Sample records for questionnaires field notes

  1. 76 FR 17474 - Agency Information Collection Activities; Request for Comments on a New Information Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-29

    ... acceptance of an on-board monitoring system (OBMS), as a part of a Field Operational Test (FOT) study. DATES... Response: 20 minutes for the pre-study questionnaire, 15 minutes for during- and post-study questionnaires... submission must include the Agency name and the docket number for this Notice. Note that DOT posts all...

  2. Notes on Linguistics, 1994.

    ERIC Educational Resources Information Center

    Payne, David, Ed.

    1994-01-01

    This document contains the 1994 edition of a publication designed to share information in the field of linguistics that is of practical, theoretical, administrative, or general interest. Articles in these issues include: "Ethnography Vs. Questionnaire" (Thomas E. Murray); "Differences: A Diary Entry"--concerning structuralism…

  3. Revising Laboratory Work: Sociological Perspectives on the Science Classroom

    ERIC Educational Resources Information Center

    Jobér, Anna

    2017-01-01

    This study uses sociological perspectives to analyse one of the core practices in science education: school children's and students' laboratory work. Applying an ethnographic approach to the laboratory work done by pupils at a Swedish compulsory school, data were generated through observations, field notes, interviews, and a questionnaire. The…

  4. Development of New Military Applicant Profile (MAP) Autobiographical Questionnaires for Use in Predicting Early Army Attrition

    DTIC Science & Technology

    1985-01-01

    y’. - " Research Note 85-11 in .. Development of New Military Applicant Profile (MAP) Autobiographical Questionnaires for Use in Predicting Early...Manpower and Personnel Research Laboratory Joyce L. Shields, Director Si- V T c ,-wt h>b- ’fl ~P Toved U. S. Army , Research Institute for the...Behavioral and Social Sciences January 1985 v5 1 (-1 ,,o -4. U. S. ARMY RESEARCH INSTITUTE FOR THE BEHAVIORAL AND SOCIAL SCIENCES A Field Operating Agency

  5. Factors Influencing Learning through Play in ICT Settings

    ERIC Educational Resources Information Center

    Kennewell, Steve; Morgan, Alex

    2006-01-01

    Using a mixed method approach of questionnaires, observations and field notes, the authors have studied a number of settings during the past two years which have focussed on the development of ICT capability through play. Some of these have involved children identified as disaffected or disadvantaged, whilst others have involved initial teacher…

  6. Implementing Reflective Portfolios for Promoting Autonomous Learning among EFL College Students in Taiwan

    ERIC Educational Resources Information Center

    Lo, Ya-Fen

    2010-01-01

    This article depicts challenges for students and teachers involved in developing a reflective portfolio to promote autonomous learning in Taiwan. One hundred and one students in a Taiwan university completed their individual portfolio projects. A pre-course questionnaire, post-course self-evaluation, and the instructor's field notes were the data…

  7. Investigating the Use of a Digital Library in an Inquiry-Based Undergraduate Geology Course

    ERIC Educational Resources Information Center

    Apedoe, Xornam S.

    2007-01-01

    This paper reports the findings of a qualitative research study designed to investigate the opportunities and obstacles presented by a digital library for supporting teaching and learning in an inquiry-based undergraduate geology course. Data for this study included classroom observations and field-notes of classroom practices, questionnaires, and…

  8. Getting out of Their Comfort Zone: Examining Teacher Candidates' Reactions to Service-Learning Abroad

    ERIC Educational Resources Information Center

    Regalla, Michele

    2016-01-01

    This study presents data gathered from a service-learning trip to Costa Rica designed for teacher candidates. Data include participant responses to writing prompts, field notes, and follow-up questionnaires. Results show that participants' experience with the language barrier raised their empathy toward English learners. However, participants…

  9. Transforming EFL Classroom Practices and Promoting Students' Empowerment: Collaborative Learning from a Dialogical Approach

    ERIC Educational Resources Information Center

    Contreras León, Janeth Juliana; Chapetón Castro, Claudia Marcela

    2017-01-01

    This study investigates the impact of implementing collaborative learning from a social and dialogical perspective on seventh graders' interaction in an English as a foreign language classroom at a public school in Bogotá, Colombia. Thirty students participated in this action research where field notes, questionnaires, semi-structured interviews,…

  10. Motivating Grade 1 Children to Read: Exploring the Role of Choice, Curiosity, and Challenge in Mobile Ebooks

    ERIC Educational Resources Information Center

    Ciampa, Katia

    2016-01-01

    A pre-experimental case study design was used to explore the value of intrinsic motivation in mobile eBook reading among 30 Grade 1 child participants. Data collection comprised pre- and post-test motivation questionnaires and researcher field notes. Child participants' enjoyment of mobile eBooks corresponded to 3 motivational aspects of intrinsic…

  11. Promoting and inhibiting factors for the use of validated dietary assessment questionnaires in health check-up counseling: from occupational health nurses and dietitians' perspective.

    PubMed

    Katagiri, Ryoko; Muto, Go; Sasaki, Satoshi

    2018-06-01

    A validated questionnaire is not typically used for dietary assessment in health check-up counseling provided by occupational health nurses in Japan. We conducted a qualitative study to investigate the barriers and promoting factors affecting the use of validated questionnaires. Ten occupational health nurses and three registered dietitians, working at a health insurance society, were recruited for this study using an open-ended, free description questionnaire. Inhibiting factors, such as "Feeling of satisfaction with the current method," "Recognition of importance," and "Sense of burden from the questionnaire", and as promoting factors, "Feeling the current method is insufficient", "Recognition of importance," "Reduction in the feeling of burden after the answer," "Expectation of and reaction to the result," and "Expectation for the effect of the counseling" were noted. Since a standardized dietary assessment method in health counseling might be desirable for the harmonization of work with diseases prevention in an occupational field, findings in this study could propose appropriate targets to reduce confusion in health professionals' concerning the use of validated questionnaires.

  12. Asian-Chinese patient perceptions of natural orifice transluminal endoscopic surgery cholecystectomy.

    PubMed

    Teoh, Anthony Yuen Bun; Ng, Enders Kwok Wai; Chock, Alana; Swanstrom, Lee; Varadarajulu, Shyam; Chiu, Philip Wai Yan

    2014-05-01

    Patient and physician perceptions of natural orifice transluminal endoscopic surgery (NOTES) have been reported for the Western population. However, whether Asian-Chinese patients share the same perspectives as compared to the Western population is unknown. This was a cross-sectional survey carried out in the surgical outpatient's clinic at the Prince of Wales Hospital between June and September 2011. Patients were provided with an information leaflet and asked to complete a questionnaire regarding their perceptions of and preferences for NOTES cholecystectomy. Female patients attending the clinic were given an additional questionnaire regarding attitudes towards transvaginal surgery. Two hundred patients were recruited to complete the questionnaire(s) and the male to female ratio was 1:1. One hundred and fourteen patients (57%) preferred to undergo NOTES cholecystectomy for cosmetic reasons (P=0.009). Oral and anal routes were both acceptable for NOTES accesses in males and females. Forty-one percent of the female patients would consider transvaginal NOTES. Of these patients, significantly more patients indicated that the reason for choosing transvaginal NOTES was to minimize the risk of hernia (P=0.016) and to reduce pain associated with the procedure (P=0.017). The risk of complications (84.5%) and the cost of the procedure (58%) were considered the most important aspects when choosing a surgical approach by Asian-Chinese patients. Asian-Chinese preferred NOTES mainly for cosmetic reasons. However, the transvaginal route was less acceptable to females. Significant differences in patient perception on NOTES were observed between Asian-Chinese and Western patients. © 2013 The Authors. Digestive Endoscopy © 2013 Japan Gastroenterological Endoscopy Society.

  13. Using the Dictionary for Improving Adolescents' Reading Comprehension of Short Scientific Texts (Uso del diccionario para mejorar la comprensión lectora de textos científicos cortos en inglés con adolescentes)

    ERIC Educational Resources Information Center

    Becerra Cortés, Ximena

    2013-01-01

    This paper reports on an innovative and action research project which focused on the use of the dictionary and the prior knowledge of Colombian high school students to improve their reading comprehension of short scientific texts. Data collection instruments included students' work gathered during two workshops, field notes, and a questionnaire.…

  14. Heuristic evaluation and thinking aloud test of a digitized questionnaire for diabetes outpatient clinics.

    PubMed

    Schaarup, Clara; Hejlesen, Ole K

    2014-01-01

    Diabetes is a chronic disease characterized by hyperglycaemia. The number of patients with diabetes is expected to exceed 592 million in 2035. The growing number of diabetics is a great burden for the Danish healthcare system. The Danish government desires a modern and efficient healthcare system with a high patient security and a coherent continuity of care. To achieve these outcomes medical record-keeping, paper questionnaires and notes must be digitized. The current system enforces that the diabetics fill out questionnaires in paper form after which the healthcare personnel enter the same information in the electronic health record. In this study, an online questionnaire was designed and the usability was evaluated using the following parameters: learnability, efficiency, memorability, errors, and satisfaction. The parameters were evaluated by using the discount usability engineering method. 5 double specialists and 6 patients diagnosed with diabetes provided the data of the study. The results indicated that simple and obvious figures were preferred in the online questionnaire, as well as error preventing in the form of validation fields. This study inspire to further development in the digitizing process.

  15. An randomized controlled trial of Post-it® notes did not increase postal response rates in older depressed participants.

    PubMed

    Lewis, Helen; Keding, Ada; Bosanquet, Katharine; Gilbody, Simon; Torgerson, David

    2017-02-01

    Our aim was to evaluate the effectiveness of a Post-it® note to increase response rates and shorten response times to a 4-month postal follow-up questionnaire sent to participants taking part in the Collaborative Care in Screen-Positive Elders (CASPER) trials. Our trial was a two-arm randomized controlled trial comparing response rates to questionnaires with a printed Post-it® note (intervention) and without (control), nested in multi centred randomized controlled trials of older people with varying levels of depressive symptoms; the CASPER + and CASPER Self Help for those At Risk of Depression (SHARD) trials. A total of 611 participants were eligible and randomized. The primary outcome was response rates, secondary outcomes were time to response and need for a reminder. Of 297 participants, 266 (89.6%) returned their 4-month questionnaire in the post-it note arm, compared with 282 of 314 participants (89.8%) in the control arm (OR = 0.97, 95% CI: 0.57, 1.65, P = 0.913). There were no statistically significant differences in time to respond or the need to be sent a reminder. Patients with a major depressive episode were more likely to return questionnaires with post-it notes (P of interaction = .019). There was no significant difference in response rates, time to response, or the need for a reminder between the intervention and control at 4-month follow up for older people with depressive symptoms. However, there was a significant interaction between the Post-it® note group and level of depression. © 2016 John Wiley & Sons, Ltd.

  16. PC-based note taking in patient-centred diagnostic interviews: a thematic analysis of patient opinion elicited using a pilot survey instrument.

    PubMed

    Barker, Fiona; Court, Gemma

    2011-01-01

    Computers are used increasingly in patient-clinician consultations. There is the potential for PC use to have an effect on the communication process. The aim of this preliminary study was to investigate patient opinion regarding the use of PC-based note taking during diagnostic vestibular assessments. We gave a simple four-item questionnaire to 100 consecutive patients attending for vestibular assessment at a secondary referral level primary care trust audiology service. Written responses to two of the questionnaire items were subject to an inductive thematic analysis. The questionnaire was acceptable to patients, none refused to complete it. Dominant themes identified suggest that patients do perceive consistent positive benefits from the use of PC-based note taking. This pilot study's short survey instrument is usable and may provide insights into patients' perceptions of computer use in a clinical setting.

  17. Development, validity and reliability testing of the East Midlands Evaluation Tool (EMET) for measuring impacts on trainees' confidence and competence following end of life care training.

    PubMed

    Whittaker, B; Parry, R; Bird, L; Watson, S; Faull, C

    2017-02-02

    To develop, test and validate a versatile questionnaire, the East Midlands Evaluation Tool (EMET), for measuring effects of end of life care training events on trainees' self-reported confidence and competence. A paper-based questionnaire was designed on the basis of the English Department of Health's core competences for end of life care, with sections for completion pretraining, immediately post-training and also for longer term follow-up. Preliminary versions were field tested at 55 training events delivered by 13 organisations to 1793 trainees working in diverse health and social care backgrounds. Iterative rounds of development aimed to maximise relevance to events and trainees. Internal consistency was assessed by calculating interitem correlations on questionnaire responses during field testing. Content validity was assessed via qualitative content analysis of (1) responses to questionnaires completed by field tester trainers and (2) field notes from a workshop with a separate cohort of experienced trainers. Test-retest reliability was assessed via repeat administration to a cohort of student nurses. The EMET comprises 27 items with Likert-scaled responses supplemented with questions seeking free-text responses. It measures changes in self-assessed confidence and competence on 5 subscales: communication skills; assessment and care planning; symptom management; advance care planning; overarching values and knowledge. Test-retest reliability was found to be good, as was internal consistency: the questions successfully assess different aspects of the same underlying concept. The EMET provides a time-efficient, reliable and flexible means of evaluating effects of training on self-reported confidence and competence in the key elements of end of life care. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  18. The impact of an electronic health questionnaire on symptom management and behavior reporting for breast cancer survivors.

    PubMed

    Bock, Meredith; Moore, Dan; Hwang, Jimmy; Shumay, Dianne; Lawson, Laurell; Hamolsky, Deborah; Esserman, Laura; Rugo, Hope; Chien, A Jo; Park, John; Munster, Pamela; Melisko, Michelle

    2012-08-01

    Breast cancer (BC) patients experience multiple symptoms as a result of diagnosis and treatment. While surveillance for detecting cancer recurrence is fundamental to follow-up care, managing symptoms, and promoting health behaviors are equally important. UCSF has implemented a secure online health questionnaire enabling BC patients to provide updates of their health history and symptoms. We randomly selected a sample of stage I-III BC patients (n = 106) who completed a questionnaire before a medical oncology visit between August 2010 and January 2011 and consented to have data used for research. We conducted a chart review calculating the number of symptoms reported in the questionnaire, the clinic note only, and both questionnaire and clinic note, excluding chronic symptoms addressed previously. Self-reported data on exercise and alcohol consumption was compared to documentation of these lifestyle factors in clinic notes. Patients reported significantly more symptoms using the online questionnaire (mean = 3.8, range 0-13) than were documented by the provider in clinic notes (mean = 1.8, range 0-7; p < 0.001 for the difference). A regression plot comparing the percentage of symptoms agreed upon by the patient and provider and the percentage of symptoms addressed yields a slope of 0.56 (95 % CI 0.41-0.71). The number of self-reported symptoms correlates with self-reported Karnofsky scale such that the number of symptoms reported by the patient increases linearly with this score until a threshold and it then plateaus (p < 0.001). Exercise behavior and alcohol consumption were reported in 100 % of the online questionnaires, but was documented in only 30/106 (28 %) and 75/106 (70 %) of charts reviewed. In 19/75 (25 %) charts with alcohol consumption documented, there was substantial discordance between patient and clinician reporting. Electronic data collection of BC patient-reported outcomes has a positive effect on symptom management and identification of opportunities for risk-reducing behavior change.

  19. A Guide to Field Notes for Qualitative Research: Context and Conversation.

    PubMed

    Phillippi, Julia; Lauderdale, Jana

    2018-02-01

    Field notes are widely recommended in qualitative research as a means of documenting needed contextual information. With growing use of data sharing, secondary analysis, and metasynthesis, field notes ensure rich context persists beyond the original research team. However, while widely regarded as essential, there is not a guide to field note collection within the literature to guide researchers. Using the qualitative literature and previous research experience, we provide a concise guide to collection, incorporation, and dissemination of field notes. We provide a description of field note content for contextualization of an entire study as well as individual interviews and focus groups. In addition, we provide two "sketch note" guides, one for study context and one for individual interviews or focus groups for use in the field. Our guides are congruent with many qualitative and mixed methodologies and ensure contextual information is collected, stored, and disseminated as an essential component of ethical, rigorous qualitative research.

  20. 25 CFR 169.7 - Field notes.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER RIGHTS-OF-WAY OVER INDIAN LANDS § 169.7 Field notes. Field notes of the survey shall appear along the line indicating the right-of-way on the maps, unless the maps would be too crowded thereby to be easily legible, in which event the field notes may be...

  1. Seventh-Graders' Self-Regulatory Note-Taking from Text: Perceptions, Preferences, and Practices

    ERIC Educational Resources Information Center

    Brown, Rachel

    2005-01-01

    Sixty-six students in a middle school in England were administered a questionnaire that tapped their metacognitive awareness of note-taking preferences and abilities. Students then were asked to provide a note-taking sample from a core history text so that their practices could be examined in relation to their claims. The results indicate that…

  2. Natural orifice translumenal endoscopic surgery (NOTES): emerging trends and specifications for a virtual simulator.

    PubMed

    Schwaitzberg, Steven D; Dorozhkin, Denis; Sankaranarayanan, Ganesh; Matthes, Kai; Jones, Daniel B; De, Suvranu

    2016-01-01

    A virtual translumenal endoscopic surgical trainer (VTEST) is being developed to accelerate the development of natural orifice translumenal endoscopic surgery (NOTES) procedures and devices in a safe and risk-free environment. For a rapidly developing field such as NOTES, a needs analysis must be conducted regularly to discover emerging research trends and areas of potential high impact for a virtual simulator. This paper presents a survey-based study which follows a similar study conducted by this group in 2011 (Sankaranarayanan et al. in Surg Endosc 27:1607-1616, 2013). A 32-point questionnaire was distributed at the 2012 Natural Orifice Surgery Consortium for Assessment and Research annual meeting. These data were subsequently augmented by an identical online survey, targeted at the members of the American Society for Gastrointestinal Endoscopy and the Society of American Gastrointestinal and Endoscopic Surgeons, and analyzed. Twenty-eight NOTES experts participated in the 2012 study. Cholecystectomy (CE) procedure remained the most commonly performed NOTES technique, with 18 positive responses (64%). In contrast to 2011, the popularity of the NOTES appendectomy (AE) was significantly lower, with only 2 (7%) instances (CE vs. AE, p < 0.001), while the number of peroral endoscopic myotomy (POEM, PE) cases had increased significantly, with 11 (39%) positive responses, respectively (PE vs. AE, p = 0.013). Strong preference toward hybrid rather than pure NOTES techniques (82 vs. 11%, p < 0.001) was also expressed. Other responses were similar to those in the 2011 study, with the VTEST™ utility in developing and testing new techniques and instruments ranked particularly high. Based on the results of this study, a decision was made to focus exclusively on the transvaginal hybrid NOTES cholecystectomy procedure, including both rigid and flexible scope techniques. The importance of developing a virtual NOTES simulator was reaffirmed, with POEM identified as a promising candidate for future simulator development.

  3. Strategies and Perceptions of Students' Field Note-Taking Skills: Insights from a Geothermal Field Lesson

    ERIC Educational Resources Information Center

    Dohaney, Jacqueline; Brogt, Erik; Kennedy, Ben

    2015-01-01

    Field note-taking skills are fundamental in the geosciences but are rarely explicitly taught. In a mixed-method study of an introductory geothermal field lesson, we characterize the content and perceptions of students' note-taking skills to derive the strategies that students use in the field. We collected several data sets: observations of the…

  4. How Can We Help Our Students Be More Critical? Examining the Details in Questionnaire Studies

    ERIC Educational Resources Information Center

    Hartley, James

    2017-01-01

    In this article, Hartley notes the difficulties of using questionnaires to assess the efficiency of new instructional methods and highlights nine issues that researchers must consider. Hartley continues the discussion about the use of questionnaires and suggests that psychology teachers can help improve the teaching of psychology by drawing…

  5. Evaluation of a user guidance reminder to improve the quality of electronic prescription messages.

    PubMed

    Dhavle, A A; Corley, S T; Rupp, M T; Ruiz, J; Smith, J; Gill, R; Sow, M

    2014-01-01

    Prescribers' inappropriate use of the free-text Notes field in new electronic prescriptions can create confusion and workflow disruptions at receiving pharmacies that often necessitates contact with prescribers for clarification. The inclusion of inappropriate patient direction (Sig) information in the Notes field is particularly problematic. We evaluated the effect of a targeted watermark, an embedded overlay, reminder statement in the Notes field of an EHR-based e-prescribing application on the incidence of inappropriate patient directions (Sig) in the Notes field. E-prescriptions issued by the same exact cohort of 97 prescribers were collected over three time periods: baseline, three months after implementation of the reminder, and 15 months post implementation. Three certified and experienced pharmacy technicians independently reviewed all e-prescriptions for inappropriate Sig-related information in the Notes field. A physician reviewer served as the final adjudicator for e-prescriptions where the three reviewers could not reach a consensus. ANOVA and post hoc Tukey HSD tests were performed on group comparisons where statistical significance was evaluated at p<0.05. The incidence of inappropriate Sig-related information in the Notes field decreased from a baseline of 2.8% to 1.8% three months post-implementation and remained stable after 15 months. In addition, prescribers' use of the Notes decreased by 22% after 3 months and had stabilized at 18.7% below baseline after 15 months. Insertion of a targeted watermark reminder statement in the Notes field of an e-prescribing application significantly reduced the incidence of inappropriate Sig-related information in Notes and decreased prescribers' use of this field.

  6. Quality of life in stroke survivors under the sixty years of age.

    PubMed

    Vidović, Mirjana; Sinanović, Osman; Smajlović, Dzevdet

    2007-08-01

    The objective of the study was to analyze the quality of life six months after stroke in survivors under sixty years of age, to determine which life activities was the most affected, as well as to correlate the neurological insufficiency and the quality of life. It monitored 200 stroke survivors under sixty years of age treated at the Department of Neurology, University Clinical Centre Tuzla. Average age was 51,83 years (+/-7,02). The ischemic stroke was diagnosed in 77,5% stroke survivors, cerebral hemorrhage in 15%, and subarachnoid hemorrhage in 7,5%. Five stroke survivors suffered hemiplegia (2,5%), 24 (12%) experienced moderate consequences and 143 (71,5%) had mild consequences. No neurological deficit had 28 (14%) stroke survivors. Six months after the onset of disease all stroke survivors have been followed-up and evaluated about quality of life by filling in a modified questionnaire: Questionnaire on Quality of Life after Stroke (2). The questionnaire contained 20 questions covering four fields of life: Working Ability, Home Activity, Family Relations and Leisure Activities. Six months after the onset of stroke a worse quality of life in comparison to the period before the disease was noted in 172 (86%) stroke survivors, the unchanged in 19 (9,5%) and better in 9 (4,5%). The most affected is the field "Leisure Activities", followed by "Family Relations", "Home Activity", and the least affected is "Work Ability". The neurological deficit significantly correlates to the "Home Activities" and "Leisure Activities".

  7. Social Work Field Training for the Community: A Student Self-Directed Approach in the Environmental Domain in Jordan

    PubMed Central

    Al-Makhamreh, Sahar; Alnabulsi, Hana; Asfour, Hana

    2016-01-01

    This article outlines innovative field training methods that foster the abilities of undergraduate social work students so that they are able to empower the local community and raise awareness of environmental issues. In this study, students were engaged in a local community assessment that sought to understand their views on environmental and community impacts of the Synchrotron-Light for Experimental Science and Applications in the Middle East (SESAME) Project on the lives of the host village's residents. A students' self-directed approach was applied for the fieldwork out of which interventions were developed ( Garrison, 1997). Quantitative data were gathered by eighteen students through a survey of 361 questionnaires targeting Allan society. In addition to students' field notes, pre and post focus groups were used to collect qualitative information. Study findings highlighted the effectiveness of students' self-directed projects in cultivating culturally competent practices; ensuring sustainable development; and providing evidence-based knowledge on social work practice involving environmental issues. PMID:27559202

  8. Social Work Field Training for the Community: A Student Self-Directed Approach in the Environmental Domain in Jordan.

    PubMed

    Al-Makhamreh, Sahar; Alnabulsi, Hana; Asfour, Hana

    2016-06-01

    This article outlines innovative field training methods that foster the abilities of undergraduate social work students so that they are able to empower the local community and raise awareness of environmental issues. In this study, students were engaged in a local community assessment that sought to understand their views on environmental and community impacts of the Synchrotron-Light for Experimental Science and Applications in the Middle East (SESAME) Project on the lives of the host village's residents. A students' self-directed approach was applied for the fieldwork out of which interventions were developed ( Garrison, 1997). Quantitative data were gathered by eighteen students through a survey of 361 questionnaires targeting Allan society. In addition to students' field notes, pre and post focus groups were used to collect qualitative information. Study findings highlighted the effectiveness of students' self-directed projects in cultivating culturally competent practices; ensuring sustainable development; and providing evidence-based knowledge on social work practice involving environmental issues.

  9. Bladder sensation measures and overactive bladder.

    PubMed

    Rapp, David E; Neil, Nancy J; Govier, Fred E; Kobashi, Kathleen C

    2009-09-01

    We performed a prospective multicomponent study to determine whether subjective and objective bladder sensation instruments may provide data on sensory dysfunction in patients with overactive bladder. We evaluated 70 prospectively enrolled patients with urodynamics and questionnaires on validated urgency (Urgency Perception Score), general overactive bladder (Urogenital Distress Inventory) and quality of life (Incontinence Impact Questionnaire). We first sought a correlation between sensory specific (Urgency Perception Score) and quality of life questionnaire scores. We then assessed a correlation between sensory questionnaire scores and urodynamic variables, exploring the hypothesis that certain urodynamic parameters may be bladder sensation measures. We evaluated 2 urodynamic derivatives (first sensation ratio and bladder urgency velocity) to increase sensory finding discrimination. We noted a moderate correlation between the Urgency Perception Score (0.56) and the Urogenital Distress Inventory (0.74) vs the Incontinence Impact Questionnaire (each p <0.01). A weak negative correlation was seen between Urgency Perception Score and bladder capacity (-0.25, p <0.05). No correlation was noted for the other urodynamics parameters. First sensation ratio and bladder urgency velocity statistically significantly correlated with the Urgency Perception Score despite the lesser or absent correlation associated with the individual components of these derivatives. Bladder sensation questionnaires may be valuable to identify patients with sensory dysfunction and provide additional data not obtained in generalized symptom questionnaires. Urodynamic variables correlated with bladder sensation questionnaire scores and may be an objective method to assess sensory dysfunction.

  10. The Implementation of Cumulative Learning Theory in Calculating Triangular Prism and Tube Volumes

    NASA Astrophysics Data System (ADS)

    Muklis, M.; Abidin, C.; Pamungkas, M. D.; Masriyah

    2018-01-01

    This study aims at describing the application of cumulative learning theory in calculating the volume of a triangular prism and a tube as well as revealing the students’ responses toward the learning. The research method used was descriptive qualitative with elementary school students as the subjects of the research. Data obtained through observation, field notes, questionnaire, tests, and interviews. The results from the application of cumulative learning theory obtained positive students’ responses in following the learning and students’ learning outcomes was dominantly above the average. This showed that cumulative learning could be used as a reference to be implemented in learning, so as to improve the students’ achievement.

  11. One-year prospective comparison of vaginal pessaries and surgery for pelvic organ prolapse using the validated ICIQ-VS and ICIQ-UI (SF) questionnaires.

    PubMed

    Lone, Farah; Thakar, Ranee; Sultan, Abdul H

    2015-09-01

    Vaginal pessaries, pelvic floor exercises and surgery are treatment options for women with symptomatic pelvic organ prolapse (POP). The aim of this study was to compare the outcomes of pessaries and surgery in women with symptomatic POP using the validated International Consultation on Incontinence Questionnaire-Vaginal Symptoms (ICIQ-VS) and Urinary Incontinence (ICIQ-UI) Short Form (SF). Women attending the Urogynecology clinics with symptomatic POP were recruited. All women were treated using either a vaginal pessary or surgery. Outcomes were evaluated and then compared at 1 year using the validated ICIQ-VS and ICIQ-UI (SF) questionnaires. A total of 287 women with symptomatic prolapse were recruited. 269 women completed the questionnaires at baseline and 183 at 1 year. At 1 year, improvement was noted in quality of life (QOL), frequency of urinary leak and vaginal symptoms in both groups except for the symptom of vaginal soreness in the pessary group and the symptom of a tight vagina in the surgery group. However, both these symptoms were not bothersome. Women who underwent surgery demonstrated an improvement in faecal evacuation and sex life. There was an overall statistically significant improvement in vaginal, sex, QOL and urinary symptom scores in both groups. No statistically significant difference was noted between the surgery and the pessary groups. Using validated questionnaires 1 year after treatment, women with symptomatic POP report improvement in vaginal, bowel, urinary and quality of life scores when treated with either pessary use or surgery. No statistically significant difference was noted in the two groups.

  12. Quality of life in healthy children and in children with tension headaches--a comparative analysis.

    PubMed

    Talarska, D

    2005-01-01

    The aim of this study was the assessment of the quality of life of children and adolescents with tension headaches in comparison with healthy peers. The study was conducted on 135 middle school and high school students in Poznań and on 86 children with tension headaches, that were treated in the out-patient clinic of The Chair and Clinic of Development Age Neurology of Karol Marcinkowski University of Medical Sciences in Poznań. The research tool for both groups was Pediatric Quality of Life Inventory, version 4.0 (PedsQL 4.0) questionnaire. In the analysed groups dominated 14- and 16-year-old children. Among children with tension headaches, the ailments usually appeared once or twice a week in 39 (45%) of them. With the use of the PedsQL 4.0 questionnaire the following fields of activity were analyzed: biological, emotional, social functioning and mood. The biggest discrepancies between the group of healthy children and those with headaches were noted in the field of emotional functioning and mood. Adolescents with tension headaches more frequently reported the feeling of fear and sleep disorders in comparison to healthy students. Children with headaches look at the future in a more pessimistic way and are less satisfied with their lives.

  13. 43 CFR 3861.1-3 - Plats and field notes of mineral surveys.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Plats and field notes of mineral surveys...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MINERAL PATENT APPLICATIONS Surveys and Plats § 3861.1-3 Plats and field notes of mineral surveys. When the patent is issued...

  14. 43 CFR 3861.1-3 - Plats and field notes of mineral surveys.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Plats and field notes of mineral surveys...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MINERAL PATENT APPLICATIONS Surveys and Plats § 3861.1-3 Plats and field notes of mineral surveys. When the patent is issued...

  15. 43 CFR 3861.1-3 - Plats and field notes of mineral surveys.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Plats and field notes of mineral surveys...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MINERAL PATENT APPLICATIONS Surveys and Plats § 3861.1-3 Plats and field notes of mineral surveys. When the patent is issued...

  16. 43 CFR 3861.1-3 - Plats and field notes of mineral surveys.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Plats and field notes of mineral surveys...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MINERAL PATENT APPLICATIONS Surveys and Plats § 3861.1-3 Plats and field notes of mineral surveys. When the patent is issued...

  17. Memory Self-Efficacy and Strategy Use in Successful Elders.

    ERIC Educational Resources Information Center

    McDougall, Graham J.

    1995-01-01

    The Metamemory in Adulthood Questionnaire, Memory Self-Efficacy Questionnaire, and measures of depression and health status were completed by 169 adults over 55 in Texas and Louisiana. External memory strategies (lists, notes) were used more often than internal (elaboration, rehearsal). Memory efficacy decreased significantly with age, and anxiety…

  18. [Survey on public health nursing education-in the comparison of nursing education courses, universities, advanced courses for public health nurse with junior nursing colleges, and public health nursing school].

    PubMed

    Hirano, Kayoko; Ikeda, Nobuko; Kanagawa, Katuko; Shiomi, Sigeki; Suzuki, Akira; Hirayama, Tomoko; Furuya, Akie; Ymazaki, Kyoko; Yasumura, Seiji

    2005-08-01

    Changes in public health nursing education have been consideration. Theses changes include a dramatic increase in the number of public health nurses (PHNs) who have enrolled for nursing courses at university. This study was conducted to assess the current status and future of public health nursing education as perceived by teachers and students at three types of schools: universities offering nursing courses, advanced courses for PHNs with junior nursing colleges, and public health nursing schools. Questionnaires were distributed to teachers and students by mail. The questions that were sent to teachers asked which subjects were required to become a certified PHN, which lecture methods were employed to teach public health-particularly community health assessment methods, and what was the level of awareness of the activities of PHNs. Students were asked about their motivation to be a PHN, their understanding of public health, their views of public health activities and their images of PHNs. Responses were analyzed and differences between questionnaires from different schools were noted. These included the number of subjects and the total number of hours spent doing practical training and field experience in universities and the other types of schools, and the number of teachers. Differences also were noted among students at three types of schools about their age, methods of public health activities, knowledge about activities undertaken by PHNs, and their images of PHNs. No differences were observed among the schools with respect to the students' conceptual understanding of public health. Student age, practical training and field experience were found to contribute to their level of understanding of public health and public health nursing. It is thus necessary to consider the teaching methods employed by universities that administer nursing courses and the effectiveness of courses offered by graduate schools.

  19. Construct validity and factor structure of the pittsburgh sleep quality index and epworth sleepiness scale in a multi-national study of African, South East Asian and South American college students.

    PubMed

    Gelaye, Bizu; Lohsoonthorn, Vitool; Lertmeharit, Somrat; Pensuksan, Wipawan C; Sanchez, Sixto E; Lemma, Seblewengel; Berhane, Yemane; Zhu, Xiaotong; Vélez, Juan Carlos; Barbosa, Clarita; Anderade, Asterio; Tadesse, Mahlet G; Williams, Michelle A

    2014-01-01

    The Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS) are questionnaires used to assess sleep quality and excessive daytime sleepiness in clinical and population-based studies. The present study aimed to evaluate the construct validity and factor structure of the PSQI and ESS questionnaires among young adults in four countries (Chile, Ethiopia, Peru and Thailand). A cross-sectional study was conducted among 8,481 undergraduate students. Students were invited to complete a self-administered questionnaire that collected information about lifestyle, demographic, and sleep characteristics. In each country, the construct validity and factorial structures of PSQI and ESS questionnaires were tested through exploratory and confirmatory factor analyses (EFA and CFA). The largest component-total correlation coefficient for sleep quality as assessed using PSQI was noted in Chile (r = 0.71) while the smallest component-total correlation coefficient was noted for sleep medication use in Peru (r = 0.28). The largest component-total correlation coefficient for excessive daytime sleepiness as assessed using ESS was found for item 1 (sitting/reading) in Chile (r = 0.65) while the lowest item-total correlation was observed for item 6 (sitting and talking to someone) in Thailand (r = 0.35). Using both EFA and CFA a two-factor model was found for PSQI questionnaire in Chile, Ethiopia and Thailand while a three-factor model was found for Peru. For the ESS questionnaire, we noted two factors for all four countries. Overall, we documented cross-cultural comparability of sleep quality and excessive daytime sleepiness measures using the PSQI and ESS questionnaires among Asian, South American and African young adults. Although both the PSQI and ESS were originally developed as single-factor questionnaires, the results of our EFA and CFA revealed the multi- dimensionality of the scales suggesting limited usefulness of the global PSQI and ESS scores to assess sleep quality and excessive daytime sleepiness.

  20. [Family physicians attitude towards quality indicator program].

    PubMed

    Shani, Michal; Nakar, Sasson; Azuri, Yossi

    2012-10-01

    Quality indicator programs for primary care are implanted throughout the world improving quality in health care. In this study, we have assessed family physicians attitudes towards the quality indicators program in Israel. Questionnaires were distributed to family physicians in various continuing educational programs. The questionnaire addressed demographics, whether the physician dealt with quality indicators, time devoted by the physician to quality indicators, pressure placed on the physician related to quality indicators, and the working environment. A total of 140 questionnaires were distributed and 91 (65%) were completed. The average physician age was 49 years (range 33-65 years]; the average working experience as a family physician was 17.8 years (range 0.5-42); 58 physicians were family medicine specialist (65.9%). Quality indicators were part of the routine work of 94% of the physicians; 72% of the physicians noted the importance of quality indicators; 84% of the physicians noted that quality indicators demand better team work; 76% of the physicians noted that quality indicators have reduced their professional independence. Pressure to deal with quality indicators was noted by 72% of the family physicians. Pressure to deal with quality indicators was related to reduced loyalty to their employer (P = 0.001), reducing their interest to practice family medicine (p < 0.001), and increasing their burnout at work (p = 0.001). It is important that policy makers find the way to leverage the advantages of quality indicator programs, without creating a heavy burden on the work of family physicians.

  1. Data for free--can an electronic medical record provide outcome data for incontinence/prolapse repair procedures?

    PubMed

    Steidl, Matthew; Zimmern, Philippe

    2013-01-01

    We determined whether a custom computer program can improve the extraction and accuracy of key outcome measures from progress notes in an electronic medical record compared to a traditional data recording system for incontinence and prolapse repair procedures. Following institutional review board approval, progress notes were exported from the Epic electronic medical record system for outcome measure extraction by a custom computer program. The extracted data (D1) were compared against a manually maintained outcome measures database (D2). This work took place in 2 phases. During the first phase, volatile data such as questionnaires and standardized physical examination findings using the POP-Q (pelvic organ prolapse quantification) system were extracted from existing progress notes. The second phase used a progress note template incorporating key outcome measures to evaluate improvement in data accuracy and extraction rates. Phase 1 compared 6,625 individual outcome measures from 316 patients in D2 to 3,534 outcome measures extracted from progress notes in D1, resulting in an extraction rate of 53.3%. A subset of 3,763 outcome measures from D1 was created by excluding data that did not exist in the extraction, yielding an accuracy rate of 93.9%. With the use of the template in phase 2, the extraction rate improved to 91.9% (273 of 297) and the accuracy rate improved to 100% (273 of 273). In the field of incontinence and prolapse, the disciplined use of an electronic medical record template containing a preestablished set of key outcome measures can provide the ideal interface between required documentation and clinical research. Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  2. Psychological changes in hundred-day remote Antarctic field groups

    NASA Technical Reports Server (NTRS)

    Wood, J.; Lugg, D. J.; Hysong, S. J.; Harm, D. L.

    1999-01-01

    Psychological adaptation to extreme environments has been examined from several perspectives. In this study, two Australian teams, each consisting of six male crew members, completed computer-administered questionnaires twice weekly during 100-day traverses around the Lambert Glacier Basin, Antarctica. Only small trends were noted when data were aggregated at the group level, which is consistent with the findings of others. Data were then analyzed using pooled time-series regression. These analyses incorporated personality characteristics, environmental factors, and interpersonal factors as predictors of Group Tensions, Personal Morale, Emotional State, Cognitive Readiness, and the Team's Work Life. Most of the psychological discomfort and problems that occurred appeared to be within the individual or between individuals. They did not affect all members of the group equally.

  3. Assessing the Internal Consistency of the Self-Image Questionnaire for Young Adolescents (SIQYA): A Nigerian Investigation.

    ERIC Educational Resources Information Center

    Adegoke, Alfred A.

    Noting the lack of self-concept research in nonwestern cultures and the need to determine if a western measure of self-image is embedded in the same network of constructs in another culture, this study examined the appropriateness of using the Self Image Questionnaire for Young Adolescents (SIQYA) with Nigerian students. Participating in the study…

  4. Field Note--From MSW to J-O-B: Using Field Seminar to Prepare Students for Employment

    ERIC Educational Resources Information Center

    Deck, Stacy M.; Miller, Justin Jay; Conley, Cynthia L.

    2017-01-01

    Social work field education is expected to help students transition from the classroom to the practice setting. Yet, few social work programs adequately provide career development support to increase students' employability. This Field Note presents practical, relevant and immediate strategies for implementing the MSW to J-O-B curriculum…

  5. Experience affects immediate early gene expression in response to conspecific call notes in black-capped chickadees (Poecile atricapillus).

    PubMed

    Hahn, Allison H; Guillette, Lauren M; Lee, Daniel; McMillan, Neil; Hoang, John; Sturdy, Christopher B

    2015-01-01

    Black-capped chickadees (Poecile atricapillus) produce numerous vocalizations, including the acoustically complex chick-a-dee call that is composed of A, B, C, and D notes. D notes are longer in duration and lower in frequency than the other note types and contain information regarding flock and species identification. Adult wild-caught black-capped chickadees have been shown to have similar amounts of immediate early gene (IEG) expression following playback of vocalizations with harmonic-like acoustic structure, similar to D notes. Here we examined how different environmental experiences affect IEG response to conspecific D notes. We hand-reared black-capped chickadees under three conditions: (1) with adult conspecifics, (2) with adult heterospecific mountain chickadees, and (3) without adults. We presented all hand-reared birds and a control group of field-reared black-capped chickadees, with conspecific D notes and quantified IEG expression in the caudomedial mesopallium (CMM) and caudomedial nidopallium (NCM). We found that field-reared birds that heard normal D notes had a similar neural response as a group of field-reared birds that heard playback of reversed D notes. Field-reared birds that heard normal D notes also had a similar neural response as birds reared with adult conspecifics. Birds reared without adults had a significantly reduced IEG response, whereas the IEG expression in birds reared with heterospecifics was at intermediate levels between birds reared with conspecifics and birds reared without adults. Although acoustic characteristics have been shown to drive IEG expression, our results demonstrate that experience with adults or normal adult vocalizations is also an important factor. Copyright © 2015 Elsevier B.V. All rights reserved.

  6. Field Botany and Creative Writing: Where the Science of Writing Meets the Writing of Science

    ERIC Educational Resources Information Center

    Killingbeck, Keith

    2006-01-01

    Merging science and writing to enhance both subjects was the objective of a venture known as "Plant Notes." At first, teacher-written notes served as the inspiration for this writing assignment. Later, eclectic student-written novellas, poems, song lyrics, mnemonic devices, and field trip recollections made their way into "Plant Notes" and stole…

  7. Publications - GMC 396 | Alaska Division of Geological & Geophysical

    Science.gov Websites

    DGGS GMC 396 Publication Details Title: Drill records, logs, reports, field notes, and cross sections Bibliographic Reference Andover Ventures, Inc., 2011, Drill records, logs, reports, field notes, and cross

  8. Fifteen years experience of penile prosthesis insertion.

    PubMed

    Burns-Cox, N; Burston, A; Gingell, J C

    1997-12-01

    To review the outcome and patient satisfaction of penile prosthesis insertion over a 15 y period. We reviewed the notes of 172 patients who underwent penile prosthesis insertion between January 1980 and May 1995. From the notes information was determined on age of the patient, type of prosthesis, surgical approach and length of stay. Also noted were risk factors for erectile dysfunction and the aetiology. Twenty patients were known to have died or moved away. To assess the impact the operation had on quality of life, 152 questionnaires were sent of which 103 were returned (67%). The questionnaire gained information about sexual activity, before and after the operation and the overall satisfaction of the patient and his partner and whether they felt the operation was a success. Overall 149 patients were known to have had malleable prostheses inserted and 23 had inflatables. The commonest organic groups were vascular disease, diabetes and Peyronies disease. Fifteen patients had two procedures. Four patients required revision of the prosthesis due to erosion, and there was one death due to pulmonary embolism. One hundred and three completed questionnaires have been returned to date the median time since operation was 4 y, the range being six months to 16 y and 78% thought the operation was a success. The insertion of malleable prostheses is associated with low complication rates, good patient satisfaction and improved quality of life for the couple. Concealment was not a major problem.

  9. Front-Row Seat at the IPY: The Field Notes Electronic Newsletter

    NASA Astrophysics Data System (ADS)

    Rithner, P. K.; Zager, S. D.; Garcia-Lavigne, D. N.

    2007-12-01

    As employees of Polar Field Services/VPR, the arctic logistics provider to the US National Science Foundation, we bear witness to the exploration, documentation, and celebration of the International Polar Year (IPY). Our front- row vantage point (logisticians working with field scientists) offers us a rare opportunity to report on developments at the frontiers of polar research and to describe how scientists work in the Arctic. Our reporting mechanism is field notes, a weekly (summer) to monthly (winter) electronic digest of information about the IPY research we support. Each issue showcases a short "cover" piece highlighting science projects or profiling arctic program participants. In addition, field notes offers news updates, short interviews, and blog-style dispatches contributed by researchers and support personnel. Wherever possible, we include URLs so readers may find more information via the Web: we link to an online database of projects we maintain for the NSF, to university Web sites, project blogs, and so on. We aim to inform the interested layperson about the myriad of activity in the IPY. We like to show that arctic science is interesting, relevant--and a great adventure. We've found field notes to be an excellent outreach venue. By no means a slick media outlet, field notes is published "on the side" by a small but dedicated group of employees who are endlessly fascinated by, and who enjoy an engaging perspective on, contemporary arctic research. Newsletter

  10. AIDS Knowledge and Attitudes, Provisional Data from the National Health Interview Survey: United States, August 1987. Advance Data from Vital and Health Statistics. No. 146.

    ERIC Educational Resources Information Center

    Dawson, Deborah A.; And Others

    This document presents provisional data for all Acquired Immune Deficiency Syndrome (AIDS) questionnaire items from the National Health Interview Survey (NHIS) for August 1987. It notes that the AIDS questionnaire was designed to provide baseline estimates of public knowledge and attitudes about AIDS transmission, the prevention of AIDS virus…

  11. Proposal for a new self-compiled questionnaire in patients affected by temporo-mandibular joint disorders (TMD).

    PubMed

    Agrillo, A; Ramieri, V; Bianca, C; Nastro Siniscalchi, E; Fatone, F M G; Arangio, P

    2010-07-01

    In this work, we propose a self-compiled questionnaire, for those patients showing dysfunctions of the temporomandibular joint. The questionnaire, composed by 33 closed multiple-choice questions, represents one of the steps in the diagnostic procedure, together with the clinical notes compiled by the medical specialist and with the other necessary diagnostic researches. It also has the purpose to make easier anamnesis and clinic procedure and gathering of all informations useful for a right clinical diagnosis, and so for an appropriate therapy.

  12. HELPing older people with very severe chronic obstructive pulmonary disease (HELP-COPD): mixed-method feasibility pilot randomised controlled trial of a novel intervention.

    PubMed

    Buckingham, Susan; Kendall, Marilyn; Ferguson, Susie; MacNee, William; Sheikh, Aziz; White, Patrick; Worth, Allison; Boyd, Kirsty; Murray, Scott A; Pinnock, Hilary

    2015-04-16

    Extending palliative care to those with advanced non-malignant disease is advocated, but the implications in specific conditions are poorly understood. We piloted a novel nurse-led intervention, HELPing older people with very severe chronic obstructive pulmonary disease (HELP-COPD), undertaken 4 weeks after discharge from hospital, which sought to identify and address the holistic care needs of people with severe COPD. This 6-month mixed-method feasibility pilot trial randomised (ratio 3:1) patients to HELP-COPD or usual care. We assessed the feasibility of using validated questionnaires as outcome measures and analysed the needs/actions recorded in the HELP-COPD records. Semi-structured interviews with a purposive sample of patients, carers and professionals explored the perceptions of HELP-COPD. Verbatim transcriptions and field notes were analysed using Normalisation Process Theory as a framework. We randomised 32 patients (24 to HELP-COPD); 19 completed the study (death=3, ill-health=4, declined=6). The HELP-COPD record noted a mean of 1.6 actions/assessment, mostly provision of information or self-help actions: only five referrals were made. Most patients were positive about HELP-COPD, discussing their concerns and coping strategies in all domains, but the questionnaires were burdensome for some patients. Adaptation to their slowly progressive disability and a strong preference to rely on family support was reflected in limited acceptance of formal services. Professionals perceived HELP-COPD as addressing an important aspect of care, although timing overlapped with discharge planning. The HELP-COPD intervention was well received by patients and the concept resonated with professionals, although delivery post discharge overlapped with existing services. Integration of brief holistic care assessments in the routine primary care management of COPD may be more appropriate.

  13. Usability Evaluation of Electronic Health Record System around Clinical Notes Usage-An Ethnographic Study.

    PubMed

    Rizvi, Rubina F; Marquard, Jenna L; Hultman, Gretchen M; Adam, Terrence J; Harder, Kathleen A; Melton, Genevieve B

    2017-10-01

    Background A substantial gap exists between current Electronic Health Record (EHR) usability and potential optimal usability. One of the fundamental reasons for this discrepancy is poor incorporation of a User-Centered Design (UCD) approach during the Graphical User Interface (GUI) development process. Objective To evaluate usability strengths and weaknesses of two widely implemented EHR GUIs for critical clinical notes usage tasks. Methods Twelve Internal Medicine resident physicians interacting with one of the two EHR systems (System-1 at Location-A and System-2 at Location-B) were observed by two usability evaluators employing an ethnographic approach. User comments and observer findings were analyzed for two critical tasks: (1) clinical notes entry and (2) related information-seeking tasks. Data were analyzed from two standpoints: (1) usability references categorized by usability evaluators as positive, negative, or equivocal and (2) usability impact of each feature measured through a 7-point severity rating scale. Findings were also validated by user responses to a post observation questionnaire. Results For clinical notes entry, System-1 surpassed System-2 with more positive (26% vs. 12%) than negative (12% vs. 34%) usability references. Greatest impact features on EHR usability (severity score pertaining to each feature) for clinical notes entry were: autopopulation (6), screen options (5.5), communication (5), copy pasting (4.5), error prevention (4.5), edit ability (4), and dictation and transcription (3.5). Both systems performed equally well on information-seeking tasks and features with greatest impacts on EHR usability were navigation for notes (7) and others (e.g., looking for ancillary data; 5.5). Ethnographic observations were supported by follow-up questionnaire responses. Conclusion This study provides usability-specific insights to inform future, improved, EHR interface that is better aligned with UCD approach.

  14. Evaluation of audit of medical inpatient records in a district general hospital.

    PubMed Central

    Gabbay, J; Layton, A J

    1992-01-01

    OBJECTIVE--To evaluate an audit of medical inpatient records. DESIGN--Retrospective comparison of the quality of recording in inpatients' notes over three years (1988, 1989, 1990). SETTING--Central Middlesex Hospital. MATERIALS--Random sample of 188 notes per year drawn systematically from notes from four selected one month periods and audited by two audit nurses and most hospital physicians. MAIN MEASURES--General quality of routine clerking, assessment, clinical management, and discharge, according to a standardised, criterion based questionnaire developed in the hospital. RESULTS--1988 was the year preceding the start of audit in the hospital, 1989 the year of active audit with implicit and loosely defined criteria, and 1990 the year after introduction and circulation of explicit criteria for note keeping. There was a significant trend over the three years in 21/56 items of the questionnaire, including recording of alcohol intake (x2 = 8.4, df = 1, p = 0.01), ethnic origin (x2 = 57, df = 1, p = 0.001), allergies and drug reactions (x2 = 10, df = 1, p = 0.01) at admission and of chest x ray findings (x2 = 8, df = 1, p = 0.01), final diagnosis (x2 = 5.6, df = 1, p = 0.025), and signed entries (x2 = 11.3, df = 1, p = 0.001). Documentation of discharge and notification of discharge to general practitioners was not significantly improved. CONCLUSIONS--Extended audit of note keeping failed to sustain an initial improvement in practice; this may be due to coincidental decline in feedback to doctors about their performance. PMID:10136829

  15. Maintaining Research Documents with Database Management Software.

    ERIC Educational Resources Information Center

    Harrington, Stuart A.

    1999-01-01

    Discusses taking notes for research projects and organizing them into card files; reviews the literature on personal filing systems; introduces the basic process of database management; and offers a plan for managing research notes. Describes field groups and field definitions, data entry, and creating reports. (LRW)

  16. Testing and Evaluating C3I Systems That Employ AI. Volume 4. Published Articles

    DTIC Science & Technology

    1991-01-31

    development performance in an naming, design and actions The system ’ s & Sophisticated system organizational setting) evaluated in a classroom setting by...observing designed as an intelligent the system in use and administering training aid in r questionnaires . Observers videotape and tave classroom setting...notes to assess how both students and instructors use the system in an actual classroom setting. Questionnaires are administered to both students and

  17. Rocks and Rhymes!

    ERIC Educational Resources Information Center

    Jackson, Julie; Dickinson, Gail; Horton, Danielle

    2010-01-01

    Field-note poetry is the product of the authors' efforts to combine current research in learning and cognition with integrated geoscience and language arts activities. In this article, they present a fun and effective activity that teaches students how to record detailed field notes and sensory observations that become the framework and…

  18. Do GPs record the occupation of their patients?

    PubMed

    Richards-Taylor, A; Keay, J; Thorley, K

    2013-03-01

    General practitioners (GPs) have a central role in providing advice about fitness for work, yet there are concerns about their understanding of the relationship between work and health. To assess whether GPs in one Cornish practice record the occupation of patients of working age and to quantify how important GPs in Cornwall consider recording of occupation in working-age patients. An audit of the notes of 300 working-age patients in one practice, a search of the computer records at a different practice and a questionnaire survey of 202 GPs in practices in Cornwall. Occupation was recorded in 50 (17%) of the 300 patient notes audited. The questionnaire response rate was 31%. Few (8%) respondents reported training in occupational medicine. Most (65%) of GPs recorded their patients' occupation some of the time. A third (32%) of GPs did not consider it important to record patients' occupations. GPs in two Cornish practices recorded the occupation of working-age patients infrequently, but over two-thirds of GPs in Cornwall believe it is important to do so. If these results reflect the practice of UK GPs, the new 'e-fit note' may be of limited value in monitoring and analysing sickness absence.

  19. The Military Casualty with Combat Related Acute Post Traumatic Stress Disorder

    DTIC Science & Technology

    1984-05-01

    explored. A researcher designed "Combat Fatigue Questionnaire" was mailed to 600 USAF nurses selected randomly. Three hundred sixty one USAF nurses...psychiatry noted: "Exhaustion was selected because it best described the appearance of most psychia- tric casualties" (p. xvii). Ernie Pyle, a World War II...Haber & Runyon, PL 1977), 600 (13.3% of the total USAF nurse population) names were selected . The "Combat Fatigue Questionnaire" was mailed between

  20. Medical Content Searching, Retrieving, and Sharing Over the Internet: Lessons Learned From the mEducator Through a Scenario-Based Evaluation

    PubMed Central

    Spachos, Dimitris; Mylläri, Jarkko; Giordano, Daniela; Dafli, Eleni; Mitsopoulou, Evangelia; Schizas, Christos N; Pattichis, Constantinos; Nikolaidou, Maria

    2015-01-01

    Background The mEducator Best Practice Network (BPN) implemented and extended standards and reference models in e-learning to develop innovative frameworks as well as solutions that enable specialized state-of-the-art medical educational content to be discovered, retrieved, shared, and re-purposed across European Institutions, targeting medical students, doctors, educators and health care professionals. Scenario-based evaluation for usability testing, complemented with data from online questionnaires and field notes of users’ performance, was designed and utilized for the evaluation of these solutions. Objective The objective of this work is twofold: (1) to describe one instantiation of the mEducator BPN solutions (mEducator3.0 - “MEdical Education LINnked Arena” MELINA+) with a focus on the metadata schema used, as well as on other aspects of the system that pertain to usability and acceptance, and (2) to present evaluation results on the suitability of the proposed metadata schema for searching, retrieving, and sharing of medical content and with respect to the overall usability and acceptance of the system from the target users. Methods A comprehensive evaluation methodology framework was developed and applied to four case studies, which were conducted in four different countries (ie, Greece, Cyprus, Bulgaria and Romania), with a total of 126 participants. In these case studies, scenarios referring to creating, sharing, and retrieving medical educational content using mEducator3.0 were used. The data were collected through two online questionnaires, consisting of 36 closed-ended questions and two open-ended questions that referred to mEducator 3.0 and through the use of field notes during scenario-based evaluations. Results The main findings of the study showed that even though the informational needs of the mEducator target groups were addressed to a satisfactory extent and the metadata schema supported content creation, sharing, and retrieval from an end-user perspective, users faced difficulties in achieving a shared understanding of the meaning of some metadata fields and in correctly managing the intellectual property rights of repurposed content. Conclusions The results of this evaluation impact researchers, medical professionals, and designers interested in using similar systems for educational content sharing in medical and other domains. Recommendations on how to improve the search, retrieval, identification, and obtaining of medical resources are provided, by addressing issues of content description metadata, content description procedures, and intellectual property rights for re-purposed content. PMID:26453250

  1. The impact of genital warts: loss of quality of life and cost of treatment in eight sexual health clinics in the UK.

    PubMed

    Woodhall, S C; Jit, M; Soldan, K; Kinghorn, G; Gilson, R; Nathan, M; Ross, J D; Lacey, C J N

    2011-10-01

    To estimate the loss of quality of life and cost of treatment associated with genital warts seen in sexual health clinics. A cross-sectional questionnaire study and case note review of individuals with genital warts, carried out in eight sexual health clinics in England and Northern Ireland. Individuals with genital warts attending the participating clinics were invited to take part in the questionnaire study. 895 participants were recruited. A separate sample of 370 participants who had attended a participating clinic with a first visit for a first or recurrent episode of genital warts between April and June 2007 was included in the case note review. Quality of life was measured using the EQ-5D questionnaire and the cost of an episode of care was derived from the case note review. The weighted mean EQ-5D index score was 0.87 (95% CI 0.85 to 0.89). The weighted mean disutility was 0.056 (95% CI 0.038 to 0.074). The estimated mean loss of quality-adjusted life-years associated with an episode of genital warts was 0.018 (95% CI 0.0079 to 0.031), equivalent to 6.6 days of healthy life lost per episode. The weighted mean cost per episode of care was £94 (95% CI £84 to £104), not including the cost of a sexually transmitted infection screen. Genital warts have a substantial impact on the health service and the individual. This information can be utilised for economic evaluation of human papillomavirus vaccination.

  2. Student Perceptions of the Advantages and Disadvantages of Geologic Note-taking with iPads

    NASA Astrophysics Data System (ADS)

    Dohaney, J. A.; Kennedy, B.; Gravley, D. M.

    2015-12-01

    During fieldwork, students and professionals record information and hypotheses into their geologic notebook. In a pilot study, students on an upper-level volcanology field trip were given iPads, with an open-source geology note-taking application (GeoFieldBook) and volunteered to record notes at two sites (i.e., Tongariro Volcanic Complex and Orakei Korako) in New Zealand. A group of students (n=9) were interviewed several weeks after fieldwork to reflect on using this technology. We aimed to characterise their experiences, strategies and examine the perceived benefits and challenges of hardcopy and digital note-taking. Students reported having a diverse range of strategies when taking notes but the most common strategies mentioned were: a) looking for/describing the differences, b) supporting note-taking with sketches, c) writing everything down, and d) focusing first on structure, texture and then composition of an outcrop. Additionally, students said they that the strategies they used were context-dependent (i.e., bedrock mapping versus detailed outcrop descriptions). When using the iPad, students reported that they specifically used different strategies: varying the length of text (from more to less), increasing the number of sites described (i.e., preferring to describe sites in more spatial detail rather than summarising several features in close proximity), and taking advantage of the 'editability' of iPad notes (abandoning rigid, systematic approaches). Overall, the reported advantages to iPad note-taking included allowing the user to be more efficient, organised and using the GPS mapping function to help them make observations and interpretations in real-time. Students also reported a range of disadvantages, but focused predominantly on the inability to annotate/draw sketches with the iPad in the same manner as pen and paper methods. These differences likely encourage different overall approaches to note-taking and cognition in the field environment, and we suggest to instructors that using pen and paper note-taking first, and then introducing new technology may encourage both systematic and efficient evaluation of field areas.

  3. Women's Perception of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES): Results of a Survey of Female Medical Staff and Literature Review.

    PubMed

    Gerntke, Carina Isabel; Kersten, Jan Felix; Schön, Gerhard; Mann, Oliver; Stark, Michael; Benhidjeb, Tahar

    2016-04-01

    Over the past 8 years, natural orifice transluminal endoscopic surgery (NOTES) has developed from preclinical to routine clinical practice. However, there are still concerns regarding the transvaginal approach. In our survey, we were interested in females with a professional medical background, thus having at least a basic medical understanding, which might discriminate between objective and subjective concerns. A questionnaire with 14 items was distributed among 1895 female physicians and nursing and administration staff of the University Medical Center Hamburg-Eppendorf. In addition, a qualitative literature review was performed. Data analysis was carried out using statistical package R version 2.15.0. The questionnaire was answered anonymously by 553 employees (29%). Fifty-seven percent were nurses, 18.6% belonged to administration, and 17% were physicians. A total of 63.1% of our respondents would choose the transvaginal NOTES technique for an assumed ovariectomy, while only 30.4% would choose this access for cholecystectomy. Doubts regarding transvaginal NOTES were related to sexual dysfunction (44.8%), its experimental nature (43.8%), future pregnancies (36.8%), and ethical reasons (30.3%). The literature review showed that women's perception of the transvaginal access is documented very heterogeneously and therefore difficult to compare. Despite the good reported results of NOTES and the medical background of the surveyed female employees, our study and the literature review clearly shows that there are fears regarding the transvaginal access, which might be a result of limited information. More accurate explanation of the available methods by the attending surgeon can lead to a better choice of the patient's preferred method. © The Author(s) 2015.

