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Sample records for rater blinded reference

  1. Frame of Reference Rater Training Issues: Recall, Time and Behavior Observation Training.

    ERIC Educational Resources Information Center

    Roch, Sylvia G.; O'Sullivan, Brian J.

    2003-01-01

    Graduate students were trained as raters either using frame of reference (FOR, n=220, behavior observation training (BOT, n=21), or performance appraisal (controls, n=21). They rated videotaped lecturers twice. FOR increased number of behaviors recalled; FOR and BOT improved recall quality. FOR improved rating accuracy even after 2 weeks.…

  2. A Randomized, Rater-Blinded, Parallel Trial of Intensive Speech Therapy in Sub-Acute Post-Stroke Aphasia: The SP-I-R-IT Study

    ERIC Educational Resources Information Center

    Martins, Isabel Pavao; Leal, Gabriela; Fonseca, Isabel; Farrajota, Luisa; Aguiar, Marta; Fonseca, Jose; Lauterbach, Martin; Goncalves, Luis; Cary, M. Carmo; Ferreira, Joaquim J.; Ferro, Jose M.

    2013-01-01

    Background: There is conflicting evidence regarding the benefits of intensive speech and language therapy (SLT), particularly because intensity is often confounded with total SLT provided. Aims: A two-centre, randomized, rater-blinded, parallel study was conducted to compare the efficacy of 100 h of SLT in a regular (RT) versus intensive (IT)…

  3. Switching from clozapine to zotepine in patients with schizophrenia: a 12-week prospective, randomized, rater blind, and parallel study.

    PubMed

    Lin, Chao-Cheng; Chiu, Hsien-Jane; Chen, Jen-Yeu; Liou, Ying-Jay; Wang, Ying-Chieh; Chen, Tzu-Ting; Bai, Ya-Mei

    2013-04-01

    Clozapine is the most effective antipsychotic for patients with treatment-refractory schizophrenia, but many adverse effects are noted. Clinicians usually hesitate to switch from clozapine to other antipsychotics because of the risk of a re-emergence or worsening of the psychosis, although empirical studies are very limited. Zotepine, an atypical antipsychotic with a pharmacologic profile similar to clozapine, was found to be an effective treatment for patients with treatment-resistant schizophrenia in Japan. This 12-week study is the first prospective, randomized, and rater-blind study to investigate the efficacy and tolerability of switching from clozapine to zotepine. Fifty-nine patients with schizophrenia, who had taken clozapine for at least 6 months with a Clinical Global Impression-Severity score of at least 3, were randomly allocated to the zotepine and the clozapine groups. At the end of the study, 52 patients (88%) had completed the trial. The 7 withdrawal cases were all in the zotepine group. The final mean (SD) dose of zotepine and clozapine was 397.1 (75.7) versus 377.1 (62.5) mg/d, respectively. Patients in the zotepine group showed a significant increase in the Brief Psychiatric Rating Scale [mean (SD), 4.7 (8.7) vs -1.3 (6.3); P = 0.005], more general adverse effects as revealed by the Udvalg for Kliniske Undersogelser Rating Scale [mean (SD), 1.74 (3.9) vs -0.2 (2.8); P = 0.039], more extrapyramidal adverse effects as demonstrated by the Simpson and Angus Scale [mean (SD), 1.29 (3.5) vs 0.17 (2.1); P = 0.022], an increased use of propranolol (37.1% vs 0%, P < 0.0001) and anticholinergics (25.7% vs 0%, P = 0.008), and an increased level of prolactin (29.6 vs -3.8 ng/ mL, P < 0.0005), compared with the clozapine group. The results suggested that switching from clozapine to zotepine treatment should be done with caution.

  4. Genetics Home Reference: autosomal dominant congenital stationary night blindness

    MedlinePlus

    ... stationary night blindness autosomal dominant congenital stationary night blindness Enable Javascript to view the expand/collapse boxes. ... Close All Description Autosomal dominant congenital stationary night blindness is a disorder of the retina , which is ...

  5. Lexical References to Sensory Modalities in Verbal Descriptions of People and Objects by Congenitally Blind, Late Blind and Sighted Adults

    PubMed Central

    Chauvey, Valérie; Hatwell, Yvette; Verine, Bertrand; Kaminski, Gwenael; Gentaz, Edouard

    2012-01-01

    Background Some previous studies have revealed that while congenitally blind people have a tendency to refer to visual attributes (‘verbalism’), references to auditory and tactile attributes are scarcer. However, this statement may be challenged by current theories claiming that cognition is linked to the perceptions and actions from which it derives. Verbal productions by the blind could therefore differ from those of the sighted because of their specific perceptual experience. The relative weight of each sense in oral descriptions was compared in three groups with different visual experience Congenitally blind (CB), late blind (LB) and blindfolded sighted (BS) adults. Methodology/Principal Findings Participants were asked to give an oral description of their mother and their father, and of four familiar manually-explored objects. The number of visual references obtained when describing people was relatively high, and was the same in the CB and BS groups (“verbalism” in the CB). While references to touch were scarce in all groups, the CB referred to audition more frequently than the LB and the BS groups. There were, by contrast, no differences between groups in descriptions of objects, and references to touch dominated the other modalities. Conclusion/Significance The relative weight of each modality varies according to the cognitive processes involved in each task. Long term memory, internal representations and information acquired through social communication, are at work in the People task, seem to favour visual references in both the blind and the sighted, whereas the congenitally blind also refer often to audition. By contrast, the perceptual encoding and working memory at work in the Objects task enhance sensory references to touch in a similar way in all groups. These results attenuate the impact of verbalism in blindness, and support (albeit moderately) the idea that the perceptual experience of the congenitally blind is to some extent reflected in

  6. Comparing the Effectiveness of Self-Paced and Collaborative Frame-of-Reference Training on Rater Accuracy in a Large-Scale Writing Assessment

    ERIC Educational Resources Information Center

    Raczynski, Kevin R.; Cohen, Allan S.; Engelhard, George, Jr.; Lu, Zhenqiu

    2015-01-01

    There is a large body of research on the effectiveness of rater training methods in the industrial and organizational psychology literature. Less has been reported in the measurement literature on large-scale writing assessments. This study compared the effectiveness of two widely used rater training methods--self-paced and collaborative…

  7. Blindness

    MedlinePlus

    ... de los dientes Video: Getting an X-ray Blindness KidsHealth > For Kids > Blindness Print A A A ... help, are sometimes called "legally blind." What Causes Blindness? Vision problems can develop before a baby is ...

  8. Blindness

    MedlinePlus

    ... Emergency Room? What Happens in the Operating Room? Blindness KidsHealth > For Kids > Blindness A A A What's ... help, are sometimes called "legally blind." What Causes Blindness? Vision problems can develop before a baby is ...

  9. Comparison between blinded and partially blinded detection of gastric cancer with multidetector CT using surgery and endoscopic submucosal dissection as reference standards.

    PubMed

    Kim, H J; Lee, D H; Ko, Y T

    2010-08-01

    The aim of this study is to compare blinded with partially blinded detection of gastric cancer with multidetector (MD) CT by using surgery and endoscopic submucosal dissection (ESD) as reference standards. 44 patients with gastric cancer underwent MDCT with air as an oral contrast agent. Surgery was performed on 37 patients, ESD on six and surgery after ESD on one. To provide comparison cases of blinded evaluation, 38 MDCT examinations were added for cases where no focal gastric lesion was seen on endoscopy. Two radiologists, blinded to the presence, number and location of the tumours, evaluated axial and axial plus multiplanar reformation (MPR) images of 82 MDCT examinations with or without gastric cancer. For partially blinded evaluation, the same radiologists, blinded to the location and number of tumours, evaluated axial and axial plus MPR images of 44 MDCT examinations of gastric cancer. Differences in assessment were resolved by consensus. 45 gastric cancers were found in surgical and ESD specimens. Detection rates of gastric cancer from axial and axial plus MPR images during blinded evaluation and from axial and axial plus MPR images during partially blinded evaluation were 62% (28/45), 64% (29/45), 64% (29/45) and 71% (32/45), respectively. There was no statistical significance for the comparison between blinded and partially blinded detection rates of gastric cancer. The detection rate of gastric cancer with MDCT during blinded evaluation showed no specific difference compared with the detection rate of gastric cancer with MDCT during partially blinded evaluation.

  10. A randomized, rater-blinded, crossover study comparing the clinical efficacy of Ritalin(®) LA (methylphenidate) treatment in children with attention-deficit hyperactivity disorder under different breakfast conditions over 2 weeks.

    PubMed

    Schulz, Eberhard; Fleischhaker, Christian; Hennighausen, Klaus; Heiser, Philip; Haessler, Frank; Linder, Martin; Stollhoff, Kirsten; Warnke, Andreas; Baier, Monika; Klatt, Jan

    2010-11-01

    Several extended-release methylphenidate medications are available for treatment of children with ADHD. Pharmacokinetic investigations suggest that the serum levels of methylphenidate are partially altered when the medication is taken without breakfast. Clinical data comparing different breakfast situations are missing. In this study, different breakfast compositions and their influence on treatment with Ritalin LA are investigated. A total of 150 patients were enrolled in a rater-blinded, randomized crossover trial that compared a minimal breakfast with a standard breakfast in patients under stable treatment with Ritalin LA. Ratings for clinical efficacy were carried out after 1 week by teachers and parents (FBB-ADHS), as well as physicians (CGI). Additionally, a math test was administered to the patients. Of the total patients, 144 finished the trial with a breakfast compliance of 93%. All of the clinical rating scales showed consistently no difference between the two breakfast conditions. Non-inferiority of minimal breakfast versus standard breakfast was shown to be statistically significant (FBB-AHDS(Teacher): 0.97 with minimal breakfast, 1.01 with standard breakfast, P < 0.0001). The clinical efficacy of Ritalin LA is not influenced by breakfast and works independently of food intake.

  11. Longitudinal Rater Modeling with Splines

    ERIC Educational Resources Information Center

    Dobria, Lidia

    2011-01-01

    Performance assessments rely on the expert judgment of raters for the measurement of the quality of responses, and raters unavoidably introduce error in the scoring process. Defined as the tendency of a rater to assign higher or lower ratings, on average, than those assigned by other raters, even after accounting for differences in examinee…

  12. Blind and reference channel-based time interleaved ADC calibration schemes: a comparison

    NASA Astrophysics Data System (ADS)

    Cimmino, Rosario F.; Centurelli, Francesco; Monsurrò, Pietro; Romano, Francesco; Trifiletti, Alessandro

    2016-07-01

    Many digital background calibration techniques exist which correct for offset, gain, timing and bandwidth mismatches in time-interleaved (TI) ADCs. Some require an additional reference channel, whereas others are blind and rely on the presence of a band where no signal is present (usually around the Nyquist frequency) or exploit other properties of the input signal. Blind calibration techniques, which don't use a reference channel, are suitable for correction of commercial TI-ADCs, or TI-ADC systems using commercial ADCs as channels. Techniques employing additional channels require a more complex layout (especially for the clock tree) and need an additional ADC, whose overhead cost is significant, especially for 2- or 4- channel TI-ADCs. However, we show that the estimation process is faster and more accurate when a reference channel is present, and many different error models can be used (exploiting different points in the accuracy / complexity trade-off).

  13. The efficacy of cerebellar vermal deep high frequency (theta range) repetitive transcranial magnetic stimulation (rTMS) in schizophrenia: A randomized rater blind-sham controlled study.

    PubMed

    Garg, Shobit; Sinha, Vinod Kumar; Tikka, Sai Krishna; Mishra, Preeti; Goyal, Nishant

    2016-09-30

    Repetitive transcranial magnetic stimulation (rTMS) is a promising therapeutic for schizophrenia. Treatment effects of rTMS have been variable across different symptom clusters, with negative symptoms showing better response, followed by auditory hallucinations. Cerebellum, especially vermis and its abnormalities (both structural and functional) have been implicated in cognitive, affective and positive symptoms of schizophrenia. rTMS to this alternate site has been suggested as a novel target for treating patients with this disorder. Hypothesizing cerebellar vermal magnetic stimulation as an adjunct to treat schizophrenia psychopathology, we conducted a double blind randomized sham controlled rTMS study. In this study, forty patients were randomly allocated (using block randomization method) to active high frequency (theta patterned) rTMS (n=20) and sham (n=20) groups. They received 10 sessions over 2 weeks. The Positive and Negative Syndrome Scale (PANSS) and Calgary Depression Scale for Schizophrenia (CDSS) scores were assessed at baseline, after last session and at 4 weeks (2 weeks post-rTMS). We found a significantly greater improvement in the group receiving active rTMS sessions, compared to the sham group on negative symptoms, and depressive symptoms. We conclude that cerebellar stimulation can be used as an effective adjunct to treat negative and affective symptoms.

  14. An open-label, rater-blinded, 8-week trial of bupropion hydrochloride extended-release in patients with major depressive disorder with atypical features.

    PubMed

    Seo, H-J; Lee, B C; Seok, J-H; Jeon, H J; Paik, J-W; Kim, W; Kwak, K-P; Han, C; Lee, K-U; Pae, C-U

    2013-09-01

    The present study aimed at investigating the effectiveness and tolerability of -bupropion hydrochloride extended release (XL) in major depressive disorder (MDD) patients with atypical features (AF).51 patients were prescribed bupropion XL for 8 weeks (6 visits: screening, baseline, weeks 1, 2, 4 and 8). The primary efficacy measure was a change of the Structured Interview Guide for the Hamilton Depression Rating Scale-Seasonal Affective Disorder Version (SIGH-SAD) from baseline to endpoint. Secondary efficacy measures included the SIGH-SAD atypical symptoms subscale, Clinical Global Impression-Severity (CGI-S), Sheehan Disability Scale (SDS) and Epworth Sleepiness Questionnaire (ESQ). Response or remission was defined as ≥50% reduction or ≤7 in SIGH-SAD total scores, respectively, at end of treatment.The HAM-D-29 total score reduced by 55.3% from baseline (27.3±6.5) to end of treatment (12.2±6.3) (p<0.001). Atypical symptom subscale scores also reduced by 54.5% from baseline (9.2±3.0) to end of treatment (4.2±2.8) (p<0.001). At the end of treatment, 24.4% (n=10) and 51.2% (n=21) subjects were classified as remitters and responders, respectively. The most frequently reported AEs were headache (13.7%), dry mouth (11.8%), dizziness (9.8%), and dyspepsia (9.8%).Our preliminary study indicates that bupropion XL may be beneficial in the treatment of MDD with atypical features. Adequately powered, randomized, double-blind, placebo-controlled trials are necessary to determine our results.

  15. Building a Library Collection on Blindness and Physical Disabilities: Basic Materials and Resources. Reference Circular No. 90-3.

    ERIC Educational Resources Information Center

    Library of Congress, Washington, DC. National Library Service for the Blind and Physically Handicapped.

    The materials listed in this reference circular are recommended to libraries and organizations as basic resources for providing a current information service on visual impairments and physical disabilities. The selections, which are based on the holdings of the Reference Section of the National Library Service (NLS) for the Blind and Physically…

  16. The Effects of Rater Training on Inter-Rater Agreement

    ERIC Educational Resources Information Center

    Pufpaff, Lisa A.; Clarke, Laura; Jones, Ruth E.

    2015-01-01

    This paper addresses the effects of rater training on the rubric-based scoring of three preservice teacher candidate performance assessments. This project sought to evaluate the consistency of ratings assigned to student learning outcome measures being used for program accreditation and to explore the need for rater training in order to increase…

  17. Validation of Reference Genes for Oral Cancer Detection Panels in a Prospective Blinded Cohort

    PubMed Central

    Martin, Jack L.

    2016-01-01

    Background Reference genes are needed as internal controls to determine relative expression for clinical application of gene expression panels. Candidate constitutively expressed genes must be validated as suitable reference genes in each body fluid and disease entity. Prior studies have predominantly validated oral squamous cell carcinoma associated messenger RNAs (mRNAs) based on quantitative polymerase chain reaction (qPCR) quantification cycle (Cq) values without adjustment for housekeeping genes. Methods One hundred sixty eight patients had saliva collected before clinically driven biopsy of oral lesions suspicious for cancer. Seven potential housekeeping mRNAs and six pre-specified oral cancer associated mRNAs were measured with qPCR by personnel blinded to tissue diagnosis. Housekeeping gene stability was determined with the NormFinder program in a training set of 12 randomly selected cancer and 24 control patients. Genes with stability indices <0.02 were then tested in the validation set consisting of the remaining cancer and control patients and were further validated by the geNorm program. Cancer gene delta Cqs were compared in case and control patients after subtracting the geometric mean of the reference gene raw Cqs. Results B2M and UBC had stability indices >0.02 in the training set and were not further tested. MT-ATP6, RPL30, RPL37A, RPLP0 and RPS17 all had stability indices <0.02 in the training set and in the verification set. The geNorm M values were all ≤1.10. All six pre-specified cancer genes (IL8, IL1, SAT, OAZ1, DUSP1 and S100P) were up-regulated in cancer versus control patients with from nearly twofold to over threefold higher levels (p<0.01 for all based on delta Cq values). Conclusions Five reference genes are validated for use in oral cancer salivary gene expression panels. Six pre-specified oral carcinoma associated genes are demonstrated to be highly significantly up-regulated in cancer patients based on delta Cq values. These cancer

  18. Intra- and Inter-Rater Reliability of the Modified Tuck Jump Assessment

    PubMed Central

    Fort-Vanmeerhaeghe, Azahara; Montalvo, Alicia M.; Lloyd, Rhodri S.; Read, Paul; Myer, Gregory D.

    2017-01-01

    The Tuck Jump Assessment (TJA) is a clinician-friendly screening tool that was designed to support practitioners with identification of neuromuscular deficits associated with anterior cruciate ligament injury. This study aimed to evaluate the inter- and intra-rater reliability of the modified scoring (0 to 2) TJA to add an additional range of objectivity for each criterion. A total of 24 elite youth volleyball athletes (12 males and 12 females) were included in this study. Each participant’s recorded performance of the TJA was scored independently by two raters across ten criteria using the modified scale. The two raters then scored the same videos one week later. Another investigator who was blind to the identity of the raters analyzed the scores from both raters for each participant. Kappa coefficient (k) and percentage of exact agreement (PEA) for both intra- and inter-rater reliability were analyzed for each item. Intraclass correlation coefficients (ICC) were calculated to determine intra- and inter-rater reliability of the modified TJA total score. Intra- and inter-rater k was good to excellent for most items (0.65-0.91). Average PEA between the two raters and two sessions ranged from 83.3 to 100% in all scored items. The ICC for the total score was excellent in both inter- and inter-rater correlations (0.94-0.96). This research demonstrated that the modified version of the TJA predominantly shows good to excellent intra- and inter-rater reliability in all analyzed criteria. Key points The modified TJA shows good to excellent intra- and inter-rater reliability. This test is useful for assessing repeated jump-landing technique. This test provides a user-friendly option for assessing high-risk movement patterns. PMID:28344460

  19. ICT in Portuguese Reference Schools for the Education of Blind and Partially Sighted Students

    ERIC Educational Resources Information Center

    Ramos, Sara Isabel Moca; de Andrade, António Manuel Valente

    2016-01-01

    Technology has become an essential component in our society and considering its impact in the educational system, Information and Communication Technologies (ICT) cannot be dissociated from the educational process and, in particular, from pedagogical practices adopted for students who are blind or partially sighted. This study focuses on…

  20. Rater Effects on Essay Scoring: A Multilevel Analysis of Severity Drift, Central Tendency, and Rater Experience

    ERIC Educational Resources Information Center

    Leckie, George; Baird, Jo-Anne

    2011-01-01

    This study examined rater effects on essay scoring in an operational monitoring system from England's 2008 national curriculum English writing test for 14-year-olds. We fitted two multilevel models and analyzed: (1) drift in rater severity effects over time; (2) rater central tendency effects; and (3) differences in rater severity and central…

  1. How Do Raters Judge Spoken Vocabulary?

    ERIC Educational Resources Information Center

    Li, Hui

    2016-01-01

    The aim of the study was to investigate how raters come to their decisions when judging spoken vocabulary. Segmental rating was introduced to quantify raters' decision-making process. It is hoped that this simulated study brings fresh insight to future methodological considerations with spoken data. Twenty trainee raters assessed five Chinese…

  2. Retrieval of diffusing surface by two-frame interferometric method with blind phase shift of a reference wave

    NASA Astrophysics Data System (ADS)

    Muravsky, Leonid I.; Kmet', Arkady B.; Voronyak, Taras I.

    2011-08-01

    Two-frame interferometric method with blind phase shift of a reference wave for smooth surfaces retrieval is considered. The ability of this method to reconstruct a macrorelief of diffusing surfaces with a given roughness is studied. Computer simulations have testified the ability of reliable low-noise reconstruction of the diffusing surface macrorelief with standard deviation of the roughness heights up to λ/10 by using the developed interferogram processing algorithm. The simulations have shown that the proposed correlation approach, which is used to determine the reference wave blind phase shift, is more suitable for a diffusing surface than for a smooth one and the increase of surface roughness leads to a quadruple decrease of this error in comparison with that for the smooth surface. Experimental verification of the interferometric method performance to retrieve real diffusing surface macroreliefs with given roughness has been done by using the experimental setup based on a Twyman-Green interferometer and roughness comparison specimen. The obtained experimental results virtually have coincided with the computer simulation results that prove the performance of the considered method to retrieve not only smooth, but also diffusing surfaces.

  3. Microhomogeneity in reference materials for microanalytical methods - a possible recourse from a blind alley?

    NASA Astrophysics Data System (ADS)

    Renno, A. D.; Michalak, P. P.; Munnik, F.; Tolosana-Delgado, R.; van den Boogaart, G. K.

    2013-12-01

    It is assumed that reference materials for microanalytical methods must be homogeneous, i.e. have the same concentration of the relevant element(s) overall, to ensure that they can be used reliably to get comparison values during the analysis with non absolute methods. With increasing resolution it becomes more and more difficult to ensure such homogeneity, up to the point that it is not possible for several microanalytical methods. Painstaking search for homogeneous natural minerals in gem quality or elaborate expensive methods to produce synthetic minerals provide as obvious solutions to the problem. We propose a way to get reliable reference values with some types of inhomogeneous material, based on multiple probing the reference material. Consider a reference material, which average concentration on the relevant element and its microscale variability has been adequately characterized by a destructive method at a series of grid spots. The minimal number of probing spots required for a certain precision level can be derived from the variance calculations. This procedure is always valid, whenever the heterogeneity value distribution of the reference material has a variance, but at the price that the number of spots will be huge if it is large. However, using adequate models of local heterogeneity can greatly reduce that number. Geostatistics can be used in random, systematic and periodic heterogeneities, while robust methods are useful in cases of nugget heterogeneities. Typical examples of natural and synthetic minerals, analysed by electron microprobe and micro-PIXE (particle induced X-ray emission) for microhomogeneity/microheterogeneity are shown. The distinctions between the two strategies of using these materials as a potential reference material are demonstrated.

  4. Weight-Based Classification of Raters and Rater Cognition in an EFL Speaking Test

    ERIC Educational Resources Information Center

    Cai, Hongwen

    2015-01-01

    This study is an attempt to classify raters according to their weighting patterns and explore systematic differences between rater types in the rating process. In the context of an EFL speaking test, 126 raters were classified into three types--form-oriented, balanced, and content-oriented--through cluster analyses of their weighting patterns…

  5. Variance Estimation of Nominal-Scale Inter-Rater Reliability with Random Selection of Raters

    ERIC Educational Resources Information Center

    Gwet, Kilem Li

    2008-01-01

    Most inter-rater reliability studies using nominal scales suggest the existence of two populations of inference: the population of subjects (collection of objects or persons to be rated) and that of raters. Consequently, the sampling variance of the inter-rater reliability coefficient can be seen as a result of the combined effect of the sampling…

  6. Effects of Marking Method and Rater Experience on ESL Essay Scores and Rater Performance

    ERIC Educational Resources Information Center

    Barkaoui, Khaled

    2011-01-01

    This study examined the effects of marking method and rater experience on ESL (English as a Second Language) essay test scores and rater performance. Each of 31 novice and 29 experienced raters rated a sample of ESL essays both holistically and analytically. Essay scores were analysed using a multi-faceted Rasch model to compare test-takers'…

  7. Rater Types in Writing Performance Assessments: A Classification Approach to Rater Variability

    ERIC Educational Resources Information Center

    Eckes, Thomas

    2008-01-01

    Research on rater effects in language performance assessments has provided ample evidence for a considerable degree of variability among raters. Building on this research, I advance the hypothesis that experienced raters fall into types or classes that are clearly distinguishable from one another with respect to the importance they attach to…

  8. Efficacy and safety of generic escitalopram (Lexacure®) in patients with major depressive disorder: a 6-week multicenter, randomized, rater-blinded, escitalopram-comparative, non-inferiority study

    PubMed Central

    Jeong, Jong-Hyun; Bahk, Won-Myong; Woo, Young Sup; Lee, Kyung-Uk; Kim, Do Hoon; Kim, Moon-Doo; Kim, Won; Yang, Jong-Chul; Lee, Kwang Heun

    2015-01-01

    Objectives The primary aim of this non-inferiority study was to investigate the clinical effectiveness and safety of generic escitalopram (Lexacure®) versus branded escitalopram (Lexapro®) for patients with major depressive disorder (MDD). Methods The present study included 158 patients, who were randomized (1:1) to receive a flexible dose of generic escitalopram (n=78) or branded escitalopram (n=80) over a 6-week single-blind treatment period. The clinical benefits in the two groups were evaluated using the Montgomery–Åsberg Depression Rating Scale (MADRS), the 17-item Hamilton Depression Rating Scale (HDRS), the Clinical Global Impressions-Severity scale (CGI-S), and the Clinical Global Impressions-Improvement scale (CGI-I) at baseline, week 1, week 2, week 4, and week 6. The frequency of adverse events (AEs) was also assessed to determine safety at each follow-up visit. Results During the 6-week study period, 30 patients (38.5%) from the generic escitalopram group and 28 patients (30.0%) from the branded escitalopram group dropped out of the study (P=0.727). The MADRS, HDRS, CGI-S, and CGI-I scores significantly decreased in both groups, and there were no significant differences between the groups. At week 6, 28 patients (57.1%) in the generic escitalopram group and 35 patients (67.3%) in the branded escitalopram group had responded to treatment (as indicated by a ≥50% decrease from the baseline MADRS score; P=0.126), and the remission rates (MADRS score: ≤10) were 42.9% (n=21) in generic escitalopram group and 53.8% (n=28) in the branded escitalopram group (P=0.135). The most frequently reported AEs were nausea (17.9%), sleepiness/somnolence (7.7%), weight gain (3.8%), and dry mouth (2.6%) in the generic escitalopram group and nausea (20.0%), sleepiness/somnolence (3.8%), weight gain (2.5%), and dry mouth (2.5%) in the branded escitalopram group. Conclusion The present non-inferiority study demonstrated that generic escitalopram is a safe and an

  9. [Cortical blindness].

    PubMed

    Chokron, S

    2014-02-01

    Cortical blindness refers to a visual loss induced by a bilateral occipital lesion. The very strong cooperation between psychophysics, cognitive psychology, neurophysiology and neuropsychology these latter twenty years as well as recent progress in cerebral imagery have led to a better understanding of neurovisual deficits, such as cortical blindness. It thus becomes possible now to propose an earlier diagnosis of cortical blindness as well as new perspectives for rehabilitation in children as well as in adults. On the other hand, studying complex neurovisual deficits, such as cortical blindness is a way to infer normal functioning of the visual system.

  10. Agreement between Two Independent Groups of Raters

    ERIC Educational Resources Information Center

    Vanbelle, Sophie; Albert, Adelin

    2009-01-01

    We propose a coefficient of agreement to assess the degree of concordance between two independent groups of raters classifying items on a nominal scale. This coefficient, defined on a population-based model, extends the classical Cohen's kappa coefficient for quantifying agreement between two raters. Weighted and intraclass versions of the…

  11. Accuracy of Surgery Clerkship Performance Raters.

    ERIC Educational Resources Information Center

    Littlefield, John H.; And Others

    1991-01-01

    Interrater reliability in numerical ratings of clerkship performance (n=1,482 students) in five surgery programs was studied. Raters were classified as accurate or moderately or significantly stringent or lenient. Results indicate that increasing the proportion of accurate raters would substantially improve the precision of class rankings. (MSE)

  12. Effects of Assigning Raters to Items

    ERIC Educational Resources Information Center

    Sykes, Robert C.; Ito, Kyoko; Wang, Zhen

    2008-01-01

    Student responses to a large number of constructed response items in three Math and three Reading tests were scored on two occasions using three ways of assigning raters: single reader scoring, a different reader for each response (item-specific), and three readers each scoring a rater item block (RIB) containing approximately one-third of a…

  13. Rater Variables Associated with ITER Ratings

    ERIC Educational Resources Information Center

    Paget, Michael; Wu, Caren; McIlwrick, Joann; Woloschuk, Wayne; Wright, Bruce; McLaughlin, Kevin

    2013-01-01

    Advocates of holistic assessment consider the ITER a more authentic way to assess performance. But this assessment format is subjective and, therefore, susceptible to rater bias. Here our objective was to study the association between rater variables and ITER ratings. In this observational study our participants were clerks at the University of…

  14. Introducing a new definition of a near fall: intra-rater and inter-rater reliability.

    PubMed

    Maidan, I; Freedman, T; Tzemah, R; Giladi, N; Mirelman, A; Hausdorff, J M

    2014-01-01

    Near falls (NFs) are more frequent than falls, and may occur before falls, potentially predicting fall risk. As such, identification of a NF is important. We aimed to assess intra and inter-rater reliability of the traditional definition of a NF and to demonstrate the potential utility of a new definition. To this end, 10 older adults, 10 idiopathic elderly fallers, and 10 patients with Parkinson's disease (PD) walked in an obstacle course while wearing a safety harness. All walks were videotaped. Forty-nine video segments were extracted to create 2 clips each of 8.48 min. Four raters scored each event using the traditional definition and, two weeks later, using the new definition. A fifth rater used only the new definition. Intra-rater reliability was determined using Kappa (K) statistics and inter-rater reliability was determined using ICC. Using the traditional definition, three raters had poor intra-rater reliability (K<0.054, p>0.137) and one rater had moderate intra-rater reliability (K=0.624, p<0.001). With the traditional definition, inter-rater reliability between the four raters was moderate (ICC=0.667, p<0.001). In contrast, the new NF definition showed high intra-rater (K>0.601, p<0.001) and excellent inter-rater reliability (ICC=0.815, p<0.001). A priori, it is easy to distinguish falls from usual walking and NFs, but it is more challenging to distinguish NFs from obstacle negotiation and usual walking. Therefore, a more precise definition of NF is required. The results of the present study suggest that the proposed new definition increases intra and inter-rater reliability, a critical step for using NFs to quantify fall risk.

  15. Proxies and Other External Raters: Methodological Considerations

    PubMed Central

    Snow, A Lynn; Cook, Karon F; Lin, Pay-Shin; Morgan, Robert O; Magaziner, Jay

    2005-01-01

    Objective The purpose of this paper is to introduce researchers to the measurement and subsequent analysis considerations involved when using externally rated data. We will define and describe two categories of externally rated data, recommend methodological approaches for analyzing and interpreting data in these two categories, and explore factors affecting agreement between self-rated and externally rated reports. We conclude with a discussion of needs for future research. Data Sources/Study Setting Data sources for this paper are previous published studies and reviews comparing self-rated with externally rated data. Study Design/Data Collection/Extraction Methods This is a psychometric conceptual paper. Principal Findings We define two types of externally rated data: proxy data and other-rated data. Proxy data refer to those collected from someone who speaks for a patient who cannot, will not, or is unavailable to speak for him or herself, whereas we use the term other-rater data to refer to situations in which the researcher collects ratings from a person other than the patient to gain multiple perspectives on the assessed construct. These two types of data differ in the way the measurement model is defined, the definition of the gold standard against which the measurements are validated, the analysis strategies appropriately used, and how the analyses are interpreted. There are many factors affecting the discrepancies between self- and external ratings, including characteristics of the patient, the proxy, and of the rated construct. Several psychological theories can be helpful in predicting such discrepancies. Conclusions Externally rated data have an important place in health services research, but use of such data requires careful consideration of the nature of the data and how it will be analyzed and interpreted. PMID:16179002

  16. Comparison of Models and Indices for Detecting Rater Centrality.

    PubMed

    Wolfe, Edward W; Song, Tian

    2015-01-01

    To date, much of the research concerning rater effects has focused on rater severity/leniency. Consequently, other potentially important rater effects have largely ignored by those conducting operational scoring projects. This simulation study compares four rater centrality indices (rater fit, residual-expected correlations, rater slope, and rater threshold variance) in terms of their Type I and Type II error rates under varying levels of centrality magnitude, centrality pervasiveness, and rating scale construction when each of four latent trait models is fitted to the simulated data (Rasch rating scale and partial credit models and the generalized rating scale and partial credit models). Results indicate that the residual-expected correlation may be most appropriately sensitive to rater centrality under most conditions.

  17. Direct Behavior Rating: Considerations for Rater Accuracy

    ERIC Educational Resources Information Center

    Harrison, Sayward E.; Riley-Tillman, T. Chris; Chafouleas, Sandra M.

    2014-01-01

    Direct behavior rating (DBR) offers users a flexible, feasible method for the collection of behavioral data. Previous research has supported the validity of using DBR to rate three target behaviors: academic engagement, disruptive behavior, and compliance. However, the effect of the base rate of behavior on rater accuracy has not been established.…

  18. Automated Essay Scoring With e-rater[R] V.2

    ERIC Educational Resources Information Center

    Attali, Yigal; Burstein, Jill

    2006-01-01

    E-rater[R] has been used by the Educational Testing Service for automated essay scoring since 1999. This paper describes a new version of e-rater (V.2) that is different from other automated essay scoring systems in several important respects. The main innovations of e-rater V.2 are a small, intuitive, and meaningful set of features used for…

  19. Blindness - resources

    MedlinePlus

    Resources - blindness ... The following organizations are good resources for information on blindness : American Foundation for the Blind -- www.afb.org Foundation Fighting Blindness -- www.blindness.org National Eye Institute -- ...

  20. The Effects of Rater Severity and Rater Distribution on Examinees' Ability Estimation for Constructed-Response Items. Research Report. ETS RR-13-23

    ERIC Educational Resources Information Center

    Wang, Zhen; Yao, Lihua

    2013-01-01

    The current study used simulated data to investigate the properties of a newly proposed method (Yao's rater model) for modeling rater severity and its distribution under different conditions. Our study examined the effects of rater severity, distributions of rater severity, the difference between item response theory (IRT) models with rater effect…

  1. Retrieving the relief of a low-roughness surface using a two-step interferometric method with blind phase shift of a reference wave

    NASA Astrophysics Data System (ADS)

    Muravsky, Leonid I.; Kmet', Arkady B.; Voronyak, Taras I.

    2012-11-01

    A two-step interferometric method with blind phase shift of a reference wave for surface relief retrieval is considered. The possibility of using this method to reconstruct a macrorelief and microrelief of low-roughness surfaces is studied. Computer simulations have testified to the possibility of obtaining a reliable low-noise reconstruction of a low-roughness surface macrorelief and microrelief with standard deviation of the roughness heights up to λ/10 by using the developed interferogram-processing algorithm. The simulations have shown that the correlation approach, which is used to determine the reference wave blind phase shift, is more suitable for a rough surface than for a smooth one and the increase of surface roughness leads to a sharp decrease of error in comparison with that for a smooth surface. The experiment-based verification of the performance of the proposed interferometric method has been done using an experiment setup based on a Twyman-Green interferometer. Peculiarities of choosing the sampling interval for a rough surface recording are discussed. The experimental results that were obtained virtually coincided with the computer simulation results, proving the feasibility of retrieving both smooth and low-roughness surfaces by the considered method.

  2. Inter-Rater Reliability and Intra-Rater Reliability of Assessing the 2-Minute Push-Up Test.

    PubMed

    Fielitz, Lynn; Coelho, Jeffrey; Horne, Thomas; Brechue, William

    2016-02-01

    The purpose of this study was to assess inter-rater reliability and intra-rater reliability of the 2-minute, 90° push-up test as utilized in the Army Physical Fitness Test. Analysis of rater assessment reliability included both total score agreement and agreement across individual push-up repetitions. This study utilized 8 Raters who assessed 15 different videotaped push-up performances over 4 iterations separated by a minimum of 1 week. The 15 push-up participants were videotaped during the semiannual Army Physical Fitness Test. Each Rater randomly viewed the 15 push-up and verbally responded with a "yes" or "no" to each push-up repetition. The data generated were analyzed using the Pearson product-moment correlation as well as the kappa, modified kappa and the intra-class correlation coefficient (3,1). An attribute agreement analysis was conducted to determine the percent of inter-rater and intra-rater agreement across individual push-ups.The results indicated that Raters varied a great deal in assessing push-ups. Over the 4 trials of 15 participants, the overall scores of the Raters varied between 3.0 and 35.7 push-ups. Post hoc comparisons found that there was significant increase in the grand mean of push-ups from trials 1-3 to trial 4 (p < 0.05). Also, there was a significant difference among raters over the 4 trials (p < 0.05). Pearson correlation coefficients for inter-rater and intra-rater reliability identified inter-rater reliability coefficients were between 0.10 and 0.97. Intra-rater coefficients were between 0.48 and 0.99. Intra-rater agreement for individual push-up repetitions ranged from 41.8% to 84.8%. The results indicated that the raters failed to assess the same push-up repetition with the same score (below 70% agreement) as well as failed to agree when viewed between raters (29%). Interestingly, as previously mentioned, scores on trial 4 increased significantly which might have been caused by rater drift or that the Raters did not maintain

  3. Body shape preferences: associations with rater body shape and sociosexuality.

    PubMed

    Price, Michael E; Pound, Nicholas; Dunn, James; Hopkins, Sian; Kang, Jinsheng

    2013-01-01

    There is accumulating evidence of condition-dependent mate choice in many species, that is, individual preferences varying in strength according to the condition of the chooser. In humans, for example, people with more attractive faces/bodies, and who are higher in sociosexuality, exhibit stronger preferences for attractive traits in opposite-sex faces/bodies. However, previous studies have tended to use only relatively simple, isolated measures of rater attractiveness. Here we use 3D body scanning technology to examine associations between strength of rater preferences for attractive traits in opposite-sex bodies, and raters' body shape, self-perceived attractiveness, and sociosexuality. For 118 raters and 80 stimuli models, we used a 3D scanner to extract body measurements associated with attractiveness (male waist-chest ratio [WCR], female waist-hip ratio [WHR], and volume-height index [VHI] in both sexes) and also measured rater self-perceived attractiveness and sociosexuality. As expected, WHR and VHI were important predictors of female body attractiveness, while WCR and VHI were important predictors of male body attractiveness. Results indicated that male rater sociosexuality scores were positively associated with strength of preference for attractive (low) VHI and attractive (low) WHR in female bodies. Moreover, male rater self-perceived attractiveness was positively associated with strength of preference for low VHI in female bodies. The only evidence of condition-dependent preferences in females was a positive association between attractive VHI in female raters and preferences for attractive (low) WCR in male bodies. No other significant associations were observed in either sex between aspects of rater body shape and strength of preferences for attractive opposite-sex body traits. These results suggest that among male raters, rater self-perceived attractiveness and sociosexuality are important predictors of preference strength for attractive opposite

  4. Inter-rater reliability of select physical examination procedures in patients with neck pain.

    PubMed

    Hanney, William J; George, Steven Z; Kolber, Morey J; Young, Ian; Salamh, Paul A; Cleland, Joshua A

    2014-07-01

    This study evaluated the inter-rater reliability of select examination procedures in patients with neck pain (NP) conducted over a 24- to 48-h period. Twenty-two patients with mechanical NP participated in a standardized examination. One examiner performed standardized examination procedures and a second blinded examiner repeated the procedures 24-48 h later with no treatment administered between examinations. Inter-rater reliability was calculated with the Cohen Kappa and weighted Kappa for ordinal data while continuous level data were calculated using an intraclass correlation coefficient model 2,1 (ICC2,1). Coefficients for categorical variables ranged from poor to moderate agreement (-0.22 to 0.70 Kappa) and coefficients for continuous data ranged from slight to moderate (ICC2,1 0.28-0.74). The standard error of measurement for cervical range of motion ranged from 5.3° to 9.9° while the minimal detectable change ranged from 12.5° to 23.1°. This study is the first to report inter-rater reliability values for select components of the cervical examination in those patients with NP performed 24-48 h after the initial examination. There was considerably less reliability when compared to previous studies, thus clinicians should consider how the passage of time may influence variability in examination findings over a 24- to 48-h period.

  5. How Good Are Our Raters? Rater Errors in Clinical Skills Assessment

    ERIC Educational Resources Information Center

    Iramaneerat, Cherdsak; Yudkowsky, Rachel

    2006-01-01

    A multi-faceted Rasch measurement (MFRM) model was used to analyze a clinical skills assessment of 173 fourth-year medical students in a Midwestern medical school to investigate four types of rater errors: leniency, inconsistency, halo, and restriction of range. Each student performed six clinical tasks with six standardized patients (SPs), who…

  6. Rater Accuracy and Training Group Effects in Expert- and Supervisor-Based Monitoring Systems

    ERIC Educational Resources Information Center

    Baird, Jo-Anne; Meadows, Michelle; Leckie, George; Caro, Daniel

    2017-01-01

    This study evaluated rater accuracy with rater-monitoring data from high stakes examinations in England. Rater accuracy was estimated with cross-classified multilevel modelling. The data included face-to-face training and monitoring of 567 raters in 110 teams, across 22 examinations, giving a total of 5500 data points. Two rater-monitoring systems…

  7. Measuring the Impact of Rater Negotiation in Writing Performance Assessment

    ERIC Educational Resources Information Center

    Trace, Jonathan; Janssen, Gerriet; Meier, Valerie

    2017-01-01

    Previous research in second language writing has shown that when scoring performance assessments even trained raters can exhibit significant differences in severity. When raters disagree, using discussion to try to reach a consensus is one popular form of score resolution, particularly in contexts with limited resources, as it does not require…

  8. Twins and the Study of Rater (Dis)agreement

    ERIC Educational Resources Information Center

    Bartels, Meike; Boomsma, Dorret I.; Hudziak, James J.; van Beijsterveldt, Toos C. E. M.; van den Oord, Edwin J. C. G.

    2007-01-01

    Genetically informative data can be used to address fundamental questions concerning the measurement of behavior in children. The authors illustrate this with longitudinal multiple-rater data on internalizing problems in twins. Valid information on the behavior of a child is obtained for behavior that multiple raters agree upon and for…

  9. Individual Feedback to Enhance Rater Training: Does It Work?

    ERIC Educational Resources Information Center

    Elder, Cathie; Knoch, Ute; Barkhuizen, Gary; von Randow, Janet

    2005-01-01

    Research on the utility of feedback to raters in the form of performance reports has produced mixed findings (Lunt, Morton, & Wigglesworth, 1994; Wigglesworth, 1993) and has thus far been trialled only in oral assessment contexts. This article reports on a study investigating raters' attitudes and responsiveness to feedback on their ratings of…

  10. Training Raters to Assess Adult ADHD: Reliability of Ratings

    ERIC Educational Resources Information Center

    Adler, Lenard A.; Spencer, Thomas; Faraone, Stephen V.; Reimherr, Fred W.; Kelsey, Douglas; Michelson, David; Biederman, Joseph

    2005-01-01

    The standardization of ADHD ratings in adults is important given their differing symptom presentation. The authors investigated the agreement and reliability of rater standardization in a large-scale trial of atomoxetine in adults with ADHD. Training of 91 raters for the investigator-administered ADHD Rating Scale (ADHDRS-IV-Inv) occurred prior to…

  11. Rater Strategies for Reaching Agreement on Pupil Text Quality

    ERIC Educational Resources Information Center

    Jølle, Lennart

    2015-01-01

    Novice members of a Norwegian national rater panel tasked with assessing Year 8 pupils' written texts were studied during three successive preparation sessions (2011-2012). The purpose was to investigate how the raters successfully make use of different decision-making strategies in an assessment situation where pre-set criteria and standards give…

  12. A Comparison of Assessment Methods and Raters in Product Creativity

    ERIC Educational Resources Information Center

    Lu, Chia-Chen; Luh, Ding-Bang

    2012-01-01

    Although previous studies have attempted to use different experiences of raters to rate product creativity by adopting the Consensus Assessment Method (CAT) approach, the validity of replacing CAT with another measurement tool has not been adequately tested. This study aimed to compare raters with different levels of experience (expert ves.…

  13. Intra-rater and Inter-rater Reliability of Mandibular Range of Motion Measures Considering a Neutral Craniocervical Position

    PubMed Central

    Beltran-Alacreu, Hector; López-de-Uralde-Villanueva, Ibai; Paris-Alemany, Alba; Angulo-Díaz-Parreño, Santiago; La Touche, Roy

    2014-01-01

    [Purpose] The aim of this study was to determine the inter-rater and intra-rater reliability of the mandibular range of motion (ROM) considering the neutral craniocervical position when performing the measurements. [Subjects and Methods] The sample consisted of 50 asymptomatic subjects. Two raters measured four mandibular ROMs (maximal mouth opening (MMO), laterals, and protrusion) using the craniomandibular scale. Subjects alternated between raters, receiving two complete trials per day, two days apart. Intra- and inter-rater reliability was determined using intra-class correlation coefficients (ICCs). Bland-Altman analysis was used to assess reliability, bias, and variability. Finally, the standard error of measurement (SEM) and minimal detectable change (MDC) were analyzed to measure responsiveness. [Results] Reliability was good for MMO (inter-rater, ICC= 0.95−0.96; intra-rater, ICC= 0.95−0.96) and for protrusion (inter-rater, ICC= 0.92−0.94; intra-rater, ICC= 0.93−0.96). Reliability was moderate for lateral excursions. The MMO and protrusion SEM ranged from 0.74 to 0.82 mm and from 0.29 to 0.49 mm, while the MDCs ranged from 1.73 to 1.91 mm and from 0.69 to 0.14 mm respectively. The analysis showed no random or systematic error, suggesting that effect learning did not affect reliability. [Conclusion] A standardized protocol for assessment of mandibular ROM in a neutral craniocervical position obtained good inter- and intra-rater reliability for MMO and protrusion and moderate inter- and intra-rater reliability for lateral excursions. PMID:25013296

  14. Inter-rater Reliability Assessment of ASPECT-R

    PubMed Central

    Bossie, Cynthia A.; Williamson, David; Mao, Lian; Kurut, Clennon

    2016-01-01

    Objective: The increasing importance of real-world data for clinical and policy decision making is driving a need for close attention to the pragmatic versus explanatory features of trial designs. ASPECT-R (A Study Pragmatic-Explanatory Characterization Tool-Rating) is an instrument informed by the PRECIS tool, which was developed to assist researchers in designing trials that are more pragmatic or explanatory. ASPECT-R refined the PRECIS domains and includes a detailed anchored rating system. This analysis established the inter-rater reliability of ASPECT-R. Design: Nine raters (identified from a convenience sample of persons knowledgeable about psychiatry clinical research/study design) received ASPECT-R training materials and 12 study publications. Selected studies assessed antipsychotic treatment in schizophrenia, were published in peer-reviewed journals, and represented a range of studies across a pragmatic-explanatory continuum as determined by authors (CB/LA). After completing training, raters reviewed the 12 studies and rated the study domains using ASPECT-R. Intraclass correlation coefficients were estimated for total and domain scores. Qualitative ratings then were assigned to describe the inter-rater reliability. Results: ASPECT-R scores for the 12 studies were completed by seven raters. The ASPECT-R total score intraclass correlation coefficient was 0.87, corresponding to an excellent inter-rater reliability. Domain intraclass correlation coefficients ranged from 0.85 to 0.31, corresponding to excellent to poor inter-rater reliability. Conclusion: The inter-rater reliability of the ASPECT-R total score was excellent, with excellent to good inter-rater reliability for most domains. The fair to poor inter-rater reliability for two domains may reflect a need for improved domain definition, anchoring, or training materials. ASPECT-R can be used to help understand the pragmaticexplanatory nature of completed or planned trials. PMID:27354926

  15. Statistical fusion of surface labels provided by multiple raters

    NASA Astrophysics Data System (ADS)

    Bogovic, John A.; Landman, Bennett A.; Bazin, Pierre-Louis; Prince, Jerry L.

    2010-03-01

    Studies of the size and morphology of anatomical structures rely on accurate and reproducible delineation of the structures, obtained either by human raters or automatic segmentation algorithms. Measures of reproducibility and variability are vital aspects of such studies and are usually estimated using repeated scans or repeated delineations (in the case of human raters). Methods exist for simultaneously estimating the true structure and rater performance parameters from multiple segmentations and have been demonstrated on volumetric images. In this work, we extend the applicability of previous methods onto two-dimensional surfaces parameterized as triangle meshes. Label homogeneity is enforced using a Markov random field formulated with an energy that addresses the challenges introduced by the surface parameterization. The method was tested using both simulated raters and cortical gyral labels. Simulated raters are computed using a global error model as well as a novel and more realistic boundary error model. We study the impact of raters and their accuracy based on both models, and show how effectively this method estimates the true segmentation on simulated surfaces. The Markov random field formulation was shown to effectively enforce homogeneity for raters suffering from label noise. We demonstrated that our method provides substantial improvements in accuracy over single-atlas methods for all experimental conditions.

  16. Does a Rater's Professional Background Influence Communication Skills Assessment?

    PubMed

    Artemiou, Elpida; Hecker, Kent G; Adams, Cindy L; Coe, Jason B

    2015-01-01

    There is increasing pressure in veterinary education to teach and assess communication skills, with the Objective Structured Clinical Examination (OSCE) being the most common assessment method. Previous research reveals that raters are a large source of variance in OSCEs. This study focused on examining the effect of raters' professional background as a source of variance when assessing students' communication skills. Twenty-three raters were categorized according to their professional background: clinical sciences (n=11), basic sciences (n=4), clinical communication (n=5), or hospital administrator/clinical skills technicians (n=3). Raters from each professional background were assigned to the same station and assessed the same students during two four-station OSCEs. Students were in year 2 of their pre-clinical program. Repeated-measures ANOVA results showed that OSCE scores awarded by the rater groups differed significantly: (F(matched_station_1) [2,91]=6.97, p=.002), (F(matched_station_2) [3,90]=13.95, p=.001), (F(matched_station_3) [3,90]=8.76, p=.001), and ((Fmatched_station_4) [2,91]=30.60, p=.001). A significant time effect between the two OSCEs was calculated for matched stations 1, 2, and 4, indicating improved student performances. Raters with a clinical communication skills background assigned scores that were significantly lower compared to the other rater groups. Analysis of written feedback provided by the clinical sciences raters showed that they were influenced by the students' clinical knowledge of the case and that they did not rely solely on the communication checklist items. This study shows that it is important to consider rater background both in recruitment and training programs for communication skills' assessment.

  17. Comparison of haloperidol and midazolam in restless management of patients referred to the Emergency Department: A double-blinded, randomized clinical trial

    PubMed Central

    Esmailian, Mehrdad; Ahmadi, Omid; Taheri, Mehrsa; Zamani, Majid

    2015-01-01

    Background: Restless and violent behaviors are common in Emergency Departments (EDs), which need therapeutic interventions in most of the times. The first-generation anti-psychotic drugs are one of the most applicable therapeutic agents in the management of such patients, but their use has some limitations. Some studies suggest midazolam as an alternative medicine. Therefore, this study was performed with the aim of comparison of the efficacy and safety of haloperidol and midazolam in the restless management of referring patients to EDs. Materials and Methods: The present double-blinded trial was done on patients needed sedation and referred to the ED of Alzahra Hospital, Isfahan, Iran, in 2014. The patients were categorized into two random groups of haloperidol (5 mg) and midazolam receivers (2.5 mg for those weighing <50 kg and 5 mg in >50 kg), as intramuscular administration. The time to achieve sedation, need for rescue dose, need to resedation within the first 60 min, and adverse effects of drugs were compared among the groups. Results: Forty-eight patients were entered to the study. The mean age in the haloperidol and midazolam groups was 44.8 ± 4.1 years and 45.5 ± 4.7 years, respectively (P = 0.91). The mean time of sedation in the haloperidol and midazolam groups was 5.6 ± 0.3 min and 5.2 ± 0.1 min, respectively (P = 0.31). The mean time of full consciousness after sedation was 36.2 ± 4.5 min and 38.2 ± 3.4 min in the haloperidol and midazolam groups, respectively (P = 0.72). On average, time to arousal in the midazolam group was 10.33 min more than the haloperidol group, but it was not statistically significant. Conclusion: The results of the present study show that administration of midazolam and haloperidol have similar efficacy in the treatment of restless symptoms with the same recovery time from drug effects for referring patients to the ED. In addition, none of the adverse effects were observed in this study. PMID:26759570

  18. Test-re-test reliability and inter-rater reliability of a digital pelvic inclinometer in young, healthy males and females.

