropathology fellowship-trained (n=5, κ=0.43) pathologists, both groups achieved similarly high post-DFDR κ levels (κ=0.58 and 0.56, respectively). DFDR represents an effective tool to formally achieve diagnostic consensus and reduce variability associated with critical diagnoses in an anatomic pathology practice.

  18. Comparing Two Theories of Grammatical Knowledge Assessment: A Bifactor-MIRT Analysis

    ERIC Educational Resources Information Center

    Cai, Yuyang

    2014-01-01

    This study compares two approaches to grammatical knowledge in language assessment: the structural view that regards grammatical knowledge as vocabulary and syntax (Bachman 1990), and the communicative view that perceives it as the binary combination of grammatical form and meaning (Purpura 2004). 1,491 second-year nursing students from eight…

  19. The Use of Illustrations in Large-Scale Science Assessment: A Comparative Study

    ERIC Educational Resources Information Center

    Wang, Chao

    2012-01-01

    This dissertation addresses the complexity of test illustrations design across cultures. More specifically, it examines how the characteristics of illustrations used in science test items vary across content areas, assessment programs, and cultural origins. It compares a total of 416 Grade 8 illustrated items from the areas of earth science, life…

  20. Comparing Two Versions of Professional Development for Teachers Using Formative Assessment in Networked Mathematics Classrooms

    ERIC Educational Resources Information Center

    Yin, Yue; Olson, Judith; Olson, Melfried; Solvin, Hannah; Brandon, Paul R.

    2015-01-01

    This study compared two versions of professional development (PD) designed for teachers using formative assessment (FA) in mathematics classrooms that were networked with Texas Instruments Navigator (NAV) technology. Thirty-two middle school mathematics teachers were randomly assigned to one of the two groups: FA-then-NAV group and FA-and-NAV…

  1. Gender Differences in Structured Risk Assessment: Comparing the Accuracy of Five Instruments

    ERIC Educational Resources Information Center

    Coid, Jeremy; Yang, Min; Ullrich, Simone; Zhang, Tianqiang; Sizmur, Steve; Roberts, Colin; Farrington, David P.; Rogers, Robert D.

    2009-01-01

    Structured risk assessment should guide clinical risk management, but it is uncertain which instrument has the highest predictive accuracy among men and women. In the present study, the authors compared the Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991, 2003); the Historical, Clinical, Risk Management-20 (HCR-20; C. D. Webster, K. S.…

  2. Interactive Technologies for Teacher Training: Comparing Performance and Assessment in Second Life and simSchool

    ERIC Educational Resources Information Center

    Meritt, Julia; Gibson, David; Christensen, Rhonda; Knezek, Gerald

    2013-01-01

    Two alternative technologies forming the basis of computer-mediated teacher preparation systems are compared and contrasted regarding implementation, operation, and assessment considerations. The role-playing system in Second Life is shown to have the unique characteristic of developing a co-constructed pedagogical identity, while the flight…

  3. Education Students and Their Teachers: Comparing Views on Participative Assessment Practices

    ERIC Educational Resources Information Center

    Brew, Christine; Riley, Philip; Walta, Caroline

    2009-01-01

    Beliefs about the validity and merit of self-, peer- and group-assessment practices are presented from 213 pre-service primary teachers and 30 staff who teach them. Both groups were surveyed using comparable items. A subset of seven staff participated in semi-structured interviews. Staff were far more supportive of peer- and self-assessment…

  4. Live versus Video Observations: Comparing the Reliability and Validity of Two Methods of Assessing Classroom Quality

    ERIC Educational Resources Information Center

    Curby, Timothy W.; Johnson, Price; Mashburn, Andrew J.; Carlis, Lydia

    2016-01-01

    When conducting classroom observations, researchers are often confronted with the decision of whether to conduct observations live or by using pre-recorded video. The present study focuses on comparing and contrasting observations of live and video administrations of the Classroom Assessment Scoring System-PreK (CLASS-PreK). Associations between…

  5. On Applications of Rasch Models in International Comparative Large-Scale Assessments: A Historical Review

    ERIC Educational Resources Information Center

    Wendt, Heike; Bos, Wilfried; Goy, Martin

    2011-01-01

    Several current international comparative large-scale assessments of educational achievement (ICLSA) make use of "Rasch models", to address functions essential for valid cross-cultural comparisons. From a historical perspective, ICLSA and Georg Rasch's "models for measurement" emerged at about the same time, half a century ago. However, the…

  6. Comparing Students' Attitudes towards the Use of Traditional and Alternative Assessment Practices.

    ERIC Educational Resources Information Center

    DeMauro, Tom; Helphrey, Traci; Schram, Greg; Spiekermann, Carrie

    This paper describes a program designed to compare students' attitudes towards the use of traditional and alternative assessment practices. The targeted population consisted of a second and third grade general education class, a third grade physical education class, and an eighth grade applied technology class in three communities in northern…

  7. The Reading First Program and Statewide-Mandated Assessments: A Three-Year Comparative Study

    ERIC Educational Resources Information Center

    Ratcliff, Monica Wong; Powell, Sherlyn Ezell; Cage, Bob N.; Chen, Cheng C.

    2011-01-01

    This three-year comparative study investigated the impact of the Reading First (RF) Program on student performance as measured by statewide-mandated English Language Arts (ELA) assessment programs. A matching procedure was used where 3 RF schools and 3 non-RF schools from two rural school districts in north Louisiana were matched. The ELA test…

  8. Toward a Molecular Equivalent Dose: Use of the Medaka Model in Comparative Risk Assessment.

    EPA Science Inventory

    Recent challenges in risk assessment underscore the need to compare the results of toxicity and dose-response testing among a growing list of animal models and, possibly, an array of in vitro screening assays. Assays that quantify types of DNA damage that are directly relevant to...

  9. Toward a molecular equivalent dose: use of the medaka model in comparative risk assessment

    EPA Science Inventory

    Recent challenges in risk assessment underscore the need to compare the results of toxicity and dose-response testing among a growing list of animal models and, possibly, an array of in vitro screening assays. Assays that quantify types of DNA damage that are directly relevant to...

  10. Comparing Results from the Clinical Assessment of Behavior and Child Behavior Checklist with Referred Preschoolers

    ERIC Educational Resources Information Center

    Myers, Carl L.

    2013-01-01

    Behavior rating scales are popular assessment tools but more research is needed on the preschool versions of the instruments, particularly with referred samples of preschoolers. This study examined the comparability of results from parent ratings on the preschool versions of the Child Behavior Checklist (CBCL/1.5-5, Achenbach & Rescorla, 2000)…

  11. Assessing Observer Accuracy in Continuous Recording of Rate and Duration: Three Algorithms Compared

    ERIC Educational Resources Information Center

    Mudford, Oliver C.; Martin, Neil T.; Hui, Jasmine K. Y.; Taylor, Sarah Ann

    2009-01-01

    The three algorithms most frequently selected by behavior-analytic researchers to compute interobserver agreement with continuous recording were used to assess the accuracy of data recorded from video samples on handheld computers by 12 observers. Rate and duration of responding were recorded for three samples each. Data files were compared with…

  12. A Qualitative Assessment of the Learning Outcomes of Teaching Introductory American Politics in Comparative Perspective

    ERIC Educational Resources Information Center

    Gelbman, Shamira M.

    2011-01-01

    This article discusses the findings of an ethnographic content analysis of students' written reflections as a means for assessing the learning outcomes of teaching introductory American politics in comparative perspective. It focuses especially on determining whether and how this approach enhanced students' understanding and retention of knowledge…

  13. Comparative life cycle assessments: The case of paper and digital media

    SciTech Connect

    Bull, Justin G. Kozak, Robert A.

    2014-02-15

    The consumption of the written word is changing, as media transitions from paper products to digital alternatives. We reviewed the life cycle assessment (LCA) research literature that compared the environmental footprint of digital and paper media. To validate the role of context in influencing LCA results, we assessed LCAs that did not compare paper and print, but focused on a product or component that is part of the Information and Communication Technology (ICT) sector. Using a framework that identifies problems in LCA conduct, we assessed whether the comparative LCAs were accurate expressions of the environmental footprints of paper and print. We hypothesized that the differences between the product systems that produce paper and digital media weaken LCA's ability to compare environmental footprints. We also hypothesized that the characteristics of ICT as an industrial sector weaken LCA as an environmental assessment methodology. We found that existing comparative LCAs offered problematic comparisons of paper and digital media for two reasons — the stark material differences between ICT products and paper products, and the unique characteristics of the ICT sector. We suggested that the context of the ICT sector, best captured by the concept of “Moore's Law”, will continuously impede the ability of the LCA methodology to measure ICT products. -- Highlights: • We review the LCA research that compares paper and digital media. • We contrast the comparative LCAs with LCAs that examine only digital products. • Stark differences between paper and digital media weakens LCA findings. • Digital products in general challenge the LCA method's reliability. • Continuous innovation and global nature of digital products impedes LCA methodology.

  14. Comparability of developmental cognitive assessments between standard and computer testing methods

    PubMed Central

    Mandell, Dorothy J.; Sackett, Gene P.

    2008-01-01

    Substantial questions have been raised about the validity of using computer-based testing to assess cognitive development with young children. However, little work has been done to assess the comparability of performance elicited using computerized methods with performance garnered using standard testing methods. The purpose of this study was to establish whether computerized testing resulted in performance that was different than established performance norms for infant monkeys (Macaca nemestrina) tested on four highly used cognitive tasks. Infants performed comparably on simple discrimination, reversal learning, and delayed nonmatch-to-sample rule learning. However, the infants tested in a computer testing-environment appeared to have difficulty on a task that required them to form response strategies. The results of the study reveal some apparent limitations of computer-based testing with infants, but do show that performance on several common cognitive tasks is comparable between the environments. PMID:18688805

  15. Comparative assessment of 3D surface scanning systems in breast plastic and reconstructive surgery.

    PubMed

    Patete, Paolo; Eder, Maximilian; Raith, Stefan; Volf, Alexander; Kovacs, Laszlo; Baroni, Guido

    2013-10-01

    In this work, we compared accuracy, repeatability, and usability in breast surface imaging of 2 commercial surface scanning systems and a hand-held laser surface scanner prototype coupled with a patient's motion acquisition and compensation methodology. The accuracy of the scanners was assessed on an anthropomorphic phantom, and to evaluate the usability of the scanners on humans, thorax surface images of 3 volunteers were acquired. Both the intrascanner repeatability and the interscanner comparative accuracy were assessed. The results showed surface-to-surface distance errors inferior to 1 mm and to 2 mm, respectively, for the 2 commercial scanners and for the prototypical one. Moreover, comparable performances of the 3 scanners were found when used for acquiring the breast surface. On the whole, this study demonstrated that handheld laser surface scanners coupled with subject motion compensation methods lend themselves as competitive technologies for human body surface modeling.

  16. Postgraduate education in laboratory medicine and certification/re-certification of clinical pathologists in Taiwan.

    PubMed

    Sun, Chien-Feng

    2004-04-01

    The Taiwan Society of Clinical Pathologists (TSCP) plays a central role in postgraduate education of laboratory medicine and the certification/re-certification of clinical pathologists in Taiwan. For the certification of clinical pathologists, TSCP establishes "Guidelines and Scope of Resident Training" and "Standards for Training Hospitals in Clinical Pathology(CP)", administers board examinations, and issues board certifications/re-certifications. There are two types of CP resident training programs, including a straight CP program with 3 years of CP training for a CP certificate and a combined program with 3 years of Anatomic Pathology training and 2 years of CP training for both the CP and AP certificates. The core curriculum for CP training includes: (1) Clinical Chemistry (at least 4 months), (2) Clinical Microscope with Parasitology (at least 3 months), (3) Clinical Hematology (at least 4 months), and (4) Clinical Microbiology with Clinical Virology (at least 4 months), (5) Immunohematology and Blood Banking (Transfusion Medicine) (at least 3 months), (6) Clinical Serology and Immunology(at least 4 months), and (7) Laboratory Management (at least 2 months). The curriculum for third-year training is not specified and may be in any field. In recent years, the board examination has emphasized the topics of Molecular Biology and Laboratory Informatics. The TSCP has also established an accreditation and inspection program for the CP resident raining hospitals. Each accredited CP training hospital is required to have a detailed teaching protocol of CP training. Quotas are assigned according to the available CPs of the accredited hospitals. The accreditation period is 3 years. Through sponsoring scientific and educational programs, the TSCP offers credit hours of education in laboratory medicine, which are required for re-certification of CPs in Taiwan. The members of the TSCP meet at least twice a year for scientific presentations and seminars. In addition, two to

  17. Academic detailing can play a key role in assessing and implementing comparative effectiveness research findings.

    PubMed

    Fischer, Michael A; Avorn, Jerry

    2012-10-01

    Comparative effectiveness research evaluates the relative effectiveness, safety, and value of competing treatment options in clinically realistic settings. Such evaluations can be methodologically complex and difficult to interpret. There will be a growing need for critical evaluation of comparative effectiveness studies to assess the adequacy of their design and to put new information into a broader context. Equally important, this knowledge will have to be communicated to clinicians in a way that will actually change practice. We identify three challenges to effective dissemination of comparative effectiveness research findings: the difficulty of interpreting comparative effectiveness research data, the need for trusted sources of information, and the challenge of turning research results into clinical action. We suggest that academic detailing-direct outreach education that gives clinicians an accurate and unbiased synthesis of the best evidence for practice in a given clinical area-can translate comparative effectiveness research findings into actions that improve health care decision making and patient outcomes.

  18. Comparison of immunohistochemical and fluorescence in situ hybridization assessment of HER-2 status in routine practice.

    PubMed

    Dolan, Michelle; Snover, Dale

    2005-05-01

    Because HER-2 expression in invasive carcinoma of the breast has well-documented ramifications for treatment and prognosis, accurate assessment of HER-2 status is critical. Comparative studies have shown high concordance rates between immunohistochemical analysis and fluorescence in situ hybridization (FISH) in cases with immunohistochemical scores of 0 or 1+ (negative) and 3+ (strongly positive) and low concordance rates among cases with immunohistochemical scores of 2+. The present study was performed to determine concordance rates in a setting more representative of routine clinical practice, in which multiple pathologists submit specimens to a single cytogenetics referral laboratory. We found a higher rate of discordance between immunohistochemical analysis and FISH (approximately 92%) in the groups with immunohistochemical scores of 2+ than reported in other studies. These results strongly support the practice of performing FISH in all cases with immunohistochemical scores of 2+, particularly in routine practice, in which interobserver variability in immunohistochemical scoring among multiple pathologists is likely to be high.

  19. Investing in emergent literacy intervention: a key role for speech-language pathologists.

    PubMed

    Roth, F P; Baden, B

    2001-08-01

    Emergent literacy is a developmental period that is receiving renewed and increased emphasis in the fields of education and speech-language pathology because of its influence on the later literacy development and achievement of students. With their strong background in language, language development, and language disorders, speech-language pathologists (SLPs) can make significant contributions to the acquisition of emergent literacy skills. This article focuses on SLP direct-service roles for students with identified communication impairments and on indirect roles of assisting teachers and others to promote the emergent literacy skills of all students. In addition to the acknowledged importance of general oral language, guidelines, suggestions, and resources are offered to foster emergent literacy skills in five specific areas: (1) early phonological awareness, (2) joint book reading and sense of story, (3) alphabetic letter knowledge, (4) adult modeling of literacy activities, and (5) experience with writing materials.

  20. Pathologists are from Mercury, clinicians are from Uranus: the perverted prospects for perceptual pathology.

    PubMed

    Heffner, Dennis K

    2008-08-01

    Clinicians and pathologists do their work, of course, in quite different ways. Because both groups are trained as physicians, however, this training commonality makes all involved seem basically to be on the same "medical team." There are, nevertheless, some fundamental differences between the 2 groups that can on occasion cause significant difficulties in mutual understanding; there are reasons to believe that such differences are becoming more pronounced. Although the differences in viewpoints are often subtle and, therefore, seemingly not very important, these differences have very profound causes and can be profound in their effects. This narrative examines the underlying broad historical-sociological-philosophical bases for these differences with the aim of illuminating their importance to medicine and their prospective importance to pathology in particular.

  1. What Makes the Finnish Different in Science? Assessing and Comparing Students' Science Learning in Three Countries

    NASA Astrophysics Data System (ADS)

    Geller, Cornelia; Neumann, Knut; Boone, William J.; Fischer, Hans E.

    2014-12-01

    This manuscript details our efforts to assess and compare students' learning about electricity in three countries. As our world is increasingly driven by technological advancements, the education of future citizens in science becomes one important resource for economic productivity. Not surprisingly international large-scale assessments are viewed as significant sources of information about the effectiveness of science education. However, these assessments do not provide information about the reasons for particular effectiveness-or more importantly a lack thereof-as these assessments are based on one-time measurements of student achievement. In order to identify reasons for the effectiveness of science education, it is necessary to investigate students' learning as a result of science instruction. In this manuscript we report about the development of an instrument to assess students' learning in the field of electricity and the use of this instrument to collect data from N = 2,193 middle school students in Finland, Germany and Switzerland prior to and after instruction on the topic of electricity. Our findings indicate that the differences in students' science achievement as observed in large-scale assessments are a result of differences in students' science learning. And our findings suggest that these differences are more likely to stem from differences in science instruction than from systemic differences: a result that needs to be further explored by analyzing instruction in the three countries and its effect on students' learning.

  2. Polymorphous low-grade adenocarcinoma: an analysis of epidemiological studies and hints for pathologists

    PubMed Central

    2013-01-01

    Background This study is an analysis of the prevalence of polymorphous low grade adenocarcinoma (PLGA) in epidemiological surveys of salivary tumors published in the English language from 1992 to 2012. Methods These surveys included studies from different researchers, countries and continents. The 57 surveys for which it was possible to calculate the percentage of PLGAs among all malignant minor salivary gland tumors (MMSGT) were included in this review. Results The statistical analyses show significant differences in the PLGA percentage by time period, country and continent in the studies included in this review. The percentage of PLGAs among MMSGTs varied among the studies, ranging from 0.0% to 46.8%. PLGA rates have varied over the period studied and have most recently increased. The frequency of reported PLGA cases also varied from 0.0% to 24.8% by the country in which the MMSGT studies were performed. The PLGA percentages also varied significantly by continent, with frequencies ranging from 3.9% in Asia to 20.0% in Oceania Conclusion Based on these results, we concluded that although the accuracy of PLGA diagnoses has improved, they remain a challenge for pathologists. To facilitate PLGA diagnoses, we have therefore made some suggestions for pathologists regarding tumors composed of single-layer strands of cells that form all of the histological patterns present in the tumor, consistency of the cytological appearance and uniformly positive CK7, vimentin and S100 immunohistochemistry, which indicate a single PLGA phenotype. Virtual slide The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1059098656858324 PMID:23320410

  3. Pocket pathologist: A mobile application for rapid diagnostic surgical pathology consultation

    PubMed Central

    Hartman, Douglas J.; Parwani, Anil V.; Cable, Bill; Cucoranu, Ioan C.; McHugh, Jeff S.; Kolowitz, Brian J.; Yousem, Samuel A.; Palat, Vijaykumar; Reden, Anna Von; Sloka, Stephen; Lauro, Gonzalo Romero; Ahmed, Ishtiaque; Pantanowitz, Liron

    2014-01-01

    Introduction: Telepathology allows the digital transmission of images for rapid access to pathology experts. Recent technologic advances in smartphones have allowed them to be used to acquire and transmit digital images of the glass slide, representing cost savings and efficiency gains over traditional forms of telepathology. We report our experience with developing an iPhone application (App - Pocket Pathologist) to facilitate rapid diagnostic pathology teleconsultation utilizing a smartphone. Materials and Methods: A secure, web-based portal (http://pathconsult.upmc.com/) was created to facilitate remote transmission of digital images for teleconsultation. The App augments functionality of the web-based portal and allows the user to quickly and easily upload digital images for teleconsultation. Image quality of smartphone cameras was evaluated by capturing images using different adapters that directly attach phones to a microscope ocular lens. Results: The App was launched in August 2013. The App facilitated easy submission of cases for teleconsultation by limiting the number of data entry fields for users and enabling uploading of images from their smartphone's gallery wirelessly. Smartphone cameras properly attached to a microscope create static digital images of similar quality to a commercial digital microscope camera. Conclusion: Smartphones have great potential to support telepathology because they are portable, provide ubiquitous internet connectivity, contain excellent digital cameras, and can be easily attached to a microscope. The Pocket Pathologist App represents a significant reduction in the cost of creating digital images and submitting them for teleconsultation. The iPhone App provides an easy solution for global users to submit digital pathology images to pathology experts for consultation. PMID:24843822

  4. Update on the Liver Imaging Reporting and Data System: What the Pathologist Needs to Know.

    PubMed

    Tang, An; Valasek, Mark A; Sirlin, Claude B

    2015-09-01

    Hepatocellular carcinoma (HCC) is frequently diagnosed noninvasively with imaging techniques. Computed tomography and magnetic resonance imaging play critical roles in the detection, diagnosis, and staging of HCC. Standardization in the interpretation and reporting of imaging modalities has not existed until recently. In 2008, the American College of Radiology supported the development of the Liver Imaging Reporting and Data System (LI-RADS) for standardized terminology, interpretation, and reporting of imaging examinations for the diagnosis of HCC inpatients at risk for HCC. This article reviews the basic concepts of LI-RADS, emphasizing aspects that are most relevant to pathologists, including the categories, diagnostic algorithm, major features, and ancillary features for the diagnosis of HCC. The similarities and differences between LI-RADS and other major radiology-based diagnostic systems in terms of target population, intended users, categorization of observations, and imaging methods are addressed. Importantly, LI-RADS and other systems are designed to diagnose progressed HCC with high specificity and modest sensitivity. LI-RADS and other systems are not designed to detect early HCC and so have limited sensitivity for such lesions. Moreover, despite continuous advances in imaging technology, imaging detection and characterization of small (<1 cm) nodules remains limited; in addition, colocalization of small nodules and pathology is difficult. For these reasons LI-RADS and most other systems require lesions to be 1 cm or greater for the noninvasive diagnosis of HCC. As LI-RADS evolves, it is critical that stakeholders, including pathologists, provide expert input to help standardize and enhance reporting of radiologic findings.

  5. Psychological distress in newly diagnosed colorectal cancer patients following microsatellite instability testing for Lynch syndrome on the pathologist's initiative.

    PubMed

    Landsbergen, K M; Prins, J B; Brunner, H G; van Duijvendijk, P; Nagengast, F M; van Krieken, J H; Ligtenberg, M; Hoogerbrugge, N

    2012-06-01

    According to the Dutch Guideline on Hereditary Colorectal Cancer published in 2008, patients with recently diagnosed colorectal cancer (CRC) should undergo microsatellite instability (MSI) testing by a pathologist immediately after tumour resection if they are younger than 50 years, or if a second CRC has been diagnosed before the age of 70 years, owing to the high risk of Lynch syndrome (MIPA). The aim of the present MIPAPS study was to investigate general distress and cancer-specific distress following MSI testing. From March 2007 to September 2009, 400 patients who had been tested for MSI after newly diagnosed CRC were recruited from 30 Dutch hospitals. Levels of general distress (SCL-90) and cancer-specific distress (IES) were assessed immediately after MSI result disclosure (T1) and 6 months later (T2). Response rates were 23/77 (30%) in the MSI-positive patients and 58/323 (18%) in the MSI-negative patients. Levels of general distress and cancer-specific distress were moderate. In the MSI-positive group, 27% of the patients had high general distress at T1 versus 18% at T2 (p = 0.5), whereas in the MSI-negative group, these percentage were 14 and 18% (p = 0.6), respectively. At T1 and T2, cancer-specific distress rates in the MSI-positive group and MSI-negative group were 39 versus 27% (p = 0.3) and 38 versus 36% (p = 1.0), respectively. High levels of general distress were correlated with female gender, low social support and high perceived cancer risk. Moderate levels of distress were observed after MSI testing, similar to those found in other patients diagnosed with CRC. Immediately after result disclosure, high cancer-specific distress was observed in 40% of the MSI-positive patients.

  6. Selection of alternative central-station technologies for the Satellite Power System (SPS) comparative assessment

    NASA Technical Reports Server (NTRS)

    Samsa, M.

    1980-01-01

    An important effort is the Satellite Power System (SPS) comparative Assessment is the selection and characterization of alternative technologies to be compared with the SPS concept. The ground rules, criteria, and screening procedure applied in the selection of those alternative technologies are summarized. The final set of central station alternatives selected for comparison with the SPS concept includes: (1) light water reactor with improved fuel utilization, (2) conventional coal combustion with improved environmental controls, (3) open cycle gas turbine with integral low Btu gasifier, (4) terrestrial photovoltaic, (5) liquid metal fast breeder reactor, and (6) magnetic confinement fusion.

  7. Comparative risk assessment of the burden of disease from climate change.

    PubMed

    Campbell-Lendrum, Diarmid; Woodruff, Rosalie

    2006-12-01

    The World Health Organization has developed standardized comparative risk assessment methods for estimating aggregate disease burdens attributable to different risk factors. These have been applied to existing and new models for a range of climate-sensitive diseases in order to estimate the effect of global climate change on current disease burdens and likely proportional changes in the future. The comparative risk assessment approach has been used to assess the health consequences of climate change worldwide, to inform decisions on mitigating greenhouse gas emissions, and in a regional assessment of the Oceania region in the Pacific Ocean to provide more location-specific information relevant to local mitigation and adaptation decisions. The approach places climate change within the same criteria for epidemiologic assessment as other health risks and accounts for the size of the burden of climate-sensitive diseases rather than just proportional change, which highlights the importance of small proportional changes in diseases such as diarrhea and malnutrition that cause a large burden. These exercises help clarify important knowledge gaps such as a relatively poor understanding of the role of nonclimatic factors (socioeconomic and other) that may modify future climatic influences and a lack of empiric evidence and methods for quantifying more complex climate-health relationships, which consequently are often excluded from consideration. These exercises highlight the need for risk assessment frameworks that make the best use of traditional epidemiologic methods and that also fully consider the specific characteristics of climate change. These include the longterm and uncertain nature of the exposure and the effects on multiple physical and biotic systems that have the potential for diverse and widespread effects, including high-impact events.

  8. Gender differences in structured risk assessment: comparing the accuracy of five instruments.

    PubMed

    Coid, Jeremy; Yang, Min; Ullrich, Simone; Zhang, Tianqiang; Sizmur, Steve; Roberts, Colin; Farrington, David P; Rogers, Robert D

    2009-04-01

    Structured risk assessment should guide clinical risk management, but it is uncertain which instrument has the highest predictive accuracy among men and women. In the present study, the authors compared the Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991, 2003); the Historical, Clinical, Risk Management-20 (HCR-20; C. D. Webster, K. S. Douglas, D. Eaves, & S. D. Hart, 1997); the Risk Matrix 2000-Violence (RM2000[V]; D. Thornton et al., 2003); the Violence Risk Appraisal Guide (VRAG; V. L. Quinsey, G. T. Harris, M. E. Rice, & C. A. Cormier, 1998); the Offenders Group Reconviction Scale (OGRS; J. B. Copas & P. Marshall, 1998; R. Taylor, 1999); and the total previous convictions among prisoners, prospectively assessed prerelease. The authors compared predischarge measures with subsequent offending and instruments ranked using multivariate regression. Most instruments demonstrated significant but moderate predictive ability. The OGRS ranked highest for violence among men, and the PCL-R and HCR-20 H subscale ranked highest for violence among women. The OGRS and total previous acquisitive convictions demonstrated greatest accuracy in predicting acquisitive offending among men and women. Actuarial instruments requiring no training to administer performed as well as personality assessment and structured risk assessment and were superior among men for violence.

  9. Is multidetector computed tomography comparable to magnetic resonance imaging for assessment of lumbar foraminal stenosis?

    PubMed

    Kang, Woo Young; Ahn, Joong Mo; Lee, Joon Woo; Lee, Eugene; Bae, Yun Jung; Seo, Jiwoon; Kim, Junghoon; Kang, Heung Sik

    2017-02-01

    Background Both multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI) are used for assessment of lumbar foraminal stenosis (LFS). Therefore, it is relevant to assess agreement between these imaging modalities. Purpose To determine intermodality, inter-, and intra-observer agreement for assessment of LFS on MDCT and MRI. Material and Methods A total of 120 foramina in 20 patients who visited our institution in January and February 2014 were evaluated by six radiologists with different levels of experience. Radiologists evaluated presence and severity of LFS on sagittal CT and MR images according to a previously published LFS grading system. Intermodality agreement was analyzed by using weighted kappa statistics, while inter- and intra-observer agreement were analyzed by using intraclass correlation coefficients (ICCs) and kappa statistics. Results Overall intermodality agreement was moderate to good (kappa, 0.478-0.765). In particular, two professors and one fellow tended to overestimate the degree of LFS on CT compared with MRI. For inter-observer agreement of all six observers, ICCs indicated excellent agreement for both CT (0.774) and MRI (0.771), while Fleiss' kappa values showed moderate agreement for CT (0.482) and MRI (0.575). There was better agreement between professors and fellows compared with residents. For intra-observer agreement, ICCs indicated excellent agreement, while kappa values showed good to excellent agreement for both CT and MRI. Conclusion MDCT was comparable to MRI for diagnosis and assessment of LFS, especially for experienced observers. However, there was a tendency to overestimate the degree of LFS on MDCT compared with MRI.

  10. Preparation, Clinical Support, and Confidence of Speech-Language Pathologists Managing Clients with a Tracheostomy in Australia

    ERIC Educational Resources Information Center

    Ward, Elizabeth; Agius, Emma; Solley, Maura; Cornwell, Petrea; Jones, Claire

    2008-01-01

    Purpose: To describe the preparation and training, clinical support, and confidence of speech-language pathologists (SLPs) in relation to tracheostomy client care in Australia. Method: A survey was sent to 90 SLPs involved in tracheostomy management across Australia. The survey contained questions relating to preparation and training, clinical…

  11. Feeding Tube Placement in Patients with Advanced Dementia: The Beliefs and Practice Patterns of Speech-Language Pathologists

    ERIC Educational Resources Information Center

    Sharp, Helen M.; Shega, Joseph W.

    2009-01-01

    Purpose: To describe the beliefs and practices of speech-language pathologists (SLPs) about the use of percutaneous endoscopic gastrostomy (PEG) among patients with advanced dementia and dysphagia. Method: A survey was mailed to a geographically stratified random sample of 1,050 medical SLPs. Results: The response rate was 57%, and 326 surveys met…

  12. Responsiveness to Intervention Roles for Speech-Language Pathologists in the Prevention and Identification of Learning Disabilities

    ERIC Educational Resources Information Center

    Troia, Gary A.

    2005-01-01

    This article addresses ways in which speech-language pathologists can play a proactive and substantive part in schoolwide reading disability prevention and intervention efforts within the responsiveness to intervention framework. First, the driving forces that led Congress to alter how schools may operationalize learning disabilities are…

  13. Understanding Why Speech-Language Pathologists Rarely Pursue a PhD in Communication Sciences and Disorders

    ERIC Educational Resources Information Center

    Myotte, Theodore; Hutchins, Tiffany L.; Cannizzaro, Michael S.; Belin, Gayle

    2011-01-01

    Masters-level speech-language pathologists in communication sciences and disorders (n = 122) completed a survey soliciting their reasons for not pursuing doctoral study. Factor analysis revealed a four-factor solution including one reflecting a lack of interest in doctoral study (Factor 2) and one reflecting practical financial concerns (Factor…

  14. Prevalence of Vocal Problems: Speech-Language Pathologists' Evaluation of Music and Non-Music Teacher Recordings

    ERIC Educational Resources Information Center

    Hackworth, Rhonda S.

    2013-01-01

    The current study, a preliminary examination of whether music teachers are more susceptible to vocal problems than teachers of other subjects, asked for expert evaluation of audio recordings from licensed speech-language pathologists. Participants (N = 41) taught music (n = 23) or another subject (n = 18) in either elementary (n = 21), middle (n =…

  15. The Role of the School-based Speech-Language Pathologist Serving Preschool Children with Dysphagia: A Personal Perspective.

    ERIC Educational Resources Information Center

    Kurjan, Randy Moskowitz

    2000-01-01

    This article discusses the role of speech-language pathologists in serving preschool children with dysphagia. Current approaches to feeding and swallowing intervention, etiologies and programs, transdisciplinary teaming, developmental and feeding evaluation, and types of service delivery models (home-based and center-based) for preschool children…

  16. Training and Self-Reported Confidence for Dysphagia Management among Speech-Language Pathologists in the Schools

    ERIC Educational Resources Information Center

    O'Donoghue, Cynthia R.; Dean-Claytor, Ashli

    2008-01-01

    Purpose: The number of children requiring dysphagia management in the schools is increasing. This article reports survey findings relative to speech-language pathologists' (SLPs') training and self-rated confidence to treat children with swallowing and feeding disorders in the schools. Method: Surveys were completed by 222 SLPs representing…

  17. Reliability of an Automated High-Resolution Manometry Analysis Program across Expert Users, Novice Users, and Speech-Language Pathologists

    ERIC Educational Resources Information Center

    Jones, Corinne A.; Hoffman, Matthew R.; Geng, Zhixian; Abdelhalim, Suzan M.; Jiang, Jack J.; McCulloch, Timothy M.

    2014-01-01

    Purpose: The purpose of this study was to investigate inter- and intrarater reliability among expert users, novice users, and speech-language pathologists with a semiautomated high-resolution manometry analysis program. We hypothesized that all users would have high intrarater reliability and high interrater reliability. Method: Three expert…

  18. Day as a Pathologist: Utilization of Technology to Guide Students in Exploring Careers in Breast Cancer Pathology

    ERIC Educational Resources Information Center

    Adler, Jacob J.; Judd, Mariah V.; Bringman, Lauren R.; Wells, Clark D.; Marrs, Kathleen A.

    2013-01-01

    We developed an interactive laboratory that allows students to identify and grade tissue samples from human breast biopsies, using techniques similar to those used by actual pathologists. This unique lab develops a practical and intellectual understanding of basic tissue structures that make up living systems, utilizing technology to bring…

  19. Nazareth College: Specialty Preparation for Speech-Language Pathologists to Work with Children Who Are Deaf and Hard of Hearing

    ERIC Educational Resources Information Center

    Brown, Paula M.; Quenin, Cathy

    2010-01-01

    The specialty preparation program within the speech-language pathology master's degree program at Nazareth College in Rochester, New York, was designed to train speech-language pathologists to work with children who are deaf and hard of hearing, ages 0 to 21. The program is offered in collaboration with the Rochester Institute of Technology,…

  20. Speech-Language Pathologists' Knowledge of Genetics: Perceived Confidence, Attitudes, Knowledge Acquisition and Practice-Based Variables

    ERIC Educational Resources Information Center

    Tramontana, G. Michael; Blood, Ingrid M.; Blood, Gordon W.