  4. Using Guided Notes to Increase the Understanding of Anatomy and Physiology in 11th Grade Science Students

    NASA Astrophysics Data System (ADS)

    Mariano, Jay

    A survey of over 500 science teachers reported that two thirds of their science classes were lecture based lessons where students were required to listen and take notes (Boyle, 2010). In addition to taking notes from lectures, note taking is a necessary skill to possess to record scientific observations and procedures and record information during class. Guided notes is a pedagogical method in which the instructor prepares and provides students with a modified form of lecture information to guide students (Neef, McCord, & Ferreri, 2006). This study examined the extent to which the use of guided notes in a unit of study of the muscular system of anatomy and physiology positively affected the mastery on content-based assessments for 11 th grade students. The data collection methods included quiz and test scores, a 4-point Likert scale survey, and an open-ended questionnaire. Results of the data revealed that guided notes was one factor that led to mastery in learning content. Additionally, students in this study preferred this method as it helped them to distinguish relevant information allowing more time to listen and focus on the teacher.

  5. Nontobacco substance use, sexual abuse, HIV, and sexually transmitted infection among street children in Kolkata, India.

    PubMed

    Bal, Baishali; Mitra, Rupa; Mallick, Aiyel H; Chakraborti, Sekhar; Sarkar, Kamalesh

    2010-08-01

    A community-based cross-sectional study among 554 Kolkata city street children assessed nontobacco substance use and sexual abuses along with human immunodeficiency virus (HIV)/ sexually transmitted infections (STIs) during 2007, using conventional cluster sampling technique for "hard-to-reach population" with a field-tested questionnaire and the collection of a blood sample for HIV and syphilis serology testing as a composite indicator of STIs. The reported prevalence of nontobacco substance use was 30%; 9% reported having been sexually abused. Some factors (age, lack of contact with family, orphan children, night stay at public place, etc.) were documented to be associated with substance use and sexual abuses. Seroprevalence of HIV was found to be 1% and that of STIs was 4%. This 1% HIV seroprevalence in street children is a matter of concern. Community-based intervention is necessary for them. The study's limitations are noted.

  6. The field-space metric in spiral inflation and related models

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Erlich, Joshua; Olsen, Jackson; Wang, Zhen

    2016-09-22

    Multi-field inflation models include a variety of scenarios for how inflation proceeds and ends. Models with the same potential but different kinetic terms are common in the literature. We compare spiral inflation and Dante’s inferno-type models, which differ only in their field-space metric. We justify a single-field effective description in these models and relate the single-field description to a mass-matrix formalism. We note the effects of the nontrivial field-space metric on inflationary observables, and consequently on the viability of these models. We also note a duality between spiral inflation and Dante’s inferno models with different potentials.

  7. Some Further Notes on the OCDQ

    ERIC Educational Resources Information Center

    Hoy, Wayne K.

    1972-01-01

    A validity study of the OCD Questionnaire instrument for assessing organizational climate in the schools concludes that (1) the prototypic profile is not useful, and (2) subtests of the OCDQ tap and measure important aspects of the organizational climate of secondary schools. (Author)

  8. Ethnography for Teachers' Professional Development: Japanese Approach of Investigation on Classroom Activities

    ERIC Educational Resources Information Center

    Matoba, Masami; Sarkar Arani Mohammed Reza

    2006-01-01

    In this paper, we examine how journal and ethnography field notes in Jugyou Kenkyu (lesson study) help teachers to understand the diverse range of talents and abilities of their students. Especially, we focus on how ethnography field note and reflective papers (karate) help teachers to change their assumptions about student learning. The data…

  9. Assessment of three-dimensional high-definition visualization technology to perform microvascular anastomosis.

    PubMed

    Wong, Alex K; Davis, Gabrielle B; Nguyen, T JoAnna; Hui, Kenneth J W S; Hwang, Brian H; Chan, Linda S; Zhou, Zhao; Schooler, Wesley G; Chandrasekhar, Bala S; Urata, Mark M

    2014-07-01

    Traditional visualization techniques in microsurgery require strict positioning in order to maintain the field of visualization. However, static posturing over time may lead to musculoskeletal strain and injury. Three-dimensional high-definition (3DHD) visualization technology may be a useful adjunct to limiting static posturing and improving ergonomics in microsurgery. In this study, we aimed to investigate the benefits of using the 3DHD technology over traditional techniques. A total of 14 volunteers consisting of novice and experienced microsurgeons performed femoral anastomoses on male Sprague-Dawley retired breeder rats using traditional techniques as well as the 3DHD technology and compared the two techniques. Participants subsequently completed a questionnaire regarding their preference in terms of operational parameters, ergonomics, overall quality, and educational benefits. Efficiency was also evaluated by mean times to complete the anastomosis with each technique. A total of 27 anastomoses were performed, 14 of 14 using the traditional microscope and 13 of 14 using the 3DHD technology. Preference toward the traditional modality was noted with respect to the parameters of precision, field adjustments, zoom and focus, depth perception, and overall quality. The 3DHD technique was preferred for improved stamina and less back and eye strain. Participants believed that the 3DHD technique was the better method for learning microsurgery. Longer mean time of anastomosis completion was noted in participants utilizing the 3DHD technique. The 3DHD technology may prove to be valuable in improving proper ergonomics in microsurgery. In addition, it may be useful in medical education when applied to the learning of new microsurgical skills. More studies are warranted to determine its efficacy and safety in a clinical setting. Copyright © 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  10. Assessing Technical Training Needs.

    ERIC Educational Resources Information Center

    Schwaller, Anthony E.; Slipy, Dave

    1985-01-01

    Describes the results of a joint project of St. Cloud State University (Minnesota) and DeZURIK Corporation (a manufacturer and distributor of industrial valves) which developed and implemented a technical training needs questionnaire for use with the company's employees. Student involvement in the process is noted. (MBR)

  11. Welding Supplementary Units.

    ERIC Educational Resources Information Center

    Johnson, Don; And Others

    This document contains supplemental materials for special needs high school students intended to facilitate their mainstreaming in regular welding classes. Teacher's materials precede the materials for students and include general notes for the instructor, suggestions, eight references, a class progress chart, a questionnaire on the usefulness of…

  12. Air Conditioning and Refrigeration Supplementary Units.

    ERIC Educational Resources Information Center

    Winston, Del; And Others

    This document contains supplemental materials for special needs high school students intended to facilitate their mainstreaming in regular air conditioning and refrigeration courses. Teacher's materials precede the materials for students and include general notes for the instructor, additional suggestions, two references, a questionnaire on the…

  13. Auto Mechanics Supplementary Units.

    ERIC Educational Resources Information Center

    Donovan, Roger; Smith, Sam

    This document contains supplemental materials for special needs high school students intended to facilitate their mainstreaming in regular auto mechanics courses. Teacher's materials precede the materials for students and include general notes for the instructor, suggestions, 18 references, a class progress chart, a questionnaire on the usefulness…

  14. Computer-aided field editing in DHS: the Turkey experiment.

    PubMed

    1995-01-01

    A study comparing field editing using a Notebook computer, computer-aided field editing (CAFE), with that done manually in the standard manner, during the 1993 Demographic and Health Survey (DHS) in Turkey, demonstrated that there was less missing data and a lower mean number of errors for teams using CAFE. 6 of 13 teams used CAFE in the Turkey experiment; the computers were equipped with Integrated System for Survey Analysis (ISSA) software for editing the DHS questionnaires. The CAFE teams completed 2466 out of 8619 household questionnaires and 1886 out of 6649 individual questionnaires. The CAFE team editor entered data into the computer and marked any detected errors on the questionnaire; the errors were then corrected by the editor, in the field, based on other responses in the questionnaire, or on corrections made by the interviewer to which the questionnaire was returned. Errors in questionnaires edited manually are not identified until they are sent to the survey office for data processing, when it is too late to ask for clarification from respondents. There was one area where the error rate was higher for CAFE teams; the CAFE editors paid less attention to errors presented as warnings only.

  15. The impact of genital warts: loss of quality of life and cost of treatment in eight sexual health clinics in the UK

    PubMed Central

    Jit, M; Soldan, K; Kinghorn, G; Gilson, R; Nathan, M; Ross, J D; Lacey, C J N

    2011-01-01

    Objectives To estimate the loss of quality of life and cost of treatment associated with genital warts seen in sexual health clinics. Methods A cross-sectional questionnaire study and case note review of individuals with genital warts, carried out in eight sexual health clinics in England and Northern Ireland. Individuals with genital warts attending the participating clinics were invited to take part in the questionnaire study. 895 participants were recruited. A separate sample of 370 participants who had attended a participating clinic with a first visit for a first or recurrent episode of genital warts between April and June 2007 was included in the case note review. Quality of life was measured using the EQ-5D questionnaire and the cost of an episode of care was derived from the case note review. Results The weighted mean EQ-5D index score was 0.87 (95% CI 0.85 to 0.89). The weighted mean disutility was 0.056 (95% CI 0.038 to 0.074). The estimated mean loss of quality-adjusted life-years associated with an episode of genital warts was 0.018 (95% CI 0.0079 to 0.031), equivalent to 6.6 days of healthy life lost per episode. The weighted mean cost per episode of care was £94 (95% CI £84 to £104), not including the cost of a sexually transmitted infection screen. Conclusions Genital warts have a substantial impact on the health service and the individual. This information can be utilised for economic evaluation of human papillomavirus vaccination. PMID:21636616

  16. The Relationship between Instructional Alignment and the Ecology of Physical Education

    ERIC Educational Resources Information Center

    James, Alisa R.; Griffin, Linda L.; Dodds, Patt

    2008-01-01

    The purpose of the study was to examine the ecologies of two teachers and the extent that each teacher's agenda aligned with instructional activities and assessments for each unit of instruction. Data were collected in four ways: (1) videotaped record of each lesson, (2) live observation field notes and expanded field notes from the videotape, (3)…

  17. The Poincaré-Hopf Theorem for line fields revisited

    NASA Astrophysics Data System (ADS)

    Crowley, Diarmuid; Grant, Mark

    2017-07-01

    A Poincaré-Hopf Theorem for line fields with point singularities on orientable surfaces can be found in Hopf's 1956 Lecture Notes on Differential Geometry. In 1955 Markus presented such a theorem in all dimensions, but Markus' statement only holds in even dimensions 2 k ≥ 4. In 1984 Jänich presented a Poincaré-Hopf theorem for line fields with more complicated singularities and focussed on the complexities arising in the generalized setting. In this expository note we review the Poincaré-Hopf Theorem for line fields with point singularities, presenting a careful proof which is valid in all dimensions.

  18. Assessment of Parental and Adolescent Verbal Interactions.

    ERIC Educational Resources Information Center

    Anderson, Rhydonia H.; And Others

    Verbal interactions between adolescents and their parents may affect adolescents' self-esteem and self-concept. The current development of an instrument, the Verbal Interaction Questionnaire (VIQ), was designed to measure adolescents' perceptions of their parents verbal interactions with them. Noting that the relationship between adolescents'…

  19. How Adolescents Counterargue Television Beer Advertisements: Implications for Education Efforts.

    ERIC Educational Resources Information Center

    Slater, Michael D.; Rouner, Donna; Domenech-Rodriguez, Melanie; Beauvais, Frederick; Murphy, Kevin; Estes, Emily

    1998-01-01

    Examined types of counterarguments generated by Anglo and Latino adolescents exposed to television beer ads, noting counterargument differences based on demographic and behavioral variables. Questionnaires and comments from the students indicated that without any cues, they responded with counterarguments, though counterarguments represented only…

  20. Science Education Notes.

    ERIC Educational Resources Information Center

    School Science Review, 1979

    1979-01-01

    Included is information regarding: the adaptation of microcomputer materials in physics curricula; a school-industry liaison case study involving basic electronics for teachers; the use of language in science lessons; problems in teaching image-synthesis skills; and tabulated results of a questionnaire concerning a ten-year span of organic…

  1. Implementation and Student Assessment of Intranet-Based Learning Resources.

    ERIC Educational Resources Information Center

    Sosabowski, Michael H.; Herson, Katie; Lloyd, Andrew W.

    1998-01-01

    The University of Brighton (England) pharmacy and biomedical sciences school developed an institutional intranet providing course information, Internet links, lecture notes, links to computer-assisted instructional packages, and worksheets. Electronic monitoring of usage and subsequent questionnaire-based evaluation showed the intranet to be a…

  2. Online Catalogs and Their Users.

    ERIC Educational Resources Information Center

    Broadus, Robert N.

    1983-01-01

    Review of research on online public access catalogs sponsored by Council on Library Resources notes the scope and method (questionnaires administered to catalog users and nonusers in 29 participating institutions) and findings and applications (including organizational setting and computer system, catalog use and satisfaction, and implications).…

  3. Effect of Developmental Binocular Vision Abnormalities on Visual Vertigo Symptoms and Treatment Outcome.

    PubMed

    Pavlou, Marousa; Acheson, James; Nicolaou, Despina; Fraser, Clare L; Bronstein, Adolfo M; Davies, Rosalyn A

    2015-10-01

    Customized vestibular rehabilitation incorporating optokinetic (OK) stimulation improves visual vertigo (VV) symptoms; however, the degree of improvement varies among individuals. Binocular vision abnormalities (misalignment of ocular axis, ie, strabismus) may be a potential risk factor. This study aimed to investigate the influence of binocular vision abnormalities on VV symptoms and treatment outcome. Sixty subjects with refractory peripheral vestibular symptoms underwent an orthoptic assessment after being recruited for participation in an 8-week customized program incorporating OK training via a full-field visual environment rotator or video display, supervised or unsupervised. Treatment response was assessed at baseline and at 8 weeks with dynamic posturography, Functional Gait Assessment (FGA), and questionnaires for symptoms, symptom triggers, and psychological state. As no significant effect of OK training type was noted for any variables, data were combined and new groups identified on the basis of the absence or presence of a binocular vision abnormality. A total of 34 among 60 subjects consented to the orthoptic assessment, of whom 8 of the 34 had binocular vision abnormalities and 30 of the 34 subjects completed both the binocular function assessment and vestibular rehabilitation program. No significant between-group differences were noted at baseline. The only significant between-group difference was observed for pre-/post-VV symptom change (P = 0.01), with significant improvements noted only for the group without binocular vision abnormalities (P < 0.0005). Common vestibular symptoms, posturography, and the FGA improved significantly for both groups (P < 0.05). Binocular vision abnormalities may affect VV symptom improvement. These findings may have important implications for the management of subjects with refractory vestibular symptoms.Video Abstract available for insights from the authors regarding clinical implication of the study findings (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A115).

  4. Hey girlfriend: an evaluation of AIDS prevention among women in the sex industry.

    PubMed

    Dorfman, L E; Derish, P A; Cohen, J B

    1992-01-01

    Increasingly, acquired immunodeficiency syndrome (AIDS) prevention programs have been developed to reach and influence street-based populations. Standard methods of evaluation do not fit the conditions of such programs. This article describes a process and outcome evaluation of an AIDS prevention program for sex workers in which qualitative and quantitative methods were combined in order to mediate research problems endemic to street-based populations. Methods included epidemiological questionnaires, open-ended interviews with participants, and ethnographic field notes. Process evaluation findings show that field staff who were indigenous to the neighborhood and population readily gained access to the community of sex workers and simultaneously became role models for positive behavior change. Outcome findings show that sex workers do feel at risk for AIDS, but usually from clients rather than from husbands or boyfriends. Accordingly, they use condoms more frequently with clients than with steady partners. Increasing condom use among sex workers with their steady partners remains an important challenge for AIDS prevention. Combining qualitative and quantitative research data provided a more comprehensive assessment of how to reach sex workers with effective AIDS risk reduction messages than either method could have provided alone.

  5. The impact of integration of dental services on oral health in long-term care: qualitative analysis.

    PubMed

    Finkleman, Gary I; Lawrence, Herenia P; Glogauer, Michael

    2012-06-01

    To qualitatively analyse how integration of dental service in long-term care (LTC) impacts residents and their oral health. Few studies have attempted to merge inductive and deductive data to clarify the significance of the complex psychosocial environment in LTC facilities. Understanding the subjective oral health experience of LTC residents in their social setting is key to uncovering behavioural patterns that may be limiting the oral care provided to LTC residents. A cross-sectional study was performed involving 61 residents in three Ontario LTC facilities. Observations and reflective notes were recorded during open-ended interviews using a structured questionnaire to stimulate conversation topics. This ensured that each resident received the same prompting during the interview process. Inductive analysis was used to identify common patterns and themes within field notes and transcriptions. The major themes identified included oral hygiene, oral discomfort, general health, appearance, dental access, and denture related issues. Oral hygiene and discomfort were the dominating categories within the facilities. Two of the three LTC centres identified in this study failed to provide appropriate oral care for their residents. Future research needs to be directed at prospective studies assessing the effect of oral health education and mandatory dental examinations o entry within LTC centres utilising qualitative and quantitative analyses. © 2010 The Gerodontology Society and John Wiley & Sons A/S.

  6. OECD Review of Career Guidance Policies. Norway: Country Note.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France).

    Norway's career guidance system and policies were evaluated. The review team met with policymakers and guidance practitioners in the public and private sectors, analyzed data from a national questionnaire, and reviewed pertinent documentation. The evaluation focused on the following areas: splitting educational/vocational guidance from personal…

  7. An Unpublished Draft by Gabriele Veneziano (1973): ``Non-local Field Theory Suggested by Dual Models''

    NASA Astrophysics Data System (ADS)

    Veneziano, G.

    This article reports an old and incomplete note (written in 1973, mostly at the Weizmann Institute, Rehovot, Israel) about a non-local field theory suggested by dual resonance models, and largely inspired by Yukawa’s late work on bilocal fields. It has definite relations to the study of strings in a background (discussed by Ademollo et al.), and to Polyakov’s action for a string moving in a tachyonic background. It also suggests, for the first time, a modification of the uncertainty principle coming from the extended nature of strings. The original note is reported in this article using the slanted typographical style, for an immediate “visive” separation between the old, original text and the modern comments added by the author in the notes and in the final appendix.

  8. A note on a nonlinear equation arising in discussions of the steady fall of a resistive, viscous, isothermal fluid across a magnetic field

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Tautz, R. C., E-mail: robert.c.tautz@gmail.com; Lerche, I., E-mail: lercheian@yahoo.com

    2015-11-15

    This note considers the evolution of steady isothermal flow across a uniform magnetic field from an analytic standpoint. This problem is of concern in developments of magnetic fields in the solar corona and for prominence dynamics. Limiting behaviors are obtained to the nonlinear equation describing the flow depending on the value of a single parameter. For the situation where the viscous drag is a small correction to the inviscid flow limiting structures are also outlined. The purpose of the note is to show how one can evaluate some of the analytic properties of the highly nonlinear equation that are ofmore » use in considering the numerical evolution as done in Low and Egan [Phys. Plasmas 21, 062105 (2014)].« less

  9. Impact of an educational video as a consent tool on knowledge about cure research among patients and caregivers at HIV clinics in South Africa.

    PubMed

    Hendricks, Melany; Nair, Gonasagrie; Staunton, Ciara; Pather, Michael; Garrett, Nigel; Baadjies, Dianno; Kidd, Martin; Moodley, Keymanthri

    2018-04-01

    Despite increasing access to antiretroviral therapy in low- and middle-income countries, only 54% of eligible individuals were receiving treatment in Africa by 2015. Recent developments in HIV cure research have been encouraging. However, the complex science and procedures of cure research render the informed consent process challenging. This study evaluates the impact of a video tool on educating participants about HIV cure. A questionnaire assessing the content of the video was administered to adults recruited from two clinics in South Africa. Patients and their care partners, who provided voluntary informed consent, were included in the study. The questionnaire was administered in each participant's home language before, immediately after and at 3 months after viewing the video, in an uncontrolled quasi-experimental 'one group pre-test-post-test' design. Scoring was carried out according to a predetermined scoring grid, with a maximum score of 22. A total of 88 participants, median age 32.0 years and 86% female, were enrolled and completed the pre- and post-video questionnaires. Twenty-nine (33%) completed the follow-up questionnaire 3 months later to assess retention of knowledge. Sixty-three (72%) participants had a known HIV-positive status. A significant increase (10.1 vs 15.1, P =0.001) in knowledge about HIV and HIV cure immediately after viewing the video was noted. No statistically significant difference in knowledge between HIV-positive and -negative patients was noted at baseline. After 3 months, a decrease in performance participation (14 vs 13.5, P =0.19) was noted. However, knowledge scores achieved after 3 months remained significantly higher than scores at baseline (13.5 vs 9.5, P <0.01). This research showed that a video intervention improved participants' knowledge related to HIV, HIV cure research and ethics, and the improvement was sustained over 3 months. Video intervention may be a useful tool to add to the consent process when dealing with complex medical research questions.

  10. VIEW ALONG SEVENTEENTH STREET. NOTE THE MATURE SILK OAK TREES ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    VIEW ALONG SEVENTEENTH STREET. NOTE THE MATURE SILK OAK TREES LINING THE STREET, WHICH DO NOT PROVIDE A CANOPY VIEW FACING NORTHWEST. - Hickam Field, Hickam Historic Housing, Honolulu, Honolulu County, HI

  11. Key Strengths of an Innovative Volunteer Training Workshop

    ERIC Educational Resources Information Center

    Sellick, Angelika; Bournot-Trites, Monique; Reeder, Ken; Scales, Andrew; Smith, Mark; Zappa-Hollman, Sandra

    2011-01-01

    The study involved 14 volunteer facilitators, four UBC staff members, and the researcher as participant; the data collected were observation notes, questionnaires, results from focus groups, and interviews. The study revealed that the key strengths of the training workshop lay in its approach to training, its focus on confidence and capacity…

  12. Notes on Linguistics, 1998.

    ERIC Educational Resources Information Center

    Notes on Linguistics, 1998

    1998-01-01

    The four issues of the journal of language research and linguistic theory include these articles: "Notes on Determiners in Chamicuro" (Steve Parker); Lingualinks Field Manual Development" (Larry Hayashi); "Comments from an International Linguistics Consultant: Thumbnail Sketch" (Austin Hale); "Carlalinks…

  13. Micro-Editions of Unpublished Works

    ERIC Educational Resources Information Center

    Debregeas-Laurenie, Genevieve

    1977-01-01

    This article describes the micropublication program of Institut d'Ethnologie (Paris). The collection deals with ethnology, pre-history, and archeology. Material produced on microfiche includes notes from researchers' archives, rough field notes, and unique manuscripts. (Author/JAB)

  14. Cultural Resources Mitigation Along Ditch 19, Site 23DU227, Dunklin County, Missouri

    DTIC Science & Technology

    1984-06-01

    Graminae Grass family Ilex Holly Labiatae Mint family Leguminosae Pea family Liliaceae Lily family Polygonum Smartweed Rosaceae Rose family cf. Vitis Grape...previously, corn (Zea) and soybean crops have been rotated in the fields of this area. Leguminosae pollen, probably soybean pollen, was noted in the...control sample, although Zea pollen was not. Pollen samples from modern agricultural fields indicate that Leguminosae pollen is only rarely noted, if

  15. The role of handouts, note-taking and overhead transparencies in veterinary science lectures.

    PubMed

    McLennan, M W; Isaacs, G

    2002-10-01

    To study student and staff views of the role and use of handouts, note-taking and overhead transparencies in veterinary science lectures at the University of Queensland The Nominal Group Technique was used to help develop a questionnaire, which was completed by 351 students (a response rate of 84%) and 35 staff (76%) from the 5 years of the veterinary course. The data were analysed using the SAS statistical computer package. Staff and students held different views as to the frequency with which handouts should be used, their educational value, and whether they should be complete or partial. Fewer students than staff agreed that handouts discourage further reading in a subject. Almost all staff and students saw the central functions of note-taking to be provision of notes for subsequent revision and encoding information given by the lecturer. More students than staff however, considered that note-taking in lectures interferes with understanding. Staff and students held similar views as to the uses of overheads in lectures. Interestingly however, more staff than students agreed that overheads often contain too much information. Both students and staff saw the central role of note-taking as providing a set of good notes for revision. Generally students preferred that this information be provided in the form of partial or complete handouts, while staff preferred students to take notes and to read outside lectures. Surprisingly, more staff than students felt that overhead transparencies often contained too much information. Note-taking, handouts and overhead transparencies need to be linked in a coherent educational strategy to promote effective learning.

  16. Effects of Participation in a STEM Camp on STEM Attitudes and Anticipated Career Choices of Middle School Girls: A Mixed Methods Study

    NASA Astrophysics Data System (ADS)

    Kager, Elisabeth

    Middle school is a critical time for the development of girls' attitudes toward science, technology, engineering, and mathematics (STEM). Existing research has indicated declining positive attitudes toward these fields among girls throughout adolescence. This study investigated how, to what extent, and for whom participation in a summer STEM Camp at a Midwestern college in the United States affected the STEM attitudes and career aspirations of 23 female participants, ages 10-14 years. Using a concurrent triangulation design, the researcher collected pre- and post-questionnaire data (N = 20), interviewed participants (N = 9), read journal entries (N = 22), and wrote field notes. The researcher adapted the Fennema-Sherman Attitude Scales (FSAS) to measure five of the original nine attitude scales concerning STEM: Male Domain, Confidence, Usefulness, Success, and Motivation. In addition to these standardized, Likert-type scale questions, the questionnaire included demographic items to gauge participants' anticipated career choices and the level of STEM motivation (e.g., extracurricular activities and guardians' STEM involvement). The interview questions elicited information about the participants' Camp experiences and the Camp's influence on participants' attitudes and career aspirations. The journal prompts provoked participants to think about their perceptions of, and relationship with, science and mathematics as well as how supportive their parents and peers had been regarding these two fields. Participants' incoming STEM attitudes were positive. Accordingly, there was no statistically significant difference between pre- and post-scores of attitudes toward STEM. Nevertheless, qualitative results showed that the Camp did strengthen participants' positive attitudes through enthusiastic instructors, STEM-motivated peers, and hands-on activities that allowed for creative freedom. Participating in the STEM Camp challenged participants' prior career aspirations by introducing them to new STEM fields and careers to be considered. Meta-inference showed that participating in the Camp had a positive effect on the participants' attitude toward, motivation in, and awareness of STEM. The results suggest that camp instructors should collaboratively plan inquiry-based activities to maximize interrelatedness of STEM fields and to ensure cognitively challenging tasks for participants and that classroom teachers should adopt interactive, hands-on, and collaborative teaching strategies to boost the positive STEM attitudes of girls.

  17. Teaching for Scientific Literacy? An Examination of Instructional Practices in Secondary Schools in Barbados

    NASA Astrophysics Data System (ADS)

    Archer-Bradshaw, Ramona E.

    2017-02-01

    This study examined the extent to which the instructional practices of science teachers in Barbados are congruent with best practices for teaching for scientific literacy. Additionally, through observation of practice, it sought to determine the teachers' demonstrated role in the classroom, their demonstration of learning through discourse, learning goals and the nature of classroom activities. Five hundred nineteen students from 12 of the 23 secondary schools on the island and 15 teachers across 8 schools participated in the study. Data were collected by means of a questionnaire, an observational schedule and field notes. It was found that while problem-solving and questioning were mainly used in the classroom, the use of experiments was among the least popular teaching strategies. Additionally, results showed that teachers' display of the knowledge of the characteristics of scientific literacy was unsatisfactory. Generally, the findings indicate a gap between teaching for scientific literacy as expressed in the literature and current instructional practices in secondary science classrooms in Barbados.

  18. Enhancing the prospective biology teachers’ Pedagogical Content Knowledge (PCK) through a peer coaching based model

    NASA Astrophysics Data System (ADS)

    Anwar, Yenny

    2018-05-01

    This paper presents the results of implementation Peer Coaching Based Model that was implemented in development and Packaging Learning Tool program aimed at developing a Pedagogical Content Knowledge prospective teachers’ capabilities. Development and Packaging Learning Tool is a training program that applies various knowledge, attitude, and skill of students in order to form professional teacher. A need assessment was conducted to identify prospective teachers’ professional needs, especially PCK ability. Tests, questionnaires, interviews, field notes and video recordings were used in this research. The result indicated that the ability of Prospective teachers’ PCK has increased. This can be shown from the N-Gain that included in the medium category. This increase shows that there is integration of pedagogy and content; they have used varied strategies and can explain the reasons for its used. This means that the pattern belongs to the lower limit of the growing- PCK category. It is recommended to use peer coaching model during peer teaching.

  19. Hidden Costs of the Campus Security Force.

    ERIC Educational Resources Information Center

    Temple, Charles M.

    1981-01-01

    Information on the security operations of public four-year colleges and universities is examined, and the case of the University of Tennessee, Chattanooga (UTC), which saved $66,000 a year from the security unit's operational budget, is noted. Of 561 questionnaires sent to public institutions regarding the general operation of security units,…

  20. Learner-Centered Principles in Teacher-Centered Practices?

    ERIC Educational Resources Information Center

    Schuh, K.L.

    2004-01-01

    In the study reported here, I compare Learner-Centered Battery (a questionnaire of students' perceptions of the classroom) results and the observation and interview data gathered in one sixth-grade classroom noting first a discrepancy between the descriptions of the classroom that stems from each. I review this discrepancy, highlighting a need for…

  1. Individuality of Item Interpretation in Interchangeable ACL Scales

    ERIC Educational Resources Information Center

    Fiske, Donald W.; Barack, Leonard I.

    1976-01-01

    The diversity among interpretations of single items in personality questionnaires has been noted previously. Using adjectives from the Adjective Check List (ACL), the study sought evidence bearing on these questions: Does such diversity make the responses to an item not comparable across subjects? If so, what are the implications for scores based…

  2. Giano Intermediate School: The Parent Factor

    ERIC Educational Resources Information Center

    Rourke, James; Hartzman, Marlene

    2009-01-01

    On a Wednesday morning at Giano Intermediate School in West Covina, California, 25 mothers and fathers sit in rapt attention, many taking notes, as a school counselor outlines the morning's Parent Chat. The session is devoted to exploring how well the parents know their children. Parents complete a questionnaire that asks them to answer such…

  3. Courses in Media Ethics. A Spring 1977 Survey.

    ERIC Educational Resources Information Center

    Christians, Clifford G.

    A questionnaire regarding the teaching of media ethics courses was sent to communication program administrators in 1977. This paper reports the responses obtained from 237 programs (96% response rate). For the 27% of schools reporting specific courses in ethics, the paper notes the number and types of schools with ethics courses, the place of…

  4. [The instruments for subjective assessment of work-related stress].

    PubMed

    Conway, P M

    2009-01-01

    The instruments for subjective assessment of work-related stress are aimed to evaluate individual perceptions of aspects that are crucial in the causal process linking psychosocial exposure to harmful physical and psychological health effects. Subjective assessment is most commonly performed by means of self-administered questionnaires, non least for their ability to hold down financial and economic costs of both field studies and data analyses. A common problem is that, for the major part of these questionnaires, no Italian validated (or accept) versions exist. Among available questionnaires, those that have been applied to a higher number of subjects in Italy are the Job Content Questionnaire, the Effort/Reward Imbalance Questionnaire, the Occupational Stress Indicator and the Multidimensional Questionnaire of Organizational Health. In this contribution, the main characteristics of the above-mentioned instruments are depicted. Finally, important aspects relating to the usage of self-administered questionnaires are emphasized, mainly when field evaluations are undertaken in specific work contexts.

  5. Comparison of Long-term Differences in Dysphagia: Cervical Arthroplasty and Anterior Cervical Fusion.

    PubMed

    Smucker, Joseph D; Bassuener, Scott R; Sasso, Rick C; Riew, K Daniel

    2017-10-01

    Retrospective cohort study. This study investigates the incidence of long-term dysphagia in cervical disc arthroplasty, and anterior cervical discectomy and fusion (ACDF) patients. No long-term comparison of dysphagia between cervical arthroplasty and fusion patients has been published. Widely variable short-term postsurgical dysphagia rates have been reported. Cohorts for this study are patients with single-level cervical degenerative disc disease previously enrolled in a randomized clinical trial comparing cervical arthroplasty and ACDF. Subjective modified Bazaz Dysphagia Severity questionnaires were distributed to each patient at a minimum of 5 years postoperative for the long-term assessment. Dysphagia severity data were pooled to compare the rate of patients with dysphagia (grade>1) to asymptomatic (grade=1). In the arthroplasty cohort, 15 of 22 (68%) patients completed long-term swallowing questionnaires with no reports of dysphagia. Eighteen of 25 (72%) ACDF patients completed questionnaires, with 5 of 18 (28%) reporting dysphagia. This is a statistically significant difference (P=0.042) favoring lower rates of long-term dysphagia after cervical arthroplasty at an average interval of 7 years postoperative (range, 5.5-8.5 y). No significant difference between rates of self-reported short-term dysphagia was noted with 12% (3/25) and 9% (2/22) in the ACDF and arthroplasty groups, respectively (P=0.56). All short-term dysphagia cases in the arthroplasty cohort reported complete resolution of symptoms within 12 months postoperative. In the ACDF cohort, persistent symptoms at 7 years were noted in all responding patients. Three ACDF patients reported new late-onset, which was not noted in the arthroplasty cohort. To date, these findings represent the longest reported follow-up interval comparing rates of dysphagia between randomized cohorts of cervical arthroplasty and fusion patients. Our study suggests that cervical arthroplasty is less likely than ACDF to cause sustained long-term or late-presenting dysphagia.

  6. Tobacco industry tactics with advertisements at the point of sale in Mumbai.

    PubMed

    Patel, S; Rendell, H; Maudgal, S; Oswal, K

    2013-01-01

    The Cigarettes and Other Tobacco Products (Prohibition of Advertising and Regulations of Trade and Commerce, Production, Supply and Distribution) Act 2003 (COTPA) set out a number of stringent regulations to address tobacco promotion, some of which were revised in 2004. The aim of the study was to monitor the industry tactics at the point of sale with advertising and promotion of tobacco product in Mumbai. The study was carried out by Cancer Patients Aid Association in Mumbai with the help of volunteers. The surveys consisted of two parts, observational information and an interviewer administered questionnaire. Observations like size of board, display of advertisement, backlighting, and use of any promotion were noted. A questionnaire captured information about any incentives from tobacco companies for advertisement and promotion was administered to the vendors who agreed to participate. Study was approved by the Scientific and independent Ethics committee. Total 125 establishments (58 shops, 55 kiosks, 12 other sites) with display boards were surveyed across 5 wards in Mumbai. It was noted that the most common violation was the placements of boards, mainly placed above the shop. The display boards were oversized and few of the advertisements were highlighted with backlights. Out of 125 tobacco vendors surveyed, 107 (85.5%) vendors agreed to answer the questionnaire. We noted that a majority of 67% (84 vendors) stated that they had been approached by tobacco companies to place the signages during the past 5 years post COTPA came into effect. 79 vendors (65 %) admitted to being paid by the tobacco companies. Although the civil society and various non-governmental organizations has casted voice against the industry tactics but ineffective enforcement of the law is a major hurdle. It is likely that cigarette companies will be further able to overcome advertising restrictions by finding loopholes in tobacco legislation unless the decision makers ban it comprehensively as evident in other countries.

  7. INTERIOR VIEW OF BATHROOM 1. NOTE THE ORIGINAL MOSAIC PATTERN ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    INTERIOR VIEW OF BATHROOM 1. NOTE THE ORIGINAL MOSAIC PATTERN FLOOR TILE, ASBESTOS CEMENT WALL BOARD, AND OPEN TRANSOM OVER THE SHOWER DOORWAY. VIEW FACING WEST. - Hickam Field, Officers' Housing Type D, 111 Beard Avenue, Honolulu, Honolulu County, HI

  8. NORTHEAST SIDE, PARTIAL FRONT FACADE. NOTE: A MORE COMPLETE ELEVATION ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    NORTHEAST SIDE, PARTIAL FRONT FACADE. NOTE: A MORE COMPLETE ELEVATION WAS NOT POSSIBLE DUE TO VEGETATION, SEE OBLIQUE SHOTS 2 AND 5. VIEW FACING SOUTHWEST. - Hickam Field, Officers' Housing Type G, 205 Seventh Street, Honolulu, Honolulu County, HI

  9. INTERIOR VIEW OF BATHROOM 2. NOTE THE ORIGINAL MOSAIC PATTERN ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    INTERIOR VIEW OF BATHROOM 2. NOTE THE ORIGINAL MOSAIC PATTERN FLOOR TILE, EXPOSED-CORNER TUB, FLUSH VALVE TOILET, TILE WAINSCOT, AND CERAMIC ACCESSORIES. VIEW FACING NORTHEAST. - Hickam Field, Officers' Housing Type B, 704 Julian Avenue, Honolulu, Honolulu County, HI

  10. Evaluation of non-adherence in patients undergoing dialysis and kidney transplantation: United States transplantation practice patterns survey.

    PubMed

    Brar, A; Babakhani, A; Salifu, M O; Jindal, R M

    2014-06-01

    We performed a survey of United States transplantation centers to evaluate practice patterns in the assessment of nonadherence before and after kidney transplantation. An electronically administered, anonymous survey was sent to 181 United Network for Organ Sharing (UNOS) approved transplantation centers in 2012. Seventy-nine centers completed our survey. Of them, 51.3% had a protocol to evaluate medication/dialysis adherence before the listing; most common (36.4%) was the Simplified Medication Adherence Questionnaire. As an alternative to a questionnaire, the most common measure of nonadherence was the number of missed hemodialysis sessions (77.0%). The most common reason for poor adherence to dialysis regimens was difficulty with transportation (81.3%). Also, 94.4% noted the lack of a questionnaire to evaluate adherence to medications but relied on drug levels (73.4%) and self report. Only 12.9% used a questionnaire for the measurement of quality of life (Karnofsky performance scale). Of the participating centers, 27.1% used a formal cognitive testing for potential living donors. A social worker was used by most centers for nonadherent patients. Respondents indicated that patients (in the pretransplantation state) were more compliant with dialysis than with medication regimens. Finally, 37.7% of respondents noted graft failure due to medication nonadherence in 15% to 29% of their patients. There was a significant variability in the methods of screening for nonadherence while the patient was on dialysis, during pretransplantation work up, and during post-transplantation follow-up examinations. We recommend that there should be a standardized technique to evaluate nonadherence to facilitate focused clinical trials to improve adherence. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. Off-label prescribing to children: attitudes and experience of general practitioners

    PubMed Central

    Ekins-Daukes, Suzie; Helms, Peter J; Taylor, Michael W; McLay, James S

    2005-01-01

    Aim To identify experience with and attitudes towards paediatric off-label prescribing in primary care. Method A prospective questionnaire survey was sent to a sample of Scottish primary care practices (346 doctors in 80 general practices located throughout Scotland). Results Two hundred and two (58%) completed questionnaires were returned. Over 70% of GPs admitted to being familiar with the concept, and 40% to knowingly prescribing off-label. The most important sources of paediatric prescribing information were the British National Formulary (81%), personal experience (71%) and previous prescription notes (45%). The most common reason given by GPs for off-label prescribing was prescribing for a younger age than recommended, although prescribing data confirm that age is the least important and dose the most important reason for such prescribing. When asked to comment upon different causes for off-label prescribing, 80% of respondents expressed appropriate awareness of and concern for the described scenarios. Over 97% of GPs ranked development of paediatric formulations and clearer dosage information more highly than clinical trials as a means to reducing off-label prescribing. Conclusions Despite high levels of off-label prescribing in primary care in the UK, the majority of GPs claimed to be familiar with the concept, although less than half were aware of this common practice. A clear disparity between perceived and actual reasons for off-label prescribing was noted, possibly due to a reliance on personal experience, colleague experience or previous patient prescription notes as a guide to prescribing. PMID:16042667

  12. Evaluation of Safety and Patient Subjective Efficacy of Using Radiofrequency and Pulsed Magnetic Fields for the Treatment of Striae (Stretch Marks)

    PubMed Central

    Dover, Jeffrey S.; Rothaus, Kenneth

    2014-01-01

    Stretch marks are common skin disorders that are dermal scars with associated epidermal atrophy. They are of significant concern or psychological concern to many. This manuscript describes the use of multipolar radiofrequency with pulsed magnetic fields that was successfully used to diminish these lesions in 16 subjects undergoing a series of treatments. The improvements noted were statistically significant and no serious adverse events were noted. PMID:25276274

  13. Notes on Linguistics, 1999.

    ERIC Educational Resources Information Center

    Payne, David, Ed.

    1999-01-01

    The 1999 issues of "Notes on Linguistics," published quarterly, include the following articles, review articles, reviews, book notices, and reports: "A New Program for Doing Morphology: Hermit Crab"; "Lingualinks CD-ROM: Field Guide to Recording Language Data"; "'Unruly' Phonology: An Introduction to Optimality Theory"; "Borrowing vs. Code…

  14. Notes on Linguistics, Number 41-43, 1988.

    ERIC Educational Resources Information Center

    Notes on Linguistics, 1988

    1988-01-01

    This document consists of the three 1988 issues of the normally quarterly journal "Notes on Linguistics." These issues include the following significant articles: "The Role of the Field Linguist" (Bernard Comrie); "Relational Grammar: An Update Report" (Stephen A. Marlett); "Tone and Stress Analysis by…

  15. INTERIOR VIEW OF BATHROOM 1, SECOND FLOOR. NOTE THE ORIGINAL ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    INTERIOR VIEW OF BATHROOM 1, SECOND FLOOR. NOTE THE ORIGINAL MOSAIC PATTERN FLOOR TILE, TILE WAINSCOT, CERAMIC ACCESSORIES, AND SINGLE-PANEL DOOR TO LINEN CLOSET. VIEW FACING NORTHEAST. - Hickam Field, Officers' Housing Type K, 304 Sixth Street, Honolulu, Honolulu County, HI

  16. Effects of three types of lecture notes on medical student achievement.

    PubMed

    Russell, I J; Caris, T N; Harris, G D; Hendricson, W D

    1983-08-01

    Two parallel studies were conducted with junior medical students to determine what influence the forms of lecture notes would have on learning. The three types of notes given to the students were: a comprehensive manuscript of the lecture containing text, tables, and figures; a partial handout which included some illustrations but required substantial annotation by the students; and a skeleton outline containing no data from the lecture. The students' knowledge about the subject was measured before the lecture, immediately after the lecture, two to four weeks later, and approximately three months later. The students' responses to questionnaires indicated a strong preference for very detained handouts as essential to preparation for examinations. By contract, the students' performances on tests generally were better for those who had received the partial or skeleton handout formats. This was particularly true for information presented during the last quarter of each lecture, when learning efficiency of the skeleton handout group increased while the other two handout groups exhibited learning fatigue. It was concluded that learning by medical students was improved when they recorded notes in class.

  17. Recruitment and retention strategies for hospital laboratory personnel in urban and rural settings.

    PubMed

    Slagle, Derek R

    2013-01-01

    Laboratory directors and administrators play vital roles in the recruitment and retention processes of their employees. A total of 71 laboratory directors from hospitals across 51 counties in Tennessee responded to questionnaires regarding recruitment and retention strategies. Respondents reported strategies for recruitment and retention, which were agreed to be effective by management. Overall, these major strategies were consistent regardless of geographic location and limited differences were noted with regard to urban-rural locations. The findings that varied significantly between urban and rural locations included: 1) rural employees needed additional supervision; 2) rural hospitals relied on local residents more so than urban hospitals; 3) rural laboratory administrators noted more limited access to resources; and the 4) lower effectiveness of recruitment agencies and family relocation programs for rural hospitals. This is significant given the disparities often associated with rural areas, and the potential to develop more successful recruitment and retention strategies for those areas. Active managers in clinical laboratory science programs in the hospital setting should note effective strategies for both, recruitment and retention of personnel, and note the potential impact of geography on such processes.

  18. The influence of prior training on GPs' attitudes to sickness absence certification post-fit note.

    PubMed

    Money, Annemarie; Hann, Mark; Turner, Susan; Hussey, Louise; Agius, Raymond

    2015-09-01

    Aim To investigate the attitudes to health and work of general practitioners (GPs) with training in occupational medicine (OM) compared with non-OM trained GPs, since the introduction of the fit note. Changes to the UK sickness certification system since 2010 and the introduction of the fit note required GPs to change their focus to what patients can do, rather than what they cannot do in relation to work. In an effort to reduce the UK sickness absence burden, GPs completion of the fit note should help to keep people in work, or assist patients to return to work as quickly as possible after a period of absence. Questionnaire data were collected via the 7th National General Practitioner Worklife Survey. Findings Results indicate that responses from GPs who had undertaken training in OM, and GPs having received some form of work and health training in the 12-month period before the study were associated with significantly more positive attitudes to patients' returning to work and to the fit note. This study reveals evidence of a difference between trained and non-trained GPs in their attitude to the fit note, and to work and health generally. Further work investigating the effect of specific training in OM on the management and recognition of ill-health by GPs is recommended.

  19. NOTE: The feasibility of an infrared system for real-time visualization and mapping of ultrasound fields

    NASA Astrophysics Data System (ADS)

    Shaw, Adam; Nunn, John

    2010-06-01

    In treatment planning for ultrasound therapy, it is desirable to know the 3D structure of the ultrasound field. However, mapping an ultrasound field in 3D is very slow, with even a single planar raster scan taking typically several hours. Additionally, hydrophones that are used for field mapping are expensive and can be damaged in some therapy fields. So there is value in rapid methods which enable visualization and mapping of the ultrasound field in about 1 min. In this note we explore the feasibility of mapping the intensity distribution by measuring the temperature distribution produced in a thin sheet of absorbing material. A 0.2 mm thick acetate sheet forms a window in the wall of a water tank containing the transducer. The window is oriented at 45° to the beam axis, and the distance from the transducer to the window can be varied. The temperature distribution is measured with an infrared camera; thermal images of the inclined plane could be viewed in real time or images could be captured for later analysis and 3D field reconstruction. We conclude that infrared thermography can be used to gain qualitative information about ultrasound fields. Thermal images are easily visualized with good spatial and thermal resolutions (0.044 mm and 0.05 °C in our system). The focus and field structure such as side lobes can be identified in real time from the direct video output. 3D maps and image planes at arbitrary orientations to the beam axis can be obtained and reconstructed within a few minutes. In this note we are primarily interested in the technique for characterization of high intensity focused ultrasound (HIFU) fields, but other applications such as physiotherapy fields are also possible.

  20. Strategy-Based Development of Teacher Educators' ICT Competence through a Co-operative Staff Development Project

    ERIC Educational Resources Information Center

    Lavonen, Jari; Lattu, Matti; Juuti, Kalle; Meisalo, Veijo

    2006-01-01

    An ICT strategy and an implementation plan for teacher education were created in a co-operative process. Visions and expectations of staff members and students were registered by questionnaires and by making notes during sessions in which the strategy was created. Thereafter, an implementation document, where the staff development programme and…

  1. 77 FR 18207 - Drawn Stainless Steel Sinks From the People's Republic of China: Initiation of Antidumping Duty...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-27

    ... with the date and time of receipt by the deadline noted above. Comments on Product Characteristics for... physical characteristics of drawn stainless steel sinks to be reported in response to the Department's antidumping questionnaires. This information will be used to identify the key physical characteristics of the...

  2. Life-Stress Sources and Symptoms of Collegiate Student Athletic Trainers over the Course of an Academic Year.

    ERIC Educational Resources Information Center

    Stilger, Vincent G.; Etzel, Edward F.; Lantz, Christopher D.

    2001-01-01

    Examined the impact of life-stress sources encountered by college student athletic trainers over the academic year, noting sex differences in stress source symptoms. Data from student questionnaires indicated that stress levels fluctuated over the year, with academic and financial concerns the most common stressors. Females had higher stress…

  3. Dilemmas of Teaching Inquiry in Elementary Science Methods

    ERIC Educational Resources Information Center

    Newman, William J., Jr.; Abell, Sandra K.; Hubbard, Paula D.; McDonald, James; Otaala, Justine; Martini, Mariana

    2004-01-01

    Because various definitions of inquiry exist in the science education literature and in classroom practice, elementary science methods students and instructors face dilemmas during the study of inquiry. Using field notes, instructor anecdotal notes, student products, and course artifacts, science methods course instructors created fictional…

  4. Four New Course Competencies for Majors.

    ERIC Educational Resources Information Center

    Van Leuven, Jim

    1999-01-01

    Notes changes in the past decade in the field of public relations. Proposes four new required core competencies for all undergraduate public-relations majors in programs housed in journalism/mass-communication units. Articulates these regarding appropriate outcomes, pedagogies, and assessment methods. Notes special considerations for small,…

  5. Idaho rural family physician workforce study: the Community Apgar Questionnaire.

    PubMed

    Schmitz, D F; Baker, E; Nukui, A; Epperly, T

    2011-01-01

    Community factors of varied importance help determine the success of achieving and maintaining a physician workforce. The purpose of this study was to develop an evaluation instrument (Community Apgar Questioinnaire) useful to rural Idaho communities' in their assessment of the assets and capabilities related to physician recruitment and retention. A quantitative scoring interview instrument was developed based on a literature review, site visits and discussions with rural physicians and hospital administrators. A total of 11 rural Idaho communities differing in geography and other known variables were selected, some identified historically to have more success in recruitment and retention (α communities) and some historically noted to have more challenges (β comunities). In each community, the administrator of the hospital and the physician with recruiting responsibilities participated individually in a structured interview. A total of 11 physicians and 11 CEOs participated in the study. Differences were found across and within classes of factors associated with success in physician recruitment and retention where alpha communities scored higher on Community Apgar Questionnaire metrics. Some differences were noted by respondent class. Cumulative mean Community Apgar scores are higher in communities that have historically better track records in recruitment and retention. The Community Apgar Questionnaire seems to discriminate between communities with differing assets and capabilities, based on historical community-specific workforce trends. This assessment may allow for identification of both modifiable and non-modifiable factors and also may suggest which factors are most important for a community with limited available resources to address.

  6. Pre-registration nursing student's quality of practice learning: Clinical learning environment inventory (actual) questionnaire.

    PubMed

    Shivers, Eleanor; Hasson, Felicity; Slater, Paul

    2017-08-01

    Clinical learning is a vital component of nurse education and assessing student's experiences can provide useful insights for development. Whilst most research in this area has focused on the acute setting little attention has been given to all pre-registration nurses' experience across the clinical placements arenas. To examine of pre-registration nursing students (first, second and third year) assessment of their actual experiences of their most recent clinical learning clinical learning experience. A cross sectional survey involving a descriptive online anonymous questionnaire based on the clinical learning environment inventory tool. One higher education institution in the United Kingdom. Nursing students (n=147) enrolled in an undergraduate nursing degree. This questionnaire included demographic questions and the Clinical Learning Environment Inventory (CLEI) a 42 item tool measuring student's satisfaction with clinical placement. SPPS version 22 was employed to analyse data with descriptive and inferential statistics. Overall students were satisfied with their clinical learning experience across all placement areas. This was linked to the 6 constructs of the clinical learning environment inventory; personalization, innovation, individualization, task orientation, involvement, satisfaction. Significant differences in student experience were noted between age groups and student year but there was no difference noted between placement type, age and gender. Nursing students had a positive perception of their clinical learning experience, although there remains room for improvement. Enabling a greater understanding of students' perspective on the quality of clinical education is important for nursing education and future research. Copyright © 2017. Published by Elsevier Ltd.

  7. Periodontal disease, tooth loss, and cancer risk in male health professionals: a prospective cohort study.

    PubMed

    Michaud, Dominique S; Liu, Yan; Meyer, Mara; Giovannucci, Edward; Joshipura, Kaumudi

    2008-06-01

    Studies suggest that tooth loss and periodontal disease might increase the risk of developing various cancers; however, smoking might have confounded the reported associations. We aimed to assess whether periodontal disease or tooth loss is associated with cancer risk. The analysis was done in a prospective study (the Health Professionals Follow-Up Study [HPFS]), which was initiated in 1986 when US male health professionals aged 40-75 years responded to questionnaires posted by the Department of Nutrition, Harvard University School of Public Health, Boston, MA, USA. In addition to the baseline questionnaires, follow-up questionnaires were posted to all living participants every 2 years and dietary questionnaires every 4 years. At baseline, participants were asked whether they had a history of periodontal disease with bone loss. Participants also reported number of natural teeth at baseline and any tooth loss during the previous 2 years was reported on the follow-up questionnaires. Smoking status and history of smoking were obtained at baseline and in all subsequent questionnaires. Additionally at baseline, participants reported their mean frequency of food intake over the previous year on a 131-item semiquantitative food-frequency questionnaire. Participants reported any new cancer diagnosis on the follow-up questionnaires. Endpoints for this study were risk of total cancer and individual cancers with more than 100 cases. Multivariate hazard ratios (HRs) and 95% CIs were calculated by use of Cox proportional hazard models according to periodontal disease status and number of teeth at baseline. In the main analyses, 48 375 men with median follow-up of 17.7 years (1986 to Jan 31, 2004) were eligible after excluding participants diagnosed with cancer before 1986 (other than non-melanoma skin cancer, n=2076) and those with missing data on periodontal disease (n=1078). 5720 incident cancer cases were documented (excluding non-melanoma skin cancer and non-aggressive prostate cancer). The five most common cancers were colorectal (n=1043), melanoma of the skin (n=698), lung (n=678), bladder (n=543), and advanced prostate (n=541). After adjusting for known risk factors, including detailed smoking history and dietary factors, participants with a history of periodontal disease had an increased risk of total cancer (HR 1.14 [95% CI 1.07-1.22]) compared with those with no history of periodontal disease. By cancer site, significant associations for those with a history of periodontal disease were noted for lung (1.36 [1.15-1.60]), kidney (1.49 [1.12-1.97]), pancreas (1.54 [1.16-2.04]; findings previously published), and haematological cancers (1.30 [1.11-1.53]). Fewer teeth at baseline (0-16) was associated with an increase in risk of lung cancer (1.70 [1.37-2.11]) for those with 0-16 teeth versus those with 25-32 teeth. In never-smokers, periodontal disease was associated with significant increases in total (1.21 [1.06-1.39]) and haematological cancers (1.35 [1.01-1.81]). By contrast, no association was noted for lung cancer (0.96 [0.46-1.98]). Periodontal disease was associated with a small, but significant, increase in overall cancer risk, which persisted in never-smokers. The associations recorded for lung cancer are probably because of residual confounding by smoking. The increased risks noted for haematological, kidney, and pancreatic cancers need confirmation, but suggest that periodontal disease might be a marker of a susceptible immune system or might directly affect cancer risk.

  8. Building an Outdoor Classroom for Field Geology: The Geoscience Garden

    ERIC Educational Resources Information Center

    Waldron, John W. F.; Locock, Andrew J.; Pujadas-Botey, Anna

    2016-01-01

    Many geoscience educators have noted the difficulty that students experience in transferring their classroom knowledge to the field environment. The Geoscience Garden, on the University of Alberta North Campus, provides a simulated field environment in which Earth Science students can develop field observation skills, interpret features of Earth's…

  9. 10 CFR 2.1003 - Availability of material.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... months in advance of submitting its license application for a geologic repository, the NRC shall make... of privilege in § 2.1006, graphic-oriented documentary material that includes raw data, computer runs, computer programs and codes, field notes, laboratory notes, maps, diagrams and photographs, which have been...

  10. 10 CFR 2.1003 - Availability of material.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... months in advance of submitting its license application for a geologic repository, the NRC shall make... of privilege in § 2.1006, graphic-oriented documentary material that includes raw data, computer runs, computer programs and codes, field notes, laboratory notes, maps, diagrams and photographs, which have been...

  11. Development of a teledermatopathology consultation system using virtual slides

    PubMed Central

    2012-01-01

    Background An online consultation system using virtual slides (whole slide images; WSI) has been developed for pathological diagnosis, and could help compensate for the shortage of pathologists, especially in the field of dermatopathology and in other fields dealing with difficult cases. This study focused on the performance and future potential of the system. Method In our system, histological specimens on slide glasses are digitalized by a virtual slide instrument, converted into web data, and up-loaded to an open server. Using our own purpose-built online system, we then input patient details such as age, gender, affected region, clinical data, past history and other related items. We next select up to ten consultants. Finally we send an e-mail to all consultants simultaneously through a single command. The consultant receives an e-mail containing an ID and password which is used to access the open server and inspect the images and other data associated with the case. The consultant makes a diagnosis, which is sent to us along with comments. Because this was a pilot study, we also conducted several questionnaires with consultants concerning the quality of images, operability, usability, and other issues. Results We solicited consultations for 36 cases, including cases of tumor, and involving one to eight consultants in the field of dermatopathology. No problems were noted concerning the images or the functioning of the system on the sender or receiver sides. The quickest diagnosis was received only 18 minutes after sending our data. This is much faster than in conventional consultation using glass slides. There were no major problems relating to the diagnosis, although there were some minor differences of opinion between consultants. The results of questionnaires answered by many consultants confirmed the usability of this system for pathological consultation. (16 out of 23 consultants.) Conclusion We have developed a novel teledermatopathological consultation system using virtual slides, and investigated the usefulness of the system. The results demonstrate that our system can be a useful tool for international medical work, and we anticipate its wider application in the future. Virtual slides The virtual slides for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1902376044831574 PMID:23237667

  12. U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR ADMINISTERING FIELD QUESTIONNAIRES--GENERAL (UA-T-2.0)

    EPA Science Inventory

    The purpose of this SOP is to outline the objectives of and instructions for questionnaire administration in order to ensure consistency among the instructions given to respondents in the field. This procedure was followed to ensure consistent data retrieval during the Arizona N...

  13. Geologic Field Notes, Geochemical Analyses, and Field Photographs of Outcrops and Rock Samples from the Big Delta B-1 Quadrangle, East-Central Alaska

    USGS Publications Warehouse

    Day, Warren C.; O'Neill, J. Michael

    2008-01-01

    The U.S. Geological Survey, in cooperation with the Alaska Department of Natural Resources Division of Mining, Land, and Water, has released a geologic map of the Big Delta B-1 quadrangle of east-central Alaska (Day and others, 2007). This companion report presents the major element oxide and trace element geochemical analyses, including those for gold, silver, and base metals, for representative rock units and for grab samples from quartz veins and mineralized zones within the quadrangle. Also included are field station locations, field notes, structural data, and field photographs based primarily on observations by W.C. Day with additions by J.M. O'Neill and B.M. Gamble, all of the U.S. Geological Survey. The data are provided in both Microsoft Excel spread sheet format and as a Microsoft Access database.

  14. Factors influencing restaurant worker perception of floor slipperiness.

    PubMed

    Courtney, Theodore K; Huang, Yueng-Hsiang; Verma, Santosh K; Chang, Wen-Ruey; Li, Kai Way; Filiaggi, Alfred J

    2006-11-01

    Falls are responsible for a substantial injury burden in the global workplace. Restaurant environments are particularly challenged by slips, trips, and falls. This study explored those factors that could influence workers' self-reports of slipperiness in U.S. fast-food restaurants. One hundred and twenty-six workers employed in 10 fast-food restaurants in the northeastern United States participated in the study representing a study-wide response rate of 87.5%. Participants' ratings of floor slipperiness and occupational slip history within the past 4 weeks were collected through written questionnaire. Additional factors collected by questionnaire included age, gender, shift length, and shoe type. Shoe condition (wear) and shoe contamination were visually assessed by the investigators. Floor friction was also measured. Lower restaurant mean coefficient of friction and the presence of contamination on workers' shoe soles were environmental factors significantly associated with workers reporting more slippery conditions. A recent workplace history of slipping with or without a subsequent fall was also significantly associated with workers reporting more slippery conditions. Workers over the age of 45 reported conditions to be significantly less slippery than younger workers. The results suggest that worker ratings of slipperiness are influenced not only by the actual level of friction but also by the other individual and environmental factors noted above. Recommendations for future studies would include a longitudinal design to better capture the temporal sequence between these variables. More field research is needed to better understand the association between workplace conditions, worker perception of slipperiness, and slipping at work.