    PubMed

    Beardsley, Chris; Egerton, Tim; Skinner, Brendon

    2016-01-01

    Objective. The purpose of this study was to investigate the reliability of a digital pelvic inclinometer (DPI) for measuring sagittal plane pelvic tilt in 18 young, healthy males and females. Method. The inter-rater reliability and test-re-test reliabilities of the DPI for measuring pelvic tilt in standing on both the right and left sides of the pelvis were measured by two raters carrying out two rating sessions of the same subjects, three weeks apart. Results. For measuring pelvic tilt, inter-rater reliability was designated as good on both sides (ICC = 0.81-0.88), test-re-test reliability within a single rating session was designated as good on both sides (ICC = 0.88-0.95), and test-re-test reliability between two rating sessions was designated as moderate on the left side (ICC = 0.65) and good on the right side (ICC = 0.85). Conclusion. Inter-rater reliability and test-re-test reliability within a single rating session of the DPI in measuring pelvic tilt were both good, while test-re-test reliability between rating sessions was moderate-to-good. Caution is required regarding the interpretation of the test-re-test reliability within a single rating session, as the raters were not blinded. Further research is required to establish validity.

  19. A Qualitative Analysis of Rater Behavior on an L2 Speaking Assessment

    ERIC Educational Resources Information Center

    Kim, Hyun Jung

    2015-01-01

    Human raters are normally involved in L2 performance assessment; as a result, rater behavior has been widely investigated to reduce rater effects on test scores and to provide validity arguments. Yet raters' cognition and use of rubrics in their actual rating have rarely been explored qualitatively in L2 speaking assessments. In this study three…

  20. Rater Expertise in a Second Language Speaking Assessment: The Influence of Training and Experience

    ERIC Educational Resources Information Center

    Davis, Lawrence Edward

    2012-01-01

    Speaking performance tests typically employ raters to produce scores; accordingly, variability in raters' scoring decisions has important consequences for test reliability and validity. One such source of variability is the rater's level of expertise in scoring. Therefore, it is important to understand how raters' performance is influenced by…

  1. A phase III randomised, double-blind, parallel-group study comparing SB4 with etanercept reference product in patients with active rheumatoid arthritis despite methotrexate therapy

    PubMed Central

    Emery, Paul; Vencovský, Jiří; Sylwestrzak, Anna; Leszczyński, Piotr; Porawska, Wieslawa; Baranauskaite, Asta; Tseluyko, Vira; Zhdan, Vyacheslav M; Stasiuk, Barbara; Milasiene, Roma; Barrera Rodriguez, Aaron Alejandro; Cheong, Soo Yeon; Ghil, Jeehoon

    2017-01-01

    Objectives To compare the efficacy and safety of SB4 (an etanercept biosimilar) with reference product etanercept (ETN) in patients with moderate to severe rheumatoid arthritis (RA) despite methotrexate (MTX) therapy. Methods This is a phase III, randomised, double-blind, parallel-group, multicentre study with a 24-week primary endpoint. Patients with moderate to severe RA despite MTX treatment were randomised to receive weekly dose of 50 mg of subcutaneous SB4 or ETN. The primary endpoint was the American College of Rheumatology 20% (ACR20) response at week 24. Other efficacy endpoints as well as safety, immunogenicity and pharmacokinetic parameters were also measured. Results 596 patients were randomised to either SB4 (N=299) or ETN (N=297). The ACR20 response rate at week 24 in the per-protocol set was 78.1% for SB4 and 80.3% for ETN. The 95% CI of the adjusted treatment difference was −9.41% to 4.98%, which is completely contained within the predefined equivalence margin of −15% to 15%, indicating therapeutic equivalence between SB4 and ETN. Other efficacy endpoints and pharmacokinetic endpoints were comparable. The incidence of treatment-emergent adverse events was comparable (55.2% vs 58.2%), and the incidence of antidrug antibody development up to week 24 was lower in SB4 compared with ETN (0.7% vs 13.1%). Conclusions SB4 was shown to be equivalent with ETN in terms of efficacy at week 24. SB4 was well tolerated with a lower immunogenicity profile. The safety profile of SB4 was comparable with that of ETN. Trial registration numbers NCT01895309, EudraCT 2012-005026-30. PMID:26150601

  2. Virtual Raters for Reproducible and Objective Assessments in Radiology

    NASA Astrophysics Data System (ADS)

    Kleesiek, Jens; Petersen, Jens; Döring, Markus; Maier-Hein, Klaus; Köthe, Ullrich; Wick, Wolfgang; Hamprecht, Fred A.; Bendszus, Martin; Biller, Armin

    2016-04-01

    Volumetric measurements in radiologic images are important for monitoring tumor growth and treatment response. To make these more reproducible and objective we introduce the concept of virtual raters (VRs). A virtual rater is obtained by combining knowledge of machine-learning algorithms trained with past annotations of multiple human raters with the instantaneous rating of one human expert. Thus, he is virtually guided by several experts. To evaluate the approach we perform experiments with multi-channel magnetic resonance imaging (MRI) data sets. Next to gross tumor volume (GTV) we also investigate subcategories like edema, contrast-enhancing and non-enhancing tumor. The first data set consists of N = 71 longitudinal follow-up scans of 15 patients suffering from glioblastoma (GB). The second data set comprises N = 30 scans of low- and high-grade gliomas. For comparison we computed Pearson Correlation, Intra-class Correlation Coefficient (ICC) and Dice score. Virtual raters always lead to an improvement w.r.t. inter- and intra-rater agreement. Comparing the 2D Response Assessment in Neuro-Oncology (RANO) measurements to the volumetric measurements of the virtual raters results in one-third of the cases in a deviating rating. Hence, we believe that our approach will have an impact on the evaluation of clinical studies as well as on routine imaging diagnostics.

  3. Virtual Raters for Reproducible and Objective Assessments in Radiology

    PubMed Central

    Kleesiek, Jens; Petersen, Jens; Döring, Markus; Maier-Hein, Klaus; Köthe, Ullrich; Wick, Wolfgang; Hamprecht, Fred A.; Bendszus, Martin; Biller, Armin

    2016-01-01

    Volumetric measurements in radiologic images are important for monitoring tumor growth and treatment response. To make these more reproducible and objective we introduce the concept of virtual raters (VRs). A virtual rater is obtained by combining knowledge of machine-learning algorithms trained with past annotations of multiple human raters with the instantaneous rating of one human expert. Thus, he is virtually guided by several experts. To evaluate the approach we perform experiments with multi-channel magnetic resonance imaging (MRI) data sets. Next to gross tumor volume (GTV) we also investigate subcategories like edema, contrast-enhancing and non-enhancing tumor. The first data set consists of N = 71 longitudinal follow-up scans of 15 patients suffering from glioblastoma (GB). The second data set comprises N = 30 scans of low- and high-grade gliomas. For comparison we computed Pearson Correlation, Intra-class Correlation Coefficient (ICC) and Dice score. Virtual raters always lead to an improvement w.r.t. inter- and intra-rater agreement. Comparing the 2D Response Assessment in Neuro-Oncology (RANO) measurements to the volumetric measurements of the virtual raters results in one-third of the cases in a deviating rating. Hence, we believe that our approach will have an impact on the evaluation of clinical studies as well as on routine imaging diagnostics. PMID:27118379

  4. Change blindness images.

    PubMed

    Ma, Li-Qian; Xu, Kun; Wong, Tien-Tsin; Jiang, Bi-Ye; Hu, Shi-Min

    2013-11-01

    Change blindness refers to human inability to recognize large visual changes between images. In this paper, we present the first computational model of change blindness to quantify the degree of blindness between an image pair. It comprises a novel context-dependent saliency model and a measure of change, the former dependent on the site of the change, and the latter describing the amount of change. This saliency model in particular addresses the influence of background complexity, which plays an important role in the phenomenon of change blindness. Using the proposed computational model, we are able to synthesize changed images with desired degrees of blindness. User studies and comparisons to state-of-the-art saliency models demonstrate the effectiveness of our model.

  5. Explaining sexual harassment judgments: looking beyond gender of the rater.

    PubMed

    O'Connor, Maureen; Gutek, Barbara A; Stockdale, Margaret; Geer, Tracey M; Melançon, Renée

    2004-02-01

    In two decades of research on sexual harassment, one finding that appears repeatedly is that gender of the rater influences judgments about sexual harassment such that women are more likely than men to label behavior as sexual harassment. Yet, sexual harassment judgments are complex, particularly in situations that culminate in legal proceedings. And, this one variable, gender, may have been overemphasized to the exclusion of other situational and rater characteristic variables. Moreover, why do gender differences appear? As work by Wiener and his colleagues have done (R. L. Wiener et al., 2002; R. L. Wiener & L. Hurt, 2000; R. L. Wiener, L. Hurt, B. Russell, K. Mannen, & C. Gasper, 1997), this study attempts to look beyond gender to answer this question. In the studies reported here, raters (undergraduates and community adults), either read a written scenario or viewed a videotaped reenactment of a sexual harassment trial. The nature of the work environment was manipulated to see what, if any, effect the context would have on gender effects. Additionally, a number of rater characteristics beyond gender were measured, including ambivalent sexism attitudes of the raters, their judgments of complainant credibility, and self-referencing that might help explain rater judgments. Respondent gender, work environment, and community vs. student sample differences produced reliable differences in sexual harassment ratings in both the written and video trial versions of the study. The gender and sample differences in the sexual harassment ratings, however, are explained by a model which incorporates hostile sexism, perceptions of the complainants credibility, and raters' own ability to put themselves in the complainant's position (self-referencing).

  6. Color blindness

    MedlinePlus

    ... have trouble telling the difference between red and green. This is the most common type of color ... color blindness often have problems seeing reds and greens, too. The most severe form of color blindness ...

  7. Blind Astronomers

    NASA Astrophysics Data System (ADS)

    Hockey, Thomas A.

    2011-01-01

    The phrase "blind astronomer” is used as an allegorical oxymoron. However, there were and are blind astronomers. What of famous blind astronomers? First, it must be stated that these astronomers were not martyrs to their craft. It is a myth that astronomers blind themselves by observing the Sun. As early as France's William of Saint-Cloud (circa 1290) astronomers knew that staring at the Sun was ill-advised and avoided it. Galileo Galilei did not invent the astronomical telescope and then proceed to blind himself with one. Galileo observed the Sun near sunrise and sunset or through projection. More than two decades later he became blind, as many septuagenarians do, unrelated to their profession. Even Isaac Newton temporarily blinded himself, staring at the reflection of the Sun when he was a twentysomething. But permanent Sun-induced blindness? No, it did not happen. For instance, it was a stroke that left Scotland's James Gregory (1638-1675) blind. (You will remember the Gregorian telescope.) However, he died days later. Thus, blindness little interfered with his occupation. English Abbot Richard of Wallingford (circa 1291 - circa 1335) wrote astronomical works and designed astronomical instruments. He was also blind in one eye. Yet as he further suffered from leprosy, his blindness seems the lesser of Richard's maladies. Perhaps the most famous professionally active, blind astronomer (or almost blind astronomer) is Dominique-Francois Arago (1786-1853), director until his death of the powerful nineteenth-century Paris Observatory. I will share other _ some poignant _ examples such as: William Campbell, whose blindness drove him to suicide; Leonhard Euler, astronomy's Beethoven, who did nearly half of his life's work while almost totally blind; and Edwin Frost, who "observed” a total solar eclipse while completely sightless.

  8. A Note on the Interpretation of Weighted Kappa and its Relations to Other Rater Agreement Statistics for Metric Scales

    ERIC Educational Resources Information Center

    Schuster, Christof

    2004-01-01

    This article presents a formula for weighted kappa in terms of rater means, rater variances, and the rater covariance that is particularly helpful in emphasizing that weighted kappa is an absolute agreement measure in the sense that it is sensitive to differences in rater's marginal distributions. Specifically, rater mean differences will decrease…

  9. Overview on Deaf-Blindness

    ERIC Educational Resources Information Center

    Miles, Barbara

    2008-01-01

    It may seem that deaf-blindness refers to a total inability to see or hear. However, in reality deaf-blindness is a condition in which the combination of hearing and visual losses in children cause "such severe communication and other develop mental and educational needs that they cannot be accommodated in special education programs solely for…

  10. [Global blindness].

    PubMed

    Schulze Schwering, M

    2007-10-01

    Worldwide there are 37 million people who are completely blind and another 112 million whose sight is severely restricted. Of all blind people throughout the world, 85% live in developing countries. In three quarters of cases, blindness could be prevented or treated. The VISION 2020 campaign is dedicated to halving the number of people suffering from the diseases leading to blindness by means of disease control, training of specialist ophthalmic staff and development of appropriate infrastructures. More effort is needed if these goals are to be met. German ophthalmologists engaged in conservative and surgical treatments who join in and support VISION 2020 will be welcomed.

  11. Inter-Rater Reliability of an Electronic Discussion Coding System.

    ERIC Educational Resources Information Center

    MacKinnon, Gregory R.

    A "cognote" system was developed for coding electronic discussion groups and promoting critical thinking. Previous literature has provided an account of the strategy as applied to several academic settings. This paper addresses the research around establishing the inter-rater reliability of the cognote system. The findings suggest three indicators…

  12. Qualities of Judgmental Ratings by Four Rater Sources.

    ERIC Educational Resources Information Center

    Tsui, Anne S.

    Quality of performance data yielded by subjective judgment is of major concern to researchers in performance appraisal. However, some confusion exists in the analysis of quality on ratings obtained from different rating scale formats and from different raters. To clarify this confusion, a study was conducted to assess the quality of judgmental…

  13. Estimating Rater Severity with Multilevel and Multidimensional Item Response Modeling.

    ERIC Educational Resources Information Center

    Wang, Wen-chung

    Traditional approaches to the investigation of the objectivity of ratings for constructed-response items are based on classical test theory, which is item-dependent and sample-dependent. Item response theory overcomes this drawback by decomposing item difficulties into genuine difficulties and rater severity. In so doing, objectivity of ability…

  14. Exploring Examiner Judgement of Professional Competence in Rater Based Assessment

    ERIC Educational Resources Information Center

    Naumann, Fiona L.; Marshall, Stephen; Shulruf, Boaz; Jones, Philip D.

    2016-01-01

    Exercise physiology courses have transitioned to competency based, forcing Universities to rethink assessment to ensure students are competent to practice. This study built on earlier research to explore rater cognition, capturing factors that contribute to assessor decision making about students' competency. The aims were to determine the source…

  15. Rating Format Effects on Rater Agreement and Reliability.

    ERIC Educational Resources Information Center

    Littlefield, John H.; Troendle, G. Roger

    This study compares intra- and inter-rater agreement and reliability when using three different rating form formats to assess the same stimuli. One format requests assessment by marking detailed criteria without an overall judgement; the second format requests only an overall judgement without the use of detailed criteria; and the third format…

  16. Effects of Rater Characteristics and Scoring Methods on Speaking Assessment

    ERIC Educational Resources Information Center

    Matsugu, Sawako

    2013-01-01

    Understanding the sources of variance in speaking assessment is important in Japan where society's high demand for English speaking skills is growing. Three challenges threaten fair assessment of speaking. First, in Japanese university speaking courses, teachers are typically the only raters, but teachers' knowledge of their students may unfairly…

  17. Another Look at Inter-Rater Agreement. Research Report.

    ERIC Educational Resources Information Center

    Zwick, Rebecca

    Most currently used measures of inter-rater agreement for the nominal case incorporate a correction for "chance agreement." The definition of chance agreement is not the same for all coefficients, however. Three chance-corrected coefficients are Cohen's Kappa; Scott's Pi; and the S index of Bennett, Goldstein, and Alpert, which has…

  18. Two Models of Raters in a Structured Oral Examination: Does It Make a Difference?

    ERIC Educational Resources Information Center

    Touchie, Claire; Humphrey-Murto, Susan; Ainslie, Martha; Myers, Kathryn; Wood, Timothy J.

    2010-01-01

    Oral examinations have become more standardized over recent years. Traditionally a small number of raters were used for this type of examination. Past studies suggested that more raters should improve reliability. We compared the results of a multi-station structured oral examination using two different rater models, those based in a station,…

  19. Do Raters Demonstrate Halo Error When Scoring a Series of Responses?

    ERIC Educational Resources Information Center

    Ridge, Kirk

    This study investigated whether raters in two different training groups would demonstrate halo error when each rater scored all five responses to five different mathematics performance-based items from each student. One group of 20 raters was trained by an experienced scoring director with item-specific scoring rubrics and the opportunity to…

  20. Adjusting for Year to Year Rater Variation in IRT Linking--An Empirical Evaluation

    ERIC Educational Resources Information Center

    Yen, Shu Jing; Ochieng, Charles; Michaels, Hillary; Friedman, Greg

    2005-01-01

    The main purpose of this study was to illustrate a polytomous IRT-based linking procedure that adjusts for rater variations. Test scores from two administrations of a statewide reading assessment were used. An anchor set of Year 1 students' constructed responses were rescored by Year 2 raters. To adjust for year-to-year rater variation in IRT…

  1. The Effect of Year-to-Year Rater Variation on IRT Linking

    ERIC Educational Resources Information Center

    Yen, Shu Jing; Ochieng, Charles; Michaels, Hillary; Friedman, Greg

    2005-01-01

    Year-to-year rater variation may result in constructed response (CR) parameter changes, making CR items inappropriate to use in anchor sets for linking or equating. This study demonstrates how rater severity affected the writing and reading scores. Rater adjustments were made to statewide results using an item response theory (IRT) methodology…

  2. Rater Behaviour When Judging Language Learners' Pragmatic Appropriateness in Extended Discourse

    ERIC Educational Resources Information Center

    Sydorenko, Tetyana; Maynard, Carson; Guntly, Erin

    2014-01-01

    The criteria by which raters judge pragmatic appropriateness of language learners' speech acts are underexamined, especially when raters evaluate extended discourse. To shed more light on this process, the present study investigated what factors are salient to raters when scoring pragmatic appropriateness of extended request sequences, and which…

  3. Investigating Differences between American and Indian Raters in Assessing TOEFL iBT Speaking Tasks

    ERIC Educational Resources Information Center

    Wei, Jing; Llosa, Lorena

    2015-01-01

    This article reports on an investigation of the role raters' language background plays in raters' assessment of test takers' speaking ability. Specifically, this article examines differences between American and Indian raters in their scores and scoring processes when rating Indian test takers' responses to the Test of English as a Foreign…

  4. The Influence of Training and Experience on Rater Performance in Scoring Spoken Language

    ERIC Educational Resources Information Center

    Davis, Larry

    2016-01-01

    Two factors were investigated that are thought to contribute to consistency in rater scoring judgments: rater training and experience in scoring. Also considered were the relative effects of scoring rubrics and exemplars on rater performance. Experienced teachers of English (N = 20) scored recorded responses from the TOEFL iBT speaking test prior…

  5. Intra-Rater and Inter-Rater Reliability of the Balance Error Scoring System in Pre-Adolescent School Children

    ERIC Educational Resources Information Center

    Sheehan, Dwayne P.; Lafave, Mark R.; Katz, Larry

    2011-01-01

    This study was designed to test the intra- and inter-rater reliability of the University of North Carolina's Balance Error Scoring System in 9- and 10-year-old children. Additionally, a modified version of the Balance Error Scoring System was tested to determine if it was more sensitive in this population ("raw scores"). Forty-six…

  6. Establishing intra- and inter-rater agreement of the Face, Legs, Activity, Cry, Consolability scale for evaluating pain in toddlers during immunization

    PubMed Central

    Gomez, Rebecca J; Barrowman, Nick; Elia, Sonja; Manias, Elizabeth; Royle, Jenny; Harrison, Denise

    2013-01-01

    BACKGROUND: The Face, Legs, Activity, Cry, Consolability (FLACC) scale is a five-item tool that was developed to assess postoperative pain in young children. The tool is frequently used as an outcome measure in studies investigating acute procedural pain in young children; however, there are limited published psychometric data in this context. OBJECTIVE: To establish inter-rater and intrarater agreement of the FLACC scale in toddlers during immunization. METHODS: Participants comprised a convenience sample of toddlers recruited from an immunization drop-in service, who were part of a larger pilot randomized controlled trial. Toddlers were video- and audiotaped during immunization procedures. The first rater scored each video twice in random order over a period of three weeks (intrarater agreement), while the second rater scored each video once and was blinded to the first rater’s scores (inter-rater agreement). The FLACC scale was scored at four time-points throughout the procedure. Intraclass correlation coefficients were used to assess agreement of the FLACC scale. RESULTS: Thirty toddlers between 12 and 18 months of age were recruited, and video data were available for 29. Intrarater agreement coefficients were 0.88 at baseline, 0.97 at insertion of first needle, and 0.80 and 0.81 at 15 s and 30 s following the final injection, respectively. Inter-rater coefficients were 0.40 at baseline, 0.95 at insertion of first needle, and 0.81 and 0.78 at 15 s and 30 s following the final injection, respectively. CONCLUSIONS: The FLACC scale has sufficient agreement in assessing pain in toddlers during immunizations, especially during the most painful periods of the procedure. PMID:24308028

  7. Is the Parkinson Anxiety Scale comparable across raters?

    PubMed

    Forjaz, Maria João; Ayala, Alba; Martinez-Martin, Pablo; Dujardin, Kathy; Pontone, Gregory M; Starkstein, Sergio E; Weintraub, Daniel; Leentjens, Albert F G

    2015-04-01

    The Parkinson Anxiety Scale is a new scale developed to measure anxiety severity in Parkinson's disease specifically. It consists of three dimensions: persistent anxiety, episodic anxiety, and avoidance behavior. This study aimed to assess the measurement properties of the scale while controlling for the rater (self- vs. clinician-rated) effect. The Parkinson Anxiety Scale was administered to a cross-sectional multicenter international sample of 362 Parkinson's disease patients. Both patients and clinicians rated the patient's anxiety independently. A many-facet Rasch model design was applied to estimate and remove the rater effect. The following measurement properties were assessed: fit to the Rasch model, unidimensionality, reliability, differential item functioning, item local independency, interrater reliability (self or clinician), and scale targeting. In addition, test-retest stability, construct validity, precision, and diagnostic properties of the Parkinson Anxiety Scale were also analyzed. A good fit to the Rasch model was obtained for Parkinson Anxiety Scale dimensions A and B, after the removal of one item and rescoring of the response scale for certain items, whereas dimension C showed marginal fit. Self versus clinician rating differences were of small magnitude, with patients reporting higher anxiety levels than clinicians. The linear measure for Parkinson Anxiety Scale dimensions A and B showed good convergent construct with other anxiety measures and good diagnostic properties. Parkinson Anxiety Scale modified dimensions A and B provide valid and reliable measures of anxiety in Parkinson's disease that are comparable across raters. Further studies are needed with dimension C.

  8. Inter-rater Agreement of Nasal Endoscopy in Patients with a Prior History of Endoscopic Sinus Surgery

    PubMed Central

    McCoul, Edward D.; Smith, Timothy L.; Mace, Jess C.; Anand, Vijay K.; Senior, Brent A.; Hwang, Peter H.; Stankiewicz, James A.; Tabaee, Abtin

    2012-01-01

    OBJECTIVE Nasal endoscopy is an important part of the clinical evaluation of patients with chronic rhinosinusitis. However, its objectivity and inter-rater agreement have not been well studied, especially in patients who have previously had sinus surgery. METHODS Patients with a history of endoscopic sinus surgery for chronic rhinosinusitis were prospectively enrolled from a tertiary rhinology practice. Fourteen endoscopic nasal examinations were recorded using digital video capture software. Each patient also underwent computerized tomography (CT) and completed the Sinonasal Outcome Test (SNOT-22). Blinded review of inflammatory and anatomic findings for each video was independently performed by 5 academic rhinologists at separate institutions. Comparisons were performed using the unweighted Fleiss’ kappa statistic (Kf) and the prevalence- and bias-adjusted kappa (PABAK). RESULTS There were no significant correlations between age, Lund-Mackay score or SNOT-22 score. Inter-rater agreement was variable across the characteristics studied. Mean PABAK was excellent for the assessment of polyps (Kf =0.886); moderate for the assessments of middle turbinate (MT) integrity (Kf =0.543), MT position (Kf =0.443), maxillary sinus patency (Kf =0.593) and ethmoid sinus patency (Kf =0.429); fair for discharge (Kf =0.314), synechiae (Kf =0.257) and middle meatus patency (Kf =0.229); and poor for MT mucosal changes (Kf =0.148) and uncinate process (Kf =0.126). CONCLUSIONS The current study was notable for variability in the inter-rater agreement among the inflammatory and anatomic attributes that were examined. Further standardization of nasal endoscopy with regard to interpretation may improve the reliability of this procedure in clinical practice. PMID:22696506

  9. The Inter-rater Reliability of the Functional Movement Screen Within an Athletic Population Using Untrained Raters.

    PubMed

    Leeder, Jade E; Horsley, Ian G; Herrington, Lee C

    2016-09-01

    Elias JE. The inter-rater reliability of the functional movement screen within an athletic population using untrained raters. J Strength Cond Res 30(9): 2591-2599, 2016-The functional movement screen (FMS) is a commonly used screening tool designed to identify restrictions to movement patterns and increased injury risk using 7 predesigned tests. The purpose of this study was to analyze the inter-rater reliability of scoring of the FMS using a group of "untrained" subjects. Additionally, the study also examined if clinical experience level had any effect on reliability. Twenty fully qualified Physiotherapists working at the English Institute of Sport, with elite athletes, volunteered to participate in the study. The group comprised both level 2 and level 3 physiotherapists based on clinical experience levels. Five elite athletes, free from injury, were recruited and videoed completing 6 of the 7 FMS tests using a 3 camera system. The videos were scored by each Physiotherapist using the standardized scoring sheet, as developed by Cook et al. Each practitioner marked each athlete completing the 6 tests. The total scores were calculated for each athlete (maximum score of 18). The inter-rater reliability of the test was shown to be high, intraclass coefficient 0.906. An independent t test showed no significant differences between the level 2 and level 3 practitioners in the total scores (p = 0.502). The results of the test indicate that the FMS is a reliable screening tool when used by untrained practitioners in determining faulty movement patterns and that clinical experience level does not affect the reliability, therefore it may be a useful tool in the screening of athletic populations.

  10. Inter-rater agreement in evaluation of disability: systematic review of reproducibility studies

    PubMed Central

    Barth, Jürgen; de Boer, Wout E L; Busse, Jason W; Hoving, Jan L; Kedzia, Sarah; Couban, Rachel; Fischer, Katrin; von Allmen, David Y; Spanjer, Jerry

    2017-01-01

    Objectives To explore agreement among healthcare professionals assessing eligibility for work disability benefits. Design Systematic review and narrative synthesis of reproducibility studies. Data sources Medline, Embase, and PsycINFO searched up to 16 March 2016, without language restrictions, and review of bibliographies of included studies. Eligibility criteria Observational studies investigating reproducibility among healthcare professionals performing disability evaluations using a global rating of working capacity and reporting inter-rater reliability by a statistical measure or descriptively. Studies could be conducted in insurance settings, where decisions on ability to work include normative judgments based on legal considerations, or in research settings, where decisions on ability to work disregard normative considerations.Teams of paired reviewers identified eligible studies, appraised their methodological quality and generalisability, and abstracted results with pretested forms. As heterogeneity of research designs and findings impeded a quantitative analysis, a descriptive synthesis stratified by setting (insurance or research) was performed. Results From 4562 references, 101 full text articles were reviewed. Of these, 16 studies conducted in an insurance setting and seven in a research setting, performed in 12 countries, met the inclusion criteria. Studies in the insurance setting were conducted with medical experts assessing claimants who were actual disability claimants or played by actors, hypothetical cases, or short written scenarios. Conditions were mental (n=6, 38%), musculoskeletal (n=4, 25%), or mixed (n=6, 38%). Applicability of findings from studies conducted in an insurance setting to real life evaluations ranged from generalisable (n=7, 44%) and probably generalisable (n=3, 19%) to probably not generalisable (n=6, 37%). Median inter-rater reliability among experts was 0.45 (range intraclass correlation coefficient 0.86 to κ−0

  11. A Randomized, Placebo-Controlled, Active-Reference, Double-Blind, Flexible-Dose Study of the Efficacy of Vortioxetine on Cognitive Function in Major Depressive Disorder.

    PubMed

    Mahableshwarkar, Atul R; Zajecka, John; Jacobson, William; Chen, Yinzhong; Keefe, Richard S E

    2015-07-01

    This multicenter, randomized, double-blind, placebo-controlled, active-referenced (duloxetine 60 mg), parallel-group study evaluated the short-term efficacy and safety of vortioxetine (10-20 mg) on cognitive function in adults (aged 18-65 years) diagnosed with major depressive disorder (MDD) who self-reported cognitive dysfunction. Efficacy was evaluated using ANCOVA for the change from baseline to week 8 in the digit symbol substitution test (DSST)-number of correct symbols as the prespecified primary end point. The patient-reported perceived deficits questionnaire (PDQ) and physician-assessed clinical global impression (CGI) were analyzed in a prespecified hierarchical testing sequence as key secondary end points. Additional predefined end points included the objective performance-based University of San Diego performance-based skills assessment (UPSA) (ANCOVA) to measure functionality, MADRS (MMRM) to assess efficacy in depression, and a prespecified multiple regression analysis (path analysis) to calculate direct vs indirect effects of vortioxetine on cognitive function. Safety and tolerability were assessed at all visits. Vortioxetine was statistically superior to placebo on the DSST (P < 0.05), PDQ (P < 0.01), CGI-I (P < 0.001), MADRS (P < 0.05), and UPSA (P < 0.001). Path analysis indicated that vortioxetine's cognitive benefit was primarily a direct treatment effect rather than due to alleviation of depressive symptoms. Duloxetine was not significantly different from placebo on the DSST or UPSA, but was superior to placebo on the PDQ, CGI-I, and MADRS. Common adverse events (incidence ⩾ 5%) for vortioxetine were nausea, headache, and diarrhea. In this study of MDD adults who self-reported cognitive dysfunction, vortioxetine significantly improved cognitive function, depression, and functionality and was generally well tolerated.

  12. A comparison of analysis procedures for correlated binary data in dedicated multi-rater imaging trials.

    PubMed

    Kunz, Michael

    2015-01-01

    In this paper, three analysis procedures for repeated correlated binary data with no a priori ordering of the measurements are described and subsequently investigated. Examples for correlated binary data could be the binary assessments of subjects obtained by several raters in the framework of a clinical trial. This topic is especially of relevance when success criteria have to be defined for dedicated imaging trials involving several raters conducted for regulatory purposes. First, an analytical result on the expectation of the 'Majority rater' is presented when only the marginal distributions of the single raters are given. The paper provides a simulation study where all three analysis procedures are compared for a particular setting. It turns out that in many cases, 'Average rater' is associated with a gain in power. Settings were identified where 'Majority significant' has favorable properties. 'Majority rater' is in many cases difficult to interpret.

  13. Intra and inter-rater reliability study of pelvic floor muscle dynamometric measurements

    PubMed Central

    Martinho, Natalia M.; Marques, Joseane; Silva, Valéria R.; Silva, Silvia L. A.; Carvalho, Leonardo C.; Botelho, Simone

    2015-01-01

    OBJECTIVE: The aim of this study was to evaluate the intra and inter-rater reliability of pelvic floor muscle (PFM) dynamometric measurements for maximum and average strengths, as well as endurance. METHOD: A convenience sample of 18 nulliparous women, without any urogynecological complaints, aged between 19 and 31 (mean age of 25.4±3.9) participated in this study. They were evaluated using a pelvic floor dynamometer based on load cell technology. The dynamometric evaluations were repeated in three successive sessions: two on the same day with a rest period of 30 minutes between them, and the third on the following day. All participants were evaluated twice in each session; first by examiner 1 followed by examiner 2. The vaginal dynamometry data were analyzed using three parameters: maximum strength, average strength, and endurance. The Intraclass Correlation Coefficient (ICC) was applied to estimate the PFM dynamometric measurement reliability, considering a good level as being above 0.75. RESULTS: The intra and inter-raters' analyses showed good reliability for maximum strength (ICCintra-rater1=0.96, ICCintra-rater2=0.95, and ICCinter-rater=0.96), average strength (ICCintra-rater1=0.96, ICCintra-rater2=0.94, and ICCinter-rater=0.97), and endurance (ICCintra-rater1=0.88, ICCintra-rater2=0.86, and ICCinter-rater=0.92) dynamometric measurements. CONCLUSIONS: The PFM dynamometric measurements showed good intra- and inter-rater reliability for maximum strength, average strength and endurance, which demonstrates that this is a reliable device that can be used in clinical practice. PMID:25993624

  14. Assessment and Correlation of Customer and Rater Response to Cold-Start and Warmup Driveability

    DTIC Science & Technology

    1993-08-01

    Satisfcation Versus Fuel Volatility Level- TWD Vehicles ............................................... 9 XIII. Comparison of Customer and Rater Results...AD-A271 775 CRC Report No. 585 ASSESSMENT AND CORRELATION OF CUSTOMER AND RATER RESPONSE TO COLD-START AND WARMUP DRIVEABILITY -bA A K-70-&q _C -oo0...404) 396-3404 Society of Automotive Engineers, Inc. ASSESSMENT AND CORRELATION OF CUSTOMER AND RATER RESPONSE TO COLD-START AND WARMUP DRIVEABILITY

  15. Blind Ambition

    ERIC Educational Resources Information Center

    Olson, Catherine Applefeld

    2009-01-01

    No matter how dedicated they may be, some teachers are daunted by extreme challenges. Carol Agler, music director at the Ohio State School for the Blind (OSSB), is not one of those teachers. Since joining the OSSB staff 11 years ago, Agler has revived the school's long-dormant band program and created its first marching band. Next January, she…

  16. Blindness Clues

    ERIC Educational Resources Information Center

    Science Teacher, 2005

    2005-01-01

    Age-related macular degeneration is the leading cause of blindness in older adults, yet researchers are still in the dark about many of the factors that cause this incurable disease. But new insight from University of Florida (UF) and German researchers about a genetic link between rhesus monkeys with macular degeneration and humans could unlock…

  17. Intra- and inter-rater reliability of isometric shoulder extensor and internal rotator strength measurements performed using a hand-held dynamometer.

    PubMed

    Awatani, Takenori; Morikita, Ikuhiro; Shinohara, Junji; Mori, Seigo; Nariai, Miki; Tatsumi, Yasutaka; Nagata, Akinori; Koshiba, Hiroya

    2016-11-01

    [Purpose] The purpose of the present study was to establish the intra- and inter-rater reliability of measurement of extensor strength in the maximum shoulder abducted position and internal rotator strength in the 90° abducted and the 90° external rotated position using a hand-held dynamometer. [Subjects and Methods] Twelve healthy volunteers (12 male; mean ± SD: age 19.0 ± 1.1 years) participated in the study. The examiners were two students who had nonclinical experience with a hand-held dynamometer measurement. The examiners and participants were blinded to measurement results by the recorder. Participants in the prone position were instructed to hold the contraction against the ground reaction force, and peak isometric force was recorded using the hand-held dynamometer on the floor. Reliability was determined using intraclass correlation coefficients. [Results] The intra- and inter-rater reliability data were found to be "almost perfect". [Conclusion] This study investigated intra- and inter-rater reliability and reveald high reliability. Thus, the measurement method used in the present study can evaluate muscle strength by a simple measurement technique.

  18. Can training improve the quality of inferences made by raters in competency modeling? A quasi-experiment.

    PubMed

    Lievens, Filip; Sanchez, Juan I

    2007-05-01

    A quasi-experiment was conducted to investigate the effects of frame-of-reference training on the quality of competency modeling ratings made by consultants. Human resources consultants from a large consulting firm were randomly assigned to either a training or a control condition. The discriminant validity, interrater reliability, and accuracy of the competency ratings were significantly higher in the training group than in the control group. Further, the discriminant validity and interrater reliability of competency inferences were highest among an additional group of trained consultants who also had competency modeling experience. Together, these results suggest that procedural interventions such as rater training can significantly enhance the quality of competency modeling.

  19. Grant Peer Review: Improving Inter-Rater Reliability with Training

    SciTech Connect

    Sattler, David N.; McKnight, Patrick E.; Naney, Linda; Mathis, Randy

    2015-06-15

    In this study, we developed and evaluated a brief training program for grant reviewers that aimed to increase inter-rater reliability, rating scale knowledge, and effort to read the grant review criteria. Enhancing reviewer training may improve the reliability and accuracy of research grant proposal scoring and funding recommendations. Seventy-five Public Health professors from U.S. research universities watched the training video we produced and assigned scores to the National Institutes of Health scoring criteria proposal summary descriptions. For both novice and experienced reviewers, the training video increased scoring accuracy (the percentage of scores that reflect the true rating scale values), inter-rater reliability, and the amount of time reading the review criteria compared to the no video condition. The increase in reliability for experienced reviewers is notable because it is commonly assumed that reviewers—especially those with experience—have good understanding of the grant review rating scale. Our findings suggest that both experienced and novice reviewers who had not received the type of training developed in this study may not have appropriate understanding of the definitions and meaning for each value of the rating scale and that experienced reviewers may overestimate their knowledge of the rating scale. Lastly, the results underscore the benefits of and need for specialized peer reviewer training.

  20. The Effect of Spiritual Intervention on Postmenopausal Depression in Women Referred to Urban Healthcare Centers in Isfahan: A Double-Blind Clinical Trial

    PubMed Central

    Shafiee, Zohre; Zandiyeh, Zahra; Moeini, Mahin; Gholami, Ali

    2016-01-01

    Background: Depression is not only common after menopause, but also affects postmenopausal women more than other women. Some studies show the positive effects of spiritual intervention on postmenopausal women and depressed patients. However, there is inadequate experimental data for supporting the effectiveness of such interventions. Objectives: This study investigated the effect of a spiritual intervention on postmenopausal depression in women referred to urban healthcare centers in Isfahan, Iran. Patients and Methods: A randomized controlled clinical trial was conducted on postmenopausal women referred to the healthcare centers of Isfahan. Sixty-four women with postmenopausal depression were assigned randomly into an experimental group (n = 32) and a control group (n = 32). The experimental group received eight sessions of spiritual intervention while the control group received two sessions of training on healthy diet for postmenopausal women. All subjects in the experimental group and the control group responded to the Beck’s depression inventory at the start of the study, at the end of the fourth week, and a month after the last educational session. In addition to descriptive statistics, the chi-square test, independent samples t-test and repeated measures analysis of variance were used to analyze the data. Results: Before the intervention, the study groups did not differ significantly in terms of mean depression scores (20.76 ± 4.61 vs. 19.58 ± 5.27, P = 0.33). However, immediately after intervention and after one month, the mean depression scores of 11.01 ± 7.85 and 11.21 ± 9.23 in the experimental group were significantly lower than the control group (19.22 ± 4.94 and 19.34 ± 4.92, respectively) (P = 0.001). In repeated measures analysis of variance, Mauchly’s test of sphericity was not significant (P = 0.672), and in the test of within-subjects effects, a significant interaction was found between the spiritual intervention and time. Conclusions

  1. Acute Blindness.

    PubMed

    Meekins, Jessica M

    2015-09-01

    Sudden loss of vision is an ophthalmic emergency with numerous possible causes. Abnormalities may occur at any point within the complex vision pathway, from retina to optic nerve to the visual center in the occipital lobe. This article reviews specific prechiasm (retina and optic nerve) and cerebral cortical diseases that lead to acute blindness. Information regarding specific etiologies, pathophysiology, diagnosis, treatment, and prognosis for vision is discussed.

  2. Congenitally Blind Counselor, Adventitiously Blind Client.

    ERIC Educational Resources Information Center

    Roberts, A. H.

    1994-01-01

    A counselor blind from birth describes personal difficulties in fully understanding the experience of clients who are adventitiously blind. Congenitally blind counselors are urged to recognize that adaptive methods cannot compensate for the panoramic view of the environment provided by vision and that recently blinded individuals need to deal with…

  3. A double-blind, randomized, placebo-controlled, active reference study of Lu AA21004 in patients with major depressive disorder.

    PubMed

    Alvarez, Enric; Perez, Victor; Dragheim, Marianne; Loft, Henrik; Artigas, Francesc

    2012-06-01

    The efficacy, safety, and tolerability of Lu AA21004 vs. placebo using venlafaxine XR as active reference in patients with DSM-IV-TR major depressive disorder (MDD) were evaluated. Lu AA21004 is a novel antidepressant that is a 5-HT3 and 5-HT7 receptor antagonist, 5-HT1A receptor agonist, 5-HT1B receptor partial agonist and inhibitor of the 5-HT transporter in recombinant cell lines. In this 6-wk, multi-site study, 429 patients were randomly assigned (1:1:1:1) to 5 or 10 mg Lu AA21004, placebo or 225 mg venlafaxine XR. All patients had a baseline Montgomery-Åsberg Depression Rating Scale (MADRS) total score ≥ 30. The primary efficacy analysis was based on the MADRS total score adjusting for multiplicity using a hierarchical testing procedure starting with the highest dose vs. placebo. Lu AA21004 was statistically significantly superior to placebo (n=105) in mean change from baseline in MADRS total score at week 6 (p<0.0001, last observation carried forward), with a mean treatment difference vs. placebo of 5.9 (5 mg, n=108), and 5.7 (10 mg, n=100) points. Venlafaxine XR (n=112) was also significantly superior to placebo at week 6 (p<0.0001). In total, 30 patients withdrew due to adverse events (AEs)--placebo: four (4%); 5 mg Lu AA21004: three (3%); 10 mg Lu AA21004: seven (7%); and venlafaxine: 16 (14%). The most common AEs were nausea, headache, hyperhidrosis, and dry mouth. No clinically relevant changes over time were seen in the clinical laboratory results, vital signs, weight, or ECG parameters. In this study, treatment with 5 mg and 10 mg Lu AA21004 for 6 wk was efficacious and well tolerated in patients with MDD.

  4. Comparing Native and Non-Native Raters of US Federal Government Speaking Tests

    ERIC Educational Resources Information Center

    Brooks, Rachel Lunde

    2013-01-01

    Previous Language Testing research has largely reported that although many raters' characteristics affect their evaluations of language assessments (Reed & Cohen, 2001), being a native speaker or non-native speaker rater does not significantly affect final ratings (Kim, 2009). In Second Language Acquisition, some researchers conclude that…

  5. Managing Rater Effects through the Use of FACETS Analysis: The Case of a University Placement Test

    ERIC Educational Resources Information Center

    Wu, Siew Mei; Tan, Susan

    2016-01-01

    Rating essays is a complex task where students' grades could be adversely affected by test-irrelevant factors such as rater characteristics and rating scales. Understanding these factors and controlling their effects are crucial for test validity. Rater behaviour has been extensively studied through qualitative methods such as questionnaires and…

  6. Exploring the Role of First Impressions in Rater-Based Assessments

    ERIC Educational Resources Information Center

    Wood, Timothy J.

    2014-01-01

    Medical education relies heavily on assessment formats that require raters to assess the competence and skills of learners. Unfortunately, there are often inconsistencies and variability in the scores raters assign. To ensure the scores from these assessment tools have validity, it is important to understand the underlying cognitive processes that…

  7. A Cross-Linguistic Investigation of the Effect of Raters' Accent Familiarity on Speaking Assessment

    ERIC Educational Resources Information Center

    Huang, Becky; Alegre, Analucia; Eisenberg, Ann

    2016-01-01

    The project aimed to examine the effect of raters' familiarity with accents on their judgments of non-native speech. Participants included three groups of raters who were either from Spanish Heritage, Spanish Non-Heritage, or Chinese Heritage backgrounds (n = 16 in each group) using Winke & Gass's (2013) definition of a heritage learner as…

  8. Complementing Human Judgment of Essays Written by English Language Learners with E-Rater[R] Scoring

    ERIC Educational Resources Information Center

    Enright, Mary K.; Quinlan, Thomas

    2010-01-01

    E-rater[R] is an automated essay scoring system that uses natural language processing techniques to extract features from essays and to model statistically human holistic ratings. Educational Testing Service has investigated the use of e-rater, in conjunction with human ratings, to score one of the two writing tasks on the TOEFL-iBT[R] writing…

  9. A novel approach to rater training and certification in multinational trials.

    PubMed

    Jeglic, Elizabeth; Kobak, Kenneth A; Engelhardt, Nina; Williams, Janet B W; Lipsitz, Joshua D; Salvucci, Donna; Bryson, Heather; Bellew, Kevin

    2007-07-01

    Clinical trials are becoming increasingly international in scope. Global studies pose unique challenges in training and calibrating raters owing to language and cultural differences. Recent findings that poorly conducted interviews reduce study power, makes attention to raters' clinical skills critical. In this study, 109 raters from 14 countries went through a two-step certification process on the Hamilton Depression and Anxiety Rating Scales: (i) an online didactic tutorial on scoring conventions, and (ii) applied clinical training, consisting of small language-specific groups in which raters took turns interviewing patients while observed by an expert trainer, and observation and evaluation of individual interviews. Translators were used when native-language trainers were unavailable. Those who were unable to attend the startup meeting received the training individually via telephone. Results found a significant improvement in raters' knowledge of scoring conventions, with the mean number of correct answers on the 20-item test improving from 14.59 to 17.83, P<0.0001. In addition, raters' clinical skills improved significantly, with the mean score on the Rater Applied Performance Scale improving from their first to their second testing from 10.25 to 11.31, P=0.003. These results support the efficacy of this applied training model in improving raters' applied clinical skills in multinational trials.

  10. The Effect of Raters and Rating Conditions on the Reliability of the Missionary Teaching Assessment

    ERIC Educational Resources Information Center

    Ure, Abigail C.

    2011-01-01

    This study investigated how 2 different rating conditions, the controlled rating condition (CRC) and the uncontrolled rating condition (URC), effected rater behavior and the reliability of a performance assessment (PA) known as the Missionary Teaching Assessment (MTA). The CRC gives raters the capability to manipulate (pause, rewind, fast-forward)…

  11. The inter-rater reliability of Strain Index and OCRA Checklist task assessments in cheese processing.

    PubMed

    Paulsen, Robert; Gallu, Tommaso; Gilkey, David; Reiser, Raoul; Murgia, Lelia; Rosecrance, John

    2015-11-01

    The purpose of this study was to characterize the inter-rater reliability of two physical exposure assessment methods of the upper extremity, the Strain Index (SI) and Occupational Repetitive Actions (OCRA) Checklist. These methods are commonly used in occupational health studies and by occupational health practitioners. Seven raters used the SI and OCRA Checklist to assess task-level physical exposures to the upper extremity of workers performing 21 cheese manufacturing tasks. Inter-rater reliability was characterized using a single-measure, agreement-based intraclass correlation coefficient (ICC). Inter-rater reliability of SI assessments was moderate to good (ICC = 0.59, 95% CI: 0.45-0.73), a similar finding to prior studies. Inter-rater reliability of OCRA Checklist assessments was excellent (ICC = 0.80, 95% CI: 0.70-0.89). Task complexity had a small, but non-significant, effect on inter-rater reliability SI and OCRA Checklist scores. Both the SI and OCRA Checklist assessments possess adequate inter-rater reliability for the purposes of occupational health research and practice. The OCRA Checklist inter-rater reliability scores were among the highest reported in the literature for semi-quantitative physical exposure assessment tools of the upper extremity. The OCRA Checklist however, required more training time and time to conduct the risk assessments compared to the SI.

  12. A Simulation Study of Rater Agreement Measures with 2x2 Contingency Tables

    ERIC Educational Resources Information Center

    Ato, Manuel; Lopez, Juan Jose; Benavente, Ana

    2011-01-01

    A comparison between six rater agreement measures obtained using three different approaches was achieved by means of a simulation study. Rater coefficients suggested by Bennet's [sigma] (1954), Scott's [pi] (1955), Cohen's [kappa] (1960) and Gwet's [gamma] (2008) were selected to represent the classical, descriptive approach, [alpha] agreement…

  13. Effects of Rating Task Instructions on Consistency and Accuracy of Expert Raters.

    ERIC Educational Resources Information Center

    Littlefield, John H.; Troendle, G. Roger

    The effect of different types of rating task instructions on rater behavior was examined using experts, as opposed to novices, as raters. The experts were instructed to (1) form a global categorical judgment (early hypothesis generation); (2) assess 19 detailed elements; or (3) both. Subjects were 8 dental faculty members who ranged in age from 28…

  14. Approximate measurement invariance in cross-classified rater-mediated assessments

    PubMed Central

    Kelcey, Ben; McGinn, Dan; Hill, Heather

    2014-01-01

    An important assumption underlying meaningful comparisons of scores in rater-mediated assessments is that measurement is commensurate across raters. When raters differentially apply the standards established by an instrument, scores from different raters are on fundamentally different scales and no longer preserve a common meaning and basis for comparison. In this study, we developed a method to accommodate measurement noninvariance across raters when measurements are cross-classified within two distinct hierarchical units. We conceptualized random item effects cross-classified graded response models and used random discrimination and threshold effects to test, calibrate, and account for measurement noninvariance among raters. By leveraging empirical estimates of rater-specific deviations in the discrimination and threshold parameters, the proposed method allows us to identify noninvariant items and empirically estimate and directly adjust for this noninvariance within a cross-classified framework. Within the context of teaching evaluations, the results of a case study suggested substantial noninvariance across raters and that establishing an approximately invariant scale through random item effects improves model fit and predictive validity. PMID:25566145

  15. Inter-rater reliability of manual and automated region-of-interest delineation for PiB PET.

    PubMed

    Rosario, Bedda L; Weissfeld, Lisa A; Laymon, Charles M; Mathis, Chester A; Klunk, William E; Berginc, Michael D; James, Jeffrey A; Hoge, Jessica A; Price, Julie C

    2011-04-01

    A major challenge in positron emission tomography (PET) amyloid imaging studies of Alzheimer's disease (AD) is the reliable detection of early amyloid deposition in human brain. Manual region-of-interest (ROI) delineation on structural magnetic resonance (MR) images is generally the reference standard for the extraction of count-rate data from PET images, as compared to automated MR-template(s) methods that utilize spatial normalization and a single set of ROIs. The goal of this work was to assess the inter-rater reliability of manual ROI delineation for PiB PET amyloid retention measures and the impact of CSF dilution correction (CSF) on this reliability for data acquired in elderly control (n=5) and AD (n=5) subjects. The intraclass correlation coefficient (ICC) was used to measure reliability. As a secondary goal, ICC scores were also computed for PiB outcome measures obtained by an automated MR-template ROI method and one manual rater; to assess the level of reliability that could be achieved using different processing methods. Fourteen ROIs were evaluated that included anterior cingulate (ACG), precuneus (PRC) and cerebellum (CER). The PiB outcome measures were the volume of distribution (V(T)), summed tissue uptake (SUV), and corresponding ratios that were computed using CER as reference (DVR and SUVR). Substantial reliability (ICC≥0.932) was obtained across 3 manual raters for V(T) and SUV measures when CSF correction was applied across all outcomes and regions and was similar in the absence of CSF correction. The secondary analysis revealed substantial reliability in primary cortical areas between the automated and manual SUV [ICC≥0.979 (ACG/PRC)] and SUVR [ICC≥0.977/0.952 (ACG/PRC)] outcomes. The current study indicates the following rank order among the various reliability results in primary cortical areas and cerebellum (high to low): 1) V(T) or SUV manual delineation, with or without CSF correction; 2) DVR or SUVR manual delineation, with or

  16. Individual Differences in Susceptibility to Inattentional Blindness

    ERIC Educational Resources Information Center

    Seegmiller, Janelle K.; Watson, Jason M.; Strayer, David L.