    2013-01-01

    The purpose of this study was to determine (a) the general knowledge bases demonstrated by school-based speech-language pathologists (SLPs) in the area of genetics, (b) the confidence levels of SLPs in providing services to children and their families with genetic disorders/syndromes, (c) the attitudes of SLPs regarding genetics and communication…

  1. Speech-Language Pathologists' Knowledge of, Exposure to, and Attitudes toward Hearing Aids and Hearing Aid Wearers.

    ERIC Educational Resources Information Center

    Lass, Norman J.; And Others

    1989-01-01

    A questionnaire concerned with various aspects of hearing aids was completed by 88 speech-language pathologists from six southern states. Results indicated some deficiencies in knowledge, exposure, and attitudes concerning hearing aids and hearing aid wearers. Implications and suggestions for graduate education and continuing education are…

  2. Principals' Opinions on the Role of Speech-Language Pathologists Serving Students with Communication Disorders Involved in Violence

    ERIC Educational Resources Information Center

    Ritzman, Mitzi J.; Sanger, Dixie

    2007-01-01

    Purpose: The purpose of this study was to survey the opinions of principals concerning the role of speech-language pathologists (SLPs) serving students with communication disorders who have been involved in violence. Method: A mixed methods design involving 678 questionnaires was mailed to elementary, middle, and high school principals in a…

  3. Quality Assessment of Comparative Diagnostic Accuracy Studies: Our Experience Using a Modified Version of the QUADAS-2 Tool

    ERIC Educational Resources Information Center

    Wade, Ros; Corbett, Mark; Eastwood, Alison

    2013-01-01

    Assessing the quality of included studies is a vital step in undertaking a systematic review. The recently revised Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool (QUADAS-2), which is the only validated quality assessment tool for diagnostic accuracy studies, does not include specific criteria for assessing comparative studies. As…

  4. Visual and digital comparative tooth colour assessment methods and atomic force microscopy surface roughness.

    PubMed

    Grundlingh, A A; Grossman, E S; Shrivastava, S; Witcomb, M J

    2013-10-01

    This study compared digital and visual colour tooth colour assessment methods in a sample of 99 teeth consisting of incisors, canines and pre-molars. The teeth were equally divided between Control, Ozicure Oxygen Activator bleach and Opalescence Quick bleach and subjected to three treatments. Colour readings were recorded at nine intervals by two assessment methods, VITA Easyshade and VITAPAN 3D MASTER TOOTH GUIDE, giving a total of 1782 colour readings. Descriptive and statistical analysis was undertaken using a GLM test for Analysis of Variance for a Fractional Design set at a significance of P < 0.05. Atomic force micros copy was used to examine treated ename surfaces and establish surface roughness. Visual tooth colour assessment showed significance for the independent variables of treatment, number of treatments, tooth type and the combination tooth type and treatment. Digital colour assessment indicated treatment and tooth type to be of significance in tooth colour change. Poor agreement was found between visual and digital colour assessment methods for Control and Ozicure Oxygen Activator treatments. Surface roughness values increased two-fold for Opalescence Quick specimens over the two other treatments, implying that increased light scattering improved digital colour reading. Both digital and visual colour matching methods should be used in tooth bleaching studies to complement each other and to compensate for deficiencies.

  5. Using assessments to investigate and compare the nature of learning in undergraduate science courses.

    PubMed

    Momsen, Jennifer; Offerdahl, Erika; Kryjevskaia, Mila; Montplaisir, Lisa; Anderson, Elizabeth; Grosz, Nate

    2013-06-01

    Assessments and student expectations can drive learning: students selectively study and learn the content and skills they believe critical to passing an exam in a given subject. Evaluating the nature of assessments in undergraduate science education can, therefore, provide substantial insight into student learning. We characterized and compared the cognitive skills routinely assessed by introductory biology and calculus-based physics sequences, using the cognitive domain of Bloom's taxonomy of educational objectives. Our results indicate that both introductory sequences overwhelmingly assess lower-order cognitive skills (e.g., knowledge recall, algorithmic problem solving), but the distribution of items across cognitive skill levels differs between introductory biology and physics, which reflects and may even reinforce student perceptions typical of those courses: biology is memorization, and physics is solving problems. We also probed the relationship between level of difficulty of exam questions, as measured by student performance and cognitive skill level as measured by Bloom's taxonomy. Our analyses of both disciplines do not indicate the presence of a strong relationship. Thus, regardless of discipline, more cognitively demanding tasks do not necessarily equate to increased difficulty. We recognize the limitations associated with this approach; however, we believe this research underscores the utility of evaluating the nature of our assessments.

  6. Comparative analysis of water quality and toxicity assessment methods for urban highway runoff.

    PubMed

    Chen, Rui-Hong; Li, Fei-Peng; Zhang, Hai-Ping; Jiang, Yue; Mao, Ling-Chen; Wu, Ling-Ling; Chen, Ling

    2016-05-15

    In this study, comparative analyses of highway runoff samples obtained from seventeen storm events have been conducted between the traditional water quality assessment method and biotoxicity tests, using zebrafish (Danio rerio) embryos and luminous bacteria (Vibrio qinghaiensis. Q67) to provide useful information for ecotoxicity assessment of urban highway runoff. The study results showed that the Nemerow pollution index based on US EPA recommended Criteria Maximum Concentrations (CMC) (as traditional water quality assessment method) had no significant correlation with luminous bacteria acute toxicity test results, while significant correlation has been observed with two indicators of 72 hpf (hours post fertilization) hour hatching rate and 96 hpf abnormality rate from the toxicity test with zebrafish embryos. It is therefore concluded that the level of mixture toxicity of highway runoff could not be adequately measured by the Nemerow assessment method. Moreover, the key pollutants identified from the water quality assessment and from the biotoxicity evaluation were not consistent. For biotoxic effect evaluation of highway runoff, three indexes were found to be sensitive, i.e. 24 hpf lethality and 96 hpf abnormality of zebrafish embryos, as well as the inhibition rate for luminous bacteria Q67. It is therefore recommended that these indexes could be incorporated into the traditional Nemerow method to provide a more reasonable evaluation of the highway runoff quality and ecotoxicity.

  7. Comparative assessment of absolute cardiovascular disease risk characterization from non-laboratory-based risk assessment in South African populations

    PubMed Central

    2013-01-01

    Background All rigorous primary cardiovascular disease (CVD) prevention guidelines recommend absolute CVD risk scores to identify high- and low-risk patients, but laboratory testing can be impractical in low- and middle-income countries. The purpose of this study was to compare the ranking performance of a simple, non-laboratory-based risk score to laboratory-based scores in various South African populations. Methods We calculated and compared 10-year CVD (or coronary heart disease (CHD)) risk for 14,772 adults from thirteen cross-sectional South African populations (data collected from 1987 to 2009). Risk characterization performance for the non-laboratory-based score was assessed by comparing rankings of risk with six laboratory-based scores (three versions of Framingham risk, SCORE for high- and low-risk countries, and CUORE) using Spearman rank correlation and percent of population equivalently characterized as ‘high’ or ‘low’ risk. Total 10-year non-laboratory-based risk of CVD death was also calculated for a representative cross-section from the 1998 South African Demographic Health Survey (DHS, n = 9,379) to estimate the national burden of CVD mortality risk. Results Spearman correlation coefficients for the non-laboratory-based score with the laboratory-based scores ranged from 0.88 to 0.986. Using conventional thresholds for CVD risk (10% to 20% 10-year CVD risk), 90% to 92% of men and 94% to 97% of women were equivalently characterized as ‘high’ or ‘low’ risk using the non-laboratory-based and Framingham (2008) CVD risk score. These results were robust across the six risk scores evaluated and the thirteen cross-sectional datasets, with few exceptions (lower agreement between the non-laboratory-based and Framingham (1991) CHD risk scores). Approximately 18% of adults in the DHS population were characterized as ‘high CVD risk’ (10-year CVD death risk >20%) using the non-laboratory-based score. Conclusions We found a high level of

  8. Score comparability of standard and nonstandard administrations of a state-mandated fifth grade science assessment

    NASA Astrophysics Data System (ADS)

    Randall, Cheryl Ann

    This study investigated the score comparability of a state-mandated science achievement test across three groups of students: (a) general education students, (b) learning disabled students without a reading accommodation, and (c) learning disabled students with a reading accommodation. The main purpose of the study was to determine whether the meaning of the total score is changed when learning disabled students are offered a reading accommodation. Comparability of scores was addressed on three different levels: (a) comparability of reliabilities across groups, (b) comparability of individual item functioning across groups, and (c) comparable factor structure across groups. The results clearly showed comparable reliabilities, comparable individual item functioning, and invariant factor structure even at the highest levels of comparison across groups. The results add to a growing body of evidence that some accommodations may be made for students with disabilities without changing the construct being measured by an assessment. This would allow scores from those particular nonstandard test administrations to be aggregated with scores from a standard test administration.

  9. Comparative evaluation of life cycle assessment models for solid waste management

    SciTech Connect

    Winkler, Joerg; Bilitewski, Bernd

    2007-07-01

    This publication compares a selection of six different models developed in Europe and America by research organisations, industry associations and governmental institutions. The comparison of the models reveals the variations in the results and the differences in the conclusions of an LCA study done with these models. The models are compared by modelling a specific case - the waste management system of Dresden, Germany - with each model and an in-detail comparison of the life cycle inventory results. Moreover, a life cycle impact assessment shows if the LCA results of each model allows for comparable and consecutive conclusions, which do not contradict the conclusions derived from the other models' results. Furthermore, the influence of different level of detail in the life cycle inventory of the life cycle assessment is demonstrated. The model comparison revealed that the variations in the LCA results calculated by the models for the case show high variations and are not negligible. In some cases the high variations in results lead to contradictory conclusions concerning the environmental performance of the waste management processes. The static, linear modelling approach chosen by all models analysed is inappropriate for reflecting actual conditions. Moreover, it was found that although the models' approach to LCA is comparable on a general level, the level of detail implemented in the software tools is very different.

  10. Comparative assessment of thematic accuracy of GLC maps for specific applications using existing reference data

    NASA Astrophysics Data System (ADS)

    Tsendbazar, N. E.; de Bruin, S.; Mora, B.; Schouten, L.; Herold, M.

    2016-02-01

    Inputs to various applications and models, current global land cover (GLC) maps are based on different data sources and methods. Therefore, comparing GLC maps is challenging. Statistical comparison of GLC maps is further complicated by the lack of a reference dataset that is suitable for validating multiple maps. This study utilizes the existing Globcover-2005 reference dataset to compare thematic accuracies of three GLC maps for the year 2005 (Globcover, LC-CCI and MODIS). We translated and reinterpreted the LCCS (land cover classification system) classifier information of the reference dataset into the different map legends. The three maps were evaluated for a variety of applications, i.e., general circulation models, dynamic global vegetation models, agriculture assessments, carbon estimation and biodiversity assessments, using weighted accuracy assessment. Based on the impact of land cover confusions on the overall weighted accuracy of the GLC maps, we identified map improvement priorities. Overall accuracies were 70.8 ± 1.4%, 71.4 ± 1.3%, and 61.3 ± 1.5% for LC-CCI, MODIS, and Globcover, respectively. Weighted accuracy assessments produced increased overall accuracies (80-93%) since not all class confusion errors are important for specific applications. As a common denominator for all applications, the classes mixed trees, shrubs, grasses, and cropland were identified as improvement priorities. The results demonstrate the necessity of accounting for dissimilarities in the importance of map classification errors for different user application. To determine the fitness of use of GLC maps, accuracy of GLC maps should be assessed per application; there is no single-figure accuracy estimate expressing map fitness for all purposes.

  11. A comparative risk assessment for the Russian V213 power reactor

    SciTech Connect

    Marshall, T.D.; Hockenbury, R.W.; Honey, J.A.; Cadwallader, L.C.

    1996-04-01

    Probabilistic risk assessment methodology is applied to generate an evaluation of the relative likelihood of safe recovery following selected pressurized water reactor (PWR) design basis accidents for a Russian V213 nuclear power reactor. US-designed PWRs similar to the V213 are used for reference and comparison. This V213 risk assessment is based on comparison analyses of the following aspects: accident progression event tree success paths for typical PWR accident initiating events, safety aspects in reactor design, and perceived performance of reactor safety systems. The four initiating events considered here are: loss of offsite power with station blackout, large-break loss-of-coolant accident (LOCA), medium-break LOCA, and small-break LOCA. The success probabilities for the V213 reaching a non-core-damage state after the onset of the selected initiating events are calculated for two scenarios: (a) using actual component reliability data from US PWRs and (b) assuming common component reliability data. US PWR component reliability data are used based of the unavailability of such data for the V213 at the time of the analyses. While the use of US PWR data in this risk assessment of the V213 does strongly infer V213 comparability to US plants, the risk assessment using common component reliability does not have such a stringent limitation and is thus a separate scoping assessment of the V213 engineered safety systems. The results of the analyses suggest that the V213 has certain design features that significantly improve the reactor`s safety margin for the selected initiating events and that the V213 design has a relative risk of core damage for selected initiating events that is at least comparable to US PWRs. It is important to realize that these analyses are of a scoping nature and may be significantly influenced by important risk factors such as V213 operator training, quality control, and maintenance procedures.

  12. Applicability and Validity of the Amnestic Comparative Self-Assessment in Adolescents.

    PubMed

    Roeser, Karolin; Schwerdtle, Barbara; Eichholz, Ruth; Kübler, Andrea

    2013-01-02

    The Amnestic Comparative Self-Assessment (ACSA) is a sensitive, efficient, and economic instrument to assess overall quality of life in adult populations. The present study investigates the applicability of the ACSA in an adolescent sample and compares it to a measure of health-related quality of life, the Kiddo-Kindl. The sample comprised 92 adolescents (50 girls, 42 boys) aged 11-17 years (mean age: 13.67, standard deviation: 1.34). Of the investigated sample, n=69 (75%) completed the ACSA. No significant demographic differences were found between ACSA-respondents and non-respondents. The correlation of the Kiddo-Kindl and the ACSA was moderate (r=0.50). The Kiddo-Kindl subscales and the ACSA correlated between r=0.07 and 0.41. The majority of adolescents are able to complete the ASCA, and its acceptance and validity are independent of age. Thus, future investigations could adopt the ACSA in adolescents to assess overall quality of life.

  13. Health technology assessment and comparative effectiveness research: a pharmaceutical industry perspective.

    PubMed

    Hao, Yanni; Thomas, Adrian

    2013-08-01

    We briefly review the characteristics of several established health technology assessment (HTA) programs in industrialized societies including Germany, the UK and France. Special attention is paid on two issues: the position of HTA in coverage decision making and the role of economic assessment in evaluation processes. Although law makers in the USA have barred the use of NICE's cost/quality-adjusted life year or similar health economics approaches by public payers for coverage decision making, there are suggestions of prioritizing relative efficacy evaluation over economic assessment under a comparative effectiveness research (CER) framework to inform payment rates of public payers (an approach similar to German and French HTA processes). However, such an approach is unlikely to prove viable. It should also be noted that, if cost considerations are made explicit in US CER policy decisions, CER may become an unsustainable approach undermined by a conflicting emphasis on both cost containment and a demand for costly comparative evidence. On the other hand, properly designed CER initiatives can serve as a facilitator of more efficient research activities and drug development models. With these points in mind, the likely pathway of US CER is explored and the plausible impact on industry innovation is discussed.

  14. Comparative assessment of the environmental sustainability of existing and emerging perchlorate treatment technologies for drinking water.

    PubMed

    Choe, Jong Kwon; Mehnert, Michelle H; Guest, Jeremy S; Strathmann, Timothy J; Werth, Charles J

    2013-05-07

    Environmental impacts of conventional and emerging perchlorate drinking water treatment technologies were assessed using life cycle assessment (LCA). Comparison of two ion exchange (IX) technologies (i.e., nonselective IX with periodic regeneration using brines and perchlorate-selective IX without regeneration) at an existing plant shows that brine is the dominant contributor for nonselective IX, which shows higher impact than perchlorate-selective IX. Resource consumption during the operational phase comprises >80% of the total impacts. Having identified consumables as the driving force behind environmental impacts, the relative environmental sustainability of IX, biological treatment, and catalytic reduction technologies are compared more generally using consumable inputs. The analysis indicates that the environmental impacts of heterotrophic biological treatment are 2-5 times more sensitive to influent conditions (i.e., nitrate/oxygen concentration) and are 3-14 times higher compared to IX. However, autotrophic biological treatment is most environmentally beneficial among all. Catalytic treatment using carbon-supported Re-Pd has a higher (ca. 4600 times) impact than others, but is within 0.9-30 times the impact of IX with a newly developed ligand-complexed Re-Pd catalyst formulation. This suggests catalytic reduction can be competitive with increased activity. Our assessment shows that while IX is an environmentally competitive, emerging technologies also show great promise from an environmental sustainability perspective.

  15. Life cycle assessments of urban water systems: a comparative analysis of selected peer-reviewed literature.

    PubMed

    Loubet, Philippe; Roux, Philippe; Loiseau, Eleonore; Bellon-Maurel, Veronique

    2014-12-15

    Water is a growing concern in cities, and its sustainable management is very complex. Life cycle assessment (LCA) has been increasingly used to assess the environmental impacts of water technologies during the last 20 years. This review aims at compiling all LCA papers related to water technologies, out of which 18 LCA studies deals with whole urban water systems (UWS). A focus is carried out on these 18 case studies which are analyzed according to criteria derived from the four phases of LCA international standards. The results show that whereas the case studies share a common goal, i.e., providing quantitative information to policy makers on the environmental impacts of urban water systems and their forecasting scenarios, they are based on different scopes, resulting in the selection of different functional units and system boundaries. A quantitative comparison of life cycle inventory and life cycle impact assessment data is provided, and the results are discussed. It shows the superiority of information offered by multi-criteria approaches for decision making compared to that derived from mono-criterion. From this review, recommendations on the way to conduct the environmental assessment of urban water systems are given, e.g., the need to provide consistent mass balances in terms of emissions and water flows. Remaining challenges for urban water system LCAs are identified, such as a better consideration of water users and resources and the inclusion of recent LCA developments (territorial approaches and water-related impacts).

  16. A comparative life cycle assessment of petroleum and soybean-based lubricants.

    PubMed

    Miller, Shelie A; Landis, Amy E; Theis, Thomas L; Reich, Ronald A

    2007-06-01

    A comparative life cycle assessment examining soybean and petroleum-based lubricants is compiled using Monte Carlo analysis to assess system variability. Experimental data obtained from an aluminum manufacturing facility indicate significantly less soybean lubricant is required to achieve similar or superior performance. With improved performance and a lower use rate, a transition to soybean oil results in lower aggregate impacts of acidification, smog formation, and human health from criteria pollutants. Regardless of quantity consumed, soybean-based lubricants exhibit significant climate change and fossil fuel use benefits; however, eutrophication impacts are much greater due to non-point nutrient emissions. Fundamental tradeoffs in the carbon and nitrogen cycles are addressed in the analysis, demonstrating that a transition to soybean oil may result in climate change benefits at the expense of regional water quality.

  17. Methodology for the comparative assessment of the Satellite Power System (SPS) and alternative technologies

    SciTech Connect

    Wolsko, T.; Buehring, W.; Cirillo, R.; Gasper, J.; Habegger, L.; Hub, K.; Newsom, D.; Samsa, M.; Stenehjem, E.; Whitfield, R.

    1980-01-01

    A description of the initial methodology for the Comparative Assessment of the Satellite Power System Concept Development and Evaluation Program of NASA and DOE is presented. Included are study objectives, issue identification, units of measurement, methods, and data bases. The energy systems concerned are the satellite power system, several coal technologies, geothermal energy, fission, fusion, terrestrial solar systems, and ocean thermal energy conversion. Guidelines are suggested for the characterization of these systems, side-by-side analysis, alternative futures analysis, and integration and aggregation of data. The bulk of this report is a description of the methods for assessing the technical, economic, environmental, societal, and institutional issues surrounding the development of the selected energy technologies.

  18. Comparative analysis of the life cycle impact assessment of available cement inventories in the EU

    SciTech Connect

    Josa, Alejandro; Byars, Ewan

    2007-05-15

    Life cycle impact assessment (LCIA) is one of basic steps in life cycle assessment methodology (LCA). This paper presents a comparative study of the LCIA of different life cycle inventories (LCI) for EU cements. The analysis unit used is the manufacture of 1 kg of cement, from 'cradle to gate'. The impact categories considered are those resulting from the manufacture of cement and include greenhouse effects, acidification, eutrophication and summer and winter smog, amongst others. The results of the study highlighted some inconsistencies in existing inventories. As for the LCIA, the main environmental interventions related to cement manufacture were classified and characterised and their effect on different impact categories analysed. Differences observed in evaluation of the impact of cement type were essentially related to their clinker content.

  19. Comparing a tablet computer and paper forms for assessing patient-reported outcomes in edentulous patients

    PubMed Central

    Caetano, Thais Angelina; Ribeiro, Adriana Barbosa; Della Vecchia, Maria Paula; Cunha, Tatiana Ramirez; Chaves, Carolina de Andrade Lima

    2016-01-01

    PURPOSE The aim of this study was to determine whether two methods of documentation, print and electronic forms, for the assessment of patient-reported outcomes (PRO) in complete denture wearers provide comparable results. The study also quantified the time needed for filling the forms by each method. MATERIALS AND METHODS Thirty participants enrolled in a university clinic answered two forms (a questionnaire for denture satisfaction and OHIP-EDENT). They provided answers with two application methods in a random order, with a one-month interval between them: (1) electronic forms on a tablet computer; and (2) print forms. The methods were compared in terms of mean results, correlation/agreement, internal consistency, and spent time. RESULTS Mean results for both methods were similar for each denture satisfaction item (100-mm VAS) and OHIP-EDENT summary score. Both questionnaires presented good internal consistency regardless of the application method (Cronbach's α=0.86 or higher). Correlation and agreement between the methods regarding specific items was at least moderate for the majority of cases. Mean time for the electronic and print forms were 9.2 and 8.5 minutes, respectively (paired t test, P=.06, non-significant). CONCLUSION The electronic method is comparable to print forms for the assessment of important PRO of prosthetic treatment for edentulism, considering the results and time needed. Findings suggest the viability of replacing print forms with a tablet for applying the tested inventories in clinical trials. PMID:28018563

  20. Dental students' opinions of preparation assessment with E4D compare software versus traditional methods.

    PubMed

    Hamil, Lindsey M; Mennito, Anthony S; Renné, Walter G; Vuthiganon, Jompobe

    2014-10-01

    The aim of this study was to evaluate dental students' opinions regarding the utilization of a new grading software program for student self-assessment and a faculty-grading tool in a preclinical course. Using surface mapping technology, this program, called E4D Compare, yields a digital model of a student's preparation that is color-coded to show deficient areas. The program has now been used for two years at the James B. Edwards College of Dental Medicine at the Medical University of South Carolina, and the students previously assessed with E4D Compare have now entered into the dental clinics. For this study, students were asked to complete an anonymous survey for the investigators to evaluate students' attitudes and opinions on the effectiveness of this software in their preclinical courses to determine if this type of feedback helped them develop clinical skills. The survey also sought to collect students' opinions on the traditional objective criteria-based grading system. The survey was distributed to all members of the Classes of 2014 and 2015; it yielded a 59 percent response rate for the two classes, with a total of eighty-one students responding. Overall, the majority of students preferred the E4D Compare grading system over traditional hand-grading methods. The grading system provided instant, objective, and visual feedback that allowed students to easily see where their deficiencies were and encouraged them to work towards an ideal final product.

  1. Considerations for comparative tobacco product assessments based on smoke constituent yields.

    PubMed

    Belushkin, M; Jaccard, G; Kondylis, A

    2015-10-01

    Cigarette smoke is a complex mixture of more than 8000 smoke constituents. The quantification of selected mainstream smoke constituent yields is one of the methods to evaluating and comparing the performance of different products. Numerous regulatory and scientific advisory bodies have used cigarette smoke constituent yield data for reporting and product comparison purposes. For more than a decade limitations of the indiscriminate application of traditional statistical methods such as the t-test for differences in comparative smoke constituent yield assessments lacking a specific study design, have been highlighted. In the present study, the variability of smoke constituent yields is demonstrated with data obtained under the ISO smoking regime for the Kentucky reference cigarette 3R4F and one commercial brand, analyzed on several occasions between 2007 and 2014. Specifically it is shown that statistically significant differences in the yields of selected smoke constituents do not readily translate to differences between products, and that tolerances need to be defined. To this end, two approaches have been proposed in the literature--minimal detectable differences, and the statistical equivalence. It is illustrated how both approaches provide more meaningful comparison outcomes than the statistical t-test for differences. The present study provides considerations relevant for comparative tobacco product assessments both in the scientific and regulatory contexts.

  2. Comparative Accuracy Assessment of Global Land Cover Datasets Using Existing Reference Data

    NASA Astrophysics Data System (ADS)

    Tsendbazar, N. E.; de Bruin, S.; Mora, B.; Herold, M.

    2014-12-01

    Land cover is a key variable to monitor the impact of human and natural processes on the biosphere. As one of the Essential Climate Variables, land cover observations are used for climate models and several other applications. Remote sensing technologies have enabled the generation of several global land cover (GLC) products that are based on different data sources and methods (e.g. legends). Moreover, the reported map accuracies result from varying validation strategies. Such differences make the comparison of the GLC products challenging and create confusion on selecting suitable datasets for different applications. This study aims to conduct comparative accuracy assessment of GLC datasets (LC-CCI 2005, MODIS 2005, and Globcover 2005) using the Globcover 2005 reference data which can represent the thematic differences of these GLC maps. This GLC reference dataset provides LCCS classifier information for 3 main land cover types for each sample plot. The LCCS classifier information was translated according to the legends of the GLC maps analysed. The preliminary analysis showed some challenges in LCCS classifier translation arising from missing important classifier information, differences in class definition between the legends and absence of class proportion of main land cover types. To overcome these issues, we consolidated the entire reference data (i.e. 3857 samples distributed at global scale). Then the GLC maps and the reference dataset were harmonized into 13 general classes to perform the comparative accuracy assessments. To help users on selecting suitable GLC dataset(s) for their application, we conducted the map accuracy assessments considering different users' perspectives: climate modelling, bio-diversity assessments, agriculture monitoring, and map producers. This communication will present the method and the results of this study and provide a set of recommendations to the GLC map producers and users with the aim to facilitate the use of GLC maps.

  3. Graphical Assessment Technique (GAT) - An Objective, Comprehensive and Comparative Hand Hygiene Quantification Tool

    PubMed Central

    Patthi, Basavaraj; Singla, Ashish; Gupta, Ritu; Prasad, Monika; Pandita, Venisha; Malhi, Ravneet; Vashishtha, Vaibhav

    2016-01-01

    Introduction There has been a profound leap in developing countries in sectors of human development but it falls short of millennium development goals. Diarrhoea, respiratory infections are primary cause of child deaths around the world due to improper hygiene practice. There is lack of systematic objective analysis, follow-up and quantification of hand hygiene guidelines. So, there is an urgent requisite of a tool to assess the same. Aim To conduct a pilot test for assessing the efficacy of Graphical Assessment Technique (GAT) in objectively evaluating and comparing intervention based hand hygiene among students of National Association of Blind School (NABS) and a government school. Materials and Methods GAT was used to assess the baseline and post-intervention improvement of 80 students considered for the study. Data was analyzed using SPSS software version 20.0 and was subjected to quantitative analysis and parametric tests. Results Non-significant difference (p≥0.05) was found at baseline and immediate post-intervention on percentage mean scores of blind school students and government school student, while government school children also showed non-significant difference at one week. Significant difference (p≤0.05) was found at baseline, post-intervention one week and post-intervention one month for blind school children along with baseline and post-intervention mean percentage scores for government school children. Conclusion The primary agenda behind the study was to test a tool which can objectively evaluate, quantify and compare the follow-up of hand hygiene guidelines and aid in better hand hygiene promotion. PMID:27656553

  4. Assessing burn severity and comparing soil water repellency, Hayman Fire, Colorado

    NASA Astrophysics Data System (ADS)

    Lewis, Sarah A.; Wu, Joan Q.; Robichaud, Peter R.

    2006-01-01

    An important element of evaluating a large wildfire is to assess its effects on the soil in order to predict the potential watershed response. After the 55 000 ha Hayman Fire on the Colorado Front Range, 24 soil and vegetation variables were measured to determine the key variables that could be used for a rapid field assessment of burn severity. The percentage of exposed mineral soil and litter cover proved to be the best predictors of burn severity in this environment. Two burn severity classifications, one from a statistical classification tree and the other a Burned Area Emergency Response (BAER) burn severity map, were compared with measured ground truth burn severity at 183 plots and were 56% and 69% accurate, respectively.This study also compared water repellency measurements made with the water drop penetration time (WDPT) test and a mini-disk infiltrometer (MDI) test. At the soil surface, the moderate and highly burned sites had the strongest water repellency, yet were not significantly different from each other. Areas burned at moderate severity had 1.5 times more plots that were strongly water repellent at the surface than the areas burned at high severity. However, the high severity plots most likely had a deeper water repellent layer that was not detected with our surface tests. The WDPT and MDI values had an overall correlation of r = -0.64(p < 0.0001) and appeared to be compatible methods for assessing soil water repellency in the field. Both tests represent point measurements of a soil characteristic that has large spatial variability; hence, results from both tests reflect that variability, accounting for much of the remaining variance. The MDI is easier to use, takes about 1 min to assess a strongly water repellent soil and provides two indicators of water repellency: the time to start of infiltration and a relative infiltration rate.

  5. Comparing Voice Self-Assessment with Auditory Perceptual Analysis in Patients with Multiple Sclerosis

    PubMed Central

    Bauer, Vladimir; Aleric, Zorica; Jancic, Ervin

    2014-01-01

    Introduction Disordered voice quality could be a symptom of multiple sclerosis (MS). The impact of MS on voice-related quality of life is still controversial. Objectives The aim of this study was to compare the results of voice self-assessment with the results of expert perceptual assessment in patients with MS. Methods The research included 38 patients with relapse-remitting MS (23 women and 15 men; ages 21 to 83, mean = 44). All participants filled out a Voice Handicap Index (VHI), and their voice sample was analyzed by speech and language professionals using the Grade Roughness Breathiness Asthenia Strain scale (GRBAS). Results The patients with MS had significantly higher VHI than control group participants (mean value 16.68 ± 16.2 compared with 5.29 ± 5.5, p = 0.0001). The study established a notable level of dysphonia in 55%, roughness and breathiness in 66%, asthenia in 34%, and strain in 55% of the vocal samples. A significant correlation was established between VHI and GRBAS scores (r = 0.3693, p = 0.0225), and VHI and asthenia and strain components (r = 0.4037 and 0.3775, p = 0.012 and 0.0195, respectively). The female group showed positive and significant correlation between claims for self-assessing one's voice (pVHI) and overall GRBAS scores, and between pVHI and grade, roughness, asthenia, and strain components. No significant correlation was found for male patients (p > 0.05). Conclusion A significant number of patients with MS experienced voice problems. The VHI is a good and effective tool to assess patient self-perception of voice quality, but it may not reflect the severity of dysphonia as perceived by voice and speech professionals. PMID:25992162

  6. Comparative assessment of five potential sites for magma: hydrothermal systems - geophysics

    SciTech Connect

    Kasameyer, P.

    1980-09-02

    As part of a comparative assessment for the Continental Scientific Drilling Program, geophysical data were used, to characterize and evaluate potential magma-hydrothermal targets at five drill sites in the western United States. The sites include Roosevelt Hot Springs, Utah, the Rio Grande Rift, New Mexico, and The Geysers-Clear Lake, Long Valley, and Salton Trough areas, California. This summary discusses the size, depth, temperature, and setting of each potential target, as well as relvant scientific questions about their natures and the certainty of their existence.

  7. Comparative assessment of different treatment modalities in miners with vibration- and noise-induced disease

    SciTech Connect

    Velskaya, M.L.; Nekhorosheva, M.A.; Konovalova, S.I.; Kukhtina, G.V.; Gonchar, I.G.; Terentyeva, D.P.; Grishchenko, L.A.; Soboleva, N.P.; Kharitonov, S.A.; Priklonskiy, I.V.

    1985-02-01

    A group of 71 miners with vibration sickness and noise-induced pathology were managed either by standard methods, or in combination with acupuncture and/or hyperbaric oxygenation for a comparative assessment of the effectiveness of the different therapeutic approaches. Analysis of subjective factors as well as standard physiological parameters (EKG, rheoencephalography, peripheral rheography, EEG, neuropsychological tests) demonstrate that both acupuncture and hyperbaric oxygenation are effective modalities in the majority of the subjects. Nevertheless, the lack of improvement in certain criteria, or even what could be regarded as adverse sequelae, suggest that the use of hyperbaric oxygenation in the management of such disorders be approached with considerable care.

  8. Comparing and assessing different measurement techniques for mercury in coal systhesis gas

    SciTech Connect

    Maxwell, D.P.; Richardson, C.F.

    1995-11-01

    Three mercury measurement techniques were performed on synthesis gas streams before and after an amine-based sulfur removal system. The syngas was sampled using (1) gas impingers containing a nitric acid-hydrogen peroxide solution, (2) coconut-based charcoal sorbent, and (3) an on-line atomic absorption spectrophotometer equipped with a gold amalgamation trap and cold vapor cell. Various impinger solutions were applied upstream of the gold amalgamation trap to remove hydrogen sulfide and isolate oxidized and elemental species of mercury. The results from these three techniques are compared to provide an assessment of these measurement techniques in reducing gas atmospheres.

  9. Comparative Assessment and Decision Support System for Strategic Military Airlift Capability

    NASA Technical Reports Server (NTRS)

    Salmon, John; Iwata, Curtis; Mavris, Dimitri; Weston, Neil; Fahringer, Philip

    2011-01-01

    The Lockheed Martin Aeronautics Company has been awarded several programs to modernize the aging C-5 military transport fleet. In order to ensure its continuation amidst budget cuts, it was important to engage the decision makers by providing an environment to analyze the benefits of the modernization program. This paper describes an interface that allows the user to change inputs such as the scenario airfields, take-off conditions, and reliability characteristics. The underlying logistics surrogate model was generated using data from a discrete-event simulation. Various visualizations such as intercontinental flight paths illustrated in 3D, have been created to aid the user in analyzing scenarios and performing comparative assessments for various output logistics metrics. The capability to rapidly and dynamically evaluate and compare scenarios was developed enabling real time strategy exploration and trade-offs.

  10. Objective, comparative assessment of the penetration depth of temporal-focusing microscopy for imaging various organs

    NASA Astrophysics Data System (ADS)

    Rowlands, Christopher J.; Bruns, Oliver T.; Bawendi, Moungi G.; So, Peter T. C.

    2015-06-01

    Temporal focusing is a technique for performing axially resolved widefield multiphoton microscopy with a large field of view. Despite significant advantages over conventional point-scanning multiphoton microscopy in terms of imaging speed, the need to collect the whole image simultaneously means that it is expected to achieve a lower penetration depth in common biological samples compared to point-scanning. We assess the penetration depth using a rigorous objective criterion based on the modulation transfer function, comparing it to point-scanning multiphoton microscopy. Measurements are performed in a variety of mouse organs in order to provide practical guidance as to the achievable penetration depth for both imaging techniques. It is found that two-photon scanning microscopy has approximately twice the penetration depth of temporal-focusing microscopy, and that penetration depth is organ-specific; the heart has the lowest penetration depth, followed by the liver, lungs, and kidneys, then the spleen, and finally white adipose tissue.

  11. Objective, comparative assessment of the penetration depth of temporal-focusing microscopy for imaging various organs

    PubMed Central

    Rowlands, Christopher J.; Bruns, Oliver T.; Bawendi, Moungi G.; So, Peter T. C.

    2015-01-01

    Abstract. Temporal focusing is a technique for performing axially resolved widefield multiphoton microscopy with a large field of view. Despite significant advantages over conventional point-scanning multiphoton microscopy in terms of imaging speed, the need to collect the whole image simultaneously means that it is expected to achieve a lower penetration depth in common biological samples compared to point-scanning. We assess the penetration depth using a rigorous objective criterion based on the modulation transfer function, comparing it to point-scanning multiphoton microscopy. Measurements are performed in a variety of mouse organs in order to provide practical guidance as to the achievable penetration depth for both imaging techniques. It is found that two-photon scanning microscopy has approximately twice the penetration depth of temporal-focusing microscopy, and that penetration depth is organ-specific; the heart has the lowest penetration depth, followed by the liver, lungs, and kidneys, then the spleen, and finally white adipose tissue. PMID:25844509

  12. Comparative application of different risk assessment models and implications on resulting remediation options.

    PubMed

    Capodaglio, Andrea; Callegari, Arianna; Torretta, Vincenzo

    2014-01-01

    The issue of contaminated soils and their productive recovery is a quite controversial environmental and economic problem with important consequences for its social, public health and sustainability aspects. The sheer number and characteristics of the polluted sites are so large and varied, and the definition of priorities related to their remediation interventions so site-dependent, that proper characterization and final environmental quality goals reflect a strategic importance. One of the possible approaches to site specific approach and site priority ranking can be that of carrying out, respectively, absolute and comparative analysis procedures. An important aspect to be solved is represented by the necessity to consider not only the potential risk to public health, but also the best possible financial return from the investments for remediation, especially when carried out with public money. In this paper, different contaminated sites' risk assessment approaches are considered, compared and their applicability to support sustainable policies discussed using a case study.