  15. Notes for Brazil sampling frame evaluation trip

    NASA Technical Reports Server (NTRS)

    Horvath, R. (Principal Investigator); Hicks, D. R. (Compiler)

    1981-01-01

    Field notes describing a trip conducted in Brazil are presented. This trip was conducted for the purpose of evaluating a sample frame developed using LANDSAT full frame images by the USDA Economic and Statistics Service for the eventual purpose of cropland production estimation with LANDSAT by the Foreign Commodity Production Forecasting Project of the AgRISTARS program. Six areas were analyzed on the basis of land use, crop land in corn and soybean, field size and soil type. The analysis indicated generally successful use of LANDSAT images for purposes of remote large area land use stratification.

  16. Construction Productivity Advancement Research (CPAR) Program: Improved Materials and Processes for Sealing and Resealing Joints in Portland Cement Concrete Pavements - Field Evaluation

    DTIC Science & Technology

    1993-10-01

    sealant was determined by noting the type and number of defects each sealant incurred. Figure 4 provides a sample evaluation sheet used dur- ing the field...was conducted by visually inspect- ing the mater~al for defects . If any defects were noted, the type of defect was described and the quant~ty of that... defect was measured. The quantity of the defect was dividted by the total quantity of sealant and the result reported as percent defect . Adhesion and

  17. Continuing Support of Cloud Free Line of Sight Determination Including Whole Sky Imaging of Clouds

    DTIC Science & Technology

    2007-11-30

    which is documented in Shields et al. 2007a, Technical Note 271, and Contract N00014-01-D- 0043 DO #11, which is reviewed in Section 2 and documented in...Shields et al. 2007b, Technical Note 272. Under DO #13, we finished preparation of two of the WSI units and their software, and fielded them...and b, and 2005b and c). One of the first two units was fielded at the Air Force’s Starfire Optical Range in October 1992. Technical Memo AV06

  18. Notetaking Strategies and Their Relationship to Performance on Listening Comprehension and Communicative Assessment Tasks. TOEFL Monograph Series. MS-35. ETS RR-07-01

    ERIC Educational Resources Information Center

    Carrell, Patricia L.

    2007-01-01

    Utilizing a pre- and posttest research design, with an instructional intervention of good practices in notetaking, the notes taken by examinees during a computer-based listening comprehension test prior to and following the instructional intervention were examined for particular notetaking strategies. Questionnaires probed perceptions of the…

  19. Research Note: How Muslims Are Perceived in Catholic Schools in Contemporary Australia: A National Survey

    ERIC Educational Resources Information Center

    Ata, Abe

    2016-01-01

    This paper presents results from a large-scale national survey of attitudes of students in Catholic schools in Australia towards Muslims and Islam. Over 2232 students completed questionnaires which were obtained from students in 42 Catholic schools throughout Australia. These schools were drawn from both rural and urban areas in New South Wales,…

  20. Using mobile devices for inpatient rounding and handoffs: an innovative application developed and rapidly adopted by clinicians in a pediatric hospital.

    PubMed

    Motulsky, Aude; Wong, Jenna; Cordeau, Jean-Pierre; Pomalaza, Jorge; Barkun, Jeffrey; Tamblyn, Robyn

    2017-04-01

    To describe the usage of a novel application (The FLOW) that allows mobile devices to be used for rounding and handoffs. The FLOW provides a view of patient data and the capacity to enter short notes via personal mobile devices. It was deployed using a "bring-your-own-device" model in 4 pilot units. Social network analysis (SNA) was applied to audit trails in order to visualize usage patterns. A questionnaire was used to describe user experience. Overall, 253 health professionals used The FLOW with their personal mobile devices from October 2013 to March 2015. In pediatric and neonatal intensive care units (ICUs), a median of 26-26.5 notes were entered per user per day. Visual network representation of app entries showed that usage patterns were different between the ICUs. In 127 questionnaires (50%), respondents reported using The FLOW most often to enter notes and for handoffs. The FLOW was perceived as having improved patient care by 57% of respondents, compared to usual care. Most respondents (86%) wished to continue using The FLOW. This study shows how a handoff and rounding tool was quickly adopted in pediatric and neonatal ICUs in a hospital setting where patient charts were still paper-based. Originally developed as a tool to support informal documentation using smartphones, it was adapted to local practices and expanded to print sign-out documents and import notes within the medicolegal record with desktop computers. Interestingly, even if not supported by the nursing administrative authorities, the level of use for data entry among nurses and doctors was similar in all units, indicating close collaboration in documentation practices in these ICUs. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com

  1. Evaluation of a novel very high sun-protection-factor moisturizer in adults with rosacea-prone sensitive skin.

    PubMed

    Grivet-Seyve, Mathieu; Santoro, Francine; Lachmann, Nadège

    2017-01-01

    Rosacea-prone sensitive skin requires high sun-protection factor (SPF) moisturizers. This study evaluated Daylong Extreme SPF 50+ lotion, a novel cream containing five ultraviolet filters, two emollients, and three skin conditioners. This was an open-label, single-center study. On day 1, before treatment, subjects answered a questionnaire on their skin conditions and sunscreen habits, and both subjects and dermatologist evaluated skin status. Subjects applied the product once daily in the morning to the face for 21 days, and after approximately 3-5 minutes they assessed tolerability and short-term cosmetic acceptability in a questionnaire and daily diary. On day 22, the dermatologist and subjects evaluated skin status for long-term tolerance and cosmetic acceptability. The study enrolled 44 individuals (mean age 58.8 years, 91% female). At baseline, most subjects (39 of 44) showed erythema, and ~30% showed dryness and scaling. Dermatologists noted four cases of pustules and one case of papules. After 21 days' treatment with the product, the dermatologist reported significantly less erythema, dryness and scaling, three cases of pustules and two cases of papules. At baseline, ~75% of subjects noted a feeling of dryness, >50% reported tension, and nearly 25% reported tickling. After using the product for 21 days, subjects reported significantly less tension, dryness, and tickling. Some subjects noted itching and burning before and after using the product. One subject noted papules during treatment. Most subjects said that the product was pleasant, did not irritate the skin or cause stinging/burning, was easy to apply, quickly absorbed, and nongreasy, improved skin moisturization, helped prevent sun-provoked facial redness, did not worsen rosacea, and was easily incorporated into their skincare regimen. Half would switch to the product, and 80% of subjects would buy and recommend the product. The product was well tolerated in rosacea-prone subjects, producing objective and subjective improvements in skin status and symptoms.

  2. Evaluation of a novel very high sun-protection-factor moisturizer in adults with rosacea-prone sensitive skin

    PubMed Central

    Grivet-Seyve, Mathieu; Santoro, Francine; Lachmann, Nadège

    2017-01-01

    Background/objective Rosacea-prone sensitive skin requires high sun-protection factor (SPF) moisturizers. This study evaluated Daylong Extreme SPF 50+ lotion, a novel cream containing five ultraviolet filters, two emollients, and three skin conditioners. Subjects and methods This was an open-label, single-center study. On day 1, before treatment, subjects answered a questionnaire on their skin conditions and sunscreen habits, and both subjects and dermatologist evaluated skin status. Subjects applied the product once daily in the morning to the face for 21 days, and after approximately 3–5 minutes they assessed tolerability and short-term cosmetic acceptability in a questionnaire and daily diary. On day 22, the dermatologist and subjects evaluated skin status for long-term tolerance and cosmetic acceptability. Results The study enrolled 44 individuals (mean age 58.8 years, 91% female). At baseline, most subjects (39 of 44) showed erythema, and ~30% showed dryness and scaling. Dermatologists noted four cases of pustules and one case of papules. After 21 days’ treatment with the product, the dermatologist reported significantly less erythema, dryness and scaling, three cases of pustules and two cases of papules. At baseline, ~75% of subjects noted a feeling of dryness, >50% reported tension, and nearly 25% reported tickling. After using the product for 21 days, subjects reported significantly less tension, dryness, and tickling. Some subjects noted itching and burning before and after using the product. One subject noted papules during treatment. Most subjects said that the product was pleasant, did not irritate the skin or cause stinging/burning, was easy to apply, quickly absorbed, and nongreasy, improved skin moisturization, helped prevent sun-provoked facial redness, did not worsen rosacea, and was easily incorporated into their skincare regimen. Half would switch to the product, and 80% of subjects would buy and recommend the product. Conclusion The product was well tolerated in rosacea-prone subjects, producing objective and subjective improvements in skin status and symptoms. PMID:28652793

  3. The challenges of implementing a multi-centre audit of end-of-life care in care homes.

    PubMed

    Levy, Jean; Kinley, Julie; Conway, Frances

    2016-11-02

    This article aims to share the experience of a hospice in facilitating a multi-centre audit of end-of-life care in care homes, particularly noting the challenges and enablers of carrying out the audit. The audit was a retrospective multi-centre survey of bereaved relatives/next of kin of residents who died in the care home, using an anonymous, validated questionnaire: the Family Perception of Care Scale. Questionnaires were sent 3-months after bereavement. Returned questionnaires were analysed using SPSS and Excel. The care homes were in areas encompassing outer and inner city populations. The team identified eight challenges to the audit process, in particular, embedding procedures within the care homes, non-responses and developing action plans for improvement. Overall, the audit provided an indication of where improvements could be made and where care was already excellent, built confidence and increased expertise in the care-home staff.

  4. Can Cyberloafing and Internet Addiction Affect Organizational Information Security?

    PubMed

    Hadlington, Lee; Parsons, Kathryn

    2017-09-01

    Researchers have noted potential links between Internet addiction, the use of work computers for nonwork purposes and an increased risk of threat to the organization from breaches in cybersecurity. However, much of this research appears conjectural in nature and lacks clear empirical evidence to support such claims. To fill this knowledge gap, a questionnaire-based study explored the link between cyberloafing, Internet addiction, and information security awareness (ISA). A total of 338 participants completed an online questionnaire, which comprised of the Online Cognition Scale, Cyberloafing Scale, and the Human Aspects of Information Security Questionnaire. Participants who reported higher Internet addiction and cyberloafing tendencies had lower ISA, and Internet addiction and cyberloafing predicted a significant 45 percent of the variance in ISA. Serious cyberloafing, such as the propensity to visit adult websites and online gambling, was shown to be the significant predictor for poorer ISA. Implications for organizations and recommendations to reduce or manage inappropriate Internet use are discussed.

  5. A note about high blood pressure in childhood

    NASA Astrophysics Data System (ADS)

    Teodoro, M. Filomena; Simão, Carla

    2017-06-01

    In medical, behavioral and social sciences it is usual to get a binary outcome. In the present work is collected information where some of the outcomes are binary variables (1='yes'/ 0='no'). In [14] a preliminary study about the caregivers perception of pediatric hypertension was introduced. An experimental questionnaire was designed to be answered by the caregivers of routine pediatric consultation attendees in the Santa Maria's hospital (HSM). The collected data was statistically analyzed, where a descriptive analysis and a predictive model were performed. Significant relations between some socio-demographic variables and the assessed knowledge were obtained. In [14] can be found a statistical data analysis using partial questionnaire's information. The present article completes the statistical approach estimating a model for relevant remaining questions of questionnaire by Generalized Linear Models (GLM). Exploring the binary outcome issue, we intend to extend this approach using Generalized Linear Mixed Models (GLMM), but the process is still ongoing.

  6. Awareness of osteoporosis in postmenopausal Indian women: An evaluation of Osteoporosis Health Belief Scale.

    PubMed

    Gopinathan, Nirmal Raj; Sen, Ramesh Kumar; Behera, Prateek; Aggarwal, Sameer; Khandelwal, Niranjan; Sen, Mitali

    2016-01-01

    The level of awareness about osteoporosis in postmenopausal women who are the common sufferers. This study aims to evaluate the level of awareness in postmenopausal women using the Osteoporosis Health Belief Scale (OHBS). Osteoporosis has emerged as a common health problem in geriatric population. A proactive role needs to be played for preventing its consequences. Before initiating any preventive measures, an evaluation of awareness level of the target population is necessary. The questionnaire-based study design was used for this study. A questionnaire (OHBS)-based study in 100 postmenopausal women in Chandigarh was conducted. The bone mineral density (BMD) was measured in each case by dual energy X-ray absorptiometry. Height, weight, and body mass index (BMI) of the participants were noted. Statistical analysis was conducted to evaluate any correlation between the various components of the OHBS and the BMD. No statistically significant difference was noted in the seven component parameters of OHBS among the normal, osteopenic, and osteoporotic women suggesting that the health belief regarding susceptibility is not much different between the three groups of the study population. A statistically significant difference between the mean BMI of normal and osteoporotic population was noted. The results show that there is a great deficit in the awareness level of postmenopausal Indian women regarding osteoporosis. Most of the women were unaware of the condition and the means to prevent it. The study emphasizes that health care professionals have lot of ground to cover to decrease the incidence of osteoporosis and its associated health problem.

  7. A quantitative approach to measure women's sexual function using electromyography: a preliminary study of the Kegel exercise.

    PubMed

    Mohktar, Mas Sahidayana; Ibrahim, Fatimah; Mohd Rozi, Nur Farahana; Mohd Yusof, Juhaida; Ahmad, Siti Anom; Su Yen, Khong; Omar, Siti Zawiah

    2013-12-13

    Currently, the reference standard used to clinically assess sexual function among women is a qualitative questionnaire. Hence, a generalised and quantitative measurement tool needs to be available as an alternative. This study investigated whether an electromyography (EMG) measurement technique could be used to help quantify women's sexual function. A preliminary intervention study was conducted on 12 female subjects, who were randomised into a control (n=6) and an intervention (n=6) group. Intervention involved a set regimen of pelvic floor muscle exercises (Kegel) and the control group did not have any treatment. All subjects were asked to answer a validated, self-rated Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ). EMG measurements of the pelvic floor muscles (PFM) and the abdominal muscles were taken from all women at recruitment and 8 weeks after study commencement. After 8 weeks, most of the subjects in the control group did not display any noted positive difference in either PISQ score (4/6) or in their muscle strength (4/6). However, a noted progressive difference were observed in subjects who were placed in the Kegel group; PISQ score (5/6) and muscles strength (4/6). The noted difference in the Kegel group subjects was that if progress is observed in the sexual function, improvement is also observed in the strength of at least 2 types of muscles (either abdominal or PFM muscles). Thus, EMG measurement is a potential technique to quantify the changes in female sexual function. Further work will be conducted to validate this assumption.

  8. Validation of NOViSE.

    PubMed

    Korzeniowski, Przemyslaw; Brown, Daniel C; Sodergren, Mikael H; Barrow, Alastair; Bello, Fernando

    2017-02-01

    The goal of this study was to establish face, content, and construct validity of NOViSE-the first force-feedback enabled virtual reality (VR) simulator for natural orifice transluminal endoscopic surgery (NOTES). Fourteen surgeons and surgical trainees performed 3 simulated hybrid transgastric cholecystectomies using a flexible endoscope on NOViSE. Four of them were classified as "NOTES experts" who had independently performed 10 or more simulated or human NOTES procedures. Seven participants were classified as "Novices" and 3 as "Gastroenterologists" with no or minimal NOTES experience. A standardized 5-point Likert-type scale questionnaire was administered to assess the face and content validity. NOViSE showed good overall face and content validity. In 14 out of 15 statements pertaining to face validity (graphical appearance, endoscope and tissue behavior, overall realism), ≥50% of responses were "agree" or "strongly agree." In terms of content validity, 85.7% of participants agreed or strongly agreed that NOViSE is a useful training tool for NOTES and 71.4% that they would recommend it to others. Construct validity was established by comparing a number of performance metrics such as task completion times, path lengths, applied forces, and so on. NOViSE demonstrated early signs of construct validity. Experts were faster and used a shorter endoscopic path length than novices in all but one task. The results indicate that NOViSE authentically recreates a transgastric hybrid cholecystectomy and sets promising foundations for the further development of a VR training curriculum for NOTES without compromising patient safety or requiring expensive animal facilities.

  9. Annual Report to the Strategic Defense Initiative Organization on the Free-Electron Laser Driven by the NIST CW Microtron

    DTIC Science & Technology

    1986-05-05

    design of the injector for the method selected was completed. A study on the problem of mirror damage has been completed, and commercial suppliers of... mirrors that can withstand the high intracavity power of the FEL have been identified. The design of the room in which the FEL is located has been...Appendices ............ ............................. .25 A. Design Note 10 - Mirror Damage B. Design Note 11 - Wiggler Field Errors C. Design Note 12

  10. Arc and resistance welding and tumours of the endocrine glands: a Swedish case-control study with focus on extremely low frequency magnetic fields.

    PubMed

    Håkansson, N; Stenlund, C; Gustavsson, P; Johansen, C; Floderus, B

    2005-05-01

    Mechanisms for potential effects of extremely low frequency (ELF) magnetic fields on carcinogenesis have not been identified. A potential pathway could be an interaction with the endocrine system. To analyse occupational exposure to ELF magnetic fields from welding, and tumours of the endocrine glands. This case-control study was based on a cohort with an increased prevalence of high exposed individuals. A total of 174 incident cases of tumours of the endocrine glands, 1985-94, were identified and data were obtained from 140 (80%) of these cases; 1692 controls frequency matched on sex and age were selected, and information on 1306 (77%) individuals was obtained. A short questionnaire was sent to a work administrator at the workplaces of the cases and controls. The exposure assessment was based on questions about job tasks, exposure to different types of welding, and exposure to solvents. There was an overall increased risk for all tumours of the endocrine glands for individuals who had been welding sometime during the follow up. The increased risk was attributable to arc welding; for resistance welding there was no clear evidence of an association. We found an increased risk for the adrenal glands in relation to arc welding, and for the parathyroid glands in relation to both arc welding and resistance welding. An imprecise increase in risk was also noted for tumours of the pituitary gland for arc welding. No confounding effect was found for solvent exposure, and there was no sign of biological interaction. The increased risks of endocrine gland tumours related to welding might be explained by exposure to high levels of ELF magnetic fields.

  11. Arc and resistance welding and tumours of the endocrine glands: a Swedish case-control study with focus on extremely low frequency magnetic fields

    PubMed Central

    Hakansson, N; Stenlund, C; Gustavsson, P; Johansen, C; Floderus, B

    2005-01-01

    Background: Mechanisms for potential effects of extremely low frequency (ELF) magnetic fields on carcinogenesis have not been identified. A potential pathway could be an interaction with the endocrine system. Aims: To analyse occupational exposure to ELF magnetic fields from welding, and tumours of the endocrine glands. Methods: This case-control study was based on a cohort with an increased prevalence of high exposed individuals. A total of 174 incident cases of tumours of the endocrine glands, 1985–94, were identified and data were obtained from 140 (80%) of these cases; 1692 controls frequency matched on sex and age were selected, and information on 1306 (77%) individuals was obtained. A short questionnaire was sent to a work administrator at the workplaces of the cases and controls. The exposure assessment was based on questions about job tasks, exposure to different types of welding, and exposure to solvents. Results: There was an overall increased risk for all tumours of the endocrine glands for individuals who had been welding sometime during the follow up. The increased risk was attributable to arc welding; for resistance welding there was no clear evidence of an association. We found an increased risk for the adrenal glands in relation to arc welding, and for the parathyroid glands in relation to both arc welding and resistance welding. An imprecise increase in risk was also noted for tumours of the pituitary gland for arc welding. No confounding effect was found for solvent exposure, and there was no sign of biological interaction. Conclusion: The increased risks of endocrine gland tumours related to welding might be explained by exposure to high levels of ELF magnetic fields. PMID:15837851

  12. Profile of Bullies and Victims Among Urban School-going Adolescents in Gujarat.

    PubMed

    Patel, Harshil Anurag; Varma, Jagdish; Shah, Shail; Phatak, Ajay; Nimbalkar, Somashekhar Marutirao

    2017-10-15

    To assess the prevalence of bullying, identifying bullies, victims and their associations. Questionnaire having 'Peer Interaction in Primary Schools' and 'Strength and Difficulty Questionnaire' scales, and demographic information was administered to 7th, 8th and 9th graders (N=1106). Prevalence of bullying was 49%. Boys were more likely to be bullies (P=0.03), whereas students having less friends (P=0.001), overweight/obese (P=0.02), and boys (P<0.001) were more likely to be victims. Association between bullying behavior and poor academic performance was noted. We found high prevalence of bullying. The reasons for the same and scope of intervention needs further study.

  13. Mass-balance measurements in Alaska and suggestions for simplified observation programs

    USGS Publications Warehouse

    Trabant, D.C.; March, R.S.

    1999-01-01

    US Geological Survey glacier fieldwork in Alaska includes repetitious measurements, corrections for leaning or bending stakes, an ability to reliably measure seasonal snow as deep as 10 m, absolute identification of summer surfaces in the accumulation area, and annual evaluation of internal accumulation, internal ablation, and glacier-thickness changes. Prescribed field measurement and note-taking techniques help eliminate field errors and expedite the interpretative process. In the office, field notes are transferred to computerized spread-sheets for analysis, release on the World Wide Web, and archival storage. The spreadsheets have error traps to help eliminate note-taking and transcription errors. Rigorous error analysis ends when mass-balance measurements are extrapolated and integrated with area to determine glacier and basin mass balances. Unassessable errors in the glacier and basin mass-balance data reduce the value of the data set for correlations with climate change indices. The minimum glacier mass-balance program has at least three measurement sites on a glacier and the measurements must include the seasonal components of mass balance as well as the annual balance.

  14. 24 CFR 266.305 - HFAs accepting less than 50 percent of risk.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...) Determine that a market for the project exists, taking into consideration any comments from the HUD Field.... (e) Endorsement of mortgage note for insurance. So long as the HFA is in good standing, and absent... the mortgage note for insurance upon presentation by the HFA of the Closing Docket and certifications...

  15. 24 CFR 266.305 - HFAs accepting less than 50 percent of risk.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) Determine that a market for the project exists, taking into consideration any comments from the HUD Field.... (e) Endorsement of mortgage note for insurance. So long as the HFA is in good standing, and absent... the mortgage note for insurance upon presentation by the HFA of the Closing Docket and certifications...

  16. 24 CFR 266.305 - HFAs accepting less than 50 percent of risk.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...) Determine that a market for the project exists, taking into consideration any comments from the HUD Field.... (e) Endorsement of mortgage note for insurance. So long as the HFA is in good standing, and absent... the mortgage note for insurance upon presentation by the HFA of the Closing Docket and certifications...

  17. 24 CFR 266.305 - HFAs accepting less than 50 percent of risk.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...) Determine that a market for the project exists, taking into consideration any comments from the HUD Field.... (e) Endorsement of mortgage note for insurance. So long as the HFA is in good standing, and absent... the mortgage note for insurance upon presentation by the HFA of the Closing Docket and certifications...

  18. Using Case Studies to Enrich Field Experience.

    ERIC Educational Resources Information Center

    Florio-Ruane, Susan; Clark, Christopher M.

    1990-01-01

    This paper discusses the use of field experience in teacher education and how it can be augmented by phenomenological case studies. It summarizes a particular case study involving three teacher education classes, noting that reflective analysis of cases can prepare students to observe in the field. (SM)

  19. Note: Precise radial distribution of charged particles in a magnetic guiding field

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Backe, H., E-mail: backe@kph.uni-mainz.de

    2015-07-15

    Current high precision beta decay experiments of polarized neutrons, employing magnetic guiding fields in combination with position sensitive and energy dispersive detectors, resulted in a detailed study of the mono-energetic point spread function (PSF) for a homogeneous magnetic field. A PSF describes the radial probability distribution of mono-energetic electrons at the detector plane emitted from a point-like source. With regard to accuracy considerations, unwanted singularities occur as a function of the radial detector coordinate which have recently been investigated by subdividing the radial coordinate into small bins or employing analytical approximations. In this note, a series expansion of the PSFmore » is presented which can numerically be evaluated with arbitrary precision.« less

  20. From the teacher's eyes: facilitating teachers noticings on informal formative assessments (IFAs) and exploring the challenges to effective implementation

    NASA Astrophysics Data System (ADS)

    Sezen-Barrie, Asli; Kelly, Gregory J.

    2017-01-01

    This study focuses on teachers' use of informal formative assessments (IFAs) aimed at improving students' learning and teachers' recognition of students' learning processes. The study was designed as an explorative case study of four middle school teachers and their students at a charter school in the northeastern U.S.A. The data collected for the study included a history of teaching questionnaire, video records of the teachers' IFA practices, ethnographic interviews with teachers, and field notes from classroom observations. These data were analysed from a sociolinguistic perspective focusing on the ways that classroom discourse and reflective interview conversations constructed ways of viewing assessment. The findings from the analysis of the classroom discourse showed that teachers use three different types of IFA cycles, labelled as connected, non-connected, and repeating. Teachers' reflections on video cases show that teachers can learn to view in-the-moment interactions in new ways that can guide IFAs. We concluded that teachers' perspectives on the effectiveness of IFAs are an important, but often neglected, part of building a robust, interactive classroom assessment portfolio.

  1. Creation of an Accurate Algorithm to Detect Snellen Best Documented Visual Acuity from Ophthalmology Electronic Health Record Notes.

    PubMed

    Mbagwu, Michael; French, Dustin D; Gill, Manjot; Mitchell, Christopher; Jackson, Kathryn; Kho, Abel; Bryar, Paul J

    2016-05-04

    Visual acuity is the primary measure used in ophthalmology to determine how well a patient can see. Visual acuity for a single eye may be recorded in multiple ways for a single patient visit (eg, Snellen vs. Jäger units vs. font print size), and be recorded for either distance or near vision. Capturing the best documented visual acuity (BDVA) of each eye in an individual patient visit is an important step for making electronic ophthalmology clinical notes useful in research. Currently, there is limited methodology for capturing BDVA in an efficient and accurate manner from electronic health record (EHR) notes. We developed an algorithm to detect BDVA for right and left eyes from defined fields within electronic ophthalmology clinical notes. We designed an algorithm to detect the BDVA from defined fields within 295,218 ophthalmology clinical notes with visual acuity data present. About 5668 unique responses were identified and an algorithm was developed to map all of the unique responses to a structured list of Snellen visual acuities. Visual acuity was captured from a total of 295,218 ophthalmology clinical notes during the study dates. The algorithm identified all visual acuities in the defined visual acuity section for each eye and returned a single BDVA for each eye. A clinician chart review of 100 random patient notes showed a 99% accuracy detecting BDVA from these records and 1% observed error. Our algorithm successfully captures best documented Snellen distance visual acuity from ophthalmology clinical notes and transforms a variety of inputs into a structured Snellen equivalent list. Our work, to the best of our knowledge, represents the first attempt at capturing visual acuity accurately from large numbers of electronic ophthalmology notes. Use of this algorithm can benefit research groups interested in assessing visual acuity for patient centered outcome. All codes used for this study are currently available, and will be made available online at https://phekb.org.

  2. Creation of an Accurate Algorithm to Detect Snellen Best Documented Visual Acuity from Ophthalmology Electronic Health Record Notes

    PubMed Central

    French, Dustin D; Gill, Manjot; Mitchell, Christopher; Jackson, Kathryn; Kho, Abel; Bryar, Paul J

    2016-01-01

    Background Visual acuity is the primary measure used in ophthalmology to determine how well a patient can see. Visual acuity for a single eye may be recorded in multiple ways for a single patient visit (eg, Snellen vs. Jäger units vs. font print size), and be recorded for either distance or near vision. Capturing the best documented visual acuity (BDVA) of each eye in an individual patient visit is an important step for making electronic ophthalmology clinical notes useful in research. Objective Currently, there is limited methodology for capturing BDVA in an efficient and accurate manner from electronic health record (EHR) notes. We developed an algorithm to detect BDVA for right and left eyes from defined fields within electronic ophthalmology clinical notes. Methods We designed an algorithm to detect the BDVA from defined fields within 295,218 ophthalmology clinical notes with visual acuity data present. About 5668 unique responses were identified and an algorithm was developed to map all of the unique responses to a structured list of Snellen visual acuities. Results Visual acuity was captured from a total of 295,218 ophthalmology clinical notes during the study dates. The algorithm identified all visual acuities in the defined visual acuity section for each eye and returned a single BDVA for each eye. A clinician chart review of 100 random patient notes showed a 99% accuracy detecting BDVA from these records and 1% observed error. Conclusions Our algorithm successfully captures best documented Snellen distance visual acuity from ophthalmology clinical notes and transforms a variety of inputs into a structured Snellen equivalent list. Our work, to the best of our knowledge, represents the first attempt at capturing visual acuity accurately from large numbers of electronic ophthalmology notes. Use of this algorithm can benefit research groups interested in assessing visual acuity for patient centered outcome. All codes used for this study are currently available, and will be made available online at https://phekb.org. PMID:27146002

  3. Students' perception of quality of medical education in a medical college in west Bengal, India.

    PubMed

    Mukhopadhyay, Dipta Kanti

    2016-01-01

    Students' perceived quality of educational service is an important field of educational research. To identify the gaps in the quality of educational services as perceived by students in a medical college in West Bengal, India. In a cross-sectional study, educational quality was measured using validated SERVQUAL instrument between two randomly selected groups of undergraduate medical students (n = 179). This five-point Likert scale questionnaire measured the expectation and perception of students on 26 items under five dimensions of quality of educational services, viz., tangible (physical facilities, equipment, and appearance of personnel), reliability (accuracy and consistency of a department in providing educational services), responsiveness (eagerness to help and commitment), assurance (ability of teaching departments to earn students' confidence), and empathy (ability to communicate care and understanding). Dimension-wise difference in the mean scores for expectation and perception was calculated and was considered as quality gaps in educational services. Significant negative quality gaps were noted in all five dimensions. The highest gap was found in tangible (-1.67) followed by empathy (-1.64) although the mean score of perceived quality in the dimension of empathy was the lowest (2.53). This indicates the need for improvement in physical facilities as well as behavior of teachers and staff toward students. The smallest gap was noted in the dimension of assurance (-1.29), which indicates the students' overall confidence in teaching departments regarding their management or content expertise. These findings underscore students' aspiration for the overall improvement of educational services that can be taken into consideration during development planning.

  4. Reliability and Validity of the PAQ-C Questionnaire to Assess Physical Activity in Children

    ERIC Educational Resources Information Center

    Benítez-Porres, Javier; López-Fernández, Iván; Raya, Juan Francisco; Álvarez Carnero, Sabrina; Alvero-Cruz, José Ramón; Álvarez Carnero, Elvis

    2016-01-01

    Background: Physical activity (PA) assessment by questionnaire is a cornerstone in the field of sport epidemiology studies. The Physical Activity Questionnaire for Children (PAQ-C) has been used widely to assess PA in healthy school populations. The aim of this study was to evaluate the reliability and validity of the PAQ-C questionnaire in…

  5. [Minimal access surgery: A survey among surgeons in Central Germany].

    PubMed

    Weigt, A; Rauchfuss, F; Dittmar, Y; Settmacher, U; Scheuerlein, H

    2015-06-01

    A survey about perceptions concerning natural orifice transluminal endoscopic surgery (NOTES) and single port operations (SPO) was conducted among medical professionals at hospitals in Central Germany. The identity of the participants remained anonymous. The focus was on the subjective perception of medical colleagues and included a statement of preferred methods if the medical professional would need to undergo surgery. Within a radius of 120 km of the city of Erfurt, all 150 surgical departments were approached and asked to complete a series of questionnaires containing general and personal questions. The analysis was performed according to the professional rank, age and sex of the participants. The questionnaires contained questions on patient preferences, cosmetic aspects and other factors, such as marketing, industry-driven, playful approach of the surgeon and appeal of a new procedure. In total 83 surgical departments participated in the survey resulting in 432 eligible questionnaires. Of the participants 29 % were female, the average age was 44 years, 20 % were heads of departments, 37 % senior surgeons, 20 % specialist surgeons and 23 % residents. The proportion of conventional minimally invasive surgical procedures was on average 30 % of all surgical interventions. Two hospitals offered transvaginal hybrid NOTES (cholecystectomy), 45 % performed SPOs, 36 % of the participants agreed strongly or moderately with the concept of SPO and 34 % rejected NOTES. The factors industry-driven, promotion/marketing and appeal of a new procedure were evaluated as very important or relatively important by the majority of the participants (> 70 %). When evaluating the factor playful approach of the surgeon, the proportion was 55 %. The factor patient preferences was evaluated as very high or high by 25% of the participants while it had no impact on 8 % or only a minor impact on 36 %. In case of undergoing surgery themselves, conventional laparoscopy would be preferred and NOTES was rated last among all options. The soft factors that were analyzed (i.e. marketing, industry-driven, playful approach of the surgeon and appeal of something new) were evaluated as much more important in the surgeons' opinion compared to patient criteria (i.e. patient preferences and cosmetic results). The soft factors are, however, not to be judged as generally negative as they are to a certain extent necessary (marketing), useful (impulses from industry) or are part of the surgical creativity (playfulness). The discrepancies in the medical professional evaluation of the different factors shows that the reasoning and the motivation of the actions are not necessarily identical.

  6. A note on φ-analytic conformal vector fields

    NASA Astrophysics Data System (ADS)

    Deshmukh, Sharief; Bin Turki, Nasser

    2017-09-01

    Taking clue from the analytic vector fields on a complex manifold, φ-analytic conformal vector fields are defined on a Riemannian manifold (Deshmukh and Al-Solamy in Colloq. Math. 112(1):157-161, 2008). In this paper, we use φ-analytic conformal vector fields to find new characterizations of the n-sphere Sn(c) and the Euclidean space (Rn,<,> ).

  7. Note on Inverse Bremsstrahlung in a Strong Electromagnetic Field

    DOE R&D Accomplishments Database

    Bethe, H. A.

    1972-09-01

    The collisional energy loss of an electron undergoing forced oscillation in an electromagnetic field behaves quite differently in the low and high intensity limits. ... It is shown that in the case of an electromagnetic field v {sub o} >> v {sub t} the rate of transfer is much slower, and actually decreases with the strength of the field.

  8. Supporting Girls' Motivation in Science: A Study of Peer- and Self-Assessment in a Girls-Only Class

    ERIC Educational Resources Information Center

    Johnson, Nadine; Winterbottom, Mark

    2011-01-01

    This study examines how the use of self- and peer-assessment within a girls-only biology class can support students' motivation. The study took place over 22 weeks in a rural comprehensive school, and the participants were girls between 15 and 16 years of age. Data included questionnaires, semi-structured interviews, notes from lesson observations…

  9. High Achievers: 23rd Annual Survey. Attitudes and Opinions from the Nation's High Achieving Teens.

    ERIC Educational Resources Information Center

    Who's Who among American High School Students, Northbrook, IL.

    This report presents data from an annual survey of high school student leaders and high achievers. It is noted that of the nearly 700,000 high achievers featured in this edition, 5,000 students were sent the survey and 2,092 questionnaires were completed. Subjects were high school juniors and seniors selected for recognition by their principals or…

  10. A Delphi Study to Determine Variables for Predictive MICAP Modeling

    DTIC Science & Technology

    2013-06-01

    design. Throughout literature it is common to find researchers that do not use qualitative study methodologies. Unlike quantitative methodologies...at Table 3. The researcher did note through a literature review that each questionnaire should be pretested on individuals who have not been involved... RESEARCH PROJECT Jeremy L. Pankoski, Major, USAF AFIT-ENS-GRP-13-J-21 DEPARTMENT OF THE AIR FORCE AIR UNIVERSITY AIR FORCE

  11. Psychosocial quality of life in patients after total laryngectomy.

    PubMed

    Babin, E; Beynier, D; Le Gall, D; Hitier, M

    2009-01-01

    To examine Psychosocial Quality-of Life (PSQL) changes occurring over time among patients treated for laryngeal carcinoma by total laryngectomy. A retrospective, observational transversal study was performed on PSQL changes over time in laryngeal carcinoma patients having undergone total laryngectomy. Patients were interviewed using a questionnaire developed by two sociologists and a head and neck surgeon. Changes over time were assessed according to information with regards to smoking, alcohol consumption, psychological well-being, social life, family support, occupation and medical and demographic data regarding age, gender, verbal communication and patient appearance. 150 patients completed the questionnaire. All were aged over 50 years at the time of surgery (total laryngectomy). Eighty-five percent of patients were smokers and 81% drinkers. On average, the questionnaires were completed by patients 6 years after surgery. Before and after total laryngectomy, no statistical differences were noted for marital status (p = 1.000), frequency of dining at home with friends (p = 0.175), frequency of weekend outings (p = 0.092) or frequency of holidays (p = 0.565). A significant decrease was noted for smoking and drinking (p < 0.001), frequency of going to a café (p < 0.001), frequency of dinner outings at friends' homes (p = 0.032) and frequency of going out to a restaurant (p < 0.001). A significant increase was observed in: owning a pet (p = 0.02) and time spent watching television (p < 0.001). The two latter results are indicative of feelings of solitude among total laryngectomees. Tracheostoma and voice deprivation are limiting factors in social relationships, hence pushing individuals into withdrawal.

  12. Serotonin effects on sleep and emotional disorders in adolescent migraine.

    PubMed

    Pakalnis, Ann; Splaingard, Mark; Splaingard, Deborah; Kring, Donna; Colvin, Andrew

    2009-01-01

    To determine frequency of emotional disorders and sleep disturbances in adolescent migraineurs with episodic and chronic headaches. To determine the relationship of whole blood serotonin, caffeine consumption, and frequency of sleep and mood disorders. The neurotransmitter serotonin has been implicated to play a role in the initiation and maintenance of sleep and in modulating mood. A putative role in migraine pathophysiology is also known. Adolescents from 13 to 17 years of age were identified from our headache clinic with episodic or chronic migraine (according to International Classification of Headache Disorders-Second Edition criteria) and healthy controls enrolled. Psychological rating scales were completed, including Adolescent Symptom Inventory (4th Edition) and Child Depression Inventory. Sleep questionnaires (Pediatric Sleep Questionnaire and Child Sleep Habit Questionnaire) were completed by the teenager's parents/guardian. Whole blood serotonin levels were drawn and analyzed and caffeine consumption obtained by history. A total of 18 controls (8 girls) and 15 patients each with episodic migraines (9 girls) and chronic migraine (10 girls) were studied. Patients with headache had significantly more sleep problems than controls. Patients with chronic migraines had increased daytime sleepiness and dysthymia compared with teenagers with episodic migraines. Serotonin levels were not significantly different, and no association was noted between serotonin levels and sleep abnormalities or emotional rating scales. Increased caffeine intake was related to sleep and depressive complaints. Sleep and emotional disorders were common in adolescents with migraine. Sleep disorders and dysthymia were more prevalent with increased headache frequency. No correlation was noted with whole blood serotonin levels.

  13. A Natural Language Processing System That Links Medical Terms in Electronic Health Record Notes to Lay Definitions: System Development Using Physician Reviews

    PubMed Central

    Druhl, Emily; Polepalli Ramesh, Balaji; Houston, Thomas K; Brandt, Cynthia A; Zulman, Donna M; Vimalananda, Varsha G; Malkani, Samir; Yu, Hong

    2018-01-01

    Background Many health care systems now allow patients to access their electronic health record (EHR) notes online through patient portals. Medical jargon in EHR notes can confuse patients, which may interfere with potential benefits of patient access to EHR notes. Objective The aim of this study was to develop and evaluate the usability and content quality of NoteAid, a Web-based natural language processing system that links medical terms in EHR notes to lay definitions, that is, definitions easily understood by lay people. Methods NoteAid incorporates two core components: CoDeMed, a lexical resource of lay definitions for medical terms, and MedLink, a computational unit that links medical terms to lay definitions. We developed innovative computational methods, including an adapted distant supervision algorithm to prioritize medical terms important for EHR comprehension to facilitate the effort of building CoDeMed. Ten physician domain experts evaluated the user interface and content quality of NoteAid. The evaluation protocol included a cognitive walkthrough session and a postsession questionnaire. Physician feedback sessions were audio-recorded. We used standard content analysis methods to analyze qualitative data from these sessions. Results Physician feedback was mixed. Positive feedback on NoteAid included (1) Easy to use, (2) Good visual display, (3) Satisfactory system speed, and (4) Adequate lay definitions. Opportunities for improvement arising from evaluation sessions and feedback included (1) improving the display of definitions for partially matched terms, (2) including more medical terms in CoDeMed, (3) improving the handling of terms whose definitions vary depending on different contexts, and (4) standardizing the scope of definitions for medicines. On the basis of these results, we have improved NoteAid’s user interface and a number of definitions, and added 4502 more definitions in CoDeMed. Conclusions Physician evaluation yielded useful feedback for content validation and refinement of this innovative tool that has the potential to improve patient EHR comprehension and experience using patient portals. Future ongoing work will develop algorithms to handle ambiguous medical terms and test and evaluate NoteAid with patients. PMID:29358159

  14. Impact of cleft lip and/or palate in children on family quality of life before and after reconstructive surgery.

    PubMed

    Macho, P; Bohac, M; Fedeles, J; Fekiacova, D; Fedeles, J

    2017-01-01

    The aim of the study was to evaluate the impact of cleft lip/palate children together with consequent treatment on quality of family life using standardized questionnaire. Different to previous studies the evaluation of quality of family life by questionnaire was realized twice in the same group of families (before the reconstructive surgery and several months after palatoplasty). The study was conducted in 40 families divided in two groups: 20 families with children with cleft lip (CL), 20 families with children with cleft lip and palate (CLP). The questionnaire of the Impact on Family Scale was used for evaluation of the influence of orofacial clefts on parent´s quality of life. Evaluations were made at the second month of child´s life and at one year of child´s life with reciprocally comparison. The higher impact of children with CLP on quality of family life was noted at 2 months and 1 year of child's age as compared to the impact of children with CL. The reduction of impact on quality of life after surgical correction was observed in families of children with CL at one year of child's age. This decrease of influence on family quality of life was due to significantly lower impact in strain and economic dimensions in families with CL children after operation. However, in the group of families with CLP children no significant changes in the impact on family quality of life were noted when compared to the values before and shortly after the reconstructive surgery. This study showed that orofacial clefts in children influence markedly the quality of their family life. The higher impact of children with CLP on quality of family life as compared to children with CL was noted and this impact in CLP group was not influenced shortly after reconstructive surgery. It is suggested that appropriate medical care in Cleft Centre with special psychological support may lead to improvement in quality of life for families with cleft lip and palate children (Tab. 2, Fig. 2, Ref. 14).

  15. Symptoms, disability and handicap in unilateral peripheral vestibular disorders. Effects of early presentation and initiation of balance exercises.

    PubMed

    Bamiou, D E; Davies, R A; McKee, M; Luxon, L M

    2000-01-01

    The aim of this study was to obtain a profile of disability and handicap in patients with unilateral peripheral vestibular disorders presenting to a specialist tertiary care unit. Two validated questionnaires were sent to patients who had a unilateral peripheral vestibular disorder as defined by strict criteria. Some patients still suffered moderate handicap and disability 5 years after the initial symptoms related to a unilateral vestibular disorder, although the duration of symptoms (onset to questionnaire completion) did not correlate with severity of disability and handicap, as judged by questionnaire scores. However, patients presenting to the unit within 6 months of onset of vertigo commenced balance exercises significantly earlier and had significantly lower disability scores than patients presenting later. A high proportion of non-compliance with, and delay in initiation of, vestibular rehabilitation exercises was noted in the total patient sample, while compliance with, and early initiation of, Cooksey Cawthorne exercises were significantly correlated with low disability and questionnaire scores. These findings suggest that early referral to a specialist balance unit for patients with persistent dizziness is associated with better outcome.

  16. Prevalence of Sleep Disorders and Their Impacts on Occupational Performance: A Comparison between Shift Workers and Nonshift Workers

    PubMed Central

    Yazdi, Zohreh; Sadeghniiat-Haghighi, Khosro; Loukzadeh, Ziba; Elmizadeh, Khadijeh; Abbasi, Mahnaz

    2014-01-01

    The consequences of sleep deprivation and sleepiness have been noted as the most important health problem in our modern society among shift workers. The objective of this study was to investigate the prevalence of sleep disorders and their possible effects on work performance in two groups of Iranian shift workers and nonshift workers. This study was designed as a cross-sectional study. The data were collected by PSQI, Berlin questionnaire, Epworth Sleepiness Scale, Insomnia Severity Index, and RLS Questionnaire. Occupational impact of different sleep disorders was detected by Occupational Impact of Sleep Disorder questionnaire. These questionnaires were filled in by 210 shift workers and 204 nonshift workers. There was no significant difference in the age, BMI, marital status, and years of employment in the two groups. Shift workers scored significantly higher in the OISD. The prevalence of insomnia, poor sleep quality, and daytime sleepiness was significantly higher in shift workers. Correlations between OISD scores and insomnia, sleep quality, and daytime sleepiness were significant. We concluded that sleep disorders should receive more attention as a robust indicator of work limitation. PMID:24977041

  17. Translation and cross-cultural adaptation of the International Hip Outcome Tool (iHOT) into Portuguese

    PubMed Central

    Polesello, Giancarlo Cavalli; Godoy, Guilherme Finardi; Trindade, Christiano Augusto de Castro; de Queiroz, Marcelo Cavalheiro; Honda, Emerson; Ono, Nelson Keiske

    2012-01-01

    Objective iHOT12/33 is an outcome tool designed for young patients with hip problems. The objective of this study is to translate and establish a cross-cultural adaptation of this questionnaire to Portuguese. Method The Guillemin guidelines were followed for the translation and cross-cultural adaptation consisting on: translation, back-translation, prefinal version, administration of the Questionnaire, and editing of the final version. Results The prefinal version was applied to 30 young patients with hip problems. Some difficulties in understanding some of the words and expressions were noted, and these were replaced with simpler ones, achieving the patient's full acceptability in the final version of the Questionnaire. Conclusion The creation of the Brazilian version of the International Hip Outocome Tool (iHOT) 12/33 enables this questionnaire to be used in the evaluation of patients with hip problems in Brazil, and was clearly understood, with good acceptance by the patients tested. Level of evidence II - Development of diagnostic criteria on consecutive patients (with universally applied reference "gold" standard). PMID:24453587

  18. Start Up Application Concerns with Field Programmable Gate Arrays (FPGAs)

    NASA Technical Reports Server (NTRS)

    Katz, Richard B.

    1999-01-01

    This note is being published to improve the visibility of this subject, as we continue to see problems surface in designs, as well as to add additional information to the previously published note for design engineers. The original application note focused on designing systems with no single point failures using Actel Field Programmable Gate Arrays (FPGAs) for critical applications. Included in that note were the basic principles of operation of the Actel FPGA and a discussion of potential single-point failures. The note also discussed the issue of startup transients for that class of device. It is unfortunate that we continue to see some design problems using these devices. This note will focus on the startup properties of certain electronic components, in general, and current Actel FPGAs, in particular. Devices that are "power-on friendly" are currently being developed by Actel, as a variant of the new SX series of FPGAs. In the ideal world, electronic components would behave much differently than they do in the real world, The chain, of course, starts with the power supply. Ideally, the voltage will immediately rise to a stable V(sub cc) level, of course, it does not. Aside from practical design considerations, inrush current limits of certain capacitors must be observed and the power supply's output may be intentionally slew rate limited to prevent a large current spike on the system power bus. In any event, power supply rise time may range from less than I msec to 100 msec or more.

  19. Direct, Operational Field Test Evaluation, Natural Use Study, Part 1: Appendix H, Questionnaire, Interview, And Notebook Data

    DOT National Transportation Integrated Search

    1998-08-01

    THIS APPENDIX CONTAINS THE "RAW" "QUANTITATIVE" DATA FROM THE BEFORE AND AFTER QUESTIONNAIRES, WHICH ARE PRESENTED IN APPENDIX F, AND THE "QUALITATIVE" COMMENTS THAT SUBJECTS MADE ON THE QUESTIONNAIRE, DURING AN INTERVIEW, AND IN THE IN-VEHICLE NOTEB...

  20. Educational and training aspects of new surgical techniques: experience with the endoscopic–laparoscopic interdisciplinary training entity (ELITE) model in training for a natural orifice translumenal endoscopic surgery (NOTES) approach to appendectomy.

    PubMed

    Gillen, Sonja; Gröne, Jörn; Knödgen, Fritz; Wolf, Petra; Meyer, Michael; Friess, Helmut; Buhr, Heinz-Johannes; Ritz, Jörg-Peter; Feussner, Hubertus; Lehmann, Kai S

    2012-08-01

    Natural orifice translumenal endoscopic surgery (NOTES) is a new surgical concept that requires training before it is introduced into clinical practice. The endoscopic–laparoscopic interdisciplinary training entity (ELITE) is a training model for NOTES interventions. The latest research has concentrated on new materials for organs with realistic optical and haptic characteristics and the possibility of high-frequency dissection. This study aimed to assess both the ELITE model in a surgical training course and the construct validity of a newly developed NOTES appendectomy scenario. The 70 attendees of the 2010 Practical Course for Visceral Surgery (Warnemuende, Germany) took part in the study and performed a NOTES appendectomy via a transsigmoidal access. The primary end point was the total time required for the appendectomy, including retrieval of the appendix. Subjective evaluation of the model was performed using a questionnaire. Subgroups were analyzed according to laparoscopic and endoscopic experience. The participants with endoscopic or laparoscopic experience completed the task significantly faster than the inexperienced participants (p = 0.009 and 0.019, respectively). Endoscopic experience was the strongest influencing factor, whereas laparoscopic experience had limited impact on the participants with previous endoscopic experience. As shown by the findings, 87.3% of the participants stated that the ELITE model was suitable for the NOTES training scenario, and 88.7% found the newly developed model anatomically realistic. This study was able to establish face and construct validity for the ELITE model with a large group of surgeons. The ELITE model seems to be well suited for the training of NOTES as a new surgical technique in an established gastrointestinal surgery skills course.

  1. Science Notes.

    ERIC Educational Resources Information Center

    Murray, A. J. S.; And Others

    1988-01-01

    Presents 31 science activities for use with high school or college science classes. Topics included are: chromatography, ecology, invertebrates, enzymes, genetics, botany, creep, crystals, diffusion, computer interfaces, acid rain, teaching techniques, chemical reactions, waves, electric fields, rainbows, electricity, magnetic fields, and a Pitot…

  2. Professional Constraints: How Our Narrow Professional Alliance Has Stymied Leisure Studies

    ERIC Educational Resources Information Center

    Samdahl, Diane M.

    2016-01-01

    Noting that our field is minimally relevant to the multitude of ways the American public is engaged in leisure and recreation, Samdahl delves into our history in attempt to understand how this came about. She notes that the recreation movement as canonized in our textbooks ignores parallel efforts that led to community theaters, libraries, and…

  3. 76 FR 12979 - Submission for OMB Review: Comment Request; Questionnaire Cognitive Interviewing and Pretesting...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-09

    ... cognitive interviews, focus groups, Pilot household interviews, and experimental research in laboratory and field settings, both for applied questionnaire evaluation and more basic research on response errors in surveys. The most common evaluation method is the cognitive interview, in which a questionnaire design...

  4. Pre-clinical Training for New Notes Procedures: From Ex-vivo Models to Virtual Reality Simulators.

    PubMed

    Gromski, Mark A; Ahn, Woojin; Matthes, Kai; De, Suvranu

    2016-04-01

    Natural orifice transluminal endoscopic surgery (NOTES) is a newer field of endoscopic surgery that allows for scarless treatment of pathologic entities, using novel transluminal approaches. There has been a shift of focus from a clinical and research standpoint from the development and dissemination of "first-generation" NOTES procedures to "new NOTES" procedures that traverse the mucosa of luminal structures, yet do not stray far into the peritoneal cavity. It has been a challenge to find appropriate and effective ways to train gastroenterologists and surgeons in these novel approaches. We review the importance of simulation in training and discuss available simulation options. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Cultural challenges to implementation of formative assessment in Saudi Arabia: an exploratory study.

    PubMed

    Al-Wassia, Rolina; Hamed, Omayma; Al-Wassia, Heidi; Alafari, Reem; Jamjoom, Reda

    2015-04-01

    This study investigates challenges that students and faculty face to implement assessment for learning; and the activities, capabilities, enablers, and indicators which could impact performance. The study is a mixed methods research, cross-sectional, exploratory study. The study was organized through two phases of data collection and analysis (QUAL → quan). Based on qualitative focus group discussions (FGD), we first gathered data through field notes. Later, we engaged in analysis using techniques drawn from qualitative data including categorization, theme identification, and connection to existing literature. Based on this analysis, we developed a questionnaire that could provide quantitative measures based on the qualitative FGD. We then administered the questionnaire, and the quantitative data were analyzed to quantitatively test the qualitative findings. Twenty-four faculty and 142 students from the 4th and 5th clinical years participated voluntarily. Their perception of FA and the cultural challenges that hinder its adoption were evaluated through a FGD and a questionnaire. The mean score of understanding FA concept was equal in faculty and students (p = 0.08). The general challenge that scored highest was the need to balance work and academic load in faculty and the need to balance study load and training and mental anxiety in students. There was no difference between faculty and students in perceiving "learning is teacher-centered" (p = 0.481); and "past learning and assessment experience" (p = 0.322). There was a significant difference between them regarding interaction with opposite gender (p <0.001). Students showed higher value as regards the "gap between learning theories and assessment practice", "grade as a priority", and "discrimination by same faculty gender". The authors suggested a "Framework of Innovation in Endorsing Assessment for Learning". It emphasizes a holisitic approach through all levels of the System: Government, Accreditation Bodies, Policy makers; Institution, and Classroom levels.

  6. [Effect of stress and intesity of mobile phone using on the health and subjective symptoms in GSM workers].

    PubMed

    Szyjkowska, Agata; Gadzicka, Elżbieta; Szymczak, Wiesław; Bortkiewicz, Alicja

    2017-07-26

    There are no available data on the health consequences that may result from the synergistic effects of electromagnetic fields (EMF) and stress. Understanding the mechanisms of the simultaneous exposure will make it possible to develop procedures to minimize adverse health effects in professionals using mobile phones. A questionnaire survey was conducted in 600 randomly selected people to obtain data on their health status and the prevalence of subjective symptoms related to the mobile phones using. Among them, there were 208 GSM Network employees, to whom the Perceived Stress Scale and Assessment of Stress at Work Questionnaire were sent. Eighty-nine completed questionnaires were returned (response rate - 42.8%). The mean age of respondents was 30.3 years (standard deviation (SD) = 7.7), time of occupational use of mobile phone - 4.1 years (SD = 1.7), the level of occupational stress - 95.3 (SD = 19.1). A significant percentage of people (62.8%) complained of the frequent difficulties in coping with problems of everyday life, and 57.4% had a fairly frequent problems with managing their own affairs. Significant differences in the life stress were detected between groups with different time of phone use (p = 0.03), and in occupational stress level, significant differences were noted between the 2 groups differing in the length of the conversation (p = 0.05). The risk of headache, associated (odds ratio (OR) = 4.2, p = 0.008) or not associated (OR = 2.97, p = 0.04) with calls on mobile phone, adjusted for stress, was significantly higher in people speaking via mobile more than 60 min/day than in those talking less. The study indicates that both stressors acting at the same time (EMF from cell phone and stress) adversely affect the well-being of workers and increase the risk of subjective symptoms. Med Pr 2017;68(5):617-628. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  7. Note on in situ (scanning) transmission electron microscopy study of liquid samples.

    PubMed

    Jiang, Nan

    2017-08-01

    Liquid cell (scanning) transmission electron microscopy has been developed rapidly, using amorphous SiN x membranes as electron transparent windows. The current interpretations of electron beam effects are mainly based on radiolytic processes. In this note, additional effects of the electric field due to electron-beam irradiation are discussed. The electric field can be produced by the charge accumulation due to the emission of secondary and Auger electrons. Besides various beam-induced phenomena, such as nanoparticle precipitation and gas bubble formation and motion, two other effects need to be considered; one is the change of Gibbs free energy of nucleation and the other is the violation of Brownian motion due to ion drifting driven by the electric field. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Creating Your Own Case Studies: A Guide for Early Field Experience.

    ERIC Educational Resources Information Center

    Florio-Ruane, Susan

    1990-01-01

    A guide for creating case studies is provided for teacher educators to share with students. Suggestions are offered for becoming a participant observer in a classroom. The appendix contains sample appropriate and inappropriate field notes. (SM)

  9. A Guide to the Field Guides.

    ERIC Educational Resources Information Center

    Natural History, 1987

    1987-01-01

    Provides a compilation of recommended field guides which deal with birds, mammals, trees, and wildflowers. Each recommended volume is described, noting its distinguishing features and evaluating its organization, photography, and text. Includes the author, publisher, and suggested retail price. (TW)

  10. A Note on Powers in Finite Fields

    ERIC Educational Resources Information Center

    Aabrandt, Andreas; Hansen, Vagn Lundsgaard

    2016-01-01

    The study of solutions to polynomial equations over finite fields has a long history in mathematics and is an interesting area of contemporary research. In recent years, the subject has found important applications in the modelling of problems from applied mathematical fields such as signal analysis, system theory, coding theory and cryptology. In…

  11. Utilizing Field-Based Instruction as an Effective Teaching Strategy

    ERIC Educational Resources Information Center

    Kozar, Joy M.; Marcketti, Sara B.

    2008-01-01

    The purpose of this study was to examine the effectiveness of field-based instruction on student learning outcomes. Researchers in the past have noted the importance of engaging students on a deeper level through the use of active course designs. To investigate the outcomes of active learning, two field assignments created for two separate…

  12. 75 FR 23167 - Protection of Stratospheric Ozone: The 2010 Critical Use Exemption From the Phaseout of Methyl...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-03

    ... seedlings. Nursery stock--fruit, nut, flower. Orchard replant. Ornamentals. Peppers--field. Strawberries--field. Strawberry runners. Tomatoes--field. Sweet potato slips. The agreed U.S. critical use levels for... Table A of Decision XXI/11 for southeast strawberry nurseries. Both Decisions noted that these amounts...

  13. Open Notes in Swedish Psychiatric Care (Part 1): Survey Among Psychiatric Care Professionals.

    PubMed

    Petersson, Lena; Erlingsdóttir, Gudbjörg

    2018-02-02

    When the Swedish version of Open Notes, an electronic health record (EHR) service that allows patients online access, was introduced in hospitals, primary care, and specialized care in 2012, psychiatric care was exempt. This was because psychiatric notes were considered too sensitive for patient access. However, as the first region in Sweden, Region Skåne added adult psychiatry to its Open Notes service in 2015. This made it possible to carry out a unique baseline study to investigate how different health care professionals (HCPs) in adult psychiatric care in the region expect Open Notes to impact their patients and their practice. This is the first of two papers about the implementation of Open Notes in adult psychiatric care in Region Skåne. The objective of this study was to describe, compare, and discuss how different HCPs in adult psychiatric care in Region Skåne expect Open Notes to impact their patients and their own practice. A full population Web-based questionnaire was distributed to psychiatric care professionals in Region Skåne in late 2015. The response rate was 28.86% (871/3017). Analyses show that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between different professionals and attitudes to the Open Notes service. The results show that the psychiatric HCPs are generally of the opinion that the service would affect their own practice and their patients negatively. The most striking result was that more than 60% of both doctors (80/132, 60.6%) and psychologists (55/90, 61%) were concerned that they would be less candid in their documentation in the future. Open Notes can increase the transparency between patients and psychiatric HCPs because patients are able to access their EHRs online without delay and thus, can read notes that have not yet been approved by the responsible HCP. This may be one explanation as to why HCPs are concerned that the service will affect both their own work and their patients. ©Lena Petersson, Gudbjörg Erlingsdóttir. Originally published in JMIR Mental Health (http://mental.jmir.org), 02.02.2018.

  14. Systems Biology of Immune Response to Live and Inactivated Dengue Virus Vaccines

    DTIC Science & Technology

    2017-09-01

    transcriptomics; innate immunity; adaptive immunity; correlates of immunity; live-attenuated; purified inactivated; biomarkers; T- cell; B-cell; epitope. 5...original copies of journal articles, reprints of manuscripts and abstracts, a curriculum vitae, patent applications, study questionnaires, and surveys ...of DENV and capable of secreting IgG were detected in all arms at 6 moths post-vaccination. Of note is that little correlation with contemporaneous

  15. Impact of clinical teaching on students knowledge acquisition.

    PubMed

    Manzar, Shabih

    2003-08-01

    We are in the process of curriculum revision and for that we need to know the strengths and weaknesses of the current teaching program and the venue that may need more attention. To proceed with this aim, we conducted this study. The study was conducted on 2 groups of students rotating through nursery as a part of Pediatrics clerkship at King Faisal University, Dammam, KSA, during a 2 month study, April through to May 2001. A 15 item questionnaire was developed for testing. By using a pre-test post-test model, we looked at the scores achieved by the students on the questionnaire before and after 2 weeks of intensive clinical teaching. In the first group of students, the mean percentage of correctly answered questions were higher in the post-test (78%) as compared to pre-test (64%), which was statistically significant, p=0.02. A similar trend was noted in the second group, the mean percentage of correctly answered questions were higher in the post-test (64%) as compared to pre-test (78%), which was also statistically significant, p=0.004. We concluded that our method of clinical teaching followed during nursery rotation was effective in increasing students knowledge. However, attention is needed on some topics in which students are noted to be relatively weak.