    2011-01-01

    Inattentional blindness refers to the finding that people do not always see what appears in their gaze. Though inattentional blindness affects large percentages of people, it is unclear if there are individual differences in susceptibility. The present study addressed whether individual differences in attentional control, as reflected by…

  17. Intra-rater variability in low-grade glioma segmentation.

    PubMed

    Bø, Hans Kristian; Solheim, Ole; Jakola, Asgeir Store; Kvistad, Kjell-Arne; Reinertsen, Ingerid; Berntsen, Erik Magnus

    2017-01-01

    Assessment of size and growth are key radiological factors in low-grade gliomas (LGGs), both for prognostication and treatment evaluation, but the reliability of LGG-segmentation is scarcely studied. With a diffuse and invasive growth pattern, usually without contrast enhancement, these tumors can be difficult to delineate. The aim of this study was to investigate the intra-observer variability in LGG-segmentation for a radiologist without prior segmentation experience. Pre-operative 3D FLAIR images of 23 LGGs were segmented three times in the software 3D Slicer. Tumor volumes were calculated, together with the absolute and relative difference between the segmentations. To quantify the intra-rater variability, we used the Jaccard coefficient comparing both two (J2) and three (J3) segmentations as well as the Hausdorff Distance (HD). The variability measured with J2 improved significantly between the two last segmentations compared to the two first, going from 0.87 to 0.90 (p = 0.04). Between the last two segmentations, larger tumors showed a tendency towards smaller relative volume difference (p = 0.07), while tumors with well-defined borders had significantly less variability measured with both J2 (p = 0.04) and HD (p < 0.01). We found no significant relationship between variability and histological sub-types or Apparent Diffusion Coefficients (ADC). We found that the intra-rater variability can be considerable in serial LGG-segmentation, but the variability seems to decrease with experience and higher grade of border conspicuity. Our findings highlight that some criteria defining tumor borders and progression in 3D volumetric segmentation is needed, if moving from 2D to 3D assessment of size and growth of LGGs.

  18. Using Verbal Reports to Explore Rater Perceptual Processes in Scoring: A Mixed Methods Application to Oral Communication Assessment

    ERIC Educational Resources Information Center

    Joe, Jilliam N.; Harmes, J. Christine; Hickerson, Corey A.

    2011-01-01

    In recent years, there has been a growth in the use of rater cognitive data to inform test development and validity arguments. In this study, we examined differences in feature attention and categorisation between experienced and inexperienced raters for a college-level assessment of oral communication. The focus was two-fold: (a) rater cognition…

  19. Rater Effects in ITA Testing: ESL Teachers' versus American Undergraduates' Judgments of Accentedness, Comprehensibility, and Oral Proficiency

    ERIC Educational Resources Information Center

    Hsieh, Ching-Ni

    2011-01-01

    Second language (L2) oral performance assessment always involves raters' subjective judgments and is thus subject to rater variability. The variability due to rater characteristics has important consequential impacts on decision-making processes, particularly in high-stakes testing situations (Bachman, Lynch, & Mason, 1995; A. Brown, 1995;…

  20. An Examination of Rater Performance on a Local Oral English Proficiency Test: A Mixed-Methods Approach

    ERIC Educational Resources Information Center

    Yan, Xun

    2014-01-01

    This paper reports on a mixed-methods approach to evaluate rater performance on a local oral English proficiency test. Three types of reliability estimates were reported to examine rater performance from different perspectives. Quantitative results were also triangulated with qualitative rater comments to arrive at a more representative picture of…

  1. The Effectiveness and Efficiency of Distributed Online, Regional Online, and Regional Face-to-Face Training for Writing Assessment Raters

    ERIC Educational Resources Information Center

    Wolfe, Edward W.; Matthews, Staci; Vickers, Daisy

    2010-01-01

    This study examined the influence of rater training and scoring context on training time, scoring time, qualifying rate, quality of ratings, and rater perceptions. One hundred twenty raters participated in the study and experienced one of three training contexts: (a) online training in a distributed scoring context, (b) online training in a…

  2. Rater reliability and concurrent validity of the Keyboard Personal Computer Style instrument (K-PeCS).

    PubMed

    Baker, Nancy A; Cook, James R; Redfern, Mark S

    2009-01-01

    This paper describes the inter-rater and intra-rater reliability, and the concurrent validity of an observational instrument, the Keyboard Personal Computer Style instrument (K-PeCS), which assesses stereotypical postures and movements associated with computer keyboard use. Three trained raters independently rated the video clips of 45 computer keyboard users to ascertain inter-rater reliability, and then re-rated a sub-sample of 15 video clips to ascertain intra-rater reliability. Concurrent validity was assessed by comparing the ratings obtained using the K-PeCS to scores developed from a 3D motion analysis system. The overall K-PeCS had excellent reliability [inter-rater: intra-class correlation coefficients (ICC)=.90; intra-rater: ICC=.92]. Most individual items on the K-PeCS had from good to excellent reliability, although six items fell below ICC=.75. Those K-PeCS items that were assessed for concurrent validity compared favorably to the motion analysis data for all but two items. These results suggest that most items on the K-PeCS can be used to reliably document computer keyboarding style.

  3. Using latent variable modeling and multiple imputation to calibrate rater bias in diagnosis assessment.

    PubMed

    Siddique, Juned; Crespi, Catherine M; Gibbons, Robert D; Green, Bonnie L

    2011-01-30

    We present an approach that uses latent variable modeling and multiple imputation to correct rater bias when one group of raters tends to be more lenient in assigning a diagnosis than another. Our method assumes that there exists an unobserved moderate category of patient who is assigned a positive diagnosis by one type of rater and a negative diagnosis by the other type. We present a Bayesian random effects censored ordinal probit model that allows us to calibrate the diagnoses across rater types by identifying and multiply imputing 'case' or 'non-case' status for patients in the moderate category. A Markov chain Monte Carlo algorithm is presented to estimate the posterior distribution of the model parameters and generate multiple imputations. Our method enables the calibrated diagnosis variable to be used in subsequent analyses while also preserving uncertainty in true diagnosis. We apply our model to diagnoses of posttraumatic stress disorder (PTSD) from a depression study where nurse practitioners were twice as likely as clinical psychologists to diagnose PTSD despite the fact that participants were randomly assigned to either a nurse or a psychologist. Our model appears to balance PTSD rates across raters, provides a good fit to the data, and preserves between-rater variability. After calibrating the diagnoses of PTSD across rater types, we perform an analysis looking at the effects of comorbid PTSD on changes in depression scores over time. Results are compared with an analysis that uses the original diagnoses and show that calibrating the PTSD diagnoses can yield different inferences.

  4. Reproducibility of range of motion and muscle strength measurements in patients with hip osteoarthritis – an inter-rater study

    PubMed Central

    2012-01-01

    Background Assessment of range of motion (ROM) and muscle strength is fundamental in the clinical diagnosis of hip osteoarthritis (OA) but reproducibility of these measurements has mostly involved clinicians from secondary care and has rarely reported agreement parameters. Therefore, the primary objective of the study was to determine the inter-rater reproducibility of ROM and muscle strength measurements. Furthermore, the reliability of the overall assessment of clinical hip OA was evaluated. Reporting is in accordance with proposed guidelines for the reporting of reliability and agreement studies (GRRAS). Methods In a university hospital, four blinded raters independently examined patients with unilateral hip OA; two hospital orthopaedists independently examined 48 (24 men) patients and two primary care chiropractors examined 61 patients (29 men). ROM was measured in degrees (deg.) with a standard two-arm goniometer and muscle strength in Newton (N) using a hand-held dynamometer. Reproducibility is reported as agreement and reliability between paired raters of the same profession. Agreement is reported as limits of agreement (LoA) and reliability is reported with intraclass correlation coefficients (ICC). Reliability of the overall assessment of clinical OA is reported as weighted kappa. Results Between orthopaedists, agreement for ROM ranged from LoA [-28–12 deg.] for internal rotation to [-8–13 deg.] for extension. ICC ranged between 0.53 and 0.73, highest for flexion. For muscle strength between orthopaedists, LoA ranged from [-65–47N] for external rotation to [-10 –59N] for flexion. ICC ranged between 0.52 and 0.85, highest for abduction. Between chiropractors, agreement for ROM ranged from LoA [-25–30 deg.] for internal rotation to [-13–21 deg.] for flexion. ICC ranged between 0.14 and 0.79, highest for flexion. For muscle strength between chiropractors, LoA ranged between [-80–20N] for external rotation to [-146–55N] for abduction. ICC

  5. The inter-rater reliability of the diagnosis of surgical site infection in the context of a clinical trial

    PubMed Central

    Nuttall, J.; Evaniew, N.; Thornley, P.; Griffin, A.; Deheshi, B.; O’Shea, T.; Wunder, J.; Ferguson, P.; Randall, R. L.; Turcotte, R.; Schneider, P.; McKay, P.; Bhandari, M.

    2016-01-01

    Objectives The diagnosis of surgical site infection following endoprosthetic reconstruction for bone tumours is frequently a subjective diagnosis. Large clinical trials use blinded Central Adjudication Committees (CACs) to minimise the variability and bias associated with assessing a clinical outcome. The aim of this study was to determine the level of inter-rater and intra-rater agreement in the diagnosis of surgical site infection in the context of a clinical trial. Materials and Methods The Prophylactic Antibiotic Regimens in Tumour Surgery (PARITY) trial CAC adjudicated 29 non-PARITY cases of lower extremity endoprosthetic reconstruction. The CAC members classified each case according to the Centers for Disease Control (CDC) criteria for surgical site infection (superficial, deep, or organ space). Combinatorial analysis was used to calculate the smallest CAC panel size required to maximise agreement. A final meeting was held to establish a consensus. Results Full or near consensus was reached in 20 of the 29 cases. The Fleiss kappa value was calculated as 0.44 (95% confidence interval (CI) 0.35 to 0.53), or moderate agreement. The greatest statistical agreement was observed in the outcome of no infection, 0.61 (95% CI 0.49 to 0.72, substantial agreement). Panelists reached a full consensus in 12 of 29 cases and near consensus in five of 29 cases when CDC criteria were used (superficial, deep or organ space). A stable maximum Fleiss kappa of 0.46 (95% CI 0.50 to 0.35) at CAC sizes greater than three members was obtained. Conclusions There is substantial agreement among the members of the PARITY CAC regarding the presence or absence of surgical site infection. Agreement on the level of infection, however, is more challenging. Additional clinical information routinely collected by the prospective PARITY trial may improve the discriminatory capacity of the CAC in the parent study for the diagnosis of infection. Cite this article: J. Nuttall, N. Evaniew, P. Thornley

  6. Inter-rater reliability of surgical reviews for AREN03B2: A COG renal tumor committee study✩

    PubMed Central

    Hamilton, Thomas E.; Barnhart, Douglas; Gow, Kenneth; Ferrer, Fernando; Kandel, Jessica; Glick, Richard; Dasgupta, Roshni; Naranjo, Arlene; He, Ying; Gratias, Eric; Geller, James; Mullen, Elizabeth; Ehrlich, Peter

    2014-01-01

    Purpose The Children's Oncology Group (COG) renal tumor study (AREN03B2) requires real-time central review of radiology, pathology, and the surgical procedure to determine appropriate risk-based therapy. The purpose of this study was to determine the inter-rater reliability of the surgical reviews. Methods Of the first 3200 enrolled AREN03B2 patients, a sample of 100 enriched for blood vessel involvement, spill, rupture, and lymph node involvement was selected for analysis. The surgical assessment was then performed independently by two blinded surgical reviewers and compared to the original assessment, which had been completed by another of the committee surgeons. Variables assessed included surgeon-determined local tumor stage, overall disease stage, type of renal procedure performed, presence of tumor rupture, occurrence of intraoperative tumor spill, blood vessel involvement, presence of peritoneal implants, and interpretation of residual disease. Inter-rater reliability was measured using the Fleiss' Kappa statistic two-sided hypothesis tests (Kappa, p-value). Results Local tumor stage correlated in all 3 reviews except in one case (Kappa = 0.9775, p < 0.001). Similarly, overall disease stage had excellent correlation (0.9422, p < 0.001). There was strong correlation for type of renal procedure (0.8357, p < 0.001), presence of tumor rupture (0.6858, p < 0.001), intraoperative tumor spill (0.6493, p < 0.001), and blood vessel involvement (0.6470, p < 0.001). Variables that had lower correlation were determination of the presence of peritoneal implants (0.2753, p < 0.001) and interpretation of residual disease status (0.5310, p < 0.001). Conclusion The inter-rater reliability of the surgical review is high based on the great consistency in the 3 independent review results. This analysis provides validation and establishes precedent for real-time central surgical review to determine treatment assignment in a risk-based stratagem for multimodal cancer therapy

  7. Definition of blindness under National Programme for Control of Blindness: Do we need to revise it?

    PubMed

    Vashist, Praveen; Senjam, Suraj Singh; Gupta, Vivek; Gupta, Noopur; Kumar, Atul

    2017-02-01

    A review appropriateness of the current definition of blindness under National Programme for Control of Blindness (NPCB), Government of India. Online search of peer-reviewed scientific published literature and guidelines using PubMed, the World Health Organization (WHO) IRIS, and Google Scholar with keywords, namely blindness and visual impairment, along with offline examination of reports of national and international organizations, as well as their cross-references was done until December 2016, to identify relevant documents on the definition of blindness. The evidence for the historical and currently adopted definition of blindness under the NPCB, the WHO, and other countries was reviewed. Differences in the NPCB and WHO definitions were analyzed to assess the impact on the epidemiological status of blindness and visual impairment in India. The differences in the criteria for blindness under the NPCB and the WHO definitions cause an overestimation of the prevalence of blindness in India. These variations are also associated with an over-representation of refractive errors as a cause of blindness and an under-representation of other causes under the NPCB definition. The targets for achieving elimination of blindness also become much more difficult to achieve under the NPCB definition. Ignoring differences in definitions when comparing the global and Indian prevalence of blindness will cause erroneous interpretations. We recommend that the appropriate modifications should be made in the NPCB definition of blindness to make it consistent with the WHO definition.

  8. A randomised, double-blind, phase III study comparing SB2, an infliximab biosimilar, to the infliximab reference product Remicade in patients with moderate to severe rheumatoid arthritis despite methotrexate therapy

    PubMed Central

    Choe, Jung-Yoon; Prodanovic, Nenad; Niebrzydowski, Jaroslaw; Staykov, Ivan; Dokoupilova, Eva; Baranauskaite, Asta; Yatsyshyn, Roman; Mekic, Mevludin; Porawska, Wieskawa; Ciferska, Hana; Jedrychowicz-Rosiak, Krystyna; Zielinska, Agnieszka; Choi, Jasmine; Rho, Young Hee; Smolen, Josef S

    2017-01-01

    Objectives To compare the efficacy, safety, immunogenicity and pharmacokinetics (PK) of SB2 to the infliximab reference product (INF) in patients with moderate to severe rheumatoid arthritis (RA) despite methotrexate therapy. Methods This is a phase III, randomised, double-blind, multinational, multicentre parallel group study. Patients with moderate to severe RA despite methotrexate therapy were randomised in a 1:1 ratio to receive either SB2 or INF of 3 mg/kg. The primary end point was the American College of Rheumatology 20% (ACR20) response at week 30. Inclusion of the 95% CI of the ACR20 response difference within a ±15% margin was required for equivalence. Results 584 subjects were randomised into SB2 (N=291; 290 analysed) or INF (N=293). The ACR20 response at week 30 in the per-protocol set was 64.1% in SB2 versus 66.0% in INF. The adjusted rate difference was −1.88% (95% CI −10.26% to 6.51%), which was within the predefined equivalence margin. Other efficacy outcomes such as ACR50/70, disease activity score measured by 28 joints and European League against Rheumatism response were similar between SB2 and INF. The incidence of treatment-emergent adverse events was comparable (57.6% in SB2 vs 58.0% in INF) as well as the incidence of antidrug antibodies (ADA) to infliximab up to week 30 (55.1% in SB2 vs 49.7% in INF). The PK profile was similar between SB2 and INF. Efficacy, safety and PK by ADA subgroup were comparable between SB2 and INF. Conclusions SB2 was equivalent to INF in terms of ACR20 response at week 30. SB2 was well tolerated with a comparable safety profile, immunogenicity and PK to INF. Trial registration number NCT01936181. PMID:26318384

  9. Mesalazine Has No Effect on Mucosal Immune Biomarkers in Patients with Diarrhea-Dominant Irritable Bowel Syndrome Referred to Shariati Hospital: A Randomized Double-Blind, Placebo-Controlled Trial

    PubMed Central

    Ghadir, Mohammad Reza; Poradineh, Mehri; Sotodeh, Masoud; Ansari, Reza; Kolahdoozan, Shadi; Hormati, Ahmad; Yousefi, Mohammad Hosein; Mirzaei, Samaneh; Vahedi, Homayoon

    2017-01-01

    BACKGROUND Intestinal mast cells may cause gastrointestinal symptoms in patients with diarrhea-dominant irritable bowel syndrome (IBS). The objective of this study was to determine the effect of mesalazine on the number of lamina propria mast cells and clinical manifestations of patients with diarrhea-dominant IBS referred to Shariati Hospital affiliated to Tehran University of Medical Sciences. METHODS This was a randomized placebo-controlled double-blind trial conducted on 49 patients with diarrhea-dominant IBS. The patients were randomly assigned to one of the experiment or control groups. The patients in experiment group took 2400 mg mesalazine daily in three divided doses for 8 weeks and the patient in control group took placebo on the same basis. Our first targeted outcome was an assigned downturn of mast cells number to the safe colonic baseline and the next one was a marked palliation of disease symptoms. Data were analyzed conforming intention-to-treat method. We used MANCOVA test to compare our both assigned outcomes in the two groups. We also compared the data with baseline values in both groups.All statistical tests were performed at the significance level of 0.05. RESULTS There was no significant difference between Mesalazine and placebo groups regarding the number of mast cells (p value=0.396), abdominal pain (p value=0.054), bloating (p value=0.365), defecation urgency (p value=0.212), and defecation frequency (p value=0.702). CONCLUSION Mesalazine had no significant effect either on the number of mast cells or on the severity of disease symptoms. This finding seems to be inconsistent with the hypothesis indicating immune mechanisms as potential therapeutic targets in IBS. The possible difference in this effect of Mesalazine should be evaluated in further studies among populations varying in race, ethnic, and geographical characteristics.

  10. Repetition blindness is orientation blind.

    PubMed

    Corballis, Michael C; Armstrong, Cole

    2007-03-01

    In identifying rapid sequences of three letters, subjects were worse at identifying the first and third letters when they were the same than when they were different, indicating repetition blindness (RB). This effect occurred regardless of the angular orientations of the letters, but was more pronounced when the orientations of the repeated letters were different than when they were the same. In a second experiment, RB was also evident when the first and third letters were lowercase bs or ds, presented upright or inverted, even though they are differently named when inverted (q and p, respectively). Conversely, a third experiment showed that RB occurred when the letters had the same names but were repeated in different case. These results suggest that the early extraction of letter shape is independent of its orientation and left-right sense, and that RB can occur at the levels of both shape and name.

  11. Rating Movies and Rating the Raters Who Rate Them.

    PubMed

    Zhou, Hua; Lange, Kenneth

    2009-11-01

    The movie distribution company Netflix has generated considerable buzz in the statistics community by offering a million dollar prize for improvements to its movie rating system. Among the statisticians and computer scientists who have disclosed their techniques, the emphasis has been on machine learning approaches. This article has the modest goal of discussing a simple model for movie rating and other forms of democratic rating. Because the model involves a large number of parameters, it is nontrivial to carry out maximum likelihood estimation. Here we derive a straightforward EM algorithm from the perspective of the more general MM algorithm. The algorithm is capable of finding the global maximum on a likelihood landscape littered with inferior modes. We apply two variants of the model to a dataset from the MovieLens archive and compare their results. Our model identifies quirky raters, redefines the raw rankings, and permits imputation of missing ratings. The model is intended to stimulate discussion and development of better theory rather than to win the prize. It has the added benefit of introducing readers to some of the issues connected with analyzing high-dimensional data.

  12. Inter-rater reliability of the STEP protocol.

    PubMed

    Edman, A; Mahnfeldt, M; Wallin, A

    2001-01-01

    An inter-rater reliability test of the Stepwise Comparative Status Analysis (STEP) is presented. The STEP is a protocol for the clinical examination of patients with dementia, within the scope of a neuropsychiatric investigation. It combines psychiatric and neurologic bedside examination methods. The analysis is made in three steps where primary, observable symptom variables are successively aggregated via compound variables to the final determination of one of seven possible dominant regional brain syndromes (global, frontal, subcortical, parietal, frontosubcortical, frontoparietal, other), here also called complex variables. In the present study, two senior physicians assessed 50 patients independently and simultaneously. None of the patients was known to both physicians. In 42 patients (84%), the same dominant brain syndrome was determined by the two clinicians. The probability (P value) of this (or better) agreement was calculated at 2.0 x 10(-12). Kappa coefficients were calculated as a measure of assessment agreement regarding the 50 STEP variables. For 20 variables, the coefficient was 0.75 or above, indicating excellent agreement; for 22 variables, the coefficient was below 0.75 and above 0.40, indicating moderate agreement; and for 4 variables, the value was 0.40 or below, indicating poor agreement. Kappa calculations regarding the assessments of four variables were either not possible or were considered inappropriate.

  13. Grant Peer Review: Improving Inter-Rater Reliability with Training

    DOE PAGES

    Sattler, David N.; McKnight, Patrick E.; Naney, Linda; ...

    2015-06-15

    In this study, we developed and evaluated a brief training program for grant reviewers that aimed to increase inter-rater reliability, rating scale knowledge, and effort to read the grant review criteria. Enhancing reviewer training may improve the reliability and accuracy of research grant proposal scoring and funding recommendations. Seventy-five Public Health professors from U.S. research universities watched the training video we produced and assigned scores to the National Institutes of Health scoring criteria proposal summary descriptions. For both novice and experienced reviewers, the training video increased scoring accuracy (the percentage of scores that reflect the true rating scale values), inter-ratermore » reliability, and the amount of time reading the review criteria compared to the no video condition. The increase in reliability for experienced reviewers is notable because it is commonly assumed that reviewers—especially those with experience—have good understanding of the grant review rating scale. Our findings suggest that both experienced and novice reviewers who had not received the type of training developed in this study may not have appropriate understanding of the definitions and meaning for each value of the rating scale and that experienced reviewers may overestimate their knowledge of the rating scale. Lastly, the results underscore the benefits of and need for specialized peer reviewer training.« less

  14. PANSS rater training using Internet and videoconference: results from a pilot study.

    PubMed

    Kobak, Kenneth A; Opler, Mark G A; Engelhardt, Nina

    2007-05-01

    Problems associated with the clinician-administered rating scales have led to new approaches to improve rater training. These include interactive, on-line didactic tutorials and live, remote evaluation of raters' clinical skills through the use of videoconferencing. The purpose of this study was to evaluate this approach in training novice raters on the administration of the Positive and Negative Symptom Scale (PANSS). Twelve trainees with no prior PANSS experience completed didactic training via CD-ROM and two remote training sessions where they interviewed a standardized patient-actor while being remotely observed in real time and given feedback. Results found a significant improvement in trainees' conceptual knowledge and an improvement in trainees' clinical skills. The use of these technologies allows for training to be more effectively delivered to diverse sites in multi-center trials, and for evaluation of raters' applied clinical skills, an area that has previously been overlooked.

  15. Examining rating quality in writing assessment: rater agreement, error, and accuracy.

    PubMed

    Wind, Stefanie A; Engelhard, George

    2012-01-01

    The use of performance assessments in which human raters evaluate student achievement has become increasingly prevalent in high-stakes assessment systems such as those associated with recent policy initiatives (e.g., Race to the Top). In this study, indices of rating quality are compared between two measurement perspectives. Within the context of a large-scale writing assessment, this study focuses on the alignment between indices of rater agreement, error, and accuracy based on traditional and Rasch measurement theory perspectives. Major empirical findings suggest that Rasch-based indices of model-data fit for ratings provide information about raters that is comparable to direct measures of accuracy. The use of easily obtained approximations of direct accuracy measures holds significant implications for monitoring rating quality in large-scale rater-mediated performance assessments.

  16. PEER RATING VALIDITY AS A FUNCTION OF RATER INTELLIGENCE AND RATING SCORE RECEIVED

    DTIC Science & Technology

    intelligence there is little reason to take into consideration rather intelligence when concerned with the validity of the ratings he gives . This is also true for the Peer Rating score received by the rater.

  17. Inter- and intra-rater agreement of static posture analysis using a mobile application

    PubMed Central

    Boland, David M.; Neufeld, Eric V.; Ruddell, Jack; Dolezal, Brett A.; Cooper, Christopher B.

    2016-01-01

    [Purpose] To determine the intra- and inter-rater agreement of a mobile application, PostureScreen Mobile® (PSM), that assesses static standing posture. [Subjects and Methods] Three examiners with different levels of experience of assessing posture, one licensed physical therapist and two untrained undergraduate students, performed repeated postural assessments of 10 subjects, fully clothed or minimally clothed, using PSM on two nonconsecutive days. Anterior and right lateral images were captured and seventeen landmarks were identified on them. Intraclass correlation coefficients (ICCs) were calculated for each of 13 postural measures to evaluate inter-rater agreement on the first visit (fully or minimally clothed), as well as intra-rater agreement between the first and second visits (minimally clothed). [Results] Eleven postural measures were ultimately analyzed for inter- and intra-rater agreement. Inter-rater agreement was almost perfect (ICC≥0.81) for four measures and substantial (0.60rater agreement was almost perfect for four measures and substantial for four measures. Intra-rater agreement between two minimally clothed exams was almost perfect for two measures and substantial for five measures. [Conclusion] PSM is a widely available, inexpensive postural screening tool that requires little formal training. To maximize inter- and intra-rater agreement, postural screening using this mobile application should be conducted with subjects wearing minimal clothing. Assessing static standing posture via PSM gives repeatable measures for anatomical landmarks that were found to have substantial or almost perfect agreement. Our data also suggest that this technology may also be useful for diagnosing forward head posture. PMID:28174460

  18. Inter-rater Reliability of Sustained Aberrant Movement Patterns as a Clinical Assessment of Muscular Fatigue

    PubMed Central

    Aerts, Frank; Carrier, Kathy; Alwood, Becky

    2016-01-01

    Background: The assessment of clinical manifestation of muscle fatigue is an effective procedure in establishing therapeutic exercise dose. Few studies have evaluated physical therapist reliability in establishing muscle fatigue through detection of changes in quality of movement patterns in a live setting. Objective: The purpose of this study is to evaluate the inter-rater reliability of physical therapists’ ability to detect altered movement patterns due to muscle fatigue. Design: A reliability study in a live setting with multiple raters. Participants: Forty-four healthy individuals (ages 19-35) were evaluated by six physical therapists in a live setting. Methods: Participants were evaluated by physical therapists for altered movement patterns during resisted shoulder rotation. Each participant completed a total of four tests: right shoulder internal rotation, right shoulder external rotation, left shoulder internal rotation and left shoulder external rotation. Results: For all tests combined, the inter-rater reliability for a single rater scoring ICC (2,1) was .65 (95%, .60, .71) This corresponds to moderate inter-rater reliability between physical therapists. Limitations: The results of this study apply only to healthy participants and therefore cannot be generalized to a symptomatic population. Conclusion: Moderate inter-rater reliability was found between physical therapists in establishing muscle fatigue through the observation of sustained altered movement patterns during dynamic resistive shoulder internal and external rotation. PMID:27347241

  19. Inter‐rater agreement in the assessment of exposure to carcinogens in the offshore petroleum industry

    PubMed Central

    Steinsvåg, Kjersti; Bråtveit, Magne; Moen, Bente E; Kromhout, Hans

    2007-01-01

    Objectives To evaluate the reliability of an expert team assessing exposure to carcinogens in the offshore petroleum industry and to study how the information provided influenced the agreement among raters. Methods Eight experts individually assessed the likelihood of exposure for combinations of 17 carcinogens, 27 job categories and four time periods (1970–1979, 1980–1989, 1990–1999 and 2000–2005). Each rater assessed 1836 combinations based on summary documents on carcinogenic agents, which included descriptions of sources of exposure and products, descriptions of work processes carried out within the different job categories, and monitoring data. Inter‐rater agreement was calculated using Cohen's kappa index and single and average score intraclass correlation coefficients (ICC) (ICC(2,1) and ICC(2,8), respectively). Differences in inter‐rater agreement for time periods, raters, International Agency for Research on Cancer groups and the amount of information provided were consequently studied. Results Overall, 18% of the combinations were denoted as possible exposure, and 14% scored probable exposure. Stratified by the 17 carcinogenic agents, the probable exposure prevalence ranged from 3.8% for refractory ceramic fibres to 30% for crude oil. Overall mean kappa was 0.42 (ICC(2,1) = 0.62 and ICC(2,8) = 0.93). Providing limited quantitative measurement data was associated with less agreement than for equally well described carcinogens without sampling data. Conclusion The overall κ and single‐score ICC indicate that the raters agree on exposure estimates well above the chance level. The levels of inter‐rater agreement were higher than in other comparable studies. The average score ICC indicates reliable mean estimates and implies that sufficient raters were involved. The raters seemed to have enough documentation on which to base their estimates, but provision of limited monitoring data leads to more incongruence among raters. Having real

  20. Clothing-Selection Habits of Teenage Girls Who Are Sighted and Blind.

    ERIC Educational Resources Information Center

    Kaufman, Al

    2000-01-01

    A study that compared the clothing-selection habits of 15 adolescent girls with blindness and 15 sighted girls found parents played a larger role in selecting the clothing for the girls with blindness, girls with blindness wore less makeup and jewelry, and care requirements were more important to girls with blindness. (Contains 12 references.) (CR)

  1. Unsupervised Blind Deconvolution

    NASA Astrophysics Data System (ADS)

    Baena-Galle, R.; Kann, L.; Mugnier, L.; Gudimetla, R.; Johnson, R.; Gladysz, S.

    2013-09-01

    "Blind" deconvolution is rarely executed blindly. All available methods have parameters which the user fine-tunes until the most visually-appealing reconstruction is achieved. The "art" of deconvolution is to find constraints which allow for the best estimate of an object to be recovered, but in practice these parameterized constraints often reduce deconvolution to the struggle of trial and error. In the course of AFOSR-sponsored activities we are developing a general maximum a posteriori framework for the problem of imaging through atmospheric turbulence, with the emphasis on multi-frame blind deconvolution. Our aim is to develop deconvolution strategy which is reference-less, i.e. no calibration PSF is required, extendable to longer exposures, and applicable to imaging with adaptive optics. In the first part of the project the focus has been on developing a new theory of statistics of images taken through turbulence, both with-, and without adaptive optics. Images and their Fourier transforms have been described as random phasor sums, their fluctuations controlled by wavefront "cells" and moments of the phase. The models were validated using simulations and real data from the 3.5m telescope at the Starfire Optical Range in New Mexico. Another important ingredient of the new framework is the capability to estimate the average PSF automatically from the target observations. A general approach, applicable to any type of object, has been proposed. Here use is made of an object-cancelling transformation of the image sequence. This transformation yields information about the atmospheric PSF. Currently, the PSF estimation module and the theoretical constraints on PSF variability are being incorporated into multi-frame blind deconvolution. In preliminary simulation tests we obtained significantly sharper images with respect to the starting observations and PSF estimates which closely track the input kernels. Thanks to access to the SOR 3.5m telescope we are now testing

  2. Auditory Spatial Recalibration in Congenital Blind Individuals

    PubMed Central

    Finocchietti, Sara; Cappagli, Giulia; Gori, Monica

    2017-01-01

    Blind individuals show impairments for auditory spatial skills that require complex spatial representation of the environment. We suggest that this is partially due to the egocentric frame of reference used by blind individuals. Here we investigate the possibility of reducing the mentioned auditory spatial impairments with an audio-motor training. Our hypothesis is that the association between a motor command and the corresponding movement's sensory feedback can provide an allocentric frame of reference and consequently help blind individuals in understanding complex spatial relationships. Subjects were required to localize the end point of a moving sound before and after either 2-min of audio-motor training or a complete rest. During the training, subjects were asked to move their hand, and consequently the sound source, to freely explore the space around the setup and the body. Both congenital blind (N = 20) and blindfolded healthy controls (N = 28) participated in the study. Results suggest that the audio-motor training was effective in improving space perception of blind individuals. The improvement was not observed in those subjects that did not perform the training. This study demonstrates that it is possible to recalibrate the auditory spatial representation in congenital blind individuals with a short audio-motor training and provides new insights for rehabilitation protocols in blind people. PMID:28261053

  3. Reversible cortical blindness: posterior reversible encephalopathy syndrome.

    PubMed

    Bandyopadhyay, Sabyasachi; Mondal, Kanchan Kumar; Das, Somnath; Gupta, Anindya; Biswas, Jaya; Bhattacharyya, Subir Kumar; Biswas, Gautam

    2010-11-01

    Cortical blindness is defined as visual failure with preserved pupillary reflexes in structurally intact eyes due to bilateral lesions affecting occipital cortex. Bilateral oedema and infarction of the posterior and middle cerebral arterial territory, trauma, glioma and meningioma of the occipital cortex are the main causes of cortical blindness. Posterior reversible encephalopathy syndrome (PRES) refers to the reversible subtype of cortical blindness and is usually associated with hypertension, diabetes, immunosuppression, puerperium with or without eclampsia. Here, 3 cases of PRES with complete or partial visual recovery following treatment in 6-month follow-up are reported.

  4. Intra- and inter-rater reliability of digital image analysis for skin color measurement

    PubMed Central

    Sommers, Marilyn; Beacham, Barbara; Baker, Rachel; Fargo, Jamison

    2013-01-01

    Background We determined the intra- and inter-rater reliability of data from digital image color analysis between an expert and novice analyst. Methods Following training, the expert and novice independently analyzed 210 randomly ordered images. Both analysts used Adobe® Photoshop lasso or color sampler tools based on the type of image file. After color correction with Pictocolor® in camera software, they recorded L*a*b* (L*=light/dark; a*=red/green; b*=yellow/blue) color values for all skin sites. We computed intra-rater and inter-rater agreement within anatomical region, color value (L*, a*, b*), and technique (lasso, color sampler) using a series of one-way intra-class correlation coefficients (ICCs). Results Results of ICCs for intra-rater agreement showed high levels of internal consistency reliability within each rater for the lasso technique (ICC ≥ 0.99) and somewhat lower, yet acceptable, level of agreement for the color sampler technique (ICC = 0.91 for expert, ICC = 0.81 for novice). Skin L*, skin b*, and labia L* values reached the highest level of agreement (ICC ≥ 0.92) and skin a*, labia b*, and vaginal wall b* were the lowest (ICC ≥ 0.64). Conclusion Data from novice analysts can achieve high levels of agreement with data from expert analysts with training and the use of a detailed, standard protocol. PMID:23551208

  5. [Inter-rater reliability and validity of the OPD-CA axes structure and conflict].

    PubMed

    Benecke, Cord; Bock, Astrid; Wieser, Elke; Tschiesner, Reinhard; Lochmann, Martha; Küspert, Felicia; Schorn, Robert; Viertler, Bernhard; Steinmayr-Gensluckner, Maria

    2011-01-01

    The manual of the Operationalized Psychodynamic Diagnostics in childhood and adolescence (OPD-CA) is an instrument meanwhile widespread in the clinical practice to assess psychodynamic dimensions. Publications of inter-rater agreement and validity are still outstanding. This study assessed the interrater-reliability and validity for the axis structure and the axis conflict. 60 adolescents between 14 and 17 years, with and without psychic disorders, were diagnosed with the Operationalized Psychodynamic Diagnostics in childhood and adolescence (Arbeitskreis OPD-KJ, 2007) and SCID-II-interviews and questionnaires. A partial sample of 36 OPD-CA-interviews was the data basis for the assessment of inter-rater agreement. Calculations of validity for axis structure and axis conflict were made with the whole sample. Inter-rater agreement for the axis structure and the axis conflict showed good to very good weighted Kappa coefficients among the trained raters. Validity of the axis structure showed good results. The Operationalized Psychodynamic Diagnostics in childhood and adolescence (OPD-CA) allows a reliable diagnostic of axis structure and axis conflict, if the ratings are done on the basis of semistructured videotaped interviews by trained raters. The axis structure shows validity, while the results concerning the validity of the axis conflict remain unclear.

  6. Measuring teacher dispositions using the DAATS battery: a multifaceted Rasch analysis of rater effect.

    PubMed

    Lang, W Steve; Wilkerson, Judy R; Rea, Dorothy C; Quinn, David; Batchelder, Heather L; Englehart, Dierdre S; Jennings, Kelly J

    2014-01-01

    The purpose of this study was to examine the extent to which raters' subjectivity impacts measures of teacher dispositions using the Dispositions Assessments Aligned with Teacher Standards (DAATS) battery. This is an important component of the collection of evidence of validity and reliability of inferences made using the scale. It also provides needed support for the use of subjective affective measures in teacher training and other professional preparation programs, since these measures are often feared to be unreliable because of rater effect. It demonstrates the advantages of using the Multi-Faceted Rasch Model as a better alternative to the typical methods used in preparation programs, such as Cohen's Kappa. DAATS instruments require subjective scoring using a six-point rating scale derived from the affective taxonomy as defined by Krathwohl, Bloom, and Masia (1956). Rater effect is a serious challenge and can worsen or drift over time. Errors in rater judgment can impact the accuracy of ratings, and these effects are common, but can be lessened through training of raters and monitoring of their efforts. This effort uses the multifaceted Rasch measurement models (MFRM) to detect and understand the nature of these effects.

  7. Assessment of Interpersonal Motivation in Transcripts (AIMIT): an inter- and intra-rater reliability study of a new method of detection of interpersonal motivational systems in psychotherapy.

    PubMed

    Fassone, G; Valcella, F; Pallini, S; Scarcella, F; Tombolini, L; Ivaldi, A; Prunetti, E; Manaresi, F; Liotti, G

    2012-01-01

    Assessing Interpersonal Motivations in Transcripts (AIMIT) is a coding system aiming to systematically detect the activity of interpersonal motivational systems (IMS) in the therapeutic dialogue. An inter- and intra-rater reliability study has been conducted. Sixteen video-recorded psychotherapy sessions were selected and transcribed according to the AIMIT criteria. Sessions relate to 16 patients with an Axis II diagnosis, with a mean Global Assessment of Functioning of 51. For the intra-rater reliability evaluation, five sessions have been selected and assigned to five independent coders who where asked to make a first evaluation, and then a second independent one 14 days later. For the inter-rater reliability study, the sessions coded by the therapist-coder were jointly revised with another coder and finally classified as gold standard. The 16 standard sessions were sent to other evaluators for the independent coding. The agreement (κ) was estimated according to the following parameters for each coding unit: evaluation units supported by the 'codable' activation of one or more IMS; motivational interaction with reference to the ongoing relation between patient and therapist; an interaction between the patient and another person reported/narrated by the patient; detection of specific IMS: attachment (At), caregiving (CG), rank (Ra), sexuality (Se), peer cooperation (PC); and transitions from one IMS to another were also scored. The intra-rater agreement was evaluated through the parameters 'cod', 'At', 'CG', 'Ra', 'Se' and 'PC' described above. A total of 2443 coding units were analysed. For the nine parameters on which the agreement was calculated, eight ['coded (Cod)', 'ongoing relation (Rel)', 'narrated relation (Nar)', 'At', 'CG', 'Ra', 'Se' and 'PC'] have κ values comprised between 0.62 (CG) and 0.81 (Cod) and were therefore satisfactory. The scoring of 'transitions' showed agreement values slightly below desired cut-off (0.56). Intra-rater reliability was

  8. Color Blindness Simulations

    MedlinePlus

    ... Coordinator Color blindness Simulations Normal Color Vision Deuteranopia Color blindness marked by confusion of purplish red and green Tritanopia A dichromatism in which the spectrum is seen in tones of red and green. ...

  9. Blind Quantum Signature with Blind Quantum Computation

    NASA Astrophysics Data System (ADS)

    Li, Wei; Shi, Ronghua; Guo, Ying

    2017-04-01

    Blind quantum computation allows a client without quantum abilities to interact with a quantum server to perform a unconditional secure computing protocol, while protecting client's privacy. Motivated by confidentiality of blind quantum computation, a blind quantum signature scheme is designed with laconic structure. Different from the traditional signature schemes, the signing and verifying operations are performed through measurement-based quantum computation. Inputs of blind quantum computation are securely controlled with multi-qubit entangled states. The unique signature of the transmitted message is generated by the signer without leaking information in imperfect channels. Whereas, the receiver can verify the validity of the signature using the quantum matching algorithm. The security is guaranteed by entanglement of quantum system for blind quantum computation. It provides a potential practical application for e-commerce in the cloud computing and first-generation quantum computation.

  10. Blind Quantum Signature with Blind Quantum Computation

    NASA Astrophysics Data System (ADS)

    Li, Wei; Shi, Ronghua; Guo, Ying

    2016-12-01

    Blind quantum computation allows a client without quantum abilities to interact with a quantum server to perform a unconditional secure computing protocol, while protecting client's privacy. Motivated by confidentiality of blind quantum computation, a blind quantum signature scheme is designed with laconic structure. Different from the traditional signature schemes, the signing and verifying operations are performed through measurement-based quantum computation. Inputs of blind quantum computation are securely controlled with multi-qubit entangled states. The unique signature of the transmitted message is generated by the signer without leaking information in imperfect channels. Whereas, the receiver can verify the validity of the signature using the quantum matching algorithm. The security is guaranteed by entanglement of quantum system for blind quantum computation. It provides a potential practical application for e-commerce in the cloud computing and first-generation quantum computation.

  11. Blindness and anorexia nervosa.

    PubMed

    McFarlane, A C

    1989-06-01

    Two cases of anorexia nervosa in blind patients are reported. They demonstrate that blind children experience many developmental problems which are thought to be important in the etiology of anorexia nervosa. Similarly, blind children are unusually susceptible to misperceive their body size and weight. The apparent absence of a strong association between congenital blindness and anorexia nervosa challenges the presumed aetiological link between disturbed body image and identity diffusion, and anorexia nervosa.

  12. Structured interview for mild traumatic brain injury after military blast: inter-rater agreement and development of diagnostic algorithm.

    PubMed

    Walker, William C; Cifu, David X; Hudak, Anne M; Goldberg, Gary; Kunz, Richard D; Sima, Adam P

    2015-04-01

    The existing gold standard for diagnosing a suspected previous mild traumatic brain injury (mTBI) is clinical interview. But it is prone to bias, especially for parsing the physical versus psychological effects of traumatic combat events, and its inter-rater reliability is unknown. Several standardized TBI interview instruments have been developed for research use but have similar limitations. Therefore, we developed the Virginia Commonwealth University (VCU) retrospective concussion diagnostic interview, blast version (VCU rCDI-B), and undertook this cross-sectional study aiming to 1) measure agreement among clinicians' mTBI diagnosis ratings, 2) using clinician consensus develop a fully structured diagnostic algorithm, and 3) assess accuracy of this algorithm in a separate sample. Two samples (n = 66; n = 37) of individuals within 2 years of experiencing blast effects during military deployment underwent semistructured interview regarding their worst blast experience. Five highly trained TBI physicians independently reviewed and interpreted the interview content and gave blinded ratings of whether or not the experience was probably an mTBI. Paired inter-rater reliability was extremely variable, with kappa ranging from 0.194 to 0.825. In sample 1, the physician consensus prevalence of probable mTBI was 84%. Using these diagnosis ratings, an algorithm was developed and refined from the fully structured portion of the VCU rCDI-B. The final algorithm considered certain symptom patterns more specific for mTBI than others. For example, an isolated symptom of "saw stars" was deemed sufficient to indicate mTBI, whereas an isolated symptom of "dazed" was not. The accuracy of this algorithm, when applied against the actual physician consensus in sample 2, was almost perfect (correctly classified = 97%; Cohen's kappa = 0.91). In conclusion, we found that highly trained clinicians often disagree on historical blast-related mTBI determinations. A fully structured interview

  13. Inter- and intra-rater reliability of the GAITRite system among individuals with sub-acute stroke.

    PubMed

    Wong, Jennifer S; Jasani, Hardika; Poon, Vivien; Inness, Elizabeth L; McIlroy, William E; Mansfield, Avril

    2014-01-01

    Technology-based assessment tools with semi-automated processing, such as pressure-sensitive mats used for gait assessment, may be considered to be objective; therefore it may be assumed that rater reliability is not a concern. However, user input is often required and rater reliability must be determined. The purpose of this study was to assess the inter- and intra-rater reliability of spatial and temporal characteristics of gait in stroke patients using the GAITRite system. Forty-six individuals with stroke attending in-patient rehabilitation walked across the pressure-sensitive mat 2-4 times at preferred walking speeds, with or without a gait aid. Five raters independently processed gait data. Three raters re-processed the data after a delay of at least one month. The intraclass correlation coefficients (ICC) and 95% confidence intervals of the ICC were determined for velocity, step time, step length, and step width. Inter-rater reliability for velocity, step time, and step length were high (ICC>0.90). Intra-rater reliability was generally greater than inter-rater reliability (from 0.81 to >0.99 for inter-rater versus 0.77 to >0.99 for intra-rater reliability). Overall, this study suggests that GAITRite is a reliable assessment tool; however, there still remains subjectivity in processing the data, resulting in no patients with perfect agreement between raters. Additional logic checking within the processing software or standardization of training could help to reduce potential errors in processing.

  14. Examining rater and occasion influences in observational assessments obtained from within the clinical environment

    PubMed Central

    Kreiter, Clarence D.; Wilson, Adam B.; Humbert, Aloysius J.; Wade, Patricia A.

    2016-01-01

    Background When ratings of student performance within the clerkship consist of a variable number of ratings per clinical teacher (rater), an important measurement question arises regarding how to combine such ratings to accurately summarize performance. As previous G studies have not estimated the independent influence of occasion and rater facets in observational ratings within the clinic, this study was designed to provide estimates of these two sources of error. Method During 2 years of an emergency medicine clerkship at a large midwestern university, 592 students were evaluated an average of 15.9 times. Ratings were performed at the end of clinical shifts, and students often received multiple ratings from the same rater. A completely nested G study model (occasion: rater: person) was used to analyze sampled rating data. Results The variance component (VC) related to occasion was small relative to the VC associated with rater. The D study clearly demonstrates that having a preceptor rate a student on multiple occasions does not substantially enhance the reliability of a clerkship performance summary score. Conclusions Although further research is needed, it is clear that case-specific factors do not explain the low correlation between ratings and that having one or two raters repeatedly rate a student on different occasions/cases is unlikely to yield a reliable mean score. This research suggests that it may be more efficient to have a preceptor rate a student just once. However, when multiple ratings from a single preceptor are available for a student, it is recommended that a mean of the preceptor's ratings be used to calculate the student's overall mean performance score. PMID:26925540

  15. Effects of Rating Purpose and Rater Self-Esteem on Performance Ratings.

    DTIC Science & Technology

    1983-03-01

    MUlIGUR 83-3 Z 11l 4. TITLE (and Subtitle) a. TYPE Or REPORT A PVfOO COVERED Effects of Rating Purpose and Rater Self - Esteem Interim I on...rnmbee) U..N1’ MiAY 27 093 Performance Ratings, Rating Purpose, Self - Esteem 26, ASTRACT (Continueo an revere* side of necessay aid Identify by block gmN...The influences of intended rating purpose (administrative vs. employee counseling) and rater self - esteem on ratings of employee performance were

  16. Global data on blindness.

    PubMed Central

    Thylefors, B.; Négrel, A. D.; Pararajasegaram, R.; Dadzie, K. Y.

    1995-01-01

    Globally, it is estimated that there are 38 million persons who are blind. Moreover, a further 110 million people have low vision and are at great risk of becoming blind. The main causes of blindness and low vision are cataract, trachoma, glaucoma, onchocerciasis, and xerophthalmia; however, insufficient data on blindness from causes such as diabetic retinopathy and age-related macular degeneration preclude specific estimations of their global prevalence. The age-specific prevalences of the major causes of blindness that are related to age indicate that the trend will be for an increase in such blindness over the decades to come, unless energetic efforts are made to tackle these problems. More data collected through standardized methodologies, using internationally accepted (ICD-10) definitions, are needed. Data on the incidence of blindness due to common causes would be useful for calculating future trends more precisely. PMID:7704921

  17. Building "e-rater"® Scoring Models Using Machine Learning Methods. Research Report. ETS RR-16-04

    ERIC Educational Resources Information Center

    Chen, Jing; Fife, James H.; Bejar, Isaac I.; Rupp, André A.

    2016-01-01

    The "e-rater"® automated scoring engine used at Educational Testing Service (ETS) scores the writing quality of essays. In the current practice, e-rater scores are generated via a multiple linear regression (MLR) model as a linear combination of various features evaluated for each essay and human scores as the outcome variable. This…

  18. Diagnostic Accuracy of the Halstead-Reitan and Luria-Nebraska Neuropsychological Batteries: Performance of Clinical Raters.

    ERIC Educational Resources Information Center

    Kane, Robert L.; And Others

    1987-01-01

    Three experienced neuropsychologists rated brain damaged and control subjects for brain damage using the Halstead-Reitan Battery and the Luria-Nebraska Neuropsychological Battery. Using either battery, raters were accurate in judging the presence of brain damage. There was a high degree of consistency between raters and test batteries when both…

  19. Construct Validity of "e-rater"® in Scoring TOEFL® Essays. Research Report. ETS RR-07-21

    ERIC Educational Resources Information Center

    Attali, Yigal

    2007-01-01

    This study examined the construct validity of the "e-rater"® automated essay scoring engine as an alternative to human scoring in the context of TOEFL® essay writing. Analyses were based on a sample of students who repeated the TOEFL within a short time period. Two "e-rater" scores were investigated in this study, the first…

  20. Evaluating the Construct-Coverage of the e-rater[R] Scoring Engine. Research Report. ETS RR-09-01

    ERIC Educational Resources Information Center

    Quinlan, Thomas; Higgins, Derrick; Wolff, Susanne

    2009-01-01

    This report evaluates the construct coverage of the e-rater[R[ scoring engine. The matter of construct coverage depends on whether one defines writing skill, in terms of process or product. Originally, the e-rater engine consisted of a large set of components with a proven ability to predict human holistic scores. By organizing these capabilities…

  1. Blindness prevention programmes: past, present, and future.

    PubMed Central

    Resnikoff, S.; Pararajasegaram, R.

    2001-01-01

    Blindness and visual impairment have far-reaching implications for society, the more so when it is realized that 80% of visual disability is avoidable. The marked increase in the size of the elderly population, with their greater propensity for visually disabling conditions, presents a further challenge in this respect. However, if available knowledge and skills were made accessible to those communities in greatest need, much of this needless blindness could be alleviated. Since its inception over 50 years ago, and beginning with trachoma control, WHO has spearheaded efforts to assist Member States to meet the challenge of needless blindness. Since the establishment of the WHO Programme for the Prevention of Blindness in 1978, vast strides have been made through various forms of technical support to establish national prevention of blindness programmes. A more recent initiative, "The Global Initiative for the Elimination of Avoidable Blindness" (referred to as "VISION 2020--The Right to Sight"), launched in 1999, is a collaborative effort between WHO and a number of international nongovernmental organizations and other interested partners. This effort is poised to take the steps necessary to achieve the goal of eliminating avoidable blindness worldwide by the year 2020. PMID:11285666

  2. Active comparator-controlled, rater-blinded study of corticotropin-based immunotherapies for opsoclonus-myoclonus syndrome.

    PubMed

    Tate, Elizabeth D; Pranzatelli, Michael R; Verhulst, Steven J; Markwell, Stephen J; Franz, David Neal; Graf, William D; Joseph, S Anne; Khakoo, Yasmin N; Lo, Warren D; Mitchell, Wendy G; Sivaswamy, Lalitha

    2012-07-01

    To test the efficacy and safety of corticotropin-based immunotherapies in pediatric opsoclonus-myoclonus syndrome, 74 children received corticotropin alone or with intravenous immunoglobulin (groups 1 and 2, active controls); or both with rituximab (group 3) or cyclophosphamide (group 4); or with rituximab plus chemotherapy (group 5) or steroid sparers (group 6). There was 65% improvement in motor severity score across groups (P < .0001), but treatment combinations were more effective than corticotropin alone (P = .0009). Groups 3, 4, and 5 responded better than group 1; groups 3 and 5 responded better than group 2. The response frequency to corticotropin was higher than to prior corticosteroids (P < .0001). Fifty-five percent had adverse events (corticosteroid excess), more so with multiagents (P = .03); and 10% had serious adverse events. This study demonstrates greater efficacy of corticotropin-based multimodal therapy compared with conventional therapy, greater response to corticotropin than corticosteroid-based therapy, and overall tolerability.

  3. Refractive error blindness.

    PubMed Central

    Dandona, R.; Dandona, L.