  13. Comparative Assessment of Particulate Air Pollution Exposure from Municipal Solid Waste Incinerator Emissions

    PubMed Central

    Ashworth, Danielle C.; Fuller, Gary W.; Toledano, Mireille B.; Font, Anna; Elliott, Paul; Hansell, Anna L.; de Hoogh, Kees

    2013-01-01

    Background. Research to date on health effects associated with incineration has found limited evidence of health risks, but many previous studies have been constrained by poor exposure assessment. This paper provides a comparative assessment of atmospheric dispersion modelling and distance from source (a commonly used proxy for exposure) as exposure assessment methods for pollutants released from incinerators. Methods. Distance from source and the atmospheric dispersion model ADMS-Urban were used to characterise ambient exposures to particulates from two municipal solid waste incinerators (MSWIs) in the UK. Additionally an exploration of the sensitivity of the dispersion model simulations to input parameters was performed. Results. The model output indicated extremely low ground level concentrations of PM10, with maximum concentrations of <0.01 μg/m3. Proximity and modelled PM10 concentrations for both MSWIs at postcode level were highly correlated when using continuous measures (Spearman correlation coefficients ~ 0.7) but showed poor agreement for categorical measures (deciles or quintiles, Cohen's kappa coefficients ≤ 0.5). Conclusion. To provide the most appropriate estimate of ambient exposure from MSWIs, it is essential that incinerator characteristics, magnitude of emissions, and surrounding meteorological and topographical conditions are considered. Reducing exposure misclassification is particularly important in environmental epidemiology to aid detection of low-level risks. PMID:23935644

  14. A comparative assessment of tools for ecosystem services quantification and valuation

    USGS Publications Warehouse

    Bagstad, Kenneth J.; Semmens, Darius; Waage, Sissel; Winthrop, Robert

    2013-01-01

    To enter widespread use, ecosystem service assessments need to be quantifiable, replicable, credible, flexible, and affordable. With recent growth in the field of ecosystem services, a variety of decision-support tools has emerged to support more systematic ecosystem services assessment. Despite the growing complexity of the tool landscape, thorough reviews of tools for identifying, assessing, modeling and in some cases monetarily valuing ecosystem services have generally been lacking. In this study, we describe 17 ecosystem services tools and rate their performance against eight evaluative criteria that gauge their readiness for widespread application in public- and private-sector decision making. We describe each of the tools′ intended uses, services modeled, analytical approaches, data requirements, and outputs, as well time requirements to run seven tools in a first comparative concurrent application of multiple tools to a common location – the San Pedro River watershed in southeast Arizona, USA, and northern Sonora, Mexico. Based on this work, we offer conclusions about these tools′ current ‘readiness’ for widespread application within both public- and private-sector decision making processes. Finally, we describe potential pathways forward to reduce the resource requirements for running ecosystem services models, which are essential to facilitate their more widespread use in environmental decision making.

  15. Life cycle assessment of segregating fattening pig urine and feces compared to conventional liquid manure management.

    PubMed

    De Vries, Jerke W; Aarnink, André J A; Groot Koerkamp, Peter W G; De Boer, Imke J M

    2013-02-05

    Gaseous emissions from in-house storage of liquid animal manure remain a major contributor to the environmental impact of manure management. Our aim was to assess the life cycle environmental consequences and reduction potential of segregating fattening pig urine and feces with an innovative V-belt system and to compare it to conventional liquid manure management, that is, the reference. Moreover, we aimed at analyzing the uncertainty of the outcomes related to applied emission factors. We compared a reference with two scenarios: segregation with solid, aerobically, stored feces and with liquid, anaerobically, stored feces. Results showed that, compared to the reference, segregation reduced climate change (CC) up to 82%, due to lower methane emission, reduced terrestrial acidification (TA) and particulate matter formation (PMF) up to 49%, through lower ammonia emission, but increased marine eutrophication up to 11% through nitrogen oxide emission from storage and nitrate leaching after field application. Fossil fuel depletion did not change. Segregation with liquid feces revealed lower environmental impact than segregation with solid feces. Uncertainty analysis supported the conclusion that segregating fattening pig urine and feces significantly reduced CC and additionally segregation with liquid feces significantly reduced TA and PMF compared to the reference.

  16. How experienced speech-language pathologists learn to work on teams.

    PubMed

    Morrison, Susan C; Lincoln, Michelle A; Reed, Vicki A

    2011-08-01

    This study sought to understand how 10 speech-language pathologists (SLPs) learned to work on teams with other disciplines. Team-work skills are cited by universities as a generic skill their graduate possess and by professional speech-language pathology organizations as an important skill for clinicians. Few allied health curriculums, including speech-language pathology, teach explicit team-work skills. Which leads to the question: Where have experienced SLPs learned these skills? Interviews from 10 practicing SLPs determined where and how they learned to work on teams as well as team-skills that entry-level SLPs should possess. Only two of the 10 participants had any formal team training during university study and nine out of 10 participants described learning "on the job" during their first professional job with assistance from a workplace mentor. All participants believed that training in team-work with other disciplines is important to learn during university study. The needed attitudes, knowledge, and skills described for entry-level SLPs reflects similar characteristics listed by the World Health Organization's 2010 recommendation for inter-professional education. These findings support the inclusion of inter-professional education learning opportunities in the speech-language pathology curriculum.

  17. Speech-language pathologists' reactions to response to intervention: a qualitative study.

    PubMed

    Sanger, Dixie; Snow, Pamela C; Colburn, Chelsey; Gergen, Michelle; Ruf, Michelle

    2012-02-01

    Qualitative methods were used to explore reactions of 300 speech-language pathologists (SLPs) on Response to Intervention (RTI). RTI is a system approach to serving struggling learners. This study was part of a larger research project that surveyed 2000 SLPs across the U.S. on their opinions about RTI. From 583 questionnaires returned, 300 (51.46%) responded to one open-ended question. Participants were asked, "What are your primary comments and/or concerns regarding RTI services for children and adolescents who struggle to learn?" Qualitative data analysis yielded 657 meaning units/codes and four themes emerged: (a) challenges and concerns, (b) support for the model, (c) implementation issues, and (d) role of SLPs. Challenges reflected in their reactions included: (a) the need for sufficient training, (b) SLPs' already heavy workloads, (c) concerns over students who may be "stuck in the tiers of RTI instruction" and the delay in timely referrals of students who need language services, and (d) having educational leaders that support RTI as well as the need for everyone to be "on board". RTI findings provide helpful considerations for SLPs and educators planning to implement the model.

  18. Automated detection of heuristics and biases among pathologists in a computer-based system.

    PubMed

    Crowley, Rebecca S; Legowski, Elizabeth; Medvedeva, Olga; Reitmeyer, Kayse; Tseytlin, Eugene; Castine, Melissa; Jukic, Drazen; Mello-Thoms, Claudia

    2013-08-01

    The purpose of this study is threefold: (1) to develop an automated, computer-based method to detect heuristics and biases as pathologists examine virtual slide cases, (2) to measure the frequency and distribution of heuristics and errors across three levels of training, and (3) to examine relationships of heuristics to biases, and biases to diagnostic errors. The authors conducted the study using a computer-based system to view and diagnose virtual slide cases. The software recorded participant responses throughout the diagnostic process, and automatically classified participant actions based on definitions of eight common heuristics and/or biases. The authors measured frequency of heuristic use and bias across three levels of training. Biases studied were detected at varying frequencies, with availability and search satisficing observed most frequently. There were few significant differences by level of training. For representativeness and anchoring, the heuristic was used appropriately as often or more often than it was used in biased judgment. Approximately half of the diagnostic errors were associated with one or more biases. We conclude that heuristic use and biases were observed among physicians at all levels of training using the virtual slide system, although their frequencies varied. The system can be employed to detect heuristic use and to test methods for decreasing diagnostic errors resulting from cognitive biases.

  19. Dysphagia training for speech-language pathologists: implications for clinical practice.

    PubMed

    Kamal, Rahayu Mustaffa; Ward, Elizabeth; Cornwell, Petrea

    2012-12-01

    There are competency standards available in countries with established speech-language pathology services to guide basic dysphagia training with ongoing workplace mentoring for advanced skills development. Such training processes, however, are not as well established in countries where speech-language pathology training and practice is relatively new, such as Malaysia. The current study examines the extent of dysphagia training and workplace support available to speech-language pathologists (SLPs) in Malaysia and Queensland, Australia, and explores clinicians' perceptions of the training and support provided, and of their knowledge, skills, and confidence. Using a matched cohort cross-sectional design, a purpose-built survey was administered to 30 SLPs working in Malaysian government hospitals and 30 SLPs working in Queensland Health settings in Australia. Malaysian clinicians were found to have received significantly less university training, less mentoring in the workplace, and were lacking key infrastructure needed to support professional development in dysphagia management. Over 90% of Queensland clinicians were confident and felt they had adequate skills in dysphagia management; in contrast, significantly lower levels of knowledge, skills, and confidence were observed in the Malaysian cohort. The findings identify a need for improved university training and increased opportunities for workplace mentoring, training, and support for Malaysian SLPs.

  20. Ischemia/Reperfusion Injury following Acute Myocardial Infarction: A Critical Issue for Clinicians and Forensic Pathologists

    PubMed Central

    Neri, Margherita; Pascale, Natascha; Pomara, Cristoforo

    2017-01-01

    Acute myocardial infarction (AMI) is a leading cause of morbidity and mortality. Reperfusion strategies are the current standard therapy for AMI. However, they may result in paradoxical cardiomyocyte dysfunction, known as ischemic reperfusion injury (IRI). Different forms of IRI are recognized, of which only the first two are reversible: reperfusion-induced arrhythmias, myocardial stunning, microvascular obstruction, and lethal myocardial reperfusion injury. Sudden death is the most common pattern for ischemia-induced lethal ventricular arrhythmias during AMI. The exact mechanisms of IRI are not fully known. Molecular, cellular, and tissue alterations such as cell death, inflammation, neurohumoral activation, and oxidative stress are considered to be of paramount importance in IRI. However, comprehension of the exact pathophysiological mechanisms remains a challenge for clinicians. Furthermore, myocardial IRI is a critical issue also for forensic pathologists since sudden death may occur despite timely reperfusion following AMI, that is one of the most frequently litigated areas of cardiology practice. In this paper we explore the literature regarding the pathophysiology of myocardial IRI, focusing on the possible role of the calpain system, oxidative-nitrosative stress, and matrix metalloproteinases and aiming to foster knowledge of IRI pathophysiology also in terms of medicolegal understanding of sudden deaths following AMI. PMID:28286377

  1. Adopting public health approaches to communication disability: challenges for the education of speech-language pathologists.

    PubMed

    Wylie, Karen; McAllister, Lindy; Davidson, Bronwyn; Marshall, Julie; Law, James

    2014-01-01

    Public health approaches to communication disability challenge the profession of speech-language pathology (SLP) to reconsider both frames of reference for practice and models of education. This paper reviews the impetus for public health approaches to communication disability and considers how public health is, and could be, incorporated into SLP education, both now and in the future. The paper describes tensions between clinical services, which have become increasingly specialized, and public health approaches that offer a broader view of communication disability and communication disability prevention. It presents a discussion of these tensions and asserts that public health approaches to communication are themselves a specialist field, requiring specific knowledge and skills. The authors suggest the use of the term 'communication disability public health' to refer to this type of work and offer a preliminary definition in order to advance discussion. Examples from three countries are provided of how some SLP degree programmes are integrating public health into the SLP curriculum. Alternative models of training for communication disability public health that may be relevant in the future in different contexts and countries are presented, prompting the SLP profession to consider whether communication disability public health is a field of practice for speech-language pathologists or whether it has broader workforce implications. The paper concludes with some suggestions for the future which may advance thinking, research and practice in communication disability public health.

  2. Rural speech-language pathologists' perceptions of working with allied health assistants.

    PubMed

    O'Brien, Rachael; Byrne, Nicole; Mitchell, Rebecca; Ferguson, Alison

    2013-12-01

    Workforce shortages are forecast for speech-language pathology in Australia, and will have a more significant impact on rural and remote areas than on metropolitan areas. Allied health (AH) disciplines such as physiotherapy and occupational therapy address the problem of workforce shortages and growing clinical demand by employing allied health assistants (AHAs) to provide clinical and administrative support to AH professionals. Currently, speech-language pathologists (SLPs) don't work with discipline-specific allied health assistants in all states of Australia (e.g., New South Wales). This paper aims to provide insight into the perceptions of SLPs in one Australian state (NSW) regarding working with AHAs. Semi-structured interviews were conducted with eight rural SLPs. Qualitative analysis indicated that participants perceived they had deficits in skills and knowledge required to work with AHAs and identified further training needs. Participants perceived the SLP role to be misunderstood and were concerned about poor consultation regarding the introduction of AHAs into the profession. Ambivalence was evident in overall perceptions of working with AHAs, and tasks performed. While previous research identified benefits of working with AHAs, results from this study suggest that significant professional, economic, and organizational issues need addressing before such a change should be implemented in speech-language pathology.

  3. Chronic traumatic encephalopathy, suicides and parasuicides in professional American athletes: the role of the forensic pathologist.

    PubMed

    Omalu, Bennet I; Bailes, Julian; Hammers, Jennifer Lynn; Fitzsimmons, Robert P

    2010-06-01

    We present 5 cases of professional American contact sport athletes who committed parasuicides and suicides aged 50, 45, 44, 36, and 40 years old. Full forensic autopsies and immunohistochemical analyses of the brains revealed chronic traumatic encephalopathy (CTE). The brains appeared grossly normal at autopsy without gross evidence of remote traumatic injuries or neurodegenerative disease. Brain immunohistochemical analyses revealed widespread cerebral taupathy in the form of neurofibrillary tangles and neuritic threads without neuritic amyloid plaques. CTE refers to chronic cognitive and neuropsychiatric symptoms of chronic neurodegeneration following a single episode of severe traumatic brain injury or repeated episodes of mild traumatic brain injury. CTE can only be definitively diagnosed by direct tissue examination. Without full autopsies and immunohistochemical brain analyses these cases would never have been identified. Forensic pathologists will play a vital and central role in the emerging disease surveillance of CTE in professional American athletes, in the identification of CTE cases, and in the establishment of the epidemiology of CTE, with the goal of eventually developing preventive and interventional therapeutic protocols for CTE outcomes.

  4. Speech-language pathologists' views on mentoring by people who use speech generating devices.

    PubMed

    Ballin, Liora; Balandin, Susan; Stancliffe, Roger J; Togher, Leanne

    2011-10-01

    Learning to use a speech generating device (SGD), also known as a voice output communication aid (VOCA), is a challenging experience for new device learners. These learners typically rely on training from speech-language pathologists (SLPs) and may not meet other users who are competent SGD communicators. The aim of this study was to explore SLPs' perceptions of the important components of a program where adults who use an SGD mentor new learners. A total of 17 SLPs experienced in augmentative and alternative communication (AAC) participated in one of three focus groups. The focus group discussions were analysed for content themes and these were verified with participants. Thematic analysis revealed that experienced SLPs perceived that a mentoring program to improve SGD use might help people new to using SGDs. Participants were positive about SLPs collaborating with SGD mentors to support new learners. They suggested ways in which SLPs could provide assistance and guidelines for establishing a mentoring program. Potential benefits identified for new learners included opportunities to view successful use of an SGD in everyday settings and to receive support and guidance. Benefits for mentors included the satisfaction of helping new learners.

  5. Comparing Student Learning Experiences of In-Text Commentary and Rubric-Articulated Feedback: Strategies for Formative Assessment

    ERIC Educational Resources Information Center

    Nordrum, Lene; Evans, Katherine; Gustafsson, Magnus

    2013-01-01

    This study compares students' experiences of two types of criteria-based assessment: in-text commentary and rubric-articulated feedback, in an assessment design combining the two feedback channels. The main aim is to use students' responses to shed light on how feedback strategies for formative assessment can be optimised. Following action…

  6. Comparing two tools for ecosystem service assessments regarding water resources decisions.

    PubMed

    Dennedy-Frank, P James; Muenich, Rebecca Logsdon; Chaubey, Indrajeet; Ziv, Guy

    2016-07-15

    We present a comparison of two ecohydrologic models commonly used for planning land management to assess the production of hydrologic ecosystem services: the Soil and Water Assessment Tool (SWAT) and the Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) annual water yield model. We compare these two models at two distinct sites in the US: the Wildcat Creek Watershed in Indiana and the Upper Upatoi Creek Watershed in Georgia. The InVEST and SWAT models provide similar estimates of the spatial distribution of water yield in Wildcat Creek, but very different estimates of the spatial distribution of water yield in Upper Upatoi Creek. The InVEST model may do a poor job estimating the spatial distribution of water yield in the Upper Upatoi Creek Watershed because baseflow provides a significant portion of the site's total water yield, which means that storage dynamics which are not modeled by InVEST may be important. We also compare the ability of these two models, as well as one newly developed set of ecosystem service indices, to deliver useful guidance for land management decisions focused on providing hydrologic ecosystem services in three particular decision contexts: environmental flow ecosystem services, ecosystem services for potable water supply, and ecosystem services for rainfed irrigation. We present a simple framework for selecting models or indices to evaluate hydrologic ecosystem services as a way to formalize where models deliver useful guidance.

  7. Comparative life cycle assessment of battery storage systems for stationary applications.

    PubMed

    Hiremath, Mitavachan; Derendorf, Karen; Vogt, Thomas

    2015-04-21

    This paper presents a comparative life cycle assessment of cumulative energy demand (CED) and global warming potential (GWP) of four stationary battery technologies: lithium-ion, lead-acid, sodium-sulfur, and vanadium-redox-flow. The analyses were carried out for a complete utilization of their cycle life and for six different stationary applications. Due to its lower CED and GWP impacts, a qualitative analysis of lithium-ion was carried out to assess the impacts of its process chains on 17 midpoint impact categories using ReCiPe-2008 methodology. It was found that in general the use stage of batteries dominates their life cycle impacts significantly. It is therefore misleading to compare the environmental performance of batteries only on a mass or capacity basis at the manufacturing outlet ("cradle-to-gate analyses") while neglecting their use stage impacts, especially when they have different characteristic parameters. Furthermore, the relative ranking of batteries does not show a significant dependency on the investigated stationary application scenarios in most cases. Based on the results obtained, the authors go on to recommend the deployment of batteries with higher round-trip efficiency, such as lithium-ion, for stationary grid operation in the first instance.

  8. Community Prevention Coalition Context and Capacity Assessment: Comparing the United States and Mexico.

    PubMed

    Brown, Louis D; Chilenski, Sarah M; Ramos, Rebeca; Gallegos, Nora; Feinberg, Mark E

    2016-04-01

    Effective planning for community health partnerships requires understanding how initial readiness-that is, contextual factors and capacity-influences implementation of activities and programs. This study compares the context and capacity of drug and violence prevention coalitions in Mexico to those in the United States. Measures of coalition context include community problems, community leadership style, and sense of community. Measures of coalition capacity include the existence of collaborative partnerships and coalition champions. The assessment was completed by 195 members of 9 coalitions in Mexico and 139 members of 7 coalitions in the United States. Psychometric analyses indicate the measures have moderate to strong internal consistency, along with good convergent and discriminant validity in both settings. Results indicate that members of Mexican coalitions perceive substantially more serious community problems, especially with respect to education, law enforcement, and access to alcohol and drugs. Compared to respondents in the United States, Mexican respondents perceive sense of community to be weaker and that prevention efforts are not as valued by the population where the coalitions are located. The Mexican coalitions appear to be operating in a substantially more challenging environment for the prevention of violence and substance use. Their ability to manage these challenges will likely play a large role in determining whether they are successful in their prevention efforts. The context and capacity assessment is a valuable tool that coalitions can use in order to identify and address initial barriers to success.

  9. A comparative assessment of the economics of plutonium disposition including comparison with other nuclear fuel cycles

    SciTech Connect

    Williams, K.A.; Miller, J.W.; Reid, R.L.

    1997-05-01

    DOE has been evaluating three technologies for the disposition of approximately 50 metric tons of surplus plutonium from defense-related programs: reactors, immobilization, and deep boreholes. As part of the process supporting an early CY 1997 Record of Decision (ROD), a comprehensive assessment of technical viability, cost, and schedule has been conducted. Oak Ridge National Laboratory has managed and coordinated the life-cycle cost (LCC) assessment effort for this program. This paper discusses the economic analysis methodology and the results prior to ROD. Other objectives of the paper are to discuss major technical and economic issues that impact plutonium disposition cost and schedule. Also to compare the economics of a once-through weapons-derived MOX nuclear fuel cycle to other fuel cycles, such as those utilizing spent fuel reprocessing. To evaluate the economics of these technologies on an equitable basis, a set of cost estimating guidelines and a common cost-estimating format were utilized by all three technology teams. This paper also includes the major economic analysis assumptions and the comparative constant-dollar and discounted-dollar LCCs.

  10. Assessment of local reaction to vaccines in live piglets with magnetic resonance imaging compared to histopathology.

    PubMed

    Bernau, Maren; Kremer, Prisca V; Kreuzer, Lena S; Emrich, Daniela; Pappenberger, Elke; Cussler, Klaus; Hoffmann, Andreas; Leipig, Miriam; Hermanns, Walter; Scholz, Armin Manfred

    2016-01-01

    The safety of veterinary vaccines is assessed in clinical trials in Europe. The assessment of the local tissue reaction to vaccination by magnetic resonance imaging (MRI) could reduce the number of animals needed because repeated examinations can be performed in the same animal over time. The present study compared the evaluation of local tissue reactions to vaccination using MRI in live pigs with histopathology of porcine tissue, the current gold standard in regulatory safety testing. Eight piglets each were administered one of two commercial vaccines into marked injection sites. All animals were sedated and scanned repeatedly by MRI using a contrast agent up to day 29 after vaccination. On day 29, the animals were euthanized and underwent a pathological examination. The MRI results were compared with the pathomorphological findings at the injection site by regression analysis. The MR images and the pathological examinations yielded matching results concerning the sizes of the affected tissue volumes or areas. The use of MRI for regulatory safety testing can reduce the number of animals needed to 8 per examination group. The volume of a local reaction and its progression over time can be evaluated and documented. If persistent lesions develop a final pathomorphological examination is needed to identify the kind and local distribution of the reaction.

  11. Comparing Quality of Public Primary Care between Hong Kong and Shanghai Using Validated Patient Assessment Tools

    PubMed Central

    Wei, Xiaolin; Li, Haitao; Yang, Nan; Wong, Samuel Y. S.; Owolabi, Onikepe; Xu, Jianguang; Shi, Leiyu; Tang, Jinling; Li, Donald; Griffiths, Sian M.

    2015-01-01

    Objectives Primary care is the key element of health reform in China. The objective of this study was to compare patient assessed quality of public primary care between Hong Kong, a city with established primary care environment influenced by its colonial history, and Shanghai, a city leading primary care reform in Mainland China; and to measure the equity of care in the two cities. Methods Cross sectional stratified random sampling surveys were conducted in 2011. Data were collected from 1,994 respondents in Hong Kong and 811 respondents in Shanghai. A validated Chinese version of the primary care assessment tool was employed to assess perceived quality of primary care with respect to socioeconomic characteristics and health status. Results We analyzed 391 and 725 respondents in Hong Kong and Shanghai, respectively, who were regular public primary care users. Respondents in Hong Kong reported significant lower scores in first contact accessibility (1.59 vs. 2.15), continuity of care (2.33 vs. 3.10), coordination of information (2.84 vs. 3.64), comprehensiveness service availability (2.43 vs. 3.31), comprehensiveness service provided (2.11 vs. 2.40), and the total score (23.40 vs. 27.40), but higher scores in first contact utilization (3.15 vs. 2.54) and coordination of services (2.67 vs. 2.40) when compared with those in Shanghai. Respondents with higher income reported a significantly higher total primary care score in Hong Kong, but not in Shanghai. Conclusions Respondents in Shanghai reported better quality of public primary care than those in Hong Kong, while quality of public primary care tended to be more equitable in Shanghai. PMID:25826616

  12. An Analytic Comparison of Educational Systems: Overview of Purposes, Policies, Structures and Outcomes. Comparative Overview/Comparative Assessment.

    ERIC Educational Resources Information Center

    Hurn, Christopher J.; Burn, Barbara B.

    This comparative evaluation of the differing educational systems in North America, Europe, the USSR, and Japan examines the goals and values of these systems. It is pointed out that Americans value equality, practicality, and utility and that they are both individualistic and suspicious of government authority. Contrasts between these values and…

  13. Mercury analysis in hair: Comparability and quality assessment within the transnational COPHES/DEMOCOPHES project.

    PubMed

    Esteban, Marta; Schindler, Birgit Karin; Jiménez, José Antonio; Koch, Holger Martin; Angerer, Jürgen; Rosado, Montserrat; Gómez, Silvia; Casteleyn, Ludwine; Kolossa-Gehring, Marike; Becker, Kerstin; Bloemen, Louis; Schoeters, Greet; Den Hond, Elly; Sepai, Ovnair; Exley, Karen; Horvat, Milena; Knudsen, Lisbeth E; Joas, Anke; Joas, Reinhard; Aerts, Dominique; Biot, Pierre; Borošová, Daniela; Davidson, Fred; Dumitrascu, Irina; Fischer, Marc E; Grander, Margaretha; Janasik, Beata; Jones, Kate; Kašparová, Lucie; Larssen, Thorjørn; Naray, Miklos; Nielsen, Flemming; Hohenblum, Philipp; Pinto, Rui; Pirard, Catherine; Plateel, Gregory; Tratnik, Janja Snoj; Wittsiepe, Jürgen; Castaño, Argelia

    2015-08-01

    Human biomonitoring (HBM) is an effective tool for assessing actual exposure to chemicals that takes into account all routes of intake. Although hair analysis is considered to be an optimal biomarker for assessing mercury exposure, the lack of harmonization as regards sampling and analytical procedures has often limited the comparison of data at national and international level. The European-funded projects COPHES and DEMOCOPHES developed and tested a harmonized European approach to Human Biomonitoring in response to the European Environment and Health Action Plan. Herein we describe the quality assurance program (QAP) for assessing mercury levels in hair samples from more than 1800 mother-child pairs recruited in 17 European countries. To ensure the comparability of the results, standard operating procedures (SOPs) for sampling and for mercury analysis were drafted and distributed to participating laboratories. Training sessions were organized for field workers and four external quality-assessment exercises (ICI/EQUAS), followed by the corresponding web conferences, were organized between March 2011 and February 2012. ICI/EQUAS used native hair samples at two mercury concentration ranges (0.20-0.71 and 0.80-1.63) per exercise. The results revealed relative standard deviations of 7.87-13.55% and 4.04-11.31% for the low and high mercury concentration ranges, respectively. A total of 16 out of 18 participating laboratories the QAP requirements and were allowed to analyze samples from the DEMOCOPHES pilot study. Web conferences after each ICI/EQUAS revealed this to be a new and effective tool for improving analytical performance and increasing capacity building. The procedure developed and tested in COPHES/DEMOCOPHES would be optimal for application on a global scale as regards implementation of the Minamata Convention on Mercury.

  14. Assessment standards: comparing histopathology, digital image analysis, and stereology for early detection of experimental cisplatin-induced kidney injury in rats.

    PubMed

    Shea, Katherine; Stewart, Sharron; Rouse, Rodney

    2014-08-01

    Histopathology generally represents the reference standard for performance evaluation of nonclinical biomarkers used to inform regulatory decision making. This study uses drug-induced nephrotoxicity in rats to evaluate histopathology methods utilized in biomarker performance assessments. Male Sprague-Dawley rats received a single dose of cisplatin (0.5-5.0 mg/kg, intraperitoneally) to produce mild renal injury. Animals were euthanized 72 hr postdose and perfusion fixed. Kidneys were processed for histology and stereology procedures. Kidney injury molecule-1 (Kim-1) was measured in urine and in kidney tissue. Digital slide images were generated and analyzed by pathologists after collaborating on a training set of glass slides and digital images. Image analysis identified immunohistochemistry (IHC)-defined tubular injury. Stereology methods yielded estimations of proximal tubular cell number and volume. Statistical relationships among data sets were determined using correlation coefficients. Receiver operator characteristic (ROC) analyses determined the effect of method on biomarker assessment. Urinary Kim-1 was strongly correlated with digital image analysis and secondarily to histopathology evaluations. Stereology demonstrated weak or no correlation to pathology and urinary Kim-1. In ROC analyses, semiquantitative evaluations determined higher values for urinary Kim-1 performance than did IHC-based qualitative digital analyses. Semiquantitative evaluation as used in this study was most predictive of urinary Kim-1 values.

  15. Quality assessment of comparative diagnostic accuracy studies: our experience using a modified version of the QUADAS-2 tool.

    PubMed

    Wade, Ros; Corbett, Mark; Eastwood, Alison

    2013-09-01

    Assessing the quality of included studies is a vital step in undertaking a systematic review. The recently revised Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool (QUADAS-2), which is the only validated quality assessment tool for diagnostic accuracy studies, does not include specific criteria for assessing comparative studies. As part of an assessment that included comparative diagnostic accuracy studies, we used a modified version of QUADAS-2 to assess study quality. We modified QUADAS-2 by duplicating questions relating to the index test, to assess the relevant potential sources of bias for both the index test and comparator test. We also added review-specific questions. We have presented our modified version of QUADAS-2 and outlined some key issues for consideration when assessing the quality of comparative diagnostic accuracy studies, to help guide other systematic reviewers conducting comparative diagnostic reviews. Until QUADAS is updated to incorporate assessment of comparative studies, QUADAS-2 can be used, although modification and careful thought is required. It is important to reflect upon whether aspects of study design and methodology favour one of the tests over another.

  16. Emerging technologies and quality assurance in hemostasis: a review of findings from the Royal College of Pathologists of Australasia Quality Assurance Program.

    PubMed

    Favaloro, Emmanuel J; Bonar, Roslyn

    2007-04-01

    Regular multilaboratory surveys of laboratories by the Royal College of Pathologists of Australasia Quality Assurance Program (QAP) have been conducted to assess proficiency in tests of hemostasis for the last 40 years. This article focuses primarily on specialized assays of hemostasis, for which surveys have been conducted for some 10 years. For von Willebrand disease (vWD) evaluations, a total of 47 plasma samples have been dispatched to survey participants, including representative samples from normal individuals plus all of the major vWD subtypes (i.e., types 1, 2A, 2B, 2M, 2N, and 3). These surveys have focused partly on the issue of diagnostic interpretive error rates associated with different assays and test panels. In this context, considerable improvement is seen when laboratories incorporate the vWF:collagen-binding assay into the test panel. Thrombophilia-associated tests assessed by the program and discussed in this review include activated protein c resistance, lupus anticoagulant, and deficiencies of protein C, protein S, and antithrombin. Other tests briefly reviewed here include factor assays and inhibitors, D-dimer, and heparin/anti-Xa assays. Anticardiolipin antibody and anti-beta(2)-glycoprotein I antibody (aB(2)GPI) testing, assessed by the Immunology QAP, is also reviewed briefly, as are genetic tests associated with thrombophilic markers such as factor V Leiden and the prothrombin gene.

  17. Demystifying the Courtroom: Everything the Veterinary Pathologist Needs to Know About Testifying in an Animal Cruelty Case.

    PubMed

    Frederickson, Reese

    2016-09-01

    When veterinary pathologists testify as expert witnesses in animal cruelty trials, they may find themselves in an intimidating and unfamiliar environment. The legal rules are clouded in mystery, the lawyers dwell on mundane details, and the witness's words are extracted with precision by a verbal scalpel. An unprepared expert witness can feel ungrounded and stripped of confidence. The goal of this article is to lift the veil of mystery and give the veterinary pathologist the tools to be a knowledgeable and confident expert witness before and during testimony. This article discusses the types of expert witnesses, disclosure requirements and the importance of a good report, the legal basics of expert testimony, and how to be an effective expert witness. The article references Minnesota law; however, the laws are similar in most jurisdictions and based on the same constitutional requirements, and the concepts presented are applicable in nearly every courtroom.(1).

  18. [Comparative hygienic assessment of potential risk to workers under application of fungicides of different classes].

    PubMed

    Vavrinevych, O P; Omel'chuk, S T; Bardov, V H

    2014-01-01

    The comparative hygienic evaluation of working conditions in various application technologies of triazole fungicides (tebuconazole, dyfenoconazole, penconazole) strobilurine fungicides (azoxystrobin, pyraclostrobin, trifloxystrobin), ethylene-bis-dytiocarbamate fungicides (metiram, mancozeb), cianopyrrole fungicide (fludioxonil), anilide fungicides (benalaxyl-M, boscalid), anilinopirymidyne fungicides (cyprodynil, valifenal, pirymetanil). Potential complex risk of possible harmful effects of the investigated compounds on workers by inhalation and percutaneous admission, as well as a comparative analysis of received values was assessed. Determination of active substances in the samples was carried out by gas-liquid and high performance liquid chromatography. In the air of the working area were found triazoles 0.005-0.01 mg/m3, ethylene-bis-dytiokarbamates--0.01-0.02 mg/m3 at fan plants processing, anilinopirymidynes--0.19 mg/m3 at backpack plants processing. Listed values do not exceed the established hygienic standards in the air of the working area. Steam plants processing had not accompanied by the arrival of investigated compounds in the air of the working area. For all the studied crops processing technologies magnitude of the potential risk of possible harmful effects of study classes fungicides influence at the complex admission does not exceed the permissible level (was less than 1). Comparative analysis of complex risks for workers allowed to distribute fungicides according this criterion in the following order: cianopyrrole < strobilurynes < triazoles < anilides < anilinopirymidynes < ethylene-bis-dytiokarbamates.

  19. Pharmacokinetic study of benfotiamine and the bioavailability assessment compared to thiamine hydrochloride.

    PubMed

    Xie, Feifan; Cheng, Zeneng; Li, Sanwang; Liu, Xingling; Guo, Xin; Yu, Peng; Gu, Zhenkun

    2014-06-01

    Benfotiamine is a lipid-soluble thiamine precursor which can transform to thiamine in vivo and subsequently be metabolized to thiamine monophosphate (TMP) and thiamine diphosphate (TDP). This study investigated the pharmacokinetic profiles of thiamine and its phosphorylated metabolites after single- and multiple-dose administration of benfotiamine in healthy Chinese volunteers, and assessed the bioavailability of orally benfotiamine administration compared to thiamine hydrochloride. In addition, concentration of hippuric acid in urine which is produced in the transformation process of benfotiamine was determined. The results showed that thiamine and its phosphorylated metabolites exhibited different pharmacokinetic characteristics in plasma, blood and erythrocyte, and one-compartment model provided the best fit for pharmacokinetic profiles of thiamine. The transformation process of benfotiamine to thiamine produced large amount of hippuric acid. No accumulation of hippuric acid was observed after multiple-dose of benfotiamine. Compared to thiamine hydrochloride, the bioavailability of thiamine in plasma and TDP in erythrocyte after oral administration of benfotiamine were 1147.3 ± 490.3% and 195.8 ± 33.8%, respectively. The absorption rate and extent of benfotiamine systemic availability of thiamine were significantly increased indicating higher bioavailability of thiamine from oral dose of benfotiamine compared to oral dose of thiamine hydrochloride.