  16. Statistical Analysis of Fort Hood Quality-of-Life Questionnaire.

    DTIC Science & Technology

    1978-10-01

    The objective of this work was to provide supplementary data analyses of data abstracted from the Quality - of - Life questionnaire developed earlier at...the Fort Hood Field Unit at the request of Headquarters, TRADOC Combined Arms Test Activity (TCATA). The Quality - of - Life questionnaire data were...to the Quality - of - Life questionnaire. These data were then intensively analyzed using analysis of variance and correlational techniques. The results

  17. The use of a Mentoring-Based Conference as a Research Career Stimulation Strategy

    PubMed Central

    Interian, Alejandro; Escobar, Javier I.

    2009-01-01

    Introduction Across healthcare, US minority populations including Latinos face disparities in risk for disease, clinical outcomes, and quality of care. The discourse related to disparity problems has often highlighted the need to increase the number of minority scientists so that the productivity of research focusing on minority populations is expanded. As a result, a group of Latino mental health researchers collaborated to develop a national network of senior mentors that participated in annual mentoring-oriented conferences. A cost-effective program was developed to stimulate the entry of new investigators into the field and provide mentoring with a focus on Latino mental health issues. Method A conference-platform was used as the career stimulation strategy. Annual conferences were held (2002 – 2006) that emphasized the showcasing of new investigators' work, pairing new investigators with senior researchers, and a feedback-oriented environment. Quantitative data were used to track new investigator career progress (i.e., publications, research grants), while qualitative data were used to assess all attendees' feedback, which was provided via conference feedback questionnaires. Results The feedback questionnaires revealed high levels of satisfaction with the conference, noting most highly the interactive, friendly, and nurturing conference format. Career tracking data indicated that nearly half of the new investigators participants published their work in peer-reviewed journals, and that about one-third of were successful in obtaining research funding. Conclusions These mentoring conferences appear to be an effective tool for stimulating the research careers of new investigators engaged in Latino mental health research. PMID:19881428

  18. Impact of Retinitis Pigmentosa on Quality of Life, Mental Health, and Employment Among Young Adults.

    PubMed

    Chaumet-Riffaud, Anne Elisabeth; Chaumet-Riffaud, Philippe; Cariou, Anaelle; Devisme, Céline; Audo, Isabelle; Sahel, José-Alain; Mohand-Said, Saddek

    2017-05-01

    To determine the relationship between visual function and quality of life, education, mental health, and employment among young adults with retinitis pigmentosa (RP). Cross-sectional study. Inclusion of 148 patients (mean age 38.2 ± 7.1 years) diagnosed with RP, living in France. Quality of life was assessed using the National Eye Institute Visual Function Questionnaire (VFQ-25), mental state with the Hospital and Anxiety and Depression Scale (HADS), and employment with a specifically designed questionnaire. Limited visual impairment was noted in 22.3%, low vision in 29.7%, and legal blindness in 48.0%. There was a correlation between quality-of-life scores and residual visual field (P < .0001). Mental health scores were suggestive of anxiety in 36.5% and depression in 15.5%. The rates did not increase with disability level (P = .738, P = .134). The percentage of subjects with higher education did not significantly decrease with disability level (P = .113). The employment rate did not significantly decrease with disability level (P = .276). It was lower in subjects reporting depression (P = .0414). Self-rated impact of RP on employment increased with disability level (P = .02642). Our results differ from previous results showing lower education rates and employment rates in young adults with RP. Further research is warranted focusing on the impact of mental health, education, workplace conditions, and employment aids on employment rate vs age- and education-matched normally sighted controls to guide visual disability strategies in RP. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Attitude Toward Humor in Patients Experiencing Depressive Symptoms

    PubMed Central

    Bokarius, Anna; Ha, Khanh; Poland, Russell; Bokarius, Vladimir; Rapaport, Mark H.

    2011-01-01

    Objective: This study measures the correlation between disposition to humor and level of depression to investigate openness to humorous interventions for the treatment of depression. Design, Participants, and Measurement: Individuals (n=200) with depression received questionnaires to assess their sense of humor and attitude toward humor using the Svebak's Humor Questionnaire and a disposition toward humor questionnaire. The correlation between Svebak's Humor Questionnaire scores and Quick Inventory of Depressive Symptomatology-Self Report scores was then measured. Results were further analyzed by race, age, and gender to assess any emerging trends within those groups. Results: Svebak's Humor Questionnaire mean scores remained high across gender, race, and age. However, there was not a statistically significant correlation between the level of depression and sense of humor (r=−0.22). The only significant relationship noted was between disposition toward humor and depression was for subjects aged 70 and older (r=−0.83). Conclusion: Though with certain limitations, these data provide preliminary support for the possibility that an appreciation of humor would persist despite symptoms of major depressive disorder. Clinicians could consider humor as part of an intervention in the treatment of depressive symptoms. The determination of the type of humor and manner of integrating it into therapy would require further study. PMID:22010061

  20. Lower urinary tract functions in a series of Charcot-Marie-Tooth neuropathy patients.

    PubMed

    Krhut, J; Mazanec, R; Seeman, P; Mann-Gow, T; Zvara, P

    2014-05-01

    To evaluate lower urinary tract (LUT), bowel, and sexual dysfunctions in a series of patients with Charcot-Marie-Tooth disease (CMT). A cohort of 58 patients and 54 healthy controls filled out the International Prostate Symptoms Score (IPSS) and the International Consultation on Incontinence Modular (ICIQ) Questionnaires to assess their symptoms and their impact on the patient's quality of life. On the IPSS questionnaire, CMT patients reported a significantly higher score compared with the healthy controls in 7 of 8 questions. The ICIQ-male LUT symptoms questionnaire revealed a significantly higher score in 7 of 26 questions. In the ICIQ-female LUT questionnaire, a significantly higher score was observed in 13 of 24 questions. When assessing the bowel function in CMT patients using the ICIQ-bowel questionnaire, a significantly higher score in 30 of 40 questions was noted. No differences in sexual function were found in either group. The occurrence of the LUT symptoms and bowel dysfunctions in CMT patients was significantly higher when compared with an age-matched control group. The symptoms were more frequent in female patients. The findings suggest that autonomic dysfunction should be evaluated and included in the diagnostic approach and care of CMT patients. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  1. Questionnaires for research: an annotated bibliography on design, construction, and use.

    Treesearch

    Dale R. Potter; Kathryn M. Sharpe; John C. Hendee; Roger N. Clark

    1972-01-01

    Questionnaires as social science tools are used increasingly to study people aspects of outdoor recreation and other natural resource fields. An annotated bibliography including subjective evaluations of each article and a keyword list is presented for 193 references to aid researchers and managers in the design, construction, and use of mail questionnaires.

  2. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Møller, Jacob Schach

    These notes provide an introduction to the spectral analysis of Pauli-Fierz systems at zero and positive temperature. More precisely, we study finite dimensional quantum systems linearly coupled to a single reservoir, a massless scalar quantum field. We emphasize structure results valid at arbitrary system-reservoir coupling strength. The notes contain a mixture of known, refined, and new results and each section ends with a discussion of open problems.

  3. Sampling procedure for lake or stream surface water chemistry

    Treesearch

    Robert Musselman

    2012-01-01

    Surface waters collected in the field for chemical analyses are easily contaminated. This research note presents a step-by-step detailed description of how to avoid sample contamination when field collecting, processing, and transporting surface water samples for laboratory analysis.

  4. Research note : field control of asphalt concrete paving mixtures.

    DOT National Transportation Integrated Search

    1995-01-01

    The goal of this study was to develop information and evaluate new methods for controlling quality of the AC mixture in the mat. Specifically, this research project evaluated a gyratory compactor in the field laboratory to determine mix quality. Spec...

  5. Automatically Detecting Likely Edits in Clinical Notes Created Using Automatic Speech Recognition

    PubMed Central

    Lybarger, Kevin; Ostendorf, Mari; Yetisgen, Meliha

    2017-01-01

    The use of automatic speech recognition (ASR) to create clinical notes has the potential to reduce costs associated with note creation for electronic medical records, but at current system accuracy levels, post-editing by practitioners is needed to ensure note quality. Aiming to reduce the time required to edit ASR transcripts, this paper investigates novel methods for automatic detection of edit regions within the transcripts, including both putative ASR errors but also regions that are targets for cleanup or rephrasing. We create detection models using logistic regression and conditional random field models, exploring a variety of text-based features that consider the structure of clinical notes and exploit the medical context. Different medical text resources are used to improve feature extraction. Experimental results on a large corpus of practitioner-edited clinical notes show that 67% of sentence-level edits and 45% of word-level edits can be detected with a false detection rate of 15%. PMID:29854187

  6. Evaluation of undergraduate geologists' problem solving and cognition during field exams using a mixed methods approach

    NASA Astrophysics Data System (ADS)

    Balliet, Russell N.

    Understanding how geologists conduct fieldwork through analysis of problem solving has significant potential impact on field instruction methods. Recent progress has been made in this area but the problem solving behaviors displayed by geologists during fieldwork and the associated underlying cognition remains poorly understood. We present research showing how geology students initiate and develop geologic models as part of the problem solving process. We qualitatively analyzed field notes and interview data from 36 undergraduate geoscientists engaged in field exams while enrolled in a six-week advanced field camp. Eight cognitive frameworks grouped in two broad categories emerged from the data that show how students develop geologic models. Students employ both single and multiple model approaches with varying degrees of success and frequency. The success of any given approach is dependent on the level of students' geologic situational awareness. The development of multiple geologic models leads to a higher rate of success in general, because of the inherent flexibility to accommodate newly collected data. Instructors should continue to teach a multiple model approach until students have the proper geologic skills to ensure a high level of situational awareness and exhibit expert characteristics in the field. In addition, we collected GPS navigation data from students during these field exams in order to understand the relationship between navigation, cognition, and performance. From the analysis of this data we found that over half of all stops are 1-4 minutes long, while very few of students' stops are longer than 9 minutes as the frequency of stops decreases as the duration increases. Regardless of performance or framework, there is an increase in shorter stops and decrease in longer stops from exam one to three, indicating that students changed the way they investigated as the field course progressed. Temporal signatures categorized by performance only show slight differences, but do indicate that there is an increase in very short and longer stops with declining performance. In contrast, higher performance is linked to an increase in short and medium length stops, suggesting that stops 4-14 minutes long are a "sweet spot" for investigation. We speculate that a high percentage of very short stops involve basic field tasks such as locating or data collection and that the decreasing frequency of long stops indicates that there is a relationship between the length of the stop and the complexity of the activities performed during that stop. Students increased experience leads to more efficient stops as they become more competent with field tasks and more versed in the regional geology. The GPS data we collected from these students while they took these notes allowing us to connect the duration of a stop to the types of notes produced during that stop. Note taking species occurred in various frequencies with the most common type being those that focused on lithologic, or lithologic & structural data collection. Stops that produced geologic models, specifically structural models, were much less frequent. The more frequent data collection stops are very short in length (typically 1-4 minutes), while the more complex stops tend to be longer in duration as the note taking gets more complex. Poor performing students had a high proportion of stops where they only collect lithologic data or stops where they don't generate any hypotheses. In contrast, successful students have more structural data and hypothesis generation in their notes. From this analysis we conclude that too much effort spent on stops with only basic data collection leaves less time for the cognitive effort required for model development, eventually leading to poor exam performance. Specifically, a higher frequency of lithologic data stops and lack of structural data leads to the development of incomplete geologic models or lack of comprehensive models altogether. Field instructors often educate their students on good note taking practices and critique the content of their students' field notebooks, and these findings can inform the content of that critique. Students' utilize many different problem solving approaches in the field, but we suggest that instructors continue to advocate a multiple model approach until students are capable of using a single model approach. In this approach students should decrease the number of geologic models they are using as the day progresses to avoid overwhelming themselves with data and hypothesis. Furthermore, field instructors need to work with students on developing their geologic investigation skills further and improving their efficiency. Specifically students need to collect a higher proportion of structural data and develop complete geologic models earlier in the day. (Abstract shortened by UMI.)

  7. Study of the measurement of defense style using Bond's Defense Style Questionnaire.

    PubMed

    Nishimura, R

    1998-08-01

    Two hundred and seventy healthy university students were surveyed in December 1995 using Bond's Defense Style Questionnaire (DSQ) to measure the subjects' defense mechanisms. At the same time, a survey using Byrne's R-S Scale (Repression-Sensitization Scale) of the MMPI (Minnesota multiphasic personality inventory) and five psychiatric symptom indexes (anxiety, sense of inadequacy, sensitivity, depression and impulsive anger) selected from the CMI (Cornell Medical Index-Health Questionnaire) was conducted. Three factors were extracted from the DSQ through factor analysis: immature defenses, neurotic defenses, and mature defenses. The results of analysis of variance revealed the following: (i) for anxiety and anxiety related symptoms, both immature defenses and neurotic defenses indicated principal effect; (ii) for impulsive anger and depression, immature defenses presented principal effect; and (iii) for sensitivity and impulsive anger, interaction between a mature defense style and neurotic defense style was noted. The relationship between defense styles and psychiatric symptoms in healthy people is studied in this paper.

  8. Awareness, knowledge, and attitude of patients toward dental implants - A questionnaire-based prospective study.

    PubMed

    Hosadurga, Rajesh; Shanti, Tenneti; Hegde, Shashikanth; Kashyap, Rajesh Shankar; Arunkumar, Suryanarayan Maiya

    2017-01-01

    In developing nations like India awareness and education about dental implants as a treatment modality is still scanty. The study was conducted to determine the awareness, knowledge, and attitude of patients toward dental implants as a treatment modality among the general population and to assess the influence of personality characteristics on accepting dental implants as a treatment modality in general and as well as treatment group. A structured questionnaire-based survey was conducted on 500 randomly selected participants attending the outpatient department. The study was conducted in 2 parts. In the first part of the study, level of awareness, knowledge, and attitude was assessed. In the second part of the study, interactive educational sessions using audiovisual aids were conducted following which a retest was conducted. The participants who agreed to undergo implant treatment were followed up to assess their change in attitude towards dental implants posttreatment. Thus pain, anxiety, functional, and esthetic benefits were measured using visual analog scale. They were further followed up for 1 year to reassess awareness, knowledge, and attitude towards dental implants. A total of 450 individuals completed the questionnaires. Only 106 individuals agreed to participate in the educational sessions and 83 individuals took the retest. Out of these, only 39 individuals chose implants as a treatment option. A significant improvement in the level of information, subjective and objective need for information, was noted after 1 year. In this study, a severe deficit in level of information, subjective and objective need for information towards, dental implants as a treatment modality was noted. In the treatment group, a significant improvement in perception of dental implant as a treatment modality suggests that professionally imparted knowledge can bring about a change in the attitude.

  9. [Pediculosis capitis: a questionnaire survey in 4 schools of the Bordeaux Academy 1990-1991].

    PubMed

    Courtiade, C; Labrèze, C; Fontan, I; Taïeb, A; Maleville, J

    1993-01-01

    A questionnaire survey of head lice treatment was conducted in four schools--each including a nursery and an elementary school--in the Bordeaux area. Two schools were situated in the centre of the city, one in a suburban area and one in a rural area (50 km from the city). Four-page questionnaires were filled in anonymously by the parents in April 1991; 840 answers were obtained (80 p. 100 response rate). Between January 1990 and March 1991, 48.7 p. 100 of children had at least one episode of head lice infestation (infestation rates varied from 38.8 to 62.6 p. 100 depending on the schools); 30.5 p. 100 of children were contaminated for the first time during that period. Lice were detected by the parents in 95 p. 100 of the cases. The prevalence of lice was higher in females (60 p. 100) than in males (40 p. 100). The highest prevalence was noted in the suburban school where 17 p. 100 of the parents were unemployed at the time of the survey. The peak age for head lice was 7, but 19.4 p. 100 of nursery school children aged 2-4 years had been contaminated at least once. Impetigo was rare (1.2 p. 100), and pruritus was noted in only 14.2 p. 100 of the cases. Most children had been contaminated at school. Curative treatment was counselled by a chemist in 87 p. 100 of the cases. Pyrethrins were used in 81 p. 100, and the shampoo (Hegor) plus spray (Paraspecial Poux) association was the most frequent, totalling two-thirds of prescriptions.(ABSTRACT TRUNCATED AT 250 WORDS)

  10. A hospital-wide transition from paper to digital problem-oriented clinical notes. A descriptive history and cross-sectional survey of use, usability, and satisfaction.

    PubMed

    Cillessen, Felix H J M; de Vries Robbé, Pieter F; Biermans, Marion C J

    2017-05-17

    To evaluate the use, usability, and physician satisfaction of a locally developed problem-oriented clinical notes application that replaced paper-based records in a large Dutch university medical center. Using a clinical notes database and an application event log file and a cross-sectional survey of usability, authors retrospectively analyzed system usage for medical specialties, users, and patients over 4 years. A standardized questionnaire measured usability. Authors analyzed the effects of sex, age, professional experience, training hours, and medical specialty on user satisfaction via univariate analysis of variance. Authors also examined the correlation between user satisfaction in relation to users' intensity of use of the application. In total 1,793 physicians used the application to record progress notes for 219,755 patients. The overall satisfaction score was 3.2 on a scale from 1 (highly dissatisfied) to 5 (highly satisfied). A statistically significant difference occurred in satisfaction by medical specialty, but no statistically significant differences in satisfaction took place by sex, age, professional experience, or training hours. Intensity of system use did not correlate with physician satisfaction. By two years after the start of the implementation, all medical specialties utilized the clinical notes application. User satisfaction was neutral (3.2 on a 1-5 scale). Authors believe that the significant factors facilitating this transition mirrored success factors reported by other groups: a generic, consistent, and transparent design of the application; intensive collaboration; continuous monitoring; and an incremental rollout.

  11. Magnetic Fields at the Center of Coils

    ERIC Educational Resources Information Center

    Binder, Philippe; Hui, Kaleonui; Goldman, Jesse

    2014-01-01

    In this note we synthesize and extend expressions for the magnetic field at the center of very short and very long current-carrying coils. Elementary physics textbooks present the following equation for the magnetic field inside a very long current-carrying coil (solenoid): B[subscript sol] = µ[subscript 0] (N/L) I, (1) where I is the current, N…

  12. 40 CFR 1065.295 - PM inertial balance for field-testing analysis.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 32 2010-07-01 2010-07-01 false PM inertial balance for field-testing... inertial balance for field-testing analysis. (a) Application. You may use an inertial balance to quantify... balance that meets the specifications in Table 1 of § 1065.205. Note that your balance-based system must...

  13. 40 CFR 1065.295 - PM inertial balance for field-testing analysis.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 33 2011-07-01 2011-07-01 false PM inertial balance for field-testing... inertial balance for field-testing analysis. (a) Application. You may use an inertial balance to quantify... balance that meets the specifications in Table 1 of § 1065.205. Note that your balance-based system must...

  14. Null Arguments in Transitional Trilingual Grammars: Field Observations from Misionero German

    ERIC Educational Resources Information Center

    Putnam, Michael T.; Lipski, John

    2016-01-01

    In this field note we discuss findings from pilot research on a variety of heritage German spoken in the Northeastern Province of Misiones of Argentina. Based on sociolinguistic field interviews with 25 consultants possessing varying degrees of proficiency in the language, we show that this variant of heritage German does in fact occasionally…

  15. Emotional intelligence (EI) and nursing leadership styles among nurse managers.

    PubMed

    Tyczkowski, Brenda; Vandenhouten, Christine; Reilly, Janet; Bansal, Gaurav; Kubsch, Sylvia M; Jakkola, Raelynn

    2015-01-01

    Less than 12.5% of nurses aspire to leadership roles, noting lack of support and stress as major factors in their decision not to pursue this area of practice. Psychological resiliency, described as the ability to properly adapt to stress and adversity, is key to successful nurse managers. Emotional intelligence (EI) is a related concept to resiliency and is another noteworthy predictor of leadership and management success. This study was undertaken to determine the level of and relationship between EI and leadership style of nurse managers employed in Wisconsin and Illinois facilities. A descriptive, exploratory study design was utilized, with a convenience sample of nurse managers working in 6 large Midwestern health systems. Nurse managers were invited to participate in the study by their employer, completing the online consent form and the demographic, Multifactor Leadership Questionnaire (MLQ) Form 5X and the Emotional Quotient Inventory (EQ-i 2.0) surveys. Statistically significant positive relationships were noted between EI and transformational leadership and the outcomes of leadership (extra effort, effectiveness, and satisfaction). No statistically significant relationships were noted between EI and transactional or laissez-faire leadership styles.

  16. A Natural Language Processing System That Links Medical Terms in Electronic Health Record Notes to Lay Definitions: System Development Using Physician Reviews.

    PubMed

    Chen, Jinying; Druhl, Emily; Polepalli Ramesh, Balaji; Houston, Thomas K; Brandt, Cynthia A; Zulman, Donna M; Vimalananda, Varsha G; Malkani, Samir; Yu, Hong

    2018-01-22

    Many health care systems now allow patients to access their electronic health record (EHR) notes online through patient portals. Medical jargon in EHR notes can confuse patients, which may interfere with potential benefits of patient access to EHR notes. The aim of this study was to develop and evaluate the usability and content quality of NoteAid, a Web-based natural language processing system that links medical terms in EHR notes to lay definitions, that is, definitions easily understood by lay people. NoteAid incorporates two core components: CoDeMed, a lexical resource of lay definitions for medical terms, and MedLink, a computational unit that links medical terms to lay definitions. We developed innovative computational methods, including an adapted distant supervision algorithm to prioritize medical terms important for EHR comprehension to facilitate the effort of building CoDeMed. Ten physician domain experts evaluated the user interface and content quality of NoteAid. The evaluation protocol included a cognitive walkthrough session and a postsession questionnaire. Physician feedback sessions were audio-recorded. We used standard content analysis methods to analyze qualitative data from these sessions. Physician feedback was mixed. Positive feedback on NoteAid included (1) Easy to use, (2) Good visual display, (3) Satisfactory system speed, and (4) Adequate lay definitions. Opportunities for improvement arising from evaluation sessions and feedback included (1) improving the display of definitions for partially matched terms, (2) including more medical terms in CoDeMed, (3) improving the handling of terms whose definitions vary depending on different contexts, and (4) standardizing the scope of definitions for medicines. On the basis of these results, we have improved NoteAid's user interface and a number of definitions, and added 4502 more definitions in CoDeMed. Physician evaluation yielded useful feedback for content validation and refinement of this innovative tool that has the potential to improve patient EHR comprehension and experience using patient portals. Future ongoing work will develop algorithms to handle ambiguous medical terms and test and evaluate NoteAid with patients. ©Jinying Chen, Emily Druhl, Balaji Polepalli Ramesh, Thomas K Houston, Cynthia A Brandt, Donna M Zulman, Varsha G Vimalananda, Samir Malkani, Hong Yu. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 22.01.2018.

  17. Evaluation of a computerized field data collection system for health surveys.

    PubMed Central

    Forster, D.; Behrens, R. H.; Campbell, H.; Byass, P.

    1991-01-01

    A customized field data collection system (FDCS) has been developed for a hand-held computer to collect and check questionnaire data. The data quality, preparation time, and user acceptability of the system were evaluated during a malaria morbidity survey in Bakau, the Gambia. Eight field-workers collected data with either the FDCS or on paper questionnaire forms in alternate weeks over a 6-week period. Significantly fewer item errors occurred with the FDCS, and by the end of the survey period interview times were significantly less with the FDCS than with the paper and pencil questionnaire. Advanced appropriate technology may have a useful role in providing accurate and rapid information, particularly in overcoming bottlenecks in data processing, and in obviating the need for costly expertise and equipment. In developing countries this could help to improve the quality of data on health care. Images Fig. 1 PMID:2054915

  18. Addictive behaviors and personality traits in adolescents.

    PubMed

    Munno, Donato; Saroldi, Marta; Bechon, Elisa; Sterpone, Sara Chiara Maria; Zullo, Giuseppina

    2016-04-01

    Behavioral addictions refer to repeated dysfunctional behaviors that do not involve the ingestion of addictive substances. Studies on the association between behavioral addictions and personality traits have noted in individuals with problematic behaviors a high proclivity toward impulsivity and sensation-seeking and a low predisposition to harm avoidance. The majority of these studies have focused on adults, while far fewer have involved adolescents. The study population was 109 high school students (age range 15-18 years) in Turin, Italy. Participants completed an assessment that comprised a demographic questionnaire and 3 self-report questionnaires: the Shorter PROMIS Questionnaire (SPQ), the Internet Addiction Test (IAT), and the Multidimensional Questionnaire for Adolescents (QMA). A gender-related difference in the risk of developing an addictive behavior was observed, with a significantly higher percentage of risk seen for several addiction tendencies among the males. Statistically significant correlations emerged between some personality determinants and certain addictive behaviors. The study pinpoints epidemiological indicators for the extent of this growing problem among adolescents. The findings have implications for identifying protection factors and risk factors for addictive behaviors and related psychiatric disorders, and the development of primary prevention strategies derived from such factors.

  19. Presettlement Forests of the Black Swamp Area, Cache River,Woodruff County, Arkansas, from Notes of the First Land Survey

    Treesearch

    Thomas L. Foti

    2001-01-01

    Relationships between forest vegetation and soil were reconstructed from field notes of the 1846 Public Land Survey (PLS) along a portion of the Cache River including Black Swamp. Locations of corners were digitized long with species,diameter,and distance from section or quarter-section corners. Trees were grouped for analysis according to occurrence on groups of...

  20. [The healthy life-style as one of components of human safety].

    PubMed

    Vasendin, V N; Tchebotarkova, S A; Kobalyeva, D A

    2012-01-01

    The technique of single-step anonymous questionnaire was applied to sampling of students of technical university to study propagation of health risk factors. The very high propagation of behavioral factors of life-style among students is noted. The model of healthy life-style is considered with emphasis on internal and external aspects of its functioning. It is established that particular steps in implementation of this model are ultimately individual.

  1. Residence Halls Perceptions Study: A Report of the Perceptions of Students Regarding the Residence Halls at the University of South Carolina. Research Notes No. 33-76.

    ERIC Educational Resources Information Center

    Wertz, Richard D.; And Others

    In an effort to elicit student attitudes concerning residence hall living on campus a questionnaire was designed and administered to a random sample of 1,100 resident students at the University of South Carolina. The survey instrument consisted of a set of sixteen statements that required an "is" and a "should be" response. The…

  2. Electric Field-Mediated Processing of Polymers. Appendix 1

    NASA Technical Reports Server (NTRS)

    Wnek, G. E.; Bowlin, G. L.; Haas, T. W.

    2000-01-01

    Significant opportunities exist for the processing of polymers (homopolymers and blends) using electric fields. We suggest that a broad range of properties can be achieved using a relatively small number of polymers, with electric fields providing the ability to tailor properties via the control of shape, morphology, and orientation. Specific attention is given to electrospinning, but we note that electroaerosol formation and field-modulated film casting represent additional processing options.

  3. Field Notes

    ERIC Educational Resources Information Center

    Parrone, Edward G.; Montalto, Michael P.

    2008-01-01

    The importance of athletic fields has increased in today's society because of the popularity of sporting events. As a result, education administrators face challenges when dealing with their athletic facilities. Decisionmakers constantly are being second-guessed in regard to outdated, overused facilities and lack of budget. In this article, the…

  4. Development, Translation and Validation of Enhanced Asian Rome III Questionnaires for Diagnosis of Functional Bowel Diseases in Major Asian Languages: A Rome Foundation-Asian Neurogastroenterology and Motility Association Working Team Report.

    PubMed

    Ghoshal, Uday C; Gwee, Kok-Ann; Chen, Minhu; Gong, Xiao R; Pratap, Nitesh; Hou, Xiaohua; Syam, Ari F; Abdullah, Murdani; Bak, Young-Tae; Choi, Myung-Gyu; Gonlachanvit, Sutep; Chua, Andrew S B; Chong, Kuck-Meng; Siah, Kewin T H; Lu, Ching-Liang; Xiong, Lishou; Whitehead, William E

    2015-01-01

    The development-processes by regional socio-cultural adaptation of an Enhanced Asian Rome III questionnaire (EAR3Q), a cultural adaptation of the Rome III diagnostic questionnaire (R3DQ), and its translation-validation in Asian languages are presented. As English is not the first language for most Asians, translation-validation of EAR3Q is essential. Hence, we aimed to culturally adapt the R3DQ to develop EAR3Q and linguistically validate it to show that the EAR3Q is able to allocate diagnosis according to Rome III criteria. After EAR3Q was developed by Asian experts by consensus, it was translated into Chinese, Hindi-Telugu, Indonesian, Korean and Thai, following Rome Foundation guidelines; these were then validated on native subjects (healthy [n = 60], and patients with irritable bowel syndrome [n = 59], functional dyspepsia [n = 53] and functional constipation [n = 61]) diagnosed by clinicians using Rome III criteria, negative alarm features and investigations. Experts noted words for constipation, bloating, fullness and heartburn, posed difficulty. The English back-translated questionnaires demonstrated concordance with the original EAR3Q. Sensitivity and specificity of the questionnaires were high enough to diagnose respective functional gastrointestinal disorders (gold standard: clinical diagnoses) in most except Korean and Indonesian languages. Questionnaires often uncovered overlapping functional gastrointestinal disorders. Test-retest agreement (kappa) values of the translated questionnaires were high (0.700-1.000) except in Korean (0.300-0.500) and Indonesian (0.100-0.400) languages at the initial and 2-week follow-up visit. Though Chinese, Hindi and Telugu translations were performed well, Korean and Indonesian versions were not. Questionnaires often uncovered overlapping FGIDs, which were quite common.

  5. Brief note: Applying developmental intergroup perspectives to the social ecologies of bullying: Lessons from developmental social psychology.

    PubMed

    Brenick, Alaina; Halgunseth, Linda C

    2017-08-01

    Over the past decades, the field of bullying research has seen dramatic growth, notably with the integration of the social-ecological approach to understanding bullying. Recently, researchers (Hymel et al., 2015; Hawley & Williford, 2015) have called for further extension of the field by incorporating constructs of group processes into our investigation of the social ecologies of bullying. This brief note details the critical connections between power, social identity, group norms, social and moral reasoning about discrimination and victimization, and experiences of, evaluations of, and responses to bullying. The authors highlight a parallel development in the bridging of developmental social-ecological and social psychological perspectives utilized in the field of social exclusion that provides a roadmap for extending the larger field of bullying research. This article is part of a Special Issue entitled [VSI: Bullying] IG000050. Copyright © 2017 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

  6. Population perception of surgical safety and body image trauma: a plea for scarless surgery?

    PubMed

    Bucher, Pascal; Pugin, François; Ostermann, Sandrine; Ris, Frederic; Chilcott, Michael; Morel, Philippe

    2011-02-01

    Laparoendoscopic single-site surgery (LESS) and natural orifice translumenal endoscopic surgery (NOTES) are prospected as the future of minimally invasive surgery. While scarless surgery (NOTES and LESS) is gaining increasing popularity, perception of these approaches should be investigated. An anonymous questionnaire describing laparoscopy, LESS, and NOTES was given to medical staff (n=120), paramedical staff (n=100), surgical patients (n=100), and the general population (n=100). The survey participants (median age, 37 years; range, 18-81 years) were queried about their expectations for surgical treatment and their approach preference. The first concern of the survey responders was the risk of surgical complications (92%). When asked about the respective importance of surgical safety, cure, and cosmetics, cure was placed first by 74%, safety by 33%, and cosmetics by 3%. These results were not influenced by sex, age, prior surgery or endoscopy, or education. When operative risk was similar, 90% of the participants preferred a scarless approach (75% preferred LESS and 15% preferred NOTES) to laparoscopy. The scarless approach preference was significantly higher among the younger participants (age<40 years; p=0.026), whereas sex showed no influence. The LESS preference was significantly higher among patients and the general population (86%) than among medical (67%) and paramedical (70%) staffs (p<0.001). A decreasing trend of preference for LESS and NOTES was observed with increased procedural risks. Although cure and safety remain the main concern, the population has a favorable perception of scarless surgery, even in the case of increased procedural risk, with LESS favored over NOTES. Such a popular adoption of scarless surgery should warrant the promotion of further research, technological innovations, and the establishment of surgeon training to improve its safety.

  7. What Do We Really Need? Visions of an Ideal Human-Machine Interface for NOTES Mechatronic Support Systems From the View of Surgeons, Gastroenterologists, and Medical Engineers.

    PubMed

    Kranzfelder, Michael; Schneider, Armin; Fiolka, Adam; Koller, Sebastian; Wilhelm, Dirk; Reiser, Silvano; Meining, Alexander; Feussner, Hubertus

    2015-08-01

    To investigate why natural orifice translumenal endoscopic surgery (NOTES) has not yet become widely accepted and to prove whether the main reason is still the lack of appropriate platforms due to the deficiency of applicable interfaces. To assess expectations of a suitable interface design, we performed a survey on human-machine interfaces for NOTES mechatronic support systems among surgeons, gastroenterologists, and medical engineers. Of 120 distributed questionnaires, each consisting of 14 distinct questions, 100 (83%) were eligible for analysis. A mechatronic platform for NOTES was considered "important" by 71% of surgeons, 83% of gastroenterologist,s and 56% of medical engineers. "Intuitivity" and "simple to use" were the most favored aspects (33% to 51%). Haptic feedback was considered "important" by 70% of participants. In all, 53% of surgeons, 50% of gastroenterologists, and 33% of medical engineers already had experience with NOTES platforms or other surgical robots; however, current interfaces only met expectations in just more than 50%. Whereas surgeons did not favor a certain working posture, gastroenterologists and medical engineers preferred a sitting position. Three-dimensional visualization was generally considered "nice to have" (67% to 72%); however, for 26% of surgeons, 17% of gastroenterologists, and 7% of medical engineers it did not matter (P = 0.018). Requests and expectations of human-machine interfaces for NOTES seem to be generally similar for surgeons, gastroenterologist, and medical engineers. Consensus exists on the importance of developing interfaces that should be both intuitive and simple to use, are similar to preexisting familiar instruments, and exceed current available systems. © The Author(s) 2014.

  8. Development of the adult and child complementary medicine questionnaires fielded on the National Health Interview Survey

    PubMed Central

    2013-01-01

    The 2002, 2007, and 2012 complementary medicine questionnaires fielded on the National Health Interview Survey provide the most comprehensive data on complementary medicine available for the United States. They filled the void for large-scale, nationally representative, publicly available datasets on the out-of-pocket costs, prevalence, and reasons for use of complementary medicine in the U.S. Despite their wide use, this is the first article describing the multi-faceted and largely qualitative processes undertaken to develop the surveys. We hope this in-depth description enables policy makers and researchers to better judge the content validity and utility of the questionnaires and their resultant publications. PMID:24267412

  9. Development of the adult and child complementary medicine questionnaires fielded on the National Health Interview Survey.

    PubMed

    Stussman, Barbara J; Bethell, Christina D; Gray, Caroline; Nahin, Richard L

    2013-11-23

    The 2002, 2007, and 2012 complementary medicine questionnaires fielded on the National Health Interview Survey provide the most comprehensive data on complementary medicine available for the United States. They filled the void for large-scale, nationally representative, publicly available datasets on the out-of-pocket costs, prevalence, and reasons for use of complementary medicine in the U.S. Despite their wide use, this is the first article describing the multi-faceted and largely qualitative processes undertaken to develop the surveys. We hope this in-depth description enables policy makers and researchers to better judge the content validity and utility of the questionnaires and their resultant publications.

  10. Beyond Readability: Investigating Coherence of Clinical Text for Consumers

    PubMed Central

    Hetzel, Scott; Dalrymple, Prudence; Keselman, Alla

    2011-01-01

    Background A basic tenet of consumer health informatics is that understandable health resources empower the public. Text comprehension holds great promise for helping to characterize consumer problems in understanding health texts. The need for efficient ways to assess consumer-oriented health texts and the availability of computationally supported tools led us to explore the effect of various text characteristics on readers’ understanding of health texts, as well as to develop novel approaches to assessing these characteristics. Objective The goal of this study was to compare the impact of two different approaches to enhancing readability, and three interventions, on individuals’ comprehension of short, complex passages of health text. Methods Participants were 80 university staff, faculty, or students. Each participant was asked to “retell” the content of two health texts: one a clinical trial in the domain of diabetes mellitus, and the other typical Visit Notes. These texts were transformed for the intervention arms of the study. Two interventions provided terminology support via (1) standard dictionary or (2) contextualized vocabulary definitions. The third intervention provided coherence improvement. We assessed participants’ comprehension of the clinical texts through propositional analysis, an open-ended questionnaire, and analysis of the number of errors made. Results For the clinical trial text, the effect of text condition was not significant in any of the comparisons, suggesting no differences in recall, despite the varying levels of support (P = .84). For the Visit Note, however, the difference in the median total propositions recalled between the Coherent and the (Original + Dictionary) conditions was significant (P = .04). This suggests that participants in the Coherent condition recalled more of the original Visit Notes content than did participants in the Original and the Dictionary conditions combined. However, no difference was seen between (Original + Dictionary) and Vocabulary (P = .36) nor Coherent and Vocabulary (P = .62). No statistically significant effect of any document transformation was found either in the open-ended questionnaire (clinical trial: P = .86, Visit Note: P = .20) or in the error rate (clinical trial: P = .47, Visit Note: P = .25). However, post hoc power analysis suggested that increasing the sample size by approximately 6 participants per condition would result in a significant difference for the Visit Note, but not for the clinical trial text. Conclusions Statistically, the results of this study attest that improving coherence has a small effect on consumer comprehension of clinical text, but the task is extremely labor intensive and not scalable. Further research is needed using texts from more diverse clinical domains and more heterogeneous participants, including actual patients. Since comprehensibility of clinical text appears difficult to automate, informatics support tools may most productively support the health care professionals tasked with making clinical information understandable to patients. PMID:22138127

  11. The NIRCam Optical Telescope Simulator (NOTES)

    NASA Technical Reports Server (NTRS)

    Kubalak, David; Hakun, Claef; Greeley, Bradford; Eichorn, William; Leviton, Douglas; Guishard, Corina; Gong, Qian; Warner, Thomas; Bugby, David; Robinson, Frederick; hide

    2007-01-01

    The Near Infra-Red Camera (NIRCam), the 0.6-5.0 micron imager and wavefront sensing instrument for the James Webb Space Telescope (JWST), will be used on orbit both as a science instrument, and to tune the alignment of the telescope. The NIRCam Optical Telescope Element Simulator (NOTES) will be used during ground testing to provide an external stimulus to verify wavefront error, imaging characteristics, and wavefront sensing performance of this crucial instrument. NOTES is being designed and built by NASA Goddard Space Flight Center with the help of Swales Aerospace and Orbital Sciences Corporation. It is a single-point imaging system that uses an elliptical mirror to form an U20 image of a point source. The point source will be fed via optical fibers from outside the vacuum chamber. A tip/tilt mirror is used to change the chief ray angle of the beam as it passes through the aperture stop and thus steer the image over NIRCam's field of view without moving the pupil or introducing field aberrations. Interchangeable aperture stop elements allow us to simulate perfect JWST wavefronts for wavefront error testing, or introduce transmissive phase plates to simulate a misaligned JWST segmented mirror for wavefront sensing verification. NOTES will be maintained at an operating temperature of 80K during testing using thermal switches, allowing it to operate within the same test chamber as the NIRCam instrument. We discuss NOTES' current design status and on-going development activities.

  12. Hydrologic reconnaissance of the Kolob, Alton, and Kaiparowits Plateau coal fields, south-central Utah

    USGS Publications Warehouse

    Plantz, Gerald G.

    1985-01-01

    The study area in south-central Utah (fig. 1) is noted for its large coal reserves in the Alton, Kolob, and Kaiparowits Plateau coal fields. The area also is noted for its scenic beauty and general scarcity of water. Although there has been very little development of the coal resources through 1983, there is a potential for large-scale development with both surface- and underground-mining methods. Mining of coal could have significant effects on the quantity and quality of the water resources. The purpose of this atlas is to define the surface- and ground-water resources of the area and to identify the potential effects on these resources by coal mining.

  13. Psychometric validation of the revised clinical cultural competency questionnaire.

    PubMed

    Mareno, Nicole; Hart, Patricia L; VanBrackle, Lewis

    2013-01-01

    Growing diversity in health care requires culturally competent care. Assessing nurses' cultural competence is the first step in designing cultural competency education. The Clinical Cultural Competency Questionnaire (CCCQ) is one instrument to assess nurses' cultural competence. The psychometric properties and factor structure of the revised CCCQ-PRE (CCCQ-PRE-R) for nurses was examined. A 1-factor solution was noted for the knowledge and skills subscales. A 2-factor solution was discovered for the comfort and awareness subscales: differentiating between comfort in dealing with positive and negative cross-cultural encounters/situations, and differentiating between importance awareness and self-awareness. Cronbach's alpha coefficients were high for all subscales. The findings support the use of the revised CCCQ-PRE-R with nurses. Further testing in larger, more diverse nursing populations is warranted.

  14. Former Spencer Artillery Range, Tennessee Classification Demonstration Open Field and Dynamic Areas

    DTIC Science & Technology

    2016-01-01

    DEMONSTRATION REPORT Former Spencer Artillery Range, Tennessee Classification Demonstration Open Field and Dynamic Areas ESTCP...AVAILABILITY STATEMENT 13. SUPPLEMENTARY NOTES 14. ABSTRACT 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: a. REPORT b. ABSTRACT c. THIS PAGE 17...2016 Technical Report N/A Former Spencer Artillery Range, Tennessee Classification Demonstration Open Field and Dynamic Areas Richard MacNeil, USA

  15. Optical field induced rotation of polarization in rubidium atoms with the additional magnetic field

    NASA Astrophysics Data System (ADS)

    Ummal Momeen, M.; Hu, Jianping

    2017-11-01

    We present the magnetic and optical field induced rotation of polarization in 87Rb and 85Rb atoms at geophysical magnetic fields. The line shape varies considerably in the presence of a magnetic field of the order of a few mG. Multiple Zeeman sublevel EIT systems involving rubidium atoms are investigated. Theoretical formalism of optical field induced polarization rotation in the presence of a magnetic field is discussed by considering all the Zeeman sublevels. It is noted that the ground state population distribution also plays a major role.

  16. Test-retest reliability and concurrent validity of a web-based questionnaire measuring workstation and individual correlates of work postures during computer work.

    PubMed

    IJmker, Stefan; Mikkers, Janneke; Blatter, Birgitte M; van der Beek, Allard J; van Mechelen, Willem; Bongers, Paulien M

    2008-11-01

    "Ergonomic" questionnaires are widely used in epidemiological field studies to study the association between workstation characteristics, work posture and musculoskeletal disorders among office workers. Findings have been inconsistent regarding the putative adverse effect of work postures. Underestimation of the true association might be present in studies due to misclassification of subjects to risk (i.e. exposed to non-neutral working postures) and no-risk categories (i.e. not exposed to non-neutral working postures) based on questionnaire responses. The objective of this study was to estimate the amount of misclassification resulting from the use of questionnaires. Test-retest reliability and concurrent validity of a newly developed questionnaire was assessed. This questionnaire collects data on workstation characteristics and on individual characteristics during computer work (i.e. work postures, movements and habits). Pictures were added where possible to provide visual guidance. The study population consisted of 84 office workers of a research department. They filled out the questionnaire on the Internet twice, with an in-between period of 2 weeks. For a subgroup of workers (n=38), additional on-site observations and multiple manual goniometer measurements were performed. Percentage agreement ranged between 71% and 100% for the test-retest analysis, between 31% and 100% for the comparison between questionnaire and on-site observation, and between 26% and 71% for the comparison between questionnaire and manual goniometer measurements. For 9 out of 12 tested items, the percentage agreement between questionnaire and manual goniometer measurements was below 50%. The questionnaire collects reliable data on workstation characteristics and some individual characteristics during computer work (i.e. work movements and habits), but does not seem to be useful to collect data on work postures during computer work in epidemiological field studies among office workers.

  17. Chenier Plain Sediment Burial Pipe Measurements

    NASA Technical Reports Server (NTRS)

    Moeller, Chris; Gunshor, Mat; Huh, Oscar; Winch, Dale

    2000-01-01

    These field notes describe the logistical circumstances and field conditions experienced by the researchers, who measured the waterlines on a series of vertical pipes previously buried in shallow coastal water. The purpose of the measurements was to monitor a portion of the Gulf coast in Louisiana for erosion.

  18. Recognizing "Connection to Nature": Perspectives from the Field

    ERIC Educational Resources Information Center

    Perrin, Jeffrey L.

    2018-01-01

    The researcher conducted 17 semistructured interviews with environmental education professionals working in the field of nature connection to better understand how practitioners define and measure connection to nature. Participants noted the development of a conservation ethic as the most important indication of connection to nature. Practitioners…

  19. Anomalous Resistivity of Auroral Field Lines.

    DTIC Science & Technology

    1982-01-25

    Anomalous Resistivity on Auroral Field Lines H-. L. R0VNLAND AND K. PAPADOPOULOS Laboratory for Plasma and Fusion Energy Studies$ University of Maryland...d in Stock 20, It difitir.oI from Reprt) It.SUPPLEMENTARY NOTES * Laboratory for Plasma and Fusion Energy Studies, University of NMarland, College

  20. Defining Incident Management Processes for CSIRTs: A Work in Progress

    DTIC Science & Technology

    2004-10-01

    included on the diagrams, precluded our ability to keep the diagrams simple and readable. We thus moved information about roles and re- sponsibilities...Workflows The following tables contain informal notes taken during our process mapping development work. The notes correspond to the fields in the...a federally funded research and development center sponsored by the U.S. Department of Defense. Copyright 2004 Carnegie Mellon University. NO

  1. `Risky fun' or `Authentic science'? How teachers' beliefs influence their practice during a professional development programme on outdoor learning

    NASA Astrophysics Data System (ADS)

    Glackin, Melissa

    2016-02-01

    Teaching outdoors has been established as an important pedagogical strategy; however, science classes rarely take place outside. Previous research has identified characteristics of teachers who have integrated out-of-classroom opportunities into their teaching repertoire; yet little is understood as to why teachers make these different pedagogical decisions. This paper explores the relationship between secondary science teachers' beliefs and their pedagogical practice during a two-year professional development programme associated with the 'Thinking Beyond the Classroom' project. Using data from lesson observations, interviews, session questionnaires and field notes, six teacher case studies were developed from participants completing the programme. Data analysis reveals that teachers who successfully taught outside generally held social constructivist beliefs about learning and valued 'authentic' science opportunities. Conversely, teachers who were less successful in teaching outside generally held traditional learning beliefs and simply valued the outdoors for the novelty and potential for fun. All the case study teachers were concerned about managing student learning outside, and for the majority, their concerns influenced their subsequent pedagogical practice. The findings are discussed in detail, as are the implications for pre-service and in-service professional development programmes related to outdoor science learning.

  2. Precepting the medical assistant practicum: expectations and rewards: an evaluation of preceptors' opinions.

    PubMed

    Wilson, Adam B; Fegan, Frank; Romence, Blase; Uhe, Kendra; Dionne, Barbara

    2011-01-01

    This study investigated the opinions of preceptors on select topics relevant to the benefits and rewards of precepting medical assisting (MA) students. A 35-item questionnaire was distributed to volunteer MA preceptors over the course of 1 year. Survey items prompted participants for information concerning background and previous experiences with MA students, as well as gathered opinions on the benefits, issues, and rewards of preceptorships. Of the preceptors who gave evidence of their credentials, 98.43% were either practicing certified medical assistants (CMA-AAMA) or nurses. Respectively, 80.85% of CMAs and 80.00% of nurses felt that students provided the office with extra help and placed no financial burden on the practice. Approximately 44% ranked free continuing medical education (CME) credits as the most important reward. Written responses identified thank-you notes as an important demonstration of service, acknowledgment, and appreciation. MA preceptors consider students a beneficial aspect of their practice because they lighten strenuous workloads and stimulate preceptors to remain current in their professional fields. Noncompensated MA preceptors value both extrinsic (e.g., free CME credits) and intrinsic rewards (e.g., feedback and thank-you cards) and suggested that intrinsic rewards were of greater value.

  3. Knowledge, experience and practice of SLTs regarding (re)habilitation in deaf children with cochlear implants.

    PubMed

    Okalidou, Areti; Kitsona, Mariana; Anagnostou, Flora; Tsoukala, Marinella; Santzakli, Stella; Gouda, Stamatia; Nikolopoulos, Thomas P

    2014-07-01

    To assess the knowledge, experience and practices of speech and language therapists (SLTs) in Greece regarding children with cochlear implants. A special designed questionnaire was originally completed electronically by 313 SLTs via surveymonkey platform. From the 313 respondents 35% had worked with implanted children, 37% received course training and 44% had participated in post-graduate seminars. Although 96% believe that there are differences in the management of these children, almost 47% of the participants did not have adequate knowledge on the candidacy criteria for implantation and 70% regarding the available technology for implanted children. Knowledge and skills on CI were better for those SLTs who worked with hearing-impairment. Diverse practice models were noted. Interestingly, more than 87% of the participants advocated toward further training and supervision in the field, even the ones who had less than extensive knowledge in working with CI. As for practice, a lack of organizational interdisciplinary structure became evident. There is a growing need for well organized professional training and team networks for SLTs in order for them to further improve their knowledge and service delivery to implanted children. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  4. Outcomes of an International Audiology Service-Learning Study-Abroad Program.

    PubMed

    Krishnan, Lata A; Richards, K Andrew R; Simpson, Jennifer M

    2016-03-01

    The purpose of this study was to evaluate students' academic and civic learning, with particular interest in cultural competence, gained through participation in the Speech, Language, and Hearing Sciences in Zambia study-abroad program. Twelve female students participated in the program. Quantitative data collected included pre- and postprogram administration of the Public Affairs Scale (Levesque-Bristol & Cornelius-White, 2012) to measure changes in participants' civic learning. Qualitative data included journals, end-of-program reflection papers, videos, and researcher field notes. Feedback was also obtained from community-partner organizations via a questionnaire and rating scale. Comparison of the pre- and postprogram Public Affairs Scale data showed a significant increase in cultural competence and a marginal increase in community engagement at the conclusion of the program. Qualitative data showed that participants' cultural awareness was increased, they benefited from hands-on learning, and they experienced a variety of emotions and emotional and personal growth. Results show that a short-term study-abroad program with a service-learning component can be a mechanism for students to enhance academic and civic learning, specifically cultural competence and clinical skills. Sustainability of programs is a challenge that needs to be addressed.

  5. Contribution of Dentist Anesthesiologists to Dental Anesthesiology Research

    PubMed Central

    Ganzberg, Steven; Rashid, Robert G.; Davidian, Edward

    2011-01-01

    In order to determine if dentist anesthesiologists (DAs) actively contribute to research in the field of anesthesiology, and thus contribute new knowledge to the field, an extensive literature search was accomplished. DAs make up only 1.5% of dentists who actively contribute to anesthesia research but account for 10% of publications. To determine if the impact of DA research was similar to the American Dental Association (ADA) recognized specialties, h-indices of noted researchers in other specialties were compared to the h-indices of noted DA researchers. The results show that the impact of top DA researchers in dental anesthesiology is similar to the impact of top dental specialty researchers, despite lack of academic departments in dental schools where a large percentage of dental research is completed. Dentist anesthesiologists actively contribute to the research in anesthesiology for dentistry and thus, actively contribute to new knowledge in the field. PMID:21410360

  6. Laser Assisted Free-Free Transition in Electron - Atom Collision

    NASA Technical Reports Server (NTRS)

    Sinha, C.; Bhatia, A. K.

    2011-01-01

    Free-free transition is studied for electron-Hydrogen atom system in ground state at very low incident energies in presence of an external homogeneous, monochromatic and linearly polarized laser field. The incident electron is considered to be dressed by the laser in a non perturbative manner by choosing the Volkov solutions in both the channels. The space part of the scattering wave function for the electron is solved numerically by taking into account the effect of electron exchange, short range as well as of the long range interactions. Laser assisted differential as well as elastic total cross sections are calculated for single photon absorption/emission in the soft photon limit, the laser intensity being much less than the atomic field intensity. A strong suppression is noted in the laser assisted cross sections as compared to the field free situations. Significant difference is noted in the singlet and the triplet cross sections.

  7. 'But I still can't get rid of a sense of artificiality': The Reichenbach-Einstein debate on the geometrization of the electromagnetic field

    NASA Astrophysics Data System (ADS)

    Giovanelli, Marco

    2016-05-01

    This paper analyzes correspondence between Reichenbach and Einstein from the spring of 1926, concerning what it means to 'geometrize' a physical field. The content of a typewritten note that Reichenbach sent to Einstein on that occasion is reconstructed, showing that it was an early version of Section 49 of the untranslated Appendix to his Philosophie der Raum-Zeit-Lehre, on which Reichenbach was working at the time. This paper claims that the toy-geometrization of the electromagnetic field that Reichenbach presented in his note should not be regarded as merely a virtuoso mathematical exercise, but as an additional argument supporting the core philosophical message of his 1928 monograph. This paper concludes by suggesting that Reichenbach's infamous 'relativization of geometry' was only a stepping stone on the way to his main concern-the question of the 'geometrization of gravitation'.

  8. Needs analysis for developing a virtual-reality NOTES simulator.

    PubMed

    Sankaranarayanan, Ganesh; Matthes, Kai; Nemani, Arun; Ahn, Woojin; Kato, Masayuki; Jones, Daniel B; Schwaitzberg, Steven; De, Suvranu

    2013-05-01

    INTRODUCTION AND STUDY AIM: Natural orifice translumenal endoscopic surgery (NOTES) is an emerging surgical technique that requires a cautious adoption approach to ensure patient safety. High-fidelity virtual-reality-based simulators allow development of new surgical procedures and tools and train medical personnel without risk to human patients. As part of a project funded by the National Institutes of Health, we are developing the virtual transluminal endoscopic surgery trainer (VTEST) for this purpose. The objective of this study is to conduct a structured needs analysis to identify the design parameters for such a virtual-reality-based simulator for NOTES. A 30-point questionnaire was distributed at the 2011 National Orifice Surgery Consortium for Assessment and Research meeting to obtain responses from experts. Ordinal logistic regression and the Wilcoxon rank-sum test were used for analysis. A total of 22 NOTES experts participated in the study. Cholecystectomy (CE, 68 %) followed by appendectomy (AE, 63 %) (CE vs AE, p = 0.0521) was selected as the first choice for simulation. Flexible (FL, 47 %) and hybrid (HY, 47 %) approaches were equally favorable compared with rigid (RI, 6 %) with p < 0.001 for both FL versus RI and HY versus RI. The transvaginal approach was preferred 3 to 1 to the transgastric. Most participants preferred two-channel (2C) scopes (65 %) compared with single (1C) or three (3C) or more channels with p < 0.001 for both 2C versus 1C and 2C versus 3C. The importance of force feedback and the utility of a virtual NOTES simulator in training and testing new tools for NOTES were rated very high by the participants. Our study reinforces the importance of developing a virtual NOTES simulator and clearly presents expert preferences. The results of this analysis will direct our initial development of the VTEST platform.

  9. Experimental Mathematics and Computational Statistics

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bailey, David H.; Borwein, Jonathan M.

    2009-04-30

    The field of statistics has long been noted for techniques to detect patterns and regularities in numerical data. In this article we explore connections between statistics and the emerging field of 'experimental mathematics'. These includes both applications of experimental mathematics in statistics, as well as statistical methods applied to computational mathematics.

  10. Generating Knowledge From Field Experience: Two Competing Conclusions About Potential Teacher Center Support

    ERIC Educational Resources Information Center

    Fox, G. Thomas, Jr.

    1978-01-01

    Suggests that there exist great potential and much professional support for practitioner involvement (teachers, students, and administrators) in generating knowledge (creating new understandings of what is occurring in our experience and why) from field experience and that the probable consequences noted when practitioners become involved in…

  11. Afterschool Education: Approaches to an Emerging Field.

    ERIC Educational Resources Information Center

    Noam, Gil G.; Biancarosa, Gina; Dechausay, Nadine

    Noting that there exists little systematic and conclusive research on after-school education to guide the development of practices in this emerging field, this book contributes to the definition of after-school education by focusing on three essential aspects of such programming: (1) bridging school to after-school (2) homework, or extended…

  12. A possible pole problem in the formula for klystron gap fields

    NASA Technical Reports Server (NTRS)

    Kosmahl, H. G.

    1977-01-01

    In isolated cases a pole may be encountered in a previously published solution for the fields in a klystron gap. Formulas, permitting the critical combinations of parameters to be defined, are presented. It is noted that the region of inaccuracy surrounding the pole is sufficiently small and that a 0.1% change in the field changing parameter is enough to avoid it.

  13. Pilot Study of a Computer-Based Parental Questionnaire and Visual Profile of Obesity Risk in Healthy Preschoolers.

    PubMed

    Davies, Marilyn A; Terhorst, Lauren; Zhang, Peng; Nakonechny, Amanda J; Nowalk, Mary Patricia

    2015-01-01

    This group field-tested a computer-based, parental questionnaire entitled the Childhood Obesity Risk Questionnaire 2-5 (CORQ 2-5) designed to assess obesity risk in healthy preschoolers. COR 2-5 generates a profile of seven obesity risk factors. Field studies provided good internal reliability data and evidence of discriminant validity for the CORQ 2-5. Pediatric nurse clinicians found the CORQ 2-5 profile to be clinically relevant. The CORQ 2-5 is a promising measure of obesity risk in preschoolers who attend community-based health centers for their wellchild visits and who are not yet obese. CORQ 2-5 is intended to guide provider-parental obesity risk discussions. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. Developing and validating a nutrition knowledge questionnaire: key methods and considerations.

    PubMed

    Trakman, Gina Louise; Forsyth, Adrienne; Hoye, Russell; Belski, Regina

    2017-10-01

    To outline key statistical considerations and detailed methodologies for the development and evaluation of a valid and reliable nutrition knowledge questionnaire. Literature on questionnaire development in a range of fields was reviewed and a set of evidence-based guidelines specific to the creation of a nutrition knowledge questionnaire have been developed. The recommendations describe key qualitative methods and statistical considerations, and include relevant examples from previous papers and existing nutrition knowledge questionnaires. Where details have been omitted for the sake of brevity, the reader has been directed to suitable references. We recommend an eight-step methodology for nutrition knowledge questionnaire development as follows: (i) definition of the construct and development of a test plan; (ii) generation of the item pool; (iii) choice of the scoring system and response format; (iv) assessment of content validity; (v) assessment of face validity; (vi) purification of the scale using item analysis, including item characteristics, difficulty and discrimination; (vii) evaluation of the scale including its factor structure and internal reliability, or Rasch analysis, including assessment of dimensionality and internal reliability; and (viii) gathering of data to re-examine the questionnaire's properties, assess temporal stability and confirm construct validity. Several of these methods have previously been overlooked. The measurement of nutrition knowledge is an important consideration for individuals working in the nutrition field. Improved methods in the development of nutrition knowledge questionnaires, such as the use of factor analysis or Rasch analysis, will enable more confidence in reported measures of nutrition knowledge.

  15. Assessment of nutrition, supplementation and body composition parameters on the example of professional volleyball players.

    PubMed

    Zapolska, Joanna; Witczak, Katarzyna; Mańczuk, Angelika; Ostrowska, Lucyna

    2014-01-01

    Volleyball is a team game belonging to a group of sports disciplines that involve indirect fighting. Adequate energy coverage in athletes is a crucial issue. It depends primarily on the type, intensity and duration of physical activity related to the sports discipline practiced and to the training cycle duration. The average energy requirement in sportsmen is 50% higher than that of adults. The aim of the study was to characterize the mode of nutrition, including dietary supplements and to assess somatic indices in female volleyball players of the AZS Bialystok team. The study involved 17 women. Research tools included a questionnaire consisting of 24-hour recall, a questionnaire survey concerning supplement intake and body composition analysis performed using a bioimpedance analyzer InBody 220. Data analysis indicates that the anthropometric characteristics and body composition of the AZS Bialystok players meet the recommendations associated with the somatic features in volleyball. Daily diet of the volleyball players were of low-energy with regard to the recommendations for physically active people, with very low supply of carbohydrates and dietary fiber, excessive proportion of saturated fatty acids and dietary cholesterol, and too low content of monounsaturated and polyunsaturated fatty acids. Supply of vitamins and minerals was found to be alarmingly low, especially of iron and calcium; diet supplementation was insufficient. No significant abnormalities were noted in body composition of the study athletes. However, they are recommended to increase muscle mass and slightly reduce body fat. Results of diet evaluation show the need for education in the field of nutrition and the necessity of further research into dietary habits among sportsmen.