    2001-01-01

    Recent data suggest that a large number of people are blind in different parts of the world due to high refractive error because they are not using appropriate refractive correction. Refractive error as a cause of blindness has been recognized only recently with the increasing use of presenting visual acuity for defining blindness. In addition to blindness due to naturally occurring high refractive error, inadequate refractive correction of aphakia after cataract surgery is also a significant cause of blindness in developing countries. Blindness due to refractive error in any population suggests that eye care services in general in that population are inadequate since treatment of refractive error is perhaps the simplest and most effective form of eye care. Strategies such as vision screening programmes need to be implemented on a large scale to detect individuals suffering from refractive error blindness. Sufficient numbers of personnel to perform reasonable quality refraction need to be trained in developing countries. Also adequate infrastructure has to be developed in underserved areas of the world to facilitate the logistics of providing affordable reasonable-quality spectacles to individuals suffering from refractive error blindness. Long-term success in reducing refractive error blindness worldwide will require attention to these issues within the context of comprehensive approaches to reduce all causes of avoidable blindness. PMID:11285669

  4. A Comparison of EFL Raters' Essay-Rating Processes across Two Types of Rating Scales

    ERIC Educational Resources Information Center

    Li, Hang; He, Lianzhen

    2015-01-01

    This study used think-aloud protocols to compare essay-rating processes across holistic and analytic rating scales in the context of China's College English Test Band 6 (CET-6). A group of 9 experienced CET-6 raters scored the same batch of 10 CET-6 essays produced in an operational CET-6 administration twice, using both the CET-6 holistic…

  5. The Effect of Instrument-Specific Rater Training on Interrater Reliability and Counseling Skills Performance Differentiation

    ERIC Educational Resources Information Center

    Meacham, Paul Douglas, Jr.

    2013-01-01

    The purpose of this study was to explore the effect of instrument-specific rater training on interrater reliability (IRR) and counseling skills performance differentiation. Strong IRR is of primary concern to effective program evaluation (McCullough, Kuhn, Andrews, Valen, Hatch, & Osimo, 2003; Schanche, Nielsen, McCullough, Valen, &…

  6. IRR (Inter-Rater Reliability) of a COP (Classroom Observation Protocol)--A Critical Appraisal

    ERIC Educational Resources Information Center

    Rui, Ning; Feldman, Jill M.

    2012-01-01

    Notwithstanding broad utility of COPs (classroom observation protocols), there has been limited documentation of the psychometric properties of even the most popular COPs. This study attempted to fill this void by closely examining the item and domain-level IRR (inter-rater reliability) of a COP that was used in a federally funded striving readers…

  7. Improving Creativity Performance Assessment: A Rater Effect Examination with Many Facet Rasch Model

    ERIC Educational Resources Information Center

    Hung, Su-Pin; Chen, Po-Hsi; Chen, Hsueh-Chih

    2012-01-01

    Product assessment is widely applied in creative studies, typically as an important dependent measure. Within this context, this study had 2 purposes. First, the focus of this research was on methods for investigating possible rater effects, an issue that has not received a great deal of attention in past creativity studies. Second, the…

  8. Leveraging Data Sampling and Practical Knowledge: Field Instructors' Perceptions about Inter-Rater Reliability Data

    ERIC Educational Resources Information Center

    Soslau, Elizabeth; Lewis, Kandia

    2014-01-01

    For accreditation and programmatic decision making, education school administrators use inter-rater reliability analyses to judge credibility of student-teacher assessments. Although weak levels of agreement between university-appointed supervisors and cooperating teachers are usually interpreted to indicate that the process is not being…

  9. Evaluation by Native and Non-Native English Teacher-Raters of Japanese Students' Summaries

    ERIC Educational Resources Information Center

    Hijikata-Someya, Yuko; Ono, Masumi; Yamanishi, Hiroyuki

    2015-01-01

    Although the importance of summary writing is well documented in prior studies, few have investigated the evaluation of written summaries. Due to the complex nature of L2 summary writing, which requires one to read the original material and summarize its content in the L2, raters often emphasize different features when judging the quality of L2…

  10. Usability by Raters of the Barber Scales of Self-Regard for Preschool Children

    ERIC Educational Resources Information Center

    Barber, Lucie W.; Barton, Kimberly

    The seven Barber Scales of Self-Regard for Preschool Children were developed to provide instruments for assessing levels of development for individual children. The purpose of this study was to probe into the question of whether or not raters (mothers, fathers, teachers) had difficulties rating children on the scales. Two sources of evidence were…

  11. A Study on the Impact of Fatigue on Human Raters When Scoring Speaking Responses

    ERIC Educational Resources Information Center

    Ling, Guangming; Mollaun, Pamela; Xi, Xiaoming

    2014-01-01

    The scoring of constructed responses may introduce construct-irrelevant factors to a test score and affect its validity and fairness. Fatigue is one of the factors that could negatively affect human performance in general, yet little is known about its effects on a human rater's scoring quality on constructed responses. In this study, we compared…

  12. Using Raters from India to Score a Large-Scale Speaking Test

    ERIC Educational Resources Information Center

    Xi, Xiaoming; Mollaun, Pam

    2011-01-01

    We investigated the scoring of the Speaking section of the Test of English as a Foreign Language[TM] Internet-based (TOEFL iBT[R]) test by speakers of English and one or more Indian languages. We explored the extent to which raters from India, after being trained and certified, were able to score the TOEFL examinees with mixed first languages…

  13. Inter-rater Agreement on Identification of Electrographic Seizures and Periodic Discharges in ICU EEG Recordings

    PubMed Central

    Halford, J.J.; Shiau, D.; Desrochers, J.A.; Kolls, B.J.; Dean, B.C.; Waters, C.G.; Azar, N.J.; Haas, K.F.; Kutluay, E.; Martz, G.U.; Sinha, S.R.; Kern, R.T.; Kelly, K.M.; Sackellares, J.C.; LaRoche, S.M.

    2015-01-01

    Objective This study investigated inter-rater agreement (IRA) among EEG experts for the identification of electrographic seizures and periodic discharges (PDs) in continuous ICU EEG recordings. Methods Eight board-certified EEG experts independently identified seizures and PDs in thirty 1-hour EEG segments which were selected from ICU EEG recordings collected from three medical centers. IRA was compared between seizure and PD identifications, as well as among rater groups that have passed an ICU EEG Certification Test, developed by the Critical Care EEG Monitoring Research Consortium (CCEMRC). Results Both kappa and event-based IRA statistics showed higher mean values in identification of seizures compared to PDs (k = 0.58 vs. 0.38; p < 0.001). The group of rater pairs who had both passed the ICU EEG Certification Test had a significantly higher mean IRA in comparison to rater pairs in which neither had passed the test. Conclusions IRA among experts is significantly higher for identification of electrographic seizures compared to PDs. Additional instruction, such as the training module and certification test developed by the CCEMRC, could enhance this IRA. Significance This study demonstrates more disagreement in the labeling of PDs in comparison to seizures. This may be improved by education about standard EEG nomenclature. PMID:25481336

  14. A Film Evaluation Checklist to Describe Instructionally Relevant Film Characteristics: A Rater Reliability Study.

    ERIC Educational Resources Information Center

    Burke, Nancy E.; And Others

    A Film Evaluation Checklist, developed at the National Technical Institute for the Deaf, describes instructionally relevant film characteristics. The instrument is organized in terms of structural characteristics of the medium, modes of concept emphasis using film techniques, and organization of instructional material. Raters independently rated…

  15. Foreign Accentedness Revisited: Canadian and Singaporean Raters' Perception of Japanese-Accented English

    ERIC Educational Resources Information Center

    Saito, Kazuya; Shintani, Natsuko

    2016-01-01

    The current study examined how two groups of native speakers--monolingual Canadians and multilingual Singaporeans--differentially perceive foreign accentedness in spontaneous second language (L2) speech. The Singaporean raters, who had exposure to various models of English and also spoke multiple L2s on a daily basis, demonstrated more lenient…

  16. Does a Rater's Familiarity with a Candidate's Pronunciation Affect the Rating in Oral Proficiency Interviews?

    ERIC Educational Resources Information Center

    Carey, Michael D.; Mannell, Robert H.; Dunn, Peter K.

    2011-01-01

    This study investigated factors that could affect inter-examiner reliability in the pronunciation assessment component of speaking tests. We hypothesized that the rating of pronunciation is susceptible to variation in assessment due to the amount of exposure examiners have to nonnative English accents. An inter-rater variability analysis was…

  17. The Accuracy of Performance Task Scores after Resolution of Rater Disagreement: A Monte Carlo Study

    ERIC Educational Resources Information Center

    Penny, James A.; Johnson, Robert L.

    2011-01-01

    When multiple raters score a writing sample, on occasion they will award discrepant scores. To report a single score to the examinee, some method of resolving those differences must be applied to the ratings before an operational score can be reported. Several forms of resolving score discrepancies have been described in the literature. Initial…

  18. Rater Perceptions of Bias Using the Multiple Mini-Interview Format: A Qualitative Study

    ERIC Educational Resources Information Center

    Alweis, Richard L.; Fitzpatrick, Caroline; Donato, Anthony A.

    2015-01-01

    Introduction: The Multiple Mini-Interview (MMI) format appears to mitigate individual rater biases. However, the format itself may introduce structural systematic bias, favoring extroverted personality types. This study aimed to gain a better understanding of these biases from the perspective of the interviewer. Methods: A sample of MMI…

  19. The Effect of Rater Training on Reducing Social Style Bias in Peer Evaluation

    ERIC Educational Resources Information Center

    May, Gary L.

    2008-01-01

    This study employed a quasiexperimental control group design in a university setting to test the effect of a rater-training program on reducing social style bias in intragroup peer evaluations after controlling for ability based on GPA. Comparison of rating scores of the test group to the control group indicated minimal social style rating bias in…

  20. Analysis of Rater Severity on Written Expression Exam Using Many Faceted Rasch Measurement

    ERIC Educational Resources Information Center

    Prieto, Gerardo; Nieto, Eloísa

    2014-01-01

    This paper describes how a Many Faceted Rasch Measurement (MFRM) approach can be applied to performance assessment focusing on rater analysis. The article provides an introduction to MFRM, a description of MFRM analysis procedures, and an example to illustrate how to examine the effects of various sources of variability on test takers' performance…

  1. A Longitudinal Examination of Rater and Ratee Effects in Performance Ratings.

    ERIC Educational Resources Information Center

    Vance, Robert J.; And Others

    1983-01-01

    Investigated the consistency and loci of leniency, halo, and range restriction effects in performance ratings in a longitudinal study. Policy supervisors (N=90) rated 350 subordinates on five occasions. Concluded that reliable variance in mean ratings is partly attributable to ratees, but mainly introduced by raters. (JAC)

  2. Raters' L2 Background as a Potential Source of Bias in Rating Oral Performance

    ERIC Educational Resources Information Center

    Winke, Paula; Gass, Susan; Myford, Carol

    2013-01-01

    Based on evidence that listeners may favor certain foreign accents over others (Gass & Varonis, 1984; Major, Fitzmaurice, Bunta, & Balasubramanian, 2002; Tauroza & Luk, 1997) and that language-test raters may better comprehend and/or rate the speech of test takers whose native languages (L1s) are more familiar on some level (Carey,…

  3. A Comparison of Teacher Effectiveness Measures Calculated Using Three Multilevel Models for Raters Effects

    ERIC Educational Resources Information Center

    Murphy, Daniel L.; Beretvas, S. Natasha

    2015-01-01

    This study examines the use of cross-classified random effects models (CCrem) and cross-classified multiple membership random effects models (CCMMrem) to model rater bias and estimate teacher effectiveness. Effect estimates are compared using CTT versus item response theory (IRT) scaling methods and three models (i.e., conventional multilevel…

  4. Comparing Foreign Accent in L1 Attrition and L2 Acquisition: Range and Rater Effects

    ERIC Educational Resources Information Center

    Schmid, Monika S.; Hopp, Holger

    2014-01-01

    This study examines the methodology of global foreign accent ratings in studies on L2 speech production. In three experiments, we test how variation in raters, range within speech samples, as well as instructions and procedures affects ratings of accent in predominantly monolingual speakers of German, non-native speakers of German, as well as…

  5. A Critical Review of Some Qualitative Research Methods Used to Explore Rater Cognition

    ERIC Educational Resources Information Center

    Suto, Irenka

    2012-01-01

    Internationally, many assessment systems rely predominantly on human raters to score examinations. Arguably, this facilitates the assessment of multiple sophisticated educational constructs, strengthening assessment validity. It can introduce subjectivity into the scoring process, however, engendering threats to accuracy. The present objectives…

  6. Inter-rater reliability of muscle contractile property measurements using non-invasive tensiomyography.

    PubMed

    Tous-Fajardo, Julio; Moras, Gerard; Rodríguez-Jiménez, Sergio; Usach, Robert; Doutres, Daniel Moreno; Maffiuletti, Nicola A

    2010-08-01

    Tensiomyography (TMG) is a relatively novel technique to assess muscle mechanical response based on radial muscle belly displacement consecutive to a single electrical stimulus. Although intra-session reliability has been found to be good, inter-rater reliability and the influence of sensor repositioning and electrodes placement on TMG measurements is unknown. The purpose of this study was to analyze the inter-rater reliability of vastus medialis muscle contractile property measurements obtained with TMG as well as the effect of inter-electrode distance (IED). Five contractile parameters were analyzed from vastus medialis muscle belly displacement-time curves: maximal displacement (Dm), contraction time (Tc), sustain time (Ts), delay time (Td), and half-relaxation time (Tr). The inter-rater reliability and IED effect on these measurements were evaluated in 18 subjects. Intra-class correlation coefficients, standard errors of measurement, Bland and Altman systematic bias and random error as well as coefficient of variations were used as measures of reliability. Overall, a good to excellent inter-rater reliability was found for all contractile parameters, except Tr, which showed insufficient reliability. Alterations in IED significantly affected Dm with a trend for all the other parameters. The present results legitimate the use of TMG for the assessment of vastus medialis muscle contractile properties, particularly for Dm and Tc. It is recommended to avoid Tr quantification and IED modifications during multiple TMG measurements.

  7. Rater Language Background as a Source of Measurement Error in the Testing of English Language Learners

    ERIC Educational Resources Information Center

    Kachchaf, Rachel; Solano-Flores, Guillermo

    2012-01-01

    We examined how rater language background affects the scoring of short-answer, open-ended test items in the assessment of English language learners (ELLs). Four native English and four native Spanish-speaking certified bilingual teachers scored 107 responses of fourth- and fifth-grade Spanish-speaking ELLs to mathematics items administered in…

  8. THE INTRA- AND INTER-RATER RELIABILITY OF THE SOCCER INJURY MOVEMENT SCREEN (SIMS)

    PubMed Central

    aus der Fünten, Karen; Govus, Andrew; Julian, Ross; Schimpchen, Jan; Meyer, Tim

    2017-01-01

    Background/purpose The growing volume of movement screening research reveals a belief among practitioners and researchers alike that movement quality may have an association with injury risk. However, existing movement screening tools have not considered the sport-specific movement and injury patterns relevant to soccer. The present study introduces the Soccer Injury Movement Screen (SIMS), which has been designed specifically for use within soccer. Furthermore, the purpose of the present study was to assess the intra- and inter-rater reliability of the SIMS and determine its suitability for use in further research. Methods The study utilized a test-retest design to discern reliablility. Twenty-five (11 males, 14 females) healthy, recreationally active university students (age 25.5 ± 4.0 years, height 171 ± 9 cm, weight 64.7 ± 12.6 kg) agreed to participate. The SIMS contains five sub-tests: the anterior reach, single-leg deadlift, in-line lunge, single-leg hop for distance and tuck jump. Each movement was scored out of 10 points and summed to produce a composite score out of 50. The anterior reach and single-leg hop for distance were scored in real-time while the remaining tests were filmed and scored retrospectively. Three raters conducted the SIMS with each participant on three occasions separated by an average of three and a half days (minimum one day, maximum seven days). Rater 1 re-scored the filmed movements for all participants on all occasions six months later to establish the ‘pure’ intra-rater (intra-occasion) reliability for those movements. Results Intraclass correlation coefficient (ICC) values for intra- and inter-rater composite score reliability ranged from 0.66-0.72 and 0.79-0.86 respectively. Weighted kappa values representing the intra- and inter-rater reliability of the individual sub-tests ranged from 0.35-0.91 indicating fair to almost perfect agreement. Conclusions Establishing the reliability of the SIMS is a

  9. Feasibility and Inter-Rater Reliability of Physical Performance Measures in Acutely Admitted Older Medical Patients

    PubMed Central

    Bodilsen, Ann Christine; Juul-Larsen, Helle Gybel; Petersen, Janne; Beyer, Nina; Andersen, Ove; Bandholm, Thomas

    2015-01-01

    Objective Physical performance measures can be used to predict functional decline and increased dependency in older persons. However, few studies have assessed the feasibility or reliability of such measures in hospitalized older patients. Here we assessed the feasibility and inter-rater reliability of four simple measures of physical performance in acutely admitted older medical patients. Design During the first 24 hours of hospitalization, the following were assessed twice by different raters in 52 (≥ 65 years) patients admitted for acute medical illness: isometric hand grip strength, 4-meter gait speed, 30-s chair stand and Cumulated Ambulation Score. Relative reliability was expressed as weighted kappa for the Cumulated Ambulation Score or as intra-class correlation coefficient (ICC1,1) and lower limit of the 95%-confidence interval (LL95%) for grip strength, gait speed, and 30-s chair stand. Absolute reliability was expressed as the standard error of measurement and the smallest real difference as a percentage of their respective means (SEM% and SRD%). Results The primary reasons for admission of the 52 included patients were infectious disease and cardiovascular illness. The mean± SD age was 78±8.3 years, and 73.1% were women. All patients performed grip strength and Cumulated Ambulation Score testing, 81% performed the gait speed test, and 54% completed the 30-s chair stand test (46% were unable to rise without using the armrests). No systematic bias was found between first and second tests or between raters. The weighted kappa for the Cumulated Ambulation Score was 0.76 (0.60–0.92). The ICC1,1 values were as follows: grip strength, 0.95 (LL95% 0.92); gait speed, 0.92 (LL95% 0.73), and 30-s chair stand, 0.82 (LL95% 0.67). The SEM% values for grip strength, gait speed, and 30-s chair stand were 8%, 7%, and 18%, and the SRD95% values were 22%, 17%, and 49%. Conclusion In acutely admitted older medical patients, grip strength, gait speed, and the

  10. Use of e-rater[R] in Scoring of the TOEFL iBT[R] Writing Test. Research Report. ETS RR-11-25

    ERIC Educational Resources Information Center

    Haberman, Shelby J.

    2011-01-01

    Alternative approaches are discussed for use of e-rater[R] to score the TOEFL iBT[R] Writing test. These approaches involve alternate criteria. In the 1st approach, the predicted variable is the expected rater score of the examinee's 2 essays. In the 2nd approach, the predicted variable is the expected rater score of 2 essay responses by the…

  11. Ultrasound assessment for grading structural tendon changes in supraspinatus tendinopathy: an inter-rater reliability study

    PubMed Central

    Hjarbaek, John; Eshoej, Henrik; Larsen, Camilla Marie; Vobbe, Jette; Juul-Kristensen, Birgit

    2016-01-01

    Aim To evaluate the inter-rater reliability of measuring structural changes in the tendon of patients, clinically diagnosed with supraspinatus tendinopathy (cases) and healthy participants (controls), on ultrasound (US) images captured by standardised procedures. Methods A total of 40 participants (24 patients) were included for assessing inter-rater reliability of measurements of fibrillar disruption, neovascularity, as well as the number and total length of calcifications and tendon thickness. Linear weighted κ, intraclass correlation (ICC), SEM, limits of agreement (LOA) and minimal detectable change (MDC) were used to evaluate reliability. Results ‘Moderate—almost perfect’ κ was found for grading fibrillar disruption, neovascularity and number of calcifications (k 0.60–0.96). For total length of calcifications and tendon thickness, ICC was ‘excellent’ (0.85–0.90), with SEM(Agreement) ranging from 0.63 to 2.94 mm and MDC(group) ranging from 0.28 to 1.29 mm. In general, SEM, LOA and MDC showed larger variation for calcifications than for tendon thickness. Conclusions Inter-rater reliability was moderate to almost perfect when a standardised procedure was applied for measuring structural changes on captured US images and movie sequences of relevance for patients with supraspinatus tendinopathy. Future studies should test intra-rater and inter-rater reliability of the method in vivo for use in clinical practice, in addition to validation against a gold standard, such as MRI. Trial registration number NCT01984203; Pre-results. PMID:27221128

  12. Attenuation of Change Blindness in Children with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Fletcher-Watson, Sue; Leekam, Susan R.; Connolly, Brenda; Collis, Jess M.; Findlay, John M.; McConachie, Helen; Rodgers, Jacqui

    2012-01-01

    Change blindness refers to the difficulty most people find in detecting a difference between two pictures when these are presented successively, with a brief interruption between. Attention at the site of the change is required for detection. A number of studies have investigated change blindness in adults and children with autism spectrum…

  13. Social Comparison of Ability in Blind Children and Adolescents.

    ERIC Educational Resources Information Center

    Morin, Stephen F.; Jones, Reginald L.

    Forty-five blind, school aged subjects (aged 6-18 years) were questioned to determine the influence of age on the choice of the blind as a reference group for social comparison of abilities. To assess the direction of social comparison behavior, each subject was presented with a replication of three questions (which differed in the degree to which…

  14. The mental health of individuals referred for assessment of autism spectrum disorder in adulthood: A clinic report.

    PubMed

    Russell, Ailsa J; Murphy, Clodagh M; Wilson, Ellie; Gillan, Nicola; Brown, Cordelia; Robertson, Dene M; Craig, Michael C; Deeley, Quinton; Zinkstok, Janneke; Johnston, Kate; McAlonan, Grainne M; Spain, Deborah; Murphy, Declan Gm

    2016-07-01

    Growing awareness of autism spectrum disorders has increased the demand for diagnostic services in adulthood. High rates of mental health problems have been reported in young people and adults with autism spectrum disorder. However, sampling and methodological issues mean prevalence estimates and conclusions about specificity in psychiatric co-morbidity in autism spectrum disorder remain unclear. A retrospective case review of 859 adults referred for assessment of autism spectrum disorder compares International Classification of Diseases, Tenth Revision diagnoses in those that met criteria for autism spectrum disorder (n = 474) with those that did not (n = 385). Rates of psychiatric diagnosis (>57%) were equivalent across both groups and exceeded general population rates for a number of conditions. The prevalence of anxiety disorders, particularly obsessive compulsive disorder, was significantly higher in adults with autism spectrum disorder than adults without autism spectrum disorder. Limitations of this observational clinic study, which may impact generalisability of the findings, include the lack of standardised structured psychiatric diagnostic assessments by assessors blind to autism spectrum disorder diagnosis and inter-rater reliability. The implications of this study highlight the need for careful consideration of mental health needs in all adults referred for autism spectrum disorder diagnosis.

  15. Blindness and Yoga

    ERIC Educational Resources Information Center

    Heyes, Anthony David

    1974-01-01

    Evidence is presented to support the claims that, among many blind persons, physical inactivity leads to poor physical fitness; that a state of anxiety is often a concomitant of unguided blind mobility; and that Yogic practices offer a solution to both difficulties. (GW)

  16. "Color-Blind" Racism.

    ERIC Educational Resources Information Center

    Carr, Leslie G.

    Examining race relations in the United States from a historical perspective, this book explains how the constitution is racist and how color blindness is actually a racist ideology. It is argued that Justice Harlan, in his dissenting opinion in Plessy v. Ferguson, meant that the constitution and the law must remain blind to the existence of race…

  17. Blindness after intranasal ethmoidectomy.

    PubMed

    Sözeri, B; Ataman, M; Gürsel, B

    1993-06-01

    Orbital haemorrhage is an unusual and frustrating complication of ethmoid surgery. A case of reversible blindness which was due to intra-operative orbital haemorrhage occurring after intranasal ethmoidectomy is presented. Prevention and management of this kind of blindness can be reversed, if treated aggressively.

  18. Unblinding the dark matter blind spots

    DOE PAGES

    Han, Tao; Kling, Felix; Su, Shufang; ...

    2017-02-10

    The dark matter (DM) blind spots in the Minimal Supersymmetric Standard Model (MSSM) refer to the parameter regions where the couplings of the DM particles to the $Z$-boson or the Higgs boson are almost zero, leading to vanishingly small signals for the DM direct detections. In this paper, we carry out comprehensive analyses for the DM searches under the blind-spot scenarios in MSSM. Guided by the requirement of acceptable DM relic abundance, we explore the complementary coverage for the theory parameters at the LHC, the projection for the future underground DM direct searches, and the indirect searches from the relicmore » DM annihilation into photons and neutrinos. We find that (i) the spin-independent (SI) blind spots may be rescued by the spin-dependent (SD) direct detection in the future underground experiments, and possibly by the indirect DM detections from IceCube and SuperK neutrino experiments; (ii) the detection of gamma rays from Fermi-LAT may not reach the desirable sensitivity for searching for the DM blind-spot regions; (iii) the SUSY searches at the LHC will substantially extend the discovery region for the blind-spot parameters. As a result, the dark matter blind spots thus may be unblinded with the collective efforts in future DM searches.« less

  19. Unblinding the dark matter blind spots

    NASA Astrophysics Data System (ADS)

    Han, Tao; Kling, Felix; Su, Shufang; Wu, Yongcheng

    2017-02-01

    The dark matter (DM) blind spots in the Minimal Supersymmetric Standard Model (MSSM) refer to the parameter regions where the couplings of the DM particles to the Z-boson or the Higgs boson are almost zero, leading to vanishingly small signals for the DM direct detections. In this paper, we carry out comprehensive analyses for the DM searches under the blind-spot scenarios in MSSM. Guided by the requirement of acceptable DM relic abundance, we explore the complementary coverage for the theory parameters at the LHC, the projection for the future underground DM direct searches, and the indirect searches from the relic DM annihilation into photons and neutrinos. We find that (i) the spin-independent (SI) blind spots may be rescued by the spin-dependent (SD) direct detection in the future underground experiments, and possibly by the indirect DM detections from IceCube and SuperK neutrino experiments; (ii) the detection of gamma rays from Fermi-LAT may not reach the desirable sensitivity for searching for the DM blind-spot regions; (iii) the SUSY searches at the LHC will substantially extend the discovery region for the blind-spot parameters. The dark matter blind spots thus may be unblinded with the collective efforts in future DM searches.

  20. Shape Perception and Navigation in Blind Adults

    PubMed Central

    Gori, Monica; Cappagli, Giulia; Baud-Bovy, Gabriel; Finocchietti, Sara

    2017-01-01

    Different sensory systems interact to generate a representation of space and to navigate. Vision plays a critical role in the representation of space development. During navigation, vision is integrated with auditory and mobility cues. In blind individuals, visual experience is not available and navigation therefore lacks this important sensory signal. In blind individuals, compensatory mechanisms can be adopted to improve spatial and navigation skills. On the other hand, the limitations of these compensatory mechanisms are not completely clear. Both enhanced and impaired reliance on auditory cues in blind individuals have been reported. Here, we develop a new paradigm to test both auditory perception and navigation skills in blind and sighted individuals and to investigate the effect that visual experience has on the ability to reproduce simple and complex paths. During the navigation task, early blind, late blind and sighted individuals were required first to listen to an audio shape and then to recognize and reproduce it by walking. After each audio shape was presented, a static sound was played and the participants were asked to reach it. Movements were recorded with a motion tracking system. Our results show three main impairments specific to early blind individuals. The first is the tendency to compress the shapes reproduced during navigation. The second is the difficulty to recognize complex audio stimuli, and finally, the third is the difficulty in reproducing the desired shape: early blind participants occasionally reported perceiving a square but they actually reproduced a circle during the navigation task. We discuss these results in terms of compromised spatial reference frames due to lack of visual input during the early period of development. PMID:28144226

  1. Shape Perception and Navigation in Blind Adults.

    PubMed

    Gori, Monica; Cappagli, Giulia; Baud-Bovy, Gabriel; Finocchietti, Sara

    2017-01-01

    Different sensory systems interact to generate a representation of space and to navigate. Vision plays a critical role in the representation of space development. During navigation, vision is integrated with auditory and mobility cues. In blind individuals, visual experience is not available and navigation therefore lacks this important sensory signal. In blind individuals, compensatory mechanisms can be adopted to improve spatial and navigation skills. On the other hand, the limitations of these compensatory mechanisms are not completely clear. Both enhanced and impaired reliance on auditory cues in blind individuals have been reported. Here, we develop a new paradigm to test both auditory perception and navigation skills in blind and sighted individuals and to investigate the effect that visual experience has on the ability to reproduce simple and complex paths. During the navigation task, early blind, late blind and sighted individuals were required first to listen to an audio shape and then to recognize and reproduce it by walking. After each audio shape was presented, a static sound was played and the participants were asked to reach it. Movements were recorded with a motion tracking system. Our results show three main impairments specific to early blind individuals. The first is the tendency to compress the shapes reproduced during navigation. The second is the difficulty to recognize complex audio stimuli, and finally, the third is the difficulty in reproducing the desired shape: early blind participants occasionally reported perceiving a square but they actually reproduced a circle during the navigation task. We discuss these results in terms of compromised spatial reference frames due to lack of visual input during the early period of development.

  2. Blinded by Irrelevance: Pure Irrelevance Induced "Blindness"

    ERIC Educational Resources Information Center

    Eitam, Baruch; Yeshurun, Yaffa; Hassan, Kinneret

    2013-01-01

    To what degree does our representation of the immediate world depend solely on its relevance to what we are currently doing? We examined whether relevance per se can cause "blindness," even when there is no resource limitation. In a novel paradigm, people looked at a colored circle surrounded by a differently colored ring--the task relevance of…

  3. How "Blind" Are Double-Blind Studies?

    ERIC Educational Resources Information Center

    Margraf, Jurgen; And Others

    1991-01-01

    Compared alprazolam, imipramine, and placebo in the treatment of panic disorder patients (n=59) to investigate concerns about the internal validity of the double-blind design. Found that the great majority of patients and physicians were able to rate accurately whether active drug or placebo had been given and physicians could distinguish between…

  4. Inter-Rater Reliability of Total Body Score-A Scale for Quantification of Corpse Decomposition.

    PubMed

    Nawrocka, Marta; Frątczak, Katarzyna; Matuszewski, Szymon

    2016-05-01

    The degree of body decomposition can be quantified using Total Body Score (TBS), a scale frequently used in taphonomic or entomological studies of decomposition. Here, the inter-rater reliability of the scale is analyzed. The study was made on 120 laymen, which were trained in the use of the scale. Participants scored decomposition of pig carcasses from photographs. It was found that the scale, when used by different people, gives homogeneous results irrespective of the user qualifications (the Krippendorff's alfa for all participants was 0.818). The study also indicated that carcasses in advanced decomposition receive significantly less accurate scores. Moreover, it was found that scores for cadavers in mosaic decomposition (i.e., representing signs of at least two stages of decomposition) are less accurate. These results demonstrate that the scale may be regarded as inter-rater reliable. Some propositions for refinement of the scale were also discussed.

  5. Inter-Rectus Distance Measurement Using Ultrasound Imaging: Does the Rater Matter?

    PubMed

    Keshwani, Nadia; Hills, Nicole; McLean, Linda

    2016-01-01

    Purpose: To investigate the interrater reliability of inter-rectus distance (IRD) measured from ultrasound images acquired at rest and during a head-lift task in parous women and to establish the standard error of measurement (SEM) and minimal detectable change (MDC) between two raters. Methods: Two physiotherapists independently acquired ultrasound images of the anterior abdominal wall from 17 parous women and measured IRD at four locations along the linea alba: at the superior border of the umbilicus, at 3 cm and 5 cm above the superior border of the umbilicus, and at 3 cm below the inferior border of the umbilicus. The interrater reliability of the IRD measurements was determined using intra-class correlation coefficients (ICCs). Bland-Altman analyses were used to detect bias between the raters, and SEM and MDC values were established for each measurement site. Results: When the two raters performed their own image acquisition and processing, ICCs(3,5) ranged from 0.72 to 0.91 at rest and from 0.63 to 0.96 during head lift, depending on the anatomical measurement site. Bland-Altman analyses revealed no systematic bias between the raters. SEM values ranged from 0.23 cm to 0.71 cm, and MDC values ranged from 0.64 cm to 1.97 cm. Conclusion: When using ultrasound imaging to measure IRD in women, it is acceptable for different therapists to compare IRDs between patients and within patients over time if IRD is measured above or below the umbilicus. Interrater reliability of IRD measurement is poorest at the level of the superior border of the umbilicus.

  6. Cross-national differences in the assessment of psychopathy: do they reflect variations in raters' perceptions of symptoms?

    PubMed

    Cooke, David J; Hart, Stephen D; Michie, Christine

    2004-09-01

    Cross-national differences in the prevalence of psychopathy have been reported. This study examined whether rater effects could account for these differences. Psychopathy was assessed with the Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991). Videotapes of 6 Scottish prisoners and 6 Canadian prisoners were rated by 10 Scottish and 10 Canadian raters. No significant main or interaction effects involving the nationality of raters were detected at the level of full scores or factor scores. Using a generalizability theory approach, it was demonstrated that the interrater reliability of total scores was good, that is, the proportion of variance in test scores attributable to raters was small. The interrater reliability of factor scores was lower, typically falling in the fair range. Overall, the results suggest that the reported cross-national differences are more likely to be in the expression of the disorder rather than in the eye of the beholder.

  7. Rater Training to Support High-Stakes Simulation-Based Assessments

    PubMed Central

    Feldman, Moshe; Lazzara, Elizabeth H.; Vanderbilt, Allison A.; DiazGranados, Deborah

    2013-01-01

    Competency-based assessment and an emphasis on obtaining higher-level outcomes that reflect physicians’ ability to demonstrate their skills has created a need for more advanced assessment practices. Simulation-based assessments provide medical education planners with tools to better evaluate the 6 Accreditation Council for Graduate Medical Education (ACGME) and American Board of Medical Specialties (ABMS) core competencies by affording physicians opportunities to demonstrate their skills within a standardized and replicable testing environment, thus filling a gap in the current state of assessment for regulating the practice of medicine. Observational performance assessments derived from simulated clinical tasks and scenarios enable stronger inferences about the skill level a physician may possess, but also introduce the potential of rater errors into the assessment process. This article reviews the use of simulation-based assessments for certification, credentialing, initial licensure, and relicensing decisions and describes rater training strategies that may be used to reduce rater errors, increase rating accuracy, and enhance the validity of simulation-based observational performance assessments. PMID:23280532

  8. Rater training to support high-stakes simulation-based assessments.

    PubMed

    Feldman, Moshe; Lazzara, Elizabeth H; Vanderbilt, Allison A; DiazGranados, Deborah

    2012-01-01

    Competency-based assessment and an emphasis on obtaining higher-level outcomes that reflect physicians' ability to demonstrate their skills has created a need for more advanced assessment practices. Simulation-based assessments provide medical education planners with tools to better evaluate the 6 Accreditation Council for Graduate Medical Education (ACGME) and American Board of Medical Specialties (ABMS) core competencies by affording physicians opportunities to demonstrate their skills within a standardized and replicable testing environment, thus filling a gap in the current state of assessment for regulating the practice of medicine. Observational performance assessments derived from simulated clinical tasks and scenarios enable stronger inferences about the skill level a physician may possess, but also introduce the potential of rater errors into the assessment process. This article reviews the use of simulation-based assessments for certification, credentialing, initial licensure, and relicensing decisions and describes rater training strategies that may be used to reduce rater errors, increase rating accuracy, and enhance the validity of simulation-based observational performance assessments.

  9. The Problem of Limited Inter-rater Agreement in Modelling Music Similarity

    PubMed Central

    Flexer, Arthur; Grill, Thomas

    2016-01-01

    One of the central goals of Music Information Retrieval (MIR) is the quantification of similarity between or within pieces of music. These quantitative relations should mirror the human perception of music similarity, which is however highly subjective with low inter-rater agreement. Unfortunately this principal problem has been given little attention in MIR so far. Since it is not meaningful to have computational models that go beyond the level of human agreement, these levels of inter-rater agreement present a natural upper bound for any algorithmic approach. We will illustrate this fundamental problem in the evaluation of MIR systems using results from two typical application scenarios: (i) modelling of music similarity between pieces of music; (ii) music structure analysis within pieces of music. For both applications, we derive upper bounds of performance which are due to the limited inter-rater agreement. We compare these upper bounds to the performance of state-of-the-art MIR systems and show how the upper bounds prevent further progress in developing better MIR systems. PMID:28190932

  10. The Problem of Limited Inter-rater Agreement in Modelling Music Similarity.

    PubMed

    Flexer, Arthur; Grill, Thomas

    2016-07-02

    One of the central goals of Music Information Retrieval (MIR) is the quantification of similarity between or within pieces of music. These quantitative relations should mirror the human perception of music similarity, which is however highly subjective with low inter-rater agreement. Unfortunately this principal problem has been given little attention in MIR so far. Since it is not meaningful to have computational models that go beyond the level of human agreement, these levels of inter-rater agreement present a natural upper bound for any algorithmic approach. We will illustrate this fundamental problem in the evaluation of MIR systems using results from two typical application scenarios: (i) modelling of music similarity between pieces of music; (ii) music structure analysis within pieces of music. For both applications, we derive upper bounds of performance which are due to the limited inter-rater agreement. We compare these upper bounds to the performance of state-of-the-art MIR systems and show how the upper bounds prevent further progress in developing better MIR systems.

  11. Automated Essay Scoring with e-rater® v.2.0. Research Report. ETS RR-04-45

    ERIC Educational Resources Information Center

    Attali, Yigal; Burstein, Jill

    2005-01-01

    The e-rater® system has been used by ETS for automated essay scoring since 1999. This paper describes a new version of e-rater (v.2.0) that differs from the previous one (v.1.3) with regard to the feature set and model building approach. The paper describes the new version, compares the new and previous versions in terms of performance, and…

  12. The Intra- and Inter-Rater Reliability of an Instrumented Spasticity Assessment in Children with Cerebral Palsy

    PubMed Central

    Schless, Simon-Henri; Desloovere, Kaat; Aertbeliën, Erwin; Molenaers, Guy; Huenaerts, Catherine; Bar-On, Lynn

    2015-01-01

    Aim Despite the impact of spasticity, there is a lack of objective, clinically reliable and valid tools for its assessment. This study aims to evaluate the reliability of various performance- and spasticity-related parameters collected with a manually controlled instrumented spasticity assessment in four lower limb muscles in children with cerebral palsy (CP). Method The lateral gastrocnemius, medial hamstrings, rectus femoris and hip adductors of 12 children with spastic CP (12.8 years, ±4.13 years, bilateral/unilateral involvement n=7/5) were passively stretched in the sagittal plane at incremental velocities. Muscle activity, joint motion, and torque were synchronously recorded using electromyography, inertial sensors, and a force/torque load-cell. Reliability was assessed on three levels: (1) intra- and (2) inter-rater within session, and (3) intra-rater between session. Results Parameters were found to be reliable in all three analyses, with 90% containing intra-class correlation coefficients >0.6, and 70% of standard error of measurement values <20% of the mean values. The most reliable analysis was intra-rater within session, followed by intra-rater between session, and then inter-rater within session. The Adds evaluation had a slightly lower level of reliability than that of the other muscles. Conclusions Limited intrinsic/extrinsic errors were introduced by repeated stretch repetitions. The parameters were more reliable when the same rater, rather than different raters performed the evaluation. Standardisation and training should be further improved to reduce extrinsic error when different raters perform the measurement. Errors were also muscle specific, or related to the measurement set-up. They need to be accounted for, in particular when assessing pre-post interventions or longitudinal follow-up. The parameters of the instrumented spasticity assessment demonstrate a wide range of applications for both research and clinical environments in the

  13. The occurrence and inter-rater reliability of myofascial trigger points in the quadratus lumborum and gluteus medius: a prospective study in non-specific low back pain patients and controls in general practice.

    PubMed

    Njoo, K H; Van der Does, E

    1994-09-01

    The presence of a trigger point is essential to the myofascial pain syndrome. This study centres on identifying clearer criteria for the presence of trigger points in the quadratus lumborum and gluteus medius muscle by investigating the occurrence and inter-rater reliability of trigger point symptoms. Using the symptoms and signs as described by Simons' 1990 definition and two other former sets of criteria, 61 non-specific low back pain patients and 63 controls were examined in general practice by 5 observers, working in pairs. From the two major criteria of Simons' 1990 definition only 'localized tenderness' has good discriminative ability and inter-rater reliability (kappa > 0.5). This study does not find proof for the clinical usefulness of 'referred pain', which has neither of these two abilities. The criteria 'jump sign' and 'recognition', on the condition that localized tenderness is present, also have good discriminative ability and inter-rater reliability. Trigger points defined by the criteria found eligible in this study allow significant distinction between non-specific low back pain patients and controls. This is not the case with trigger points defined by Simons' 1990 criteria. Concerning reliability there is also a significant difference between the two different criteria sets. This study suggests that the clinical usefulness of trigger points is increased when localized tenderness and the presence of either jump sign or patient's recognition of his pain complaint are used as criteria for the presence of trigger points in the M. quadratus lumborum and the M. gluteus medius.

  14. Inter and Intra Rater Reliability of the 10 Meter Walk Test in the Community Dweller Adults with Spastic Cerebral Palsy

    PubMed Central

    BAHRAMI, Fariba; NOORIZADEH DEHKORDI, Shohreh; DADGOO, Mehdi

    2017-01-01

    Objective We aimed to investigation the intra-rater and inter-raters reliability of the 10 meter walk test (10 MWT) in adults with spastic cerebral palsy (CP). Materials & Methods Thirty ambulatory adults with spastic CP in the summer of 2014 participated (19 men, 11 women; mean age 28 ± 7 yr, range 18- 46 yr). Individuals were non-randomly selected by convenient sampling from the Ra’ad Rehabilitation Goodwill Complex in Tehran, Iran. They had GMFCS levels below IV (I, II, and III). Retest interval for inter-raters study lasted a week. During the tests, participants walked with their maximum speed. Intraclass correlation coefficients (ICC) estimated reliability. Results The 10 MWT ICC for intra-rater was 0.98 (95% confidence interval (CI) 0.96-0.99) for participants, and >0.89 in GMFCS subgroups (95% confidence interval (CI) lower bound>0.67). The 10 MWT inter-raters’ ICC was 0.998 (95% confidence interval (CI) 0/996-0/999), and >0.993 in GMFCS subgroups (95% confidence interval (CI) lower bound>0.977). Standard error of the measurement (SEM) values for both studies was small (0.02< SEM< 0.07). Conclusion Excellent intra-rater and inter-raters reliability of the 10 MWT in adults with CP, especially in the moderate motor impairments (GMFCS level III), indicates that this tool can be used in clinics to assess the results of interventions. PMID:28277557

  15. Reliability of novice raters in using the movement system impairment approach to classify people with low back pain

    PubMed Central

    Henry, Sharon M.; Van Dillen, Linda R.; Trombley, Andrea R.; Dee, Justine M.; Bunn, Janice Y.

    2013-01-01

    Observational cross sectional study. To examine the inter-rater reliability of novice raters in using the Movement System Impairment (MSI) approach system and to explore the patterns of disagreement in classification errors. The inter-rater reliability of individual tests items used in the MSI approach is moderate to good; however, the reliability of the classification algorithm has been tested only preliminarily. Using previously recorded patient data (n = 21), 13 novice raters classified patients according to the MSI schema. The overall percent agreement using the kappa statistic as well as the agreement/disagreement among pair-wise comparisons in classification assignments were examined. There was an overall 87.4% agreement in the pairs of classification judgments with a kappa coefficient of 0.81 (95% CI: 0.79, 0.83). Raters were most likely to agree on the classification of Flexion (100%) and least likely to agree on the classification of Rotation (84%). The MSI classification algorithm can be learned by novice users and with training, their inter-rater reliability in applying the algorithm for classification judgments is good and similar to that reported in other studies. However, some degree of error persists in the classification decision-making associated with the MSI system, in particular for the Rotation category. PMID:22796388

  16. On individual differences in person perception: raters' personality traits relate to their psychopathy checklist-revised scoring tendencies.

    PubMed

    Miller, Audrey K; Rufino, Katrina A; Boccaccini, Marcus T; Jackson, Rebecca L; Murrie, Daniel C

    2011-06-01

    This study investigated raters' personality traits in relation to scores they assigned to offenders using the Psychopathy Checklist-Revised (PCL-R). A total of 22 participants, including graduate students and faculty members in clinical psychology programs, completed a PCL-R training session, independently scored four criminal offenders using the PCL-R, and completed a comprehensive measure of their own personality traits. A priori hypotheses specified that raters' personality traits, and their similarity to psychopathy characteristics, would relate to raters' PCL-R scoring tendencies. As hypothesized, some raters assigned consistently higher scores on the PCL-R than others, especially on PCL-R Facets 1 and 2. Also as hypothesized, raters' scoring tendencies related to their own personality traits (e.g., higher rater Agreeableness was associated with lower PCL-R Interpersonal facet scoring). Overall, findings underscore the need for future research to examine the role of evaluator characteristics on evaluation results and the need for clinical training to address evaluators' personality influences on their ostensibly objective evaluations.

  17. Leading Causes of Blindness

    MedlinePlus

    ... Cataract. Photo courtesy of National Eye Institute, NIH Cataracts Cataracts are a clouding of the lenses in your ... older people. More than 22 million Americans have cataracts. They are the leading cause of blindness in ...

  18. Vision - night blindness

    MedlinePlus

    ... People with night blindness often have trouble seeing stars on a clear night or walking through a ... certain drugs Vitamin A deficiency (rare) Nontreatable causes: Birth defects Retinitis pigmentosa

  19. The Scarbase Duo(®): Intra-rater and inter-rater reliability and validity of a compact dual scar assessment tool.

    PubMed

    Fell, Matthew; Meirte, Jill; Anthonissen, Mieke; Maertens, Koen; Pleat, Jonathon; Moortgat, Peter

    2016-03-01

    Objective scar assessment tools were designed to help identify problematic scars and direct clinical management. Their use has been restricted by their measurement of a single scar property and the bulky size of equipment. The Scarbase Duo(®) was designed to assess both trans-epidermal water loss (TEWL) and colour of a burn scar whilst being compact and easy to use. Twenty patients with a burn scar were recruited and measurements taken using the Scarbase Duo(®) by two observers. The Scarbase Duo(®) measures TEWL via an open-chamber system and undertakes colorimetry via narrow-band spectrophotometry, producing values for relative erythema and melanin pigmentation. Validity was assessed by comparing the Scarbase Duo(®) against the Dermalab(®) and the Minolta Chromameter(®) respectively for TEWL and colorimetry measurements. The intra-class correlation coefficient (ICC) was used to assess reliability with standard error of measurement (SEM) used to assess reproducibility of measurements. The Pearson correlation coefficient (r) was used to assess the convergent validity. The Scarbase Duo(®) TEWL mode had excellent reliability when used on scars for both intra- (ICC=0.95) and inter-rater (ICC=0.96) measurements with moderate SEM values. The erythema component of the colorimetry mode showed good reliability for use on scars for both intra-(ICC=0.81) and inter-rater (ICC=0.83) measurements with low SEM values. Pigmentation values showed excellent reliability on scar tissue for both intra- (ICC=0.97) and inter-rater (ICC=0.97) with moderate SEM values. The Scarbase Duo(®) TEWL function had excellent correlation with the Dermalab(®) (r=0.93) whilst the colorimetry erythema value had moderate correlation with the Minolta Chromameter (r=0.72). The Scarbase Duo(®) is a reliable and objective scar assessment tool, which is specifically designed for burn scars. However, for clinical use, standardised measurement conditions are recommended.

  20. The feasibility of external blind DNA proficiency testing. II. Experience with actual blind tests.

    PubMed

    Peterson, Joseph L; Lin, George; Ho, Monica; Chen, Yingyu; Gaensslen, R E

    2003-01-01

    The background and goals of a national study to determine the feasibility of blind proficiency testing in U.S. forensic DNA laboratories are discussed. Part of the project involved designing and executing a series of fifteen blind proficiency tests. Execution included biological specimen donor recruitment and case evidence manufacturing. Simulated cases were submitted to DNA laboratories by law enforcement agencies and in some cases by other forensic-science laboratories. Replicate-manufactured evidence was submitted to reference laboratories to simulate the workings of a larger-scale program. Ten tests were straightforward, and essentially tested analytical ability. Five tests involved selecting on the basis of case facts appropriate bloodstains for typing from a bloodstain pattern. We describe in detail our experience in designing and conducting these blind proficiency test trials, and relate those experiences to the overall issue of blind proficiency testing as a quality-assurance tool in forensic DNA laboratories. In this feasibility test series, one blind test was detected by a laboratory, a second one was shown to the lab by law enforcement, and a third was never completed because of lapses in communication. Turnaround times were relatively fast in the independent/commercial labs and relatively slow in the larger public laboratories. Two cross-state case-to-case CODIS "hits" were "planted" among the first series of ten blind tests. One pair was detected. One member of the second pair went to a lab that was not CODIS-ready.

  1. Epidemiology of blindness in Nepal*

    PubMed Central

    Brilliant, L. B.; Pokhrel, R. P.; Grasset, N. C.; Lepkowski, J. M.; Kolstad, A.; Hawks, W.; Pararajasegaram, R.; Brilliant, G. E.; Gilbert, S.; Shrestha, S. R.; Kuo, J.

    1985-01-01

    This report presents the major findings of the Nepal Blindness Survey, the first nationwide epidemiological survey of blindness, which was conducted in 1979-80. The survey was designed to gather data that could be used to estimate the prevalence and causes of blindness in the country. Ancillary studies were conducted to obtain information on socioeconomic correlates and other risk factors of blinding conditions and patterns of health care utilization. The nationwide blindness prevalence rate is 0.84%. Cataract is the leading cause of blindness, accounting for over 80% of all avoidable blindness. Trachoma is the most prevalent blinding condition, affecting 6.5% of the population. Very few cases of childhood blindness were detected. The implications of the survey findings for programme planning, health manpower development, and health education are discussed. PMID:3874717

  2. Optimal Blind Quantum Computation

    NASA Astrophysics Data System (ADS)

    Mantri, Atul; Pérez-Delgado, Carlos A.; Fitzsimons, Joseph F.

    2013-12-01

    Blind quantum computation allows a client with limited quantum capabilities to interact with a remote quantum computer to perform an arbitrary quantum computation, while keeping the description of that computation hidden from the remote quantum computer. While a number of protocols have been proposed in recent years, little is currently understood about the resources necessary to accomplish the task. Here, we present general techniques for upper and lower bounding the quantum communication necessary to perform blind quantum computation, and use these techniques to establish concrete bounds for common choices of the client’s quantum capabilities. Our results show that the universal blind quantum computation protocol of Broadbent, Fitzsimons, and Kashefi, comes within a factor of (8)/(3) of optimal when the client is restricted to preparing single qubits. However, we describe a generalization of this protocol which requires exponentially less quantum communication when the client has a more sophisticated device.

  3. Meningeal carcinomatosis and blindness

    PubMed Central

    Altrocchi, Paul H.; Eckman, Paul B.

    1973-01-01

    The clinical syndrome of meningeal carcinomatosis includes headache, dementia, radiculopathy, and cranial nerve palsies. Blindness may be the first, or most prominent, symptom. When blindness occurs in adult life, meningeal carcinomatosis should be included in the differential diagnosis, even in the absence of other symptoms and in the absence of known malignancy. Although all pathophysiological mechanisms of the blindness in meningeal carcinomatosis have not yet been elucidated, optic nerve involvement by meningeal tumour-cuffing, by chronic papilloedema, and by direct tumour infiltration represent the likeliest causes. In the neuropathological analysis of such cases, the importance of analysing the intra-orbital portion of the optic nerves, in addition to the portions of the optic nerve and chiasm usually examined at routine necropsy, is emphasized. A case is described to illustrate this point, with the only pathological abnormality in the optic nerves being found within 6 mm of the retina. Images PMID:4708455

  4. Blinded by headlights.

    PubMed

    Stevanovski, Biljana; Oriet, Chris; Jolicoeur, Pierre

    2002-06-01

    Target identification is impaired when targets are presented during the planning or execution of a compatible response (e.g., right-pointing arrow during a right keypress) relative to an incompatible response (Müsseler & Hommel, 1997 a, b). Examinations of this blindness to response-compatible stimuli have typically used arrowheads as targets ("<" and ">"). The importance of the target symbol was examined by manipulating subjects' interpretation of that symbol (i.e., ">" interpreted as a right-pointing arrow or as a headlight shining to the left). Targets were presented at varying times during the planning or execution of a response in order to examine the time-course of the effect. Results showed that the interpretation, and not the physical identity, of the target was important for the blindness effect. Although the blindness effect was largest during the planning and execution of a response, it was not always confined to that temporal interval.