  20. Comparative assessment of human and farm animal faecal microbiota using real-time quantitative PCR.

    PubMed

    Furet, Jean-Pierre; Firmesse, Olivier; Gourmelon, Michèle; Bridonneau, Chantal; Tap, Julien; Mondot, Stanislas; Doré, Joël; Corthier, Gérard

    2009-06-01

    Pollution of the environment by human and animal faecal pollution affects the safety of shellfish, drinking water and recreational beaches. To pinpoint the origin of contaminations, it is essential to define the differences between human microbiota and that of farm animals. A strategy based on real-time quantitative PCR (qPCR) assays was therefore developed and applied to compare the composition of intestinal microbiota of these two groups. Primers were designed to quantify the 16S rRNA gene from dominant and subdominant bacterial groups. TaqMan probes were defined for the qPCR technique used for dominant microbiota. Human faecal microbiota was compared with that of farm animals using faecal samples collected from rabbits, goats, horses, pigs, sheep and cows. Three dominant bacterial groups (Bacteroides/Prevotella, Clostridium coccoides and Bifidobacterium) of the human microbiota showed differential population levels in animal species. The Clostridium leptum group showed the lowest differences among human and farm animal species. Human subdominant bacterial groups were highly variable in animal species. Partial least squares regression indicated that the human microbiota could be distinguished from all farm animals studied. This culture-independent comparative assessment of the faecal microbiota between humans and farm animals will prove useful in identifying biomarkers of human and animal faecal contaminations that can be applied to microbial source tracking methods.

  1. Nutrient values and bioactivities of the extracts from three fern species in China: a comparative assessment.

    PubMed

    Qi, Guoyuan; Yang, Liuqing; Xiao, Chunxia; Shi, Jing; Mi, Yashi; Liu, Xuebo

    2015-09-01

    Pteridium aquilinum, Osmunda cinnamomea Linn, and Athyrium multidentatum (Doll.) Ching are three fern species widely consumed as potherbs and traditional medicinal herbs in China. Nevertheless, no detailed comparative assessments of their nutrient values and bioactivities have been reported. In this paper, we examined the nutrient content of these ferns and the bioactivities of their extracts with a comparative method. The results indicated that they were nutrient dense for proteins, carbohydrates, fat and minerals. Compared with Pteridium aquilinum and Osmunda cinnamomea Linn, the extract from Athyrium multidentatum (Doll.) Ching was found to possess the strongest antioxidant activity, protective effects on biomolecules, cellular antioxidant activity, and antiproliferative effects owing to its highest total phenolic (476.52 ± 11.26 mg GAE per g extract) and total flavonoid (924.81 ± 4.25 mg RNE per g extract) contents. Further, Athyrium multidentatum (Doll.) Ching can lead to caspase-3 activation, poly ADP-ribose polymerase cleavage, mitochondrial membrane potential (MMP) reduction and inhibition of wound-healing in a dose-dependent manner in HepG2 cells. These results demonstrate the remarkable potential of Pteridium aquilinum, Osmunda cinnamomea Linn, and Athyrium multidentatum (Doll.) Ching as valuable sources of nutrients and natural antioxidants, and among which Athyrium multidentatum (Doll.) Ching has potential anticancer properties.

  2. Ecological Momentary Assessment of Illicit Drug Use Compared to Biological and Self-Reported Methods

    PubMed Central

    Genz, Andrew; Westergaard, Ryan P; Chang, Larry W; Bollinger, Robert C; Latkin, Carl; Kirk, Gregory D

    2016-01-01

    Background The use of mHealth methods for capturing illicit drug use and associated behaviors have become more widely used in research settings, yet there is little research as to how valid these methods are compared to known measures of capturing and quantifying drug use. Objective We examined the concordance of ecological momentary assessment (EMA) of drug use to previously validated biological and audio-computer assisted self-interview (ACASI) methods. Methods The Exposure Assessment in Current Time (EXACT) study utilized EMA methods to assess drug use in real-time in participants’ natural environments. Utilizing mobile devices, participants self-reported each time they used heroin or cocaine over a 4-week period. Each week, PharmChek sweat patch samples were collected for measurement of heroin and cocaine and participants answered an ACASI-based questionnaire to report behaviors and drug using events during the prior week. Reports of cocaine and heroin use captured through EMA were compared to weekly biological or self-report measures through percent agreement and concordance correlation coefficients to account for repeated measures. Correlates of discordance were obtained from logistic regression models. Results A total of 109 participants were a median of 48.5 years old, 90% African American, and 52% male. During 436 person-weeks of observation, we recorded 212 (49%) cocaine and 103 (24%) heroin sweat patches, 192 (44%) cocaine and 161 (37%) heroin ACASI surveys, and 163 (37%) cocaine and 145 (33%) heroin EMA reports. The percent agreement between EMA and sweat patch methods was 70% for cocaine use and 72% for heroin use, while the percent agreement between EMA and ACASI methods was 77% for cocaine use and 79% for heroin use. Misreporting of drug use by EMA compared to sweat patch and ACASI methods were different by illicit drug type. Conclusions Our work demonstrates moderate to good agreement of EMA to biological and standard self-report methods in

  3. Strategies for laboratory cost containment and for pathologist shortage: centralised pathology laboratories with microwave-stimulated histoprocessing and telepathology.

    PubMed

    Leong, Anthony S Y; Leong, F Joel W M

    2005-02-01

    The imposition of laboratory cost containment, often from external forces, dictates the necessity to develop strategies to meet laboratory cost savings. In addition, the national and worldwide shortage of anatomical pathologists makes it imperative to examine our current practice and laboratory set-ups. Some of the strategies employed in other areas of pathology and laboratory medicine include improvements in staff productivity and the adoption of technological developments that reduce manual intervention. However, such opportunities in anatomical pathology are few and far between. Centralisation has been an effective approach in bringing economies of scale, the adoption of 'best practices' and the consolidation of pathologists, but this has not been possible in anatomical pathology because conventional histoprocessing takes a minimum of 14 hours and clinical turnaround time requirements necessitate that the laboratory and pathologist be in proximity and on site. While centralisation of laboratories for clinical chemistry, haematology and even microbiology has been successful in Australia and other countries, the essential requirements for anatomical pathology laboratories are different. In addition to efficient synchronised courier networks, a method of ultra-rapid tissue processing and some expedient system of returning the prepared tissue sections to the remote laboratory are essential to maintain the turnaround times mandatory for optimal clinical management. The advent of microwave-stimulated tissue processing that can be completed in 30-60 minutes and the immediate availability of compressed digital images of entire tissue sections via telepathology completes the final components of the equation necessary for making centralised anatomical pathology laboratories a reality.

  4. Neo-Deterministic and Probabilistic Seismic Hazard Assessments: a Comparative Analysis

    NASA Astrophysics Data System (ADS)

    Peresan, Antonella; Magrin, Andrea; Nekrasova, Anastasia; Kossobokov, Vladimir; Panza, Giuliano F.

    2016-04-01

    Objective testing is the key issue towards any reliable seismic hazard assessment (SHA). Different earthquake hazard maps must demonstrate their capability in anticipating ground shaking from future strong earthquakes before an appropriate use for different purposes - such as engineering design, insurance, and emergency management. Quantitative assessment of maps performances is an essential step also in scientific process of their revision and possible improvement. Cross-checking of probabilistic models with available observations and independent physics based models is recognized as major validation procedure. The existing maps from the classical probabilistic seismic hazard analysis (PSHA), as well as those from the neo-deterministic analysis (NDSHA), which have been already developed for several regions worldwide (including Italy, India and North Africa), are considered to exemplify the possibilities of the cross-comparative analysis in spotting out limits and advantages of different methods. Where the data permit, a comparative analysis versus the documented seismic activity observed in reality is carried out, showing how available observations about past earthquakes can contribute to assess performances of the different methods. Neo-deterministic refers to a scenario-based approach, which allows for consideration of a wide range of possible earthquake sources as the starting point for scenarios constructed via full waveforms modeling. The method does not make use of empirical attenuation models (i.e. Ground Motion Prediction Equations, GMPE) and naturally supplies realistic time series of ground shaking (i.e. complete synthetic seismograms), readily applicable to complete engineering analysis and other mitigation actions. The standard NDSHA maps provide reliable envelope estimates of maximum seismic ground motion from a wide set of possible scenario earthquakes, including the largest deterministically or historically defined credible earthquake. In addition

  5. Collinearity between potato (Solanum tuberosum L.) and wild relatives assessed by comparative cytogenetic mapping.

    PubMed

    Gaiero, Paola; van de Belt, José; Vilaró, Francisco; Schranz, M Eric; Speranza, Pablo; de Jong, Hans

    2017-03-01

    A major bottleneck to introgressive hybridization is the lack of genome collinearity between the donor (alien) genome and the recipient crop genome. Structural differences between the homeologs may create unbalanced segregation of chromosomes or cause linkage drag. To assess large-scale collinearity between potato and two of its wild relatives (Solanum commersonii and Solanum chacoense), we used BAC-FISH mapping of sequences with known positions on the RH potato map. BAC probes could successfully be hybridized to the S. commersonii and S. chachoense pachytene chromosomes, confirming their correspondence with linkage groups in RH potato. Our study shows that the order of BAC signals is conserved. Distances between BAC signals were quantified and compared; some differences found suggest either small-scale rearrangements or reduction/amplification of repeats. We conclude that S. commersonii and S. chacoense are collinear with cultivated Solanum tuberosum on the whole chromosome scale, making these amenable species for efficient introgressive hybridization breeding.

  6. Comparing Pulsed Doppler LIDAR with SODAR and Direct Measurements for Wind Assessment

    SciTech Connect

    Kelley, N. D.; Jonkman, B. J.; Scott, G. N.; Pichugina, Y. L.

    2007-07-01

    There is a pressing need for good wind-speed measurements at greater and greater heights to assess the availability of the resource in terms of power production and to identify any frequently occurring atmospheric structural characteristics that may create turbulence that impacts the operational reliability and lifetime of wind turbines and their components. In this paper, we summarize the results of a short study that compares the relative accuracies of wind speeds derived from a high-resolution pulsed Doppler LIDAR operated by the National Oceanic and Atmospheric Administration (NOAA) and a midrange Doppler SODAR with wind speeds measured by four levels of tower-based sonic anemometry up to a height of 116 m.

  7. DOT/NASA comparative assessment of Brayton engines for guideway vehicle and buses. Volume 1: Summary

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The Department of Transportation requested that the NASA Office of Aeronautics and Space Technology evaluate and assess the potential of several types of gas turbine engines and fuels for the on-board power and propulsion of a future heavy-duty ground transportation system. The purpose of the investigation was threefold: (1) to provide a definition of the potential for turbine engines to minimize pollution, energy consumption, and noise; (2) to provide a useful means of comparison of the types of engine based on consistent assumptions and a common analytical approach; and (3) to provide a compendium of comparative performance data that would serve as the technical basis for future planning. Emphasis was on establishing comparison trends rather than on absolute values and a definitive engine selection. The primary value of this study is intended to be usefulness of the results to provide a quantitative basis for future judgement.

  8. Skin compatibility of cyclodextrins and their derivatives: a comparative assessment using a corneoxenometry bioassay.

    PubMed

    Piel, G; Moutard, S; Uhoda, E; Pilard, F; Piérard, G E; Perly, B; Delattre, L; Evrard, B

    2004-05-01

    Few studies have been performed to assess the risk of skin damage by cyclodextrins (CD) and they have yielded contradictory results. The present study was conducted using the corneoxenometry bioassay on human stratum corneum to compare the skin compatibility of CD currently used in pharmaceutical preparations (betaCD, gammaCD, Rameb, Dimeb, Trimeb, HP-betaCD and HP-gammaCD) and that of new amphiphilic CD derivatives, namely, the phospholipidyl-CD (DMPE-Dimeb and DMPE-Trimeb). All the tested CD were well tolerated by the stratum corneum at a concentration of 5%. However, inter-individual reactivity was larger for DMPE-Dimeb, suggesting a more aggressive trend for this compound. Cutaneous Index of Mildness values obtained confirm that Dimeb is able to extract some skin components and shows that DMPE-Dimeb performs similarly.

  9. Life Cycle Assessment of Bio-diesel Production—A Comparative Analysis

    NASA Astrophysics Data System (ADS)

    Chatterjee, R.; Sharma, V.; Mukherjee, S.; Kumar, S.

    2014-04-01

    This work deals with the comparative analysis of environmental impacts of bio-diesel produced from Jatropha curcas, Rapeseed and Palm oil by applying the life cycle assessment and eco-efficiency concepts. The environmental impact indicators considered in the present paper include global warming potential (GWP, CO2 equivalent), acidification potential (AP, SO2 equivalent) and eutrophication potential (EP, NO3 equivalent). Different weighting techniques have been used to present and evaluate the environmental characteristics of bio-diesel. With the assistance of normalization values, the eco-efficiency was demonstrated in this work. The results indicate that the energy consumption of bio-diesel production is lowest in Jatropha while AP and EP are more in case of Jatropha than that of Rapeseed and Palm oil.

  10. [Comparative assessment of the doses received by patients during radiodiagnosis of the urinary system].

    PubMed

    Nemiro, E A; Viderman, M; Gubatova, D Ia; Gushak, V; Krastynia, A K; Lidova, L N; Trunova, N I

    1989-01-01

    The authors present some literature data, estimated data and results of phantom measurements in order to give comparative assessment of radiation exposure of patients during radio-contrast and radionuclide investigation of the urinary system. The importance and distribution of doses absorbed by organs and tissues (HT) and effective equivalent doses (HE) in two most commonly used radiodiagnostic methods were studied. In radiocontrast urography (RCUG) the maximum values of tissue doses were noted for the female gonads and the organs adjacent to the kidneys (the liver, pancreas, etc.). However, in radionuclide investigation (RNI) of the urinary system HT reached its maximum directly in the organs under study (the kidneys and urinary bladder). Considerable difference in the patients' HE was also revealed. In view of the above data, RNI is recommended for clinical use even at the first stage of diagnosis of diseases of the urinary system. Diagnostic information obtained with RNI makes it possible to give up RCUG in some cases.

  11. Comparative assessment of three in vitro exposure methods for combustion toxicity.

    PubMed

    Lestari, Fatma; Markovic, Boban; Green, Anthony R; Chattopadhyay, Gautam; Hayes, Amanda J

    2006-01-01

    A comparative assessment of three approaches for the use of human cells in vitro to investigate combustion toxicity was conducted. These included one indirect and two direct (passive and dynamic) exposure methods. The indirect method used an impinger system in which culture medium was used to trap the toxicants, whilst the direct exposure involved the use of a Horizontal Harvard Navicyte Chamber at the air/liquid interface. The cytotoxic effects of thermal decomposition products were assessed using the MTS (3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium) assay (Promega) on a selection of human cells including: HepG2, A549 and skin fibroblasts. A small scale laboratory fire test using a vertical tube furnace was designed for the generation of combustion products. Polymethyl methacrylate (PMMA) was selected as a model polymer to study the cytotoxic effects of combustion products. NOAEC (no observable adverse effect concentration), IC10 (10% inhibitory concentration), IC50 (50% inhibitory concentration) and TLC (total lethal concentration) values were determined from dose response curves. Assessment using the NRU (neutral red uptake) and ATP (adenosine triphosphate) assays on human lung derived cells (A549) was also undertaken. Comparison between in vitro cytotoxicity results against published toxicity data for PMMA combustion and predicted LC50 (50% lethal concentration) values calculated from identified compounds using GCMS (gas chromatography mass spectrometry) was determined. The results suggested that the indirect exposure method did not appear to simulate closely exposure via inhalation, whilst exposure at the air/liquid interface by using the dynamic method proved to be a more representative method of human inhalation. This exposure method may be a potential system for in vitro cytotoxicity testing in combustion toxicity.

  12. Comparing Forests across Climates and Biomes: Qualitative Assessments, Reference Forests and Regional Intercomparisons

    PubMed Central

    Salk, Carl F.; Frey, Ulrich; Rusch, Hannes

    2014-01-01

    Communities, policy actors and conservationists benefit from understanding what institutions and land management regimes promote ecosystem services like carbon sequestration and biodiversity conservation. However, the definition of success depends on local conditions. Forests' potential carbon stock, biodiversity and rate of recovery following disturbance are known to vary with a broad suite of factors including temperature, precipitation, seasonality, species' traits and land use history. Methods like tracking over-time changes within forests, or comparison with “pristine” reference forests have been proposed as means to compare the structure and biodiversity of forests in the face of underlying differences. However, data from previous visits or reference forests may be unavailable or costly to obtain. Here, we introduce a new metric of locally weighted forest intercomparison to mitigate the above shortcomings. This method is applied to an international database of nearly 300 community forests and compared with previously published techniques. It is particularly suited to large databases where forests may be compared among one another. Further, it avoids problematic comparisons with old-growth forests which may not resemble the goal of forest management. In most cases, the different methods produce broadly congruent results, suggesting that researchers have the flexibility to compare forest conditions using whatever type of data is available. Forest structure and biodiversity are shown to be independently measurable axes of forest condition, although users' and foresters' estimations of seemingly unrelated attributes are highly correlated, perhaps reflecting an underlying sentiment about forest condition. These findings contribute new tools for large-scale analysis of ecosystem condition and natural resource policy assessment. Although applied here to forestry, these techniques have broader applications to classification and evaluation problems using

  13. Comparing forests across climates and biomes: qualitative assessments, reference forests and regional intercomparisons.

    PubMed

    Salk, Carl F; Frey, Ulrich; Rusch, Hannes

    2014-01-01

    Communities, policy actors and conservationists benefit from understanding what institutions and land management regimes promote ecosystem services like carbon sequestration and biodiversity conservation. However, the definition of success depends on local conditions. Forests' potential carbon stock, biodiversity and rate of recovery following disturbance are known to vary with a broad suite of factors including temperature, precipitation, seasonality, species' traits and land use history. Methods like tracking over-time changes within forests, or comparison with "pristine" reference forests have been proposed as means to compare the structure and biodiversity of forests in the face of underlying differences. However, data from previous visits or reference forests may be unavailable or costly to obtain. Here, we introduce a new metric of locally weighted forest intercomparison to mitigate the above shortcomings. This method is applied to an international database of nearly 300 community forests and compared with previously published techniques. It is particularly suited to large databases where forests may be compared among one another. Further, it avoids problematic comparisons with old-growth forests which may not resemble the goal of forest management. In most cases, the different methods produce broadly congruent results, suggesting that researchers have the flexibility to compare forest conditions using whatever type of data is available. Forest structure and biodiversity are shown to be independently measurable axes of forest condition, although users' and foresters' estimations of seemingly unrelated attributes are highly correlated, perhaps reflecting an underlying sentiment about forest condition. These findings contribute new tools for large-scale analysis of ecosystem condition and natural resource policy assessment. Although applied here to forestry, these techniques have broader applications to classification and evaluation problems using crowdsourced

  14. Comparative assessment of button cells using a normalized index for potential pollution by heavy metals.

    PubMed

    Moreno-Merino, Luis; Jiménez-Hernández, Maria Emilia; de la Losa, Almudena; Huerta-Muñoz, Virginia

    2015-09-01

    Many household batteries worldwide still end up in landfills or are incinerated due to inefficient collection and recycling schemes. Toxic heavy metals from improperly discarded button cells pose a serious risk to human health and the environment, as they can pollute air, soil and water. This paper analyses a series of button cells selected from batteries available on the retail market, and compares their polluting potential. A total of 64 batteries were subjected to chemical analyses of 19 elements - including metals and metalloids - , and energy density measurements. The samples were from four different brands of each of the four most common button cell technologies (alkaline, zinc-air, silver oxide and lithium). An energy-normalized index - the Weighted Potential Pollution Index (WPPI) - was proposed to compare the polluting potential of the different batteries. The higher the battery WPPI score, the greater the content in toxic elements and the lower the energy output. The results of the chemical composition and energy density varied depending on the construction technology of the button cells. However, significant differences in both variables were also found when comparing different brands within the same technology. The differences in WPPI values confirmed the existence of a significant margin to reduce the environmental impact of discarded button cells simply by avoiding the most polluting options. The choice of the battery with the most favourable WPPI produced a reduction in potential pollution of 3-53% for silver oxide batteries, 4-39% for alkaline, 20-28% for zinc-air and 12-26% for lithium. Comparative potential pollution could be assessed when selecting batteries using an energy-normalized index such as WPPI to reduce the environmental impact of improperly disposed button cells.

  15. Dynamic Assessment of Language Disabilities

    ERIC Educational Resources Information Center

    Martin, Deirdre

    2015-01-01

    The paper reports a study of a narrative-based Dynamic Assessment (DA) procedure developed in the USA that is used in the UK with children with developmental language disabilities. Three monolingual English children with language disabilities are assessed by a speech/language pathologist/therapist who is learning to work with DA in collaboration…

  16. A comparative assessment of the financial costs and carbon benefits of REDD+ strategies in Southeast Asia

    NASA Astrophysics Data System (ADS)

    Graham, Victoria; Laurance, Susan G.; Grech, Alana; McGregor, Andrew; Venter, Oscar

    2016-11-01

    REDD+ holds potential for mitigating emissions from tropical forest loss by providing financial incentives for carbon stored in forests, but its economic viability is under scrutiny. The primary narrative raised in the literature is that REDD+ will be of limited utility for reducing forest carbon loss in Southeast Asia, while the level of finance committed falls short of profits from alternative land-use activities in the region, including large-scale timber and oil palm operations. Here we assess the financial costs and carbon benefits of various REDD+ strategies deployed in the region. We find the cost of reducing emissions ranges from 9 to 75 per tonne of avoided carbon emissions. The strategies focused on reducing forest degradation and promoting forest regrowth are the most cost-effective ways of reducing emissions and used in over 60% of REDD+ projects. By comparing the financial costs and carbon benefits of a broader range of strategies than previously assessed, we highlight the variation between different strategies and draw attention to opportunities where REDD+ can achieve maximum carbon benefits cost-effectively. These findings have broad policy implications for Southeast Asia. Until carbon finance escalates, emissions reductions can be maximized from reforestation, reduced-impact logging and investing in improved management of protected areas. Targeting cost-efficient opportunities for REDD+ is important to improve the efficiency of national REDD+ policy, which in-turn fosters greater financial and political support for the scheme.

  17. A comparative assessment of alternatives to the full-leg radiograph for determining knee joint alignment

    PubMed Central

    2012-01-01

    Background The purpose of this study was to assess the concurrent validity of alternative measures of frontal plane knee alignment, namely the radiographic anatomic axis and two clinical measures in patients complaining of knee malalignment as compared with the mechanical axis on full-length radiograph of lower limbs. Methods The knee-alignment angle was measured in 100 knees of 50 subjects with the chief complaint of frontal knee malalignment according to the following methods: lower-limb mechanical axis on radiograph, lower-limb anatomic axis on radiograph, distance between medial femoral condyles or medial malleoli using a calliper and lower-limb alignment using a goniometer. Data were analyzed using Pearson’s correlation coefficient and simple linear regression. Results The anatomic axis best correlated with the mechanical axis (r = 0.93, P<0.001), followed closely by the intercondylar/intermalleolar distance measured by calliper (r = 0.89, P<0.001). Significant correlation was also found between the mechanical-axis angle and the lower limb axis measured by goniometer (r = 0.67, P<0.001). Conclusions The anatomic axis on radiograph, the calliper method and to a lesser extent the goniometer measurement appear to be valid alternatives to the mechanical axis on full-leg radiograph for determining frontal plane knee alignment. These alternative measures have the potential to provide useful information regarding knee alignment and may increase the assessment of this parameter by clinicians and researchers. PMID:23110745

  18. Comparative assessment of iridium oxide and platinum alloy wires using an in vitro glial scar assay.

    PubMed

    Ereifej, Evon S; Khan, Saida; Newaz, Golam; Zhang, Jinsheng; Auner, Gregory W; VandeVord, Pamela J

    2013-12-01

    The long-term effect of chronically implanted electrodes is the formation of a glial scar. Therefore, it is imperative to assess the biocompatibility of materials before employing them in neural electrode fabrication. Platinum alloy and iridium oxide have been identified as good candidates as neural electrode biomaterials due to their mechanical and electrical properties, however, effect of glial scar formation for these two materials is lacking. In this study, we applied a glial scarring assay to observe the cellular reactivity to platinum alloy and iridium oxide wires in order to assess the biocompatibility based on previously defined characteristics. Through real-time PCR, immunostaining and imaging techniques, we will advance the understanding of the biocompatibility of these materials. Results of this study demonstrate iridium oxide wires exhibited a more significant reactive response as compared to platinum alloy wires. Cells cultured with platinum alloy wires had less GFAP gene expression, lower average GFAP intensity, and smaller glial scar thickness. Collectively, these results indicated that platinum alloy wires were more biocompatible than the iridium oxide wires.

  19. [Effectiveness of treatment of varicose veins assessed by epidemiological comparative studies].

    PubMed

    Górski, Grzegorz; Kielar, Maciej; Porzycki, Piotr; Sobański, Paweł; Noszczyk, Wojciech

    2004-07-01

    Effectiveness of varicose veins (VV) management, due to high prevalence of this condition, is an important medical, social and economical issue. The aim of the study was to compare cost effectiveness of VV treatment by comparison of the results of two epidemiological surveys performed in Warsaw Bródno population, in 1982-1984 (group I, n=4997) and 1998-2000 (group 11, n=3556). Analysis compared prevalence of varicose veins, venous ulcers, deep vein thrombosis (DVT) in relation to number of VV procedures performed, and cost of conservative and surgical treatment, subjective patients' assessment of treatment results. Varicose veins prevalence has not changed significantly in group I was 15.7% (men 9.3%, women 20.1%) vs. 13.7% (men 8.7%, women 15.9%) in group II. Similarly, prevalence of venous ulcers (0.76% vs 0.73%), and previous DVT among VV patients (8.9% vs 8.9%) have not changed in both groups. Percentage of patients treated surgically in relation to all VV patients (19.7% vs 26.1%), as well as treated conservatively (45.2% vs 48.8%) increased, the latter mainly due to significant increase of ratio of patients treated with phlebotropic drugs. Patients'assessment of conservative and surgical treatment has improved dramatically, cost of treatment remained similar. Despite significant surgical and conservative treatment efforts, prevalence of essential venous diseases in hospital catchment area remained unchanged. Amount of patients satisfied both with surgical and conservative treatment increased, perhaps mainly due to better efficacy of phlebotropic drugs and better access to specialist care. On the other hand, significant amount of patients doesn't start any treatment at all. We conclude that preventive varicose veins surgery during early stage of disease may not diminish prevalence of serious venous complications.

  20. Critical assessment of intramodality 3D ultrasound imaging for prostate IGRT compared to fiducial markers

    SciTech Connect

    Meer, Skadi van der; Bloemen-van Gurp, Esther; Hermans, Jolanda; Voncken, Robert; Heuvelmans, Denys; Gubbels, Carol; Fontanarosa, Davide; Visser, Peter; Lutgens, Ludy; Gils, Francis van; Verhaegen, Frank

    2013-07-15

    Purpose: A quantitative 3D intramodality ultrasound (US) imaging system was verified for daily in-room prostate localization, and compared to prostate localization based on implanted fiducial markers (FMs).Methods: Thirteen prostate patients underwent multiple US scans during treatment. A total of 376 US-scans and 817 matches were used to determine the intra- and interoperator variability. Additionally, eight other patients underwent daily prostate localization using both US and electronic portal imaging (EPI) with FMs resulting in 244 combined US-EPI scans. Scanning was performed with minimal probe pressure and a correction for the speed of sound aberration was performed. Uncertainties of both US and FM methods were assessed. User variability of the US method was assessed.Results: The overall US user variability is 2.6 mm. The mean differences between US and FM are: 2.5 {+-} 4.0 mm (LR), 0.6 {+-} 4.9 mm (SI), and -2.3 {+-} 3.6 mm (AP). The intramodality character of this US system mitigates potential errors due to transducer pressure and speed of sound aberrations.Conclusions: The overall accuracy of US (3.0 mm) is comparable to our FM workflow (2.2 mm). Since neither US nor FM can be considered a gold standard no conclusions can be drawn on the superiority of either method. Because US imaging captures the prostate itself instead of surrogates no invasive procedure is required. It requires more effort to standardize US imaging than FM detection. Since US imaging does not involve a radiation burden, US prostate imaging offers an alternative for FM EPI positioning.

  1. In vitro comparative assessment of decellularized bovine pericardial patches and commercial bioprosthetic heart valves.

    PubMed

    Aguiari, Paola; Iop, Laura; Favaretto, Francesca; Fidalgo, Cátia Marisa Lourenco; Naso, Filippo; Milan, Gabriella; Vindigni, Vincenzo; Spina, Michel; Bassetto, Franco; Bagno, Andrea; Vettor, Roberto; Gerosa, Gino

    2017-02-03

    Notwithstanding their wide exploitation, biological prosthetic heart valves are characterized by limited durability (10-15 years). The treatment of biological tissues with chemical crosslinking agents such as glutaraldehyde accounts for the enhanced risk of structural deterioration associated with the early failure of bioprosthetic valves. To overcome the shortcomings of the currently available solutions, adoption of decellularized biological tissues of animal origin has emerged as a promising approach. The present study aims to assess in vitro cardiovascular scaffolds composed of bovine pericardium decellularized with the novel TRITDOC (TRIton-X100 and TauroDeOxyCholic acid) procedure. The effects of the treatment have been assessed by means of histological, biomolecular, cellular, biochemical and biomechanical analyses. The TRITDOC procedure grants the complete decellularization of bovine pericardial scaffolds while preserving the extracellular matrix architecture and the biomechanical properties. With a dedicated ELISA test, the TRITDOC procedure has been proven to ensure the complete removal of the alphaGal antigen, responsible for hyperacute rejection and for long-term deterioration of xenogenic biomaterials. Static seeding of the acellular pericardial patches with human adipose-derived stem cells resulted in an evenly repopulated scaffold without signs of calcification. The in vitro cyto-/immuno-compatibility response of the TRITDOC-bovine pericardium was compared with glutaraldehyde-treated xenogenic pericardium collected from two bioprosthetic devices currently used in clinical practice: PERIMOUNT MAGNA and TRIFECTA(TM). TRITDOC-bovine pericardium exhibited lower complement activation, lower cytotoxicity and a lower tendency to secrete pro-inflammatory cytokines compared to the tested commercial bioprostheses. Therefore, TRITDOC-decellularized pericardium could be considered as possible candidate material for the production of prosthetic heart valves.

  2. Inappropriate sexual behaviours experienced by speech-language pathologists and audiologists in South Africa.

    PubMed

    Levin, Karen; Traub, Loren

    2006-01-01

    The experience of inappropriate sexual behaviours (ISB) by healthcare professionals has been identified internationally as a serious issue. This study investigated the extent of ISB directed towards speech-language pathologists and/or audiologists (SLP/As) in South Africa, as well as the sources and the effects of ISB, the responses of the SLP/As, and the perceptions of the SLP/As with regard to their ability to manage ISB experiences. Fifty-six qualified SLP/As and 62 student SLP/As completed a questionnaire based on similar studies conducted in Canada and New Zealand. Most of the respondents had experienced ISB, mostly of a mild to moderate nature, at some point in their careers, and some had experienced severe ISB in the workplace. ISB occurred in a variety of work contexts. The sources of ISB included clients and/or their family members, as well as colleagues and employers. A range of personal and work-related effects resulted and the respondents took the least assertive strategy in the management of their ISB experiences. The results reflected that SLP/As in South Africa are poorly informed with regard to their legal rights and responsibilities, as well as strategies to deal with unwanted sexually related experiences. ISB ought to be recognised as a serious issue in clinical practice in South Africa by SLP/As, professional bodies as well as training institutions. The results are in line with previous research on ISB experiences by SLP/As and other healthcare professionals.

  3. "Meaningful use" of electronic health records and its relevance to laboratories and pathologists.

    PubMed

    Henricks, Walter H

    2011-02-11

    Electronic health records (EHRs) have emerged as a major topic in health care and are central to the federal government's strategy for transforming healthcare delivery in the United States. Recent federal actions that aim to promote the use of EHRs promise to have significant implications for laboratories and for pathology practices. Under the HITECH (Health Information Technology Economic and Clinical Health) Act, an EHR incentive program has been established through which individual physicians and hospitals can qualify to receive incentive payments if they achieve "meaningful use" of "certified" EHR technology. The rule also establishes payment penalties in future years for eligible providers who have not met the requirements for meaningful use of EHRs. Meaningful use must be achieved using EHR technology that has been certified in accordance with functional and technical criteria that are set forth a regulation that parallels the meaningful use criteria in the incentive program. These actions and regulations are important to laboratories and pathologists for a number of reasons. Several of the criteria and requirements in the meaningful use rules and EHR certification criteria relate directly or indirectly to laboratory testing and laboratory information management, and future stage requirements are expected to impact the laboratory as well. Furthermore, as EHR uptake expands, there will be greater expectations for electronic interchange of laboratory information and laboratory information system (LIS)-EHR interfaces. Laboratories will need to be aware of the technical, operational, and business challenges that they may face as expectations for LIS-EHR increase. This paper reviews the important recent federal efforts aimed at accelerating EHR use, including the incentive program for EHR meaningful use, provider eligibility, and EHR certification criteria, from a perspective of their relevance for laboratories and pathology practices.

  4. Comparing Color Doppler Ultrasonography and Angiography to Assess Traumatic Arterial Injuries of the Extremities

    PubMed Central

    Pezeshki Rad, Masoud; Mohammadifard, Mahyar; Ravari, Hassan; Farrokh, Donya; Ansaripour, Emad; Saremi, Elena

    2015-01-01

    Background: Traumatic events are one of the major causes of arterial injuries. Physical examination is not a good predictor of the extent of injuries and arteriography is considered as the gold standard for this purpose. In the recent years, noninvasive modalities are increasingly replacing diagnostic arteriography. Color Doppler ultrasonography (USG) is an excellent method to investigate arterial diseases. Objectives: The present study aimed to evaluate the diagnostic value of color Doppler USG compared to conventional angiography in traumatic arterial injuries of extremities. Patients and Methods: Seventy-five patients with extremity trauma suspicious for arterial injury were examined by color Doppler USG just before angiography. Doppler pattern and flow states were assessed, then angiography was performed. The results of duplex USG were compared with angiography. Results: Color Doppler USG had a sensitivity of 95% and specificity of 98% in diagnosis of arterial injury. Positive and negative predictive values of Doppler USG were 92.5% and 94.2%, respectively. Conclusions: Color Doppler USG can be used as a reliable modality with acceptable sensitivity and specificity values to screen hemodynamically stable patients with limb trauma suspicious for arterial injury. PMID:25785180

  5. Comparative assessment of techniques for initial pose estimation using monocular vision

    NASA Astrophysics Data System (ADS)

    Sharma, Sumant; D`Amico, Simone

    2016-06-01

    This work addresses the comparative assessment of initial pose estimation techniques for monocular navigation to enable formation-flying and on-orbit servicing missions. Monocular navigation relies on finding an initial pose, i.e., a coarse estimate of the attitude and position of the space resident object with respect to the camera, based on a minimum number of features from a three dimensional computer model and a single two dimensional image. The initial pose is estimated without the use of fiducial markers, without any range measurements or any apriori relative motion information. Prior work has been done to compare different pose estimators for terrestrial applications, but there is a lack of functional and performance characterization of such algorithms in the context of missions involving rendezvous operations in the space environment. Use of state-of-the-art pose estimation algorithms designed for terrestrial applications is challenging in space due to factors such as limited on-board processing power, low carrier to noise ratio, and high image contrasts. This paper focuses on performance characterization of three initial pose estimation algorithms in the context of such missions and suggests improvements.