  16. Making Online Learning Personal: Evolution, Evidentiary Reasoning, and Self-Regulation in an Online Curriculum

    NASA Astrophysics Data System (ADS)

    Marsteller, Robert B.

    An online curriculum about biological evolution was designed according to the Promoting Evidentiary Reasoning and Self-regulation Online (PERSON) theoretical framework. PERSON is an attempt to develop online science instruction focused on supporting evidentiary reasoning and self-regulation. An efficacy study was conducted with 80 suburban high school biology students using a design-based research approach to develop a curriculum to promote biological evolution understandings, evidentiary reasoning, and self-regulation. Data sources and instruments included (1) the Biological Evolution Assessment Measurement (BEAM); (2) the modified Motivated Strategies for Learning Questionnaire (MSLQ); (3) discussion forum posts; (4) formative assessments of evidence based reasoning; (5) Prediction, Monitoring, and Reflection forms (PMR); (6) the Online Instruction Questionnaire; and (7) field notes. Findings revealed that BEAM posttest scores were significantly greater than pretest scores for items designed to measure biological evolution content knowledge and evidentiary reasoning. Students tracked in a lower level biology course showed improvement in biological evolution understandings and evidentiary reasoning. It was found that performance on daily evidentiary reasoning tasks strongly predicted BEAM posttest scores. However, findings revealed that students did not meet local standards for performance on items designed to measure evidentiary reasoning. Students expressed a variety of opinions about their learning experiences with the online curriculum. Some students expressed a definite preference for traditional learning environments, while others expressed a definite preference for online learning. Self-regulatory ability did not significantly predict BEAM gain scores. Further, self-regulatory ability was not demonstrably improved as a result of this intervention. Implications for designing science instruction in asynchronous online learning environments to support evidentiary reasoning and self-regulation are discussed.

  17. Bulk from bi-locals in Thermo field CFT

    DOE PAGES

    Jevicki, Antal; Yoon, Junggi

    2016-02-15

    For this research, we study the Large N dynamics of the O(N) field theory in the Thermo field dynamics approach. The question of recovering the high temperature phase and the corresponding O(N) gauging is clarified. Through the associated bi-local representation we discuss the emergent bulk space-time and construction of (Higher spin) fields. In addition, we note the presence of ‘evanescent’ modes in this construction and also the mixing of spins at finite temperature.

  18. Barriers to and Facilitators of Inter-Organizational Coordination in Response to Disasters: A Grounded Theory Approach.

    PubMed

    Bahadori, Mohammadkarim; Khankeh, Hamid Reza; Zaboli, Rouhollah; Ravangard, Ramin; Malmir, Isa

    2017-06-01

    Coordination is a major challenge in the field of health in disasters, mostly because of the complex nature of health-related activities. This was a qualitative study based on the grounded theory approach. A total of 22 experts in the field of health in disasters participated in the study. The data were collected through in-depth interviews and literature review. The collected data were then analyzed by use of MAXQDA 2010 software (VERBI Software GmbH). The lack of a strategic view in the field of health in disasters, a lack of coordination of necessities and infrastructures, insufficient enforcement, a higher priority given to an organizational approach rather than a national approach, and the field of disasters not being a priority in the health system were noted as barriers to inter-organizational coordination. The facilitators of inter-organizational coordination noted were the importance of public participation in the field of health in disasters, having a process and systematic view in the field of health in disasters, the necessity of understanding and managing resources and information in the field of health in disasters, and having a feedback and evaluation system in the health system after disasters. It is recommended that developing common beliefs and goals be given priority in making plans and policies in the field of health in disasters. (Disaster Med Public Health Preparedness. 2017;11:318-325).

  19. Mosquitoes of Guam and the Northern Marianas: distribution, checklists, and notes on mosquito-borne pathogens.

    PubMed

    Rueda, Leopoldo M; Pecor, James E; Reeves, Will K; Wolf, Stephen P; Nunn, Peter V; Rabago, Rosanna Y; Gutierrez, Teresa L; Debboun, Mustapha

    2011-01-01

    This report includes the distribution records and updated checklists of the mosquitoes known to occur in Guam and nearby selected islands (ie, Saipan, Tinian, Rota), based on our field collections from various localities during 2010, published reports, and accessioned specimens deposited in the US National Museum of Natural History, Smithsonian Institution, Washington, DC. The status of common and potential mosquito vectors and their borne-pathogens are also noted.

  20. Opportunistic adolescent health assessment in the child protection unit.

    PubMed

    Hawkrigg, Sharon; Smith, LeAnne; Johnson, Alice; Kennedy, Andrew; Payne, Donald

    2016-06-01

    Adolescent health assessments are recommended to identify health-risk behaviours. Adolescents who experience maltreatment are more likely to engage in such behaviours. This study (i) describes the frequency of health-risk behaviours amongst adolescents attending a hospital-based child protection unit (CPU) and (ii) determines whether use of a health assessment questionnaire increases the identification of these behaviours. A retrospective audit was performed of case notes of adolescents (aged ≥ 12 years) presenting to the CPU over 5 years (2007-2011). Data regarding health-risk behaviours were extracted. In 2012, following the introduction of a standardised HEADSS-based four-page questionnaire, health-risk data were collected prospectively over 18 months. The proportion of subjects reporting health-risk behaviours, before and after questionnaire introduction, was analysed. Two hundred fifty-eight subjects, median age 13 (range 12-18) years, 78% female, were included in the pre-questionnaire period; and 85 subjects, median age 14 (range 12-17) years, 86% female, were included following introduction of the questionnaire. Questionnaire use was associated with an increase in the frequency of health-risk behaviours identified in the following domains: Education (odds ratio 4.48 [confidence interval 2.56-7.96] P < 0.001), Activities (16.18 [6.70-42.74] P < 0.001), Drugs/alcohol (4.00 [2.23-7.16] P < 0.001) and Suicidality (8.27 [4.59-14.92] P < 0.001). Participants reported higher rates of health-risk behaviours than the national population. Adolescents attending a hospital-based CPU report high rates of health-risk behaviours. A standardised questionnaire results in increased identification of such behaviours. © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

  1. Notes and Discussion

    ERIC Educational Resources Information Center

    American Journal of Physics, 1978

    1978-01-01

    Describes experiments demonstrating the Josephson effect, single-file diffusion in biological membranes, refractive index of beer, lines of magnetic fields, indexing diffraction patterns, Maxwell's equations, and spherical aberration. (SL)

  2. Negotiating policy in practice: child and family health nurses' approach to the process of postnatal psychosocial assessment.

    PubMed

    Rollans, Mellanie; Schmied, Virginia; Kemp, Lynn; Meade, Tanya

    2013-04-08

    There is growing recognition internationally of the need to identify women with risk factors for poor perinatal mental health in pregnancy and following birth. In the state of New South Wales, Australia the Supporting Families Early policy provides a framework of assessment and support for women and families and includes routine psychosocial assessment and depression screening. This study investigated the approach taken by Child and Family Health Nurses (CFHNs) following birth to assessment and screening as recommended by state policy. This was a qualitative ethnographic study that included 83 CFHN and 20 women. Observations occurred with thirteen nurses; with 20 women, in the home or the clinic environment. An additional 70 nurses participated in discussion groups. An observational tool (4D&4R) and field notes were used to record observations and analysed descriptively using frequencies. Field notes, interview data and discussion group transcripts were analysed thematically. This was a qualitative ethnographic study that included 83 CFHN and 20 women. Observations occurred with thirteen nurses; with 20 women, in the home or the clinic environment. An additional 70 nurses participated in discussion groups. An observational tool (4D&4R) and field notes were used to record observations and analysed descriptively using frequencies. Field notes, interview data and discussion group transcripts were analysed thematically. CFHNs demonstrated a range of approaches to assessment and screening. Psychosocial assessment was conducted in 50% (10 out of the 20) of the interactions observed; however, all the women were screened using the Edinburgh Depression Scale. Four major themes that represent the approach taken to the assessment process were identified: 'Engagement: getting that first bit right', 'Doing some paperwork', 'Creating comfort' and 'Psychosocial assessment: doing it another way'. Nurses utilised other skills such as observing the women interacting with their baby, taking note of non verbal communication and using intuition to develop a clinical decision. Overall, nurses' took a sensitive and caring approach to assessment and screening, however, there were differences in interpretations of the policy recommendations across the two sites. Nurses adopt a flexible, relationship-based approach to the assessment process; however, they experience tension when required to incorporate structured psychosocial assessment processes. To undertake assessment and screening effectively, CFHNs require ongoing support, training and supervision to maintain this sensitive and emotionally challenging work.

  3. Development and evaluation of a de-identification procedure for a case register sourced from mental health electronic records.

    PubMed

    Fernandes, Andrea C; Cloete, Danielle; Broadbent, Matthew T M; Hayes, Richard D; Chang, Chin-Kuo; Jackson, Richard G; Roberts, Angus; Tsang, Jason; Soncul, Murat; Liebscher, Jennifer; Stewart, Robert; Callard, Felicity

    2013-07-11

    Electronic health records (EHRs) provide enormous potential for health research but also present data governance challenges. Ensuring de-identification is a pre-requisite for use of EHR data without prior consent. The South London and Maudsley NHS Trust (SLaM), one of the largest secondary mental healthcare providers in Europe, has developed, from its EHRs, a de-identified psychiatric case register, the Clinical Record Interactive Search (CRIS), for secondary research. We describe development, implementation and evaluation of a bespoke de-identification algorithm used to create the register. It is designed to create dictionaries using patient identifiers (PIs) entered into dedicated source fields and then identify, match and mask them (with ZZZZZ) when they appear in medical texts. We deemed this approach would be effective, given high coverage of PI in the dedicated fields and the effectiveness of the masking combined with elements of a security model. We conducted two separate performance tests i) to test performance of the algorithm in masking individual true PIs entered in dedicated fields and then found in text (using 500 patient notes) and ii) to compare the performance of the CRIS pattern matching algorithm with a machine learning algorithm, called the MITRE Identification Scrubber Toolkit - MIST (using 70 patient notes - 50 notes to train, 20 notes to test on). We also report any incidences of potential breaches, defined by occurrences of 3 or more true or apparent PIs in the same patient's notes (and in an additional set of longitudinal notes for 50 patients); and we consider the possibility of inferring information despite de-identification. True PIs were masked with 98.8% precision and 97.6% recall. As anticipated, potential PIs did appear, owing to misspellings entered within the EHRs. We found one potential breach. In a separate performance test, with a different set of notes, CRIS yielded 100% precision and 88.5% recall, while MIST yielded a 95.1% and 78.1%, respectively. We discuss how we overcome the realistic possibility - albeit of low probability - of potential breaches through implementation of the security model. CRIS is a de-identified psychiatric database sourced from EHRs, which protects patient anonymity and maximises data available for research. CRIS demonstrates the advantage of combining an effective de-identification algorithm with a carefully designed security model. The paper advances much needed discussion of EHR de-identification - particularly in relation to criteria to assess de-identification, and considering the contexts of de-identified research databases when assessing the risk of breaches of confidential patient information.

  4. [Descriptive study about social and demographical characteristic of the disability in Latin America].

    PubMed

    Neves-Silva, Priscila; Alvarez-Martín, Elena

    2014-12-01

    The objective of this study was to ascertain the social and demographical characteristics of disability in Latin America and verify the methodology used in the survey by questionnaires for the analysis of disabilities. It is a descriptive study that analyzed the data and methodology of disability surveys conducted in Latin America after 2001. It was noted that there is a big difference in the prevalence of disability found in the surveys that used the International Classification of Functioning, Disability and Health (ICF) for statistical analysis of people with disabilities. It was also shown that in Latin America motor disabilities are more prevalent in men over 65 years old and with a low educational level. The main cause is chronic disease. The conclusion is that ICF is a good methodological tool to use in disability survey questionnaires.

  5. Change and administrative barriers: nurse educators' perceptions concerning the use of simulators.

    PubMed

    Abell, Cathy H; Keaster, Ric

    2012-01-01

    The purpose of this descriptive correlational research study was twofold: to examine the adoption of simulators in the nursing classroom and the relationship between adoption and nurse educators' perceptions of established change strategies as followed by program administrators. The use of simulators in education is important and requires many nurse educators to change their current teaching strategies. Data were collected from a purposive population using a demographic questionnaire, the nursing practice questionnaire (NPQ), and the change process survey. The overall diffusion score, as measured by the NPQ, was 2.6. A statistically significant correlation was noted between level of use and the perception of established change strategies being followed (r = .340, p < .01). Findings indicate that nurse educators adopt simulators sometimes when appropriate. Administrators of nursing programs can enhance this change by using established change strategies.

  6. Effects of induced social roles on the High School Personality Questionnaire.

    PubMed

    Merydith, S P; Wallbrown, F H

    1995-08-01

    A one-way multivariate analysis of variance design with a control group (regular directions) and three treatment groups using induced social roles (Faking Good, Teacher, and Ideal Teacher) as independent variables and the High School Personality Questionnaire primary scores as dependent variables was used. Subjects were 384 male high school students from Grades 9 through 12. Within each classroom, students were randomly assigned to the four groups noted above. A broad pattern of differences in scores on primary and secondary personality dimensions were obtained. Significant differences between the control (standard directions) and the Faking Good, Teacher, and Ideal Teacher roles were obtained on three secondary and most of the primary personality dimensions. In several cases the ideal social role and neutral social role showed distinct differences from the more pervasive favorable impression role.

  7. E-books: nurse faculty use and concerns.

    PubMed

    Abell, Cathy H; Garrett-Wright, Dawn

    2014-01-01

    The purpose of this study was to identify nurse educators' stage of concern regarding e-books and examine relationships between stage of concern and demographic variables. The use of e-books is growing, and nursing faculty must be prepared to use this evolving technology. A descriptive design was used with a convenience sample of 50 nurse educators attending a professional conference. Data were collected using a demographic questionnaire and the Stages of Concern (SoC) questionnaire. Sixty-four percent of participants' first high stage was Stage 0 (awareness); 22 percent had a first high stage of Stage 1 (informational). Using ordinal regression, no statistical significance was noted with the highest Stage of Concern and age (p = .431) or experience as a nurse educator (p = .893). Findings indicate low usage, faculty concerns, and the need for ongoing education regarding e-books.

  8. Tension free vaginal tape (TVT) vs Transobturator tape (TOT) complications and outcomes.

    PubMed

    Potić, Milan; Ignjatović, Ivan; Bašić, Dragoslav

    2014-01-01

    Stress urinary incontinence (SUI) is managed with both TVT and TOT. The TVT route of placement could result in a higher com-plication rate. The aim of this study is to analyze and compare outcomes and complications of TVT and TOT in SUI treatment. Prospective study in 64 women with isolated SUI was validated through Urogenital Distress Inventory (UDI-6), Incontinence Impact questionnaire (IIQ-7) and International Continence Impact Questionnaire (ICIQ5-SF). Intraoperative and postoperative complications were noted. Patients were considered cured when negative on stress test and with no need for additional surgery during follow up, after one and three months. The cure rates for both TVT 26/30 (86,6%) and TOT 30/34 (88,2) were comparable. Higher rates of bleeding, bladder perforations, pain and dyspareunia are recorded in TVT group. Quality of life graded on the questionnaire basis proved significant improvement in both procedures. Both TVT and TOT have comparable cure results in the treatment of SUI. The TOT is equally effective in the SUI treatment with significantly lower complication incidence.

  9. An Investigation of the Educational Needs of Health Sciences Library Manpower: I. Definition of the Manpower Problem and Research Design*

    PubMed Central

    Kronick, David A.; Rees, Alan M.; Rothenberg, Lesliebeth

    1970-01-01

    In order to plan adequately for education in health science librarianship and to be able to project future demands and needs we need to know a great deal more about existing manpower in health science libraries. This paper, the first in a series of reports on an investigation to gather this data, discusses the research methodology and the development of an inventory of the institution-program population upon which the survey is based. An analysis in terms of geographic location, type (educational, research, etc.), administrative control, and primary cognate area of these institutions is presented, and their distribution through the various Regional Medical Library areas is noted. Preliminary estimates are made, based on a questionnaire to the libraries, on the size of the library population, their relationship to reporting programs or institutions, exclusive of the hospital population which is being covered in an independent survey. A questionnaire to library personnel is underway which will establish, along with the other questionnaires, a basis for exploring the relationships which exist between institutions or programs, libraries and manpower. PMID:5411708

  10. Practice patterns and organizational commitment of inpatient nurse practitioners.

    PubMed

    Johnson, Janet; Brennan, Mary; Musil, Carol M; Fitzpatrick, Joyce J

    2016-07-01

    Nurse practitioners (NPs) deliver a wide array of healthcare services in a variety of settings. The purpose of this study was to examine the practice patterns and organizational commitment of inpatient NPs. A quantitative design was used with a convenience sample (n = 183) of NPs who attended the American Association of Nurse Practitioners (AANP) national conference. The NPs were asked to complete a demographic questionnaire, the Practice Patterns of Acute Nurse Practitioners tool and the Organizational Commitment Questionnaire. Over 85% of inpatient practice time consists of direct and indirect patient care activities. The remaining nonclinical activities of education, research, and administration were less evident in the NP's workweek. This indicates that the major role of inpatient NPs continues to be management of acutely ill patients. Moderate commitment was noted in the Organizational Commitment Questionnaire. Supportive hospital/nursing leadership should acknowledge the value of the clinical and nonclinical roles of inpatient NPs as they can contribute to the operational effectiveness of their organization. By fostering the organizational commitment behaviors of identification, loyalty, and involvement, management can reap the benefits of these professionally dedicated providers. ©2015 American Association of Nurse Practitioners.

  11. Psychometric properties and validation of Portuguese version of Ages & Stages Questionnaires (3rd edition): 9, 18 and 30 Questionnaires.

    PubMed

    Lopes, Sónia; Graça, Patrícia; Teixeira, Salete; Serrano, Ana Maria; Squires, Jane

    2015-09-01

    The essential underlying foundations of Early Intervention (EI), in which parents/family play a critical role in their child's development, leads us to conclude that their contribution assessing early detection of problems is fundamental. The Ages & Stages Questionnaires (ASQ) is a standardized screening instrument that has been successfully studied in different countries and cultures. Translate and study the psychometrics proprieties of the Portuguese version of the 9, 18 and 30month questionnaires of the Ages and Stages Questionnaires, 3rd edition (ASQ-3). Cross-sectional study. Validity and reliability were studied in a sample of 234 parents of children within 9, 18 and 30months. The results indicated that the questionnaires had good internal consistency, strong agreement between observers and between observations with two weeks interval, and strong Pearson product-moment correlation coefficients between the overall and the total for each domain. The cutoff points (i.e. 2 standard deviations below the mean domain score), that identifies children who should receive further referral for more comprehensive assessment, were close to those determined in the original ASQ-3 psychometric studies. Cronbach's alpha ranging from .42 to .70 and Pearson's r values varies from .22 to .60. Although some weaknesses were noted in psychometric qualities analysis, it can be concluded that the ASQ-PT of 9, 18 and 30months of age fulfills the requirements of a screening tool validated for the Portuguese population. To allow the early identification of children with developmental problems. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  12. Medical student psychological distress and academic performance.

    PubMed

    Dendle, Claire; Baulch, Julie; Pellicano, Rebecca; Hay, Margaret; Lichtwark, Irene; Ayoub, Sally; Clarke, David M; Morand, Eric F; Kumar, Arunaz; Leech, Michelle; Horne, Kylie

    2018-01-21

    The impact of medical student psychological distress on academic performance has not been systematically examined. This study provided an opportunity to closely examine the potential impacts of workplace and study related stress factors on student's psychological distress and their academic performance during their first clinical year. This one-year prospective cohort study was performed at a tertiary hospital based medical school in Melbourne, Australia. Students completed a questionnaire at three time points during the year. The questionnaire included the validated Kessler psychological distress scale (K10) and the General Health Questionnaire-28 (GHQ-28), as well as items about sources of workplace stress. Academic outcome scores were aggregated and correlated with questionnaire results. One hundred and twenty six students participated; 126 (94.7%), 102 (76.7%), and 99 (74.4%) at time points one, two, and three, respectively. 33.1% reported psychological distress at time point one, increasing to 47.4% at time point three. There was no correlation between the K10 scores and academic performance. There was weak negative correlation between the GHQ-28 at time point three and academic performance. Keeping up to date with knowledge, need to do well and fear of negative feedback were the most common workplace stress factors. Poor correlation was noted between psychological distress and academic performance.

  13. Cognitive task performance and frequency of alcohol usage in young adults.

    PubMed

    Harvanko, Arit M; Odlaug, Brian L; Schreiber, Liana R N; Grant, Jon E

    2012-06-01

    The goal of our study was to examine cognitive effects of alcohol in young adults at varied levels of alcohol usage using well-validated computerized cognitive measures. One hundred fifty-five young adults (mean age: 21.15 ± 3.092 years; 25.8% female), free from non-alcohol-related psychiatric diagnoses and drug use, underwent selected tests from the Cambridge Neuropsychological Test Automated Battery in conjunction with the Barratt Impulsivity Scale, Eysenck Impulsivity Questionnaire, and the Tridimensional Personality Questionnaire. Study participants were grouped according to alcohol frequency: nondrinkers, at-risk drinkers (subsyndromal alcohol usage), and alcohol use disorder. At-risk drinkers and individuals with alcohol use disorders bet significantly more overall on the Cambridge Gambling Task than nondrinkers. There were no significant differences noted between groups on the Spatial Working Memory task or Intra-dimensional/Extra-dimensional Set Shift task. Individuals with alcohol use disorders endorsed higher impulsivity than at-risk and nondrinkers on the Barratt Impulsivity Scale and Eysenck Impulsivity Questionnaire. Individuals with alcohol use disorders and at-risk drinkers also endorsed higher venturesomeness than nondrinkers on the Tridimensional Personality Questionnaire. Results from the Cambridge Gambling Task suggest that even at a subsyndromal level, young adults make risky decisions that mirror those seen in individuals with alcohol use disorders.

  14. The Power of Coalition: A Comparative Study of Two School Reform Projects.

    ERIC Educational Resources Information Center

    Stapleford, Thomas A.

    This paper chronicles the organizational life of two high schools in the northeastern United States as they responded to the national impetus for change. The study used a methodology employing ethnographic field study methods including field notes, interviews, and artifact collection and analysis. Riverside High pursued a locally initiated change…

  15. Predation of warm-and cool-season grass seed by the common cricket (Acheta domesticus L.)

    USDA-ARS?s Scientific Manuscript database

    In field experiments we noted that one of the main predators of tall fescue (Festuca arundinacea Schreb.) and Italian ryegrass (Lolium multiflorum Lam.) seed was the field cricket (Gryllus sp.). To determine if there might be a seed predation preference among forage grasses a laboratory study was ...

  16. Nurses in Practice: A Perspective on Work Environments.

    ERIC Educational Resources Information Center

    Davis, Marcella Z., Ed.; And Others

    A major portion of the collection of 20 readings authored by practicing professionals consists of field observations presented both as raw data (field notes) and as analyzed and organized data. About the work of nurses in a variety of settings, a recurrent theme is that work behavior is greatly influenced by organizational and structural elements…

  17. FIELD MEASUREMENT OF GREENHOUSE GAS EMISSION RATES AND DEVELOPMENT OF EMISSION FACTORS FOR WASTEWATER TREATMENT

    EPA Science Inventory

    The report gives results of field testing to develop more reliable green house gas (GHG) emission estimates for Wastewater treatment (WWT) lagoons. (NOTE: Estimates are available for the amount of methane (CH4) emitted from certain types of waste facilities, but there is not adeq...

  18. Parks, Trees, and Environmental Justice: Field Notes from Washington, DC

    ERIC Educational Resources Information Center

    Buckley, Geoffrey L.; Whitmer, Ali; Grove, J. Morgan

    2013-01-01

    Students enrolled in a graduate seminar benefited in multiple ways from an intensive 3-day field trip to Washington, DC. Constructed around the theme of environmental justice, the trip gave students a chance to learn about street tree distribution, park quality, and racial segregation "up close." Working with personnel from the United…

  19. Images of Imaging: Notes on Doing Longitudinal Field Work.

    ERIC Educational Resources Information Center

    Barley, Stephen R.

    1990-01-01

    Discusses the processes involved in a field study of technological change in radiology and how researchers can design a qualitative study and then collect data in a systematic and explicit manner. Illustrates the social and human problems of gaining entry into a research site, constructing a research role, and managing relationships. (63…

  20. Physician Information Needs and Electronic Health Records (EHRs): Time to Reengineer the Clinic Note.

    PubMed

    Koopman, Richelle J; Steege, Linsey M Barker; Moore, Joi L; Clarke, Martina A; Canfield, Shannon M; Kim, Min S; Belden, Jeffery L

    2015-01-01

    Primary care physicians face cognitive overload daily, perhaps exacerbated by the form of electronic health record documentation. We examined physician information needs to prepare for clinic visits, focusing on past clinic progress notes. This study used cognitive task analysis with 16 primary care physicians in the scenario of preparing for office visits. Physicians reviewed simulated acute and chronic care visit notes. We collected field notes and document highlighting and review, and we audio-recorded cognitive interview while on task, with subsequent thematic qualitative analysis. Member checks included the presentation of findings to the interviewed physicians and their faculty peers. The Assessment and Plan section was most important and usually reviewed first. The History of the Present Illness section could provide supporting information, especially if in narrative form. Physicians expressed frustration with the Review of Systems section, lamenting that the forces driving note construction did not match their information needs. Repetition of information contained in other parts of the chart (eg, medication lists) was identified as a source of note clutter. A workflow that included a patient summary dashboard made some elements of past notes redundant and therefore a source of clutter. Current ambulatory progress notes present more information to the physician than necessary and in an antiquated format. It is time to reengineer the clinic progress note to match the workflow and information needs of its primary consumer. © Copyright 2015 by the American Board of Family Medicine.

  1. The effect of note-taking skills training on the achievement motivation in learning on B.A students in Shahid Bahonar University of Kerman and Kerman University of Medical Sciences (Iran).

    PubMed

    Sharifi, Parvane; Rahmati, Abbas; Saber, Maryam

    2013-10-01

    To evaluate the effect of note-taking skills training on the achievement motivation in learning. The experimental study comprised graduate students of the 2010-11 batch at Kerman's Bahonar University and Kerman's Medical Sciences University, Iran. The study sample included 110 people; 55 in the test group, and 55 in the control group. They were randomly selected and replaced through the single-stage cluster sampling. To collect the data, a questionnaire was used. Pre-test was performed before the training session in two groups. After training course, a post-test was taken. For data analysis, the independent t-test, was used. The average pre-test score of the test group was 182 +/- 34.15, while for the control group it was 191 +/- 30.37 (p < 0.089). After the training, the post-test showed statistically significant change. The test group scored 220 +/- 20.94 against the controls who scored 195 +/- 27.26 (p < 0.001). The findings showed that achievement motivation in learning increased significantly after imparting training in note-taking skills. Authorities in the educational system should invest more for promotion of such skills.

  2. Depersonalization in a nonclinical population.

    PubMed

    Trueman, D

    1984-01-01

    The present study assessed the prevalence and characteristics of depersonalization phenomena in a nonclinical population. Undergraduate students (N = 388) responded to a questionnaire soliciting information regarding the experience of depersonalization, age at onset, number, frequency, duration, and intensity of depersonalization experiences, level of pleasantness/unpleasantness, diminution of experiences with and without professional assistance, and relation of depersonalization to other factors. Of the Ss, 34% reported depersonalization. No significant sex differences were noted but relationships between years of experience of depersonalization and intensity, frequency, and number of experiences were significant.

  3. Nanoscale Optical Imaging and Spectroscopy from Visible to Mid-Infrared

    DTIC Science & Technology

    2015-11-13

    field characterization of nanoscale materials, it also complements the near- field scanning optical microscope currently available in the PI’s lab...field scanning optical microscope currently available in the PI’s lab. This equipment will begin making major impacts on at least three current DoD...SECURITY CLASSIFICATION OF: 1. REPORT DATE (DD-MM-YYYY) 4. TITLE AND SUBTITLE 13. SUPPLEMENTARY NOTES 12. DISTRIBUTION AVAILIBILITY STATEMENT 6

  4. European Science Notes Information Bulletin Reports on Current European/ Middle Eastern Science

    DTIC Science & Technology

    1989-03-01

    Palo-Oceanography, Marine Geophysics, Marine Environmental Geology, and Petrology of the Oceanic Crust. The spe- cific concerns of each of these...integration To compute numerically the expected value of an over the fermion fields, leaving an integral over the gauge operator, the configuration space...ethrough the machine (one space point per processor).In the gauge field theories of elementary particles, This is appropriate for generating gauge field

  5. A Comparison of Antenna Measurements in a Near-Field Range and a Newly Renovated Short-Tapered Chamber

    DTIC Science & Technology

    2016-09-01

    SUPPLEMENTARY NOTES 14. ABSTRACT This study was undertaken to quantify and compare electromagnetic device (i.e., antenna) measurements using the US Army...15. SUBJECT TERMS electromagnetic , chamber, near-field range, anechoic chamber, antenna measurement 16. SECURITY CLASSIFICATION OF: 17...undertaken to quantify and compare electromagnetic (EM) device (i.e., antenna) measurements using the US Army Research Laboratory’s (ARL’s) near-field

  6. Addressing Social Issues in the Classroom and Beyond: The Pedagogical Efforts of Pioneers in the Field. Research in Curriculum and Instruction

    ERIC Educational Resources Information Center

    Totten, Samuel, Ed.; Pedersen, Jon, Ed.

    2007-01-01

    Addressing Social Issues in the Classroom and Beyond: The Pedagogical Efforts of Pioneers in the Field is comprised of essays that delineate the genesis and evolution of the thought and work of pioneers in the field of social issues and education. The authors (many of whom, themselves, are noted professors of education and who have done…

  7. Generation of magnetic fields by chaotic fluid convection - The fast dynamo problem

    NASA Technical Reports Server (NTRS)

    Finn, John M.

    1992-01-01

    In the kinematic fast dynamo problem, the underlying nonlinear dynamics of the flow play a critical role in the behavior of a dynamo field. It is presently noted that the two important facets of the problem are the approximately lognormal distribution of vector lengths, and the presence of partial cancellation. It is suggested that these features may be reflected in the magnetic fields observed on the sun.

  8. A Note on Equivalence Among Various Scalar Field Models of Dark Energies

    NASA Astrophysics Data System (ADS)

    Mandal, Jyotirmay Das; Debnath, Ujjal

    2017-08-01

    In this work, we have tried to find out similarities between various available models of scalar field dark energies (e.g., quintessence, k-essence, tachyon, phantom, quintom, dilatonic dark energy, etc). We have defined an equivalence relation from elementary set theory between scalar field models of dark energies and used fundamental ideas from linear algebra to set up our model. Consequently, we have obtained mutually disjoint subsets of scalar field dark energies with similar properties and discussed our observation.

  9. Time cost of diabetes: Development of a questionnaire to assess time spent on diabetes self-care.

    PubMed

    Chernyak, Nadja; Jülich, Fabian; Kasperidus, Julia; Stephan, Astrid; Begun, Alexander; Kaltheuner, Matthias; Icks, Andrea

    2017-01-01

    Methods to measure patient time spent on health-related activities are currently not well elaborated or standardized. The purpose of this study was to develop a recall questionnaire measuring patient time devoted to diabetes self-care and to examine its feasibility and validity under field conditions. The initial questionnaire was developed on the basis of instruments frequently used to assess self-care behavior in patients with diabetes, evaluated in two focus groups with patients with type 2 diabetes (N=15) and tested in a random sample of patients with type 2 diabetes (N=178). To assess the validity of the questionnaire, four hypotheses about expected differences in self-care time across various patient sub-groups were tested. The final questionnaire includes thirteen items estimating time spent on regular diabetes-related activities undertaken in the previous seven days. 78% of respondents completed the questionnaire without item non-response or other evident problems. As hypothesized, respondents receiving insulin treatment, those with poor self-rated health and those with diabetes-related emotional distress (PAID-5 score ≥8) reported spending more time on diabetes self-care than the rest of the sample. Contrary to our assumption, no differences in time spent on diabetes self-care between employed and retired individuals were detected by the questionnaire. The recall questionnaire measuring patient time devoted to a broad range of regular diabetes self-care activities was developed and its feasibility was proved under field conditions. Ideally, the questionnaire should be further validated within a variety of populations. Exploration of the convergent validity between the recall method and prospective diary may be also useful. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Facilitating a teleconference-delivered fatigue management program: perspectives of occupational therapists.

    PubMed

    Dunleavy, Leah; Preissner, Katharine L; Finlayson, Marcia L

    2013-12-01

    Telehealth refers to the provision of health information and services across a geographical distance. Little is known about the experiences of occupational therapists using this method of service delivery. The study explored the process of facilitating a telehealth intervention from the perspective of occupational therapists. Occupational therapists completed SOAP (Subjective, Objective, Assessment, and Plan) notes after facilitating group-based, teleconference-delivered fatigue management groups to people with multiple sclerosis. Notes were also documented after therapist team meetings. All SOAP notes and field notes were subjected to thematic analysis. Five major themes were identified. "Managing time" was the central theme and was facilitated by professional foundation and challenged by logistics. Managing time contributed to challenging work, which led to the realization that it can work! Based on study findings, the theory and research on clinical reasoning, professional development, and adult learning are relevant to developing curricula that prepare occupational therapists for using telehealth approaches in practice.

  11. Mentoring Student Teachers: A Conceptual Model.

    ERIC Educational Resources Information Center

    Stahlhut, Richard G.; Hawkes, Richard R.

    This study sought to determine how student teachers perceived their cooperating teacher's leadership practices. The Leader Behavior Description Questionnaire Form was completed during the final week of clinical field experience by 212 student teachers. The questionnaire was based on four identified leadership styles used by mentors: (1)…

  12. Multicenter study of subjective acceptance during magnetic resonance imaging at 7 and 9.4 T.

    PubMed

    Rauschenberg, Jaane; Nagel, Armin M; Ladd, Susanne C; Theysohn, Jens M; Ladd, Mark E; Möller, Harald E; Trampel, Robert; Turner, Robert; Pohmann, Rolf; Scheffler, Klaus; Brechmann, André; Stadler, Jörg; Felder, Jörg; Shah, N Jon; Semmler, Wolfhard

    2014-05-01

    The aims of this study were to investigate the subjective discomfort and sensory side effects during ultrahigh field (UHF) magnetic resonance imaging (MRI) examinations in a large-scale study and to evaluate differences between magnetic resonance (MR) sites. Four MR sites with a 7-T MR system and 2 MR sites with a 9.4-T MR system participated in this multicenter study with a total number of 3457 completed questionnaires on causes of discomfort and sensations during the examination. For a pooled retrospective analysis of the results from the partially different questionnaires, all data were adapted to an answer option with a 4-point scale (0 = no discomfort/side effect, 3 = very unpleasant/very strong sensation). To differentiate effects evoked by the low-frequency time-varying magnetic fields due to movement through the static magnetic field, most questionnaires separated the manifestation of sensory side effects during movement on the patient table from manifestation while lying still in the isocenter. In general, a high acceptance of UHF examinations was found, where in 82% of the completed questionnaires, the subjects stated the examination to be at least tolerable. Although in 7.6% of the questionnaires, subjects felt discomfort during the examination, only 0.9% of the image acquisitions had to be terminated prematurely. No adverse events occurred in any of the examinations. Only 1% of the subjects were unwilling to undergo further UHF MRI examinations. Examination duration was the most complained cause of discomfort, followed by acoustic noise and lying still. All magnetic-field-related sensations were more pronounced when moving the patient table versus the isocenter position (19%/2% of the subjects felt unpleasant vertigo during the moving/stationary state). In general, vertigo was the most often stated sensory side effect and was more pronounced at 9.4 T compared with 7 T. However, the results varied substantially among the different sites. The high levels of subjective acceptance found in this study lead to the conclusion that UHF MRI would be tolerated as a diagnostic tool in clinical practice. For more consistent data ascertainment, we propose a standardized questionnaire for subjective perception monitoring.

  13. US Army Research Laboratory (ARL) Standard for Characterization of Electric-Field Sensors, 10 Hz to 10 kHz

    DTIC Science & Technology

    2016-11-01

    Disclaimers The findings in this report are not to be construed as an official Department of the Army position unless so designated by other...unlimited. 13. SUPPLEMENTARY NOTES 14. ABSTRACT The US Army Research Laboratory (ARL) has designed and build a one-of-a-kind electric-field sensor...direction. (Right) Computer- aided design model of the ARL electric-field cage with insulated mounting

  14. Development, Translation and Validation of Enhanced Asian Rome III Questionnaires for Diagnosis of Functional Bowel Diseases in Major Asian Languages: A Rome Foundation-Asian Neurogastroenterology and Motility Association Working Team Report

    PubMed Central

    Ghoshal, Uday C; Gwee, Kok-Ann; Chen, Minhu; Gong, Xiao R; Pratap, Nitesh; Hou, Xiaohua; Syam, Ari F; Abdullah, Murdani; Bak, Young-Tae; Choi, Myung-Gyu; Gonlachanvit, Sutep; Chua, Andrew S B; Chong, Kuck-Meng; Siah, Kewin T H; Lu, Ching-Liang; Xiong, Lishou; Whitehead, William E

    2015-01-01

    Background/Aims The development-processes by regional socio-cultural adaptation of an Enhanced Asian Rome III questionnaire (EAR3Q), a cultural adaptation of the Rome III diagnostic questionnaire (R3DQ), and its translation-validation in Asian languages are presented. As English is not the first language for most Asians, translation-validation of EAR3Q is essential. Hence, we aimed to culturally adapt the R3DQ to develop EAR3Q and linguistically validate it to show that the EAR3Q is able to allocate diagnosis according to Rome III criteria. Methods After EAR3Q was developed by Asian experts by consensus, it was translated into Chinese, Hindi-Telugu, Indonesian, Korean, and Thai, following Rome Foundation guidelines; these were then validated on native subjects (healthy [n = 60], and patients with irritable bowel syndrome [n = 59], functional dyspepsia [n = 53] and functional constipation [n = 61]) diagnosed by clinicians using Rome III criteria, negative alarm features and investigations. Results Experts noted words for constipation, bloating, fullness and heartburn, posed difficulty. The English back-translated questionnaires demonstrated concordance with the original EAR3Q. Sensitivity and specificity of the questionnaires were high enough to diagnose respective functional gastrointestinal disorders (gold standard: clinical diagnoses) in most except Korean and Indonesian languages. Questionnaires often uncovered overlapping functional gastrointestinal disorders. Test-retest agreement (kappa) values of the translated questionnaires were high (0.700–1.000) except in Korean (0.300–0.500) and Indonesian (0.100–0.400) languages at the initial and 2-week follow-up visit. Conclusions Though Chinese, Hindi and Telugu translations were performed well, Korean and Indonesian versions were not. Questionnaires often uncovered overlapping FGIDs, which were quite common. PMID:25537673

  15. Family psychology: Past and future reflections on the field.

    PubMed

    Parke, Ross D

    2017-04-01

    Prominent issues in the field of family psychology during my term as editor (1998-2003) of this journal were briefly noted, including a focus on marital issues, divorce, remarriage and family conflict. Parenting, attachment and parent-child relationships were also significant topics in this period. Special sections of the journal focused on cultural variations, families and the law, families and religion, and family routines and rituals. Several neglected issues that need more attention in the future were noted. These include the need to recognize the embeddedness of families in socioecological contexts, the importance of monitoring the impact of secular changes on families, and the value and limitations of viewing family psychology as a separate field. Other topics for a future agenda include the challenge of defining "family" in the midst of changing family forms, the effects of technological change on families, and the challenges of integrating biological research into the family psychology agenda. A multilevel bio-social approach to family research was recommended. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  16. Nonimaging optics

    NASA Astrophysics Data System (ADS)

    Winston, Roland

    1991-03-01

    Various uses of nonimaging concentrators and advances in the field of nonimaging optics are discussed. A nonimaging concentrator acts as a type of funnel for light by collecting and intensifying radiation far better than a lens or mirror would. It thus has found useful applications in fields ranging from high-energy physics to solar energy. The history of the field of nonimaging optics is traced, beginning with the design of the first compound parabolic concentrators in the mid-1960s. It is noted that at present there are two known ways to design nonimaging concentrators: the edge-ray method and the geometric vector flux approach. The use of nonimaging optical devices in the design of nontracking solar concentrators is traced. It is noted that the upper limit of concentration turns out to be about 46,000 times the intensity of sunlight at the surface of the earth. Methods used to maximize this concentration are discussed. The development and use of a solar-pumped laser which would have applications in satellite communications are discussed.

  17. On the interaction between the external magnetic field and nanofluid inside a vertical square duct

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ali, Kashif; Ahmad, Shabbir; Ahmad, Shahzad, E-mail: shahzadahmadbzu@gmail.com

    In this paper, we numerically study how the external magnetic field influences the flow and thermal characteristics of nanofluid inside a vertical square duct. The flow is considered to be laminar and hydrodynamically as well as thermally developed, whereas the thermal boundary condition of constant heat flux per unit axial length with constant peripheral temperature at any cross section, is assumed. The governing equations are solved using the spectral method and the finite difference method. Excellent comparison is noted in the numerical results given by the two methods but the spectral method is found to be superior in terms ofmore » both efficiency and accuracy. We have noted that the flow reversal due to high Raleigh number may be controlled by applying an external magnetic field of suitable strength. Moreover, the Nusselt number is found to be almost a linear function of the nanoparticle volume fraction parameter, for different values of the Raleigh number and the magnetic parameter.« less

  18. Sunglasses with thick temples and frame constrict temporal visual field.

    PubMed

    Denion, Eric; Dugué, Audrey Emmanuelle; Augy, Sylvain; Coffin-Pichonnet, Sophie; Mouriaux, Frédéric

    2013-12-01

    Our aim was to compare the impact of two types of sunglasses on visual field and glare: one ("thick sunglasses") with a thick plastic frame and wide temples and one ("thin sunglasses") with a thin metal frame and thin temples. Using the Goldmann perimeter, visual field surface areas (cm²) were calculated as projections on a 30-cm virtual cupola. A V4 test object was used, from seen to unseen, in 15 healthy volunteers in the primary position of gaze ("base visual field"), then allowing eye motion ("eye motion visual field") without glasses, then with "thin sunglasses," followed by "thick sunglasses." Visual field surface area differences greater than the 14% reproducibility error of the method and having a p < 0.05 were considered significant. A glare test was done using a surgical lighting system pointed at the eye(s) at different incidence angles. No significant "base visual field" or "eye motion visual field" surface area variations were noted when comparing tests done without glasses and with the "thin sunglasses." In contrast, a 22% "eye motion visual field" surface area decrease (p < 0.001) was noted when comparing tests done without glasses and with "thick sunglasses." This decrease was most severe in the temporal quadrant (-33%; p < 0.001). All subjects reported less lateral glare with the "thick sunglasses" than with the "thin sunglasses" (p < 0.001). The better protection from lateral glare offered by "thick sunglasses" is offset by the much poorer ability to use lateral space exploration; this results in a loss of most, if not all, of the additional visual field gained through eye motion.

  19. Use of novel RT-PCR assay to detect picobirnavirus in Poultry Intestinal samples collected from the field

    USDA-ARS?s Scientific Manuscript database

    Recent metagenomic analyses of the turkey gut ribonucleic acid (RNA) virus community in our laboratory have identified novel enteric RNA viruses that may play roles in the poultry enteric diseases and in performance problems noted in the field. This has lead to new molecular diagnostic assays for ce...

  20. A note on large gauge transformations in double field theory

    DOE PAGES

    Naseer, Usman

    2015-06-03

    Here, we give a detailed proof of the conjecture by Hohm and Zwiebach in double field theory. Our result implies that their proposal for large gauge transformations in terms of the Jacobian matrix for coordinate transformations is, as required, equivalent to the standard exponential map associated with the generalized Lie derivative along a suitable parameter.

  1. Gaps, Silences and Comfort Zones: Dominant Paradigms in Educational Drama and Applied Theatre Discourse

    ERIC Educational Resources Information Center

    Omasta, Matt; Snyder-Young, Dani

    2014-01-01

    This article explores prevailing rhetoric in published scholarship in the field of educational drama and applied theatre, responding to O'Toole's call to investigate if researchers in the field are "missing something vital by staying in our comfort zones". He noted a "serious need for more usable, broad-based, and reliable base-line…

  2. Discursive Power and the New Labor Force: The Metamorphosis of a Speech Community

    ERIC Educational Resources Information Center

    Miles, Christopher

    2010-01-01

    This article describes the results of a six-month ethnographic case study of a French immigrant of Senegalese descent and how he recreates the culture of an American company's speech community. Data were collected through interviews, field notes, and shadowing the participant at his place of employment. The transcribed interviews and field notes…

  3. Field Note: Standard Web Application for Information Exchange on Agroforestry in India

    ERIC Educational Resources Information Center

    Ajit; Nighat Jabeen; Handa, A. K.; Uma

    2008-01-01

    Agroforestry (AF)/forestry is no longer an isolated field, with so many developmental activities having links with this sector, and thus the information required to be handled by the researchers all over the world has increased exponentially. This article discusses a website that was developed by the National Research Centre for Agroforestry…

  4. First field collection of the Rough Sweetpotato Weevil, Blosyrus asellus(Olivier)(Coleoptera: Curculionidae) on Hawaii Island, with notes on detection methods

    USDA-ARS?s Scientific Manuscript database

    Rough sweetpotato weevil, Blosyrus asellus(Olivier)(Coleoptera: Curculionidae), was first detected in the state of Hawaii at a commercial Okinawan sweetpotato farm in Waipio, Oahu, on 14 November 2008. Reported here is, the first detection of this pest in sweetpotato fields on the island of Hawaii (...

  5. The K{sup 0}anti K{sup 0} System

    DOE R&D Accomplishments Database

    Charpak, G.; Gourdin, M.

    1967-07-11

    This is an introduction to the most important facts in this very rich field of the neutral kaon physics. These notes do not pretend to be a comprehensive study of the neutral kaon physics. They overlook some of the very elegant and important experiment which started this field, and only the most recent ones are usually considered.

  6. Student Voice Use and Vocal Health during an All-State Chorus Event

    ERIC Educational Resources Information Center

    Daugherty, James F.; Manternach, Jeremy N.; Price, Kathy K.

    2011-01-01

    This field-based case study documented students' (N = 256) voice use and voice health perceptions during a 3-day all-state high school chorus event through daily surveys, phonation duration data, analysis of rehearsal voice use behaviors, and field notes. Among the primary results are the following: (a) First and final day survey comparisons…

  7. Diet History Questionnaire Paper-based Forms

    Cancer.gov

    DHQ-1 is the standard version of the NCI's Diet History Questionnaire. It was originally printed in 1998, reprinted in 2002 with minor changes to the front page and the development of a Spanish translation, and reprinted again in 2007 with changes to the Today's Date field to include the years 2007-2011.

  8. 75 FR 79009 - Proposed Collection; Comment Request; Questionnaire Cognitive Interview and Pretesting (NCI)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... household interviews, and experimental research in laboratory and field settings, both for applied questionnaire evaluation and more basic research on response errors in surveys. The most common evaluation...) Research on 600 1 75/60 (1.25) 750.0 computer-user interface design. Household Interview Volunteers (4...

  9. [YouTube as an information source of spinal anesthesia, epidural anesthesia and combined spinal and epidural anesthesia].

    PubMed

    Tulgar, Serkan; Selvi, Onur; Serifsoy, Talat Ercan; Senturk, Ozgur; Ozer, Zeliha

    Social media as YouTube have become a part of daily life and many studies evaluated health-related YouTube videos. Our aim was to evaluate videos available on YouTube for the conformity to textbook information and their sufficiency as a source for patient information. A search of the YouTube website was performed using the keywords "spinal anesthesia, epidural anesthesia, combined spinal epidural anesthesia". Firstly, 180 videos were evaluated and the characteristics of the video were noted, and the features of the video too were noted if the video was regarding neuraxial anesthesia. Questionnaire 1 (Q1) evaluating the video quality relating to neuraxial anesthesia was designed using a textbook as reference and questionnaire 2 (Q2) was designed for evaluating patient information. After exclusions, 40 videos were included in the study. There was no difference in Q1 or Q2 scores when videos were grouped into 4 quarters according to their appearance order, time since upload or views to length rate (p>0.05). There was no statistical difference between Q1 or Q2 scores for spinal, epidural or combined videos (p>0.05). Videos prepared by a healthcare institute have a higher score in both Questionnaires 1 and 2 (10.87±4.28 vs. 5.84±2.90, p=0.044 and 3.89±5.43 vs. 1.19±3.35, p=0.01 respectively). Videos prepared by institutes, societies, etc. were of higher educational value, but were still very lacking. Videos should be prepared in adherence to available and up-to-date guidelines taking into consideration appropriate step by step explanation of each procedure, patient safety and frequently asked questions. Copyright © 2016 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

  10. The managerial and development issues of nurses and midwives in new roles.

    PubMed

    McKenna, Hugh; Richey, Roberta; Keeney, Sinead; Hasson, Felicity; Poulton, Brenda; Sinclair, Marlene

    2008-06-01

    The number of innovative roles in nursing and midwifery has expanded considerably; however, the evidence base for the introduction of these roles is limited. This study aimed to identify the managerial and developmental issues affecting those in innovative roles. A self-completion postal questionnaire was distributed to all innovative role holders in Northern Ireland, 450 responses were analysed. This survey was the second phase of a larger investigation into innovative roles in nursing and midwifery. The questionnaire that had been developed for the 'Exploring New Roles in Practice' project was adapted for use in this study. The explanatory letter sent to potential participants clearly detailed that informed consent was assumed on receipt of a completed questionnaire and gave contact details for the research team. The confidentiality and anonymity of responses were assured. Most participants (65%) stated that their innovative role had commenced since the year 2000. There was evidence of preparation for these roles including the development of job descriptions and protocols. Nevertheless, there were issues noted relating to resource allocation and replacement when the role holder was absent. The importance of role evaluation was highlighted, with some participants noting their role had not been assessed since its inception. Support provided by managers and colleagues was key to ensuring role effectiveness. Participants reported high levels of job satisfaction. Innovative role holders were identified by managers in their employing organization: therefore the research team could not verify that all existing innovative roles were included in the study. Innovative roles in private and voluntary sectors were not included. The evolution of innovative nursing and midwifery roles has been considerable worldwide and they engender job satisfaction to those occupants them. Results support international literature showing that adequate support, especially from administrators, is significant to ensuring the success of new roles. Furthermore, the careful planning for innovative role development and evaluation are important in ensuring the role is effective.

  11. The impact of abuse and mood on bowel symptoms and health-related quality of life in irritable bowel syndrome (IBS).

    PubMed

    Kanuri, N; Cassell, B; Bruce, S E; White, K S; Gott, B M; Gyawali, C P; Sayuk, G S

    2016-10-01

    Irritable bowel syndrome (IBS) is a common abdominal pain disorder without an organic explanation. Abuse histories (physical, sexual, emotional) are prevalent in IBS. While abuse relates to mood disorders (depression and anxiety) also common in IBS, the influence of abuse on gastrointestinal (GI) symptoms and health-related quality of life (HRQOL) and its independence from psychological symptom comorbidity has not been studied. Consecutive GI outpatients completed the ROME III Research Diagnostic Questionnaire and questionnaires on trauma (Life-Stress Questionnaire), mood (Beck Depression/Anxiety Inventories), somatic symptoms (PHQ-12), and HRQOL (SF-36). Current GI symptom severity and bother were assessed using 10-cm Visual Analog Scales. 272 ROME-defined IBS (47.6 ± 0.9 years, 81% female) and 246 non-FGID (51.6 ± 1.0 years, 65% female) subjects participated. IBS patients reported greater rates of physical, sexual, and emotional abuse (p < 0.006 each), and higher depression, anxiety, and somatic symptoms (p < 0.001). Greater bowel symptom bother (7.4 ± 0.2 vs 6.7 ± 0.2, p = 0.040), severity (7.7 ± 0.2 vs 6.5 ± 0.2, p < 0.001), recent symptomatic days (9.8 ± 0.4 vs 8.5 ± 0.3, p = 0.02), and poorer HRQOL (40.9 ± 2.3 vs 55.5 ± 1.7, p < 0.001) were noted in IBS with abuse. Abuse effects were additive, with greater IBS symptom severity and poorer HRQOL noted in cases with multiple forms of abuse. Mediation analyses suggested that abuse effects on GI symptoms and HRQOL were partially mediated by mood. Abuse experiences common among IBS sufferers are associated with reports of greater GI symptoms and poorer HRQOL, particularly in those with multiple forms of abuse; this relationship may be partially mediated by concomitant mood disturbances. © 2016 John Wiley & Sons Ltd.

  12. Biochemical validation of food frequency questionnaire-estimated carotenoid, alpha-tocopherol, and folate intakes among African Americans and non-Hispanic Whites in the Southern Community Cohort Study.

    PubMed

    Signorello, Lisa B; Buchowski, Maciej S; Cai, Qiuyin; Munro, Heather M; Hargreaves, Margaret K; Blot, William J

    2010-02-15

    Few food frequency questionnaires (FFQs) have been developed specifically for use among African Americans, and reports of FFQ performance among African Americans or low-income groups assessed using biochemical indicators are scarce. The authors conducted a validation study within the Southern Community Cohort Study to evaluate FFQ-estimated intakes of alpha-carotene, beta-carotene, beta-cryptoxanthin, lutein/zeaxanthin, lycopene, folate, and alpha-tocopherol in relation to blood levels of these nutrients. Included were 255 nonsmoking participants (125 African Americans, 130 non-Hispanic whites) who provided a blood sample at the time of study enrollment and FFQ administration in 2002-2004. Levels of biochemical indicators of each micronutrient (alpha-tocopherol among women only) significantly increased with increasing FFQ-estimated intake (adjusted correlation coefficients: alpha-carotene, 0.35; beta-carotene, 0.28; beta-cryptoxanthin, 0.35; lutein/zeaxanthin, 0.28; lycopene, 0.15; folate, 0.26; alpha-tocopherol, 0.26 among women; all P's < 0.05). Subjects in the top decile of FFQ intake had blood levels that were 27% (lycopene) to 178% (beta-cryptoxanthin) higher than those of subjects in the lowest decile. Satisfactory FFQ performance was noted even for participants with less than a high school education. Some variation was noted in the FFQ's ability to predict blood levels for subgroups defined by race, sex, and other characteristics, but overall the Southern Community Cohort Study FFQ appears to generate useful dietary exposure rankings in the cohort.

  13. Health-Related Quality of Life among Children and Adolescents during Hematopoietic Stem Cell Transplant Recovery.

    PubMed

    Rodgers, Cheryl; Wills-Bagnato, Patricia; Sloane, Richard; Hockenberry, Marilyn

    2015-01-01

    Health-related quality of life (HRQoL) has been noted to fluctuate among children during hematopoietic stem cell transplant (HSCT) recovery; however, the specific timing and associations of these changes are poorly understood. This repeated-measures study aimed to describe HRQoL changes among children and adolescents during the first 6 months of HSCT recovery and estimate the associations of demographic factors, diagnosis, transplant information, and symptoms with HRQoL. Twenty-three children and adolescents who received an allogeneic HSCT were recruited from a pediatric teaching institution in the southern United States. Demographic, diagnosis, and transplant information was obtained from the medical record. The Memorial Symptom Assessment questionnaire and the Peds Quality of Life Cancer Module (PedsQL CM) were completed at 1 month post-HSCT and then once monthly for 5 additional months. Mean HRQoL scores fluctuated during the study with the lowest mean HRQoL noted at 1 month post-HSCT and the highest mean HRQoL noted at 4 months post-HSCT. No significant differences in HRQoL scores were noted among demographic, diagnosis, or transplant factors. Feeling tired, sad, or worried or having insomnia at 1 month post-HSCT was negatively correlated to HRQoL. Nurses have opportunities to explore important issues with patients and need to be aware of fluctuations with HRQoL and factors associated with lower HRQoL during HSCT recovery. © 2015 by Association of Pediatric Hematology/Oncology Nurses.

  14. Perspectives on enhancing international practical training of students in health and social care study programs - A qualitative descriptive case study.

    PubMed

    Hvalič-Touzery, Simona; Hopia, Hanna; Sihvonen, Sanna; Diwan, Sadhna; Sen, Soma; Skela-Savič, Brigita

    2017-01-01

    Internationalization of practical training in health and social care study programs is an important aspect of higher education. However, field mentors' and classroom teachers' competence in guiding culturally diverse students varies widely in European countries, and the majority does not have enough training in guiding foreign students. This study aimed to examine which factors enhance the efficacy of international practical placement experiences in health and social care study programs. A qualitative descriptive case study design was used. The study was conducted at six higher education institutions-two in Finland and one in Croatia, Estonia, the Netherlands and Slovenia. A convenience sample of 14 mentors, 15 teachers and 14 students with international experiences from six higher education institutions which are part of the Bologna Process was recruited. The data were collected from six focus groups using a semi-structured questionnaire based on a literature review. Each higher education institution conducted one group interview that was tape-recorded, transcribed and analysed for themes. Participants made several recommendations for enhancing the practical placement experience of students, teachers, and mentors. Most recommendations dealt with practical supervision of students. Three major themes noted were: 'Attitudes towards internationalization of practical placements', 'Factors impacting the international placement experience', and 'Pedagogical methods used and structural support available for internationalization.' The study highlights the need for strengthening the multicultural knowledge and skills of mentors and teachers. The findings provide practical guidelines for improving the international placement experience across health and social care fields. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Recovered eating disorder therapists using their experiential knowledge in therapy: A qualitative examination of the therapists’ and the patients’ view

    PubMed Central

    de Vos, Jan Alexander; Netten, Carmen; Noordenbos, Greta

    2016-01-01

    ABSTRACT In the eating disorder (ED) field there is a lack of guidelines regarding the utilization of recovered therapists and the experiential knowledge they can bring to therapy. In this study, a qualitative design was used to examine recovered eating disorder therapists using their experiential knowledge and how this influences therapy and the patients they treat. Respectively, 205 patients (response rate 57%), and 26 recovered therapists (response rate 75%) completed a questionnaire about advantages and disadvantages of the utilization of experiential knowledge in therapy. Results showed that using experiential knowledge can have several advantages and disadvantages in therapy. Therapists can use this knowledge as a therapeutic intervention with specific goals, such as providing the patient with insight into the recovery process, establishing a working relationship, and enhancing hope for recovery. To be effective, self-disclosure and experiential knowledge need to be shared thoughtfully, and should not include specific details about ED symptoms. Other factors noted that enhanced the benefits of experiential knowledge included therapist self-insight and self-care, adequate training and guidance, and a safe work environment. Patients stated that being treated by a recovered therapist had a positive effect on their recovery process. It is advised to establish guidelines in the ED field about working with recovered therapists and the experiential knowledge they might use in therapy. Further research is needed on the process of when, how, and which experiential knowledge is shared by recovered therapists in therapy, and the effects of these interventions on patients and their treatment outcomes. PMID:26467023

  16. Experimental characterization of hollow-cathode plasma sources at Frascati

    NASA Technical Reports Server (NTRS)

    Vannaroni, G.; Cosmovici, C. B.; Bonifazi, C.; Mccoy, J.

    1988-01-01

    An experimental characterization has been conducted for hollow cathodes applicable as plasma contactors on Space Shuttle-based experiments. The diagnostics tests were conducted in an 0.5 cu m vacuum chamber by means of Langmuir probes at various distances from the source. Two electron populations are noted, one in the 0.3-1 eV and the other in the 7-11 eV temperature range. Current developments in the design of plasma chambers incorporating magnetic field compensation are noted.