  5. The intra- and inter-rater reliabilities of the Short Form Berg Balance Scale in institutionalized elderly people.

    PubMed

    Kim, Seong-Gil; Kim, Myoung-Kwon

    2015-09-01

    [Purpose] The purpose of this study was to examine the intra- and inter-rater reliabilities of the Short Form Berg Balance Scale in institutionalized elderly people. [Subjects and Methods] A total of 30 elderly people in a nursing facility in Y city, South Korea, participated in this study. Two examiners administered the Short Form Berg Balance Scale to one subject to investigate inter-rater reliability. After a week, the same examiners administered the Short Form Berg Balance Scale once more to investigate intra-rater reliability. [Results] The intra-rater reliability was 0.83. The inter-rater reliability was 0.79. Both reliabilities were high (more than 0.7). [Conclusion] The Short Form Berg Balance Scale is a version of the Berg Balance Scale shortened by reducing the number of items, but its reliabilities were not lower than those of the Berg Balance Scale. The Short Form Berg Balance Scale can be useful clinically due to its short measurement time.

  6. Reference Books in Special Media. Reference Circular No. 82-4.

    ERIC Educational Resources Information Center

    Library of Congress, Washington, DC. National Library Service for the Blind and Physically Handicapped.

    Based on information contained in producers' catalogs and on responses to a survey conducted by the Reference Section of the Library of Congress National Library Service (NLS) for the Blind and Physically Handicapped, this publication lists reference materials produced in braille or in large type, and sound recordings of reference works available…

  7. Cognitive Mapping by the Blind.

    ERIC Educational Resources Information Center

    Casey, Steven M.

    1978-01-01

    In an effort to study the cognitive mapping abilities of blind persons, tactile maps of a school campus were made by ten congenitally blind and ten blindfolded partially sighted high school students. (Author)

  8. Sighted Children Learn About Blindness

    ERIC Educational Resources Information Center

    Scheffers, Wenda L.

    1977-01-01

    In a 20-lesson unit, sighted second-to fourth-grade students were taught about the long cane, guide dogs, daily living skills, eye physiology, causes of blindness, eye care, braille, and attitudes toward blindness. (CL)

  9. Overview on Deaf-Blindness

    MedlinePlus

    ... children and youth who are deaf-blind. Monmouth: Teaching Research Division. Wolff Heller, K. & Kennedy, C. (1994). Etiologies and characteristics of deaf-blindness. Monmouth: Teaching Research Publications. Watson, D., & Taff-Watson, M. (Eds.), ( ...

  10. Testing Children for Color Blindness

    MedlinePlus

    ... blindness as soon as age 4, finds Caucasian boys most likely to be color blind among different ... age 4. In addition, researchers found that Caucasian boys have the highest prevalence among four major ethnicities, ...

  11. Blinded by Science.

    ERIC Educational Resources Information Center

    Snyder, Tom

    1994-01-01

    Huge infusion of technology is coming into education; nothing can stop it, because so much money is involved. With computer marketers in driver seat instead of teachers, schools risk being blinded by science. Vendors have coopted progressive education buzzwords, including "frontal teaching,""linear thinking," and "computer…

  12. [Blindness and visual rehabilitation].

    PubMed

    Matonti, F; Roux, S; Denis, D; Picaud, S; Chavane, F

    2015-02-01

    Blindness and visual impairment are a major public health problem all over the world and in all societies. A large amount of basic science and clinical research aims to rehabilitate patients and help them become more independent. Various methods are explored from cell and molecular therapy to prosthetic interfaces. We review the various treatment alternatives, describing their results and their limitations.

  13. Blindness in the Toybox

    ERIC Educational Resources Information Center

    Swartz, Edward M.

    1973-01-01

    The author proposes that toys which have been shown to cause blindness (such as dart guns, bows and arrows, peashooters, air guns, and slingshots) be banned, and suggests that government regulatory agencies and the toy industry have been lax in acting on their expressed concern for safety. (DB)

  14. The blind beautiful eye.

    PubMed

    Feinsod, M

    2000-03-01

    Master Jehan Yperman, a medieval surgeon, observed that when the optic nerve is injured, the eye becomes blind and beautiful. This is an attempt to trace the footsteps of this forgotten surgeon and to track the history of the cosmetic use of the belladonna herb, as well as the concept of amaurotic mydriasis.

  15. Homer: The Blind Bard

    ERIC Educational Resources Information Center

    Doorley, Rachelle; King, Judith

    2005-01-01

    This article describes notable cultural, historical, and artistic elements emanating from sculptures originating in ancient Greece. The "blind bard" and its connection to the legendary Greek poet, Homer; Homer's impact on literary history; trends among Roman sculptures; and Roman replication of Greek art are described. Questions to…

  16. A multi-rater framework for studying personality: The trait-reputation-identity model.

    PubMed

    McAbee, Samuel T; Connelly, Brian S

    2016-10-01

    Personality and social psychology have historically been divided between personality researchers who study the impact of traits and social-cognitive researchers who study errors in trait judgments. However, a broader view of personality incorporates not only individual differences in underlying traits but also individual differences in the distinct ways a person's personality is construed by oneself and by others. Such unique insights are likely to appear in the idiosyncratic personality judgments that raters make and are likely to have etiologies and causal force independent of trait perceptions shared across raters. Drawing on the logic of the Johari window (Luft & Ingham, 1955), the Self-Other Knowledge Asymmetry Model (Vazire, 2010), and Socioanalytic Theory (Hogan, 1996; Hogan & Blickle, 2013), we present a new model that separates personality variance into consensus about underlying traits (Trait), unique self-perceptions (Identity), and impressions conveyed to others that are distinct from self-perceptions (Reputation). We provide three demonstrations of how this Trait-Reputation-Identity (TRI) Model can be used to understand (a) consensus and discrepancies across rating sources, (b) personality's links with self-evaluation and self-presentation, and (c) gender differences in traits. We conclude by discussing how researchers can use the TRI Model to achieve a more sophisticated view of personality's impact on life outcomes, developmental trajectories, genetic origins, person-situation interactions, and stereotyped judgments. (PsycINFO Database Record

  17. The inter-rater reliability of the Risk Instrument for Screening in the Community.

    PubMed

    Weathers, Elizabeth; O'Caoimh, Rónán; O'Sullivan, Ronan; Paúl, Constança; Orfilia, Frances; Clarnette, Roger; Fitzgerald, Carol; Svendrovski, Anton; Cornally, Nicola; Leahy-Warren, Patricia; Molloy, D William

    2016-09-01

    Predicting risk of adverse healthcare outcomes is important to enable targeted delivery of interventions. The Risk Instrument for Screening in the Community (RISC), designed for use by public health nurses (PHNs), measures the 1-year risk of hospitalisation, institutionalisation and death in community-dwelling older adults according to a five-point global risk score: from low (score 1,2) to medium (3) to high (4,5). We examined the inter-rater reliability (IRR) of the RISC between student PHNs (n=32) and expert raters using six cases (two low, medium and high-risk), scored before and after RISC training. Correlations increased for each adverse outcome, statistically significantly for institutionalisation (r=0.72 to 0.80, p=0.04) and hospitalisation (r=0.51 to 0.71, p<0.01) but not death. Training improved accuracy for low-risk but not all high-risk cases. Overall, the RISC showed good IRR, which increased after RISC training. That reliability fell for some high-risk cases suggests that the training programme requires adjustment to improve IRR further.

  18. CRM Assessment: Determining the Generalization of Rater Calibration Training. Summary of Research Report: Gold Standards Training

    NASA Technical Reports Server (NTRS)

    Baker, David P.

    2002-01-01

    The extent to which pilot instructors are trained to assess crew resource management (CRM) skills accurately during Line-Oriented Flight Training (LOFT) and Line Operational Evaluation (LOE) scenarios is critical. Pilot instructors must make accurate performance ratings to ensure that proper feedback is provided to flight crews and appropriate decisions are made regarding certification to fly the line. Furthermore, the Federal Aviation Administration's (FAA) Advanced Qualification Program (AQP) requires that instructors be trained explicitly to evaluate both technical and CRM performance (i.e., rater training) and also requires that proficiency and standardization of instructors be verified periodically. To address the critical need for effective pilot instructor training, the American Institutes for Research (AIR) reviewed the relevant research on rater training and, based on "best practices" from this research, developed a new strategy for training pilot instructors to assess crew performance. In addition, we explored new statistical techniques for assessing the effectiveness of pilot instructor training. The results of our research are briefly summarized below. This summary is followed by abstracts of articles and book chapters published under this grant.

  19. Field Inter-Rater Reliability of the Psychopathy Checklist-Revised.

    PubMed

    Ismail, Ghena; Looman, Jan

    2016-06-01

    Strong inter-rater reliability has been established for the Hare Psychopathy Checklist-Revised (PCL-R), specifically by examiners in research contexts. However, there is less support for inter-reliability in applied settings. This study examined archival data that included a sample of sex offenders (n = 178) who entered federal custody between 1992 and 1998. The offenders were assessed using the PCL-R on two occasions. The first assessment occurred at Millhaven Institution, the intake unit for federally incarcerated offenders in the province of Ontario. The second assessment took place upon inmates' transfer to the Regional Treatment Center, which admits federal inmates with intense psychological and psychiatric needs. Intra-class correlation coefficients (ICCs) were calculated for item, total, factor, and facet scores. The ICC absolute agreement for the PCL-R total and factor scores from raters across both settings was slightly better than what has been previously reported by Hare. Results of this study show that the reliability of PCL-R scores in field settings can be comparable to those in research settings. Authors conclude by highlighting the importance of training, consultation, considering different scores for a given item, following the guidelines of the manual in addition to considering measures that enhance neutrality and reliability of findings in the criminal justice system.

  20. Cultural adaptation, content validity and inter-rater reliability of the "STAR Skin Tear Classification System"1

    PubMed Central

    Strazzieri-Pulido, Kelly Cristina; Santos, Vera Lúcia Conceição de Gouveia; Carville, Keryln

    2015-01-01

    AIMS: to perform the cultural adaptation of the STAR Skin Tear Classification System into the Portuguese language and to test the content validity and inter-rater reliability of the adapted version. METHODS: methodological study with a quantitative approach. The cultural adaptation was developed in three phases: translation, evaluation by a committee of judges and back-translation. The instrument was tested regarding content validity and inter-rater reliability. RESULTS: the adapted version obtained a regular level of concordance when it was applied by nurses using photographs of friction injuries. Regarding its application in clinical practice, the adapted version obtained a moderate and statistically significant level of concordance. CONCLUSION: the study tested the content validity and inter-rater reliability of the version adapted into the Portuguese language. Its inclusion in clinical practice will enable the correct identification of this type of injury, as well as the implementation of protocols for the prevention and treatment of friction injuries. PMID:25806644

  1. Swimming: An Introduction to Swimming, Diving, and SCUBA Diving for Blind and Physically Handicapped Individuals. Leisure Pursuit Series.

    ERIC Educational Resources Information Center

    Cylke, Frank Kurt, Ed.

    The annotated guide lists information sources available from the National Library Service for the Blind and Physically Handicapped in print, disc, cassette, and braille formats concerning swimming and diving with special reference to blind swimmers. The guide begins with a brief sketch of a champion swimmer who is also legally blind and an…

  2. Corneal blindness and xenotransplantation.

    PubMed

    Lamm, Vladimir; Hara, Hidetaka; Mammen, Alex; Dhaliwal, Deepinder; Cooper, David K C

    2014-01-01

    Approximately 39 million people are blind worldwide, with an estimated 285 million visually impaired. The developing world shoulders 90% of the world's blindness, with 80% of causative diseases being preventable or treatable. Blindness has a major detrimental impact on the patient, community, and healthcare spending. Corneal diseases are significant causes of blindness, affecting at least 4 million people worldwide. The prevalence of corneal disease varies between parts of the world. Trachoma, for instance, is the second leading cause of blindness in Africa, after cataracts, but is rarely found today in developed nations. When preventive strategies have failed, corneal transplantation is the most effective treatment for advanced corneal disease. The major surgical techniques for corneal transplantation include penetrating keratoplasty (PK), anterior lamellar keratoplasty, and endothelial keratoplasty (EK). Indications for corneal transplantation vary between countries, with Fuchs' dystrophy being the leading indication in the USA and keratoconus in Australia. With the exception of the USA, where EK will soon overtake PK as the most common surgical procedure, PK is the overwhelming procedure of choice. Success using corneal grafts in developing nations, such as Nepal, demonstrates the feasibility of corneal transplantation on a global scale. The number of suitable corneas from deceased human donors that becomes available will never be sufficient, and so research into various alternatives, for example stem cells, amniotic membrane transplantation, synthetic and biosynthetic corneas, and xenotransplantation, is progressing. While each of these has potential, we suggest that xenotransplantation holds the greatest potential for a corneal replacement. With the increasing availability of genetically engineered pigs, pig corneas may alleviate the global shortage of corneas in the near future.

  3. Programs for the Deaf Blind.

    ERIC Educational Resources Information Center

    American Annals of the Deaf, 1987

    1987-01-01

    The directory lists 30 programs for deaf-blind children and youth, the 10 regional offices of the Helen Keller National Center for Deaf-Blind Youths and Adults, and five programs for training teachers of the deaf-blind. Provided for each program is address, director's name, and phone number. (DB)

  4. [The blindness in the literature-Jose Saramago: blindness and Albert Bang: the blind witness].

    PubMed

    Permin, H; Norn, M

    2001-01-01

    Two novels with different aspects of blindness seen through the doctors eyes. The Portuguese Nobel-prize winner José Saramago's story of a city struck by an epidemic of "white blindness", where the truth is what we cannot bear to see. The Danish author and unskilled labourer Albert Bang's (synonym with Karl E. Rasmussen) crime novel describes a blind or pretend to be blind butcher, who is a witness to a murder. Both novels are lyric, thought-provoking and insightful.

  5. Investigating Native and Non-Native English-Speaking Teacher Raters' Judgements of Oral Proficiency in the College English Test-Spoken English Test (CET-SET)

    ERIC Educational Resources Information Center

    Zhang, Ying; Elder, Catherine

    2014-01-01

    This study investigates the impact of raters' language background on their judgements of the speaking performance in the College English Test-Spoken English Test (CET-SET) of China, by comparing the rating patterns of non-native English-speaking (NNES) teacher raters, who are currently employed to assess performance on the CET-SET, with those of…

  6. Gene therapy for blindness.

    PubMed

    Sahel, José-Alain; Roska, Botond

    2013-07-08

    Sight-restoring therapy for the visually impaired and blind is a major unmet medical need. Ocular gene therapy is a rational choice for restoring vision or preventing the loss of vision because most blinding diseases originate in cellular components of the eye, a compartment that is optimally suited for the delivery of genes, and many of these diseases have a genetic origin or genetic component. In recent years we have witnessed major advances in the field of ocular gene therapy, and proof-of-concept studies are under way to evaluate the safety and efficacy of human gene therapies. Here we discuss the concepts and recent advances in gene therapy in the retina. Our review discusses traditional approaches such as gene replacement and neuroprotection and also new avenues such as optogenetic therapies. We conjecture that advances in gene therapy in the retina will pave the way for gene therapies in other parts of the brain.

  7. Postpartum cortical blindness.

    PubMed

    Faiz, Shakeel Ahmed

    2008-09-01

    A 30-years-old third gravida with previous normal pregnancies and an unremarkable prenatal course had an emergency lower segment caesarean section at a periphery hospital for failure of labour to progress. She developed bilateral cortical blindness immediately after recovery from anesthesia due to cerebral angiopathy shown by CT and MR scan as cortical infarct cerebral angiopathy, which is a rare complication of a normal pregnancy.

  8. Blind shaft development

    SciTech Connect

    Fiscor, S.

    2009-02-15

    The article discusses how Shaft Drillers International (SDI) is breaking new ground in shaft development and ground stabilization. Techniques of blind shaft drilling and raise bore shaft development developed by SDI are briefly explained. An associated company, Coastal Drilling East, deals with all types of ground improvement such as pre-grouting work for shafts, grouting of poor soil and water leaks into the mine. 3 photos.

  9. Geometry of blind thrusts

    SciTech Connect

    Kligfield, R.; Geiser, P.; Geiser, J.

    1985-01-01

    Blind thrusts are structures which at no time in their history broke the erosion surface and along which displacement progressively changes upwards. Faults of the stiff layer along which displacement progressively decreases to zero (tip) are one prominent type of blind thrust structure. Shortening above such tips is accommodated entirely by folding whereas shortening below the tip is partitioned between folding and faulting. For these types of faults it is possible to determine the original length of the stiff layer for balancing purposes. A systematic methodology for line length and area restoration is outlined for determining blind thrust geometry. Application of the methodology is particularly suitable for use with microcomputers. If the folded form of the cover is known along with the position of the fault and its tip, then it is possible to locate hanging and footwall cutoffs. If the fault trajectory, tip, and a single hanging wall footwall cutoff pair are known, then the folded form of the cover layer can be determined. In these constructions it is necessary to specify pin lines for balancing purposes. These pin lines may or may not have a zero displacement gradient, depending upon the amount of simple shear deformation. Examples are given from both Laramide structures of the western USA and the Appalachians.

  10. Inter-rater agreement for diagnoses of epilepsy in pregnant women.

    PubMed

    Khoshbin, Shahram; Herring, Amy; Holmes, Gregory L; Schomer, Donald; Hoch, Daniel; Dooling, Elizabeth C; Vining, Eileen P G; Holmes, Lewis B

    2013-04-01

    We report on inter-rater agreement in assessing the types of seizures exhibited by one hundred mothers ascertained in a study of the teratogenicity of maternal epilepsy and antiepileptic drugs. A summary of each woman's medical record and a one-page report of her responses to questions about her epilepsy were reviewed independently by six neurologists, three in pediatric neurology and three in adult neurology. Agreement was measured by the kappa statistic and log-linear modeling techniques. The adult neurologists agreed with each other 59% of the time, with the agreement higher when all three used information from the patients' records, such as an EEG, rather than when depending on the patients' responses to questions about their epilepsy. The pediatric neurologists agreed with each other 44% of the time and tended to rely more heavily on information in the patients' records, such as an EEG or a prior diagnosis, compared with the adult neurologists.

  11. [A systematic social observation tool: methods and results of inter-rater reliability].

    PubMed

    Freitas, Eulilian Dias de; Camargos, Vitor Passos; Xavier, César Coelho; Caiaffa, Waleska Teixeira; Proietti, Fernando Augusto

    2013-10-01

    Systematic social observation has been used as a health research methodology for collecting information from the neighborhood physical and social environment. The objectives of this article were to describe the operationalization of direct observation of the physical and social environment in urban areas and to evaluate the instrument's reliability. The systematic social observation instrument was designed to collect information in several domains. A total of 1,306 street segments belonging to 149 different neighborhoods in Belo Horizonte, Minas Gerais, Brazil, were observed. For the reliability study, 149 segments (1 per neighborhood) were re-audited, and Fleiss kappa was used to access inter-rater agreement. Mean agreement was 0.57 (SD = 0.24); 53% had substantial or almost perfect agreement, and 20.4%, moderate agreement. The instrument appears to be appropriate for observing neighborhood characteristics that are not time-dependent, especially urban services, property characterization, pedestrian environment, and security.

  12. Plant disease severity assessment - How rater bias, assessment method and experimental design affect hypothesis testing and resource use efficiency

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The impact of rater bias and assessment method on hypothesis testing was studied for different experimental designs for plant disease assessment using balanced and unbalanced data sets. Data sets with the same number of replicate estimates for each of two treatments are termed ‘balanced’, and those ...

  13. A comparison of raters and disease assessment methods for estimating disease severity for purposes of hypothesis testing

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Assessment of disease severity is most often made visually, and estimates can be inaccurate. Nearest percent estimates (NPEs) of Septoria leaf blotch on leaves of winter wheat by four raters (R1-R4) assessing non-treated (NT) and fungicide-treated (FT) plots were compared to true values using Lin’s ...

  14. Using Consensus Building Procedures with Expert Raters to Establish Comparison Scores of Behavior for Direct Behavior Rating

    ERIC Educational Resources Information Center

    Jaffery, Rose; Johnson, Austin H.; Bowler, Mark C.; Riley-Tillman, T. Chris; Chafouleas, Sandra M.; Harrison, Sayward E.

    2015-01-01

    To date, rater accuracy when using Direct Behavior Rating (DBR) has been evaluated by comparing DBR-derived data to scores yielded through systematic direct observation. The purpose of this study was to evaluate an alternative method for establishing comparison scores using expert-completed DBR alongside best practices in consensus building…

  15. The Intra- and Inter-rater Reliabilities of the Forward Head Posture Assessment of Normal Healthy Subjects

    PubMed Central

    Nam, Seok Hyun; Son, Sung Min; Kwon, Jung Won; Lee, Na Kyung

    2013-01-01

    [Purpose] Assessment of posture is an important goal of physical therapy interventions for preventing the progression of forward head posture (FHP). The purpose of this study was to determine the inter- and intra-rater reliabilities of the assessment of FHP. [Subjects and Methods] We recruited 45 participants (20 male subjects, 25 female subjects) from a university student population. Two physical therapists assessed FHP using images of head extension. FHP is characterized by the measurement of angles and distances between anatomical landmarks. Forward shoulder angle of 54° or less was defined as FHP. Intra- and inter-rater reliabilities were estimated using Kendall’s Taub correlation coefficients. [Results] Intra-class correlation of intra-rater measurements indicated an excellent level of reliability (0.91), and intra-class correlation of inter-rater measurements showed a good level of reliability in the assessment of FHP (0.75). [Conclusion] Assessment of FHP is an important component of evaluation and affects the design of the treatment regimen. The assessment of FHP was reliably measured by two physical therapists. It could therefore become a useful method for assessing FHP in the clinical setting. Future studies will be needed to provide more detailed quantitative data for accurate assessment of posture. PMID:24259842

  16. Non-inferiority test and confidence interval for the difference in correlated proportions in diagnostic procedures based on multiple raters.

    PubMed

    Saeki, Hiroyuki; Tango, Toshiro

    2011-12-10

    The efficacy of diagnostic procedures is generally evaluated on the basis of the results from multiple raters. However, there are few adequate methods of performing non-inferiority tests with confidence intervals to compare the accuracies (sensitivities or specificities) when multiple raters are considered. We propose new statistical methods for comparing the accuracies of two diagnostic procedures in a non-inferiority trial, on the basis of the results from multiple independent raters who are also independent of the study centers. We consider a study design in which each patient is subjected to two diagnostic procedures and all images are read by all raters. By assuming a multinomial distribution for matched-pair categorical data arising from the study design, we derive a score-based full menu, that is, a non-inferiority test, confidence interval and sample size formula, for inference of the difference in correlated proportions between the two diagnostic procedures. We conduct Monte Carlo simulation studies to examine the validity of the proposed methods, which showed that the proposed test has a size closer to the nominal significance level than a Wald-type test and that the proposed confidence interval has better empirical coverage probability than a Wald-type confidence interval. We illustrate the proposed methods with data from a study of diagnostic procedures for the diagnosis of oesophageal carcinoma infiltrating the tracheobronchial tree.

  17. Removing Bias towards World Englishes: The Development of a Rater Attitude Instrument Using Indian English as a Stimulus

    ERIC Educational Resources Information Center

    Hsu, Tammy Huei-Lien

    2016-01-01

    This study explores the attitudes of raters of English speaking tests towards the global spread of English and the challenges in rating speakers of Indian English in descriptive speaking tasks. The claims put forward by language attitude studies indicate a validity issue in English speaking tests: listeners tend to hold negative attitudes towards…

  18. The Intra- and Inter-rater Reliabilities of the Forward Head Posture Assessment of Normal Healthy Subjects.

    PubMed

    Nam, Seok Hyun; Son, Sung Min; Kwon, Jung Won; Lee, Na Kyung

    2013-06-01

    [Purpose] Assessment of posture is an important goal of physical therapy interventions for preventing the progression of forward head posture (FHP). The purpose of this study was to determine the inter- and intra-rater reliabilities of the assessment of FHP. [Subjects and Methods] We recruited 45 participants (20 male subjects, 25 female subjects) from a university student population. Two physical therapists assessed FHP using images of head extension. FHP is characterized by the measurement of angles and distances between anatomical landmarks. Forward shoulder angle of 54° or less was defined as FHP. Intra- and inter-rater reliabilities were estimated using Kendall's Taub correlation coefficients. [Results] Intra-class correlation of intra-rater measurements indicated an excellent level of reliability (0.91), and intra-class correlation of inter-rater measurements showed a good level of reliability in the assessment of FHP (0.75). [Conclusion] Assessment of FHP is an important component of evaluation and affects the design of the treatment regimen. The assessment of FHP was reliably measured by two physical therapists. It could therefore become a useful method for assessing FHP in the clinical setting. Future studies will be needed to provide more detailed quantitative data for accurate assessment of posture.

  19. Inter-Rater Reliability of the Modified Ashworth Scale and Modified Modified Ashworth Scale in Assessing Poststroke Elbow Flexor Spasticity

    ERIC Educational Resources Information Center

    Kaya, Taciser; Goksel Karatepe, Altinay; Gunaydin, Rezzan; Koc, Aysegul; Altundal Ercan, Ulku

    2011-01-01

    The Modified Ashworth Scale (MAS) is commonly used in clinical practice for grading spasticity. However, it was modified recently by omitting grade "1+" of the MAS and redefining grade "2". The aim of this study was to investigate the inter-rater reliability of MAS and modified MAS (MMAS) for the assessment of poststroke elbow flexor spasticity.…

  20. Tool for Assessing Responsibility-Based Education (TARE): Instrument Development, Content Validity, and Inter-Rater Reliability

    ERIC Educational Resources Information Center

    Wright, Paul M.; Craig, Mark W.

    2011-01-01

    Numerous scholars have stressed the importance of personal and social responsibility in physical activity settings; however, there is a lack of instrumentation to study the implementation of responsibility-based teaching strategies. The development, content validity, and initial inter-rater reliability testing of the Tool for Assessing…

  1. The Consistency between Human Raters and an Automated Essay Scoring System in Grading High School Students' English Writing

    ERIC Educational Resources Information Center

    Tsai, Min-hsiu

    2012-01-01

    This study investigates the consistency between human raters and an automated essay scoring system in grading high school students' English compositions. A total of 923 essays from 23 classes of 12 senior high schools in Taiwan (Republic of China) were obtained and scored manually and electronically. The results show that the consistency between…

  2. On Individual Differences in Person Perception: Raters' Personality Traits Relate to Their Psychopathy Checklist-Revised Scoring Tendencies

    ERIC Educational Resources Information Center

    Miller, Audrey K.; Rufino, Katrina A.; Boccaccini, Marcus T.; Jackson, Rebecca L.; Murrie, Daniel C.

    2011-01-01

    This study investigated raters' personality traits in relation to scores they assigned to offenders using the Psychopathy Checklist-Revised (PCL-R). A total of 22 participants, including graduate students and faculty members in clinical psychology programs, completed a PCL-R training session, independently scored four criminal offenders using the…

  3. Cross-National Differences in the Assessment of Psychopathy: Do They Reflect Variations in Raters' Perceptions of Symptoms?

    ERIC Educational Resources Information Center

    Cooke, David J.; Hart, Stephen D.; Michie, Christine

    2004-01-01

    Cross-national differences in the prevalence of psychopathy have been reported. This study examined whether rater effects could account for these differences. Psychopathy was assessed with the Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991). Videotapes of 6 Scottish prisoners and 6 Canadian prisoners were rated by 10 Scottish and 10…

  4. When experts disagreed, who was correct? A comparison of PCL-R scores from independent raters and opposing forensic experts.

    PubMed

    Rufino, Katrina A; Boccaccini, Marcus T; Hawes, Samuel W; Murrie, Daniel C

    2012-12-01

    Researchers recently found that Psychopathy Checklist-Revised (PCL-R; Hare, 2003) scores reported by state experts were much higher than those reported by defense experts in sexually violent predator cases pursued for civil commitment (Murrie, Boccaccini, Johnson, & Janke, 2008), which raised the question of which scores were more accurate. In this study, two independent raters rescored the PCL-R from file review for 44 offenders from that sample who had opposing evaluator scores (allegiance cases) and 44 who had state expert, but not defense expert, scores (comparison cases). The independent raters agreed with one another in their scoring of the allegiance and comparison cases (Intraclass Correlation Coefficient [ICC] ICCA,1 = .95), but they disagreed with both state (ICCA,1 = .29) and defense (ICCA,1 = .14) experts in the allegiance cases. Agreement was stronger between state experts and independent raters for the comparison cases (ICCA,1 = .63), but the independent raters assigned significantly higher PCL-R scores than experts for both the allegiance and comparison cases. These findings suggest that offenders who were selected for rescoring by the defense may have been more difficult to score. Findings also raise questions about the extent to which PCL-R scores based on correctional file review only are comparable to those based on file and interview.

  5. Inter- and intra-rater reliability of diffusion tensor imaging parameters in the normal pediatric spinal cord

    PubMed Central

    Barakat, Nadia; Shah, Pallav; Faro, Scott H; Gaughan, John P; Middleton, Devon; Mulcahey, MJ; Mohamed, Feroze B

    2015-01-01

    AIM: To assess inter- and intra-rater reliability (agreement) between two region of interest (ROI) methods in pediatric spinal cord diffusion tensor imaging (DTI). METHODS: Inner-Field-of-View DTI data previously acquired from ten pediatric healthy subjects (mean age = 12.10 years) was used to assess for reliability. ROIs were drawn by two neuroradiologists on each subject data twice within a 3-mo interval. ROIs were placed on axial B0 maps along the cervical spine using free-hand and fixed-size ROIs. Agreement analyses for fractional anisotropy (FA), axial diffusivity, radial diffusivity and mean diffusivity were performed using intra-class-correlation (ICC) and Cronbach’s alpha statistical methods. RESULTS: Inter- and intra-rater agreement between the two ROI methods showed moderate (ICC = 0.5) to strong (ICC = 0.84). There were significant differences between raters in the number of pixels selected using free-hand ROIs (P < 0.05). However, no significant differences were observed in DTI parameter values. FA showed highest variability in ICC values (0.10-0.87). Cronbach’s alpha showed moderate-high values for raters and ROI methods. CONCLUSION: The study showed that high reproducibility in spinal cord DTI can be achieved, and demonstrated the importance of setting detailed methodology for post-processing DTI data, specifically the placement of ROIs. PMID:26435778

  6. Validity and inter-rater reliability of inertial gait measurements in Parkinson's disease: a pilot study.

    PubMed

    Esser, Patrick; Dawes, Helen; Collett, Johnny; Feltham, Max G; Howells, Ken

    2012-03-30

    Walking models driven by centre of mass (CoM) data obtained from inertial measurement units (IMU) or optical motion capture systems (OMCS) can be used to objectively measure gait. However current models have only been validated within typical developed adults (TDA). The purpose of this study was to compare the projected CoM movement within Parkinson's disease (PD) measured by an IMU with data collected from an OMCS after which spatio-temporal gait measures were derived using an inverted pendulum model. The inter-rater reliability of spatio-temporal parameters was explored between expert researchers and clinicians using the IMU processed data. Participants walked 10 m with an IMU attached over their centre of mass which was simultaneously recorded by an OMCS. Data was collected on two occasions, each by an expert researcher and clinician. Ten people with PD showed no difference (p=0.13) for vertical, translatory acceleration, velocity and relative position of the projected centre of mass between IMU and OMCS data. Furthermore no difference (p=0.18) was found for the derived step time, stride length and walking speed for people with PD. Measurements of step time (p=0.299), stride length (p=0.883) and walking speed (p=0.751) did not differ between experts and clinicians. There was good inter-rater reliability for these parameters (ICC3.1=0.979, ICC3.1=0.958 and ICC3.1=0.978, respectively). The findings are encouraging and support the use of IMUs by clinicians to measure CoM movement in people with PD.

  7. How to assess and compare inter-rater reliability, agreement and correlation of ratings: an exemplary analysis of mother-father and parent-teacher expressive vocabulary rating pairs

    PubMed Central

    Stolarova, Margarita; Wolf, Corinna; Rinker, Tanja; Brielmann, Aenne

    2014-01-01

    This report has two main purposes. First, we combine well-known analytical approaches to conduct a comprehensive assessment of agreement and correlation of rating-pairs and to dis-entangle these often confused concepts, providing a best-practice example on concrete data and a tutorial for future reference. Second, we explore whether a screening questionnaire developed for use with parents can be reliably employed with daycare teachers when assessing early expressive vocabulary. A total of 53 vocabulary rating pairs (34 parent–teacher and 19 mother–father pairs) collected for two-year-old children (12 bilingual) are evaluated. First, inter-rater reliability both within and across subgroups is assessed using the intra-class correlation coefficient (ICC). Next, based on this analysis of reliability and on the test-retest reliability of the employed tool, inter-rater agreement is analyzed, magnitude and direction of rating differences are considered. Finally, Pearson correlation coefficients of standardized vocabulary scores are calculated and compared across subgroups. The results underline the necessity to distinguish between reliability measures, agreement and correlation. They also demonstrate the impact of the employed reliability on agreement evaluations. This study provides evidence that parent–teacher ratings of children's early vocabulary can achieve agreement and correlation comparable to those of mother–father ratings on the assessed vocabulary scale. Bilingualism of the evaluated child decreased the likelihood of raters' agreement. We conclude that future reports of agreement, correlation and reliability of ratings will benefit from better definition of terms and stricter methodological approaches. The methodological tutorial provided here holds the potential to increase comparability across empirical reports and can help improve research practices and knowledge transfer to educational and therapeutic settings. PMID:24994985

  8. Genetics Home Reference: X-linked congenital stationary night blindness

    MedlinePlus

    ... vision. The NYX and CACNA1F proteins ensure that visual signals are passed from rods and cones to ... is an essential step in the transmission of visual information from the eyes to the brain. Mutations ...

  9. Genetics Home Reference: autosomal recessive congenital stationary night blindness

    MedlinePlus

    ... PM, Lachapelle P, McCall MA, Koenekoop RK, Bergen AA, Kamermans M, Gregg RG. GPR179 is required for ... FM, McCall MA, Riemslag FC, Gregg RG, Bergen AA, Kamermans M. Mutations in TRPM1 are a common ...

  10. Fighting blindness with microelectronics.

    PubMed

    Zrenner, Eberhart

    2013-11-06

    There is no approved cure for blindness caused by degeneration of the photoreceptor cells of the retina. However, there has been encouraging progress with attempts to restore vision using microelectronic retinal implant devices. Yet many questions remain to be addressed. Where is the best location to implant multielectrode arrays? How can spatial and temporal resolution be improved? What are the best ways to ensure the safety and longevity of these devices? Will color vision be possible? This Perspective discusses the current state of the art of retinal implants and attempts to address some of the outstanding questions.

  11. What You See Is What You Set: Sustained Inattentional Blindness and the Capture of Awareness

    ERIC Educational Resources Information Center

    Most, Steven B.; Scholl, Brian J.; Clifford, Erin R.; Simons, Daniel J.

    2005-01-01

    This article reports a theoretical and experimental attempt to relate and contrast 2 traditionally separate research programs: inattentional blindness and attention capture. Inattentional blindness refers to failures to notice unexpected objects and events when attention is otherwise engaged. Attention capture research has traditionally used…

  12. Making Tactile Charts on a Personal Computer for Blind Students in the Allied Health Professions.

    ERIC Educational Resources Information Center

    Yoshida, Tsuguo; Ohtake, Nobuyuki

    2002-01-01

    This article describes how to make tactile charts for students who are blind and in the allied health professions on the basis of medical images and how students who are blind evaluate these charts. Editing rules for creating the charts are discussed. (Contains references.) (CR)

  13. Reference Services.

    ERIC Educational Resources Information Center

    Bunge, Charles A.

    1999-01-01

    Discusses library reference services. Topics include the historical development of reference services; instruction in library use, particularly in college and university libraries; guidance; information and referral services and how they differ from traditional question-answering service; and future concerns, including user fees and the planning…

  14. Reference Assessment

    ERIC Educational Resources Information Center

    Bivens-Tatum, Wayne

    2006-01-01

    This article presents interesting articles that explore several different areas of reference assessment, including practical case studies and theoretical articles that address a range of issues such as librarian behavior, patron satisfaction, virtual reference, or evaluation design. They include: (1) "Evaluating the Quality of a Chat Service"…

  15. Reference Revolutions.

    ERIC Educational Resources Information Center

    Mason, Marilyn Gell

    1998-01-01

    Describes developments in Online Computer Library Center (OCLC) electronic reference services. Presents a background on networked cataloging and the initial implementation of reference services by OCLC. Discusses the introduction of OCLC FirstSearch service, which today offers access to over 65 databases, future developments in integrated…

  16. Multiscale image blind denoising.

    PubMed

    Lebrun, Marc; Colom, Miguel; Morel, Jean-Michel

    2015-10-01

    Arguably several thousands papers are dedicated to image denoising. Most papers assume a fixed noise model, mainly white Gaussian or Poissonian. This assumption is only valid for raw images. Yet, in most images handled by the public and even by scientists, the noise model is imperfectly known or unknown. End users only dispose the result of a complex image processing chain effectuated by uncontrolled hardware and software (and sometimes by chemical means). For such images, recent progress in noise estimation permits to estimate from a single image a noise model, which is simultaneously signal and frequency dependent. We propose here a multiscale denoising algorithm adapted to this broad noise model. This leads to a blind denoising algorithm which we demonstrate on real JPEG images and on scans of old photographs for which the formation model is unknown. The consistency of this algorithm is also verified on simulated distorted images. This algorithm is finally compared with the unique state of the art previous blind denoising method.

  17. Deaf, blind or deaf-blind: Is touch enhanced?

    PubMed

    Papagno, Costanza; Cecchetto, Carlo; Pisoni, Alberto; Bolognini, Nadia

    2016-02-01

    When someone looses one type of sensory input, s/he may compensate by using the sensory information conveyed by other senses. To verify whether loosing a sense or two has consequences on a spared sensory modality, namely touch, and whether these consequences depend on the type of sensory loss, we investigated the effects of deafness and blindness on temporal and spatial tactile tasks in deaf, blind and deaf-blind people. Deaf and deaf-blind people performed the spatial tactile task better than the temporal one, while blind and controls showed the opposite pattern. Deaf and deaf-blind participants were impaired in temporal discrimination as compared to controls, while deaf-blind individuals outperformed blind participants in the spatial tactile task. Overall, sensory-deprived participants did not show an enhanced tactile performance. We speculate that discriminative touch is not so relevant in humans, while social touch is. Probably, more complex tactile tasks would have revealed an increased performance in sensory-deprived people.

  18. Accuracy assessment of blind and semi-blind restoration methods for hyperspectral images

    NASA Astrophysics Data System (ADS)

    Zhang, Mo; Vozel, Benoit; Chehdi, Kacem; Uss, Mykhail; Abramov, Sergey; Lukin, Vladimir

    2016-10-01

    Hyperspectral images acquired by remote sensing systems are generally degraded by noise and can be sometimes more severely degraded by blur. When no knowledge is available about the degradations present or the original image, blind restoration methods must be considered. Otherwise, when a partial information is needed, semi-blind restoration methods can be considered. Numerous semi-blind and quite advanced methods are available in the literature. So to get better insights and feedback on the applicability and potential efficiency of a representative set of four semi-blind methods recently proposed, we have performed a comparative study of these methods in objective terms of blur filter and original image error estimation accuracy. In particular, we have paid special attention to the accurate recovering in the spectral dimension of original spectral signatures. We have analyzed peculiarities and factors restricting the applicability of these methods. Our tests are performed on a synthetic hyperspectral image, degraded with various synthetic blurs (out-of-focus, gaussian, motion) and with signal independent noise of typical levels such as those encountered in real hyperspectral images. This synthetic image has been built from various samples from classified areas of a real-life hyperspectral image, in order to benefit from realistic reference spectral signatures to recover after synthetic degradation. Conclusions, practical recommendations and perspectives are drawn from the results experimentally obtained.

  19. Corneal blindness: a global perspective.

    PubMed Central

    Whitcher, J. P.; Srinivasan, M.; Upadhyay, M. P.

    2001-01-01

    Diseases affecting the cornea are a major cause of blindness worldwide, second only to cataract in overall importance. The epidemiology of corneal blindness is complicated and encompasses a wide variety of infectious and inflammatory eye diseses that cause corneal scarring, which ultimately leads to functional blindness. In addition, the prevalence of corneal disease varies from country to country and even from one population to another. While cataract is responsible for nearly 20 million of the 45 million blind people in the world, the next major cause is trachoma which blinds 4.9 million individuals, mainly as a result of corneal scarring and vascularization. Ocular trauma and corneal ulceration are significant causes of corneal blindness that are often underreported but may be responsible for 1.5-2.0 million new cases of monocular blindness every year. Causes of childhood blindness (about 1.5 million worldwide with 5 million visually disabled) include xerophthalmia (350,000 cases annually), ophthalmia neonatorum, and less frequently seen ocular diseases such as herpes simplex virus infections and vernal keratoconjunctivitis. Even though the control of onchocerciasis and leprosy are public health success stories, these diseases are still significant causes of blindness--affecting a quarter of a million individuals each. Traditional eye medicines have also been implicated as a major risk factor in the current epidemic of corneal ulceration in developing countries. Because of the difficulty of treating corneal blindness once it has occurred, public health prevention programmes are the most cost-effective means of decreasing the global burden of corneal blindness. PMID:11285665

  20. Teaching Life Sciences to Blind and Visually Impaired Learners

    ERIC Educational Resources Information Center

    Fraser, William John; Maguvhe, Mbulaheni Obert

    2008-01-01

    This study reports on the teaching of life sciences (biology) to blind and visually impaired learners in South Africa at 11 special schools with specific reference to the development of science process skills in outcomes-based classrooms. Individual structured interviews were conducted with nine science educators teaching at the different special…

  1. Sexual Well-Being: A Goal for Young Blind Women.

    ERIC Educational Resources Information Center

    Neff, Jan

    1983-01-01

    The article discusses developing sexuality and sexual awareness, with special reference to blind girls, and emphasizes the importance of establishing a sense of identity, individual and sexual, and structuring one's sexual growth by a conscious process of goal setting and achievement. (Author/CL)

  2. Sex Education for Deaf-Blind Youths and Adults.

    ERIC Educational Resources Information Center

    Ingraham, Cynthia L.; Vernon, McCay; Clemente, Brenda; Olney, Linda

    2000-01-01

    This article describes a model sex education program developed for youths and adults who are deafblind by the Helen Keller National Center for Deaf-Blind Youths and Adults. In addition, it also discusses major related issues and presents general recommendations and a resource for further information. (Contains 11 references.) (Author/CR)

  3. Biological Models for Blind Students.

    ERIC Educational Resources Information Center

    Franks, Frank L.; Murr, Marvin J.

    1978-01-01

    In response to an expressed need for inexpensive biological models for blind students, the American Printing House for the Blind has developed a set of 19 plastic models (schematics), which illustrate representative species of the major invertebrate phyla and component structures of flowering plants. (Author)

  4. Implicit binding of facial features during change blindness.

    PubMed

    Lyyra, Pessi; Mäkelä, Hanna; Hietanen, Jari K; Astikainen, Piia

    2014-01-01

    Change blindness refers to the inability to detect visual changes if introduced together with an eye-movement, blink, flash of light, or with distracting stimuli. Evidence of implicit detection of changed visual features during change blindness has been reported in a number of studies using both behavioral and neurophysiological measurements. However, it is not known whether implicit detection occurs only at the level of single features or whether complex organizations of features can be implicitly detected as well. We tested this in adult humans using intact and scrambled versions of schematic faces as stimuli in a change blindness paradigm while recording event-related potentials (ERPs). An enlargement of the face-sensitive N170 ERP component was observed at the right temporal electrode site to changes from scrambled to intact faces, even if the participants were not consciously able to report such changes (change blindness). Similarly, the disintegration of an intact face to scrambled features resulted in attenuated N170 responses during change blindness. Other ERP deflections were modulated by changes, but unlike the N170 component, they were indifferent to the direction of the change. The bidirectional modulation of the N170 component during change blindness suggests that implicit change detection can also occur at the level of complex features in the case of facial stimuli.

  5. Implicit Binding of Facial Features During Change Blindness

    PubMed Central

    Lyyra, Pessi; Mäkelä, Hanna; Hietanen, Jari K.; Astikainen, Piia

    2014-01-01

    Change blindness refers to the inability to detect visual changes if introduced together with an eye-movement, blink, flash of light, or with distracting stimuli. Evidence of implicit detection of changed visual features during change blindness has been reported in a number of studies using both behavioral and neurophysiological measurements. However, it is not known whether implicit detection occurs only at the level of single features or whether complex organizations of features can be implicitly detected as well. We tested this in adult humans using intact and scrambled versions of schematic faces as stimuli in a change blindness paradigm while recording event-related potentials (ERPs). An enlargement of the face-sensitive N170 ERP component was observed at the right temporal electrode site to changes from scrambled to intact faces, even if the participants were not consciously able to report such changes (change blindness). Similarly, the disintegration of an intact face to scrambled features resulted in attenuated N170 responses during change blindness. Other ERP deflections were modulated by changes, but unlike the N170 component, they were indifferent to the direction of the change. The bidirectional modulation of the N170 component during change blindness suggests that implicit change detection can also occur at the level of complex features in the case of facial stimuli. PMID:24498165

  6. How to Succeed at Being Blind

    ERIC Educational Resources Information Center

    Selvin, Hanan C.

    1976-01-01

    The author, a professional sociologist who lost his sight, provides practical advice and information to people who are becoming blind or who have recently become blind, and others who know or work with blind persons. (Author/IM)

  7. Ready Reference.

    ERIC Educational Resources Information Center

    Koltay, Emery

    1999-01-01

    Includes the following ready reference information: "Publishers' Toll-Free Telephone Numbers"; "How to Obtain an ISBN (International Standard Book Number)"; "How to Obtain an ISSN (International Standard Serial Number)"; and "How to Obtain an SAN (Standard Address Number)". (AEF)

  8. Blind Pilot Decontamination

    NASA Astrophysics Data System (ADS)

    Muller, Ralf R.; Cottatellucci, Laura; Vehkapera, Mikko

    2014-10-01

    A subspace projection to improve channel estimation in massive multi-antenna systems is proposed and analyzed. Together with power-controlled hand-off, it can mitigate the pilot contamination problem without the need for coordination among cells. The proposed method is blind in the sense that it does not require pilot data to find the appropriate subspace. It is based on the theory of large random matrices that predicts that the eigenvalue spectra of large sample covariance matrices can asymptotically decompose into disjoint bulks as the matrix size grows large. Random matrix and free probability theory are utilized to predict under which system parameters such a bulk decomposition takes place. Simulation results are provided to confirm that the proposed method outperforms conventional linear channel estimation if bulk separation occurs.

  9. Load Induced Blindness

    PubMed Central

    Macdonald, James S. P.; Lavie, Nilli

    2008-01-01

    Although the perceptual load theory of attention has stimulated a great deal of research, evidence for the role of perceptual load in determining perception has typically relied on indirect measures that infer perception from distractor effects on reaction times or neural activity (see N. Lavie, 2005d`) was consistently reduced with high, compared to low, perceptual load but was unaffected by the level of working memory load. Because alternative accounts in terms of expectation, memory, response bias, and goal-neglect due to the more strenuous high load task were ruled out, these experiments clearly demonstrate that high perceptual load determines conscious perception, impairing the ability to merely detect the presence of a stimulus—a phenomenon of load induced blindness. PMID:18823196

  10. Participant, Rater, and Computer Measures of Coherence in Posttraumatic Stress Disorder

    PubMed Central

    Rubin, David C.; Deffler, Samantha A.; Ogle, Christin M.; Dowell, Nia M.; Graesser, Arthur C.; Beckham, Jean C.

    2015-01-01

    We examined the coherence of trauma memories in a trauma-exposed community sample of 30 adults with and 30 without PTSD. The groups had similar categories of traumas and were matched on multiple factors that could affect the coherence of memories. We compared the transcribed oral trauma memories of participants with their most important and most positive memories. A comprehensive set of 28 measures of coherence including 3 ratings by the participants, 7 ratings by outside raters, and 18 computer-scored measures, provided a variety of approaches to defining and measuring coherence. A MANOVA indicated differences in coherence among the trauma, important, and positive memories, but not between the diagnostic groups or their interaction with these memory types. Most differences were small in magnitude; in some cases, the trauma memories were more, rather than less, coherent than the control memories. Where differences existed, the results agreed with the existing literature, suggesting that factors other than the incoherence of trauma memories are most likely to be central to the maintenance of PTSD and thus its treatment. PMID:26523945

  11. Inter-rater reliability of the Shoulder Symptom Modification Procedure in people with shoulder pain

    PubMed Central

    Lewis, Jeremy S; McCreesh, Karen; Barratt, Eva; Hegedus, Eric J; Sim, Julius

    2016-01-01

    Background Musculoskeletal conditions involving the shoulder are common and, because of the importance of the upper limb and hand in daily function, symptoms in this region are commonly associated with functional impairment in athletic and non-athletic populations. Deriving a definitive diagnosis as to the cause of shoulder symptoms is fraught with difficulty. Limitations have been recognised for imaging and for orthopaedic special tests. 1 solution is to partially base management on the response to tests aimed at reducing the severity of the patient's perception of symptoms. 1 (of many) such tests is the Shoulder Symptom Modification Procedure (SSMP). The reliability of this procedure is unknown. Methods 37 clinician participants independently watched the videos of 11 patient participants undergoing the SSMP and recorded each patient's response as improved (partially or completely), no change or worse. Inter-rater reliability was assessed by Krippendorff's α, which ranges from 0 to 1. Results Krippendorff's α was found to range from 0.762 to 1.000, indicating moderate to substantial reliability. In addition, short (3-hour) and longer (1-day) durations of training were associated with similar levels of reliability across the techniques. Conclusions Deriving a definitive structural diagnosis for a person presenting with a musculoskeletal condition involving the shoulder is difficult. The findings of the present study suggest that the SSMP demonstrates a high level of reliability. More research is needed to better understand the relevance of such procedures. Trial registration number ISRCTN95412360. PMID:27900200

  12. Inter-rater reliability of the Sødring Motor Evaluation of Stroke patients (SMES).

    PubMed

    Halsaa, K E; Sødring, K M; Bjelland, E; Finsrud, K; Bautz-Holter, E

    1999-12-01

    The Sødring Motor Evaluation of Stroke patients is an instrument for physiotherapists to evaluate motor function and activities in stroke patients. The rating reflects quality as well as quantity of the patient's unassisted performance within three domains: leg, arm and gross function. The inter-rater reliability of the method was studied in a sample of 30 patients admitted to a stroke rehabilitation unit. Three therapists were involved in the study; two therapists assessed the same patient on two consecutive days in a balanced design. Cohen's weighted kappa and McNemar's test of symmetry were used as measures of item reliability, and the intraclass correlation coefficient was used to express the reliability of the sumscores. For 24 out of 32 items the weighted kappa statistic was excellent (0.75-0.98), while 7 items had a kappa statistic within the range 0.53-0.74 (fair to good). The reliability of one item was poor (0.13). The intraclass correlation coefficient for the three sumscores was 0.97, 0.91 and 0.97. We conclude that the Sødring Motor Evaluation of Stroke patients is a reliable measure of motor function in stroke patients undergoing rehabilitation.

  13. The Intra-Rater Reliability of Nine Content-Validated Technical Skill Assessment Instruments (TSAI) for Athletic Taping Skills

    ERIC Educational Resources Information Center

    Lagumen, Niko G.; Butterwick, Dale J.; Paskevich, David M.; Fung, Tak S.; Donnon, Tyrone L.

    2008-01-01

    Objective: To establish the intra-rater reliability of nine content-validated Technical Skill Assessment Instruments (TSAI) for the skills of athletic taping. Setting: University of Calgary. Subjects: Canadian Certified Athletic Therapists, CAT(C), with a mean ± SD of 9.6 ± 10.8 years as a CAT(C), 7.8 ± 10.9 years as a Supervisory Athletic…

  14. Content validity and inter-rater reliability of the Halliwick-concept-based instrument 'Swimming with Independent Measure'.