  6. Modeling and comparative assessment of municipal solid waste gasification for energy production.

    PubMed

    Arafat, Hassan A; Jijakli, Kenan

    2013-08-01

    Gasification is the thermochemical conversion of organic feedstocks mainly into combustible syngas (CO and H(2)) along with other constituents. It has been widely used to convert coal into gaseous energy carriers but only has been recently looked at as a process for producing energy from biomass. This study explores the potential of gasification for energy production and treatment of municipal solid waste (MSW). It relies on adapting the theory governing the chemistry and kinetics of the gasification process to the use of MSW as a feedstock to the process. It also relies on an equilibrium kinetics and thermodynamics solver tool (Gasify(®)) in the process of modeling gasification of MSW. The effect of process temperature variation on gasifying MSW was explored and the results were compared to incineration as an alternative to gasification of MSW. Also, the assessment was performed comparatively for gasification of MSW in the United Arab Emirates, USA, and Thailand, presenting a spectrum of socioeconomic settings with varying MSW compositions in order to explore the effect of MSW composition variance on the products of gasification. All in all, this study provides an insight into the potential of gasification for the treatment of MSW and as a waste to energy alternative to incineration.

  7. Methods for microbiological quality assessment in drinking water: a comparative study.

    PubMed

    Helmi, K; Barthod, F; Méheut, G; Henry, A; Poty, F; Laurent, F; Charni-Ben-Tabassi, N

    2015-03-01

    The present study aimed to compare several methods for quantifying and discriminating between the different physiological states of a bacterial population present in drinking water. Flow cytometry (FCM), solid-phase cytometry (SPC), epifluorescence microscopy (MSP) and culture method performances were assessed by comparing the results obtained for different water samples. These samples, including chlorinated and non-chlorinated water, were collected in a drinking water treatment plant. Total bacteria were quantified by using SYBR Green II (for FCM) and 4',6'-diamino-2-phenylindole (DAPI) (for MSP), viable and non-viable bacteria were distinguished by using SYBR Green II and propidium iodide dual staining (for FCM), and active cells were distinguished by using CTC (for MSP) and Chemchrome V6 (for FCM and SPC). In our conditions, counts using microscopy and FCM were significantly correlated regarding total bacteria and active cells. Conversely, counts were not significantly similar using solid-phase and FCM for active bacteria. Moreover, the R2A medium showed that bacterial culturability could be recovered after chlorination. This study highlights that FCM appears to be a useful and powerful technique for drinking water production monitoring.

  8. Comparing new BSN RN self skills assessment to actual skills demonstration.

    PubMed

    Adair, Jean; Hughes, Lin; Davis, Sue; Wolcott-Breci, Mary

    2014-01-01

    The purpose of the study was to compare the self-skills assessment with the skill competence during an actual skills demonstration of newly hired bachelor of science in nursing (BSN) registered nurse graduates. This retrospective study included 32 randomly selected BSN registered nurse graduates from January 2010 to December 31, 2010. The participants were already hired into a midwest health system. Because this was a retrospective study, no demographic data were collected, and no consent from participants was needed. This study included a clinical skills check list where the participants rated themselves on specific skills utilizing a Likert scale ranging from 1 (no knowledge) to 4 (able to perform independently). The same clinical check list was utilized by an expert registered nurse when the skill was demonstrated. This study compared the difference between the subject's self-rating of skills and the clinical demonstration of the skills. We used t tests in the analysis to demonstrate the differences between the participant's self-rating of skills and the expert evaluation of the clinical demonstration of the skills. The data were inserted into the Statistical Package for the Social Sciences 19 software program to assist in the analysis process. The study demonstrated 17 significant differences in the skills ratings between the participant and competency demonstration of new BSN graduates. These significant results (2 tailed) ranged from .000 to .048.The 17 out of 46 specific skills where differences were noted included the following: staple removal, nasal pharyngeal suctioning, urinary catheter specimen collection, site care dressing change, urinary catheter irrigation, Juzo application and measurement, 5-lead telemetry, oral airway insertion, hemovac/Jackson Pratt, oral pharyngeal suctioning, urinary catheter insertion, dry suction chest drainage, bed to cart/slider board, urinary catheter removal, antiembolism stockings, measurement and application, removal of

  9. Comparative assessments of CRISPR-Cas nucleases' cleavage efficiency in planta.

    PubMed

    Johnson, Ross A; Gurevich, Vyacheslav; Filler, Shdema; Samach, Aviva; Levy, Avraham A

    2015-01-01

    Custom-designed nucleases can enable precise plant genome editing by catalyzing DNA-breakage at specific targets to stimulate targeted mutagenesis or gene replacement. The CRISPR-Cas system, with its target-specifying RNA molecule to direct the Cas9 nuclease, is a recent addition to existing nucleases that bind and cleave the target through linked protein domains (e.g. TALENs and zinc-finger nucleases). We have conducted a comparative study of these different types of custom-designed nucleases and we have assessed various components of the CRISPR-Cas system. For this purpose, we have adapted our previously reported assay for cleavage-dependent luciferase gene correction in Nicotiana benthamiana leaves (Johnson et al. in Plant Mol Biol 82(3):207-221, 2013). We found that cleavage by CRISPR-Cas was more efficient than cleavage of the same target by TALENs. We also compared the cleavage efficiency of the Streptococcus pyogenes Cas9 protein based on expression using three different Cas9 gene variants. We found significant differences in cleavage efficiency between these variants, with human and Arabidopsis thaliana codon-optimized genes having the highest cleavage efficiencies. We compared the activity of 12 de novo-designed single synthetic guide RNA (sgRNA) constructs, and found their cleavage efficiency varied drastically when using the same Cas9 nuclease. Finally, we show that, for one of the targets tested with our assay, we could induce a germinally-transmitted deletion in a repeat array in A. thaliana. This work emphasizes the efficiency of the CRISPR-Cas system in plants. It also shows that further work is needed to be able to predict the optimal design of sgRNAs or Cas9 variants.

  10. Comparative risk assessment of carcinogens in alcoholic beverages using the margin of exposure approach.

    PubMed

    Lachenmeier, Dirk W; Przybylski, Maria C; Rehm, Jürgen

    2012-09-15

    Alcoholic beverages have been classified as carcinogenic to humans. As alcoholic beverages are multicomponent mixtures containing several carcinogenic compounds, a quantitative approach is necessary to compare the risks. Fifteen known and suspected human carcinogens (acetaldehyde, acrylamide, aflatoxins, arsenic, benzene, cadmium, ethanol, ethyl carbamate, formaldehyde, furan, lead, 4-methylimidazole, N-nitrosodimethylamine, ochratoxin A and safrole) occurring in alcoholic beverages were identified based on monograph reviews by the International Agency for Research on Cancer. The margin of exposure (MOE) approach was used for comparative risk assessment. MOE compares a toxicological threshold with the exposure. MOEs above 10,000 are judged as low priority for risk management action. MOEs were calculated for different drinking scenarios (low risk and heavy drinking) and different levels of contamination for four beverage groups (beer, wine, spirits and unrecorded alcohol). The lowest MOEs were found for ethanol (3.1 for low risk and 0.8 for heavy drinking). Inorganic lead and arsenic have average MOEs between 10 and 300, followed by acetaldehyde, cadmium and ethyl carbamate between 1,000 and 10,000. All other compounds had average MOEs above 10,000 independent of beverage type. Ethanol was identified as the most important carcinogen in alcoholic beverages, with clear dose response. Some other compounds (lead, arsenic, ethyl carbamate, acetaldehyde) may pose risks below thresholds normally tolerated for food contaminants, but from a cost-effectiveness point of view, the focus should be on reducing alcohol consumption in general rather than on mitigative measures for some contaminants that contribute only to a limited extent (if at all) to the total health risk.

  11. Modeling and comparative assessment of municipal solid waste gasification for energy production

    SciTech Connect

    Arafat, Hassan A. Jijakli, Kenan

    2013-08-15

    Highlights: • Study developed a methodology for the evaluation of gasification for MSW treatment. • Study was conducted comparatively for USA, UAE, and Thailand. • Study applies a thermodynamic model (Gibbs free energy minimization) using the Gasify software. • The energy efficiency of the process and the compatibility with different waste streams was studied. - Abstract: Gasification is the thermochemical conversion of organic feedstocks mainly into combustible syngas (CO and H{sub 2}) along with other constituents. It has been widely used to convert coal into gaseous energy carriers but only has been recently looked at as a process for producing energy from biomass. This study explores the potential of gasification for energy production and treatment of municipal solid waste (MSW). It relies on adapting the theory governing the chemistry and kinetics of the gasification process to the use of MSW as a feedstock to the process. It also relies on an equilibrium kinetics and thermodynamics solver tool (Gasify®) in the process of modeling gasification of MSW. The effect of process temperature variation on gasifying MSW was explored and the results were compared to incineration as an alternative to gasification of MSW. Also, the assessment was performed comparatively for gasification of MSW in the United Arab Emirates, USA, and Thailand, presenting a spectrum of socioeconomic settings with varying MSW compositions in order to explore the effect of MSW composition variance on the products of gasification. All in all, this study provides an insight into the potential of gasification for the treatment of MSW and as a waste to energy alternative to incineration.

  12. Comparative Capabilities of Clinical Assessment, Diagnostic Criteria, and Polysomnography in Detecting Sleep Bruxism

    PubMed Central

    Palinkas, Marcelo; De Luca Canto, Graziela; Rodrigues, Laíse Angélica Mendes; Bataglion, César; Siéssere, Selma; Semprini, Marisa; Regalo, Simone Cecilio Hallak

    2015-01-01

    Objective: To evaluate the diagnostic capability of signs and symptoms of sleep bruxism (SB) as per the American Academy of Sleep Medicine (AASM) criteria and a diagnostic grading system proposed by international experts for assessing SB. Methods: The study was conducted in three phases (interview, physical examination, and sleep studies). Subjects were asked about self-reported tooth grinding sounds occurring during sleep, muscle fatigue, temporal headaches, jaw muscle pain, and jaw locking. A visual examination was conducted to check for presence of abnormal tooth wear. A full-night polysomnography (PSG) was performed. After three phases, the subjects were divided into two groups matched by age and gender: Case Group, 45 SB subjects, and Control Group, 45 non-SB subjects. Diagnostic accuracy measurements were calculated for each sign or symptom individually and for the two diagnostic criteria analyzed. Results: Muscle fatigue, temporal headaches, and AASM criteria were associated with highest sensitivity (78%, 67%, 58%, respectively) and also with highest diagnostic odds ratio (OR = 9.63, 9.25, 6.33, respectively). Jaw locking, muscle pain, and the criterion of “probable SB” were associated with the worst sensitivity (16%, 18%, 22%, respectively). Conclusions: Presence of muscle fatigue and temporal headaches can be considered good tools to screen SB patients. None of the diagnostic criteria evaluated was able to accurately identify patients with SB. AASM criteria had the strongest diagnostic capabilities and—although they do not attain diagnostic values high enough to replace the current gold standard (PSG)—should be used as a screening tool to identify SB. Citation: Palinkas M, De Luca Canto G, Rodrigues LA, Bataglion C, Siéssere S, Semprini M, Regalo SC. Comparative capabilities of clinical assessment, diagnostic criteria, and polysomnography in detecting sleep bruxism. J Clin Sleep Med 2015;11(11):1319–1325. PMID:26235152

  13. Comparative life cycle cost assessment of painted and hot-dip galvanized bridges.

    PubMed

    Rossi, B; Marquart, S; Rossi, G

    2017-03-17

    The study addresses the life cycle cost assessment (LCCA) of steel bridges, focusing on the maintenance activities and the maintenance scenario. Firstly, the unit costs of maintenance activities and their durability (i.e. the time between two activities) are evaluated. Pragmatic data are provided for the environment category C4 and for three activities: Patch Up, Overcoating and Remove & Replace. A comparative LCCA for a typical hypothetic steel girder bridge is carried out, either painted or hot-dip galvanized (HDG), in the environmental class C4. The LCC versus the cumulated life is provided for both options. The initial cost of the steel unpainted option is only 50.3% of the HDG option. It is shown that after 'Overcoating' occurring at 18.5 years, the total Net Present Value (NPV) of the painted option surpasses that of the HDG option. A sensitivity analysis of the NPV to the cost and service life parameters, the escalation and discount rates is then performed. The discount and escalation rates, considerably influences the total LCC, following a non-linear trend. The total LCC decreases with the discount rate increasing and, conversely, increases with the escalation rate increasing. Secondly, the influence of the maintenance scenario on the total LCC is assessed based on a probabilistic approach. A permutation of the three independent maintenance activities assumed to occur six times over the life of the bridge is considered and a probability of occurrence is associated to each unique scenario. The most probable scenarios are then classified according to their NPV or achieved service life. This approach leads to the definition of a cost-effective maintenance scenario i.e. the scenario, within all the considered permutations, that has the minimum LCC in a range of lifespan. Besides, the probabilistic analysis also shows that, whatever the scenario, the return on investment period ranges between 18.5 years and 24.2 years. After that period, the HDG option becomes

  14. Comparative environmental assessment of wood transport models: a case study of a Swedish pulp mill.

    PubMed

    González-García, Sara; Berg, Staffan; Feijoo, Gumersindo; Moreira, Ma Teresa

    2009-05-15

    Wood transportation from forest landing to forest-based industries uses large amounts of energy. In the case of Sweden, where forest operations are highly and efficiently mechanized, this stage consumes more fossil fuels than other elements of the wood supply chain (such as silviculture and logging operations). This paper intends to compare the environmental burdens associated to different wood transport models considering a Swedish pulp mill as a case study by using Life Cycle Assessment (LCA) as an analytical tool. Five scenarios (the current one and four alternative reliable scenarios) were proposed and analysed taking into account two variables. On the one hand, the influence of imported pulpwood share from Baltic countries and on the other hand, the use of rail transportation for wood transport. In particular, the following impact categories were assessed: Eutrophication, Global Warming, Photochemical Oxidant Formation, Acidification and Fossil fuel extraction. The environmental results indicate that transport alternatives including electric and diesel trains, as well as the reduction in Baltic wood imports should present better environmental performance than the current scenario in terms of all the impact categories under study. Remarkable differences were identified with regard to energy requirements. This divergence is related to different long-distance transport strategies (lorry, boat and/or train) as well as the relative import of wood selected. The combination of lorry and train in wood transportation from Southern Sweden plus the reduction of wood imports from 25% to 15% seems to be more favourable from an environmental perspective. The results obtained allow forecasting the importance of the wood transport strategy in the wood supply chain in LCA of forest products and the influence of energy requirements in the results.

  15. [Comparative life cycle environmental assessment between electric taxi and gasoline taxi in Beijing].

    PubMed

    Shi, Xiao-Qing; Sun, Zhao-Xin; Li, Xiao-Nuo; Li, Jin-Xiang; Yang, Jian-Xin

    2015-03-01

    Tailpipe emission of internal combustion engine vehicle (ICEV) is one of the main sources leading to atmospheric environmental problems such as haze. Substituting electric vehicles for conventional gasoline vehicles is an important solution for reducing urban air pollution. In 2011, as a pilot city of electric vehicle, Beijing launched a promotion plan of electric vehicle. In order to compare the environmental impacts between Midi electric vehicle (Midi EV) and Hyundai gasoline taxi (ICEV), this study created an inventory with local data and well-reasoned assumptions, and contributed a life cycle assessment (LCA) model with GaBi4.4 software and comparative life cycle environmental assessment by Life cycle impact analysis models of CML2001(Problem oriented) and EI99 (Damage oriented), which included the environmental impacts of full life cycle, manufacture phase, use phase and end of life. The sensitivity analysis of lifetime mileage and power structure was also provided. The results indicated that the full life cycle environmental impact of Midi EV was smaller than Hyundai ICEV, which was mainly due to the lower fossil fuel consumption. On the contrary, Midi EV exhibited the potential of increasing the environmental impacts of ecosystem quality influence and Human health influence. By CML2001 model, the results indicated that Midi EV might decrease the impact of Abiotic Depletion Potential, Global Warming Potential, Ozone Layer Depletion Potential and so on. However, in the production phase, the impact of Abiotic Depletion Potential, Acidification Potential, Eutrophication Potential, Global Warming Potential, Photochemical Ozone Creation Potential, Ozone Layer Depletion Potential, Marine Aquatic Ecotoxicity Potential, Terrestric Ecotoxicity Potential, Human Toxicity Potential of Midi EV were increased relative to Hyundai ICEV because of emissions impacts from its power system especially the battery production. Besides, in the use phase, electricity production was

  16. [Comparative assessment of radiation and chemical risks for cancer in the areas in vicinity of an atomic power station].

    PubMed

    Petoian, I M

    2008-01-01

    The estimated cancer risks due to radioactive and chemical factors are assessed and compared. Their possible contribution to malignancy mortality in the population living at the areas in the vicinity of an operating atomic power station is also estimated.

  17. Assessment of MRI as a Modality for Evaluation of Soft Tissue Injuries of the Spine as Compared to Intraoperative Assessment

    PubMed Central

    Vasu, Chembumkara; Kanthila, Mahesha; Ravichandra, Gopalakrishna; Acharya, Koteshwar Devadasa; Hussain, Mohamed Musheer

    2016-01-01

    Introduction Traumatic injuries of the spine and spinal cord are potentially devastating as they may lead to significant neurological damage as the clinical and prognostic spectrum of the effects of spinal injuries is vast. Timely imaging studies can help mitigate these possibly life threatening complications. There is a dearth of studies that directly compare MR imaging findings to surgical findings. Aim Hence, this study was undertaken to assess the sensitivity of MRI in identifying injuries to the soft tissue structures of the spine. Materials and Methods MRI scans were performed on 31 cases of acute spinal injuries that presented within 72 hours of the trauma and underwent surgical fixation by either an anterior or posterior approach. The non-osseous structures namely; Anterior Longitudinal Ligament (ALL), Posterior Longitudinal Ligament (PLL), Intervertebral Disc, Ligamentum Flavum, Interspinous Ligament (ISP) and the Spinal Cord were evaluated. They were classified as ‘True Positive’ if an injury was found to correlate with intraoperative findings and as ‘False Negative’ when diagnosed falsely as normal. The statistical sensitivity of MRI in diagnosing injuries to the non-osseous structures of the spine were thus calculated. Results Of the 31 patients, in 51.6% of patients the site of injury was to the cervical spine (n=16), thoracic spine was the next highest in occurrence of 39% (n=12) and lumbar spine accounted for the least. In correlating the imaging findings to the intraoperative findings, MRI was highly sensitive in detecting injuries to the Posterior Longitudinal Ligament (94.4%) and the Spinal cord (93%) and fairly high in detecting injuries to the Intervertebral disc. However coming to the ligamentum flavum and interspinous ligaments, the sensitivity of the MRI dropped to 62.5% and 63.6% respectively. Conclusion MRI was found to be highly sensitive in detecting injuries to the spinal cord and the posterior longitudinal ligament and

  18. Are Histological Findings of Thulium Laser Vapo-Enucleation Versus Transurethral Resection of the Prostate Comparable?

    PubMed

    Carmignani, Luca; Macchi, Alberto; Ratti, Dario; Finkelberg, Elisabetta; Casellato, Stefano; Bozzini, Giorgio; Maruccia, Serena; Marenghi, Carlo; Picozzi, Stefano

    2015-09-01

    We investigated if an adequate histological diagnosis can be made from tissue after Thulium laser vapo-enucleation of the prostate (ThuVEP) and whether it is comparable to transurethral prostate resection (TURP) tissue findings in patients with symptomatic benign prostatic hyperplasia. We analyzed 350 ThuLEP and 100 matched TURP tissue specimens from patients who underwent one of the two procedures between January 2009 and June 2014. Thulium Laser Enucleation of Prostate (ThuVEP) was combined with mechanical morcellation of the resected lobe. Each histological specimen was reviewed by two pathologists. Preoperative prostate ultrasound volume, total serum prostatic specific antigen and postoperative tissue weight were evaluated. Microscopic histological diagnosis was assessed by standard histological techniques and immunohistochemical evaluation. Patients were comparable in terms of age and preoperative total serum prostate specific antigen. Incidental adenocarcinoma and high grade PIN of the prostate were diagnosed in a comparable percent of specimens in the 2 groups (2.5 % in the ThuVEP group versus 3 % in the TURP group). Tissue thermal artifacts induced by the Thulium laser are mostly due to coagulation as that of the conventional monopolar diathermy in TURP. Tissue quality was maintained in the ThuVEP histological specimens. Tissue maintain histological characteristics and proprieties without modification for successive immunoistochemical analysis. The pathologist ability to detect incidental prostate cancer and PIN was maintained even if there is a quoted of vaporized tissue.

  19. Comparative assessment of bone mass and structure using texture-based and histomorphometric analyses

    PubMed Central

    Xiang, Yongqing; Yingling, Vanessa R.; Malique, Rumena; Li, Chao Yang; Schaffler, Mitchell B.; Raphan, Theodore

    2013-01-01

    The purpose of this study was to develop a methodology for quantitatively assessing bone quantity and anisotropy based on texture analysis using Gabor wavelets. The wavelet approach has the capability to simultaneously examine the images at low and high resolutions to gain information on both global and detailed local features of the bone image. The program that implemented the texture analysis gave measures of density (MDensity) and anisotropy (MAnisotropy). It also allowed us to examine the texture energy at four orientations (0°, 45°, 90°, 135°) to gain insight about the details of the anisotropy. Analysis of templates of four simulated patterns, which had same number of dots but with differing orientations, demonstrated how the texture-based analysis differentiated between these templates. The measures of MAnisotropy discriminated between the four simulated patterns. The MDensity measures were similar across all patterns. These outcomes matched the design intent of the simulated patterns. We also compared the trabecular bone images obtained from a previous study, in which the right forelimbs of normal female retired breeder beagle dogs (5–7 years old) were cast for 12 months to induce bone loss, using both histomorphometry and texture analysis. Both histomorphometry and the texture analysis detected significant differences in the trabecular bone of the distal metatarsal between the control and disuse groups. Percent trabecular bone (Tb.Ar/T.Ar) and the textural density parameter (MDensity) were highly correlated (r =0.962). MAnisotropy was decreased (3.9%) after the 12-month disuse protocol, but was not significantly different from normal. However, the texture energy values at all orientations (0°, 45°, 90° and 135°) were significantly decreased in the disuse group. Therefore, texture analysis was able to assess anisotropy, which could not be extracted from histomorphometric parameters. We conclude that texture analysis is an effective tool for

  20. A comparative assessment of fluoride concentration available in saliva using daily prescribed topical fluoride agents

    PubMed Central

    Talwar, Manjit; Tewari, Amrit; Chawla, H. S.; Sachdev, Vinod

    2016-01-01

    Objective: To assess the availability of fluoride concentration in saliva following the use of fluoride mouthrinse and dentifrice. Materials and Methods: The experiment was carried out in 7–15 year-old school children of Chandigarh (n = 90). The children were nonfluoride users. Baseline saliva samples were collected. The subjects were exposed to two test agents, i.e., fluoride mouthrinse (0.05%, 225 ppm F) and dentifrice (1000 ppm F) for 7 days and on the day 8, saliva samples were collected over a 20 hrs period. Wash out period of 31/2 months was there before the subjects were exposed to the second test agent. Fluoride in saliva was estimated using fluoride ion-specific electrode. Written informed consent was taken. Statistical Analysis: Kolmogorov–Smirnov test was applied to test the normality of the variables. Mann–Whitney U-test was used to compare the fluoride concentration available in saliva at respective time intervals subsequent to use of the two test agents. Results: Fluoride concentration was elevated in saliva compared to baseline for both the test agents. Fluoride mouthrinse (0.05% sodium fluoride [NaF]) and dentifrice (1000 ppm monofluorophosphate [MFP]) showed a biphasic clearance. Peak in saliva occurred at 15 mins postuse. Night-time use resulted in higher concentration of fluoride in saliva compared to baseline. There was statistically significantly higher fluoride concentration available in saliva for the dentifrice at 5 hrs, 10 hrs, and 20 hrs postuse (P < 0.05). Conclusion: Subsequent to the use of NaF (0.05%) daily mouthrinse and MFP dentifrice (1000 ppm) the fluoride concentration in saliva remained elevated to a level of 0.12 ppm for mouthrinse and 0.14 ppm for dentifrice compared to baseline (0.03 ppm) up to 20 hrs postuse. The therapeutic window though not yet established but suggested is 0.1–1 ppm for prevention of demineralization, indicating that daily use of fluoride mouthrinse and dentifrice provides fluoride concentration in

  1. Toward a molecular equivalent dose: use of the medaka model in comparative risk assessment.

    PubMed

    Hobbie, Kristen R; Deangelo, Anthony B; King, Leon C; Winn, Richard N; Law, J McHugh

    2009-03-01

    Recent changes in the risk assessment landscape underscore the need to be able to compare the results of toxicity and dose-response testing between a growing list of animal models and, quite possibly, an array of in vitro screening assays. How do we compare test results for a given compound between vastly different species? For example, what dose level in the ambient water of a small fish model would be equivalent to 10 ppm of a given compound in the rat's drinking water? Where do we begin? To initially address these questions, and in order to compare dose-response tests in a standard rodent model with a fish model, we used the concept of molecular dose. Assays that quantify types of DNA damage that are directly relevant to carcinogenesis integrate the factors such as chemical exposure, uptake, distribution, metabolism, etc. that tend to vary so widely between different phyletic levels. We performed parallel exposures in F344 rats and Japanese medaka (Oryzias latipes) to the alkylating hepatocarcinogen, dimethylnitrosamine (DMN). In both models, we measured the DNA adducts 8-hydroxyguanine, N(7)-methylguanine and O(6)-methylguanine in the liver; mutation frequency using lambda cII transgenic medaka and lambda cII transgenic (Big Blue(R)) rats; and early morphological changes in the livers of both models using histopathology and immunohistochemistry. Pulse dose levels in fish were 0, 10, 25, 50, or 100 ppm DMN in the ambient water for 14 days. Since rats are reported to be especially sensitive to DMN, they received 0, 0.1, 1, 5, 10, or 25 ppm DMN in the drinking water for the same time period. While liver DNA adduct concentrations were similar in magnitude, mutant frequencies in the DMN-exposed medaka were up to 20 times higher than in the Big Blue rats. Future work with other compounds will generate a more complete picture of comparative dose response between different phyletic levels and will help guide risk assessors using "alternative" models.

  2. Comparing assessment methods as predictors of student learning in an undergraduate mathematics course

    NASA Astrophysics Data System (ADS)

    Shorter, Nichole A.; Young, Cynthia Y.

    2011-12-01

    This experiment was designed to determine which assessment method: continuous assessment (in the form of daily in-class quizzes), cumulative assessment (in the form of online homework), or project-based learning, best predicted student learning (dependent upon post-test grades) in an undergraduate mathematics course. Participants included 117 university-level undergraduate freshmen enrolled in a course titled 'Mathematics for Calculus'. A stepwise regression model was formulated to model the relationship between the predictor variables (the continuous assessment, cumulative assessment, and project scores) versus the outcome variable (the post-test scores). Results indicated that ultimately the continuous assessment scores best predicted students' post-test scores.

  3. Comparing Methods of Assessing Dog Rabies Vaccination Coverage in Rural and Urban Communities in Tanzania

    PubMed Central

    Sambo, Maganga; Johnson, Paul C. D.; Hotopp, Karen; Changalucha, Joel; Cleaveland, Sarah; Kazwala, Rudovick; Lembo, Tiziana; Lugelo, Ahmed; Lushasi, Kennedy; Maziku, Mathew; Mbunda, Eberhard; Mtema, Zacharia; Sikana, Lwitiko; Townsend, Sunny E.; Hampson, Katie

    2017-01-01

    Rabies can be eliminated by achieving comprehensive coverage of 70% of domestic dogs during annual mass vaccination campaigns. Estimates of vaccination coverage are, therefore, required to evaluate and manage mass dog vaccination programs; however, there is no specific guidance for the most accurate and efficient methods for estimating coverage in different settings. Here, we compare post-vaccination transects, school-based surveys, and household surveys across 28 districts in southeast Tanzania and Pemba island covering rural, urban, coastal and inland settings, and a range of different livelihoods and religious backgrounds. These approaches were explored in detail in a single district in northwest Tanzania (Serengeti), where their performance was compared with a complete dog population census that also recorded dog vaccination status. Post-vaccination transects involved counting marked (vaccinated) and unmarked (unvaccinated) dogs immediately after campaigns in 2,155 villages (24,721 dogs counted). School-based surveys were administered to 8,587 primary school pupils each representing a unique household, in 119 randomly selected schools approximately 2 months after campaigns. Household surveys were conducted in 160 randomly selected villages (4,488 households) in July/August 2011. Costs to implement these coverage assessments were $12.01, $66.12, and $155.70 per village for post-vaccination transects, school-based, and household surveys, respectively. Simulations were performed to assess the effect of sampling on the precision of coverage estimation. The sampling effort required to obtain reasonably precise estimates of coverage from household surveys is generally very high and probably prohibitively expensive for routine monitoring across large areas, particularly in communities with high human to dog ratios. School-based surveys partially overcame sampling constraints, however, were also costly to obtain reasonably precise estimates of coverage. Post

  4. Quantity and quality of obesity-related research in Arab countries: assessment and comparative analysis

    PubMed Central

    2014-01-01

    Background Obesity is a serious worldwide medical condition, considered by some researchers as one of the most serious public health problems of the 21st century. The main objective of this study was to assess the quantity and quality of obesity-related research from Arab countries and compare it with that from non-Arab Middle Eastern countries. Methods Original scientific articles or reviews published by Arab countries about obesity up until 2011 were screened using the ISI Web of Science database. Research activity was assessed by analyzing the annual research productivity, journals names, citations, top 10 active institutions, and the contribution of each Arab country to obesity research. Results The total number of original and review research articles published globally about obesity was 110,167. The leading country in obesity research was United States of America (42.47%). Turkey, Israel, and Iran were in the top 30 countries while Kingdom of Saudi Arabia (KSA), Egypt, and Kuwait ranked 39th, 43rd, and 47th, respectively. A total of 1,121 documents about “obesity” were published by Arab countries, representing 1.0% of the global research output, with 13,343 citations (average citation of 11.9 per document) and an h-index of 44. The Arab countries’ research output was very low until the mid-1990s and then increased steadily. Of the 1,121 documents, 107 (9.55%) were published in the Saudi Medical Journal. KSA, with a total of 318 publications ranked first among Arab countries in research quantity while Kuwait ranked first after adjustment based on population size. King Saud University in KSA was the most productive institution with a total of 140 documents. Compared with other non-Arab Middle Eastern countries, the research productivity from Arab countries was lower than that from Turkey, higher than that from Iran, and close to that from Israel. However, the h-index of documents about obesity published from Arab countries was lower than that of Turkey

  5. Comparing the Use of Global Rating Scale with Checklists for the Assessment of Central Venous Catheterization Skills Using Simulation

    ERIC Educational Resources Information Center

    Ma, Irene W. Y.; Zalunardo, Nadia; Pachev, George; Beran, Tanya; Brown, Melanie; Hatala, Rose; McLaughlin, Kevin

    2012-01-01

    The use of checklists is recommended for the assessment of competency in central venous catheterization (CVC) insertion. To explore the use of a global rating scale in the assessment of CVC skills, this study seeks to compare its use with two checklists, within the context of a formative examination using simulation. Video-recorded performances of…

  6. An Australian Study Comparing the Use of Multiple-Choice Questionnaires with Assignments as Interim, Summative Law School Assessment

    ERIC Educational Resources Information Center

    Huang, Vicki

    2017-01-01

    To the author's knowledge, this is the first Australian study to empirically compare the use of a multiple-choice questionnaire (MCQ) with the use of a written assignment for interim, summative law school assessment. This study also surveyed the same student sample as to what types of assessments are preferred and why. In total, 182 undergraduate…

  7. Comparing Methods for Assessing Receptive Language Skills in Minimally Verbal Children and Adolescents with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Plesa Skwerer, Daniela; Jordan, Samantha E.; Brukilacchio, Briana H.; Tager-Flusberg, Helen

    2016-01-01

    This research addresses the challenges of assessing receptive language abilities in minimally verbal children with autism spectrum disorder by comparing several adapted measurement tools: a standardized direct assessment of receptive vocabulary (i.e. Peabody Picture Vocabulary Test-4); caregiver report measures including scores on the Vineland-II…

  8. Comparative life cycle assessment of lignocellulosic ethanol production: biochemical versus thermochemical conversion.

    PubMed

    Mu, Dongyan; Seager, Thomas; Rao, P Suresh; Zhao, Fu

    2010-10-01

    Lignocellulosic biomass can be converted into ethanol through either biochemical or thermochemical conversion processes. Biochemical conversion involves hydrolysis and fermentation while thermochemical conversion involves gasification and catalytic synthesis. Even though these routes produce comparable amounts of ethanol and have similar energy efficiency at the plant level, little is known about their relative environmental performance from a life cycle perspective. Especially, the indirect impacts, i.e. emissions and resource consumption associated with the production of various process inputs, are largely neglected in previous studies. This article compiles material and energy flow data from process simulation models to develop life cycle inventory and compares the fossil fuel consumption, greenhouse gas emissions, and water consumption of both biomass-to-ethanol production processes. The results are presented in terms of contributions from feedstock, direct, indirect, and co-product credits for four representative biomass feedstocks i.e., wood chips, corn stover, waste paper, and wheat straw. To explore the potentials of the two conversion pathways, different technological scenarios are modeled, including current, 2012 and 2020 technology targets, as well as different production/co-production configurations. The modeling results suggest that biochemical conversion has slightly better performance on greenhouse gas emission and fossil fuel consumption, but that thermochemical conversion has significantly less direct, indirect, and life cycle water consumption. Also, if the thermochemical plant operates as a biorefinery with mixed alcohol co-products separated for chemicals, it has the potential to achieve better performance than biochemical pathway across all environmental impact categories considered due to higher co-product credits associated with chemicals being displaced. The results from this work serve as a starting point for developing full life cycle

  9. Comparative Assessment of Nitrogen Fixation Methodologies, Conducted in the Oligotrophic North Pacific Ocean

    PubMed Central

    Böttjer, Daniela; Church, Matthew J.; Karl, David M.