  17. Ultracold Field Gradient Magnetometry and Transport to Study Correlated Topological Phases

    DTIC Science & Technology

    2016-10-01

    glove box. Note that in Fig. 1(b) baking blankets are attached to the MBE, but are removed during normal operation of the system. The manipulator...Note that in Fig. 1(b)  baking   blankets are attached to the MBE, but are removed during normal operation of the system.  The  manipulator arms are

  18. An Environmental Survey of Canton Atoll Lagoon, 1973

    DTIC Science & Technology

    1976-06-01

    isolated /’e)ll~opora heads. Observation track perpendicular to shoreline. Numnerous sea 4 ~ urchins (L~Ivnomo’ra sp.) in surf zone. 200 m - ,-observation...narrowest and shallowest point Is approximately 150 m wide and 5 m deep. In his original field notes, E. H -. Bryan. Jr. I(notes at Whitney South Sea ...a height ot over 5 in1 above sea leyel. 1’ho turning basin wits cleared and the deep channel was prouhubly dredged front the lagoon side, Later, the

  19. Novice to Expert Cognition During Geologic Bedrock Mapping

    NASA Astrophysics Data System (ADS)

    Petcovic, H. L.; Libarkin, J.; Hambrick, D. Z.; Baker, K. M.; Elkins, J. T.; Callahan, C. N.; Turner, S.; Rench, T. A.; LaDue, N.

    2011-12-01

    Bedrock geologic mapping is a complex and cognitively demanding task. Successful mapping requires domain-specific content knowledge, visuospatial ability, navigation through the field area, creating a mental model of the geology that is consistent with field data, and metacognition. Most post-secondary geology students in the United States receive training in geologic mapping, however, not much is known about the cognitive processes that underlie successful bedrock mapping, or about how these processes change with education and experience. To better understand cognition during geologic mapping, we conducted a 2-year research study in which 67 volunteers representing a range from undergraduate sophomore to 20+ years professional experience completed a suite of cognitive measures plus a 1-day bedrock mapping task in the Rocky Mountains, Montana, USA. In addition to participants' geologic maps and field notes, the cognitive suite included tests and questionnaires designed to measure: (1) prior geologic experience, via a self-report survey; (2) geologic content knowledge, via a modified version of the Geoscience Concept Inventory; (3) visuospatial ability, working memory capacity, and perceptual speed, via paper-and-pencil and computerized tests; (4) use of space and time during mapping via GPS tracking; and (5) problem-solving in the field via think-aloud audio logs during mapping and post-mapping semi-structured interviews. Data were examined for correlations between performance on the mapping task and other measures. We found that both geological knowledge and spatial visualization ability correlated positively with accuracy in the field mapping task. More importantly, we found a Visuospatial Ability × Geological Knowledge interaction, such that visuospatial ability positively predicted mapping performance at low, but not high, levels of geological knowledge. In other words, we found evidence to suggest that visuospatial ability mattered for bedrock mapping for the novices in our sample, but not for the experts. For experienced mappers, we found a significant correlation between GCI scores and the thoroughness with which they covered the map area, plus a relationship between speed and map accuracy such that faster mappers produced better maps. However, fast novice mappers tended to produce the worst maps. Successful mappers formed a mental model of the underlying geologic structure immediately to early in the mapping task, then spent field time collecting observations to confirm, disconfirm, or modify their initial model. In contrast, the least successful mappers (all inexperienced) rarely generated explanations or models of the underlying geologic structure in the field.

  20. VR Placement Policy and Field Office Production. Studies in Placement Monograph No. 5.

    ERIC Educational Resources Information Center

    Pretz, David S.; And Others

    A study examined the relationship between vocational education rehabilitation agency placement policy and field office productivity. A total of 112 counselors and 25 supervisors from twenty-two Division of Vocational Rehabilitation field offices from seven states were given questionnaires covering different facets of placement policy including…

  1. Field evaluation of court procedures for identifying problem drinkers

    DOT National Transportation Integrated Search

    1973-12-01

    Twelve Alcohol Safety Action Projects cooperated in field evaluation of HSRI-developed questionnaire and interview protocols for identifying problem drinkers. Responses from 709 Driving While Intoxicated defendants from three ASAPs with differing dem...

  2. Analytical tools in accelerator physics

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Litvinenko, V.N.

    2010-09-01

    This paper is a sub-set of my lectures presented in the Accelerator Physics course (USPAS, Santa Rosa, California, January 14-25, 2008). It is based on my notes I wrote during period from 1976 to 1979 in Novosibirsk. Only few copies (in Russian) were distributed to my colleagues in Novosibirsk Institute of Nuclear Physics. The goal of these notes is a complete description starting from the arbitrary reference orbit, explicit expressions for 4-potential and accelerator Hamiltonian and finishing with parameterization with action and angle variables. To a large degree follow logic developed in Theory of Cyclic Particle Accelerators by A.A.Kolmensky andmore » A.N.Lebedev [Kolomensky], but going beyond the book in a number of directions. One of unusual feature is these notes use of matrix function and Sylvester formula for calculating matrices of arbitrary elements. Teaching the USPAS course motivated me to translate significant part of my notes into the English. I also included some introductory materials following Classical Theory of Fields by L.D. Landau and E.M. Liftsitz [Landau]. A large number of short notes covering various techniques are placed in the Appendices.« less

  3. A study of occurrence rates of Electromagnetic Interference (EMI) to aircraft with a focus on HIRF (external) High Intensity Radiated Fields

    NASA Technical Reports Server (NTRS)

    Shooman, Martin L.

    1994-01-01

    This report presents the methodology and results of a subjective study done by Polytechnic University to investigate Electromagnetic Interference (EMI) events on aircraft. The results cover various types of EMI from on-board aircraft systems, passenger carry-on devices, and externally generated disturbances. The focus of the study, however, was on externally generated EMI, termed High Intensity Radiated Fields (HIRF), from radars, radio and television transmitters, and other man-made emitters of electromagnetic energy. The study methodology used an anonymous questionnaire distributed to experts to gather the data. This method is known as the Delphi or Consensus Estimation technique. The questionnaire was sent to an expert population of 230 and there were 57 respondents. Details of the questionnaire, a few anecdotes, and the statistical results of the study are presented.

  4. An International Perspective on Pharmacy Student Selection Policies and Processes

    PubMed Central

    Kennedy, Julia; Jensen, Maree; Sheridan, Janie

    2015-01-01

    Objective. To reflect on selection policies and procedures for programs at pharmacy schools that are members of an international alliance of universities (Universitas 21). Methods. A questionnaire on selection policies and procedures was distributed to admissions directors at participating schools. Results. Completed questionnaires were received from 7 schools in 6 countries. Although marked differences were noted in the programs in different countries, there were commonalities in the selection processes. There was an emphasis on previous academic performance, especially in science subjects. With one exception, all schools had some form of interview, with several having moved to multiple mini-interviews in recent years. Conclusion. The majority of pharmacy schools in this survey relied on traditional selection processes. While there was increasing use of multiple mini-interviews, the authors suggest that additional new approaches may be required in light of the changing nature of the profession. PMID:26689381

  5. Validation of a Newly Developed Instrument Establishing Links Between Motivation and Academic Hardiness.

    PubMed

    Kamtsios, Spiridon; Karagiannopoulou, Evangelia

    2016-02-01

    The purpose of the study was to establish the reliability, the structural and the convergent validity of the "Dimensions of Academic Hardiness Questionnaire" for late elementary school children. A sample of children (N = 1264) aged 10-12 years completed the questionnaire and the "Athens Coping Scale". Multiple fit indices provided support that the 9-factor model had a good fit to the data. Reliability coefficients ranged from .68 to .83. The study provided also preliminary evidence of convergent validity of the "Dimensions of Academic Hardiness" scores with one theoretically related measure, the "Athens Coping Scale". The results enrich the notion of Academic Hardiness in late elementary school children as the role of awareness and the role of children's previous experiences has been distinguished. The relation between the "Dimensions of Academic Hardiness" and achievement goal orientations in children learning is also noted. These findings are discussed in the context of the relevant literature.

  6. Mental status questionnaire for organic brain syndrome, with a new visual counting test.

    PubMed

    Fishback, D B

    1977-04-01

    Ninety aged patients at the Philadelphia Geriatric Center were asked to give answers to a 35-item mental status questionnaire which included a new visual counting test. By this mean it was found that 20 of the 90 subjects were not mentally impaired, but 34 had mild dementia, 17 moderate dementia, and 19 servere dementia. These results proved to be well correlated with the clinical findings. The test records showed that as dementia develops, the first thing to be forgotten is the awareness of time, place and recognition (in that order). Then the ability to count disappears. As mental oblivion intervenes, the last thing the patient forgets is his/her own name. It was also noted that patients with mild senile dementia fared better when kept with a similar group than with patients who have moderate or severe dementia.

  7. The Roles of Ethnicity, Sex, and Parental Pain Modeling in Rating of Experienced and Imagined Pain Events

    PubMed Central

    Boissoneault, Jeff; Bunch, Jennifer R.; Robinson, Michael

    2015-01-01

    To investigate the association of ethnicity, sex, and parental pain modeling on the evaluation of experienced and imagined painful events, 173 healthy volunteers (96 women) completed the Prior Pain Experience Questionnaire, a 79-question assessment of the intensity of painful events, and a questionnaire regarding exposure to parental pain models. Consistent with existing literature, greater ratings of experienced pain were noted among Black vs. White participants. Parental pain modeling was associated with higher imagined pain ratings, but only when the parent matched the participant’s sex. This effect was greater among White and Asian participants than Black or Hispanic participants, implying ethno-cultural effects may moderate the influence of pain modeling on the evaluation of imagined pain events. The clinical implications of these findings, as well as the predictive ability of imagined pain ratings for determining future experiences of pain, should be investigated in future studies. PMID:26085306

  8. The WHO Green Page - Assessment of the Environmental Health Risks in Children.

    PubMed

    Kurpas, Donata; Church, Joseph; Mroczek, Bożena; Hans-Wytrychowska, Anna; Rudkowski, Zbigniew

    2014-01-01

    The objective of this study was to assess the possibility of implementation of the WHO Green Page as a tool to supplement basic medical interviews with environmental health risk factors for children. The WHO Green Page questionnaire was tested on parents of children who visited family practice doctors. A total of 159 parents took part in the study. It was noted that 24.3% of caregivers expressed concern about their children's environment without naming the risk factors. It was also found that 23.7% of the parents demonstrated knowledge and awareness of existing real environmental risks, and 7.0% of them stated that their children had sustained injuries in connection with road traffic prior to the questionnaire study. The WHO Green Page will provide additional information to the basic medical interview and, if regularly updated, will allow for monitoring of changing environmental conditions of children.

  9. The WHO Green Page – Assessment of the Environmental Health Risks in Children

    PubMed Central

    Kurpas, Donata; Church, Joseph; Mroczek, Bożena; Hans-Wytrychowska, Anna; Rudkowski, Zbigniew

    2013-01-01

    Background: The objective of this study was to assess the possibility of implementation of the WHO Green Page as a tool to supplement basic medical interviews with environmental health risk factors for children. Methods: The WHO Green Page questionnaire was tested on parents of children who visited family practice doctors. Results: A total of 159 parents took part in the study. It was noted that 24.3% of caregivers expressed concern about their children’s environment without naming the risk factors. It was also found that 23.7% of the parents demonstrated knowledge and awareness of existing real environmental risks, and 7.0% of them stated that their children had sustained injuries in connection with road traffic prior to the questionnaire study. Conclusions: The WHO Green Page will provide additional information to the basic medical interview and, if regularly updated, will allow for monitoring of changing environmental conditions of children. PMID:25648271

  10. An International Perspective on Pharmacy Student Selection Policies and Processes.

    PubMed

    Shaw, John; Kennedy, Julia; Jensen, Maree; Sheridan, Janie

    2015-10-25

    Objective. To reflect on selection policies and procedures for programs at pharmacy schools that are members of an international alliance of universities (Universitas 21). Methods. A questionnaire on selection policies and procedures was distributed to admissions directors at participating schools. Results. Completed questionnaires were received from 7 schools in 6 countries. Although marked differences were noted in the programs in different countries, there were commonalities in the selection processes. There was an emphasis on previous academic performance, especially in science subjects. With one exception, all schools had some form of interview, with several having moved to multiple mini-interviews in recent years. Conclusion. The majority of pharmacy schools in this survey relied on traditional selection processes. While there was increasing use of multiple mini-interviews, the authors suggest that additional new approaches may be required in light of the changing nature of the profession.

  11. Open Notes in Swedish Psychiatric Care (Part 2): Survey Among Psychiatric Care Professionals.

    PubMed

    Petersson, Lena; Erlingsdóttir, Gudbjörg

    2018-06-21

    This is the second of two papers presenting the results from a study of the implementation of patient online access to their electronic health records (here referred to as Open Notes) in adult psychiatric care in Sweden. The study contributes an important understanding of both the expectations and concerns that existed among health care professionals before the introduction of the Open Notes Service in psychiatry and the perceived impact of the technology on their own work and patient behavior after the implementation. The results from the previously published baseline survey showed that psychiatric health care professionals generally thought that Open Notes would influence both the patients and their own practice negatively. The objective of this study was to describe and discuss how health care professionals in adult psychiatric care in Region Skåne in southern Sweden experienced the influence of Open Notes on their patients and their own practice, and to compare the results with those of the baseline study. We distributed a full population Web-based questionnaire to psychiatric care professionals in Region Skåne in the spring of 2017, which was one and a half years after the implementation of the service. The response rate was 27.73% (699/2521). Analyses showed that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between health professional groups and attitudes to the Open Notes Service. A total of 41.5% (285/687) of the health care professionals reported that none of their patients stated that they had read their Open Notes. Few health care professionals agreed with the statements about the potential benefits for patients from Open Notes. Slightly more of the health care professionals agreed with the statements about the potential risks. In addition, the results indicate that there was little impact on practice in terms of longer appointments or health care professionals having to address patients' questions outside of appointments. However, the results also indicate that changes had taken place in clinical documentation. Psychologists (39/63, 62%) and doctors (36/94, 38%) in particular stated that they were less candid in their documentation after the implementation of Open Notes. Nearly 40% of the health care professionals (239/650, 36.8%) reported that the Open Notes Service in psychiatry was a good idea. Most health care professionals who responded to the postimplementation survey did not experience that patients in adult psychiatric care had become more involved in their care after the implementation of Open Notes. The results also indicate that the clinical documentation had changed after the implementation of Open Notes. Finally, the results indicate that it is important to prepare health care professionals before an implementation of Open Notes, especially in medical areas where the service is considered sensitive. ©Lena Petersson, Gudbjörg Erlingsdóttir. Originally published in JMIR Mental Health (http://mental.jmir.org), 21.06.2018.

  12. Programmable Logic Application Notes

    NASA Technical Reports Server (NTRS)

    Katz, Richard

    2000-01-01

    This column will be provided each quarter as a source for reliability, radiation results, NASA capabilities, and other information on programmable logic devices and related applications. This quarter will continue a series of notes concentrating on analysis techniques with this issue's section discussing: Digital Timing Analysis Tools and Techniques. Articles in this issue include: SX and SX-A Series Devices Power Sequencing; JTAG and SXISX-AISX-S Series Devices; Analysis Techniques (i.e., notes on digital timing analysis tools and techniques); Status of the Radiation Hard reconfigurable Field Programmable Gate Array Program, Input Transition Times; Apollo Guidance Computer Logic Study; RT54SX32S Prototype Data Sets; A54SX32A - 0.22 micron/UMC Test Results; Ramtron FM1608 FRAM; and Analysis of VHDL Code and Synthesizer Output.

  13. Spectroscopy of disordered low-field sites in Cr3+: Mullite glass ceramic

    NASA Astrophysics Data System (ADS)

    Knutson, Robert; Liu, Huimin; Yen, W. M.; Morgan, T. V.

    1989-09-01

    In this article we present results of optical and ESR studies that have allowed us to study the behavior of Cr3+ at disordered low-field sites within a mullite ceramic host. The results indicate that the existence of these low-field ions, which are likely at sites in regions of disorder, accounts for most of the spectroscopic anomalies previously noted in these materials. Furthermore, energy transfer from ordered high-field to disordered low-field ions is observed. The resulting complex spectra are deconvoluted by means of the recently developed technique of saturation-resolved fluorescence spectroscopy.

  14. Free-Free Transitions of the e-H System Inside a Dense Plasma Irradiated by a Laser Field at Very Low Incident-Electron Energies

    NASA Technical Reports Server (NTRS)

    Bhatia, A. K.; Sinha, C.

    2012-01-01

    The free-free transition is studied for an electron-hydrogen atom in ground state when a low-energy electron (external) is injected into hydrogenic plasma in the presence of an external homogenous, monochromatic, and linearly polarized laser field. The effect of plasma screening is considered in the Debye-Huckel approximation. The calculations are performed in the soft photon limit. The incident electron is considered to be dressed by the laser field in a nonperturbative manner by choosing the Volkov solutions in both the initial and final channels. The space part of the scattering wave function for the electron is solved numerically by taking into account the electron exchange. The laser-assisted differential and total cross sections are calculated for single-photon absorption or emission and no-photon exchange in the soft photon limit, the laser intensity being much less than the atomic field intensity. The calculations have been carried out for various values of Debye parameter, ranging from 0.005 to 0.12. A strong suppression is noted in the laser-assisted cross sections as compared to the field-free situation. A significant difference is noted for the singlet and triplet cross sections. The suppression is much more in the triplet states.

  15. The Current Situation of Field Experience in a Five-Year Science Teacher Education Program in Thailand

    ERIC Educational Resources Information Center

    Faikhamta, Chatree; Jantarakantee, Ekgapoom; Roadrangka, Vantipa

    2011-01-01

    This research explored the current situation in managing the field experience of a five-year science teacher education program in one university in Thailand. A number of methods were used to assess field experience situation: (1) a questionnaire on the perceptions of pre-service science teachers of field experience management; (2) participant…

  16. The feasibility of an infrared system for real-time visualization and mapping of ultrasound fields.

    PubMed

    Shaw, Adam; Nunn, John

    2010-06-07

    In treatment planning for ultrasound therapy, it is desirable to know the 3D structure of the ultrasound field. However, mapping an ultrasound field in 3D is very slow, with even a single planar raster scan taking typically several hours. Additionally, hydrophones that are used for field mapping are expensive and can be damaged in some therapy fields. So there is value in rapid methods which enable visualization and mapping of the ultrasound field in about 1 min. In this note we explore the feasibility of mapping the intensity distribution by measuring the temperature distribution produced in a thin sheet of absorbing material. A 0.2 mm thick acetate sheet forms a window in the wall of a water tank containing the transducer. The window is oriented at 45 degrees to the beam axis, and the distance from the transducer to the window can be varied. The temperature distribution is measured with an infrared camera; thermal images of the inclined plane could be viewed in real time or images could be captured for later analysis and 3D field reconstruction. We conclude that infrared thermography can be used to gain qualitative information about ultrasound fields. Thermal images are easily visualized with good spatial and thermal resolutions (0.044 mm and 0.05 degrees C in our system). The focus and field structure such as side lobes can be identified in real time from the direct video output. 3D maps and image planes at arbitrary orientations to the beam axis can be obtained and reconstructed within a few minutes. In this note we are primarily interested in the technique for characterization of high intensity focused ultrasound (HIFU) fields, but other applications such as physiotherapy fields are also possible.

  17. The Total Field in Collective Bremsstrahlung in a Nonequilibrium Relativistic Beam-Plasma System.

    DTIC Science & Technology

    1983-09-01

    Of S"ANDARDS-1963-A L i o UNCLASSIFIED SECURITY CLASSIFICATION OF THIS PAGE (1111bo Does Banero REPOR DOCUMENTATION PAGE READ INSTRUCTIONS r. REPORT...release; distribution unlimited. 17. DISTRIBUTION STATEMENT (of Me. absract mimed I Block it, different from Aepoft) 1S. SUPPLEMEMY1INANY NOTES kiDL...the nonradlative part of the field of the par- I ticls and a stochastic part corresponding to the bremsstrahlung radiation field. The relations

  18. Loop vertex expansion for higher-order interactions

    NASA Astrophysics Data System (ADS)

    Rivasseau, Vincent

    2018-05-01

    This note provides an extension of the constructive loop vertex expansion to stable interactions of arbitrarily high order, opening the way to many applications. We treat in detail the example of the (\\bar{φ } φ )^p field theory in zero dimension. We find that the important feature to extend the loop vertex expansion is not to use an intermediate field representation, but rather to force integration of exactly one particular field per vertex of the initial action.

  19. Measurement of soil moisture trends with airborne scatterometers. [Guymon, Oklahoma and Dalhart, Texas

    NASA Technical Reports Server (NTRS)

    Jones, C. L.; Mcfarland, M. J.; Rosethal, W. D.; Theis, S. W. (Principal Investigator)

    1982-01-01

    In an effort to investigate aircraft multisensor responses to soil moisture and vegetation in agricultural fields, an intensive ground sampling program was conducted in Guymon, Oklahoma and Dalhart, Texas in conjunction with aircraft data collected for visible/infrared and passive and active microwave systems. Field selections, sampling techniques, data processing, and the aircraft schedule are discussed for both sites. Field notes are included along with final (normalized and corrected) data sets.

  20. The Influence of Field Marshal Colmar Von Der Goltz on Ottoman Military Effectiveness in Mesopotamia: December 1915 to April 1916

    DTIC Science & Technology

    2012-02-23

    SUBTITLE The Influence of Field Marshal Colmar Von Der Goltz on Ottoman Military Effectiveness in Mesopotamia: December 1915 to April 1916 5a...SUPPLEMENTARY NOTES N/A 14. ABSTRACT This paper discusses the contributions made by Field Marshal Colmar von der Goltz on the development of Ottoman...Kut. 15. SUBJECT TERMS Colmar von der Goltz ; Military advisor; Mesopotamian Campaign; Ottoman; Ottoman military effectiveness; British; Kut; World

  1. Usability testing of ANSWER: a web-based methotrexate decision aid for patients with rheumatoid arthritis

    PubMed Central

    2013-01-01

    Background Decision aids are evidence-based tools designed to inform people of the potential benefit and harm of treatment options, clarify their preferences and provide a shared decision-making structure for discussion at a clinic visit. For patients with rheumatoid arthritis (RA) who are considering methotrexate, we have developed a web-based patient decision aid called the ANSWER (Animated, Self-serve, Web-based Research Tool). This study aimed to: 1) assess the usability of the ANSWER prototype; 2) identify strengths and limitations of the ANSWER from the patient’s perspective. Methods The ANSWER prototype consisted of: 1) six animated patient stories and narrated information on the evidence of methotrexate for RA; 2) interactive questionnaires to clarify patients’ treatment preferences. Eligible participants for the usability test were patients with RA who had been prescribed methotrexate. They were asked to verbalize their thoughts (i.e., think aloud) while using the ANSWER, and to complete the System Usability Scale (SUS) to assess overall usability (range = 0-100; higher = more user friendly). Participants were audiotaped and observed, and field notes were taken. The testing continued until no new modifiable issues were found. We used descriptive statistics to summarize participant characteristics and the SUS scores. Content analysis was used to identified usability issues and navigation problems. Results 15 patients participated in the usability testing. The majority were aged 50 or over and were university/college graduates (n = 8, 53.4%). On average they took 56 minutes (SD = 34.8) to complete the tool. The mean SUS score was 81.2 (SD = 13.5). Content analysis of audiotapes and field notes revealed four categories of modifiable usability issues: 1) information delivery (i.e., clarity of the information and presentation style); 2) navigation control (i.e., difficulties in recognizing and using the navigation control buttons); 3) layout (i.e., position of the videos, text, diagrams and navigation buttons); 4) aesthetic (i.e., the colour, look and feel of the online tool). Conclusions Although the SUS score indicated high usability before and after major modification, findings from the think-aloud sessions illustrated areas that required further refinement. Our results highlight the importance of formative evaluation in usability testing. PMID:24289731

  2. Usability testing of ANSWER: a web-based methotrexate decision aid for patients with rheumatoid arthritis.

    PubMed

    Li, Linda C; Adam, Paul M; Townsend, Anne F; Lacaille, Diane; Yousefi, Charlene; Stacey, Dawn; Gromala, Diane; Shaw, Chris D; Tugwell, Peter; Backman, Catherine L

    2013-12-01

    Decision aids are evidence-based tools designed to inform people of the potential benefit and harm of treatment options, clarify their preferences and provide a shared decision-making structure for discussion at a clinic visit. For patients with rheumatoid arthritis (RA) who are considering methotrexate, we have developed a web-based patient decision aid called the ANSWER (Animated, Self-serve, Web-based Research Tool). This study aimed to: 1) assess the usability of the ANSWER prototype; 2) identify strengths and limitations of the ANSWER from the patient's perspective. The ANSWER prototype consisted of: 1) six animated patient stories and narrated information on the evidence of methotrexate for RA; 2) interactive questionnaires to clarify patients' treatment preferences. Eligible participants for the usability test were patients with RA who had been prescribed methotrexate. They were asked to verbalize their thoughts (i.e., think aloud) while using the ANSWER, and to complete the System Usability Scale (SUS) to assess overall usability (range = 0-100; higher = more user friendly). Participants were audiotaped and observed, and field notes were taken. The testing continued until no new modifiable issues were found. We used descriptive statistics to summarize participant characteristics and the SUS scores. Content analysis was used to identified usability issues and navigation problems. 15 patients participated in the usability testing. The majority were aged 50 or over and were university/college graduates (n = 8, 53.4%). On average they took 56 minutes (SD = 34.8) to complete the tool. The mean SUS score was 81.2 (SD = 13.5). Content analysis of audiotapes and field notes revealed four categories of modifiable usability issues: 1) information delivery (i.e., clarity of the information and presentation style); 2) navigation control (i.e., difficulties in recognizing and using the navigation control buttons); 3) layout (i.e., position of the videos, text, diagrams and navigation buttons); 4) aesthetic (i.e., the colour, look and feel of the online tool). Although the SUS score indicated high usability before and after major modification, findings from the think-aloud sessions illustrated areas that required further refinement. Our results highlight the importance of formative evaluation in usability testing.

  3. Measuring Literary Reading Motivation: Questionnaires Design and Pilot Testing

    ERIC Educational Resources Information Center

    Chrysos, Michail

    2017-01-01

    This study aims to present the design and pilot testing procedures of the two specific self-report questionnaires were used to measure the two key aspects of reading motivation, self-efficacy and intrinsic motivation in the field of literary (narrative) reading, and the partial factors that jointly shape them. These instruments were outlined in…

  4. Environmental and Water Quality Operational Studies. Environmental Guidelines for Dike Fields.

    DTIC Science & Technology

    1984-09-01

    public release; distribution unlimited. I. DISTRIBUTION STATEMENT (of the abstract entered In Block 20, If different from Report) IS. SUPPLEMENTARY NOTES...necessary and identify by block number) Aquatic biology--Environmental aspects. (LC) Dikes (Engineering)--Design and construction--Environmental...w ad Idenwify by block number) ’The environmental guidelines for dike fields-contained within this report consist of environmental objectives, design

  5. Beyond Records and Representations: Inbetween Writing in Educational Ethnography

    ERIC Educational Resources Information Center

    Coles, Rebecca; Thomson, Pat

    2016-01-01

    Ethnographers are particularly interested in writing. They have paid particular attention to the practices of making field notes and to the ways in which their public texts represent those that they have encountered and studied. To date there has been less attention paid to the kinds of writing that used to make sense of experiences in the field.…

  6. Where Else Is Null the Gravitational Field between Two Massive Spheres?

    ERIC Educational Resources Information Center

    Lima, F. M. S.

    2009-01-01

    To find the point between two massive spherical bodies at which their gravitational fields cancel is an apparently simple problem usually found in introductory physics textbooks. However, by noting that such a point does not exist when the distance between the spheres is small and one of the masses is much smaller than the other--e.g., between the…

  7. Low Energy Technology. A Unit of Instruction on Energy Conservation in Field Crop Production.

    ERIC Educational Resources Information Center

    Davis, George; Scanlon, Dennis C.

    This unit of instruction on energy conservation in field crop production was designed for use by agribusiness and natural resources teachers in Florida high schools and by agricultural extension agents as they work with adults and students. It is one of a series of 11 instructional units (see note) written to help teachers and agents to educate…

  8. The Pedagogy of Teaching Educational Vision: A Vision Coach's Field Notes about Leaders as Learners

    ERIC Educational Resources Information Center

    Schein, Jeffrey

    2009-01-01

    The emerging field of educational visioning is full of challenges and phenomena worthy of careful analysis and documentation. A relatively neglected phenomenon is the learning curve of the leaders (often lay leaders) involved in the visioning process. This article documents a range of experiences of the author serving as a vision coach to five…

  9. Personal and Social Interactions between Young Girls and Scientists: Examining Critical Aspects for Identity Construction

    ERIC Educational Resources Information Center

    Farland-Smith, Donna

    2012-01-01

    At a 5-day summer camp designed for middle-school girls (N = 50), fifth through ninth-grade students were able to identify with individual scientists and learn more about the science field. Data from the girls' journals, pictorial representations, and field notes demonstrated that these young women related to scientists who actively engaged them…

  10. Interorganizational Special Education Programming in Rural Areas: Technical Report on the Multisite Naturalistic Field Study. Volumes I through IV.

    ERIC Educational Resources Information Center

    Skrtic, Thomas M.; And Others

    The report discusses a field study of the implementation of major requirements of P.L. 94-142, the Education For All Handicapped Children Act, by rural districts, and presents detailed case studies of five districts' responses. The first volume introduces the naturalistic model of inquiry, noting its philosophical underpinnings and basic…

  11. Sweeping Arches and Loops [video

    NASA Image and Video Library

    2014-07-10

    Two active regions with their intense magnetic fields produced towering arches and spiraling coils of solar loops above them (June 29 - July 1, 2014) as they rotated into view. When viewed in extreme ultraviolet light, magnetic field lines are revealed by charged particles that travel along them. These active regions appear as dark sunspots when viewed in filtered light. Note the small blast in the upper of the two major active regions, followed by more coils of loops as the region reorganizes itself. The still was taken on June 30 at 10:33 UT. Credit: NASA/Solar Dynamics Observatory Two active regions with their intense magnetic fields produced towering arches and spiraling coils of solar loops above them (June 29 - July 1, 2014) as they rotated into view. When viewed in extreme ultraviolet light, magnetic field lines are revealed by charged particles that travel along them. These active regions appear as dark sunspots when viewed in filtered light. Note the small blast in the upper of the two major active regions, followed by more coils of loops as the region reorganizes itself. The still was taken on June 30 at 10:33 UT. Credit: Solar Dynamics Observatory/NASA.

  12. Understanding teacher responses to constructivist learning environments: Challenges and resolutions

    NASA Astrophysics Data System (ADS)

    Rosenfeld, Melodie; Rosenfeld, Sherman

    2006-05-01

    The research literature is just beginning to uncover factors involved in sustaining constructivist learning environments, such as Project-Based Learning (PBL). Our case study investigates teacher responses to the challenges of constructivist environments, since teachers can play strong roles in supporting or undermining even the best constructivist environments or materials. We were invited to work as mediators with a middle-school science staff that was experiencing conflicts regarding two learning environments, PBL (which was the school's politically correc learning environment) and traditional. With mediated group workshops, teachers were sensitized to their own and colleagues' individual learning differences (ILDs), as measured by two styles inventories (the LSI - Kolb, 1976; and the LCI - Johnston & Dainton, 1997). Using these inventories, a learning-environment questionnaire, field notes, and delayed interviews a year later, we found that there was a relationship between teachers' preferred styles, epistemological beliefs, and their preferred teaching environment. Moreover, when the participating teachers, including early-adopters and nonvolunteers to PBL, became more sensitive to their colleagues' preferences, many staff conflicts were resolved and some mismatched teachers expressed more openness to PBL. We argue that having teachers understand their own ILDs and related responses to constructivist learning environments can contribute to resolving staff conflicts and sustaining such environments. We present a cognitive model and a strategy which illustrate this argument.

  13. Critical Chemistry Education in a Private, Suburban High School

    NASA Astrophysics Data System (ADS)

    Ashby, Patrick; Mensah, Felicia Moore

    2018-01-01

    This critical ethnography documents how a group of 25 students and their teacher/researcher in a suburban, private school setting, the vast majority from the dominant cultural background, engaged with and enacted a critical chemistry education together. Critical chemistry education contextualizes chemistry in socially relevant issues and problematizes participants' conceptual frameworks for understanding the intersections between chemistry and our capitalist society by identifying the shortcomings of traditional scientific language to sufficiently interrogate privilege and oppression. Qualitative data from teacher/researcher field notes and journal, classroom video transcripts, questionnaires, focus group interviews, and student artifacts document that while it is difficult for the teacher/researcher and the students of this setting to reflect upon their own positions of privilege, together they interpreted and made meaning of their experience by (1) developing the ability to critically analyze the products of science for the potential of oppression, (2) developing an understanding of inequity in science, and (3) evaluating and respecting diverse knowledge bases. Based on the findings, we suggest students should be encouraged to problematize socially situated science issues related to settings close to their own communities, students should participate in structured and purposeful journaling to improve their metacognition and critical reflexivity, and critical pedagogues must be explicit with students in their Marxist-based interpretation of the global capitalist super structure.

  14. Mixed method evaluation of a community-based physical activity program using the RE-AIM framework: practical application in a real-world setting.

    PubMed

    Koorts, Harriet; Gillison, Fiona

    2015-11-06

    Communities are a pivotal setting in which to promote increases in child and adolescent physical activity behaviours. Interventions implemented in these settings require effective evaluation to facilitate translation of findings to wider settings. The aims of this paper are to i) present findings from a RE-AIM evaluation of a community-based physical activity program, and ii) review the methodological challenges faced when applying RE-AIM in practice. A single mixed-methods case study was conducted based on a concurrent triangulation design. Five sources of data were collected via interviews, questionnaires, archival records, documentation and field notes. Evidence was triangulated within RE-AIM to assess individual and organisational-level program outcomes. Inconsistent availability of data and a lack of robust reporting challenged assessment of all five dimensions. Reach, Implementation and setting-level Adoption were less successful, Effectiveness and Maintenance at an individual and organisational level were moderately successful. Only community-level Adoption was highly successful, reflecting the key program goal to provide community-wide participation in sport and physical activity. This research highlighted important methodological constraints associated with the use of RE-AIM in practice settings. Future evaluators wishing to use RE-AIM may benefit from a mixed-method triangulation approach to offset challenges with data availability and reliability.

  15. A community-based study of menstrual beliefs in Tigray, Ethiopia.

    PubMed

    Wall, L Lewis; Belay, Shewaye; Bayray, Alemayehu; Salih, Seidi; Gabrehiwot, Mitiku

    2016-12-01

    To investigate knowledge and beliefs about menstruation in the Tigray Region of Ethiopia. Between May 5 and May 25, 2015, a cross-sectional survey using semi-structured questionnaires was undertaken in 10 subdistricts (5 urban, 5 rural) in the Tigray Region of northern Ethiopia by trained data collectors (native speakers of the local languages). Individuals in randomly selected households who were aged 10years or older and who were willing to participate were asked various questions regarding the nature and management of menstruation. Interviews were recorded, and handwritten field notes were taken during the interview process. Data were compiled, transcribed, translated into English, categorized, and analyzed thematically. Overall, 428 household members (349 female, 79 male) were interviewed. Reproductive anatomy and biology of menstrual regulation were poorly understood by the respondents. The belief that menstruating girls should not attend school was voiced by 17 (21.5%) male and 37 (10.6%) female respondents. Satisfactory management of menstrual hygiene was acknowledged to be a problem, and many respondents complained about the high cost of commercially produced, disposable menstrual pads. Improved education on menstruation and better access to low-cost, reusable menstrual hygiene supplies would be worthwhile in the Tigray Region of Ethiopia. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  16. What counts as effective communication in nursing? Evidence from nurse educators' and clinicians' feedback on nurse interactions with simulated patients.

    PubMed

    O'Hagan, Sally; Manias, Elizabeth; Elder, Catherine; Pill, John; Woodward-Kron, Robyn; McNamara, Tim; Webb, Gillian; McColl, Geoff

    2014-06-01

    To examine the feedback given by nurse educators and clinicians on the quality of communication skills of nurses in interactions with simulated patients. The quality of communication in interactions between nurses and patients has a major influence on patient outcomes. To support the development of effective nursing communication in clinical practice, a good understanding of what constitutes effective communication is helpful. An exploratory design was used involving individual interviews, focus groups and written notes from participants and field notes from researchers to investigate perspectives on nurse-patient communication. Focus groups and individual interviews were held between August 2010-September 2011 with a purposive sample of 15 nurse educators and clinicians who observed videos of interactions between nurses and simulated patients. These participants were asked to give oral feedback on the quality and content of these interactions. Verbatim transcriptions were undertaken of all data collected. All written notes and field notes were also transcribed. Thematic analysis of the data was undertaken. Four major themes related to nurse-patient communication were derived from the educators' and clinicians' feedback: approach to patients and patient care, manner towards patients, techniques used for interacting with patients and generic aspects of communication. This study has added to previous research by contributing grounded evidence from a group of nurse educators and clinicians on the aspects of communication that are relevant for effective nurse-patient interactions in clinical practice. © 2013 John Wiley & Sons Ltd.

  17. Too little appreciation for great expenditure? Workload and resources in ICUs.

    PubMed

    Jasper, Stefanie; Stephan, Michael; Al-Khalaf, Hani; Rennekampff, Hans-Oliver; Vogt, Peter M; Mirastschijski, Ursula

    2012-10-01

    The aim of this study was providing descriptive information and the comparative examination of job strain and mental health of nurses and physicians in different intensive care units (ICU). The Effort-Reward Imbalance Questionnaire by Siegrist and standardized psychometric questionnaires, like Hospital Anxiety and Depression Scale, Impact of Event Scale, Brief Symptom Inventory, Social Support Questionnaire, and Life Satisfaction Questionnaire were used. Five ICUs of the same German medical school were included (N = 142). For all ICUs investigated, a significantly lower mental health and a high effort-reward imbalance were found when compared with other samples. Only a few differences between the wards or both professional groups (nurses vs. physicians) were noted. The values for social support were comparable with those of healthy controls but differed between the wards. The life satisfaction in our cohort was lower compared to a population-based sample but was significant different between the wards. Our study demonstrates the high job strain in an ICU, largely independent of the professional group. Noteworthy, a high effort-reward imbalance was found that stands in positive relation to adverse health effects (anxiety, depression, and general mental health). As a consequence, necessary interventions like stress management, supervision, and communication trainings should consider ward-specific conditions of employment rather than professional affiliation. After these interventions, a follow-up study will be performed to examine beneficial effects on job strain and health.

  18. Community-oriented medical education and clinical training: comparison by medical students in hospitals.

    PubMed

    Ali, Azizi

    2012-10-01

    To determine the students' comparison of their one month educational trainings in Community-Oriented Medical Education with hospitals clinical education. Observational study. Kermanshah Community-Oriented Medical Education Field, Kermanshah University of Medical Sciences, Kermanshah, Iran, from April 2000 to February 2009. As of 2000, medical interns of Kermanshah University of Medical Sciences spend one month in the field of community-oriented medical education. At the end of the one-month period, the interns filled a questionnaire of 11 questions (based on the Likert scale) to assess the level of education in the field compared to hospital clinics. Data of questionnaires collected and completed from 2000 through 2009 (948 questionnaires) were analyzed on SPSS 18 using descriptive statistics (percentage) and analytic statistics (Chi-square test). The 948 students consisted of 66.4% males (n = 666) and 33.6% females (n = 282). All 11 variables of comparison were rated improved in the field education compared to the hospital training. The greatest difference pertained referring patients to the relevant health units (82% vs. 23.3%); patience in education (84.6% vs. 37.1%); consideration given to the three levels of prevention (77.2% vs. 33.6%) and the attention paid to the presence of students (91.7% vs. 51.8%), all of which were statistically significant (p < 0.0001). According to the interns, the educational status of specialized clinics of the field was superior to the specific clinics of hospitals (p < 0.0001). From the standpoint of medical students, training in community-oriented medical education in the field was better than training in the hospitals' clinics.

  19. Science Notes.

    ERIC Educational Resources Information Center

    School Science Review, 1985

    1985-01-01

    Presents 23 experiments, activities, field projects and computer programs in the biological and physical sciences. Instructional procedures, experimental designs, materials, and background information are suggested. Topics include fluid mechanics, electricity, crystals, arthropods, limpets, acid neutralization, and software evaluation. (ML)

  20. Rare Earth Geochemistry of Rock Core form WY Reservoirs

    DOE Data Explorer

    Quillinan, Scott; Bagdonnas, Davin; McLaughlin, J. Fred; Nye, Charles

    2016-10-01

    These data include major, minor, trace and rare earth element concentration of geologic formations in Wyoming oil and gas fields. *Note - Link below contains updated version of spreadsheet (6/14/2017)

  1. Children and Psychotropic Medication: A Cautionary Note

    ERIC Educational Resources Information Center

    Morris, James; Stone, George

    2011-01-01

    This report addresses how the mental health field is organized in terms of the use of psychotropic medications with children and adolescents, and the ethical challenge this presents to marriage and family therapists.

  2. Magnet Architectures and Active Radiation Shielding Study - SR2S Workshop

    NASA Technical Reports Server (NTRS)

    Westover, Shane; Meinke, Rainer; Burger, William; Ilin, Andrew; Nerolich, Shaun; Washburn, Scott

    2014-01-01

    Analyze new coil configurations with maturing superconductor technology -Develop vehicle-level concept solutions and identify engineering challenges and risks -Shielding performance analysis Recent advances in superconducting magnet technology and manufacturing have opened the door for re-evaluating active shielding solutions as an alternative to mass prohibitive passive shielding.Publications on static magnetic field environments and its bio-effects were reviewed. Short-term exposure information is available suggesting long term exposure may be okay. Further research likely needed. center dotMagnetic field safety requirements exist for controlled work environments. The following effects have been noted with little noted adverse effects -Magnetohydrodynamic (MHD) effects on ionized fluids (e.g. blood) creating an aortic voltage change -MHD interaction elevates blood pressure (BP) center dot5 Tesla equates to 5% BP elevation -Prosthetic devises and pacemakers are an issue (access limit of 5 gauss).

  3. RMB identification based on polarization parameters inversion imaging

    NASA Astrophysics Data System (ADS)

    Liu, Guoyan; Gao, Kun; Liu, Xuefeng; Ni, Guoqiang

    2016-10-01

    Social order is threatened by counterfeit money. Conventional anti-counterfeit technology is much too old to identify its authenticity or not. The intrinsic difference between genuine notes and counterfeit notes is its paper tissue. In this paper a new technology of detecting RMB is introduced, the polarization parameter indirect microscopic imaging technique. A conventional reflection microscopic system is used as the basic optical system, and inserting into it with polarization-modulation mechanics. The near-field structural characteristics can be delivered by optical wave and material coupling. According to coupling and conduction physics, calculate the changes of optical wave parameters, then get the curves of the intensity of the image. By analyzing near-field polarization parameters in nanoscale, finally calculate indirect polarization parameter imaging of the fiber of the paper tissue in order to identify its authenticity.

  4. Initial validation of two opiate craving questionnaires the obsessive compulsive drug use scale and the desires for drug questionnaire.

    PubMed

    Franken, Ingmar H A; Hendriksa, Vincent M; van den Brink, Wim

    2002-01-01

    In the present study, the factor structure, internal consistency, and the concurrent validity of two heroin craving questionnaires are examined. The Desires for Drug Questionnaire (DDQ) measures three factors: desire and intention, negative reinforcement, and control. The Obsessive Compulsive Drug Use Scale (OCDUS) also measures three factors: thoughts about heroin and interference, desire and control, and resistance to thoughts and intention. Subjects were 102 Dutch patients who were currently in treatment for drug dependency. All proposed scales have good reliability and concurrent validity. Implementation of these instruments in both clinical and research field is advocated.

  5. The benefits of otoplasty for children: further evidence to satisfy the modern NHS.

    PubMed

    Cooper-Hobson, G; Jaffe, W

    2009-02-01

    To take standards from, and revalidate an existing study which addressed the psychological and social outcomes following otoplasty in children [Bradbury E, Hewison J, Timmons M. Psychological and social outcome of prominent ear correction in children. Br J Plast Surg 1992;45:97-100]. The psychosocial experiences of children undergoing otoplasty at the University Hospital of North Staffordshire were retrospectively examined and compared to the cohort in the existing study. Retrospective questionnaires were sent to all children aged 5-16 (n=101) who were on the hospital records having undergone otoplasty between 1999 and 2003, investigating social experiences, and experience of surgery. This study found: 97% reported an increase in happiness; 92% reported an increase in self-confidence; 79% noted improved social experience; 100% reported bullying reduced or stopped. The Wilcoxon Rank Sum Test confirmed the statistical validity of these findings (P<0.001). The existing study found: 63% of children reported increase in happiness and confidence; 13% noted improved social experiences; 53% noted bullying had stopped entirely. Otoplasty is an effective procedure in alleviating psychosocial distress in the vast majority of children that undergo the operation, and hence this study supports the continued availability of otoplasty on the NHS for children with prominent ears.

  6. Personality and psychosocial function after brain injury.

    PubMed

    Malia, K; Powell, G; Torode, S

    1995-10-01

    A total of 74 brain-injured patients and 46 non-neurologically matched controls consecutively admitted to a specialist medical rehabilitation unit, were administered the 'Headley Court psychosocial rating scale' and four questionnaires examining personality traits of 'locus of control', 'use of humour', 'optimism' and 'easy-going disposition'. Both pre- and post-injury personality ratings were obtained. The relatives of all participants were sent the same scales. Personality changes are reported in each of the four areas; however, time post-injury appears to be a significant factor in the type of change reported; in this cross-sectional study, at 6 and 12 months post-injury, changes are noted in all variables except locus of control, whereas at 18 months post-injury only 'easy-going disposition' showed significant change, at 24 months post-injury changes were noted in all variables except optimism, and at 30 months post-injury no changes were noted. In the present study, examining a period of 2.5 years post-injury, the personality changes remain static once they have occurred. Despite widespread reports in the literature on the importance of pre- and post-trauma personality to good psychosocial functioning, the present study found that it was only an 'easy-going disposition' post-trauma that was consistently related to good psychosocial functioning. Reasons for this are discussed.

  7. Diagnostic imaging learning resources evaluated by students and recent graduates.

    PubMed

    Alexander, Kate; Bélisle, Marilou; Dallaire, Sébastien; Fernandez, Nicolas; Doucet, Michèle

    2013-01-01

    Many learning resources can help students develop the problem-solving abilities and clinical skills required for diagnostic imaging. This study explored veterinary students' perceptions of the usefulness of a variety of learning resources. Perceived resource usefulness was measured for different levels of students and for academic versus clinical preparation. Third-year (n=139) and final (fifth) year (n=105) students and recent graduates (n=56) completed questionnaires on perceived usefulness of each resource. Resources were grouped for comparison: abstract/low complexity (e.g., notes, multimedia presentations), abstract/high complexity (e.g., Web-based and film case repositories), concrete/low complexity (e.g., large-group "clicker" workshops), and concrete/high complexity (e.g., small-group interpretation workshops). Lower-level students considered abstract/low-complexity resources more useful for academic preparation and concrete resources more useful for clinical preparation. Higher-level students/recent graduates also considered abstract/low-complexity resources more useful for academic preparation. For all levels, lecture notes were considered highly useful. Multimedia slideshows were an interactive complement to notes. The usefulness of a Web-based case repository was limited by accessibility problems and difficulty. Traditional abstract/low-complexity resources were considered useful for more levels and contexts than expected. Concrete/high-complexity resources need to better represent clinical practice to be considered more useful for clinical preparation.

  8. Prevalence of Asperger syndrome among patients of an Early Intervention in Psychosis team.

    PubMed

    Davidson, Conor; Greenwood, Nick; Stansfield, Alison; Wright, Stephen

    2014-05-01

    There is a lack of systematic studies into comorbidity of Asperger syndrome and psychosis. To determine the prevalence of Asperger syndrome among patients of an early intervention in psychosis service. This study was a cross-sectional survey consisting of three phases: screening, case note review and diagnostic interviews. All patients on caseload (n = 197) were screened using the Autism Spectrum Disorder in Adults Screening Questionnaire. The case notes of patients screened positive were then reviewed for information relevant to Asperger syndrome. Those suspected of having Asperger syndrome were invited for a diagnostic interview. Thirty patients were screened positive. Three of them already had a diagnosis of Asperger syndrome made by child and adolescent mental health services. After case note review, 13 patients were invited to interview. Four did not take part, so nine were interviewed. At interview, four were diagnosed with Asperger syndrome. In total, seven patients had Asperger syndrome. Thus, the prevalence rate in this population is at least 3.6%. The results suggest that the prevalence of Asperger syndrome in first-episode psychosis is considerably higher than that in the general population. Clinicians working in early intervention teams need to be alert to the possibility of Asperger syndrome when assessing patients. © 2013 Wiley Publishing Asia Pty Ltd.

  9. Changes in quality of life and impact on patients′ perception of esthetics after orthognathic surgery

    PubMed Central

    Kavin, Thangavelu; Jagadesan, Anbuselvan Gobichetty Palayam; Venkataraman, Siva Subramaniam

    2012-01-01

    Objectives: The aim of our study is to determine the changes in quality of life and patient′s perception of esthetic improvement after anterior maxillary osteotomy. Materials and Methods: Our prospective study consisted of 14 patients who had been diagnosed of skeletal orthodontic deformity and underwent anterior maxillary osteotomy, along with orthodontic correction. The quality of life was evaluated using questionnaires based on Oral Health Impact Profile-14 questionnaire (OHIP-14) and a 22-item orthognathic quality of life questionnaire. They were evaluated at baseline pre-surgical, 8 weeks postoperatively, and 24 weeks postoperatively. Results: Our results showed mild improvement in generic health related quality of life immediately following surgery, while condition-specific quality of life and patient′s perception of esthetic improvement were noted only at 24 weeks following anterior maxillary osteotomy. Conclusion: We conclude that anterior maxillary osteotomy had a positive impact on the quality of life. The improvement in patient's perception of esthetics is seen only 2 months after surgery, while improvements in oral health and function were seen within 2 months following surgery. The acceptance and satisfaction of patient toward surgery was more positive 2 months after surgery. PMID:23066273

  10. Are pre-treatment psychological characteristics influenced by pre-surgical orthodontics?

    PubMed

    Cunningham, S J; Gilthorpe, M S; Hunt, N P

    2001-12-01

    A number of investigations have looked at psychological changes occurring in association with orthognathic treatment. However, most of these studies have used a pre-surgery questionnaire as the baseline measurement. There is little data relating to the true baseline, i.e. that prior to any active treatment. Until this aspect is investigated, it is not possible to assume that pre-surgery is an acceptable baseline. This questionnaire based study aimed to assess changes in six psychological outcome measures between T1 (prior to any active treatment) and T2 (following pre-surgical orthodontics/prior to surgery). The outcome variables were: state anxiety, trait anxiety, depression, self-esteem, body image, and facial body image. Sixty-two patients (39 females and 23 males) completed both questionnaires. The results showed that intervention, in the form of orthodontic treatment, had a minimal effect on the chosen psychometric outcome variables. There was a significant reduction in satisfaction with body image amongst patients who initially reported mild to moderate dental/facial problems, whilst a moderate increase in satisfaction occurred in those patients reporting severe conditions initially. Also of note were significant increases in state anxiety amongst older patients whilst trait anxiety showed greater increases in females than males.

  11. Adolescent sleep disturbance and school performance: the confounding variable of socioeconomics.

    PubMed

    Pagel, James F; Forister, Natalie; Kwiatkowki, Carol

    2007-02-15

    To assess how selected socioeconomic variables known to affect school performance alter the association between reported sleep disturbance and poor school performance in a contiguous middle school/high school population. A school district/college IRB approved questionnaire was distributed in science and health classes in middle school and high school. This questionnaire included a frequency scaled pediatric sleep disturbance questionnaire for completion by students and a permission and demographic questionnaire for completion by parents (completed questionnaires n = 238 with 69.3% including GPA). Sleep complaints occur at high frequency in this sample (sleep onset insomnia 60% > 1 x /wk.; 21.2% every night; sleepiness during the day (45.7% > 1 x /wk.; 15.2 % every night), and difficulty concentrating (54.6% > 1 x /wk.; 12.9% always). Students with lower grade point averages (GPAs) were more likely to have restless/aching legs when trying to fall asleep, difficulty concentrating during the day, snoring every night, difficulty waking in the morning, sleepiness during the day, and falling asleep in class. Lower reported GPAs were significantly associated with lower household incomes. After statistically controlling for income, restless legs, sleepiness during the day, and difficulty with concentration continued to significantly affect school performance. This study provides additional evidence indicating that sleep disturbances occur at high frequencies in adolescents and significantly affect daytime performance, as measured by GPA. The socioeconomic variable of household income also significantly affects GPA. After statistically controlling for age and household income, the number and type of sleep variables noted to significantly affect GPA are altered but persistent in demonstrating significant effects on school performance.

  12. Subjective complaints after acquired brain injury: presentation of the Brain Injury Complaint Questionnaire (BICoQ).

    PubMed

    Vallat-Azouvi, Claire; Paillat, Cyrille; Bercovici, Stéphanie; Morin, Bénédicte; Paquereau, Julie; Charanton, James; Ghout, Idir; Azouvi, Philippe

    2018-04-01

    The objective of the present study was to present a new complaint questionnaire designed to assess a wide range of difficulties commonly reported by patients with acquired brain injury. Patients (n =  619) had been referred to a community re-entry service at a chronic stage after brain injury, mainly traumatic brain injury (TBI). The Brain Injury Complaint Questionnaire (BICoQ) includes 25 questions in the following domains: cognition, behavior, fatigue and sleep, mood, and somatic problems. A self and a proxy questionnaire were given. An additional question was given to the relative, about the patient's awareness of his difficulties. The questionnaires had a good internal coherence, as measured with Cronbach's alpha. The most frequent complaints were, in decreasing order, mental slowness, memory troubles, fatigue, concentration difficulties, anxiety, and dual tasking problems. Principal component analysis with varimax rotation yielded six underlying factors explaining 50.5% of total variance: somatic concerns, cognition, and lack of drive, lack of control, psycholinguistic disorders, mood, and mental fatigue/slowness. About 52% of patients reported fewer complaints than their proxy, suggesting lack of awareness. The total complaint scores were not significantly correlated with any injury severity measure, but were significantly correlated with disability and poorer quality of life (Note: only factor 2 [cognition/lack of drive] was significantly related to disability.) The BICoQ is a simple scale that can be used in addition to traditional clinical and cognitive assessment measures, and to assess awareness of everyday life problems. © 2017 Wiley Periodicals, Inc.

  13. Weapons Storage Area Survey of 400 Series Buildings at Medina Annex, San Antonio, Texas

    DTIC Science & Technology

    2013-06-03

    due to build u p of radon daughters Initial Ins trument Readin~ Results Inst. 1 lnst. lnst. Field Lab Sample Gross alpha Gross beta Gross Map...readings are due to build up of radon daughters ReadiJlg Results lust. lust. Field Lab San1ple Gross alpha Map Area Room # Location Inst. 1 Sample...outside) NOTE : High alph readings are due to build up of radon daughters Initial Instrument Reading Results Area on Room # Inst . 1 Inst. 2 Field

  14. Gravitation: Foundations and Frontiers

    NASA Astrophysics Data System (ADS)

    Padmanabhan, T.

    2010-01-01

    1. Special relativity; 2. Scalar and electromagnetic fields in special relativity; 3. Gravity and spacetime geometry: the inescapable connection; 4. Metric tensor, geodesics and covariant derivative; 5. Curvature of spacetime; 6. Einstein's field equations and gravitational dynamics; 7. Spherically symmetric geometry; 8. Black holes; 9. Gravitational waves; 10. Relativistic cosmology; 11. Differential forms and exterior calculus; 12. Hamiltonian structure of general relativity; 13. Evolution of cosmological perturbations; 14. Quantum field theory in curved spacetime; 15. Gravity in higher and lower dimensions; 16. Gravity as an emergent phenomenon; Notes; Index.

  15. Technical communication: Notes toward defining discipline

    NASA Technical Reports Server (NTRS)

    Rubens, P. M.

    1981-01-01

    In the field of technical communication, definitions posited in virtually any major text violate every major rule of definitions. The most popular method for defining the field is to state that technical writing is any writing that supports technology or technological activities. There is a need for a nice yardstick for measuring what "technology" is. Some ways in which the field can be defined in a tightly structured empirical way and some implications of technical communication for a humanistic education in a technological age are suggested.

  16. Guidance Material for Mode S-Specific Protocol Application Avionics

    DTIC Science & Technology

    2007-06-04

    the high-order 28 bits of each register are used to specify the configuration state of uplink MSP channels, while the low -order 28 bits of each...TID field contains the 24-bit Mode S address of the threat (when the threat is Mode S equipped). The low -order 2 bits of the TID field are cleared. If...the register should be sufficient to ensure that the maximum latency of each data value is not exceeded. (Note: If all five of the status fields in the

  17. An elementary proof of a criterion for linear disjointness

    NASA Astrophysics Data System (ADS)

    Dobbs, David E.

    2013-06-01

    An elementary proof using matrix theory is given for the following criterion: if F/K and L/K are field extensions, with F and L both contained in a common extension field, then F and L are linearly disjoint over K if (and only if) some K-vector space basis of F is linearly independent over L. The material in this note could serve as enrichment material for the unit on fields in a first course on abstract algebra.

  18. Proceedings of the 1982 Army Numerical Analysis and Computers Conference.

    DTIC Science & Technology

    1982-08-01

    field array WACC (l,J). Configuration types. The cartesian coordinates of the points on the entire boundary of the physical region, i.e., the closed outer...the field array WACC . This calculation is discussed in Ref.[8],where it is noted that the values obtained are not truly optimum in all cases...placed in the field 60 4g array WACC . The addition to the control functions from attraction to specified lines and/or points in the physical region is

  19. On the Concept of Force: A Comment on Lopes Coelho

    ERIC Educational Resources Information Center

    Kalman, Calvin S.

    2011-01-01

    This article presents a supplement to Coelho's excellent article concerning the definition of force by first defining mass and then momentum. Replacing force with the concept of a field is also briefly noted.

  20. General view looking toward the roulette farm cluster from south ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    General view looking toward the roulette farm cluster from south to north; note the present-day field was an orchard at the time of the battle - Roulette Farm, House, Sharpsburg, Washington County, MD

  1. ARC-1969-AC76-1400-15

    NASA Image and Video Library

    1976-09-21

    Crows Landing Naval Auxiliary Landing Field and flight research facility, Crows Landing, CA Note: Used in publication in Flight Research at Ames; 57 Years of Development and Validation of Aeronautical Technology NASA SP-1998-3300 fig. 109

  2. Trinidad Reservoir Salvage Archaeology, 1970. Sites: TC:C9:9B, TC:C9:23, TC:C9:24, TC:C9:302.

    DTIC Science & Technology

    1973-04-12

    corduarked sherds from this site. 2Te field notes (Baker et. al. 1963b) note the presence of two obliterated o’dmarked sherds, both of extra- architetural ...unifacial and four are bifacial. Zach of the mnos is a cobble of either sandstoe or caglomerate. Alteration of a mall proportion of thse cobbles consisted...Las Animas County, Colorado. MS on file at National Park Service, Midwest Region, Lincoln. Genoves, Santiago 1967 Proportionality of the Long Bones

  3. Cultural Resource Investigation of the Grand Forks/East Grand Forks Urban Study and the East Grand Forks Flood Control Project,

    DTIC Science & Technology

    1981-04-01

    and will not be impacted. Remarks: Level II. Father William Sherman, Pastor of St. Michael’s Church can be reached at St. Michael’s Church, 520 North...Trygg, J. William 1967 Composite Map of the Uni- % [ted States Land Surveyors’ L Original Plats and Field Notes, Minnesota Series, Sheet 20, Ely...Investigators/Years: Surveyors’ Original Plats and Notes, ’ 1872 Report/Reference: Trygg, J. William * 1967 Composite Map of United States Surveyors

  4. Polynomial asymptotes of the second kind

    NASA Astrophysics Data System (ADS)

    Dobbs, David E.

    2011-03-01

    This note uses the analytic notion of asymptotic functions to study when a function is asymptotic to a polynomial function. Along with associated existence and uniqueness results, this kind of asymptotic behaviour is related to the type of asymptote that was recently defined in a more geometric way. Applications are given to rational functions and conics. Prerequisites include the division algorithm for polynomials with coefficients in the field of real numbers and elementary facts about limits from calculus. This note could be used as enrichment material in courses ranging from Calculus to Real Analysis to Abstract Algebra.