    PubMed

    Sršen, Katja Groleger; Vidmar, Gaj; Pikl, Maša; Vrečar, Irena; Burja, Cirila; Krušec, Klavdija

    2012-06-01

    The Halliwick concept is widely used in different settings to promote joyful movement in water and swimming. To assess the swimming skills and progression of an individual swimmer, a valid and reliable measure should be used. The Halliwick-concept-based Swimming with Independent Measure (SWIM) was introduced for this purpose. We aimed to determine its content validity and inter-rater reliability. Fifty-four healthy children, 3.5-11 years old, from a mainstream swimming program participated in a content validity study. They were evaluated with SWIM and the national evaluation system of swimming abilities (classifying children into seven categories). To study the inter-rater reliability of SWIM, we included 37 children and youth from a Halliwick swimming program, aged 7-22 years, who were evaluated by two Halliwick instructors independently. The average SWIM score differed between national evaluation system categories and followed the expected order (P<0.001), whereby a ceiling effect was observed in the higher categories. High inter-rater reliability was found for all 11 SWIM items. The lowest reliability was observed for item G (sagittal rotation), although the estimates were still above 0.9. As expected, the highest reliability was observed for the total score (intraclass correlation 0.996). The validity of SWIM with respect to the national evaluation system of swimming abilities is high until the point where a swimmer is well adapted to water and already able to learn some swimming techniques. The inter-rater reliability of SWIM is very high; thus, we believe that SWIM can be used in further research and practice to follow the progress of swimmers.

  15. High intra- and inter-rater chance variation of the movement assessment battery for children 2, ageband 2.

    PubMed

    Holm, Inger; Tveter, Anne Therese; Aulie, Vibeke Smith; Stuge, Britt

    2013-02-01

    The aim of the present study was to evaluate the intra- and inter-tester reliability of the movement assessment battery for children-second edition (MABC-2), ageband 2. We wanted to analyze the collected data, with adequate statistical methods, to provide relevant recommendations for physical therapists who are interpreting changes in the context of daily clinical practice. Forty-five healthy children, 23 girls and 22 boys with a mean age of 8.7±0.7 years, participated in the study, the inter-tester procedures were performed the same day and the intra-tester procedures within a one to two week interval. The statistical methods used were intra-class correlation coefficient (ICC), standard error of measurement (SEM), and smallest detectable change (SDC). The children had no failed items during the tests. The ICC values ranged from 0.23 to 0.76. The items "treading lace" and "one-board balance" showed the highest measurement errors both for the intra- and inter-rater reliability. The SDC(90%) values were 9.7 and 18.5 for the intra- and inter-rater reliability, respectively. The present study showed high intra- and inter-rater chance variation MABC-2, ageband 2. A change of more than ±9.7 and ±18.5 on the total test score (TTS) should be required to state (with a 90% confidence) that a real change in a single individual has occurred, for intra- and inter-rater testing, respectively. These findings may indicate that the MABC-2 might be more suitable for diagnostic or clinical decision making purposes, than for evaluation of change over time.

  16. No training blind image quality assessment

    NASA Astrophysics Data System (ADS)

    Chu, Ying; Mou, Xuanqin; Ji, Zhen

    2014-03-01

    State of the art blind image quality assessment (IQA) methods generally extract perceptual features from the training images, and send them into support vector machine (SVM) to learn the regression model, which could be used to further predict the quality scores of the testing images. However, these methods need complicated training and learning, and the evaluation results are sensitive to image contents and learning strategies. In this paper, two novel blind IQA metrics without training and learning are firstly proposed. The new methods extract perceptual features, i.e., the shape consistency of conditional histograms, from the joint histograms of neighboring divisive normalization transform coefficients of distorted images, and then compare the length attribute of the extracted features with that of the reference images and degraded images in the LIVE database. For the first method, a cluster center is found in the feature attribute space of the natural reference images, and the distance between the feature attribute of the distorted image and the cluster center is adopted as the quality label. The second method utilizes the feature attributes and subjective scores of all the images in the LIVE database to construct a dictionary, and the final quality score is calculated by interpolating the subjective scores of nearby words in the dictionary. Unlike the traditional SVM based blind IQA methods, the proposed metrics have explicit expressions, which reflect the relationships of the perceptual features and the image quality well. Experiment results in the publicly available databases such as LIVE, CSIQ and TID2008 had shown the effectiveness of the proposed methods, and the performances are fairly acceptable.

  17. Inter-rater reliability of cyclic and non-cyclic task assessment using the hand activity level in appliance manufacturing

    PubMed Central

    Paulsen, Robert; Schwatka, Natalie; Gober, Jennifer; Gilkey, David; Anton, Dan; Gerr, Fred; Rosecrance, John

    2015-01-01

    This study evaluated the inter-rater reliability of the American Conference of Governmental Industrial Hygienists (ACGIH®) hand activity level (HAL), an observational ergonomic assessment method used to estimate physical exposure to repetitive exertions during task performance. Video recordings of 858 cyclic and non-cyclic appliance manufacturing tasks were assessed by sixteen pairs of raters using the HAL visual-analog scale. A weighted Pearson Product Moment-Correlation Coefficient was used to evaluate the agreement between the HAL scores recorded by each rater pair, and the mean weighted correlation coefficients for cyclic and non-cyclic tasks were calculated. Results indicated that the HAL is a reliable exposure assessment method for cyclic (r̄-barw = 0.69) and non-cyclic work tasks (r̄-barw = 0.68). When the two reliability scores were compared using a two-sample Student's t-test, no significant difference in reliability (p = 0.63) between these work task categories was found. This study demonstrated that the HAL may be a useful measure of exposure to repetitive exertions during cyclic and non-cyclic tasks. Relevance to industry Exposure to hazardous levels of repetitive action during non-cyclic task completion has traditionally been difficult to assess using simple observational techniques. The present study suggests that ergonomists could use the HAL to reliably and easily evaluate exposures associated with some non-cyclic work tasks. PMID:26120222

  18. Inter-rater reliability of cyclic and non-cyclic task assessment using the hand activity level in appliance manufacturing.

    PubMed

    Paulsen, Robert; Schwatka, Natalie; Gober, Jennifer; Gilkey, David; Anton, Dan; Gerr, Fred; Rosecrance, John

    2014-01-01

    This study evaluated the inter-rater reliability of the American Conference of Governmental Industrial Hygienists (ACGIH(®)) hand activity level (HAL), an observational ergonomic assessment method used to estimate physical exposure to repetitive exertions during task performance. Video recordings of 858 cyclic and non-cyclic appliance manufacturing tasks were assessed by sixteen pairs of raters using the HAL visual-analog scale. A weighted Pearson Product Moment-Correlation Coefficient was used to evaluate the agreement between the HAL scores recorded by each rater pair, and the mean weighted correlation coefficients for cyclic and non-cyclic tasks were calculated. Results indicated that the HAL is a reliable exposure assessment method for cyclic (r̄-bar w = 0.69) and non-cyclic work tasks (r̄-bar w = 0.68). When the two reliability scores were compared using a two-sample Student's t-test, no significant difference in reliability (p = 0.63) between these work task categories was found. This study demonstrated that the HAL may be a useful measure of exposure to repetitive exertions during cyclic and non-cyclic tasks.

  19. Test-retest, inter- and intra-rater reliability of the flexicurve for evaluation of the spine in children

    PubMed Central

    Sedrez, Juliana A.; Candotti, Cláudia T.; Rosa, Maria I. Z.; Medeiros, Fernanda S.; Marques, Mariana T.; Loss, Jefferson F.

    2016-01-01

    Introduction: The early evaluation of the spine in children is desirable because it is at this stage of development that the greatest changes in the body structures occur. Objective: To determine the test-retest, intra- and inter-rater reliability of the Flexicurve instrument for the evaluation of spinal curvatures in children. Method: Forty children ranging from 5 to 15 years of age were evaluated by two independent evaluators using the Flexicurve to model the spine. The agreement was evaluated using Intraclass Correlation Coefficients (ICC), Standard Error of the Measurement (SEM), and Minimal Detectable Change (MDC). Results: In relation to thoracic kyphosis, the Flexicurve was shown to have excellent correlation in terms of test-retest reliability (ICC2,2=0.87) and moderate correlation in terms of intra-(ICC2,2=0.68) and inter-rater reliability (ICC2,2=0.72). In relation to lumbar lordosis, it was shown to have moderate correlation in terms of test-retest reliability (ICC2,2=0.66) and intra- (ICC2,2=0.50) and inter-rater reliability (ICC=0.56). Conclusion: This evaluation of the reliability of the Flexicurve allows its use in school screening. However, to monitor spinal curvatures in the sagittal plane in children, complementary clinical measures are necessary. Further studies are required to investigate the concurrent validity of the instrument in order to identify its diagnostic capacity. PMID:26786078

  20. The Development and Inter-Rater Reliability of the Department of Defense Human Factors Analysis and Classification System, Version 7.0

    DTIC Science & Technology

    2015-04-09

    of improving inter-rater reliability while retaining the value of the tool. Additional requirements included preserving compatibility with existing... databases and having inter-operability across the services. The steps involved included determining which “nanocodes” were rarely or never used and...goal of improving inter-rater reliability while retaining the value of the tool. Additional requirements included preserving compatibility with

  1. Drug user treatment failure blindness?

    PubMed

    Einstein, Stan

    2012-01-01

    An ethnographic case study of a "failed" single goal (abstinence) based individual and group therapy treatment of a New York City, Harlem-based, single, young-adult of color, IDU, mother, which ended in "death by overdose," after a period of abstinence, is presented almost 50 years later, in which complex, multidimensional structural barriers, "normed," consensualized, ideologically-driven preconceptions and an array of contextual, situational and relevant stakeholder factors, which may have resulted in intervention "failure blindness," are reviewed. The need to introduce failure analysis, blindness and management, as well as success analysis, blindness and management, as integral parts of treatment planning, implementation and assessment is raised.

  2. The intra- and inter-rater reliability of five clinical muscle performance tests in patients with and without neck pain

    PubMed Central

    2013-01-01

    Background This study investigates the reliability of muscle performance tests using cost- and time-effective methods similar to those used in clinical practice. When conducting reliability studies, great effort goes into standardising test procedures to facilitate a stable outcome. Therefore, several test trials are often performed. However, when muscle performance tests are applied in the clinical setting, clinicians often only conduct a muscle performance test once as repeated testing may produce fatigue and pain, thus variation in test results. We aimed to investigate whether cervical muscle performance tests, which have shown promising psychometric properties, would remain reliable when examined under conditions similar to those of daily clinical practice. Methods The intra-rater (between-day) and inter-rater (within-day) reliability was assessed for five cervical muscle performance tests in patients with (n = 33) and without neck pain (n = 30). The five tests were joint position error, the cranio-cervical flexion test, the neck flexor muscle endurance test performed in supine and in a 45°-upright position and a new neck extensor test. Results Intra-rater reliability ranged from moderate to almost perfect agreement for joint position error (ICC ≥ 0.48-0.82), the cranio-cervical flexion test (ICC ≥ 0.69), the neck flexor muscle endurance test performed in supine (ICC ≥ 0.68) and in a 45°-upright position (ICC ≥ 0.41) with the exception of a new test (neck extensor test), which ranged from slight to moderate agreement (ICC = 0.14-0.41). Likewise, inter-rater reliability ranged from moderate to almost perfect agreement for joint position error (ICC ≥ 0.51-0.75), the cranio-cervical flexion test (ICC ≥ 0.85), the neck flexor muscle endurance test performed in supine (ICC ≥ 0.70) and in a 45°-upright position (ICC ≥ 0.56). However, only slight to fair agreement was found for the neck extensor test (ICC

  3. Comparison of Algorithm-based Estimates of Occupational Diesel Exhaust Exposure to Those of Multiple Independent Raters in a Population-based Case–Control Study

    PubMed Central

    Friesen, Melissa C.

    2013-01-01

    Objectives: Algorithm-based exposure assessments based on patterns in questionnaire responses and professional judgment can readily apply transparent exposure decision rules to thousands of jobs quickly. However, we need to better understand how algorithms compare to a one-by-one job review by an exposure assessor. We compared algorithm-based estimates of diesel exhaust exposure to those of three independent raters within the New England Bladder Cancer Study, a population-based case–control study, and identified conditions under which disparities occurred in the assessments of the algorithm and the raters. Methods: Occupational diesel exhaust exposure was assessed previously using an algorithm and a single rater for all 14 983 jobs reported by 2631 study participants during personal interviews conducted from 2001 to 2004. Two additional raters independently assessed a random subset of 324 jobs that were selected based on strata defined by the cross-tabulations of the algorithm and the first rater’s probability assessments for each job, oversampling their disagreements. The algorithm and each rater assessed the probability, intensity and frequency of occupational diesel exhaust exposure, as well as a confidence rating for each metric. Agreement among the raters, their aggregate rating (average of the three raters’ ratings) and the algorithm were evaluated using proportion of agreement, kappa and weighted kappa (κw). Agreement analyses on the subset used inverse probability weighting to extrapolate the subset to estimate agreement for all jobs. Classification and Regression Tree (CART) models were used to identify patterns in questionnaire responses that predicted disparities in exposure status (i.e., unexposed versus exposed) between the first rater and the algorithm-based estimates. Results: For the probability, intensity and frequency exposure metrics, moderate to moderately high agreement was observed among raters (κw = 0.50–0.76) and between the

  4. Poroelastic references

    SciTech Connect

    Morency, Christina

    2014-12-12

    This file contains a list of relevant references on the Biot theory (forward and inverse approaches), the double-porosity and dual-permeability theory, and seismic wave propagation in fracture porous media, in RIS format, to approach seismic monitoring in a complex fractured porous medium such as Brady?s Geothermal Field.

  5. Ready Reference.

    ERIC Educational Resources Information Center

    Koltay, Emery

    2001-01-01

    Includes four articles that relate to ready reference, including a list of publishers' toll-free telephone numbers and Web sites; how to obtain an ISBN (International Standard Book Number) and an ISSN (International Standard Serial Number); and how to obtain an SAN (Standard Address Number), for organizations that are involved in the book…

  6. Perceptual Repetition Blindness Effects

    NASA Technical Reports Server (NTRS)

    Hochhaus, Larry; Johnston, James C.; Null, Cynthia H. (Technical Monitor)

    1994-01-01

    The phenomenon of repetition blindness (RB) may reveal a new limitation on human perceptual processing. Recently, however, researchers have attributed RB to post-perceptual processes such as memory retrieval and/or reporting biases. The standard rapid serial visual presentation (RSVP) paradigm used in most RB studies is, indeed, open to such objections. Here we investigate RB using a "single-frame" paradigm introduced by Johnston and Hale (1984) in which memory demands are minimal. Subjects made only a single judgement about whether one masked target word was the same or different than a post-target probe. Confidence ratings permitted use of signal detection methods to assess sensitivity and bias effects. In the critical condition for RB a precue of the post-target word was provided prior to the target stimulus (identity precue), so that the required judgement amounted to whether the target did or did not repeat the precue word. In control treatments, the precue was either an unrelated word or a dummy.

  7. Reusable captive blind fastener

    NASA Technical Reports Server (NTRS)

    Peterson, S. A. (Inventor)

    1981-01-01

    A one piece reusable fastener capable of joining materials together from one side (blind backside) comprises a screw driven pin ending in a wedge-shaped expander cone. The cone cooperates within a slotted collar end which has a number of tangs on a cylindrical body. The fastener is set by inserting it through aligned holes in the workpieces to be joined. Turning the pin in one direction draws the cone into the collar, deforming the tangs radially outward to mate with tapered back-tapered hold in the workpiece, thus fastening the two pieces together. Reversing the direction of the pin withdraws the cone from the collar, and allows the tangs to resume their contracted configuration without withdrawing the fastener from the insertion hole. The fastener is capable of joining materials together from only one side with substantial strength in tension and shear over many resue attachment cycles, with no special operations on the main assembly parts other than the tapering of the back end of the insertion hole.

  8. Orthographic repetition blindness.

    PubMed

    Harris, C L; Morris, A L

    2000-11-01

    Repetition blindness (RB) is the failure to report the second occurrence of a repeated word, when words are sequentially and briefly displayed (Kanwisher, 1987). RB is also observed for non-identical words, such as home, dome. Explanations for non-identity RB assume that similarity at the level of the whole word causes the second word to be suppressed ("similarity inhibition"). Three experiments demonstrate that RB is robust for diverse types of orthographic relatedness, including critical words that share only their first initial letter, their last two letters, first three letters, middle three letters, beginning and final letters, three alternating letters, and three non-aligned letters (as in chance hand). The theoretical construct of similarity inhibition may be able to account for these data, although one mechanism previously proposed in the literature, neighbourhood inhibition, is probably not a useful way to explain the data on RB for words sharing only one or two letters. We introduce an alternative explanation for orthographic RB: Only the repeated letters are suppressed, and amount of RB depends on how easily the perceiver can reconstruct the target word from the non-suppressed letters.

  9. Perceptual repetition blindness effects.

    PubMed

    Hochhaus, L; Johnston, J C

    1996-04-01

    Repetition blindness (RB) may reveal a new limitation on human perceptual processing. Recently, however, researchers have attributed RB to postperceptual processes. The standard rapid serial visual presentation (RSVP) paradigm used in most RB studies is open to such objections. The "single-frame" paradigm introduced by J. C. Johnston and B. L. Hale (1984) allowed investigation of RB with minimal memory demands. Participants made a judgment about whether 1 masked target word was the same or different than a posttarget probe. Confidence ratings permitted use of signal detection methods. In the critical condition for RB, a precue of the posttarget word was provided prior to the target stimulus so that the required judgment amounted to whether the target did or did not repeat the precue word. In control treatments, the precue was an unrelated word or a dummy. Results showed that perceptual sensitivity was significantly reduced in the RB condition relative to baseline control conditions. The data showed that RB can be obtained under conditions in which memory problems are minimal and perceptual sensitivity is assessed independently of biases. RB therefore can be a perceptual phenomenon.

  10. Load induced blindness.

    PubMed

    Macdonald, James S P; Lavie, Nilli

    2008-10-01

    Although the perceptual load theory of attention has stimulated a great deal of research, evidence for the role of perceptual load in determining perception has typically relied on indirect measures that infer perception from distractor effects on reaction times or neural activity (see N. Lavie, 2005, for a review). Here we varied the level of perceptual load in a letter-search task and assessed its effect on the conscious perception of a search-irrelevant shape stimulus appearing in the periphery, using a direct measure of awareness (present/absent reports). Detection sensitivity (d') was consistently reduced with high, compared to low, perceptual load but was unaffected by the level of working memory load. Because alternative accounts in terms of expectation, memory, response bias, and goal-neglect due to the more strenuous high load task were ruled out, these experiments clearly demonstrate that high perceptual load determines conscious perception, impairing the ability to merely detect the presence of a stimulus--a phenomenon of load induced blindness.

  11. Treatment of Acne Vulgaris With Salicylic Acid Chemical Peel and Pulsed Dye Laser: A Split Face, Rater-Blinded, Randomized Controlled Trial

    PubMed Central

    Lekakh, Olga; Mahoney, Anne Marie; Novice, Karlee; Kamalpour, Julia; Sadeghian, Azeen; Mondo, Dana; Kalnicky, Cathy; Guo, Rong; Peterson, Anthony; Tung, Rebecca

    2015-01-01

    Introduction: Pulsed dye laser (PDL) has been used to treat acne lesions and scar erythema by interrupting superficial vasculature. Salicylic acid chemical peels are employed chiefly due to their lipophilic, comedolytic, and anti-inflammatory properties. Although studies have looked at peels and laser therapy independently in acne management, we examined these treatments in combination. Our primary objective was to evaluate the safety and efficacy of concurrent use of salicylic acid peels with PDL versus salicylic acid peels alone in the treatment of moderate to severe acne vulgaris. Methods: Adult patients with moderate to severe acne were included. Subjects received a total of 3 treatments at 3-week intervals. Per randomized split-face treatment, at week 0, one half of the subject’s face was treated with PDL (595 nm) followed by whole face application of a 30% salicylic acid peel. At weeks 3 and 6, the treatments were repeated. At 0 and 9 weeks, patients were assessed with the Global Evaluation Acne (GEA) scale and Dermatology Life Quality Index (DLQI) questionnaire. Results: Nineteen subjects were enrolled, and 18 completed the study. Significant improvement in acne was seen in both the combined (laser and peel) and chemical peel alone treatment arms (P < .0005 and P = .001). Using the GEA scale score, compared to week 0, the mean difference in acne improvement at week 9 was -1.61 in the combination therapy group versus -1.11 in the peel only group. Based on the GEA scale scoring, a statistically significant greater difference in acne improvement was seen, from week 0 to week 9, in the combination treatment group compared with the peel only group (P = .003). Conclusion: While acne subjects had significant benefit from the salicylic acid peel alone, they experienced greater significant benefit from PDL treatment used in conjunction with salicylic acid peels. The adjunctive utilization of PDL to salicylic acid peel therapy can lead to better outcomes in acne management. PMID:26705462

  12. Vision following extended congenital blindness.

    PubMed

    Ostrovsky, Yuri; Andalman, Aaron; Sinha, Pawan

    2006-12-01

    Animal studies suggest that early visual deprivation can cause permanent functional blindness. However, few human data on this issue exist. Given enough time for recovery, can a person gain visual skills after several years of congenital blindness? In India, we recently had an unusual opportunity to work with an individual whose case history sheds light on this question. S.R.D. was born blind, and remained so until age 12. She then underwent surgery for the removal of dense congenital cataracts. We evaluated her performance on an extensive battery of visual tasks 20 years after surgery. We found that although S.R.D.'s acuity is compromised, she is proficient on mid- and high-level visual tasks. These results suggest that the human brain retains an impressive capacity for visual learning well into late childhood. They have implications for current conceptions of cortical plasticity and provide an argument for treating congenital blindness even in older children.

  13. Laboratory Techniques for the Blind

    ERIC Educational Resources Information Center

    Tombaugh, Dorothy

    1972-01-01

    Describes modifications of laboratory procedures for the BSCS Green Version biology, including dissection, microbiology, animal behavior, physiology, biochemistry, and genetics that make the methods suitable for direct experimentation by blind students. Discusses models as substitutes for microscopy. (AL)

  14. Student Art for Blind Children.

    ERIC Educational Resources Information Center

    Vanda, Kay

    1982-01-01

    Describes a project in which high school student volunteers designed art activities for blind children. Students incorporated the sensation of motion and texture into their designs for toys, puzzles, games, and story illustrations. (AM)

  15. American Foundation for the Blind

    MedlinePlus

    ... and Electronic Materials Webinars and Online Courses Accessible Technology AccessWorld ® : Technology News for People Who Are Blind or Visually Impaired Find Assistive Technology Products Using Technology: Apps, Guides, Video Demonstrations, and ...

  16. Amygdala activation for eye contact despite complete cortical blindness.

    PubMed

    Burra, Nicolas; Hervais-Adelman, Alexis; Kerzel, Dirk; Tamietto, Marco; de Gelder, Beatrice; Pegna, Alan J

    2013-06-19

    Cortical blindness refers to the loss of vision that occurs after destruction of the primary visual cortex. Although there is no sensory cortex and hence no conscious vision, some cortically blind patients show amygdala activation in response to facial or bodily expressions of emotion. Here we investigated whether direction of gaze could also be processed in the absence of any functional visual cortex. A well-known patient with bilateral destruction of his visual cortex and subsequent cortical blindness was investigated in an fMRI paradigm during which blocks of faces were presented either with their gaze directed toward or away from the viewer. Increased right amygdala activation was found in response to directed compared with averted gaze. Activity in this region was further found to be functionally connected to a larger network associated with face and gaze processing. The present study demonstrates that, in human subjects, the amygdala response to eye contact does not require an intact primary visual cortex.

  17. Women's features and inter-/intra-rater agreement on mammographic density assessment in full-field digital mammograms (DDM-SPAIN).

    PubMed

    Pérez-Gómez, Beatriz; Ruiz, Franciso; Martínez, Inmaculada; Casals, María; Miranda, Josefa; Sánchez-Contador, Carmen; Vidal, Carmen; Llobet, Rafael; Pollán, Marina; Salas, Dolores

    2012-02-01

    Measurement of mammographic density (MD), one of the leading risk factors for breast cancer, still relies on subjective assessment. However, the consistency of MD measurement in full-digital mammograms has yet to be evaluated. We studied inter- and intra-rater agreement with respect to estimation of breast density in full-digital mammograms, and tested whether any of the women's characteristics might have some influence on them. After an initial training period, three experienced radiologists estimated MD using Boyd scale in a left breast cranio-caudal mammogram of 1,431 women, recruited at three Spanish screening centres. A subgroup of 50 randomly selected images was read twice to estimate short-term intra-rater agreement. In addition, a reading of 1,428 of the images, performed 2 years before by one rater, was used to estimate long-term intra-rater agreement. Pair-wise weighted kappas with 95% bootstrap confidence intervals were calculated. Dichotomous variables were defined to identify mammograms in which any rater disagreed with other raters or with his/her own assessment, respectively. The association between disagreement and women's characteristics was tested using multivariate mixed logistic models, including centre as a random-effects term, and taking into account repeated measures when required. All quadratic-weighted kappa values for inter- and intra-rater agreement were excellent (higher than 0.80). None of the studied women's features, i.e. body mass index, brassiere size, menopause, nulliparity, lactation or current hormonal therapy, was associated with higher risk of inter- or intra-rater disagreement. However, raters differed significantly more in images that were classified in the higher-density MD categories, and disagreement in intra-rater assessment was also lower in low-density mammograms. The reliability of MD assessment in full-field digital mammograms is comparable to that for original or digitised images. The reassuring lack of association

  18. What It's Like to Be Color Blind

    MedlinePlus

    ... los dientes Video: Getting an X-ray What It's Like to Be Color Blind KidsHealth > For Kids > What It's Like to Be Color Blind Print A A ... blind. But some people really are color blind. It doesn't mean they can't see any ...

  19. Programs for the Deaf-Blind.

    ERIC Educational Resources Information Center

    American Annals of the Deaf, 1991

    1991-01-01

    This directory lists contact information for programs for the deaf-blind in the United States in 3 categories: (1) programs for deaf-blind children and youth (29 programs listed); (2) Helen Keller National Center for Deaf-Blind Youth and Adults (1 national and 10 regional offices); and (3) programs for training teachers of the deaf-blind (4…

  20. A Perceptual Repetition Blindness Effect

    NASA Technical Reports Server (NTRS)

    Hochhaus, Larry; Johnston, James C.; Null, Cynthia H. (Technical Monitor)

    1994-01-01

    Before concluding Repetition Blindness is a perceptual phenomenon, alternative explanations based on memory retrieval problems and report bias must be rejected. Memory problems were minimized by requiring a judgment about only a single briefly displayed field. Bias and sensitivity effects were empirically measured with an ROC-curve analysis method based on confidence ratings. Results from five experiments support the hypothesis that Repetition Blindness can be a perceptual phenomenon.

  1. ESTIMATED STATISTICS ON BLINDNESS AND VISION PROBLEMS. NATIONAL SOCIETY FOR THE PREVENTION OF BLINDNESS FACT BOOK.

    ERIC Educational Resources Information Center

    HATFIELD, ELIZABETH M.

    CURRENT ESTIMATES AND SOME TREND DATA ARE PRESENTED ON THE FOLLOWING SUBJECTS -- POPULATION GROWTH (1940-1960), PREVALENCE OF LEGAL BLINDNESS, NEW CASES OF LEGAL BLINDNESS, AGE DISTRIBUTION OF LEGALLY BLIND PERSONS, CAUSES OF LEGAL BLINDNESS, CHANGING PATTERNS IN CAUSES OF LEGAL BLINDNESS, CASES OF GLAUCOMA, SCHOOL CHILDREN NEEDING EYE CARE,…

  2. Attenuation of change blindness in children with autism spectrum disorders.

    PubMed

    Fletcher-Watson, Sue; Leekam, Susan R; Connolly, Brenda; Collis, Jess M; Findlay, John M; McConachie, Helen; Rodgers, Jacqui

    2012-09-01

    Change blindness refers to the difficulty most people find in detecting a difference between two pictures when these are presented successively, with a brief interruption between. Attention at the site of the change is required for detection. A number of studies have investigated change blindness in adults and children with autism spectrum disorders (ASD). Some have produced evidence that people with ASD find changes to social stimuli harder to detect and changes to non-social stimuli easier to detect, relative to comparison participants. However, other studies have produced entirely contradictory findings. There is a need for consistency in methodology to aid understanding of change blindness and attentional processes in ASD. Here, we replicate a change blindness study previously carried out with typically developing (TD) children and adults and with adults with ASD. Results reveal attenuated change blindness for non-social stimuli in children with ASD relative to TD norms. Our results are interpreted, alongside others' findings, as potentially indicative of a complex relationship between different influences on attention over time.

  3. Unsupervised Blind Deconvolution

    DTIC Science & Technology

    2013-09-01

    In this theory, the optical transfer function OTF, i.e., the Fourier transform of the PSF, for the two cases of long exposures and registered short...J. W. Goodman , "Speckle phenomena in optics : theory and applications," (Roberts & Company, 2006). [5] D. W. Tyler, "Deconvolution of adaptive optics ...of J. W. Goodman . Our aim is to develop deconvolution strategy which is reference-less, i.e., no calibration PSF is required, extendable to longer

  4. Inter-rater Reliability of the Wolf Motor Function Test-Functional Ability Scale: Why it Matters

    PubMed Central

    Duff, Susan V.; He, Jiaxiu; Nelsen, Monica A.; Lane, Christianne J.; Rowe, Veronica T.; Wolf, Steven L.; Dromerick, Alexander W.; Winstein, Carolee J.

    2014-01-01

    Background One important objective for clinical trialists in rehabilitation is determining efficacy of interventions to enhance motor behavior. In part, limitation in the precision of measurement presents a challenge. The few valid, low-cost observational tools available to assess motor behavior cannot escape the variability inherent in test administration and scoring. This is especially true when there are multiple evaluators and raters as in the case of multi-site randomized controlled trials (RCT). One way to enhance reliability and reduce variability is to implement rigorous quality control (QC) procedures. Objective This paper describes a systematic QC process used to refine the administration and scoring procedures for the Wolf Motor Function Test (WMFT)-Functional Ability Scale (FAS). Methods The QC process, a systematic focus-group collaboration was developed and used for a phase III RCT, which enlisted multiple evaluators and an experienced WMFT-FAS Rater Panel. Results After three staged refinements to the administration and scoring instructions, we achieved a sufficiently high inter-rater reliability (weighted kappa = 0.8). Conclusions/Implications A systematic focus-group process was shown to be an effective method to improve reliability of observational assessment tools for motor behavior in neurorehabilitation. A reduction in noise-related variability in performance assessments will increase power and potentially lower the number needed to treat. Improved precision of measurement can lead to more cost effective and efficient clinical trials. Finally, we suggest that improved precision in measures of motor behavior may provide more insight into recovery mechanisms than a single measure of movement time alone. PMID:25323459

  5. How do trained raters take context factors into account when assessing GP trainee communication performance? An exploratory, qualitative study.

    PubMed

    Essers, Geurt; Dielissen, Patrick; van Weel, Chris; van der Vleuten, Cees; van Dulmen, Sandra; Kramer, Anneke

    2015-03-01

    Communication assessment in real-life consultations is a complex task. Generic assessment instruments help but may also have disadvantages. The generic nature of the skills being assessed does not provide indications for context-specific behaviour required in practice situations; context influences are mostly taken into account implicitly. Our research questions are: 1. What factors do trained raters observe when rating workplace communication? 2. How do they take context factors into account when rating communication performance with a generic rating instrument? Nineteen general practitioners (GPs), trained in communication assessment with a generic rating instrument (the MAAS-Global), participated in a think-aloud protocol reflecting concurrent thought processes while assessing videotaped real-life consultations. They were subsequently interviewed to answer questions explicitly asking them to comment on the influence of predefined contextual factors on the assessment process. Results from both data sources were analysed. We used a grounded theory approach to untangle the influence of context factors on GP communication and on communication assessment. Both from the think-aloud procedure and from the interviews we identified various context factors influencing communication, which were categorised into doctor-related (17), patient-related (13), consultation-related (18), and education-related factors (18). Participants had different views and practices on how to incorporate context factors into the GP(-trainee) communication assessment. Raters acknowledge that context factors may affect communication in GP consultations, but struggle with how to take contextual influences into account when assessing communication performance in an educational context. To assess practice situations, raters need extra guidance on how to handle specific contextual factors.

  6. 20 CFR 416.982 - Blindness under a State plan.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Blindness under a State plan. 416.982 Section..., BLIND, AND DISABLED Determining Disability and Blindness Blindness § 416.982 Blindness under a State... plan because of your blindness for the month of December 1973; and (c) You continue to be blind...

  7. 20 CFR 416.983 - How we evaluate statutory blindness.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false How we evaluate statutory blindness. 416.983... AGED, BLIND, AND DISABLED Determining Disability and Blindness Blindness § 416.983 How we evaluate statutory blindness. We will find that you are blind if you are statutorily blind within the meaning...

  8. 20 CFR 416.983 - How we evaluate statutory blindness.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false How we evaluate statutory blindness. 416.983... AGED, BLIND, AND DISABLED Determining Disability and Blindness Blindness § 416.983 How we evaluate statutory blindness. We will find that you are blind if you are statutorily blind within the meaning...

  9. 20 CFR 416.982 - Blindness under a State plan.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Blindness under a State plan. 416.982 Section..., BLIND, AND DISABLED Determining Disability and Blindness Blindness § 416.982 Blindness under a State... plan because of your blindness for the month of December 1973; and (c) You continue to be blind...

  10. 20 CFR 416.983 - How we evaluate statutory blindness.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false How we evaluate statutory blindness. 416.983... AGED, BLIND, AND DISABLED Determining Disability and Blindness Blindness § 416.983 How we evaluate statutory blindness. We will find that you are blind if you are statutorily blind within the meaning...

  11. 20 CFR 416.982 - Blindness under a State plan.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Blindness under a State plan. 416.982 Section..., BLIND, AND DISABLED Determining Disability and Blindness Blindness § 416.982 Blindness under a State... plan because of your blindness for the month of December 1973; and (c) You continue to be blind...

  12. 20 CFR 416.982 - Blindness under a State plan.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Blindness under a State plan. 416.982 Section..., BLIND, AND DISABLED Determining Disability and Blindness Blindness § 416.982 Blindness under a State... plan because of your blindness for the month of December 1973; and (c) You continue to be blind...

  13. 20 CFR 416.983 - How we evaluate statutory blindness.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false How we evaluate statutory blindness. 416.983... AGED, BLIND, AND DISABLED Determining Disability and Blindness Blindness § 416.983 How we evaluate statutory blindness. We will find that you are blind if you are statutorily blind within the meaning...

  14. 20 CFR 416.983 - How we evaluate statutory blindness.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false How we evaluate statutory blindness. 416.983... AGED, BLIND, AND DISABLED Determining Disability and Blindness Blindness § 416.983 How we evaluate statutory blindness. We will find that you are blind if you are statutorily blind within the meaning...

  15. 20 CFR 416.982 - Blindness under a State plan.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Blindness under a State plan. 416.982 Section..., BLIND, AND DISABLED Determining Disability and Blindness Blindness § 416.982 Blindness under a State... plan because of your blindness for the month of December 1973; and (c) You continue to be blind...

  16. 20 CFR 416.1720 - Whom we refer.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Treatment of Alcoholism Or Drug Addiction § 416.1720 Whom we refer. We will refer you to an approved facility for treatment of your alcoholism or drug addiction if— (a) You are disabled; (b) You are not blind; (c) You are not 65 years old or older; and (d) Alcoholism or drug addiction is a contributing...

  17. 20 CFR 416.1720 - Whom we refer.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Treatment of Alcoholism Or Drug Addiction § 416.1720 Whom we refer. We will refer you to an approved facility for treatment of your alcoholism or drug addiction if— (a) You are disabled; (b) You are not blind; (c) You are not 65 years old or older; and (d) Alcoholism or drug addiction is a contributing...

  18. 20 CFR 416.1720 - Whom we refer.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Treatment of Alcoholism Or Drug Addiction § 416.1720 Whom we refer. We will refer you to an approved facility for treatment of your alcoholism or drug addiction if— (a) You are disabled; (b) You are not blind; (c) You are not 65 years old or older; and (d) Alcoholism or drug addiction is a contributing...

  19. 20 CFR 416.1720 - Whom we refer.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Treatment of Alcoholism Or Drug Addiction § 416.1720 Whom we refer. We will refer you to an approved facility for treatment of your alcoholism or drug addiction if— (a) You are disabled; (b) You are not blind; (c) You are not 65 years old or older; and (d) Alcoholism or drug addiction is a contributing...

  20. 20 CFR 416.1720 - Whom we refer.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Treatment of Alcoholism Or Drug Addiction § 416.1720 Whom we refer. We will refer you to an approved facility for treatment of your alcoholism or drug addiction if— (a) You are disabled; (b) You are not blind; (c) You are not 65 years old or older; and (d) Alcoholism or drug addiction is a contributing...

  1. [Aiming for zero blindness].

    PubMed

    Nakazawa, Toru

    2015-03-01

    Glaucoma is the leading cause of acquired blindness in Japan. One reason that it often leads to blindness is that it can continue to worsen even after effective medical reduction of intraocular pressure (IOP), the only evidence-based treatment. The limitations of current treatments make it critical to identify IOP-independent factors that can cause glaucoma and develop new drugs to target these factors. This is a challenging task, as the pathology of glaucoma is thought to be very complex, with different combinations of factors underlying its development and progression in different patients. Additionally, there is a deficiency in methods to efficiently perform clinical evaluations and reliably probe the state of the disease over relatively short periods. In addition, newly developed drugs need to be evaluated with clinical trials, for which human and financial resources are limited, before they can be widely used for treatment. Taking all these issues into consideration, it is evident that there are two urgent issues to consider: the development of methods to classify glaucoma in detail based on its pathology, and the improvement of clinical evaluation methods. In this review, we discuss some of our efforts to develop new neuroprotective agents for glaucoma, with a focus on the following three areas: 1. Clinical research and development of methods to classify glaucoma in detail based on IOP-independent factors, and the exploration of possibilities for the improvement of clinical evaluation of glaucoma. 2. Pathology-based research and development of new drugs for glaucoma, focusing on comprehensive gene expression analysis and the development of molecule-targeting drugs, using murine optic nerve crush as a disease model. 3. Development of next generation in vivo imaging modalities and the establishment of infrastructure enabling "big-data" analysis. First, we discuss our clinical research and the development of methods to classify glaucoma in detail based on IOP

  2. Do the blinds smell better?

    PubMed

    Luers, Jan Christoffer; Mikolajczak, Stefanie; Hahn, Moritz; Wittekindt, Claus; Beutner, Dirk; Hüttenbrink, Karl-Bernd; Damm, Michael

    2014-07-01

    If people lose a sense organ, there is thought to be an increase in the remaining sensory functions. Previous studies showed ambiguous results on this topic. In a prospective matched pair case-control study on 46 blind and 46 normal-sighted subjects, the olfactory performance was examined using the Sniffin' Sticks Test [threshold-discrimination-identification (TDI) test], determining the olfactory threshold, the identification and the discrimination performance. There was no significant difference between the groups. Neither the overall olfactory performance (TDI score) nor any of its subtests did correlate with the vision or with the duration of blindness. The study could not detect any superior smell abilities of blind subjects as compared to sighted subjects.

  3. Depictions of motion devised by a blind person.

    PubMed

    Kennedy, J M; Merkas, C E

    2000-12-01

    A blind man (E.A.) was asked to draw pictures suggesting wheels in various kinds of motion. Six pictures were drawn by E.A. The pictures were shown to sighted subjects, who were asked to assign labels to the pictures, in a multiple-choice format. The labels were assigned at a rate above chance. We argue that the pictures are metaphoric and that pictorial metaphor relies on common properties of the static picture and the kinetic referent.

  4. Computer Reader for the Blind

    NASA Technical Reports Server (NTRS)

    1990-01-01

    Optacon II uses the same basic technique of converting printed information into a tactile image as did Optacon. Optacon II can also be connected directly to a personal computer, which opens up a new range of job opportunities for the blind. Optacon II is not limited to reading printed words, it can convert any graphic image viewed by the camera. Optacon II demands extensive training for blind operators. TSI provides 60-hour training courses at its Mountain View headquarters and at training centers around the world. TeleSensory discontinued production of the Optacon as of December 1996.

  5. Night Blindness and Ancient Remedy

    PubMed Central

    Al Binali, H.A. Hajar

    2014-01-01

    The aim of this article is to briefly review the history of night blindness and its treatment from ancient times until the present. The old Egyptians, the Babylonians, the Greeks and the Arabs used animal liver for treatment and successfully cured the disease. The author had the opportunity to observe the application of the old remedy to a patient. Now we know what the ancients did not know, that night blindness is caused by Vitamin A deficiency and the animal liver is the store house for Vitamin A. PMID:25774260

  6. Increasing the Reliability of the Grading System for Voiding Cystourethrograms Using Ultrasonography: An Inter-Rater Comparison

    PubMed Central

    Ozaydin, Seyithan; Celebi, Suleyman; Caymaz, Ismail; Besik, Cemile; Karaaslan, Birgul; Kuzdan, Ozgur; Sander, Serdar

    2016-01-01

    Background To assess the effectiveness of the current vesicoureteral reflux (VUR) grading system according to the international classification of VUR (ICVUR) and to evaluate whether VUR grading accuracy could be improved by renal ultrasonography (RU) according to the Society for Fetal Urology (SFU) grading system. Objectives Therefore, this study assessed the accuracy of the current VCUG staging system by assessing inter-rater reliability among pediatric radiologists and urologists; it also evaluated whether accuracy is increased by RU without consensus (with respect to VCUG grading). Methods Four pediatric urologists and four pediatric radiologists independently graded 120 voiding cystourethrograms (VCUGs). Middle VUR grades were divided into the following three groups: VUR consensus grade III (group 1), VUR consensus grade IV (group 3), and VUR non-consensus grades III and IV (group 2). All groups were compared with respect to hydronephrosis grade using RU. Results The intraclass correlation coefficient (ICC) values ranging from 0.86 to 0.89 reflected good reliability. The lowest agreement was associated with middle grades (III and IV). A marked difference in sensitivity was observed between groups 1 and 3 (35% and 95%, respectively, P < 0.05), indexed by SFU hydronephrosis grade, suggesting that VCUG cases in group 2 (n = 16 at SFU 0 or 1) could be accepted as grade III, and SFU scores of 2, 3, or 4 could be considered grade IV. Conclusions Inter-rater accuracy could be improved at middle grades using renal ultrasonography (USG), which could promote communication between different specialists. PMID:27878111

  7. Mean Deviation of Inter-rater Scoring (MDIS): a simple tool for introducing conformity into groups of clinical investigators.

    PubMed

    Bourin, Michel; Deplanque, Dominique; Zins-Ritter, Marcel

    2004-07-01

    In spite of considerable progress over the past decade, training investigators for inter-rater reliability for clinical trials remains a major problem. The aim of the present study was to promote a new tool to increase data homogeneity by introducing conformity into groups of clinical investigators. The investigators scoring grid we are proposing-the Mean Deviation of Inter-rater Scoring (MDIS)-involves the calculation of the score deviation for each investigator relative to the median score of an expert group who had evaluated the same videotape-recorded clinical case. Whatever the scale, the score deviation is calculated as the absolute deviation value from the median score obtained by the experts for each item. The MDIS value is then evaluated from all the scores given by an investigator by dividing the total sum of the previously defined values by the number of items of the scale. Some examples from practice are given using several rating scales: (i) Hamilton Anxiety Rating Scale; (ii) Hamilton Depression Rating Scale; (iii) Montgomery Asberg Depression Rating Scale; and (iv) Positive And Negative Symptoms Scale. Finally, such a method could also be employed by experts to evaluate the quality of videotape-recorded clinical cases used in clinical trials, as well as by teachers to evaluate initial or continuous medical training.

  8. Inter-rater agreement, sensitivity, and specificity of the prone hip extension test and active straight leg raise test

    PubMed Central

    2014-01-01

    Background Two clinical tests used to assess for neuromuscular control deficits in low back pain (LBP) patients are the prone hip extension (PHE) test and active straight leg raise (ASLR) test. For these tests, it has been suggested examiners classify patients as “positive” or “negative” based on the presence or absence (respectively) of specific “abnormal” lumbopelvic motion patterns. The inter-rater agreement of such a classification scheme has been reported for the PHE test, but not for the ASLR test. In addition, the sensitivity and specificity of such classification schemes have not been reported for either test. The primary objectives of the current study were to investigate: 1) the inter-rater agreement of the examiner-reported classification schemes for these two tests, and 2) the sensitivity and specificity of the classification schemes. Methods Thirty participants with LBP and 40 asymptomatic controls took part in this cross-sectional observational study. Participants performed 3–4 repetitions of each test whilst two examiners classified them as “positive” or “negative” based on the presence or absence (respectively) of specific “abnormal” lumbopelvic motion patterns. The inter-rater agreement (Kappa statistic), sensitivity (LBP patients), and specificity (controls) were calculated for each test. Results Both tests demonstrated substantial inter-rater agreement (PHE test: Kappa = 0.76, 95% CI = 0.57-0.95, p < 0.001; ASLR test: Kappa = 0.76, 95% CI = 0.57-0.96, p < 0.001). For the PHE test, the sensitivity was 0.18-0.27 and the specificity was 0.63-0.78; the odds ratio (OR) of “positive” classifications in the LBP group was 1.25 (95% CI = 0.58-2.72; Examiner 1) and 1.27 (95% CI = 0.52-3.12; Examiner 2). For the ASLR test, the sensitivity was 0.20-0.25 and the specificity was 0.84-0.86; the OR of “positive” classifications in the LBP group was 1.72 (95% CI = 0.75-3.95; Examiner 1) and 1

  9. Intra- and inter-rater reliability of maximum inspiratory pressure measured using a portable capsule-sensing pressure gauge device in healthy adults

    PubMed Central

    Jalan, Nikita S; Daftari, Sonam S; Retharekar, Seemi S; Rairikar, Savita A; Shyam, Ashok M; Sancheti, Parag K

    2015-01-01

    BACKGROUND: Measurement of maximum inspiratory pressure is the most prevalent method used in clinical practice to assess the strength of the inspiratory muscles. Although there are many devices available for the assessment of inspiratory muscle strength, there is a dearth of literature describing the reliability of devices that can be used in clinical patient assessment. The capsule-sensing pressure gauge (CSPG-V) is a new tool that measures the strength of inspiratory muscles; it is easy to use, noninvasive, inexpensive and lightweight. OBJECTIVE: To test the intra- and inter-rater reliability of a CSPG-V device in healthy adults. METHODS: A cross-sectional study involving 80 adult subjects with a mean (± SD) age of 22±3 years was performed. Using simple randomization, 40 individuals (20 male, 20 female) were used for intrarater and 40 (20 male, 20 female) were used for inter-rater reliability testing of the CSPG-V device. The subjects performed three inspiratory efforts, which were sustained for at least 3 s; the best of the three readings was used for intra- and inter-rater comparison. The intra- and inter-rater reliability were calculated using intraclass correlation coefficients (ICCs). RESULTS: The intrarater reliability ICC was 0.962 and the inter-rater reliability ICC was 0.922. CONCLUSION: Results of the present study suggest that maximum inspiratory pressure measured using a CSPG-V device has excellent intraand inter-rater reliability, and can be used as a diagnostic and prognostic tool in patients with respiratory muscle impairment. PMID:26089737

  10. Between-rater reliability of the 6-minute walk test, berg balance scale, and handheld dynamometry in people with multiple sclerosis.

    PubMed

    Toomey, Elaine; Coote, Susan

    2013-01-01

    This study investigated the between-rater reliability of the Berg Balance Scale (BBS), 6-Minute Walk test (6MW), and handheld dynamometry (HHD) in people with multiple sclerosis (MS). Previous studies that examined BBS and 6MW reliability in people with MS have not used more than two raters, or analyzed different mobility levels separately. The reliability of HHD has not been previously reported for people with MS. In this study, five physical therapists assessed eight people with MS using the BBS, 6MW, and HHD, resulting in 12 pairs of data. Data were analyzed using intraclass correlation coefficients (ICCs), Spearman correlation coefficients (SCCs), and Bland and Altman methods. The results suggest excellent agreement for the BBS (SCC = 0.95, mean difference between raters [d̄] = 2.08, standard error of measurement [SEM] = 1.77) and 6MW (ICC = 0.98, d̄ = 5.22 m, SEM = 24.76 m) when all mobility levels are analyzed together. Reliability is lower in less mobile people with MS (BBS SCC = 0.6, d̄ = -1.83; 6MW ICC = 0.95, d̄ = 20.04 m). Although the ICC and SCC results for HHD suggest good-to-excellent reliability (0.65-0.85), d̄ ranges up to 17.83 N, with SEM values as high as 40.95 N. While the small sample size is a limitation of this study, the preliminary evidence suggests strong agreement between raters for the BBS and 6MW and decreased agreement between raters for people with greater mobility problems. The mean differences between raters for HHD are probably too high for it to be applied in clinical practice.

  11. Indiana School for the Blind Visits Goddard

    NASA Video Gallery

    This video shows highlights of the Indiana School for the Blind and Visually Impaired, and the Indian Creek Public High School visit to NASA's Goddard Space Flight Center in June 2011. Both blind a...

  12. Reading Machines for Blind People.

    ERIC Educational Resources Information Center

    Fender, Derek H.

    1983-01-01

    Ten stages of developing reading machines for blind people are analyzed: handling of text material; optics; electro-optics; pattern recognition; character recognition; storage; speech synthesizers; browsing and place finding; computer indexing; and other sources of input. Cost considerations of the final product are emphasized. (CL)

  13. Aquatic Recreation for the Blind.

    ERIC Educational Resources Information Center

    Cordellos, Harry C.

    The sixth in a series of booklets on physical education and recreation for the handicapped describes aquatic activities for blind persons. Written by a partially sighted athlete, the document discusses swimming pool characteristics and special pools for the visually impaired. Qualities of swimming instructors are reviewed, and suggestions for…

  14. Piagetian Reasoning and the Blind.

    ERIC Educational Resources Information Center

    Hatwell, Yvette

    Available for the first time in an English translation, the book reports the results of a series of studies undertaken in the early 1960s on the cognitive development of children with congenital blindness. Chapters one and two review the literaure on such topics as the concept of sensory compensation and the nature of tactual space and provide…

  15. Repetition Blindness for Rotated Objects

    ERIC Educational Resources Information Center

    Hayward, William G.; Zhou, Guomei; Man, Wai-Fung; Harris, Irina M.

    2010-01-01

    Repetition blindness (RB) is the finding that observers often miss the repetition of an item within a rapid stream of words or objects. Recent studies have shown that RB for objects is largely unaffected by variations in viewpoint between the repeated items. In 5 experiments, we tested RB under different axes of rotation, with different types of…

  16. Repetition Blindness Occurs in Nonwords

    ERIC Educational Resources Information Center

    Harris, Catherine L.; Morris, Alison L.

    2004-01-01

    Theorists have predicted that repetition blindness (RB) should be absent for nonwords because they do not activate preexisting mental types. The authors hypothesized that RB would be observed for nonwords because RB can occur at a sublexical level. Four experiments showed that RB is observed for word-nonword pairs (noon noof), orthographically…

  17. The Blind Learning Aptitude Test.

    ERIC Educational Resources Information Center

    Newland, T. Ernest

    A Blind Learning Aptitude Test (BLAT) was developed on the basis of sense of touch rather than on conventional experience, fine sensory discrimination, or verbal competency. From a pool of about 350 items, most of them used in testing intelligence in the sighted, a pool of 94 was selected and embossed after the manner of braille. A residual pool…

  18. Metro Navigation for the Blind

    ERIC Educational Resources Information Center

    Sanchez, Jaime; Saenz, Mauricio

    2010-01-01

    This study evaluates the impact of using the software program AudioMetro, a tool that supports the orientation and mobility of people who are blind in the Metro system of Santiago de Chile. A quasi-experimental study considering experimental and control groups and using the paired Student's t in a two sample test analysis (pretest-posttest) was…

  19. Vision 2020: moving beyond blindness.

    PubMed

    Lewallen, Susan; Lansingh, Van; Thulasiraj, R D

    2014-09-01

    Most industrialized countries and many emerging economies have chosen to define 'blindness' at a visual acuity above that which WHO uses. This reflects the increasing visual demands of modern society for tasks such as driving or using cell phones. Meeting these demands will require more highly skilled health workers using more sophisticated equipment than has generally been considered sufficient for primary eye care.

  20. Partially Blind Signatures Based on Quantum Cryptography

    NASA Astrophysics Data System (ADS)

    Cai, Xiao-Qiu; Niu, Hui-Fang

    2012-12-01

    In a partially blind signature scheme, the signer explicitly includes pre-agreed common information in the blind signature, which can improve the availability and performance. We present a new partially blind signature scheme based on fundamental properties of quantum mechanics. In addition, we analyze the security of this scheme, and show it is not possible to forge valid partially blind signatures. Moreover, the comparisons between this scheme and those based on public-key cryptography are also discussed.