    2012-01-01

    Resolution of the nitrogen (N) cycle in the marine environment requires an accurate assessment of dinitrogen (N2) fixation. We present here an update on progress in conducting field measurements of acetylene reduction (AR) and 15N2 tracer assimilation in the oligotrophic North Pacific Subtropical Gyre (NPSG). The AR assay was conducted on discrete seawater samples using a headspace analysis system, followed by quantification of ethylene (C2H4) with a reducing compound photodetector. The rates of C2H4 production were measurable for nonconcentrated seawater samples after an incubation period of 3 to 4 h. The 15N2 tracer measurements compared the addition of 15N2 as a gas bubble and dissolved as 15N2 enriched seawater. On all sampling occasions and at all depths, a 2- to 6-fold increase in the rate of 15N2 assimilation was measured when 15N2-enriched seawater was added to the seawater sample compared to the addition of 15N2 as a gas bubble. In addition, we show that the 15N2-enriched seawater can be prepared prior to its use with no detectable loss (<1.7%) of dissolved 15N2 during 4 weeks of storage, facilitating its use in the field. The ratio of C2H4 production to 15N2 assimilation varied from 7 to 27 when measured simultaneously in surface seawater samples. Collectively, the modifications to the AR assay and the 15N2 assimilation technique present opportunities for more accurate and high frequency measurements (e.g., diel scale) of N2 fixation, providing further insight into the contribution of different groups of diazotrophs to the input of N in the global oceans. PMID:22773638

  10. Assessing Microstructural Substrates of White Matter Abnormalities: A Comparative Study Using DTI and NODDI

    PubMed Central

    Timmers, Inge; Roebroeck, Alard; Bastiani, Matteo; Jansma, Bernadette; Rubio-Gozalbo, Estela; Zhang, Hui

    2016-01-01

    Neurite orientation dispersion and density imaging (NODDI) enables more specific characterization of tissue microstructure by estimating neurite density (NDI) and orientation dispersion (ODI), two key contributors to fractional anisotropy (FA). The present work compared NODDI- with diffusion tensor imaging (DTI)-derived indices for investigating white matter abnormalities in a clinical sample. We assessed the added value of NODDI parameters over FA, by contrasting group differences identified by both models. Diffusion-weighted images with multiple shells were acquired in a group of 8 healthy controls and 8 patients with an inherited metabolic disease. Both standard DTI and NODDI analyses were performed. Tract based spatial statistics (TBSS) was used for group inferences, after which overlap and unique contributions across different parameters were evaluated. Results showed that group differences in NDI and ODI were complementary, and together could explain much of the FA results. Further, compared to FA analysis, NDI and ODI gave a pattern of results that was more regionally specific and were able to capture additional discriminative voxels that FA failed to identify. Finally, ODI from single-shell NODDI analysis, but not NDI, was found to reproduce the group differences from the multi-shell analysis. To conclude, by using a clinically feasible acquisition and analysis protocol, we demonstrated that NODDI is of added value to standard DTI, by revealing specific microstructural substrates to white matter changes detected with FA. As the (simpler) DTI model was more sensitive in identifying group differences, NODDI is recommended to be used complementary to DTI, thereby adding greater specificity regarding microstructural underpinnings of the differences. The finding that ODI abnormalities can be identified reliably using single-shell data may allow the retrospective analysis of standard DTI with NODDI. PMID:28002426

  11. Comparative Life Cycle Assessment of Lignocellulosic Ethanol Production: Biochemical Versus Thermochemical Conversion

    NASA Astrophysics Data System (ADS)

    Mu, Dongyan; Seager, Thomas; Rao, P. Suresh; Zhao, Fu

    2010-10-01

    Lignocellulosic biomass can be converted into ethanol through either biochemical or thermochemical conversion processes. Biochemical conversion involves hydrolysis and fermentation while thermochemical conversion involves gasification and catalytic synthesis. Even though these routes produce comparable amounts of ethanol and have similar energy efficiency at the plant level, little is known about their relative environmental performance from a life cycle perspective. Especially, the indirect impacts, i.e. emissions and resource consumption associated with the production of various process inputs, are largely neglected in previous studies. This article compiles material and energy flow data from process simulation models to develop life cycle inventory and compares the fossil fuel consumption, greenhouse gas emissions, and water consumption of both biomass-to-ethanol production processes. The results are presented in terms of contributions from feedstock, direct, indirect, and co-product credits for four representative biomass feedstocks i.e., wood chips, corn stover, waste paper, and wheat straw. To explore the potentials of the two conversion pathways, different technological scenarios are modeled, including current, 2012 and 2020 technology targets, as well as different production/co-production configurations. The modeling results suggest that biochemical conversion has slightly better performance on greenhouse gas emission and fossil fuel consumption, but that thermochemical conversion has significantly less direct, indirect, and life cycle water consumption. Also, if the thermochemical plant operates as a biorefinery with mixed alcohol co-products separated for chemicals, it has the potential to achieve better performance than biochemical pathway across all environmental impact categories considered due to higher co-product credits associated with chemicals being displaced. The results from this work serve as a starting point for developing full life cycle

  12. Comparative assessment of drug-eluting balloons in an advanced porcine model of coronary restenosis.

    PubMed

    Joner, M; Byrne, R A; Lapointe, J-M; Radke, P W; Bayer, G; Steigerwald, K; Wittchow, E

    2011-05-01

    The advent of drug-eluting balloon (DEB) therapy has represented an important development in interventional cardiology. Nevertheless, preclinical data with this technology remain scant, and comparative studies have not previously been published. Bare metal stents were implanted in the coronary arteries of 15 pigs followed by balloon angioplasty. Animals were allocated to treatment with a 60-second inflation of one of four different balloon catheters: a conventional untreated plain angioplasty balloon (PBA, Biotronik AG), the Pantera Lux DEB (3.0 μg/mm2 paclitaxel; BTHC excipient, Biotronik AG), the Elutax DEB (2.0 μg/mm2 paclitaxel; no excipient; Aachen Resonance), or the SeQuent Please DEB (3.0 μg/mm2 paclitaxel; iopromide excipient: B. Braun). Twenty-eight days following balloon deployment, animals underwent repeat angiography for quantitative coronary angiography analysis and euthanasia for histopathologic assessment. By histology, the mean neointimal thickness was 0.44 ± 0.19 mm with PBA, 0.35 ± 0.13 mm with Pantera Lux , 0.61 ± 0.20 mm with Elutax , and 0.47 ± 0.21 mm with SeQuent Please DEB (p=0.02). In comparison with PBA, deployment of the Pantera Lux or the SeQuent Please DEB resulted in delayed healing characterised by significant increases in fibrin, neointimal cell vacuity and delayed re-endothelialisation. In conclusion, investigation of comparative DEB performance in a porcine model of advanced coronary restenosis reveals significant heterogeneity of neointimal suppression between the devices tested with numerically lowest values seen in the Pantera Lux group. On the other hand, evidence of delayed healing was observed in the most effective DEB groups.

  13. Comparative assessment of scoring functions on an updated benchmark: 2. Evaluation methods and general results.

    PubMed

    Li, Yan; Han, Li; Liu, Zhihai; Wang, Renxiao

    2014-06-23

    Our comparative assessment of scoring functions (CASF) benchmark is created to provide an objective evaluation of current scoring functions. The key idea of CASF is to compare the general performance of scoring functions on a diverse set of protein-ligand complexes. In order to avoid testing scoring functions in the context of molecular docking, the scoring process is separated from the docking (or sampling) process by using ensembles of ligand binding poses that are generated in prior. Here, we describe the technical methods and evaluation results of the latest CASF-2013 study. The PDBbind core set (version 2013) was employed as the primary test set in this study, which consists of 195 protein-ligand complexes with high-quality three-dimensional structures and reliable binding constants. A panel of 20 scoring functions, most of which are implemented in main-stream commercial software, were evaluated in terms of "scoring power" (binding affinity prediction), "ranking power" (relative ranking prediction), "docking power" (binding pose prediction), and "screening power" (discrimination of true binders from random molecules). Our results reveal that the performance of these scoring functions is generally more promising in the docking/screening power tests than in the scoring/ranking power tests. Top-ranked scoring functions in the scoring power test, such as X-Score(HM), ChemScore@SYBYL, ChemPLP@GOLD, and PLP@DS, are also top-ranked in the ranking power test. Top-ranked scoring functions in the docking power test, such as ChemPLP@GOLD, Chemscore@GOLD, GlidScore-SP, LigScore@DS, and PLP@DS, are also top-ranked in the screening power test. Our results obtained on the entire test set and its subsets suggest that the real challenge in protein-ligand binding affinity prediction lies in polar interactions and associated desolvation effect. Nonadditive features observed among high-affinity protein-ligand complexes also need attention.

  14. Comparing Assessment Methods as Predictors of Student Learning in an Undergraduate Mathematics Course

    ERIC Educational Resources Information Center

    Shorter, Nichole A.; Young, Cynthia Y.

    2011-01-01

    This experiment was designed to determine which assessment method: continuous assessment (in the form of daily in-class quizzes), cumulative assessment (in the form of online homework), or project-based learning, best predicted student learning (dependent upon post-test grades) in an undergraduate mathematics course. Participants included 117…

  15. Comparing Panelists' Understanding of Standard Setting across Multiple Levels of an Alternate Science Assessment

    ERIC Educational Resources Information Center

    Hansen, Mary A.; Lyon, Steven R.; Heh, Peter; Zigmond, Naomi

    2013-01-01

    Large-scale assessment programs, including alternate assessments based on alternate achievement standards (AA-AAS), must provide evidence of technical quality and validity. This study provides information about the technical quality of one AA-AAS by evaluating the standard setting for the science component. The assessment was designed to have…

  16. Methodological Challenges in International Comparative Post-Secondary Assessment Programs: Lessons Learned and the Road Ahead

    ERIC Educational Resources Information Center

    Wolf, Raffaela; Zahner, Doris; Benjamin, Roger

    2015-01-01

    The assessment of student learning outcomes in the tertiary school sector has seen an increase in global popularity in recent years. Measurement instruments that target higher order skills are on the rise, whereas assessments that foster the recall of factual knowledge are declining. The Assessment of Higher Education Learning Outcomes (AHELO)…

  17. A Comparative Study on the Practice of Continuous Assessment between Addis Ababa and Unity Universities

    ERIC Educational Resources Information Center

    Zeleke, Aytaged Sisay

    2013-01-01

    This paper aims to explore the practice of continuous assessment at Unity University College and Addis Ababa University. It has also investigated constraints instructors say they have been facing in implementing continuous assessment. Students' attitudes about the practice of this assessment mode towards their course achievements were explored.…

  18. The Influence of Disciplinary Assessment Patterns on Student Learning: A Comparative Study

    ERIC Educational Resources Information Center

    Jessop, Tansy; Maleckar, Barbara

    2016-01-01

    This paper explores disciplinary patterns of assessment and feedback, using data from the Transforming the Experience of Students through Assessment project. Its central research question concerns the effect of disciplinary assessment patterns on student learning. Audit data from 18 degree programmes at 8 UK universities showed variations in…

  19. Toward laboratory blood test-comparable photometric assessments for anemia in veterinary hematology

    NASA Astrophysics Data System (ADS)

    Kim, Taehoon; Choi, Seung Ho; Lambert-Cheatham, Nathan; Xu, Zhengbin; Kritchevsky, Janice E.; Bertin, Francois-René; Kim, Young L.

    2016-10-01

    Anemia associated with intestinal parasites and malnutrition is the leading cause of morbidity and mortality in small ruminants worldwide. Qualitative scoring of conjunctival redness has been developed so that farmers can gauge anemia in sheep and goats to identify animals that require treatment. For clinically relevant anemia diagnosis, complete blood count-comparable quantitative methods often rely on complicated and expensive optical instruments, requiring detailed spectral information of hemoglobin. We report experimental and numerical results for simple, yet reliable, noninvasive hemoglobin detection that can be correlated with laboratory-based blood hemoglobin testing for anemia diagnosis. In our pilot animal study using calves, we exploit the third eyelid (i.e., palpebral conjunctiva) as an effective sensing site. To further test spectrometer-free (or spectrometerless) hemoglobin assessments, we implement full spectral reconstruction from RGB data and partial least square regression. The unique combination of RGB-based spectral reconstruction and partial least square regression could potentially offer uncomplicated instrumentation and avoid the use of a spectrometer, which is vital for realizing a compact and inexpensive hematology device for quantitative anemia detection in the farm field.

  20. Comparative assessment of hardening of demineralized dentin under lining materials using an ultramicroindentation system.

    PubMed

    Schmidlin, Patrick R; Zehnder, Matthias; Imfeld, Thomas; Swain, Michael V

    2007-10-01

    The aim of the current in vitro study was to evaluate the influence of three lining materials with a reported mineralizing capacity on hardness and elasticity of demineralized dentin. Four standardized microcavities were prepared in exposed dentin surfaces of 16 extracted human molars each. Dentin was demineralized in 0.5M EDTA for 2 h. One microcavity was left empty. The others were filled with a resin-modified glass ionomer cement (RMGIC), a bioactive glass S53P4 suspension, and a prototype Ca-PO(4) cement. Teeth were then immersed in deionized water or simulated oral fluid. After 3 weeks, hardness and composite elastic modulus of the dentin subjacent to the microcavities were assessed under wet conditions using the ultramicroindentation system (UMIS). After immersion in deionized water, there was no significant improvement of the mechanical properties of dentin irrespective of the material applied beforehand, indicating a lack of direct material effects. Exposure to simulated oral fluid resulted in significantly (p < 0.05) higher hardness and composite elastic modulus values of the dentin subjacent to empty microcavities and counterparts lined with bioactive glass compared to corresponding dentin under the RMGIC. UMIS profiles showed little variance.

  1. Auricular Surface Aging: Comparing Two Methods that Assess Morphological Change in the Ilium with Bayesian Analyses.

    PubMed

    Hens, Samantha M; Godde, Kanya

    2016-01-01

    Modern standards in forensic anthropology require rigorous testing and evaluation of methods used for aging skeletal remains. Age estimation has been criticized for bias, inaccuracy, and population specificity; issues which are minimized by the application of Bayesian methodology. Using Bayesian statistics, we compare the Lovejoy et al. (Am J Phys Anthropol, 68, 1985, 15) (original) and Buckberry and Chamberlain (Am J Phys Anthropol, 119, 2002, 231) (revised) auricular surface aging methods. Transition analysis parameters derived from American males (n = 372), in combination with a Thai male (N = 37) informative prior, statistically model age in Portuguese males (n = 221). Cumulative binomial tests assess the accuracy of the generated age ranges. Overall, the application of transition analysis and Bayesian statistics significantly improved age estimation with both methods (also outperforming Suchey-Brooks pubic symphysis aging). Moreover, the accuracy of the original method was low without statistical modeling, whereas the revised method can be applied accurately without further statistical analysis. Additionally, reference tables for aging Portuguese males are provided.

  2. A statin a day keeps the doctor away: comparative proverb assessment modelling study

    PubMed Central

    Mizdrak, Anja; Scarborough, Peter

    2013-01-01

    Objective To model the effect on UK vascular mortality of all adults over 50 years old being prescribed either a statin or an apple a day. Design Comparative proverb assessment modelling study. Setting United Kingdom. Population Adults aged over 50 years. Intervention Either a statin a day for people not already taking a statin or an apple a day for everyone, assuming 70% compliance and no change in calorie consumption. The modelling used routinely available UK population datasets; parameters describing the relations between statins, apples, and health were derived from meta-analyses. Main outcome measure Mortality due to vascular disease. Results The estimated annual reduction in deaths from vascular disease of a statin a day, assuming 70% compliance and a reduction in vascular mortality of 12% (95% confidence interval 9% to 16%) per 1.0 mmol/L reduction in low density lipoprotein cholesterol, is 9400 (7000 to 12 500). The equivalent reduction from an apple a day, modelled using the PRIME model (assuming an apple weighs 100 g and that overall calorie consumption remains constant) is 8500 (95% credible interval 6200 to 10 800). Conclusions Both nutritional and pharmaceutical approaches to the prevention of vascular disease may have the potential to reduce UK mortality significantly. With similar reductions in mortality, a 150 year old health promotion message is able to match modern medicine and is likely to have fewer side effects.

  3. Comparative assessment of five potential sites for hydrothermal-magma systems: energy transport

    SciTech Connect

    Hardee, H.C.

    1980-09-01

    A comparative assessment of five sites is being prepared as part of a Continental Scientific Drilling Program (CSDP) review of thermal regimes for the purpose of scoping areas for future research and drilling activities. This background report: discusses the various energy transport processes likely to be encountered in a hydrothermal-magma system, reviews related literature, discusses research and field data needs, and reviews the sites from an energy transport viewpoint. At least three major zones exist in the magma-hydrothermal transport system: the magma zone, the hydrothermal zone, and the transition zone between the two. Major energy transport questions relate to the nature and existence of these zones and their evolution with time. Additional energy transport questions are concerned with the possible existence of critical state and super-critical state permeable convection in deep geothermal systems. A review of thermal transport models emphasizes the fact that present transport models and computational techniques far outweigh the scarcity and quality of deep field data.

  4. Visual assessment of redoxcline compared to electron potential in coastal marine sediments

    NASA Astrophysics Data System (ADS)

    Simone, Michelle; Grant, Jon

    2017-03-01

    A geochemical proxy often utilized in marine benthic health assessment is the depth of the apparent redox potential discontinuity (aRPD), a visual signature representing the transition from lighter oxidized to darker reduced sediments. Traditionally this boundary is defined by the redox potential discontinuity (RPD), a 0 mV isovolt measured by platinum electrodes. In order to verify the use of visual transitions as a proxy for electrochemical RPD, these measurements were compared in subtidal sandy muds (13.5 m depth) in coastal Nova Scotia, Canada. The apparent RPD was measured from sediment profile imagery (SPI) images and diver-retrieved cores. Pre-drilled cores with vertical holes allowed for the coupling of electrochemical and visual boundary measurements in the same sample. The mean discrepancy of the RPD is 0.6 ± 2.6 cm (mean ± maximum variation) above the aRPD depth. The Eh range at the aRPD, -14.94 ± 52.21 mV, encompassed the 0 mV isovolt, suggesting the aRPD can be applied as a sound proxy for the transition between redox states.

  5. Comparative toxicology for risk assessment of marine fishes and crustaceans. [Cyprinodon variegatus

    SciTech Connect

    Suter, G.W. II; Rosen, A.E. )

    1988-05-01

    The goal of this study was to collect data on the effects of chemicals on marine fishes and crustaceans and to evaluate the predictive power of the data for assessing risks to marine resources. The data sets consisted of acute median lethal concentrations (LC{sub 50s}) and chronic maximum acceptable toxicant concentrations (MATCs). They were analyzed with regression models and simple comparisons. The conclusions include the following: (1) the variability found in the marine data was comparable to that found in freshwater data; (2) the standard marine test fish Cyprinodon variegatus appears to be representative of marine fishes; (3) the responses of marine crustaceans are so highly diverse that the concept of a representative crustacean is questionable; (4) mysid and penaeid shrimp appear to be particularly sensitive to toxic chemicals. These conclusions are subject to the constraints of the existing limited data base and should be confirmed by a systematic study of the relative sensitivity of marine organisms to chemicals with diverse modes of action.

  6. Comparative assessment of public opinion on the landscape quality of two biosphere reserves in Europe.

    PubMed

    Sowińska-Świerkosz, Barbara; Chmielewski, Tadeusz J

    2014-09-01

    The European Landscape Convention (2000) obligates European Union countries to identify and implement landscape quality objectives (LQOs) understood as the specification of public expectations and preferences concerning the landscape of a given area, expressed by competent public authorities. The convention emphasizes the important role of local community representatives in this field. In Poland, the implementation of the LQO concept was first undertaken in two regions with radically different landscape characteristics: (1) the West Polesie Biosphere Reserve and (2) the selected protected areas of the Roztocze-Solska Forest, nominated to the rank of a biosphere reserve. The first stage of the presented study was the recognition of public opinion on the quality of key features of landscape, based on a questionnaire (n = 470). The primary objective of the study was to provide an answer to the following questions: (1) Whether similar social expectations regarding landscape quality exist in spite of radically different landscape characteristics of the regions investigated (landscape quality is understood as spatial arrangement, scenic beauty, and lack of environmental pollution); (2) which landscape features are considered to be most preservation worthy by the representatives of both local communities; and (3) What processes or development impacts pose the greatest threat to the landscape quality of both regions according to the public opinion? The conducted comparative assessment revealed that it is possible to define a set of features fundamental to the quality of both areas and that representatives of local communities pointed out the same threats to the natural and cultural values of both regions investigated.

  7. Assessing Community Participation: Comparing Self-Reported Participation Data with Organizational Attendance Records.

    PubMed

    Christens, Brian D; Speer, Paul W; Peterson, N Andrew

    2016-06-01

    How well do self-reported levels of community and organizational participation align with recorded acts of community and organizational participation? This study explores this question among participants in social action community organizing initiatives by comparing responses on a community participation scale designed to retrospectively assess community participation (T1, n = 482; T2, n = 220) with individual participants' attendance records in various social action organizing activities over two 1-year periods. By testing the self-reported measure's overall and item-by-item association with documented participation in various types of organizing activities, we find that the self-report measure is positively, but weakly correlated with actual participation levels in community organizing activities. Moreover, associations between self-report and recorded acts of participation differ by types of activity. Examining this unique source of data raises important questions about how community participation is conceptualized and measured in our field. Implications are explored for theory and measurement of participation in community and organizational contexts.

  8. A comparative assessment of the size of the frontal air sinus in the giraffe (Giraffa camelopardalis).

    PubMed

    Badlangana, N Ludo; Adams, Justin W; Manger, Paul R

    2011-06-01

    The current study examines the frontal air sinus of the giraffe (Giraffa camelopardalis) cranium with the aim of evaluating previously offered hypotheses as to why they have such an atypically voluminous frontal sinus relative to other artiodactyls. To date, no quantification of the frontal sinus in the adult or developing giraffe has been undertaken or compared to other artiodactyl species. Crania from eight species of adult artiodactyls, and giraffes varying in age from newborn to adult, were studied using CT scans to provide a volumetric assessment of the frontal sinus. Sinus volume was strongly correlated to cranial mass in the male giraffe ontogenetic series. The adult giraffe of both sexes were found to possess a far larger than predicted sinus volume relative to the relationship between frontal sinus volume and cranial mass observed in the other adult artiodactyls. Our results suggest that the volume of the frontal sinus in the giraffe is likely to be unique among artiodactyls, and the potential function and evolution we consider in light of several previously articulated hypotheses.

  9. [Comparative assessment of DNA extraction methods for identification of glanders and melioidosis etiological agents by PCR].

    PubMed

    Zinchenko, O V; Antonov, V A; Tkachenko, G A; Altukhova, V V; Zamaraev, V S; Piven', N N; Goloseev, Iu A; Vasil'ev, V P; Lomova, L V; Alekseev, V V

    2008-01-01

    Pathogenic Burkholderia are considered as a cause of dangerous infections and potential agents of bioterrorism. Comparative assessment of different methods of extraction and purification of DNA for PCR analysis of pure cultures and samples contaminated by etiological agents of glanders and melioidosis was performed. Samples of soil and food artificially contaminated by pathogenic Burkholderia as well as organs of infected animals were tested. DNA was extracted by methods of boiling, nucleosorption with presence of guanidine thiocyanate, guanidine thiocyanatephenol extraction, guanidine thiocyanate-phenol extraction with additional purification of DNA by nucleosorption. Amplification was performed by "Flash" technique and detector of fluorescence was used for analysis of PCR products. Utilization of the recommended methods of preparation depending on the nature of sample let to detect by the "Flash" technique the etiological agents of glanders and melioidosis in concentration =10(3) microbial cells per ml. Choice of DNA extraction and purification methods is determined by type of a sample and presence in it of admixtures inhibiting PCR.

  10. Comparative Assessment of Public Opinion on the Landscape Quality of Two Biosphere Reserves in Europe

    NASA Astrophysics Data System (ADS)

    Sowińska-Świerkosz, Barbara; Chmielewski, Tadeusz J.

    2014-09-01

    The European Landscape Convention (2000) obligates European Union countries to identify and implement landscape quality objectives (LQOs) understood as the specification of public expectations and preferences concerning the landscape of a given area, expressed by competent public authorities. The convention emphasizes the important role of local community representatives in this field. In Poland, the implementation of the LQO concept was first undertaken in two regions with radically different landscape characteristics: (1) the West Polesie Biosphere Reserve and (2) the selected protected areas of the Roztocze-Solska Forest, nominated to the rank of a biosphere reserve. The first stage of the presented study was the recognition of public opinion on the quality of key features of landscape, based on a questionnaire ( n = 470). The primary objective of the study was to provide an answer to the following questions: (1) Whether similar social expectations regarding landscape quality exist in spite of radically different landscape characteristics of the regions investigated (landscape quality is understood as spatial arrangement, scenic beauty, and lack of environmental pollution); (2) which landscape features are considered to be most preservation worthy by the representatives of both local communities; and (3) What processes or development impacts pose the greatest threat to the landscape quality of both regions according to the public opinion? The conducted comparative assessment revealed that it is possible to define a set of features fundamental to the quality of both areas and that representatives of local communities pointed out the same threats to the natural and cultural values of both regions investigated.

  11. Comparative assessment of various lipid extraction protocols and optimization of transesterification process for microalgal biodiesel production.

    PubMed

    Mandal, Shovon; Patnaik, Reeza; Singh, Amit Kumar; Mallick, Nirupama

    2013-01-01

    Biodiesel, using microalgae as feedstocks, is being explored as the most potent form of alternative diesel fuel for sustainable economic development. A comparative assessment of various protocols for microalgal lipid extraction was carried out using five green algae, six blue-green algae and two diatom species treated with different single and binary solvents both at room temperature and using a soxhlet. Lipid recovery was maximum with chloroform-methanol in the soxhlet extractor. Pretreatments ofbiomass, such as sonication, homogenization, bead-beating, lyophilization, autoclaving, microwave treatment and osmotic shock did not register any significant rise in lipid recovery. As lipid recovery using chloroform-methanol at room temperature demonstrated a marginally lower value than that obtained under the soxhlet extractor, on economical point of view, the former is recommended for microalgal total lipid extraction. Transesterification process enhances the quality of biodiesel. Experiments were designed to determine the effects of catalyst type and quantity, methanol to oil ratio, reaction temperature and time on the transesterification process using response surface methodology. Fatty acid methyl ester yield reached up to 91% with methanol:HCl:oil molar ratio of 82:4:1 at 65 degrees C for 6.4h reaction time. The biodiesel yield relative to the weight of the oil was found to be 69%.

  12. Life Cycle Assessment Comparing the Use of Jatropha Biodiesel in the Indian Road and Rail Sectors

    SciTech Connect

    Whitaker, M.; Heath, G.

    2010-05-01

    This life cycle assessment of Jatropha biodiesel production and use evaluates the net greenhouse gas (GHG) emission (not considering land-use change), net energy value (NEV), and net petroleum consumption impacts of substituting Jatropha biodiesel for conventional petroleum diesel in India. Several blends of biodiesel with petroleum diesel are evaluated for the rail freight, rail passenger, road freight, and road-passenger transport sectors that currently rely heavily on petroleum diesel. For the base case, Jatropha cultivation, processing, and use conditions that were analyzed, the use of B20 results in a net reduction in GHG emissions and petroleum consumption of 14% and 17%, respectively, and a NEV increase of 58% compared with the use of 100% petroleum diesel. While the road-passenger transport sector provides the greatest sustainability benefits per 1000 gross tonne kilometers, the road freight sector eventually provides the greatest absolute benefits owing to substantially higher projected utilization by year 2020. Nevertheless, introduction of biodiesel to the rail sector might present the fewest logistic and capital expenditure challenges in the near term. Sensitivity analyses confirmed that the sustainability benefits are maintained under multiple plausible cultivation, processing, and distribution scenarios. However, the sustainability of any individual Jatropha plantation will depend on site-specific conditions.

  13. [Comparative analysis of two different methods for risk assessment of groundwater pollution: a case study in Beijing plain].

    PubMed

    Wang, Hong-na; He, Jiang-tao; Ma, Wen-jie; Xu, Zhen

    2015-01-01

    Groundwater contamination risk assessment has important meaning to groundwater contamination prevention planning and groundwater exploitation potentiality. Recently, UN assessment system and WP assessment system have become the focuses of international research. In both systems, the assessment framework and indices were drawn from five aspects: intrinsic vulnerability, aquifer storage, groundwater quality, groundwater resource protection zone and contamination load. But, the five factors were built up in different ways. In order to expound the difference between the UN and WP assessment systems, and explain the main reasons, the UN and WP assessment systems were applied to Beijing Plain, China. The maps constructed from the UN and WP risk assessment systems were compared. The results showed that both kinds of groundwater contamination risk assessment maps were in accordance with the actual conditions and were similar in spatial distribution trends. However, there was quite significant different in the coverage area at the same level. It also revealed that during the system construction process, the structural hierarchy, relevant overlaying principles and classification method might have effects on the groundwater contamination risk assessment map. UN assessment system and WP assessment system were both suitable for groundwater contamination risk assessment of the plain, however, their emphasis was different.

  14. A Comparative Analysis between the Assessment Criteria Used to Assess Graduating Teachers at Rustaq College (Oman) and Griffith University (Australia) during the Teaching Practicum

    ERIC Educational Resources Information Center

    Al-Malki, Moza Abdullah; Weir, Katie

    2014-01-01

    This article reports the findings from a study that compares the assessment criteria used to measure pre-service teachers' professional competencies at Rustaq College of Applied Sciences in Oman, and at Griffith University in Queensland, Australia. The study adopts a discourse analytic approach to deconstruct and critically compare the assessment…

  15. In Vitro Comparative Assessment of Mechanical Blood Damage Induced by Different Hemodialysis Treatments

    PubMed Central

    Lodi, Carlo Alberto; Sconziano, Sara Antonia; Beck, Werner; Bosch, Juan P.

    2015-01-01

    to RBCs compared with that observed for routinely used dialysis treatments, bloodlines and machines. Although the in vitro measurement of the fHb increase in bovine blood does not allow a prediction of the absolute level of blood mechanical damage or the possible effects in humans, such measurements are valuable for assessing hemolytic harm by performing tests comparing the proposed treatment with existing devices. PMID:25981394

  16. Alternative and traditional assessments: Their comparative impact on students' attitudes and science learning outcomes. An exploratory study

    NASA Astrophysics Data System (ADS)

    Century, Daisy Nelson

    This probing study focused on alternative and traditional assessments, their comparative impacts on students' attitudes and science learning outcomes. Four basic questions were asked: What type of science learning stemming from the instruction can best be assessed by the use of traditional paper-and pencil test? What type of science learning stemming from the instruction can best be assessed by the use of alternative assessment? What are the differences in the types of learning outcomes that can be assessed by the use of paper-pencil test and alternative assessment test? Is there a difference in students' attitude towards learning science when assessment of outcomes is by alternative assessment means compared to traditional means compared to traditional means? A mixed methodology involving quantitative and qualitative techniques was utilized. However, the study was essentially a case study. Quantitative data analysis included content achievement and attitude results, to which non-parametric statistics were applied. Analysis of qualitative data was done as a case study utilizing pre-set protocols resulting in a narrative summary style of report. These outcomes were combined in order to produce conclusions. This study revealed that the traditional method yielded more concrete cognitive content learning than did the alternative assessment. The alternative assessment yielded more psychomotor, cooperative learning and critical thinking skills. In both the alternative and the traditional methods the student's attitudes toward science were positive. There was no significant differences favoring either group. The quantitative findings of no statistically significant differences suggest that at a minimum there is no loss in the use of alternative assessment methods, in this instance, performance testing. Adding the results from the qualitative analysis to this suggests (1) that class groups were more satisfied when alternative methods were employed, and (2) that the two

  17. Kinect One-based biomechanical assessment of upper-limb performance compared to clinical scales in post-stroke patients.

    PubMed

    Scano, Alessandro; Caimmi, Marco; Chiavenna, Andrea; Malosio, Matteo; Tosatti, Lorenzo Molinari

    2015-08-01

    This paper presents a Kinect One sensor-based protocol for the evaluation of the motor-performances of the upper limb of neurological patients during rehabilitative sessions. The assessment provides evaluations of kinematic, dynamic, motor and postural control variables. A pilot study was conducted on three post-stroke neurological patients, comparing Kinect-One biomechanical assessment with the outcomes of some of the most common clinical scales for the evaluation of the upper-limb functionality. Preliminary results indicate coherency between the clinical and instrumental evaluation. Moreover, the Kinect-One assessment seems to provide some complementary quantitative information, consistently integrating the clinical assessment.

  18. Observer reliability in assessing placental maturity by histology.

    PubMed Central

    Khong, T Y; Staples, A; Bendon, R W; Chambers, H M; Gould, S J; Knowles, S; Shen-Schwarz, S

    1995-01-01

    AIMS--To evaluate the ability of five experienced perinatal pathologists to assess placental maturity reliably by histology. METHODS--Twenty four haematoxylin and eosin slides, six each from placentas of 27, 31, 35, and 39 weeks' gestation, were circulated to five pathologists on three separate occasions. The slides were labelled with the correct or incorrect gestational ages. RESULTS--The mean absolute error over all 360 readings was 2.72 weeks. Only 54% of the slides were assessed within two weeks of the correct gestation. Pathologist tended to overestimate younger gestations and underestimate older gestations. Two, and possibly three, pathologist were influenced by the gestational age state on the label. One pathologist, who did not appear to be influenced by the label, was more accurate in diagnosing gestation of the placentas than other colleagues. CONCLUSIONS--Experienced pathologists can have difficulty in assessing the villous maturity of placentas by histology. They can also be influenced by clinical information provided, such as gestational age. Other observer reliability studies must address the issue of the influence of labelled information on observer variation. A difference in maturation would have to be of a six week magnitude to have a chance of being detected by current methods. This may limit the value of the histological diagnosis of placental dysmaturity as a surrogate marker for uteroplacental ischaemia. PMID:7629287

  19. A Multimethod Assessment of Juvenile Psychopathy: Comparing the Predictive Utility of the PCL:YV, YPI, and NEO PRI

    ERIC Educational Resources Information Center

    Cauffman, Elizabeth; Kimonis, Eva R.; Dmitrieva, Julia; Monahan, Kathryn C.

    2009-01-01

    The current study compares 3 distinct approaches for measuring juvenile psychopathy and their utility for predicting short- and long-term recidivism among a sample of 1,170 serious male juvenile offenders. The assessment approaches compared a clinical interview method (the Psychopathy Checklist: Youth Version [PCL:YV]; Forth, Kosson, & Hare,…

  20. How is post-mortem microbiology appraised by pathologists? Results from a practice survey conducted by ESGFOR.

    PubMed

    Saegeman, V; Cohen, M C; Alberola, J; Ziyade, N; Farina, C; Cornaglia, G; Fernández-Rodríguez, A

    2017-02-24

    Post-mortem microbiology (PMM) is an important tool in forensic pathology, assisting to determine the cause and manner of death. However, there is a lack of standardisation of PMM sampling. In order to get a better insight into the methods used, the available technical options and developmental needs, ESCMID Study Group for Forensic and Postmortem Microbiology (ESGFOR) members designed a survey aimed at pathologists regarding common practices of PMM in clinical and forensic autopsies. Multiple choice questions were developed based on Cumulative Techniques and Procedures in Clinical Microbiology (Cumitech). The questionnaire was sent to pathologists mainly across Europe and Turkey using SurveyMonkey. The survey had 147 respondents. Although all pathologists were aware of the existence of PMM, 39% (19/49) of the participants were not using it. The three main indications for PMM were: (i) clinical suspicion of an infection not confirmed antemortem (83%), (ii) infectious signs at autopsy (83%) and (iii) as part of a standard protocol for foetal/perinatal or paediatric death (67%). Almost 80% of the participants using PMM stated taking 1-10 samples per case. Of the requested examinations, a general bacteriological culture (96%) and a specific polymerase chain reaction (PCR) assay for a particular infectious agent (34%) were most popular. The most frequent samples were: heart blood (66%), peripheral femoral blood (49%), spleen (64%) and lung (56%). Eighty-nine percent of the participants considered PMM a useful resource when investigating the cause of death. Although there are some common uses, this survey indicates that there is a need for improvement towards standardising sampling procedures in PMM.

  1. Assessment of Breast, Brain and Skin Pathological Tissue Using Full Field OCM

    NASA Astrophysics Data System (ADS)

    Dalimier, Eugénie; Assayag, Osnath; Harms, Fabrice; Boccara, A. Claude

    The aim of this chapter is to assess whether the images of the breast, brain, and skin tissue obtained by FFOCM contain sufficient detail to allow pathologists to make a diagnosis of cancer and other pathologies comparable to what was obtained by conventional histological techniques. More precisely, it is necessary to verify on FFOCM images if it is possible to differentiate a healthy area from a pathological area. The reader interested in other organs or in animal studies may find a large number of 2D or 3D images in the atlas [2].

  2. Universal Design for Learning: speech-language pathologists and their teams making the common core curriculum accessible.

    PubMed

    Staskowski, Maureen; Hardin, Susan; Klein, Mike; Wozniak, Carrie

    2012-05-01

    The Universal Design for Learning (UDL) framework was named in the supporting documents for the Common Core State Standards (CCSS) as a means of helping all students, especially those with disabilities, to meet and exceed the rigorous expectations. This article will describe the principles of UDL, show how educational teams use the framework to design instruction to teach the CCSS with examples from science and English language arts, and finally explore how the implementation of UDL provides an opportunity for speech-language pathologists to play a critical role in school improvement and instructional design and support.

  3. Overview of the Common Core State Standard initiative and educational reform movement from the vantage of speech-language pathologists.

    PubMed

    Staskowski, Maureen

    2012-05-01

    Educational reform is sweeping the country. The adoption and the implementation of the Common Core State Standards in almost every state are meant to transform education. It is intended to update the way schools educate, the way students learn, and to ultimately prepare the nation's next generation for the global workplace. This article will describe the Common Core State Standard initiative and the underlying concerns about the quality of education in the United States as well as the opportunities this reform initiative affords speech-language pathologists.