  5. TASI Lectures on Flavor Physics

    NASA Astrophysics Data System (ADS)

    Ligeti, Zoltan

    These notes overlap with lectures given at the TASI summer schools in 2014 and 2011, as well as at the European School of High Energy Physics in 2013. This is primarily an attempt at transcribing my handwritten notes, with emphasis on topics and ideas discussed in the lectures. It is not a comprehensive introduction or review of the field, nor does it include a complete list of references. I hope, however, that some may find it useful to better understand the reasons for excitement about recent progress and future opportunities in flavor physics.

  6. The Parenting Questionnaire: An Inventory for Assessing Outcomes of Adlerian Parent Groups.

    ERIC Educational Resources Information Center

    Tiffany, Jeanne; Tollefson, Nona

    This study field tests and evaluates the Parenting Questionnaire, an instrument designed to assess parental attitudes and behavior, based on the child-raising theories of Dreikurs and Dinkmeyer and the Adlerian model for parent study groups. Dreikurs and Adler stress the purposive nature of children's behavior or misbehavior, and teach parents to…

  7. Doctorate Recipients from United States Universities. Summary Report, 1984.

    ERIC Educational Resources Information Center

    Coyle, Susan L.; Syverson, Peter D.

    A statistical and narrative summary of the results of the 1983-1984 Survey of Earned Doctorates is presented. Basic information, such as sex, field, institution, and year of Ph.D., is presented for all of the 31,253 doctorate recipients; complete questionnaire data are included for the 29,713 Ph.D. recipients who responded to the questionnaire,…

  8. A Pilot Study to Test the Efficacy of Psychologically Based Physical Therapy Training for Treating Deployed U.S. Sailors and Marines with Musculoskeletal Injuries

    DTIC Science & Technology

    2015-10-01

    questionnaires………………………………………………………………...8 Procedures for completing SOAP note………………………………………………………………………………………….8 Procedures for scanning consent...questionnaire and SOAP note data………………………………………….9 Procedures for collecting on-going treatment data………………………………………………………………….……9 Procedures for...accuracy of data collection; f. Completion of SOAP notes; g. Handling, storing and transferring research data; h. Reporting of adverse events; i

  9. Spin Injection and its Effects on Lasing Action in Conjugated Polymers

    DTIC Science & Technology

    2009-06-16

    molecular excited states, namely exciplex states, can have significant response to a low magnetic field. This experimental funding makes it... exciplex states) formed between TPD and BBOT in PMMA matrix. It can be clearly seen that the photoluminescence from inter-molecular exciplex states is...field dependence of photoluminescence (PL) for inter- molecular excited states ( exciplex states). Note, the photoluminescence from pure TPD and

  10. The Role of Emotions in Fieldwork: A Self-Study of Family Research in a Corrections Setting

    ERIC Educational Resources Information Center

    Arditti, Joyce A.; Joest, Karen S.; Lambert-Shute, Jennifer; Walker, Latanya

    2010-01-01

    In this study, we document a reflexive process via bracketing techniques and the development of a conceptual map in order to better understand how emotions that arise in the field can inform research design, implementation, and results. We conducted a content analysis of field notes written by a team of researchers who administered an interview to…

  11. Tree voles: an evaluation of their distribution and habitat relationships based on recent and historical studies, habitat models, and vegetation change

    Treesearch

    Eric D. Forsman; James K. Swingle; Raymond J. Davis; Brian L. Biswell; Lawrence S. Andrews

    2016-01-01

    We describe the historical and current distribution of tree voles (Arborimus longicaudus; A. pomo) and compare the minimum density of trees with tree vole nests in different forest age-classes based on museum records, field notes of previous collectors, tree vole nest surveys conducted by federal agencies, and our field studies in Oregon and...

  12. [Physical essence of erythrocytic sedimentation rate in the gravitation field of the earth].

    PubMed

    Cherniĭ, A N

    2009-01-01

    The erythrocytic sedimentation rate method has been long known in medicine and extensively used in laboratory practice in tuberculosis facilities. However, many authors note that the erythrocytic sedimentation rate phenomenon has not clearly understood. By applying the total theory of relativity and quantum mechanics, the author discloses the physical essence of erythrocytic sedimentation in the gravitation field of the Earth.

  13. Re-visiting RHIC snakes: OPERA fields, n 0 dance

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Meot, F.; Gupta, R.; Huang, H.

    In this Tech. Note RHIC snakes and stable spin directionmore » $$\\vector{n}$$ 0(s) are re-visited, based on OPERA-computed field maps of the former. The numerical simulations so undertaken provide various outcomes regarding RHIC optics and spin dynamics, in relation with orbital and focusing effects resulting from the use of this realistic 3-D representation of the snakes.« less

  14. Experimental research on electric propulsion. Note 5: Experimental study of a magnetic field stabilized arc-jet

    NASA Technical Reports Server (NTRS)

    Robotti, A. C.; Oggero, M.

    1984-01-01

    The possibility of using an electric arc under the influence of a magnetic field in ambient air to transform the heat energy of the working fluid arc into the kinetic energy of the jet was investigated. A convergent-divergent type nozzle was used. Variation of specific thrust and chamber pressure are discussed. Nitrogen was the propellant used.

  15. National questionnaire study on clinical ICT systems proofs: physicians suffer from poor usability.

    PubMed

    Viitanen, Johanna; Hyppönen, Hannele; Lääveri, Tinja; Vänskä, Jukka; Reponen, Jarmo; Winblad, Ilkka

    2011-10-01

    In the health informatics field, usability studies typically focus on evaluating a single information system and involve a rather small group of end-users. However, little is known about the usability of clinical information and communication technology (ICT) environment in which healthcare professionals work daily. This paper aims at contributing to usability research and user-oriented development of healthcare technologies with three objectives: inform researchers and practitioners about the current state of usability of clinical ICT systems, increase the understanding of usability aspects specific for clinical context, and encourage a more holistic approach on studying usability issues in health informatics field. A national web questionnaire study was conducted in Finland in spring 2010 with 3929 physicians actively working in patient care. For the purposes of the study, we described three dimensions of clinical ICT system usability that reflect the physicians' viewpoint on system usage: (1) compatibility between clinical ICT systems and physicians' tasks, (2) ICT support for information exchange, communication and collaboration in clinical work, and (3) interoperability and reliability. The dimensions derive from the definitions of usability and clinical context of use analysis, and reflect the ability of ICT systems to have a positive impact on patient care by supporting physicians in achieving their goals with a pleasant user experience. The research data incorporated 32 statements with a five-point Likert-scale on physicians' experiences on usability of their currently used ICT systems and a summative question about school grade given to electronic health record (EHR) systems. Physicians' estimates of their EHR systems were very critical. With the rating scale from 4 or fail to 10 or excellent, the average of the grades varied from 6.1 to 8.4 dependent on the kind of facility the physician is working. Questionnaire results indicated several usability problems and deficiencies which considerably hindered the efficiency of clinical ICT use and physician's routine work. Systems lacked the appropriate features to support typical clinical tasks, such as decision making, prevention of medical errors, and review of a patient's treatment chart. The systems also required physicians to perform fixed sequences of steps and tasks, and poorly supported the documentation and retrieval of patient data. The findings on ICT support for collaboration showed mainly negative results, aside from collaboration between co-located physicians. In addition, the study results pointed out physicians suffering from system failures and a lack of integration between the systems. The described study and related results are unique in several ways. A national usability study with nearly 4000 respondents had not been conducted in other countries in which healthcare technologies are widely adopted. The questionnaire study provided a generalized picture about the usability problems, however, it should be noted that there were significant differences between legacy systems in use. Previously, researchers had not approached contextual aspects of usability the context of clinical work, where numerous systems are in use. The described usability dimensions and the presented study results can be considered as the first step towards conceptualizing ICT usability in the unique setting of clinical work. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  16. NOTES performed using multiple ports of entry: Current experience and potential implications for urologic applications.

    PubMed

    Lima, Estevao; Rolanda, Carla; Correia-Pinto, Jorge

    2009-05-01

    An isolated transgastric port raises serious limitations in performing natural orifice translumenal endoscopic surgery (NOTES) complex procedures in the urology field. In an attempt to overcome these limitations, several solutions has been advanced, such as the hybrid approach (adding a single abdominal port access) or the pure NOTES combined approach (joining multiple natural orifice ports). To review the current state of experimental and clinical results of multiple ports in NOTES, a literature search of PubMed was performed, seeking publications from January 2002 to 2008 on NOTES. In addition, we looked at pertinent abstracts of annual meetings of the American Urological Association, the European Association of Urology, and the World Congress of Endourology from 2007. Multiple ports of entry seem to be necessary, mainly for moderately complex procedures. Thus, we could find studies using the hybrid approach (combination of transgastric or transvaginal access with a single transabdominal port), or using the pure NOTES combined approach (transgastric and transvesical, transvaginal and transcolonic, or transgastric and transvaginal). There is still limited experience in humans using these approaches, and no comparative studies exist to date. It is predictable that for moderately complex procedures, we will need multiple ports, so the transvaginal-transabdominal (hybrid) approach is the most appealing, whereas in a pure NOTES perspective, the transgastric-transvesical approach seems to be the preferred approach. We are waiting for new equipment and instruments that are more appropriate for these novel techniques.

  17. Renal abnormalities among HIV infected children at Muhimbili National Hospital (MNH)-Dar es Salaam, Tanzania.

    PubMed

    Fredrick, Francis; Francis, Joel M; Ruggajo, Paschal J; Maro, Eden E

    2016-03-21

    Human Immunodeficiency Virus infection is a multisystem disease that contributes to significant morbidity. Renal involvement is reported to be common among patients with HIV. This study was carried out to determine renal involvement using simple bedside tests combined with ultrasonography examination. We recruited 240 children from the HIV clinic at Muhimbili National Hospital. Data were collected using structured questionnaires and included demographic, clinical information, radiological tests; renal ultrasound and laboratory tests; serum creatinine, white blood cells, CD4+ counts and percent, urine for microalbuminuria and proteinuria. Microalbuminuria and proteinuria were present in 20.4 % and 7.1 % respectively. Significantly higher prevalence of microalbuminuria (p < 0.01) and proteinuria p < 0.01) were noted with low CD4 percent (<25 %). Lower mean CD4+ count were noted among children with microalbuminuria [937.4 ± 595.3 cells/μL vs 1164.7 ± 664.3 cell/μL, (p < 0.05)] and proteinuria [675.5 ± 352.3 cells/μL vs 1152 ± 662 cells/μL (p < 0.001)]. Fourteen (5.8 %) HIV infected children had estimated glomerular filtration rate (eGFR of 30-59) consistent with severe renal impairment. Increased cortical echogenicity was noted in 69/153 (39.2 %) of participants who had ultrasound examination. Microalbuminuria, proteinuria and renal dysfunction were noted to be prevalent among HIV infected children indicating the need to consider routine screening of renal complications in these children.

  18. Acoustic positioning and orientation prediction

    NASA Technical Reports Server (NTRS)

    Barmatz, Martin B. (Inventor); Aveni, Glenn (Inventor); Putterman, Seth (Inventor); Rudnick, Joseph (Inventor)

    1990-01-01

    A method is described for use with an acoustic positioner, which enables a determination of the equilibrium position and orientation which an object assumes in a zero gravity environment, as well as restoring forces and torques of an object in an acoustic standing wave field. An acoustic standing wave field is established in the chamber, and the object is held at several different positions near the expected equilibrium position. While the object is held at each position, the center resonant frequency of the chamber is determined, by noting which frequency results in the greatest pressure of the acoustic field. The object position which results in the lowest center resonant frequency is the equilibrium position. The orientation of a nonspherical object is similarly determined, by holding the object in a plurality of different orientations at its equilibrium position, and noting the center resonant frequency for each orientation. The orientation which results in the lowest center resonant frequency is the equilibrium orientation. Where the acoustic frequency is constant, but the chamber length is variable, the equilibrium position or orientation is that which results in the greatest chamber length at the center resonant frequency.

  19. Study of diffusion of wave packets in a square lattice under external fields along the discrete nonlinear Schrödinger equation

    NASA Astrophysics Data System (ADS)

    de Brito, P. E.; Nazareno, H. N.

    2012-09-01

    The object of the present work is to analyze the effect of nonlinearity on wave packet propagation in a square lattice subject to a magnetic and an electric field in the Hall configuration, by using the Discrete Nonlinear Schrödinger Equation (DNLSE). In previous works we have shown that without the nonlinear term, the presence of the magnetic field induces the formation of vortices that remain stationary, while a wave packet is introduced in the system. As for the effect of an applied electric field, it was shown that the vortices propagate in a direction perpendicular to the electric field, similar behavior as presented in the classical treatment, we provide a quantum mechanics explanation for that. We have performed the calculations considering first the action of the magnetic field as well as the nonlinearity. The results indicate that for low values of the nonlinear parameter U the vortices remain stationary while preserving the form. For greater values of the parameter the picture gets distorted, the more so, the greater the nonlinearity. As for the inclusion of the electric field, we note that for small U, the wave packet propagates perpendicular to the applied field, until for greater values of U the wave gets partially localized in a definite region of the lattice. That is, for strong nonlinearity the wave packet gets partially trapped, while the tail of it can propagate through the lattice. Note that this tail propagation is responsible for the over-diffusion for long times of the wave packet under the action of an electric field. We have produced short films that show clearly the time evolution of the wave packet, which can add to the understanding of the dynamics.

  20. Systematic comparative content analysis of 17 psychosocial work environment questionnaires using a new taxonomy.

    PubMed

    Kop, Jean-Luc; Althaus, Virginie; Formet-Robert, Nadja; Grosjean, Vincent

    2016-04-01

    Many questionnaires have been developed to measure how psychosocial characteristics are perceived in a work environment. But the content validity of these questionnaires has rarely been questioned due to the absence of a reference taxonomy for characteristics of work environments. To propose an exhaustive taxonomy of work environment characteristics involved in psychosocial risks and to apply this taxonomy to questionnaires on workplace psychosocial factors. The taxonomy was developed by categorizing factors present in the main theoretical models of the field. Questionnaire items most frequently cited in scientific literature were retained for classification. The taxonomy was structured into four hierarchical levels and comprises 53 categories. The 17 questionnaires analyzed included 927 items: 59 from the "physical environment" category, 116 from the "social environment" category, 236 from the "work activity" category, 255 from the "activity management" category, and 174 from the "organizational context" category. There are major content differences among analyzed questionnaires. This study offers a means for selecting a scale on the basis of content.

  1. Computing observables in curved multifield models of inflation—A guide (with code) to the transport method

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Dias, Mafalda; Seery, David; Frazer, Jonathan, E-mail: m.dias@sussex.ac.uk, E-mail: j.frazer@sussex.ac.uk, E-mail: a.liddle@sussex.ac.uk

    We describe how to apply the transport method to compute inflationary observables in a broad range of multiple-field models. The method is efficient and encompasses scenarios with curved field-space metrics, violations of slow-roll conditions and turns of the trajectory in field space. It can be used for an arbitrary mass spectrum, including massive modes and models with quasi-single-field dynamics. In this note we focus on practical issues. It is accompanied by a Mathematica code which can be used to explore suitable models, or as a basis for further development.

  2. 76 FR 75522 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-02

    ... Recorded Interviewing (CARI) technology field test using the 2012 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test questionnaire. Computer Audio Recorded Interviewing... the technology. Other tests have also been conducted on non-voluntary surveys and proved promising...

  3. An investigation into psychological stress and its determinants in Xinjiang desert oil workers

    PubMed Central

    Ning, Li; Guan, Suzhen; Liu, Jiwen

    2018-01-01

    Abstract The present study aims to investigate psychological stress and its determinants in Xinjiang field oil workers. Specifically, we aim to elucidate the mechanisms underlying psychological stress by comprehensively and quantitatively evaluating the processes involved in psychological stress, the factors which influence it, and their relationship. The participants were 1200 field oil workers in Xinjiang who had been in service for at least 1 year. A structural equation model based on data from the symptom checklist, social support research scale, personality questionnaire, occupational burnout questionnaire, and occupational stress questionnaire was constructed to investigate the social (environmental) factors that influence physiological stress and the interplay among these factors. The positive incidence of psychological stress in the field oil workers in Xinjiang was 12.54%. The structural equation model indicated that the main factors that influenced psychological stress in these workers included social support (0.077), occupational role (0.165), personal strain response (0.139), personality (0.189), and occupational burnout (0.380). Among these factors, occupational role, personality, and occupational burnout had a relatively strong predictive power for psychological stress reactions. The cortisol level in workers with positive psychological stress was significantly higher than that in workers with negative psychological stress. Occupational stress, personality, and occupational burnout exert an impact on psychological stress in field oil workers. Therefore, interventions to address these factors should be taken to reduce the incidence of psychological stress. PMID:29642166

  4. Prospective patients rate practice factors: development of a questionnaire.

    PubMed

    St Louis, Brian Lingg; Firestone, Allen R; Johnston, William; Shanker, Shiva; Vig, Katherine W L

    2011-02-01

    The importance that prospective patients place on practice characteristics when choosing an orthodontic practice has not been extensively reported. The objective of this research was to develop a valid and reliable questionnaire to address the relative importance of orthodontic office and doctor characteristics for prospective patients or parents of child patients during the initial orthodontic office consultation. An initial questionnaire, based on published literature, was field-tested on 16 subjects to assess its validity. Based on the field test, the questionnaire was modified and tested for reliability by using a test-retest method. The questionnaire covered the following areas: doctor, office, staff, and finances. The reliability study included 2 groups of subjects: 12 consecutive prospective adult patients and 41 consecutive parents of prospective child patients. The questionnaires consisted of 43 and 50 questions for the adult patients and the parents of patients, respectively. The subjects rated the importance of practice characteristics in their selection of an orthodontic practice using a 100-mm visual analog scale anchored at "not important at all" and "most important." Reliability was analyzed by using the intraclass correlation coefficient (ICC). Summary scores of all 53 subjects showed excellent reliability (ICC, 0.88; range, 0.61-1.0). Summary scores of all 50 questions showed acceptable reliability (ICC, 0.70; range, 0.45-0.88). Twenty-one questions had excellent reliability (ICC, >.75), and 29 questions had fair-to-good reliability (ICC, 0.41-0.75). No questions showed poor reliability (ICC, <0.4). The pilot study data indicated that the overall reliability of the questionnaire is acceptable. Copyright © 2011 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  5. Prophylactic antibiotics in pediatric shunt surgery.

    PubMed

    Biyani, N; Grisaru-Soen, G; Steinbok, P; Sgouros, S; Constantini, S

    2006-11-01

    The optimal antibiotic prophylaxis for pediatric shunt-related procedures is not clear. There is much inconsistency among different medical centers. This paper summarizes and analyzes the various prophylactic antibiotic regiments used for shunt-related surgeries at different pediatric neurosurgery centers in the world. A survey questionnaire was distributed through the Pediatric Neurosurgery list-server (an e-mail-based special interest group in pediatric neurosurgery). Forty-five completed questionnaires were received, one per medical center, primarily from pediatric neurosurgeons with the following geographic breakdown: 25 from North America, 13 from Europe, and 7 from Asia and other countries. All centers routinely administered prophylactic antibiotics for shunt-related procedures. The drugs of choice were first-generation cephalosporins (23), second-generation cephalosporins (10), naficillin/oxacillin (4), vancomycin (3), clindamycin (1), amoxicillin (1), and mixed protocols in three centers. The initial drug administration ("first dose") was: in the department before transfer to operating room (5), upon arrival to operating room (11), at induction of anesthesia (13), and at initial skin incision (16). The duration of antibiotic dosage also varied: single dose (13), 24-h administration (26), 48-h administration (2), and longer than 48 h in four centers. Two general tendencies were noted, common to the majority of participating centers. There was a general trend to modify antibiotic treatment protocol in "high-risk" populations. The second common theme noted in more than half of responding centers was the use of long-term antibiotic treatment for externalized devices (such as externalized shunts, external ventricular drains or lumbar drains), usually till the device was in place.

  6. Success Stories of Undergraduate Retention: A Pathways Study of Graduate Students in Solar and Space Physics

    NASA Astrophysics Data System (ADS)

    Morrow, C. A.; Stoll, W.; Moldwin, M.; Gross, N. A.

    2012-12-01

    This presentation describes results from an NSF-funded study of the pathways students in solar and space physics have taken to arrive in graduate school. Our Pathways study has documented results from structured interviews conducted with graduate students attending two, week-long, NSF-sponsored scientific workshops during the summer of 2011. Our research team interviewed 48 solar and space physics students (29 males and 19 females currently in graduate programs at US institutions,) in small group settings regarding what attracted and retained them along their pathways leading to grad school. This presentation addresses what these students revealed about the attributes and influences that supported completion of their undergraduate experience and focused their aspirations toward graduate school. In advance of the interview process, we collected 125 on-line survey responses from students at the two workshops. This 20-item survey included questions about high school and undergraduate education, as well as about research and graduate experience. A subset of the 125 students who completed this on-line survey volunteered to be interviewed. Two types of interview data were collected from the 48 interviewees: 1) written answers to a pre-interview questionnaire; and 2) detailed notes taken by researchers during group interviews. On the pre-interview questionnaire, we posed the question: "How did you come to be a graduate student in your field?" Our findings to date are based on an analysis of responses to this question, cross correlated with the corresponding on-line survey data. Our analysis reveals the importance of early research experiences. About 80% of the students participating in the Pathways study cited formative undergraduate research experiences. Moreover, about 50% of participants reported undergraduate research experiences that were in the field of their current graduate studies. Graduate students interviewed frequently cited a childhood interest in science that grew through high school and undergraduate science courses on into trying out research as an undergraduate. Reasons cited for finding space physics more attractive than, say astronomy or cosmology, included: 1) the domain of physical reality being studied (near-Earth space) can be accessed by humans; 2) the research content is easier to explain to family and friends; and 3) the research has more societal relevance. Our data also suggest the pivotal role of undergraduate professors and research advisors in supporting student persistence.

  7. Algorithms for Computing the Magnetic Field, Vector Potential, and Field Derivatives for a Thin Solenoid with Uniform Current Density

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Walstrom, Peter Lowell

    A numerical algorithm for computing the field components B r and B z and their r and z derivatives with open boundaries in cylindrical coordinates for radially thin solenoids with uniform current density is described in this note. An algorithm for computing the vector potential A θ is also described. For the convenience of the reader, derivations of the final expressions from their defining integrals are given in detail, since their derivations are not all easily found in textbooks. Numerical calculations are based on evaluation of complete elliptic integrals using the Bulirsch algorithm cel. The (apparently) new feature of themore » algorithms described in this note applies to cases where the field point is outside of the bore of the solenoid and the field-point radius approaches the solenoid radius. Since the elliptic integrals of the third kind normally used in computing B z and A θ become infinite in this region of parameter space, fields for points with the axial coordinate z outside of the ends of the solenoid and near the solenoid radius are treated by use of elliptic integrals of the third kind of modified argument, derived by use of an addition theorem. Also, the algorithms also avoid the numerical difficulties the textbook solutions have for points near the axis arising from explicit factors of 1/r or 1/r 2 in the some of the expressions.« less

  8. TRAC PAC : the next generation

    DOT National Transportation Integrated Search

    1999-05-01

    The Transportation and Civil Engineering (TRAC) PAC is a toolkit of instructional aids originally built in 1994 to attract middle and high school students to the transportation field. Since that time, users have noted difficulties arising from the PA...

  9. Physics Notes.

    ERIC Educational Resources Information Center

    School Science Review, 1981

    1981-01-01

    Outlines several laboratory procedures and demonstrations including electric fields using sawdust, experiments with capacitors, particle spacing in a vapor and a liquid, metrology, momentum, Moire patterns and interference fringes, equipping for practical electronics, and using programmable calculators for rapid plotting of graphs. (DS)

  10. EVALUATION OF VENTILATION PERFORMANCE FOR INDOOR SPACE

    EPA Science Inventory

    The paper discusses a personal-computer-based application of computational fluid dynamics that can be used to determine the turbulent flow field and time-dependent/steady-state contaminant concentration distributions within isothermal indoor space. (NOTE: Ventilation performance ...

  11. Research notes : faster load rating for steel truss bridges.

    DOT National Transportation Integrated Search

    2009-03-01

    The Oregon Department of Transportation (ODOT) Bridge Engineering Section recently completed a project with Oregon State University to develop a viable, more cost-effective alternative to the manually collected field measurement procedure. The new me...

  12. Cooling field and temperature dependent exchange bias in Gd substituted YFe0.5Cr0.5O3

    NASA Astrophysics Data System (ADS)

    Singh, Karan; Mukherjee, K.

    2018-04-01

    We report the results of our investigation of cooling field and temperature dependence of exchange bias on Gd substituted mixed metal oxide YFe0.5Cr0.5O3. A negative exchange bias is observed in the Gd-substituted compounds, in contrast to the positive exchange bias in parent compound, YFe0.5Cr0.5O3 [1]. With the increase in Gd concentration it is noted that the exchange bias decreases. It was noted that the paramagnetic contribution from Gd ions plays the leading role in comparison to the antiferromagnetic type correlations among spins as is observed for the parent compound. Due to magnetic rare earth ion, additional exchange interaction of the form Gd-O-Fe/Cr dominates the magnetic interaction arising due to the transition metal ions, resulting in the reduction in exchange bias value.

  13. Research education: findings of a study of teaching-learning research using multiple analytical perspectives.

    PubMed

    Vandermause, Roxanne; Barbosa-Leiker, Celestina; Fritz, Roschelle

    2014-12-01

    This multimethod, qualitative study provides results for educators of nursing doctoral students to consider. Combining the expertise of an empirical analytical researcher (who uses statistical methods) and an interpretive phenomenological researcher (who uses hermeneutic methods), a course was designed that would place doctoral students in the midst of multiparadigmatic discussions while learning fundamental research methods. Field notes and iterative analytical discussions led to patterns and themes that highlight the value of this innovative pedagogical application. Using content analysis and interpretive phenomenological approaches, together with one of the students, data were analyzed from field notes recorded in real time over the period the course was offered. This article describes the course and the study analysis, and offers the pedagogical experience as transformative. A link to a sample syllabus is included in the article. The results encourage nurse educators of doctoral nursing students to focus educational practice on multiple methodological perspectives. Copyright 2014, SLACK Incorporated.

  14. Free-Free Transitions of e-H System Inside a Dense Plasma Irradiated by a Laser Field at Very Low Incident Electron Energies

    NASA Technical Reports Server (NTRS)

    Bhatia, A. K.; Sinha, C.

    2012-01-01

    The free-free transition is studied for an electron-hydrogen in the ground state at low incident energies in the presence of an external homogenous, monochromatic, and linearly polarized laser-field inside a hot dense plasma.The effect of plasma screening is considered in the Debye-Huckel approximation. The calculations are performed in the soft photon limit, assuming that the plasma frequency is much higher than the laser frequency. The incident electron is considered to be dressed by the laser field in a nonperturbative manner by choosing the Volkov solutions in both the initial and final channels. The space part of the scattering wave function for the electron is solved numerically by taking into account the electron exchange. The laser-assisted differential and total cross sections are calculated for single-photon absorption /emission and no photon exchange in the soft photon limit, the laser intensity being much less than the atomic field intensity. The calculations have been carried out for various values of Debye parameter, ranging from 0.005 to 0.12. A strong suppression is noted in the laser-assisted cross sections as compared to the field-free situation. A significant difference is noted for the singlet and triplet cross sections. The suppression is much more in the triplet states.

  15. Zonal harmonic model of Saturn's magnetic field from Voyager 1 and 2 observations

    NASA Technical Reports Server (NTRS)

    Connerney, J. E. P.; Ness, N. F.; Acuna, M. H.

    1982-01-01

    An analysis of the magnetic field of Saturn is presented which takes into account both the Voyager 1 and 2 vector magnetic field observations. The analysis is based on the traditional spherical harmonic expansion of a scale potential to derive the magnetic field within 8 Saturn radii. A third-order zonal harmonic model fitted to Voyager 1 and 2 observations is found to be capable of predicting the magnetic field characteristics at one encounter based on those observed at another, unlike models including dipole and quadrupole terms only. The third-order model is noted to lead to significantly enhanced polar surface field intensities with respect to dipole models, and probably represents the axisymmetric part of a complex dynamo field.

  16. Note: An approach to 1000 T using the electro-magnetic flux compression.

    PubMed

    Nakamura, D; Sawabe, H; Takeyama, S

    2018-01-01

    The maximum magnetic field obtained by the electro-magnetic flux compression technique was investigated with respect to the initial seed magnetic field. It was found that the reduction in the seed magnetic field from 3.8 T to 3.0 T led to a substantial increase in the final peak magnetic field. The optical Faraday rotation method with a minimal size probe evades disturbances from electromagnetic noise and shockwave effects to detect such final peak fields in a reduced space of an inner wall of the imploding liner. The Faraday rotation signal recorded the maximum magnetic field increased significantly to the highest magnetic field of 985 T approaching 1000 T, ever achieved by the electro-magnetic flux compression technique as an indoor experiment.

  17. Clinical comparison of a novel extracapsular stabilization procedure and tibial plateau leveling osteotomy for treatment of cranial cruciate ligament deficiency in dogs.

    PubMed

    Cook, James L; Luther, Jill K; Beetem, Jodi; Karnes, Josh; Cook, Cristi R

    2010-04-01

    To develop and test a novel extracapsular technique, TightRope CCL technique (TR), and compare its 6-month clinical outcomes to tibial plateau leveling osteotomy (TPLO) in dogs with cranial cruciate ligament (CCL) deficiency. Prospective clinical cohort study. Medium, large, and giant breed dogs (n=47) with CCL deficiency. Before clinical use, TR was evaluated by mechanical testing and the surgical technique was developed and evaluated in canine cadavers. For the clinical study, dogs were assigned to either TR (n=24) or TPLO (n=23) groups and the assigned technique performed after arthroscopic assessment and treatment of joint pathology. Postoperative management was standardized for both groups. Outcome measures were performed immediately postoperatively and up to 6 months after surgery and included complication types and rate, subjective measurement of cranial drawer and tibial thrust, subjective assessment of radiographic progression of osteoarthritis (OA), and function using a validated client questionnaire (6 months only). TR with a fiber tape suture had superior mechanical properties for creep, stiffness, yield load, and load at failure. Duration of anesthesia, total surgical time, and stabilization procedure (TR versus TPLO) were all significantly (P<.001) shorter for TR compared with TPLO. Complications requiring further treatment occurred in 12.5% of TR cases and 17.4% of TPLO cases. No significant differences were noted between groups for cranial tibial thrust, but cranial drawer was significantly (P<.05) lower in TR stifles at all postoperative time points. No significant differences were noted between groups for radiographic OA scores. No statistically or clinically significant differences were noted between TR and TPLO for scores for each of the client questionnaire categories. TR resulted in 6-month outcomes that were not different than TPLO in terms of radiographic progression of OA and client-evaluated level of function. TR was associated with shorter anesthesia and surgery times as well as a lower complication rate. The TR technique is safe and effective and can be considered an appropriate surgical option as part of the overall treatment plan for CCL deficiency in dogs.

  18. Synthetic Graft Augmentation in Vaginal Prolapse Surgery: Long-Term Objective and Subjective Outcomes.

    PubMed

    Meyer, Isuzu; McGwin, Gerald; Swain, Thomas A; Alvarez, Mitchell D; Ellington, David R; Richter, Holly E

    2016-01-01

    To report long-term objectives and subjective outcomes in women who underwent prolapse surgery with a synthetic graft augmentation. Retrospective analysis (Canadian Task Force classification II-3). University hospital in the southeastern United States. Women with symptomatic pelvic organ prolapse who underwent transvaginal graft augmentation using the Prolift mesh system between July 2006 and December 2008 for a minimum 5-year follow-up. Subjects completed the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7), the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ), and the Patient Satisfaction Questionnaire. Subjects also underwent postoperative physical examination with Pelvic Organ Prolapse Quantification (POP-Q) and vaginal pain/stricture assessment. Long-term postoperative findings were compared with preoperative baseline data. Of 208 eligible subjects, 70 completed the questionnaires only, and 48 of these 70 provided both postoperative examination and questionnaire data. The mean duration of follow-up was 7.0 ± 0.7 years (range, 5.8-8.1 years). POP-Q measurements of Ba (point B anterior), Bp (B posterior), C (cervix), GH (genital hiatus), PB (perineal body), and overall pelvic organ prolapse stage were significantly improved (all p < .001 except for PB, p = .006). PFIQ-7 (total, Urinary Impact Questionnaire, and Pelvic Organ Prolapse Impact Questionnaire) and PFDI-20 (total, Urinary Distress Inventory, and Pelvic Organ Prolapse Distress Inventory) scores significantly improved (all p < .001). No differences were noted in the colorectal-anal subscales (Colorectal-Anal Impact Questionnaire and Colorectal-Anal Distress Inventory) and PISQ scores at >5-year follow-up (all p > .05). Satisfaction rates were 15.7% for not at all, 35.7% for somewhat, and 48.6% for completely satisfied. Complications included graft exposure (n = 3; 6%) and dyspareunia (n = 25; 36%). Women undergoing transvaginal prolapse surgery using a synthetic graft continue to have positive objective and subjective outcomes, leading to significantly improved quality of life at a minimum 5-year follow-up. Copyright © 2016 AAGL. Published by Elsevier Inc. All rights reserved.

  19. Position coding effects in a 2D scenario: the case of musical notation.

    PubMed

    Perea, Manuel; García-Chamorro, Cristina; Centelles, Arnau; Jiménez, María

    2013-07-01

    How does the cognitive system encode the location of objects in a visual scene? In the past decade, this question has attracted much attention in the field of visual-word recognition (e.g., "jugde" is perceptually very close to "judge"). Letter transposition effects have been explained in terms of perceptual uncertainty or shared "open bigrams". In the present study, we focus on note position coding in music reading (i.e., a 2D scenario). The usual way to display music is the staff (i.e., a set of 5 horizontal lines and their resultant 4 spaces). When reading musical notation, it is critical to identify not only each note (temporal duration), but also its pitch (y-axis) and its temporal sequence (x-axis). To examine note position coding, we employed a same-different task in which two briefly and consecutively presented staves contained four notes. The experiment was conducted with experts (musicians) and non-experts (non-musicians). For the "different" trials, the critical conditions involved staves in which two internal notes that were switched vertically, horizontally, or fully transposed--as well as the appropriate control conditions. Results revealed that note position coding was only approximate at the early stages of processing and that this encoding process was modulated by expertise. We examine the implications of these findings for models of object position encoding. Copyright © 2013 Elsevier B.V. All rights reserved.

  20. Development and validation of a patient self-assessed questionnaire on satisfaction with communication of the multiple sclerosis diagnosis.

    PubMed

    Solari, A; Mattarozzi, K; Vignatelli, L; Giordano, A; Russo, P M; Uccelli, M Messmer; D'Alessandro, R

    2010-10-01

    We describe the development and clinical validation of a patient self-administered tool assessing the quality of multiple sclerosis diagnosis disclosure. A multiple sclerosis expert panel generated questionnaire items from the Doctor's Interpersonal Skills Questionnaire, literature review, and interviews with neurology inpatients. The resulting 19-item Comunicazione medico-paziente nella Sclerosi Multipla (COSM) was pilot tested/debriefed on seven patients with multiple sclerosis and administered to 80 patients newly diagnosed with multiple sclerosis. The resulting revised 20-item version (COSM-R) was debriefed on five patients with multiple sclerosis, field tested/debriefed on multiple sclerosis patients, and field tested on 105 patients newly diagnosed with multiple sclerosis participating in a clinical trial on an information aid. The hypothesized monofactorial structure of COSM-R section 2 was tested on the latter two groups. The questionnaire was well accepted. Scaling assumptions were satisfactory in terms of score distributions, item-total correlations and internal consistency. Factor analysis confirmed section 2's monofactorial structure, which was also test-retest reliable (intraclass correlation coefficient [ICC] 0.73; 95% CI 0.54-0.85). Section 1 had only fair test-retest reliability (ICC 0.45; 95% CI 0.12-0.69), and three items had 8-21% missed responses. COSM-R is a brief, easy-to-interpret MS-specific questionnaire for use as a health care indicator.

  1. Sleep medicine education and knowledge among undergraduate dental students in Middle East universities.

    PubMed

    Talaat, Wael; AlRozzi, Balsam; Kawas, Sausan Al

    2016-01-02

    The aim of this study was to assess the undergraduate dental education in sleep medicine in Middle East universities as well as the students' knowledge in this field. A cross-sectional observational study was carried out during the period from September 2013 to April 2014.Two different questionnaires were used. A self-administered questionnaire and a cover letter were emailed and distributed to 51 randomly selected Middle East dental schools to gather information about their undergraduate sleep medicine education offered in the academic year 2012-2013.The second questionnaire was distributed to the fifth-year dental students in the 2nd Sharjah International Dental Student Conference in April 2014, to assess their knowledge on sleep medicine. A survey to assess knowledge of sleep medicine in medical education (Modified ASKME Survey) was used. Thirty-nine out of 51 (76%) responded to the first questionnaire. Out of the responding schools, only nine schools (23%) reported the inclusion of sleep medicine in their undergraduate curriculum. The total average hours dedicated to teaching sleep medicine in the responding dental schools was 1.2 hours. In the second questionnaire, 29.2% of the respondents were in the high score group, whereas 70.8% scored low in knowledge of sleep-related breathing disorders. Dental students in Middle East universities receive a weak level of sleep medicine education resulting in poor knowledge in this field.

  2. Sleep medicine education and knowledge among undergraduate dental students in Middle East universities.

    PubMed

    Talaat, Wael; AlRozzi, Balsam; Kawas, Sausan Al

    2016-05-01

    The aim of this study was to assess the undergraduate dental education in sleep medicine in Middle East universities as well as the students' knowledge in this field. A cross-sectional observational study was carried out during the period from September 2013 to April 2014.Two different questionnaires were used. A self-administered questionnaire and a cover letter were emailed and distributed to 51 randomly selected Middle East dental schools to gather information about their undergraduate sleep medicine education offered in the academic year 2012-2013.The second questionnaire was distributed to the fifth-year dental students in the 2nd Sharjah International Dental Student Conference in April 2014, to assess their knowledge on sleep medicine. A survey to assess knowledge of sleep medicine in medical education (Modified ASKME Survey) was used. Thirty-nine out of 51 (76%) responded to the first questionnaire. Out of the responding schools, only nine schools (23%) reported the inclusion of sleep medicine in their undergraduate curriculum. The total average hours dedicated to teaching sleep medicine in the responding dental schools was 1.2 hours. In the second questionnaire, 29.2% of the respondents were in the high score group, whereas 70.8% scored low in knowledge of sleep-related breathing disorders. Dental students in Middle East universities receive a weak level of sleep medicine education resulting in poor knowledge in this field.

  3. The Relation of the Response Distribution to Self-Report Questionnaire Items and Cognitive Ability among School-Aged Children

    ERIC Educational Resources Information Center

    Stapleton, Laura M.; Reiner, Laura S.; Aluvathingal, Anu J.

    2010-01-01

    This proposed research is part of an on-going line of research of developing questionnaire instruments for use at the elementary school level. Because field trials often use child self-report as outcome measures and sometimes determine implementation fidelity using such measures, evaluation of the validity of the use of such measures with…

  4. 76 FR 37167 - Agency Information Collection Activities; Request for Comments on a New Information Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ...-board monitoring system (OBMS), as a part of a Field Operational Test (FOT) study. On March 29, 2011... Response: 20 minutes for the pre-study questionnaire, 15 minutes for during- and post-study questionnaires, and 20 minutes for the exit interview at the end of the study. Expiration Date: N/A. Frequency of...

  5. How People Choose Vocational Education and Training Programs: Social, Education and Personal Influences on Aspiration.

    ERIC Educational Resources Information Center

    Maxwell, Graham; Cooper, Maureen; Biggs, Neville

    The reasons why Australians choose to enroll in vocational education and training (VET) programs were examined through a questionnaire survey and site visits. The questionnaire yielded responses from 1,501 VET students of a target sample of 3,000 students who were equally representative of the following fields of study: business, engineering,…

  6. [A survey on knowledge of acupuncture disease spectrum and expectation of acupuncture treatment in Chengdu residents].

    PubMed

    Xu, Tao; Ye, Shaoqing; Shi, Yu; Xu, Tongtong; Wang, Qi; Li, Si; Zhang, Youruo; Lan, Yi; Zhao, Ling

    2017-08-12

    To understand the knowledge of acupuncture disease spectrum, expectation of acupuncture treatment in Chengdu residents. A questionnaire regarding the knowledge of acupuncture disease spectrum and expectation of acupuncture treatment in Chengdu residents was established. By field sampling and internet survey, related data were collected and analyzed. Totally 1 548 valid questionnaires were collected, including 1 041 from field survey and 507 from internet survey. The results indicated the knowledge of acupuncture and its disease spectrum were moderate in Chengdu residents; among the disease spectrum of acupuncture, the disease with the highest cognition was insomnia, accounting for 45.0% in field survey and 75.4% in internet survey; while the disease with the lowest cognition was infertility, accounting for 8.3% in field survey and 34.3% in internet survey. The knowledge of acupuncture in Chengdu residents could be further improved, and the promotion of popular science of acupuncture should be strengthened in future.

  7. Disturbance to the population due to flight operations at landing fields. Questionnaire on community reaction to non-commercial and sporting aviation

    NASA Technical Reports Server (NTRS)

    Rohrmann, B.

    1981-01-01

    A field study was undertaken to determine the Sociopsychological effects of air traffic noise experienced by residents of areas near small sporting aviation fields. A questionaire was prepared which includes questions on flight restriction measures, on attitudes which moderate annoyance and on comparisons with other noise sources, etc.

  8. Laboratory Plasma Studies

    DTIC Science & Technology

    1993-11-30

    dependent field to the main toroidal field, which provides an effective increment to the acceleration rate if it has a negative time derivative during...regions, non- uniformities in the beam develop in the drift region, scattering in the foils affects the beam entering the laser, effects due to a second...faster destroyed by a small perturbation. Note that this analogy is adequate only when the global RT mode cannot develop - otherwise, it is the rigid pen

  9. Notes on Field Fortification, Third Edition

    DTIC Science & Technology

    1916-01-01

    always be kept in view, as this determines the organization of the cover. In field fortifications, natural topographical, or exist- ing artificial ... artificial means as will be later considered. The forms of simple rifle trenches shown may be regarded as normal types of hasty trenches ap- plicable to...secure concealment. This may be partly accomplished by locating the trench so as to take advantage of any existing natur- al screen or by artificial

  10. Laser Generated Magnetic Fields

    DTIC Science & Technology

    1976-06-01

    30, II dttlormnt from Rmpori) IS. SUPPLEMENTARY NOTES 19. KEY WORDS (Continue on tororoo aldo II nocoommry and Idontlty by block nuaibar) Crater...dependence of laser generated magnetic fields Laser crater cross-sections X-ray detection from laser plasma 20. ABSTRACT (Contlmio on tovormo aid* II...nacaaaary and Idontlty ay block mmtbor) A sequence of laser pulses focussed onto the same spot on a target produces evaporation of target material and the

  11. Prediction of internal and external noise fields for blowdown wind tunnels.

    NASA Technical Reports Server (NTRS)

    Hosier, R. N.; Mayes, W. H.

    1972-01-01

    Empirical methods have been developed to estimate the test section noise levels and the outside noise radiation patterns of blowdown wind tunnels. Included are considerations of noise generation by control valves, burners, turbulent boundary layers, and exhaust jets as appropriate. Sample test section and radiation field noise estimates are presented. The external estimates are noted to be in good agreement with the limited amount of available measurements.

  12. Near-field acoustic characteristics of a single-rotor propfan

    NASA Technical Reports Server (NTRS)

    Bartel, H. W.; Swift, G.

    1989-01-01

    The near-field noise characteristics of the SR-7L, an eight-blade, single-rotor, wing-mounted, tractor propfan have been determined. It is found that the noise is dominated by discrete tones, usually at the first order (and occasionally at the second or third order) of the blade-passage frequency. The highest noise levels were noted at conditions of high tip helical speeds and high dynamic pressures.

  13. European Scientific Notes. Volume 33, Number 5,

    DTIC Science & Technology

    1979-05-31

    Towers I and III will also have six anemometers. Turbulence meas- urements will be carried out with three- dimensional sonic anemometers, a bivane and a...project management sions, and atmospheric infrasonic waves. of S. Ullaland of the Univ. of Bergen The auroral x-ray fluxes are measured in Norway. The...omnidirectional x-ray fluxes and electric fields, VLF emissions, and electric fields contains one uncol- and atmospheric infrasonic waves. limated x-ray

  14. METHOD AND APPARATUS FOR PRODUCING AND ANALYZING POLARIZED GAMMA RADIATION

    DOEpatents

    Hamermesh, M.; Hanna, S.S.; Perlow, G.J.

    1964-04-21

    A method of polarizing and resolving the plane of polarization of gamma rays is described. Polarization is produced by positioning a thin disc of ferromagnetic metal, cortaining /sup 57/Co, in a magnetic field. Resolution is accomplished by rotating a thin disc of iron enriched in /sup 57/Fe relative to a second magnetic field and noting the change of gamma absorption at each rotational position. (AEC)

  15. Reliability Studies of Ceramic Capacitors.

    DTIC Science & Technology

    1984-10-01

    Virginia Polytechnic BaTiO 3 Ispecimens with variable composition, density and grain size to be used to make carrier concentration, mobility, thermoelectric ...low fields, observed steady-state electrical behavior will be controlled by the bulk properties of the insulator, the second phase of the conduction...carrier mobility E =applied field Note that bulk properties of the Insulator control the conduction process. From this equation it can be seen that a

  16. Bernard Lewis: An Appreciation.

    ERIC Educational Resources Information Center

    Humphreys, R. Stephen

    1990-01-01

    Discusses the career and publications of Bernard Lewis, a noted scholar in the field of Middle-Eastern studies and Islamic history. Traces the history of Western-based Islamic historiography. Examines Lewis' interpretation of Islamic history, outlining his political and social views. (RW)

  17. Okefenokee Notes.

    ERIC Educational Resources Information Center

    Burton, Patricia E.

    1985-01-01

    A four-day field trip to Okefenokee swamp was a learning experience filled with variety for sixth grade students from North Carolina. Academic preparation, site activities (camping, observing, exploring, wading, and canoeing), and resource materials (for interested groups throughout the United States) are discussed. (DH)

  18. 76 FR 5193 - Felsenthal/Overflow National Wildlife Refuges, Ashley, Desha, Union, and Bradley Counties, AR...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-28

    ...; (7) bee keeping; (8) berry picking; (9) camping; (10) commercial fishing; (11) dog field trials; (12...-57. Dated: September 3, 2010. Mark J. Musaus, Acting Regional Director. Editorial Note: This document...

  19. Validation of the FASH (Functional Assessment Scale for Acute Hamstring Injuries) questionnaire for German-speaking football players.

    PubMed

    Lohrer, Heinz; Nauck, Tanja; Korakakis, Vasileios; Malliaropoulos, Nikos

    2016-10-24

    The FASH (Functional Assessment Scale for Acute Hamstring Injuries) questionnaire has been recently developed as a disease-specific self-administered questionnaire for use in Greek, English, and German languages. Its psychometric qualities (validity and reliability) were tested only in Greek-speaking patients mainly representing track and field athletes. As hamstring injuries represent the most common football injury, we tested the validity and reliability of the FASH-G (G = German version) questionnaire in German-speaking footballers suffering from acute hamstring injuries. The FASH-G questionnaire was tested for reliability and validity, in 16 footballers with hamstring injuries (patients' group), 77 asymptomatic footballers (healthy group), and 19 field hockey players (at-risk group). Known-group validity was tested by comparing the total FASH-G scores of the injured and non-injured groups. Reliability of the FASH-G questionnaire was analysed in 18 asymptomatic footballers using the intra-class coefficient. Known-group validity was demonstrated by significant differences between injured and non-injured participants (p < 0.001). The FASH-G exhibited very good test-retest reliability (intra-class correlation coefficient = 0.982, p < 0.001). Internal consistency was excellent (α = 0.938). Compared with the results presented in the original publication, no statistical differences were found between healthy athletes (p = 0.257), but patients' groups and at-risk groups presented scoring differences (p = 0.040 and <0.001, respectively). The FASH-G is a valid and reliable instrument to assess and determine the severity of hamstring injuries in German footballers.

  20. Assessment of Google Glass as an adjunct in neurological surgery

    PubMed Central

    Sahyouni, Ronald; Moshtaghi, Omid; Tran, Diem Kieu; Kaloostian, Sean; Rajaii, Ramin; Bustillo, David; Chen, Jefferson W.

    2017-01-01

    Background: We assess Google Glass (“Glass”) in improving postoperative review (“debriefing”) and augmenting education in Neurological Surgery at a tertiary academic medical center. Methods: This was a prospective study. Participants were patients of Neurological Surgery physicians at a Tertiary Care Level 1 Academic Trauma Center. Resident physicians received a pre-questionnaire immediately following surgery. Next, the resident and attending physicians debriefed by reviewing the Glass operative recording. Then, residents completed a 4-part post-questionnaire. Questions 1–3 assessed: (1) the residents’ comfort level with the procedure, (2) the quality of education provided by their superiors, and (3) their comfort level in repeating the operation. Question 4 assessed: (4) the perceived benefit of debriefing using Glass. Results: Twelve surveys were collected. Scores were based on a 5-point Likert scale, with a higher score corresponding to a more positive response. For Questions 1–3, the average pre- and post-questionnaire scores were 3.75 and 4.42, respectively (P <.05). For Question 4, the average post-questionnaire score was 4.63, suggesting that postoperative Glass review improved their technical understanding of the procedure. Conclusions: Glass significantly improved neurosurgery residents’ comfort level and quality of training, and provided a high fidelity, reliable, and modifiable tool that enhanced residents’ understanding, expertise, and educational experience. Of note, certain limitations such as variable battery life, variable image quality, and subpar compatibility with surgeon loupes must still be overcome for Glass to become a realistic addition to neurosurgical education. PMID:28540134

  1. [Role of systematic ophthalmological screening for congenital toxoplasmosis: epidemiological study of an Alsatian cohort from 1990 to 2011].

    PubMed

    Subilia-Guignier, A; Villard, O; Filisetti, D; Escande, B; Candolfi, E; Speeg-Schatz, C; Sauer, A

    2014-05-01

    Ophthalmologic complications of congenital toxoplasmosis, such as retino-choroiditis, are particularly feared. Any child with confirmed congenital toxoplasmosis is systematically treated and followed regularly with multiple fundus examinations. The goal of our study is to describe the management and monitoring of a cohort of patients with congenital toxoplasmosis in Alsace, and the impact of this disease in terms of parental anxiety using a standardized questionnaire. Our study recorded 35 children with congenital toxoplasmosis, born between 1990 and 2011 in Alsace. All patients were followed by an ophthalmologist. A standardized questionnaire concerning the experience of pregnancy and post-natal follow-up was administered to the parents. At birth, retinochoroiditis was detected in 2 of the 35 children, and only one child developed chorioretinitis detected during follow-up monitoring (follow-up ranged from 1 to 22 years). Brain abnormalities were noted in 3 children at birth; none of them have presented with chorioretinitis to this day. An average score of 15 out of 23 was found by our standardized questionnaire, reflecting significant anxiety due to congenital toxoplasmosis. Parental anxiety due to congenital toxoplasmosis is obvious, as demonstrated by our standardized questionnaire. Follow-up, directed by comprehensive pediatric examination at birth, including fundus examination, and good information on functional signs of ocular toxoplasmosis may improve screening, so as to avoid impact on visual function. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  2. Working towards a 'fit note': an experimental vignette survey of GPs.

    PubMed

    Sallis, Anna; Birkin, Richard; Munir, Fehmidah

    2010-04-01

    The Department for Work and Pensions (DWP) has designed a trial medical statement. To compare fitness for work assessment outcomes and written advice across current and trial medical statements. To examine the use of and suggestions to improve the trial medical statement. Comparative study with a two-way mixed design using questionnaire-based vignettes presenting GPs with three hypothetical sick leave cases (back pain, depression, combined back pain and depression) and medical statements (current or trial). The questionnaire also gathered GP views of using the trial Med 3. Nine primary care organisations (PCOs) in England, Scotland, and Wales. Five hundred and eighty-three GPs employed in PCOs in summer 2008 were randomised to receive a current or trial Med 3 postal questionnaire. GPs assessed vignette patients' fitness for work using the questionnaire medical statements. GPs using the trial Med 3 were less likely to advise refraining from work and more likely to provide written fitness for work advice compared to GPs using the current Med 3 form. Date sections of the trial Med 3 were used inconsistently, and a return to work date was unclear. GPs wanted further clarification of the implications of assessing a case as 'fit for some work' and its relationship to employers' willingness to follow GP advice about work. The study indicates a revised form may reduce the number of patients advised to refrain from work and increase the provision of written fitness for work information.

  3. Impact of globalization under the ICH guidelines on the conduct of reproductive toxicity studies--report on current status in Japan, Europe and the U.S. by questionnaire survey.

    PubMed

    Mineshima, Hiroshi; Endo, Yoshihiko; Ogasawara, Hiroyuki; Nishigaki, Keiji; Numa, Toshiaki; Hirano, Fumiya; Matsuzawa, Toshiaki

    2004-08-01

    We surveyed interpretation of the ICH guidelines concerning reproductive toxicology. Valid responses were obtained from Japan (JPN), Europe (EUR) and the U.S. The results obtained were compared to those at the time of a previous survey targeted at JPN facilities in 1995-1996 as well as compared among all three regions. Compared to the previous survey in Japan, the number of facilities performing toxicokinetics (TK) in rats has slightly increased. This result was considered to represent changes of attitude toward TK in reproductive toxicity studies. Differences in interpretation of the guidelines between JPN, EUR and the US were widely seen. Clear differences were noted in sperm examinations, postnatal tests, fetal examinations, some examinations for F1 animals after culling and TK. Researchers in the West seemed to be interpreting the ICH guidelines more flexibly from the scientific point of view. JPN researchers appeared to interpret the guidelines, including notes, as rigid requirements. Most of the parts which produced different interpretations were the notes in the guidelines. The force of mention in the notes should be defined in the future. In addition, there were doubts about some parts, including notes, which had been found to have become unsuitable for the implementation of studies because of scientific progress or from long experience in using the guidelines. Therefore, updates of the guidelines may be needed in the future as well as the remedy of interpretation by JPN researchers. In JPN, the number of reproductive toxicity studies has decreased. The scanty experience in JPN therefore raises apprehension of appropriate selection and stagnating development of methodology, and might hinder the maintenance of the guidelines. In the future, the cooperation of CROs as well as global collaboration will be essential not only to scientific developments of reproductive toxicology but also updates of the guidelines.

  4. Repeated action of a constant magnetic field on the blood coagulation system in artificially produced anemia

    NASA Technical Reports Server (NTRS)

    Zabrodina, L. V.

    1974-01-01

    Changes are discussed in the coagulatory system of the blood in rabbits under the influence of a constant magnetic field of an intensity of 2500 oersteds against the background of artificially induced anemia. Reversibility of the changes produced and the presence of the adaptational effect are noted. Taking all this into consideration, the changes involving the coagulatory system of the blood which arise under the influence of a constant magnetic field may be considered to have a nerve-reflex nature.

  5. Note: Versatile sample stick for neutron scattering experiments in high electric fields

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bartkowiak, M., E-mail: marek.bartkowiak@psi.ch; White, J. S.; Laboratory for Quantum Magnetism, Ecole Polytechnique Fédérale de Lausanne

    2014-02-15

    We present a versatile high voltage sample stick that fits into all cryomagnets and standard cryostats at the Swiss Spallation Neutron Source, Paul Scherrer Institut, and which provides a low effort route to neutron scattering experiments that combine electric field with low temperature and magnetic field. The stick allows for voltages up to 5 kV and can be easily adapted for different scattering geometries. We discuss the design consideration and thermal behavior of the stick, and give one example to showcase the abilities of the device.

  6. Coherent electromagnetic waves in the presence of a half space of randomly distributed scatterers

    NASA Technical Reports Server (NTRS)

    Karam, M. A.; Fung, A. K.

    1988-01-01

    The present investigation of coherent field propagation notes, upon solving the Foldy-Twersky integral equation for a half-space of small spherical scatterers illuminated by a plane wave at oblique incidence, that the coherent field for a horizontally-polarized incident wave exhibits reflectivity and transmissivity consistent with the Fresnel formula for an equivalent continuous effective medium. In the case of a vertically polarized incident wave, both the vertical and longitudinal waves obtained for the coherent field have reflectivities and transmissivities that do not agree with the Fresnel formula.

  7. Translation, validity, and reliability of a persian version of the iowa tinnitus handicap questionnaire.

    PubMed

    Arian Nahad, Homa; Rouzbahani, Masomeh; Jarollahi, Farnoush; Jalaie, Shohreh; Pourbakht, Akram; Mokrian, Helnaz; Mahdi, Parvane; Amali, Amin; Nodin Zadeh, Abdolmajid

    2014-04-01

    Tinnitus is a common otologic symptom that can seriously affect a patient's quality of life. The purpose of the present study was to translate and validate the Iowa Tinnitus Handicap Questionnaire (THQ) into the Persian language, and to make it applicable as a tool for determining the effects of tinnitus on a patient's life. The main version of the THQ was translated into the Persian language. The agreed Persian version was administered to 150 tinnitus patients. The validity of the Persian THQ was evaluated and internal reliability was confirmed using Cronbach's α-coefficient. Finally, the effect of independent variables such as age, mean patient threshold, gender, and duration of tinnitus were considered in order to determine the psychometric properties of tinnitus. After an exact translation process, the Persian THQ was found to exhibit face validity. In terms of content validity, content validity index in total questionnaire was 0.93. Further, in structural validity measurements, intermediate correlation with annoyance from tinnitus (r=0.49), low correlation with duration of tinnitus (r=0.34) and high correlation with the Tinnitus Handicap Inventory (THI) questionnaire (r=0.84) were demonstrated. Additionally, a negligible effect of gender and age was noted on degree of tinnitus handicap (P= 0.754, P= 0.573, respectively). In the internal reliability assessment for Factors 1, 2, 3, and the whole questionnaire, Cronbach`s α-coefficient was 0.95, 0.92, 0.25 and 0.88, respectively. The Persian version of the Iowa THQ demonstrates high validity and reliability and can be used for the determination of tinnitus handicap and for following-up in the intervention process in Persian tinnitus patients.

  8. Use of strategies to improve retention in primary care randomised trials: a qualitative study with in-depth interviews.

    PubMed

    Brueton, V C; Stevenson, F; Vale, C L; Stenning, S P; Tierney, J F; Harding, S; Nazareth, I; Meredith, S; Rait, G

    2014-01-24

    To explore the strategies used to improve retention in primary care randomised trials. Qualitative in-depth interviews and thematic analysis. 29 UK primary care chief and principal investigators, trial managers and research nurses. In-depth face-to-face interviews. Primary care researchers use incentive and communication strategies to improve retention in trials, but were unsure of their effect. Small monetary incentives were used to increase response to postal questionnaires. Non-monetary incentives were used although there was scepticism about the impact of these on retention. Nurses routinely used telephone communication to encourage participants to return for trial follow-up. Trial managers used first class post, shorter questionnaires and improved questionnaire designs with the aim of improving questionnaire response. Interviewees thought an open trial design could lead to biased results and were negative about using behavioural strategies to improve retention. There was consensus among the interviewees that effective communication and rapport with participants, participant altruism, respect for participant's time, flexibility of trial personnel and appointment schedules and trial information improve retention. Interviewees noted particular challenges with retention in mental health trials and those involving teenagers. The findings of this qualitative study have allowed us to reflect on research practice around retention and highlight a gap between such practice and current evidence. Interviewees describe acting from experience without evidence from the literature, which supports the use of small monetary incentives to improve the questionnaire response. No such evidence exists for non-monetary incentives or first class post, use of which may need reconsideration. An exploration of barriers and facilitators to retention in other research contexts may be justified.