  1. Poverty and blindness in Africa.

    PubMed

    Naidoo, Kovin

    2007-11-01

    Africa carries a disproportionate responsibility in terms of blindness and visual impairment. With approximately 10 per cent of the world's population, Africa has 19 per cent of the world's blindness. It is no surprise that this reality also mirrors the situation in terms of the burden of world poverty. There is an increasing recognition of the need to highlight the link between poverty, development and health care. Blindness, disabling visual impairment and the overall lack of eye-care services are too often the result of social, economic and developmental challenges of the developing world. The state of eye care in Africa stands in alarming contrast to that in the rest of the world. Poor practitioner-to-patient ratios, absence of eye-care personnel, inadequate facilities, poor state funding and a lack of educational programs are the hallmarks of eye care in Africa, with preventable and treatable conditions being the leading cause of blindness. Eye diseases causing preventable blindness are often the result of a combination of factors such as poverty, lack of education and inadequate health-care services. The challenge that Vision 2020 has set itself in Africa is enormous. Africa is not a homogenous entity, the inter- and intra-country differences in economic development, prevalence of disease, delivery infrastructure and human resources amplify the challenges of meeting eye-care needs. The successful implementation of Vision 2020 programs will be hindered without the development of a comprehensive, co-ordinated strategy that is cognisant of the differences that exist and the need for comprehensive solutions that are rooted in the economic and political realities of the continent as well as the individual countries and regions within countries. This strategy should recognise the need for economic growth that results in greater state funded eye-care services that focus on health promotion to ensure the prevention of eye disease, the development of eye clinics in

  2. Psychomotor Development for the Deaf-Blind.

    ERIC Educational Resources Information Center

    Sherrill, Claudine

    The stages of psychomotor development in deaf blind children and youth are reviewed, and educational principles to guide psychomotor development programs for the deaf blind are outlined. Etiological factors which contribute to the psychomotor development of deaf blind persons are discussed including nonambulation and sensory deprivation, heart…

  3. Deaf-Blind Perspectives, 1997-1998.

    ERIC Educational Resources Information Center

    Deaf-Blind Perspectives, 1998

    1998-01-01

    This one-year collection of three serial issues focuses on problem solving skills for children with deaf-blindness, the history and change in the education of children who are deaf-blind since the rubella epidemic of the 1960's, and early identification of infants who are deaf-blind. Specific articles include: (1) "Research to Practice Focus…

  4. 45 CFR 233.70 - Blindness.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 2 2012-10-01 2012-10-01 false Blindness. 233.70 Section 233.70 Public Welfare... FINANCIAL ASSISTANCE PROGRAMS § 233.70 Blindness. (a) State plan requirements. A State plan under title X or XVI of the Social Security Act must: (1) Contain a definition of blindness in terms of...

  5. What It's Like to Be Color Blind

    MedlinePlus

    ... a green leaf might look tan or gray. Color Blindness Is Passed Down Color blindness is almost always an inherited (say: in-HER- ... Eye doctors (and some school nurses) test for color blindness by showing a picture made up of different ...

  6. Introduction to Deaf-Blindness Workshop.

    ERIC Educational Resources Information Center

    Rhodes, Larry

    This document presents the agenda and materials distributed at a 1-day introductory workshop on deaf-blindness. Introductory material explains the workshop's purpose and rules. A short test contrasts facts and myths about deaf-blindness. A handout presents information on the dynamics of deaf-blindness, etiologies in the adult deaf-blind…

  7. Model Deaf/Blind Prevocational Training Project.

    ERIC Educational Resources Information Center

    Stoddard, Denis W.; And Others

    Presented is a report of a 4-month project designed to review literature on projects pertaining to deaf-blind prevocational training, to implement a model prevocational program for six severely handicapped deaf-blind students (10 years old), and to conduct two workshops in the area of prevocational training for deaf-blind students. Provided in…

  8. Programs for the Deaf-Blind.

    ERIC Educational Resources Information Center

    American Annals of the Deaf, 1990

    1990-01-01

    The directory lists 28 state or multistate programs for deaf blind children and youth, the national center and 10 regional offices of the Helen Keller National Center for Deaf-Blind Youths and Adults, and 4 programs for training teachers of the deaf-blind. Information usually provided includes, address, director's name, and phone number. (DB)

  9. The Relationship between Raters' Prior Language Study and the Evaluation of Foreign Language Speech Samples. TOEFL iBT® Research Report. TOEFL iBT-16. ETS Research Report RR-11-30

    ERIC Educational Resources Information Center

    Winke, Paula; Gass, Susan; Myford, Carol

    2011-01-01

    This study investigated whether raters' second language (L2) background and the first language (L1) of test takers taking the TOEFL iBT® Speaking test were related through scoring. After an initial 4-hour training period, a group of 107 raters (mostly of learners of Chinese, Korean, and Spanish), listened to a selection of 432 speech samples that…

  10. A Study of the Use of the "e-rater"® Scoring Engine for the Analytical Writing Measure of the "GRE"® revised General Test. Research Report. ETS RR-14-24

    ERIC Educational Resources Information Center

    Breyer, F. Jay; Attali, Yigal; Williamson, David M.; Ridolfi-McCulla, Laura; Ramineni, Chaitanya; Duchnowski, Matthew; Harris, April

    2014-01-01

    In this research, we investigated the feasibility of implementing the "e-rater"® scoring engine as a check score in place of all-human scoring for the "Graduate Record Examinations"® ("GRE"®) revised General Test (rGRE) Analytical Writing measure. This report provides the scientific basis for the use of e-rater as a…

  11. An Examination of the Link between Rater Calibration Performance and Subsequent Scoring Accuracy in Graduate Record Examinations[R] (GRE[R]) Writing. Research Report. ETS RR-11-03

    ERIC Educational Resources Information Center

    Ricker-Pedley, Kathryn L.

    2011-01-01

    A pseudo-experimental study was conducted to examine the link between rater accuracy calibration performances and subsequent accuracy during operational scoring. The study asked 45 raters to score a 75-response calibration set and then a 100-response (operational) set of responses from a retired Graduate Record Examinations[R] (GRE[R]) writing…

  12. Automated Scoring of Mathematics Tasks in the Common Core Era: Enhancements to M-Rater in Support of "CBAL"™ Mathematics and the Common Core Assessments. Research Reports. ETS RR-13-26

    ERIC Educational Resources Information Center

    Fife, James H.

    2013-01-01

    The m-rater scoring engine has been used successfully for the past several years to score "CBAL"™ mathematics tasks, for the most part without the need for human scoring. During this time, various improvements to m-rater and its scoring keys have been implemented in response to specific CBAL needs. In 2012, with the general move toward…

  13. A risk-based classification scheme for genetically modified foods. III: Evaluation using a panel of reference foods.

    PubMed

    Chao, Eunice; Krewski, Daniel

    2008-12-01

    This paper presents an exploratory evaluation of four functional components of a proposed risk-based classification scheme (RBCS) for crop-derived genetically modified (GM) foods in a concordance study. Two independent raters assigned concern levels to 20 reference GM foods using a rating form based on the proposed RBCS. The four components of evaluation were: (1) degree of concordance, (2) distribution across concern levels, (3) discriminating ability of the scheme, and (4) ease of use. At least one of the 20 reference foods was assigned to each of the possible concern levels, demonstrating the ability of the scheme to identify GM foods of different concern with respect to potential health risk. There was reasonably good concordance between the two raters for the three separate parts of the RBCS. The raters agreed that the criteria in the scheme were sufficiently clear in discriminating reference foods into different concern levels, and that with some experience, the scheme was reasonably easy to use. Specific issues and suggestions for improvements identified in the concordance study are discussed.

  14. Towards a framework for developing semantic relatedness reference standards.

    PubMed

    Pakhomov, Serguei V S; Pedersen, Ted; McInnes, Bridget; Melton, Genevieve B; Ruggieri, Alexander; Chute, Christopher G

    2011-04-01

    Our objective is to develop a framework for creating reference standards for functional testing of computerized measures of semantic relatedness. Currently, research on computerized approaches to semantic relatedness between biomedical concepts relies on reference standards created for specific purposes using a variety of methods for their analysis. In most cases, these reference standards are not publicly available and the published information provided in manuscripts that evaluate computerized semantic relatedness measurement approaches is not sufficient to reproduce the results. Our proposed framework is based on the experiences of medical informatics and computational linguistics communities and addresses practical and theoretical issues with creating reference standards for semantic relatedness. We demonstrate the use of the framework on a pilot set of 101 medical term pairs rated for semantic relatedness by 13 medical coding experts. While the reliability of this particular reference standard is in the "moderate" range; we show that using clustering and factor analyses offers a data-driven approach to finding systematic differences among raters and identifying groups of potential outliers. We test two ontology-based measures of relatedness and provide both the reference standard containing individual ratings and the R program used to analyze the ratings as open-source. Currently, these resources are intended to be used to reproduce and compare results of studies involving computerized measures of semantic relatedness. Our framework may be extended to the development of reference standards in other research areas in medical informatics including automatic classification, information retrieval from medical records and vocabulary/ontology development.

  15. Statistical inference for noninferiority of difference in proportions of clustered matched-pair data from multiple raters.

    PubMed

    Saeki, Hiroyuki; Tango, Toshiro; Wang, Jinfang

    2017-01-01

    In clinical investigations of diagnostic procedures to indicate noninferiority, efficacy is generally evaluated on the basis of results from independent multiple raters. For each subject, if two diagnostic procedures are performed and some units are evaluated, the difference in proportions for matched-pair data is correlated between the two diagnostic procedures and within the subject, i.e. the data are clustered. In this article, we propose a noninferiority test to infer the difference in the correlated proportions of clustered data between the two diagnostic procedures. The proposed noninferiority test was validated in a Monte Carlo simulation study. Empirical sizes of the noninferiority test were close to the nominal level. The proposed test is illustrated on data of aneurysm diagnostic procedures for patients with acute subarachnoid hemorrhage.

  16. Towards the Real-Time Evaluation of Collaborative Activities: Integration of an Automatic Rater of Collaboration Quality in the Classroom from the Teacher's Perspective

    ERIC Educational Resources Information Center

    Chounta, Irene-Angelica; Avouris, Nikolaos

    2016-01-01

    This paper presents the integration of a real time evaluation method of collaboration quality in a monitoring application that supports teachers in class orchestration. The method is implemented as an automatic rater of collaboration quality and studied in a real time scenario of use. We argue that automatic and semi-automatic methods which…

  17. The impact of revised DSM-5 criteria on the relative distribution and inter-rater reliability of eating disorder diagnoses in a residential treatment setting.

    PubMed

    Thomas, Jennifer J; Eddy, Kamryn T; Murray, Helen B; Tromp, Marilou D P; Hartmann, Andrea S; Stone, Melissa T; Levendusky, Philip G; Becker, Anne E

    2015-09-30

    This study evaluated the relative distribution and inter-rater reliability of revised DSM-5 criteria for eating disorders in a residential treatment program. Consecutive adolescent and young adult females (N=150) admitted to a residential eating disorder treatment facility were assigned both DSM-IV and DSM-5 diagnoses by a clinician (n=14) via routine clinical interview and a research assessor (n=4) via structured interview. We compared the frequency of diagnostic assignments under each taxonomy and by type of assessor. We evaluated concordance between clinician and researcher assignment through inter-rater reliability kappa and percent agreement. Significantly fewer patients received either clinician or researcher diagnoses of a residual eating disorder under DSM-5 (clinician-12.0%; researcher-31.3%) versus DSM-IV (clinician-28.7%; researcher-59.3%), with the majority of reassigned DSM-IV residual cases reclassified as DSM-5 anorexia nervosa. Researcher and clinician diagnoses showed moderate inter-rater reliability under DSM-IV (κ=.48) and DSM-5 (κ=.57), though agreement for specific DSM-5 other specified feeding or eating disorder (OSFED) presentations was poor (κ=.05). DSM-5 revisions were associated with significantly less frequent residual eating disorder diagnoses, but not with reduced inter-rater reliability. Findings support specific dimensions of clinical utility for revised DSM-5 criteria for eating disorders.

  18. The Preferability of Constrained Optimization in Determining the Number of Prompts, Modes of Discourse, and Raters in a Direct Writing Assessment.

    ERIC Educational Resources Information Center

    Parkes, Jay; Suen, Hoi K.

    This study demonstrates the advantages of using a constrained optimization algorithm to explore the optimal number of prompts, modes of discourse, and raters for achieving an acceptable level of reliability during a direct writing assessment. Writing samples elicited from 50 college students were rated by 3 graduate students and the scores…

  19. Inter-Rater Reliability and Concurrent Validity of the Goodenough-Harris and McCarthy Draw-A-Child Scoring Systems.

    ERIC Educational Resources Information Center

    Naglieri, Jack A.; Maxwell, Susanna

    1981-01-01

    Inter-rater reliability of the Goodenough-Harris and McCarthy Draw-A-Child scoring systems was examined for a sample of 60 children, including 20 school-labeled learning disabled, 20 mentally retarded, and 20 normal children between the ages of six and eight-and-one-half years. (Author)

  20. Assessing disease severity: accuracy and reliability of rater estimates in relation to number of diagrams in a standard area diagram set

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Error in rater estimates of plant disease severity occur, and standard area diagrams (SADs) help improve accuracy and reliability. The effects of diagram number in a SAD set on accuracy and reliability is unknown. The objective of this study was to compare estimates of pecan scab severity made witho...

  1. Evaluation of "e-rater"® for the "Praxis I"®Writing Test. Research Report. ETS RR-15-03

    ERIC Educational Resources Information Center

    Ramineni, Chaitanya; Trapani, Catherine S.; Williamson, David M.

    2015-01-01

    Automated scoring models were trained and evaluated for the essay task in the "Praxis I"® writing test. Prompt-specific and generic "e-rater"® scoring models were built, and evaluation statistics, such as quadratic weighted kappa, Pearson correlation, and standardized differences in mean scores, were examined to evaluate the…

  2. Evaluation of the "e-rater"® Scoring Engine for the "GRE"® Issue and Argument Prompts. Research Report. ETS RR-12-02

    ERIC Educational Resources Information Center

    Ramineni, Chaitanya; Trapani, Catherine S.; Williamson, David M.; Davey, Tim; Bridgeman, Brent

    2012-01-01

    Automated scoring models for the "e-rater"® scoring engine were built and evaluated for the "GRE"® argument and issue-writing tasks. Prompt-specific, generic, and generic with prompt-specific intercept scoring models were built and evaluation statistics such as weighted kappas, Pearson correlations, standardized difference in…

  3. Evaluation of the "e-rater"® Scoring Engine for the "TOEFL"® Independent and Integrated Prompts. Research Report. ETS RR-12-06

    ERIC Educational Resources Information Center

    Ramineni, Chaitanya; Trapani, Catherine S.; Williamson, David M.; Davey, Tim; Bridgeman, Brent

    2012-01-01

    Scoring models for the "e-rater"® system were built and evaluated for the "TOEFL"® exam's independent and integrated writing prompts. Prompt-specific and generic scoring models were built, and evaluation statistics, such as weighted kappas, Pearson correlations, standardized differences in mean scores, and correlations with…

  4. The Relationship between Lexical Frequency Profiling Measures and Rater Judgements of Spoken and Written General English Language Proficiency on the CELPIP-General Test

    ERIC Educational Resources Information Center

    Douglas, Scott Roy

    2015-01-01

    Independent confirmation that vocabulary in use unfolds across levels of performance as expected can contribute to a more complete understanding of validity in standardized English language tests. This study examined the relationship between Lexical Frequency Profiling (LFP) measures and rater judgements of test-takers' overall levels of…

  5. Linguistic Discrimination in Writing Assessment: How Raters React to African American "Errors," ESL Errors, and Standard English Errors on a State-Mandated Writing Exam

    ERIC Educational Resources Information Center

    Johnson, David; VanBrackle, Lewis

    2012-01-01

    Raters of Georgia's (USA) state-mandated college-level writing exam, which is intended to ensure a minimal university-level writing competency, are trained to grade holistically when assessing these exams. A guiding principle in holistic grading is to not focus exclusively on any one aspect of writing but rather to give equal weight to style,…

  6. Demonstration of blind quantum computing.

    PubMed

    Barz, Stefanie; Kashefi, Elham; Broadbent, Anne; Fitzsimons, Joseph F; Zeilinger, Anton; Walther, Philip

    2012-01-20

    Quantum computers, besides offering substantial computational speedups, are also expected to preserve the privacy of a computation. We present an experimental demonstration of blind quantum computing in which the input, computation, and output all remain unknown to the computer. We exploit the conceptual framework of measurement-based quantum computation that enables a client to delegate a computation to a quantum server. Various blind delegated computations, including one- and two-qubit gates and the Deutsch and Grover quantum algorithms, are demonstrated. The client only needs to be able to prepare and transmit individual photonic qubits. Our demonstration is crucial for unconditionally secure quantum cloud computing and might become a key ingredient for real-life applications, especially when considering the challenges of making powerful quantum computers widely available.

  7. Mobility aid for the blind

    NASA Technical Reports Server (NTRS)

    1982-01-01

    A project to develop an effective mobility aid for blind pedestrians which acquires consecutive images of the scenes before a moving pedestrian, which locates and identifies the pedestrian's path and potential obstacles in the path, which presents path and obstacle information to the pedestrian, and which operates in real-time is discussed. The mobility aid has three principal components: an image acquisition system, an image interpretation system, and an information presentation system. The image acquisition system consists of a miniature, solid-state TV camera which transforms the scene before the blind pedestrian into an image which can be received by the image interpretation system. The image interpretation system is implemented on a microprocessor which has been programmed to execute real-time feature extraction and scene analysis algorithms for locating and identifying the pedestrian's path and potential obstacles. Identity and location information is presented to the pedestrian by means of tactile coding and machine-generated speech.

  8. Change blindness and eyewitness testimony.

    PubMed

    Davies, Graham; Hine, Sarah

    2007-07-01

    The authors explored the relevance of research on change blindness to eyewitness identification and testimony under intentional and incidental memory conditions. Participants (N = 80, 40 men and 40 women) viewed a video enactment of a burglary in which the identity of the burglar changed at the halfway point of the film. Half of participants were briefed to remember the content, and the other half were not. All were tested for the recall of the content, awareness of the change, and ability to identify either or both of the burglars. Some 61% of participants did not notice the identity change. Rates of detection were significantly higher in participants in the intentional condition, who also recalled significantly more detail from the film. Awareness of change was also significantly related to content recall scores and accuracy of identification of both burglars. The results illustrate the interrelation between the eyewitness and change blindness literatures.

  9. Central nervous system imaging in childhood Langerhans cell histiocytosis – a reference center analysis

    PubMed Central

    Porto, Luciana; Schöning, Stefan; Hattingen, Elke; Sörensen, Jan; Jurcoane, Alina; Lehrnbecher, Thomas

    2015-01-01

    Background The aim of our study was (1) to describe central nervous system (CNS) manifestations in children with Langerhans cell histiocytosis (LCH) based on images sent to a reference center and meeting minimum requirements and (2) to assess the inter-rater agreement of CNS-MRI results, which represents the overall reproducibility of this investigation. Methods We retrospectively reviewed brain MRI examinations in children with LCH, for which MRI minimum requirements were met. Abnormalities were rated by two experienced neuroradiologists, and the inter-rater agreement was assessed. Results Out of a total of 94 imaging studies, only 31 MRIs met the minimum criteria, which included T2w, FLAIR, T1w images before/after contrast in at least two different section planes, and thin post contrast sagittal slices T1w through the sella. The most common changes were osseous abnormalities, followed by solid enlargement of the pineal gland, thickened enhancing stalk and signal changes of the dentate nucleus. Whereas inter-rater agreement in assessing most of the CNS lesions was relatively high (κ > 0.61), the application of minimum criteria often did not allow to evaluate the posterior pituitary. Conclusions The diversity of radiological protocols from different institutions leads to difficulties in the diagnosis of CNS abnormalities in children with LCH. Although the inter-rater agreement between neuroradiologists was high, not all the LCH manifestations could be completely ruled out when using the minimum criteria. Brain MRIs should therefore follow LCH guideline protocols and include T1 pre-gadolinium sagittal images, and be centrally reviewed in order to improve the comparison of clinical trials. PMID:26401129

  10. A comparison of confidence interval methods for the concordance correlation coefficient and intraclass correlation coefficient with small number of raters.

    PubMed

    Feng, Dai; Svetnik, Vladimir; Coimbra, Alexandre; Baumgartner, Richard

    2014-01-01

    The intraclass correlation coefficient (ICC) with fixed raters or, equivalently, the concordance correlation coefficient (CCC) for continuous outcomes is a widely accepted aggregate index of agreement in settings with small number of raters. Quantifying the precision of the CCC by constructing its confidence interval (CI) is important in early drug development applications, in particular in qualification of biomarker platforms. In recent years, there have been several new methods proposed for construction of CIs for the CCC, but their comprehensive comparison has not been attempted. The methods consisted of the delta method and jackknifing with and without Fisher's Z-transformation, respectively, and Bayesian methods with vague priors. In this study, we carried out a simulation study, with data simulated from multivariate normal as well as heavier tailed distribution (t-distribution with 5 degrees of freedom), to compare the state-of-the-art methods for assigning CI to the CCC. When the data are normally distributed, the jackknifing with Fisher's Z-transformation (JZ) tended to provide superior coverage and the difference between it and the closest competitor, the Bayesian method with the Jeffreys prior was in general minimal. For the nonnormal data, the jackknife methods, especially the JZ method, provided the coverage probabilities closest to the nominal in contrast to the others which yielded overly liberal coverage. Approaches based upon the delta method and Bayesian method with conjugate prior generally provided slightly narrower intervals and larger lower bounds than others, though this was offset by their poor coverage. Finally, we illustrated the utility of the CIs for the CCC in an example of a wake after sleep onset (WASO) biomarker, which is frequently used in clinical sleep studies of drugs for treatment of insomnia.

  11. A two-stage inter-rater approach for enrichment testing of variants associated with multiple traits

    PubMed Central

    Asimit, Jennifer L; Payne, Felicity; Morris, Andrew P; Cordell, Heather J; Barroso, Inês

    2017-01-01

    Shared genetic aetiology may explain the co-occurrence of diseases in individuals more often than expected by chance. On identifying associated variants shared between two traits, one objective is to determine whether such overlap may be explained by specific genomic characteristics (eg, functional annotation). In clinical studies, inter-rater agreement approaches assess concordance among expert opinions on the presence/absence of a complex disease for each subject. We adapt a two-stage inter-rater agreement model to the genetic association setting to identify features predictive of overlap variants, while accounting for their marginal trait associations. The resulting corrected overlap and marginal enrichment test (COMET) also assesses enrichment at the individual trait level. Multiple categories may be tested simultaneously and the method is computationally efficient, not requiring permutations to assess significance. In an extensive simulation study, COMET identifies features predictive of enrichment with high power and has well-calibrated type I error. In contrast, testing for overlap with a single-trait enrichment test has inflated type I error. COMET is applied to three glycaemic traits using a set of functional annotation categories as predictors, followed by further analyses that focus on tissue-specific regulatory variants. The results support previous findings that regulatory variants in pancreatic islets are enriched for fasting glucose-associated variants, and give insight into differences/similarities between characteristics of variants associated with glycaemic traits. Also, despite regulatory variants in pancreatic islets being enriched for variants that are marginally associated with fasting glucose and fasting insulin, there is no enrichment of shared variants between the traits. PMID:28000695

  12. Justifications shape ethical blind spots.

    PubMed

    Pittarello, Andrea; Leib, Margarita; Gordon-Hecker, Tom; Shalvi, Shaul

    2015-06-01

    To some extent, unethical behavior results from people's limited attention to ethical considerations, which results in an ethical blind spot. Here, we focus on the role of ambiguity in shaping people's ethical blind spots, which in turn lead to their ethical failures. We suggest that in ambiguous settings, individuals' attention shifts toward tempting information, which determines the magnitude of their lies. Employing a novel ambiguous-dice paradigm, we asked participants to report the outcome of the die roll appearing closest to the location of a previously presented fixation cross on a computer screen; this outcome would determine their pay. We varied the value of the die second closest to the fixation cross to be either higher (i.e., tempting) or lower (i.e., not tempting) than the die closest to the fixation cross. Results of two experiments revealed that in ambiguous settings, people's incorrect responses were self-serving. Tracking participants' eye movements demonstrated that people's ethical blind spots are shaped by increased attention toward tempting information.

  13. Blind Identification of Graph Filters

    NASA Astrophysics Data System (ADS)

    Segarra, Santiago; Mateos, Gonzalo; Marques, Antonio G.; Ribeiro, Alejandro

    2017-03-01

    Network processes are often represented as signals defined on the vertices of a graph. To untangle the latent structure of such signals, one can view them as outputs of linear graph filters modeling underlying network dynamics. This paper deals with the problem of joint identification of a graph filter and its input signal, thus broadening the scope of classical blind deconvolution of temporal and spatial signals to the less-structured graph domain. Given a graph signal $\\mathbf{y}$ modeled as the output of a graph filter, the goal is to recover the vector of filter coefficients $\\mathbf{h}$, and the input signal $\\mathbf{x}$ which is assumed to be sparse. While $\\mathbf{y}$ is a bilinear function of $\\mathbf{x}$ and $\\mathbf{h}$, the filtered graph signal is also a linear combination of the entries of the lifted rank-one, row-sparse matrix $\\mathbf{x} \\mathbf{h}^T$. The blind graph-filter identification problem can thus be tackled via rank and sparsity minimization subject to linear constraints, an inverse problem amenable to convex relaxations offering provable recovery guarantees under simplifying assumptions. Numerical tests using both synthetic and real-world networks illustrate the merits of the proposed algorithms, as well as the benefits of leveraging multiple signals to aid the blind identification task.

  14. Modularity and sense organs in the blind cavefish, Astyanax mexicanus.

    PubMed

    Franz-Odendaal, Tamara A; Hall, Brian K

    2006-01-01

    Mexican tetra (Astyanax mexicanus) exist as two morphs: a sighted (surface) form and a blind (cavefish) form. In the cavefish, some modules are lost, such as the eye and pigment modules, whereas others are expanded, such as the taste bud and cranial neuromast modules. We suggest that modularity can be viewed as being nested in a manner similar to Baupläne so that modules express unique sets of genes, cells, and processes. In terms of evolution, we conclude that natural selection can act on any of these hierarchical levels within modules or on all the sensory modules as a whole. We discuss interactions within and between modules with reference to the blind cavefish from both genetic and developmental perspectives. The cavefish represents an illuminating example of module interaction, uncoupling of modules, and module expansion.

  15. Genetics Home Reference: sialidosis

    MedlinePlus

    ... impaired color vision or night blindness. An eye abnormality called a cherry-red spot, which can be ... may include mildly "coarse" facial features, mild bone abnormalities, cherry-red spots, myoclonus, intellectual disability, and dark ...

  16. Reference Frames and Relativity.

    ERIC Educational Resources Information Center

    Swartz, Clifford

    1989-01-01

    Stresses the importance of a reference frame in mechanics. Shows the Galilean transformation in terms of relativity theory. Discusses accelerated reference frames and noninertial reference frames. Provides examples of reference frames with diagrams. (YP)

  17. Blindness

    MedlinePlus

    ... Courier services use: Rockville, MD 20852) 301-451-2020 Research at NEI Office of the Scientific Director ... Eye Disease Education Program Glaucoma Education Program Low Vision Education Program Hispanic/Latino Program Vision and Aging ...

  18. A Rare Hydrocephalus Complication: Cortical Blindness.

    PubMed

    Ünal, Emre; Göçmen, Rahşan; Işıkay, Ayşe İlksen; Tekşam, Özlem

    2015-01-01

    Cortical blindness related to bilateral occipital lobe infarction is an extremely rare complication of hydrocephalus. Compression of the posterior cerebral artery, secondary to tentorial herniation, is the cause of occipital infarction. Particularly in children and mentally ill patients, cortical blindness may be missed. Therefore, early diagnosis and treatment of hydrocephalus is important. We present herein a child of ventricular shunt malfunction complicated by cortical blindness.

  19. Blindness. [prosthetic devices and sensory aids

    NASA Technical Reports Server (NTRS)

    Pudenz, R. H.

    1974-01-01

    The possibilities are considered that modern electronics and engineering have to offer the individual with a damaged or disordered nervous system, especially the blind person. Discussed are the incidence and principal causes of blindness, past research activities, and a capsule review of some of the more interesting programs designed to provide the blind with the ability to be mobile in their environment and to read printed matter.

  20. Do perceptions of blindness affect care?

    PubMed

    Orticio, L P

    1994-01-01

    1. Delivery of health care/services is influenced by society's perceptions of blindness. 2. Health care professionals may not be equipped to address inevitable blindness because they may not have been taught how. This lack of preparation during training is a need that must be addressed. 3. The challenge to change inaccurate societal perceptions should start with health professionals--especially those who work with fervor to fight blindness.

  1. Congenital color blindness in young Turkish men.

    PubMed

    Citirik, Mehmet; Acaroglu, Golge; Batman, Cosar; Zilelioglu, Orhan

    2005-04-01

    We investigated a healthy population of men from different regions of Turkey for the presence of congenital red-green color blindness. Using Ishihara pseudoisochromatic plates, 941 healthy men from the Turkish army were tested for congenital red-green color blindness. The prevalence of red-green color blindness was 7.33 +/- 0.98% (5.10% protans and 2.23% deutans). These ratios were higher than other reported samples from Mediterranean Europe. Higher percentages of color blindness were found in regions with a lower education level and more consanguineous marriages.

  2. Genetics Home Reference: Wagner syndrome

    MedlinePlus

    ... individuals may also experience nearsightedness ( myopia ), progressive night blindness, or a narrowing of their field of vision. ... Topic: Retinal Disorders Health Topic: Vision Impairment and Blindness Genetic and Rare Diseases Information Center (1 link) ...

  3. Difference Blindness/Blindness Difference: Student Explorations of "Disability" over the Internet.

    ERIC Educational Resources Information Center

    Murphy, Kelly; And Others

    This case study describes the Internet correspondence using MOO, a multiuser, object-oriented site, that was developed between six third-grade girls and TCC, an adult with blindness. The changes from the students' original attitudes toward blindness, that blindness posed a barrier to communication and relationship-building, into their acceptance…

  4. Astronomy with the color blind

    NASA Astrophysics Data System (ADS)

    Smith, Donald A.; Melrose, Justyn

    2014-12-01

    The standard method to create dramatic color images in astrophotography is to record multiple black and white images, each with a different color filter in the optical path, and then tint each frame with a color appropriate to the corresponding filter. When combined, the resulting image conveys information about the sources of emission in the field, although one should be cautious in assuming that such an image shows what the subject would "really look like" if a person could see it without the aid of a telescope. The details of how the eye processes light have a significant impact on how such images should be understood, and the step from perception to interpretation is even more problematic when the viewer is color blind. We report here on an approach to manipulating stacked tricolor images that, while abandoning attempts to portray the color distribution "realistically," do result in enabling those suffering from deuteranomaly (the most common form of color blindness) to perceive color distinctions they would otherwise not be able to see.

  5. Outline, mental states, and drawings by a blind woman.

    PubMed

    Kennedy, John M

    2009-01-01

    Outline pictures depict surface edges, and via extensions from this base they can represent sensory and psychological referents. Outline drawings standing for edges of surfaces are relatively ancient, and lines for actions, sounds, and psychological states quite recent--mostly little more than a century. The novel finding here is that lines for psychological states of several kinds are invented by a blind woman, EW, who began making raised-line drawings as an adult. Notably, she invented novel devices representing thoughts and emotional impressions. If lines depict surface edges literally, they depict motion, sensory effects, impressions, and thoughts metaphorically.

  6. Glycoprotein Degradation in the Blind Loop Syndrome

    PubMed Central

    Prizont, Roberto

    1981-01-01

    Contents obtained from jejunum of normal controls, self-emptying and self-filling blind loop rats were analyzed for the presence of glycoprotein-degrading glycosidases. The blind loop syndrome was documented by the increased fat excretion and slower growth rate of self-filling blind loop rats 6 wk after surgery. With p-nitrophenylglycosides as substrate, the specific activity of α-N-acetylgalactosaminidase, a potential blood group A destroying glycosidase, was 0.90±0.40 mU/mg of protein. This level was 23-fold higher than the specific activity of normal controls. In partially purified self-filling blind loop contents, the activity of α-N-acetylgalactosaminidase was 9- to 70-fold higher than activities of self-emptying and normal controls. Antibiotic treatment with chloromycetin and polymyxin decreased 24-fold the glycosidase levels in self-filling blind loops. In experiments with natural substrate, the blood group A titer of a20,000g supernate from normal jejunal homogenates decreased 128-fold after 24-h incubation with blind loop contents. Normal contents failed to diminish the blood group reactivity of the natural substrate. Furthermore, blind loop contents markedly decreased the blood group A titer of isolated brush borders. Incubation between blind loop bacteria and mucosal homogenates or isolated brush borders labeled with d-[U-14C]glucosamine revealed increased production of labeled ether extractable organic acids. Likewise, intraperitoneal injection of d-[U-14C]glucosamine into self-filling blind loop rats resulted in incorporation of the label into luminal short chain fatty acids. These results suggest that glycosidases may provide a mechanism by which blind loop bacteria obtain sugars from intestinal glycoproteins. The released sugars are used and converted by bacteria into energy and organic acids. This use of the host's glycoproteins would allow blind loop bacteria to grow and survive within the lumen independent of exogenous sources. PMID:6257760

  7. Using Tactile Strategies with Students Who Are Blind and Have Severe Disabilities.

    ERIC Educational Resources Information Center

    Downing, June E.; Chen, Deborah

    2003-01-01

    This article suggests ways to use tactile teaching strategies with students who have severe and multiple disabilities including blindness. Guidelines address tactile modeling, tactile mutual attention, presenting tactile information, providing effective tactile representation, hypersensitivity to touch, and a team approach. (Contains references.)…

  8. Enhancing the Entertainment Experience of Blind and Low-Vision Theatregoers through Touch Tours

    ERIC Educational Resources Information Center

    Udo, J. P.; Fels, D. I.

    2010-01-01

    In this paper we demonstrate how universal design theory and the research available on museum-based touch tours can be used to develop a touch tour for blind and low-vision theatregoers. We discuss these theoretical and practical approaches with reference to data collected and experience gained from the creation and execution of a touch tour for…

  9. On Praising Convergent Thinking: Creativity as Blind Variation and Selective Retention

    ERIC Educational Resources Information Center

    Simonton, Dean Keith

    2015-01-01

    Arthur Cropley (2006) emphasized the critical place that convergent thinking has in creativity. Although he briefly refers to the blind variation and selective retention (BVSR) theory of creativity, his discussion could not reflect the most recent theoretical and empirical developments in BVSR, especially the resulting combinatorial models.…

  10. Delivering Effective Instruction to Students with Deaf-Blindness and/or Other Severe Disabilities.

    ERIC Educational Resources Information Center

    North Carolina State Dept. of Public Instruction, Raleigh.

    A guide to identifying, placing, and instructing children with severe disabilities, including deaf-blindness, is presented. Identification and placement information focuses on locating and referring children in need of special education services, the role of committees and staff members, the individualized education program, entrance and placement…

  11. Sublexical Processing in Visual Recognition of Chinese Characters: Evidence from Repetition Blindness for Subcharacter Components

    ERIC Educational Resources Information Center

    Yeh, Su-Ling; Li, Jing-Ling

    2004-01-01

    Repetition blindness (RB) refers to the failure to detect the second occurrence of a repeated item in rapid serial visual presentation (RSVP). In two experiments using RSVP, the ability to report two critical characters was found to be impaired when these two characters were identical (Experiment 1) or similar by sharing one repeated component…

  12. Daily life dialogue assessment in psychiatric care-face validity and inter-rater reliability of a tool based on the International Classification of Functioning, Disability and Health.

    PubMed

    Johansson, Catrin; Åström, Sture; Kauffeldt, Anders; Carlström, Eric

    2013-12-01

    This article describes the development of an assessment tool based on the International Classification of Functioning Disability and Health (ICF) adapted to a psychiatric nursing context where both the patient and the nurse assess the patient's ability to participate in various spheres of life. The aim was to test psychometric properties, focusing on face validity and inter-rater reliability. Three Swedish expert groups participated. Analysis of inter-rater reliability was conducted through simulated patient cases. The results of an unweighted kappa value of 0.38, a linear weighted kappa value of 0.65 and a quadratic weighted kappa value of 0.73 were considered as acceptable when using simulated patient cases.

  13. New Identity-Based Blind Signature and Blind Decryption Scheme in the Standard Model

    NASA Astrophysics Data System (ADS)

    Phong, Le Trieu; Ogata, Wakaha

    We explicitly describe and analyse blind hierachical identity-based encryption (blind HIBE) schemes, which are natural generalizations of blind IBE schemes [20]. We then uses the blind HIBE schemes to construct: (1) An identity-based blind signature scheme secure in the standard model, under the computational Diffie-Hellman (CDH) assumption, and with much shorter signature size and lesser communication cost, compared to existing proposals. (2) A new mechanism supporting a user to buy digital information over the Internet without revealing what he/she has bought, while protecting the providers from cheating users.

  14. Deaf-Blind Perspectives, 2000-2001.

    ERIC Educational Resources Information Center

    Malloy, Peggy, Ed.

    2001-01-01

    These three issues of "Deaf-Blind Perspectives" feature the following articles: (1) "A Group for Students with Usher Syndrome in South Louisiana" (Faye Melancon); (2) "Simply Emily," which discusses a budding friendship between a girl with deaf-blindness and a peer; (3) "Intervener Update" (Peggy Malloy and…

  15. Public-Facilities Locator For The Blind

    NASA Technical Reports Server (NTRS)

    Moore, Kevin D.

    1988-01-01

    Proposed optoelectronic system guides blind people to important locations in public buildings, With system, sightless person easily determines directions and distances of restrooms, water fountains, stairways, emergency exits, and elevators. Circuitry uncomplicated and inexpensive, in both transmitter and receiver. Readily-available light-emitting diodes, photodiodes, and integrated-circuit chips used to build locator aid for the blind.

  16. Mentoring Transition-Age Youth with Blindness

    ERIC Educational Resources Information Center

    Bell, Edward C.

    2012-01-01

    This article reports on a mentoring project designed for transition-age youth (ages 16-26) who are persons with legal blindness. Youth were matched with adult mentors who were also persons with blindness but who have achieved academic and career success. Results demonstrate that youth who participated in the project for 2 years had significant…

  17. Vision Science: Can Rhodopsin Cure Blindness?

    PubMed

    Van Gelder, Russell N; Kaur, Kuldeep

    2015-08-17

    Outer retinal degeneration is the leading cause of blindness in the developed world. A new study now demonstrates that ectopic expression of human rhodopsin in the inner retina, mediated by viral gene therapy, can restore light sensitivity and some vision to mice blind from outer retinal degeneration.

  18. Blind Children's Concepts of How People See.

    ERIC Educational Resources Information Center

    Bigelow, A.

    1988-01-01

    The concepts of two totally blind children, ages four and five, concerning how people see, were evaluated by asking them to show objects to either sighted people or each other. Their performance indicated they understood that blind people need to feel objects but sighted persons do not. (Author/DB)

  19. Semantic and Phonemic Verbal Fluency in Blinds

    ERIC Educational Resources Information Center

    Nejati, Vahid; Asadi, Anoosh

    2010-01-01

    A person who has suffered the total loss of a sensory system has, indirectly, suffered a brain lesion. Semantic and phonologic verbal fluency are used for evaluation of executive function and language. The aim of this study is evaluation and comparison of phonemic and semantic verbal fluency in acquired blinds. We compare 137 blinds and 124…

  20. Ultrasound imaging in women's arm flexor muscles: intra-rater reliability of muscle thickness and echo intensity

    PubMed Central

    Vieira, Amilton; Siqueira, Angelina F.; Ferreira-Junior, João B.; Pereira, Paulo; Wagner, Dale; Bottaro, Martim

    2016-01-01

    ABSTRACT Background Different ultrasound parameters have been frequently used to assess changes associated with training, aging, immobilization, and neuromuscular diseases. However, an exploratory reliability analysis of the echo intensity (EI) and muscle thickness (MT) of the forearm flexors is scarce, especially in women. Objective The purpose of the present study was to determine the intra-rater reliability of MT and EI assessed by ultrasound in young women. Method Ultrasonographic MT and EI were acquired in the forearm flexors of 41 young women (22±2 yrs). Reliability was calculated using intraclass correlation coefficient (ICC2,1), standard error of measurement (SEM), coefficient of variation (CV), smallest detectable change (SDC), and Bland and Altman plot analysis. Results ICC values for MT and EI were 0.88 (95% CI: 0.78-0.93). The SEM and CV values were lower than 10%. Bland and Altman analysis revealed that ultrasound mean differences were 0.27 mm (Limits of Agreement - LOA 95%: - 2.6 to 3.2 mm) and -0.09 a.u. (LOA 95%: - 10.9 to 10.7 a.u.). Conclusion MT and EI assessed by ultrasonography in young women appear to be reliable and may be used to monitor changes in muscle mass induced by strength training when these changes exceed the precision of ultrasound. PMID:27683836

  1. The Heritability of Psychopathic Personality in 14 to 15 year Old Twins: A Multi-Rater, Multi-Measure Approach

    PubMed Central

    Tuvblad, Catherine; Bezdjian, Serena; Raine, Adrian; Baker, Laura A.

    2014-01-01

    No study has yet examined the genetic and environmental influences on psychopathic personality across different raters and method of assessment. Participants were part of a community sample of male and female twins born between 1990 and 1995. The Child Psychopathy Scale (CPS) and the Antisocial Process Screening Device (APSD) were administered to the twins and their parents when the twins were 14 to 15 years old. The Psychopathy Checklist: Youth Version (PCL:YV) was administered and scored by trained testers. Results showed that a one-factor common pathway model was the best fit for the data. Genetic influences explained 69% of the variance in the latent psychopathic personality factor, while non-shared environmental influences explained 31%. Measurement-specific genetic effects accounted for between 9% and 35% of the total variance in each of the measures, except for PCL:YV where all genetic influences were in common with the other measures. Measure-specific non-shared environmental influences were found for all measures, explaining between 17% and 56% of the variance. These findings provide further evidence of the heritability in psychopathic personality among adolescents, although these effects vary across the way in which these traits are measured, in terms of both informant and instrument used. PMID:24796343

  2. An Inter-Rater Comparison of DoD Human Factors Analysis and Classification System (HFACS) and Human Factors Analysis and Classification System-Maritime (HFACS-M)

    DTIC Science & Technology

    2013-09-01

    105  ix LIST OF FIGURES Figure 1.  Reason’s original “Swiss Cheese ” model (From Reason...1997) ......... 1  Figure 2.  The “Swiss Cheese ” model—HFACS version (After Reason, 1990; DoD, 2005...rater reliability for SWOs and non-SWOs were calculated. This process was repeated at the sub-code and category level. Analysis showed that, of the

  3. Inter-rater reliability for movement pattern analysis (MPA): measuring patterning of behaviors versus discrete behavior counts as indicators of decision-making style

    PubMed Central

    Connors, Brenda L.; Rende, Richard; Colton, Timothy J.

    2014-01-01

    The unique yield of collecting observational data on human movement has received increasing attention in a number of domains, including the study of decision-making style. As such, interest has grown in the nuances of core methodological issues, including the best ways of assessing inter-rater reliability. In this paper we focus on one key topic – the distinction between establishing reliability for the patterning of behaviors as opposed to the computation of raw counts – and suggest that reliability for each be compared empirically rather than determined a priori. We illustrate by assessing inter-rater reliability for key outcome measures derived from movement pattern analysis (MPA), an observational methodology that records body movements as indicators of decision-making style with demonstrated predictive validity. While reliability ranged from moderate to good for raw counts of behaviors reflecting each of two Overall Factors generated within MPA (Assertion and Perspective), inter-rater reliability for patterning (proportional indicators of each factor) was significantly higher and excellent (ICC = 0.89). Furthermore, patterning, as compared to raw counts, provided better prediction of observable decision-making process assessed in the laboratory. These analyses support the utility of using an empirical approach to inform the consideration of measuring patterning versus discrete behavioral counts of behaviors when determining inter-rater reliability of observable behavior. They also speak to the substantial reliability that may be achieved via application of theoretically grounded observational systems such as MPA that reveal thinking and action motivations via visible movement patterns. PMID:24999336

  4. Reference Service Policy Statement.

    ERIC Educational Resources Information Center

    Young, William F.

    This reference service policy manual provides general guidelines to encourage reference service of the highest possible quality and to insure uniform practice. The policy refers only to reference service in the University Libraries and is intended for use in conjunction with other policies and procedures issued by the Reference Services Division.…

  5. Subcortical functional reorganization due to early blindness.

    PubMed

    Coullon, Gaelle S L; Jiang, Fang; Fine, Ione; Watkins, Kate E; Bridge, Holly

    2015-04-01

    Lack of visual input early in life results in occipital cortical responses to auditory and tactile stimuli. However, it remains unclear whether cross-modal plasticity also occurs in subcortical pathways. With the use of functional magnetic resonance imaging, auditory responses were compared across individuals with congenital anophthalmia (absence of eyes), those with early onset (in the first few years of life) blindness, and normally sighted individuals. We find that the superior colliculus, a "visual" subcortical structure, is recruited by the auditory system in congenital and early onset blindness. Additionally, auditory subcortical responses to monaural stimuli were altered as a result of blindness. Specifically, responses in the auditory thalamus were equally strong to contralateral and ipsilateral stimulation in both groups of blind subjects, whereas sighted controls showed stronger responses to contralateral stimulation. These findings suggest that early blindness results in substantial reorganization of subcortical auditory responses.

  6. Blind Braille readers mislocate tactile stimuli.

    PubMed

    Sterr, Annette; Green, Lisa; Elbert, Thomas

    2003-05-01

    In a previous experiment, we observed that blind Braille readers produce errors when asked to identify on which finger of one hand a light tactile stimulus had occurred. With the present study, we aimed to specify the characteristics of this perceptual error in blind and sighted participants. The experiment confirmed that blind Braille readers mislocalised tactile stimuli more often than sighted controls, and that the localisation errors occurred significantly more often at the right reading hand than at the non-reading hand. Most importantly, we discovered that the reading fingers showed the smallest error frequency, but the highest rate of stimulus attribution. The dissociation of perceiving and locating tactile stimuli in the blind suggests altered tactile information processing. Neuroplasticity, changes in tactile attention mechanisms as well as the idea that blind persons may employ different strategies for tactile exploration and object localisation are discussed as possible explanations for the results obtained.

  7. Continuous-Variable Blind Quantum Computation

    NASA Astrophysics Data System (ADS)

    Morimae, Tomoyuki

    2012-12-01

    Blind quantum computation is a secure delegated quantum computing protocol where Alice, who does not have sufficient quantum technology at her disposal, delegates her computation to Bob, who has a fully fledged quantum computer, in such a way that Bob cannot learn anything about Alice’s input, output, and algorithm. Protocols of blind quantum computation have been proposed for several qudit measurement-based computation models, such as the graph state model, the Affleck-Kennedy-Lieb-Tasaki model, and the Raussendorf-Harrington-Goyal topological model. Here, we consider blind quantum computation for the continuous-variable measurement-based model. We show that blind quantum computation is possible for the infinite squeezing case. We also show that the finite squeezing causes no additional problem in the blind setup apart from the one inherent to the continuous-variable measurement-based quantum computation.

  8. The intra- and inter-rater reliabilities of lower extremity muscle strength assessment of healthy adults using a hand held dynamometer.

    PubMed

    Kim, Seong-Gil; Lee, Yun-Seob

    2015-06-01

    [Purpose] The purpose of this study was to examine the intra- and inter-rater reliabilities of lower extremity muscle strength assessment of healthy adults using hand held dynamometer. [Subjects and Methods] A total of 55 students (19 males and 36 females) in Y University in Gyeongsangnam-do, South Korea participated in this study. Lower extremity muscle strength was measured using a hand-held dynamometer (Commander Muscle Tester, JTech, USA). Flexion and extension strengths of the hip joint, the knee joint, and the ankle joint were measured. [Results] The intra-rater reliabilities were excellent (above 0.9) for the flexion and extension strengths of the ankle, knee, and hip joints. The inter-rater reliabilities were also excellent (above 0.8) for the flexion and extension strengths of the ankle, knee, and hip joint. [Conclusion] Lower extremity muscle strength assessment using a hand-held dynamometer provided consistent results when conducted by different examiners and when measured several times. Therefore, this method is a useful way of deriving objective and quantitative measurement values.

  9. Efficient Universal Blind Quantum Computation

    NASA Astrophysics Data System (ADS)

    Giovannetti, Vittorio; Maccone, Lorenzo; Morimae, Tomoyuki; Rudolph, Terry G.

    2013-12-01

    We give a cheat sensitive protocol for blind universal quantum computation that is efficient in terms of computational and communication resources: it allows one party to perform an arbitrary computation on a second party’s quantum computer without revealing either which computation is performed, or its input and output. The first party’s computational capabilities can be extremely limited: she must only be able to create and measure single-qubit superposition states. The second party is not required to use measurement-based quantum computation. The protocol requires the (optimal) exchange of O(Jlog⁡2(N)) single-qubit states, where J is the computational depth and N is the number of qubits needed for the computation.

  10. Efficient universal blind quantum computation.

    PubMed

    Giovannetti, Vittorio; Maccone, Lorenzo; Morimae, Tomoyuki; Rudolph, Terry G

    2013-12-06

    We give a cheat sensitive protocol for blind universal quantum computation that is efficient in terms of computational and communication resources: it allows one party to perform an arbitrary computation on a second party's quantum computer without revealing either which computation is performed, or its input and output. The first party's computational capabilities can be extremely limited: she must only be able to create and measure single-qubit superposition states. The second party is not required to use measurement-based quantum computation. The protocol requires the (optimal) exchange of O(Jlog2(N)) single-qubit states, where J is the computational depth and N is the number of qubits needed for the computation.

  11. Auditory display for the blind

    NASA Technical Reports Server (NTRS)

    Fish, R. M. (Inventor)

    1974-01-01

    A system for providing an auditory display of two-dimensional patterns as an aid to the blind is described. It includes a scanning device for producing first and second voltages respectively indicative of the vertical and horizontal positions of the scan and a further voltage indicative of the intensity at each point of the scan and hence of the presence or absence of the pattern at that point. The voltage related to scan intensity controls transmission of the sounds to the subject so that the subject knows that a portion of the pattern is being encountered by the scan when a tone is heard, the subject determining the position of this portion of the pattern in space by the frequency and interaural difference information contained in the tone.

  12. Blindness in designing intelligent systems

    NASA Technical Reports Server (NTRS)

    Denning, Peter J.

    1988-01-01

    New investigations of the foundations of artificial intelligence are challenging the hypothesis that problem solving is the cornerstone of intelligence. New distinctions among three domains of concern for humans--description, action, and commitment--have revealed that the design process for programmable machines, such as expert systems, is based on descriptions of actions and induces blindness to nonanalytic action and commitment. Design processes focusing in the domain of description are likely to yield programs like burearcracies: rigid, obtuse, impersonal, and unable to adapt to changing circumstances. Systems that learn from their past actions, and systems that organize information for interpretation by human experts, are more likely to be successful in areas where expert systems have failed.

  13. The PHENIX Hadron Blind Detector

    SciTech Connect

    Durham, J. M.

    2009-03-10

    Dielectron measurements by the PHENIX Experiment at RHIC are limited by the combinatorial background from electrons and positrons which are not produced in the same pair. The Hadron Blind Detector will allow a substantial reduction of this background by correctly identifying dielectrons from photon conversions and pion Dalitz decays which dominate the signal in the low mass region of the spectrum. Triple GEM stacks, with a CsI photocathode deposited on the uppermost GEM, detect Cherenkov light produced by electrons in a CF{sub 4} radiator. The transparency of CF{sub 4}, high quantum efficiency of CsI in the UV, and absence of a window between the gas radiator and the GEMs allow a large photoelectron yield, while minimizing the hadron signal. Results from the HBD in RHIC's Run-7 and preparations for upcoming runs are discussed.