  4. S. Burt Wolbach, Rocky Mountain spotted fever, and blood-sucking arthropods: triumph of an early investigative pathologist.

    PubMed

    Musser, James M

    2013-02-01

    In a series of four articles published between 1916 and 1919 in The Journal of Medical Research, precursor to The American Journal of Pathology, the investigative pathologist S. Burt Wolbach unambiguously showed that Rocky Mountain spotted fever has a tick-borne mode of transmission, the causative agent replicates intracellularly, and the disease is fundamentally a vasculitis. Although underappreciated, Wolbach's tour-de-force work epitomized investigative pathology. These four articles should be mandatory reading for young investigators and are recommended also to seasoned investigators who seek reinvigoration in the beauty in their craft.

  5. Programmed Death Ligand-1 Immunohistochemistry--A New Challenge for Pathologists: A Perspective From Members of the Pulmonary Pathology Society.

    PubMed

    Sholl, Lynette M; Aisner, Dara L; Allen, Timothy Craig; Beasley, Mary Beth; Borczuk, Alain C; Cagle, Philip T; Capelozzi, Vera; Dacic, Sanja; Hariri, Lida; Kerr, Keith M; Lantuejoul, Sylvie; Mino-Kenudson, Mari; Raparia, Kirtee; Rekhtman, Natasha; Roy-Chowdhuri, Sinchita; Thunnissen, Eric; Tsao, Ming Sound; Yatabe, Yasushi

    2016-04-01

    The binding of programmed death ligand-1 and ligand-2 (PD-L1 and PD-L2) to PD-1 blocks T-cell-mediated immune response to tumor. Antibodies that target programmed death receptor-1 (PD-1) will block the ligand-receptor interface, thereby allowing T cells to attack the tumor and increase antitumor immune response. In clinical trials, PD-1 inhibitors have been associated with an approximately 20% overall response rate in unselected patients with non-small cell lung cancer, with sustained tumor response in a subset of patients treated by these immune checkpoint inhibitors. Facing a proliferation of PD-L1 immunohistochemistry clones, staining platforms, and scoring criteria, the pathologist must decide on the feasibility of introducing a newly approved companion diagnostic assay that may require purchase not only of a specific antibody kit but of a particular staining platform. Given the likely reality that clinical practice may, in the near future, demand access to 4 different PD-L1 antibodies coupled with different immunohistochemistry platforms, laboratories will be challenged with deciding among this variety of testing methods, each with its own potential benefits. Another immediate challenge to PD-L1 testing in lung cancer patients is that of access to adequate tumor tissue, given that non-small cell lung cancer samples are often extremely limited in size. With PD-L1 testing it has become clear that the historically used US regulatory approach of one assay-one drug will not be sustainable. One evolving concept is that of complementary diagnostics, a novel regulatory pathway initiated by the US Food and Drug Administration, which is distinct from companion diagnostics in that it may present additional flexibility. Although pathologists need to face the practical reality that oncologists will be asking regularly for the PD-L1 immunohistochemistry status of their patients' tumors, we should also keep in mind that there may be room for improvement of biomarkers for

  6. Thiol-Based Selective Extraction Assay to Comparatively Assess Bioavailable Mercury in Sediments

    PubMed Central

    Ticknor, Jonathan L.; Kucharzyk, Katarzyna H.; Porter, Kaitlyn A.; Deshusses, Marc A.; Hsu-Kim, Heileen

    2015-01-01

    Abstract Bioaccumulation of methylmercury in the aquatic food web is governed in part by the methylation of inorganic divalent mercury (Hg(II)) by anaerobic microorganisms. In sulfidic settings, a small fraction of total Hg(II) is typically bioavailable to methylating microorganisms. Quantification of this fraction is difficult due to uncertainties in the speciation of Hg(II) and the mechanisms of uptake by methylating microbes. However, recent studies have shown that the bioavailable fraction is likely to include a portion of Hg(II) associated with solid phases, that is, nanostructured mercuric sulfides. Moreover, addition of thiols to suspensions of methylating cultures coincides with increased uptake into cells and methylmercury production. Here, we present a thiol-based selective extraction assay to provide information on the bioavailable Hg fraction in sediments. In the procedure, sediment samples were exposed to a nitrogen-purged solution of glutathione (GSH) for 30 min and the amount of GSH-leachable mercury was quantified. In nine sediment samples from a marine location, the relative GSH-leachable mercury concentration was strongly correlated to the relative amount of methylmercury in the sediments (r2=0.91, p<0.0001) across an order of magnitude of methylmercury concentration values. The approach was further applied to anaerobic sediment slurry microcosm experiments in which sediments were cultured under the same microbial growth conditions but were amended with multiple forms of Hg with a known spectrum of bioavailability. GSH-leachable Hg concentrations increased with observed methylmercury concentrations in the microcosms, matching the trend of species bioavailability in our previous work. Results suggest that a thiol-based selective leaching approach is an improvement compared with other proposed methods to assess Hg bioavailability in sediment and that this approach could provide a basis for comparison of sites where Hg methylation is a concern

  7. Comparative assessment of antimicrobial efficacy of different hand sanitizers: An in vitro study

    PubMed Central

    Jain, Vardhaman Mulchand; Karibasappa, Gundabaktha Nagappa; Dodamani, Arun Suresh; Prashanth, Vishwakarma K.; Mali, Gaurao Vasant

    2016-01-01

    Background: To evaluate the antimicrobial efficacy of four different hand sanitizers against Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa, Escherichia coli, and Enterococcus faecalis as well as to assess and compare the antimicrobial effectiveness among four different hand sanitizers. Materials and Methods: The present study is an in vitro study to evaluate antimicrobial efficacy of Dettol, Lifebuoy, PureHands, and Sterillium hand sanitizers against clinical isolates of the aforementioned test organisms. The well variant of agar disk diffusion test using Mueller-Hinton agar was used for evaluating the antimicrobial efficacy of hand sanitizers. McFarland 0.5 turbidity standard was taken as reference to adjust the turbidity of bacterial suspensions. Fifty microliters of the hand sanitizer was introduced into each of the 4 wells while the 5th well incorporated with sterile water served as a control. This was done for all the test organisms and plates were incubated in an incubator for 24 h at 37΀C. After incubation, antimicrobial effectiveness was determined using digital caliper (mm) by measuring the zone of inhibition. Results: The mean diameters of zones of inhibition (in mm) observed in Group A (Sterillium), Group B (PureHands), Group C (Lifebuoy), and Group D (Dettol) were 22 ± 6, 7.5 ± 0.5, 9.5 ± 1.5, and 8 ± 1, respectively. Maximum inhibition was found with Group A against all the tested organisms. Data were statistically analyzed using analysis of variance, followed by post hoc test for group-wise comparisons. The difference in the values of different sanitizers was statistically significant at P < 0.001. Conclusion: Sterillium was the most effective hand sanitizer to maintain the hand hygiene. PMID:27857768

  8. A comparative assessment of R. M. Young and tipping bucket rain gauges

    NASA Technical Reports Server (NTRS)

    Goldhirsh, Julius; Gebo, Norman E.

    1992-01-01

    Rain rates as derived from standard tipping bucket rain gauges have variable integration times corresponding to the interval between bucket tips. For example, the integration time for the Weathertronics rain gauge is given by delta(T) = 15.24/R (min), where R is the rain rate expressed in mm/h and delta(T) is the time between tips expressed in minutes. It is apparent that a rain rate of 1 mm/h has an integration time in excess of 15 minutes. Rain rates larger than 15.24 mm/h will have integration times smaller than 1 minute. The integration time is dictated by the time it takes to fill a small tipping bucket where each tip gives rise to 0.254 mm of rainfall. Hence, a uniform rain rate of 1 mm/h over a 15 minute period will give rise to the same rain rate as 0 mm/h rainfall over the first 14 minutes and 15 mm/h between 14 to 15 minutes from the reference tip. Hence, the rain intensity fluctuations may not be captured with the tipping bucket rain gauge for highly variable rates encompassing lower and higher values over a given integration time. The objective of this effort is to provide an assessment of the features of the R. M. Young capacitive gauge and to compare these features with those of the standard tipping bucket rain gauge. A number of rain rate-time series derived from measurements with approximately co-located gauges are examined.

  9. Health impact assessment of Roma housing policies in Central and Eastern Europe: A comparative analysis

    SciTech Connect

    Molnar, Agnes; Adam, Balazs; Antova, Temenujka; Bosak, Lubos; Dimitrov, Plamen; Mileva, Hristina; Pekarcikova, Jarmila; Zurlyte, Ingrida; Gulis, Gabriel; Adany, Roza; Kosa, Karolina

    2012-02-15

    Marginalised Roma communities in European countries live in substandard housing conditions the improvement of which has been one of the major issues of the Decade of Roma Inclusion, the ongoing intergovernmental European Roma programme. The paper presents EU-funded health impact assessments of national Roma housing policies and programmes in 3 Central and Eastern European countries in light of the evaluation of a completed local project in a fourth CEE country so as to compare predicted effects to observed ones. Housing was predicted to have beneficial health effects by improving indoor and outdoor conditions, access to services, and socioeconomic conditions. Negative impacts were predicted only in terms of maintenance expenses and housing tenure. However, observed impacts of the completed local project did not fully support predictions especially in terms of social networks, satisfaction with housing and neighbourhood, and inhabitant safety. In order to improve the predictive value of HIA, more evidence should be produced by the careful evaluation of locally implemented housing projects. In addition, current evidence is in favour of planning Roma housing projects at the local rather than at the national level in alignment with the principle of subsidiarity. - Highlights: Black-Right-Pointing-Pointer Predictive validity of HIA of national Roma housing policies - in light of current evidence - is low. Black-Right-Pointing-Pointer Implemented housing projects should be comprehensively evaluated to improve reliability of HIA. Black-Right-Pointing-Pointer Roma housing projects should be planned at the local rather than at the national level. Black-Right-Pointing-Pointer HIA should be used to plan Roma housing projects at the local level.

  10. Comparative assessment of growth and biodegradation potential of soil isolate in the presence of pesticides

    PubMed Central

    Jilani, Seema

    2013-01-01

    In Pakistan, to increase agricultural production, higher amounts of fertilizers and pesticides are being used. The residues of the applied pesticides stay in the environment and therefore causing contamination of air, water and land. Moreover, agricultural industries are also contributing relatively high quantities of toxic pesticides into the environment. Since most of them have no treatment facilities. These pesticides may be toxic, mutagenic or carcinogenic. They may be bioaccumulated or biomagnified by the biota. Therefore its removal from environmental systems needs special attention. In this study, bacterial isolate, Pseudomonas, designated as IES-Ps-1, was used to assess its potential for pesticide removal from industrial wastewater using the biosimulator (activated sludge process). During experimental studies conducted in the flask as well as in biosimulator, it was observed that IES-Ps-1 grows normally at low concentrations of added insecticides when compared with the control test (without pesticide). However, at high concentrations the microbial count decreased but no death occurred and the culture remained in lag phase. In many cases, the growth of organisms in the presence of the particular substrate serves as an indication about its metabolic potential. However, to confirm these results, chemical oxygen demand (COD) and HPLC analysis were performed. Under aerobic culture conditions using mechanical aerators in biosimulator, almost complete removal of Cypermethrin at 20 mg/L dose occurred during 48 h. The study findings indicate that IES-Ps-1 strain, can be used for the treatment of the pesticide contaminated environment. Such study may be valuable to scientist and engineers, who are trying to develop methods for the treatment of toxic organic waste using the biological treatment process. PMID:23961243

  11. Comparative assessment of antibacterial activity of different glass ionomer cements on cariogenic bacteria

    PubMed Central

    Dodamani, Arun Suresh; Jadhav, Harish Chaitram; Deshmukh, Manjiri Abhay

    2016-01-01

    Objectives Glass ionomer cements (GICs), which are biocompatible and adhesive to the tooth surface, are widely used nowadays for tooth restoration. They inhibit the demineralization and promote the remineralization of the tooth structure adjacent to the restoration, as well as interfere with bacterial growth. Hence, the present study was conducted to assess and compare the antimicrobial activity of three commercially available GICs against two cariogenic bacteria. Materials and Methods An agar plate diffusion test was used for evaluating the antimicrobial effect of three different GICs (Fuji IX, Ketac Molar, and d-tech) on Streptococcus mutans (S. mutans) and Lactobacillus acidophilus (L. acidophilus). Thirty plates were prepared and divided into two groups. The first group was inoculated with S. mutans, and the second group was inoculated with L. acidophilus. These plates were then incubated at 37℃ for 24 hours. Zones of bacterial growth inhibition that formed around each well were recorded in millimeters (mm). Results The zones of inhibition for Fuji IX, Ketac Molar, and d-tech on S. mutans were found to be 10.84 ± 0.22 mm, 10.23 ± 0.15 mm, and 15.65 ± 0.31 mm, respectively, whereas those for L. acidophilus were found to be 10.43 ± 0.12 mm, 10.16 ± 0.11 mm, and 15.57 ± 0.13 mm, respectively. Conclusions D-tech cement performed better in terms of the zone of bacterial inhibition against the two test bacteria, than the other two tested glass ionomers. PMID:27847749

  12. Assessment of subjective intensity of pain during ultrasonic supragingival calculus removal: A comparative study

    PubMed Central

    Malagi, Sachin; Pattanshetti, Kirti; Bharmappa, Radhika; Reddy, Annaji Sreedhara; Pai, Jagadish; Joseph, Rosemary

    2014-01-01

    Background: The background of the following study is to measure the subjective intensity of pain using the verbal rating scale (VRS) during supragingival scaling in relation to mandibular anteriors, with an ultrasonic scaler, with 2 different inserts (Slimline and Focus spray)- split mouth study. Materials and Methods: A total of 30 subjects with a combination of 17 males and 13 females with the chronic generalized gingivitis with a minimum calculus score of 1 (CSSI – Ennever J 1961) who reported to Department of Periodontics, Yenepoya Dental College, Mangalore were chosen for the study. Ultrasonic magnetostrictive scaler unit CAVITRON BOBCAT PRO®– (DENTSPLY) with maximum power setting at 130A and 25kHZ frequency with 2 different inserts i.e., Slim line insert and Focus spray (DENTSPLY) were used for supragingival scaling in the study. A VRS was used to assess the subjective intensity of pain. Results: There was no statistically significant difference in pain perception when the scores were compared using Wilcoxon signed rank test. VRS rating scores with slimline inserts showed a pain intensity of 2 in 43.3%, 1 in 53.3% and 0 in 3.3%, whereas the focus spray insert showed a pain intensity of 1 in 23.3% and 0 in 76.7%. Statistical analysis showed a P = 0.251 and a z - 1.147a. Conclusions: The use of both Slim line insert and Focus spray inserts when used at same settings of the scaling unit, showed no statistical significant difference in the intensity of pain perceived and it showed no correlation between patient acceptance and their pain perception. PMID:25210262

  13. Reproducibility and accuracy of optic nerve sheath diameter assessment using ultrasound compared to magnetic resonance imaging

    PubMed Central

    2013-01-01

    Background Quantification of the optic nerve sheath diameter (ONSD) by transbulbar sonography is a promising non-invasive technique for the detection of altered intracranial pressure. In order to establish this method as follow-up tool in diseases with intracranial hyper- or hypotension scan-rescan reproducibility and accuracy need to be systematically investigated. Methods The right ONSD of 15 healthy volunteers (mean age 24.5 ± 0.8 years) were measured by both transbulbar sonography (9 – 3 MHz) and 3 Tesla MRI (half-Fourier acquisition single-shot turbo spin-echo sequences, HASTE) 3 and 5 mm behind papilla. All volunteers underwent repeated ultrasound and MRI examinations in order to assess scan-rescan reproducibility and accuracy. Moreover, inter- and intra-observer variabilities were calculated for both techniques. Results Scan-rescan reproducibility was robust for ONSD quantification by sonography and MRI at both depths (r > 0.75, p ≤ 0.001, mean differences < 2%). Comparing ultrasound- and MRI-derived ONSD values, we found acceptable agreement between both methods for measurements at a depth of 3 mm (r = 0.72, p = 0.002, mean difference < 5%). Further analyses revealed good inter- and intra-observer reliability for sonographic measurements 3 mm behind the papilla and for MRI at 3 and 5 mm (r > 0.82, p < 0.001, mean differences < 5%). Conclusions Sonographic ONSD quantification 3 mm behind the papilla can be performed with good reproducibility, measurement accuracy and observer agreement. Thus, our findings emphasize the feasibility of this technique as a non-invasive bedside tool for longitudinal ONSD measurements. PMID:24289136

  14. A review of ecological risk assessment methods for amphibians: Comparative assessment of testing methodologies and available data.

    PubMed

    Johnson, Mark S; Aubee, Catherine; Salice, Christopher J; Leigh, Katrina B; Liu, Elissa; Pott, Ute; Pillard, David

    2016-12-12

    Historically, ecological risk assessments have rarely included amphibian species, focusing preferentially on other aquatic (fish, invertebrates, algae) and terrestrial wildlife (birds and mammal) species. Often this lack of consideration is due to a paucity of toxicity data, significant variation in study design, uncertainty with regard to exposure, or a combination of all three. Productive risk assessments for amphibians are particularly challenging, given variations in complex life history strategies. Further consideration is needed for the development of useful laboratory animal models and appropriate experimental test procedures that can be effectively applied to the examination of biological response patterns. Using these standardized techniques, risk estimates can be more accurately defined to ensure adequate protection of amphibians from a variety of stress agents. Patterns in toxicity may help to ascertain whether test results from 1 amphibian group (e.g., Urodela) could be sufficiently protective of another (e.g., Anura) and/or whether some nonamphibian aquatic taxonomic groups (e.g., fish or aquatic invertebrates) may be representative of aquatic amphibian life stages. This scope is intended to be a guide in the development of methods that would yield data appropriate for ecological risk decisions applicable to amphibians. Integr Environ Assess Manag. © 2016 SETAC.

  15. Assessment Experiences in the Workplace: A Comparative Study between Clinical Educators' and Their Students' Perceptions

    ERIC Educational Resources Information Center

    Trede, Franziska; Mischo-Kelling, Maria; Gasser, Eva Maria; Pulcini, Stefania

    2015-01-01

    With this paper, we contribute to the complex field of assessment of student learning in work placements. The complexity includes the dual role of clinical educators as mentors and assessors, students as pre-accredited practitioners and the diverse purposes of assessment. A philosophical hermeneutic approach was adopted to explore the perceptions…

  16. Clinical Assessment of Affective Instability: Comparing EMA Indices, Questionnaire Reports, and Retrospective Recall

    ERIC Educational Resources Information Center

    Solhan, Marika B.; Trull, Timothy J.; Jahng, Seungmin; Wood, Phillip K.

    2009-01-01

    Traditional self-report measures of psychopathology may be influenced by a variety of recall biases. Ecological momentary assessment (EMA) reduces these biases by assessing individuals' experiences as they occur in their natural environments. This study examines the discrepancy between trait questionnaire, retrospective report, and EMA measures of…

  17. Critical Emergency Medicine Procedural Skills: A Comparative Study of Methods for Teaching and Assessment.

    ERIC Educational Resources Information Center

    Chapman, Dane M.; And Others

    Three critical procedural skills in emergency medicine were evaluated using three assessment modalities--written, computer, and animal model. The effects of computer practice and previous procedure experience on skill competence were also examined in an experimental sequential assessment design. Subjects were six medical students, six residents,…

  18. Using Growth Models to Monitor School Performance: Comparing the Effect of the Metric and the Assessment

    ERIC Educational Resources Information Center

    Goldschmidt, Pete; Choi, Kilchan; Martinez, Felipe; Novak, John

    2010-01-01

    This paper investigates whether inferences about school performance based on longitudinal models are consistent when different assessments and metrics are used as the basis for analysis. Using norm-referenced (NRT) and standards-based (SBT) assessment results from panel data of a large heterogeneous school district, we examine inferences based on…

  19. Using Assessments to Investigate and Compare the Nature of Learning in Undergraduate Science Courses

    ERIC Educational Resources Information Center

    Momsen, Jennifer; Offerdahl, Erika; Kryjevskaia, Mila; Montplaisir, Lisa; Anderson, Elizabeth; Grosz, Nate

    2013-01-01

    Assessments and student expectations can drive learning: students selectively study and learn the content and skills they believe critical to passing an exam in a given subject. Evaluating the nature of assessments in undergraduate science education can, therefore, provide substantial insight into student learning. We characterized and compared…

  20. Comparative Assessment of Young Learners' Foreign Language Competence in Three Eastern European Countries

    ERIC Educational Resources Information Center

    Brumen, Mihaela; Cagran, Branka; Rixon, Shelagh

    2009-01-01

    This paper concerns teacher practices in, and beliefs about, the assessment of young learners' progress in English in three Eastern European countries (Slovenia, Croatia, and the Czech Republic). The central part of the paper focuses on an international project involving empirical research into assessment of young learners' foreign language…

  1. A Tale of Two Programs: A Comparative Study of Electronic Portfolio Assessment in Teacher Education

    ERIC Educational Resources Information Center

    Grier, Jeanne M.; Denney, Maria K.; Clark, Megan M.

    2006-01-01

    Background: Teacher education programs in the State of California are increasingly held accountable for the assessment of teacher candidates' competencies and performance. One salient assessment tool is the utilization of portfolios in teacher education programs (Wolf, 1989; 1991). Among the newest and most innovative templates of portfolios in…

  2. High temperature abatement of acid gases from waste incineration. Part II: Comparative life cycle assessment study

    SciTech Connect

    Biganzoli, Laura; Racanella, Gaia; Marras, Roberto; Rigamonti, Lucia

    2015-01-15

    Highlights: • Two scenarios of acid gases removal in WTE plants were compared in an LCA study. • A detailed inventory based on primary data has been reported for the production of the new dolomitic sorbent. • Results show that the comparison between the two scenarios does not show systematic differences. • The potential impacts are reduced only if there is an increase in the energy efficiency of the WTE plant. - Abstract: The performances of a new dolomitic sorbent, named Depurcal®MG, to be directly injected at high temperature in the combustion chamber of Waste-To-Energy (WTE) plants as a preliminary stage of deacidification, were experimentally tested during full-scale commercial operation. Results of the experimentations were promising, and have been extensively described in Biganzoli et al. (2014). This paper reports the Life Cycle Assessment (LCA) study performed to compare the traditional operation of the plants, based on the sole sodium bicarbonate feeding at low temperature, with the new one, where the dolomitic sorbent is injected at high temperature. In the latter the sodium bicarbonate is still used, but at lower rate because of the decreased load of acid gases entering the flue gas treatment line. The major goal of the LCA was to make sure that a burden shifting was not taking place somewhere in the life cycle stages, as it might be the case when a new material is used in substitution of another one. According to the comparative approach, only the processes which differ between the two operational modes were included in the system boundaries. They are the production of the two reactants and the treatment of the corresponding solid residues arising from the neutralisation of acid gases. The additional CO{sub 2} emission at the stack of the WTE plant due to the activation of the sodium bicarbonate was also included in the calculation. Data used in the modelling of the foreground system are primary, derived from the experimental tests described in

  3. Online assessment of ALS functional rating scale compares well to in-clinic evaluation: A prospective trial

    PubMed Central

    Maier, André; Holm, Teresa; Wicks, Paul; Steinfurth, Laura; Linke, Peter; Münch, Christoph; Meyer, Robert; Meyer, Thomas

    2012-01-01

    Self-assessment of symptom progression in chronic diseases is of increasing importance in clinical research, patient management and specialized outpatient care. Against this background, we developed a secure internet platform (ALShome.de) that allows online assessment of the revised ALS Functional Rating Scale (ALSFRS-R) and other established self-assessment questionnaires. We developed a secure and closed internet portal to assess patient reported outcomes. In a prospective, controlled and stratified study, patients conducted a web-based self-assessment of ALSFRS-R compared to on-site assessment. On-site and online assessments were compared at baseline (n = 127) and after 3.5 months (n = 81, 64%). Results showed that correlation between on-site evaluation and online testing of ALSFRS-R was highly significant (r = 0.96; p < 0.001). The agreement of both capturing methods (online vs. on-site) was excellent (mean interval, 8.8 days). The adherence to online rating was high; 75% of patients tested on-site completed a follow-up online visit (mean 3.5 months, SD 1.7). We conclude that online self-assessment of ALS severity complements the well-established face-to-face application of the ALSFRS-R during on-site visits. The results of our study support the use of online administration of ALSFRS-R within clinical trials and for managing the care of ALS patients. PMID:22292842

  4. Social impact assessment in mining projects in Northern Finland: Comparing practice to theory

    SciTech Connect

    Suopajärvi, Leena

    2013-09-15

    The paper discusses social impact assessments (SIA) for mining projects in light of the international principles and guidelines for such assessments and the academic literature in the field. The data consist of environmental impact assessment (EIA) programmes and reports for six mining projects that have started up in northern Finland in the 2000s. A first observation is that the role of the SIAs in the EIA programmes and reports studied was quite minor: measured in number of pages, the assessments account for three or four percent of the total. This study analyses the data collection, research methodology and conceptual premises used in the SIAs. It concludes that the assessments do not fully meet the high standards of the international principles and guidelines set out for them: for example, elderly men are over-represented in the data and no efforts were made to identify and bring to the fore vulnerable groups. Moreover, the reliability of the assessments is difficult to gauge, because the qualitative methods are not described and where quantitative methods were used, details such as non-response rates to questionnaires are not discussed. At the end of the paper, the SIAs are discussed in terms of Jürgen Habermas' theory of knowledge interests, with the conclusion that the assessments continue the empirical analytical tradition of the social sciences and exhibit a technical knowledge interest. -- Highlights: • Paper investigates social impact assessments in Finnish mining projects. • Role of social impact assessment is minor in whole EIA-process. • Mining SIAs give the voice for elderly men, vulnerable groups are not identified. • Assessment of SIAs is difficult because of lacking transparency in reporting. • SIAs belong to empirical analytical tradition with technical knowledge interest.

  5. Use This Legal Briefing to Assess Your Board's Position on Comparable Worth.

    ERIC Educational Resources Information Center

    O'Hara, Julie Underwood

    1985-01-01

    Outlines the legal implications of comparable worth and recent court cases involving equal pay isues. Points out that where jobs are comparable and wages disparate without justification, courts have found employers guilty of wage discrimination. (MD)

  6. Preliminary comparative assessment of land use for the Satellite Power System (SPS) and alternative electric energy technologies

    NASA Technical Reports Server (NTRS)

    Newsom, D. E.; Wolsko, T.

    1980-01-01

    A preliminary comparative assessment of land use for the satellite power system (SPS), other solar technologies, and alternative electric energy technologies was conducted. The alternative technologies are coal gasification/combined-cycle, coal fluidized-bed combustion (FBC), light water reactor (LWR), liquid metal fast breeder reactor (LMFBR), terrestrial photovoltaics (TPV), solar thermal electric (STE), and ocean thermal energy conversion (OTEC). The major issues of a land use assessment are the quantity, purpose, duration, location, and costs of the required land use. The phased methodology described treats the first four issues, but not the costs. Several past efforts are comparative or single technology assessment are reviewed briefly. The current state of knowledge about land use is described for each technology. Conclusions are drawn regarding deficiencies in the data on comparative land use and needs for further research.

  7. "Well it has to be language-related": speech-language pathologists' goals for people with aphasia and their families.

    PubMed

    Sherratt, Sue; Worrall, Linda; Pearson, Charlene; Howe, Tami; Hersh, Deborah; Davidson, Bronwyn

    2011-08-01

    Goal-setting is considered an essential part of rehabilitation practice and integral to person-centredness. However, people with aphasia are not always satisfied with goal-setting, and speech-language pathologists are concerned about the appropriateness of therapy. Furthermore, family members are often excluded from goal-setting, despite the impact aphasia has on them. The actual goals set by clinicians for clients with aphasia and their family members have not yet been investigated. This study aimed to examine the goals that clinicians set for their clients with aphasia and their family members. Data from in-depth interviews with 34 speech-language pathologists describing 84 goal-setting experiences with people with aphasia were coded into superordinate goals for both groups. Clinicians expressed a wide range of goals for people with aphasia and their family members, relating to communication, coping and participation factors, and education. In addition, evaluation was considered a goal for the clients. There were clients for whom no goals were set, particularly for family members, due to a lack of/limited contact. The goals described broadly addressed all aspects of the International Classification of Functioning, Disability and Health (ICF) and reflected the use of both functional and impairment-based therapeutic approaches; they also emphasize the importance of providing goal-setting options for the family members of these clients.

  8. Update for the practicing pathologist: The International Consultation On Urologic Disease-European association of urology consultation on bladder cancer.

    PubMed

    Amin, Mahul B; Smith, Steven C; Reuter, Victor E; Epstein, Jonathan I; Grignon, David J; Hansel, Donna E; Lin, Oscar; McKenney, Jesse K; Montironi, Rodolfo; Paner, Gladell P; Al-Ahmadie, Hikmat A; Algaba, Ferran; Ali, Syed; Alvarado-Cabrero, Isabel; Bubendorf, Lukas; Cheng, Liang; Cheville, John C; Kristiansen, Glen; Cote, Richard J; Delahunt, Brett; Eble, John N; Genega, Elizabeth M; Gulmann, Christian; Hartmann, Arndt; Langner, Cord; Lopez-Beltran, Antonio; Magi-Galluzzi, Cristina; Merce, Jorda; Netto, George J; Oliva, Esther; Rao, Priya; Ro, Jae Y; Srigley, John R; Tickoo, Satish K; Tsuzuki, Toyonori; Umar, Saleem A; Van der Kwast, Theo; Young, Robert H; Soloway, Mark S

    2015-05-01

    The International Consultations on Urological Diseases are international consensus meetings, supported by the World Health Organization and the Union Internationale Contre le Cancer, which have occurred since 1981. Each consultation has the goal of convening experts to review data and provide evidence-based recommendations to improve practice. In 2012, the selected subject was bladder cancer, a disease which remains a major public health problem with little improvement in many years. The proceedings of the 2nd International Consultation on Bladder Cancer, which included a 'Pathology of Bladder Cancer Work Group,' have recently been published; herein, we provide a summary of developments and consensus relevant to the practicing pathologist. Although the published proceedings have tackled a comprehensive set of issues regarding the pathology of bladder cancer, this update summarizes the recommendations regarding selected issues for the practicing pathologist. These include guidelines for classification and grading of urothelial neoplasia, with particular emphasis on the approach to inverted lesions, the handling of incipient papillary lesions frequently seen during surveillance of bladder cancer patients, descriptions of newer variants, and terminology for urine cytology reporting.

  9. Update for the practicing pathologist: The International Consultation On Urologic Disease-European association of urology consultation on bladder cancer

    PubMed Central

    Amin, Mahul B; Smith, Steven C; Reuter, Victor E; Epstein, Jonathan I; Grignon, David J; Hansel, Donna E; Lin, Oscar; McKenney, Jesse K; Montironi, Rodolfo; Paner, Gladell P; Al-Ahmadie, Hikmat A; Algaba, Ferran; Ali, Syed; Alvarado-Cabrero, Isabel; Bubendorf, Lukas; Cheng, Liang; Cheville, John C; Kristiansen, Glen; Cote, Richard J; Delahunt, Brett; Eble, John N; Genega, Elizabeth M; Gulmann, Christian; Hartmann, Arndt; Langner, Cord; Lopez-Beltran, Antonio; Magi-Galluzzi, Cristina; Merce, Jorda; Netto, George J; Oliva, Esther; Rao, Priya; Ro, Jae Y; Srigley, John R; Tickoo, Satish K; Tsuzuki, Toyonori; Umar, Saleem A; Van der Kwast, Theo; Young, Robert H; Soloway, Mark S

    2016-01-01

    The International Consultations on Urological Diseases are international consensus meetings, supported by the World Health Organization and the Union Internationale Contre le Cancer, which have occurred since 1981. Each consultation has the goal of convening experts to review data and provide evidence-based recommendations to improve practice. In 2012, the selected subject was bladder cancer, a disease which remains a major public health problem with little improvement in many years. The proceedings of the 2nd International Consultation on Bladder Cancer, which included a ‘Pathology of Bladder Cancer Work Group,’ have recently been published; herein, we provide a summary of developments and consensus relevant to the practicing pathologist. Although the published proceedings have tackled a comprehensive set of issues regarding the pathology of bladder cancer, this update summarizes the recommendations regarding selected issues for the practicing pathologist. These include guidelines for classification and grading of urothelial neoplasia, with particular emphasis on the approach to inverted lesions, the handling of incipient papillary lesions frequently seen during surveillance of bladder cancer patients, descriptions of newer variants, and terminology for urine cytology reporting. PMID:25412849

  10. ISTA13--international interlaboratory comparative evaluation of microbial assay for risk assessment (MARA).

    PubMed

    Wadhia, K

    2008-10-01

    The microbial assay for risk assessment (MARA) is an innovative system based on an array of 11 different microbial species freeze-dried in a 96-well micro-titer plate. Developed for testing the toxicity of chemicals, mixtures, and environmental samples, the assay employs species of a taxonomically diverse range. In addition to 10 prokaryotic species, a eukaryote (yeast) is included in the range. The MARA's innate scope of a multi-dimensional test allows determination of toxicity based on a unique assay fingerprint or index, numerically expressed as the mean microbial toxic concentration (MTC). The most significant potential of the test is in the additional inference that can be conveyed to the toxicity evaluation because of the presence of each of the constituent species. The performance of MARA was evaluated to ascertain its capability and potential scope in an intralaboratory trial. Sensitivity to toxicants and different environmental samples was assessed. Evaluation included comparison with other tests; namely Microtox, invertebrate (Daphnia magna and Thamnocephalus platyurus) microbiotests, and respiration- and nitrification-inhibition tests. MARA's performance was further assessed with the implementation of an international interlaboratory trial. This involved the participation of 13 laboratories ranging from academic establishments to regulatory agencies. The results of the testing will be presented with assessment of the extent of variability and specific assay components. The trial evaluation indicated that performance of the assay was satisfactory and the results were within the acceptable range. MARA is a robust multispecies assay offering scope for toxicity assessment of a diverse range of samples.

  11. Quantitative image analysis in the assessment of diffuse large B-cell lymphoma.

    PubMed

    Chabot-Richards, Devon S; Martin, David R; Myers, Orrin B; Czuchlewski, David R; Hunt, Kristin E

    2011-12-01

    Proliferation rates in diffuse large B-cell lymphoma have been associated with conflicting outcomes in the literature, more often with high proliferation associated with poor prognosis. In most studies, the proliferation rate was estimated by a pathologist using an immunohistochemical stain for the monoclonal antibody Ki-67. We hypothesized that a quantitative image analysis algorithm would give a more accurate estimate of the proliferation rate, leading to better associations with survival. In all, 84 cases of diffuse large B-cell lymphoma were selected according to the World Health Organization criteria. Ki-67 percentage positivity estimated by the pathologist was recorded from the original report. The same slides were then scanned using an Aperio ImageScope, and Ki-67 percentage positivity was calculated using a computer-based quantitative immunohistochemistry nuclear algorithm. In addition, chart review was performed and survival time was recorded. The Ki-67 percentage estimated by the pathologist from the original report versus quantitative image analysis was significantly correlated (P<0.001), but pathologist Ki-67 percentages were significantly higher than quantitative image analysis (P=0.021). There was less agreement at lower Ki-67 percentages. Comparison of Ki-67 percentage positivity versus survival did not show significant association either with pathologist estimate or quantitative image analysis. However, although not significant, there was a trend of worse survival at higher proliferation rates detected by the pathologist but not by quantitative image analysis. Interestingly, our data suggest that the Ki-67 percentage positivity as assessed by the pathologist may be more closely associated with survival outcome than that identified by quantitative image analysis. This may indicate that pathologists are better at selecting appropriate areas of the slide. More cases are needed to assess whether this finding would be statistically significant. Due to

  12. The Best and Worst Times of Life: Narratives and Assessments of Subjective Well-Being by Anamnestic Comparative Self Assessment (ACSA) in the Eastern Cape, South Africa

    ERIC Educational Resources Information Center

    Moller, Valerie; Theuns, Peter; Erstad, Ida; Bernheim, Jan

    2008-01-01

    The Anamnestic Comparative Self Assessment (ACSA) measure of subjective well-being (SWB) aims to reduce the problems of cultural bias and relativity to external standards by allowing people to define the endpoints or "anchors" of the measurement scale. In medical terminology anamnestic denotes "based on memory". The ACSA uses…

  13. Human and animal health risk assessments of chemicals in the food chain: Comparative aspects and future perspectives

    SciTech Connect

    Dorne, J.L.C.M.; Fink-Gremmels, J.