  9. Use of strategies to improve retention in primary care randomised trials: a qualitative study with in-depth interviews

    PubMed Central

    Brueton, V C; Stevenson, F; Vale, C L; Stenning, S P; Tierney, J F; Harding, S; Nazareth, I; Meredith, S; Rait, G

    2014-01-01

    Objective To explore the strategies used to improve retention in primary care randomised trials. Design Qualitative in-depth interviews and thematic analysis. Participants 29 UK primary care chief and principal investigators, trial managers and research nurses. Methods In-depth face-to-face interviews. Results Primary care researchers use incentive and communication strategies to improve retention in trials, but were unsure of their effect. Small monetary incentives were used to increase response to postal questionnaires. Non-monetary incentives were used although there was scepticism about the impact of these on retention. Nurses routinely used telephone communication to encourage participants to return for trial follow-up. Trial managers used first class post, shorter questionnaires and improved questionnaire designs with the aim of improving questionnaire response. Interviewees thought an open trial design could lead to biased results and were negative about using behavioural strategies to improve retention. There was consensus among the interviewees that effective communication and rapport with participants, participant altruism, respect for participant's time, flexibility of trial personnel and appointment schedules and trial information improve retention. Interviewees noted particular challenges with retention in mental health trials and those involving teenagers. Conclusions The findings of this qualitative study have allowed us to reflect on research practice around retention and highlight a gap between such practice and current evidence. Interviewees describe acting from experience without evidence from the literature, which supports the use of small monetary incentives to improve the questionnaire response. No such evidence exists for non-monetary incentives or first class post, use of which may need reconsideration. An exploration of barriers and facilitators to retention in other research contexts may be justified. PMID:24464427

  10. Long-term follow-up of disease-specific quality of life after bariatric surgery.

    PubMed

    Biron, Simon; Biertho, Laurent; Marceau, Simon; Lacasse, Yves

    2018-05-01

    Substantial improvements in health-related quality of life measured by generic questionnaires (most often the Short Form-36) have been noted over the long term in patients with morbid obesity who had undergone bariatric surgery. To obtain long-term follow-up data on disease-specific quality of life in patients who underwent bariatric surgery (biliopancreatic diversion with duodenal switch) in 2007 to 2008. Québec Heart and Lung Institute, Québec, Canada. This study is a follow-up of the validation study, the Laval Questionnaire, an obesity-specific measure of health-related quality of life developed to be used in clinical trials. Patients who contributed to the validation study in 2007 to 2008 were administered the Laval Questionnaire again at long-term follow-up. Of 112 patients who contributed to the validation study, 90 were available for this long-term follow-up study (retention rate: 80%). Median follow-up was 8.8 years. For all 6 domains of the Laval Questionnaire, the improvements in quality-of-life scores were much larger than our best estimate of the minimal clinically important difference. In others, we observed some decline in quality-of-life scores over time after initial changes that occurred 1 to 2 years after surgery, during the so-called "honeymoon period." Improvements in quality of life were clearly related to surgery. This study confirms that bariatric surgery using biliopancreatic diversion with duodenal switch improves disease-specific quality of life in the short and long term. It also demonstrates that the Laval Questionnaire is responsive to treatment-induced changes. Copyright © 2018 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

  11. Oral health-related quality of life after prosthetic rehabilitation in patients with oral cancer: A longitudinal study with the Liverpool Oral Rehabilitation Questionnaire version 3 and Oral Health Impact Profile-14 questionnaire.

    PubMed

    Dholam, K P; Chouksey, G C; Dugad, J

    2016-01-01

    Prosthodontic rehabilitation helps to improve the oral health-related quality of life (OHRQOL). The Liverpool Oral Rehabilitation Questionnaire (LORQ) and Oral Health Impact Profile (OHIP) are specific tools that measure OHRQOL. The primary objective of this study was to assess the impact of oral rehabilitation on patients' OHRQOL following treatment for cancer of oral cavity using LORQ version 3 (LORQv3) and OHIP-14 questionnaire. Secondary objectives were to identify issues specific to oral rehabilitation, patients compliance to prosthetic rehabilitation, the effect of radiation treatment on prosthetic rehabilitation, to achieve meaningful differences over a time before & after prosthetic intervention, to carryout and document specific patient-deprived problem. Seventy-five oral cancer patients were studied. Patients were asked to rate their experience of dental problems before fabrication of prosthesis and after 1 year using LORQv3 and OHIP-14. The responses were compared on Likert scale. Patients reported with extreme problems before rehabilitation. After 1 year of prosthetic rehabilitation, there was improvement noticed in all the domain of LORQv3 and OHIP-14. Complete compliance to the use of prosthetic appliances for 1 year study period was noted. In response to the question no. 40 (LORQv3), only 15 patients who belonged to the obturator group, brought to notice the problems which were not addressed in the LORQv3 questionnaire. The study showed that the oral cancer patients coped well and adapted to near normal oral status after prosthetic rehabilitation. This contributed to the improved overall health-related quality of life.

  12. A modified intraoral and extraoral approach osteotomy for the prominent mandibular angle.

    PubMed

    Lei, Rui; Wang, Yang; Xu, Shengquan; Hong, Fuliang; Xu, Mingyuan; Wei, Liyuan; Xu, Jinghong

    2017-08-01

    A prominent mandibular angle (PMA) is a relatively common condition in Asians, and surgeons typically use the intraoral approach to treat it. However, the approach can have many drawbacks due to the limited operative field and view. The procedures of osteotomy are not easily manipulated, and an exact resection is difficult. In addition, some major complications can easily occur. This article presents a modified osteotomy method for the PMA that avoids these disadvantages and makes the procedure easier to execute. Four modifications of the procedures have been made: 1. The addition of a small extraoral incision in the auriculocephalic sulcus behind the earlobe; 2. A modest reduction in both the intraoral incision length and excessive mouth traction; 3. The use of a reciprocating saw through the extraoral incision tunnel to simplify the operative procedure; and 4. Extraction of sustained-suction drains from the extraoral incision. Postoperatively, all patients were followed up and administered the validated satisfaction questionnaire and the Patient Scar Assessment Questionnaire. From June 2010 to June 2015, 46 patients with a PMA underwent surgery using this method. All patients were satisfied with the esthetic results. The majority of patients could not feel an objectionable jaw line or bony step (86.9%), visible deformity (97.8%) or bony regrowth (95.6%). All patients noted a positive psychosocial influence. All patients perceived the overall appearance of their extraoral scar to be "good" or "excellent." Forty-five (97.8%) were "not at all" self-conscious of their scar. The overall complication rate was 6.5%, and no major complication was seen. The described method for the surgical treatment of PMA is a simple and safe procedure with fewer complications. The procedure is easy to perform, consumes less time, and can help resect the PMA accurately and easily. Copyright © 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  13. Experience of Surgical Treatment for Occipital Migraine in Taiwan.

    PubMed

    Lin, Shang-Hsi; Lin, Huwang-Chi; Jeng, Chu-Hsu; Hsieh, Cheng-Han; Lin, Yu-Hsien; Chen, Cha-Chun

    2016-03-01

    Refractory migraine surgery developed since 2003 has excellent results over the past 10 years. According to the pioneer of migraine surgery, Dr. Bahman Guyuron, 5 major surgical classifications of migraines are described in the field of plastic surgery, namely, frontal migraine, temporal migraine, rhinogenic migraine, occipital migraine, and auriculotemporal migraine. In this study, we present the preliminary surgical results of the occipital migraine surgery. A total of 22 patients with simple occipital migraines came to our outpatient clinic for help from June 2014 to February 2015. Thirteen cases were excluded owing to ineligibility for operation or other reasons. The patients who concurrently experienced other types of migraines were precluded even if they received combined migraine surgery. Therefore, 9 simple occipital migraine cases were enrolled in this study. Migraine severity was evaluated by uniform questionnaires to identify the source of migraine. Neurolysis was performed under general anesthesia, with the patient in a prone position. Postoperative conditions were evaluated at the second, fourth, sixth, and eighth weeks by posttreatment questionnaires. Of all the 9 patients, 5 experienced single-sided migraines of greater occipital nerve origin (2 left-sided and 3 right-sided cases). Two patients had bilateral migraines of greater occipital nerve origin, and unilateral right lesser occipital nerve origin was noted in one patient. The last patient had right-sided migraines of greater and lesser occipital nerve origin. As a result in the follow-up, a response rate greater than 90% was documented, and complete resolution was observed in 2 patients. Drug doses were reduced more than 50% in the remaining patients. The overall efficacy of occipital migraine surgery in this study was 88.8% (8/9 cases). Some patients with migraine are good candidates for surgical resolution with appropriate and meticulous selection. Similar to what is observed in Western countries, the migraine surgery is promising and could provide a better quality of life to selected refractory migraine patients in Taiwan.

  14. Can digital stories go where palliative care research has never gone before? A descriptive qualitative study exploring the application of an emerging public health research method in an indigenous palliative care context.

    PubMed

    Williams, Lisa; Gott, Merryn; Moeke-Maxwell, Tess; Black, Stella; Kothari, Shuchi; Pearson, Sarina; Morgan, Tessa; Wharemate, Matua Rawiri; Hansen, Whaea Whio

    2017-09-04

    The World Health Organization (WHO) has called for global approaches to palliative care development. Yet it is questionable whether one-size-fits-all solutions can accommodate international disparities in palliative care need. More flexible research methods are called for in order to understand diverse priorities at local levels. This is especially imperative for Indigenous populations and other groups underrepresented in the palliative care evidence-base. Digital storytelling (DST) offers the potential to be one such method. Digital stories are short first-person videos that tell a story of great significance to the creator. The method has already found a place within public health research and has been described as a useful, emergent method for community-based participatory research. The aim of this study was to explore Māori participants' views on DST's usefulness, from an Indigenous perspective, as a research method within the discipline of palliative care. The digital storytelling method was adapted to include Māori cultural protocols. Data capturing participant experience of the study were collected using participant observation and anonymous questionnaires. Eight participants, seven women and one man, took part. Field notes and questionnaire data were analysed using critical thematic analysis. Two main themes were identified during analyses: 1) issues that facilitated digital storytelling's usefulness as a research method for Māori reporting on end of life caregiving; and 2) issues that hindered this process. All subthemes identified: recruitment, the pōwhiri process, (Māori formal welcome of visitors) and technology, related to both main themes and are presented in this way. Digital storytelling is an emerging method useful for exploring Indigenous palliative care issues. In line with a Health Promoting Palliative Care approach that centres research in communities, it helps meet the need for diverse approaches to involve underrepresented groups.

  15. Students' beliefs, attitudes, and conceptual change in a traditional and a constructivistic high school physics classroom

    NASA Astrophysics Data System (ADS)

    Adams, April Dean

    In this study, the relationships between student beliefs about the nature of science, student attitudes, and conceptual change about the nature of forces were investigated within a traditional and within a constructivistic high school physics classroom. Students in both classrooms were honors students taking a first year high school physics course and were primarily white and middle to upper SES. Students in the traditional classroom were all high ability juniors, and physics instruction was integrated with pre-calculus. Students in the constructivistic classroom were a mixture of juniors and seniors. Due to the interrelated nature of these factors and the complexity of their interactions, a naturalistic inquiry design was chosen. The data sources included videotape of 7-9 weeks of instruction; analysis of the videotapes using the Secondary Teacher Analysis Matrix (Gallagher & Parker, 1995); field notes; pretest/posttest assessment with the Force Concept Inventory (Hestenes, Wells, & Swackhammer, 1992); student responses from the Views on Science-Technology-Society questionnaire (Aikenhead & Ryan, 1992), the Questionnaire for the Assessment of a Science Course (Chiappetta, 1995), and the Constructivist Learning Environment Survey (Taylor, Fraser, & White, 1994); student interviews; and teacher interviews. In the traditional classroom, (a) students did not think that physics was relevant to everyday experiences; (b) high conceptual change students were more likely to have an angular world view (Cobern, 1993) and have views more similar to the teacher's about the nature of science; and (c) high conceptual change students were able to develop an internally consistent understanding of the content; however, that content appeared to be isolated knowledge in some students. In the constructivistic classroom, (a) students saw physics as relevant and useful; (b) there was no difference in world view or agreement with the teacher's views on the nature of science between high and low conceptual change students; (c) students appreciated the importance of empirical evidence; and (d) low conceptual change students had low classroom engagement. Mean gains in conceptual change were larger for the traditional classroom.

  16. Inability to access addiction treatment among street-involved youth in a Canadian setting.

    PubMed

    Phillips, Mark; DeBeck, Kora; Desjarlais, Timothy; Morrison, Tracey; Feng, Cindy; Kerr, Thomas; Wood, Evan

    2014-08-01

    From Sept 2005 to May 2012, 1015 street-involved youth were enrolled into the At-Risk Youth Study, a prospective cohort of youth aged 14-26 who use illicit drugs in Vancouver, Canada. Data were collected through semiannual interviewer administered questionnaires. Generalized estimating equation logistic regression was used to identify factors independently associated with being unable to access addiction treatment. The enclosed manuscript notes the implications and limitations of this study, as well as possible directions for future research. This study was funded by the US National Institutes of Health (NIH) and Canadian Institutes of Health (CIHR).

  17. Migration intentions and illicit substance use among youth in central Mexico.

    PubMed

    Marsiglia, Flavio Francisco; Kulis, Stephen; Hoffman, Steven; Calderón-Tena, Carlos Orestes; Becerra, David; Alvarez, Diana

    2011-01-01

    This study explored intentions to emigrate and substance use among youth (ages 14-24) from a central Mexico state with high emigration rates. Questionnaires were completed in 2007 by 702 students attending a probability sample of alternative secondary schools serving remote or poor communities. Linear and logistic regression analyses indicated that stronger intentions to emigrate predicted greater access to drugs, drug offers, and use of illicit drugs (marijuana, cocaine, inhalants), but not alcohol or cigarettes. Results are related to the healthy migrant theory and its applicability to youth with limited educational opportunities. The study's limitations are noted.

  18. Note on the equivalence of a barotropic perfect fluid with a k-essence scalar field

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Arroja, Frederico; Sasaki, Misao

    In this brief report, we obtain the necessary and sufficient condition for a class of noncanonical single scalar field models to be exactly equivalent to barotropic perfect fluids, under the assumption of an irrotational fluid flow. An immediate consequence of this result is that the nonadiabatic pressure perturbation in this class of scalar field systems vanishes exactly at all orders in perturbation theory and on all scales. The Lagrangian for this general class of scalar field models depends on both the kinetic term and the value of the field. However, after a field redefinition, it can be effectively cast inmore » the form of a purely kinetic k-essence model.« less

  19. Functional management of Achilles tendon rupture: A viable option for non-operative management.

    PubMed

    Karkhanis, S; Mumtaz, H; Kurdy, N

    2010-06-01

    Functional management of the ruptured Achilles tendon can be effective using orthoses like the removable walker boot (Foam Walker Boot, Air Cast UK Limited, Lincolnshire, United Kingdom). We conducted this study to look at the outcome of our protocol using this orthosis. We retrospectively reviewed 107 non-operatively managed Achilles tendon ruptures over the last 5 years. Case notes were analyzed for demographics and immediate outcomes. Long term outcomes were assessed by a postal questionnaire using the Achilles Tendon Total Rupture Score (ATRS). Of the 107 tendons (male:female=71:36, mean age=50 years), 105 tendons (98%) healed with an average discharge time of 22 weeks. Six patients reported major complications and 6 reported minor complications. We received 56 questionnaires with a mean ATRS score of 21. Seventy-seven percent returned to pre-injury level of activity. Functional management of Achilles tendon rupture, under appropriate supervision, provides a viable option for non-operative management. Copyright 2009 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

  20. [Attitude survey of radiological technologists toward qualification acquisition of licentiate and degrees in Mie prefecture].

    PubMed

    Nakanishi, Satoshi; Kamigiri, Akira; Yamada, Tsuyoshi; Nanba, Kazuyoshi; Kitano, Tokio; Ito, Morihiro

    2011-01-01

    We conducted a questionnaire consciousness survey concerning qualification acquisition of licentiate and degrees among 406 radiological technologists working for medical facility in Mie Prefecture. We employed a mail-back questionnaire method. Then we analyzed relationships between progressive purpose and gender, age, and membership of the Japanese Society of Radiological Technology (JSRT). Results derived note the most common licentiate the participants wanted to acquire was the license concerning emergency medical care. On the other hand, they had limited interest in radiation therapy, nuclear medicine areas and the working environment measurement expert class I. In conclusion, the results of this study revealed the present condition that the necessity of qualification acquisition of licentiate is not recognized incorrectly. In addition, there was a mountain of issues for working radiological technologists to attend graduate school to get degrees. It is important to utilize the results of this study to enlighten their consciousness for limited interest licentiate, and interest them in attending graduate schools.

  1. Speech disorders in Israeli Arab children.

    PubMed

    Jaber, L; Nahmani, A; Shohat, M

    1997-10-01

    The aim of this work was to study the frequency of speech disorders in Israeli Arab children and its association with parental consanguinity. A questionnaire was sent to the parents of 1,495 Arab children attending kindergarten and the first two grades of the seven primary schools in the town of Taibe. Eight-six percent (1,282 parents) responded. The answers to the questionnaire revealed that 25% of the children reportedly had a speech and language disorder. Of the children identified by their parents as having a speech disorder, 44 were selected randomly for examination by a speech specialist. The disorders noted in this subgroup included errors in articulation (48.0%), poor language (18%), poor voice quality (15.9%); stuttering (13.6%), and other problems (4.5%). Rates of affected children of consanguineous and non-consanguineous marriages were 31% and 22.4%, respectively (p < 0.01). We conclude that speech disorders are an important problem among Israeli Arab schoolchildren. More comprehensive programs are needed to facilitate diagnosis and treatment.

  2. Behavioural problems in Sri Lankan schoolchildren: associations with socio-economic status, age, gender, academic progress, ethnicity and religion.

    PubMed

    Prior, Margot; Virasinghe, Shanya; Smart, Diana

    2005-08-01

    Little is known about behavioural and emotional adjustment in children in Sri Lanka, and this study is the first attempt to assess mental health problems in this population. Using the Strengths and Difficulties Questionnaire (Goodman R (1994) A modified version of the Rutter parent questionnaire including items on children's strengths: a research note. J Child Psychol Psychiatry 35:1483-1494) with parent, teacher and child informants, in a large sample of 10- to 13-year-old school children from Colombo, we found rates and types of problems consistent with other international studies of child mental health. Problem rates were higher in boys and were associated with lower SES and poorer academic performance. Relationships between behavioural adjustment and Tamil ethnicity and Hindu religion emerged in this sample and could possibly be associated with the experience of longstanding ethnic conflict in Sri Lanka. The study confirms the need for development of child and adolescent health services in Sri Lanka.

  3. Multidisciplinary Pediatric Obesity Clinic via Telemedicine Within the Los Angeles Metropolitan Area: Lessons Learned.

    PubMed

    Slusser, Wendy; Whitley, Margaret; Izadpanah, Nilufar; Kim, Sion L; Ponturo, Don

    2016-03-01

    Telemedicine has been shown to be effective for rural populations, but little is reported on pediatric obesity care via telemedicine in urban settings. This study aims to assess feasibility and acceptability of multidisciplinary pediatric obesity care via telemedicine within the same metropolitan area in terms of information technology, coordination, patient care, and clinical outcomes. All project notes and communications were reviewed to extract key lessons from implementation. Patient and Provider Satisfaction Questionnaires were conducted to assess overall satisfaction; baseline and follow-up information were collected from chart reviews to evaluate clinical outcomes. Based on the questionnaires, 93% of responding patients (n = 28) and 88.3% of referring providers (n = 17) felt satisfied with the appointment. Chart review indicated a trend for decreased or stabilized body mass index and blood pressure (n = 32). Implementation of telemedicine for tertiary multidisciplinary pediatric obesity care in urban settings is both feasible and acceptable to patients and health care providers. © The Author(s) 2015.

  4. Meeting report: IUPS and ADInstruments 2017 Teaching Workshop.

    PubMed

    Marcondes, Fernanda Klein; Cardozo, Lais Tono; Luchi, Kelly Cristina Gaviao; Irfannuddin, Muhammad; Karatzaferi, Christina; Rocha, Maria José; Carroll, Robert G

    2018-06-01

    Every 4 yr, the International Union of Physiological Sciences (IUPS) Teaching Workshop is held as a traditional satellite event of the IUPS Congress. The 2017 satellite workshop was held August 5-8, 2017 in Búzios, Rio de Janeiro, Brazil. The workshop provided an opportunity for discussion and experiences in physiology teaching for educators at various levels, graduate students, and undergraduate students. This report describes the workshop activities and reports the participants' perceptions of this event. For evaluation of perception, an anonymous questionnaire was sent by e-mail to all participants, addressing nine items: appropriate topics, time of activities, poster session, congress venue, registration fee, attention of the organizing committee before and during the event, social event, and food. Responses were ranked according to a five-point Likert scale. Of the 145 participants, 77 answered the questionnaire. The participants' perception was positive, noting in particular opportunities to share knowledge, space for reflection of teaching practice, contact networks for future, exchanges of experience, and collaborations in research in physiological education.

  5. Note: Progress on the use of MgB2 superconducting joint technique for the development of MgB2 magnets for magnetic resonance imaging (MRI).

    PubMed

    Kim, Y G; Song, J B; Kim, J C; Kim, J M; Yoo, B H; Yun, S B; Hwang, D Y; Lee, H G

    2017-08-01

    This note presents a superconducting joint technique for the development of MgB 2 magnetic resonance imaging (MRI) magnets. The MgB 2 superconducting joint was fabricated by a powder processing method using Mg and B powders to establish a wire-bulk-wire connection. The joint resistance measured using a field-decay method was <10 -14 Ω, demonstrating that the proposed joint technique could be employed for developing "next-generation" MgB 2 MRI magnets operating in the persistent current mode.

  6. Community Mobilization for Slum Upgrading through Sanitation in Roma Informal Settlements in the Paris Region.

    PubMed

    Chaudhuri, Ipsita Nita

    2017-01-01

    Community-based processes addressing environment, housing, and health issues may decrease health inequities by addressing social, economic, and political health determinants more effectively. Yet little analysis of their effectiveness has been undertaken and their potential transfer to marginalized groups in rich country settings. In Europe, stark health inequalities are seen among the Roma, Europe's most impoverished community who often reside in informal settlements suffering from illiteracy, inadequate housing, and lack of water and sanitation. This paper assesses a dry sanitation project in a Roma informal settlement in the Paris region to improve their living conditions. Between 2014 and 2017, multiple stakeholders were involved in a participatory process of design, construction, and maintenance of toilets. Interviews, mapping, model construction, and facilitated discussion were used to identify design features and follow-up indicators. Field notes, videos, questionnaires, and observation provided data for monitoring and evaluation. For questionnaires delivered to women in the community, a cross section time series was conducted to due to migration. Despite issues related to maintenance, the overall quality of life of women improved after toilet construction. This included indicators for comfort, cleanliness, practicality, privacy, security, and menstrual hygiene management. Furthermore, fewer women restrained themselves from relieving themselves or from drinking less water to avoid urinating. Odors continued to be an issue. Self-reporting of illnesses, such as diarrhea and urinary tract infections, were not reliable due to the vague description of these illnesses and the potential recall bias. Appropriate sanitation in informal settlements is a necessity as shown by feedback from Roma women and the literature. However, a more sustainable toilet project would have required an adequate budget, good quality materials, accountability, and buy in from all inhabitants as well as good relationships between the chief and all stakeholders in the settlement. Furthermore, provision should have been made for vulnerable and less autonomous inhabitants to ensure proper follow-up and maintenance. Safe water and sanitation is essential to decrease health inequities. Formative research, identifying natural leaders, sanitation committee formation, outcome indicator and baseline questionnaire development, appropriate messages and toilet design and placement, long-term follow-up, and political support are elements for effective interventions with the Roma. Potential attrition and reporting bias should be considered in monitoring and evaluation.

  7. Online Databases in Physics.

    ERIC Educational Resources Information Center

    Sievert, MaryEllen C.; Verbeck, Alison F.

    1984-01-01

    This overview of 47 online sources for physics information available in the United States--including sub-field databases, transdisciplinary databases, and multidisciplinary databases-- notes content, print source, language, time coverage, and databank. Two discipline-specific databases (SPIN and PHYSICS BRIEFS) are also discussed. (EJS)

  8. Biology Notes.

    ERIC Educational Resources Information Center

    School Science Review, 1984

    1984-01-01

    Describes mushroom growing as a school project, a method for illustrating need for carbon dioxide in photosynthesis, construction of a simple phytoplankton sampler, cell division activity using playing cards, blood separation activity, measurement of adaptation and selection pressures, computations in field ecology, and an activity demonstrating…

  9. Predoctoral Curriculum Guidelines for Biomaterials.

    ERIC Educational Resources Information Center

    Journal of Dental Education, 1986

    1986-01-01

    The American Association of Dental Schools' predoctoral guidelines for biomaterials curricula includes notes on interrelationships between this and other fields, a curriculum overview, primary educational goals, prerequisites, a core content outline, specific behavioral objectives for each content area, and information on sequencing, faculty and…

  10. 36 CFR 1192.4 - Miscellaneous instructions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    .... 1192.4 Section 1192.4 Parks, Forests, and Public Property ARCHITECTURAL AND TRANSPORTATION BARRIERS... engineering tolerances for material properties and field conditions, including normal anticipated wear not exceeding accepted industry-wide standards and practices. (c) Notes. The text of these guidelines does not...

  11. Extended use of superconducting magnets for bio-medical development

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Stoynev, Stoyan E.

    Magnetic fields interact with biological cells affecting them in variety of ways which are usually hard to predict. Among them, it was observed that strong fields can align dividing cells in a preferred direction. It was also demonstrated that dividing cancer cells are effectively destroyed by applying electric fields in vivo with a success rate dependent on the cell-to-field orientation. Based on these facts, the present note aims to suggest the use of magnetic and electric fields for improved cancer treatment. Several possibilities of generating the electric fields inside the magnetic field volume are reviewed, main tentative approaches are describedmore » and discussed. Most if not all of them require special magnet configuration research which can be based on existing magnet systems in operation or in development.« less

  12. [Measurement of cognitive constriction in suicide notes].

    PubMed

    Heinrich, Monika; Berzlanovich, Andrea; Willinger, Ulrike; Eisenwort, Brigitte

    2008-01-01

    The target of this paper was to quantify the amount of cognitive constriction in German-language suicide notes by studying quantitative psycholinguistic parameters of texts. This should give a better understanding of presuicidal events and encourage improvement in the field of suicide prevention and crisis intervention. The study is based on letters of the "Vienna Corpus of Suicide Notes". To prove various hypotheses a factor analysis, a number of regression analyses, and the General Linear Model were applied, apart from descriptive methods. The 16 parameters could be reduced to five factors of cognitive constriction, such as the writing style, the usage of words, the dichotomy, the length and the grammatical correctness of the suicide notes. Regarding the writing style the highest values of cognitive constriction were found among women (p=0.005), young persons (p< or =0.000), in short letters (p=0.027) and if psychological problems were the motive for suicide (p=0.020). The discovery site of the letters (p=0.002) was important as well. The construct of cognitive constriction is a multidimensional and complex phenomenon. Therefore the quantification must contain variables of the persons and the texts.

  13. A data base of geologic field spectra

    NASA Technical Reports Server (NTRS)

    Kahle, A. B.; Goetz, A. F. H.; Paley, H. N.; Alley, R. E.; Abbott, E. A.

    1981-01-01

    It is noted that field samples measured in the laboratory do not always present an accurate picture of the ground surface sensed by airborne or spaceborne instruments because of the heterogeneous nature of most surfaces and because samples are disturbed and surface characteristics changed by collection and handling. The development of new remote sensing instruments relies on the analysis of surface materials in their natural state. The existence of thousands of Portable Field Reflectance Spectrometer (PFRS) spectra has necessitated a single, all-inclusive data base that permits greatly simplified searching and sorting procedures and facilitates further statistical analyses. The data base developed at JPL for cataloging geologic field spectra is discussed.

  14. A qualitative approach to assessing work ability.

    PubMed

    Tengland, Per-Anders

    2013-01-01

    We often need to be able to assess the extent to which individuals have or lack work ability. For this we need instruments. Most of the instruments available have flaws. They either lack validity or they use roundabout methods when collecting information about the individual's work ability. The aim of this paper is to present a conceptual model for constructing a questionnaire that can be used for assessing work ability. The methods used are philosophical, i.e. analytical and deductive. A conceptual theory is provided, and based on the resulting definition of the concept of "work ability" conclusions are drawn regarding how to assess work ability. When constructing quantitative instruments, we can increase validity through using a more strict definition of work ability. However, such an approach will only solve some of the problems noted above. The proposal is, instead, to create a qualitative questionnaire, founded on a definition of "work ability", which focuses on the concrete problems concerning the work ability of the individual. Finally, a sketch of such an instrument is provided, with questions covering all the relevant aspects of work ability. The qualitative questionnaire proposed is believed to be superior to more traditional (quantitative) instruments for assessing a person's work ability, as well as for finding solutions to her problems concerning work ability.

  15. Prediction of Physical Activity Level Using Processes of Change From the Transtheoretical Model: Experiential, Behavioral, or an Interaction Effect?

    PubMed

    Romain, Ahmed Jérôme; Horwath, Caroline; Bernard, Paquito

    2018-01-01

    The purpose of the present study was to compare prediction of physical activity (PA) by experiential or behavioral processes of change (POCs) or an interaction between both types of processes. A cross-sectional study. This study was conducted using an online questionnaire. A total of 394 participants (244 women, 150 men), with a mean age of 35.12 ± 12.04 years and a mean body mass index of 22.97 ± 4.25 kg/m 2 were included. Participants completed the Processes of Change, Stages of Change questionnaires, and the International Physical Activity Questionnaire to evaluate self-reported PA level (total, vigorous, and moderate PA). Hierarchical multiple regression models were used to test the prediction of PA level. For both total PA (β = .261; P < .001) and vigorous PA (β = .297; P < .001), only behavioral POCs were a significant predictor. Regarding moderate PA, only the interaction between experiential and behavioral POCs was a significant predictor (β = .123; P = .017). Our results provide confirmation that behavioral processes are most prominent in PA behavior. Nevertheless, it is of interest to note that the interaction between experiential and behavioral POCs was the only element predicting moderate PA level. Experiential processes were not associated with PA level.

  16. Perceived timeliness of referral to hospice palliative care among bereaved family members in Korea.

    PubMed

    Jho, Hyun Jung; Chang, Yoon Jung; Song, Hye Young; Choi, Jin Young; Kim, Yeol; Park, Eun Jung; Paek, Soo Jin; Choi, Hee Jae

    2015-09-01

    We aimed to explore the perceived timeliness of referral to hospice palliative care unit (HPCU) among bereaved family members in Korea and factors associated therewith. Cross-sectional questionnaire survey was performed for bereaved family members of patients who utilized 40 designated HPCUs across Korea. The questionnaire assessed whether admission to the HPCU was "too late" or "appropriate" and the Good Death Inventory (GDI). A total of 383 questionnaires were analyzed. Of participants, 25.8 % replied that admission to HPCU was too late. Patients with hepatobiliary cancer, poor performance status, abnormal consciousness level, and unawareness of terminal status were significantly related with the too late perception. Family members with younger age and being a child of the patient were more frequently noted in the too late group. Ten out of 18 GDI scores were significantly lower in the too late group. Multiple logistic regression analysis revealed patients' unawareness of terminal status, shorter stay in the HPCU, younger age of bereaved family, and lower scores for two GDI items (staying in a favored place, living without concerning death or disease) were significantly associated with the too late group. To promote timely HPCU utilization and better quality of end of life care, patients need to be informed of the terminal status and their preference should be respected.

  17. Graphics Education Survey. Part II.

    ERIC Educational Resources Information Center

    Ernst, Sandra B.

    After a 1977 survey reflected the importance of graphics education for news students, a study was developed to investigate the state of graphics education in the whole field of journalism. A questionnaire was sent to professors and administrators in four print-oriented professional fields of education: magazine, advertising, public relations, and…

  18. Approaches to Data Analysis in Longitudinal Field Investigations of Educational Programs.

    ERIC Educational Resources Information Center

    Jovick, Thomas D.

    The federally funded longitudinal field study called Management Implications of Team Teaching (MITT) required a search for an appropriate strategy for analyzing through-time relationships among selected variables. The MITT project used questionnaires and interviews to collect data concerning the work, governance, attitudes, and orientation of…

  19. Systematic comparative content analysis of 17 psychosocial work environment questionnaires using a new taxonomy

    PubMed Central

    2016-01-01

    Background Many questionnaires have been developed to measure how psychosocial characteristics are perceived in a work environment. But the content validity of these questionnaires has rarely been questioned due to the absence of a reference taxonomy for characteristics of work environments. Objectives To propose an exhaustive taxonomy of work environment characteristics involved in psychosocial risks and to apply this taxonomy to questionnaires on workplace psychosocial factors. Methods The taxonomy was developed by categorizing factors present in the main theoretical models of the field. Questionnaire items most frequently cited in scientific literature were retained for classification. Results The taxonomy was structured into four hierarchical levels and comprises 53 categories. The 17 questionnaires analyzed included 927 items: 59 from the “physical environment” category, 116 from the “social environment” category, 236 from the “work activity” category, 255 from the “activity management” category, and 174 from the “organizational context” category. Conclusions There are major content differences among analyzed questionnaires. This study offers a means for selecting a scale on the basis of content. PMID:27367232

  20. Assessment of structured physical examination skills training using a retro-pre-questionnaire.

    PubMed

    Piryani, Rano Mal; Shankar, P Ravi; Piryani, Suneel; Thapa, Trilok Pati; Karki, Balmansingh; Khakurel, Mahesh Prasad; Bhandary, Shital

    2013-01-01

    The effectiveness of physical examination skills (PES) training is very rarely assessed using the "post-then-pre" approach. In this study, a retro-pre-questionnaire was used to study the effect of structured physical examination skills training (SPEST) imparted to second-year undergraduate medical students. KIST Medical College (KISTMC) affiliated to Tribhuvan University Nepal admitted its first batch of MBBS students in November 2008. The university curriculum recommends the involvement of Medicine and Surgery Departments in PES training, but the methods for teaching and assessment are not well defined. KISTMC has made training more structured and involved the Medicine, Surgery, Gynaecology and Obstetrics, Orthopaedics, ENT, Ophthalmology, Paediatrics, and Family Medicine Departments. SPEST includes the teaching/learning of basic PES for 210 minutes once a week for 28 weeks. Self-assessment is done by using a retro-pre-questionnaire at the end of the last session of training, and these data are analysed using SPSS. Out of 100 students, 98 participated in the objective structured clinical examination (OSCE); 82 completed the retro-pre-questionnaire. Forty-six skills representing various systems were selected for inclusion in the retro-pre-questionnaire from among the many skills taught in different departments. The average perceived skills score (maximum score, 46×4=184) before training was 15.9 and increased to 116.5 after training. The increase was statistically significant upon the application of a paired t-test. The students perceived that their level of skills improved after the training. The retro-pre- instrument seems to be useful for assessing the learners' self-reported changes in PES after training if a large number of skills need to be assessed. However, it should be noted that although a retro-pre-questionnaire may reveal valuable information, it is not a substitute for an objective measure or gold standard.

  1. Reliability and validity assessment of gastrointestinal dystemperaments questionnaire: a novel scale in Persian traditional medicine

    PubMed Central

    Hoseinzadeh, Hamidreza; Taghipour, Ali; Yousefi, Mahdi

    2018-01-01

    Background Development of a questionnaire based on the resources of Persian traditional medicine seems necessary. One of the problems faced by practitioners of traditional medicine is the different opinions regarding the diagnosis of general temperament or temperament of member. One of the reasons is the lack of validity tools, and it has led to difficulties in training the student of traditional medicine and the treatment of patients. The differences in the detection methods, have given rise to several treatment methods. Objective The present study aimed to develop a questionnaire and standard software for diagnosis of gastrointestinal dystemperaments. Methods The present research is a tool developing study which included 8 stages of developing the items, determining the statements based on items, assessing the face validity, assessing the content validity, assessing the reliability, rating the items, developing a software for calculation of the total score of the questionnaire named GDS v.1.1, and evaluating the concurrent validity using statistical tests including Cronbach’s alpha coefficient, Cohen’s kappa coefficient. Results Based on the results, 112 notes including 62 symptoms were extracted from resources, and 58 items were obtained from in-person interview sessions with a panel of experts. A statement was selected for each item and, after merging a number of statements, a total of 49 statements were finally obtained. By calculating the score of statement impact and determining the content validity, respectively, 6 and 10 other items were removed from the list of statements. Standardized Cronbach’s alpha for this questionnaire was obtained 0.795 and its concurrent validity was equal to 0.8. Conclusion A quantitative tool was developed for diagnosis and examination of gastrointestinal dystemperaments. The developed questionnaire is adequately reliable and valid for this purpose. In addition, the software can be used for clinical diagnosis. PMID:29629060

  2. Selectivity of Local Field Potentials in Macaque Inferior Temporal Cortex

    DTIC Science & Technology

    2004-09-01

    Selectivity of Local Field Potentials in Macaque Inferior Temporal Cortex Gabriel Kreiman , Chou Hung, Tomaso Poggio and James DiCarlo AI Memo 2004...IT. Note: Gabriel Kreiman and Chou Hung contributed equally to this work This report describes research done within the Center for Biological...separate the neuronal components of the MUA by using spike sorting algorithms (Quiroga et al., 2004; Yu and Kreiman , 1999). It will be interesting to

  3. Note: Laser-cut molybdenum grids for a retarding field energy analyzer

    NASA Astrophysics Data System (ADS)

    Landheer, K.; Kobelev, A. A.; Smirnov, A. S.; Bosman, J.; Deelen, S.; Rossewij, M.; de Waal, A. C.; Poulios, I.; Benschop, A. F.; Schropp, R. E. I.; Rath, J. K.

    2017-06-01

    A retarding field energy analyzer (RFEA) with grids created by laser-cutting a honeycomb mesh in a 50 μm thick molybdenum foil is presented. The flat grids span an area of 1 cm2 and have high transmission (20 μm wide walls between 150 μm wide meshes). The molybdenum grids were tested in a 3-grid RFEA configuration with an analyzer depth of 0.87 mm.

  4. Air Force Intelligence Officer Targeteers: A Discussion on Specialization

    DTIC Science & Technology

    2011-06-10

    significant force management problems for several reasons ( Galway et al. 2005, 48). The first reason was attributed to having no dedicated career field...manager to coordinate joint command and major command (MAJCOM) personnel requirements ( Galway et al. 2005, 51). Lack of a full time career field...intelligence work was required ( Galway et al. 2005, 48). RAND also noted that a tenuous balance existed between acquiring breadth and depth as a company

  5. Producing Military Commanders: A Systemic Exploration of the Development Environment

    DTIC Science & Technology

    2010-04-15

    understand the characteristics of career-long capabilities that the Army is seeking in field-grade officers. Field-grade commanders provide the...yet they have quite some trouble dealing with the sequential aspects of time. He cited a musical melody as distinguished from the individual tones...impact of decisions made at this level. Much like Dorner’s musical melody metaphor, decisions made at this level are as musical notes played from a

  6. Incorporation of basic research and service components in a field environmental geochemistry course

    NASA Astrophysics Data System (ADS)

    Senko, J.

    2015-12-01

    "Application-based service learning" (ABSL) refers to an approach to formal course instruction that integrates service and research components into the course. An ABSL approach was employed in a field-based environmental chemistry course, whose goal was to evaluate and monitor the aqueous geochemistry of coal mine-derived acid mine drainage (AMD) in the Appalachia basin. In this course, students conducted literature reviews on the geochemistry and environmental impacts of AMD, participated in a field sampling campaign of several AMD treatment systems, and conducted chemical analyses of the samples that they retrieved. The remainder of the course was dedicated to "lab meetings," during which data was analyzed, conclusions were drawn from the data, and a manuscript was drafted that described the findings of the field analyses, and made recommendations regarding the performance of the AMD treatment systems. The service component of the course focused on socioeconomic impacts of coal mining and the Appalachian region, with the final manuscript distributed to AMD treatment practitioners and state regulatory agencies. A comparison of pre- and post-course questionnaires that included Likert scale questions revealed that students' attitudes toward basic research improved over the period or the course. Based on the questionnaires attitudes toward service diminished, but "open-ended" questionnaires indicated an improved attitude toward both research and service, with an emphasis on the benefits of research that serves the community. Ultimately, we hope to develop approaches to compare the effectiveness of ABSL-based across disciplines.

  7. Sarah's birth. How the medicalisation of childbirth may be shaped in different settings: Vignette from a study of routine intervention in Jeddah, Saudi Arabia.

    PubMed

    Scamell, Mandie; Altaweli, Roa; McCourt, Christine

    2017-02-01

    The expansion of the medicalisation of childbirth has been described in the literature as being a global phenomenon. The vignette described in this paper, selected from an ethnographic study of routine intervention in Saudi Arabian hospitals illustrates how the worldwide spread of the bio-medical model does not take place within a cultural vacuum. To illuminate the ways in which the medicalisation of birth may be understood and practised in different cultural settings, through a vignette of a specific birth, drawn as a typical case from an ethnographic study that investigated clinical decision-making in the second stage of labour in Saudi Arabia. Ethnographic data collection methods, including participant observation and interviews. The data presented in this paper are drawn from ethnographic field notes collected during field work in Saudi Arabia, and informed by analysis of a wider set of field notes and interviews with professionals working in this context. While the medicalisation of care is a universal phenomenon, the ways in which the care of women is managed using routine medical intervention are framed by the local cultural context in which these practices take place. The ethnographic data presented in this paper shows the medicalisation of birth thesis to be incomplete. The evidence presented in this paper illustrates how local belief systems are not so much subsumed by the expansion of the bio-medical model of childbirth, rather they may actively facilitate a process of localised reinterpretation of such universalised and standardised practices. In this case, aspects of the social and cultural context of Jeddah operates to intensify the biomedical model at the expense of respectful maternity care. In this article, field note data on the birth of one Saudi Arabian woman is used as an illustration of how the medicalisation of childbirth has been appropriated and reinterpreted in Jeddah, Saudi Arabia. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  8. Outcomes and complications of trans-vaginal mesh repair using the Prolift™ kit for pelvic organ prolapse at 4 years median follow-up in a tertiary referral centre.

    PubMed

    Khan, Zainab A; Thomas, Lee; Emery, Simon J

    2014-12-01

    To evaluate the anatomical, functional and post-operative outcomes of polypropylene mesh (Prolift™) in the surgical management of pelvic organ prolapse (POP). A single-centre observational study of 106 successive patients, who underwent Prolift™ mesh repair (POP ≥ 2) with a median follow-up of 4 years, was performed. Outcomes of interest measured included patient demographics, intra and post-operative complications, concomitant procedures for POP or urinary incontinence. Using the Baden-Walker classification, grade ≥2 prolapses in the operated compartment were deemed as surgical failure. Validated questionnaires including ICIQ-VS and ICIQ-UI were used to assess functional outcome. Of the 106 patients, 56 had an anterior, 36 a posterior and 14 a total Prolift™. 101 patients were available for follow-up (median 4 years). 82 women underwent a clinical follow-up whilst 19 underwent a telephonic follow-up. Peri-operative bladder injury was noted in 2 (1.9 %) cases. Six (5.6 %) patients developed mesh exposure post-operatively. Re-operation rates for recurrent prolapse in the operated compartment were 2.8 % (n = 3). At follow-up, prolapse recurrence in the operated compartment was noted in another 7.3 % (n = 6) patients. Combining re-operations for POP and recurrences noted during follow-up, the revised failure rate was 10.1 % (n = 9). De novo prolapse in the non-operated compartment occurred in 19.5 % (n = 16) women. Our study demonstrates that Prolift™ vaginal mesh surgery offers anatomical cure rates of 89.9 %. A higher rate of de novo recurrence in the non-operated compartment was noted suggesting that surgical correction in one compartment may exacerbate recurrence in other compartments.

  9. [Transcultural adaptation of scales for treatment adherence in hemodialysis: Renal Adherence Behaviour Questionnaire(RABQ) and Renal Adherence Attitudes Questionnaire(RAAQ)].

    PubMed

    Machado, Inês Maria de Jesus; Bandeira, Marina Bittencourt; Pinheiro, Hélady Sanders; Dutra, Nathália Dos Santos

    2015-10-01

    Treatment adherence in hemodialysis is important for guaranteeing better results for patients, but Brazil still lacks validated assessment tools for this purpose. The current study aimed to perform a cross-cultural adaptation of the Renal Adherence Behaviour Questionnaire (RABQ) and the Renal Adherence Attitudes Questionnaire (RAAQ). The two questionnaires were submitted to the following cross-cultural adaptation procedures: translation, back-translation, expert panel review, and pilot study. Changes were made in the items' wording and application, which requires a face-to-face interview. It was not necessary to change the choices of answers. The Brazilian versions of the RABQ and RAAQ showed semantic and cultural equivalence to the original versions and are easy for the target population to understand. The two scales still require validity and reliability studies before use in the field.

  10. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ghosh Deb, S.; Sinha, C.; Chattopadhyay, A.

    The modification in the dynamics of the electron-impact ionization process of a Li{sup +} ion due to an intense linearly polarized monochromatic laser field (n{gamma}e,2e) is studied theoretically using coplanar geometry. Significant laser modifications are noted due to multiphoton effects both in the shape and magnitude of the triple-differential cross sections (TDCSs) with respect to the field-free (FF) situation. The net effect of the laser field is to suppress the FF cross sections in the zeroth-order approximation [Coulomb-Volkov (CV)] of the ejected electron wave function, while in the first order [modified Coulomb-Volkov (MCV)], the TDCSs are found to be enhancedmore » or suppressed depending on the kinematics of the process. The strong FF recoil dominance for the (e,2e) process of an ionic target at low incident energy is destroyed in the presence of the laser field. The FF binary-to-recoil ratio changes remarkably in the presence of the laser field, particularly at low incident energies. The difference between the multiphoton CV and the FF results indicates that for the ionic target, the Kroll-Watson sum rule does not hold well at the present energy range in contrast to the neutral atom (He) case. The TDCSs are found to be quite sensitive with respect to the initial phase of the laser field, particularly at higher incident energies. A significant qualitative difference is noted in the multiphoton ejected energy distribution (double-differential cross sections) between the CV and the MCV models. Variation of the TDCSs with respect to the laser phase is also studied.« less

  11. A comparison of susceptibility to Myxobolus cerebralis among strains of rainbow trout and steelhead in field and laboratory trials

    USGS Publications Warehouse

    Densmore, Christine L.; Blazer, V.S.; Cartwright, Deborah D.; Schill, W.B.; Schachte, J.H.; Petrie, C.J.; Batur, M.V.; Waldrop, T.B.; Mack, A.; Pooler, P.S.

    2001-01-01

    Three strains of rainbow trout and steelhead Oncorhynchus mykiss were evaluated for the presence of whirling disease in field and laboratory trials. In the field exposures, fingerling Salmon River steelhead and Cayuga Lake and Randolph strains of rainbow trout were placed in wire cages in an earthen, stream-fed pond in New York State that was known to harbor Myxobolus cerebralis. Control fish were held at another hatchery that was free of whirling disease. In the controlled trials at the National Fish Health Research Laboratory, fingerling steelhead and Cayuga Lake and Mount Lassen rainbow trout were exposed to triactinomyxons at low (200 triactinomyxons/fish) or high (2,000 triactinomyxons/fish) levels for 2 h. Controls of each group were sham-exposed. Following an incubation period of 154 d for laboratory trials and 180 d for field trials, cranial tissue samples were taken for spore enumeration (field and laboratory trials) and histological analyses (laboratory only). Clinical signs of disease, including whirling behavior, blacktail, and skeletal deformities, were recorded for each fish in the laboratory trial at the terminal sampling. No clinical evidence of disease was noted among fish in the field trials. Clinical signs were noted among all strains in the laboratory trials at both exposure levels, and these signs were consistently greatest for the Mount Lassen strain. Whirling and skeletal deformities were more evident in the steelhead than in the Cayuga Lake rainbow trout; blacktail was more common in the Cayuga Lake fish. In both field and laboratory trials, spore counts were significantly higher for Cayuga Lake rainbow trout than in steelhead. In laboratory trials, moderate to marked cranial tissue lesions predominated in all three strains.

  12. Calibration of water distribution network of the Ramnagar zone in Nagpur City using online pressure and flow data

    NASA Astrophysics Data System (ADS)

    Jadhao, Ramrao D.; Gupta, Rajesh

    2018-03-01

    Calibration of hydraulic model of a water distribution network is required to match the model results of flows and pressures with those obtained in the field. This is a challenging task considering the involvement of a large number of parameters. Having more precise data helps in reducing time and results in better calibration as shown herein with a case study of one hydraulic zone served from the Ramnagar Ground Service Reservoir in Nagpur City. Flow and pressure values for the entire day were obtained through data loggers. Network details regarding pipe lengths, diameters, installation year and material were obtained with the largest possible accuracy. Locations of consumers on the network were noted and average nodal consumptions were obtained from the billing records. The non-revenue water losses were uniformly allocated to all junctions. Valve positions and their operating status were noted from the field and used. The pipe roughness coefficients were adjusted to match the model values with field values of pressures at observation nodes by minimizing the sum of square of difference between them. This paper aims at describing the entire process from collection of the required data to the calibration of the network.

  13. A process evaluation of a social cognitive theory-based childhood obesity prevention intervention: the Comics for Health program.

    PubMed

    Branscum, Paul; Sharma, Manoj; Wang, Lihshing Leigh; Wilson, Bradley; Rojas-Guyler, Liliana

    2013-03-01

    Process evaluations are an often overlooked yet essential component of health promotion interventions. This study reports the results of a comprehensive process evaluation for the "Comics for Health" program, a childhood obesity prevention intervention implemented at 12 after-school programs. Qualitative and quantitative process data were collected using surveys, field notes, and open-item questionnaires, which assessed program fidelity, dose delivered, dose received, reach, recruitment, and context. Triangulation of methods was also employed to better understand how the program was implemented and received by the facilitator, staff members, and children in the program. Results indicated that program implementation had an almost perfect rate of fidelity with most lessons recording 100% tasks completed. Lessons were implemented in their intended order and lasted approximately 30 minutes as planned. After-school staff members reported that the program was well received by children, and this program should be replicated in the future. Attendance records showed that a majority of the children attended each lesson on the initial day of delivery (70.4%) and informal make-up lessons were implemented to compensate for the other children. Finally, several known sources of contamination were found such as past and concurrent exposure to similar health promotion interventions, which could potentially influence study outcomes. These findings will be used to help explain the results of this intervention and make recommendations for future intervention efforts.

  14. Revising laboratory work: sociological perspectives on the science classroom

    NASA Astrophysics Data System (ADS)

    Jobér, Anna

    2017-09-01

    This study uses sociological perspectives to analyse one of the core practices in science education: schoolchildren's and students' laboratory work. Applying an ethnographic approach to the laboratory work done by pupils at a Swedish compulsory school, data were generated through observations, field notes, interviews, and a questionnaire. The pupils, ages 14 and 15, were observed as they took a 5-week physics unit (specifically, mechanics). The analysis shows that the episodes of laboratory work could be filled with curiosity and exciting challenges; however, another picture emerged when sociological concepts and notions were applied to what is a very common way of working in the classroom. Laboratory work is characterised as a social activity that is expected to be organised as a group activity. This entails groups becoming, to some extent, `safe havens' for the pupils. On the other hand, this way of working in groups required pupils to subject to the groups and the peer effect, sometimes undermining their chances to learn and perform better. In addition, the practice of working in groups when doing laboratory work left some pupils and the teacher blaming themselves, even though the outcome of the learning situation was a result of a complex interplay of social processes. This article suggests a stronger emphasis on the contradictions and consequences of the science subjects, which are strongly influenced by their socio-historical legacy.

  15. Different paths to high-quality care: three archetypes of top-performing practice sites.

    PubMed

    Feifer, Chris; Nemeth, Lynne; Nietert, Paul J; Wessell, Andrea M; Jenkins, Ruth G; Roylance, Loraine; Ornstein, Steven M

    2007-01-01

    Primary care practices use different approaches in their quest for high-quality care. Previous work in the Practice Partner Research Network (PPRNet) found that improved outcomes are associated with strategies to prioritize performance, involve staff, redesign elements of the delivery system, make patients active partners in guideline adherence, and use tools embedded in the electronic medical record. The aim of this study was to examine variations in the adoption of improvements among sites achieving the best outcomes. This study used an observational case study design. A practice-level measure of adherence to clinical guidelines was used to identify the highest performing practices in a network of internal and family medicine practices participating in a national demonstration project. We analyzed qualitative and quantitative information derived from project documents, field notes, and evaluation questionnaires to develop and compare case studies. Nine cases are described. All use many of the same improvement strategies. Differences in the way improvements are organized define 3 distinct archetypes: the Technophiles, the Motivated Team, and the Care Enterprise. There is no single approach that explains the superior performance of high-performing practices, though each has adopted variations of PPRNet's improvement model. Practices will vary in their path to high-quality care. The archetypes could prove to be a useful guide to other practices selecting an overall quality improvement approach.

  16. Introducing Argumentation About Climate Change Socioscientific Issues in a Disadvantaged School

    NASA Astrophysics Data System (ADS)

    Dawson, Vaille; Carson, Katherine

    2018-03-01

    Improving the ability of young people to construct arguments about controversial science topics is a desired outcome of science education. The purpose of this research was to evaluate the impact of an argumentation intervention on the socioscientific issue of climate change with Year 10 students in a disadvantaged Australian school. After participation in a professional development workshop on climate change science, socioscientific issues and argumentation, an early career teacher explicitly taught argumentation over four non-consecutive lessons as part of a 4 week (16 lesson) topic on Earth science. Thirty students completed a pre- and post-test questionnaire to determine their understanding of climate change science and their ability to construct an argument about a climate change socioscientific issue. Students' understanding of climate change improved significantly (p < .001) with a large effect size. There was also a significant increase (p < .05) in the number of categories provided in written arguments about a climate change issue. Qualitative data, comprising classroom observation field notes, lesson transcripts, work samples, and teacher and student interviews, were analysed for the extent to which the students' argumentation skills improved. At the end of the intervention, students became aware of the need to justify their decisions with scientific evidence. It is concluded that introducing argumentation about climate change socioscientific issues to students in a disadvantaged school can improve their argumentation skills.

  17. RF EMF Risk Perception Revisited: Is the Focus on Concern Sufficient for Risk Perception Studies?

    PubMed Central

    Wiedemann, Peter M.; Freudenstein, Frederik; Böhmert, Christoph; Wiart, Joe; Croft, Rodney J.

    2017-01-01

    An implicit assumption of risk perception studies is that concerns expressed in questionnaires reflect concerns in everyday life. The aim of the present study is to check this assumption, i.e., the extrapolability of risk perceptions expressed in a survey, to risk perceptions in everyday life. To that end, risk perceptions were measured by a multidimensional approach. In addition to the traditional focus on measuring the magnitude of risk perceptions, the thematic relevance (how often people think about a risk issue) and the discursive relevance (how often people think about or discuss a risk issue) of risk perceptions were also collected. Taking into account this extended view of risk perception, an online survey was conducted in six European countries with 2454 respondents, referring to radio frequency electromagnetic field (RF EMF) risk potentials from base stations, and access points, such as WiFi routers and cell phones. The findings reveal that the present study’s multidimensional approach to measuring risk perception provides a more differentiated understanding of RF EMF risk perception. High levels of concerns expressed in questionnaires do not automatically imply that these concerns are thematically relevant in everyday life. We use thematic relevance to distinguish between enduringly concerned (high concern according to both questionnaire and thematic relevance) and not enduringly concerned participants (high concern according to questionnaire but no thematic relevance). Furthermore, we provide data for the empirical value of this distinction: Compared to other participants, enduringly concerned subjects consider radio frequency electromagnetic field exposure to a greater extent as a moral and affective issue. They also see themselves as highly exposed to radio frequency electromagnetic fields. However, despite these differences, subjects with high levels of thematic relevance are nevertheless sensitive to exposure reduction as a means for improving the acceptance of base stations in their neighborhood. This underlines the value of exposure reduction for the acceptance of radio frequency electromagnetic field communication technologies. PMID:28594366

  18. RF EMF Risk Perception Revisited: Is the Focus on Concern Sufficient for Risk Perception Studies?

    PubMed

    Wiedemann, Peter M; Freudenstein, Frederik; Böhmert, Christoph; Wiart, Joe; Croft, Rodney J

    2017-06-08

    An implicit assumption of risk perception studies is that concerns expressed in questionnaires reflect concerns in everyday life. The aim of the present study is to check this assumption, i.e., the extrapolability of risk perceptions expressed in a survey, to risk perceptions in everyday life. To that end, risk perceptions were measured by a multidimensional approach. In addition to the traditional focus on measuring the magnitude of risk perceptions, the thematic relevance (how often people think about a risk issue) and the discursive relevance (how often people think about or discuss a risk issue) of risk perceptions were also collected. Taking into account this extended view of risk perception, an online survey was conducted in six European countries with 2454 respondents, referring to radio frequency electromagnetic field (RF EMF) risk potentials from base stations, and access points, such as WiFi routers and cell phones. The findings reveal that the present study's multidimensional approach to measuring risk perception provides a more differentiated understanding of RF EMF risk perception. High levels of concerns expressed in questionnaires do not automatically imply that these concerns are thematically relevant in everyday life. We use thematic relevance to distinguish between enduringly concerned (high concern according to both questionnaire and thematic relevance) and not enduringly concerned participants (high concern according to questionnaire but no thematic relevance). Furthermore, we provide data for the empirical value of this distinction: Compared to other participants, enduringly concerned subjects consider radio frequency electromagnetic field exposure to a greater extent as a moral and affective issue. They also see themselves as highly exposed to radio frequency electromagnetic fields. However, despite these differences, subjects with high levels of thematic relevance are nevertheless sensitive to exposure reduction as a means for improving the acceptance of base stations in their neighborhood. This underlines the value of exposure reduction for the acceptance of radio frequency electromagnetic field communication technologies.

  19. Development of Chemistry Triangle Oriented Module on Topic of Reaction Rate for Senior High School Level Grade XI Chemistry Learning.

    NASA Astrophysics Data System (ADS)

    Sari, D. R.; Hardeli; Bayharti

    2018-04-01

    This study aims to produce chemistry triangle oriented module on topic of reaction rate, and to reveal the validity and practicality level of the generated module. The type of research used is EducationalDesign Research (EDR) with development model is Plompmodel. This model consists of three phases, which are preliminary research, prototyping phase, and assessment phase. The instrument used in this research is questionnaire validity and practicality. The data of the research were analyzed by using Kappa Cohen formula. The chemistry triangle oriented module validation sheet was given to 5 validators consisting of 3 chemistry lecturers and 2 high school chemistry teachers, while the practicality sheet was given to 2 chemistry teachers, 6 students of SMAN 10 Padang grade XII MIA 5 on the small groupevaluation and 25 students of SMAN 10 Padang grade XII MIA 6 on the field test. Based on the questionnaire validity analysis, the validity level of the module is very high with the value of kappa moment 0.87. The level of practicality based on teacher questionnaire response is very high category with a kappa moment value 0.96. Based on the questionnaire of student responses on small group evaluation, the level of practicality is very high category with a kappa moment 0.81, and the practicality is very high category with kappa moment value 0.83 based on questionnaire of student response on field test.

  20. There’s more to food store choice than proximity: a questionnaire development study

    PubMed Central

    2013-01-01

    Background Proximity of food stores is associated with dietary intake and obesity; however, individuals frequently shop at stores that are not the most proximal. Little is known about other factors that influence food store choice. The current research describes the development of the Food Store Selection Questionnaire (FSSQ) and describes preliminary results of field testing the questionnaire. Methods Development of the FSSQ involved a multidisciplinary literature review, qualitative analysis of focus group transcripts, and expert and community reviews. Field testing consisted of 100 primary household food shoppers (93% female, 64% African American), in rural and urban Arkansas communities, rating FSSQ items as to their importance in store choice and indicating their top two reasons. After eliminating 14 items due to low mean importance scores and high correlations with other items, the final FSSQ questionnaire consists of 49 items. Results Items rated highest in importance were: meat freshness; store maintenance; store cleanliness; meat varieties; and store safety. Items most commonly rated as top reasons were: low prices; proximity to home; fruit/vegetable freshness; fruit/vegetable variety; and store cleanliness. Conclusions The FSSQ is a comprehensive questionnaire for detailing key reasons in food store choice. Although proximity to home was a consideration for participants, there were clearly other key factors in their choice of a food store. Understanding the relative importance of these different dimensions driving food store choice in specific communities may be beneficial in informing policies and programs designed to support healthy dietary intake and obesity prevention. PMID:23773428

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