  14. Blind Source Parameters for Performance Evaluation of Despeckling Filters

    PubMed Central

    Biradar, Nagashettappa; Dewal, M. L.; Rohit, ManojKumar; Gowre, Sanjaykumar; Gundge, Yogesh

    2016-01-01

    The speckle noise is inherent to transthoracic echocardiographic images. A standard noise-free reference echocardiographic image does not exist. The evaluation of filters based on the traditional parameters such as peak signal-to-noise ratio, mean square error, and structural similarity index may not reflect the true filter performance on echocardiographic images. Therefore, the performance of despeckling can be evaluated using blind assessment metrics like the speckle suppression index, speckle suppression and mean preservation index (SMPI), and beta metric. The need for noise-free reference image is overcome using these three parameters. This paper presents a comprehensive analysis and evaluation of eleven types of despeckling filters for echocardiographic images in terms of blind and traditional performance parameters along with clinical validation. The noise is effectively suppressed using the logarithmic neighborhood shrinkage (NeighShrink) embedded with Stein's unbiased risk estimation (SURE). The SMPI is three times more effective compared to the wavelet based generalized likelihood estimation approach. The quantitative evaluation and clinical validation reveal that the filters such as the nonlocal mean, posterior sampling based Bayesian estimation, hybrid median, and probabilistic patch based filters are acceptable whereas median, anisotropic diffusion, fuzzy, and Ripplet nonlinear approximation filters have limited applications for echocardiographic images. PMID:27298618

  15. Reach for Reference. Four Recent Reference Books

    ERIC Educational Resources Information Center

    Safford, Barbara Ripp

    2004-01-01

    This article provides descriptions of four new science and technology encyclopedias that are appropriate for inclusion in upper elementary and/or middle school reference collections. "The Macmillan Encyclopedia of Weather" (Stern, Macmillan Reference/Gale), a one-volume encyclopedia for upper elementary and middle level students, is a…

  16. Ancilla-driven universal blind quantum computation

    NASA Astrophysics Data System (ADS)

    Sueki, Takahiro; Koshiba, Takeshi; Morimae, Tomoyuki

    2013-06-01

    Blind quantum computation is a new quantum secure protocol, which enables Alice who does not have enough quantum technology to delegate her computation to Bob who has a fully fledged quantum power without revealing her input, output, and algorithm. So far, blind quantum computation has been considered only for the circuit model and the measurement-based model. Here we consider the possibility and the limitation of blind quantum computation in the ancilla-driven model, which is a hybrid of the circuit and the measurement-based models.

  17. Kalman Filtering Approach to Blind Equalization

    DTIC Science & Technology

    1993-12-01

    Update weighing probabilities (3.11) vi. Compute one step predictions p(j..Nb I X’) S(tlp (D,.,,,IX,) B. ADMISSIBILITY OF THE BLIND EQUALIZATION BY...NAVAL POSTGRADUATE SCHOOL Monterey, California •GR AD13 DTIC 94-07381 AR 0C199 THESIS S 0 LECTE4u KALMAN FILTERING APPROACH TO BLIND EQUALIZATION by...FILTERING APPROACH 5. FUNDING NUMBERS TO BLIND EQUALIZATION S. AUTHOR(S) Mehmet Kutlu 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) S

  18. Thermal imaging aid for the blind.

    PubMed

    Hedin, D S; Seifert, G J; Dagnelie, G; Havey, G D; Knuesel, R J; Gibson, P L

    2006-01-01

    To explore the efficacy of using a far infrared thermal camera with a haptic display to assist blind people in identifying humans, we performed experiments with a prototype device on five low-vision (functionally blind) subjects. Infrared allows for easy detection of human shape due to typically high contrast in temperatures from a person against their surrounding environment. Infrared cameras can be made small and inexpensive with uncooled microbolometer technology. Our study showed a great willingness by the blind subjects to use such a device after a short training session and both successful and unsuccessful operation. Future work will further develop the technology and undertake more expansive testing.

  19. Fundamentals of Reference

    ERIC Educational Resources Information Center

    Mulac, Carolyn M.

    2012-01-01

    The all-in-one "Reference reference" you've been waiting for, this invaluable book offers a concise introduction to reference sources and services for a variety of readers, from library staff members who are asked to work in the reference department to managers and others who wish to familiarize themselves with this important area of…

  20. Live, Digital Reference.

    ERIC Educational Resources Information Center

    Kenney, Brian

    2002-01-01

    Discusses digital reference services, also known as virtual reference, chat reference, or online reference, based on a round table discussion at the 2002 American Library Association annual conference in Atlanta. Topics include numbers and marketing; sustainability; competition and models; evaluation methods; outsourcing; staffing and training;…

  1. Statistical Reference Datasets

    National Institute of Standards and Technology Data Gateway

    Statistical Reference Datasets (Web, free access)   The Statistical Reference Datasets is also supported by the Standard Reference Data Program. The purpose of this project is to improve the accuracy of statistical software by providing reference datasets with certified computational results that enable the objective evaluation of statistical software.

  2. Blind extraction of exoplanetary spectra

    NASA Astrophysics Data System (ADS)

    Morello, Giuseppe; Waldmann, Ingo; Damiano, Mario; Tinetti, Giovanna

    2016-10-01

    In the last decade, remote sensing spectroscopy enabled characterization of the atmospheres of extrasolar planets. Transmission and emission spectra of tens of transiting exoplanets have been measured with multiple instruments aboard Spitzer and Hubble Space Telescopes as well as ground-based facilities, revealing the presence of chemical species in their atmospheres, and constraining their temperature and pressure profiles.Early analyses were somehow heuristic, leading to some controversies in the literature.A photometric precision of 0.01% is necessary to detect the atmospheric spectral modulations. Current observatories, except Kepler, were not designed to achieve this precision. Data reduction is necessary to minimize the effect of instrument systematics in order to achieve the target precision. In the past, parametric models have extensively been used by most teams to remove correlated noise with the aid of auxiliary information of the instrument, the so-called optical state vectors (OSVs). Such OSVs can include inter- and intra-pixel position of the star or its spectrum, instrument temperatures and inclinations, and/or other parameters. In some cases, different parameterizations led to discrepant results.We recommend the use of blind non-parametric data detrending techniques to overcome those issues. In particular, we adopt Independent Component Analysis (ICA), i.e. a powerful blind source separation (BSS) technique to disentangle the multiple instrument systematics and astrophysical signals in transit/eclipse light curves. ICA does not require a model for the systematics, thence it can be applied to any instrument with little changes, if any. ICA-based algorithms have been applied to Spitzer/IRAC and synthetic observations in photometry (Morello et al. 2014, 2015, 2016; Morello 2015) and to Hubble/WFC3, Hubble/NICMOS and Spitzer/IRS and Hubble/WFC3 in spectroscopy (Damiano, Morello et al., in prep., Waldmann 2012, 2014, Waldmann et al. 2013) with excellent

  3. Blind extraction of exoplanetary spectra

    NASA Astrophysics Data System (ADS)

    Morello, Giuseppe; Waldmann, Ingo P.; Tinetti, Giovanna

    2016-06-01

    In the last decade, remote sensing spectroscopy enabled characterization of the atmospheres of extrasolar planets. Transmission and emission spectra of tens of transiting exoplanets have been measured with multiple instruments aboard Spitzer and Hubble Space Telescopes as well as ground-based facilities, revealing the presence of atomic, ionic and molecular species in their atmospheres, and constraining their temperature and pressure profiles.Early analyses were somehow heuristic both in measuring the spectra and in their interpretation, leading to some controversies in the literature.A photometric precision of 0.01% is necessary to detect the atmospheric spectral modulations. Current observatories, except Kepler, were not designed to achieve this precision. Data reduction is necessary to minimize the effect of instrument systematics in order to achieve the target precision. In the past, parametric models have extensively been used by most teams to remove correlated noise with the aid of auxiliary information of the instrument, the so-called optical state vectors (OSVs). Such OSVs can include inter- and intra-pixel position of the star or its spectrum, instrument temperatures and inclinations, and/or other parameters. In some cases, different parameterizations led to discrepant results.We recommend the use of blind non-parametric data detrending techniques to overcome those issues. In particular, we adopt Independent Component Analysis (ICA), i.e. a blind source separation (BSS) technique to disentangle the multiple instrument systematics and astrophysical signals in transit/eclipse light curves. ICA does not require a model for the systematics, and for this reason, it can be applied to any instrument with little changes, if any. ICA-based algorithms have been applied to Spitzer/IRAC and synthetic observations in photometry (Morello et al. 2014, 2015, 2016; Morello 2015) and to Hubble/NICMOS and Spitzer/IRS in spectroscopy (Waldmann 2012, 2014, Waldmann et al. 2013

  4. Mental health and functioning of children of low-income depressed mothers: Influences of parenting, family environment, and raters

    PubMed Central

    Riley, Anne W.; Coiro, Mary Jo; Broitman, Marina; Bandeen-Roche, Karen; Hurley, Kristen; Colantuoni, Elizabeth; Miranda, Jeanne

    2013-01-01

    Purpose To extend understanding of the effects of maternal depression on children to low-income and minority families; to apply advanced analytic methods to incorporate the reports of mothers, fathers, and teachers on the emotional and behavior problems and adaptive skills of 4–10 year old urban children; and to examine parenting quality and family environment as possible explanations of high rates of problems among children whose mothers have depression compared to those whose mothers are not depressed. Methods Mothers who participated either had major depressive disorder (n=84) or did not (n=49). They were predominantly African-American or Latino and lived in low-income, urban communities. Mothers, fathers, and teachers reported on children’s emotional, behavioral and adaptive functioning. Parenting behavior and family stress were examined as potential mediators and generalized estimating equations (GEE) were employed to test mediation and to account for discrepancies in reports by different raters. Results By mother, father and teacher reports, children of depressed mothers had significantly poorer adaptive skills than children of sociodemographically-similar non-depressed mothers; and they had more emotional/behavior problems according to mothers and fathers. The quality of mothers’ parenting mediated these associations, but quality of the family environment did not. Conclusions This study extends the literature on the effects of maternal depression to low-income, minority families, and demonstrates that mothers, fathers and teachers observe worse functioning in children of depressed mothers than those of non-depressed mothers, although their perspectives vary somewhat. The impact of maternal depression suggests the importance of developing and funding services to address the needs of affected families. PMID:19252045

  5. Towards a Framework for Developing Semantic Relatedness Reference Standards

    PubMed Central

    Pakhomov, Serguei V.S.; Pedersen, Ted; McInnes, Bridget; Melton, Genevieve B.; Ruggieri, Alexander; Chute, Christopher G.

    2010-01-01

    Our objective is to develop a framework for creating reference standards for functional testing of computerized measures of semantic relatedness. Currently, research on computerized approaches to semantic relatedness between biomedical concepts relies on reference standards created for specific purposes using a variety of methods for their analysis. In most cases, these reference standards are not publicly available and the published information provided in manuscripts that evaluate computerized semantic relatedness measurement approaches is not sufficient to reproduce the results. Our proposed framework is based on the experiences of medical informatics and computational linguistics communities and addresses practical and theoretical issues with creating reference standards for semantic relatedness. We demonstrate the use of the framework on a pilot set of 101 medical term pairs rated for semantic relatedness by 13 medical coding experts. While the reliability of this particular reference standard is in the “moderate” range; we show that using clustering and factor analyses offers a data-driven approach to finding systematic differences among raters and identifying groups of potential outliers. We test two ontology-based measures of relatedness and provide both the reference standard containing individual ratings and the R program used to analyze the ratings as open-source. Currently, these resources are intended to be used to reproduce and compare results of studies involving computerized measures of semantic relatedness. Our framework may be extended to the development of reference standards in other research areas in medical informatics including automatic classification, information retrieval from medical records and vocabulary/ontology development. PMID:21044697

  6. Psychosocial implications of blindness and low vision in students of a school for children with blindness

    PubMed Central

    Ishtiaq, Rizwan; Chaudhary, Muhammad Hamid; Rana, Muhammad Atif; Jamil, Abdur Rehman

    2016-01-01

    Objective: To find out the psychosocial implications of blindness and low vision in students of blind school Bahawalpur. Methods: A cross sectional descriptive study was carried out in Higher Secondary School for blind, Bahawalpur after getting approval from Institutional review board of Quaid-e-Azam Medical College, Bahawalpur and Principal of Blind School, Bahawalpur. Forty willing students filled a customized questionnaire, consisting of questions about logistic variables and questions regarding areas of satisfaction. Statistical analysis was performed using SPSS version 18. Results: Out of 40, 55% (22/40) of them were found depressed (as assessed through DSM-lV), 50% (20/40) were having difficulty in making new contact but 52.5% (21/40) were satisfied with family care. Conclusion: Sixty percent (24/40) of blind school children experienced difficulty in their life. This study showed that blindness or low vision does have psychological implications like feeling of guilt, anxiety, sadness & depression. PMID:27182255

  7. HIV/AIDS and blindness.

    PubMed Central

    Kestelyn, P. G.; Cunningham, E. T.

    2001-01-01

    Nearly 34 million people are currently living with HIV/AIDS: ocular complications are common, affecting 50% to 75% of all such patients at some point during the course of their illness. Cytomegalovirus retinitis is by far the most frequent cause of vision loss in patients with AIDS. Although the prevalence of cytomegalovirus retinitis is decreasing in industrialized countries because of the widespread availability of highly active antiretroviral therapy, between 10% and 20% of HIV-infected patients worldwide can be expected to lose vision in one or both eyes as a result of ocular cytomegalovirus infection. Less frequent but important causes of bilateral vision loss in patients with HIV/AIDS include varicella zoster virus and herpes simplex virus retinitis, HIV-related ischaemic microvasculopathy, ocular syphilis, ocular tuberculosis, cryptococcal meningitis, and ocular toxic or allergic drug reactions. At present, most patients with HIV/AIDS in developing countries who lose their vision have a very limited life expectancy. As antiretroviral therapy makes its way to these countries, however, both life expectancy and the prevalence of blindness related to HIV/AIDS can be expected to increase dramatically. PMID:11285664

  8. Blindness of Johann Sebastian Bach.

    PubMed

    Tarkkanen, Ahti

    2013-03-01

    Johann Sebastian Bach (1685-1750) was one of the greatest composers of all time. Apart from performing as a brilliant organist, he composed over 1.100 works in almost every musical genre. He was known as a hardworking, deeply Christian person, who had to support his family of 20 children and many students staying at his home. At the age of 64 years, his vision started to decline. Old biographies claim that it was the result of overstressing his vision in poor illumination. By persuasion of his friends, he had his both eyes operated by a travelling British eye surgeon. A cataract couching was performed. After surgery, Bach was totally blind and unable to play an organ, compose or direct choirs and orchestras. He was confined to bed and suffering from immense pain of the eyes and the body. He died <4 months after surgery. In this paper, as the plausible diagnosis, intractable glaucoma because of pupillary block or secondary to phacoanaphylactic endophthalmitis is suggested.

  9. Blind estimation of reverberation time

    NASA Astrophysics Data System (ADS)

    Ratnam, Rama; Jones, Douglas L.; Wheeler, Bruce C.; O'Brien, William D.; Lansing, Charissa R.; Feng, Albert S.

    2003-11-01

    The reverberation time (RT) is an important parameter for characterizing the quality of an auditory space. Sounds in reverberant environments are subject to coloration. This affects speech intelligibility and sound localization. Many state-of-the-art audio signal processing algorithms, for example in hearing-aids and telephony, are expected to have the ability to characterize the listening environment, and turn on an appropriate processing strategy accordingly. Thus, a method for characterization of room RT based on passively received microphone signals represents an important enabling technology. Current RT estimators, such as Schroeder's method, depend on a controlled sound source, and thus cannot produce an online, blind RT estimate. Here, a method for estimating RT without prior knowledge of sound sources or room geometry is presented. The diffusive tail of reverberation was modeled as an exponentially damped Gaussian white noise process. The time-constant of the decay, which provided a measure of the RT, was estimated using a maximum-likelihood procedure. The estimates were obtained continuously, and an order-statistics filter was used to extract the most likely RT from the accumulated estimates. The procedure was illustrated for connected speech. Results obtained for simulated and real room data are in good agreement with the real RT values.

  10. Reversible cortical blindness after lung transplantation.

    PubMed

    Knower, Mark T; Pethke, Scott D; Valentine, Vincent G

    2003-06-01

    Cyclosporine (CYA) is a calcineurin inhibitor widely used in immunosuppressive regimens after organ transplantation. Several neurologic side effects are frequently associated with CYA use; however, reversible cortical blindness is a rare manifestation of CYA toxicity traditionally seen after liver and bone marrow transplantation. This report presents a case of reversible cortical blindness after lung transplantation, then details the risk factors and clinical course of 28 previously well-documented cases of CYA-induced cortical blindness after transplantation. Identification of known risk factors, clinical clues, and typical radiographic findings may aid in the diagnosis of CYA-induced cortical blindness, since reduction in CYA dose or cessation of CYA therapy usually permits resolution of the neurologic effects.

  11. Transient cortical blindness after coronary angiography.

    PubMed

    Alp, B N; Bozbuğa, N; Tuncer, M A; Yakut, C

    2009-01-01

    Transient cortical blindness is rarely encountered after angiography of native coronary arteries or bypass grafts. This paper reports a case of transient cortical blindness that occurred 72 h after coronary angiography in a 56-year old patient. This was the patient's fourth exposure to contrast medium. Neurological examination demonstrated cortical blindness and the absence of any focal neurological deficit. A non-contrast-enhanced computed tomographic scan of the brain revealed bilateral contrast enhancement in the occipital lobes and no evidence of cerebral haemorrhage, and magnetic resonance imaging of the brain showed no pathology. Sight returned spontaneously within 4 days and his vision gradually improved. A search of the current literature for reported cases of transient cortical blindness suggested that this is a rarely encountered complication of coronary angiography.

  12. Iterated Gate Teleportation and Blind Quantum Computation.

    PubMed

    Pérez-Delgado, Carlos A; Fitzsimons, Joseph F

    2015-06-05

    Blind quantum computation allows a user to delegate a computation to an untrusted server while keeping the computation hidden. A number of recent works have sought to establish bounds on the communication requirements necessary to implement blind computation, and a bound based on the no-programming theorem of Nielsen and Chuang has emerged as a natural limiting factor. Here we show that this constraint only holds in limited scenarios, and show how to overcome it using a novel method of iterated gate teleportations. This technique enables drastic reductions in the communication required for distributed quantum protocols, extending beyond the blind computation setting. Applied to blind quantum computation, this technique offers significant efficiency improvements, and in some scenarios offers an exponential reduction in communication requirements.

  13. Iterated Gate Teleportation and Blind Quantum Computation

    NASA Astrophysics Data System (ADS)

    Pérez-Delgado, Carlos A.; Fitzsimons, Joseph F.

    2015-06-01

    Blind quantum computation allows a user to delegate a computation to an untrusted server while keeping the computation hidden. A number of recent works have sought to establish bounds on the communication requirements necessary to implement blind computation, and a bound based on the no-programming theorem of Nielsen and Chuang has emerged as a natural limiting factor. Here we show that this constraint only holds in limited scenarios, and show how to overcome it using a novel method of iterated gate teleportations. This technique enables drastic reductions in the communication required for distributed quantum protocols, extending beyond the blind computation setting. Applied to blind quantum computation, this technique offers significant efficiency improvements, and in some scenarios offers an exponential reduction in communication requirements.

  14. Florida's Industrial Training Laboratory for Blind Persons

    ERIC Educational Resources Information Center

    Hoskins, Len

    1974-01-01

    Described is the 6-month program of the Industrial Training Laboratory (Florida) that has graduated 50 blind persons in 5 years and has enabled 48 of the graduates to hold full-time competitive jobs. (Author/MC)

  15. The Blind, From Braille to the Present.

    ERIC Educational Resources Information Center

    Truquet, Monique

    1980-01-01

    Traces the historical development of processing information for the blind from the system devised by Barbier to present systems of producing Braille documents using computers. Cites the impact of microprocessors and outlines possibilities for Braille reproductions in the future. (GS)

  16. Imagery limitations in totally congenitally blind subjects.

    PubMed

    De Beni, R; Cornoldi, C

    1988-10-01

    Research on totally blind subjects performing tasks that involve visual imagery has often shown that they do not behave differently from matched sighted subjects, even when their blindness is congenital. If visual imagery is based on visual perception, such tasks may not required visual imagery. In the present article visual images are considered as representations maintaining some properties of visible objects and constructed on the basis of information from various sources. Owing to the absence of visual experience, the limitations of such representations are explored in a series of experiments requiring memorization of single nouns, pairs of nouns, or triplets of nouns associated with a cue noun. Recall by blind subjects was impaired when multiple interactive images (with noun pairs and triplets) are formed. The poorer recall of blind subjects reflected also loss of order information. Recall was better for both groups with locative noun cues and high-imagery targets.

  17. Teaching Introductory Statistics to Blind Students

    ERIC Educational Resources Information Center

    Marson, Stephen M.; Harrington, Charles F.; Walls, Adam

    2013-01-01

    The challenges of learning statistics, particularly distributions and their characteristics, can be potentially monumental for vision impaired and blind students. The authors provide some practical advice for teaching these students.

  18. Embodiment awareness, mathematics discourse, and the blind.

    PubMed

    Quek, Francis; McNeill, David

    2006-12-01

    Blindness might be described as a biological condition, and thus remedies could be in the realm of biotechnology. However, the convergence of information technology and cognitive science offers great opportunities for understanding and helping blind children as they learn mathematics, the crosscutting discipline most important for all branches of science and engineering. This article outlines our logic and approach for providing blind students with awareness of the embodiment of their teachers to maintain situated communication. First, we shall show that math discourse is inherently spatiotemporal, and that this information is carried by gesticulation in conjunction with speech. Second, we shall explore the capacity of those who are blind for the imagism necessary for mathematics reasoning. Third, we shall advance a set of augmentative devices suggested by our analysis. Finally, we shall outline our ongoing experiments to validate our rationale.

  19. Causes of blindness in children in the blind schools of Ethiopia.

    PubMed

    Wolde-Gebriel, Z; Gebru, H; West, C E

    1992-01-01

    A total of 721 children in the six schools for the blind in Ethiopia were studied. In 1988-1989 histories were taken to ascertain the predisposing factors and ophthalmological examinations and records were used to determine the causes of blindness. Ninety-five per cent of those examined had bilateral blindness, 12% did not know how they had become blind and, of those who provided information on how they became blind, 21% knew that they were born blind, 30% implicated measles as being responsible, and 13% implicated 'mitch' which is an Amharic term used to describe a very wide range of nonspecific and vague illnesses of which measles probably constitutes a significant proportion. Seventy per cent of the blindness was due to either corneal opacity or phthisis bulbi. Of those with non-congenital bilateral corneal opacity or phthisis bulbi, 40% were preceded by measles and 17% by mitch. A study of 66 adults in the handicraft and skill-training centres attached to the blind schools indicated that the principal predisposing factors of blindness were mitch (30%), smallpox (15%), cataract (12%), and traditional eye medicine (11%). Seventy percent had corneal scars of phthisis bulbi and 14% cataract.

  20. From Perception to Metacognition: Auditory and Olfactory Functions in Early Blind, Late Blind, and Sighted Individuals

    PubMed Central

    Cornell Kärnekull, Stina; Arshamian, Artin; Nilsson, Mats E.; Larsson, Maria

    2016-01-01

    Although evidence is mixed, studies have shown that blind individuals perform better than sighted at specific auditory, tactile, and chemosensory tasks. However, few studies have assessed blind and sighted individuals across different sensory modalities in the same study. We tested early blind (n = 15), late blind (n = 15), and sighted (n = 30) participants with analogous olfactory and auditory tests in absolute threshold, discrimination, identification, episodic recognition, and metacognitive ability. Although the multivariate analysis of variance (MANOVA) showed no overall effect of blindness and no interaction with modality, follow-up between-group contrasts indicated a blind-over-sighted advantage in auditory episodic recognition, that was most pronounced in early blind individuals. In contrast to the auditory modality, there was no empirical support for compensatory effects in any of the olfactory tasks. There was no conclusive evidence for group differences in metacognitive ability to predict episodic recognition performance. Taken together, the results showed no evidence of an overall superior performance in blind relative sighted individuals across olfactory and auditory functions, although early blind individuals exceled in episodic auditory recognition memory. This observation may be related to an experience-induced increase in auditory attentional capacity. PMID:27729884

  1. 42 CFR 436.530 - Definition of blindness.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Definition of blindness. 436.530 Section 436.530... Requirements for Medicaid Eligibility Blindness § 436.530 Definition of blindness. (a) Definition. The agency must use the definition of blindness that is used in the State plan for AB or AABD. (b) State...

  2. 42 CFR 435.530 - Definition of blindness.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Definition of blindness. 435.530 Section 435.530... ISLANDS, AND AMERICAN SAMOA Categorical Requirements for Eligibility Blindness § 435.530 Definition of blindness. (a) Definition. The agency must use the same definition of blindness as used under SSI,...

  3. 42 CFR 436.530 - Definition of blindness.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Definition of blindness. 436.530 Section 436.530... Requirements for Medicaid Eligibility Blindness § 436.530 Definition of blindness. (a) Definition. The agency must use the definition of blindness that is used in the State plan for AB or AABD. (b) State...

  4. 42 CFR 436.530 - Definition of blindness.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Definition of blindness. 436.530 Section 436.530... Requirements for Medicaid Eligibility Blindness § 436.530 Definition of blindness. (a) Definition. The agency must use the definition of blindness that is used in the State plan for AB or AABD. (b) State...

  5. 42 CFR 435.530 - Definition of blindness.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Definition of blindness. 435.530 Section 435.530... ISLANDS, AND AMERICAN SAMOA Categorical Requirements for Eligibility Blindness § 435.530 Definition of blindness. (a) Definition. The agency must use the same definition of blindness as used under SSI,...

  6. 42 CFR 436.530 - Definition of blindness.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Definition of blindness. 436.530 Section 436.530... Requirements for Medicaid Eligibility Blindness § 436.530 Definition of blindness. (a) Definition. The agency must use the definition of blindness that is used in the State plan for AB or AABD. (b) State...

  7. 42 CFR 435.530 - Definition of blindness.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Definition of blindness. 435.530 Section 435.530... ISLANDS, AND AMERICAN SAMOA Categorical Requirements for Eligibility Blindness § 435.530 Definition of blindness. (a) Definition. The agency must use the same definition of blindness as used under SSI,...

  8. 42 CFR 435.530 - Definition of blindness.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Definition of blindness. 435.530 Section 435.530... ISLANDS, AND AMERICAN SAMOA Categorical Requirements for Eligibility Blindness § 435.530 Definition of blindness. (a) Definition. The agency must use the same definition of blindness as used under SSI,...

  9. 42 CFR 436.530 - Definition of blindness.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Definition of blindness. 436.530 Section 436.530... Requirements for Medicaid Eligibility Blindness § 436.530 Definition of blindness. (a) Definition. The agency must use the definition of blindness that is used in the State plan for AB or AABD. (b) State...

  10. 42 CFR 435.530 - Definition of blindness.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Definition of blindness. 435.530 Section 435.530... ISLANDS, AND AMERICAN SAMOA Categorical Requirements for Eligibility Blindness § 435.530 Definition of blindness. (a) Definition. The agency must use the same definition of blindness as used under SSI,...

  11. Multiply-Impaired Blind Children: A National Problem.

    ERIC Educational Resources Information Center

    Graham, Milton D.

    In 1966, a national survey reported on 8,887 multiply impaired (MI) blind children. About 56% were boys; 85% had been blind since before age 3, and half were totally blind. The principal causes of blindness were retrolental fibroplasia and congenital cataracts. Almost 63% had two or more additional disabilities (86.8% of those under age 6), such…

  12. Programs for Deaf-Blind Children and Adults.

    ERIC Educational Resources Information Center

    American Annals of the Deaf, 1995

    1995-01-01

    This report of the annual survey of programs for deaf-blind children and adults lists, by state, programs for deaf-blind children and youth, Helen Keller Centers for deaf-blind youth and adults, and programs for training teachers of deaf-blind students. Provided are program names, addresses, telephone numbers, and names of directors. (DB)

  13. Programs for Deaf-Blind Children and Adults.

    ERIC Educational Resources Information Center

    American Annals of the Deaf, 2000

    2000-01-01

    This annual directory lists programs for deaf-blind children and adults including programs for deaf-blind children and youth (national and state level), the Helen Keller Centers for deaf-blind youth and adults, and programs for training teachers of deaf-blind students. (DB)

  14. Astronomy for the Blind and Visually Impaired

    NASA Astrophysics Data System (ADS)

    Kraus, S.

    2016-12-01

    This article presents a number of ways of communicating astronomy topics, ranging from classical astronomy to modern astrophysics, to the blind and visually impaired. A major aim of these projects is to provide access which goes beyond the use of the tactile sense to improve knowledge transfer for blind and visually impaired students. The models presented here are especially suitable for young people of secondary school age.

  15. Prevention of Blindness in the USSR.

    ERIC Educational Resources Information Center

    Trutneva, K.

    The booklet describes approaches used in the Union of Soviet Socialist Republics to prevent blindness. It contrasts conditions prior to 1917 (300 eye doctors mainly located in large cities and 2,000 hospital beds for the 300,000 totally blind and 7,000,000 people with trachoma) with conditions in 1971 when in the Ukraine alone there were 3,000 eye…

  16. [Temporary blindness after transnasal ethmoidectomy (author's transl)].

    PubMed

    Langnickel, R

    1978-05-01

    A unilateral blindness after transnasal ethmoidectomy was diagnosed postoperatively while the patient was still in theatre. Exploration via an external approach was performed immediately, a haematoma was drained and the posteroir ethmoid artery was cauterized. This led to a recovery of vision. The temporary blindness was probably due to increased intraorbital pressure by the retrobulbar haematoma which led to stretching of and pressure on the optic nerve.

  17. Prevalence of colour blindness in young Jordanians.

    PubMed

    Al-Aqtum, M T; Al-Qawasmeh, M H

    2001-01-01

    Colour blindness is one of the common genetic disorders observed in all human populations. It is a sex-linked recessive trait. The genes are located on the X chromosome within the Xq28 band. 1,418 university students (1,200 female and 218 male) from Zarka Private University and the Hashemite University were randomly selected and tested for congenital red/green colour blindness, by using Ishihara pseudo-isochromatic colour plates. A total of 23 individuals were found to be colour blind. In females, 4 students (0.33%) were colour blind: 1 of them showed protanomalia, 1 protanopia and 2 deuteranomalia. In males, 19 students (8.72%) were colour blind: 4 showed protanomalia, 3 protanopia, 8 deuteranomalia and 4 deuteranopia. The allelic frequencies of the colour vision gene were found to be 0.087 in males, 0.003 in females and 0.016 in the total population. Studies on colour blindness in Jordan are very few; this population-based investigation is meant to fill a gap in this field.

  18. Bridging the gap between DeafBlind minds: interactional and social foundations of intention attribution in the Seattle DeafBlind community

    PubMed Central

    Edwards, Terra

    2015-01-01

    This article is concerned with social and interactional processes that simplify pragmatic acts of intention attribution. The empirical focus is a series of interactions among DeafBlind people in Seattle, Washington, where pointing signs are used to individuate objects of reference in the immediate environment. Most members of this community are born deaf and slowly become blind. They come to Seattle using Visual American Sign Language, which has emerged and developed in a field organized around visual modes of access. As vision deteriorates, however, links between deictic signs (such as pointing) and the present, remembered, or imagined environment erode in idiosyncratic ways across the community of language-users, and as a result, it becomes increasingly difficult for participants to converge on objects of reference. In the past, DeafBlind people addressed this problem by relying on sighted interpreters. Under the influence of the recent “pro-tactile” movement, they have turned instead to one another to find new solutions to these referential problems. Drawing on analyses of 120 h of videorecorded interaction and language-use, detailed fieldnotes collected during 12 months of sustained anthropological fieldwork, and more than 15 years of involvement in this community in a range of capacities, I argue that DeafBlind people are generating new and reciprocal modes of access to their environment, and this process is aligning language with context in novel ways. I discuss two mechanisms that can account for this process: embedding in the social field and deictic integration. I argue that together, these social and interactional processes yield a deictic system set to retrieve a restricted range of values from the extra-linguistic context, thereby attenuating the cognitive demands of intention attribution and narrowing the gap between DeafBlind minds. PMID:26500576

  19. 75 FR 47304 - Accessible Mobile Phone Options for People Who Are Blind, Deaf-Blind, or Have Low Vision

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-05

    ... COMMISSION Accessible Mobile Phone Options for People Who Are Blind, Deaf- Blind, or Have Low Vision AGENCY...-145, which shall be captioned ``Accessible Mobile Phone Options for People who are Blind, Deaf-blind... following issues: The wireless phone features and functions in the current marketplace that are...

  20. Vibrotactile masking experiments reveal accelerated somatosensory processing in congenitally blind braille readers.

    PubMed

    Bhattacharjee, Arindam; Ye, Amanda J; Lisak, Joy A; Vargas, Maria G; Goldreich, Daniel

    2010-10-27

    Braille reading is a demanding task that requires the identification of rapidly varying tactile patterns. During proficient reading, neighboring characters impact the fingertip at ∼100 ms intervals, and adjacent raised dots within a character at 50 ms intervals. Because the brain requires time to interpret afferent sensorineural activity, among other reasons, tactile stimuli separated by such short temporal intervals pose a challenge to perception. How, then, do proficient Braille readers successfully interpret inputs arising from their fingertips at such rapid rates? We hypothesized that somatosensory perceptual consolidation occurs more rapidly in proficient Braille readers. If so, Braille readers should outperform sighted participants on masking tasks, which demand rapid perceptual processing, but would not necessarily outperform the sighted on tests of simple vibrotactile sensitivity. To investigate, we conducted two-interval forced-choice vibrotactile detection, amplitude discrimination, and masking tasks on the index fingertips of 89 sighted and 57 profoundly blind humans. Sighted and blind participants had similar unmasked detection (25 ms target tap) and amplitude discrimination (compared with 100 μm reference tap) thresholds, but congenitally blind Braille readers, the fastest readers among the blind participants, exhibited significantly less masking than the sighted (masker, 50 Hz, 50 μm; target-masker delays, ±50 and ±100 ms). Indeed, Braille reading speed correlated significantly and specifically with masking task performance, and in particular with the backward masking decay time constant. We conclude that vibrotactile sensitivity is unchanged but that perceptual processing is accelerated in congenitally blind Braille readers.

  1. Blind deconvolution applied to acoustical systems identification with supporting experimental results

    NASA Astrophysics Data System (ADS)

    Roan, Michael J.; Gramann, Mark R.; Erling, Josh G.; Sibul, Leon H.

    2003-10-01

    Many acoustical applications require the analysis of a signal that is corrupted by an unknown filtering function. Examples arise in the areas of noise or vibration control, room acoustics, structural vibration analysis, and speech processing. Here, the observed signal can be modeled as the convolution of the desired signal with an unknown system impulse response. Blind deconvolution refers to the process of learning the inverse of this unknown impulse response and applying it to the observed signal to remove the filtering effects. Unlike classical deconvolution, which requires prior knowledge of the impulse response, blind deconvolution requires only reasonable prior estimates of the input signal's statistics. The significant contribution of this work lies in experimental verification of a blind deconvolution algorithm in the context of acoustical system identification. Previous experimental work concerning blind deconvolution in acoustics has been minimal, as previous literature concerning blind deconvolution uses computer simulated data. This paper examines experiments involving three classical acoustic systems: driven pipe, driven pipe with open side branch, and driven pipe with Helmholtz resonator side branch. Experimental results confirm that the deconvolution algorithm learns these systems' inverse impulse responses, and that application of these learned inverses removes the effects of the filters.

  2. Changes in blindness prevalence over 16 years in Malawi: reduced prevalence but increased numbers of blind

    PubMed Central

    Courtright, P; Hoeshcmann, A; Metcalfe, N; Chirambo, M; Noertjojo, K; Barrows, J; Katz, J

    2003-01-01

    Background/aims: In the coming two decades significant increases in the burden of blindness are anticipated unless concerted efforts are made to improve eye care in developing countries. Evidence of changing prevalence rates or numbers of blind people are few. The change in blindness prevalence and the number of blind people in an adult population of Malawi was measured over a 16 year period. Methods: In 1999 a population based survey of blindness in adults (age 50+) was conducted in Chikwawa district of Malawi. Visual acuity and cause of vision loss were recorded for each eye independently. Blindness was defined as presenting better eye vision of <6/60. Findings from a 1983 survey of blindness in the same district (using similar methods) were re-analysed to be comparable with the survey conducted in 1999. Results: Among 1630 enumerated adults 89% were examined. The age adjusted prevalence of blindness in the adult population was 5.4% and more common in women than men. In each age group the prevalence of blindness was lower in 1999 than in 1983; the overall reduction in blindness was 31%. During this period the 50+ population in Malawi increased almost twofold. Extrapolating the Chikwawa district data to the Malawi population reveals that the number of blind people has increased by 24%; the increase is primarily because of the large increase in the size of the most elderly group, aged 70 and above. Conclusion: The majority of blind people in Chikwawa (1983 and 1999) are in the age group 70 and over. This group has had the largest proportional increase in population size in this time. Services in this population have improved in the intervening 16 years and yet there was still an increase in the number of blind people. There was little change in excess blindness in women, suggesting that the same barriers that prevented utilisation of services in 1983 probably persist in 1999. Efforts to reach the most elderly and to reach women are needed to lead to a reduction in

  3. Genetics Home Reference

    MedlinePlus

    Skip Navigation Bar Home Current Issue Past Issues Genetics Home Reference Past Issues / Spring 2007 Table of ... of this page please turn Javascript on. The Genetics Home Reference (GHR) Web site — ghr.nlm.nih. ...

  4. ChronRater: A simple approach to assessing the accuracy of age models from Holocene sediment cores

    NASA Astrophysics Data System (ADS)

    Kaufman, D. S.; Balascio, N. L.; McKay, N. P.; Sundqvist, H. S.

    2013-12-01

    We have assembled a database of previously published Holocene proxy climate records from the Arctic, with the goal of reconstructing the spatial-temporal pattern of past climate changes. The focus is on well-dated, highly resolved, continuous records that extend to at least 6 ka, most of which (90%) are from sedimentary sequences sampled in cores from lakes and oceans. The database includes the original geochronological data (radiocarbon ages) for each record so that the accuracy of the underlying age models can be assessed uniformly. Determining the accuracy of age control for sedimentary sequences is difficult because it depends on many factors, some of which are difficult to quantify. Nevertheless, the geochronological accuracy of each time series in the database must be assessed systematically to objectively identify those that are appropriate to address a particular level of temporal inquiry. We have therefore devised a scoring scheme to rate the accuracy of age models that focuses on the most important factors and uses just the most commonly published information to determine the overall geochronological accuracy. The algorithm, "ChronRater" is written in the open-source statistical package, R. It relies on three characteristics of dated materials and their downcore trends: (1) The delineation of the downcore trend, which is quantified based on three attributes, namely: (a) the frequency of ages, (b) the regularity of their spacing, and (c) the uniformity of the sedimentation rate. (2) The quality of the dated materials, as determined by: (a) the proportion of outliers and downcore reversals, and (b) the type of materials analyzed and the extent to which their ages are verified by independent information as judged by a five-point scale for the entire sequence of ages. And (3) the overall uncertainty in the calibrated ages, which includes the analytical precision and the associated calibrated age ranges. Although our geochronological accuracy score is

  5. Herbal reference standards.

    PubMed

    Schwarz, Michael; Klier, Bernhard; Sievers, Hartwig

    2009-06-01

    This review describes the current definitions and regulatory requirements that apply to reference standards that are used to analyse herbal products. It also describes and discusses the current use of reference substances and reference extracts in the European and United States pharmacopoeias.

  6. Academic Library Reference Services.

    ERIC Educational Resources Information Center

    Batt, Fred

    This examination of the philosophy and objectives of academic library reference services provides an overview of the major reference approaches to fulfilling the following primary objectives of reference services: (1) providing accurate answers to patrons' questions and/or helping patrons find sources to pursue their research needs; (2) building…

  7. The effect of vertical and horizontal symmetry on memory for tactile patterns in late blind individuals.

    PubMed

    Cattaneo, Zaira; Vecchi, Tomaso; Fantino, Micaela; Herbert, Andrew M; Merabet, Lotfi B

    2013-02-01

    Visual stimuli that exhibit vertical symmetry are easier to remember than stimuli symmetric along other axes, an advantage that extends to the haptic modality as well. Critically, the vertical symmetry memory advantage has not been found in early blind individuals, despite their overall superior memory, as compared with sighted individuals, and the presence of an overall advantage for identifying symmetric over asymmetric patterns. The absence of the vertical axis memory advantage in the early blind may depend on their total lack of visual experience or on the effect of prolonged visual deprivation. To disentangle this issue, in this study, we measured the ability of late blind individuals to remember tactile spatial patterns that were either vertically or horizontally symmetric or asymmetric. Late blind participants showed better memory performance for symmetric patterns. An additional advantage for the vertical axis of symmetry over the horizontal one was reported, but only for patterns presented in the frontal plane. In the horizontal plane, no difference was observed between vertical and horizontal symmetric patterns, due to the latter being recalled particularly well. These results are discussed in terms of the influence of the spatial reference frame adopted during exploration. Overall, our data suggest that prior visual experience is sufficient to drive the vertical symmetry memory advantage, at least when an external reference frame based on geocentric cues (i.e., gravity) is adopted.

  8. Tactile Sensitivity and Braille Reading in People with Early Blindness and Late Blindness

    ERIC Educational Resources Information Center

    Oshima, Kensuke; Arai, Tetsuya; Ichihara, Shigeru; Nakano, Yasushi

    2014-01-01

    Introduction: The inability to read quickly can be a disadvantage throughout life. This study focused on the associations of braille reading fluency and individual factors, such as the age at onset of blindness and number of years reading braille, and the tactile sensitivity of people with early and late blindness. The relationship between reading…

  9. Our Blind Child: Bringing Up a Blind Child During Its Early Years.

    ERIC Educational Resources Information Center

    Pielasch, Helmut, Ed.; And Others

    The document contains 10 author contributed chapters (in four languages) which resulted from a 1976 international symposium on problems concerning the preschool education of blind children and the guidance of their parents. Chapters have the following titles (with authors and nationality in parentheses): "Development of the Blind Child"…

  10. References for marine science

    NASA Astrophysics Data System (ADS)

    1990-06-01

    Standard and Reference Materials for Marine Science, National Oceanic and Atmospheric Administration Technical Memo OMA-51 (2nd edition, 434 pp.), by A. Y. Cantillo, is now available. This compilation of reference materials was prepared at the request of the Group of Experts on Standards and Reference Materials and was printed by NOAA. GESREM is sponsored by the International Atomic Energy Agency, the Intergovernmental Oceanographic Commission, and the United Nations Program.Reference materials are included on ashes, gases, instrument performance materials, oils, physical properties, rocks, sediments, sludges, tissues and waters. For each reference material, source, description and preparation, analyses and values, cost, references, and comments are given. Indices are included for elements, isotopes and organic compounds. Cross references to Chemical Abstracts Service registry numbers and alternate names and chemical structures of organic compounds are also provided.

  11. Blind topological measurement-based quantum computation.

    PubMed

    Morimae, Tomoyuki; Fujii, Keisuke

    2012-01-01

    Blind quantum computation is a novel secure quantum-computing protocol that enables Alice, who does not have sufficient quantum technology at her disposal, to delegate her quantum computation to Bob, who has a fully fledged quantum computer, in such a way that Bob cannot learn anything about Alice's input, output and algorithm. A recent proof-of-principle experiment demonstrating blind quantum computation in an optical system has raised new challenges regarding the scalability of blind quantum computation in realistic noisy conditions. Here we show that fault-tolerant blind quantum computation is possible in a topologically protected manner using the Raussendorf-Harrington-Goyal scheme. The error threshold of our scheme is 4.3 × 10(-3), which is comparable to that (7.5 × 10(-3)) of non-blind topological quantum computation. As the error per gate of the order 10(-3) was already achieved in some experimental systems, our result implies that secure cloud quantum computation is within reach.

  12. A blind reversible robust watermarking scheme for relational databases.

    PubMed

    Chang, Chin-Chen; Nguyen, Thai-Son; Lin, Chia-Chen

    2013-01-01

    Protecting the ownership and controlling the copies of digital data have become very important issues in Internet-based applications. Reversible watermark technology allows the distortion-free recovery of relational databases after the embedded watermark data are detected or verified. In this paper, we propose a new, blind, reversible, robust watermarking scheme that can be used to provide proof of ownership for the owner of a relational database. In the proposed scheme, a reversible data-embedding algorithm, which is referred to as "histogram shifting of adjacent pixel difference" (APD), is used to obtain reversibility. The proposed scheme can detect successfully 100% of the embedded watermark data, even if as much as 80% of the watermarked relational database is altered. Our extensive analysis and experimental results show that the proposed scheme is robust against a variety of data attacks, for example, alteration attacks, deletion attacks, mix-match attacks, and sorting attacks.

  13. A Blind Reversible Robust Watermarking Scheme for Relational Databases

    PubMed Central

    Chang, Chin-Chen; Nguyen, Thai-Son; Lin, Chia-Chen

    2013-01-01

    Protecting the ownership and controlling the copies of digital data have become very important issues in Internet-based applications. Reversible watermark technology allows the distortion-free recovery of relational databases after the embedded watermark data are detected or verified. In this paper, we propose a new, blind, reversible, robust watermarking scheme that can be used to provide proof of ownership for the owner of a relational database. In the proposed scheme, a reversible data-embedding algorithm, which is referred to as “histogram shifting of adjacent pixel difference” (APD), is used to obtain reversibility. The proposed scheme can detect successfully 100% of the embedded watermark data, even if as much as 80% of the watermarked relational database is altered. Our extensive analysis and experimental results show that the proposed scheme is robust against a variety of data attacks, for example, alteration attacks, deletion attacks, mix-match attacks, and sorting attacks. PMID:24223033

  14. The Outdoor MEDIA DOT: The Development and Inter-Rater Reliability of a Tool Designed to Measure Food and Beverage Outlets and Outdoor Advertising

    PubMed Central

    Poulos, Natalie S.; Pasch, Keryn E.

    2015-01-01

    Few studies of the food environment have collected primary data, and even fewer have reported reliability of the tool used. This study focused on the development of an innovative electronic data collection tool used to document outdoor food and beverage (FB) advertising and establishments near 43 middle and high schools in the Outdoor MEDIA Study. Tool development used GIS based mapping, an electronic data collection form on handheld devices, and an easily adaptable interface to efficiently collect primary data within the food environment. For the reliability study, two teams of data collectors documented all FB advertising and establishments within one half-mile of six middle schools. Inter-rater reliability was calculated overall and by advertisement or establishment category using percent agreement. A total of 824 advertisements (n=233), establishment advertisements (n=499), and establishments (n=92) were documented (range=8–229 per school). Overall inter-rater reliability of the developed tool ranged from 69–89% for advertisements and establishments. Results suggest that the developed tool is highly reliable and effective for documenting the outdoor FB environment. PMID:26022774

  15. Same-session and between-day intra-rater reliability of hand-held dynamometer measurements of isometric shoulder extensor strength.

    PubMed

    Awatani, Takenori; Mori, Seigo; Shinohara, Junji; Koshiba, Hiroya; Nariai, Miki; Tatsumi, Yasutaka; Nagata, Akinori; Morikita, Ikuhiro

    2016-03-01

    [Purpose] The purpose of present study was to establish the same-session and between-day intra-rater reliability of measurements of extensor strength in the maximum abducted position (MABP) using hand-held dynamometer (HHD). [Subjects] Thirteen healthy volunteers (10 male, 3 female; mean ± SD: age 19.8 ± 0.8 y) participated in the study. [Methods] Participants in the prone position with maximum abduction of shoulder were instructed to hold the contraction against the ground reaction force, and peak isometric force was recorded using the HHD on the floor. Participants performed maximum isometric contractions lasting 3 s, with 3 trials in one session. Between-day measurements were performed in 2 sessions separated by a 1-week interval. Intra-rater reliability was determined using intraclass correlation coefficients (ICC). Systematic errors were assessed using Bland-Altman analysis for between-day data. [Results] ICC values for same-session data and between-day data were found to be "almost perfect". Systematic errors not existed and only random error existed. [Conclusion] The measurement method used in this study can easily control for experimental conditions and allow precise measurement because the lack of stabilization and the impact of tester strength are removed. Thus, extensor strength in MABP measurement is beneficial for muscle strength assessment.

  16. The Outdoor MEDIA DOT: The development and inter-rater reliability of a tool designed to measure food and beverage outlets and outdoor advertising.

    PubMed

    Poulos, Natalie S; Pasch, Keryn E

    2015-07-01

    Few studies of the food environment have collected primary data, and even fewer have reported reliability of the tool used. This study focused on the development of an innovative electronic data collection tool used to document outdoor food and beverage (FB) advertising and establishments near 43 middle and high schools in the Outdoor MEDIA Study. Tool development used GIS based mapping, an electronic data collection form on handheld devices, and an easily adaptable interface to efficiently collect primary data within the food environment. For the reliability study, two teams of data collectors documented all FB advertising and establishments within one half-mile of six middle schools. Inter-rater reliability was calculated overall and by advertisement or establishment category using percent agreement. A total of 824 advertisements (n=233), establishment advertisements (n=499), and establishments (n=92) were documented (range=8-229 per school). Overall inter-rater reliability of the developed tool ranged from 69-89% for advertisements and establishments. Results suggest that the developed tool is highly reliable and effective for documenting the outdoor FB environment.

  17. Universal blind image quality assessment metrics via natural scene statistics and multiple kernel learning.

    PubMed

    Gao, Xinbo; Gao, Fei; Tao, Dacheng; Li, Xuelong

    2013-12-01

    using the original marginal distribution of wavelet coefficients; 2) we measure correlations between wavelet coefficients using mutual information defined in information theory; 3) we use features of EDC in universal blind image quality prediction directly; and 4) we introduce MKL to measure the similarity of different features using different kernels. Thorough experimental results on the Laboratory for Image and Video Engineering database II and the Tampere Image Database2008 demonstrate that both metrics are in remarkably high consistency with the human perception, and overwhelm representative universal blind algorithms as well as some standard full reference quality indexes for various types of distortions.

  18. Experimental demonstration of blind quantum computing

    NASA Astrophysics Data System (ADS)

    Barz, Stefanie; Kashefi, Elham; Broadbent, Anne; Fitzsimons, Joe; Zeilinger, Anton; Walther, Philip

    2012-02-01

    Quantum computers are among the most promising applications of quantum-enhanced technologies. Quantum effects such as superposition and entanglement enable computational speed-ups that are unattainable using classical computers. The challenges in realising quantum computers suggest that in the near future, only a few facilities worldwide will be capable of operating such devices. In order to exploit these computers, users would seemingly have to give up their privacy. It was recently shown that this is not the case and that, via the universal blind quantum computation protocol, quantum mechanics provides a way to guarantee that the user's data remain private. Here, we demonstrate the first experimental version of this protocol using polarisation-entangled photonic qubits. We demonstrate various blind one- and two-qubit gate operations as well as blind versions of the Deutsch's and Grover's algorithms. When the technology to build quantum computers becomes available, this will become an important privacy-preserving feature of quantum information processing.

  19. A Novel Quantum Proxy Blind Signature Scheme

    NASA Astrophysics Data System (ADS)

    Guo, Wei; Xie, Shu-Cui; Zhang, Jian-Zhong

    2017-02-01

    A novel quantum proxy blind signature scheme is proposed. In this scheme, a special type of non-maximally entangled three-qubit state is introduced as a quantum channel, which can realize perfect teleportation. The message sender U blinds his message by means of preparing two groups of non-orthogonal single-photon states. According to the original signer Charlie's delegation message, the proxy signer Alice generates a corresponding signature. The arbitrator Trent can help the receiver Bob verify the signature, and also prevent Bob from doing any damage. The above-mentioned advantages make this scheme different from some existing schemes. It is showed that our scheme has the properties of undeniability, unforgeability, blindness, untraceability. Moreover, it is free from intercept-resend attack.

  20. Patient-physician communication when blindness threatens.

    PubMed

    Hopper, S V; Fischbach, R L

    1989-08-01

    The threat of blindness creates a difficult and challenging environment for communication between patients and their ophthalmologists. This study examined concordance between what patients want to know from their physicians about their eye condition and what physicians believe their patients need to know. Eight retinal specialists and 24 of their patients with proliferative diabetic retinopathy and at risk of blindness were interviewed using parallel-constructed instruments. Although all recognized that blindness was the patients' greatest concern, disparities were noted that involved the desire/need to know about the possibility of vision loss, the causes of the eye condition, the results of each eye exam, and the extent of patient confusion. Physicians, while conscientious about informed consent, described various communication behaviors to avoid discussing bad news.