    2013-08-01

    Chemicals from anthropogenic and natural origins enter animal feed, human food and water either as undesirable contaminants or as part of the components of a diet. Over the last five decades, considerable efforts and progress to develop methodologies to protect humans and animals against potential risks associated with exposure to such potentially toxic chemicals have been made. This special issue presents relevant methodological developments and examples of risk assessments of undesirable substances in the food chain integrating the animal health and the human health perspective and refers to recent Opinions of the Scientific Panel on Contaminants in the Food Chain (CONTAM) of the European Food Safety Authority (EFSA). This introductory review aims to give a comparative account of the risk assessment steps used in human health and animal health risk assessments for chemicals in the food chain and provides a critical view of the data gaps and future perspectives for this cross-disciplinary field. - Highlights: ► Principles of human and animal health risk assessment. ► Data gaps for each step of animal health risk assessment. ► Implications of animal risk assessment on human risk assessment. ► Future perspectives on chemical risk assessment.

  14. Data supporting the comparative life cycle assessment of different municipal solid waste management scenarios

    PubMed Central

    Ali Rajaeifar, Mohammad; Tabatabaei, Meisam; Ghanavati, Hossein

    2015-01-01

    Environmental assessment of municipal solid waste (MSW) management scenarios would help to select eco-friendly scenarios. In this study, the inventory data in support of life cycle assessment of different MSW are presented. The scenarios were defined as: anaerobic digestion (AD, Sc-0), landfilling combined with composting (Sc-1), incineration (Sc-2), incineration combined with composting (Sc-3), and AD combined with incineration (Sc-4). The current article contains flowcharts of the different scenarios. Additionally, six supplementary files including inventory data on the different scenarios, data on the different damage assessment categories, normalization, and single scores are presented (Supplementary files 1–6). The analysis of the different scenarios revealed that the most eco-friendly scenario to be implemented in the future would be the combination of AD and incineration (Sc-4). PMID:26217743

  15. Practical Person-Fit Assessment with the Linear FA Model: New Developments and a Comparative Study.

    PubMed

    Ferrando, Pere J; Vigil-Colet, Andreu; Lorenzo-Seva, Urbano

    2016-01-01

    Linear factor analysis (FA) is, possibly, the most widely used model in psychometric applications based on graded-response or more continuous items. However, in these applications consistency at the individual level (person fit) is virtually never assessed. The aim of the present study is to propose a simple and workable approach to routinely assess person fit in FA-based studies. To do so, we first consider five potentially appropriate indices, of which one is a new proposal and the other is a modification of an existing index. Next, the effectiveness of these indices is assessed by using (a) a thorough simulation study that attempts to mimic realistic conditions, and (b) an illustrative example based on real data. Results suggest that the mean-squared lico index and the personal correlation work well in conjunction and can function effectively for detecting different types of inconsistency. Finally future directions and lines of research are discussed.

  16. Practical Person-Fit Assessment with the Linear FA Model: New Developments and a Comparative Study

    PubMed Central

    Ferrando, Pere J.; Vigil-Colet, Andreu; Lorenzo-Seva, Urbano

    2016-01-01

    Linear factor analysis (FA) is, possibly, the most widely used model in psychometric applications based on graded-response or more continuous items. However, in these applications consistency at the individual level (person fit) is virtually never assessed. The aim of the present study is to propose a simple and workable approach to routinely assess person fit in FA-based studies. To do so, we first consider five potentially appropriate indices, of which one is a new proposal and the other is a modification of an existing index. Next, the effectiveness of these indices is assessed by using (a) a thorough simulation study that attempts to mimic realistic conditions, and (b) an illustrative example based on real data. Results suggest that the mean-squared lico index and the personal correlation work well in conjunction and can function effectively for detecting different types of inconsistency. Finally future directions and lines of research are discussed. PMID:28082929

  17. Climate and energy: A comparative assessment of the Satellite Power System (SPS) and alternative energy technologies

    NASA Astrophysics Data System (ADS)

    Kellermeyer, D. A.

    1980-01-01

    The potential effects of five energy technologies on global, regional, and local climate are assessed. The energy technologies examined are coal combustion, light water nuclear reactors, satellite power systems, terrestrial photovoltaics, and fusion. The assessment focuses on waste heat rejection, production of particulate aerosols, and emission of carbon dioxide. The current state of climate modeling and long range climate prediction introduces considerable uncertainty into the assessment, but it may be concluded that waste heat will not produce detectable changes in global climate until world energy use increases 100fold, although minor effects on local weather may occur now; that carbon dioxide from coal combustion in the US alone accounts for about 30% of the current increase in global atmospheric CO2 which may, by about 2050 increase world temperature 2to 3 C, with pronounced effects on world climate; and that rocket exhaust from numerous launches during construction of a satellite power system may affect the upper atmosphere, with uncertain consequences.

  18. A Comparative Study of Test Data Dimensionality Assessment Procedures Under Nonparametric IRT Models

    ERIC Educational Resources Information Center

    van Abswoude, Alexandra A. H.; van der Ark, L. Andries; Sijtsma, Klaas

    2004-01-01

    In this article, an overview of nonparametric item response theory methods for determining the dimensionality of item response data is provided. Four methods were considered: MSP, DETECT, HCA/CCPROX, and DIMTEST. First, the methods were compared theoretically. Second, a simulation study was done to compare the effectiveness of MSP, DETECT, and…

  19. A Comparative Study of Partial Credit Assessment and Computer-Based Testing for Mathematics

    ERIC Educational Resources Information Center

    Darrah, Marjorie; Fuller, Edgar; Miller, David

    2010-01-01

    This paper discusses a possible solution to a problem frequently encountered by educators seeking to use computer-based or multiple choice-based exams for mathematics. These assessment methodologies force a discrete grading system on students and do not allow for the possibility of partial credit. The research presented in this paper investigates…

  20. Assessment of Higher Education Personnel: Comparative Study of France and Finland

    ERIC Educational Resources Information Center

    Salmon, Emmanuel

    2007-01-01

    The requirement to assess public employees is increasing within European public services. Dictated by budgetary imperatives and performance improvement concerns, it is becoming the norm in all administrations. One of the most sensitive areas of application is undoubtedly higher education. The traditional independence and autonomy of the academic…

  1. Disease severity estimates - effects of rater accuracy and assessments methods for comparing treatments

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Assessment of disease is fundamental to the discipline of plant pathology, and estimates of severity are often made visually. However, it is established that visual estimates can be inaccurate and unreliable. In this study estimates of Septoria leaf blotch on leaves of winter wheat from non-treated ...

  2. Students' Perceptions of Assessment: A Comparative Analysis between Portugal and Sweden

    ERIC Educational Resources Information Center

    Pereira, Diana; Niklasson, Laila; Flores, Maria Assunção

    2017-01-01

    This paper aims at investigating students' perceptions about assessment, especially the ways in which it is put into practice. Data were collected through questionnaires in different programmes in Portugal and Sweden. In total, 173 students from Portugal and 72 from Sweden participated in the study. Findings showed that students had similar ideas…

  3. Performance-Based Assessment in an Online Course: Comparing Different Types of Information Literacy Instruction

    ERIC Educational Resources Information Center

    Mery, Yvonne; Newby, Jill; Peng, Ke

    2012-01-01

    This study investigates whether the type of instruction (a single face-to-face librarian-led instruction, instructor-led instruction, or an online IL course--the Online Research Lab) has an impact on student information literacy gains in a Freshman English Composition program. A performance-based assessment was carried out by analyzing…

  4. Does Participation in Citizen Science Improve Scientific Literacy? A Study to Compare Assessment Methods

    ERIC Educational Resources Information Center

    Cronje, Ruth; Rohlinger, Spencer; Crall, Alycia; Newman, Greg

    2011-01-01

    This study investigated the use of a contextually sensitive instrument to assess the effect of invasive species monitoring training on the scientific literacy of citizen volunteers. The authors measured scientific literacy scores before and after 57 citizens participated in a 2-day event to learn to monitor invasive species with an instrument…

  5. Comparing Vignette Instruction and Assessment Tasks to Classroom Observations and Reflections

    ERIC Educational Resources Information Center

    Jeffries, Carolyn; Maeder, Dale W.

    2011-01-01

    The growing body of research on the use of vignettes in teacher education courses suggests that vignette-based instruction and assessment tasks may represent a viable alternative to traditional forms of scaffolded instruction and reflective essays following classroom observations, thereby creating a bridge between college and K-12 classrooms for…

  6. The Validity and Value of Peer Assessment Using Adaptive Comparative Judgement in Design Driven Practical Education

    ERIC Educational Resources Information Center

    Seery, Niall; Canty, Donal; Phelan, Pat

    2012-01-01

    This paper presents the response of the technology teacher education programmes at the University of Limerick to the assessment challenge created by the shift in philosophy of the Irish national curriculum from a craft-based focus to design-driven education. This study observes two first year modules of the undergraduate programmes that focused on…

  7. Comparing probabilistic microbial risk assessments for drinking water against daily rather than annualised infection probability targets.

    PubMed

    Signor, R S; Ashbolt, N J

    2009-12-01

    Some national drinking water guidelines provide guidance on how to define 'safe' drinking water. Regarding microbial water quality, a common position is that the chance of an individual becoming infected by some reference waterborne pathogen (e.g. Cryptsporidium) present in the drinking water should < 10(-4) in any year. However the instantaneous levels of risk to a water consumer vary over the course of a year, and waterborne disease outbreaks have been associated with shorter-duration periods of heightened risk. Performing probabilistic microbial risk assessments is becoming commonplace to capture the impacts of temporal variability on overall infection risk levels. A case is presented here for adoption of a shorter-duration reference period (i.e. daily) infection probability target over which to assess, report and benchmark such risks. A daily infection probability benchmark may provide added incentive and guidance for exercising control over short-term adverse risk fluctuation events and their causes. Management planning could involve outlining measures so that the daily target is met under a variety of pre-identified event scenarios. Other benefits of a daily target could include providing a platform for managers to design and assess management initiatives, as well as simplifying the technical components of the risk assessment process.

  8. A Comparative Assessment of Higher Education Financing in Six Arab Countries

    ERIC Educational Resources Information Center

    El-Araby, Ashraf

    2011-01-01

    This study analyses the policies for financing higher education in six Arab countries: Egypt, Jordan, Lebanon, Morocco, Syria, and Tunisia. It assesses the adequacy of spending on higher education, the efficiency with which resources are utilized, and the equity implications of resource allocations. Based on six detailed case studies, this…

  9. Returns to Education in the Economic Transition: A Systematic Assessment Using Comparable Data

    ERIC Educational Resources Information Center

    Flabbi, Luca; Paternostro, Stefano; Tiongson, Erwin R.

    2008-01-01

    This paper studies a sample of economies in transition to verify the assertion that returns to schooling increase as an economy transitions to a market environment. This claim has been difficult to assess in the past as the empirical evidence so far has covered only a few countries over short time periods. A number of studies find that returns to…

  10. Fatigue Life Assessment of 65Si7 Leaf Springs: A Comparative Study

    PubMed Central

    Arora, Vinkel Kumar; Bhushan, Gian; Aggarwal, M. L.

    2014-01-01

    The experimental fatigue life prediction of leaf springs is a time consuming process. The engineers working in the field of leaf springs always face a challenge to formulate alternate methods of fatigue life assessment. The work presented in this paper provides alternate methods for fatigue life assessment of leaf springs. A 65Si7 light commercial vehicle leaf spring is chosen for this study. The experimental fatigue life and load rate are determined on a full scale leaf spring testing machine. Four alternate methods of fatigue life assessment have been depicted. Firstly by SAE spring design manual approach the fatigue test stroke is established and by the intersection of maximum and initial stress the fatigue life is predicted. The second method constitutes a graphical method based on modified Goodman's criteria. In the third method codes are written in FORTRAN for fatigue life assessment based on analytical technique. The fourth method consists of computer aided engineering tools. The CAD model of the leaf spring has been prepared in solid works and analyzed using ANSYS. Using CAE tools, ideal type of contact and meshing elements have been proposed. The method which provides fatigue life closer to experimental value and consumes less time is suggested. PMID:27379327

  11. Developing Instruments to Assess and Compare the Quality of Engineering Education: The Case of China and Russia

    ERIC Educational Resources Information Center

    Kardanova, Elena; Loyalka, Prashant; Chirikov, Igor; Liu, Lydia; Li, Guirong; Wang, Huan; Enchikova, Ekaterina; Shi, Henry; Johnson, Natalie

    2016-01-01

    Relatively little is known about differences in the quality of engineering education within and across countries because of the lack of valid instruments that allow for the assessment and comparison of engineering students' skill gains. The purpose of our study is to develop and validate instruments that can be used to compare student skill gains…

  12. A Comparative Assessment of Computer Literacy of Private and Public Secondary School Students in Lagos State, Nigeria

    ERIC Educational Resources Information Center

    Osunwusi, Adeyinka Olumuyiwa; Abifarin, Michael Segun

    2013-01-01

    The aim of this study was to conduct a comparative assessment of computer literacy of private and public secondary school students. Although the definition of computer literacy varies widely, this study treated computer literacy in terms of access to, and use of, computers and the internet, basic knowledge and skills required to use computers and…

  13. Assessing Traumatic Event Exposure: Comparing the Traumatic Life Events Questionnaire to the Structured Clinical Interview for "DSM-IV"

    ERIC Educational Resources Information Center

    Peirce, Jessica M.; Burke, Christopher K.; Stoller, Kenneth B.; Neufeld, Karin J.; Brooner, Robert K.

    2009-01-01

    Post-traumatic stress disorder (PTSD) diagnosis requires first identifying a traumatic event, but very few studies have evaluated methods of potential traumatic event assessment and their impact on PTSD diagnosis. The authors compared a behaviorally specific comprehensive multiple-item traumatic event measure with a single-item measure to…

  14. Interdependency between Risk Assessments for Self and Other in the Field of Comparative Optimism: The Contribution of Response Times

    ERIC Educational Resources Information Center

    Spitzenstetter, Florence; Schimchowitsch, Sarah

    2012-01-01

    By introducing a response-time measure in the field of comparative optimism, this study was designed to explore how people estimate risk to self and others depending on the evaluation order (self/other or other/self). Our results show the interdependency between self and other answers. Indeed, while response time for risk assessment for the self…

  15. Does Time Matter? Comparing Trajectory Concordance and Covariate Association Using Time-Based and Age-Based Assessments

    ERIC Educational Resources Information Center

    Piquero, Alex R.; Monahan, Kathryn C.; Glasheen, Cristie; Schubert, Carol A.; Mulvey, Edward P.

    2013-01-01

    Much criminological research has used longitudinal data to assess change in offending over time. An important feature of some data sources is that they contain cross-sections of different aged individuals followed over successive time periods, thereby potentially conflating age and time. This article compares the substantive conclusions about the…

  16. COMPARABILITY OF A REGIONAL AND STATE SURVEY: EFFECTS ON FISH IBI ASSESSMENT FOR WEST VIRGINIA, U.S.A.

    EPA Science Inventory

    The comparability of different survey designs needs to be established to facilitate integration of data across scales and interpretation of trends over time. Probability-based survey designs are now being investigated to allow condition to be assessed at the watershed scale, an...

  17. Program Outcomes Assessment in Higher Education Hospitality Management Programs: A Qualitative Comparative Case Study of Learning Cultures

    ERIC Educational Resources Information Center

    Hughes, John George

    2010-01-01

    The purpose of this qualitative, comparative case study was to determine the extent to which learning and improvement cultures were perceived to be linked to the traditional and non-traditional accreditation and Program Outcomes Assessment paradigms in use in two university hospitality programs. The findings of this study revealed that the…

  18. Phosphorus Concentrations in Stream-Water and Reference Samples - An Assessment of Laboratory Comparability

    USGS Publications Warehouse

    McHale, Michael R.; McChesney, Dennis

    2007-01-01

    In 2003, a study was conducted to evaluate the accuracy and precision of 10 laboratories that analyze water-quality samples for phosphorus concentrations in the Catskill Mountain region of New York State. Many environmental studies in this region rely on data from these different laboratories for water-quality analyses, and the data may be used in watershed modeling and management decisions. Therefore, it is important to determine whether the data reported by these laboratories are of comparable accuracy and precision. Each laboratory was sent 12 samples for triplicate analysis for total phosphorus, total dissolved phosphorus, and soluble reactive phosphorus. Eight of these laboratories reported results that met comparability criteria for all samples; the remaining two laboratories met comparability criteria for only about half of the analyses. Neither the analytical method used nor the sample concentration ranges appeared to affect the comparability of results. The laboratories whose results were comparable gave consistently comparable results throughout the concentration range analyzed, and the differences among methods did not diminish comparability. All laboratories had high data precision as indicated by sample triplicate results. In addition, the laboratories consistently reported total phosphorus values greater than total dissolved phosphorus values, and total dissolved phosphorus values greater than soluble reactive phosphorus values, as would be expected. The results of this study emphasize the importance of regular laboratory participation in sample-exchange programs.

  19. ASSESSMENT OF THE REPRODUCTIVE AXIS: COMPARING CRITICAL PERIODS OF HORMONE SENSITIVITY.

    EPA Science Inventory

    Japanese medaka (Oryzias latipes) have been developed as a model species to compare the effects of endocrine active chemicals at critical life-stage periods of hormonal sensitivity, specifically as reproductively active adults, during the developmental period of differentiation, ...

  20. Score comparability of a state mathematics assessment across students with and without reading accommodations.

    PubMed

    Pomplun, M; Omar, M H

    2000-02-01

    This study investigated the factorial invariance of a fourth-grade state mathematics assessment across groups of general education students and students with learning disabilities with and without reading accommodations. Confirmatory factor analysis was used to assess the fit of a 2-factor model to each of the 3 groups. In addition to the overall fit of this model, several levels of constraint were investigated. Invariance across the 3 groups was supported for factor loadings and intercepts. However, invariance of the factor covariances across the general education group and the groups of students with learning disabilities was not supported. Because of the implications for aggregating reported scores, further research is needed into the relationship between the factors in the different groups.

  1. Methodology for the comparative assessment of the Satellite Power System (SPS) and alternative technologies

    NASA Technical Reports Server (NTRS)

    Wolsko, T.; Buehring, W.; Cirillo, R.; Gasper, J.; Habegger, L.; Hub, K.; Newsom, D.; Samsa, M.; Stenehjem, E.; Whitfield, R.

    1980-01-01

    The energy systems concerned are the satellite power system, several coal technologies, geothermal energy, fission, fusion, terrestrial solar systems, and ocean thermal energy conversion. Guidelines are suggested for the characterization of these systems, side-by-side analysis, alternative futures analysis, and integration and aggregation of data. A description of the methods for assessing the technical, economic, environmental, societal, and institutional issues surrounding the development of the selected energy technologies is presented.

  2. Assessment of Accelerated Tests Compared to Beachfront Test and Proposed Evaluation Method

    DTIC Science & Technology

    2009-09-03

    corrosion tests to beachfront test NCAP Data Assessment Data set includes: – 4 aluminum alloys: 2024, 7075, 2219 , 5083 – 9 conversion coatings...2024-T3 Alodine 1600 2024-T3 TCP-IC 7075- T6 Alodine 1600 7075- T6 TCP-IC 18 Months Exposure at KSC 20X view of surface As is Cleaned Unpainted Corrosion ...Certification Program (ESTCP) funded project entitled “Non-Chromate Aluminum Pretreatments” (NCAP) – Funding began in 2000, ended 2004 for Phase I

  3. Comparative in vivo assessment of the subacute toxicity of gold and silver nanoparticles

    NASA Astrophysics Data System (ADS)

    Rathore, Mansee; Mohanty, Ipseeta Ray; Maheswari, Ujjwala; Dayal, Navami; Suman, Rajesh; Joshi, D. S.

    2014-04-01

    In spite of the projected therapeutic potentials of gold nanoparticles (GNP) and silver nanoparticles (SNP), very limited data are available on the interaction of nanoparticles with the biological systems. The present investigation was designed to evaluate as well as compare the subacute toxicity of GNP and SNP. Stable suspensions of GNP and SNP with mean particle diameter 10 and 25 nm, respectively, were prepared. Wistar rats were orally fed SNP (3 mg/kg) or GNP (20 μg/kg), once a day for 21 days. Biochemical indices (creatinine phosphokinase-MB, urea, blood urea nitrogen, aspartate transaminase, alkaline alanine transferase) and histopathological features of the liver, heart, brain, lungs, and kidney were evaluated for signs of toxicity. A significant decline in hepatic and renal function in the GNP treated group was observed as compared to SNP. GNP was found to be relatively more toxic on the lungs and SNP on the myocardial tissue as compared to SNP and GNP treatments, respectively. Interestingly, neither SNP nor GNP adversely affected the basal architecture of the brain as compared to sham. The present study demonstrated that GNP was significantly more noxious on the liver and kidney as compared with SNP.

  4. A comparative study of qualitative and quantitative methods for the assessment of adhesive remnant after bracket debonding.

    PubMed

    Cehreli, S Burcak; Polat-Ozsoy, Omur; Sar, Cagla; Cubukcu, H Evren; Cehreli, Zafer C

    2012-04-01

    The amount of the residual adhesive after bracket debonding is frequently assessed in a qualitative manner, utilizing the adhesive remnant index (ARI). This study aimed to investigate whether quantitative assessment of the adhesive remnant yields more precise results compared to qualitative methods utilizing the 4- and 5-point ARI scales. Twenty debonded brackets were selected. Evaluation and scoring of the adhesive remnant on bracket bases were made consecutively using: 1. qualitative assessment (visual scoring) and 2. quantitative measurement (image analysis) on digital photographs. Image analysis was made on scanning electron micrographs (SEM) and high-precision elemental maps of the adhesive remnant as determined by energy dispersed X-ray spectrometry. Evaluations were made in accordance with the original 4-point and the modified 5-point ARI scales. Intra-class correlation coefficients (ICCs) were calculated, and the data were evaluated using Friedman test followed by Wilcoxon signed ranks test with Bonferroni correction. ICC statistics indicated high levels of agreement for qualitative visual scoring among examiners. The 4-point ARI scale was compliant with the SEM assessments but indicated significantly less adhesive remnant compared to the results of quantitative elemental mapping. When the 5-point scale was used, both quantitative techniques yielded similar results with those obtained qualitatively. These results indicate that qualitative visual scoring using the ARI is capable of generating similar results with those assessed by quantitative image analysis techniques. In particular, visual scoring with the 5-point ARI scale can yield similar results with both the SEM analysis and elemental mapping.

  5. Comparative life cycle assessment of biodiesel from algae and jatropha: a case study of India.

    PubMed

    Ajayebi, Atta; Gnansounou, Edgard; Kenthorai Raman, Jegannathan

    2013-12-01

    Algae and jatropha, two types of promising and unconventional biomass, are investigated in this study for large-scale production of biodiesel. The aim is to evaluate the potential advantages and the magnitude of closeness of life cycle balances between these two biodiesel pathways compared to fossil diesel, by taking into account possible uncertainties. The geographical location of this study is India with a prospect of utilizing available wastelands in southern regions. The results indicate that the environmental performance of algal biodiesel is comparable to that of jatropha biodiesel. Both show significant GHG emission and fossil energy depletion reductions which are in the range of 36-40 and 10-25% respectively compared to fossil diesel in the studied geographic context.

  6. Assessing Differential Expression Measurements by Highly Parallel Pyrosequencing and DNA Microarrays: A Comparative Study

    PubMed Central

    Ariño, Joaquín; Casamayor, Antonio; Pérez, Julián Perez; Pedrola, Laia; Álvarez-Tejado, Miguel; Marbà, Martina; Santoyo, Javier

    2013-01-01

    Abstract To explore the feasibility of pyrosequencing for quantitative differential gene expression analysis we have performed a comparative study of the results of the sequencing experiments to those obtained by a conventional DNA microarray platform. A conclusion from our analysis is that, over a threshold of 35 normalized reads per gene, the measurements of gene expression display a good correlation with the references. The observed concordance between pyrosequencing and DNA microarray platforms beyond the threshold was of 0.8, measured as a Pearson's correlation coefficient. In differential gene expression the initial aim is the quantification the differences among transcripts when comparing experimental conditions. Thus, even in a scenario of low coverage the concordance in the measurements is quite acceptable. On the other hand, the comparatively longer read size obtained by pyrosequencing allows detecting unconventional splicing forms. PMID:21919703

  7. Emerging issues concerning the education of speech and language pathologists and audiologists in Brazil and South America.

    PubMed

    Fernandes, Fernanda Dreux M; de Andrade, Claudia R F; Befi-Lopes, Debora M; Wertzner, Haydée F; Limongi, Suelly C O

    2010-01-01

    Diversity is one of the major characteristics of Brazil and all South America. This paper presents an overview of the current situation of the education of speech and language pathologists (SLP) and audiologists in Brazil and in several other countries of South America. This paper also discusses the main challenges shared by these countries. The discussion is focused on the mutual interferences between education and the areas of professional practice, cultural diversity and continued education. There are many emerging issues about the education of SLP and audiologists in South America. The suggested conclusion is that, despite the many differences, the South American SLP and audiologists' education would benefit from joint efforts and collaborative experiences.

  8. What is the chin-down posture? A questionnaire survey of speech language pathologists in Japan and the United States.

    PubMed

    Okada, Sumiko; Saitoh, Eiichi; Palmer, Jeffrey B; Matsuo, Koichiro; Yokoyama, Michio; Shigeta, Ritsuko; Baba, Mikoto

    2007-07-01

    The "chin-down" or "chin-tuck" maneuver is a postural technique widely used in dysphagia treatment. The posture, however, does not have a precise anatomical definition. We studied the current practice of 42 speech-language pathologists (SLPs) in Japan and the U.S. with a questionnaire survey regarding the chin-down posture. The main findings were that (1) three of five of the pictures were selected by respondents both in Japan and in the U.S. as depicting the chin-down posture; (2) 23% of Japanese and 58% of the U.S. SLPs made a distinction between chin down and chin tuck; and (3) the use of anatomical terminology by SLPs differed between the two countries. This study showed that there is poor agreement among SLPs about the meaning of the chin-down and chin-tuck postures. Developing a precise definition is important because various postures may have differing physiologic effects.

  9. Speech-language pathologists and the Common Core Standards initiative: an opportunity for leadership and organizational change.

    PubMed

    Dunkle, Jennifer; Flynn, Perry

    2012-05-01

    The Common Core State Standards initiative within public school education is designed to provide uniform guidelines for academic standards, including more explicit language targets. Speech-language pathologists (SLPs) are highly qualified language experts who may find new leadership roles within their clinical practice using the Common Core Standards. However, determining its usage by SLPs in clinical practice needs to be examined. This article seeks to discover the social context of organizations and organizational change in relation to clinical practice. Specifically, this article presents the diffusion of innovations theory to explain how initiatives move from ideas to institutionalization and the importance of social context in which these initiatives are introduced. Next, the values of both SLPs and organizations will be discussed. Finally, this article provides information on how to affect organizational change through the value of an affirmative, socially based theoretical perspective and methodology, appreciative inquiry.

  10. Related Services Research for Students With Low-Incidence Disabilities: Implications for Speech-Language Pathologists in Inclusive Classrooms.

    PubMed

    Giangreco, Michael F

    2000-07-01

    When speech-language pathologists provide educationally related services for students with lowincidence disabilities who are placed in inclusive classrooms, they are asked to work with a variety of other adults. The ways in which these adults make decisions about individualizing a student's educational program, determine related services, and coordinate their activities have an impact on educational outcomes for students as well as on interprofessional interactions. This article summarizes a team process for making related services decisions called VISTA (Vermont Interdependent Services Team Approach) and a series of nine research studies pertaining to the use and impact of VISTA. It also addresses related topics, such as team size, consumer perspectives, and paraprofessional supports. Five major implications from these studies are offered concerning (a) developing a disposition of being an ongoing learner, (b) developing a shared framework among team members,

  11. Reasons for Lack of Consensus in Forensic Pathologist Interpretation of Photographs of Patterns of Injury of the Skin().

    PubMed

    Oliver, William R

    2016-12-08

    In a previous study, a survey-based analysis of pathologist diagnoses of patterned injury in which participants were asked makes diagnoses from photographs in the absence of history or context. The level of consensus was low. A follow-up survey was created to ask those who responded to the first survey why they answered as they did or why they were unsure of their answers. The most common reason for lack of consensus was that the lesion was nonspecific. Responses invoking ambiguity were more common than those that indicated a confident difference in diagnosis. There were differences between demographic groups, with age and experience being most prominent. These findings suggest that differences in image interpretation do not generally reflect firm differences in diagnosis as much as differing ways of dealing with ambiguity in the absence of history and context. A third survey will study the effect of the addition of contextual information.

  12. Human radiation studies: Remembering the early years: Oral history of pathologist Clarence Lushbaugh, M.D., conducted October 5, 1994

    SciTech Connect

    1995-04-01

    This report provides a transcript of an interview with Dr. Clarance Lushbaugh by representatives of the DOE Office of Human Radiation Experiments. Dr. Lushbaugh was chosen for this interview because of his research involving experimental use of irradiation with human beings at Los Alamos and at the Oak Ridge Institute of Nuclear Science (ORINS). After a brief biographical sketch Dr. Lushbaugh and his assistant Mrs. Ann Swipe defend their use of total body irradiation using the LETBI (Low Exposure Total Body Irradiation) and the LETBI (Medium Energy Total Body Irradiator). Dr. Lushbaugh also discusses his earlier experiments involving use of nitrogen mustards in chemotherapy application, his early interest in the LD50 for man, his early impressions of low-level spray radiation as introduced by Heubline, anedotal information for his duties a pathologist for Los Alamos, and his developing interest in establishing safer radiation limits for human exposure.

  13. Effect of History and Context on Forensic Pathologist Interpretation of Photographs of Patterned Injury of the Skin.

    PubMed

    Oliver, William R

    2017-03-26

    In a previous study, a survey-based analysis of pathologist diagnoses of patterned injury was performed. Subjects were provided with photographs of "classic" injuries and asked to diagnose the lesion in the absence of history or context. There was a relatively low diagnostic consensus among respondents. A second survey suggested that the disparate answers were not due to a strong belief in different diagnoses, but instead reflected how the respondents dealt with ambiguity. A third survey was created that asked participants to evaluate patterned injuries of the skin, but provided history and contextual information. The addition of history and contextual information increased consensus from a median of 80% to 98% on a per-question basis. Confidence increased from a median of 56%-92%. These results demonstrate the importance of history and context in medical diagnosis of patterned injuries of the skin.

  14. An initial comparative assessment of orbital and terrestrial central power systems

    NASA Technical Reports Server (NTRS)

    Caputo, R.

    1977-01-01

    Orbital solar power plants, which beam power to earth by microwave, are compared with ground-based solar and conventional baseload power plants. Candidate systems were identified for three types of plants and the selected plant designs were then compared on the basis of economic and social costs. The representative types of plant selected for the comparison are: light water nuclear reactor; turbines using low BTU gas from coal; central receiver with steam turbo-electric conversion and thermal storage; silicon photovoltaic power plant without tracking and including solar concentration and redox battery storage; and silicon photovoltaics.

  15. [Comparative assessment of the cancer risk of the products of smoking and ambient air pollution].

    PubMed

    Litvichenko, O N; Chernichenko, N A; Kovalenko, T V; Zinchenko, G G

    2006-01-01

    Danger from aerogenic dose carcinogens entering the body with smoking products is shown to be essentially greater than that from aerogenic loading in industrial centers. The individual and population risks for smoking-induced cancer and the economic damage to the country, associated with the treatment of a large number of patients are given. To make a complete assessment of the carcinogenic risk of tobacco smoking, it is necessary to estimate all its carcinogenic constituents, their precursors, and possible transformation products at elevated temperatures.

  16. Characterization of alternative electric generation technologies for the SPS comparative assessment: volume 2, central-station technologies

    SciTech Connect

    Not Available

    1980-08-01

    The SPS Concept Development and Evaluation Program includes a comparative assessment. An early first step in the assessment process is the selection and characterization of alternative technologies. This document describes the cost and performance (i.e., technical and environmental) characteristics of six central station energy alternatives: (1) conventional coal-fired powerplant; (2) conventional light water reactor (LWR); (3) combined cycle powerplant with low-Btu gasifiers; (4) liquid metal fast breeder reactor (LMFBR); (5) photovoltaic system without storage; and (6) fusion reactor.

  17. The Development of Community-Based Health Information Exchanges: A Comparative Assessment of Organizational Models

    ERIC Educational Resources Information Center

    Champagne, Tiffany

    2013-01-01

    The purpose of this dissertation research was to critically examine the development of community-based health information exchanges (HIEs) and to comparatively analyze the various models of exchanges in operation today nationally. Specifically this research sought to better understand several aspects of HIE: policy influences, organizational…

  18. A SCIENTIFIC AND TECHNOLOGICAL FRAMEWORK FOR EVALUATING COMPARATIVE RISK IN ECOLOGICAL RISK ASSESSMENTS

    EPA Science Inventory

    There are significant scientific and technological challenges to managing natural resources. Data needs are cited as an obvious limitation, but there exist more fundamental scientific issues. What is still needed is a method of comparing management strategies based on projected i...

  19. Psychological Distress in Out-Patients Assessed for Chronic Pain Compared to Those with Rheumatoid Arthritis

    PubMed Central

    Rice, D.; Mehta, S.; Shapiro, A.; Pope, J.; Harth, M.; Morley-Forster, P.; Sequeira, K.; Teasell, R.

    2016-01-01

    Background. Patients diagnosed with chronic pain (CP) and rheumatoid arthritis (RA) represent two samples with overlapping symptoms, such as experiencing significant pain. Objectives. To compare the level of psychological distress among patients diagnosed CP attending a specialist pain clinic with those attending a specialist RA clinic. Measures. A cross-sectional study was conducted at an academic specialist chronic pain and rheumatology clinic. Participants. 330 participants included a CP group (n = 167) and a RA group (n = 163) completed a booklet of questionnaires regarding demographic characteristics, duration, and severity of their pain. Psychological and personality variables were compared between the CP and RA participants using a Multivariate Analysis of Covariance (MANCOVA). Results. Level of psychological distress based on the subscales of the DASS (depression, anxiety, and stress), PASS (escape avoidance, cognitive anxiety, fear of pain, and physiological anxiety), and PCS (rumination, magnification, and helplessness) was significantly higher in the CP group compared to the RA group. Categorization of individuals based on DASS severity resulted in significant differences in rates of depression and anxiety symptoms between groups, with a greater number of CP participants displaying more severe depressive and anxiety symptoms. Discussion and Conclusions. This study found greater levels of psychological distress among CP individuals referred to an academic pain clinic when compared to RA patients referred to an academic rheumatology clinic. PMID:27445623

  20. Comparative Effectiveness of CAPA and FOCUS Online: Career Assessment Systems with Undecided College Students

    ERIC Educational Resources Information Center

    Betz, Nancy E.; Borgen, Fred H.

    2009-01-01

    The present study compared the effectiveness of two online career exploration systems in increasing the career decision self-efficacy and decidedness of 960 students enrolled in a program for undecided freshmen students at a large public university. Results indicated that both systems led to significant increases in career decision self-efficacy…